(MHSI) Diabetes Program staff addressed these issues through the development of a Diabetes Lay Educator Program in which Hispanic leaders from the migrant farmworker population were trained as Diabetes Lay Educators (DLEs) in the areas of health promotion, prevention, and basic medical knowledge.
The DLE, employed by MHSI, functioned in both capacities, as outreach workers recruiting migrant farm workers with diabetes and then educating them on utilizing the health care system.
The MHSI seasonal satellite nurse-managed centers also emphasize outreach services.
To provide cost-effective health care, nurse practitioners or physician assistants have been employed at two of the MHSI seasonal satellite nurse-managed centers.
Individual MHSI staff who coordinate these programs procure funding from a variety of sources, including federal, state, or foundation grants.
In collaboration with the MHSI seasonal staff and community providers, the diabetes staff provides prevention screenings, evening clinics, individual and group educational sessions, and referrals to community providers.
Services provided by the Prenatal Coordinator include supporting the prenatal nurse at each MHSI seasonal satellite nurse-managed center and making referrals to community agencies and federal programs (C.
A Chemical Dependency Coordinator provides services such as support groups for teens and adults, case management, chemical dependency assessments, community referrals, referrals for inpatient and outpatient treatment and follow-up, and continuing education for MHSI staff (18).
Besides providing interpretive services, many are well aware of the lifestyle of migrant farmworkers and serve as mentors to MHSI staff who may be unfamiliar with the Hispanic culture.
Through the years, many MHSI nurses have encouraged BHOs to consider furthering their education in a health care field.
At two MHSI clinics, a WIC coordinator provides services to migrant families.
In keeping with this philosophy of community education, MHSI staff members provide learning experiences for graduate and undergraduate students from area colleges and universities that represent nursing, medicine, and nutrition.