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Social Determinants of Health Lessons Learned, Challenges, and Barriers: A Resource for Health Centers, Vol. 2

Resource Topic: Social Determinants of Health (SDOH), Special and Vulnerable Populations, Value-Based Health Care Transformation, Workforce

Resource Subtopic: Health Equity, Population Health, Community, Health, and Housing Partnerships, Enabling Services (ES), Development/Training.

Keywords: Agricultural Workers, American Indians/Native Alaskans, Asian Americans, Native Hawaiians and Pacific Islanders (AA&NHPIs), Blacks/African Americans, Community Health Workers, Documentation, Hispanic Americans/Latinos, Latinas, Housing, Implementation Tools, Legal Issues, Limited English Proficiency (LEP), LGBTQIA+, Medical Legal Partnerships (MLPs), Migrants, Non-Clinical Services, Older Adults (Elders/Elderly), Outreach, Partnerships, Persons Experiencing Homelessness, Residents of Public Housing, Screening.

Year Developed: 2022

Resource Type: Publication.

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

Language(s): English

Developed by: Association of Asian Pacific Community Health Organizations (See other resources developed by this organization). In collaboration with Health Outreach Partners, MHP Salud, National Health Care for the Homeless Council.

Resource Summary: The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC), four HRSA-funded National Training and Technical Assistance Partner organizations, released a report on lessons learned, challenges, barriers, and impact stories shared from the (4) sessions of the “Screening Methods and Strategies for Using Data on Outreach and Enabling Services to Address Social Determinants of Health” Learning Collaborative. This Learning Collaborative explored strategies to screen special and vulnerable populations for social determinants of health (SDOH) and successfully utilize data to build effective practices to begin addressing SDOH through outreach and enabling services. With these lessons learned, AAPCHO, HOP, MHP Salud, and NHCHC will continue this work with a webinar and successive learning collaborative in 2022-2023.

Resource Details: Not applicable

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