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Learning Collaborative: The Role of Identifying Social Drivers of Health In Advancing Health Equity


Session 3: Returning Citizens

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Clinicians Enabling Staff Outreach Staff
Secondary Audience: Administrative Staff Board of Directors PCAs

Language(s): English

Developed by: Renaye James Healthcare Advisors (RJHA) (See other resources developed by this organization).

Resource Summary: The Renaye James Healthcare Advisors’ Learning Collaborative sessions will cover how to assess health outcome disparities and barriers experienced within four different communities. Trainings will cover evidence-based health-risk assessment tools and how to use a team-based approach to incorporate them into patient care. Additional information about using these tools to identify social drivers of health and connect individuals to community-based resources and services that meet those needs will be shared. Participants will be asked to draft a workflow on how their organization will identify special populations and the process of making referrals (internal and external referrals) to address Social Drivers of Health

Resource Details: Returning Citizens will help participants understand how to address social drivers of health related to individuals returning to the community from a correctional facility. Participants will learn to recognize the social needs of those re-entering the community from a correctional facility; identify ways to integrate social drivers of health screening questions within an existing infrastructure; and use local, state, and national resources to support those re-entering the community.

Resource Topic: , Health Equity

Resource Subtopic: , Population Health, Social Determinants of Health (SDOH).

Keywords: Access to Care, Adolescents and Youth, Care Coordination, Community Engagement, Health Systems, Integrated Care, Mental Health, Team-Based Care.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.