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Quick Finds: Special and Vulnerable Populations

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

Background. Special and Vulnerable Populations resources help health centers provide services that are culturally and linguistically appropriate to the patient population. For more information on serving Special and Vulnerable Populations, visit HRSA’s website.

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Results for: Topic Area = Special and Vulnerable Populations

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The COVID-19 Pandemic Resources and Information: Spanish and English (2020). We at Migrant Clinicians Network have a priority to support both clinicians and the vulnerable patients they serve. MCN continually develops strategies and resources to support health centers, health departments, community groups, and clinicians as they reach out to communities that are often overlooked and give care to patients who might otherwise have nowhere to go. We remain highly concerned for the vulnerable populations that already encounter numerous barriers to health and to care. More Details...

So You Want to Start a Health Care for the Homeless Program (2021). This two-page quick guide answers the common question: How do I become an HCH grantee? It addresses both existing health center grantees and non-health-center prospective applicants. More Details...

Fotonovela: Be Informed About the COVID-19 Vaccine (2021). This resource is an Illustrated brochure for agricultural workers that provides information and answers questions about the COVID-19 vaccine. It was jointly developed by Farmworker Justice, National Center for Farmworker Health, and Health Outreach Partners. More Details...

Maintaining Access to Dental Services During COVID-19 (2021). At the outset of the COVID-19 pandemic, dental services were deemed non-essential and oral health services stopped. For people experiencing homelessness especially, however, dental services are critical. Over time, Health Care for the Homeless health centers innovated strategies to reopen and sustain access to these crucial services. This paper tracks themes from these innovations and recommends strategies to keep oral health services going during a pandemic. More Details...

Using HRSA Health Center Funding from the American Rescue Plan Act to Improve Systems of Care for People Experiencing Homelessness (2021). As part of a larger $10 billion dollar investment to expand vaccine access in hardest-hit and high-risk communities, $6 billion dollars is being allocated by HRSA to 1,376 health centers to expand access to care. This funding presents a substantial opportunity to meet immediate needs and also improve systems of care for people experiencing homelessness. Read our issue brief on funding possibilities. More Details...

Antigen Testing in Congregate Shelters: Process Outline and Implementation Playbook (2021). Ongoing testing is still needed to identify cases and properly treat those with symptomatic or asymptomatic COVID. The CDC has issued Interim Testing Guidance for shelters and encampments to inform practices. Use this Antigen Testing Playbook for step-by-step guidance on implementing a comprehensive testing strategy in congregate shelters. More Details...

A Clinical Resource Guide for Community Care Centers During the COVID-19 Pandemic (2021). The COVID-19 pandemic is requiring a comprehensive infectious disease response. People experiencing homelessness are at a unique disadvantage in adhering to infectious diseases prevention and control directives. In response, many communities have created facilities that provide 24/7 shelter, urgent and medical respite care, and infection prevention and control measures. This guide will focus on the needs of homeless populations requiring a stay at centers because they have tested positive for COVID-19, have been exposed to it, or are thought to be particularly vulnerable to COVID-19 exposure. More Details...

COVID-19 Vaccine:  Tips from your Community Health Worker (2021). COVID-19 vaccines are a critical tool to help stop the spread of disease and protect our communities. MHP Salud\'s Tips from your Community Health Worker resource for is designed for health workers supporting patients with Limited English Proficiency (LEP). The tips and resources aim to help health centers build vaccine confidence among the migrant and agricultural worker population and their families. More Details...

Bridging Patient Access: Best Practices for Community Health Workers (2021). As telehealth services continue to bridge patient access to health services, it is important for health centers to focus on best practices that ensure excellent delivery of care. Thisguideincludeshelpful information about telehealth service delivery, tips for providing good virtual care, and how Community Health Workers(CHWs)can engage in telehealth. More Details...

Sexual Health and Older LGBTQIA+ Adults - 2021 (2021). Sexual health is an integral part of overall health, and this remains so as people age. This publication describes core terms and concepts for sexual orientation and gender identity, addresses common misconceptions about sexuality and aging, and outlines special considerations for the sexual health care of older adults, including a demonstration of how to elicit an affirming sexual history. More Details...

The Invisible Second Patient: Supporting the Family Caregiver (2021). This webinar focused on educating participants about engaging family caregivers as a part of the healthcare team and the value of promoting opportunities for their own self-care. More Details...

The Importance of Social Connection for Older Adults During COVID-19 (2021). Physical distancing and loss of social supports during the COVID-19 pandemic may result in situations where vulnerable older adults experience emotional distress and poorer health outcomes. This webinar focused on helping participants understand the importance of early identification of ways to identify and support socially isolated and lonely older adults. More Details...

Promoting Health Literacy in Older Adults (2021). This webinar focused on applying an individualized approach to clarify and improve communication with older adult patients and support their healthcare engagement. More Details...

National Diabetes Prevention Program: Final Summary 2021 (2021). This program 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 $1,350,000 with 0 percent 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. More Details...

Managing Diabetes in Older Adults within a Dental Setting: A Practical Integrated Care Approach (2021). This webinar focused on the benefits of implementing and monitoring blood glucose and hemoglobin A1C testing for older adults in their health center oral health services. More Details...

COVID-19 Vaccination Clinic Implementation Toolkit (2021). This is a toolkit for decision-makers and implementers of vaccine clinics. Our goal was to create a “vaccination clinic in a box” that could be replicated in, and tailored to, many types of settings. The guide includes prompts for questions you may need to ask, examples of many types of documents that you may need (and information about where to find more documentation), and lessons-learned from our experience. More Details...

FQHC Roles and Opportunities Related to Rural Hospital Financial Distress and Closure (2021). This publication, prepared with support from the Health Resources and Services Administration, provides a high-level examination of the lived experiences of Federally Qualified Health Centers (FQHCs) that serve rural communities, particularly in the context of rural hospital financial distress and closure. (Released in 2021) More Details...

Financial Impact of COVID-19 on Rural Federally Qualified Health Centers (2021). The Financial Impact of COVID-19 on Rural Federally Qualified Health Centers report highlights the net projected losses of Rural FQHCs from April 2020 through June 2021, after taking into account critical federal support made available through December 2020. (Released in 2021) More Details...

Community Health Workers and Peer Specialists: Key Roles in Addressing Diabetes Control Before and During COVID-19 Health Pandemic (2021). This publication showcases the important role of front-line CHW/Peer Specialists in maintaining connections with the community for diabetes control, especially in the time of a health pandemic. More Details...

Population Management Approach to Reaching Key Populations as they Become Eligible (2021). To meet the demand for knowledge on COVID-19 vaccines, CHCI and its Weitzman Institute is moving back to weekly COVID-19 national webinar sessions! More Details...

Addressing Vaccine Hesitancy: Media, Web Page, Person to Person, and Target Populations (2021). Weitzman ECHO COVID-19 combines specific didactic, case-based learning and COVID-19 experiences and expertise in primary care to front line Safety Net healthcare providers across the country during this pandemic. More Details...

Ready, Set, Prep Program (2021). CPCA partnered with the Office of the Assistant Secretary for Health (OASH) Region 9 Prevention through Active Community Engagement (PACE) Director to record a webcast that provides 2021 updates on the Ready, Set, PrEP nationwide program and offers various bilingual resources that speak to accessing PrEP medications at no cost. More Details...

Health Policy Bulletin Winter 2021: Policies in Action to Promote Emergency Preparedness (2021). Farmworker Justice's Health Policy Bulletin is a summary of policy, program, and research developments that affect farmworker health and access to health care. This issue focuses on emergency preparedness in agricultural worker communities. More Details...

Partnering for the COVID Vaccine: Lessons from the Flu-LEAD Project (2021). The National Nurse-Led Care Consortium, the National Center for Health in Public Housing, and subject matter experts from the U.S. Department of Housing and Urban Development hosted a webinar about leveraging health center and housing authority partnerships for COVID vaccine distribution. More Details...

Infographic: COVID-19 mRNA Vaccine FAQ (2021). This infographic is meant to be a client-facing handout providing education and FAQs on the Pfizer and Moderna COVID-19 vaccines. While it is designed to be accessible to populations experiencing homelessness, it is applicable to all patients. More Details...

Trauma, Mental Health, and Access to Services for People Experiencing Homelessness During COVID-19: Healing Hands (2021). Healing Hands, a publication of the HCH Clinicians’ Network, melds scientific knowledge with the experience of clinicians working in Health Care for the Homeless and reflects issues of concern to direct service providers and program administrators who serve people experiencing homelessness. This edition is the first in a two-part series focusing on the mental health impacts of COVID-19. More Details...

Staff Wellness During COVID-19: Healing Hands (2021). Healing Hands, a publication of the HCH Clinicians’ Network, melds scientific knowledge with the experience of clinicians working in Health Care for the Homeless and reflects issues of concern to direct service providers and program administrators who serve people experiencing homelessness. This is the second in a pair of editions focusing on the impacts of COVID-19 on homeless health care. More Details...

Coping with COVID-19: Trauma-informed Care for Pediatric NICU Providers During the COVID-19 Pandemic (2020). This is a FREE online continuing education course that provides 1 credit to nurses, physicians, social workers, and licensed marriage and family therapists. All other professions are welcome to take the course, and will receive a Certificate of Completion. More Details...

Coping with COVID-19: Trauma-informed Care for Frontline Maternity Providers During the COVID-19 Pandemic (2020). This is a FREE online continuing education course that provides 1 credit to nurses, physicians, social workers, and licensed marriage and family therapists. All other professions are welcome to take the course, and will receive a Certificate of Completion. More Details...

Strengthening Partnerships for Better Health Outcomes During COVID-19 (2021). For the first time in recent memory, homelessness has been acknowledged as a public health crisis, one that community health centers of all kinds are beginning to confront. These case studies profile health centers that partnered with homeless services organizations to coordinate on COVID-19 services for people without homes. More Details...

COVID-19 Homeless System Response: Vaccine Planning and Distribution (2021). Vaccines are a vital, lifesaving tool that prevent illness and death. Vaccines have greatly reduced or eliminated many infectious diseases that once routinely killed or harmed adults and children, particularly those living in poverty. It is essential that households experiencing homelessness have access to the COVID-19 vaccine. Many states and counties around the country have prioritized vaccine access both for homeless service providers and individuals experiencing homelessness. More Details...

