2016 Spring Regional Training


2016 Spring Regional Training Archived Materials

Thursday, March 31st

7:30-8:30 a.m.Registration/Check-in
8:30 a.m.-4:30 p.m.Session I: Intensive Full-Day Training Sessions (Breaks at 10:00 AM and 2:30 PM)
8:30-11:30 a.m.Session I: Half-Day Training Session (3 hours, Break at 10:00AM)
10:00-10:30 a.m.Break
11:30 a.m.–1 p.m.Lunch (Off-site, on your own)
1-4:30 p.m.Session II: Half-Day Training Session (3.5 hours, Break at 2:30 PM)
2:30–3 p.m.Break
3-4:30 p.m.Training Sessions Continued


Friday, April 1st

7:30-8:30 a.m.Registration/Check-in
8:30-11:30 a.m.Session III: Half-Day Training Session (3 hours, Break at 10:00AM)
8:30-10 a.m.Session III: Workshops (90 minutes)
10-10:30 a.m.Break
10:30-11:30 a.m.Session IV: Small Group Discussions
11:30 a.m.-1 p.m.Lunch (Off-site, on your own)
1-4:30 p.m.Session V: Half-Day Training Session (3.5 hours, Break at 2:30 PM)
1-2:30 p.m.Session V: Workshop Sessions
2:30-3 p.m.Break
3-4:30 p.m.Session VI: Workshop Sessions



Thursday, March 31, 2016


Improving Outcomes through Cultural Humility, Part 1, 8:30 a.m. – 4:30 p.m.

View slides from this presentation (PDF).

In most organizations cultural humility is critical on two levels:

  • Creating a collegial and effective work environment given an increasingly diverse workforce.
  • Ensuring staff’s effectiveness in providing service to culturally, ethnically, and linguistically diverse populations.

This workshop provides the basis for understanding the role that culture plays in shaping how we see reality and the extent to which cultural differences exist and impact how we relate to one another. Recognizing that service providers cannot be experts on every culture, the workshop highlights ways of approaching difference that allows for the assessment of cultural barriers and/or differences and the identification of culturally sensitive ways to address them.

We are asking organizations to send teams for two to four members to this session in order to equip them with the skills necessary to implement change at their organizations.

Presenter: Bahiya Cabral-Johnson, Deputy Director, Welcoming Center for New Pennsylvanians, Philadelphia, PA; Judy Johnson, MA, Director of Programs, Welcoming Center for New Pennsylvanians, Philadelphia, PA

Room 103

Building a Trauma Informed Organization, 8:30 a.m. – 4:30 p.m.

View slides from this presentation (PDF). Additional materials include: LEC-5, ProQOL, and Trauma Resources.

Recent research in neurobiology, physics, genetics, biology, psychology, sociology, and trauma gives those working with individuals experiencing homelessness a new paradigm within which to conceptualize their role in the healing process. The Coldspring Center’s approach to the Trauma Informed paradigm challenges learners to take a fresh look at what it means to be a provider of homeless services. This training gives learners a theoretical base as well as tools and strategies to apply immediately to their work, how to de-escalate re-traumatized clients, their own self-care, and their organizations. Designed in an interactive and experiential format, Building a Trauma Informed Organization lays out a roadmap for the integration of the Trauma Informed paradigm into Health Care for the Homeless settings. This powerful experience provides approaches and strategies that can transform individuals, systems, society, and the overall approach to helping those we serve heal and grow.

Presenter: Matt Bennett, MA, MBA, Chief Innovation Officer, Coldspring Center for Social and Health Innovation, Denver, CO

Room 105

Behavioral Health Integration: Barriers, Benefits, and Reimbursement, 8:30 a.m. – 11:30 a.m.

View slides from this presentation (PDF). Additional materials include: Housing and Health Care Integration, Role of Behavioral Health Providers, Dental Integration, Financial Management in an Integrated Healthcare World, and Medicaid Outreach and Enrollment Overview.

The Colorado Coalition for the Homeless uses an integrated care model to help consumers with all aspects of their healthcare, including behavioral health. In this half day session, presenters will first discuss the benefits and barriers to integration, along with some of the common reimbursement challenges. The role of behavioral health providers will also be covered, and two BHPs will describe the development and outcomes associated with two groups: a 10-week Integrated Diabetes Management Group that was developed to increase self-management skills which involved incorporating speakers from our dental and eye clinics and our pharmacy; and a 6-week Chronic Health Conditions group to improve health status and medication adherence. The integration of adequate housing in healthcare will also be covered. Lastly, the session will finalize with a Q & A panel discussion.

