This is video 2 class 1 of Women Be Healthy. Wwelcome and orientation to the group and the development of group roles. Hello my name is Vanessa Krause and I’m with the Arkansas Disability and Health program at the University of Arkansas. Today we will be discussing the Women Be Healthy curricula. The training is specifically designed to prepare women with intellectual and developmental disabilities for mammograms and pap smears or breast and cervical exams. In this video we will review class one of the Women Be Healthy curriculum including the progression of the class and any props used to carry out this class. The trainer’s manual for class 1 provides props needed, how to set up the class and a scripted lesson for each topic that will occur during the class. If you’re following along in the trainer’s manual, you’ll be using the numbers beside each section as a guide. Number 1 introductions and welcome. The class should begin with introductions and a welcome from the instructor for each of the class members. At this time we will introduce the goals of the class. They are found on page 1 in class one of the trainer’s manual. After this the instructor should identify the days times and location where the class will take place. I have done this with a flip chart page that I bring to each class or a flyer with the class information on it. I also like to start out the first class identifying group rules. We give folks a lot of different rules in our programs and we found it very helpful that they know exactly what is expected of them and what those rules are. A flipchart page of the rules should be created and displayed at each class session. When I give folks an opportunity to identify rules in the class, it allows them to take ownership of those rules. So if in class we encounter someone who is not following one of the rules, I typically pointed the rules poster identifying the class rule that they’re breaking and ask the group if this is still a rule that they want to keep. To this day I have not had one rule removed from our group rule sheet. Knock on wood. Number two being a healthy woman. When we get into the content of class one, we’ll discuss what it means to be a healthy woman. As you can imagine this is pretty subjective and the trainer’s manual gives you a lot of different examples of potential answers. Next you’ll move into whose job it is to keep us healthy. During previous classes of experienced women identifying their caregivers, family members or their doctor as the person who’s responsible to keep them healthy. Caregivers provide a lot of support for people with IDD. However, the individual is really the only one who can tell us what’s going on inside of their body, what they feel and how things make them feel. So people with IDD really need to be an active participant in their own health care and this needs to be stressed throughout this training. Number three the women’s health collage. I don’t typically introduce the women’s health collage until the end of each class. It takes too much time to regroup after working on the collage. So this should be the last thing each group does at the end of each class. Number four things that can go wrong with health. During our implementation of the Women Be Healthy curricula, we felt there was too much discussion and the group needed to get up and move. Since we did not want to take time out of our schedule for a break, we developed a memory matching game of things that can go wrong with our health. The game allows participants to get up and move around the room instead of just holding discussions the entire hour of the class. You can host the memory matching game or the discussion. It’s completely up to you. Number five group rules. As previously discussed, group rules are taken care of during the introduction and housekeeping part of the first class. We do create a list of rules with the rules being developed by the class participants. The instructor may need to give them an example or make sure certain rules are in place. This was discussed during the introduction and welcome session of this class. Number six the break. Since our classes are only an hour, I don’t typically have a break in the middle of class. It’s just not conducive and it takes longer to get people back together. So we tend to conduct the whole class within an hour and just keep moving on to the next topic. Number seven special things that make women different. We want to talk about our bodies and look at how we change over time and how we are different from men. Feel free to use the dolls for this activity. It’s best to introduce them early. However do not be surprised if you have individuals in your class who are a little freaked out by the dolls. Remember, this is a difficult topic at best. In many instances they have not been allowed to discuss this before. So sharing the dolls including undressing them may cause some anxiety for individuals. I’ve encountered a couple of participants who needed to leave the room because of the dolls. I just asked them to step outside and catch their breath and brought them back in for the next session of class one. Number eight relaxation exercise. The feather or tissue exercise is a great relaxation exercise to start out with. It can be done in the doctor’s office and they almost always have a tissue in the exam room. Give everyone a tissue. Grab the center of the tissue and fold the corners down hold it upright so it slightly resembles a flower. Everyone should hold the tissue in front of their nose and mouth. This enables participants to see the movement of the tissue as they breathe. When they breathe in, the tissue should move towards their mouth and nose. When they breathe out, the tissue will move away. Discuss with the class how deep breathing can reduce your anxiety and calm you. In the first class of the trainer’s manual they move on to behavioral relaxation. I’ve not done both the tissue flower and behavioral relaxation in one class in keeping the class to one hour. We just didn’t have time. Number nine next we move on to job for health. In class one for our job for health the ladies will be practicing the tissue exercise, looking at their body in the mirror and getting familiar with it and thinking about what makes your body feel healthy. Remember to discuss the homework at the beginning of class two. I always like to end class one with the Women’s Health collage. I ask the participants to find a picture in a magazine of something they consider healthy. Each participant shares their picture with the group and explains what about that picture makes it healthy or why do they believe that that’s a picture of health. I continue this Women’s Health collage at the end of each of the class sessions. The poster board will fill up quickly so I typically ask each woman only to pick one picture per class. The collage is not only fun but it allows the leader to see if the group is understanding the ideas and topics presented in each session. This is the end of video 2 class one of Women Be Healthy.