Consumer Perspectives of the COVID-19 Vaccine: COVID-19 & the HCH Community (2021). To better understand how people experiencing homelessness view the COVID-19 vaccine, the National Health Care for the Homeless Council conducted focus groups with steering committee members of its National Consumer Advisory Board and with consumers from local community homeless service programs. This brief is intended to (1) share their direct feedback so those planning vaccination events can better reach priority populations like those experiencing homelessness, and (2) identify actions that should be taken now to maximize the uptake of the vaccine. More Details...

Homeless Mortality and the Impact of COVID-19 (2021). This webinar gave an overview of the new Homeless Mortality Data Toolkit, featuring two communities who conduct a thorough review of homeless mortality, including reflections on the impact of COVID-19 on untimely deaths. Determining leading cause of death is a crucial part of health centers\' needs assessment requirements; for any health center serving people without homes, the strategies shared in this discussion should be central. More Details...

Understanding Social Determinants of Health: Back to the Basics on the factors that impact health outcomes (2020). This webinar highlights its not just the care received in the clinic. In reality the health outcomes are impacted by services throughout the community. Community partnerships are essential to leverage the resources to meet needs. More Details...

Physical Activity & Diabetes Prevention in the COVID-19 Landscape (2020). In the context of COVID-19 traditional strategies to engage patients in diabetes control were curtailed. This webinar highlights the why and how for physical activity to address diabetes in these constrained economic times and the key roles of community partners. More Details...

Data Integration Best Practices for Health Centers & Homeless Services Publication: Health Center Focus Group Recommendations on Data Integration (2020). Health centers use data and technology to improve health outcomes of patients, speed administrative processes, and collect patients’ health and housing histories. This report advances strategies for large and small health centers to match data with homeless service systems to identify and coordinate care for high utilizers of crisis care systems. More Details...

Breaking the Cycle of Integenerational Diabetes Webinar: Webinar highlights strategies to address diabetes impacting multi-generational families (2021). This webinar highlights health center programs that reach into underserved communities to address diabetes care across generations More Details...

A Call for Reinforcements in Diabetes Care: Maximizing the Role of Non-Clinical Staff and Partners Publication: Issue brief and case studies highlightin promising practices for non-clinical staff with links to the community (2020). Successful diabetes care for vulnerable populations demands a multi-prong approach and support from a range of community resources to address SDOH. This report outlines promising practices utilizing interdisciplinary teams and community resources can support consumers’ self-management and in-turn More Details...

Strategies for Increasing HIV Screening Rates at Your Health Center (2020). Health centers are always searching for innovative strategies to increase their HIV screening rates. This year, health centers have gotten creative by combining HIV testing with COVID-19 screening, while others are mailing at-home HIV testing kits to patients. Finding strategies to help increase HIV screening at your health center is a lesson in trial and error. We hope our latest blog will give you some ideas on improving your HIV screening rates! More Details...

The HCH Community & COVID-19: Vaccines for Clients and Staff (2020). As vaccines for COVID-19 are approved and become available for distribution, questions abound on when they will be available for people experiencing homelessness as well as staff working in community-based programs (such as health centers and homeless shelters). This discussion identified the main challenges to vaccinating the HCH community, the strategies needed to ensure a successful vaccination campaign, and the immediate action steps to consider in order to be prepared. More Details...

Public Housing Primary Care (PHPC) COVID-19 Dashboard (2020). This dashboard by NCHPH provides the latest COVID-19 statistics in Public Housing Primary Care (PHPC) Health Centers, including race and ethnicity data and additional resources. More Details...

Homeless Persons Mortality Toolkit (2020). Homelessness is deadly. People without homes are more vulnerable to virtually every illness and injury and die, on average, 30 years earlier than housed people. As part of health centers' required periodic needs assessment, cause of death for people experiencing homelessness must be measured: this toolkit shows you how. More Details...

Supporting Implementation of Smoking Cessation Programs in Public Housing Primary Care Settings: Learning Collaborative (20; Session 2 11). During this learning collaborative health center staff learned about different aspects for implementation of smoking cessation programs. More Details...

Preparing Your Community for the Flu: Partnering with Health Providers to Prevent a Twindemic: Webinar (2020). During this webinar, the Healthcare Resilience Working Group discussed the initiatives that are currently taking place at a national level to prepare health center communities for flu season 2020 and how partnerships with public housing agencies and health care providers to prevent a twindemic between flu and COVID-19 among vulnerable populations is important during these unprecedented times. In this session, various health promotion resources were shared as well other resources for patients to use to successfully locate a flu vaccine provider. More Details...

Diabetes and Seasonal Influenza (Flu) During COVID-19: Protect Yourself! (2020). This infographic addresses the importance of influenza (flu) prevention among public housing residents with diabetes during the COVID-19 pandemic. More Details...

Culturally Competent Care: Learning Collaborative (20; Session 2 11). This is a learning collaborative series of 4 sessions where Health Center staff learned about standards for providing culturally and linguistically appropriate services (CLAS) to their patients. Slides and recordings for all sessions are available here as well as resources to facilitate the implementation of CLAS in health center settings. More Details...

Considerations for Serving Residents of Public Housing During Emergencies and Disasters: Staff and Patient Wellness (2020). Join the National Nurse-Led Care Consortium and the National Center for Health in Public Housing for a one-hour webinar on staff and patient wellness during emergencies and disasters. This webinar will provide health center with guidance for developing tools and resources that enable health center staff and the patients they serve to navigate the practical and psychological after-effects of disaster events. More Details...

Food Insecurity and Trauma Informed Approaches to BMI and Diabetes Care While Experiencing Homelessness (2020). This archived webinar describes the importance of trauma-informed care in assessing Body Mass Index in the context of diabetes treatment for patients experiencing homelessness. More Details...

Issue Brief: COVID-19 Paid Sick Leave Protections for Agricultural Workers (2020). This issue brief summarizes COVID-19 paid sick leave protections for agricultural workers. More Details...

H-2A Guest Worker Fact Sheet (2020). NCFH has created a fact sheet to provide detailed information on agricultural H2A workers, including demographic data and trends. More Details...

Agricultural Youth Worker Stories from the Field: Hand Harvesting Safety Practices (2020). This digital story explores safety practices for youth working in agriculture by sharing the personal experiences of Juana and Adrian and the lessons they learned about safety while working on a watermelon farm. More Details...

Emergency Preparedness: Infectious Disease Risk: Risk Communication: Infectious Disease (2019). Sarah Darcy, Media Relations Manager for South Shore Health System, speaks on risk communication and how it relates to infectious disease. More Details...

Winter is Coming: Flu and COVID-19 (2020). This webinar described the challenges and strategies of two co-occurring issues: the surge of COVID-19 cases and the flu season. More Details...

Ensuring Access to Care Through State Medicaid Telehealth Policies: COVID-19 & the HCH Community (2020). In order to quickly respond to the COVID-19 pandemic, the federal government allowed temporary flexibilities to many policies related to telehealth services. This issue brief describes the temporary telehealth policies that have been especially successful for Health Care for the Homeless (HCH) health centers, and provides recommended actions at the state/local level for implementing more long-term solutions. Moving forward, making these policies permanent features of state Medicaid plans would help increase access to care for people experiencing homelessness, and improve health outcomes. More Details...

Ending the HIV Epidemic: The Health Center Role: HITEQ Highlights Webinar (2020). This presentation will be led by Dr. Tim Long, and will focus on the four pillars of Ending the HIV Epidemic and primary care HIV prevention. This webinar will focus on the clinical aspects of Ending the HIV epidemic, and use of health IT and EHR to support clinical care. More Details...

COM Talks: Crisis Communications (2020). As part of the COVID-19 Supplemental Funding activities for the Virginia Community Healthcare Association’s 330 Work Plan, the Association has been producing live learning sessions via Zoom at least once a month for health center communications and outreach staff. In each session, a contracted subject matter expert covers a communications and outreach topic pertinent to COVID-19 and crisis/emergency communications. Sessions so far have included Crisis Communications Planning, Outreach Strategies for Vulnerable Populations During a Crisis, and Myth Busting Strategies to Promote Truth Online. Session recordings are available on the Association’s on-demand training platform, the Community Health Center Learning Library. More Details...

Uniform Data System Analysis of Agricultural Worker Patients & Household Members, 2019 (2020). A brief visual overview of sociodemographic information about migratory and seasonal agricultural worker patients of Community & Migrant Health Centers. Based on the 2019 Uniform Data System More Details...

Two Sides of the Same Coin: Addressing Social Determinants of Health and Enabling Services Data Collection (2019). As health centers are held accountable for cost containment and high quality of care under value-based pay arrangements, it is increasingly important for providers to document the social determinants of health (SDoH) barriers of their patients and what services they are providing (both clinical and non-clinical) in order to properly care for those complex patients. Some of these services are called enabling services (ES), defined as non-clinical services that aim to increase access to care and improve health outcomes. Standardized data collection on SDoH and ES are two sides of the same coin and provide the foundation for health centers to succeed in a value-based pay environment. This not only helps them address root causes of poor health, but also highlights the value of the health center model. More Details...

This bilingual tool for Community Health Workers can be printed into a pamphlet that participants can use to track their A1C and other biometric data. (2018). Community Health Workers & Hypertension and Heart Health Interventions: A Resource for Program Managers and Administrators is a resource for Community Health Worker program managers and administrators. It explains how Community Health Worker-led intervention programs can positively impact patients who have hypertension. About 75 million American adults (1 in every 3) have high blood pressure. Although high blood pressure can be easily detected and can be controlled with lifestyle changes and medication, almost a third of individuals with hypertension don’t know they have it, and only about half have it under control. Due to their close understanding of and trust from the communities they serve, CHWs can be particularly strong champions for patients with hypertension and/or at risk of heart disease. More Details...

The Role of CHWs in Addressing Hypertension (2020). Community Health Workers (CHWs) are uniquely qualified to support individuals with hypertension. CHW interventions are known to improve health outcomes among individuals diagnosed with hypertension and support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing hypertension. More Details...

The Role of CHWs in Addressing Diabetes (2020). Community Health Worker (CHW) interventions have demonstrated success in improving health outcomes among individuals diagnosed with diabetes. Additionally, CHWs support at-risk individuals to prevent the development of the condition. The purpose of this guide is to assist health centers and partners in identifying the roles of CHWs in addressing diabetes. More Details...

