Case Manager-in-Training Program

Case Manager-In-Training Program 16Case Manager-In-Training Program 165959

Case Manager-in-Case Manager-in-Training ProgramTraining Program

Visiting Nurse ServicesVisiting Nurse ServicesDes Moines Healthy Start/ Des Moines Healthy Start/

Empowerment ProjectEmpowerment Project

Electronic Poster Presentation by: Electronic Poster Presentation by: Julie BakerJulie Baker


Purpose of the Case Purpose of the Case Manager-in-Training Manager-in-Training

ProgramProgram• To recruit, train and retain bi-lingual and/or bi-cultural case managers to provide linguistically and culturally appropriate case management services to meet the needs of the immigrant and minority populations in Polk County, Iowa.

• To provide case managers for diverse populations to assist in eliminating ethnic and racial disparities in perinatal health outcomes for mothers, infants and their families.


Funding for the Case Funding for the Case Manager-in-Training Manager-in-Training

ProgramProgram• Polk County Empowerment

• Demonstration Project to Recruit & Retain Health Workers Who Provide Physical, Mental and Behavioral Health Services in Iowa through the Iowa Department of Public Health


Case Manager-in-Case Manager-in-Training Project Training Project

OverviewOverviewCase Managers-in-Training are:• Employed by Visiting Nurse Services (VNS) and work in

the Des Moines Healthy Start/Empowerment Project.• Attend a local University to obtain a Bachelor’s Degree

in Human Services or related field with registration fees, tuition and book costs paid for by VNS.

• Participate in all required trainings for Healthy Start/ Empowerment Case Managers.

• Participate in work experiences beginning with outreach and moving from low-risk to high-risk case management.


Case Manager-in-Case Manager-in-Training QualificationsTraining Qualifications

• Associates Degree or equivalent college credit hours preferred.

• Two years of experience in human services preferred.

• Bi-cultural and/or bi-lingual as applicable to target populations with preference for African American, Arabic-Speaking, Spanish-Speaking or Vietnamese-Speaking applicants.


Visiting Nurse ServicesVisiting Nurse Services“Dedicated to Promoting Health in Our Community”“Dedicated to Promoting Health in Our Community”

• Established in 1908, when Luella Bristol—the first public health nurse in Des Moines—founded the Visiting Nurse’s Association of Des Moines to help residents in Polk County, Iowa.

• Original mission—established to address infant mortality in Des Moines with Visiting Nurse

• Still VNS’ mission today through Healthy Start/Empowerment.


Visiting Nurse ServicesVisiting Nurse ServicesStaffStaff

VNS has always understood that health problems and social needs cannot be easily separated. For this reason, VNS is comprised of:• Nurses• Social Workers• Public Health Consultants• Interpreters• Outreach Workers


Visiting Nurse ServicesVisiting Nurse ServicesWITH YOU EVERY STEP OF THE WAYWITH YOU EVERY STEP OF THE WAY

VNS Program Areas:

• Pregnant Women & Families

• Infants, Children & Families

• Adults & Seniors

• The Community


What is the Healthy What is the Healthy Start/Empowerment Project?Start/Empowerment Project?


Healthy StartHealthy Start

• Healthy Start is a federally funded program designed to reduce infant mortality, with a focus on addressing health disparities among ethnic minorities.

• Healthy Start participants must live in one of seven zip codes in Polk County, Iowa (zip codes are chosen based on high infant mortality rates) and be pregnant or have a child under the age of two.

• Approximately 150 participants receive Healthy Start case management services each month.


EmpowermentEmpowerment

• Polk County Empowerment funding was awarded to VNS as a result of services and collaborations established by Healthy Start.

• As a result of expansion, an additional 225 families receive case management services each month with Empowerment funding.

• Services are provided in all of Polk County, Iowa to families with children up to six years of age through Empowerment funding.


Key Components of the Healthy Key Components of the Healthy Start/Empowerment ProjectStart/Empowerment Project

• Outreach & Client Recruitment• Case Management• Health Education• Interconceptional Care• Depression Screening & Referral • Consortium

• Services provided through the two different funding streams are identical, with the exception of geographic location and ages of children.


