Part 1 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: March 19, 2014
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
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**Note: Due to technical difficulities the first 7 minutes of the presentation are not recorded. Please refer to the pdf of the slides for the content that was covered in those 7 minutes.
Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies.
Learning Objectives:
- Identify the structures that shape clinical interactions;
- Discuss the means of developing an extra-clinical language of structure;
- Rearticulate “cultural” formulations in structural terms;
- Explain the process of observing and imagining structural interventions; and
- Describe the concept of structural humility.
FURTHER READING |
Farmer, Paul, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee. 2006. Structural Violence and Clinical Medicine. PLoS Medicine 2006 (3): 1686-1691. Holmes, Seth, Fresh Fruit Broken Bodies, 2013 Messac, Luke, Dan Ciccarone, Jeffrey Draine, Philippe Bourgois. 2013. The good-enough science-and-politics of anthropological collaboration with evidence-based clinical research: Four ethnographic case studies. Social Science & Medicine 99 (2013): 176-186 Quesada, James, Laurie Kain Hart, & Philippe Bourgois. 2011. Structural Vulnerability and Health: Latino Migrant Laborers in the United States. Medical Anthropology, Vol. 30, No. 4: 339- 362 Srivastava, Ranjana. Complicated Lives—Taking the Social History. New England Journal of Medicine 2011 (365): 587-589. Willen, Sarah. 2012. How is Health-Related “Deservingness” Reckoned? Perspectives from Unauthorized Im/migrants in Tel Aviv. Social Science & Medicine 74 (2012): 812-821. |
- StructuralCompetencyFinal.pdf (3.94 MB)
- https://youtu.be/smEPZKr-6gg
- http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0030449
- http://sethmholmes.com/
- http://www.sciencedirect.com/science/article/pii/S0277953613002207
- http://www.haverford.edu/anthropology/faculty/hart/Medical-Anthropology-Structural-Vulnerability-and-Health--Latino-Migrant-Laborers-in-the-United-States.pdf
- http://www.ranjanasrivastava.com/wp-content/uploads/2013/01/Complicated-Lives.pdf
- http://www.sciencedirect.com/science/article/pii/S0277953611003984
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.
- http://www.wcsap.org/engaging-latino-migrant-men-violence-prevention-webinar
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/Hombres_Unidos/index.htm
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/trainings_events/recorded_webinars/EngagingLatinoMigrantMenViolencePrevention_10.29.13.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/ContinuumSpanish_EmotionalPsychological.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/WheelSpanish_Equality.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/WheelSpanish_PowerandControl.pdf
Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians, gynecologists, and other reproductive health care professionals. The evidence that links exposure to toxic environmental agents and adverse reproductive and developmental health outcomes is sufficiently robust, and the American College of Ostetricicans and Gynecologists and the American Society for Reproductive Medicine join leading scientists and other clinical practitioners in calling for timely action to identify and reduce exposure to toxic envrionmental agents while addressing the consequences of such exposure.
- ACOG UCSF2013.pdf (378.64 KB)
Families Talking Together (FTT) is an evidence based program designed to help Latino parents better communicate with their children and teens about healthy relationships, sex, contraceptive use, and preventing pregnancy. Dr. Vincent Guilamo-Ramos, the creator of the program and co-director of the Center for Latino Adolescent and Family Health at New York University’s Silver School of Social work, along with Planned Parenthood Los Angeles and Visión y Compromiso, recently enlisted 25 promotores (community health workers) from three communities in California with high rates of teen pregnancy and high percentages of Latinos in an effort to help Latino parents address teen pregnancy. Over a four-day period, the 25 promotores were trained to deliver the FTT intervention. In the next two months, the promotores will deliver the intervention to 250 families in California. The National Campaign wishes to recognize and thank Dr. Guilamo-Ramos, PPLA, and Visión y Compromiso for their work on this innovative and important project.
The FTT intervention—both the community health worker curriculum and parent materials---are available online, free of charge.
- FTT CHW Curriculum.pdf (2.41 MB)
- http://store.thenationalcampaign.org/site/R?i=iOPIGHCt4_sel75YCj4CNg
- http://store.thenationalcampaign.org/site/R?i=zbpZq567mdRyAhRMqfLBfw
- http://store.thenationalcampaign.org/site/R?i=oFELeuVlpFN4_3HuvAZKVg
- http://store.thenationalcampaign.org/site/R?i=8sPNa0ckhtnq8c2n-KUhDQ
- http://store.thenationalcampaign.org/site/R?i=uejouwu2KrBvV0GyidmHLA
- http://store.thenationalcampaign.org/site/R?i=63niYLc_nPHYmxs-ZRZJHQ
Two high-production value, Spanish radio public service announcements(PSAs) to promote HIV testing services at local agencies. One PSA targets men and the other women. Each PSA features a blank space for you to record your organization’s contact information. Provided by Farmworker Justice
Comprehensive Spanish-language curriculum for individuals interested in training promotores de salud in HIV prevention. The curriculum is based on popular education techniques, and is culturally competent and linguistically sensitive.
Provided by Farmworker Justice
A directory of organizations working to promote health and prevent HIV/AIDS in California, Florida, North Carolina, Oregon, and Texas.
Provided by Farmworker Justice
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.
