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SDOH T/TA Resources for Health Care for the Homeless Centers | Affordable Connectivity Program Consumer Outreach Toolkit

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Quick Finds: Social Determinants of Health

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Introduction. Use this page to quickly find all resources from the Clearinghouse database on special and vulnerable populations.

Background. Social Determinants of Health are the social conditions that influence individual and community health. Those determinants include housing, poverty, nutrition, education and family stability.

You can learn what the Social Determinants of Health Academy is doing in this area.

Highlighted Resource. HRSA’s Bureau of Primary Health Care has developed the following resource: Social Determinants of Health (SDOH): Targeted Training and Technical Assistance (T/TA) Resources for Health Care for the Homeless Centers (HCH) Considering Adopting SDOH Screening

Submit Resources. If you have a resource that you believe should be contained in the Clearinghouse, please complete the Submit a Resource form.

Results for: Topic Area = Social Determinants of Health

Displaying records 1 through 50 of 473.

Social Determinants of Health (SDOH): Targeted Training and Technical Assistance (T/TA) Resources for Health Care for the Homeless Centers (HCH) Considering Adopting SDOH Screening (2022). Resource Type: Publication. Description: The Bureau of Primary Health Care (BPHC) invests in T/TA to support health center clinical, operational, and fiscal excellence. To increase awareness and utilization of the T/TA resources developed by BPHC-funded T/TA providers, BPHC staff have created targeted (T/TA) resources, which include curated resources in high-need areas. More Details...

The Health of Asian American, Native Hawaiian, and Pacific Islander Patients Served at Health Centers: An Analysis of the 2020 Uniform Data System (2022). Resource Type: Publication. Description: This report examines current patient demographics and utilization of health services at health centers serving Asian Americans (AAs) and Native Hawaiians and Pacific Islanders (NH/PIs), and highlights the differences between these centers and the national average of all health centers in the United States. More Details...

Realizing Resilience Part 3: Two Years Later, Updates on Health Center and Social Sector Response to Address Social Drivers of Health Needs during COVID-19 (2022). Resource Type: Publication. Description: This publication summarizes key takeaways identified by health centers when detecting, prioritizing, and informing community health-related social needs that were magnified by the COVID-19 pandemic. More Details...

“Acting on Social Determinants of Health Screening Data to Address Barriers to Health” Webinar (2022). Resource Type: Archived Webinar. Description: AAPCHO, Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC) hosted a HRSA-sponsored webinar to explore strategies to screen special and vulnerable populations for social determinants of health (SDOH) and build effective practices to begin addressing SDOH through outreach and enabling services (ES). More Details...

Tips to Help Health Centers Address Disability & Chronic Disease Discrimination (2022). Resource Type: Publication. Description: This tip sheet provides advice as well as key resources to help staff of health centers and look-alike programs quickly improve their understanding of the important role they can play in helping to identify discrimination at its earliest stages and how to mitigate it by leveraging their own medical authority and resources within the community. More Details...

National Center for Health in Public Housing’s Smoking Cessation Protocol: A Guide to Conducting Groups (2022). Resource Type: Publication. Description: This guide provides readers with all necessary information and supplemental materials that are needed to conduct a comprehensive smoking cessation program either in a group setting, or with individual patients. More Details...

Impact of COVID-19 On Public Housing Primary Care (PHPC) Health Center Patients and Operations (2022). Resource Type: Publication. Description: This publication by NCHPH highlights findings from a survey distributed to public housing residents assessing the effects that COVID-19 has had on Public Housing Primary Care (PHPC) patients and health center operations. More Details...

How Health Centers Can Promote Benefits of Exercise to Diabetic Public Housing Residents and Promising Practices (2022). Resource Type: Publication. Description: This publication by NCHPH discusses the importance of exercise among public housing patients with diabetes, in addition to how it can benefit them. More Details...

Healthy Together: A Toolkit for Health Center Collaborations with HUD Assisted Housing and Community-Based Organizations (2022). Resource Type: Toolkit. Description: This toolkit by NCHPH and NNCC provides information and resources for health center staff to partner and collaborate more effectively with their local housing authorities and with other providers serving residents of public housing and other low-income housing. More Details...

Data Discovery: Snapshot of Social Determinants of Health in Public Housing Primary Care Communities (2022). Resource Type: Publication. Description: This brief describes the findings of an online mapping resource that shows the distribution of Social Determinants of Health (SDOH) indicators across counties with Public Housing Primary Care (PHPC) health centers. More Details...

