Center for Community Health, Education & Research, Inc.

SPNS
Special Project of National Significance



 

CCHER's HOME PAGE

Case Management 

Counseling & Family Services

Peer Support Program 

Meal Delivery Program 

Housing Search & Advocacy

Health Education 
VHE Training Class
AODP Training Class

Research 
SPNS Presentation
REACH 2010
CAPAB:Capacity Building Assistance to Prevent
   AIDS in the Boston Haitian Community 

Substance Abuse Services

Upcoming Events

Whats New
 

In 1994,CCHER received funding from Health Resources and Service Administration Special Projects of National Significance (SPNS) to develop and evaluate an innovative model of care for Haitian HIV consumers. This model is the "Enhanced Innovative Case Management Plan" (EICMP). Haitian HIV consumers are enrolled into the EICMP and an outcome evaluation is assessing the effectiveness of the program. CCHER hopes to enroll 50% (n=225) of Massachusetts' Haitian consumers living with AIDS and anticipates that upon completion of the project in 1999, this will be a replicable model for Haitian HIV consumers in the U.S. as well as for other marginalized ethnic communities affected by the HIV epidemic. Through this project, CCHER staff have been able to develop research and evaluation skills which they can apply to other programs within the agency. 

What is the EICMP and why was it created?
The Enhanced Innovative Case Management Plan is a culturally competent counseling program for Haitian HIV consumers addressing issues that are central to the profound linguistic and cultural barriers faced by the Haitian community. The model was developed due to the overwhelming psychosocial needs and prevention/risk reduction challenges for Haitian HIV consumers that CCHER case managers solely could not address. The EICMP seeks to reduce linguistic and cultural barriers by: 

  • Increasing consumers' knowledge of how to prevent HIV transmissions
  • Increasing consumers' compliance with treatment
  • Improving consumers' utilization of health and social services
  • Reducing risk behaviors
  • Increasing consumers' satisfaction with case management services and other services received
  • Improving consumers' sense of well being
Consumers enrolled into the program receive case management, other CCHER services, and CCHER's Psychosocial Educational Counseling Curriculum. 

CCHER's Psychosocial Educational Counseling Curriculum (PEC)
CCHER's Psychosocial Educational Counseling Curriculum (PEC) is a culturally competent curriculum of 25 topics designed to address issues specific to the Haitian HIV consumer. The PEC is administered to consumers via intensive one-to-one counseling sessions, in Haitian Creole, by a CCHER counselor. Duration of each session is approximately 60 minutes. Completion of the PEC usually entails 8-12 sessions. 

The PEC is a flexible, consumer-centered intervention that is based on nonjudgmental, active listening and requires a trusting relationship between consumer and counselor. Counseling sessions take place at a location that is convenient to the consumer and include the consumer's home, hospital, over the telephone, and at CCHER. 

Study Design, Data Collection and Evaluation
CCHER is involved in the evaluation of the project on both the local and national levels. On the national level, data collection instruments were created by The Measurement Group (TMG), designated cross-cutting evaluator for HRSA Special Projects of National Significance, and are utilized to capture baseline and follow-up information on consumers after their enrollment into the program. CCHER created its own culturally appropriate instruments as well to capture knowledge, attitudes, beliefs, behaviors, and psychosocial well-being of enrollees. Upon completion of the counseling curriculum, selected questionnaires are re-administered to consumers. After a period of 6 months, consumers are followed up and questionnaires are again re-administered. CCHER anticipates that upon completion of the program, Haitian HIV consumers will show improvements in the above evaluation criteria as a result of the PEC curriculum. 

To view "Psychosocial Educational Counseling for Haitians Living with HIV: Results and Implications of a Culturally Competent Model".  This is a poster presentation that was presented on September 16, 1999 in Washington D.C. as part of the Steering Committee meeting of the HRSA Special Projects of National Significance.  The poster summarizes the successes and achievements of the project and presents preliminary data analysis of final project findings, as the EICMP project completes its five-year funding cycle. 

To learn more about the Health Resources and Service Administration's SPNS program, or to read about other SPNS projects throughout the country, visit Innovations: Issues in HIV/AIDS Service Delivery, the on-line magazine for service providers. 


For more information, contact CCHER's at 617-265-0628 ext. 221.
or E-mail CCHER at jwalker@ccher.org
Back to Top

PEER SUPPORT | MEAL PROGRAM |HOUSING  | HEALTH EDUCATION| CASEMANAGEMENT
 SUBSTANCE ABUSE | COUNSELING & FAMILY SERVICES | INFO CENTER | UPCOMING EVENTS