INTERGRATING PEERS INTO A MULTIDISCIPLINARY HIV PRIMARY CARE TEAM

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INTERGRATING PEERS INTO A MULTIDISCIPLINARY HIV
PRIMARY CARE TEAM

• Chet Kelly, MS, MPH
• Associate Director
• Marisol Gonzalez, RN MPH
• Director of Prevention Education
• Peter McLoyd
• Consumer Development Advocacy Coordinator
• The Ruth M. Rothstein CORE Center
• Cook County Bureau of Health Services
• Chicago, IL

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Ruth M. Rothstein CORE Center Chicago, Illinois

• Cook County Bureau of Health Services Facility
  Public Safety-Net
• 5,000 patients, 30,000 primary care visits
  annually
• Primarily a minority population
• gt80 have incomes less than 200 FPL
• Frequent history of drug use, incarceration

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Peer Program Purpose

• The purpose of the CORE Center Peer Program is
  to provide a supportive structure to assist peers
  in maintaining their treatment plans and in
  developing life, work and coping skills through
  the opportunity to participate in CORE Center
  operations.

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Peer Program Principles

• Peers are role models for other consumers
• Participation is a privilege, not a right
• Participation is dependent upon compliance with
  personal treatment program and satisfactory work
  performance

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Peer Program Principles

• Performance expectations are clearly stated and
  delineated at the start of employment
• There are consequences to meet expectations
• Failure to meet expectations will be addressed in
  a supportive non-punitive mode using a
  progressive discipline/employee assistance
  approach

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Peer Recruitment

• Flyers Posted throughout Center
• Applications
• Letters of Recommendations

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Recruitment Process

• Review of Applicants
• Selection Process
• Letters of Acceptance/Denial/Waiting List

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Peer Educator Training

• Five Week Training/8 hours per Week
• 7 Modules
• Training Rules Commitment
• More than 2 absences, you cannot complete the
  training.
• Pre Post Tests

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Peer Educator Training

• HIV 101, HIV Timeline, STIs, Hepatitis, TB,
  Research, HIV-AIDS Law, Ryan White Care Act,
  etc.
• Return Demonstrations
• 10 Minute Group Presentation
• Graduation Ceremony

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2006 Peer Graduating Class
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Graduates to Peers

• Letters of Recommendation
• Peer Contract Policies
• Background Checks
• Health Screenings
• Hospital Orientation
• Toxicology Screenings
• Job Matching Orientation

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New Patient Orientation Guides (NPO)
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RESOURCE CENTER
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Training and Development

• National Trainings Conferences
• AIDS Alliance for Children Youth and Families
  (Corp Leadership Training)
• National Association of People Living With AIDS
  (NAPWA) Leadership in Advocacy and Planning
  (LEAP Training)

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National Trainings Events

• AIDS Alliance (VOICES Conference)
• Champaign To End AIDS (C2EA)
• HRSA Cicatelli and Associates ( Peer Advocates
  as Essential Members of Multi- Disciplinary
  Health care Teams.

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Local Trainings

• CORE Center Monthly Nursing in - services
• Red Cross, CDPH., MATEC, AIDS Foundation of
  Chicago (AFC)
• Test Positive Aware Network (TPAN)
• TEAM Program (Treatment Education Advocacy
  Management)

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Peer Program Policies

• Qualifications for Peer Program
• Peer Compliance with Treatment Plan
• Illinois Health Care Background Check

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Peer Program Policies

• Code of Conduct
• Confidentiality Agreement
• Disciplinary Procedures/Corrective Action Plan

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Supervision Monitoring

• Monthly Individual Supervisions
• Open door policy
• Monthly Department Meeting
• Random Toxicology Screenings
• Referrals to Services as Needed

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Individual Goals Objectives

• Identify One Short Term One Long Term Goal or
  Objective
• Devise Plan to Achieve Goals or Objectives
• Develop Monitor Timelines
• Revisit Revise

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Sample Goals

• Further Education
• Full time Employment
• Improve Personal and/or Professional
  Relationships
• Stop Smoking
• Improve Health Outcomes
• Stabilize Housing

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Community Involvement

• Ryan White Planning Council (Members)
• HIV Prevention Planning Group (HPPG)
• Chicago House (Board of Directors)
• AIDS Alliance For Children, Youth, and Families
  (Board of Directors)
• CAAER Coalition Member

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Peer Roles

• NPO New Patient Orientation Guides
• PEP Prevention Education Peer Program
• BUP - Buprenorphine Study (SAMSHA)
• Buddies - Support
• Speaking Engagements Community Awareness
• Health Fairs

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Challenges

• Value of Program
• Case Examples
• Data/Numbers
• Funder Expectations
• HRSA
• Organizational Culture
• Peer Program Presentations
• Pre-clinic Meetings
• Active Participation in Program Development
  Implementation

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Challenges

• Medical/Social Issues
• Managing Maintaining Healthy Boundaries

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Challenges

• Salary vs. Stipends
• Increased Demand for Peer Services
• Funding
• Establishing Opportunities Beyond the Program

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Successes

• Obtainment of Full-time Employment
• Staff Recognition
• National Recognition
• Patient Recognition
• Peers as Part of the Care Team
• Personal Growth

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INTERGRATING PEERS INTO A MULTIDISCIPLINARY HIV
PRIMARY CARE TEAM

• Thank you for your time and participation.