A review of the effectiveness and experiences of welfare advice services co-located in health settings: A critical narrative systematic review

Reece, Sian; Sheldon, Trevor; Dickerson, Josie; Pickett, Kate E.

doi:10.1016/j.socscimed.2022.114746

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…The majority of previous work that has explored inter agency collaborative working has focused on creating teams of primary and secondary care clinicians (64, 65). What remains less well understood is how best to combine health and social care services (24, 25).…”

Section: Specific Findingsmentioning

confidence: 99%

“…However, despite widespread investment in these systems in countries such as the United Kingdom (23), evidence of the benefits of integrating health and social care remains inconsistent, particularly amongst underserved CYP (24, 25): Little is known of which integrated models are most effective, including the precise combination of services, the specific outcomes they improve, or the impact on the surrounding health economy (26, 27). This systematic review is the first that has collated and examined the impact of these integrated health and social care services on CYP in underserved populations.…”

Section: Introductionmentioning

confidence: 99%

“…Together they share the aim of providing widely accessible health and social care for CYP and their families that can help treat and manage acute and chronic health care alongside the necessary social support that can help mitigate the social determinants of ill-health such as poor housing, domestic violence, or food poverty (21,22). However, despite widespread investment in these systems in countries such as the United Kingdom (23), evidence of the benefits of integrating health and social care remains inconsistent, particularly amongst underserved CYP (24,25): Little is known of which integrated models are most effective, including the precise combination of services, the specific outcomes they improve, or the impact on the surrounding health economy (26,27). This systematic review is the first that has collated and examined the impact of these integrated health and social care services on CYP in underserved populations.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the impact of integrated health and social care services on child health and wellbeing in underserved populations: a systematic review

Bird,

Harper,

Muslim

et al. 2024

Preprint

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ObjectiveTo explore the evidence for interventions that integrate child health and social care and support programmes and the impact they have on child health and wellbeing.Data sourcesThe Cochrane Library, Ovid Medline, Ovid Embase, Ovid Emcare, Ovid Health Management Information Consortium (HMIC) database, and Ovid Social Policy and Practice, Proquest Psychinfo and Ebscohost Cinahl.EligibilityPeer-reviewed original research that described an intervention integrating health care and social support or care interventions for children and young people (CYP) up to the age of 18 years in high-income countries. All databases were searched from inception to August 2023.Data extraction and synthesis16 studies were identified: 4 RCTs, 5 quantitative studies, 5 qualitative studies and 2 mixed methods studies. A narrative review and quality check of included studies was performed. Study heterogeneity meant a meta-analysis could not be completed.ResultsFive qualitative, five quantitative, two mixed methods and four randomised controlled trials were included. We identified three main models of delivering integrated health and social care services: targeted support for vulnerable groups, where the provision of packages of interventions focussed on target populations showed potential for decreasing the need for social support in the long-term but with limited evidence for reducing referrals into other services. They were more successful in meeting specific objectives such as lower rates of smoking, and reducing repeat pregnancies; collaborative health and social support were typically collocated services which improved collaborative working but with little impact on workload, job satisfaction, or service delivery; and school centred health and social care, which improved some aspects of CYP wellbeing and physical health but with concerns they added to teacher workload.ConclusionsIntegrated health and social support programmes offer promising solutions to addressing health inequity in children and young people in underserved populations. However, more robust and consistent study designs are needed to guide researchers and policy makers in their implementation and evaluation.What is already known on this topic.Integrated care that is equipped to mitigate at least some of the social determinants of health is considered key to improving health inequalities in children and young people in underserved populations.Despite increasing investment in integrating health and social support there is little evidence of which models of delivery are most effective in which circumstances nor of the precise impact on target groups and the wider healthcare system.What this study addsWe identified three models of integrating health and social support: Packages of interventions targeted at specific groups; Collaborative (and collocated) health and social support; and School-centered health and social care interventions.Results across the three models offered promise of improved care and support for the underserved, referral rates into other services tended to be lower and packages interventions achieved positive results for specific objectives. However, findings were inconsistent, drop-out rates were high, and there are concerns over sustainability without sufficient resources.How this study might affect research, practice and policyEmbedding iterative co-production in future research and interventions could improve engagement and outcomes and it’s important that further works explores their cost effectiveness and implications for other elements of health and care services.Appropriate resources and a longer-term commitment to promoting integrated health and social support is needed to fully understand the strengths and weaknesses of the offer and maximise the potential benefits.

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Section: Specific Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring the impact of integrated health and social care services on child health and wellbeing in underserved populations: a systematic review

Bird,

Harper,

Muslim

et al. 2024

Preprint

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Money Matters: Time for Prevention and Early Intervention to Address Family Economic Circumstances

Axford

Berry

2023

J of Prevention

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Child poverty is associated with poorer physical and mental health, negative educational outcomes and adverse long-term social and psychological consequences, all of which impact on service demand and expenditure. Until now, however, prevention and early intervention practice has tended to focus on enhancing inter-parental relationships and parenting skills (e.g., via relationship skills education, home visiting, parenting programs, family therapy) or child language, social-emotional and life skills (e.g., early childhood education, school-based programs, youth mentoring). Programs often target low-income neighborhoods or families but rarely address poverty directly. While there is substantial evidence for the effectiveness of such interventions in improving child outcomes, null results are not uncommon and even positive effects are often small, short-term, and difficult to replicate. One avenue to enhance intervention effectiveness is to improve families’ economic circumstances. There are several arguments for this refocusing. It is arguably unethical to focus on individual risk without acknowledging or seeking to address (where relevant) families’ social and economic contexts, while the stigma and material constraints associated with poverty can make it harder for families to engage with psychosocial support. There is also evidence that increasing household income improves child outcomes. Although national policies to alleviate poverty are important, it is increasingly recognized that practice-based initiatives have a role to play (e.g., income maximization, devolved budgets, money management support). However, knowledge about their implementation and effectiveness is relatively thin. For instance, there is some evidence that co-located welfare rights advice in healthcare settings can improve recipients’ financial circumstances and health, but it is mixed and of limited quality. Moreover, there is little rigorous research on whether and how such services affect mediators (parent-child interactions, parenting capacity) and/or child physical and psychosocial outcomes directly. We call for prevention and early intervention programs to attend more to families’ economic circumstances, and for experimental studies to test their implementation, reach and effectiveness.

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Realizing Resilient Global Market Opportunities and Societal Benefits Through Innovative Digital Technologies in the Post COVID-19 Era: A Conceptual Framework and Critical Literature Review

Galetsi,

Katsaliaki,

Kumar

2024

IEEE Trans. Eng. Manage.

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A review of the effectiveness and experiences of welfare advice services co-located in health settings: A critical narrative systematic review

Cited by 5 publications

References 27 publications

Exploring the impact of integrated health and social care services on child health and wellbeing in underserved populations: a systematic review

Exploring the impact of integrated health and social care services on child health and wellbeing in underserved populations: a systematic review

Money Matters: Time for Prevention and Early Intervention to Address Family Economic Circumstances

Realizing Resilient Global Market Opportunities and Societal Benefits Through Innovative Digital Technologies in the Post COVID-19 Era: A Conceptual Framework and Critical Literature Review

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