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DTSTART:20241103T020000
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DESCRIPTION:Session: Programs/Services Addressing Determinants of Health P
 rogram: Community Health Workers Authors: Katherine LaMonaca\, MPH Kathle
 en O'Connor Duffany\, PhD\, MEd Abstract Community health workers (CHWs) 
 are increasingly being incorporated into the healthcare workforce to supp
 ort individuals from underserved groups with access to health and social 
 services. CHW-supported programs have the potential to address social det
 erminants of health (SDoH) and advance health equity\; however\, rigorous
  evaluation is needed to assess impact\, understand client experiences\, 
 and inform best practices. Our community-academic partnership implemented
  a CHW program in New Haven\, Connecticut. Individuals with unmet SDoH ne
 eds were identified via food pantry outreach and healthcare provider refe
 rrals\, then offered tailored support and referrals to resources. We cond
 ucted a mixed-methods evaluation to assess program impact and facilitator
 s/barriers to patient engagement. We used quantitative process tracking d
 ata to measure resource connections and SDoH need status\, and qualitativ
 e in-depth interviews to understand client experiences. Data were analyze
 d using descriptive statistics (quantitative) and deductive coding with t
 wo independent coders (qualitative). From 2018-2023\, we enrolled 294 ind
 ividuals. A full-time CHW served an average caseload of 40 clients. Clien
 ts were enrolled for six months with the option of renewal (mean enrollme
 nt=229 days). Clients predominantly identified as female (63%) and Hispan
 ic/Latino (64%). Most had a non-English primary language (61%) and lacked
  healthcare coverage (61%). Clients had an average of two identified SDoH
  needs\, most commonly food insecurity (85%)\, housing insecurity (37%)\,
  transportation (26%)\, and utilities (21%). The CHW made 923 referrals t
 o community-based resources. Top referral categories were food assistance
  (44% of referrals)\, affordable housing (11%)\, utility payments (11%)\,
  clinical referrals (8%)\, and transportation (7%). Most clients were suc
 cessfully connected to ≥1 resource (72%) and had ≥1 need met (78%). Food 
 needs were nearly twice as likely to be met than other common needs. Foll
 owing program discharge\, interviews were conducted with 20 clients (50% 
 had all identified SDoH needs met\; 50% had ≥1 unmet SDoH need). Intervie
 wees identified several facilitators to meeting their SDoH needs\, includ
 ing having a positive\, trusting relationship with the CHW and having the
  CHW’s support accessing resources. Barriers to meeting their SDoH needs 
 included ineligibility for referred services\, resource limitations (e.g.
 \, lack of affordable housing)\, stigma\, and other external factors (e.g
 .\, time\, cost\, transportation). Clients had largely positive experienc
 es\, were highly satisfied with the CHW’s services\, and reported improve
 d health and increased self-efficacy accessing resources. Recommendations
  for future programming included longer enrollments and more intensive su
 pport (e.g.\, CHW accompaniment to appointments). CHWs can serve as effec
 tive and trusted liaisons between community members\, healthcare provider
 s\, and social service agencies.\n\nAdmission:\nRegistrationFees: APHA Ev
 ent Registration is Required\n\nDetails URL:\nhttps://medicine.yale.edu/e
 vent/community-health-worker-chw-intervention-to-address-social-determina
 nts-of-health/\n
DTEND;TZID=America/New_York:20241030T100000
DTSTAMP:20261104T093048Z
DTSTART;TZID=America/New_York:20241030T094500
GEO:44.970269;-93.273376
LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:8:45am - 9:00am (CDT) | 5013.0 - A community health worker (CHW) i
 ntervention to address social determinants of health (SDoH) through commu
 nity-clinical linkages: A mixed methods evaluation.
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