The National Diabetes Prevention Program: Where We Are, Where We’re Going – Webinar Resources (2019). This Health Resources and Services Administration-supported webinar, in collaboration with the National Nurse-Led Care Consortium, reviewed the results of a national scan of Primary Care Association (PCA) stakeholders around the implementation of the National Diabetes Prevention Program (National DPP), and also provided resources to address areas of need identified in the scan results. More Details...

The Health of Asian Americans, Native Hawaiians and Pacific Islanders Served at Health Centers 2018 (2019). This report examines current patient demographics and utilization of health services at health centers serving Asian Americans (AAs) and Native Hawaiians and Pacific Islanders (NHPIs), and highlights the differences between these centers and the national average of all health centers in the United States. More Details...

Telehealth for Supportive Housing Providers - CSH Three Part Telehealth Series: Guidance for Providers looking to adapt and are considering Billing for themselves (2020). In the COVID19 environment technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. More Details...

Telehealth Basics for Supportive Housing Providers and their Health Center Partners - CSH Three Part Telehealth Series: Guidance for Providers Looking to Support Residents Getting Connected to Telehealth (2020). The public health emergency related to the COVID-19 pandemic has required the health care sector including Community Health Centers and supportive housing providers to work in new ways to support their service participants (i.e. health center patients who are also supportive housing tenants). This brief considers the basics regarding telehealth for collaborations between health centers and the supportive housing field to consider as they adapt to provide services in a manner that protects both the client and staff. More Details...

Supportive Housing and Health Services for LGBTQIA+ Youth Experiencing Homelessness: Promising Practices (2020). This publication addresses health disparities that LGBTQIA+ youth experiencing homelessness face and focuses on ways to increase engagement of LGBTQIA+ youth into health and housing programs. More Details...

Supporting Tenants During COVID-19 Using Technology Based Strategies - CSH Three Part Telehealth Series: Tips for Using Technology to Support Tenants in Supportive Housing Tenants (2020). In Telehealth, the Technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. This guide highlights the steps recommended for establishing your telehealth technology, connecting with residents and compliance with requirements such a HIPAA. More Details...

Leveraging National Diabetes Prevention Programming For Your Health Center (2018). AAPCHO, in partnership with the National Nurse-Led Care Consortium hosted this webinar about the National Diabetes Prevention Program and discusses ways in which community health centers (CHCs) and community-based organizations (CBOs) can take advantage of local, state, regional, and national resources to improve diabetes screening and prevention practices to special and underserved populations throughout the Continental U.S., Hawaii, and the Pacific Islands. More Details...

Know Your A1C Tool / Conozca Su A1C (2018). One of the most commonly reported positive health outcomes in Community Health Worker-led diabetes interventions is the improvement/stabilization of A1C levels reported in patients. The hemoglobin A1C test is a marker widely used to diagnose pre-diabetes and diabetes and to monitor diabetes control in patients. More Details...

How to Properly Use a Face Covering (2020). Coronavirus can be spread between people interacting within a close distance of each other, through speaking, coughing, or sneezing. National agencies such as the Centers for Disease Control are recommending that all individuals wear a face covering to help slow the spread of the coronavirus while out in public.  More Details...

Gender Diversity and Affirmation for Children and Adolescents (2020). This webinar covers behavioral health considerations for gender diverse youth, pubertal blockade as part of a gender affirmation strategy, and a holistic care-team approach to working with gender diverse young people. More Details...

Farmworker Health Network 2020 Key Resources for Agricultural Worker Health (2020). The Farmworker Health Network (FHN) is comprised of six National Cooperative Agreements in migrant health funded through the US Department of Health and Human Services (HHS) to provide training and technical assistance to current and potential Migrant Health Center Programs. The FHN is committed to supporting the development of leadership within Community and Migrant Health Centers and increasing access to care for the farmworker population. More Details...

Enabling Services Data Collection: Documenting Health Center Interventions in a Value-Based Payment Environment (2020). In collaboration with Health Outreach Partners (HOP), AAPCHO promoted the importance of documenting social determinants of health (SDoH) interventions to demonstrate the value and scope of health center enabling services (ES). AAPCHO and HOP was joined by the Community Health Care Association of New York State (CHCANYS) to highlight how state, regional, and national partners can leverage SDoH and ES data for Value-Based Payment (VBP). More Details...

Diabetes, Heart Disease, and LGBTQIA+ Populations (2020). Dr. Alex Gonzalez of Fenway Health  and Katherine Overton of the American Heart Association discuss diabetes and heart disease in LGBTQIA+ populations. More Details...

"Diabetes Management Preparedness During COVID-19 for Pacific Islander Populations” Learning Collaborative Pt 1: Session III: Developing Your Health Center Response Plan: Lessons from the Field (2020). This is the final webinar of three-part webinar series for health center clinicians and care team members to support Preparedness for Diabetes Management During COVID-19 in partnership with members of the Pacific Islander Center for Excellence in Primary Care (PI-CoPCE). PI-CoPCE was established to improve the health of Pacific Islanders in the United States and U.S. Pacific through primary care support, research, workforce development, and community initiatives. More Details...

"Diabetes Management Preparedness During COVID-19 for Pacific Islander Populations” Learning Collaborative Pt 2: Session III: Developing Your Health Center Response Plan: Lessons from the Field (2020). This is the final webinar of three-part webinar series for health center clinicians and care team members to support Preparedness for Diabetes Management During COVID-19 in partnership with members of the Pacific Islander Center for Excellence in Primary Care (PI-CoPCE). PI-CoPCE was established to improve the health of Pacific Islanders in the United States and U.S. Pacific through primary care support, research, workforce development, and community initiatives. More Details...

"Diabetes Management Preparedness During COVID-19 for Pacific Islander Populations” Learning Collaborative Pt 3: Session III: Developing Your Health Center Response Plan: Lessons from the Field (2020). This is the final webinar of three-part webinar series for health center clinicians and care team members to support Preparedness for Diabetes Management During COVID-19 in partnership with members of the Pacific Islander Center for Excellence in Primary Care (PI-CoPCE). PI-CoPCE was established to improve the health of Pacific Islanders in the United States and U.S. Pacific through primary care support, research, workforce development, and community initiatives. More Details...

"Diabetes Care Management Learning Series For Pacific Islander Serving Health Centers" Learning Collaborative Pt 1: Session III: Managing Kidney Complications for Pacific Islanders with Diabetes (2019). This is the final webinar of a three part learning series for health center clinicians and care team members serving Pacific Islander patients with diabetes. The following learning collaborative intends to inform and disseminate successful interventions for Pacific Islander patients impacted by uncontrolled diabetes (HbA1c>9) as prioritized by AAPCHO and the Health Resources Services Administration Bureau of Primary Care. More Details...

"Diabetes Care Management Learning Series For Pacific Islander Serving Health Centers" Learning Collaborative Pt 2: Session III: Managing Kidney Complications for Pacific Islanders with Diabetes (2019). This is the final webinar of a three part learning series for health center clinicians and care team members serving Pacific Islander patients with diabetes. The following learning collaborative intends to inform and disseminate successful interventions for Pacific Islander patients impacted by uncontrolled diabetes (HbA1c>9) as prioritized by AAPCHO and the Health Resources Services Administration Bureau of Primary Care. More Details...

"Diabetes Care Management Learning Series For Pacific Islander Serving Health Centers" Learning Collaborative Pt 3: Session III: Managing Kidney Complications for Pacific Islanders with Diabetes (2019). This is the final webinar of a three part learning series for health center clinicians and care team members serving Pacific Islander patients with diabetes. The following learning collaborative intends to inform and disseminate successful interventions for Pacific Islander patients impacted by uncontrolled diabetes (HbA1c>9) as prioritized by AAPCHO and the Health Resources Services Administration Bureau of Primary Care. More Details...

COVID-19 in Rural America: Impact on Farms & Agricultural Workers (2020). This fact sheet is updated weekly with information on COVID-19 clusters among agricultural workers, and provides an overview of the impact of COVID-19 on farms and agricultural workers. More Details...

Coronavirus Safety Guide (2020). As communities begin to reopen, it is crucial that we continue to practice safety measures to prevent the spread of COVID-19. Our free English and Spanish bilingual safety guide booklet on the coronavirus covers information on how the virus is spread, how to wear, and properly dispose of a face covering, and tips to practice social distancing. More Details...

Community Health Worker Association Development Guide (2019). With a long history of successfully and effectively addressing health disparities, Community Health Workers (CHWs) can fill the gaps in services that many health care organizations experience in reaching underserved populations. Creating an association or state network can engage CHWs and provide greater professional development and networking opportunities, ultimately providing them with the tools to provide better services at their health centers and in their communities. More Details...

Centering Equity in Health and Housing Partnerships in Times of Crisis and Beyond: Supporting front line health providers to understand and incorporate health equity in their policies, programs and delivery of health services. (2020). This paper addresses how health centers, other health system providers, and housing partners can center considerations of equity in their shared work to address the needs of people most impacted by structural racism and its impact on health and social determinants of health, including Black people, people of color, and Indigenous people. More Details...

Care for LGBTQIA+ People of Color (2020) (2020). In this talk from the 2020 Advancing Excellence in Sexual and Gender Minority Health conference, Dr. Darrell Wheeler identifies challenges and solutions for supporting the health of LGBTQIA+ people of color. More Details...

Analysis of Native Hawaiian and Pacific Islander Health Outcomes at Health Centers: UDS 2018 (2020). This report examines the impact of chronic disease outcomes of Native Hawaiians and Pacific Islanders (NHPIs) at health centers and highlights the similarities and differences between NHPI-, NH-, and PI-serving health centers to health centers in the continental United States, Hawaii, and the Pacific region. More Details...

Addressing the Opioid Crisis: Innovative Programs Serving People Experiencing Homelessness: Health center case studies for the Opioid Crisis. (2020). Health centers are increasingly seeing individuals who are suffering from Opioid Use Disorder (OUD) and other Substance Use Disorders (SUDs), and many of these individuals are also faced with housing instability or are experiencing homelessness. Innovation is being driven at the ground level by providers including health centers, public health departments, harm reduction agencies and supportive housing agencies that are all concerned with the impact of OUD and other SUDs on the health of the people they serve. Essential in any innovative care model are the services needed to ensure people experiencing homelessness have access to evidence-based care, including Medication Assisted Treatment (MAT). More Details...

