February 1, 2008

Two sessions since holidays

A belated greetings to you all! I'm very tardy in updating our work. Admittedly and apologetically, I've been a slacker post-holidays and during school break.

There have been two educational offerings since the first one around Thanksgiving. Molly and I went and taught the youth flu/cold prevention and OTC medications to treat common related ailments. Again, we appreciated the enthusiasm of the youth who participated in discussion and asked great questions.

In early January, Amy and Kelly met with Avenue's staff to talk about agency policy/procedures related to healthcare delivery. As an addendum, they did a brief overview of the same content (that we did with the youth in Dec) so staff can best treat the common ailments youth present with.

Now with the first week of classes in gear, I intend to get back on track with our original schedule of every 3-4 weeks an educational session. If anyone has anything pressing you wish to teach, or if Avenues staff have anything in mind, let me know.

November 28, 2007

First session- went well!

The first health education session at Avenues happened November 18th, Sunday evening before Turkey Day. Anne, Mandy, Andrew and Amy led the discussion on safe sex practices/STI prevention, which was the top choice for discussion when we had the focus group last month. The youth and staff were engaged with the training and reports were that it was a great success!

Thanks to the educators, Avenues staff who helped coordinate the time and were present to help (Heather, Jacquie, Aaron and Jen), Amy for bringing the orange soda and treats and... of course, the youth who actively and respectfully participated.

Things to know for next time- 1) treats are good. Let's talk more about this as a group to see how we can find a balance for treats (healthy stuff verses yummy, bad foods!). 2) Evaluation form for session was piloted and seems to work well. Let's keep tracking our teaching so we have a record and so we can replicate. 3) Time was more like an hour or so, more than the 30-45 mins that we expected. Amy said this seemed a natural timeframe, so lets plan on an hour for sessions. 4) Boundary issues during discussion. Sounds like there were some youth that liked to talk about others business during the session. Facilitators and staff handled this well. But we should be prepared for similar experiences in the future in case this happens again. Case managers would be helpful to teach us what works best.

Next steps- Next training. I'll connect with Jacquie and the case managers for the next date (mid Dec?) and topic. I'd like to see some cold weather prevention discussion or health insurance enrollment. Leah has already expressed interest in teaching the next topic...I'll email you in the next day or two to touch base. Jacquie- Heather still wanted Amy and I to meet up with you and the case managers. Would love to get over there for that. Will be in touch for times. (End of the semester ends in two weeks.)

Cheers all!
Scott

October 29, 2007

Focus group discussion

Four of our team went over to the shelter on Saturday morning to meet with the youth in their home. We had a great talk with the 12-13 of them; they gave us a lot of information to inform our next steps.

Health education topics- nothing striking in terms of what they wish for us to teach them. We solicited ideas by notecard, then opened the floor for discussion. Far and away, safe sex and STI prevention was the topic of choice expressed by the youth. Many also spoke of needing more information on how to obtain insurance and where the best clinics are for them for basic health needs. This is all the more important in light of the fact that two important homless youth-serving clinics have closed or reduced services of late. I will attach a list of those topics when I email the group.

Ways to learn- youth thought that a session every 2-3 weeks would be best for them. (This is more frequent than we were anticipating.) They said that the session should not be mandatory, that it should be held in the evening (since most are at work or school during the day) and that Sundays are good for them. They had some very insightful comments about ways to learn: movies with post-discussion is good, brochures should be an option (as they grab them from clinics, go and read them while on a bus or between places), one-to-one counseling is good as an option for individual health ed, a "ask the nurse" box for questions between live sessions with answers posted for all residents to see, spilt by gender groups every once in a while to ask specific men/women questions, as well as other creative ways to learn during teaching sessions. Overall, there was high interest among the group in our proposed work.

Other interesting notes- many youth have insurance. About 50-70% of those in the room had insurance and primary care, while the others had no idea where they'd go if ill. Those that did have insurance trumpeted its value and expressed using it well (primary care, testing, etc). These numbers are similar to what we saw with youth coming in to Youthlink's clinic years ago.

So next steps are clearer- let's begin to chart out dates for education sessions, have small groups of 2-3 volunteers present a single topic, picking a time that works for them hoping that it fits with the times youth are available. I will coordinate with Heather, the volunteer coordinator, so she can work with case workers/staff and promote the offering in the house.

