27th Annual
Pittsburgh, Pennsylvania
October 23-25, 2014
Produced by the North Caronlina
Community Health Center Association
27th East Coast Migrant Stream Forum
27th Annual
Produced by the North Carolina Community Health Center Association
Program Designed by Lori Hopper, Ceragraphics, LLC, Raleigh, North Carolina
ANNUAL CONFERENCE SUPPORTERS
NCCHCA wishes to thank the Sponsors, Exhibitors and Supporters who have helped make the
East Coast Migrant Stream Forum a success.
US Department of Health and Human Services (US DHHS)
Health Resources and Services Administration (HRSA)
Bureau of Primary Health Care, Office of National Assistance and Special Populations (BPHC, ONASP).
National Center for Farmworker Health, Inc. (NCFH)
North Carolina Community Health Center Association (NCCHCA)
2014 SPONSORS
Platinum
Pennsylvania Office of Rural Health
Gold
South Carolina Primary Health Care Association
Silver
Health Outreach Partners
Son Information Systems
2014 EXHIBITORS
AgrAbility
Health Center Gurus
MHP Salud
Migrant Clinicians Network
National Center for Farmworker Health
National Network of Libraries of Medicine, Middle Atlantic Region
PA/MidAtlantic AIDS Education and Training Center
Pennsylvania Association of Community Health Centers
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The North Carolina Community Health Center Association (NCCHCA) wishes to thank all of our sponsors, exhibitors,
and speakers for their support. NCCHCA does not endorse specific vendor products or services or any speaker views or
opinions shared. NCCHCA is not responsible for content expressed and cannot be held liable for information received.
Selecting Your Workshops
Workshops at the East Coast Migrant Stream Forum are organized into five tracks: Clinical, Outreach/Lay Health,
Policy, Programmatic/Administrative and Research. Workshops in the Clinical Track are geared toward health
care providers or those who are interested in the direct provision of health care. Outreach/Lay Health workshops
will update participants on the latest tools for outreach and lay health workers. Policy workshops update participants on the latest state or federal policies impacting farmworkers. Programmatic/Administrative workshops
expose participants to innovative new practices and strategies from successful Migrant Health Programs.
Research workshops introduce the latest findings about farmworkers’ health and social needs and introduce
methods for how farmworker health professionals can translate research findings into their own work.
Tracking to Success
Tracking to Success (TTS) is a system that the North Carolina Community Health Center Association
(NCCHCA) implements to understand the difference that intensive trainings make. The goal of TTS is to identify
what participants remember from intensive training sessions and even more importantly, what participants do
with their new knowledge and skill. We hope that by asking these questions, participants will be more motivated
to implement the knowledge they have gained and ultimately improve their own programs.
To help us with this effort, please be sure to complete the “Tracking to Success” survey at the end of conference
online. The survey link will be emailed out to participants post conference, and is also listed below. Your participation is crucial in helping to improve workshops in the future. Thank you in advance for your help!
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
Continuing Education Credits
Physicians, Nurses, and Health Educators will be awarded continuing education credits from recognized accrediting bodies. Only registered participants are eligible for continuing education credits.
This live activity, 2014 East Coast Migrant Stream Forum, with a beginning date of October 23, 2014, has been
reviewed and is acceptable for up to 14.00 Prescribed credit(s) by the American Academy of Family Physicians.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses and Health Educators: Continuing Nursing Education credit and units for Health Educators is being
offered by Migrant Clinicians Network (MCN). Migrant Clinicians Network is accredited as a provider of
continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Those interested in receiving credits must:
1. Sign the Continuing Education Credits sign-in sheet at the NCCHCA registration desk.
2. Complete the online evaluation at
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
Once you complete the online evaluation, you will be prompted to enter the information needed for your
CEU certificate. Evaluations must be submitted no later than November 25, 2014. We encourage you
to complete the feedback.
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Words from The Chief Executive Officer
Wednesday, October 22, 2014
8:00 AM - 4:00 PM
Welcome to Pittsburgh, PA - "Steel City" USA!
This vibrant city at the confluence of the Allegheny, Monongahela, and Ohio rivers is the model of urban revitalization and transformation. We hope to draw from this inspiration as we embark upon aligning migrant farmworker
health with the Affordable Care Act. Throughout this conference you'll have the opportunity to acquire skills and
resources in adapting patient center medical homes, ACA outreach & enrollment, and insurance coverage utilization
to mobile populations. In all of these scenarios, outreach is key. In fact, the skills of outreach and consumer engagement are critical components of accountable care organizations and other value/outcome driven approaches to
health reform. Increasingly the value of outreach workers to the health care team is being recognized. We've known
this all along!
