Quick Finds: Social Determinants of Health

Screening for SDOH and Social Risk Factors in HIV-Vulnerable Populations: A Guide for Health Centers Serving Residents of Public Housing and HUD-Assisted Individuals (2024). Resource Type: Publication. Description: Health centers can support HIV+ patients and those vulnerable to HIV by integrating screening for the SDOH into their standard operating procedures. In this reference guide, we present a step-by step approach to integrating SDOH screening into the clinical and social support operations of health centers and PHAs. More Details...

Navigating Comprehensive Care for Refugees: Integrating Clinical Care, Cultural Sensitivity, and Community Collaboration (2024). Resource Type: Archived Webinar. Description: Presented by Kasey Harding, Director of the Center for Key Populations at Community Health Center, Inc., this webinar will explore clinical and cultural considerations depending on the country of origin, patient education, challenges in documentation, and care coordination with community organizations. This webinar will also include clinical and support staff to discuss lessons learned and best practices for operational aspects of refugee health clinics. More Details...

Strategies for Supporting People with Behavioral Health Needs in Medical Respite Care (2024). Resource Type: E-Learning. Description: This course builds on the previous courses to provide an overview and recommendations on how programs can support people with behavioral health needs. This course focuses on identifying specific strategies that can be utilized by program staff to increase the staff and programs'; ability to address the needs of people with behavioral health conditions. More Details...

Safety and Security for CHW's: Trauma-Informed Approach, Cultural Humility, Community Partnerships (2024). Resource Type: E-Learning. Description: Safety and Security for Community Health Workers (CHWs): Trauma-Informed Approach, Cultural Humility, and Community Partnerships online course offers intermediate teaching of the concepts and skills associated with trauma informed care, cultural humility, and community partnerships in the context of creating a physically and psychologically safe environment for CHWs and community members. More Details...

Program Approaches to Supporting People with Behavioral Health Needs in Medical Respite Care (2024). Resource Type: E-Learning. Description: This course builds on the previous courses to provide an overview and recommendations on how programs can support people with behavioral health needs. The course focuses on building programmatic policies and structures that can increase the programs\' ability to address the needs of people with behavioral health conditions. More Details...

Medical Respite Playbook: A Practical Guide for Managed Care Plans (2024). Resource Type: E-Learning. Description: The goal of this Medical Respite Playbook online course is to provide Managed Care Plans (MCPs) with information about the philosophy and practice of medical respite care, and offer suggestions on how MCPs can most effectively partner with medical respite care programs. More Details...

Foundations of LGBTQIA+ Health Care and Homelessness: Terminology, Concepts, and Best Practices (2024). Resource Type: E-Learning. Description: This 90-minute webinar will provide participants with an introduction to foundational terminology and concepts related to LGBTQIA+ identity and experience of homelessness with a focus on LGBTQIA+ health care. Participants will learn about healthcare disparities and applicable clinical practices that participants can integrate into their own contexts. More Details...

Do No Harm: Injection Related Wounds - Non-Clinical Interventions (2024). Resource Type: E-Learning. Description: This training is intended to provide practical information for non-clinicians on how to provide safe and ethical wound care education and dressings for injection related wounds, with a focus on xylazine. The training is also appropriate for clinicians with limited experience in treating wounds. The course will cover three main areas: ethical considerations in wound care for people experiencing homelessness, basic wound care principles that can be applied by both service providers and clients, and information on safe dressings and how to use them. The information provided on ethical considerations, education for clients, and the use of basic dressings is applicable beyond just injection related wounds. More Details...

Creating Care and Discharge Plans for People Experiencing Homelessness who are Hospitalized Toolkit (2024). Resource Type: E-Learning. Description: The goal of this toolkit is to provide concrete resources to hospital staff to support the care and discharge planning process for patients who are unstably housed. More Details...