Using SDOH Data to Screen for Social Vulnerability (2022). Resource Type: Archived Webinar. Description: NCHPH, JSI, and HITEQ hosted a webinar that discussed how health centers can access and use available SDOH data sources to determine and screen the social vulnerability of their patients and link them to appropriate care and services. More Details...

The Role of Family Caregivers in Older Adult Nutrition (2022). Resource Type: Archived Webinar. Description: This National Center for Health in Public Housing (NCHPH) and National Center for Equitable Care for Elders (NCECE) webinar shared approaches to working with caregivers to address barriers to healthy eating and provide nutrition education that meets the diverse needs of older adults. More Details...

The Impact of Health Literacy on Diabetes (2022). Resource Type: Publication. Description: This blog by NCHPH explains how health literacy can affect persons living with diabetes in addition to its benefits. More Details...

The COVID-19 Pandemic and the Health Center Workforce: Challenges and Solutions (2022). Resource Type: Archived Webinar. Description: Despite increasing demand for health care services, health centers indicate a critical shortage of staff necessary to meet that demand. Burnout, stress, depression, etc. have eroded our healthy workforce. This Facebook Live session discussed workforce challenges and how to navigate these challenges. More Details...

Social Determinants of Health (SDOH) Screening Tools 101 for Health Center Staff Serving Public Housing Residents (2022). Resource Type: Archived Webinar. Description: NCHPH convened a webinar that discussed the importance of screening for social determinants of health (SDOH) More Details...

SDOH Academy Innovations Showcase Kickoff Webinar (2022). Resource Type: Archived Webinar. Description: In this webinar, health centers were provided the opportunity to demonstrate the work that they have been doing to address Social Determinants of Health. More Details...

Implementing Screening of People with Disabilities and Functional Needs During Disasters (2022). Resource Type: Archived Webinar. Description: This learning collaborative is designed to help health centers work with people with disabilities to create customized emergency preparedness kits and plans. More Details...

COVID-19 Vaccine Resource Guide (2022). Resource Type: Publication. Description: This publication provides a compilation of COVID-19 vaccine activities conducted by NCHPH. More Details...

COVID-19 By The Numbers Infographics 2021 (2022). Resource Type: Publication. Description: NCHPH analyzed survey data reports from Public Housing Primary Care (PHPC) Health Centers fielded by the Bureau of Primary Care. These infographics by NCHPH provide the latest statistics in Public Housing Primary Care Health Centers for the year 2021. More Details...

Collection of Promising Practices on Health Center and Housing Partnerships (2022). Resource Type: Publication. Description: NCHPH has catalogued promising practices on health center and housing partnerships that were identified during T/TA activities. More Details...

Addressing COVID-19’s Impact on Health Centers’ Finance and Operations and Response Planning for Future COVID-19 Outbreaks and Other Emergencies (2022). Resource Type: Archived Webinar. Description: This learning collaborative guides participants through the challenges and solutions for addressing the financial and operational impacts of COVID-19 on health centers serving residents of public housing and other underserved communities, with an emphasis on applied response planning for future emergencies. More Details...

Addressing Barriers to Diabetes Management for Residents of Public Housing (2022). Resource Type: Archived Webinar. Description: This Facebook Live session reviewed behavioral interventions that incorporate promising practices for public housing residents to manage diabetes and its complications. More Details...

A New Normal: Learning to Live with COVID (2022). Resource Type: Archived Webinar. Description: In this Facebook live session, we discussed what a health center is doing to adapt to an endemic COVID-19 era. This session included infection control approaches, outreach, on-site and virtual visits, and strategies to improve primary health services. More Details...

Market Assessment Toolkit for Health Centers (2022). Resource Type: Publication. Description: By utilizing a Market Assessment, health centers can analyze their markets and service areas in geographic, demographic, and economic terms in order to make informed observations and guide strategic decisions. More Details...

Diabetes Control Education and Management (2022). Resource Type: Publication. Description: The blog touches on subjects regarding costs of diabetes, how diabetes affects the body, culture & stigmas, and SDOH factors. The blog offers an educational guide on diabetes control and management. More Details...

PRAPARE and Addressing SDoH: Integration Is Not As Hard As You Think (2022). Resource Type: Archived Webinar. Description: This webinar focuses on using the PRAPARE toolto provide more appropriate care, better allocate limited resources, target interdisciplinary care teams, and provide needed social services—either in-house or through community partnerships. More Details...

Social Determinants of Health Lessons Learned, Challenges, and Barriers: A Resource for Health Centers, Vol. 2 (2022). Resource Type: Publication. Description: 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. More Details...