Begun by NCCHCA in 1988, the Forum is the oldest annual conference dedicated to improving health outcomes and
health care delivery to migrant and seasonal farmworkers and their families on the East Coast. It was created for
health care providers, outreach workers and front-line staff that are employed by federally-funded Migrant and
Community Health Centers. Through workshops and networking opportunities, health professionals and advocates
are exposed to the latest in clinical trends, farmworker-specific service delivery models, cutting-edge research, and
legislative and funding initiatives.
Thursday, October 23, 2014
8:30 AM - 5:00 PM
Registration Open
9:00 AM - 1:00 PM
National Advisory Council on Migrant Health Meeting
Admiral
This is a separate meeting hosted by the Bureau of Primary Health Care. This meeting is open to the general public. The National Advisory Council on Migrant Health
(NACMH) is legislatively mandated to advise, consult with, and make recommendations to the Secretary of Health and Human Services on the health and well-being
of migratory and seasonal agricultural workers and their families.
9:00 AM - 1:00 PM
Voucher Program Meeting (private meeting)
12:45 PM - 5:00 PM
Field Trip to Soergel Orchards
Prior registration required.
Meet at 12:45pm in the hotel lobby. This optional excursion will include a walking
tour of the nearby Soergel family orchard to hear about the history of the farm and
its workers. Around the market, they have a variety of fruit trees, mostly apple, but
also cherry, plum and peach. Their gift barn features Amish furniture, a wine shop,
and Naturally Soergel's, a natural and organic market.
This year we are grateful to our local partners the Pennsylvania Association of Community Health Centers and the
Pennsylvania Office of Rural Health for their assistance and support.
Thank you for attending,
E. Benjamin Money
E. Benjamin Money, Jr., MPH
President and Chief Executive Officer
North Carolina Community Health Center Association
National Advisory Council on Migrant Health Meeting
Fountain View
This is a separate, pre-conference meeting hosted by the Bureau of Primary Health
Care. This meeting is open to the general public. The National Advisory Council on
Migrant Health (NACMH) is legislatively mandated to advise, consult with, and
make recommendations to the Secretary of Health and Human Services on the
health and well-being of migratory and seasonal agricultural workers and their
families. From 1:30pm to 4:00pm, local farmworkers will provide testimonies on
access to healthcare. These testimonies are also open to the public.
Prefunction Area
Fountain View
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
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–you will be prompted to enter the information needed for your CEU certificate.
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Thursday, October 23, 2014
2:00 PM - 5:00 PM
Concurrent Intensive Trainings
Includes a beverage break
Thursday, October 23, 2014
2:00 PM - 5:00 PM
Brighton
Implementing Patient Centered Medical Homes for Mobile Populations
Track: Clinical
The Patient Centered Medical Home (PCMH) concept has demonstrated to be a
great model for improving health outcomes. For patients constantly on the move, a
home is a temporary concept and the needs of these mobile patients shift in relation
to their surroundings. This session will start with an overview of the characteristics
and particular challenges that mobile patients face. Second, it will address the
general framework for PCMH and the areas that are most relevant to health centers
dealing with mobile patients. Blue Ridge Community Health Services will share how
PCMH overlaps with their mission to serve farmworkers, as well as share opportunities and challenges associated with the PCMH process. Overall, participants will
become familiar with the PCMH requirements and the relevant elements when relating to mobile patients. Additionally, participants will walk away with strategies for
networking and establishing continuity of care for this vulnerable population.
At the end of this training, participants will be able to:
1) Understand the unique characteristics and needs of mobile
patients under the framework of patient-centered medical home;
2) Identify promising practices that build and strengthen continuity
of care for mobile patients; and
3) Create a continuity of care plan for mobile patients.
Milton Butterworth, Director of Community Engagement, Blue Ridge
Community Health Services
Ricardo Garay, Health Network Manager, Migrant Clinicians Network
Woodlawn I
The Nuts and Bolts of Health Center Management: Skills for New Managers
Track: Programmatic/ Administrative
New managers in health centers, many of whom have recently moved from an
employee or worker role, often find themselves facing a number of challenges
during the first few months in their new position. The first weeks and months in a
management/leadership role can offer a critical opportunity for establishing a
professional identity and developing crucial management skills. Based on a series of
dialogues and focus groups with health center managers, NCFH developed a
training program designed to provide new managers with the skills to effectively
provide leadership and guidance to their health center teams. During this interactive session, the presenter will provide an overview of the training program and an
overview of the basic, yet necessary management skills needed to lead an effective
team. At the end of this training, participants will be able to:
1) Describe core skills and gain confidence needed to be an effective
manager;
2) Review a variety of tools and templates to help achieve success in all
aspects of the management role; and
3) Describe and utilize key communication skills to enhance
employer/employee relationships.
