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
-
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. |