Chronic Stress, Housing, and Health: Patient Experiences and Strategies for Comprehensive Care (2022). Resource Type: Archived Webinar. Description: This webinar explores the intersections of chronic stress, housing, and health and featured a panel of experts offering a variety of perspectives, including (1) the patient perspective on the realities of residing in public housing and how it impacts health, (2) research on the intersections of health and housing, and (3) trauma-informed care in community and patient engagement. More Details...

Issue Brief: The Impact of Language on Health Care Accessibility (2022). Resource Type: Publication. Description: This issue briefs informs service providers about policies and recommendations to promote language access for Limited English Proficient (LEP) patients. More Details...

Screening for Broadband Access and Digital Health Literacy in Public Housing Patients (2022). Resource Type: Archived Webinar. Description: In this webinar, we described the importance of screening digital health literacy and broadband access; listed potential screening tools; and highlighted a health center that is screening for these issues. More Details...

Supporting LGBTQIA+ Veterans and Connecting to the Veterans Health Administration (2022). Resource Type: Archived Webinar. Description: This webinar will increase the capacity of health centers to understand the unique mental and physical health needs of LGBTQIA+ veterans. An overview of how VHA addresses these needs and how to connect with what is offered for health center providers and veterans will be provided. More Details...

Healthy Together: A Toolkit for Health Center Collaborations with HUD-Assisted Housing and Community-Based Organizations Webinar (2022). Resource Type: Toolkit. Description: The National Center for Health in Public Housing and the National Nurse-Led Care Consortium are happy to announce the release of “Healthy Together: A Toolkit for Health Center Collaborations with HUD-Assisted Housing and Community-Based Organizations”. More Details...

Healthy Together: A Toolkit for Health Center Collaborations with HUD-Assisted Housing and Community-Based Organizations (2022). Resource Type: Toolkit. Description: The National Center for Health in Public Housing and the National Nurse-Led Care Consortium are happy to announce the release of “Healthy Together: A Toolkit for Health Center Collaborations with HUD-Assisted Housing and Community-Based Organizations”! More Details...

Healing Centered Approaches to Screen and Intervene for Social Determinants of Health Including Intimate Partner Violence (2022). Resource Type: Publication. Description: Many health centers have systems that maintain SDOH screening tools or have related policies in place, some of which touch on IPV. Our newly developed tool complements these other SDOH screens/policies by offering guidance on our evidence-informed CUES model and how to couple IPV universal education (UE) before any screening is conducted. This paper provides guidance on using the CUES model for addressing social determinants of health in health centers. More Details...

La Esperanza Verano 2022: Problemas emergentes entre las poblaciones de MSAW (2022). Resource Type: Publication. Description: La Esperanza es un boletín de noticias para y sobre Promotores y Promotoras de Salud. Es publicado dos veces al año por MHP Salud. More Details...

La Esperanza Summer 2022 Edition: Emerging Issues among MSAW Populations (2022). Resource Type: Publication. Description: La Esperanza (Hope) is a bilingual newsletter dedicated to the work of Community Health Workers across the country. MHP Salud, collaborators, and CHWs themselves write articles specifically for and about their work More Details...

Hoja informativa sobre trabajadores agrícolas indígenas (2022). Resource Type: Publication. Description: Esta hoja informativa provee investigación y datos sobre los trabajadores agrícolas indígenas. Aborda temas como la historia de las poblaciones indígenas en Latinoamérica, temas de salud en los EE. UU., discrimen, condiciones de trabajo, y barreras para el cuidado de salud. More Details...

Hoja informativa sobre trabajadores agrícolas (2022). Resource Type: Publication. Description: La hoja informativa provee resultados sobre la información demográfica de trabajadores agrícolas de la Encuesta Nacional de Trabajadores Agrícolas (NAWS por sus siglas en inglés) del 2015-2016. Esta, provee un resumen de la información demográfica, contribución económica, salarios y beneficios, vivienda, salud, y protección legislativa. More Details...

The SDOH Academy Innovations Showcase Competition: Closing Webinar (2022). Resource Type: Archived Webinar. Description: The SDOH Academy Innovations Showcase Competition is an interactive training opportunity that incorporates an element of competition for health centers to showcase their innovations. A unique opportunity for health center staff and stakeholders to not only shape the narrative about their innovative work to address the SDOHs but also a way to inform a national audience on how they have been successful in addressing any of the following core competencies. More Details...

Telehealth Office Hours: Tele-Behavioral Health Best Practices for Health Centers Now and Into the Future (2022). Resource Type: Archived Webinar. Description: In this session, Clinical Psychologist Dr. Jonathan Neufeld will review the best practices for building, operating and sustaining a telebehavioral health practice in an FQHC setting. He will cover strategies for improving etiquette, assessing and mitigating patient risk, and updates on telehealth billing and policies related to the COVID-19 pandemic and public health emergency. More Details...