Lessons Learned: Transitions of Care for People Experiencing Homelessness in the Hospital Setting (2024). Resource Type: Archived Webinar. Description: CommonSpirit Health, USC Street Medicine, and the National Health Care for the Homeless Council (NHCHC) hosted a 90-minute webinar discussing the unique and complex needs of individuals experiencing homelessness during and post hospitalization. This webinar provides concrete ways for hospital teams and community providers to support unhoused individuals during hospitalization. More Details...

Caring for LGBTQIA+ Youth at Health Centers (2024). Resource Type: Archived Webinar. Description: Presented by the National LGBTQIA+ Health Education Center, this webinar will focus on both disparities and resilience among LGBTQIA+ youth, including practical strategies for reaching and engaging LGBTQIA+ youth into primary care and behavioral health care. In addition to learning of health risks faced by LGBTQIA+ youth, webinar participants will become more familiar with LGBTQIA+ youth culture, and will learn of ways to forge trusting relationships and create welcoming environments. More Details...

Beyond Screening: Using SDOH Data for Effective Care Solutions (2024). Resource Type: Archived Webinar. Description: This webinar reviews how to support timely social needs referrals and care planning and operationalize social needs data. The presenter provides guidance on optimizing social needs screening workflows, including those housed in Electronic Health Records (EHRs), for following up on positive screens and effectively using the collected data. A panel of expert health center representatives share examples of how these workflows can be applied. While this webinar focuses on HCH health centers, anyone involved directly in social needs screening processes is welcome. More Details...

Basic Safety Precautions and Considerations for Community Health and Outreach Workers (2024). Resource Type: E-Learning. Description: This course will provide community health workers and others who deliver services outside of a brick and mortar building with safety awareness and security skills relevant to their supportive roles at health centers. More Details...

Addressing Mental Health Experiences Among Subpopulations of Migrant Seasonal Agricultural Workers (2024). Resource Type: Publication. Description: This two-part article series highlights the vital role of Community Health Workers (CHWs) in addressing mental health challenges faced by Migrant Seasonal Agricultural Workers (MSAWs). CHWs leverage their deep understanding of community needs and cultural sensitivities to facilitate open discussions about mental health, combat stigma, and connect individuals to essential resources. By encouraging open dialogue and mutual support, communities can effectively tackle mental health disparities. More Details...

Healthy Eyes, Healthy Lives: Community Approaches to Children’s Vision and Eye Health (2024). Resource Type: Archived Webinar. Description: This webinar hosted by the School-Based Health Alliance in partnership with the Association of Clinicians for the Underserved and the National Center for Children’s Vision and Eye Health at Prevent Blindness identified common vision disorders among school-age children and adolescents while sharing various models of school-based vision care programs. Featured presenters will also address the impacts of inequity in vision health, share strategies to address social determinants of health, and strategies to remove barriers to care. More Details...

Disaster Equity: Preparedness, Response, and Recovery for LGBTQIA+ Patients of Health Centers (2024). Resource Type: Publication. Description: Climate change and natural disasters pose substantial threats to communities, the effects of which are exacerbated by inequalities in vulnerable populations—particularly those with intersectional marginalized identities (e.g., LGBTQIA+ people who are Black, Indigenous, and/or have a disability) and are disproportionately affected by chronic disease. It is vital that health centers pay special attention to the marginalized communities who have been historically forgotten in emergency preparedness and response plans. Social determinants of health such as stigma, discrimination, violence, neighborhood characteristics, transportation, and a lack of recognition of families and relationships in institutional policies dramatically impact the effects of natural disasters on LGBTQIA+ people. This publication will summarize the issues at hand and provide strategies for health centers to promote disaster management equity for LGBTQIA+ patients. More Details...

Care for Transgender and Gender Diverse Children Whose Parents Are Involved in a Custody Dispute (2024). Resource Type: Publication. Description: The purpose of this brief is to: Provide a foundation and context for clinicians to feel better prepared and confident to educate family court professionals Offer best practices to illustrate how clinicians can appropriately and compassionately navigate care when co-parents disagree regarding medically necessary interventions Assist clinicians as they consider structural interventions to improve outcomes for TGD children and their families in the family court system More Details...

