Build Skills in These 3 Areas To Stop Diabetes Killing People

Many programs that train their CHW teams to avoid, control and reverse diabetes among the millions of Americans who have it also know that making lifestyle changes is critical.

Studies show people can stop problems from diabetes before they start if they exercise regularly, eat a balanced diet with plenty of produce, and avoid smoking and heavy drinking. Many people with prediabetes don’t even know they have it, so education around the topic is essential.

Providing this kind of diabetes education and motivating people to make lifestyle changes are exactly where community health workers (CHWs) excel. Health initiatives targeted at reducing incidence of diabetes are creating more CHW jobs, because it’s proven that CHWs help patients manage diabetes.

Multidimensional CHW diabetes training

That’s why many programs already know they should provide introductory CHW diabetes training that covers what the disease is and how it affects people. But they stop short. Because so many factors feed into developing diabetes that it’s important to create a multi-dimensional training plan to have a truly effective CHW team.

Knowing which skills are necessary for diabetes interventions is the first step. Then, organizations can set up a CHW diabetes training plan to best position CHWs for helping people to make changes.

The following three areas are a must for any diabetes education program:

[Add Diabetes and Prediabetes to any subscription—read more]

1. Tobacco cessation

CHWs need skills in tobacco cessation—including Motivational Interviewing—to address many health problems caused by smoking and using tobacco. Tobacco cessation skills are also critical for diabetes prevention and control programs.

Smokers are more at risk for developing type 2 diabetes than nonsmokers, and that risk goes up along with the number of cigarettes smoked. Smoking damages cells in the body by increasing inflammation and mixing chemicals in cigarettes with oxygen, called oxidative stress. Smoking can also lead to more belly fat, itself linked with diabetes.

Smokers who already have type 2 diabetes have more serious health problems. Nicotine can make insulin less effective. They’re also more likely to have heart and kidney disease, poor circulation in the legs and feet, and blindness.

2. Physical activity

Americans sit too much and exercise too little, so CHWs who know how to get people up and moving are helping prevent a host of health problems in addition to diabetes. According to studies, moving around shows immediate health benefits, including reducing anxiety, improving blood pressure and insulin sensitivity.

Read more: Your Community Is Still Sitting Too Much [New Guidelines]

Physical activity fights diabetes on several fronts. It makes a body more sensitive to insulin and helps people lose weight and maintain a healthy weight. It also helps control blood sugar levels.

CHWs who are trained in physical activity and active living are in a better position to make recommendations to people, no matter what their barriers are (physical, geographical, financial, etc.). They can also help patients and clients set and stick to goals and maintain an activity program that works.

3. Healthy eating

Finding a healthy eating strategy is probably at the top of a diabetes prevention and control program, and it may be one of the toughest strategies for people to follow. Following a diabetes diet means eating a plant-heavy diet that’s rich in nutrients and low in fat and calories. People should add more fruits, vegetables and whole grains to their plates. That helps with weight loss and also controlling blood glucose.

Many people with diabetes work with a dietitian to develop a healthy eating plan, but CHWs can work with them to make food choices that work for each person’s preference, location and culture.

Training in healthy eating can also be matched with training in physical activity to offer more comprehensive support to clients.

Suggested CHW diabetes training curriculum

A comprehensive CHWtraining curriculum for a team of CHWs looking to control diabetes should start here:

  • Diabetes and Prediabetes
  • Supporting Tobacco Cessation
  • Promoting Healthy Lifestyles
  • Motivational Interviewing: Peer Support for Behavior Change

A useful expansion pack of diabetes education resources includes options for supporting clients on their journey:

  • Providing Social Support
  • Health Literacy: A Start
  • Substance Use

During National Diabetes Month, you can add Diabetes and Prediabetes to any subscription on CHWTraining. If you’re interested in building a diabetes education program for your team with these or other courses, click the button below to learn how to add certified training to your program. Our team will be in touch ASAP to schedule a time to chat.

Most Important Job Skills To Build a CHW Career Path

Employment for community health workers is looking up. More organizations are looking for ways to include CHWs and provide more CHW core competency training for internal staff. This is good news for anyone looking to put themselves on a CHW career path while improving health outcomes for their community.

