Quick Finds: Special and Vulnerable Populations

Social Determinants of Health Lessons Learned, Challenges, and Barriers: A Resource for Health Centers, Vol. 2 (2022). Resource Type: Publication. Description: The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC), four HRSA-funded National Training and Technical Assistance Partner organizations, released a report on lessons learned, challenges, barriers, and impact stories shared from the (4) sessions of the “Screening Methods and Strategies for Using Data on Outreach and Enabling Services to Address Social Determinants of Health” Learning Collaborative. This Learning Collaborative explored strategies to screen special and vulnerable populations for social determinants of health (SDOH) and successfully utilize data to build effective practices to begin addressing SDOH through outreach and enabling services. With these lessons learned, AAPCHO, HOP, MHP Salud, and NHCHC will continue this work with a webinar and successive learning collaborative in 2022-2023. More Details...

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

Providing Diabetes Control Education and Management: Guide for Community Health Workers (2022). Resource Type: Publication. Description: This resource provides educational prevention tools that Community Health Workers (CHWs) can use and share with Migrant Seasonal Agricultural Workers and other vulnerable populations to reduce diabetic health complications. There are several downloadable resources available to guide CHWs on risk factors and prevention methods in oral, eye, and foot health complications, which are commonly linked to diabetes. More Details...

Lessons Learned: COVID-19 Health Literacy in Special & Vulnerable Populations (2021). Resource Type: Archived Webinar . Description: There are a variety of social determinants of health (SDOH) factors that may negatively influence the ability of special & vulnerable populations to understand and make appropriate health decisions, which can put them at higher risk for hospitalization and poorer health outcomes. This webinar will discuss lessons learned related to addressing low levels of health literacy and the spread of misinformation about COVID-19, and how health centers that serve farmworker families and community-dwelling older adults can effectively support patient healthcare engagement. This activity will be co-facilitated with the National Center for Farmworker Health (NCFH). More Details...

Addressing Latent Tuberculosis Infection and Tuberculosis in Asian, Native Hawaiian, and Pacific Islander Communities: The Role of Health Centers for Testing and Treatment – Webinar (August 2021) (2021). Resource Type: Archived Webinar. Description: In this webinar, Tenzin Kunor from We Are TB and Dr. Sheldon Riklon from UAMS Health Family Medical Center in Fayetteville, AR and Community Clinic in Northwest Arkansas spoke about a TB survivor’s experience, and the role of community health centers around latent tuberculosis infection (LTBI) and tuberculosis (TB) disease testing and treatment. In 2019, a total of 8,916 TB disease cases were reported in the United States and its Territories. Out of those cases, TB disease was reported in 3,150 Asians. Asians, Native Hawaiians, and Pacific Islanders are disproportionately impacted by TB at a greater rate compared to other racial and ethnic groups. For example, the rate of TB disease is 32 times higher for Asians than whites. Considering the complex health and social needs of the Asian, Native Hawaiian, and Pacific Islander communities, health centers play a critical role as a safety net provider and community partner to address special and vulnerable populations with increased risk of TB. This webinar shared a patient survivor experience with TB; discuss successful strategies for chronic disease management and LTBI/TB screening, testing, and treatment in high need populations in community health care settings; and share information about the TB Elimination Alliance initiative. More Details...

Medical Respite Standards (2021). Resource Type: Publication. Description: Medical Respite Care is acute and post-acute recuperative care for people experiencing homelessness who are ready for hospital discharge but too frail to recover on the streets or in shelters. This resource constitutes the first and only national standards for medical respite care. They are meant to improve quality and consistency across a range of medical respite programs and to improve opportunities for research and federal funding. More Details...

Understanding and Applying SDOH Screening Data to Address Barriers to Health: Webinar (2021). Resource Type: Archived Webinar. Description: Health centers provide high-quality primary and preventive care to diverse populations in special and vulnerable populations in underserved communities. Health centers also provide a host of enabling services – non-clinical services that aim to increase access to health care and improve population health outcomes. The ability to track and evaluate these services is an important tool for health centers to demonstrate their value in addressing patients’ social determinants of health; of equal importance is the ability to make this data actionable in order to address patients’ barriers to access. More Details...

Social Determinants of Health Lessons Learned, Challenges, and Barriers: A Resource for Health Centers, Vol. 1 (2021). Resource Type: Publication. Description: The Association of Asian Pacific Community Health Organizations (AAPCHO), Health Outreach Partners (HOP), MHP Salud, and National Health Care for the Homeless Council (NHCHC), four HRSA-funded National Training and Technical Assistance Partner organizations, released a report on lessons learned, challenges, barriers, and impact stories shared from the (4) sessions of the “Screening Methods and Using Outreach and Enabling Services to Address Social Determinants of Health” Learning Collaborative. This Learning Collaborative explored effective strategies to screen for SDOH and build effective practices to address SDOH by providing outreach and enabling services for health centers serving Special and Vulnerable Populations. More Details...

Community Health Workers (CHWs) and Peer Specialists: Key Roles in Addressing Diabetes Control Before and During COVID-19 Health Pandemic (2021). Resource Type: Other. Description: Community Health Workers (CHWs) and Peer Specialists leverage their strong understanding of the community as they advance diabetes care for special and vulnerable populations who may experience barriers to accessing quality health care. It is this understanding of the needs in the local environment that has strengthened the ability of CHWs and Peer Specialists (CHW/Peer Specialists) to implement diabetes care programs and protocols as their communities experienced new demands and challenges as the result of the onset of the novel coronavirus (COVID-19) health crisis during 2020. More Details...

Building COVID-19 Vaccine Confidence (2021). Resource Type: Template. Description: Building confidence for the COVID-19 vaccine - especially for special and vulnerable populations like residents of public housing - is a critical component of effective public health, and a top priority for community health centers. Active listening, combined with validating existing hesitation or concerns, demonstrates an effort to meet individuals where they are and an opportunity to provide information. More Details...

Project Highlight: Communihealth Services (2021). Resource Type: Publication. Description: This summary describes the capital expansion efforts of Morehouse Community Medical Centers, Inc. d/b/a CommuniHealth Services in Bastrop, LA, highlighting the planning, financing, and community impact of an estimated $14.1 million health center capital project. By consolidating three of its stand-alone sites, this project will expand medical, dental, and behavioral health services within a single site designed to facilitate CommuniHealth\'s multidisciplinary, team-based model of care. More Details...

Community Health Workers and Peer Specialists: Key Roles in Addressing Diabetes Control Before and During COVID-19 Health Pandemic (2021). Resource Type: Publication. Description: 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...

Physical Activity & Diabetes Prevention in the COVID-19 Landscape: Webinar highlights strategies to address diabetes through physical activity (2020). Resource Type: Archived Webinar. Description: 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...

Diabetes Continuum of Care: Raising the Pillars for Community Engagement (2020). Resource Type: Archived Webinar. Description: This is session 3 of the four-part 2020 National Learning Series. More Details...

Addressing Latent Tuberculosis Infection And Tuberculosis In Asian, Native Hawaiian, And Pacific Islander Communities: The Role Of Health Centers For Testing And Treatment” Webinar (2020). Resource Type: Archived Webinar. Description: This webinar will provide an overview of LTBI and TB disease; discuss successful strategies for testing and treatment in high need populations; and share information about the new TB Community Engagement Network initiative. More Details...

Identifying The Enabling Services Workforce For SDOH Screening And Documentation Webinar (2020). Resource Type: Archived Webinar. Description: The Association of Asian Pacific Community Health Organizations, Health Outreach Partners, MHP Salud, and National Health Care for the Homeless Council partnered on this webinar to explore strategies to screen special and vulnerable populations for SDOH and build effective practices to begin addressing SDOH through Enabling Services. Given the COVID-19 pandemic, this training highlighted the critical importance for ES providers to collect social risk data among health center patients. More Details...

Health Centers Serving Veterans: A Toolkit for the Veteran Community Care Program (VCCP) Administered by the U.S. Veterans Health Administration (2020). Resource Type: Toolkit. Description: 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...

Brief Report: ROI Analysis of CHW Programs (2020). Resource Type: Publication. Description: Despite mounting evidence of the positive impacts CHW programs can have, there is currently a lack of data relating these services to financial outcomes. One possible method to further evaluate and understand these programs’ economic impact is “Return on Investment” (ROI) analysis, which calculates the total benefit derived from each dollar invested in a program. While this type of analysis is rarely performed on CHW interventions, it has the potential to justify their value to a variety of stakeholders. More Details...

Diabetes Continuum of Care: Understanding Health Literacy to Improve Diabetes Outcomes (2020). Resource Type: Archived Webinar. Description: 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...

The Road to Trauma-Informed Care in Primary Care (2020). Resource Type: Archived Webinar. Description: 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...

Team Care Connections: Conversations about Moral Distress and Moral Injury (2020). Resource Type: Publication. Description: 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...

VA Mission Act Update (2020). Resource Type: Archived Webinar. Description: 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...

Primary Care for Underserved Populations: Navigating Policy to Incorporate Occupational Therapy Into Federally Qualified Health Centers (2020). Resource Type: Publication. Description: 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...

Intersection on Homelessness and Human Trafficking: A Case Study on End Slavery Tennessee (2020). Resource Type: Publication. Description: 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...

Innovative Collaboration to Improve Social Determinants of Health in Philadelphia (2020). Resource Type: Archived Webinar. Description: 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...

Back to School: How Health Centers Can Address Diabetes Risk: (2020). Resource Type: Archived Webinar. Description: 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...

Glossary of LGBT Terms for Health Care Teams (2020). Resource Type: Publication. Description: In this glossary, you will find some of the terms most relevant to the health care of LGBT people. More Details...

Migrant Family Emergencies (2020). Resource Type: Publication. Description: This document contains important questions for all migrant families in emergency preparedness. Emergency situations can be hard to predict, but there are easy steps you can take to be prepared. More Details...

Collecting Sexual Orientation and Gender Identity (SO/GI) Data In Electronic Health Records (2020). Resource Type: Archived Webinar. Description: Alex S. Keuroghlian, MD, MPH and Chris Grasso, MPH present the most up-to-date information and strategies for collecting sexual orientation and gender identity information. More Details...

Ag Worker Needs Assessment (2020). Resource Type: Toolkit. Description: Agricultural Worker Community Needs Assessment helps health centers assess the health care needs of the local agricultural worker population. The toolkit, located in the Needs Assessement tab on the Health Center Toolbox webpage, includes an Introduction, Points to Remember, Sample Policy & Procedure, Determining What Information is Needed, and sample needs assessments in English and Spanish. More Details...

Food Insecurity Among Older Adults (2019). Resource Type: Publication. Description: 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...

Prevent, Assess, and Respond: A Domestic Violence Toolkit for Health Centers & Domestic Violence Programs (2019). Resource Type: Toolkit. Description: 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...

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

Recommendations for the Care of Patients Experiencing Homelessness at Risk for or Diagnosed with Type 2 Diabetes: Adapted Clinical Guidelines (2019). Resource Type: Publication. Description: 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...

Diabetes Self-Management: Education and Support (2019). Resource Type: Archived Webinar. Description: 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...

Aging in Place: A Resource for Health Centers (2019). Resource Type: Publication. Description: 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...

Aging in Place: A Resource for Health Centers (2019). Resource Type: Publication. Description: 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). Resource Type: Archived Webinar. Description: To provide an overview of the Primary Care Association (PCA) environmental scan and results. More Details...

