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How to Become a THW

On this page you will find information about how to become a state certified THW, including the certification requirements, the grandparenting clause, and background checks.

The purpose of the Traditional Health Worker (THW) Program is to help THWs in Oregon become trained and certified to meet current standards, diversify the health care workforce, provide high-quality and culturally competent care to our increasingly diverse populations and ultimately promote health equity.   

Initial Certification

You must meet all of these criteria to become certified by the Oregon Health Authority:

Have successfully completed all training requirements for certification for the worker type you would like to be certified for:

(Note: If you are a Certified Recovery Mentor (CRM) and are registered through Mental Health and Addiction Certification Board of Oregon (MHACBO), you are not required to also complete a THW Peer Support Specialist Application. MHACBO will send your information to the Oregon Health Authority.)

Some worker types can become certified by meeting the requirements of the Grandparenting Clause: 

Grandparenting Clause
The THW Training requirement for community health workers, peer wellness specialists, personal health navigators, or peer support specialists can be waived per Grandparenting Clause Provision by submitting to the Authority all required documentation and a completed application by June 30, 2021, including:

  • A minimum of one letter of recommendation from any previous employer for whom THW services were provided between January 1, 2008, and June 30, 2021; and
  • Verifiable evidence of working or volunteering in the capacity of a community health worker, peer wellness specialist, or personal health navigator for at least 3000 hours between January 1, 2008, and June 30, 2021; or
  • Verifiable evidence of working or volunteering in the capacity of a peer support specialist for at least 2000 hours between January 1, 2008, and June 30, 2021

Individuals seeking THW certification and registry enrollment  via the grandparent clause shall:

    • Be at least 18 years of age;
    • Not be listed on the Medicaid provider exclusion list;
    • Pass a background check as described in OAR 410-180-0326

Submit a completed application and all required documentation:

Tip:  Please click on “send receipt" when you email your application to be notified that your application was received.

    • Pass a Criminal Background Check
Once OHA has approved your Traditional Health Worker application and supporting documents, you'll get an email from our Background Check unit. You must complete the background check application and return it to the THW Program. If you've lived outside of Oregon in the past five years, you'll also need to submit fingerprints. The background check is required even if you have had one in the past. This process will take about 4-8 weeks and all costs are covered by the Oregon Health Authority. More information regarding the criminal background check:

For more information regarding the certification process, view the Traditional Health Worker Certification FAQ.  

Completing the Process

If you meet all the requirements and pass the background check, we'll notify you of your approval by email and add your information to the Authority's registry of certified traditional health workers.The THW registry is a reliable, trusted source for finding a traditional health worker in Oregon. You will also receive a hard copy letter with your certification ID number and an expiration date. Keep this for your records. Your certification is good for 3 years from the date of issue. During that time you will need to meet Continuing Education requirements in order to recertify. See THW Continuing Education and THW Recertification Process

All Certified Traditional Health Worker types are expected to abide by the following: 

Traditional Health Worker Standards of Professional Conduct 

Oregon 410-180-0340 rules 

OHA certified THWs shall comply with Standards of Professional Conduct set forth in this rule. The violation of the standards may result in the suspension or revocation of certification or denial of an application for renewal.

 THWs shall:

  • Acquire, maintain, and improve professional knowledge and competence using scientific, clinical, technical, psychosocial, governmental, cultural, and community-based sources of information;
  • Represent all aspects of professional capabilities and services honestly and accurately;
  • Ensure that all actions are within their scope of practice with community members and are based on understanding and implementing the core values of caring, respect, compassion, ethical boundaries, and appropriate use of personal power;
  • Develop positive collaborative partnerships with community members, colleagues, and other health care providers to provide care, services, and supports that are safe, effective, and appropriate to a community member's needs;
  • Regardless of clinical diagnosis, develop and incorporate respect for diverse community member backgrounds when planning and providing services, including lifestyle, sexual orientation, race, gender, ethnicity, religion, age, marital status, political beliefs, socioeconomic status, or any other preference or personal characteristic, condition, or state;
  • Act as an advocate for community members and their needs;
  • Support self-determination for community members in a culturally responsive, trauma informed manner;
  • Make decisions and act based on sound ethical reasoning and current principles of practice in a way that supports empowerment and respect for community members' culture and self-defined health care goals;
  • Maintain individual confidentiality;
  • Comply with laws and regulations involving mandatory reporting of harm, abuse, or neglect while making every effort to involve the individuals in planning for services and ensuring that no further harm is done to family members as the result of the reporting;
  • Recognize and protect an individual's rights as described in section (3) of this rule.

Individuals have the right to:

  • Dignity and respect;
  • Freedom from theft, damage, or misuse of personal property;
  • Freedom from neglect and abuse, whether verbal, mental, emotional, physical, or sexual;
  • Freedom from financial exploitation;
  • Freedom from physical restraints;
  • Freedom from discrimination in regard to race, color, national origin, disability, gender, sexual orientation, socioeconomic status, size, type of diagnosis criminal history or religion;
  • Confidentiality of their information and records; and
  • Give voice to grievances or complaints regarding services or any other issue without discrimination or reprisal for exercising their rights
Do you have a Civil Rights Complaint or concern regarding THW services? 



 

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