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CRR utilizes a strength based competency model which incorporates both cognitive and faith-based health belief models to examine the cultural context of risk behaviors and achieve value outcomes. Within the context of the strength based competency model individuals are guided to learn new and more effective ways to think, feel and respond to external and internal stimuli. The model is concretized in the belief that the individual’s potential capacity and ultimately their strength will emerge as they acquire functional skills in personal, social and familial areas. For clients of all programs, CRR utilizes proprietary algorithms to establish culturally relevant, strength-based partnerships between the patient/physician and counselor.
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Having identified a host of access barriers, CRR has incorporated acknowledgement of several health beliefs (typically embraced by African, Caribbean and Latino populations) into a series of surveys to identify health beliefs that may impede or enhance access to care and impact health outcomes. The health belief surveys are administered as a pre-test, and then re-administered to each client as a repeated measure on a quarterly basis. The counseling session establishes a partnership whereby a reciprocal education about health beliefs and behaviors, are discussed for content and segregated to establish those, which impede or improve health outcomes. Comparing questionnaire results over time enables CRR to monitor changes in beliefs about disease transmission, health management, and treatment compliance. Changes in perception are validated by comparing them to other outcome measures, including decreases in viral load, compliance with a prescribed medical regime, including a reduction of alcohol and illicit substances and adherence to the therapy visit schedule.
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