Alicia Gonzales, MSSW, Director, Professional Services, National Center for
Farmworker Health
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Concurrent Intensive Trainings (continued)
Edenburg
H-2A Agricultural Workers, the Affordable Care Act, and Best Practices for
Enrollment
Tracks: Outreach/ Lay Health; Policy
Farmworkers with the H-2A work visa have rights and responsibilities under the
Affordable Care Act (ACA), which include the responsibility to have comprehensive
health insurance and the right to subsidies to offset the cost of health insurance in
the ACA marketplaces. Unfortunately, there are many challenges to enrolling H-2A
workers in health insurance under the ACA. Presenters will discuss common challenges and best practices for H-2A and Migrant and Seasonal Farmworker health
insurance enrollment, including what works and what does not work, based on their
experiences serving and enrolling H-2A workers. Participants will have opportunities throughout the workshop to share their own experiences and “lessons learned.”
At the end of this training, participants will be able to:
1) Understand the H-2A program, including potential legislative proposals to overhaul the program;
2) Understand H-2A workers’ rights and responsibilities under the Affordable Care
Act; and
3) Develop strategies and best practices to facilitate H-2A worker enrollment in
health insurance through the ACA marketplaces.
Steve Davis, Outreach Director, Greene County Health Care, Inc.
Alexis Guild, MPP, Migrant Health Policy Analyst, Farmworker Justice
Megan Horn, JD, Staff Attorney/ Policy Analyst, Farmworker Justice
3:00 PM - 5:00 PM
Sponsor and Exhibitor Set-Up
5:15 PM - 6:15 PM
Welcome Reception
Reflections
Stick around for an opportunity to network and win some great raffle prizes!
6:15 PM
Dinner on Your Own
Ask the Concierge about Pittsburgh’s best restaurants!
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
–you will be prompted to enter the information needed for your CEU certificate.
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Friday, October 24, 2014
Friday, October 24, 2014
7:30 AM - 5:00 PM
Registration Open
8:00 AM - 5:00 PM
Exhibitor and Sponsor Hall Open
8:00 AM - 8:30 AM
Breakfast
Admiral
Please look at the sticker on your name tag and find the table which matches it.
Please sit there to enjoy a networking activity with new colleagues!
8:30 AM - 10:00 AM
Awards Ceremony
Prefunction Area
Admiral
Welcome
Rosa Navarro, MA, Director of Training and Technical Assistance,
North Carolina Community Health Center Association
Local Greetings
Cheri Rinehart, RN, President & CEO, Pennsylvania Association of
Community Health Centers
Lisa Davis, MHA, Director and Outreach Associate Professor of Health
Policy and Administration, Pennsylvania Office of Rural Health
Steve Shore Community Catalyst Award
Presented by the North Carolina Community Health Center Association
Sister Cecilia B. Abhold Award
Presented by Health Outreach Partners, Inc.
Plenary Activity: "The Increasing Role and Importance of Outreach in the New
Health Care Environment"
The arrival and implementation of the Affordable Care Act (ACA), with outreach
and all the front-line, community health models it embraces are enjoying the spotlight. Outreach and Enrollment, Patient Navigators, and Community Health Workers are, for all practical purposes, rooted in what has been known as "outreach" in
the Migrant/Community Health Field long before they were deemed credible,
legitimate, or popular. With this new spotlight comes the opportunity to demonstrate that these models are critical in our collective efforts to have health centers
meet both their mission and their margin. For decades we have been able to somewhat articulate why outreach is critical for the community health world, but demonstrating their business value has always been more difficult because they are not
billable or reimbursable services. Oscar Gomez will start this plenary discussion by
sharing outreach business metric tools that HOP has developed as a basis for the
broader hour-long conversation. The plenary will include brief facilitated discussion with participants on our collective vision for outreach in the next ten years.
Oscar Gomez, Chief Executive Officer, Health Outreach Partners
Networking Break with Sponsors & Exhibitors
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10:30 AM - 12:00 PM
Concurrent Educational Sessions
Fountain View
Nutritional Strategies and Physical Activity Habits of Latino Farmworker Families with Preschool-age Children: Identifying Leverage Points for Obesity
Track: Research
Farmworker children experience multiple nutrition-related problems, particularly
obesity. Risk factors include food insecurity, living situations with limited cooking
or food storage facilities, and limited opportunity for active play. This presentation
focuses on data from a mixed methods study of children in East Coast farmworker
families. Workshop participants will engage in active problem solving to identify
leverage points in different types of farmworker communities and programs that
could improve diet quality and promote physical activity to help reduce the risk of
childhood obesity. At the end of this session, participants will be able to:
1) Identify aspects of farmworker living that place young children at
risk for obesity;
2) Specify leverage points in farmworker family lifestyles that can
help prevent obesity; and
3) Analyze farmworker service organization programs to specify
changes that can support child obesity prevention.