Presenters: David Otto, MD, MBA, Medical Director of Integrated Health Services, Colorado Coalition for the Homeless, Denver, CO; Lynne McRae, Psy. D., M. A. LIR, Associate Director of Behavioral Health, Colorado Coalition for the Homeless, Denver, CO; Ashley Blaine, DBH, LCSW, Behavioral Health Provider, Colorado Coalition for the Homeless, Denver, CO

Room 107

Advocacy, Policy Change, and the Health Care for the Homeless Community, 1 p.m. – 4:30 p.m.

View slides from this presentation (PDF).

Homelessness is a direct result of failed policies. As health care providers, consumers, and members of the HCH community you have the experience, expertise, and iminowledge to affect policy change and ensure that the experience of homelessness is brief and rare. The legislative process can be confusing. To be a legislative advocate you do not need to be an expert, you just need to know when to advocate and how to get your voice heard. The first half of this training will provide an overview of federal and state legislative processes and detail how you can affect policy development. The second half will provide two examples of advocacy and policy change, the first being voter registration, and the second being the movement for Universal Health Care. You will walk away from this session with a better understanding of the legislative process and ways you can influence policy development.

Presenters: Aubrey Hill, MPP, Director of Health Systems Change, Colorado Coalition for the Medically Underserved; Joseph Benson, Community Health Worker, Health Care for the Homeless – Houston, Houston, TX; TR Reid, Author, Lecturer, and Documentarian; Lyn Gullette, Ph. D., Executive Director, Co-operate Colorado, Private Practice Psychologist; Matt Warfield, MSW, Health Policy Organizer, National Health Care for the Homeless Council, Baltimore, MD

Room 107

Friday, April 1, 2016

Improving Outcomes through Cultural Humility, Part 2, 8:30 a.m. – 11:30 a.m.

View slides from this presentation (PDF).

See above.

Presenter: Bahiya Cabral-Johnson, Deputy Director, Welcoming Center for New Pennsylvanians, Philadelphia, PA

Room 103

Health & Housing Partnerships: Make Them Happen, 8:30 a.m. – 10:00 a.m.

View slides from this presentation (PDF).

This highly interactive training highlights the value of and steps to developing partnerships between HRSA Health Center Program grantees and supportive housing providers, with content based on the recently released HRSA-sponsored CSH Health & Housing Partnerships: Strategic Guidance for Health Centers and Supportive Housing Providers. Through interactive activities, participants learn how to build the foundation for a successful and lasting partnership. Using tools provided in the guide, as well as case studies, participants will practice preparing their own organization to engage in partnership, learn how to identify potential partners, and will practice assessing and vetting potential partners to determine a match. Finally, participants will learn strategies to strengthen new relationships and make their partnership last. Here are the key topics and activities:

  1. Partnership value: lecture-based
  2. Preparing your organization: activity & discussion
  3. Identifying and vetting partners: activity & discussion
  4. Making partnerships last: lecture & discussion

Presenter: Nui Bezaire, MBA, Program Manager, Corporation for Supportive Housing, Los Angeles, CA; Kim Keaton, Senior Program Manager – Government Affairs & Innovation, Corporation for Supportive Housing, Kansas City, MO

Room 105

Not Here, Not Yet: Moving Forward & Keeping the Faith in Non-Medicaid Expansion States, 8:30 a.m. – 10:00 a.m.

View slides from this presentation (PDF).

It’s great that 32 jurisdictions have expanded Medicaid eligibility to most low-income single adults, but what about the 19 states that have not yet adopted this option? All-too-often the conversation focuses on the exciting new opportunities and funding available in expansion areas, but that’s not the reality for 3 million people who remain in “the coverage gap”, to include many people experiencing homelessness. It is also not the reality for the health care providers who serve this population, often working in the same environment with the same challenges that existed before the Affordable Care Act came along.  Unfortunately, the bitter political rhetoric only makes our jobs more difficult, eroding morale and frustrating even the most optimistic among us.

This workshop will focus on Utah’s experience with advancing Medicaid alternatives, the organizing strategies that both high-level and grassroots groups have employed to continue to push for expansion, methods for keeping morale in a difficult environment, and options for maximizing existing grant funds. Ideally, these lessons learned can be implemented in other non-expansion states.  This session will also include information on Medicaid alternatives allowed under the law and limited benefit expansions already underway in Texas and Louisiana that target homeless populations.  Join this conversation for both information and support—your states can’t hold out forever and our advocacy is essential!

Presenters: Alan Pruhs, Executive Director, Association for Utah Community Health, Salt Lake City, UT; Laura Michalski, Chief Executive Officer, Fourth Street Clinic/Wasatch Homeless Health Care, Inc., Salt Lake City, UT; Barbara DiPietro, Senior Director of Policy, National Health Care for the Homeless Council, Baltimore, MD

Room 107

Delivering military-history-informed care to homeless veterans and navigating your local VA health care and benefits system, 1:00 p.m. – 4:30 p.m.

View slides from this presentation (PDF).