Increasing Access to Healthy Food and Exercise in Public Housing Communities: Examples From Public Housing Primary Care Grantees (2019). Resource Type: Publication. Description: Public housing residents face the challenge of living in communities with poor access to healthy foods and safe places to exercise. Addressing access to healthy food and improving diet and exercise are critical components in improving the health of public housing residents. This report provides examples of Public Housing Primary Care Grantee strategies and programs that have increased access to healthy food, exercise and weight control models for public housing residents. More Details...

Center of Excellence for Protected Health Information: FOCUS: PHI is a SAMHSA-funded source for clear and accurate information about patient privacy and confidentiality (2019). Resource Type: Other. Description: Clear and accurate information about confidentiality is important to ensure that patient privacy is protected and that privacy laws are not erroneously interpreted to prevent disclosure of patient information. Individuals living with mental illness or substance use disorders may not seek care without guarantees of confidentiality and privacy protections. Clarifying privacy protections and promoting communication of patient records is critical for improving patients’ access to care and quality of treatment once in care. The Center for Excellence for Protected Health information is supported by SAMHSA and includes key resources around privacy and confidentiality. More Details...

Pre-Exposure Prophylaxis (PrEP) for HIV Prevention: Considerations for Individuals Experiencing Homelessness (2019). Resource Type: Publication. Description: Despite major advancements in HIV testing, treatment, and prevention, HIV diagnoses in the United States have remained stable since 2013. The introduction of Pre-Exposure Prophylaxis (PrEP) has offered an opportunity to significantly reduce HIV transmission rates, yet those most at risk are not the ones utilizing this method of prevention. This fact sheet explores the intersection of HIV and homelessness, focusing on subpopulations with disproportionate rates of infection. It also provides promising practices in prevention and treatment, including recommendations around the initiation of PrEP in the Health Care for the Homeless setting. More Details...

Addressing Diabetes Factors in Elementary School Children Through School and Community Partnerships (2019). Resource Type: Publication. Description: This resource highlights ways health centers (such as federally qualified health centers) can enhance health outcomes of elementary-aged children with obesity and other pre-diabetic through school partnerships. More Details...

Veterans Health Administration (VHA) TRAIN - MISSION Act Curriculum (2019). Resource Type: Online Self-Paced Learning Modules. Description: 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...

Diabetes Management and Oral Health among Older Adults Experiencing Homelessness (2019). Resource Type: Publication. Description: 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...

Increase Access to Care Self-Assessment (2019). Resource Type: Toolkit. Description: Our Migrant Health Program Self-Assessment tool will provide your health center with the framework to assess and document current status of your MSAW program, and to identify gaps and areas of improvement to better reach and serve your MSAW population. More Details...

Community Health Centers Meeting Rural Health Needs (2019). Resource Type: Publication. Description: This short fact sheet covers the barriers to care faced by rural communities and how Community Health Centers are helping to address those barriers: by focusing services on communities with the greatest difficulty accessing or affording care, innovating using telehealth technologies, and recruiting a wide range of health care providers to complement primary care, including dentists, pharmacists, and behavioral health professionals. Ultimately, health centers are achieving better improving outcomes for rural patients. 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). Resource Type: Archived Webinar. Description: This webinar addressed the burden of diabetes among older adults who have experienced homelessness and the burden of periodontal disease among this population; the role of supportive housing as a key social determinant in improving health outcomes, including connections to quality dental care; and promising and evidence-based practices aimed at improving overall dentition among older adults with diabetes who are homeless or formerly homeless. More Details...

Pesticide Reporting and Workers' Compensation in Agricultural - Interactive Map (2019). Resource Type: Toolkit. Description: Includes 1) pesticide reporting regulations for each state and where and how to report; and 2) state workers’ compensation requirements and restrictions in agriculture and for undocumented workers. More Details...

Health Center Heroes: Primary Care and Nurse Home Visiting (2019). Resource Type: Other. Description: NNCC spoke to nurses at the Abbottsford Falls Family Practice & Counseling Network and Philadelphia Nurse-Family Partnership to explore the partnership between primary care and home visiting nurses, and how a public health approach can provide quality care. More Details...

Social Determinants of Health for Public Housing Residents: Diabetes (2019). Resource Type: Publication. Description: Public housing residents are more likely to be affected by community violence and chronic medical conditions such as diabetes. The following issues brief provide descriptions of some of the most critical issues affecting this special population. More Details...

Patients as Care Team Members - Case Study (2019). Resource Type: Publication. Description: In the winter and spring of 2019, the Migrant Clinicians Network (MCN) and the National Nurse-Led Care Consortium (NNCC) hosted a learning collaborative exploring strategies for patient engagement in a health center setting. Throughout MCN and NNCC’s learning collaborative, health center participants discussed two specific tools that can engage patients as members of their own care teams: the Agency for Healthcare Research and Quality (AHRQ) Be Prepared to Be Engaged tool and Motivational Interviewing. More Details...

Success Stories: Health Centers & Military Veterans (2019). Resource Type: Publication. Description: This compilation showcases 10 health centers from around the country and their innovative programs to serve the Veteran patient population, to advance collaboration with the Veterans Administration and to support providers and workforce in caring for Veterans and their families. More Details...

Life of the Party: Making Healthy Choices with Diabetes (2019). Resource Type: Publication. Description: A comic style brochure for agricultural workers that shares information about making healthy food choices with diabetes. More Details...

Streamline (2019). Resource Type: Publication. Description: Streamline is MCN’s quarterly clinical publication. More Details...

It’s Hot and It’s Dangerous! A Webinar for Community Health Workers to Learn about Heat Related-Illness and How to Help Prevent It. (2019). Resource Type: Archived Webinar. Description: This workshop will help community health workers recognize and prevent heat-related illness among at-risk workers. Case studies will show how to recognize the symptoms and health effects of heat-related illness. Participants in this workshop will receive resources for preventing heat-related illness. More Details...

HUD Policy Brief on Rapid Re-housing: Understanding the Impact and Potential for Health Centers - CSH: Health centers are increasingly participating in rapid re-housing, which helps individuals and families find stable housing with subsidies and services (2019). Resource Type: Publication. Description: 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...

Medication Adherence in Elderly With Diabetes: Strategies to Improve Outcomes Amidst Challenges in the Geriatric Population (2019). Resource Type: Archived Webinar. Description: This webinar explored the challenges of multiple medications and complex comorbidities, including cognitive impairment. The presenters provided an overall view of improving medication adherence in the population of diabetic older adults, with special consideration given to the management of these patients in the Community Health Center. More Details...

Innovative Programming and Partnering for People Experiencing Opioid Addiction - Series Part III: Challenges and strategies to address the opioid crisis among those facing homelessness and especially the unsheltered homeless population. (2019). Resource Type: Archived Webinar. Description: Communities are developing innovative programs to address the needs of people experiencing opioid addiction and in particular those who are also experiencing homelessness or housing instability. Join leaders from Philadelphia, San Diego and San Francisco who are developing program models to address those needs. More Details...

Health Center Emergency Management Plan - Template (2019). Resource Type: Publication. Description: This document is to be used as a guide for the development of a health center emergency management (EM) plan, or EMP. Health centers should modify suggested language, policies, and/or protocols to reflect current operations and organizational approach to the EM program’s structure and ongoing maintenance. The yellow, highlighted text that appears in brackets provides direction/placeholders for customizing this plan to align with your health center’s policies and procedures. More Details...

Health Center Communications Plan - Template (2019). Resource Type: Publication. Description: This document is to be used as a guide for the development of a health center Communications Plan. It may be maintained as a free-standing document, or as an annex to your organization’s Emergency Management Plan (EMP). The yellow, highlighted text that appears in brackets provides direction/placeholders for customizing this plan to align with your health center’s policies and procedures. More Details...

Medical Respite Care Programs & the IHI Triple Aim Framework (2019). Resource Type: Publication. Description: This policy brief takes a look at the Institute for Healthcare Improvement’s (IHI) Triple Aim framework and how medical respite care programs can add value to help health centers meet the three improvement goals of this model—population health, the patient’s experience of care, and the per capita cost of health care. More Details...

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: A Way Forward for Health Centers (2019). Resource Type: Publication. Description: 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...

Treatment Models for Non-Opioid Substance Use Amongst Populations Experiencing Homelessness (2019). Resource Type: Publication. Description: This edition of Healing Hands complements a previous issue of Healing Hands, “Non-Opioid Substance Use, Mental Health, and Homelessness,” which contained information about the health impacts and demographic variance of substances that are commonly used by people experiencing homelessness, as well as guidance on confronting and reducing social stigmas about substance use. This issue focuses a lens on treatment by first examining treatment models and pharmacological interventions for substance use disorder, followed by information about additional tools that may assist care providers in providing comprehensive client-centered, trauma-informed physical and mental health care and harm reduction interventions. More Details...

Supporting the Health of Sexual Minority Women (2019). Resource Type: Publication. Description: 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...

HUD Policy Brief: for Health Centers - Rural Homelessness: Understanding the Role and Impact of Housing Policy for Health Centers (Rural Homelessness) (2019). Resource Type: Publication. Description: HUD's 'All Routes Home' initiative targets resources and technical assistance to strengthen collaborations in rural communities to address needs of homeless and vulnerable populations. More Details...

Caring for Sexual Minority Women (2019). Resource Type: Archived Webinar. Description: Dr. Jennifer Potter will discuss healthcare considerations for sexual and gender minority women, with particular emphasis on recent innovations and trauma informed care. This webinar will cover best practices and case scenarios, and will provide a solid foundation for caring for this population. More Details...

Addressing Food Insecurity Among Older Adults in Clinical Settings (2019). Resource Type: Archived Webinar. Description: Because food insecurity is a serious threat to the health and well-being of older adults in the U.S., this webinar sought to equip health centers’ healthcare providers to screen and intervene on this important public health issue. More Details...

Cost of Care Resources (2019). Resource Type: Toolkit. Description: n.a. More Details...

Addressing Health Equity through Health and Housing Partnerships: Strategies for health and housing providers to address the inequities in our systems that impact access to quality health care for homeless and vulnerable populations. (2019). Resource Type: Publication. Description: Community health centers can strengthen their efforts to address the inequities and barriers for homeless and vulnerable populations to access quality health care. This publication highlights the areas for focus for health centers to address the inequities that impact vulnerable populations. More Details...

Managed Care and Homeless Populations: Linking the HCH Community and MCO Partners (2019). Resource Type: Publication. Description: The brief includes the health care needs of this group, describes Health Care for the Homeless projects and the patients receiving care in these venues, a description of managed care, common goals between both entities, and issues that both providers and plans should consider when creating or strengthening partnerships. Because health care providers and insurance plans use different language, the terms “patient” and “member” are used throughout this brief to refer to the individuals being served. More Details...

Adding Mobile Dental Services to a Pediatrics Clinic: Promising Practice (2019). Resource Type: Publication. Description: Harbor Health Services in Massachusetts identified the need for dental services at a primary care location at their health center that did not have a dental clinic. The health center decided to add portable dental equipment to the medical site. This promising practice will discuss how the program was developed and lessons learned. More Details...

Think Yes to Care Customer Service Training (2019). Resource Type: Publication. Description: 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...