An Introduction to Anal Cancer and Anal Dysplasia Screening (2024). Resource Type: Archived Webinar. Description: Presented by Dr. Ami Multani, this webinar will present the current evidence base on screening (living with and without HIV) for anal cancer, and will discuss the potential benefits and drawbacks of screening patients in primary care. Resources will be provided on further training for performing anal Pap and high-resolution anoscopy. More Details...

School-Based Health Centers 101: Partnerships and Pathways to Expand Students’ Access to Healthcare (2024). Resource Type: Archived Webinar. Description: The School-Based Health Centers 101: Partnerships and Pathways to Expand Students' Access to Healthcare webinar aimed to increase the audience's knowledge and capacity to understand the key components of school-based health center start-up, share insights on successful partnership-building, financial sustainability strategies, and delivering high-quality care. In addition, the webinar highlighted resources available to support school-based health center planning teams, including a no-cost learning collaborative. While targeted at Health Center professionals, this session was open to anyone interested in school-based health center start-up. More Details...

Introduction to Performance Measurement & Evaluation for Health Center Medical-Legal Partnerships (2024). Resource Type: Archived Webinar. Description: Performance measurement and evaluation can significantly enhance the effectiveness and sustainability of interventions targeting social determinants of health (SDOH) at community health centers. On August 29, 2024, at 1 pm ET, the National Center for Medical-Legal Partnership (NCMLP), along with a panel of subject matter experts, introduced new performance measures and resources specifically designed for community health centers. These tools are designed to strengthen the sustainability and impact of medical-legal partnerships, positioning the approach as a key strategy for healthcare delivery system transformation and population health improvement. More Details...

Creating Community Connections: Introducing the Dinámicas E-Book Blog Series (2024). Resource Type: Publication. Description: MHP Salud’s “Creating Community Connections” e-book is a free resource designed to help health centers, community organizations, and Community Health Workers (CHWs) build meaningful relationships with underserved and marginalized populations. It offers interactive techniques, cultural sensitivity guidance, and practical tools to enhance community engagement and support. Accessible via MHP Salud’s website, the e-book aims to improve outreach effectiveness and foster trust within diverse communities. More Details...

Protect Yourself Against COVID-19 Brochure Template (2024). Resource Type: Patient Material. Description: This resource provides information confirming the safety and effectiveness of the COVID-19 vaccine. More Details...

Children and the COVID-19 Vaccine Brochure Template (2024). Resource Type: Patient Material. Description: This resource provides parents with instructions on ways you can help prevent the COVID-19 virus from transmitting to children, including information about approved vaccines for each age group. More Details...

Social and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series: Module 5: Culturally-Responsive Diabetes Care: Integrating Language and Family (2024). Resource Type: Micro-Learning. Description: The Association of Asian Pacific Community Health organizations (AAPCHO) chronic disease management programs, expertise, and national network in the AA and NH/PI community health center space, will feature research, community intervention strategies, and historical context for diabetes and other co-morbidities among AAs and NH/PIs. This self-paced learning series will feature modules that outline various social, political, and structural drivers of health for diabetes and comorbidities management. Modules will include case studies which promote resources, strategies, and interventions to support health center performance improvement and transformation efforts. This is module 5 and was recorded on June 18, 2024. More Details...

Human Trafficking and Exploitation: How School-Based Health Center Providers Can Help Keep Students Safe (2024). Resource Type: Archived Webinar. Description: This 60-minute webinar focuses on how school-based health center providers can support students who have experienced human trafficking and sexual exploitation. More Details...

The Health Of Asian Americans, Native Hawaiians, and Pacific Islanders Served at Health Centers: An Analysis of the 2022 Uniform Data System Report (2024). Resource Type: Publication. Description: This report was developed by Association of Asian Pacific Community Health Organizations using the 2022 Uniform Data System data from health centers to examine the current state of health center performance and provides recommendations for how health centers can improve. More Details...

