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STRENGTHENING REFERRALS IN WIC 1

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Page 1: 1. 2 Thinking about participants you spoke to in the last week, what was the most important referral you made? What made that referral important?

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STRENGTHENING REFERRALS IN WIC

Page 2: 1. 2 Thinking about participants you spoke to in the last week, what was the most important referral you made? What made that referral important?

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Thinking about participants you spoke to in the last week, what was the most important referral you made?What made that referral important?

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How to take a good referral and make it great!

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Discussion

How do referrals improve health outcomes for the families we serve?

What factors influence whether a participant takes advantage of the referral offered?

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Steps to offering a great referral

Use your participant centered skills Identify and prioritize needs Provide specific referral information Help address barriers Follow up at the next visit

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Use participant centered skills

Ask permission to offer May be helpful when discussing

sensitive referrals. Consider:1. Cultural beliefs - as these may greatly

influence how a participant views asking for help

2. Feelings - since asking for help may be difficult for some participants. They may have feelings of shame, fear, powerlessness, or distrust

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Identify and prioritize needs

A thorough assessment will help identify potential referrals. Work with the participant to prioritize which referrals are most important to them. A participant may not prioritize her/his needs the same way you would. You can make suggestions and provide guidance and the participant will make the final decision.

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Provide a specific referral

Let the participant know how the agency can help.

When possible, provide a contact name, address or map, phone number and the best time to call.

Let the participant know what paperwork to take to the referral organization.

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Help address Barriers

Ask the participant how they plan to use the referral. Actively listen for any barriers that might prevent them from using the referral.

Help the participant figure out how they can address barriers. You do not have to have the answers. Guide the participant so that they find the solutions that work best for them.

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Follow up

At the next visit, check in with the participant about the referrals. Ask a question such as “How did the referral for _____ go for you?” If the participant accessed the referral

agency, affirm their efforts. If the participant did not follow up on the

referral, explore if the need still exists and if any additional assistance is needed.

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Everyone has a role

Referrals can be offered from any WIC staff. Clerical staff – May make referrals to

OHP, SNAP/food stamps, TANF and/or immunizations when enrolling participants.

Certifier’s- May make unique referrals based on the need(s) that arise during the visit.

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How can TWIST help?

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TWIST can help find a resource

Referral categories make it easy to find resources that fit the participant’s needs.

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New fields have been added

Email and website now available

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What referral resources do we need in TWIST?

Discussion questions

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Documenting your referrals Enrollment button or Certification tab Anyone can make and document

referrals

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One referral record

Referrals will automatically show in both places, regardless of where they are documented.

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Producing written referrals from TWIST

Click “More Info” and then click “Print” on the popup to generate a written referral that can be given to the participant.

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Which referrals are required?

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Three required referrals

1. Alcohol or Drug Use2. Immunizations3. Oregon Health Plan (Medicaid)

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1. Alcohol or Drug Use Referrals

Use the normal assessment process to screen for alcohol, tobacco, or drug use

If a positive response for alcohol or drug use,1. Refer to treatment and provide a written

referral2. Provide written information on the

dangers of alcohol and drug use Refer to Policy 880 for more

information

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Options for providing a written referral

Locally produced listing of treatment options

TWIST produced referral

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Options for providing information

Locally produced material What You Eat Makes a Difference (57-

701) Noodle Soup pamphlet ordered from

the state

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2. Immunization Referrals

Screen ages 3 to 24 months

If immunizations are due, or if unable to review immunization record, must refer to health care provider

Optional to print referral letter from the TWIST Immunization Status button

See Policy 481 for more information

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Referral Letter

Shows date of info Missing shots Can print for PMD TWIST lessonCh. 3, 404

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3. Oregon Health Plan Referrals

Every participant must be referred to Oregon Health Plan at every certification if they are not currently enrolled.

A written referral must be provided

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Options for written referrals to OHP

Locally produced materials TWIST produced referral Safenet card

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Case Studies

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Case Study: Kim and Sara

Kim applies for WIC for her 18 month old daughter, Sara. While completing the enrollment screens at check in, you find out that she recently left her husband and is temporarily staying with a friend. She works part time and thinks she might be eligible for food stamps. She has no immunization record and no primary doctor for Sara. When you click on the Immunization Status button, it says that since she is new, there is no information about her in TWIST yet.

What referrals would you make? How would you make the referrals meaningful?

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Case Study: Lauren and Elizabeth

Lauren is a 6 weeks postpartum woman bringing in her new baby, Elizabeth. During counseling she breaks into tears when you ask about alcohol use. You find out that since her husband was deployed overseas she has been really sad and has been drinking a lot to help her sleep. She wants to keep breastfeeding but is sure that the alcohol is bad for the baby. She is on OHP and has a OB-GYN.

What referrals would you make? How would you make the referrals meaningful?

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Thank You


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