Promoting the Behavioral Health of LGBT Older Adults (2019). Resource Type: Publication. Description: This publication will introduce the most pressing behavioral health issues faced by LGBT older adults, and will provide a brief overview of evidence-informed practices for addressing behavioral health needs. More Details...

Promoting the Behavioral Health of LGBT Older Adults (2019). Resource Type: Publication. Description: In collaboration with the National Center for Equitable Care for Elders, The Fenway Institute has created clinical best practices for supporting the behavioral health of LGBTQ older adults. This brief discusses current research on aging LGBTQ people, their needs, and the role of health centers in providing medical and behavioral support to this population. More Details...

New Sexual Orientation and Gender Identity Questions: Information for Patients Translated into 10 languages (2019). Resource Type: Publication. Description: This pamphlet was developed as a companion for health centers asking their patients’ sexual orientation and gender identity. This handout walks patients through why they are being asked these questions and what all of the answer options mean. Patients will be guided on how to choose the best answer, as well as what to do if they do not want to answer these questions. There is also information for patients about why this information is important to the health center, and what will be done with the answers to these questions. More Details...

Building Your Family: LGBTQ Reproductive Options (2019). Resource Type: Archived Webinar. Description: Dr. Rebekah Viloria, OBGYN at Fenway Health and Beth Israel Deaconess Medical Center, presents the most up-to-date options and strategies for LGBTQ people to build a family. This webinar covers options for conception including alternative insemination, IVF, IUI, and more. More Details...

Addressing Intimate Partner Violence Series: Session 2: PROVIDING ESSENTIAL TOOLS FOR MEN TO ACT ON PREVENTING INTIMATE PARTNER VIOLENCE (2019). Resource Type: Archived Webinar. Description: Intimate partner violence (IPV) occurs in all segments of our society, but vulnerable populations like migrant women may encounter additional disparities and barriers to care that make intervention and treatment of IPV more complex. In these two sessions, Migrant Clinicians Network provides specific and effective action items to better serve women who have experienced IPV in the exam room, and to make our communities safer by engaging men in the community. More Details...

A Roadmap for Delivering Child Care in Agricultural Communities (2019). Resource Type: Toolkit. Description: This workbook is designed to help you identify challenges and assets in your agricultural community, as well as help you understand how these factors play a role in accessing child care services. This workbook also offers important resources you can use to overcome common barriers and suggests where to find more information. More Details...

Mobile Dental Units for School-Based Dental Care: Promising Practice (2019). Resource Type: Publication. Description: Gaston Family Health Services in North Carolina established a robust school-based dental program utilizing mobile dental units. This promising practice discusses the health center's mobile dental program to increase access to care for school children. More Details...

A Team-Based Approach to Improving Opioid Management in Primary Care for Vulnerable Populations (2019). Resource Type: Archived Webinar. Description: Prescription opioid use and misuse have reached a crisis level in the U.S., with roughly 58 opioid prescriptions for every 100 residents in 2017 and more than 46 people dying daily from overdoses involving prescription opioids. (Source: Centers for Disease Control Opioid Prescribing Rate Maps). Although treatment plans and improved support options for managing opioid medications for individuals with chronic pain are being developed, implementing these evidence-based strategies in real world primary care settings can be challenging. Community and healthcare centers that treat patients who use opioids long-term for their chronic pain struggle with this issue and need tools and structured guidance in order to make meaningful change. This session will introduce the Six Building Blocks program which provides an evidence-based quality improvement roadmap to help primary care teams implement effective, guideline-driven care for their chronic pain and long-term opioid therapy patients. The session will discuss lessons learned during the implementation of this program and address key elements needed to transform systems of care. Faculty will also discuss upcoming opportunities for more in depth training and resource development designed to address pain management and opioid misuse in the primary care setting. More Details...

Building Surge Capacity for Community Health Centers (2019). Resource Type: Archived Webinar. Description: This webinar describes strategies for community health centers to rapidly assess patient status during an emergency, including ways in which health centers can prepare for patient care during emergent situations. The webinar highlights available resources and additional opportunities for training and technical assistance. More Details...

Addressing Intimate Partner Violence Series: Session 1: CREATING A SUPPORTIVE CLINICAL ENVIRONMENT TO ADDRESS INTIMATE PARTNER VIOLENCE (2019). Resource Type: Archived Webinar. Description: Intimate partner violence (IPV) occurs in all segments of our society, but vulnerable populations like migrant women may encounter additional disparities and barriers to care that make intervention and treatment of IPV more complex. In these two sessions, Migrant Clinicians Network provides specific and effective action items to better serve women who have experienced IPV in the exam room, and to make our communities safer by engaging men in the community. More Details...

Financing Medical-Legal Partnerships: View From The Field (2019). Resource Type: Publication. Description: To date, over 350 health organizations - including over 120 HRSA funded health centers -have implemented medical-legal partnerships (MLPs). This fact sheet draws on national survey data from these organizations and their partnering legal organizations to describe programs’ average budgets as well as a variety of health, legal, and philanthropic funding streams that currently fund MLPs. It also discusses how MLPs are adapting to meet their funding challenges and highlights examples of programs implementing innovative Medicaid financing models to pay for MLP services. More Details...

Special Learning Session: Addressing Diabetes Risk Factors in Elementary School Children Through Community Partnerships (2019). Resource Type: Archived Webinar. Description: 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...

Health Network: A Care Coordination Program for Mobile Patients (2019). Resource Type: Archived Webinar. Description: This webinar provides an overview of Health Network, a bridge case management program for mobile patients. Health Network assures continuity of care and treatment completion by providing comprehensive case management, medical records transfer and follow up services for mobile patients. As rapid travel and ease of mobility make it possible to arrive anywhere in the world in a matter of hours and as shifting economic conditions require individuals and families to move in order to stay employed, Health Network has proven to be an easily modifiable patient navigation system with application in disease surveillance and treatment management for any number of injuries, illnesses or care needs among mobile populations. More Details...

Addressing the Opioid Crisis: Medication-Assisted Treatment at Health Care for the Homeless Programs (2019). Resource Type: Publication. Description: This paper outlines strategies for how Health Care for the Homeless (HCH) programs can start or expand medication-assisted treatment (MAT) services to address the opioid epidemic. While HCH programs serve only four percent of all health center patients nationally, they are responsible for serving nearly 40 percent of all patients receiving MAT. More Details...

Oral Health and Diabetes for Patients Experiencing Homelessness: Fact Sheet (2019). Resource Type: Publication. Description: NNOHA and the National Health Care for the Homeless Council partnered to develop this fact sheet on oral health and diabetes for patients experiencing homelessness. This purpose is to highlight linkages between periodontal disease, diabetes, and homelessness, as well as address, frequently asked questions related to understanding and caring for individuals who are experiencing homelessness. More Details...

Non-Opioid Substance Use, Mental Health, & Homelessness (2019). Resource Type: Publication. Description: This issue of "Healing Hands" highlights the relationship between non-opioid substance use disorder, mental health, and homelessness. Approximately half of people experiencing homelessness have diagnosable substance use disorders at some point in their lives and experience stigma, serious mental illness, and poor health outcomes as a result. More Details...

Implementing Mobile Dental Services in an Elder Care Facility: Promising Practice (2019). Resource Type: Publication. Description: Harbor Health Services in MA identified a need for oral health care for the elderly population in their community. As a result, they implemented a program to offer dental services in an elder care facility in their community. This promising practice describes their program and lessons learned. More Details...

Implementing a Pediatric Teledentistry Program: Promising Practice (2019). Resource Type: Publication. Description: Finger Lakes Community Health in New York established a successful teledentistry program. The teledentistry program focuses on providing pediatric dental care since. This promising practices will discuss lessons learned for this program. More Details...

Health Policy Bulletin: Green Tobacco Sickness (2019). Resource Type: Publication. Description: FJ's Health Policy Bulletin summarizes recent developments in research and policy that impact agricultural worker health. The 2019 Health Policy Bulletin highlights policy and research to mitigate the harm of Green Tobacco Sickness (GTS) among agricultural workers. More Details...

Establishing a Dental Clinic in a Hospital Emergency Department: Promising Practice (2019). Resource Type: Publication. Description: This promising practice follows Community Health Center of Franklin County in Massachushetts. This health center established a dental clinic in a hospital emergency department as an emergency room diversion strategy for patients experiencing dental problems. More Details...

Public Housing Today: Trends, Changes, and Next Steps (2019). Resource Type: Archived Webinar. Description: Alexandra Ernst (Research & Evaluation Group) , Ron Clewer (Alliance for Strong Families and Communities), Shambreia McBrayer + team (American Lung Association), discuss the public housing landscape in the United States and how health centers (and other safety net providers) can access resources to optimize care for residents of public housing. More Details...

Identifying Adolescent Victims of Human Trafficking (2019). Resource Type: Archived Webinar. Description: Human trafficking & commercial sexual exploitation is a significant public health concern. Over 87% of survivors report having contact with medical providers while being trafficked. However, victims of trafficking report not disclosing their status to providers due to obstacles including fear, shame, language barriers, & limited time with staff. This interactive webinar covers signs of trafficking and sexual exploitation among adolescents and young adults, strategies for providers and staff to support trafficked and sexually exploited patients, and resources for providers and health center staff. More Details...

Promoting CDC Tips® Campaign Materials to Public Housing Residents (2019). Resource Type: Publication. Description: Public housing residents are more likely to smoke and suffer from health conditions that are exacerbated by smoking and secondhand smoke exposure. The objectives of this study were to educate health care providers on the CDC Tips® From Former Smokers resources, to increase access to smoking cessation materials for public housing residents and the health care providers that serve them, and to evaluate the pilot project. More Details...

State Strategies Working with Health Centers to Address the Opioid Crisis: Practical approaches and funding opportunities for Health Centers, supportive housing providers and States confronting the opioid crisis. (2019). Resource Type: Archived Webinar. Description: Health Centers and supportive housing providers are confronting the opioid crisis head on in communities across the country with positive results. This session of a 2-part series highlights strategies of working with state agencies. More Details...

Adolescent-Focused Motivational Interviewing: An Interactive and Educational Introduction to Breaking Through Barriers to Positively Impact Change (2019). Resource Type: Archived Webinar. Description: This interactive, introductory webinar was designed specifically for SBHC professionals dedicated to identifying and reducing risk behaviors among their youth populations. Through discussion, activities, and video this webinar introduces you to using MI strategies in real-world practice to improve your ability to identify risk behaviors, communicate effectively with youth and motivate them toward positive, healthier choices. More Details...

Hepatitis B and the Opioid Epidemic: Opportunities to Increase Adult Vaccination: Webinar Resources (2019). Resource Type: Archived Webinar. Description: This webinar focuses on strategies to prevent and eliminate hepatitis B as a U.S. public health threat, particularly among special and vulnerable populations impacted by the opioid epidemic. To access the slides and recording, follow the link provided More Details...

HUD Policy Brief for Health Centers - Recovery Housing: Understanding the Role and Impact of Housing Policy for Health Centers (Recovery Housing) (2019). Resource Type: Publication. Description: Effective health and housing parterships are particularly relevant for those individuals and families facing the challenges of substance use disorders combined with precarious housing stability. This HUD policy brief builds an understanding for health centers on housing policy and approach to recovery housing More Details...

School-Based Health Centers & Medical-Legal Partnerships: A Partnership for Social Equity in Child and Adolescent Health (2019). Resource Type: Archived Webinar. Description: View this webinar to learn how your SBHC, through a medical-legal partnership (MLP), can provide patients with legal services for issues that directly affect their health, better organize your services and programs to address SDOH, and further increase the efficacy of health interventions. More Details...