Cultural Humility: The Tookit (2024). Resource Type: Toolkit. Description: This toolkit will provide LGBTQ+ terms, gender identity concepts, cultural beliefs, health disparities, and barriers to accessing behavioral health services, as well as best practices for creating an affirming care experience. This toolkit focuses on the Social Drivers of Health and illustrates how to provide empathetic care to special populations. More Details...

Transportation is a Health Equity Issue Factsheet (2024). Resource Type: Publication. Description: Health Outreach Partners proudly presents a new resource on Transportation and Health Equity. Our newly developed factsheet investigates how transportation impacts access to care and other social determinants of health, analyzes unmet needs & gaps in laws or policies affecting access to transportation, uncovers the structural factors predisposing underserved populations to reduced access to transportation and provides recommendations to health centers on addressing patient transportation inequities and barriers. More Details...

Nurturing Mothers: A Two-Part Webinar Series on Breastfeeding Support and Maternal Mental Health (2024). Resource Type: n.a.. Description: In Part Two of this series, experts from Affinia Healthcare led a discussion on delivering sensitive and supportive care and fostering a nurturing environment for breastfeeding mothers. Affinia Healthcare shared their approaches to lactation and breastfeeding education, emphasizing their impact on maternal mental health during the perinatal period. Attendees gained practical guidance on developing and implementing effective breastfeeding support initiatives tailored to the needs of diverse communities, focusing on addressing disparities in breastfeeding rates among populations of color. We also discussed emerging Maternal and Infant health concerns and HRSA’s response and recommendations. More Details...

Nurturing Mothers: A Two-Part Webinar Series on Breastfeeding Support and Maternal Mental Health (2024). Resource Type: n.a.. Description: In Part One of this series, experts from HRSA’s Division of Healthy Starts and Perinatal Services led a discussion touching on the National Maternal Mental Health Hotline and related resources for health center staff and patients. We also heard from Milwaukee’s Choice Neighborhood Initiative and their community-based program, Best Babies Zone, which works to ensure that babies born survive and thrive with the help of their engaged and healthy community. More Details...

Assessing Bilingual Staff Competency Tool (2024). Resource Type: Publication. Description: The National Center for Farmworker Health (NCFH) is proud to release our Bilingual Staff Competency tool which provides steps with tips and guidance for assessing the bilingual competency of health center staff to minimize language barriers in healthcare settings. More Details...

Social, Political, and Structural Impacts on Diabetes and Comorbidities Management for AA and NH/PI Populations Learning Series: Module 1: Whole Food Model for Holistic Community Wellness (2024). Resource Type: Micro-Learning. Description: The Association of Asian Pacific Community Health organizations (AAPCHO) chronic disease management programs, expertise, and national network in the AA and NH/PI community health center space, will feature research, community intervention strategies, and historical context for diabetes and other co-morbidities among AAs and NH/PIs. This self-paced learning series will feature modules that outline various social, political, and structural drivers of health for diabetes and comorbidities management. Modules will include case studies which promote resources, strategies, and interventions to support health center performance improvement and transformation efforts. This is module 1 and was recorded on March 15, 2024. More Details...

Medical-Legal Partnership as a Community Health Strategy to Improve Maternal Health Access & Outcomes Learning Collaborative: Session 2: Planning and Implementing the Medical-Legal Partnership Workflow (2024). Resource Type: Archived Webinar. Description: These Learning Collaborative sessions are designed to empower participants to develop a deeper understanding of how the social determinants of health impact maternal health. Learn how to use the Medical-Legal Partnership as a way to improve maternal and child health outcomes for health center patients and their communities. Over four informative sessions, this Learning Collaborative will provide T/TA to health center staff to develop strategies and action plans for aligning MLP activities with potential policy and population health approaches. We encourage health centers that work with multiple special populations, including pregnant women and children, to share their insights and strategies that can be adapted to communities' unique needs. More Details...