Outreach & Client RecruitmentOutreach & Client Recruitment

• Outreach specialists/interpreters provide interpretation and translation in Arabic, Nuba, Bendi, Spanish, and Vietnamese.

• Transportation provided to participants.

• Child care available for Healthy Start/Empowerment activities.

• Intake/Access Staff provide immediate linkages to families.


Case ManagementCase Management• 26 Case Managers located in 11 agencies.• 3 Case Managers bilingual in English and

Spanish.• 1 Case Manager trilingual in English,

Spanish, and French.• 2 Case Managers bilingual in English and

Vietnamese.• 1 Case Manager trilingual in English, Arabic,

and Nuer.• 1 Case Manager maintains a caseload

dedicated to African American families residing in the Healthy Start project area.


Case ManagementCase Management

• Case managers provide:– Home visits– Prenatal, post partum, and parenting

education– Child development screening & education– Perinatal depression screening & referral– Listening Visits– Links to other community resources


Health EducationHealth Education

• The Stork’s Nest provides prenatal and parenting classes to pregnant and parenting women residing in the project area and across Polk County.

• Intake/Access Nursing Staff are available to provide health teaching to case managers and participants during home visits.

• Health education topics are also presented during Consumer, Leadership, and Support Groups.


Interconceptional CareInterconceptional Care

• Comprehensive interconceptional screening with every postpartum woman within the first month, and at 3, 6, 12, 18 and 24 months postpartum.

• Intensive focus on postpartum care, family planning, pregnancy spacing, perinatal depression, parenting, child health, and child development.


Depression Screening & Depression Screening & ReferralReferral

• Various support and therapy groups are offered for Healthy Start/Empowerment participants facilitated in Arabic, English, Spanish, Vietnamese & English.

• Referrals for participants to receive further depression assessment based on screening outcomes.

• Individual or family counseling facilitated by a Mental Health Counselor with VNS; services of a contracted psychiatrist are also available to participants.

• Implementation of Supportive Listening & Problem Solving Intervention by case managers.


ConsortiumConsortium

• Community Consortium Meetings average over 38 attendees at each meeting.

• Consumer Consortium Meetings average 26 families at each meeting.

• Consumer Leadership Group enhances the ability of participants to assume leadership positions within the project.


Phase One for Case Phase One for Case Managers-in-TrainingManagers-in-Training

• Receive orientation to VNS & the provision of Outreach Services.

• Provide full-time outreach services (including interpretation and translation as applicable) in conjunction with established, professional case managers in the Healthy Start/Empowerment Project.

• Enroll part-time (minimum of 6 credit hours per semester) in Baccalaureate Program with local University.

• Receive academic support from an Academic Liaison (not their direct supervisor) employed through VNS.

• Receive supervision from the Family Support/Case Management Team Leader (also supervisor of case managers).

• Participate in Basic Interpreter & Outreach Services Trainings.


Phase Two for Case Phase Two for Case Managers-in-TrainingManagers-in-Training

In Phase Two of the project, the Case Manager-in-Training provides limited case management services to lower risk families upon completion of the following:

•Academic credits equivalent to an Associates Degree;•All Healthy Start training/in-services required of case managers;•12 months of outreach/interpretation services and approval of the supervisor

The Case Manager-in-Training continues:

•Academic support with an Academic Liaison•Supervision•Participation in Healthy Start/Empowerment training as applicable.


Phase Three for Case Phase Three for Case Managers-in-TrainingManagers-in-Training

In Phase Three of the project, the Case Manager-in-Training:

• Continues academic courses to complete a Bachelors Degree• Transitions from limited case management services with lower risk

families to medium risk and finally full case management services with higher risk families

• Continues to receive academic support from the Academic Liaison• Continues supervision as a case manager• Participates in Healthy Start/Empowerment training as applicable

Upon completion of a Bachelors Degree:

• Transitions to a case manager position to provide case management services through VNS or another agency contracting to provide Healthy Start/Empowerment services

• Provides case management services in the Healthy Start Project Area and Polk County for a period of at least the number of terms/years of participation in the Case Manager-in-Training Program

• Transition opportunities into specialized positions based on individual interests, skills, or program needs are also available


Healthy Start/Empowerment Healthy Start/Empowerment Case Manager Required Case Manager Required