Nutrition and Diabetes Guide: How Medical Nutrition Therapy Can Improve Diabetes Management (2019). Resource Type: Publication. Description: For people experiencing homelessness, diabetes management remains challenging. This new guide explores the role of Medical Nutrition Therapy and Registered Dietitians in managing diabetes with people without homes and overcoming challenges related to nutrition. Learn more about how other providers are implementing this intervention and how you can bring this back to your own health center in this new resource. More Details...

Clinician Guides for Farmworker Health and Safety Regulations (2019). Resource Type: Toolkit. Description: MCN and Farmworker Justice offer these guides to assist clinicians in understanding farmworker health and safety regulations. Environmental and occupational health topics includes: EPA’s Federal Insecticide, Fungicide, and Rodenticide Act; EPA’s Food Quality Protection Act; EPA’s Worker Protection Standard More Details...

Understanding and Addressing the Social Determinants of Health for Black LGBTQ People: An Example of the Way Forward for Health Centers (2019). Resource Type: Archived Webinar. Description: 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...

UDS Sealant Measure FAQ (2019). Resource Type: Publication. Description: Find answers to Frequently Asked Questions (FAQ) about the HRSA UDS Sealant Measure for children ages 6-9 for dental caries. Developed in consultation with oral health specialists and HRSA staff. More Details...

Homelessness & Adverse Childhood Experiences: The Health and Behavioral Health Consequences of Childhood Trauma (2019). Resource Type: Publication. Description: Childhood trauma is a predictor of poor health outcomes and people experiencing homelessness are more likely to experience adverse experiences in childhood. Learn more about how you can screen for and address ACEs in our new resource. More Details...

Emergency Preparedness: Panel Discussion Q&A: Emerging Infectious Disease Readiness for Community Health Centers and Ambulatory Care (2019). Resource Type: Archived In-Person Training. Description: Dr. Rick Sacra, Bernadette Thomas, Lt. Brian Pomodoro, Sr., and Sarah Darcy answer questions about emerging infectious disease readiness for community health centers and ambulatory care More Details...

Emergency Preparedness: Infectious Disease Surveillance: Infectious Disease Surveillance in Massachusetts and Beyond (2019). Resource Type: Archived In-Person Training. Description: Larry Madoff, MD, speaks on infectious disease surveillance in Massachusetts and beyond. More Details...

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

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

Emergency Preparedness: Health Center Perspective: Protecting our Workforce and Patients from Emerging Infectious Disease (2019). Resource Type: Archived In-Person Training. Description: Bernadette Thomas, DNP, Chief Operations Officer for Lynn Community Health Center speaks on protecting our workforce and patients from emerging infectious disease More Details...

Emergency Preparedness: Ebola Training & Overview (2019). Resource Type: Archived In-Person Training. Description: Dr. Rick Sacra, ELWA Hospital, speaks on Ebola, its history, treatment and his personal experience contracting the virus. More Details...

Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters (2019). Resource Type: Archived Webinar. Description: In this webinar, Sarah Eley, LICSW will discuss the process of providing mental health assessments for transgender and gender diverse people who are seeking a letter(s) of referral for gender affirming surger(ies).  Guidance will be provided on the steps within an assessment as well as considerations for administrative systems which can ease the process. The webinar will also address the presence of the power differential and providing assessments from a gender informed and affirming perspective. More Details...

Migratory and Seasonal Agricultural Worker Identification, registration and Reporting (2019). Resource Type: Archived Webinar. Description: This webinar is intended for health center personnel responsible for determining agricultural worker special population designation for their patient populations. Learn the skills and tools needed to properly identify agricultural worker patients and the steps for accurate documentation and reporting. More Details...

Intimate Partner Violence in LGBTQ Communities (2019). Resource Type: Archived Webinar. Description: In this webinar, Xavier Quinn will explore the dynamics of Intimate Partner Violence (IPV) when LGBTQ individuals are involved. This includes exploring tactics of abuse that are unique to LGBTQ communities and the culturally-specific needs of LGBTQ survivors. This webinar will also share best practices for working with LGBTQ survivors of IPV and culturally-specific resources. More Details...

Farmworker Clinical Care Resource (2019). Resource Type: Toolkit. Description: A clinical resource for providers caring for farmworkers. More Details...

Bilingual Greetings for Monolingual Staff (2019). Resource Type: Publication. Description: The List of English Greeting Words & Phrases for Monolingual Front Office Staff is a two-page document providing a list of commonly used English greeting words and phrases with Spanish translations and a phonetic pronunciation guide. The list is a product of the Language Access More Details...

Addressing Violence in Public Housing Communities: Case Examples of Violence Prevention and Intervention Strategies from Public Housing Primary Care Grantees (2019). Resource Type: Publication. Description: The purpose of this report is to provide Health Centers located in or immediately accessible to public housing with best practices and examples of violence prevention and intervention programs that can be implemented in their communities. NCHPH conducted background research on violence and crime statistics from the Federal Bureau of Investigation Uniform Crime Reporting Program, interviewed four Health Center staff, and analyzed the interviews to identify overlapping themes, lessons learned, and successful strategies used to address and prevent violence. More Details...

Barriers Encountered by Agricultural Workers Seeking Specialty Care and Potential Solutions (2018). Resource Type: Publication. Description: An issue brief for health center staff outlining the continuing challenges in providing specialty care to agricultural workers and their families. It highlights experiences of workers and provides recommendations, including opportunities for telehealth. More Details...

Opioids and Homelessness - The Support Act of 2018 -: The Support Act of 2018 - New Resource and Stakeholder Engagement to Influence Strategies to address the Opioid Crisis  (2018). Resource Type: Archived Webinar. Description: Federal resources became available under the Support Act of 2018 to address the Opioid Crisis. Health centers on the front lines need to understand these new resource supports and how to access funding. More Details...

Strategies for Using PRAPARE and other Tools to Address Homelessness: Quick Guide and Recommendations (2018). Resource Type: Publication. Description: Social determinants of health are an important piece of the health care continuum, and identifying what social determinants patients are experiencing is key to addressing their health care needs. The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) tool is one screening method used to assess the needs of individuals seeking care. The National HCH Council and the Corporation for Supportive Housing recently conducted a learning collaborative that identified key challenges and strategies from state and local health center perspectives. Emerging from these discussions, our new publication provides recommendations for addressing these challenges and lessons learned from the project. More Details...

HUD Policy Brief for Health Centers - Housing Choice Vouchers: Understanding the Role and Impact of Housing Policy for Health Centers (Housing Choice Vouchers) (2018). Resource Type: Publication. Description: Health centers need to understand the resources and how to access to support affordable housing for their clients. Federal HUD rental assistance and vouchers provide the necessary supports for housing for low income and vulnerable populations. More Details...

The Relationship Between Mental Health and Physical Health (2018). Resource Type: Archived Webinar. Description: Mental and physical health are profoundly linked; however, the two are often talked about separately and treated differently. Many common medical problems treated in primary care involve behaviors and health habits that can worsen the condition when left unaddressed. In the United States, medical healthcare professionals provide the vast majority of behavioral health care in primary care settings. As many as 70% of primary care visits are related to behavioral health needs and over 80% of psychotropic medications are prescribed by non-psychiatric medical providers. In this webinar we will discuss common co-morbid physical and mental health conditions that are frequently diagnosed among migrant and seasonal agricultural workers. This presentation will help participants better understand the link between mind, behavior and body. Understanding this link is an important step in identifying strategies to help agricultural workers who are living with chronic physical conditions and who also present with mental health conditions – such as depression and anxiety. More Details...

Examining Implicit Bias: Tools and Techniques for Self-Inquiry and Compassionate Care for LGBT People (2018). Resource Type: Publication. Description: A primary objective for health care professionals is to establish solid, trusting relationships with patients in order to promote healthier behaviors. As with other minority groups, when working with lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, it is especially important to build rapport as a way to counteract the exclusion, discrimination, and stigma that many have experienced previously in health care. Despite our best intentions, however, internal –or implicit–biases may affect the way we talk to and behave with patients. For health care professionals, biases can lead to inequitable care, either through biased clinical decisions, or through communicating bias in conversation with patients. More Details...

School-Based Health and Medical-Legal Partnerships (2018). Resource Type: Publication. Description: In partnership with the National Center for Medical-Legal Partnership, this online factsheet describes common social and legal needs that affect the health of youth and ways that integrated legal services can help meet those needs. It also examines medical-legal partnership programs at two school-based health centers and shares stories of students benefiting from medical-legal partnership services. More Details...

Clinician Orientation to Migration Health (2018). Resource Type: Archived Webinar. Description: Migrant Clinicians Network has designed this Clinician Orientation for new as well as seasoned clinicians who are interested in understanding more about the migrant population. The orientation is divided into a series of seven webinars which cover a wide breadth of knowledge and skills to help clinicians provide quality care to one of the most difficult to reach populations in the United States. More Details...

Addressing Structural Vulnerabilitiesin Healthcare for Migrant and Seasonal Agricultural Workers (2018). Resource Type: Archived Webinar. Description: In this webinar we will examine the structural vulnerabilities of migrant and seasonal agricultural workers through the lens of immunization disparities, opioid misuse and pain management. The faculty will present a series of case studies to illustrate the real-world impact of structural vulnerabilities on this population. Faculty will also introduce practical tools and information about structural vulnerabilities which can be incorporated into medical education to meet key domains as outlined in the AAMC Competency-Based Learning and Assessment project. More Details...

Promoting CDC Tips from Former Smokers to Public Housing Residents (2018). Resource Type: Archived Webinar. Description: This webinar provided background on the smoking rates for public housing residents, the recent requirement for public housing buildings to implement a smoke-free policy, and an overview of CDC Tips materials and resources (such as Tips print ads and videos) tailored for health care providers and organizations that serve public housing residents. It also provided details on the pilot project and information on how to apply. More Details...

Housing is Health Care: A Case Study of Housing Development at an HCH Program (2018). Resource Type: Publication. Description: Many health centers are prioritizing housing as an essential component of the health services they provide to vulnerable populations. This publication details the site-based housing development, property management, and integrated supportive services at the Colorado Coalition for the Homeless (CCH) in Denver, CO. Learn how CCH became a national leader in the integration of health and housing. More Details...

Stopping the Revolving Door : How Health Centers Can Serve Justice Involved Populations: Health and Housing providers coordinating to meet the health needs of individuals leaving prison and jails. (2018). Resource Type: Archived Webinar. Description: Learn from the community health centers that are on the forefront helping to meet the health and social needs of individuals exiting correctional institutions. This webinar is a companion to CSH's recently released publication on this topic, and will feature overviews from three health centers engaged in this work. More Details...

Stopping the Revolving Door : How Health Centers Can Serve Justice Involved Populations: Coordinating to meet the health needs of individuals leaving prison and jails. (2018). Resource Type: Publication. Description: Disproportionate numbers of individuals leaving correctional facilities suffer from substance use, medical and mental health challenges that go untreated when they return to the community. Health centers across the country are working to improve the lives of justice-involved patients. From coordinated discharge planning with jail and probation staff, to proactive post-release health center appointments and assistance with locating housing, health centers are uniquely able to serve this population. More Details...