Thomas Arcury, PhD, Professor and Vice Chair for Research, Wake Forest
School of Medicine
Sara Quandt, PhD, Professor, Wake Forest School of Medicine
Brighton
Fluoride Varnish for the Dental Care of our Underserved Patients:
Why, When and How
Track: Clinical
Dental caries is the most common infectious disease of childhood and is easily
preventable. Dental caries begins when the enamel of a tooth becomes demineralized. Providing a fluoride varnish application and oral health counseling to high
risk children, including our migrant and Head Start patients, is an effective,
efficient, safe approach to dental care delivery to a population that otherwise may
not have access to routine dental care. At the end of this session, participants will be
able to:
1) Access and use Smiles for Life: National Oral Health Curriculum;
2) Identify individuals from their practice sites who would benefit
from fluoride varnish application; and
3) Perform an oral exam and apply fluoride varnish on their patients,
from the first tooth through adulthood.
A. Stevens Wrightson, MD, Medical Director, Bluegrass Community
Health Center
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
–you will be prompted to enter the information needed for your CEU certificate.
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Friday, October 24, 2014
Friday, October 24, 2014
12:00 PM - 1:30 PM
10:30 AM - 12:00 PM
Concurrent Educational Sessions (continued)
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Edenburg
The Importance of Farmworker Advocacy and Civic Engagement:
Turning Up the Volume on the Farmworker Voice
Track: Policy
This presentation will be conducted in Spanish.
Health centers serve over one million farmworker patients, and many farmworkers
and their families would have no access to healthcare if health centers were not in
their communities. Health centers can support the farmworker voice by fostering
the health center/ patient relationship and helping to shape policy decisions that
directly impact farmworkers. This interactive session will include a brief overview
of the National Association of Community Health Centers’ advocacy agenda, the
basic legal do’s and don’ts of health center advocacy, a discussion of the importance
of encouraging farmworkers to be advocates for the issues that impact them and
strategies for doing so, and an advocacy and civic engagement planning activity. At
the end of this session, participants will be able to:
1) Express the importance of the farmworker voice in shaping policy
decisions including ones directly related to health centers;
2) Understand the legal limitations of doing advocacy and civic
engagement work at health centers; and
3) Implement clear strategies to encourage a culture of advocacy among
farmworker communities.
Alexandra Harris, MSPH, National Advocacy Specialist,
National Association of Community Health Centers
Admiral
Update from the Bureau of Primary Health Care
Lieutenant Israel Garcia, MSSW, LICSW, Public Health Analyst, United
States Public Health Service, U.S. Department of Health and Human Services,
Health Resources and Services Administration, Bureau of Primary Health
Care, Office of National Assistance and Special Populations
Woodlawn I
Migrant Health 101: An Introduction to Migrant Health
Track: Programmatic/Administrative
This workshop offers a comprehensive orientation to the migrant health program
in the United States. Whether you are new to the migrant health field or someone
who needs a refresher, this session will delve into the fascinating world of the
health care program for migrant and seasonal agricultural farmworkers and their
families. In this workshop, you will learn the history of agricultural migration, the
structure of the migrant health program, and the people that make it work. Learn
about farmworkers, their health care needs, and the system of care that works for
them. At the end of this session, participants will be able to:
1) Identify the migrant and seasonal farmworker (MSFW)
population and the challenges of farm work in the U.S.;
2) Understand the history, structure, and requirements of the federal
Migrant Health Program, and explain the system of care for
MSFW; and
3) Describe the multitude of resources available to health centers
nationwide to access training and technical assistance.
Alexis Guild, MPP, Migrant Health Policy Analyst, Farmworker Justice
Anne Lee, Regional Capacity Building Coordinator, MHP Salud
Hilda Ochoa-Bogue, RN, MS, CHES, Research and Development Director,
National Center for Farmworker Health
Lunch Program
Sponsored by: South Carolina Primary Health Care Association
Keynote Address
Sponsored by: Pennsylvania Office of Rural Health
Jose Galvez, Independent Photographer/Speaker
For over 40 years, José Galvez has used black and white film to create a powerful and
unparalleled historical record of the Latino experience in America. His compelling
work, done with respect, pride, and no pretense, captures the beauty of daily life. For
José, photographing the lives of Latinos is not a one-time project or “current
passion”, but a lifelong commitment. In 1984, he was on a team of reporters and photographers that won a Pulitzer Prize for a series on Latino life in Southern California
– the first Chicanos to win the Prize. In 2004, José and his family moved to North
Carolina to photograph Hispanic immigration in the South. In 2005, the National
Association of Latino Arts and Culture, through the support of the Ford Foundation
and JP Morgan Chase, awarded him and his wife partial funding to create the
photography/oral history project “Land of Opportunity: Latino Entrepreneurs of
North Carolina.” Today, José tours the country with his work, inspiring audiences
with his life stories.
