Dec 5, 2018, 11:00 AM, Posted by
How one rural clinic addressed its patients’ complex health and social needs successfully—and cut emergency room use and costs drastically.
There’s no bus service in his small town in rural North Carolina, so Dean* drives 10 miles to The Free Clinics ("Clinics") in Hendersonville every couple of weeks whenever he has money for gas.
Staff there helped him find affordable medications and treatments for cancer and for his shoulder, which he injured by falling 20 feet on a construction site. He’s unable to read due to learning disabilities, so they’ve also helped him find lawyers to file disability claims.
Dean is also one of the patients who attends the Clinics’ Bridges to Health ("Bridges") program, a drop-in group session where patients can discuss their social and emotional concerns as well as medical problems. He has battled depression since the age of five after enduring early childhood trauma. He credits the Bridges sessions, along with the Clinics’ holistic care, with easing his depression and improving his physical health, as well as “opening up avenues for me to get help.”
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Mar 17, 2016, 10:00 AM, Posted by
Catherine Malone, Dwayne Proctor
In order to achieve greater health equity in America, we need to co-create solutions aimed at transforming the many systems that influence where we live, learn, work and play.
Babies born in the shadow of Yankee Stadium are likely to be lifelong fans of the Bronx Bombers. They are also likely to live seven years less than a baby born a handful of subway stops south near Lincoln Center. The same is true in Las Vegas, where a baby born near The Strip is likely to live nine or 10 years less than someone born west of town.
When it comes to health across cities, zip codes are unequal and so are health outcomes. For example, ethnic minorities continue to experience higher rates of morbidity and mortality than whites. Among the 10 leading causes of mortality in the U.S. (e.g., heart disease, cancer or stroke), minority populations experience the highest rate of death.
We write often about the disparities between population groups and the day-to-day experiences of individuals who, for a myriad of reasons—systemic, geographic or financial—do not have the same opportunity to live as healthy a life as their fellow citizens. Our goal is greater health equity in America, a process that begins with including those most affected and co-creating solutions to improve the systems that negatively impact health. The end result should be decreased health disparities.
Here at the Foundation, we know that health disparities are more often caused by systems related to non-medical determinants of health, which is why we’ve specifically invested more than $457 million since 2014 toward eliminating these pervasive gaps in health outcomes.
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Mar 10, 2015, 10:00 AM, Posted by
Catherine Malone, Najaf Ahmad
We know that in order to address health disparities head on, we'll have to implement changes to the systems that influence where we live, learn, work, and play. Oscar and Jose's stories show us that it's possible.
I was looking at somebody who could be a great person...who could do something great in his future. I also knew that if I sent him to prison, I’d knock him off of that road to success.
In the quote above, Steven Teske, a Juvenile Chief Judge in Clayton County, Georgia is describing the first time he encountered 15-year-old Oscar Mayes as he entered the courtroom in handcuffs. Judge Teske noticed that Oscar was an extremely bright young man and that he had no prior run-ins with the law. Yet Oscar was facing five years in the state’s long term lock up—five years that could have ruined his future.
Fortunately, Oscar literally got a Second Chance. This Clayton County initiative gives youth facing prison an opportunity to redeem themselves through intensive supervision, participation in evidence-based treatment programs, and weekly check-ins with the court. Judge Teske and others in his community had realized that too many of their students were falling out of school and heading into the criminal justice system. To address this, the Juvenile Court partnered with local schools and law enforcement to find ways of disciplining youth while keeping them “in school, out of court, and onto a positive, healthy future.”
Interventions like this have yielded impressive statistics in Clayton County: School arrests have gone down 83% and school attendance has gone up 86%. Clayton County’s approach to juvenile justice reflects the transformational impact that changing a system can have.
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Jun 12, 2014, 1:00 PM, Posted by
Catherine Malone, DBA, MBA, is a program associate working with the Disparities Portfolio at the Robert Wood Johnson Foundation (RWJF).
I am so excited to share this infographic for New Connections: Increasing Diversity of RWJF Programming, which illustrates the grants component of the program and its impact. New Connections provides research grants and career development opportunities for researchers of diverse backgrounds, while expanding the perspectives that inform Robert Wood Johnson Foundation programming. To date, 115 scholars, spanning seven cohorts, have received research grants coupled with services related to career development through the program. These scholars are junior investigators and mid-career professionals from low-income communities, groups that have been historically underrepresented in research disciplines, and those who are the first in their families to graduate college.
But that is just part of the program. What makes New Connections so unique is the program’s diverse network of more than 1,300 scholars—which includes grantees and alumni, in addition to 1,200 scholars who have not received grant funding through the program. The New Connections Network includes scholars who are eligible for the program and have either (1) applied for a grant and/or (2) participated in one of the career development activities offered by New Connections, such as a major training event, regional meeting, or webinar. The Network’s career development opportunities include methodological training, manuscript and grant writing workshops, and leadership development coaching.
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