Supplemental Anticipatory Guidance: For Children and Adolescents Experiencing Homelessness (2018). Resource Type: Publication. Description: A key component of well-child visits, anticipatory guidance—a proactive, age-based education and counseling technique—provides an opportunity for health care professionals, parents, and the child to ask questions and discuss issues of concern. This publication supplements standard anticipatory guidance to account for the unique challenges presented by homelessness that may affect a child’s health and development. More Details...

Shelter-Based Care for Homeless Populations (2018). Resource Type: Publication. Description: This issue explores innovative shelter-based health care programs and highlights best practices and lessons learned for effective collaborations with shelter staff and providing person-centered, trauma-informed health care in a shelter. More Details...

Recommendations for End-of-Life Care for People Experiencing Homelessness: Adapting Your Practice (2018). Resource Type: Publication. Description: These recommended practice adaptations reflect HCH Clinicians' Network steering committee's collective judgment about end-of-life care for this population, with the realistic understanding that limited resource availability in local areas, fragmented health care delivery systems, and lack of follow-up often compromise adherence to optimal clinical practices. These recommendations are intended to contribute to improvements in both quality of care and quality of life for people experiencing homelessness. More Details...

Assessment and Treatment of People with Asthma Who Are Experiencing Homelessness: Adapting Your Practice (2018). Resource Type: Publication. Description: Part of the NHCHC's Adapted Clinical Guidelines series, this edition promotes continued improvement in the quality of asthma care provided to adults and children whose lack of financial and social resources complicate the treatment and self-management of their chronic disease. More Details...

Health Center Expansion Opportunities & Community Needs (2018). Resource Type: Archived Webinar. Description: This webinar outlines expansion opportunities for health centers to leverage resources, identifies potential for growth, and work with patients and community partners to improve care. You will learn about special considerations for serving residents of public housing, identify strategies to expand services for vulnerable populations, and understand how to position themselves strategically for expansion regardless of funding availability. More Details...

If You Build It, Will They Come?: Recruiting and Retaining Consumers Experiencing Homelessness in Health Center Governance (2018). Resource Type: Publication. Description: This publication discusses common challenges and offers solutions in how to recruit new consumer leaders, as well as how to create structures and environments that encourage them to continue to engage. Also included are useful lessons on creating healthy group dynamics. More Details...

Multi-system Coordination: Building and Maintaining a Coordinated Provider Community: Highlights examples of health and housing multi-system coordination for very complex patients (2018). Resource Type: Archived Webinar. Description: People experiencing homelessness are at the intersection of multiple systems, including health, housing, and the justice system. This webinar highlights examples of multi-system coordination for very complex patients that aim to not only increase access to care but also to collaboratively manage care among multiple providers. More Details...

Understanding and Addressing the Health Needs of Youth Experiencing Homelessness: Strategies for Increasing Access and Quality Care for Hard to Reach Youth (2018). Resource Type: Archived Webinar. Description: Significant health disparities including higher rates of mental health and substance use impact youth experiencing homelessness, yet they are at risk of underutilizing services and care. This webinar explores the needs of youth experiencing homelessness with an emphasis on LGBTQ youth, best practices in providing care, and the intersection of behavioral health for this vulnerable population. More Details...

Population Specific Approaches to SDOH: Elderly, LGBT, Migrant Workers and Public Housing Residents (2018). Resource Type: Archived Webinar. Description: Individuals within certain special and vulnerable populations experience health inequalities and therefore are at a higher risk of late detection, inadequate management and treatment of diabetes. Improved access to certain non-clinical enabling services and a comprehensive social history is essential to understanding the needs of these often overlooked individuals, and developing interventions that address those needs. More Details...

Understanding and Addressing Hypertension and Heart Health in Your Community: A Quick Guide For Community Health Workers (2018). Resource Type: Toolkit. Description: Understanding and Addressing Hypertension and Heart Health in Your Community: A Quick Guide For Community Health Workers provides information surrounding hypertension and heart health. Inside you will find tools for Community Health Workers to use to guide patients with hypertension towards a healthier future. The guide also comes with a blood pressure tracker, which can be shared with patients as they track their progress towards their blood pressure goals. More Details...

Suicide and Homelessness: Data Trends in Suicide and Mental Health Among Homeless Populations (2018). Resource Type: Publication. Description: This fact sheet details common risk factors for suicidal behaviors, mental health and clinical utilization trends of HCH grantees reported in the 2016 Uniform Data System dataset, and circumstantial data reported in the National Violent Death Reporting System. More Details...

Addressing the Transportation Needs of Older Adults (2018). Resource Type: Archived Webinar. Description: Safe and accessible transportation is a top concern for older adults, caregivers, and their communities. As adults age, maintaining mobility is fundamental to their health and quality of life. More Details...

What's new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)? (2018). Resource Type: Archived Webinar. Description: Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018. More Details...

The Role of Structural Competency in the Treatment and Prevention of Diabetes in a Vulnerable Agricultural Worker Population (2018). Resource Type: Archived Webinar. Description: 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...

Facing the Challenges of Oral Health for Seniors (2018). Resource Type: Archived Webinar. Description: This webinar explores the characteristics of the senior population that directly affect elder oral health care delivery, diagnosis, treatment, and prevention. The emphasis is on the important connections between oral health and the total health of elder individuals. More Details...

Promising Practices for Health Centers Serving Youth Experiencing Homelessness: Profiles in Health and Housing Partnerships Serving Young Adults (2018). Resource Type: Publication. Description: This case study profiles Health Centers engaging and serving youth facing the challenges of homelessness on the street and in community based housing More Details...

Housing Solutions for People Experiencing Homelessness: Healing Hands clinical newsletter (2018). Resource Type: Publication. Description: This issue of Healing Hands is dedicated to key housing approaches and models that may be utilized in housing programs, with a special focus on some of the challenges involved in housing families and a spotlight on lessons learned from care providers about how to create supportive structures and communities for people transitioning into housing. More Details...

Understanding & Advancing the Health Center Role in Local Emergency Response (2018). Resource Type: Archived Webinar. Description: Health centers can play a crucial role in local emergency planning and response efforts. Panelists from across the country will share their experiences in building health care coalitions and other collaborative opportunities to position health centers for a greater impact in preparedness and response. More Details...

Providing Trauma-Informed Care at Health Centers for HIV-Positive Men Who Have Sex With Men (2018). Resource Type: Publication. Description: This brief offers health centers an introduction to providing trauma-informed care for HIV-positive men who have sex with men (MSM). The overall aims are to help health center staff understand the disproportionate prevalence of trauma and stress-related disorders among HIV-positive MSM, recognize the relationship of trauma to overall health and decreased engagement in primary care among HIV-positive MSM. This brief will also outline the promising practices in trauma-informed care to improve engagement of HIV-positive MSM in behavioral health and primary care. More Details...

Planning for Specific Hazards - Bolstering Health Center Staff Readiness for an Outbreak (2018). Resource Type: Archived Webinar. Description: This webinar explores the value of developing hazard-specific plans, such as for infectious disease outbreaks, as part of an all-hazards approach to emergency preparedness. Panelists share tips for prioritizing hazards and guidance on planning for an outbreak, including how to effectively train staff, test plans, and access helpful resources. More Details...

Integrated Supportive Housing and Health Center Partnerships Serving Older Adults with Complex Needs: Understanding unique health needs of homeless and formerly homeless aging population (2018). Resource Type: Archived Webinar. Description: Webinar presentation on effective integrated health and housing partnerships to serve the health needs of older adult populations - both currently and formerly homeless. More Details...

Medicaid Accountable Care Organizations: A Case Study with Boston HCH Program (2018). Resource Type: Publication. Description: This case study examines how these changes to ACOs will impact BHCHP and other Massachusetts HCH programs—and how these issues might be common to other states implementing (or considering) ACOs as part of their health care delivery redesign. More Details...

Housing Opportunities for Persons with HIV/AIDS and HOPWA Modernization: HUD Policy Brief Understanding the Impact of Housing Policies for Health Centers (2018). Resource Type: Publication. Description: HOPWA (Housing Opportunities for Persons with AIDS) is the federal housing program which provides both housing subsidies and services for vulnerable populations. Legislative changes in 2016 to the allocation and eligibility requirements under the program provide new opportunity for Health Centers to collaborte with their local communities to support the federal goal to eliminate HIV/AIDS. This series translates federal housing policies to help health centers understand the impact and how to coordinate and adapt programming to create the most beneficial outcomes for clients. More Details...

An Introduction to the Health Care for the Homeless Model of Care (2018). Resource Type: Archived Webinar. Description: This archived webinar gives an overview of the HCH Program and the models of care used by HCH sites nationwide. Participants will also learn strategies in implementing the HCH model of care in medical practice. More Details...

Best Practice Services in Supportive Housing for Health Centers: Webinar highlights service collaboration in Supportive Housing for health centers, hospitals and other health partners (2018). Resource Type: Archived Webinar. Description: This webinar highlights effective service coordination models for health and housing partners to address the complex needs of currently homeless and formerly homeless populations More Details...

Integrating Clinical and Non-Clinical Strategies for Diabetes Management with Vulnerable Populations - Part 1 (2018). Resource Type: Archived Webinar. Description: This webinar focuses on identifying physiological, social, and economic determinants of health (SDOH) critical for addressing diabetes for Asian Americans, agricultural workers, and individuals experiencing homelessness populations. It is important to understand these SDOH because it informs the ways health centers provide proper care for these vulnerable populations. The introductory webinar allows health center clinical and non-clinical staff to facilitate discussions and hear from a clinical focused expert on interventions and strategies for diabetic patients with HbA1c greater than 9. The discussions from this webinar informs future learning sessions in this collaborative. More Details...

Tomato Workers' Health and Safety: A Guide for Health Care Providers (2018). Resource Type: Publication . Description: 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...

Health Center Strategies for Addressing the Opioid Crisis: The Opioid Crisis and the Impact on Homeless Populations (2018). Resource Type: Archived Webinar. Description: Health Centers and supportive housing providers are confronting the opioid crisis head on in communities across the country with positive results. This webinar explores practical approaches and funding strategies to address the impact of the Opioid Crisis on homeless and vulnerable populations. More Details...

Health Center Strategies for Diabetes Screening and Prevention for Children, Adults and the Elderly (2018). Resource Type: Archived Webinar. Description: This webinar explores diabetes prevention and care strategies across the lifespan. More Details...

Collecting Data On Asian Americans, Native Hawaiians, And Pacific Islanders For Community Health Center Needs Assessments: A Learning Series - Part 2: Data Resource Training: Using Community Commons to Map & Visualize the Needs of AA&NHPIs For Community Needs Assessments (2018). Resource Type: Archived Webinar. Description: This webinar introduces the Community Commons resource and how it can serve as a great tool to help health centers collect disaggregated data on Asian Americans, Native Hawaiians, and Pacific Islanders (AA&NHPIs). It provides a live demonstration of Community Commons’ mapping technology features and their Needs Assessment Toolkit. Speakers demonstrate how these tools can be used to inform a health center’s community health needs assessment and increase knowledge of available data resources. This will help to improve health center capacity to monitor and track the needs of medically underserved areas and populations. More Details...

Cervical Cancer Screening Strategies in Public Housing Primary Care Settings: Findings from the NCHPH Learning Collaborative (2018). Resource Type: Publication. Description: A cervical cancer prevention and control program comprises an organized set of activities aimed at preventing and reducing morbidity and mortality from cervical cancer. The program provides a plan of action with details on what work is to be done, by whom and when, as well as information about what means or resources will be used to implement the program. More Details...

