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overview of Outreach competencies. Stephen J. Gumbley, MA, ACDP II Director, New England ATTC. Competencies. Knowledge Skills Attitude. Competencies. Purpose of competencies. Staff development Evaluation. Using Benchmarks for Learning Progress.

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overview of outreach competencies

overview of Outreach competencies

Stephen J. Gumbley, MA, ACDP II

Director, New England ATTC





purpose of competencies
Purpose of competencies

Staff development



Using Benchmarks for Learning Progress

Identify benchmarks along a continuum of counselor development.










Adapted from

Clinical Supervision: Building Chemical Dependency Counselor Skills

Northwest Frontier ATTC

  • DevelopingCounselors - limited understanding and inconsistent
  • Competent Counselors – meets necessary standards
  • ProficientCounselors - apply intervention consistently and effectively
  • ExemplaryCounselors - develop and implement effective strategies for complex and difficult situations

Clinical Supervision: Building Chemical Dependency Counselor Skills

Northwest Frontier ATTC

outreach is
Outreach is…

A set of strategic interventions whose goal is to initiate or improve service delivery to a targeted population where they resides and work whose members:

  • Have been underserved
  • Do not know about services
  • Believe they do not need the services
  • Do not – or think they does not -- qualify for/can afford the services.
outreach is challenging
Outreach is challenging.

Effective outreach requires expertise, skills and sensitivity to the [client’s] experience.

Outreach to People Experiencing Homelessness: A Curriculum for Training Health Care for the Homeless Outreach Workers.

effective outreach
Effective Outreach
  • Preparation
  • Inner work
  • Self awareness
  • Competency
o utreach workers are not
Outreach workers are not …

simply glorified cab drivers, babysitters, and hand-holders. They are not advocates with a narrow focus on the procedural rights of the client. They are not simply case managers linking motivated clients to needed services.

o utreach workers are
Outreach workers ARE…

change agents who use the vehicles of service linkage, advocacy, transportation, and babysitting to build relationships … and to instill in [clients] the desirability and possibility of change.


Outreach Competencies


  • What are they?

Minimum standards for conducting street outreach for hard-to-reach populations

  • Who developed them?

The Center for HIV, Hepatitis and Addiction Training and Technology (CHHATT), which is a program of The Danya Institute, as part of the Central East Addiction Technology Transfer Center (CEATTC).

outreach competencies

Outreach Competencies

Competency 1:Understanding Outreach and Outreach in a

Scientific Context

Competency 2:Understanding Chemical Dependency

Competency 3:Understanding Disease and Wellness in the Context

of Drug Use

Competency 4:Engagement

Competency 5:Intervention

Competency 6: Client Support

Competency 7: Supporting Ourselves

competency 1 understanding outreach and outreach in a scientific context

Competency 1: Understanding Outreach and Outreach in a Scientific Context

Research Protocols

Behavioral Science Theories

competency 2 understanding chemical dependency
Competency 2: Understanding Chemical Dependency

Substance Use vs. Substance Abuse

Substance Use Disorders


Medication Assisted Recovery


Paths to Recovery

competency 3 understanding disease and wellness in the context of drug use
Competency 3: Understanding Disease and Wellness in the Context of Drug Use
  • Hepatitis
  • Tuberculosis
  • Mental illness
  • Homelessness
  • History of physical, emotional and/or sexual abuse
  • Being an MSM or transsexual
  • Racial and/or ethnic minority status
  • Age
  • Unemployment
activities that decrease vulnerability and risk


Activities that decrease Vulnerability and Risk

Reduction or elimination of symptoms

Reconnection with family and community

Recovery•Wellness Health

Internal wellness

Activities that increase Resilience and

Recovery Capital

competency 4 engagement
Competency 4: Engagement

Recruitment Strategies

Cultural Sensitivities

Safety and Awareness of Environment

Effective Communication

outreach activities
Outreach Activities
  • Education: giving people information about issues (substance abuse, HIV, domestic violence, etc.)
  • Marketing: giving people in a risky population information about services
  • Engagement: contacting people known to be at risk and encouraging the use of our services
Education:catalogue sent to everyone in Maine

Marketing:catalogue sent to everyone who went to Maine parks last year

Engagement:catalogue sent to everyone who bought at L.L. Bean last year

  • Engagement entails
    • a client and outreach worker participating in an activity that involves a positive interaction
    • whereby the client is made to feel as comfortable as possible while listening to and speaking with the outreach worker
  • Engagement involves
    • identifying and making contact with members of the target group in their natural environments
    • establishing rapport
    • enlisting commitment to behavior change
    • providing information about risk behaviors and strategies to eliminate or reduce risk.

Engagement means creating/enlarging motivation with the client.

The client does not need to be motivated in order to “be ready.”

competency 5 intervention
Competency 5: Intervention

The outreach worker actively works with the client to reduce the harmful effects of the client’s behaviors.

intervention activities
Intervention Activities
  • Health Information and Demonstration
  • Risk Assessment


  • Risk Reduction
  • Prevention and Post-test Counseling
  • Crisis Intervention
  • Confidentiality and Ethics
  • Laws and Regulations
competency 6 client support
Competency 6: Client Support

Client support is the process of facilitating the client’s utilization of available support systems and community resources to meet individual needs.

competency 7 supporting ourselves
Competency 7: Supporting Ourselves

Burnout Prevention

Relapse Prevention

outreach reach out
Outreach -- Reach out

Creating wellness together