Eyes on Access: Introduction to Comprehensive Vision Services in Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 1 archive of a 2-part webinar series in Spring 2022 that reviewed the interconnection of vision, chronic disease and quality of life. Data substantiating community needs, disparities and barriers was reviewed. This webinar series addresses how health centers can integrate vision services into primary care. More Details...

Mobile Clinic Licensing 101 (2022). Resource Type: Archived Webinar. Description: CPCA hosted a webinar training session for licensing a mobile clinic on April 25, 2022. This webinar provides an overview of the following: o Mobile Clinic Definitions o Licensing requirements for a mobile clinic operated by a Primary Care Clinic in California as enforced by the California Department of Public Health (CDPH) o What to expect once you have applied for licensure o Who to contact for updates on the status of your application o Additional considerations, requirements, and best practices for operating a mobile clinic More Details...

NACHC Veterans Interest Group Office Hour (2022). Resource Type: Archived Webinar. Description: This recording is from NACHC's April 14, 2022 all-virtual Veterans Interest Group Office Hour. More Details...

Integrating HIV Prevention into Primary Care (2022). Resource Type: Archived Webinar. Description: This webinar discussed best practices for integrating HIV prevention (e.g. HIV testing, PrEP and linkage to care) into primary care within the context of enhancing clinical workforce development. More Details...

Building Partnerships to Address Food Insecurity (2022). Resource Type: Archived Webinar. Description: The lack of access to socially acceptable means for acquiring healthy foods can lead to individuals and families making tradeoffs that harm their well-being. Screening for food insecurity is a starting point to identifying patient/community needs, but effective partnership plans for support health care providers need ways to promptly connect patients with access to healthy food. This webinar will discuss how health centers can further support or modify current infrastructure to make connections to referral systems that support patient/community abilities to purchase healthy food. More Details...

Addressing Health Care Challenges for Migrant Farmworkers (2022). Resource Type: Archived Webinar. Description: Today in the Golden State, farmworkers encounter numerous risks to their health and increased barriers to care before, during, and after migration. Health centers play a crucial role in addressing disparities in accessing COVID-19 services, education, and resources in special and vulnerable communities. Health centers that serve migrant farmworker and their families face unique challenges. Mobility results in poor continuity of care, and the health issues that fact migrant farmworkers and other mobile underserved populations are often magnified or compounded by their migratory lifestyle. In this webinar, we provide examples, tools, and best practices to help health centers better integrate health center teams (e.g., providers and community health workers) and external partnerships (e.g., community-based organizations and local government). More Details...

Improving Health of Public Housing Residents Through Intentional Health Center and Housing Authority Partnerships (2022). Resource Type: Archived Webinar. Description: In collaboration with the National Nurse-Led Care Consortium, the National Center for Health in Public Housing conducted a webinar highlighting the health center and housing authority partnerships that have led to improved health for public housing residents. More Details...

Building Partnerships to Address Housing Insecurity (2022). Resource Type: Archived Webinar. Description: The COVID-19 pandemic has highlighted the need to focus on different patients’ demographics that have been disproportionately affected by the virus. Additionally, the public health emergency interrupted capacity building health centers have been developing for patient-centered services to different special populations. This webinar will discuss how health centers can further support or modify current infrastructure to meet the needs of the patients experiencing homelessness (PEH) or in public housing, for COVID-19 care and beyond. More Details...

Meeting the Needs of the LGBTQIA+ Community at Community Health Centers in the South (2022). Resource Type: Archived Webinar. Description: Lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) citizens are a diverse community. However, they share a common need for culturally competent health care that recognizes and responds to specific risks and challenges due to social and structural inequities such as stigma and discrimination. This webinar aims to educate stakeholders on the needs and experiences of the LGBTQIA+ community and inform how HRSA health centers can effectively serve this community by addressing local needs and disparities and identifying opportunities to advance health equity through training, education, and collaboration with local community organizations. More Details...

Diabetes Management and Oral Health (2022). Resource Type: Publication. Description: The harsh working conditions can place MSAWs at higher risk for health complications as they are most likely to skip meals and take medication at prescribed times when working long shifts.1 Besides lack of health insurance, linguistic barriers, and lack of time for general medical care, MSAWs face a lack of dental insurance and dental care, which can lead to deteriorating oral health. Dental disease is one of the most common and preventable diseases but is not always the priority of patients managing diabetes More Details...

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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.