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HPAC: Junior Community Health Worker Pathway

HPAC.1 HPAC and Your Path to Becoming a CHW

Student teams, the IDEAS cycle, and your road to an Ohio CHW certificate

Orientation (no clock hours)

Your materials

Slides (PowerPoint) Handout (Word)

For instructors

Facilitator guide Printable pre and post tests Quiz (LMS import)

What you will learn

  • Describe HPAC and how student teams use the IDEAS cycle
  • Explain how CHW training fits into grades 10 to 12
  • List Ohio's steps to certify as a CHW at 18
  • Name the safety rules that protect students under 18

Start here

If you could fix one health problem on your street this year, what would it be, and who would you call first?
LessonStudy sheetVocabularySituationsActivityPost-testSources

Lesson

What is HPAC

HPAC stands for Health Professions Affinity Community.

  • A team: Students who care about health work together as a crew, not alone.
  • A real problem: Each team picks a health problem in its own community and works on it all year.
  • Real partners: Teams work with churches, clinics, rec centers and neighbors who already help.
  • A real future: You build skills for college and health careers, and you train toward a CHW certificate.

The IDEAS cycle

Every HPAC team moves through five steps:

  • Identify: Find a health need that matters to your community.
  • Develop: Research it and plan a project with community partners.
  • Enact: Carry out the project with and for the community.
  • Assess: Check honestly: did it work, and what should change?
  • Share: Show what you learned at Scholars' Day and in the community.

HPAC by the numbers

  • 2,000 students a year designing HPAC projects in past years
  • 15,000 Ohio residents reached by those student projects each year
  • 37+ Ohio counties where HPAC schools took part

Source: HPAC brochure (Wright State); NEOMED The Pulse

Your three years in the pathway

GradeWhat you do
10th gradeJoin HPAC, learn the IDEAS cycle, start CHW classes
11th gradeLead a team project, continue CHW classes and labs
12th gradeFinish CHW training and practicum hours, present at Scholars' Day
Turn 18 with diplomaApply to the Ohio Board of Nursing for your certificate

Getting your Ohio CHW certificate

Ohio law says you must:

  • Be 18 or older: You can train in high school, but you certify as an adult.
  • Have a diploma: A high school diploma or an equivalent the Board accepts.
  • Finish an approved program: Our program tells the Board in writing when you finish.
  • Apply and pay $35: You file your own application with the Ohio Board of Nursing.
  • Pass a records check: Request a background check through the Ohio BCI.

How students serve safely

Students under 18 do

  • Work with an adult supervisor present or on site
  • Serve at schools, clinics, churches and community events
  • Bring signed guardian consent before practicum
  • Ask an adult when something feels wrong

Students under 18 do not

  • Make home visits
  • Work alone with clients
  • Give medical advice or handle medicine
  • Keep a safety worry to themselves

Looking upstream as a team

  • What we see: Students at a Glenville school keep missing class with asthma attacks.
  • Why it happens (upstream): Old housing with mold and pests, bus fumes near the school, and too few nearby clinics with evening hours.
  • What we can build on (assets): The school nurse, a church health ministry, a clinic's mobile van, and students who can teach peers about triggers.

Situation: the practicum shortcut

Situation: Destiny, 16, is at her practicum at a Fairfax community center. A staff member asks her to ride along on a home visit to drop off food. Her supervisor is at lunch.

What should Destiny do?

  • Thank the staff member and say she cannot do home visits
  • Stay at the center and keep doing her assigned work
  • Tell her supervisor about the request when she returns
  • Offer another way to help, like packing the food bag

Talk it over

  • Who in your family or neighborhood already does CHW work without the title?
  • Which health problem near your school would you want your team to tackle?
  • What health career could CHW training help you reach?

Study sheet

The big idea: In HPAC, you and your team use the IDEAS cycle to solve real community health problems while training to become a CHW.

Key points

  • HPAC teams pick a real health problem in their own community and work on it all year with partners.
  • The IDEAS cycle has five steps: Identify, Develop, Enact, Assess, Share.
  • You can do CHW training in grades 10 to 12, but you certify after you turn 18 and graduate.
  • Ohio requires an approved program, an application with a $35 fee, and a BCI records check.
  • Students under 18 always serve with an adult supervisor, never make home visits, and need guardian consent.
  • The Ohio Board of Nursing CHW credential is on Ohio's industry-recognized credentials list for health.

Remember

  • IDEAS: Identify, Develop, Enact, Assess, Share
  • Certificate: age 18, diploma, approved program, $35 fee, BCI check
  • Training minimum: 100 classroom hours and 130 clinical hours
  • Credential EMIS code CJ32, worth 6 points for the class of 2029 and earlier

Ask yourself

  • What health problem in my community do I care about most, and why?
  • Who in my life could be a partner for my HPAC team?

