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APHA Scientific Session and Event Listing

Recorded presentation

Aurelio Martinez, LBSW¹, Julie Ann St. John, MA, MPH¹, Michael Felix², James N. Burdine, DrPH³, Monica L. Wendel, MA, MPH³, and Rebecca Wehrly¹. (1) Center for Community Health Development, School of Rural Public Health, TAMHSC, 2101 South McColl Road, #135, McAllen, TX 78503, 956-668-6321, aumartinez@srph.tamhsc.edu, (2) Independent Consultant, 3027 Walbert Ave, Allentown, PA 18104, (3) Center for Community Health Development, School of Rural Public Health, 1266 TAMU, College Station, TX 77843-1266

The Center for Community Health Development (CCHD), School of Rural Public Health, Texas A&M Health Science Center (SRPH, HSC), is currently involved in its second funding cycle of the "Integrated Health Outreach System" project (IHOS, $8 million, 7 year effort) in Hidalgo County, TX. Project promotores are trained and employed through CCHD and work in local colonias. At the beginning of phase two, the project underwent a strategic planning process, which resulted in a new model that houses all project promotores under one entity in an effort to: standardize training, responsibilities, and roles of promotores; increase efficiency; and eliminate gaps in services/duplication of effort. Promotores will conduct case-finding and triage services in multiple settings to assist colonia residents in navigating the healthcare delivery system. The goal of this project is to develop a broader, stronger, promotora infrastructure that seeks to: 1) reduce the substantial burden of preventable adverse health effects and reduce healthcare costs; 2) increase utilization of local providers and establish medical homes; and 3) provide residents with assistance and referrals to health and human services agencies. This presentation will be co-presented by the project director and a project promotora who will share their experiences in developing a system that utilizes promotores in a case-management role. Specifically, the project director will discuss how the project builds promotora capacity and the support mechanisms in place for promotores; and the promotora will address case-management and facilitation training as well as how this role plays out in the communities they serve.

Learning Objectives:

• Describe 3 benefits of utilizing promotores in the role of case managers in isolated colonias.
• Identify key strategies for developing a case-management model that utilizes promotores.
• Discuss methods to incorporate local community service providers in this case-management model.

Keywords: Community-Based Health Promotion, Case Management

Related Web page: www.cchd.us/dihos.htm

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation