1. STREET OUTREACH

2. GOALS OF COURSE Identify who and what we are looking for. To identify techniques that can help in development of effective outreach. Put some fun and hope back into a job that is often marginalized by folks on the street and our agencies.

3. STREET OUTREACH WHAT IS IT ANYWAY??

4. STREET OUTREACH GETTING OUT INTO THE COMMUNITY MAPPING OF THE COMMUNITY WHAT ARE YOUR GOALS/WHAT ARE THE COMMUNITIES GOALS? HAVE RESOURCES AVAILABLE FOR MANY OCCASIONS ie. Detox, shelters, entitlements, etc. SHOW UP WHEN YOU SAY YOU WILL DONT OFFER SOMETHING YOU CANT DELIVER. USEFUL INFORMATION FOR ANY GIVEN POPULATION ie crack smokers, injectors.

5. STREET OUTREACH Am I making a difference, or treading water? What kind of coverage do we really have? How can we get more services to more people or more appropriate services to those that we already see?

6. STREET OUTREACH OUTREACH always has a motive attached to it. It is important that we identify what the motive for being out in the community is and that we are honest with the community about what we are out there trying to accomplish. Do no bullshit.

7. STREET OUTREACH IDENTIFICATION ENGAGEMENTPERSUASIONSUPPORTREFFERALS

8. STREET OUTREACH IDENTIFICATION Before going to the street be aware of the population that you want to target and have a game plan on how you want to gain access. Remember to have the community involved with your efforts. It is good practice to have someone from the community in which you intend to go.

9. STREET OUTREACH ENGAGEMENT Show up on a regular basis, where you establish mutual and common ground with individuals from the community. To build a rapport with individuals. Do not assume that everyone that you come in contact with is in need of anything or wants anything from you. Build Trust

10. STREET OUTREACH PERSUASION Change is based on what an individual knows so it is critical to bring pertinent, correct, appropriate information to the street. Give strong information and individuals will make the changes in their lives.

11. STREET OUTREACH SUPPORT No matter what decision an individual makes for a given situation that is going on in their lives we need to support them. NOT COSIGNING BULLSHIT, but providing them with accurate information so they can make healthier decisions. We dont always need to agree with their decisions. The individual is the greatest agent for change in their own lives NOT US.

12. STREET OUTREACH REFFERALS Depending on where an individual is at in their life and the needs that they have expressed to you earlier, direct them to existing appropriate services. If someone says to you Im not interested in stopping my drug use at this time dont refer them to a detox or an agency that only provides services if your clean. Let them know what is available and trust in the process.

13. STREET OUTREACH One of the main purposes for doing outreach is to spread the word to the streets. It is not about how many clients we have, its about getting correct accurate information to the community and giving some direction. It is critical that we dont continually hold on. Once we give out information and follow-up and then refer its okay to let go and trust in the process.

14. METHODS OF COLLECTING DATA MAPPING Existing Service Agencies (Drug TX, Welfare etc) Needle Exchange Sites Drug Dealers (which drugs they sell) Shooting Galleries/Crack Houses Hang out areas for drug users Prostitution Strolls Check Cashing Places

15. METHODS OF COLLECTING DATA MAPPING The idea is to find out when (time) the people we are trying to reach are around so we know when and where we can find them to deliver services. Also note when and where services are and the hours of operation of those services. Find out what time of day or what days certain activities happen. Completion of the maps will allow you to do outreach when and where the outreach is needed, and better connect needs to services.

16. METHODS OF COLLECTING DATA ASSESSMENT SURVEYS Assessment Risk and protective Factors Contextual Factors Intervention Factors

17. METHODS OF COLLECTING DATA RISK AND PROTECTIVE FACTORS The risk and protective factor questions collect data on the extent and nature of risk behaviors, the reasons people engage in risk behavior, and the protective factors that enable risk reduction. This provides information on people, places and sociocultural processes of HIV risk. Who is vulnerable in the neighborhood, what risk they put themselves at, why they do them, when they do them and where they do them.

18. RISK AND PROTECTIVE FACTORS SAMPLE QUESTIONS 1.Who are the groups that are vulnerable to HIV infection in the neighborhood? 2.What are the risk behaviors in this vulnerable population? 3.Where/When do these risks occur? 4.Why do individuals engage in these risk behaviors? 5.How can risks be avoided or reduced?

19. METHODS OF COLLECTING DATA CONTEXTUAL FACTORS This allows outreach workers to collect data that describes the impact of the environment on people, places, times of risk behaviors. This helps provide key information on the environmental conditions that affect individuals who need services. Economics of certain neighborhoods. Why individuals put themselves at risk sometimes to survive. How police activity, weather, or other factors change the context of risk behavior.

20. CONTEXTUAL FACTORS SAMPLE QUESTIONS 1.What economic conditions are important to understanding the spread of HIV risks and consequences? 2.What health care services are available and accessible? 3.Where and when do these health care systems provide care and treatment for people infected or at risk of infection?

21. METHODS OF COLLECTING DATA INTERVENTION FACTORS Outreach workers asks intervention assessment questions to determine the types of interventions that are needed and what would work in the community. This tool investigates current and potential interventions that prevent adverse health and social consequences of HIV risk.

22. INTERVENTION FACTORS SAMPLE QUESTIONS 1.What are the current local interventions targeting HIV risks and consequences? 2.Where are the interventions available. 3.When are the interventions available? 4.Why are some interventions available and others are not? 5.How does the community characterize these interventions?

23. ASSESSMENT SURVEYS One of the important factors that comes out of using a tool such as this is the ability on a regular basis to see what new trends are going on in the community. Not based on our intuition but on collected facts from the street. This will allow us to develop appropriate interventions for any situation.

24. DESIRED OUTCOMES Increased sense of self efficacy and self confidence Increased involvement in social life not necessarily revolving around drug use Reduced morbidity and mortality Elimination of non-sterile injection equipment Greater connection to appropriate services

25. DRUG, SET AND SETTING DRUG: Pharmacology SET: Individual drug user SETTING: Contexts of drug use

26. DRUG, SET AND SETTING DRUG SET SETTING

27. DRUG, SET AND SETTING DRUG: Is defined not only by the pharmacological makeup of the particular substance, but also any substance that the drug is cut with. The potency of the drug and the method with which the drug is taken. EXAMPLE: Snorting Heroin produces a different effect than injecting heroin.

28. DRUG, SET AND SETTING SET: What the individual brings to the drug experience. This includes the individuals psychological approach to drug taking: why am I taking this drug? For recreation? For medication? For escape? What is the expectation of the person taking the drug. Also the same drug may act differently in different people.

29. DRUG, SET AND SETTING SETTING: The environment in which the drug is taken: persons home, bathroom in a club or an abandoned building. Setting also refers to culture within which the drug use takes place and the messages, values, and expectations that shape the meaning of drug use, within society, differing communities and differing sub- cultures.