Careful planning of a CHW career path can allow anyone who starts with an entry-level job to expand it into a rewarding career. As need for this role keeps growing, CHWs can not only increase the health knowledge of their community members but also increase their own reach to more people and other job opportunities.

CHW Job Outlook

The statistics are inspiring. According to the Bureau of Labor Statistics, jobs for CHWs are expected to rise 18.1% by 2026. That means that an estimated 10,400 jobs should open up. Also, salaries for already employed CHWs are increasing. Wages are good, with a median of $19.01 per hour, or $39,540 annually.

Acquiring the skills to become a CHW can open the door to a profitable and secure career.

Building a CHW career path–rather than just finding an entry-level job—involves understanding the core competencies and what kinds of skills are useful for ongoing growth.

In order to earn a profitable job and build a lasting career, current and prospective CHWs need to keep their health and professional skills sharp. They need to take extra training and prove their knowledge and expertise through certification. A CHWTraining learning subscription offers complete, up-to-date training for employers who want to provide staff with foundational skills and knowledge of specific health topics, such as diabetes or breast cancer.

We created the quick guide below as a tool for employers who want to build sustainable training programs and CHWs who want to understand the job qualifications.

CHW Core Competencies

CHWs are employed in every state of the US (except South Dakota, for which no data is available), according to the BLS. Each state has independent job requirements, which vary from college degrees that take multiple years to complete to on-the-job training. Some states require certification, and some employers require certificates of completion to show successful training.

CHW jobs by state

Source: Bureau of Labor Statistics

However, there are some similarities among all the differences related to core competencies, which are available through CHWTraining’s Learning Tracks. The following are common skills required by many programs and advisory committees. Here are some CHW core competency training areas common among the Washington State Department of Health’s CHW program, the Roles and Competencies from the Community Health Worker Core Consensus (C3) Project, the US Department of Labor Employment & Training Administration, and the Massachusetts Department of Public Health. You can compare more national requirements at State Community Health Worker Models from the National Academy for State Health Policy (NASHP).

CHW Training Guide

Core CompetencyExample Skills
Advocacy Skills/Capacity Building SkillsEmpower clients, motivate people to manage their own health and advocate for themselves, help people reach their goals, support behavior change, identify and overcome barriers, understand community cultures and ways to reach members.
Care Coordination or Service Coordination and System NavigationNavigate systems and collaborate with partners to connect clients to resources; help service providers work together; tell systems about needs of people; help develop and implement care plans.
Communication SkillsListening skills, language skills, building rapport, using nonverbal communication, resolving and avoiding conflict, understanding and working within culturally diverse communities.
Cultural Humility/Cultural ResponsivenessServe as a bridge between different cultures, translate healthy behaviors into culturally appropriate equivalents, understand and work to reduce health disparities, use cultural sensitivities for all diverse groups, behave respectfully, identify bias.
Education and Facilitation SkillsUse various ways to deliver health information clearly, explain terms in plain language, promote healthy behavior change, find and use resources to develop self-efficacy skills.
Evaluation and ResearchIdentify issues in communities and their causes, conduct evaluation projects, collect data, share results, communicate to stakeholders to make changes in services.
Experience and Knowledge BaseFully understand the community, including social determinants of health, health issues, ways to improve health and self-care, and basic public-health principles; understand how US social-service systems work.
Individual and Community Assessment and Direct ServicesIdentify needs, strengths and resources of communities; help meet needs; help clients understand their needs and overcome barriers; provide social and health support.
Interpersonal and Relationship-Building SkillsEstablishing trust with people and in communities, being open-minded, using Motivational Interviewing techniques.
Outreach Skills, Methods and StrategiesDevelop and implement outreach plans, share information about programs and resources, create and maintain relationships with community members and partners.
Professional Skills and ConductUnderstand and handle legal and ethical challenges, respect confidentiality and privacy rights, respond appropriately in complex situations, understand and follow agency rules.

 

7 Outreach Resources for National Latinx AIDS Awareness Day.

[Lee este artículo en español aquí.]

