1. OXFORD UNIVERSITY OXFORD UNIVERSITY Provision of Health Care to People Experiencing Homelessness Wayne A. Centrone, NMD, MPH HCH Clinicians’ Network Steering Committee Meeting – April 2008 Albuquerque, New Mexico

3. Report Outline Introduction to Program Curriculum Design –Online Program (Moodle) –Intensive Training –Assignments Facilitation and Instruction Impressions and Ideas –Transferability for U.S. HCH Market Questions and Answers

4. Introduction to Program Developed through professional committee and peer review Designed for “Trans- disciplinary” professionals Based at Rewley House in Davidson College Not a “paint by numbers” curriculum or program

5. Curriculum Design Socratic Method –Modules of Instruction Online (Module 1) –Mentoring –Tutoring Oxford Lecturers Guest Tutors Intensive Trainings –Module Lectures (Modules 2 - 5) –Topic Lectures w/in Modules –Tutor and Small Group Driven

6. Module Instruction Module 1 –Provision of HC to PEH Module 2 –Homelessness: Exclusion Health and Society Module 3 –Health Care Needs of PEH Module 4 –Organizing HC Provision for PEH Module 5 –Working w/ HP who have Complex & Multiple Needs Module 6 –Intensive at European HHC Conference

8. Modules and Topics Module 1 (online instruction) –What is homelessness? –What are the challenges of PEH? –What models exist to deliver HC services to PEH? –Challenges associated with the delivery of HC services to PEH? –Provider development and burnout prevention

9. Modules and Topics Module 2 (Intensive w/ assignment) –Homelessness exclusion from society and the concept of social capital –Homelessness as exclusion from Health & HC –The ethics of resource utilization: Are people experiencing homelessness deserving or undeserving? –International aspects of homeless legislation –Emotional Retreat: How do we cope as professionals in our work w/ PEH

10. Modules and Topics Module 3 (Intensive w/ assignment) –Population vs. personalization: tailored HC and promotion to disadvantaged groups –Special Populations: Veterans, women, families, older homeless, youth and GLBT –Presentations: Individual assignments –HC needs of the hard to reach groups w/ housing needs: refugees, asylum seekers, BME, gypsies and travelers –Stigmatization and homelessness

11. Modules and Topics Module 4 (Intensive w/ assignment) –Health inequalities: How do we define them? How do they apply to PEH? –Ill health in the homeless population of Boston: A case study in organizational management –Looking at applying risk management and case management to care of PEH –Personality attachment disorder: Delivering a service to PEH –Case Discussion

12. Modules and Topics Module 5 (Intensive w/ assignment) –Mental health problems in homeless populations: delivering effective TX –Competency/capability/autonomy: Balancing respect with safety –The role of psychological approaches –Delivering service for people with complex needs –Unique care considerations

13. Modules and Topics Module 6 (Intensive w/ poster presentation) –Multidisciplinary approaches –Skills advancement –Professional collaboration –Mentoring and career enhancement –European model of HC delivery to PEH

14. Facilitation and Instruction English Design Broad Influence –Faculty –Guest Tutors –Clinicians –Academics –U.S. Presence – Dr. Jim O’Connell Collegial –Experts in their fields Evidence Based –E.g. GLBTQ Presentation

15. Oxford: A Living History

16. Impressions and Ideas Fantastic and... –Well organized – readings, writings and reviews –Thoughtfully developed and structured (Dr. Angela Jones, et al) –Transdisciplinary – maybe need for “break out” sessions Great Program Outline and Framework –Good mix b/w “online” and “intensives” –Lends instruction for “mentoring” –Has “international” bridging capacity –Foundational framework for bigger programs – Board Certification? Bring Program to U.S. Audience –Partnership w/ Oxford –Involve U.S. training/academic institution's –Convene U.S. tutor/instructor cohort