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This archived webinar originally presented by Jennie McLaurin, MD and Tillman Farley, MD, provides an overview of effective strategies to integrate behavioral health into health center operations. The presenters come with many years of experience in providing culturally appropriate and high quality health care to migrants and other underserved populations. This page includes links to other SAMHSA-HRSA sponsored archived webinars in additional topics.

Webinar Presentation by Adam Hoverman, DO, DTM&H on Exploring the Intersection of Tropical Medicine and Migrant Health. Recorded on 4/18/2012.

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October 15, 2012

Spanish version

Background
The Centers for Disease Control and Prevention (CDC) with state and local health departments and the Food and Drug Administration (FDA)External Web Site Icon are investigating a multistate meningitis outbreak of fungal infections among patients who have received a steroid injection of a potentially contaminated product into the spinal area. This form of meningitis is not contagious. The investigation also includes fungal infections associated with injections in a peripheral joint space, such as a knee, shoulder or ankle.

Barbara C. Lee PhD, Susan S. Gallagher MPH, Amy K. Liebman MPA, MA, Mary E. Miller RN, MN & Barbara Marlenga PhD (2012)Journal of Agromedicine, 17:2, 88-93ABSTRACT. In 1996 the US launched a National Childhood Agricultural Injury Prevention Initiative, guided by an action plan generated by a 42-member multidisciplinary committee. A major update to the plan was released following the 2001 Summit on Childhood Agricultural Injury Prevention. From the year 2010 through 2011 a comprehensive assessment of progress to date was conducted followed by the drafting, review and finalizing of a new action plan—“The 2012 Blueprint for Protecting Children in Agriculture.” This paper briefly describes the purpose and process for generating the new action plan then provides a listing of the 7 goals and 26 strategies within the plan. These goals and strategies account for trends in childhood agricultural injuries, changes in agricultural production and the demographics of its workforce, effectiveness of interventions, and the increasing use of social media, marketing and social networking. Primary funding for this  project was provided by the National Institute for Occupational Safety and Health (NIOSH), which continues to serve as the lead federal agency for the national initiative.

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American Journal of Public Health. October 2012, Vol 102, No. 10

Werner E. Bischoff, MD, PhD, Maria Weir, MAA, MPH, Phillip Summers, MPH, Haiying Chen, MD, PhD, Sara A. Quandt, PhD,
Amy K. Liebman, MPA, MA, and Thomas A. Arcury, PhD

Objectives. The purpose of this study was to assess water quality in migrant farmworker camps in North Carolina and determine associations of water quality with migrant farmworker housing characteristics. Methods. We collected data from 181 farmworker camps in eastern North Carolina during the 2010 agricultural season. Water samples were tested using the Total Coliform Rule (TCR) and housing characteristics were assessed using North Carolina Department of Labor standards. Results. A total of 61 (34%) of 181 camps failed the TCR. Total coliform bacteria were found in all 61 camps, with Escherichia coli also being detected in 2. Water quality was not associated with farmworker housing characteristics or with access to registered public water supplies. Multiple official violations of water quality standards had been reported for the registered public water supplies. Conclusions. Water supplied to farmworker camps often does not comply with current standards and poses a great risk to the physical health of farmworkers and surrounding communities. Expansion of water monitoring to more camps and changes to the regulations such as testing during occupancy and stronger enforcement are needed to secure water safety. (Am J Public Health. 2012;102: e49–e54. doi:10.2105/AJPH.2012.300738)

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Cancer statistics for Hispanics/Latinos, 2012 by Rebecca Siegel MPH, Deepa Naishadham MA, MS, Ahmedin Jemal DVM, PhD

Article first published online: 17 SEP 2012

Abstract

Hispanics/Latinos are the largest and fastest growing major demographic group in the United States, accounting for 16.3% (50.5 million/310 million) of the US population in 2010. In this article, the American Cancer Society updates a previous report on cancer statistics for Hispanics using incidence data from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality data from the National Center for Health Statistics. In 2012, an estimated 112,800 new cases of cancer will be diagnosed and 33,200 cancer deaths will occur among Hispanics. In 2009, the most recent year for which actual data are available, cancer surpassed heart disease as the leading cause of death among Hispanics. Among US Hispanics during the past 10 years of available data (2000-2009), cancer incidence rates declined by 1.7% per year among men and 0.3% per year among women, while cancer death rates declined by 2.3% per year in men and 1.4% per year in women. Hispanics have lower incidence and death rates than non-Hispanic whites for all cancers combined and for the 4 most common cancers (breast, prostate, lung and bronchus, and colorectum). However, Hispanics have higher incidence and mortality rates for cancers of the stomach, liver, uterine cervix, and gallbladder, reflecting greater exposure to cancer-causing infectious agents, lower rates of screening for cervical cancer, differences in lifestyle and dietary patterns, and possibly genetic factors. Strategies for reducing cancer risk among Hispanics include increasing utilization of screening and available vaccines, as well as implementing effective interventions to reduce obesity, alcohol consumption, and tobacco use. CA Cancer J Clin 2012;. © 2012 American Cancer Society.

