PowerPoint Presentation

Nora Blackmon Health CenterCommunity Health Starts with Individual Care

Please stand up and stretch your arms as high as you can.Hokey PokeyWhile working for the state of Georgia, I found that my staff performed better when I focused on their positive contributions instead of what they were doing wrong. None of the other unit directors could figure out why my staff were always on time, had low percentages of call ins, and seemed happy even when they were cleaning up dirty diapers. I assure you it was not me, but HOW I interacted with my staff. For all of you psych majors, this is reverse psychology at its best. I call this a drop in the bucket. The more drops in the bucket we all have, the better we will perform on our day-today tasks.Now shake the hand of the person next to you and give them a drop in the bucket. It can be anything. Compliment their hair, clothing choice, or even their smile. Go for it!!!

Remembering this drop in the bucket, add to it and sayI have great shoes and I am part of the solution! Now we will continue.1

Shari philpot (Sp) - It is safe to say that one of the most boring things to do is sit in a training and listen to someone read slides. That is not my intent. I prepared this presentation with the knowledge that we learn more efficiently when we are entertained. I want you all to participate. Ask questions and be fully engaged.Shari philpot (Sp) - For starters we will do a few attention and focus exercises.

About the FacilitatorDr. Shari L. Harvey-PhilpotDirector and CEO of NBHCGraduated ASU in 2007 with a Bachelors Degree in Sociology and Psychology.Over 10 years experience working with Developmentally Disabled Individuals.Licensed by the state of Georgia as a QMRP.Supervised a full research team and conducted research for St. James School of Medicine. Measured and compared active mercury amounts obtained from samples of fish in the Atlantic and Caribbean Ocean.Earned a PhD and MD at Saint James School of Medicine in 2010.Currently pursuing a Masters Degree with NCU.

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Our Services

We provide basic outpatient medical and counseling services for individuals. Our fees are based on income. We accept most forms of insurance, but also provide care for individuals without insurance. We also provide outreach services such as professional and community trainings pertaining to all aspects of medical conditions such as HIV/AIDS, Diabetes, Lupus, Schizophrenia, and Depression, as well as their and treatments, and ways to cope with the issues these conditions present.

Community and Client ServicesDirect Community ServicesEducation /Training Health ClinicThe Penny Lue Blackmon Resource LibraryPhilmo ProductionsPrevention Task ForceIndirect Community ServicesLobbyingPolicies and LegislativeCommunity Advocate InitiativeG. Vinson Research CenterDirect Client ServicesOutreachCounselingTherapeutic ServicesOngoing Client Advocacy The Healthy Individual

We offer both direct and indirect community and client services. The difference between the two types of service is the insertion of the client; if indirect service is enacted, there is no specific client to serve and if direct service is enacted the client is foremost and undoubtedly the number one priority.4

Shari philpot (Sp) - The PLB Resource Library houses medical, psychological, and social research manuscripts, journals, and periodicals. There a 10 computer stations that are available for free public use.Shari philpot (Sp) - The G. Vinson Research Center focuses its efforts on projects that illuinate our provision of service to the community. Here we have ongoing efforts to find safe, effective, and affordable treatment to chronic diseases that greatly affect minority populations.Philmo Productions

SHOW VIDEO!!! Philmo Productions is a full scale production studio geared towards public health information. All programs are available for use by the public health sector, community educators, and for personal interest. In this 8.5 minute video the Epstein Barr Virus is discussed.Our new topics of interest are Fetal Alcohol Syndrome, Prostate Cancer, Hernia Repair, and ADHD. See website for more information.5

Shari philpot (Sp) - http://philmopro.webs.com/Shari philpot (Sp) - See websiteShari philpot (Sp) - Video embedded on page.Our MissionNora Blackmon Health Centers mission is to provide competent and compassionate care to all individuals we serve regardless of race, ethnicity, religious beliefs, sexual orientation or other group identification.

Our mission is directly linked to our quest for Social Justice.

