Quick Finds: Clinical Issues

Integrated Behavioral Health Care for Transgender and Gender Diverse People: An Affirming, Harm Reduction, and Trauma Responsive Approach (2023). Resource Type: Publication. Description: Integrated behavioral health care cannot eliminate all barriers and health inequities experienced by transgender and gender diverse (TGD) people. It can, however, serve as a bridge to overall wellness, and can fulfill functions associated with primary care, and in doing so, can represent a low-barrier, harm reduction method of meeting patients’ needs. It can provide a setting to address mental health concerns that may arise from the process of negotiating one’s identity as a TGD person, being denied certain forms of health care, or navigating spaces where one’s value is diminished. Integrated behavioral health care can also help to facilitate the initiation and management of gender-affirming hormone therapy, thereby reducing the need for referrals to specialty providers, eliminating wait times, and enhancing patient and provider satisfaction. More Details...

Lessons Learned in Health Outbreaks Impacting Gay, Bisexual and MSM (2023). Resource Type: Archived Webinar. Description: 2022 saw two major health outbreaks, mpox and meningococcal disease, that disproportionately affected gay, bisexual and MSM. This webinar, presented by Dr. Kevin Ard, discusses the impact of these outbreaks on the community, the mitigation interventions utilized, and lessons learned for future outbreaks. This webinar provides insight on safe preparation for future emergencies and resource allocation for population health needs regarding quality, patient care, and safety. More Details...

Vaccination Coverage Among Farmworkers in Selected U.S. Counties in 2022 (2023). Resource Type: Publication. Description: This fact sheet provides vaccination data among farmworkers that were surveyed during Phase 2 of National Center for Farmworker Health\'s Farmworker COVID-19 Community Assessments in 2022. Vaccination data spans across adult vaccines including COVID-19, Influenza, and TDAP. More Details...

Using Your EHR to Improve Your Diagnosis and Follow Up of Obesity (2023). Resource Type: Archived Webinar. Description: In this Renaye James Healthcare Advisors’ webinar, health center staff will learn tips for capturing the Body Mass Index (BMI) value, documenting a follow-up plan, capturing data, and reporting. The speakers will discuss the roles and responsibilities of care team members in the BMI documentation workflow, data capture, reporting, and best practices. More Details...

Suicide in Older Adults: What You Need to Know About Risk and Prevention (2023). Resource Type: Archived Webinar. Description: This webinar provided an overview of known suicide incidence, causes, assessment, and response in populations of community-dwelling older adults. Participants gained insight on risk factors of suicide in older patients and review basic engagement approaches in cases of suicidal ideation. More Details...

Body Image, Eating Disorders, and LGBTQIA+ Identities: Supporting Youth, Older Adults, and Non-binary People (2023). Resource Type: Publication. Description: Eating disorders have steadily increased in the U.S. population, especially since the onset of the COVID-19 pandemic. Although once considered a problem for white wealthy girls and women, eating disorders and related body-image disturbances are now known to reach across all races/ethnicities, socio-economic levels, and gender identities. Research suggests that lesbian, gay, bisexual, and transgender people have a high prevalence of eating disorders and negative body image that may require culturally responsive approaches to screening and counseling. This clinical publication provides information and strategies for improving the capacity of health centers to screen, assess, and address issues related to eating disorders and body image among lesbian, gay, bisexual, transgender, queer, intersex, asexual, and all sexually and gender diverse (LGBTQIA+) people, with special considerations for LGBTQIA+ youth, older adults, and non-binary people. More Details...

Innovative Methods for Delivering Pre-Exposure Prophylaxis (PrEP) Care (2023). Resource Type: Archived Webinar. Description: Presented by Dr. Kevin Ard, participants will learn about innovative approaches to HIV prevention using a status-neutral framework with information on telehealth for pre-exposure prophylaxis (PrEP), PrEP On Demand, and more. The webinar also provides the most recent information about how to implement long-acting injectable PrEP at health centers. More Details...

Farmworker Health Network (FHN) Key Resources 2023 (PDF) (2023). Resource Type: Publication. Description: The Farmworker Health Network (FHN) is committed to supporting the development of leadership within Community and Migrant Health Centers and increasing access to care for the farmworker population. This document is a series of resources collected from FHN partners. More Details...

Farmworker Health Network (FHN) Key Resources 2023 (2023). Resource Type: Publication. Description: The Farmworker Health Network (FHN) is committed to supporting the development of leadership within Community and Migrant Health Centers and increasing access to care for the farmworker population. This document is a series of resources collected from FHN partners. More Details...