Cervical Cancer Prevention Strategies in Public Housing Primary Care Settings: Findings from the NCHPH Learning Collaborative (2018). Resource Type: n.a.. Description: The National Center for Health in Public Housing (NCHPH) engaged in discussions with clinical directors from Public Housing Primary Care grantees and other Health Centers located in or immediately accessible to public housing to determine successful strategies to promote cervical cancer prevention among their patient population. More Details...

Taking Care of Your High Blood Pressure  (2018). Resource Type: Patient Material. Description: This interactive tool is a great resource for monitoring high blood pressure along with self management strategies and information. More Details...

Social Determinants of Health Self-Assessment (2018). Resource Type: Toolkit. Description: This Social Determinates of Health Self-Assessment will help administrators determine which SDOH markers their health center patient screening process is incorporating and the success of current SDOH strategies utilized to help the agricultural worker population. More Details...

Orientation to Ag Worker Health (2018). Resource Type: Archived Webinar. Description: This webinar is intended to provide new health center staff members with an orientation to the migrant and seasonal agricultural worker population and the Migrant Health program. More Details...

Managing Asthma Triggers (2018). Resource Type: Toolkit. Description: This interactive tool is a resource for helping patients understand what asthma triggers are and how to monitor which ones most affect them. It also offers self management strategies and a space for a personal plan of action. More Details...

Effective Partnerships Guide: Improving Oral Health for Migrant and Seasonal Head Start Children and their Families (2018). Resource Type: Publication. Description: The purpose of this guide is to create an opportunity for Migrant and Seasonal Head Start (MSHS) programs and health centers to learn more about each other’s programs, share resources, foster new partnerships and strengthen ones already in place. Although the guide focuses primarily on oral health, information about medical health services is included. More Details...

Competency Checklist for Bilingual Staff (2018). Resource Type: Toolkit. Description: The Competency Checklist for Bilingual Staff will help health centers to assess the interpretation competencies of bilingual staff that have no formal interpretation training or certification, but areasked to interpret during clinic encounters. More Details...

Creating a Culture of Safety: A Guide for Health Centers (2017). Resource Type: Publication. Description: Responding to the findings of a recent survey conducted by the HCH National Consumer Advisory Board, this resource provides recommendations for developing physical spaces that promote well-being, considerations for vulnerable populations, and strategies for providing staff support. More Details...

Collecting Data On Asian Americans, Native Hawaiians, And Pacific Islanders For Community Health Center Needs Assessments: A Learning Series - Part 1: Social Determinants of Health of Emerging Asian Americans, Native Hawaiians, and Pacific Islander (AA&NHPI) Populations by States (2017). Resource Type: Archived Webinar. Description: This webinar provides a data portrait of the fastest growing AA&NHPI populations by state with profiles of their social determinants of health characteristics. The five states are Arizona, Arkansas, Nevada, North Carolina, and North Dakota. The seven SDOH characteristics mentioned are educational attainment, foreign born, language spoken at home and ability to speak English, employment status, health insurance coverage, poverty level, and household characteristics. Collecting and having disaggregated data is important to better understand the unique barriers faced by AA&NHPIs since they represent more than 50 ethnic groups and over 100 languages. Health centers can use this data to develop more culturally and linguistically appropriate programs to better serve these communities. More Details...

Promising Practices for Health Centers: Health and Housing Partnerships for Older Adults: Aging in Place in Supportive Housing (2017). Resource Type: Publication. Description: This case study profiles Health Centers serving aging and vulnerable populations in their communities More Details...

Frequent User System Engagement (FUSE) Initiatives: Step by Step Strategies for Launching a Frequent User Initiative (2017). Resource Type: Online Self-Paced Learning Modules. Description: Is your community looking at how to identify the frequent users across multiple crisis care systems in an effort to deliver more effective services and save resources? This self-paced tutorial walks multiple system partners through the process to create a Frequent User System Engagement (FUSE) More Details...

Después de la tormenta: Lecciones Aprendidas sobre la Salud y Seguridad de los Trabajadores en las Actividades de Limpieza y Recuperación después de un Desastre Natural (2017). Resource Type: Archived Webinar. Description: This webinar brings together experience from previous natural disasters and offers resources that will help guide you. We discuss a case studies to illustrate the hazards and review ways that workers can protect themselves, including understanding their rights and responsibilities. More Details...

Preventive Care for People Experiencing Homelessness (2017). Resource Type: Publication. Description: This issue of Healing Hands addresses some issues in preventive health care for people experiencing homelessness. Highlights include a list of key screenings that are relevant for populations of people experiencing homelessness and a discussion of the different kinds of programs—including medical respite programs, mobile medical units, and telehealth—that can help expand access to preventive health care services. More Details...

After the Storm: Lessons Learned on Worker Health & Safety During Storm Disaster Cleanup (2017). Resource Type: Archived Webinar. Description: This webinar brings together experience from previous natural disasters and offers resources that will help guide you. We discuss a case studies to illustrate the hazards and review ways that workers can protect themselves, including understanding their rights and responsibilities. More Details...

Demonstrating Value: Measuring the Impact of the Health Care for the Homeless Grantees (2017). Resource Type: Publication. Description: This publication provides clear examples of the uniqueness of the population experiencing homelessness and the invaluable work Health Care for the Homeless grantees providing direct services give to our communities. Additionally, first-hand accounts are provided in linked audio files, attesting the value of HCH grantees. More Details...

Medical Respite Care: Financing Approaches (2017). Resource Type: Publication. Description: The Council’s “Medical Respite Care: Financing Approaches” brief details practical considerations for creating or growing financially sustainable medical respite care programs. As communities look to reduce health care costs and improve patient outcomes, medical respite care programs fill a critical need for people without homes. To help fund this vital care, our brief details medical respite, provides a rationale for creating such programs, outlines financing approaches, and suggests steps for effective implementation. More Details...

Financing Medical Respite Care: A Practical Discussion to Ensure Sustainability (2017). Resource Type: Archived Webinar. Description: As communities aim to reduce health care costs and improve patient outcomes, medical respite care programs are filling a critical need for people who are experiencing homelessness. Whether providing hospitals with a safe and legal discharge option, or creating a bridge between hospital and supportive housing programs, medical respite care is a key piece of the local continuum of health care. This webinar provides an overview of the most common ways to fund medical respite and give practical advice for how to start or grow a program in your area. More Details...

In Your Hands: Preventing Skin Cancer (2017). Resource Type: Publication. Description: This fact sheet is for agricultural workers with information about how to protect themselves from skin cancer. More Details...

In Your Hands: An Introduction to Skin Cancer for Outreach Workers (2017). Resource Type: Publication. Description: This fact sheet is for outreach workers with information about skin cancer education and prevention. More Details...

En Tus Manos: Una Introduccion al Cancer de Piel para Promotores de Salud (2017). Resource Type: Publication. Description: This fact sheet is for outreach workers with information about skin cancer education and prevention. More Details...

En Tus Manos: Previendo el Cancer de Piel (2017). Resource Type: Publication. Description: This fact sheet is for agricultural workers with information about how to protect themselves from skin cancer. More Details...

CLAS Standards and Enabling Services in Asian Americans, Native Hawaiians and Pacific Islander Serving Health Centers (2017). Resource Type: Publication. Description: This report describes the culturally and linguistically appropriate standards (CLAS) and enabling services (ES) provided by staff at Asian American, Native Hawaiian, and Pacific Islander (AA&NHPI)-serving health centers. It details the ES staffing required to provide these services and how they impact health outcomes. The provision of enabling services ensures that medically underserved patients receive care that meets and exceeds the criteria set forth by the National Standard for Culturally and Linguistically Appropriate Services in Health Care. More Details...

It’s your right to know! Helping Community Health Workers Promote Chemical Safety on the Job (2017). Resource Type: Archived Webinar. Description: Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves More Details...

Asian Americans, Native Hawaiians, and Pacific Islander (AA&NHPI)-Serving Health Centers and Medicaid (2017). Resource Type: Publication. Description: This fact sheet outlines the impact of potential cuts to Medicaid on Asian American, Native Hawaiian and Pacific Islanders (AA&NHPIs) and health centers. More Details...

What To Do When Diabetes Affects Your Mood (2017). Resource Type: Archived Webinar. Description: ​In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to depression, describe symptoms of depression, understand how to encourage patients to control and manage their diabetes and depression​, and understand the principle barriers faced by patients in the control and management of their diabetes and depression More Details...

Storytelling Guide (2017). Resource Type: Other. Description: Storytelling helps share experiences of homelessness, and highlights the services that helped while facing homelessness and transitioning into housing. Sharing these experiences can demonstrate that homelessness can happen to anyone based on a health need, job loss, natural disaster, or domestic violence situation. People experiencing homelessness developed this guide as a tool to be used by others experiencing homelessness. More Details...

Literature Review: Resources for Building Health and Housing Partnerships: Abstracts of Health and Housing Partnership Literature (2017). Resource Type: Publication. Description: Searching for data to support fundraising or new program development? This Literature Review provides robust summary of articles and studies supporting SDOH and health and housing partnerships. More Details...

Clinical Promotor(a) Job Description (2017). Resource Type: Publication. Description: The Clinical Community Health Worker/Promotor(a) is a part of an interdisciplinary clinical care team at a health center. They can perform a variety of essential functions like actively identify individuals at high risk for chronic disease, lead group health education sessions, provide navigation services and reduce stigma and barriers to health care. The integration of the Clinical CHW/Promotor(a) to this team is key to the success of the health center in providing quality clinical care by serving as a bridge between the community and the health care setting. More Details...

Community Health Workers and their Role in the Prevention and Control of Hypertension (2017). Resource Type: Archived Webinar. Description: In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to hypertension, describe how to measure hypertension in the body, understand how to encourage patients to control and manage their high blood pressure, and understand the principle barriers faced by patients in the control and management of their high blood pressure. More Details...

Promotores de Salud y su rol en la Prevención y Control de Hipertensión (2017). Resource Type: Archived Webinar. Description: In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to hypertension, describe how to measure hypertension in the body, understand how to encourage patients to control and manage their high blood pressure, and understand the principle barriers faced by patients in the control and management of their high blood pressure. More Details...

Community Based Supportive Housing for Persons with Disabilities and Leaving Institutional Care: Health Centers Serving the Individuals Discharging to Community Based Housing from Nurshing Homes and Mental Health Institutions (2017). Resource Type: Publication. Description: This case study profiles Health Centers serving vulnerable populations leaving institutions for community based housing More Details...

The Role of Community Health Workers in the Prevention of Oral Disease (2017). Resource Type: Archived Webinar. Description: In this webinar participants will be able to identify the HRSA performance measures related to Oral Health as well as the risk factors for poor oral health. We will also reflect on the important role that community health workers play in improving access to Oral Health services. More Details...

Survey Report: Meeting the National CLAS Standards amongst Asian Americans, Native Hawaiians and Pacific Islander (AA&NHPI)-Serving Health Centers: Cultural Language Access Standards in Asian American, Native Hawaiian, and Pacific Islander (AA&NHPI)-Serving Health Centers: 2016 Survey Report (2017). Resource Type: Publication. Description: This survey is designed to assess the specific cultural and language access policies, practices, and services provided by health centers. Primary Care Associations (PCAs) working with AA&NHPI or other limited English serving health centers, can use this report to assist in the prioritization of health center trainings and resources for policies across the 4 CLAS areas: 1) Governance, Leadership, and Workforce, 2) Language Access Services, 3) Data Collection and Assessment and 4) Community Engagement and Partnership. More Details...