The care we provide spans across all social, medical, and psychological needs of the individual. We pride ourselves on being an avenue of diversity full equipped to services all of our clients health related needs.6

The Nora Blackmon LegacyThe story of our center began nearly 100 years ago in Newton Grove, North Carolina

My great-grandmother Nora Blackmon, being only one generation short of slavery was a sharecropper. Her mother taught her herbal remedies and treatments for some of the problems that were common among slaves. Since many slaves and newly freed persons of color could not afford their basic necessities, healthcare usually went ignored.

Advised and trained by her mother and other matriarchs, Nora became one of the most prominent healers in her town. Croup, the flu, spiritual hindrances (now known as mental disorders) and STDs were among the most common ailments she treated. Eventually, her number of patients surpassed the towns most prominent physicians even though Ms. Blackmon could not read or write.

The Legacy Lives OnIt was a common practice of the time to show appreciation in other ways besides a monetary payment. In this fashion, Ms. Blackmon was sometimes paid with food, crops, or other household goods. Nevertheless, she never hesitated to help those who couldnt afford to pay her anything. Compassion, altruism, reverence, and empathy was entwined in her touch. This was her calling and it began ours.

Her daughter Penny Lue Blackmon continued this legacy in the states of New York and Georgia. It continues in our center today.

This is the true story of my grandmother, the daughter of a former slave and her slave owner and her mother Nora Blackmon. I shared this story with the staff so to instill the hope in which this center was established. We want to keep our mission, vision, and values in the first line of the care we provide to our clients.8

Shari philpot (Sp) - In honor of my grandmother and her mother, we continue to serve those in need with integrity and appreciation for their individualities.In his letter from the Birmingham Jail written April 16, 1963, Martin Luther King Jr. wrote, Injustice anywhere is a threat to justice everywhere.

As healthcare providers, mental health professionals, and social advocates, it is up to us to initiate the change we want to see in out communities.

It is this sole factor that reiterates our continued need to assess the following points as they relate to our center.

Key PointsSocial Justice in Practice The Role of the Community Health Worker Treating the Community" Vs. Treating the Client"? Ethical implications What types of ethical dilemmas may be specific to the community worker? Empowering the Individual Balancing Ethical Responsibility

Social JusticeSince the establishment of the our country, the American population has continued to become increasingly diverse. These changes have increased the need for cultural competency across the board for all providers of healthcare services.

Now more than ever, the need for social justice in all aspects of health care is critical. Social justice is the idea that healthcare workers should promote fair treatment in order to eliminate disparities among individuals.

What is Social Justice? (Audience Response) Cultural competency, social justice, cultural humility,

Social Justice is not easily defined, but for our purpose here today it is the quest for equality in the services we provide.How do we show equality in our services?What can we do to maintain equality in our services?What can threaten our effectiveness in maintain equality in our center?11

Social Justice: Plan of ActionHow can we carry out a SJ Plan of Action?

EducationImplementationEvaluation

Any facility can say that they represent social justice, but in order to have an accurate view of the need and ongoing enactment of social justice we need a clear cut plan of action. Our plan of action at the NBHC is three fold.12

Shari philpot (Sp) - Now that we know the importance of social justice, let's figure out our role in its implementation. Question for audience: Why do we need a plan of action?EducationSocial Determinants of Health EdificationHolistic and Natural HealingPathology and Disease

Assessments of NeedSocial Justice TrainingsSocial Justice Taskforce

The education phase is centered on the ongoing need to learn about the cultural entities present in our community. During the education phase we will discuss the social determinants of health edification, holistic health practice, and the pathology of disease and mental disabilities. In addition to the aspect of learning conducted during these trainings, we will also be forming a social justice taskforce. This task force will serve as our first-line of defense in preventing social injustice in our center and in the community. It will be the responsibility of the Social Justice Taskforce to assess the needs of our center and the community regarding the issues of social justice, cultural competency, and ethnic humility. We will take nominations from each department head at the end of this training. All staff will be required to vote on the positions, even if they select not to participate in the task force itself. 13