Achieving Health Equity for LGBTQIA People (2020) (2020). In this training, Dr. Alex Keuroghlian discusses important LGTBQIA+ concepts and terminology, highlights the relationship between stigma and LGBTQIA+ health disparities and describes best practices in LGBTQIA+ health related to effective communication, data collection, and creating an inclusive environment. More Details...

A Framework for Health and Housing Partnership During the COVID-19 Pandemic: Key partnership elements for successful health and housing partnerships to address crisis (2020). Community responses to the COVID-19 pandemic like shelter-in-place, quarantine, testing, and management of strained health resources have elevated the necessity and value of effective health and housing partnerships to address the needs of vulnerable populations. This brief highlights strategies for health centers, housing, and community service providers in leveraging partnerships to address a range of health and housing needs both during, and after the COVID-19 crisis subsides. More Details...

Organizing Showers & Hygiene Access for People Living Outside (2020). Even before the COVID-19 pandemic and accompanying economic crisis, unsheltered homelessness was on the rise. Many meaningful reasons prevent some from utilizing shelters, especially in the current environment where sleeping outside may actually mitigate risk of COVID-19 transmission. Therefore, we must meet people where they are. Enter mobile showers: a crucial hygiene service for people living in encampments. This webinar outlined the nuts and bolts of developing and operating showers, in conjunction with other services, as part of a broader organizing effort by and for houseless people. More Details...

Flu LEAD (Linkages to End Access Disparities) Initiative 2020 Information: A Pilot Project to Increase Influenza Vaccination Coverage among HUD-Assisted Residents (2020). This NCHPH informational page provides an overview, and resources about the Flu LEAD pilot project directed by the U.S Department of Housing and Urban Development (HUD and the Health Resources and Services Administration (HRSA) to increase influenza vaccination coverage among residents of Public Housing Agencies (PHAs). More Details...

EnVision Centers, Jobs Plus and Health Centers Interactive Map (2020). NCHPH recently launched a new interactive map. This map shows the location of Health Centers, Envision Centers and Jobs Plus sites. EnVision Centers are centralized hubs that provide people living in public housing with resources and support needed to excel. Jobs Plus Sites. The place-based Jobs Plus Initiative program addresses poverty among public housing residents by incentivizing and enabling employment. Health Centers interested in partnering with near Envision Centers and Jobs Plus sites, visit this NCHPH resource and hover over the organization you want to partner with. Contact information will then be displayed in the information box. More Details...

Building the Plane While Flying It: Health Care for the Homeless, Telehealth and COVID-19, Part II (2020). This Coffee Chat is the second of our series highlighting representatives from three HCH health centers featured in the Council’s recent publication on telehealth. The conversation shared information on how to engage clients through telehealth to enhance the experience and how to develop low-literacy messaging. Presenters discussed how to engage clients with limited or no access to internet or broadband services and establishing “technology hubs” can address these challenges. More Details...

Examining the Impact of COVID on Community Health Centers, Part 1: "At the Core of Care" (Podcast) (2020). Kristine Gonnella, Senior Director of Strategic Initiatives, discusses how the National Nurse-Led Care Consortium is working with partners nationally to make public health preparedness resources more readily accessible to community health centers. More Details...

Bringing lawyers onto the health center care team to promote patient & community health: A planning, implementation and practice guide for building and sustaining a health center-based medical-legal partnership (2020). The toolkit has four parts: 1. Outlines nine conversations that a health center team should have with its legal partners to plan for an MLP’s long-term success and to integrate it into the health center’s operations. 2. Is a deep dive into the specifics of how to develop screening, referral, and service delivery workflows. 3. Looks at how integrating legal services can support health center workforce development, with a particular focus on training. 4. Illustrates the types of projects MLPs can engage in to help your health center move upstream to address SDOH and health equity at a policy level. More Details...

Information for Patients About Dental Amalgam Fillings (2020). Page of FDA website where the FDA recommends patients in some risk factor groups discuss restoration options with their dentist, regarding amalgam fillings that contain mercury. More Details...

Preparing for CY2020 UDS HIV Reporting (2020). Community health centers have an important role in ending the HIV epidemic. In alignment with that important role, several UDS measures related to HIV screening, treatment, and prevention have been added for CY2020 UDS reporting. Specifically, calendar Year 2020 UDS Reporting includes three new or modified HIV measures/ data elements. Download the slidedeck below for additional information on reporting these measures. More Details...

Social Determinants of Health for Public Housing Residents: Access to Healthy Food (2020). Using data and maps created by National Center for Health in Public Housing (NCHPH) and other national data sources, this publication is one in a series that identifies the prevalence of social factors and population health indicators that affect public housing residents. It is intended for non-clinical health center staff, decision makers, and public housing stakeholders. More Details...

Leveraging the electronic health record (EHR) to link health center patients with MLP services (2020). This issue brief provides concrete examples of how health centers in Iowa, Montana, and Texas are leveraging the EHR to complement their screening for the social determinants of health as well as to increase their capacity to deliver targeted MLP-related interventions. More Details...

The Role of Medical-Legal Partnerships for Socially Vulnerable Older Adults (2020). This fact sheet aims to help health centers understand the benefts of medical-legal partnerships (MLPs) for their older adult populations. More Details...

Older Adult Health: At a Glance (2020). This fact sheet provides an overview of older adult needs to health centers in order to better provide care to this population that is growing at an unprecedented rate. More Details...

Building the Plane While Flying It: Health Care for the Homeless, Telehealth, and COVID-19 (2020). This archived webinar highlighted Health Care for the Homeless leaders who described their distinct experiences in adopting telehealth in light of the COVID-19 pandemic. The lessons learned promise to be helpful to other health centers that serve people without homes. More Details...

Standardized Screening for Veteran Status (2020). This webinar highlights an Iowa pilot project between a health center, the state Primary Care Association and the local VA Medical Center. A standardized screening intervention was developed and implemented across the health center organization, resulting in a significant increase of identification of military Veterans within the existing patient base. This improved the health center needs assessment effort as well as a more accurate patient characteristic report to UDS. More Details...

Building the Plane While Flying It: Case Studies on COVID-19, Telehealth, and Health Care for the Homeless Centers (2020). As is the case for most health centers, the COVID-19 pandemic forced Health Care for the Homeless health centers to rapidly adopt telehealth strategies to sustain client services remotely. But serving patients without homes necessitates additional innovation to reach clients in shelters, quarantine facilities, or even on the street, while attending to complex health and social needs. These case studies profile 17 HCH health centers and 2 consumers, offering a range of pragmatic, insightful perspectives on HCH telehealth in the COVID world. More Details...

Fact Sheet: The role of medical-legal partnerships for socially vulnerable older adults. (2020). This fact sheet looks at how integrating medical and legal services for older health center patients can help mitigate overlapping health and social challenges and begin to comprehensively address problems that directly impact a patient’s health and well-being. It examines how these partnerships work, and highlights two medical-legal partnership programs for seniors in San Francisco and Boston. More Details...

Bridging the Digital Divide: Using Technology to Improve Access to Health Care for Public Housing Residents (2020). The purpose of this report is to outline the digital needs and challenges of public housing residents, the risks and benefits of using technology to improve patient care, and recommendations on how to prepare health centers and patients to optimize digital tools, improve access to care, and enhance efforts through partnerships to bridge the digital divide. More Details...

Advance Care Planning During COVID-19 (2020). This town hall conversation explores the legal, policy, operational, and capacity issues related to advance care planning. More Details...

Operating a MLP During COVID-19, A Town Hall (2020). This town hall conversation explored strategies for coordinating health and legal efforts during the COVID-19 pandemic. More Details...

Testing for COVID-19 in Homeless Shelters & Encampments: Discussing CDC’s New Health Department Guidance & NHCHC’s Newest Issue Brief (2020). As capacity for COVID-19 testing grows in most communities, high-risk settings such as homeless shelters and encampments are increasingly being prioritized for universal testing events. New CDC guidance for health departments outlines factors that local and state agencies can use to further inform specific policies being developed for these venues. A new National HCH Council issue brief provides lessons learned and testing strategies that HCHs in five cities have found to work successfully when conducting universal testing. This webinar summarized these new resources and hosted active discussion. More Details...

Partnership Opportunities for Health Centers, EnVision Centers, and Public Housing Agencies (2020). The recent COVID-19 crisis his highlighted the magnitude of health inequities faced by public housing residents and the need for a coordinated approach in providing health prevention and treatment, as well as the basic goods and services needed to survive, e.g., food, medicine and shelter. More Details...

The Road to Health Guided Implementation Project (2020). The Road to Health (RTH) Guided Implementation Project is an organizational effort aimed at highlighting the efficacy of CHW programs in addressing diabetes within Health Centers (HCs). More Details...

Su Corazon, Su Vida, Your Heart, Your Life Guided Implementation (2020). Su Corazon, Su Vida/ Your Heart, Your Life (SCSV/YHYL) Guided Implementation Project is an organizational effort aimed at highlighting the efficacy of CHW programs in addressing hypertension within Health Centers (HCs). More Details...

Medical-Legal Partnership Guide for Agricultural Worker-Serving Organizations (2020). FJ’s Medical-Legal Partnership Guide for Agricultural Worker Serving Organizations shares strategies and resources to develop or strengthen medical-legal partnerships (MLPs) in agricultural worker communities. It highlights successful agricultural worker MLPs and resources for health centers and other agricultural worker-serving organizations. More Details...

Cooking in the Colors of the Rainbow: Preventing Diabetes Through Healthy Eating (2020). Coloring book for agricultural worker families that encourages healthy eating to prevent diabetes. Children learn about the importance of consuming a variety of fruits and vegetables to be healthy and strong. Available in English, Spanish, and Haitian Creole. More Details...

Clinician's Guide to the EPA's Worker Protection Standard (2020). The EPA’s Worker Protection Standard (WPS) protects agricultural workers from the health risks associated with pesticides. This guide, jointly developed by Farmworker Justice and Migrant Clinicians Network, provides information to clinicians about the WPS, including basic protections, reporting and monitoring requirements, and important considerations for migrant health clinicians. More Details...

