Models of outreach work

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Models of outreach work: Indigenous Leader Outreach Model (ILOM)

•Described by Wayne Wiebel (University of Chicago)•Uses leaders for establishing contacts with IDUs in their groups•Leader IDU – is an authority in a community, who poses a model for imitation and who is followed by others, whose advice is the most convincing for other IDUs. Leader forms opinions inside a group.

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Indigenous Leader Outreach Model (ILOM) – How it works?

•Visiting places of IDUs presence, watching on their communication and identification of possible leaders•Establishing a contact with leaders a) individually b) via intermediary (friends, relatives, familiars, doctors, police and etc.)•Individual assessment of risky behavior of the contacted leader•Education and counseling of the leader•Leader continues preventive education and delivers services inside a group

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Models of outreach work: Network Prevention Intervention Model

•Described by Carl Latkin (Baltimore, USA)•Model presumes networks of IDUs•Networks are formed by type of used drug (heroine, cocaine, opiates, amphetamines and etc.)

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Network Prevention Intervention Model – How it works?

•Establishing contacts with IDUs from each network•Learning structure and characteristics of each network•Selection of IDUs to be peer-educators •Training peer-educators (up to 10 thematic modules)•Evaluation of knowledge/skills of trained peer-educators•Peer-educators do outreach prevention work among IDUs – members of their networks•Peer-educators invite members of network for interview on regular basis (for knowledge and skills evaluation) Presentation 10

Models of outreach work: Peer Education Model

•Developed by Robert Broadhead and Douglas Heckathorn (Connecticut, USA)•Every IDU is encouraged to participate in HIV prevention throughout community (no matter of type of used drug) by involving other peers into the project•It is implemented by coupon system – each participant receives coupons to bring others to educate them using model ‘mentor-peer’

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Peer Education Model – How it works?

•Establishing contacts and involving one or two IDUs•Conducting a comprehensive sociological interview with each participant (usually generously paid)•Training of participants (program consists of 4 topics or more) as mentors•Trained IDU mentors invite other IDUs for interview (each mentor receives 3 coupons for inviting others) •Trained IDU mentors provide prevention work among IDU•Trained IDU mentors receive remuneration for each recruited participant•Participants are interviewed every three months

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Models of outreach work: Model “Supervisor-Group leaders-Outreach

workers-Peer-educators” •This model was born in 80th in Netherlands •Self-actualized groups of IDUs started outreach with syringes exchange•Later on this model of work included medical and social professionals, also – drug users in remission as outreach workers

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Model “Supervisor-Group leaders-Outreach workers-Peer-educators” – How

it works? • Training of IDUs who are harm

reduction program clients (training cycle usually consists of 5 modules)

• Selection of trained IDUs for further introduction into outreach work. Criteria of selection: attending, knowledge tests, pro-activeness.

• Training of outreach workers: special knowledge and skills. Probation in outreach work.

• Outreach work in action• Supervisor coordinates whole

process from inside of it (being involved in daily outreach activities)

• Every outreach worker cultivates IDU leaders for involving new clients and recruiting potential outreach workers

• Cycle is completed – it is possible to start again with a new group

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Models of outreach work: Model “Outreach worker in community”

•Described by Harvey Feldman, UK

•Main idea – entering outreach workers into community of IDUs for collecting information and further planning prevention interventions

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