Shari philpot (Sp) - Please see model in HAWAII JOURNAL OF MEDICINE & PUBLIC HEALTH, APRIL 2012, VOL 71, NO 4, SUPPLEMENT 1ImplementationProfessional Skills DevelopmentPublic Policy Augmentation and AdvocacyCommunity ServiceOngoing research and developmentCommunity Awareness and Action ProgramsContinuing development of community awareness of the psychosocial and biomedical aspects of medicine.Public Service AnnouncementsVideo Production

In many primary care settings, the aspects of physical health and disease are separated from the psychological and social aspects of disease. At NBHC it is our belief that to provide complete healthcare and effective treatment, all of these aspects of the individual must be considered as pertinent pieces to the puzzle of maintaining or restoring optimal health conditions.14

Shari philpot (Sp) - Through the assesments of our SJ Taskforce, we will find out not only what our community members want, but what they need. This is what we will base our services on. We want to be on point when providing service. In addition, we also want to use care when identifing what issues are of importance to members of unique populations and ethnicities.EvaluationThe other two facets of the Social Justice Plan of Action are meant to increase Social AwarenessIndividual Personal Growth

Pre/Post Evaluations

Empirical Analysis of Research

Facilitated Small Group DiscussionsStudies have shown that facilitated small group discussions are a highly effective way of exploring opinions, biases, and ideas.

In order to assess the effectiveness of our initiatives , our taskforce will use pre and post evaluating methods i.e. surveys, self reflection essays, etc.15

Shari philpot (Sp) - HAWAII JOURNAL OF MEDICINE & PUBLIC HEALTH, APRIL 2012, VOL 71, NO 4, SUPPLEMENT 1Roles of the Community Healthcare WorkerThe role of an effective community healthcare worker is one that has fluidity. At times, the healthcare worker may serve as different entities. Although our titles may differ, we may begin our relationship with a client as a.PCPMentorPsychologistSocial WorkerCounselorAnd eventually becomeAdvocateFriendEither way, rely on your appropriate Code of Ethics and NBHCs policies and practice to ensure that the appropriate relationships are being nurtured.

Knowing your role and how to integrate that role with our mission, is the key element in putting Social Justice into Practice.

Social Workers, Mental Health Counselors, Psychologists, Doctors All must respect client dignity and promote client welfare.SOCIAL JUSTICE IN ACTION!!! 16

Multiple / Dual RelationshipsSince NBHC focuses on being part of the community, there is the potential for our staff to develop multiple types of relationships with out clients. The development of these relationship are almost unavoidable and must be handled with extreme care so that proper boundaries are maintained with our clients. Our primary concern in these circumstances is the continuance of treatment and its successful completion.If relationships outside of NBHC began to threaten the maintenance of our goals, mission, or values, the staff involved should seek out advice from our Community Involvement Department. In some events, staff may be asked to choose which relationship holds the most value to them.This may be the only way to prevent boundary violations.According to the APA Code of Ethics (2010), psychologists should do all they can to abstain from establishing multiple relationships with clients, especially if the situation has the potential to affect the objectivity used, competence, or effectiveness of treatment modalities (APA, 2010).

Any relationship that has even the potential to rearrange the power differential within the client-provider relationship, should be avoided (APA, 2010).

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BoundariesBoundaries between clients and staff must be clearly demarcated.Loosely drawn boundaries can create areas of ambiguity in the professional, as well as the personal relationship between the client and the provider.Know the difference between boundary crossing and a boundary violation.

