The Healthy Neighborhood, Healthy Families Initiative

Kelleher, Kelly J.; Reece, Jason; Sandel, Megan

doi:10.1542/peds.2018-0261

Cited by 60 publications

(56 citation statements)

References 8 publications

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“…Partnerships like MLPs work best when they extend the reach of each partner, authentically engage key stakeholders, and consistently evaluate whether they are achieving the desired outcomes. 107,[114][115][116][117] Clinical-community partnerships can extend to broader community-based investment strategies considered by healthcare systems. The Healthy Neighborhood, Healthy Families Initiative in Columbus, OH involves a hospital making direct housing interventions within a "blighted" neighborhood.…”

Section: Community Interventionsmentioning

confidence: 99%

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families

et al. 2019

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Racism, segregation, and inequality contribute to health outcomes and drive health disparities across the life course, including for newborn infants and their families. In this review, we address their effects on the health and well-being of newborn infants and their families with a focus on preterm birth. We discuss three causal pathways: increased risk; lower-quality care; and socioeconomic disadvantages that persist into infancy, childhood, and beyond. For each pathway, we propose specific interventions and research priorities that may remedy the adverse effects of racism, segregation, and inequality. Infants and their families will not realize the full benefit of advances in perinatal and neonatal care until we, collectively, accept our responsibility for addressing the range of determinants that shape long-term outcomes.

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Section: Community Interventionsmentioning

confidence: 99%

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families

et al. 2019

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“…A compelling example is a recent initiative to treat a neighborhood as a patient. 81 This involved the hospital treating the adjacent neighborhood to address social determinants. Treatment involved a multifaceted housing intervention that leveraged the social network of the community.…”

Section: Population Ecosystem (Society)mentioning

confidence: 99%

Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems

Rouse

Johns

Pepe

2019

Learning Health Systems

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Introduction Population health involves integration of health, education, and social services to keep a defined population healthy, to address health challenges holistically, and to assist with the realities of being mortal. The fragmentation of the US population health delivery system is addressed. The impacts of this fragmentation on the treatment of substance abuse in the United States are considered. Innovations needed to overcome this fragmentation are proposed. Approach Treatment capacity issues, including scheduling practices, are discussed. Costs of treatment and lack of treatment are considered. Models of integrated care delivery are reviewed. Potential innovations from systems science, behavioral economics, and social networks are considered. The implications of these innovations are discussed in terms of information technology (IT) systems and governance. Conclusions Enormous savings are possible with more integrated treatment. Based on a range of empirical findings, it is argued that investments of these resources in integrated delivery of care have the potential to dramatically improve health outcomes, thereby significantly reducing the costs of population health.

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“…However, while extreme poverty, housing insecurity, and crime have debilitating consequences on child development, health care institutions have been unaware or ineffective at changing their communities. Kelleher et al (2018) evaluated a case study of a hospital treating its adjacent impoverished neighborhood as a "patient" to address social determinants. Community partners assessed and treated the community with a multifaceted housing intervention, accelerating neighborhood development after 80 years of redlining and institutional racism.…”

Section: Integrating Medical Homes and Health Care Institutionsmentioning

confidence: 99%

Advancing Prevention Zones: Implementing Community-Based Strategies to Prevent Child Maltreatment and Promote Healthy Families

Roygardner

Palusci

Hughes³

2019

Int. Journal on Child Malt.

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In searching for a "disruptive" new paradigm to prevent child abuse, we are drawn to an older approach with unfulfilled promise. In 1993, the United States Advisory Board on Child Abuse and Neglect published their report Neighbors Helping Neighbors: A New National Strategy for the Protection of Children. The top priority recommendation of the Board was to develop programs that facilitated the development and safety of neighborhoods by establishing Prevention Zones to improve social and physical environments with high rates of child maltreatment. This paper explores how Prevention Zones might be re-imagined today, integrated with services like home-visiting and medical homes, and applied to serious child maltreatment such as abusive head trauma.

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The Healthy Neighborhood, Healthy Families Initiative

Cited by 60 publications

References 8 publications

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families

The color of health: how racism, segregation, and inequality affect the health and well-being of preterm infants and their families

Service supply chains for population health: Overcoming fragmentation of service delivery ecosystems

Advancing Prevention Zones: Implementing Community-Based Strategies to Prevent Child Maltreatment and Promote Healthy Families

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