1:30 PM - 5:30 PM
Concurrent Intensive Trainings
Includes a Networking Break from 3:30PM – 4:00PM
Sponsored by: Health Outreach Partners
Fountain View
Making the Most of Health Insurance Coverage: How Outreach and Enrollment
Workers Can Support Migrant and Seasonal Agricultural Workers in Fully
Utilizing Their Coverage
Track: Outreach
Millions of people, including members of hard-to-reach populations like migrant
and seasonal agricultural workers, gained access to affordable health insurance
coverage through Medicaid, Children’s Health Insurance Program (CHIP), or the
Marketplaces after the implementation of the Affordable Care Act. For many, having
insurance is a new experience that can be both confusing and frustrating. In this
interactive session, Health Outreach Partners (HOP) will guide participants in group
discussions and facilitate small group activities to help outreach workers improve
their skills for increasing health insurance literacy and ensuring patient activation
among agricultural workers and their families. Participants will take away strategies
for providing clear, concise, and accurate education about how to make the most of
health insurance coverage. At the end of this training, participants will be able to:
1) Describe the barriers faced by migrant and seasonal agricultural workers
in using health insurance;
2) Identify at least two strategies they can use to educate farmworkers
about how to effectively use health insurance benefits; and
3) Develop and practice using health insurance literacy education tools to
more effectively educate farmworkers.
Liberty Day, MS, Senior Project Manager, Health Outreach Partners
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Liam Spurgeon, Associate Project Manager, Health Outreach Partners
Friday, October 24, 2014
1:30 PM - 5:30 PM
Concurrent Intensive Trainings (continued)
Brighton
Immigration Reform On Hold: What Do We Need to Know? How Do Clinics
Best Respond?
Track: Policy
With Immigration Reform still on hold, immigrants and immigrant advocates are
concerned and at a loss. As those who provide important services to an immigrant
population, we need to understand the current laws and also understand the prospects for change. This workshop will review current immigration policy regarding
legalization and immigration enforcement. Attendees will have the opportunity to
discuss their concerns and how they will respond to this crisis in their roles in the
clinics, as well as adapt policies and procedures to ensure immigrant access and
trust of the clinic and clinic personnel. At the end of this training, participants will
be able to:
1) Understand the current status of federal, state, and local
immigration policy and proposals as they affect farmworker
families;
2) Explain those policies and proposals to farmworkers and their
families and try to correct misunderstandings; and
3) Design health programs to maximize immigrant
access/participation, including outreach, and to better protect
health clinics in this climate.
Roger Rosenthal, JD, Executive Director, Migrant Legal Action Program
Woodlawn I
Connecting the Dots: My Work and the Program Requirements
Track: Programmatic/ Administrative
The Health Center Program Requirements touch every member of the health
center staff. The information shared through this interactive session will assist
board members, clinicians, and front-line staff to understand the Public Health
Service Act Section 330 Program Requirements, appreciate the big picture, and to
connect the dots between their everyday responsibilities and the ability of the
health center to meet these requirements. Since compliance with Program
Requirements is mandatory, it is advantageous for health centers to train every staff
member on the 19 Program Requirements and the process for the Operational Site
Visit. At the end of this training, participants will be able to:
1) List at a minimum of three Program Requirements;
2) Identify which Program Requirements are directly related to their
job responsibilities; and
3) Utilize acquired knowledge to select at least one strategy they can
implement at their health center to positively impact
compliance with Program Requirements.
Hilda Ochoa-Bogue, RN, MS, CHES, Research & Development Director,
National Center for Farmworker Health
5:30 PM
Saturday, October 25, 2014
8:00 AM - 10:45 AM
Registration Open
8:00 AM - 10:45 AM
Sponsor and Exhibitor Hall Open
8:00 AM - 9:00 AM
Networking Breakfast and National Updates
Prefunction Area
Admiral
Policy & Program Update
Joe Gallegos, MBA, Senior Vice President Western Operations,
National Association of Community Health Centers
9:00 AM - 10:30 AM
Concurrent Educational Sessions
Fountain View
Update on HIV/STD-related Research and Prevention Strategies for Migrant and
Seasonal Agricultural Workers
Track: Research
The migrant lifestyle, often characterized by constant mobility, geographic isolation,
separation from family, lack of health education, and varying cultural attitudes and
beliefs about sex safe sex practices escalates risks for HIV and Sexually Transmitted
Diseases (STD’s). It is extremely important to rigorously evaluate behavioral HIV/STD
prevention strategies, promote HIV testing among agricultural workers, and link and
retain HIV-positive individuals in HIV care. This session will present information
from recent HIV/STD-related research on agricultural workers, with a particular
focus on Hispanic/Latino workers. Presenters will discuss recent intervention strategies, including the Hombres Preparados toolkit, HoMBReS-2, and Project Salud interventions. This session will conclude with a conversation with participants on challenges they have encountered during their HIV/STD prevention efforts and their
views concerning needs for capacity and culturally-competent approaches for
HIV/STD prevention among their client communities. At the end of this session,
participants will be able to:
1) Describe behavioral, cultural, and structural factors that can affect
HIV/STD infection risks among agricultural workers;
2) Describe strategies that address these behavioral, cultural, and
structural factors for use in their HIV/STD prevention efforts; and
3) Utilize contacts with workshop organizers and other participants to obtain
information and support of their HIV/STD prevention efforts.