TrainingsTrainings• Cardiopulmonary Resuscitation Training (CPR)• First Aid• Universal Precautions• Iowa Mandatory Child & Dependent Adult Abuse Reporter• Family Development Specialist Training & Certification• Florida State Healthy Pregnancy Healthy Baby Curriculum• Growing Great Kids Curriculum• Ages & Stages Questionnaire & Developmental Screening• Immunization Periodicity Schedule• Perinatal Depression Screening & EPDS• Supportive Listening & Problem Solving Intervention• Cultural Sensitivity & Competency• Community Resources• Documentation & Data Entry• Best Practices Manual• Breastfeeding• Perinatal & Interconceptional Care


The First Case The First Case Managers-in-Training:Managers-in-Training:The Inaugural ClassThe Inaugural Class


Mai LeMai LeMai’s Accomplishments:

• First Graduate in March 2007

• Bi-lingual in Vietnamese & English

• Employed as of March 2007 as a full-time Healthy Start case manager with Des Moines Child Guidance Center

• In June 2007, Mai completed the highest number of home visits for families on her caseload out of all 26 case managers.


Des Moines Child Des Moines Child Guidance CenterGuidance Center

Des Moines Child Guidance Center is a state-accredited community Des Moines Child Guidance Center is a state-accredited community mental health center for children in Iowa. For nearly 70 years, Child mental health center for children in Iowa. For nearly 70 years, Child Guidance Center has been providing a wide range of child-focused Guidance Center has been providing a wide range of child-focused and family-centered mental health treatment and prevention and family-centered mental health treatment and prevention services.services.


Melissa WilliamsMelissa WilliamsMelissa’s Accomplishments:

• Graduated in February 2008

• Completed Family Team Decision-Making Facilitator Training & Certification through the Iowa Department of Human Services.

• Provides Co-Facilitation & Facilitation in the Minority Youth & Family Initiative for African American Families at risk of having their child(ren) removed from their custody.


Batul CholBatul CholBatul’s Accomplishments:

• Second Graduate

• Trilingual in Arabic, Nuer & English

• Employed as of April 2007 as a full-time Healthy Start/Empowerment case manager located at Oakridge Early Enrichment Center

• Assisted the Oakridge Early Enrichment Center in enhancing services and engaging Sudanese families not otherwise served in the Oakridge Neighborhood


Oakridge Early Oakridge Early Enrichment CenterEnrichment Center

The mission of Oakridge Neighborhood is to provide safe, secure, and The mission of Oakridge Neighborhood is to provide safe, secure, and supportive housing in a way that assists children, adults and families supportive housing in a way that assists children, adults and families in becoming self sufficient and self-reliant. Founded in 1975, in becoming self sufficient and self-reliant. Founded in 1975, Oakridge Neighborhood Services provides affordable housing, Oakridge Neighborhood Services provides affordable housing, affordable childcare, youth programming, transportation, education, affordable childcare, youth programming, transportation, education, and case management. and case management.


Case Managers-in-Case Managers-in-Training:Training:

The Next ClassThe Next ClassEkram Kachu• Completed a

Bachelor’s Degree from Beruit University in Theology

• Speaks Arabic and English


Case Managers-in-Training:Case Managers-in-Training:The Next ClassThe Next Class

Vanessa Ruiz• Earned an Associates

Degree in Criminal Justice and has experience working with women in a domestic violence shelter

• Speaks Spanish & English


Lessons LearnedLessons Learned• Wide Community Support & Recognition• Partnerships with Higher Learning Institutions• Important Role of VNS Academic Liaison• Mentor Relationship of Professional Case Manager

to Case Manager-in-Training• Community Gains from Diverse Workers to Serve

a Diverse Population• Development of Educational and Case

Management Skills at an Individual Pace with Individualized Support

• Positive Impact of Increased Earning Potential


Program Program Sustainability & Sustainability &

ExpansionExpansion• One Nurse Case Manager-in-Training Position

• Parent Educator-in-Training Program

• Collaboration with Area Community College to Utilize Financial Assistance in Parent Educator-in-Training Program

• On-going Opportunities to Hire Diverse Case Managers-in-Training and Case Managers Based on Community Needs & Demographics

Case Manager-in-Training Program

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