Screening for Colorectal Cancer: A Patient-Centered Approach to Improving Marketing and Promotion: NCHPH Webinar (2023). Resource Type: Archived Webinar. Description: Screening is an essential tool in the prevention of colorectal cancer. Nearly 2 million people in the U.S. are diagnosed with colorectal cancer per year, a significant proportion of these cases could be prevented or diagnosed sooner in screening was more widely utilized by the public. More Details...

Farmworkers, Fight the Flu! (2023). Resource Type: Podcast. Description: This new audio PSA is designed to provide valuable insights into the flu and emphasize the importance of vaccination among Agricultural Workers. It also informs on how this population can get connected to NCFH's Call for Health helpline to receive these services. More Details...

Designing Space for Hybrid Care Models (2023). Resource Type: Publication. Description: For health centers planning a capital project, this publication, developed with support from HRSA, provides insight into designing facilities to accommodate both in-person and virtual care efficiently and strategically, considering staff and patient needs and preferences. More Details...

Improving Health Outcomes Through Preventive Services for Older Asian Americans (2023). Resource Type: Archived Webinar. Description: This AAPCHO and NCECE webinar facilitated a discussion on reducing health disparities in Asian American elders by effectively screening for conditions like diabetes and depression. Speakers shared insights on the impact of stigma, ageism, and level of trust in healthcare have on the ability to identify care needs and determine effective treatments. More Details...

Improving Health Outcomes Through Preventive Services for Older Asian Americans (2023). Resource Type: Archived Webinar. Description: This AAPCHO and NCECE webinar facilitated a discussion on reducing health disparities in Asian American elders by effectively screening for conditions like diabetes and depression. Speakers shared insights on the impact of stigma, ageism, and level of trust in healthcare have on the ability to identify care needs and determine effective treatments. More Details...

Improving Diabetes With Population Health Tools (2023). Resource Type: Archived Webinar. Description: With the focus on improving diabetes outcomes with team-based care, the Renaye James Healthcare Advisors’ training focuses on increasing the use of population health platforms to identify patients, communicate outcomes and results, increase patient engagement, and measure performance. A population health platform can also be used to measure and evaluate diabetes care management processes and outcomes. Understanding how to use population health tools to identify diabetic patients through risk stratification and those due for preventative appointments is also addressed. More Details...

Using Team-Based Care to Improve HIV Linkage to Care Webinar (2023). Resource Type: Archived Webinar. Description: This Renaye James Healthcare Advisors' training addresses why having different components of a multidisciplinary team, when working together to provide HIV services to a suburban community, can be very advantageous and improve care delivery. How to foster effective communication and collaboration among multidisciplinary healthcare teams, including physicians, nurses, specialists, pharmacists, social workers, and other stakeholders, to exchange critical information, insights, and expertise is also essential. The training includes an overview of how to streamline daily healthcare workflows and processes by optimizing task allocation, reducing redundancies, and eliminating barriers to information sharing. The speakers review the outcomes of a successful Ryan White Program. More Details...

HIV Prevention Learning Collaborative Summary (2023). Resource Type: Publication. Description: Participants represented a range of role groups within health centers and worked in diverse locations around the country. Overall, participants described a significant amount of knowledge gained from the sessions and satisfaction with the training. Two of the cohorts overlapped with the Covid-19 pandemic; the learning collaborative’s virtual format was conducive to pandemic limitations on in-person gatherings, and the program provided a strategy to continue building capacity for PrEP during and despite the pandemic. Key lessons from the learning collaborative program include the importance of training about logistical and programmatic aspects of PrEP, the feasibility and desirability of engaging multidisciplinary teams in PrEP training, balancing education about scientific advancements in PrEP with content on implementation and addressing HIV risk perception and adherence. More Details...

Lining Up the Shot Learning Series: 4 Standards for Adult Immunization Practice (2023). Resource Type: Micro-Learning. Description: Lining Up the Shot: a five-part series of 3 to 5-minute videos that can help health center staff apply the four Standards for Adult Immunization Practice developed by the National Vaccine Advisory Committee. More Details...

10 Tips To Start a Vaccine Ambassador Program (2023). Resource Type: Toolkit. Description: Vaccine Ambassador program can dramatically improve trust and knowledge about vaccines, which often leads to vaccination compliance among priority populations. This 10 Tips Guide is tool for health centers interested in starting a Vaccine Ambassador Program. More Details...