Homeless veterans experience multiple barriers to accessing health care and VA benefits and services. Equipping providers with the tools and knowledge regarding VA system 101 and military-history can help with reducing or eliminating these barriers. Providers will receive training that will increase understanding of: (1) the VA system; (2) how to build relationships with local VA (building communication and collaborating skills)); (3) military culture (general military culture and how it impacts veteran’s views); and (4) traumatic experiences and how this may impact service utilization and treatment (i.e. delivering trauma-informed care: trauma experienced while homeless and while serving in the US military). Additionally providers will learn about resources that are available for unstably housed veterans who do not qualify for traditional VA services and benefits. Training will be delivered in lecture format alternated with interactive skill-building activities and question and discussion session as we aim to address site-specific needs.

Presenter: Richard DeBlasio, MSW, Network Homeless Coordinator, Department of Veterans Affairs Homeless Veterans Program, Denver, CO; Stephanie George, MSW, LCSW, Faculty, University of Southern California; Former Faculty at the VA National Center on Homelessness, Los Angeles, CA

Room 103

Challenging Cases in Chronic Pain Management: Tools and Strategies for Front-Line Providers, 1 p.m. – 2:30 p.m.

View slides from this presentation (PDF).

Chronic pain is extremely common with an estimated 100 million Americans affected. Opioid prescribing is similarly common with a total of 259 million prescriptions written in 2013. There has been increasing concern about the use of chronic opioid therapy for individuals with chronic pain given the lack of long-term efficacy data and increasing concerns about safety. Chronic pain is also highly prevalent in homeless individuals, some of whom also suffer from substance use disorders, making their management more challenging. This session will include lecture and facilitated discussion of complex, real-world pain cases, with a focus on multi-modal treatments and the management of concerning behaviors. To derive benefit, attendees should have some hands-on experience with patients reporting pain syndromes and/or be part of a multidisciplinary team treating a person with chronic pain.

Presenter: Soraya Azari, MD, Assistant Clinical Professor of Medicine, UCSF, San Francisco General Hospital, San Francisco, CA

Room 105

Engaging Consumers in Governance: Lessons from Consumer Advisory Boards, 1 p.m. – 2:30 p.m.

View slides from this presentation (PDF).

Individuals who receive services at HCH projects have a unique and important role to help make continual improvement in services and achieve the mission of the organization. Those who have been disenfranchised and are struggling to meet their basic needs have understandable challenges engaging in governance activities; yet it is important for projects to facilitate the voice of this critical perspective however possible. We will hear examples from two Consumer Advisory Boards that serve to facilitate this voice at their HCH projects: they will tell us about how they provide space to facilitate consumer feedback and input on services, challenges in meeting this mission, and ways they work to overcome the complexities in organizing and developing stable consumer groups.

Presenters: Joseph Benson, Chair of National Consumer Advisory Board, Health Care for the Homeless – Houston, Houston, TX; Walter Truehart, Consumer Advisory Board Member, Ascending to Health Respite Care, Colorado Springs, CO; Greg Morris, PA-C, CEO, Ascending to Health Respite Care, Colorado Springs, CO; Katherine Cavanaugh, Consumer Advocate, National Health Care for the Homeless Council, Baltimore, MD

Room 107

Outreaching to a Homeless Population Inside & Outside of the City: Go Where They Are, See Who They Are, Get to Know Them and Earn Their Trust and Then Find Out How We Can Serve Them! 3 p.m. – 4:30 p.m.

View slides from this presentation (PDF).

We will discuss our hub & spoke model of providing medical care to our homeless population via fixed and mobile outreach.   We serve our homeless community members inside and outside of the city in a rural county. Join us for a presentation of our homeless services and also hear from our outreach worker directly.

Presenters: Carol Blank, RN, BSN, Community Health Center Clinic and HCH Clinics Manager, RiversStone Health, Billings, MT; Louie Rivera, LAC, Outreach Worker, RiverStone Health, Billings, MT

Room 105

Building Bridges with Law Enforcement: A Homelessness 101 Guide to Police Training, 3 p.m. – 4:30 p.m.

This workshop will include modules from the full training such as role playing exercises, concentric circles, and bridging the gap created by stereotypes. The presenters have delivered this training numerous times around the country with successful outcomes. This workshop does not include a PowerPoint presentation but there will be handouts and participation by attendees. Trainings to be done by a majority of people who have experienced homelessness.

Presenters: Carmon Ryals, Board Member of Albuquerque Health Care for the Homeless (AHCH), Member at Large for NCAB, Co-chair of Client/Board Advisory Committee (CBAC), Albuquerque Health Care for the Homeless, Albuquerque, NM; Kristin Leve, Former Board Member and Board President, AHCH CBAC Co-Chair, Albuquerque Health Care for the Homeless, Albuquerque, NM

Room 107

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