Building Resilience in the Midst of a Pandemic: What Health Care Workers and Leaders Can Do During the COVID-19 Pandemic (2020). A lot of energy has been devoted to the critical need for PPE, the lack of respirators, tests, and the pressure on health centers to help “flatten the curve.” This crisis has left little time to address the impact of workplace and personal stressors on providers and other staff as they try to balance the fear of contracting the virus while carrying a heavy, complex workload. This webinar provided tips and recommendations for leadership, health center staff working at clinical sites on how to create a healthy environment and cope with anxiety, depression and other behavioral disorders caused by COVID-19. More Details...

The HCH Community & COVID-19: Strategies for Proactive Universal Testing (2020). This issue brief complements the most recent CDC guidance on testing among populations experiencing homelessness and provides public health authorities, emergency response systems, HCH health centers, and other community providers with feedback about these experiences. It also offers lessons learned and strategies for conducting successful universal testing events among homeless populations. More Details...

PCA Enabling Services Virtual Summit Podcast Series (2020). The first-ever PCA Enabling Services Virtual Summit and podcast series is co-organized and hosted by the Health Center Association of Nebraska (HCAN) in partnership with Health Outreach Partners (HOP). The seven podcast episodes cover a variety of Enabling Services topics, with a focus towards Primary Care Associations. More Details...

Rejuvenate Consumer Leadership: Lessons from the Updated Consumer Advisory Board Manual (2020). Consumer Advisory Boards (CABs) are advisory groups of people who use services at a health center and work with the organization to improve program management and service delivery. Based on decades of collective experience participating in CABs, the National Consumer Advisory Board (NCAB) has updated its CAB Manual to provide accessible guidance to develop CABs. During this webinar, NCAB members unveiled the updated manual and shared lessons on how to start a CAB and maximize consumer leadership to take your work to a new level. More Details...

Informational Guide for Public Housing Residents During COVID-19 – Know the Basics of Seeking Care: Know the Basics of Seeking Care (2020). This infographic provides general information on how public housing residents can seek care for COVID-19, testing services provided by health centers near public housing agencies and how the Public Charge rule does not apply for these services. More Details...

Consumer Advisory Board Manual (2020). Special-populations-only health centers are eligible for a waiver of the consumer-majority Board if it meets special efforts to engage consumers. The best way to do this for Health Care for the Homeless health centers is the Consumer Advisory Board (CAB). Championed by the National CAB of the National Health Care for the Homeless Council, this manual includes updated lessons from decades of relevant experience. More Details...

MSAW/Housing Playbook and Risk Mitigation: Samples from Family Health La Clinica, Wisconsin (2020). Three documents from Family Health La Clinica, shared by the Wisconsin PCA. Resources include a Playbook, Risk Mitigation Strategy, and Housing & Workplace Best Practices. More Details...

Informational Guide for Public Housing Residents — COVID-19: Know the Basics (2020). This infographic provides general information on COVID-19. More Details...

Transgender Health and Medical-Legal Partnerships (2020). Transgender people have unprecedented access to medical care, but pervasive health disparities persist. Widespread discrimination in health insurance, employment, housing and education, and barriers to obtaining accurate identity documents continue to undermine the health of transgender people. Health care providers play an important role in connecting patients to needed legal services. This can be effectively accomplished through integrated services of a medical-legal partnership that specifically meets the needs of transgender patients. More Details...

Social Determinants of Health for LGBTQIA+ People Part 2 (2020). In this second installment focused on social determinants of health for LGBTQIA+ people, Adrianna Boulin, the Community Outreach & Engagement Manager for Fenway Health discusses how community-based resources can help to mitigate the effects of stigma and marginalization for sexual and gender minority people. This webinar compliments Part 1 by providing actionable solutions to many of the inequities faced by LGBTQIA+ people. More Details...

Social Determinants of Health for LGBTQIA+ People Part 1 (2020). In this webinar Sean Cahill, PhD, the Director of Health Policy and Research at The Fenway Institute discusses social determinants of health for sexual and gender minorities. This session addresses current stressors and solutions to health inequities for LGBTQIA+ people, including the implications of COVID-19 for the community. More Details...

Sexual Health and Wellness for Older Adults Part 2 (2020). In this second of our two-part webinar on sexual health and LGBTQIA+ Older Adults, Lisa Krinsky, LICSW and Kevin Ard, MD discuss social and care measures to support positive sexual health in sexual and gender minority elders. The session addresses social stigma toward the sexual health of older adults and provides guidance on how to best support elders in a healthy sex life. PrEP and other STI prevention and treatment measures are discussed in the context of LGBTQIA+ older adults. More Details...

Sexual Health and Wellness for Older Adults Part 1: Webinar (2020). In this two part series, The National LGBTQIA+ Health Education Center and the National Center for Equitable Care for Elders provide guidance on how to care for the sexual health and well-being of LGBTQIA+ older adults. More Details...

PrEP at Home (2020). In this webinar, Dr. Ken Mayer and Julian Dormitzer, NP, address telePrEP and the PrEP at home model for LGBTQIA+ patients. The webinar covers the basics of starting and monitoring PrEP with an at-home start, and also address specific needs and concerns for sexual and gender minority people around PrEP and telePrEP. There is also a focus on PrEP at home in the time of COVID-19. More Details...

PrEP and Informatics (2020). In this webinar experts from Fenway Health and HITEQ discuss using data, electronic health records, and informatics to make informed decisions regarding PrEP (pre-exposure prophylaxis) for HIV prevention. The webinar covers both clinical data usage and administrative staff support in using data and informatics for optimizing PrEP in health centers. More Details...

Pharmacy and Finance for PrEP (2020). In this webinar Dr. Rupa Patel discusses pharmacy and financing considerations for initiating and managing PrEP. Dr. Patel, Assistant Professor of Medicine and Director of the PrEP for HIV Program at the Washington University of Medicine in St. Louis, will explore these topics and provide guidance for health centers providing PrEP to their patients. More Details...

Neurodiversity and the Gender Diverse Experience (2020). This webinar addresses the intersectionality of LGBTQIA+ identity and neurodiversity. Dr. Gerrit van Schalkwyk discusses psycho-social implications for people who are sexual and gender minorities and also neurodiverse, and also talks about how to best serve these individuals. Janet Barbieri of the Autism/Aspergers Network of New England (AANE) addresses social supports for LGBTQIA+ and neurodiverse people and the importance of community opportunities and engagement for these individuals. AANE Speaker’s Bureau panelist Kendrick Cronin describes his experience as an LGBTQIA+ and neurodiverse person, and talks about what he needs from his healthcare providers and his community. More Details...

Logrando Equidad en la Salud para las personas Lesbianas, Gays, Bisexuales, Transgénero y Queer (LGBTQ) – Parte 2 (2020). Este seminario virtual en español cubrirá temas relacionados con el logro de la equidad en salud para las personas LGBTQIA+, particularmente aquellos en la intersección de las identidades latina, de minoría sexual, y de género. Esta sesión se dividirá en dos partes. La primera parte cubrirá la terminología básica, y una exploración de un modelo para entender como el estrés único de las minorías puede informar a las disparidades de salud experimentadas por las personas LGBTQIA+. More Details...

Logrando Equidad en la Salud para las personas Lesbianas, Gays, Bisexuales, Transgénero y Queer (LGBTQ) – Parte 1 (2020). Este seminario virtual en español cubrirá temas relacionados con el logro de la equidad en salud para las personas LGBTQIA+, particularmente aquellos en la intersección de las identidades latina, de minoría sexual, y de género. Esta sesión se dividirá en dos partes. La primera parte cubrirá la terminología básica, y una exploración de un modelo para entender como el estrés único de las minorías puede informar a las disparidades de salud experimentadas por las personas LGBTQIA+. More Details...

HIV Prevention/PrEP at Health Centers: An Overview and Current Best Practices (2019). Dr. Kevin Ard and Dr. Jennifer Reske-Nielsen discuss HIV and PrEP in primary care and sexual health clinic settings, and the current state of HIV research and treatment in the United States. More Details...

Caring for Intersex Patients (2020). In this webinar we will define what it means to be intersex, address common misconceptions about intersex experience, discuss specific challenges faced by the intersex communities in accessing high-quality care, and outline best practices for how providers at health centers can effectively serve intersex patients. More Details...

Behavioral Health Care for Transgender and Gender-diverse People (2020). In this webinar, Dr. Alex Keuroghlian discusses behavioral health care for transgender and gender-diverse people at health centers. This session will contextualize mental health inequities across diagnostic categories within a gender minority stress framework, propose culturally responsive tailoring of evidence-based clinical practices, and offer strategies for building inclusive, affirming, and trauma-informed environments within health centers in order to optimize behavioral health outcomes. More Details...

Homelessness & COVID-19 Webinar Archives (2020). In the peak of the emergency response to COVID-19 cases among people experiencing homelessness, the National Health Care for the Homeless Council held semiweekly webinars/forums on the most pressing issues facing health centers in April and May. View all recordings of this series now. More Details...

Diabetes Continuum of Care: Understanding Health Literacy to Improve Diabetes Outcomes (2020). In session 2 of the four-part National Learning Series, we explored the importance of health literacy for successful self-management of chronic conditions; described the impact of low health literacy has on diabetes prevention and outcomes among patients from special and vulnerable populations; and developed practical strategies to communicate health information and help patients build health literacy skills over time. More Details...

Improving Behavioral Health Screening & Access to Treatment for Veterans in Community Care (2020). This toolkit describes a partnership between the Iowa Primary Care Association (Iowa PCA), Community Health Centers of Southeastern Iowa (CHC/SEIA), and the VA Office of Rural Health (ORH) Veterans Rural Health Resource Center-Iowa City (VRHRC-IC). These partners came together with the goal of establishing mechanisms to ensure veterans seeking care at all CHC/SEIA locations could be systematically identified, screened for behavioral health issues, and engaged in healthcare guided by their choice to remain in the community or engage in a VA care setting. More Details...

TRACIE Report on COVID-19 Challenges to Rural Health (2020). The Technical Resources, Assistance Center, and Information Exchange (TRACIE) is a site created by the Assistant Secretary for Preparedness and Response at the U.S. Department of Health & Human Services. In this report, TRACIE explains and provides data for pandemic challenges specific to rural populations and health care facilities. More Details...