Virtual Training- Webinar Series, contains archived webinars on Trauma Informed Care, Motivational Interviewing, Colorectal Cancer Screenings, Trauma and Youth, Fostering Trauma-Informed Leadership Skills for Consumers, UDS Secondary Data Analysis (2017). Resource Type: Archived Webinar. Description: This series contains archived webinars on Trauma-Informed Care, Motivational Interviewing, Colorectal Cancer Screenings, Trauma and Youth, Fostering Trauma-Informed Leadership Skills for Consumers, and UDS Secondary Data Analysis. More Details...

Nicotine Anonymous Peer Support Groups: Can They Work in the Homeless Service Settings? (2017). Resource Type: Publication. Description: This enterprising study features results from three participating HCH sites, finding that NicA meetings are feasible given the capacity of support staff and health centers to reduce barriers to participation. More Details...

Understanding And Combating Stigma: A Toolkit For Improving Care And Support For People Affected By HBV (2017). Resource Type: Toolkit. Description: This toolkit is written for health care providers and community health advocates who want to improve the care and support for people affected by HBV. The aim of this toolkit is to support you and anyone you are working with to confront and reduce the stigma associated with HBV, and to promote increased prevention, care and treatment of hepatitis B. Anyone can get HBV. We need to work together to promote understanding and action to combat HBV-related stigma and discrimination to combat this disease. More Details...

Environmental and Occupational Health Screening Questions for the Primary Care Setting: Preguntas para sondear en los lugares de atension a la salud (2017). Resource Type: Publication. Description: Three concise and effective environmental/occupational health screening questions for the primary care provider. Electronic Health Record Version English/Spanish resource. More Details...

Crop and Animal MSAW population estimation maps (2017). Resource Type: Other. Description: These maps display the 2017 estimates of the number of crop and animal production workers by county. These numbers are threshold numbers of workers only and could be affected by current weather conditions, labor policies, etc. Please note that due to a delay in receiving data from the USDA, these estimates are based on the public data file for the 2017 Census of Agriculture. More Details...

Blood Pressure Digital Story : La Presión Arterial Alta - High Blood Pressure (2017). Resource Type: Toolkit. Description: This digital story, narrated in Spanish with English subtitles, educates the viewers about living with and managing high blood pressure. In the story, we follow Roberto, a 46-year-old man, who shares his account of managing his high blood pressure, the challenges he faces, and tips on how to succeed. The video is a great educational resource for community health workers, clinicians, and other health care professionals. More Details...

Approaches for Establishing a PCMH for Mobile Patients (2017). Resource Type: Publication. Description: The Streamline newsletter article discusses HIV illness among others as an appropriate use of Health Network. More Details...

Addressing Nail Salon Worker Patient Health: A Health Center Toolkit (2016). Resource Type: Toolkit. Description: This toolkit focuses on providing information and tools that health centers can utilize to support engagement with patients who work in the nail salon industry. The report provides an overview of innovative approaches to nail salon patient engagement and provides information on how a health center can establish and implement programs to address the health disparities faced by nail salon workers while improving care for this population. More Details...

MCN Continuing Education program (2016). Resource Type: Archived Webinar. Description: MCN's comprehensive clinical education offerings help to develop excellence in practice, clinical leadership, and the dissemination of best models and practices. More Details...

The Health of AA&NHPIs Served at Health Centers: UDS 2014 (2016). Resource Type: Publication. Description: This factsheet examines patient demographics and utilization of health services at health centers serving Asian Americans, Native Hawaiians, and Pacific Islanders (AA&NHPIs) at health centers from the 2014 UDS dataset. It highlights the differences between these health centers and the national average of all health centers in the United States. Despite the high disease burden of its patient population, AA&NHPI-serving health centers have statistically significant better screening rates and health outcomes for hepatitis B, pap smears, hypertension and diabetes. More Details...

Virtual Training- Webinar Series on Trauma Informed Care (2016). Resource Type: Archived Webinar. Description: Featuring nationally celebrated trauma expert Matt Bennett, this four-part webinar series examines how the Trauma-Informed Care paradigm can play a critical role not only in transforming providers’ approaches to care, but also in informing direct advocacy for real solutions to end homelessness. More Details...

Providing Civil Legal Aid Through Medical-Legal Partnerships: A Critical Enabling Service for Health Centers Serving Asian Americans, Native Hawaiians and Pacific Islanders (AA&NHPIs) (2016). Resource Type: Publication. Description: This case study highlights how a health center serving a high immigrant and limited English proficient patient population, including Asian Americans, Native Hawaiians and Pacific Islanders (AA&NHPIs) integrated civil legal aid into its services through a medical-legal partnership (MLP) approach in order to address the social determinants of health (SDOH). Lessons learned in conducting this case study show that the MLP approach is essential to health care transformation and quality improvement. The approach encourages collaboration between health care providers and legal teams to work together to improve clinical practice and institutional policies to better respond to patients’ needs. More Details...

Shelter Health: Opportunities for Health Care for the Homeless Projects (2016). Resource Type: Publication. Description: This issue brief identifies certain health issues that can be particularly affected by shelter conditions, identifies opportunities for health centers to be engaged in local efforts to improve shelter health, and describes environmental health services supported by the federal Health Center Program. More Details...

Ask & Code: Documenting Homelessness Throughout The Health Care System (2016). Resource Type: Publication. Description: Emerging health care financing models require much more sophisticated actuarial calculations than previous payment arrangements, often taking into account risk factors such as homelessness. Homelessness also has direct implications for clinical treatment decisions and integrated care models and should be noted in individual patient records. This policy brief provides a rationale for using the ICD-10-CM code for homelessness, outlines the challenges to maximizing this code, and offers strategies to consider to ensure health care providers ask about homelessness and record patients’ housing status. More Details...

Serving Transgender and Gender Nonconforming Persons: Establishing and Improving Models of Care for Those without Homes (2016). Resource Type: Publication. Description: Drawing from current literature and interviews conducted with health centers and a social support organization, this guide provides promising practices to consider when establishing or improving upon TGNC health services, including community needs, program structure, and funding. More Details...

Communicating Safety: English as a Second Language Health and Safety Training Materials (2016). Resource Type: Patient Material. Description: Communicating Safety: A Health and Safety English Learning Curriculum for Immigrant Workers in Agriculture is a health and safety intervention for immigrant workers. This project offers free, OSHA-approved training and educational materials that were developed using English-as-a-Second-Language (ESL) learning activities - pairing dairy safety and health content with relevant vocabulary and English language skills in a culturally and linguistically appropriate context. More Details...

Integrating Community Health Workers into Primary Care Practice: A Resource Guide for HCH Programs (2016). Resource Type: Online Self-Paced Learning Modules. Description: The National HCH Council developed this resource guide to share experiences and successful recruitment and supervision strategies with other HCH projects looking to employ CHWs. This guide incorporates current research and uses feedback from administrators, supervisors, CHWs, hospital staff, community members, and clients involved in the HCIA project. More Details...

Integrated Care Teams to Improve Quality of Care: Health and Housing Integrated Care Models (2016). Resource Type: Archived Webinar. Description: A two-part webinar series to highlight models of integrated care for vulnerable populations includng models of integrated care for primary and behavioral health More Details...

Emergency Preparedness, Response, and Recovery: After the Storm: Lessons Learned on Worker Health & Safety during Storm Disaster Cleanup (2016). Resource Type: Publication. Description: Recent events have highlighted the importance of planning and preparing for the continuity of health care services in the event of emergency or disaster. Following disaster, a thorough emergency response allows health centers to shifts gears to address the longer-term health consequences of disaster. Providing health care services to underserved populations, like agricultural workers, poses a host of challenges to service providers under the best of circumstances, including isolated rural work and home locations, group housing, substandard housing, mobility, limited English proficiency, cultural factors, transportation, documentation status, and poverty. The significance of these factors is undoubtedly magnified under emergency circumstances. More Details...

Advance Care Planning for Individuals Experiencing Homelessness (2016). Resource Type: Publication. Description: This literature review sheds light on current aging, disease, and mortality trends of people without homes while exploring their concerns about death and preferences for advanced care. It also explores implications for policy and practice to better meet the needs of individuals experiencing homelessness. More Details...

A Patient Guide to Language Access (2016). Resource Type: Toolkit. Description: This toolkit describes the rights of patients to language access, questions to consider when determining an appropriate health care provider and health center, and resources for patient advocacy. The toolkit is available in multiple languages of English, Chinese, and Vietnamese. More Details...

Prevention & Response to Infectious Diseases Within the Homeless Population (2016). Resource Type: Publication. Description: This publication highlights communicable diseases in the homeless population, addressing challenges in these public health issues and providing resources for preventing and responding to infectious diseases. More Details...

Patient Satisfaction Quick Guide: Addressing Patient Satisfaction in Health Care for the Homeless Projects (2016). Resource Type: Publication. Description: This quick guide examines how HCH grantees can gather and utilize patient satisfaction data to improve patient experiences. Patient satisfaction is a key measure of quality health care, and regular assessment is required for all Health Center Program Grantees. “Addressing Patient Satisfaction in Health Care for the Homeless Projects” provides a succinct review of the strategies necessary to plan for, collect, and respond to such information. These practice recommendations emerged from a 2015 focus group of expert HCH administrators and client advocates, HRSA guidance, and scientific literature. More Details...

Medication-Assisted Treatment: Buprenorphine in the HCH Community (2016). Resource Type: Publication. Description: This policy brief discusses buprenorphine treatment in the HCH environment, identifying challenges to treatment and recommendations for both clinical practice and public policy change needed to increase access to care. It is also the broader hope that the information in this policy brief can help prevent further deaths from opioid addiction, inform clinical training needs, influence how communities respond to addiction treatment, improve public health, and promote a more seamless integration of addiction treatment with primary care services. More Details...

Hospital Community Benefit Funds: Resources for the HCH Community (2016). Resource Type: Publication. Description: This policy brief gives an overview of hospital community benefit requirements, illustrates the difference between two types of benefits, describes how community benefit funds are currently distributed, discusses additional state requirements, considers hospital perspectives, provides examples of successful partnerships currently in practice, and shares advice for maximizing hospital partnerships with the Health Care for the Homeless (HCH) community. More Details...

Clinician's Guide to the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) and the Food Quality Protection Act (FQPA) (2016). Resource Type: Publication. Description: This publication provides an overview of the Federal Instecticide and Fungicide Act (FIFRA) and the Food Quality Protection Act (FQPA), federal policies that regulate the use and sale of pesticides. More Details...

Clinician's Guide to OSHA's Field Sanitation Standard (2016). Resource Type: Publication. Description: This publication provides an overview of OSHA's Field Sanitation Standard. More Details...

Using the Social Ecological Model to examine how homelessness is defined and managed in rural East Tennessee (2016). Resource Type: Publication. Description: Homelessness, often conceptualized as an urban issue, is pervasive in rural communities due to high rates of poverty, lack of affordable housing, inadequate housing quality, unemployment/ under-employment, and geographic isolation. Moreover, homelessness in rural communities tends to be hidden, unacknowledged, and without adequate homeless-targeted resources. This study suggests that rural communities need to improve how they currently manage homelessness using the different levels of influence represented in the social ecological model. More Details...

