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Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

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Page 1: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Core Competencies for Adolescent Sexual and Reproductive Health Providers

Overview and Resources

Adolescent Sexual Health Work Group

(ASHWG)

Page 2: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Objectives

1. What makes an effective adolescent sexual health educator or provider?

2. How to become more effective through assessment and competency-based learning.

3. Creating a map for professional growth4. What resources are available?

Page 3: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

What do you want our youth too Knowo Feelo Do

In relation to their sexuality?

Page 4: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Adolescent Reproductive Health Outcomes

Interventions: Curriculum, Counseling, Modeling, Health Care, Immunizations

Provider Knowledge, Skills, Attitudes

Page 5: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

What are 5 things that someone who works with adolescents in the area of reproductive health should know

or do well?

o Knowledgeo Skillo Attitude

Page 6: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

The knowledge, skills, and/or attitudes common to all who work with adolescents in

the area of reproductive health.

Core Competencies

Page 7: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

A variety of reproductive health programs with different standards, training, strategies, and messages targeting the same youth.

NEED for Core Competencies

Page 8: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

• Developed by a Subcommittee of the California Adolescent Sexual Health Workgroup (ASHWG)

• 2006—2008• Over 100 professionals gave input into the

process

Core Competencies for Adolescent Sexual and Reproductive Health

Page 9: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Need for a common standard that all providers share to measure growth, learning, and determine staff development needs.

NEED for Core Competencies

Page 10: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

• Public Health• Health Education• Public Health Nursing• Addiction Counseling• Professional Development Coordinators• Marriage Family Therapists• Social Work

Other Disciplines That Have Developed Core Competencies

Page 11: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

A: Professional and Legal RoleB: Adolescent DevelopmentC: Youth Centered Approach and Youth CultureD: Sexual and Reproductive HealthE: Pregnancy, STIs, HIV

Core Competency Domains

Page 12: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

• 21 cognitive• 31 operative

• Cognitive Sub-domain -- Competencies that focus on basic facts and knowledge

• Operative Sub-domain -- Competencies that highlight the application of knowledge to performance

52 Core Competencies

Page 13: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)
Page 14: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Who?

o The Core Competencies apply to health clinic workers, test counselors, case managers, clinicians, classroom teachers, community educators, health outreach workers etc.

o Each job will demand additional job specific or role specific competencies beyond the “core”.

Page 15: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o Guide hiring, training, & evaluationo Collaboration & cross trainingo Support consistent health outcomeso Shared body of knowledge & skillso Program Developmento Framework for Higher Education and Licensing

and Certification bodies

PURPOSE of the Core Competencies

Page 16: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o No prior experience 0o Introductory 1o Intermediate 2o Competent 3o Accomplished 4

Performance Descriptors

Page 17: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o No prior experience 0o Introductory 1o Intermediate 2o Competent 3o Accomplished 4

Domain C:

Rate Yourself Using this Rubric

Page 18: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Core Competency Resources

o Core Competencies for Adolescent Sexual and Reproductive Health

o Performance Assessment and Human Resources Toolkit

o Competency-Based Training

Page 19: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Part II 

Performance Assessment and Human Resources Toolkit

Page 20: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Performance Assessmentand

Human Resources Toolkit

Page 21: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Performance Assessmentand

Human Resources Toolkit

Page 22: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Assessment of Competence

Complete your own Self-Assessment

Page 23: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o No prior experience 0o Introductory 1o Intermediate 2o Competent 3o Accomplished 4

Performance Descriptors

Page 24: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Share in Dyads

What was it like to conduct a self-assessment?

What are you learning?

Page 25: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Assessment Principles

The more accurate the assessment, the better the professional development plan.