HIV used to be a death sentence—and for many, it still is. The Centers for Disease Control and Prevention (CDC) reports that race and ethnicity have an effect on prevention and management of HIV/AIDS. Over the years, outreach campaigns have been essential to reducing such barriers as stigma and supporting the men and women who are at risk of HIV/AIDS or who are living with it.

The National Latino AIDS Awareness Day (NLAAD) on October 15 is a way to raise awareness of HIV in Latinx communities, including testing, prevention, and education. Stigma is a difficult barrier, which is part of what’s fueling NLAAD.

CHWTraining has educated people across the country and distributed resources to help health workers run successful awareness and outreach campaigns since developing HIV/AIDS: Supporting Community Members. Here are 7 free outreach tools and resources (in English and Spanish) that will help you and your team support National Latino AIDS Awareness Day on October 15 and all year around.

[This month, you can add HIV/AIDS: Supporting Community Members in English or Spanish to any learning subscription at no extra cost. Contact CHWTraining to get started.]

1. Expanding Your Reach To End the HIV Epidemic: Community Engagement Toolkit (PDF), Minority AIDS Council

Language: English

This in-depth toolkit is a step-by-step process for building and launching a community engagement program for reducing HIV in communities. This toolkit is for program coordinators or administrators rather than CHWs working alone, but it’s still a great educational tool loaded with ideas and examples. Anyone can review “Principles for Community Engagement” or templates for surveys and assessments. Many examples of projects targeting Latino communities.

2. Blueprint For Improving Hiv/Std Prevention And Care Outcomes For Black And Latino Gay Men, NASTAD (National Alliance of State and Territorial AIDS Directors)

Language: English

This downloadable toolkit zeroes in on one of the toughest areas of HIV prevention there is, especially in the Latino community: stigma. Stigma is an especially dangerous barrier because it stops people from taking action to protect themselves, get tested or get treated. The document helpfully talks about stigma and includes reflective questions that help guide administrators through setting up an HIV and STD outreach program to target the area. The “Recommended Steps for Removing Stigma from Public Health Practice” is a helpful guide to drive a campaign and offer services.

3. We Are Family or Somos Familia, Greater Than AIDS

Language: English and Spanish

Greater Than AIDS offers several documentaries in both English and Spanish that address relationships for Latinos living with HIV. Share these videos with clients and partners to show how important social support is for people with HIV. Strong support networks make it more likely that people will seek care and stick to treatment programs. Greater Than also offers community toolkits for on-the-ground outreach.

4. You Know Different Social Marketing Campaign Toolkit (PDF), The National Youth Advocacy Coalition

Language: English

This toolkit is made especially for anyone looking to use social marketing as an outreach strategy to encourage youth HIV testing. It is intended to help organizations plan and carry out the You Know Different social marketing campaign. That aims to boost counseling, testing, and referral services among and sexual minority youth of color aged 13–24. It’s incredibly detailed and useful with key messages that are useful in any campaign.

5. Detengamos Juntos el VIH, CDC

Language: Spanish

This web-based guide provides case studies with sample scripts to deal with the stigma around HIV and Latinos. It’s part of a larger campaign to address HIV. This short section is immediately useful for anyone who engages with clients in various situations.

6. Campanas para la movilizacion social (PDF), Ingeniería sin Fronteras Asociación para el Desarrollo

Language: Spanish

This Spanish social mobilization tool is made as a how-to guide for outreach in various sectors. It carefully plots out each step to creating and executing any outreach campaign, including several examples for HIV/AIDS campaigns. At 200 pages, it’s a weighty resource, but it’s a useful tool for engaging Spanish-speaking audiences.

7. Latinx People, The Body

Language: English

The Body is an outstanding resource for HIV/AIDS education. This collection of stories, news and reports on Latino populations dealing with HIV is inspirational and useful. For example, a story on HIV in Orange County, California, provides a snapshot about the LGBTQ-focused preventive and primary care organization and how they’re fighting diseases such as HIV/AIDS. Another story “Fighting a Rising HIV Epidemic Among Latino Gay and Bisexual Men in Phoenix” is loaded with personal stories.

7 Recursos de Proyección Comunitaria para el Día de Concientización Latinx sobre el SIDA

[Read this post in English.]