National School-Based Health Care Census (2023). Resource Type: Publication. Description: The School-Based Health Alliance conducts a triennial national survey of school-based, school-linked, mobile health, and telehealth programs called the National Census of School-Based Health Centers. More Details...

National School-Based Health Care Census (2023). Resource Type: Publication. Description: The School-Based Health Alliance conducts a triennial national survey of school-based, school-linked, mobile health, and telehealth programs called the National Census of School-Based Health Centers. More Details...

BPHCurates: Child and Adolescent Health and Social Resources: Targeted Resources on Food Insecurity, Behavioral Health, Oral Health, Staffing Shortages, and Telehealth to Support Child and Adolescent Health (2023). Resource Type: Publication. Description: This resource packet provides health centers with resources to develop processes for improving service delivery and outcomes for children and adolescents, specifically related to telehealth, food insecurity, mental and behavioral health, oral health, and staffing shortages and retention. In addition, links to general child and adolescent health center technical resources are provided. More Details...

Dental Therapy Employment Manual for Michigan Community Health Centers (2023). Resource Type: Toolkit. Description: A comprehensive guide to help CHCs prepare for and incorporate dental therapists into their dental teams. Although this resource is built around Michigan-specific rules and regulations, CHCs in other dental therapy states may use it as a template to improve readiness. More Details...

At the Core of Care Podcast (2023). Resource Type: Podcast. Description: This Podcast highlights the consumer experience of patients, families, and communities and the creative efforts of nurses and other partners to better meet their health and healthcare needs through diversity, leadership, and practice innovation. More Details...

Strategies for Emergency Management of Chronic Conditions Among Agricultural Workers (2023). Resource Type: Publication. Description: People living with chronic conditions, and especially Migratory and Seasonal Agricultural Workers (MSAWs), can encounter particular threats to their health during an emergency event. NCFH has developed a resource to assist health center staff, clinical coordinators, and emergency managers with tools to assist MSAW chronic care patients, so that the worst outcomes of these events can be avoided. This checklist includes risk factors for chronic care patients during an emergency, action items to help patients prepare, and disease-specific recommendations for diabetes, cardiovascular disease, and chronic kidney disease. This resource also includes some additional outreach and communication strategies to reach MSAWs with chronic conditions during emergencies. More Details...

Oral Health Access for Residents of Public Housing (2023). Resource Type: Archived Webinar. Description: This webinar discusses promising practices to increase access to oral health care for residents of public housing. Viewers will gain strategies for integrating oral health into primary care at health centers serving residents of public housing and other special populations and how care teams can support oral health education and treatment. More Details...

El Rol de los Promotores de Salud en la Detección Equitativa del Cáncer de Mama (2023). Resource Type: Archived Webinar. Description: Este webinar explora la interseccion entre intervenciones de cancer de mama, determinantes sociales de la salud y la utilizacion de los promotores de salud en contextos de cuidado. Nuestros expertos presentan buenas practicas para apoyar a miembros del equipo de cuidado para aumentar el acceso a servicios de cancer y el compromiso de los pacientes y cuidadores, haciendo énfasis en centros de salud que atienden a residentes de viviendas publicas. More Details...

Behavioral Health and Community Health Centers (2023). Resource Type: Publication. Description: This factsheet summarizes health centers’ behavioral health services. It highlights data from UDS that shows growth in patients and staff over the last decade, as well as the variety of behavioral health professionals and services offered at health centers. Finally, policy suggestions to support behavioral health services at health centers are presented. More Details...

Assessing Patient Satisfaction with Telehealth at Community Health Centers: A Policy Brief (2023). Resource Type: Publication. Description: This brief describes findings from a national assessment of health center patients’ experiences with telehealth and the policy implications of these findings. The assessment focused on three key aspects of telehealth utilization, including 1) ease of use, 2) interaction with the clinician, and 3) overall comfort/satisfaction. More Details...

Behavioral Health Integration Technical Assistance (TA) for HRSA-funded Health Centers Website (2023). Resource Type: Other Resource Collection. Description: This external website includes a repository of potentially-relevant, curated resources from an organization outside of the HRSA-funded training and technical assistance organizations. (Note: resources in such collections do not undergo review by the Clearinghouse). This website serves as a portal to technical assistance (TA) resources based on topic, population group, and activities; a learning management system and multiple communities of practice; and an event calendar and newsletter. More Details...