Evangelina Orozco, MA, MPAff, Product Development Manager, National
Center for Farmworker Health
Thomas Painter, PhD, Behavioral Scientist, Centers for Disease Control
and Prevention
Dinner on your Own
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
12
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
–you will be prompted to enter the information needed for your CEU certificate.
13
Saturday, October 25, 2014
Saturday, October 25, 2014
9:00 AM - 10:30 AM
9:00 AM - 10:30 AM
Concurrent Educational Sessions (continued)
Brighton
Theater in the Fields: How to Use Theater and the Arts to Enhance Farmworker
Outreach
Track: Outreach
Student Action with Farmworkers (SAF) has developed a brand new theater guide in
order to consolidate the lessons they have learned over the past 20 years in using
theater with farmworkers. Over the years, SAF has found that farmworker theater is an
effective tool for breaking the ice, sharing health information and inspiring action and
dialogue. Participants will learn how they can use theater techniques and other art
forms, such as song writing, in their regular outreach with farmworkers. Participants
will receive a copy of the theater guide, watch a short compilation film of our plays
over the years and participate in theater activities. Additionally, participants will learn
what makes theater so effective as an educational tool, and specific exercises they can
do no matter what their experience, staff size or capacity.
By the the end of this session, participants will be able to:
1) Understand SAF's successful theater program focusing on health
education with farmworkers;
2) Practice theater and other artistic activities, such as song writing
to engage in meaningful dialogue about health topics; and
3) Plan how they can use the provided theater guide in their regular
outreach with farmworkers.
Daniel Derman, Health Fellow, Student Action with Farmworkers
Laxmi Haynes, Assistant Director, Student Action with Farmworkers
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Concurrent Educational Sessions (continued)
Woodlawn I
Taking Family Therapy into the Field: Providing Mental Health Services for
Migrant Farmworkers
Track: Clinical
Each year, Valdosta State University students and faculty from the Marriage and
Family Therapy (MFT) Department join with Emory University physician assistant
(PA) students and faculty to provide medical and mental health services to the migrant
and seasonal farmworkers working at South Georgia agribusinesses. This session will
cover two related pieces: First, the presenters will discuss the formation and the evolution of the university-based, inter-disciplinary collaboration between the two professions, medicine and family therapy, discussing in particular the way that the medical
model lens used by the PA’s and the systemic lens used by the MFT's form a holistic
approach to patient care. While the PA students are thinking from a medical model,
the systems-trained MFT students are looking for connections between the workers’
experiences/perspectives and that which is regarded as unhealthy. Second, the presenters will discuss the challenges, limitations, and successes of the therapy itself, which
comprises short-term, brief, usually one-session therapy. At the end of this session,
participants will be able to:
1) Identify factors necessary to do brief therapy with migrant
workers in the field;
2) Design a collaborative, inter-disciplinary intervention program
providing mental health and medical services to migrant
workers; and
3) Utilize available resources, such as university service-learning
courses or medical and mental health training programs to
provide services to migrant workers.
Martha Laughlin, PhD, Professor and Director of Clinical Training,
Marriage and Family Therapy Department, Valdosta State University
Kate Warner, PhD, Department Head, Marriage and Family Therapy
Department, Valdosta State University
Edenburg
Effective Collaboration to Increase Access to Care for Underserved Populations
Track: Programmatic/Administrative
Health care reform implementation has provided significant opportunities and
produced significant challenges for community health centers. In order to keep pace
and address the barriers to care that migrant and seasonal farmworkers and other
underserved populations face, health centers must engage in coordinated efforts with
other community safety net providers. In this session, Health Outreach Partners
(HOP) will present key elements of collaboration, effective strategies to engage partners and communities, and case study examples of effective collaborations. Facilitators
and participants will discuss the role of outreach programs in establishing and maintaining collaborations. Through large group discussions and small group activities,
participants will explore ways in which they can establish or participate in collaborations in order to address the needs of the populations they serve. By the end of the
session, participants will be able to:
1) Describe the elements of effective collaboration;
2) Identify at least two effective collaboration strategies; and
3) Plan for developing and maintaining collaborations.
