A health-related social needs referral program for Medicaid beneficiaries treated in an emergency department

Kulie, Paige; Steinmetz, Erika; Johnson, Samuel; McCarthy, Melissa L.

doi:10.1016/j.ajem.2021.03.069

Cited by 18 publications

(29 citation statements)

References 27 publications

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“…With these steps, 62.5% of the 32 participants reached for follow‐up surveys reported having connected by phone or in person with a Homebase office. Even assuming that none of the participants not reached for follow‐up connected with Homebase, the overall “connection” rate would have been 51.3%, significantly exceeding community resource use rates observed in studies of more passive referrals for patient social needs 11,36 . The “cost” of this connection rate was significant research staff time, particularly in conducting post‐ED visit troubleshooting calls, which often required multiple attempts due to participants' unreliable phone access.…”

Section: Discussionmentioning

confidence: 95%

“…Past research has found that passive referral of ED patients to community agencies for social needs (e.g., giving patients a print‐out of community resources) results in relatively low rates of patients accessing resources 11,36 . Therefore, in the current study we tested an enhanced referral process.…”

Section: Discussionmentioning

confidence: 99%

“…Two focused on frequent ED users who were homeless with concomitant substance use issues, 6,7 one examined an ED‐based primary care clinic, 8 and one sought to increase vaccination 9 . A few other studies have examined more general “help desk” or “screening and referral” interventions to address a wide range of ED patient social needs 10–13 . These studies have generally been limited in their study design (e.g., lack of a comparison group, sparse outcome assessment).…”

Section: Introductionmentioning

confidence: 99%

“…9 A few other studies have examined more general "help desk" or "screening and referral" interventions to address a wide range of ED patient social needs. [10][11][12][13] These studies have generally been limited in their study design (e.g., lack of a comparison group, sparse outcome assessment).…”

Section: Introductionmentioning

confidence: 99%

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ED‐Home: Pilot feasibility study of a targeted homelessness prevention intervention for emergency department patients with drug or unhealthy alcohol use

Fazio

Zuiderveen²,

Guyet³

et al. 2022

Academic Emergency Medicine

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Background: Housing insecurity is prevalent among emergency department (ED) patients. Despite a surge of interest in screening for patients' social needs including housing insecurity, little research has examined ED social needs interventions. We worked together with government and community partners to develop and pilot test a homelessness prevention intervention targeted to ED patients with drug or unhealthy alcohol use. Methods: We approached randomly sampled patients at an urban public hospital ED, May to August 2019. Adult patients were eligible if they were medically stable, not incarcerated, spoke English, had unhealthy alcohol or any drug use, and were not currently homeless but screened positive for risk of future homelessness using a previously developed risk screening tool. Participants received a three-part intervention: (1) brief counseling and referral to treatment for substance use delivered through a preexisting ED program; (2) referral to Homebase, an evidence-based community homelessness prevention program; and (3) up to three troubleshooting phone calls by study staff. Participants completed surveys at baseline and 6 months. Results: Of 2183 patients screened, 51 were eligible and 40 (78.4%) participated; one later withdrew, leaving 39 participants. Participants were diverse in age, gender, race, and ethnicity. Of the 32 participants reached at 6 months, most said it was very or extremely helpful to talk to someone about their housing situation (n = 23, 71.9%) at the baseline ED visit. Thirteen (40.6%) said their housing situation had improved in the past 6 months and 16 (50.0%) said it had not changed. Twenty participants (62.5%) had made contact with a Homebase office. Participants shared ideas of how to improve the intervention.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

ED‐Home: Pilot feasibility study of a targeted homelessness prevention intervention for emergency department patients with drug or unhealthy alcohol use

Fazio

Zuiderveen²,

Guyet³

et al. 2022

Academic Emergency Medicine

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“…16 Referrals from healthcare to social prescribing are, most commonly, from primary care (Germany, Netherlands, England, Canada), 5 17-19 but also come from outpatient services such as oncology and gynaecology (USA), 20 community-based nursing (Japan), 21 mental health teams (USA, UK), 22 rehabilitation and intermediate care (Singapore), 23 and acute care or emergency departments (USA, Australia). 24 In some countries, identification is through standardised screening instruments for social risks such as food insecurity or social isolation (Australia, USA, Canada). 20 There are also options for self-referral, or referrals from non-healthcare professionals or community members such as hairdressers, taxi drivers or supermarket staff (Canada, England), but these approaches are less common.…”

Section: Service Deliverymentioning

confidence: 99%

Global developments in social prescribing

Morse¹,

et al. 2022

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Social prescribing is an approach that aims to improve health and well-being. It connects individuals to non-clinical services and supports that address social needs, such as those related to loneliness, housing instability and mental health. At the person level, social prescribing can give individuals the knowledge, skills, motivation and confidence to manage their own health and well-being. At the society level, it can facilitate greater collaboration across health, social, and community sectors to promote integrated care and move beyond the traditional biomedical model of health. While the term social prescribing was first popularised in the UK, this practice has become more prevalent and widely publicised internationally over the last decade. This paper aims to illuminate the ways social prescribing has been conceptualised and implemented across 17 countries in Europe, Asia, Australia and North America. We draw from the ‘Beyond the Building Blocks’ framework to describe the essential inputs for adopting social prescribing into policy and practice, related to service delivery; social determinants and household production of health; workforce; leadership and governance; financing, community organisations and societal partnerships; health technology; and information, learning and accountability. Cross-cutting lessons can inform country and regional efforts to tailor social prescribing models to best support local needs.

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