Boundary crossing and violation are two arenas that should be approached by all helping professionals with care. The difference between these two entities may seem to only be theoretical, but each has its own set of distinctive probable outcomes for the patient. When a professional partakes in boundary crossing, the outcome for the patient can be positive. Boundary crossing may serve as a venue for trust building, one of the most important faucets of the relationship between the client and their professional. An example of boundary crossing could be as simple as attending a choral performance for a client, or a wedding. Psychologists must be carefully to not allow a simple occurrence of boundary crossing to contort into a case of boundary violation (Ivey, 2013). 18

Shari philpot (Sp) - Shari philpot (Sp) - What are some examples of boundary crossing?Shari philpot (Sp) - What are some examples of boundary violations?Shari philpot (Sp) - What is the difference between the two?Shari philpot (Sp) - Mainpoint: Boundary crossing can build trust and have a positive outcome for the patient. A boundary violation can be dangerous to both client and the provider.Empowering the IndividualEmpowering the individual can take place at many different levels and can take place in different areas of life at different times.The use boundary violation as tool of Empowerment.Empowering the individual is

Empowering the Community!

When considering empowerment, there are several questions that we as providers of healthcare service need to ask. What is empowerment? What empowers you? How do we empower our clients? How do we empower the community our clients live in? What is the difference between motivation and empowerment?19

Shari philpot (Sp) - Very important in this section to have audience input and particpation. Engage them!!! Ellicit a response from audience. Be aware of diverse opinions and views that may exist within the staff.Shari philpot (Sp) - A person may need to be empowered after a traumatic experience i.e. the death of a loved one, divorce, or after a diagnosis of a chronic or terminal illness.Shari philpot (Sp) - While we are encouraged not to violate boundaries between ourselves and our clients, boundary crossing or approaching them may be necessary to establish or maintain trust.

Community Vs. ClientTreating the Client is a unique task in which individuality must play a major role in the recovery process. It is direct in nature an usually has less facilitators.Health Treatment and RecoveryAlthough family and friends may play a minor role, they are not the key components.Psychological Treatment and RecoveryThe role of support system is more integral to success.

Treating the Community is less of a direct task and may involve more facilitators than independent Client Treatment.Both Health and Psychological Treatment and Recovery involve not only family and close friends of the patient, but others in the community as well. This is non-intimate and requires more strategic planning than individual treatment.

Consider the fact that we all learn and thrive in different settings. Some patients will do well in an individual counseling session. Others will thrive in group therapy.20

Balancing Ethical ResponsibilityStaff Support GroupsMeet the 2nd Tuesday Evening of Each Monthfrom 7 8:00 p.m.Refreshments ProvidedChildcare ProvidedSJ Taskforce Peer ReviewSupervisory AdvisingEvaluationsSJ Trainings

One of the best way of balancing ethical responsibility is to create and maintain realistic boundaries.Alternative ways of coping with stress: meditation, yoga, exercise, increase sleep, altering eating habits, increase sexual activity, spending time with family or friends, or buy a pet!21

Shari philpot (Sp) - Shari philpot (Sp) - (Ivey, 2013)Shari philpot (Sp) - For additional information, please contact your SJ Taskforce rep to schedule a meeting.Questions?

Thank You!

ReferencesAmerican Psychological Association. (2010). Ethical Principles of Psychologists and Code of Conduct [Data File]. Retrieved from http://www.apa.org.proxy1.ncu.edu/ethics/code/index.aspx?item=4

American Sociological Association. (2012). ASA Code of Ethics and Conduct [Data File]. Retrieved from http://http://asanet.org/about/ethics.cfm

American Medical Association. (2001). Principles of Medical Ethics [Data File]. Retrieved from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.page

Corey, G., Corey, M.S., Callanan, P. (2010). Issues and Ethics in the Helping Professions 8th ed. Independence, KY Wadsworth, Cengage Learning ISBN-13: 978-0-495-81241-8.

Ivey, L. C., & Doenges, T. (2013). Resolving the dilemma of multiple relationships for primary care behavioral health providers. Professional Psychology: Research And Practice, 44(4), 218-224. doi:10.1037/a0033149

Schiff, T., & Rieth, K. (2012). Projects in medical education: "Social Justice in Medicine" a rationale for an elective program as part of the medical education curriculum at John A. Burns School of Medicine. Hawai'i Journal Of Medicine & Public Health: A Journal Of Asia Pacific Medicine & Public Health, 71(4 Suppl 1), 64-67.