Cultural Adaptation of Measures and Tools for Sexual Orientation and Gender Identity (SOGI) Data Collection (2023). Resource Type: Archived Webinar. Description: This webinar will highlight opportunities to adapt SOGI data collection measures and tools through culturally and linguistically affirming approaches, to better serve multilingual, multiethnic, and racially diverse communities. Participants will hear from bilingual-bicultural researcher Carlos Rodriguez-Diaz, PhD, MPHE, MCHES who will share his experiences developing culturally relevant strategies with Spanish-speaking communities, and Dr. Alex Keuroghlian, MD, MPH, who will highlight SOGI resources from the National LGBTQIA+ Health Education Center. More Details...

Getting Candid: The Importance of Trust in Youth Substance Prevention (2023). Resource Type: Archived Webinar. Description: Trust is a crucial component for effective conversations with youth surrounding substance use. Collaborative conversations with trusted adults are more important than ever given youth are reporting elevated stress, lack of belonging, and mental health concerns. Join the National Council for Mental Wellbeing for a webinar highlighting Getting Candid: The Importance of Trust in Youth Substance Use Prevention Initiative, the role of trust in conversations with youth substance use and identifying 3-4 substance-specific messages to utilize with youth. More Details...

Health Benefits and Considerations of Sports Participation and Physical Activity for Transgender and Gender Diverse People (2023). Resource Type: Archived Webinar. Description: This webinar will present the unique barriers to and benefits of physical activity and sports participation for transgender and gender diverse (TGD) persons. Presenters will discuss the legal, social, and medical barriers to engagement, including accessibility and safety. The webinar will highlight medical and mental health benefits specific to TGD persons, including with regard to osteopenia/osteoporosis, obesity, hypertension, minimization of gender dysphoria, and other mental health benefits. Participants will hear directly from a transgender athlete about their experience navigating sports participation and from a clinician on best practices for engaging TGD patients with compassionate informed support and connecting them to affirming sports-related resources. More Details...

Resources for Expanding PrEP Services in your Health Center: Curated PrEP resources for health centers, compilation in 2022 (2023). Resource Type: Toolkit. Description: Below is a database of helpful PrEP resources. Click View Larger Version in the bottom right corner to open in full screen. Click Open this Resource to open any individual resource for which you\'d like to see the full details. More Details...

Providing Community Education Around Nutrition and Diabetes by Incorporating MCN's Diabetes Comic Book (Spanish and English) (2023). Resource Type: Archived Webinar. Description: Focusing specifically on Nutrition, this webinar builds on the lessons learned from MCN's ECHO Diabetes Series and discusses the Diabetes Outreach Tool" My Health Is My Treasure" comic book. The tool is provided in English and Spanish and webinar is presented in Spanish with simultaneous interpretation into English. More Details...

Futures Without Violence CUES videos (2023). Resource Type: E-Learning. Description: CUES is an evidence-based universal education strategy to educate all patients about healthy and unhealthy relationships, the health impact of IPV, and available national resources for support. This approach differs from screening in that all patients are given information on the health impact of IPV and safety support, regardless of their disclosure of current or past experiences of violence. It also helps reach more patients who may choose not to disclose for a variety of reasons, while also promoting prevention. More Details...

Gender-affirming Care for Transgender and Gender Diverse People Experiencing Homelessness (2023). Resource Type: Archived Webinar. Description: This webinar will highlight unique challenges and best practices to improve gender-affirming care for TGD people experiencing homelessness and housing insecurity. Presenters will provide an overview of the spectrum of housing instability, address screening considerations and data collection for Social Determinants of Health (SDOH) and Sexual Orientation and Gender Identity (SOGI), and offer specific resources to support housing stability, gender affirmation, and other social emotional support services. The session will include a didactic component and case presentations. More Details...

Partnering with Academic Institutions to Develop Service Learning Porgrams: Strategies for Community Health Centers (2023). Resource Type: Publication. Description: This publication updates NNOHA\'s previous white paper on academic partnerships. Partnerships between academic institutions and community health centers can be a useful strategy to enhance the recruitment and retention of oral health professionals. This publication includes strategies, recommendations, and promising practices from community health centers across the country. More Details...

The Role of Community Health Workers in Breast Cancer Screening Equity: NCHPH Webinar (2023). Resource Type: Archived Webinar. Description: NCHPH and NNCC hosted a webinar (Spanish language) that explored the intersection between breast cancer interventions, social determinants of health, and the use of health promoters (promotoras) in care settings. More Details...

