OXFORD UNIVERSITYOXFORD UNIVERSITYProvision of Health Care to People Experiencing

Homelessness

Wayne A. Centrone, NMD, MPHHCH Clinicians’ Network Steering Committee

Meeting – April 2008

Albuquerque, New Mexico

Report Outline

• Introduction to Program• Curriculum Design

– Online Program (Moodle)– Intensive Training– Assignments

• Facilitation and Instruction• Impressions and Ideas

– Transferability for U.S. HCH Market

• Questions and Answers

Introduction to Program

• Developed through professional committee and peer review

• Designed for “Trans-disciplinary” professionals

• Based at Rewley House in Davidson College

• Not a “paint by numbers” curriculum or program

Curriculum Design

• Socratic Method– Modules of Instruction

• Online (Module 1)– Mentoring– Tutoring

• Oxford Lecturers• Guest Tutors

• Intensive Trainings– Module Lectures (Modules 2 - 5)– Topic Lectures w/in Modules– Tutor and Small Group Driven

Module Instruction• Module 1

– Provision of HC to PEH• Module 2

– Homelessness: Exclusion Health and Society

• Module 3– Health Care Needs of PEH

• Module 4– Organizing HC Provision for

PEH• Module 5

– Working w/ HP who have Complex & Multiple Needs

• Module 6– Intensive at European HHC

Conference

Modules and Topics

• Module 1 (online instruction)– What is homelessness?– What are the challenges of PEH?– What models exist to deliver HC services to

PEH?– Challenges associated with the delivery of HC

services to PEH?– Provider development and burnout prevention

Modules and Topics

• Module 2 (Intensive w/ assignment)– Homelessness exclusion from society and the

concept of social capital– Homelessness as exclusion from Health & HC– The ethics of resource utilization: Are people

experiencing homelessness deserving or undeserving?

– International aspects of homeless legislation– Emotional Retreat: How do we cope as

professionals in our work w/ PEH

Modules and Topics

• Module 3 (Intensive w/ assignment) – Population vs. personalization: tailored HC

and promotion to disadvantaged groups– Special Populations: Veterans, women,

families, older homeless, youth and GLBT– Presentations: Individual assignments– HC needs of the hard to reach groups w/

housing needs: refugees, asylum seekers, BME, gypsies and travelers

– Stigmatization and homelessness

Modules and Topics

• Module 4 (Intensive w/ assignment)– Health inequalities: How do we define them? How do

they apply to PEH?– Ill health in the homeless population of Boston: A

case study in organizational management– Looking at applying risk management and case

management to care of PEH– Personality attachment disorder: Delivering a service

to PEH– Case Discussion

Modules and Topics

• Module 5 (Intensive w/ assignment)– Mental health problems in homeless

populations: delivering effective TX– Competency/capability/autonomy: Balancing

respect with safety– The role of psychological approaches– Delivering service for people with complex

needs– Unique care considerations

Modules and Topics

• Module 6 (Intensive w/ poster presentation)– Multidisciplinary approaches– Skills advancement– Professional collaboration– Mentoring and career enhancement– European model of HC delivery to PEH

Facilitation and Instruction

• English Design• Broad Influence

– Faculty– Guest Tutors– Clinicians– Academics– U.S. Presence – Dr. Jim

O’Connell

• Collegial– Experts in their fields

• Evidence Based– E.g. GLBTQ Presentation

Oxford: A Living History

Impressions and Ideas

• Fantastic and . . . – Well organized – readings, writings and reviews– Thoughtfully developed and structured (Dr. Angela Jones, et al)– Transdisciplinary – maybe need for “break out” sessions

• Great Program Outline and Framework– Good mix b/w “online” and “intensives”– Lends instruction for “mentoring”– Has “international” bridging capacity– Foundational framework for bigger programs – Board Certification?

• Bring Program to U.S. Audience– Partnership w/ Oxford– Involve U.S. training/academic institution's– Convene U.S. tutor/instructor cohort