The Vital Role of Case Management for Individuals Experiencing Homelessness (2016). Resource Type: Publication. Description: This issue provides a synthesis of recent literature on case management and its importance for people experiencing homelessness in achieving optimal wellness. More Details...

Don't Get Hurt!: Stay Safe At Work (2016). Resource Type: Patient Material. Description: These bilingual posters educate workers on how to work safely with machinery on the farm. Developed by two Occupational Health Interns (OHIP) during their internship with the National Farm Medicine Center, these posters accompany the Seguridad en las Lecherías curriculum More Details...

Agricultural Health Safety Bilingual Picture Dictionary: "Seguridad en Palabras/ Safety in Words" (2016). Resource Type: Patient Material. Description: MCN's Bilingual Picture Dictionary, "Seguridad en Palabras/ Safety in Words," illustrates work place hazards and best practices for health and safety in agriculture. Developed with support from the OSHA Susan Harwood Grant Program, this resource will bolster Hispanic workers' English vocabulary and will help prevent agricultural injuries. More Details...

Quality Health Care Overview  (2016). Resource Type: Toolkit. Description: This tool is a resource for introducing new and existing patients to your health care home. It explores the definition of quality health care and describes what information may be asked of them and how its obtained and tracked to help in improving their healthcare services and health status. More Details...

Patient Centered Health Home: New Things are Happening in Health Care! (2016). Resource Type: Publication. Description: In an effort to help health centers educate their patients on the Patient Centered Health Home service delivery model, NCFH has created a tool for patients to learn what they might experience in a health home before, during, and after a visit. In an easy-to-read format, and through the story of Mr. Mendoza, readers learn about the unique features of a patient centered health home. More Details...

Patient Centered Health Home: Digital Story (2016). Resource Type: Video. Description: This digital story is a great resource for use by outreach staff to inform the community about the unique features of a Patient Centered Health Home. Through this video, and through the story of Mr. Mendoza, patients learn what they might experience in a health home before, during, and after a visit.  More Details...

Patient Centered Health Home - Digital Story (2016). Resource Type: Video. Description: This digital story is a great resource for use by outreach staff to inform the community about the unique features of a Patient Centered Health Home. Through this video, and through the story of Mr. Mendoza, patients learn what they might experience in a health home before, during, and after a visit. More Details...

Colorectal Cancer Screening Digital Story (2016). Resource Type: Video. Description: This digital story, narrated in Spanish with English subtitles, educates the viewers about Colorectal Cancer Screening, the types of tests, the guidelines and the importance of getting the screening done according to guidelines to prevent/ early detect colorectal cancer. The story follows Maria, a 52-year-old woman who is advised by her doctor to take a Colorectal Cancer Screening test during a routine health visit. ​ As one of the Clinical Performance Measures, Health Centers must document and track the percentage of patients aged 50-75 who have completed the appropriate screening for colorectal cancer. This is a useful tool for any outreach and clinical staff at Community/Migrant Health Centers. More Details...

Accessing Care in a CHC (2016). Resource Type: Publication. Description: This easy-to-read, 4-page brochure, explains to patients the steps they should follow to access services at the health center and have a good experience during their visit. It guides the reader on making and get ready for an appointment, what to expect during the visit, and how to pay for services. More Details...

Who Are Frequent Users in Health and Housing Systems?: A Closer Look at Definitions Used by Communities to Identify the People Cycling Through the Crisis Care Systems (2015). Resource Type: Archived Webinar. Description: Are frequent users costing your crisis care systems and not producing positive houtcomes? Is your community looking at how to identify the frequent users across multiple crisis care systems in an effort to deliver more effective services and save resources? This webinar highlights how various communities develop the criteria to define 'frequent user' across the systems of care and how to match data to identify those individuals. More Details...

Spotlight: The Health of Asian Americans, Native Hawaiians, and Pacific Islanders Served at Federally Qualified Health Centers (2015). Resource Type: Publication. Description: This report examines patient demographics, utilization, and highlights the differences between AA&NHPI serving health centers when compared to national health center averages. Data analysis from this report highlight the multiple needs and barriers experienced by AA&NHPIs seen in AA&NHPI-serving health centers. AA&NHPI-serving health centers serve a statistically significant higher proportion of low-income, Medicaid, limited English proficient, prenatal, and AA&NHPI patients. These patients are also more likely to have TB, hepatitis B, hepatitis C, asthma, and abnormal breast and cervical findings. To address these social and medical needs, AA&NHPI-serving health centers are providing comprehensive primary medical and culturally and linguistically appropriate enabling services (ES) to improve quality and patient health outcomes More Details...

Building Effective Managed Health Care Networks:: Focus on the Accountable Care Organization Model in Tri County Oregon (2015). Resource Type: Archived Webinar. Description: This webinar presents details on the types of existing health insurance networks, and how they play a role in improving health outcomes for special and vulnerable populations. The Accountable Care Organization network in Oregon is featured on this webinar. More Details...

Engaging Migrant Men (2015). Resource Type: Toolkit. Description: MCN developed 3 vignettes that portray the three messages developed in video and printed form. Accompanying discussion guides were created to be used by male peers, community leaders, or outreach workers for one-on-one and small group discussions with men. These resources are now available for men to begin having these conversations with other men on preventing sexual and intimate partner violence in their communities. More Details...

Improving Care through the Voices of Our Patients: Patient Engagement Programs at Health Centers Serving Asian Americans, Native Hawaiians, and Pacific Islanders (2015). Resource Type: Publication. Description: This report highlights Asian American, Native Hawaiian, and Pacific Islander (AA&NHPI)-serving health center experiences facilitating patient engagement and leadership programs to improve care and services for this vulnerable population. It spotlights the patient engagement efforts of International Community Health Services (ICHS), the largest AA&NHPI-serving health center in Washington State who successfully implemented a Patient Advisory Council (PAC) to encourage its patients to become active partners in their health care. More Details...

In Language Resource Evaluation Toolkit (2015). Resource Type: Toolkit. Description: This toolkit is designed to help health centers assess and design health education materials and communications that will be respectful and responsive to a patient's health beliefs, practices, and cultural and linguistic needs. This toolkit includes an evaluation process individuals can use when assessing the appropriateness of non-English health education materials for limited-English populations, criteria to consider when selecting reviewers, and a score card to help reviewers evaluate and rate materials. More Details...

WEBINAR | Structuring HIV Care for Mobile HIV Patients (2015). Resource Type: Archived Webinar. Description: Participants of this webinar will discuss barriers and interventions that can assist clinicians in meeting the needs of those living with or effected by HIV/AID. More Details...

Structuring HIV Care for Mobile HIV Patient (2015). Resource Type: Archived Webinar. Description: This resource begins by explaining how HIV care is changing both in terms of advancements in care and complications in the delivery systems. Meeting the needs of those living with or affected by HIV/AIDS can be difficult for a standing population. Overlay those difficulties with the obstacles created by migration or authorization status and the possibility for confusion increased tremendously. This session discusses some of the impediments to HIV care experienced by migrants living with HIV/AIDS. It seeks to provide options to address the barriers and support those attempting to provide quality health care to migrants and other mobile poor populations. More Details...

Questions for Registration Staff to Ask to Better Identify Ag Worker Patients (2015). Resource Type: Template. Description: This tool has guided key questions to ask in determining whether an individual and his/her family seeking health care at a health center are agricultural workers, and if they are to be considered seasonal (stay in one area all year long) or migratory. The four questions are in alignment with the Public Health Service definitions of "Migrant", "Seasonal", "Aged or Disabled" farmworkers and agricultural employment. More Details...

Promoting Health Care Access to Lesbian, Gay, Bisexual, and Transgender Farmworkers (2015). Resource Type: Publication. Description: This publication, jointly developed with The National LGBTQIA+ Health Education Center, provides an overview of health care challenges faced by LGBT farmworkers and best practices to build trust. More Details...

How To Get Care at Your Health Center Tool  (2015). Resource Type: Patient Material. Description: To support health centers’ outreach and registration efforts, NCFH has created an educational tool titled How to Get Care at Your Health Center. With the use of photos, this easy-to-read, 4-page brochure, explains to patients the steps they should follow to access services at the health center and have a good experience during their visit. It guides the reader on making and get ready for an appointment, what to expect during the visit, and how to pay for services. More Details...

How To Get Care at Your Health Center Digital Story (2015). Resource Type: Video. Description: NCFH has also produced a digital story as a companion tool to the printer-friendly document. Narrated in Spanish with English subtitles, and easily accessible from YouTube, this digital story is a great resource to display in the health center waiting areas, or for the use of outreach staff when promoting health center registration and use. More Details...

Health Tips (2015). Resource Type: Patient Material. Description: Health Tip's is a bilingual, quarterly publication that focuses on health topics and issues prominent to the farmworker and the general Hispanic population. It makes use of low-literacy and culturally - appropriate terminology to present the latest, most updated information on health topics. More Details...

Cervical Cancer Screening: The Pap Test Digital Story (2015). Resource Type: Patient Material. Description: Do you need to explain to patients what happens during a Pap test? Our new digital story La Prueba Pap / The Pap Test educates the audience about the Pap test and the benefits of having it done. It helps the viewer understand what happens during a Pap test. Narrated in Spanish with English subtitles, this health education resource can be used by outreach staff and health educators, or for viewing at health centers. More Details...

A Guide to Workers' Compensation for Clinicians Serving Agricultural Workers (2015). Resource Type: Publication. Description: This publication provides information to clinicians about workers' compensation and agricultural workers, including steps to address a work-related injury. More Details...

Surviving Severe Weather: Tools to Promote Emergency Preparedness for People Experiencing Homelessness (2014). Resource Type: Toolkit. Description: This is a compendium of informational flyers meant to support trainings for people experiencing homelessness to endure various severe weather events, including hurricanes, floods, extreme heat, etc. More Details...

Integrating Homeless Service Providers and Clients in Disaster Preparedness, Response, and Recovery: Issue Brief (2014). Resource Type: Publication. Description: This issue brief outlines strategies to integrate people experiencing homelessness into disaster preparedness and response, examines homeless individuals’ and service providers’ awareness and perception of targeted preparedness efforts, and offers recommendations for other communities looking to improve disaster assistance for people experiencing homelessness. More Details...

Survey of School-Based Oral Health Programs Operated by Health Centers (2014). Resource Type: Publication. Description: 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...

Cholinesterase (ChE) Testing Protocols and Algorithm for Healthcare Providers (2014). Resource Type: Toolkit. Description: A clinician guide for monitoring cholinesterase levels for patients working with Class I and Class II organophosphates (OP) and N-methyl-carbamates. More Details...

MCN Pesticide Exposure Clinical Guidelines and Assessment Form (2013). Resource Type: Template. Description: Template guidelines and form to assist clinicians in the recognition and management of acute pesticide exposures. More Details...

Hypertension Resources in Spanish and English: patient education materials (2012). Resource Type: Publication. Description: 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...

Adding Restorative Care to Health Center Mobile Dental Programs: Promising Practice (2012). Resource Type: Publication. Description: Community Health Center, Inc in CT has provided mobile dental services to school-aged children since 2002. One challenge for this program was that children were not completing restorative care recommended in the mobile dental