Food Insecurity in School-Aged Children (2024). Resource Type: Archived Webinar. Description: The webinar aims to increase the audience's knowledge of and capacity to define food insecurity and how it presents in youth and families, describe programs and resources that can mitigate food insecurity for youth and families, and gain awareness of promising practice models for addressing food insecurity for youth and families in School-Based Health settings. More Details...

Connecting The Dots: Advancing Health Equity Through Data Disaggregation Webinar (2024). Resource Type: Archived Webinar. Description: The recent COVID-19 pandemic has highlighted already existing health disparities among vulnerable populations, including Asian American (AA), Native Hawaiian, and Pacific Islander (NH/PI) as well as Migratory and Seasonal Agricultural Worker (MSAW) communities. Disaggregated data reveals health disparities within these diverse populations and demonstrates the role of data in advancing health equity. More Details...

Medical-Legal Partnership as a Community Health Strategy to Improve Maternal Health Access and Outcomes Learning Collaborative: Session 1: Leveraging Clinical and Non-Clinical Data to Understand the Social Risk Factors (2024). Resource Type: Archived Webinar. Description: These Learning Collaborative sessions are designed to empower participants to develop a deeper understanding of how the social determinants of health impact maternal health. Participants will learn how to use the Medical-Legal Partnership as a way to improve maternal and child health outcomes for health center patients and their communities. Over four informative sessions, this Learning Collaborative will provide T/TA to health center staff to develop strategies and action plans for aligning MLP activities with potential policy and population health approaches. We encourage health centers that work with multiple special populations, including pregnant women and children, to share their insights and strategies that can be adapted to communities’ unique needs. More Details...

STIs and Agricultural Workers: What you need to know? (2024). Resource Type: Patient Material. Description: This new resource from NCFH provides information about the impact of sexually transmitted infections on agricultural worker health, shares information about the five main STIs that affect this population and shares tips to have open and healthy conversations with partners and health care providers. More Details...

Las ITS y los trabajadores agricolas: Lo que necesitas saber (2024). Resource Type: Patient Material. Description: Este nuevo recurso de NCFH proporciona información sobre el impacto de las infecciones de transmisión sexual en la salud de los trabajadores agrícolas, comparte información sobre las 5 principales ITS que afectan a esta población y comparte consejos para mantener conversaciones abiertas y saludables con las parejas y los proveedores de atención de salud. More Details...

NTTAP Webinar Series 2023-2024 - Strategies for Advancing Health Equity in Health Centers (March 14, 2024) (2024). Resource Type: Archived Webinar. Description: Join our upcoming webinar to explore strategies for advancing health equity within health centers. Learn specific approaches, including steps for developing a health equity plan utilizing Community Health Center, Inc. (CHCI) best practices as a framework, creating a health equity team, and establishing priorities and goals to guide health equity work. Attendees will leave with increased confidence in developing their health equity plan at their health center. More Details...

Health Center Partnerships to Support Nutrition and Physical Activity for Children and Adolescents (2024). Resource Type: Archived Webinar. Description: Early experiences and choices profoundly impact lifelong health. Cultivating healthy habits during childhood and adolescence is crucial to maintaining a healthy lifestyle, promoting physical and cognitive development, enhancing resilience, and reducing the risk of chronic diseases. However, children and adolescents often encounter obstacles in managing their health and lifestyle choices due to environmental factors, educational and social influences, and limited autonomy.NNCC introduces and discusses tools and resources for health care professionals/CHWs working in health center settings and the community. More Details...

Empowering Change: Innovating and Scaling for a Healthier Tomorrow in the Face of Emerging Social Determinants of Health (SDOH): The SDOH Academy National Webinar Series (2023-2024) - Part 4 (2024). Resource Type: Archived Webinar. Description: This session explored innovative strategies to advance population health and health equity through the power of community partnerships and transformative system delivery. Speakers highlighted unique SDOH challenges faced by special and vulnerable populations and the impact on their access to care and health disparities. Additionally, the webinar showcased strategies and best practices for building and sustaining effective community SDOH partnerships between healthcare systems and local communities. More Details...