El contagio por VIH solía ser una sentencia de muerte, y para muchos aún lo es. El Centro para el Control y prevención de Enfermedades Infecciosas (CDC) reporta que la raza y etnicidad tienen repercusiones sobre la prevención y manejo del VIH/SIDA.

El Día Nacional Latino para la Concientización del Sida (NLAAD), celebrado cada 15 de octubre, es una manera de despertar conciencia sobre el VIH en comunidades latinxs, incluyendo información sobre pruebas, prevención y educación al respecto.

Desde el desarrollo de Sida/VIH: Apoyando a los Miembros de la Comunidad, Talance ha educado a personas de todo el país y distribuido recursos para ayudar a que los trabajadores de salud comunitarios puedan llevar a cabo campañas de información y concientización exitosas. Contáctanos para saber más de nuestros servicios.

Para apoyar el Día Nacional Latino para la Concientización del Sida, aquí les mostramos 7 recursos (En inglés y en español) que le ayudarán a usted y su equipo a manejar la enfermedad en su comunidad.

1. Expandiendo tu alcance para terminar la epidemia de VIH: Kit de Herramientas para Involucrar a la Comunidad (PDF), Minority AIDS Council

Expandiendo tu alcance para terminar la epidemia de VIH: Kit de Herramientas para Involucrar a la Comunidad

Idioma: Inglés

Este completo juego de herramientas constituye un proceso paso a paso para elaborar y llevar a cabo un programa de integración comunitaria para reducir el VIH en una población. Está dirigido a coordinadores y administradores de los programas más que para los trabajadores comunitarios en sí, pero es una excelente herramienta educacional llena de ideas y ejemplos. Todos pueden aprender de “Principios para la Integración de la Comunidad” o los modelos para encuestas y listas de cotejo. También incluye muchos proyectos de ejemplo que tienen como objetivo comunidades latinas.

2. Plan de Acción para mejorar los resultados de la Prevención y Cuidado del VIH/ETS para Hombres Gay Latinos y Afroamericanos NASTAD (National Alliance of State and Territorial AIDS Directors)

Plan de Acción para mejorar los resultados de la Prevención y Cuidado del VIH/ETS para Hombres Gay Latinos y Afroamericanos

Idioma: Inglés

Este kit descargable se enfoca en uno de los puntos más difíciles para la prevención del VIH, especialmente en las comunidades latinas: El estigma. Esta es una barrera especialmente peligrosa, ya que hace que las personas no tomen ninguna acción para protegerse, hacerse exámenes de despistaje, o recibir tratamiento. Este documento ofrece información sobre el estigma e incluye preguntas y reflexiones que ayudarán a guiar a los administradores hacia la elaboración de programas de prevención contra el VIH y otras ETS para un área. Los “Pasos Recomendados para Eliminar el Estigma en las Prácticas de Salud Pública” es una excelente guía para impulsar una campaña y ofrecer servicios.

3. We Are Family o Somos Familia

We Are Family o Somos Familia

Idioma: Inglés y español

El sitio Greater than AIDS ofrece varios documentales, tanto en inglés como español, que hablan de las relaciones de los latinos que viven con VIH. Estos videos, que son sencillos de compartir con clientes y colegas, demuestran lo importante que es el apoyo social para las personas con VIH. Una red de apoyo fortalecida hace más probable que las personas busquen y sigan los programas de tratamiento. Greater than AIDS también ofrece herramientas comunitarias para campañas en la misma localidad.

4. Kit de Herramientas Para Marketing Social Tú Sabes Más (PDF), The National Youth Advocacy Coalition
Kit de Herramientas Para Marketing Social Tú Sabes Más

Idioma: Inglés

Este juego de herramientas está dirigido especialmente a quienes busquen usar las redes sociales como estrategia de acción para motivar a los jóvenes a hacerse pruebas de despistaje de VIH. La intención es ayudar a planificar y llevar a cabo la campaña de marketing social Tú Sabes Más, que busca fomentar la búsqueda de consejos, atención, pruebas y servicios referidos entre jóvenes de color y minorías sexuales de edades entre 13 y 24. Tiene mensajes útiles y detallados que pueden ser usados en cualquier campaña.

