Project Nurture Integrates Care And Services To Improve Outcomes For Opioid-Dependent Mothers And Their Children

McConnell, K. John; Kaufman, Menolly; Grunditz, Jenny I.; Bellanca, Helen; Risser, Amanda; Rodríguez, María I.; Renfro, Stephanie

doi:10.1377/hlthaff.2019.01574

Cited by 15 publications

(11 citation statements)

References 26 publications

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“…Many prenatal clinics already integrate nonfinancial social resources and care coordination programs such as those addressing food and housing insecurity. 17 , 18 Clinics may already be identifying individuals who would be interested in financial services. Coordination across services could help patients simultaneously address more immediate social needs with interventions that build resilience against their more upstream causes.…”

Section: Discussionmentioning

confidence: 99%

Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

Liu

Bell

et al. 2021

J Prim Care Community Health

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Background Poverty and financial stress affect prenatal health and well-being as well as early childhood development. This study sought to examine interest in clinic-based financial services to address financial stress in low-income, Medicaid-enrolled prenatal patients and its relationship with self-reported social risks. Methods We conducted a cross-sectional study of patients at a large safety-net prenatal clinic. Participants completed a written survey on interest in linkage to financial services, poverty-related financial stress, difficulty affording social needs, and interest in services to address material hardships. We compared interest in financial and social needs services by level of financial stress using multivariate regression. Results Respondents (N = 108) were entirely Medicaid-enrolled, with a majority identifying as Hispanic/Latinx (57%) or Black/African American (20%). Sixty-four percent indicated interest in connection to any of the financial services surveyed. Interest was highest in employment (52%), savings and budgeting (49%), job training/adult education (49%), and financial counseling (48%) services. Individuals with high financial stress, compared to those with low financial stress, expressed a higher level of interest in financial services (aRR = 1.61 [95% CI 1.12-2.39]). Interest in financial services was associated with difficulty affording social needs (aRR = 2.24 [95% CI 1.33-4.43]) and interest in services addressing social needs (aRR = 1.45 [95% CI 1.13-1.92]). Conclusion In this study of low-income, Medicaid-insured prenatal patients, there was a high degree of interest in clinic-based financial services. Integrating financial services into prenatal health care appears to be an approach that low-income patients would be interested in to directly address poverty and financial stress.

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Section: Discussionmentioning

confidence: 99%

Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

Liu

Bell

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

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“…Early prenatal care and case management for women who have intentions to parent following pregnancy may reduce the likelihood of child welfare involvement. Other work has demonstrated the effectiveness of peer support when integrated with behavioral and MAT and general medical access (John McConnell et al, 2020). However, this was for women who were already involved or referred to medical/substance abuse treatment either due to child welfare involvement or self-selection.…”

Section: Discussionmentioning

confidence: 99%

Voluntary Pregnancy Screening at Syringe Exchanges: A Feasibility Study

Cioffi

Seeley

2021

Journal of Prevention and Health Promotion

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The purpose of this study was to explore the feasibility of offering voluntary pregnancy screening at syringe exchange programs, using the National Implementation Research Network Hexagon Discussion and Analysis Tool. We conducted a survey among female syringe exchange clients, which assessed perceived needs, values, and behavioral intentions for parenting and entering treatment if they received a positive pregnancy screen, and surveys among staff and core volunteers to assess organizational fit, capacity, and needed supports. Participants and staff reported that pregnancy screening was needed at syringe exchange and that capacity needs to be expanded to provide services. Pregnancy screening at syringe exchanges holds the potential to lead to early detection of pregnancy. Early detection of pregnancy among women who inject drugs may result in improved prenatal care, including substance use treatment and treatment of infectious diseases, for women who would otherwise be unlikely to receive prenatal care.

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“…Studies that applied this classification system to a national cohort of communities over time found that those communities achieving a broad scope of capabilities and dense networks of contributing organizations experience improved health outcomes over time compared with communities with more limited capabilities 15 . These findings add to the growing evidence base suggesting that meaningful improvements in population health can be achieved through cross‐sector partnerships that carry out effective public health strategies in their communities 16‐19 …”

mentioning

confidence: 83%

“…15 These findings add to the growing evidence base suggesting that meaningful improvements in population health can be achieved through cross-sector partnerships that carry out effective public health strategies in their communities. [16][17][18][19] Although the importance of implementing the recommended population health capabilities to improve public health performance has been documented, little is known about which combinations of the capabilities are the most successful when seeking to strengthen a community's public health system. Information about the relative value of specific capabilities and organizational partners can help communities prioritize their use of limited time and resources and identify the most effective pathways for building a stronger public health system over time.…”

Section: Methodsmentioning

confidence: 99%

Identifying Value‐Added Population Health Capabilities to Strengthen Public Health Infrastructure

2022

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While the coronavirus pandemic has underscored the important role of public health systems in protecting community health, it has also exposed weaknesses in the public health infrastructure that stem from chronic underfunding and fragmentation in delivery systems.r The results of our study suggest that the public health system structure can be strengthened through the targeted implementation of high-value population health capabilities.R. Hogg-Graham, E. Graves, and G.P. Mays their impact on system strength across communities in the United States. We used linear probability models to ascertain whether the delivery of certain capabilities added value to public health system strength.Findings: Those communities with the strongest classification of public health system structure in both urban and rural areas implemented the largest set of population health capabilities. Results from the linear probability model indicate that a set of population health capabilities are associated with increased public health system strength. Key activities include allocating resources based on a community health plan, surveying the community for behavioral risk factors, analyzing the data on preventive services use, and engaging community stakeholders in health improvement planning (p < 0.01). Conclusions:The results of this study suggest that public health systems can be strengthened through the targeted implementation of high-value population health capabilities. Prioritizing the delivery of value-added population health capabilities may help communities increase their public health system's capacity and improve health outcomes.

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Project Nurture Integrates Care And Services To Improve Outcomes For Opioid-Dependent Mothers And Their Children

Cited by 15 publications

References 26 publications

Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

Interest in Clinic-Based Financial Services among Low-Income Prenatal Patients and its Association with Health-Related Social Risk Factors

Voluntary Pregnancy Screening at Syringe Exchanges: A Feasibility Study

Identifying Value‐Added Population Health Capabilities to Strengthen Public Health Infrastructure

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