Enabling Services Data Collection: Documenting Health Center Interventions In A Value-Based Payment Environment (2020). In collaboration with Health Outreach Partners (HOP), AAPCHO promoted the importance of documenting social determinants of health (SDoH) interventions to demonstrate the value and scope of health center enabling services (ES). AAPCHO and HOP was joined by the Community Health Care Association of New York State (CHCANYS) to highlight how state, regional, and national partners can leverage SDoH and ES data for Value-Based Payment (VBP). More Details...

Healing Hands: Harm Reduction (2020). This edition of Healing Hands from the Health Care for the Homeless Clinicians' Network explores how harm reduction principles apply to various clinical settings and explains why the philosophy is so critically important. More Details...

Data Dashboard – COVID-19: Health Care for the Homeless Comparative Data (2020). This new COVID-19 Data Dashboard features comparative data on testing results, testing capacity, clinic closures, telehealth visits, and virus disparity by race and ethnicity from health centers, health centers with only 330(h) funding, and all health centers with 330(h) funding. More national health center data is available on HRSA's website. New health center COVID-19 data is collected weekly, and we will continue to update these figures as new data emerges. More Details...

Partnering with the VA to Provide Care for Veterans in Community Health Centers: Fact Sheet (2020). This two-page fact sheet explains how health centers can become an approved community provider by the US Department of Veterans Affairs (VA). It includes a short Q&A format. It is an update to the previous Fact Sheet, dated January 2019. More Details...

Health Centers Serving Veterans: A Toolkit for the Veteran Community Care Program (VCCP) Administered by the U.S. Veterans Health Administration (2020). This resource provides a detailed overview of the history, current status and future plans of the US Department of Veterans Affairs “Veteran Community Care Program” (VCCP), through which health centers are eligible to serve as approved provider sites for Veterans receiving health care through the U.S. Veterans Health Administration (VHA)/VA. This is an update to the previous toolkit, dated March 2019. More Details...

Care Coordination: Planning for COVID-19 Hospitalizations: Strategies for partners pre- and post - COVID 19 Hospitalizations (2020). This document summarizes care team roles and key recommendations specific to supportive housing residents whose CIVID-19 symptoms are severe enough to require hospitalization. More Details...

Navigating Emergency Food Resources in Times of Crisis & Beyond: Three Step Approach to Understanding food resources in your community (2020). This brief is intended to help supportive and affordable housing and health and human service partners understand and more effectively assess resident and client access to emergency food. This navigation is especially important during unforeseen disruptions to local economies such as natural disasters, public health emergencies, or civic unrest. More Details...

Lessons Learned in Diabetes Care for Homeless Populations: Best practices from peer collaborative of health centers and supportive housing providers (2020). This publication summarizes key barriers and promising practices in the field identified by collaborative participants related to diabetes care for individuals experiencing homelessness or formerly homeless in supportive housing. More Details...

Enhancing Social Connectedness in times of Physical Distance: Highlight promising practices for keeping connected with clients (2020). The current need for physical distancing to prevent the spread of COVID-19 means that many people may become more isolated. Here are suggestions for how to encourage social connectedness while practicing physical distancing and following critically important CDC guidance regarding how to not spread the virus. More Details...

Care Coordination: Planning for COVID-19 Hospitalizations: Strategies for partners pre- and post - COVID 19 Hospitalizations (2020). This document summarizes care team roles and key recommendations for COVID-19 protocols specific to supportive housing residents whose symptoms are severe enough to require hospitalization. More Details...

Addressing the Opioid Crisis: Federal Funding and Opportunities for Health and Housing Collaboration: Focus on Resources and Partnerships (2020). There are a variety of state and federal resources available to aide health centers in providing services and housing connections to patients they treat with Opioid and substance use disorders. This brief describes the role of single state authorities (SSAs) who are responsible for managing the publicly funded substance abuse prevention, treatment and recovery system, new federal funding targeting the opioid crisis and opportunities for collaboration in your community. More Details...

Personal Protective Equipment [PPE] is Only One Part of the Equation (2020). This blog post details why personal protective equipment is only one part of a larger protection strategy. More Details...

Equitable Housing Policy Central to Addressing COVID-19 Pandemic (2020). This blog post outline what policymakers and healthcare providers can do - both now and in the future - to respond to the needs of those at greatest risk during the COVID-19 pandemic. More Details...

Migrant Health Centers & COVID-19 Infographic (2020). NCFH's infographic describing the results of the most recently available survey data for Migrant Health Centers conducted by HRSA, updated weekly. More Details...

The COVID-19 Pandemic: Information and Resources (2020). We at Migrant Clinicians Network have a dual priority to support clinicians and the vulnerable patients that they serve. MCN is presently developing strategies and gathering resources to support clinicians as they reach out to communities that are often overlooked and give care to patients who might otherwise have nowhere to go. We remain highly concerned for the vulnerable populations that already encounter numerous barriers to health and to care. More Details...

Medical Respite Care & Alternate Care Sites (2020). This issue brief is intended to provide health centers, public health authorities, emergency response systems, and Alternate Care Site program administrators with an operational framework that will improve the quality of care at ACS programs and promote longer-term stability for vulnerable people. Ideally, communities can retain this increased capacity for medical respite care after the pandemic subsides given the high level of need for these programs prior to COVID-19. More Details...

Diabetes Continuum of Care: Pillars of Community Engagement (2020). This webinar is part of the Special and Vulnerable Populations - Diabetes Task Force's 2020 National Learning Series. This session is focused on community engagement and is part four of a four-part webinar series on effective strategies to prevent, treat, and manage diabetes among special and vulnerable health center program patients. More Details...

Diabetes Continuum of Care: Effective Service Delivery Approaches to Improve Health Literacy (2020). This is the third webinar of the Special and Vulnerable Populations - Diabetes Task Force's 2020 National Learning Series. This session is focused on health literacy and is part of a four-part webinar series on effective strategies to prevent, treat, and manage diabetes among special and vulnerable health center program patients. More Details...

Diabetes Continuum of Care: Understanding Health Literacy to Improve Diabetes Outcomes (2020). This is the second webinar of the Special and Vulnerable Populations - Diabetes Task Force's 2020 National Learning Series. This session is focused on health literacy in diabetes and is part one of a four-part webinar series on effective strategies to prevent, treat, and manage diabetes among special and vulnerable health center program patients. More Details...

Guidance on Team-Based Care for Older Adults With Multiple Chronic Diseases: Focus on Oral and Behavioral Health Management of the Older Adult Patient With Diabetes (2020). This publication provides guidance to health center providers to establish a team-based care approach to health care delivery to older adult patients with diabetes. The resource explores the roles of oral health, behavioral health, and social determinants of health in managing older adults with diabetes. More Details...

Diabetes Continuum of Care: Team-Based Care (2020). This webinar is the kick off to the Special and Vulnerable Populations - Diabetes Task Force's 2020 National Learning Series. This session is focused on team-based care and is part one of a four-part webinar series on effective strategies to prevent, treat, and manage diabetes among special and vulnerable health center program patients. More Details...

Community Information Exchange: Using Data to Coordinate Care for People Experiencing Homelessness: Addressing COVID-19 and Beyond (2020). As health centers continue to build innovative models to serve people experiencing homelessness, partnerships to address the social determinants of health become more crucial. A major challenge organizations face in building and sustaining these partnerships is communication and sharing relevant information to ensure coordinated care. Community Information Exchanges (CIE) build on the work the health care system has done to set up Health Information Exchanges and takes the next step towards integrating data with other service organizations. This publication highlights what CIEs are, how they can be used, and how this could be beneficial during health care crises like COVID-19. More Details...

Managing Diabetes as an Older Adult: Your Diet and Your Dental Health (2020). This publication provides guidance to older adult patients at health centers on how to manage their diabetes through easy-to-understand adjustments to their diet and oral health. More Details...

Assessing Older Adults for Palliative Care Needs (2020). This publication provides guidance to health center providers to identify older adult patients with palliative care needs and serious illness. A stepwise approach can be used to identify, assess, and triage older adults with a serious illness who have progressive functional decline and escalating health care utilization. More Details...

Developing Cross-Sector Partnerships (2020). This guide provides health center staff with tools and strategies to initiate, develop, and sustain community partnerships to better serve older adult residents of public housing. Content of this publication was developed through a 4-session learning collaborative launched by the SDOH academy with a small cohort of HRSA-funded health centers, HCCNs, and PCAs. More Details...

Mi salud es mi tesoro: Un guía para vivir bien con diabetes: My Health Is My Treasure: A Guide to Living Well With Diabetes (2020). Migrant Clinicians Network’s groundbreaking new Spanish-language comic book, “Mi salud es mi tesoro: Un guía para vivir bien con diabetes,” or “My Health Is My Treasure: A Guide to Living Well With Diabetes,” tells the relatable story of Goyo, an agricultural worker with a new diabetes diagnosis. Illustrated by artist and frequent MCN collaborator Salvador Saenz, the colorful, low-literacy comic book allows clinicians to share how to live with diabetes, with content tailored specifically for agricultural workers. More Details...

El papel de las VdS en la protección de los trabajadores vulnerables y sus familias: Trabajando en los tiempo de COVID-19 (2020). Durante este seminario virtual de 90 min MCN tratará de responder a preguntas urgentes de las Ventanillas de Salud sobre COVID-19 y discutiremos estrategias y recursos para proteger la vida de los trabajadores y sus familias. More Details...

WEBINAR | Work in the time of COVID-19: Protecting Vulnerable Workers and Their Families (2020). In this national webinar, presented by Amy K. Liebman, MPA, MA, and Ed Zuroweste, MD, we respond to many of your questions about COVID-19 and discuss strategies and resources to help workers best protect themselves and their families. More Details...

Trabajadores Agrícolas y el COVID-19: Preguntas frecuentes (2020). This MCN blog post serves to provide answers to many of the frequently asked questions we have received concerning Farmworker Health and COVID-19. More Details...

Poblaciones Vulnerables y el COVID-19: Estrategias para apoyar a las comunidades en Puerto Rico (2020). Únase a MCN para este seminario web, donde responderemos a sus preguntas sobre COVID-19 y discutiremos estrategias y recursos para ayudar a las comunidades en Puerto Rico a protegerse mejor. More Details...