Assessment of competence is best accomplished through a comprehensive approach that uses multiple methods

Page 26: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Assessment PrinciplesAssessment should be designed to capture the complexity of learning and performance. How well do staff:

• Integrate and transfer learning over time• Apply knowledge to new settings and contexts• Engage in problem solving strategies• Create, express and interpret meaning

Page 27: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o Self Assessmento Performance Evaluationo Compare Strength of Team Memberso Assess Training Needs

Applications of the Competency Assessment and Evaluation Tool

Page 28: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Knowledge Assessment

o Multiple Choice Questionso Short Answero Pre – Post Testso Oral Questioningo Essayso Oral Presentation

Page 29: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Performance Assessment

Generally involves methods of direct observation by clients, peers, supervisors,Or practitioner generated records and products

Page 30: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Performance Assessment Instruments

Pages 12-15

o Global Assessmentso Supervisor Assessmentso Client Surveyso Self-Assessmento Role Play Simulationso Direct Observation

Page 31: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Performance Assessment Instruments

Practitioner Productso Client Record Audits

o Portfolio – practitioner generated

Page 32: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Multi-Stage Assessmento Combines self-assessment, written examination, and direct observation of performance skill.o Accommodates different learning styleso Captures cognitive and operative sub-

domainso Creates a complete, integrated picture

Page 33: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Human Resources Toolkito Job Descriptiono Structured Interview Guideo Performance Descriptorso Professional Development Plano Competency Assessment and Evaluation

Page 34: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Job Descriptiono The Core Competencies can reframe a job

description from a list of tasks to a performance profile.

o Identify the most salient skills, knowledge and attitudes that relate to job performance.

Page 35: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Job Description Samples

o Comfort and confidence discussing topics related to adolescent sexuality

o The ability to apply theories/models of behavior change as they relate to adolescents

o Communication skills that emphasize a strength-based approach to youth development

Page 36: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Structured Interview Guideo Page 20o How would you respond to an adolescent who

discloses sexual behavior that conflicts with your personal morality.

o Pretend that I am a 15 year-old adolescent. Explain the protection of confidentiality and the limits of confidentiality to me.

o Describe some of the common behavioral factors linking pregnancy, STIs and HIV.

Page 37: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Part III 

Training and Learning for Competence

Page 38: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Training and Learning for Competence

Page 39: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

How did you learn to become a skillful provider of sexual and

reproductive health?

Page 40: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o Academic Courseworko Workshopso Bookso Journalso Televisiono Conferenceso Informal conversationso Direct Observation

All the Ways We Learn

o Input from Peerso Input from supervisorso Working with a mentoro Doingo Making mistakeso Online courseso YouTube

Page 41: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o Specific goals and outcomes to be demonstrated by the targeted audience

o Performance-oriented, highlighting outcomes over methods used to attain training goals

o Demonstration of knowledge and performance of skill

Competency Based Training

Page 42: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Adolescent Reproductive Health Outcomes

Interventions: Curriculum, Counseling, Modeling, Health Care, Immunizations

Provider Knowledge, Skills, Attitudes

Page 43: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

o Identify and Assess the Audienceo Develop Measurable Learning Objectiveso Develop an Assessment for Each Objectiveo Select Content and Teaching Methodso Develop a Curriculum or Course of Studyo Ongoing Evaluation and Support

Developing Competency-Based Training

Page 44: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Identify and Assess the Audience

Developing Competency-Based Training

Page 45: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Develop Measurable Learning Objectives

Developing Competency-Based Training

Page 46: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Develop an Assessment for Each Objective

Developing Competency-Based Training

Page 47: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Select Content and Teaching Methods

Developing Competency-Based Training

Page 48: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Develop a Curriculum or Course of Study

Developing Competency-Based Training

Page 49: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Ongoing Evaluation and Support

Developing Competency-Based Training

Page 50: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Cognitive Competencies – trainings, workshops, online courses, independent work and investigations,

Operative Competencies – on the job training, mentoring by peers or supervisors, teaching or modeling for others,

Training for Competence

Page 51: Core Competencies for Adolescent Sexual and Reproductive Health Providers Overview and Resources Adolescent Sexual Health Work Group (ASHWG)

Description of Competency Based Training

Matrix with an analysis of trainings that address specific core competencies.

Competency-Based Training Toolkit