Closing the PrEP Care Gap with TelePrEP: Training for Health Centers (2024). Resource Type: Archived Webinar. Description: This training session was delivered by the HITEQ Center in collaboration with Housing Works, a health center based in New York City. Staff from Housing Works provided an overview of the TelePrEP model, considerations for implementation, and successes and barriers their TelePrEP program has faced. All health center staff were welcome to attend, and the content will be useful for all seeking to expand PrEP access for HIV prevention in their health center and community. More Details...

How to mitigate the Impacts of Long- COVID-19 among farmworkers (2024). Resource Type: Other Resource Collection. Description: These videos (Spanish and English versions) were developed in collaboration with farmworkers experiencing Long COVID-19 and Finger Lakes Community Health (a farmworker serving FQHC) to offer suggestions about how to detect if one is experiencing Long COVID-19, how to understand the underlying symptoms related to Long COVID-19, and how to seek medical support and to alleviate symptoms. More Details...

Updated Analysis: A Data-Driven Approach to Understanding Factors Contributing to Health Inequities (2023). Resource Type: Publication. Description: This resource, an updated version of A Data Driven Approach to Understanding Factors Contributing to Health Inequities, released in 2022, was developed with support from Cedars-Sinai and HealthLandscape. In this analysis, we review more than 100 factors for the 57 FQHC members of the Community Clinic Association of Los Angeles County (CCALAC) for 2017-2021, with the goal to utilize the findings to make informed recommendations for how to best address and improve patient equity and inclusion efforts across health centers in Los Angeles County and the Nation overall. More Details...

Food Rx Replication Guide For Health Centers (2023). Resource Type: Toolkit. Description: The Food Rx Replication Guide developed by NCFH supports health centers in addressing food insecurity and chronic disease incidence through a model seeking to build partnerships between the local food system, the healthcare system, and the patient population. Food Rx programs, also referred to as fruit and vegetable or produce prescription programs, offer a promising solution to the compounding issues of food insecurity, rising healthcare costs, and ill health.These programs facilitate the distribution of produce and other healthy food staples to patients who suffer from diet-related diseases such as prediabetes, diabetes, and hypertension. More Details...

Work as a Social Driver of Health: How La Casa Family Health Center Identifies Farmworkers (2022). Resource Type: Podcast. Description: What happens when health center care teams know more about a patient’s occupation? This data can be especially important if the patient is an essential worker, as the Health Choice Network, a health center-controlled network based in Miami, and their partners at La Casa Family Health Center in New Mexico, learned during the COVID pandemic when treating a high-risk group of dairy farmworkers. This episode of NACHC’s podcast, Health Centers on the Front Lines, takes us behind the scenes at a health center and its partner network as they change the culture around disclosure of occupation among patients. More Details...

Shopping at the Corner Store or La Tiendita (2022). Resource Type: Patient Material. Description: This resource provides information about making purchases at the local corner store or Tiendita and how to make nutritious meals and healthier choices to prevent health problems like high cholesterol, hypertension, heart disease, and type 2 diabetes. More Details...

Environmental and Occupational Screening Questions for the Primary Care Setting: Preguntas para sondear en los lugares de atencion a la salud (2014). Resource Type: Publication. Description: Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. More Details...

National Maternal and Child Oral Health Resource Center Digital Library (n.a.). 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). The OHRC Digital Library contains high-quality oral health resources to assist professionals in providing education and training, conducting research, developing programs, and staying abreast of new developments. It includes materials (e.g., conference proceedings, curricula, policies, reports, standards) developed by government agencies, national and state organizations, community programs, and Maternal and Child Health Bureau–funded projects. More Details...

Maternal and Child Health (MCH) Navigator (n.a.). 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). The MCH Navigator is a portal to free, vetted curricula for maternal and child health professionals, students, and others working to improve the health of women, children, adolescents, and families. This portal includes core training bundles, new competency-based trainings, and an online self-assessment tool to develop a personalized learning plan. More Details...