Farmworkers and COVID-19: FAQ (2020). This MCN blog post serves to provide answers to many of the frequently asked questions we have received concerning Farmworker Health and COVID-19. More Details...

Developing Relationships with Agricultural Producers: COVID-19 Webinar Series (Part 2): Developing Relationships in Agricultural Industry to Enhance Education, Communication, and Increase Access to Care (2020). This webinar provides information about the current state of COVID-19 epidemiology in rural areas and on U.S. farms, and provides listeners with information about how to obtain contact & location information of agricultural producers, as well as tips for building effective collaborations with producers in the interest of providing agricultural workers with access to health care. Guest speakers include Dr. David Douphrate and Dr. Anabel Rodriguez of the University of Texas Health Science Center, who have extensive experience in conducting health-related research projects and employee health and safety training in partnership with agricultural producers. More Details...

Reducing Harm for People Using Drugs & Alcohol During the COVID-19 Pandemic: A Guide for Alternative Care Sites (2020). People experiencing homelessness cannot recover or protect themselves from COVID-19 at home. Therefore, Alternative Care Sites are being developed to accommodate such clients. This issue brief is intended to provide managers of alternative care sites, including health centers, with a framework for serving individuals with SUD in isolation and quarantine, and reducing possible harmful consequences. More Details...

Frequently Asked Questions on COVID-19 Economic Impact Payments (2020). This FAQ resource highlights information about the recently passed Coronavirus Aid, Relief, and Economic Security (CARES) Act, including eligibility, logistics, and details about one-time $1,200 payments to individuals to support financial stability during the COVID-19 pandemic. More Details...

Developing Cross-Sector Partnerships (2020). This publication provides health center staff with tools and strategies to initiate, develop, and sustain community partnerships to better serve older adult residents of public housing. More Details...

Communications & Outreach Toolkit — COVID-19: Resources & Templates to help Health Centers Communicate information about services and programs during the Coronavirus Outbreak (2020). Resources and templates Health Centers and PCAs can use to communicate information about services and programs to a variety of audiences, including the media, patients, prospective patients, community partners, during the Coronavirus outbreak. Resources include templates and documents like fact sheets, flyers, media relations templates, video animations, and more. More Details...

Homelessness Town Hall — COVID-19: Four-Part Series on Priority Topics (2020). People experiencing homelessness are especially susceptible to COVID-19, and the Council is working to keep the Health Care for the Homeless community up to date with the latest information from the field and a continuously updated resources page. The COVID-19 Town Hall series consists of weekly one-hour sessions with presenters from the HCH front lines bringing health care providers and homeless advocates a chance to hear best practices, ask questions, and engage in discussions on this fast-moving pandemic. More Details...

Why Homeless Populations Are a High-Risk Group — COVID-19 (2020). This shareable infographic explains why people experiencing homelessness are especially vulnerable to to the coronavirus pandemic. More Details...

Using Non-Traditional Technology for Telehealth During COVID-19 Pandemic: Issue Brief for implementing commercial applications for telehealth consistent with March 2020 OCR Guidance (2020). Health and Human Services’ Office of Civil Rights (OCR), the entity responsible for enforcing regulations under HIPAA, stated, effective immediately, it will exercise enforcement discretion and will not impose penalties for HIPAA violations against covered healthcare providers if patients are served on a good faith basis during the COVID-19 nationwide public health emergency. OCR has clarified that, during this public health emergency, these technologies can be used for any services, not only those specific to COVID-19. More Details...

Toolkit on Response to Racism and Xenophobia — COVID-19 (2020). The National Council of Asian Pacific Americans (NCAPA), in collaboration with the Association of Asian Pacific Community Health Organizations, developed a COVID-19 Response Toolkit to address incidents of xenophobia, racism, and hate in the Asian American (AA) and Native Hawaiian and Pacific Islander (NHPI) community. More Details...

Things to Do During the COVID-19 Crisis if You Have Diabetes (2020). This fact sheet synthesizes the distinct advice people with diabetes who experience homelessness need to know about the COVID-19 pandemic. More Details...

Telehealth Policy during Coronavirus/COVID-19 Pandemic (2020). The HITEQ Center is adding additional telehealth information, including policy and regulatory developments, relevant to coronavirus/ COVID-19 pandemic as it impacts health centers as it becomes available. More Details...

Juntos Nos Movemos: Parents and Children Making the Time to Move Together (2020). Juntos Nos Movemos aims to prevent and reduce childhood obesity by helping agricultural worker parents make the most of their limited free time with their children by engaging in a variety of fun and culturally-appropriate physical activities. The curriculum and accompanying materials (trainer’s guide, flipchart, and worksheet, available in English and Spanish) are for outreach staff to share with agricultural worker patients. More Details...

Health Policy Bulletin Spring 2020 (2020). The Health Policy Bulletin is a summary of policy developments that affect farmworker health and access to health care. This issue focuses on access to behavioral health services in farmworker communities. More Details...

Information for Homeless Shelters and Homeless Service Providers Community — COVID-19: Needed Policy Responses for a High-Risk Group (2020). As the COVID-19 virus pandemic continues to grow throughout the world and in the United States, state and local public response systems are implementing a number of public health strategies to prevent further exposures and slow the spread of the virus. Infections among people experiencing homelessness will present specific challenges for those individuals, local response structures, and for Health Care for the Homeless (HCH) programs and other homeless service providers. More Details...

Information for Homeless Shelters and Homeless Service Providers Community — COVID-19 (2020). This infographic is meant for clients experiencing homelessness and the people who serve them to learn more about COVID-19 and measures to prevent its spread. More Details...

Coronavirus Disease 2019 (COVID-19) (CDC) (2020). This short document discusses how health center boards are exercising their governance duties related to COVID-19. More Details...

Issue Brief: Supporting Your Older Adult Patients’ Needs through Enabling Services (2020). This publication provides information for health care providers on how to recognize and access support and enabling services for their older adult patients. More Details...

Issue Brief: Supporting Informal Caregivers of Your Older Adult Patients (2020). This publication provides information for health care providers to support caregivers on how to recognize and access social enabling services for their older adult family members. More Details...

Emergency Preparedness: Tabletop Exercises (2019). The Centers for Medicare & Medicaid (CMS) requires that health centers test their emergency preparedness plans annually. A tabletop exercise may be acceptable to satisfy this requirement if conducted every 2 years. More Details...

At a Glance: Substance Use Disorder in Older Adults (2020). This publication explores the shifting pattern in substance use among older adults in the U.S. The publication serves as an aid for community health center providers to better identify and address SUD concerns with their older adult patients aged 65 and older. More Details...

Identification of Military Veterans upon Implementation of a Standardized Screening Process in a Federally Qualified Health Center (2019). The identifcation of veterans receiving care in community-based settings is important and has implications for healthcare delivery and workforce training and development. More Details...

Health and Housing Partnerships: Progress Towards a Tobacco-Free Community (2020). This webinar reviews the requirements of HUD’s smoke-free rule and identifies behavioral health treatment strategies for tobacco use disorder. More Details...

Back to School: How Health Centers Can Address Diabetes Risk: (2020). This webinar describes evidence-based strategies for reducing diabetes risk among elementary school-aged children while highlighting the role that nurses can play in creating and sustaining those strategies. More Details...

Primary Care for Underserved Populations: Navigating Policy to Incorporate Occupational Therapy Into Federally Qualified Health Centers (2020). Occupational therapy services have the potential to help improve the health and functioning of FQHC patients. Using a FQHC serving American Indian/Alaska Native populations as a case example, we describe how occupational therapy is well suited to help meet the needs of medically underserved populations. We then examine options for integrating occupational therapy into this unique primary care setting, discuss related administrative and policy considerations, and propose possible solutions to identified barriers. More Details...

Innovative Collaboration to Improve Social Determinants of Health in Philadelphia (2020). This webinar provides attendees an overview of the Philadelphia Nursing-Legal Partnership (NLP), a collaboration between public health nurses and attorneys that remediates mothers, children, and families’ unmet social, legal, health, and education needs. More Details...

2019 Uniform Data System (UDS) Report (2020). 2019 Uniform Data System (UDS) Report: Counting Total Patients Served at Health Center Sites Located in or Immediately Accessible to a Public Housing Site More Details...

Intersection on Homelessness and Human Trafficking: A Case Study on End Slavery Tennessee (2020). The purpose of this case study is to provide an example of quality services for individuals with the experience of both homelessness and human trafficking. It is also intended to share signs providers can use to identify a history of trafficking and additional health considerations. More Details...

HUD Policy Brief for Health Centers - Rapid Rehousing: Health centers are increasingly participating in rapid re-housing, which helps individuals and families find stable housing with subsidies and services (2019). Health centers need to understand the resources and how to access to support affordable housing for their clients. Rapid Rehousing is an effective housing intervention to quickly stabilize individuals and families to address their health and service needs. More Details...

Diabetes Management and Oral Health among Older Adults Experiencing Homelessness: Promising and Evidence-Based Practices for Health Centers in Diabetes Management and Oral Care (2019). This publication highlights the diabetes disease burden and gum (periodontal) disease among older adults (50+) who have experienced or are experiencing homelessness and explores promising and evidence-based practices health centers can adopt, aimed at improving overall oral health among this population. More Details...

Food Insecurity Among Older Adults (2019). This publication explores the impact of food insecurity on older adults in the U.S. The publication serves as an aid for clinicians to identify strategies that can assist older Americans in averting food insecurity and its negative health outcomes. More Details...

VA Mission Act Update (2020). This webinar is an overview of the VA MISSION Act for FQHCs presented by Dr. Kameron Matthews, Deputy Under Secretary for Health for Community Care Veterans Health Administration. More Details...

Team Care Connections: Conversations about Moral Distress and Moral Injury (2020). This issue of Team Care Connections examines moral distress and moral injury-- the emotions and bodily changes that occur when there is a disconnect between what a person believes is right and good and what the person is able to do or sees happening. It highlights the experiences of primary care teams and interviews experts to provide suggestions on how to begin discussing moral distress and moral injury, including potential causes and best practices for care teams. More Details...

