1. Chapter 19 Health Outreach (2016) Berthold, T., Editor
Foundations For
Community Health Workers
(2nd Edition)
(2016)
Berthold, T., Editor
San Francisco, C.A.: Jossey-Bass
Copyright ©  by John Wiley & Sons, Inc., or related companies. All rights reserved.
Chapter 19
Health Outreach

2. Reflection of Last Session
What did you learn?
Types of trauma
CHW Scope of Practice
Have students review what they learned from the last session on these key topics.

3. What You Will Learn Define outreach
Discuss the types of communities served and the health issues addressed through outreach 
Identify and provide examples of different outreach  levels and methods
Describe and apply strategies for approaching people you do not know

4. What You Will Learn
Identify key safety concerns and strategies for outreach workers
Document outreach services accurately and explain the importance of doing so
Develop an outreach plan

5. Words to Know
Social marketing
Venue
Key opinion leaders

6. Defining Community Health Outreach
Increase awareness about a health issue
Promote health knowledge and changes in health behaviors
Recruit participants for research
Establish links and partnerships between communities and health programs
Increase community participation in health programs and policies
Mobilize community members to participate in community organizing advocacy and efforts

7. Community Intervention Team
CIT

8. Qualities of Successful Community Health Outreach Workers
Must be a “people person”
Easy going and approachable
Extremely patient
Capable of earning respect community members
Flexible and be able to adapt to different working conditions
Viewed as trustworthy by others
Creative and willing to “think outside the box” to engage people
Attentive to needs of community and individuals
Highly organized

9. Communities Served Through Outreach
Communities served through outreach lack access to health resources and face barriers to health
Outreach efforts are defined by factors such as:
Epidemiologic and other public health data
Geographical boundaries
Ethnicity, nationality, immigration status, sexual orientation, gender, housing status, etc.

10. Health Issues Addressed by Outreach
Infectious diseases
Violence
Chronic diseases
Enrollment in free/low cost health insurance programs
Mental health
Accidents and injuries
Enrollment in research studies
Environmental and occupational health
Community planning
Access to key health and social services
Advocacy

11. Outreach Levels Individual Level
Talk one-to-one with individuals about concerns
Group Level
Speak with a group from a community and provide health education and advocacy
Institutional Level
Work with representatives to reach their membership
Population Level
Target populations within a city, state, or nation. Outreach methods include social marketing

12. Outreach Strategies Street Outreach Venue-Based Outreach
Teams of CHWs with a goal of talking with members of a specific community.
Venue-Based Outreach
Places where target community spends time (schools, public housing, bars, clubs, churches).
Recruitment of Volunteer Peer Educators
Key Opinion Leaders build relationships. Ask these leaders to join the outreach effort as a volunteer.

13. Outreach Strategies Institutional outreach
Outreach programs establish partnerships with institutions within the community belong to reach specific community members (schools, unions, colleges)
Social marketing
Use of posters, billboards, brochures, PSAs, newspapers, radio, and TV to promote specific health outcomes

14. Outreach Strategies Internet and Mobile Web Outreach
A website that appeals to a target population
A social networking group (Facebook, chat rooms)
Benefits:
Cost-effective and reaches large audience
Limitations:
Access, cultural appropriateness, privacy concerns

15. Safety Issues and Concerns
Losing sight of partner
Injuring yourself in dimly lit areas
Witnessing illegal activities
Unintentional involvements in police actions
Witnessing arguments or violence
Encountering an angry or violent person
Experiencing harassment
Theft and assault

16. Safety Strategies Work with a partner or a team
Keep teammates within view at all times
Develop a system to “signal” one another for assistance
Allow for quick communication for other team members if anyone runs into a difficult situation
Listen and follow your instincts

17. Successful Teamwork Reach a larger number of clients
More diversity - more choices offered
Meet with team to clarify goals and objectives
Listen for ideas and accept critical feedback
Be patient with colleagues
Accept and respect different experiences
Be ready and willing to compromise

18. Documenting Health Outreach Services
Shows if you met program goals and objectives
Provides data used to find additional funding
Reveals the history of a program and builds a timeline
Assists your agency to develop future plans
Enables you to be accountable to funders
Makes it possible to evaluate your program

19. Develop an Outreach Plan
Define the community to be served by outreach
Identify key opinion leaders
Identify potential outreach sites
Visit local agencies

20. Develop an Outreach Plan
Identify the health issue and health outcomes you will promote
Conduct research about the health issue
Understand the health issue’s primary causes, consequences, treatments, and methods for prevention
Organize the outreach team

21. Conducting Health Outreach
Building healthy relationships in the community
Contact people you know
Identify key opinion leaders
Network with the community
Identify community agencies
Organize a community forum
Encourage community involvement
Listen and observe
Be patient
Keep your promises
Be respectful and follow through with commitments

22. Practice
Complete Chapter 19 HW in Blackboard
Read Chapter 20

23. Resources: Image on slide 2
digital-drugs-binaural-beats by digitalbob8 is licensed under CC BY 2.0
Image on slide 3
Bring Light Bulb is available in the public domain under CC0 Public Domain
Video on slide 5
Lost Minds: KC's Mental Health Crisis by KCPT is licensed under a Standard YouTube License
Image on slide 11
Mobile phone is available in the public domain under CC0 Public Domain
Laptop is available in the public domain under CC0 Public Domain
Image on slide 13
At night by Perks97 is licensed under a CC BY-SA 4.0
Image on slide 14
Canvassing by Kanu Hawaii is licensed under CC BY 2.0
Image on slide 15
Working Together Teamwork Puzzle Concept by lumaxart is licensed under CC BY SA 2.0

24. Resources: Image on slide 17
Notepad is available in the public domain under CC0 Public Domain
Image on slide 18
White male is available in the public domain under CC0 Public Domain
Image on slide 20
Garage door mural by karol m is licensed under CC BY 2.0

25. Acknowledgements: MoSTEMWINs
Adapted from the Foundations for Community Health Workers, 2nd Edition (Berthold) with permission from Wiley Publishing by the Institute of Workforce Innovation of the Metropolitan Community College Kansas City and the Workforce Solutions Group of St. Louis Community College.
Unless otherwise noted this material by St. Louis Community College is licensed under a Creative Commons Attribution 4.0 International License.
This product is partially funded by the MoSTEMWINs $19.7 million grant from the U.S. Department of Labor Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership
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