5. Detengamos Juntos el VIH, CDC

Detengamos Juntos el VIH

Idioma: Español

Esta guía web ofrece estudios de casos con libretos detallados acerca de cómo lidiar con el estigma alrededor del VIH en latinos. Es parte de una campaña más grande dirigida al VIH, la cual también resulta de gran ayuda, pero esta sección es de ayuda inmediata para quienes deben abordar a sus clientes de cualquier forma.

6. Campaña para la Movilización Social (PDF), Ingeniería sin Fronteras Asociación para el Desarrollo

Campaña para la Movilización Social

Idioma: Español

Esta herramienta de movilización social está escrita como una guía para hacer acercamientos en distintas comunidades. Da instrucciones detalladas paso a paso para la creación y ejecución de campañas comunitarias y también incluye ejemplos de campañas para el VIH/SIDA. Con más de 200 páginas es un recurso de peso, pero resulta una herramienta sumamente útil para alcanzar comunidades de habla hispana.

7. Gente Latinx, The Body

Gente Latinx

Idioma: Inglés

The Body es un extraordinario recurso para la educación acerca del VIH/SIDA. Esta colección de historias, noticias y reportes acerca de las poblaciones latinas que enfrentan el VIH es inspiradora y útil. Por ejemplo, la historia del VIH en Orange County, California, ofrece una visión sobre la prevención y el cuidado primario enfocado en poblaciones LGBTQ. Otra historia, “Luchando contra el surgimiento de la epidemia de VIH entre hombres latinos y bisexuales en Phoenix”, está cargada de anécdotas personales.

The ultimate list of CHW Conferences

I’m often asked, “Do you know of any upcoming conferences for CHWs in my area?” The answer used to be different, but these days, community health workers and others in a similar role are well represented at conferences. Here’s a list, so you can get planning. Know of others that aren’t here? Let me know!

Unity Conference

“Unity 2019 is a national conference designed for and about community health workers, community health representatives, and promotores.”  I’ll be presenting Mental Illnesses Are Epidemic: Helping Clients CopeSupervisor Support Skills for CHWs with Depression, Anxiety, and Secondary Trauma; and Burnout Prevention and Recovery for Community Health Workers. Unity 2019 will be held at the Las Vegas Flamingo Hotel and Casino on April 14-17, 2019, in Las Vegas, Nevada.

Community Health Worker Conference

“A conference that will explore why a racial justice approach is integral to strengthening the CHW workforce.”Presented by the Massachusetts Department of Public Health and the Massachusetts Association of Community Health Workers.May 16, 2019, Four Points Sheraton, Norwood

Hawai‘i Community Health Worker Leadership Conference

“Join us and your fellow CHWs and allies from across the state for a day of learning, sharing and networking. Be a part of the discussion on creating a Hawai’i-based CHW association.”Friday, June 28, 2019, from 9:00 AM – 4:00 PM at the Ala Moana Hotel.

2019 Community Health Worker Conference: You are EPIC—Equitable, Passionate, Invested, and Collaborative

“The fifth annual Washington State Community Health Worker Conference is a two-day event that will engage, energize, and inspire CHWs and their allies to best support their communities.”April 11-12, 2019, Wenatchee Convention Center

Spectrum Health- Eleventh Annual Community Health Worker Conference

“Community Health Workers Leading Change at the Forefront of the Community: Being the Change You Want to See.  Conference Objectives; Discuss the effects of social injustice in our clients and communities, Creating educational opportunities to enhance the effectiveness of the Community Health Worker (CHW) in their roles in the community, Develop techniques to assist Community Health Workers in motivating their clients to make positive life changes.”Aug. 23, 2018 Grand Valley State University, Grand Rapids, Michigan

2019 MNCHWA Statewide Conference

“The Annual Minnesota Community Health Worker Alliance Statewide Conference brings together community health workers, supervisors, educators, providers, payers, policy makers and many others from across the state for a day of learning, exchange, networking and charting action on next-stage work.”May 2, 2019 | 8 a.m. – 5 p.m., Minnesota Landscape Arboretum, Chanhassen, MN

Oregon Community Health Workers Association Annual Conference – You  Are The Voice Of The Community – Use It!