Latinas are experiencing high rates of sexually transmitted diseases (STDs), teen childbearing, and unintended pregnancy. This report presents nine recommendations for sexual and reproductive health clinics and providers to increase young Latina women’s access to reproductive health services. The recommendations are based on findings derived from 14 focus groups conducted by Child Trends in three cities in the United States with young adult Latina women (18-24 years-old) and with reproductive health care and social service providers serving large Latina populations.

New research out of Cornell University's College of Human Ecology found that low-income children of immigrants have much poorer health than low-income children of citizens, as reported in a special section of the journal Child Development.

Supportive Voice. Among The Most Vulnerable by Tina Castañares , MD. Fall 2008

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The Journal of Clinical Ethics. The Diagnosis of Dying by George F. Davis. Fall 2009. Volume 20, Number 3

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Webinar Presentation by Tina Castañares, MD George Davis, MD Jennie McLaurin, MD, MPH on Palliative and End-of-Life Care for Latino Migrants. Recorded on 8/22/2012.

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We are pleased to share that the Spanish version of the Traveling to Mexico and Latin America: A Guide for Persons Living with HIV/AIDS brochure. This brochure includes helpful tips for persons with HIV/AIDS traveling outside of the country. Also included is a listing of prominent HIV/AIDS organizations in various Latin American countries.

This resource (in English and Spanish) gives a basic overview of what breast cancer is and some of the general terms used to describe breast cancer.

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This resource includes some facts about skin cancer including risk factors and the signs and symptoms of skin cancer.

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This article describes an excellent integrated behavioral health program at a Federally Funded Health Center. The full abstract from the article is as follows: In a progressively complex and fragmented health care system and in response to the need to provide whole-person, quality care to greater numbers of patients than ever before, primary care practices throughout the United States have turned their attention and efforts to integrating behavioral health into their standard service-delivery models. With few resources and little guidance, systems struggle to gather the support required to establish effective integrated programs. Based on first-hand experience, we describe a working integrated primary care model, currently utilized in a large community health center system in Colorado, that encompasses universal screening, consultation, psychotherapy, and psychological testing. With appreciation for the way an organization’s unique circumstances inform the best approach for that particular organization, we highlight the clinical level and system-level variables that we consider necessary for successful practice development and address how our behavioral health program operates despite funding limitations. We conclude that organizations that aim for integrated primary care must mobilize leadership to implement systemic changes while making difficult decisions about program development, financing, staffing, and interagency relationships.

Moving Against Cancer: Effective Detection and Management of Cancer in Underserved Latinos. From Migrant Clinicians Network Sponsored Webinar presented June 12, 2012 by Jennie McLaurin, MD, MPH

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The 2012 Blueprint for Protecting Children in Agriculture. Awarded 2013 Paper of the year by the International Society for Agricultural Safety and Health (ISASH), this National Action Plan takes an updated look at preventing childhood agricultural injury and death.

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 This research study was conducted on 8 dates of an annual flu shot clinic at the San Francisco General Hospital. Patients were offered flu shots as usual (control group) and on 9 other dates, patients were offered both flu shots and FOBT kits (intervention group). Researchers wanted to determine whether providing home fecal occult blood test (FOBT) kits to eligible patients during influenza inoculation (flu shot) clinics can contribute to higher colorectal cancer screening (CRCS) rates. The study concluded that offering FOBT kits during flu shot clinics dramatically increased the CRCS rate for flu shot clinic attendees. Pairing home FOBT kits with annual flu shots may be a useful strategy to improve CRCS rates in other primary care or public health settings.

From the National Center for Farm Worker Health

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To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

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An estimated 1.1 million people in the USA are living with HIV/AIDS.  Nearly 200,000 of these individuals do not know that they are infected.  In 2006, the CDC recommended that all healthcare providers routinely offer HIV screening to adolescent and adult patients.  Nurse-dentist collaborations present unique opportunities to provide rapid oral HIV screening to patients in dental clinic settings and reach the many adults who lack primary medical providers.  However, little is known about the feasibility and acceptability of this type of innovative practice. Thus, elicitation research was undertaken with dental providers, students, and patients. This paper reports the results of qualitative interviews with 19 adults attending a university-based dental clinic in New York City. Overall, patients held very positive attitudes and beliefs toward HIV screening in dental sites and identified important factors that should be incorporated into the design of nurse-dentist collaborative HIV screening programs.

This directory was created by the Education Committee of the Alliance for Latino Behavioral Health Workforce Development. The directory serves as a central repository for a range of academic programs that offer diverse graduate level behavioral health training opportunities with a Latino focus.

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Urinary Tract Infection treatment protocol decision tree.
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Sample protocol for the assessement and care of prenatal patients.
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Sample clinical protocol describing how the clinic works with patients who are suspected of being victims of abuse.
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Outlines Dental Productivity Guidelines, benchmarks and relevant procedures.

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This flyer gives what to do and not do while traveling. Created by Migrant Clinicians Network Diabetes Program Funding provided by the Diabetes Program, Texas Department of Health. Available in Spanish and English.

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This flyer describes oral health for the diabetic.  It is in English and Spanish. 

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