Vocabulary

WordWhat it means
HPACHealth Professions Affinity Community: student teams who work with their community on real health problems.
Affinity communityA group of people pulled together by a shared interest, like health careers.
Community health worker (CHW)A trusted community member who links people to health and social services and teaches healthy habits.
IDEAS cycleHPAC's five steps: Identify, Develop, Enact, Assess, Share.
CertificateOfficial Ohio recognition that you met the requirements to work as a certified CHW.
Ohio Board of NursingThe state agency that approves CHW training programs and certifies CHWs.
PracticumSupervised hands-on hours in a real community setting, part of CHW training.
Industry-recognized credentialA credential on Ohio's approved list that can count toward a high school graduation pathway.
Guardian consentWritten permission from a parent or guardian for a student under 18 to take part.
UpstreamThe root causes of health problems, such as housing, income, transportation and policy.
AssetSomething a community already has that can help: people, places, groups or skills.

Real-life situations

The worried parent

Marcus, 15, from Slavic Village wants to join HPAC. His mom worries he will be sent into strangers' homes.

What to do

  1. Thank his mom for asking and take her worry seriously
  2. Explain that students under 18 never make home visits
  3. Show her the guardian consent form and the list of practicum sites
  4. Give her the name and number of the program contact for more questions

Why: Families are partners in HPAC. Clear safety rules and open answers build the trust students need to take part.

The credential question

Aaliyah, a junior at Tri-C High Tech Academy, asks if the CHW credential will help her graduate.

What to do

  1. Explain that the Ohio Board of Nursing CHW credential is on Ohio's health credentials list
  2. Share that it is worth 6 points under the system for the class of 2029 and earlier
  3. Explain that she still must turn 18 and have a diploma to hold the certificate
  4. Send her to her school counselor to check her graduation plan

Why: Graduation rules depend on a student's class year, and Ohio changed the credential system for the class of 2030. The counselor has her official record.

The friend who wants advice

After HPAC, Jordan's friend in East Cleveland asks if she should stop taking her inhaler because she feels fine now.

What to do

  1. Do not tell her to stop or keep using it
  2. Tell her that question belongs to her doctor or the school nurse
  3. Offer to walk with her to the school nurse
  4. If she has trouble breathing right now, get an adult and call 911

Why: CHWs, and CHW students, do not give medical advice about medicine. Connecting a friend to the right person is the CHW move.

Activity: My HPAC starting line

About 20 minutes.

  1. Draw a quick map of your block or your school area. Mark three places that help people stay healthy.
  2. Mark one place or problem that makes it harder to be healthy.
  3. Write one sentence: the health problem I would want my team to work on is ___ because ___.
  4. Share your map with a partner and find one thing you both care about.

Post-test

Ten questions. You need 75% to pass, with one retake. Your result is saved in this browser.

Sources

  • Ohio Revised Code 4723.84, CHW certificate qualifications
  • Ohio Administrative Code 4723-26-02, CHW certification
  • Ohio Administrative Code 4723-26-13, Standard curriculum
  • Ohio Department of Education and Workforce, Industry-Recognized Credentials: Health
  • Ohio Department of Education and Workforce, Industry-Recognized Credentials FAQs
  • Ohio Department of Education and Workforce, Industry-Recognized Credentials for the Class of 2030 and Beyond
  • HPAC brochure, Wright State University Boonshoft School of Medicine
  • NEOMED The Pulse, Gina Weisblat's Service to the NEOMED Community
  • Cuyahoga Community College, High Tech Academy
  • Cleveland Metropolitan School District, High Tech Academy
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Citizenship Health Institute

The Citizenship Health Institute is the public name of CHANGE (Citizenship Health Advancing and Nurturing Global Education), a nonprofit based in Cleveland, Ohio.

weisblatgina@gmail.com
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Our Work

  • The Citizenship Health Model
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  • Start an HPAC
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  • CHW Academy

CHW Academy

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  • The Ohio certificate
  • Program documents
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Partners

  • Strengthening Our Students
  • Renounce Denounce Gang Intervention Program
  • TYWIST
  • Force for Health
© 2026 Gina Z. Weisblat. Citizenship Health™, the Asset-Based Paradigm, the IDEAS process, the CIRCLE model, and related frameworks, measures, and analytic methods are the intellectual property of Gina Z. Weisblat and are used by the Citizenship Health Institute and partner organizations under license. All rights reserved. Proprietary methods are described on this site but not published. The Ten Commandments of Violence Interruption belong to LaRon Douglas Sr. and RDGIP and are taught only under written license. CHW Academy build 2026-10-29