- OrientationWomen2013_0.pdf (3.57 MB)
Geoffrey M. Calvert, Walter A. Alarcon, Ann Chelminski,Mark S. Crowley, Rosanna Barrett, Adolfo Correa, SheilaHiggins, Hugo L. Leon, Jane Correia, Alan Becker,Ruth H. Allen and Elizabeth Evans
doi:10.1289/ehp.9647 (available at http://dx.doi.org/) Online 21 February 2007
- BirthDefectsCaseReportEHPArticle_0.pdf (333.39 KB)
The Occupational Health and Safety Resource Center is a virtual repository of Spanish educational materials, data sources, and links to bilingual informational websites on occupational health and safety issues related to agricultural work. It also contains an ample list of national and state agencies that have produced materials in Spanish for farmworkers’ health-related problems.
MCNs own Deliana Garcia helped in being a part of the advisory committee to this resource center.
What is the objective? To facilitate a central access point to high quality Spanish educational materials on agricultural occupational health and safety issues for people conducting work on health promotion and prevention activities and on workers’ rights and problems related to agricultural work.
Who are the target audiences? Health-outreach workers (promotores), community advocates, health providers, contractors/employers, farmworkers and their families, and others interested in the health and safety issues of agricultural workers.
What areas are included? The materials cover five key relevant areas: 1) Farmworkers’ rights; 2) Injury prevention; 3) Respiratory illnesses; 4) Heat illnesses; and 5) Pesticide exposure.
How did we do it? To develop the Virtual Resource Center, the process entailed:
- Asset mapping of educational, informational and research materials available in Spanish related to the five mentioned areas.
- Selection of materials using the following criteria: accurate information, culturally and linguistically adequate (including literacy level), relevant to health area, and visually acceptable quality.
- Insertion of resources into an excel format under five different categories, including source, type of material, and description of its content.
Development of new materials: to complement the existing educational resources, we developed a “Promotores Training Manual on Occupational Health and Safety of Agricultural Workers”. Based on an ethnographic framework, the manual presents the perspective of agricultural workers on the five mentioned areas (their stories) and provides community health workers with tools on how to conduct prevention and promotion activities. It also refers them to existing resources. We also produced a series of Spanish and selected indigenous languages Public Service Announcements (PSAs) on these areas.
An informative blog about workers' compensation, risk management, business insurance, workplace health & safety, occupational medicine, injured workers, and related topics.
This webinar is the fifth in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, June 12th, 2013
PRESENTED BY: Dr. Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers. So how can this model effectively transfer to a mobile population? One of the key elements needed is a more expansive vision of a medical home beyond a single geographic location. This session will explore strategies to create a patient centered medical home for patients on the move. The session will include an update and overview of MCN’s Health Network to manage critical health care issues such as infectious disease, Cancer, Diabetes and Pre-natal patient navigations. Participants will also be engaged in a discussion around best practices in tracking outcomes and reporting test results to patients. Presenters will highlight innovative promising practices in the creation of patient centered medical homes for migrant patients.
The Diabetes and Healthy Eyes Toolkit provides community health workers with tools to inform people with diabetes about diabetic eye disease and maintaining healthy vision. The toolkit has a flipchart that is easy to use in community settings and can be incorporated into existing diabetes classes or information sessions. It is available in English andSpanish.
Part 4 of 7 webinars in the CLINICIAN ORIENTATION TO MIGRATION HEALTH series.
DATE RECORDED: May 15, 2013
PRESENTERS: Amy K. Leibman, MPA, MA, Director of Environmental and Occupational Health, Migrant Clinicians Network
Dr. Mike Rowland, MD, MPH, Vice President, Medical Affairs and Medical Director, Occupational Health, Franklin Memorial Hospital
OBJECTIVES:
- Recognize the unique health risks of migrants due to their working conditions and environment
- Identify promising practices in environmental and occupational health that are feasible to implement in Migrant and Community Health Centers
- Utilize online clinical and patient education tools and resources to recognize, prevent and manage environmental and occupaional illnesses and injuries
- EOHPrimaryCareProviders_webinar.pdf (4.37 MB)
This webinar is the third in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, April 17, 2013
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
- ChronicInfDisWebApr2013_MCN.pdf (3.97 MB)
This webinar is the second in a series of seven in our Clinician Orientation to Migration Health.
DATE RECORDED: Wednesday, March 13, 2013
PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
- cxprofMCN2013.pdf (2.18 MB)
This webinar is the first in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, February 13, 2013
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
- OverviewMigrationHealth.pdf (3.58 MB)
University of Minnesota's Global Health training program is offering free short courses on immigrant and refugee health.
The purpose of this course is to prepare providers to diagnose and treat acute pesticide poisoning and to increase their awareness of health problems associated with chronic pesticide exposure. While the focus of the course is on workers in agricultural settings, the course contents are also applicable for treating all pesticide related illness.
- CancerScreeningGuidelines12042012.pdf (30.91 KB)
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.
- tropicalmed_presentation.pdf (2.57 MB)
October 15, 2012
Background
The Centers for Disease Control and Prevention (CDC) with state and local health departments and the Food and Drug Administration (FDA)
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.
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.
Robert Wood Johnson Foundation
Supportive Voice. Among The Most Vulnerable by Tina Castañares , MD. Fall 2008
- Supportive Voice fall 2008 article-edit.pdf (560.97 KB)
The Journal of Clinical Ethics. The Diagnosis of Dying by George F. Davis. Fall 2009. Volume 20, Number 3
- The Diagnosis of Dying.pdf (977.68 KB)
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.
- PalliativeCare_MCNwebinar8-22-2012.pdf (1.41 MB)