A Community Resource Navigator Model: Utilizing Student Volunteers to Integrate Health and Social Care in a Community Health Center Setting
- PMID: 33597833
- PMCID: PMC7863845
- DOI: 10.5334/ijic.5501
A Community Resource Navigator Model: Utilizing Student Volunteers to Integrate Health and Social Care in a Community Health Center Setting
Abstract
Introduction: While unmet social needs are major drivers of health outcomes, most health systems are not fully integrated with the social care sector to address them. In this case study, we describe the development and implementation of a model utilizing student volunteer community resource navigators to help patients connect with community-based organizations (CBOs). We then detail initial implementation outcomes and practical considerations for future work.
Methods: We used the Ten Essential Public Health Services Framework to guide program planning of a student "Help Desk" model for a community health center. Planning included a literature review, observation of exemplar programs, development of a CBO directory, and evaluation of the center's patient population, clinical workflows, and data infrastructure. We piloted the model for two months. After pilot completion, we reviewed patient data to understand the feasibility of the student "Help Desk" model. We utilized planning and pilot execution materials, as well as pilot data, to develop and discuss practical considerations.
Results: Design and implementation complemented ongoing social needs screening and referral to CBOs by center case managers. Patients were asked if they would accept telephone follow-up by volunteers two and four weeks after the clinic visit. Of 61 patients screened, 29 patients were referred for follow-up. Ninety percent were reached at least once during the follow-up period, and 48% of patients referred reported connecting to at least one CBO. Only 27% of patients required escalation back to case managers, and no emergency escalation was needed for any patients. Students, faculty advisors, and community health center frontline staff and leadership supported the scale up and continuation of the "Help Desk" model at the community health center.
Discussion: Successful implementation required multi-sectoral collaboration, well-defined scope of practice, and data interoperability. Student volunteers are untapped resources to support integrated health and social care.
Keywords: integrated health and social care; primary care; social determinants of health; students; volunteer models.
Copyright: © 2021 The Author(s).
Conflict of interest statement
The authors have no competing interests to declare.
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References
-
- WHO | Social determinants of health [Internet] WHO; [cited 2019 Jul 14]. Available from: http://www.who.int/social_determinants/en/.
-
- Social Determinants of Health [Internet]. HealthPeople.gov. [cited 2019 Dec 29]. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determ....
-
- Hood CM, Gennuso KP, Swain GR, Catlin BB. County Health Rankings. American Journal of Preventive Medicine [Internet]. 2016. February [cited 2019 Dec 7]; 50(2): 129–35. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0749379715005140 DOI: 10.1016/j.amepre.2015.08.024 - DOI - PubMed
-
- Papanicolas I, Woskie LR, Orlander D, Orav EJ, Jha AK. The Relationship Between Health Spending And Social Spending In High-Income Countries: How Does The US Compare? Health Affairs [Internet]. 2019. September 1 [cited 2020 Jan 27]; 38(9): 1567–75. Available from: http://www.healthaffairs.org/doi/10.1377/hlthaff.2018.05187 DOI: 10.1377/hlthaff.2018.05187 - DOI - PubMed
-
- Berkowitz SA, Delahanty LM, Terranova J, Steiner B, Ruazol MP, Singh R, et al. Medically Tailored Meal Delivery for Diabetes Patients with Food Insecurity: a Randomized Cross-over Trial. Journal of General Internal Medicine [Internet]. 2019. March [cited 2020 Feb 21]; 34(3): 396–404. Available from: http://link.springer.com/10.1007/s11606-018-4716-z DOI: 10.1007/s11606-018-4716-z - DOI - PMC - PubMed
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