Megan O’Brien, MA, Project Manager, Health Outreach Partners
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Liam Spurgeon, Associate Project Manager, Health Outreach Partners
Saturday, October 25, 2014
10:30 AM - 10:45 AM
10:45 AM - 12:15 PM
Transition Break
Concurrent Educational Sessions
Fountain View
Safety and Injury Characteristics of Youth Farmworkers in North Carolina
Track: Research
Agriculture is one of the most dangerous industries, yet children as young as 10
years of age are allowed to work on farms in the United States. Little research has
addressed the occupational safety and health of youth farmworkers. The presenters
of this session will share a recent study to describe the occupational safety and health
characteristics of youth farmworkers in North Carolina. The data shared is from a
cross-sectional survey of 87 youth farmworkers (aged 10-17 years) who completed
interviewer administered questionnaires. The crops in which most of the youth
worked included tobacco, berries, and sweet potatoes. Few had received recent
training in pesticides, tool use, or machinery. The work safety climate was found to
be limited as well. In the past year, 54% reported experiencing a musculoskeletal
injury, 60% a traumatic injury, and 72% a dermatological injury. The results from
this pilot project indicate a need for improving occupational safety policy for youth
farmworkers, as well as the need for more detailed research on the safety climate and
health effects of their work. At the end of this session, participants will be able to:
1) Discuss the personal characteristics of youth farmworkers;
2) Describe the occupational exposures of youth farmworkers; and
3) Discuss changes needed in occupational safety policy to protect
youth farmworkers.
Thomas Arcury, PhD, Professor and Vice Chair for Research, Wake Forest
School of Medicine
Sara Quandt, PhD, Professor, Wake Forest School of Medicine
Saturday, October 25, 2014
10:45 AM - 12:15 PM
Concurrent Educational Sessions (continued)
Brighton
Inter-professional Service Learning to Increase Students’ Understanding of
Migrant Latino Health
Track: Clinical
The United States is dealing with a humanitarian migration crisis: an estimated
60,000 unaccompanied children are anticipated to enter the United States in 2014.
Educators of students in the health services fields must provide opportunities for
students to become culturally competent health care professionals in order for organizations to comply with the National Standards for Culturally and Linguistically
Appropriate Services (CLAS) in Health and Health Care. One way to do this is to
provide service learning opportunities for students. This session will focus on a
service-learning course which offers a unique opportunity for health professional
students to learn experientially about the health needs of Honduran immigrants.
Typically, an inter-professional team made up of doctors, pharmacists, nurses, Spanish interpreters, faculty and graduate/undergraduate students travel to Honduras
over Spring Break to provide humanitarian aid to over 1,500 Hondurans. Students
are prepared prior to departure with presentations, and are required to write reflective papers and give presentations upon their return. This global service learning
course helps students increase their cultural competency, and their understanding of
health disparities. At the end of this session, participants will be able to:
1) Explain the relevance of interprofessional and culturally competent
global health approaches to health assessments and interventions
at home and abroad;
2) Identify evidence-based programs to improve target population
health, utilizing the CLAS standards to advance health equity,
improve quality, and help eliminate health disparities; and
3) Design a service learning interprofessional health education
course with teaching strategies for cultural competency training
that utilizes academic and clinical partnerships.
Jean Davison, DNP, Family Nurse Practitioner, Clinical Assistant
Professor, University of North Carolina at Chapel Hill
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
16
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
–you will be prompted to enter the information needed for your CEU certificate.
17
Saturday, October 25, 2014
10:45 AM - 12:15 PM
Concurrent Educational Sessions (continued)
Woodlawn I
A Community-Based Advocacy Approach to Understanding the Affordable
Care Act
Track: Outreach
Promotores(as) de Salud and other community advocates are often crucial sources
of health information in farmworker communities. As trusted resources in their
communities, they can play an important role in providing accurate information on
the Affordable Care Act (ACA), connecting farmworker families to resources, and
assisting them to transform the health care environment. In this session, Farmworker Justice (FJ) and MHP Salud will use participatory learning techniques to
train Promotores(as) and community advocates (who may not have received formal
Navigator or Certified Application Counselor training) on basic information on the
ACA as it relates to farmworkers. FJ and MHP will demonstrate FJ’s ACA curriculum for Promotores(as) de Salud and community advocates as well as share best
practices from the field. The curriculum will be made available to all workshop
participants. At the end of this session, participants will:
1) Gain insight on how ACA implementation is working in far
worker communities;
2) Understand basic concepts of the ACA, and in particular how it
affects farmworkers and their families;
3) Become empowered to answer basic ACA questions from
community members; and
4) Better connect farmworkers with community resources, including
Federally-Qualified Health Centers.