The Road to Trauma-Informed Care in Primary Care (2020). During this webinar, we heard from the National Council and Zufall Health Center about this program, lessons learned and resources for Health Centers on how to implement a trauma-informed care program on Trauma-Informed Primary Care: Fostering Resilience and Recovery, to educate health care providers on the importance of trauma-informed approaches and to create a change package for implementation of standardized and scalable trauma-informed care practices in the primary care setting. More Details...

Enabling Services Case Study: A Focus on Food Insecurity: Native Health, Phoenix, AZ (2019). This publication is part of a series of case studies that highlight innovative models for providing enabling services to help reduce barriers to care and address social determinants of health. This case study features Native Health, an Urban Indian Health Center that provides a suite of enabling services specifically designed to address food insecurity and promote healthy food choices. More Details...

Enabling Services Case Study: A Focus on Field-Based Services: North Carolina Farmworker Health Program (2020). This publication is part of a series of case studies that highlight innovative models for providing enabling services to help reduce barriers to care and address social determinants of health. This case study features the North Carolina Farmworker Health Program (NCFHP) efforts to deploy an Outreach Team to provide a myriad of core enabling services to farmworkers in the field, at home, and in migrant camps. The case study highlights innovative models of providing outreach and care in addition to discussing key funding, policy, and market drivers. More Details...

Enabling Services Case Study: A Focus on Behavioral Health: Wellspace Health, Sacramento, CA (2019). This publication is part of a series of case studies that highlight innovative models for providing enabling services to help reduce barriers to care and address social determinants of health. This case study features Wellspace Health's (WSH) "Health, Access, Referrals, and Transitions" (HART) program. WSH's HART program utilizes case management services to connect patients to care and to make care transitions to critical clinical and behavioral health services. The HART program provides intensive case management and addresses substance use disorders, suicide prevention, provides street outreach, and respite and recuperative services. More Details...

Veterans Health Administration (VHA) TRAIN - MISSION Act Curriculum (2019). Veterans Health Administration (VHA) TRAIN offers an online, no-cost, continuing medical education curriculum for community providers. This portal provides community providers direct access to curriculum established under the MISSION Act. Community providers are a vital part of VA's high-performing health care network; making sure Veterans who have served our country and their families get the timely, high-quality health care they need. More Details...

Aging in Place: A Resource for Health Centers (2019). This guide builds upon MHP Salud’s experience implementing the CHW model in aging in place programs and the expertise of the National Center for Equitable Care for Elders. These organizations have coalesced their experience to provide guidance on implementing CHW-led aging in place programs by outlining the recruitment, implementation, and evaluation processes. More Details...

Recognizing and Responding to Domestic Violence and Human Trafficking in Health Center Settings (2019). This webinar provides an overview of the public health issues and the programs provided by two health centers in the United States. More Details...

Diabetes Self-Management: Education and Support (2019). Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. DSMES is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training. More Details...

Prevent, Assess, and Respond:: A Domestic Violence Toolkit for Health Centers & Domestic Violence Programs (2019). This toolkit can help build a comprehensive and sustainable response to domestic violence and sexual assault (DV/SA) in partnership with DV/SA advocacy programs (social service organizations) to improve how your health center identifies and responds to DV/SA and promotes prevention, and develop proactive partnerships with local DV/SA advocacy programs to address the health needs of patients and connect them to health centers for care. More Details...

Recommendations for the Care of Patients Experiencing Homelessness at Risk for or Diagnosed with Type 2 Diabetes: Adapted Clinical Guidelines (2019). Clinicians providing health care to people experiencing homelessness routinely adapt their practice to foster better outcomes for their patients. This document has been developed to serve as a reference for members of multi-disciplinary care teams including administrators, and students serving people experiencing homelessness and are at risk for, diagnosed with prediabetes or type 2 diabetes. More Details...

Hypertension Resources in Spanish and English: patient education materials (2012). These Spanish and English hypertension and cholesterol patient education resources were developed by the University of Texas Health Science Center at Houston School of Public Health, El Paso Regional Campus. The artwork was done by Salvador Saenz, a well-known and respected public health educator and artist based in El Paso, TX. More Details...

Aging in Place: A Resource for Health Centers (2019). The proportion of the world’s population over 60 years of age is projected to increase nearly double from 12% to 22% between 2015 and 2050 according to the World Health Organization (WHO). With the dramatic increase of this population, the need for programs and initiatives that address their healthy aging also increases. Ensuring that older adults have access to health care and the ability to “age in place” is a national priority both from a quality of life perspective and a cost savings perspective. More Details...

The National Diabetes Prevention Program: Where We Are, Where We're Going (2019). To provide an overview of the Primary Care Association (PCA) environmental scan and results. More Details...

Working with the HRSA Diabetes Quality Improvement Initiative (2019). The HRSA Diabetes Quality Improvement Initiative is an agency-wide effort to improve diabetes outcomes and lower health care costs. MCN is working in support of the Improvement Initiative by assisting you to access resources and develop performance improvement skills that will enable you to address diabetes care in your mobile and agricultural worker populations. Diabetes care is a complex mix that includes medication, as well as education, self-care behaviors and continuity of care. Adding the factors of mobility, immigration status and culture takes the challenge to another level. More Details...

VA Medical-Legal Partnership Readiness Guide (2019). Veterans are a special population with demonstrated social and legal needs that affect their health and well-being. The VA Medical-Legal Partnership Readiness Guide, developed by the National Center for Medical-Legal Partnership, provides VA medical centers with a step-by-step approach to starting and sustaining an MLP. More Details...

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: A Way Forward for Health Centers (2019). Increasing Awareness and Integration of the Lived Experiences of Black LGBTQ People, Examining and Changing our Personal Views and Behaviors, Assessing the Institutional Cultures of our Health Services, Providing Resources and Mechanisms to Empower Black LGBTQ People, Supporting the Resilience of Black LGBTQ People More Details...

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: An Example of the Way Forward for Health Centers (2019). Presentation OverviewContextual FactorsStructural DeterminantsInterpersonal DeterminantsIndividual DeterminantsWay Forward Increasing Awareness and Integration of the Lived Experiences of Black LGBTQ PeopleExamining and Changing our Personal Views and BehaviorsAssessing the Institutional Cultures of our Health ServicesProviding Resources and Mechanisms to Empower Black LGBTQ PeopleSupporting the Resilience of Black LGBTQ People More Details...

Transgender Health and Medical-Legal Partnerships (2018). This fact sheet describes common social and legal needs that affect the health of transgender individuals, and ways integrated legal services can help meet those needs. It examines medical-legal partnership programs at three health care organizations and how they operate, and it shares stories of people benefiting from medical-legal partnership services. More Details...

Tomato Workers' Health and Safety: A Guide for Health Care Providers (2018). This guide is intended to be a reference for health care providers who work with people employed in the U.S. tomato industry. It aims to prepare providers with a more detailed understanding of hazards, health issues, and work processes associated with different tomato industry jobs. More Details...

Think Yes to Care Customer Service Training (2019). This customer service training model and related materials will allow providers to standardize the service they provide to clients, community partners, and each other. This model was created in 2016, and was adapted from the Multnomah County Library Think Yes! Customer Service Initiative. More Details...

The Role of Structural Competency in the Treatment and Prevention of Diabetes in a Vulnerable Agricultural Worker Population (2018). Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies. Particular attention will be paid to the impact of structural issues on the treatment and management of diabetes for vulnerable populations. More Details...

The Role of Medical-Legal Partnership in Promoting Health Equity (2018). This article shares how more than nearly 400 hospitals, health centers, and clinics across the U.S. are using legal services to treat issues–including housing, access to insurance, and stable guardianship–that drive health inequities. This commentary was published as part of a special edition of Health Affairs on “Advancing Health Equity.” More Details...

Survey of School-Based Oral Health Programs Operated by Health Centers (2014). This paper presents the results of a national online surveys of Health Centers that NNOHA conducted in June 2013 to obtain information about school-based oral health programs located in school-based health centers. More Details...

Supporting the Health of Sexual Minority Women (2019). This publication provides an introduction to understanding and addressing sexual minority women’s (SMW) health. Although SMW have the same preventive health requirements as all women, they also have unique disparities and health care needs. The first half of this publication describes the physical and behavioral health issues that disproportionately affect sexual minority women (SMW) due to stigma and a shortage of culturally affirming care. The second part highlights evidence-informed practices that hold the most promise in supporting SMW who access health centers. A case example of a patient is presented to illustrate how a disparity can be addressed through the integration of primary care and behavioral health services, and by using a trauma-informed approach. More Details...

Suicide Risk Assessment and Management for LGBTQ People (2018). This publication offers a brief summary of what is known about suicidal behavior and risk among LGBTQ people, followed by information and resources for health centers to help both young and old LGBTQ people get support and tap into internal and community resilience. More Details...

Special Learning Session: Addressing Diabetes Risk Factors in Elementary School Children Through Community Partnerships (2019). In this webinar, presenters share three programs that utilize evidence-based guidelines for preventing, screening, and managing diabetes risk factors in elementary-aged children that health centers can bring to local schools. We invite you to learn about additional clinical interventions to provide care for school-aged children and their families and develop action plans for cross-sector partnership. More Details...

Socially Vulnerable Older Adults and Medical-Legal Partnership (2019). The report details three medical-legal partnership programs serving older adults and their impact on preventing homelessness, improving financial stability, and other social determinants. More Details...

Sliding Fee Discount Program (2017). NCFH and Farmworker Justice have created this customizable, low-literacy tool for all Migrant & Community Health Centers to help explain your patients' financial responsibility - how and what patients should expect to pay during their visit - focusing on the sliding fee scale discount program. More Details...

Recruiting, Training, and Retaining LGBTQ-Proficient Clinical Providers: A Workforce Development Toolkit (2019). As lesbian, gay, bisexual, transgender, and queer (LGBTQ) people increasingly access care at health centers, the clinical workforce needs to be prepared to meet the unique health needs of LGBTQ patients. Finding LGBTQ-proficient providers, however, can present a challenge, especially outside major metropolitan areas.In this toolkit, we provide tips and strategies for: 1)Recruiting providers who are either already proficient in LGBTQ health care, or who demonstrate an interest in, and capacity for proficiency in LGBTQ health care; 2) Developing the knowledge and skills of providers to care for LGBTQ patients through training and other professional development opportunities, and; 3)Implementing changes to workplace culture, policies, and processes in order to retain LGBTQ-proficient providers.