First topic, safe sex/STIs. Anne, you interested in taking the lead? Nicole, Andrew want to join her?

Date- mid-November?

October 21, 2007

Health Ed kick-off meeting

Thank you to all who wrote back this past week and this weekend. I actually heard from 100% of you; your interest in the project and enthusiasm is palpable!

Three of us met tonight to chat about 1) the project, 2) initial ideas/thoughts and 3) our plans for the Saturday focus group. Notes are as follows:

1) Amy, the agency nurse, shared with us what nursing services consists of as of this week. She began her work, taking over from contracted outside nurse agency, the 2nd week of September. She has mostly been reviewing youth charts, meeting one-to-one with youth for specific health needs as well as implementing/writing agency policy. A couple helpful notes from her as we get going: she is seeing about 50-60% pregnant youth residents, who need to find housing before they deliver as a requirement of staying there. Thus, there is a great need for prenatal health education. Other thing, times to meet with all youth are difficult to find. Saturday morning has worked best. Early mornings, 8-10 am has been good and finally, 8-9 in the evenings. Youth have to be out of the building at certain times for school or work, so we'll have to ask them what times they'd come to hear our health ed.

2) I explained the tentative plan of getting a team together and frequency of health ed. I told Amy and Leah a bit about all of you who have responded and ability to commit to the project; all agreed there is a wealth of talent! The idea of a health ed offering every 3-4 weeks seems on target, though we want to run all ideas by the youth to get their thoughts. Last thing-- we had written into some of the grants this summer that we'd begin to partner with the other homeless teen shelters, perhaps replicating this endeavor at those other site. Thus, I will likely write a "lesson plan template" for lead educators to fill out prior to lessons as well as a lesson evaluation to record the education event. We can then transfer these valuable lessons to other sites and to other teachers for future education spots.

3) Our first official event will be holding a focus group with youth residents this coming Saturday, Oct. 27th at 11 am. Amy will lead the focus group, Scott and Leah will support. (Jocelyn?) Key questions will be: What do you want to learn? Do you want to learn from us? What times work best for you? How best do you learn? Do hand-outs/pamphlets work? We'll do this by starting with note cards and having youth share their thoughts "delphi process" style. If anyone else wants to attend that day, please let Scott know.

We do want to plan to include health education for Avenues staff, though we wanted to start with the youth first. Topics may be of similar nature, though likely will cover greater depths on medications as well as some DHS-required health ed.

Finally, we want to look to others to contribute to this effort. I'd like to invite other undergrad and post-bacc students and would be open to SPH (maybe Med) students who might be interested. Share this URL with them and have them contact me if interested. And those of you who can't commit at this time, I hope you still visit this site to keep up to date with what's going on. Folks like Shawna have such great expertise, maybe we can get you to contribute by reviewing our lesson plans to make sure we are on target.

D-oh...another thing. I will keep all of your names ambiguous in postings as I don't know how to make this a non-public site. If you are weirded out about me even using just your first name, let me know. Obviously, I will NOT be using any staff or residents names on this blog for the myriad of obvious reasons.

Watch for more after Saturday. I'll post a summary of what we've done.

Health Ed at Avenues

The purpose of this blog is to serve as the communication archive for health education volunteers at Avenues for Homeless Youth (north Mpls). I'm hoping that as people join the endeavor or are curious about our work, they may visit this site to learn a bit about our work and our continuing work to get up to speed.

First, what is Avenues? Check out their website: http://www.avenuesforyouth.org/. In summary, Avenues is one of four homeless teen shelter in Minneapolis, 15-bed, with case management services among other activities. They've been doing youth services many years before re-configuring services a couple years ago to its current service structure.

The former Board president approached me last summer (2007), specifically requesting nursing student expertise for health education efforts. This was one area of need identified by the Board and they felt the School of Nursing would be a good connection to make that start. This connection led to an assessment of current healthcare case management needs. We are happy to say after writing grants this summer, we are slowly building basic health case management above-and-beyond DHS required nurse time.

The health education effort will, for the time being, be lead by myself (Scott Harpin) and is a volunteer effort with no hands-on care component to the work. I am starting with a team of current grad & undergrad nursing students, SoN alumni nurses and MPH-types (former classmates!) who all have expertise with health education and/or expertise in adolescent health. It's a pleasure to work with you all!