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Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer

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Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English

Learning Objectives:

  1. Describe culturally appropriate diabetes intervention strategies
  2. Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
  3. Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.

 

FURTHER READING

Download the Spanish Toolkit Materials

National Diabetes Information Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram

Bright Bodies, http://brightbodies.org

Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.

An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record. 

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These files are part of the Engaging Migrant Men project.

MCN developed 3 vignettes that portray the three messages developed in video and printed form.

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These files are part of the Engaging Migrant Men project.

Accompanying discussion guides were created to be used by male peers, community leaders, or outreach workers for one-on-one and small group discussions with men.

Hombres Unidos is a peer-led workshop focused on the primary prevention of sexual and intimate partner violence (s/ipv) with Latino migrant men.  Developed in 2005 with the support from the Centers for Disease and Control, this five session workshop is implemented using a popular education technique (Paulo Freire) which is a concept that incorporates notions of class, political struggle and social transformation.  

This webinar (sponsored by the Washington Coalition of Sexual Assault Programs) focuses on the collaborative development of a primary prevention workshop for Latino migrant men, the evaluation of the workshop, and the continuing effort on engaging Latino migrant men as allies with women in s/ipv prevention after the five session workshop.

After this webinar, participants will be able to identify:

  • methods on how to begin a conversation on sexual and intimate partner violence with Latino migrant men
  • process and outcome evaluation techniques on a primary prevention workshop developed for a specific population
  • efforts to continue to engage Latino migrant men in sexual and intimate partner violence prevention
  • how to incorporate existing efforts with your population

Recording & Materials

During the webinar, Adrian referenced a few handouts that are used in the program.  Below you will find a few of these in Spanish.

Print, cut, and distribute this handy bookmark to providers who treat migrant and seasonal farmworker patients. The bookmark includes links and a qr code to connect you to pesticide - related clinical tools and resources. In addition, we've included some useful phone numbers in case of a pesticide emergency.

You can also use the bookmark to keep handy the Health Network phone number to be sure your patients on the move remain in care.

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This webinar is the sixth in a series of seven in our Clinician Orienatation to Migration Health.

DATE RECORDED: Wednesday, July 17, 2013
PRESENTED BY: Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health and Melissa Bailey, Executive Director of North Carolina Field, Inc.

To view the recorded version of this webinar, click here.

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Introduction

In August of 2005, the North Carolina Division of Public Health, Occupational and Environmental Epidemiology Branch (OEEB) was notified that three women who had worked on farms in North Carolina owned by Ag-Mart had delivered infants with birth defects.  All three births took place in Florida where the women also worked on Ag-Mart farms and lived near each other.  This report summarizes the OEEB’s investigation and assessment of the pesticide exposures likely experienced by these women while in North Carolina. 

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Family Psychosocial Screening also assesses a number of other risk factors for developmental and behavior problems. These include frequent household moves, single parenting, three or more children in the home, less than a high school education, and unemployment. Four or more such risk factors including mental health problems and an authoritarian parenting style (observed when parents use commands excessively or are negative and less than responsive to child initiated interests) is associated with a substantial drop in children's intelligence and subsequent school achievement . In such cases, children should also be referred for early stimulation programs such as Head Start or a quality day care or preschool program. 

PCMH Standard 2, Element C: Comprehensive Health Assessment, Factor 2: Practice conducts and documents a health assessment including family, social, cultural characteristics.

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Haz-Map® is an occupational health database designed for health and safety professionals and for consumers seeking information about the adverse effects of workplace exposures to chemical and biological agents. The main links in Haz-Map are between chemicals and occupational diseases. These links have been established using current scientific evidence.

Emergency Medical and Field Fumigation Guides for Methyl Bromide, Methylisothiocyanate (MITC), Chloropicrin, and Metam Sodium/Metam Potassium.

Physicians, nurses, nurse practitioners, physician assistants, paramedics and other health care professionals often encounter work-related health and safety issues as they care for their patients. The Clinicians' webpage provides information, resources and links to help clinicians navigate OSHA's website and provide care for workers. Topics on the webpage include evaluating occupational exposures, OSHA requirements for recordkeeping and medical records, and setting up a safe outpatient office.

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.

http://www.farmworkercliniciansmanual.com

This comprehensive manual was developed by the New York Center for Agricultural Medicine and Health and the Migrant Clinicians Network for the diagnosis and treatment of occupational injuries in migrant and seasonal farmworkers. The information in the manual does focus on agricultural occupations in the Northeast.

In honor of Mother’s Day, we’re proud to announce that our Safe Pregnancy and Birth mobile app is now available for free as a beta release for Android phones.  Click here to download it now from the Google Play app store.  In January, we released our app for iPhones; click here to download it from the Apple store.  If you don’t have an Android or iPhone, you can preview the app here

Cholinesterase (ChE) Testing Protocols and Algorithm    

These Cholinesterase (ChE) clinical tools provide a concise and simple format to guide clinicians in monitoring the ChE levels for patients working with Class I and Class II organophosphates (OP) or OP and N-methyl-carbamates. 

An Action Plan for Implementing a Primary Care Clinician’s Evidence-Based Toolbox and Guide.

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One page document designed to educate clinicians about important elements of colorectal cancer screening using fecal occult blood tests (FOBT).  Provides state-of-the-science information about guaiac and immunochemical FOBT, test  performance and characteristics of high quality screening programs.

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This is a comprehensive, practical toolkit for primary care sites to implement more effective colon screening practices. Even though highly effective methods of CRC screening are available across the country, the current rates of screening, and of complete diagnostic examination that should flow from screening, remain inadequate. Thus, the potential benefits of widespread CRC are unrealized. The American Cancer Society has established the goal of 75 percent of the eligible population screened for CRC by the year 2015. This guide will help us reach that goal.

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This booklet is intended to help Community Health Centers put in place an effective and efficient workers' compensation program.

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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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