“The annual conference is ORCHWA’s signature event, bringing together Community Health Workers (CHW), Peer Support Specialists (PSS), Personal Health Navigators (PHN), Peer Wellness Specialists (PWS), doulas, other Traditional Health Workers, and supervisory staff.  This event addresses relevant policy and sustainability issues including: training, certification, employment opportunities, and more.”August 16 & 17, 2019, Inn at the Commons, Medford, Oregon

Visión y Compromiso’s 17th Annual Conference “United We Rise for a Healthy Community!”

“The goal of the conference is to create a space where experiences and ideas can be exchanged among promotores and other participants that foster the learning of new skills, knowledge and advocacy for our communities. The annual conference for promotores and community health workers is organized by Visión y Compromiso in collaboration with a planning committee that is comprised of promotores and other leaders in the community and organizations.”Sept. 26-28, 2019, Sheraton Gateway Los Angeles

42ndAnnual Rural Health Conference

“NRHA’s Annual Rural Health Conference is the nation’s largest rural health conference, created for anyone with an interest in rural health care, including rural health practitioners, hospital administrators, clinic directors and lay health workers, social workers, state and federal health employees, academics, community members and more.”May 7-10, 2019  Atlanta, Ga.

13th Annual CHW Conference – Houston, TX

“Who Should Attend: Community Health Workers / Promotores de Salud; CHW Instructors; Prospective CHW Employers; Community-based organization representatives.  CEUs: Combination of DSHS-certified and non-certified CHW and CHW-I CEUs.”Friday, May 10, 2019 from 8:30 AM to 4:00 PM (CDT)Houston, TX

2019 Community Health Institute & EXPO

“The NACHC Com­mu­nity Health Institute (CHI) and EXPO is the largest annual gathering of health center clinicians, executives, consumer board members, along with State/Regional Primary Care Associations and Health Center Controlled Networks.”Hyatt Regency Chicago, Chicago, IL, August 18-20, 2019

Indiana CHW/CRS Annual Conference

“The Indiana CHW/CRS Annual Conference is an opportunity for Community Health Workers and Certified Recovery Specialists to connect and network with other helping professionals and learn knowledge and skills beneficial to the important work that they do.”March 15, 2019, Hilton Garden Inn Indianapolis Airport

2019 National Conference,One Voice

“The ACHI National Conference, held each year in March, convenes 700 population and community health professionals to learn from experts and exchange the latest tools, approaches and ideas from the field.”March 19-21, 2019, Chicago

4th Annual Kentucky Community Health Worker Conference – Share Your Voice – Share Your Story

“Advocating and promoting the profession of Community Health Workers (CHWs) in the Commonwealth of Kentucky.”September 19, 2019, Embassy Suites, Lexington, Kentucky

The Academy of Oncology Nurse & Patient Navigators (AONN+)

“AONN+ will continue to advance the navigation profession by expanding the scope of educational sessions, networking opportunities, and industry-sponsored sessions through this conference. In addition, the Midyear Conference will address the evolving challenges of program improvement, the role of personalized medicine, and implementing best practices in navigation, survivorship, and psychosocial care.”San Diego, California May 16-19, 2019.

Read more about what we presented at the Unity Conference in our Resources

Is it time to make a Behavioral Health Referral?

In my session at the Unity 2019 Conference “Mental Illnesses Are Epidemic: Helping Clients Cope,” which I co-presented with Dr. Jeanine Joy from Happiness 1st, one of the hot questions for CHWs was: when is it time to make a referral?

It’s a great question, especially now at the beginning of Mental Health Month.

Even though community health workers can’t diagnose or directly treat a mental illness, there’s still a lot they can do. Making a referral for a mental illness like depression is an important step. Depression is like any chronic disease, which can be managed or avoided with early intervention.

This infographic is a short list of warning signs that should tip off a CHW that someone they’re working with might need a referral. Save and share with your CHW team.

Does your team need training in behavioral health? Read about our Healthy Living learning track.

Community Health Worker Models from Different States

Here is a link to find out what each state has in place for every Community Health Worker. You’ll find helpful information about CHW financing, education, certification, State CHW Legislation, and Organizations & Workgroup. You will also find every state’s information about CHW specific and defined roles.

We hope you’ll find this useful.