Lessons Learned in Training School-Based Health Center Staff to Prevent and Address Adolescent Relationship Abuse (2023). Resource Type: Publication. Description: This resource is intended to support teams interested in offering structured learning opportunities designed to strengthen the capacity of SBHC staff to prevent and respond to adolescent relationship abuse and human trafficking. More Details...

Lessons Learned in Training School-Based Health Center Staff to Prevent and Address Adolescent Relationship Abuse (2023). Resource Type: Publication. Description: This resource is intended to support teams interested in offering structured learning opportunities designed to strengthen the capacity of SBHC staff to prevent and respond to adolescent relationship abuse and human trafficking. More Details...

NTTAP Webinar Series - June 8, 2023: Re-engaging Patients in Dental Care (2023). Resource Type: Archived Webinar. Description: The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care. More Details...

User's Guide for Integration of Behavioral Health and Oral Health (2023). Resource Type: Publication. Description: This publication provides guidance on how to implement a behavioral health and oral health integration program. The User's Guide includes a description of NNOHA's systems-based framework for behavioral health integration, promising practices from community health centers, and workflow examples. There is also a readiness assessment to help community health centers determine their level of preparedness to implement a behavioral health integration program. More Details...

Tackling Substance Use in Health Centers: Crystal Meth and HIV (2023). Resource Type: Archived Webinar. Description: This webinar examines the effects of crystal methamphetamine (crystal meth) on the physical, mental, and overall care needs of health center patients.The focus is on populations most impacted by crystal meth, as well as the health conditions, like HIV, and risk factors that are most prevalent in patients that report using this substance. More Details...

Sensitive Information and the Electronic Patient Record: HITEQ Center, June 2023 (2023). Resource Type: Toolkit. Description: With nearly 100% of community health centers utilizing electronic health records (EHR) to care for patients, focus has pivoted from implementation and new workflow development to enhancement in order to drive value and reflect patient needs and population trends. EHR technology presents potential opportunities and significant constraints. Providers frequently document and share potentially sensitive information in the EHR, such as risk for intimate partner violence (IPV), consistent offers of pre-exposure prophylaxis (PrEP), or patient sexual orientation and gender identity (SOGI). More Details...

Pharmacy-Led Diabetes Self-Management Education and Support (DSMES) Guide (2023). Resource Type: Publication. Description: Pharmacists are key team members of the Diabetes Self-Management Education and Support (DSMES) program and can take the lead role in patient chronic care. This NCFH guide was created to facilitate DSMES setup and maintenance led by the health center pharmacy. You will learn why your pharmacy might consider offering these services, by becoming an accredited or recognized DSMES provider. This guide also provides the steps for getting and maintaining accreditation or recognition and includes additional details for referrals and billing. More Details...

Integrated Behavioral Health Care for Transgender and Gender Diverse People: An Affirming, Harm Reduction, and Trauma Responsive Approach (2023). Resource Type: Publication. Description: This publication provides a systematic team-based approach to providing patient-centered care delivered within affirming and trauma-responsive spaces. The publication is a promising solution for improving healthcare access, utilization, and outcomes for transgender people. More Details...

Improve Diabetes Prevention and Care at Your Health Center (2023). Resource Type: Publication. Description: This NCFH resource provides information about the National Diabetes Prevention Program (DPP) and its many benefits for both patients and health centers. Health centers can offer and integrate this highly effective lifestyle change program into chronic care management, diabetes education and support, and other services. More Details...

HRSA Ending the HIV Epidemic in the U.S. Web Portal (2023). Resource Type: Other Resource Collection. Description: This external website includes a repository of potentially-relevant, curated resources from an organization outside of the HRSA-funded training and technical assistance organizations. (Note: resources in such collections do not undergo review by the Clearinghouse). This portal provides federal resources in support of geographically diverse local initiatives and community issues More Details...

Environmental Impacts on Diabetes Management and Access to Care: Diabetes Continuum of Care, June 2023 (2023). Resource Type: Publication. Description: This web page features diabetes related resources NCFH has compiled to assists community health centers with specific needs, resources, and tools to enhance their knowledge and programs on implementing certified Diabetes Self-Management Education and Support (DSMES) and/or the National Diabetes Prevention Program. Visit the Hub to download resources to advance your chronic disease prevention and management efforts! More Details...