1. Adams-Brown Diabetes Education Coalition Community Health Workers: Barriers and Difficulties

2.  Clinic open to the public  Collaboration between the local hospital and the school district.  Patients are seen by Nurse Practitioner  Community Oriented in a rural part of the community.

3.  Still in the planning phase  Committee developed a tentative job description and requirements for employment.  A process that takes two steps forward and one step backwards.

4.  Key Functions: A. Assist/consult in applying diabetes management plans in daily life  Practice and refine skills (shopping, cooking, exercise, problem solving, etc.)  Monitor and revise action plans B. Social and emotional support  Availability to talk and listen  Nondirective support  Monitoring and revision of healthy coping  Encourage and follow-up re: counseling, specialty care

5. C. Linkage to clinical care  Follow-up on attending regular care  Identify needs for care and facilitate/promote care  Community activities to enhance resources  Ongoing support, extended over time  Proactive contact at least monthly  Flexible availability to talk, meet within set hours to meet the needs of the community served, including individuals and groups

6.  Is a lay person (is not a health professional)  Must pass a background check  Resides in Adams County  Has either a high school diploma or GED  Has a valid driver’s license and proof of motor vehicle insurance  Has basic computer skills

7.  Is someone living with Type 2 diabetes OR is living with someone else who is living with Type 2 diabetes (preferable, but not required)  Has literacy level of at least eighth grade  Has good verbal and written communication skills  Has a reliable means of transportation  Has a willingness to perform duties at the center and in the home setting  Must complete the training required to perform expected duties

8.  Working through barriers and difficulties that have arisen.  Possible change in venue.  Working toward having the school district be the primary partner in the program.