Alexis Guild, MPP, Migrant Health Policy Analyst, Farmworker Justice
Colleen Reinert, MPH, Chief Programming Officer, MHP Salud
Saturday, October 25, 2014
10:45 AM - 12:15 PM
Concurrent Educational Sessions (continued)
Edenburg
A Partnership between Health Centers and Migrant and Seasonal Head Start:
Improving Primary and Oral Health Services for Migrant and Seasonal Head
Start Children and Families
Track: Programmatic/Administrative
This session focuses on how Health Centers and Migrant and Seasonal Head Start
(MSHS) can work in collaboration to provide access to oral health and other
primary health care services to Migrant and Seasonal Head Start Children and their
families. Participants will discuss and learn effective approaches to collaborating
with MSHS. Participants will learn that by working collaboratively with MSHS they
will be able to leverage resources and avoid duplication in the areas of recruitment,
enrollment in Medicaid or CHIP, transportation, translation and interpretation, and
continuity of services via referral system. At the end of this session, participants will
be able to:
1) Duplicate effective approaches to collaborating with MSHS in the areas of
planning and financing health and oral health services;
2) Work collaboratively with MSHS in order to leverage resources and avoid
duplication of services; and
3) Recognize the many tools developed between Health
Resources and Services Administration (HRSA) and the Office
of Head Start and Migrant and Seasonal Head Start and how to
use them to support their collaboration efforts.
Guadalupe Cuesta, MAOP, Director of the National Migrant & Seasonal
Head Start Collaboration Office
12:15 PM - 2:00 PM
Networking Lunch and Closing Program
Admiral
Showing of short film, “And God Made a Farmworker”
Dr. Villa’s presentation will include his life story, a showing of a short film created by
ECMHSP “And God Made a Farmworker,” and a brief discussion on
the power of collaboration between health centers and Migrant Head Start in serving migrant families.
Jose Villa, PhD, Chief Executive Officer, East Coast Migrant Head Start
Project (ECMHSP)
Dr. José Simón Villa currently serves as the Chief Executive Officer of the East Coast
Migrant Head Start Project (ECMHSP). Serving children ages birth to five years,
ECMHSP is committed to preparing young children for educational success, especially the children of migrant and seasonal farm workers, by providing holistic, high
quality early childhood services for families in a nurturing, culturally sensitive environment. After traveling as a migrant farmworker with his family through the Midwest while growing up, Dr. Villa has since devoted his life to the advancement of
migrant youth.
Closing Remarks and Raffle Prizes
In order to receive continuing education credits, you must sign the Continuing Education Credits
sign-in sheet at the NCCHCA registration desk and complete an evaluation at
18
http://www.surveymonkey.com/s/2014EastCoastMigrantStreamForum
–you will be prompted to enter the information needed for your CEU certificate.
19
2014 East Coast Migrant Stream Forum Planning Committee
NORTH CAROLINA COMMUNITY HEALTH CENTER ASSOCIATION STAFF
Rosa Navarro, Director of Training & Technical Assistance, Raleigh, NC
Allison Lipscomb, Community Development & Special Populations Coordinator, Raleigh, NC
Bureau of Primary Health Care
Israel Garcia, Public Health Analyst, BPHC/ Office of National Assistance and Special Populations,
Rockville, MD
Administrative/Programmatic
Michelle Blanchfield, Zufall Health Center, Dover, NJ
Hilda Ochoa Bogue, National Center for Farmworker Health, Buda, TX
Jose Villa, East Coast Migrant Head Start Project, Raleigh, NC
Mary Zelazny, Finger Lakes Community Health, Geneva, NY
Clinical
Carolyn Davis, Beaufort Jasper Comprehensive Health Services, Inc., Helene, SC
Ricardo Garay, Migrant Clinicians Network, Austin, TX
Erin Lepp, Emory University PA Program: Farmworker Health Project, Atlanta, GA
Stevens Wrightson, Bluegrass Community Health Center, Lexington, KY
Outreach/Lay Health Promotion
Elizabeth Charles, Maine Migrant Health Program, Augusta, ME
Anne Lee, MHP Salud, Saline, MI
Robin Lewy, Rural Women's Health Project, Gainesville, FL
Noellyn Robleto, Health Outreach Partners, Oakland, CA
Policy
Guadalupe Cuesta, National Migrant and Seasonal Head Start Collaboration Office, Washington, DC
Alexis Guild, Farmworker Justice, Washington, DC
Lew Papenfuse, Worker Justice Center New York, Rochester, NY
Roger Rosenthal, Migrant Legal Action Program, Washington, DC
Research
Alice Larson, Larson Assistance Services, Vashon Island, WA
Melissa Miles, Bi-State Primary Care Association, Montpelier, VT
Thomas Painter, Centers for Disease Control and Prevention, Atlanta, GA
Rebecca Rodriguez, Georgia State University/Caminar Latino Inc., Atlanta, GA
The Planning Committee is by invitation. If you would like to be considered for future planning
committees, please indicate on your conference evaluation form.
A Special Thank You to the Following People for Local Assistance in Pennsylvania!
Kirsten Keys and Cheri Rinehart, Pennsylvania Association of Community Health Centers,
Wormleysburg, PA
Lisa Davis, Jim Harvey, and Terri Klinefelter, Pennsylvania Office of Rural Health, University Park, PA