Feb 19, 2019, 3:00 PM, Posted by
National Civic League
The Southeastern San Diego Cardiac Disparities Project works with faith organizations to provide holistic heart health programs in African-American communities. Its first steps are confronting racism and building trust.
Editor’s Note: This post originally appeared on the National Civic League website. We are reposting it with permission this February which is Black History Month as well as American Heart Month.
The Southeastern San Diego Cardiac Disparities Project is improving the cardiovascular health of black residents in South San Diego by altering two fundamental systems that can influence their health: faith organizations and health care providers.
Elizabeth Bustos, director of community engagement for Be There San Diego, and Reverend Gerald Brown, executive director at United African American Ministerial Action Council are leading the effort. They are recipients of the 2017 Award for Health Equity, which was presented to them by the National Civic League and Robert Wood Johnson Foundation. The Award honors leaders who are changing systems and showing how solutions at the community level can lead to health equity.
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Jun 18, 2018, 11:00 AM, Posted by
George Hobor, Laura Leviton
A surgeon in Cardiff, Wales, who regularly treated victims of violence, discovered that many cases went unreported. He devised a model for collecting data and collaborating with both law enforcement and community to predict and prevent violence. This approach is now taking root here in the United States.
Weekend after weekend, the wave of emergency department (ED) patients would arrive. Oral and maxillofacial surgeon Jonathan Shepard would treat shattered jaws, knife wounds and other facial injuries at the hospital in Cardiff, Wales. These injuries stemmed from brawls in bars and nightclubs where broken glasses and bottles were wielded as weapons. Strangely, Dr. Shepard found that only 23 percent of these assaults treated in the hospital were reported to law enforcement.
Harnessing the Power of Data for Violence Prevention
Determined to find a way to stem the violence, Dr. Shepard mobilized health care providers, law enforcement heads, city officials and other local leaders in working together to address what was happening within their community.
Local hospitals agreed to gather basic anonymized information from each assault victim admitted to the emergency department, including the specific location of the violent incident, time of day, and weapon involved. They removed patient identifiers and shared the anonymous data with local law enforcement officials, who combined those data with their own records.
With these data, police were able to map when and where violence might happen, and concentrate resources on hotspot locations such as specific streets, businesses, schools, or transit stations, and during particular times of the week, to help prevent incidents.
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Mar 7, 2018, 11:00 AM, Posted by
A $1.4 million funding opportunity is available for community leaders, organizations, and researchers to help us understand the combination of factors that lead to resilient communities.
Nearly six months ago three catastrophic hurricanes devastated parts of the United States and her territories, and the lives of millions of people in America. Although they were all Category 4+ storms, the impact and aftermath have been markedly different. While the recovery is ongoing, many communities in Texas and Florida are finally returning to normal life: schools are open, transportation systems are running, and homes are being rebuilt. By stark contrast, in parts of Puerto Rico, people are still struggling to survive without clean water and electricity.
What accounts for these differences in recovery? There is plenty of conjecture: people point to the level of damage inflicted, soundness of infrastructure, the condition of the local economy, as well as institutionalized discrimination.
Disasters also come in many forms—natural disasters, to be sure, but also chronic poverty, broad lack of access to health care, and other hardships a community faces. When these adverse factors co-exist, recovery is exponentially harder.
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Nov 30, 2017, 12:00 PM, Posted by
From the time of Florence Nightingale, nurses have applied a holistic approach toward treating patients within the context of their communities. Today, this approach entails promoting and practicing population health. To do so effectively, nurses need supportive educational, policy, research, and workplace environments.
My passion for public health was ignited early on in my career in nursing, serving children and families in St. Louis’ Head Start program. I quickly realized that the health of the individuals for whom I cared depended on a complex mix of factors—including personal choices, the opportunities they had available to them (or not), and the resources within their communities. And my time in St. Louis set me on a career path in nursing that has shown me just how integral a role nurses can play in the health of not just their individual patients, but the broader population.
Nurses have always played a key role in improving our nation’s health and well-being. We see people—not just at different stages of their lives, but also in all of the different places our patients live—using nursing skills and expertise to care for them in many different ways.
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Sep 26, 2017, 9:30 AM, Posted by
A pioneering team of clinicians is tearing down barriers that prevented opioid dependent patients in a rural community from receiving treatment. Their efforts—and those of leaders like them—are helping communities across the nation have an equal opportunity to lead healthier lives.
In Hagerstown, rural Maryland, tucked amongst a series of charming brick buildings is Wells House, a long-standing charity. It provides recovery services to community members battling drug and alcohol dependencies. But for some time, what Wells House didn’t have was a regular clinician to provide specific, evidence-based opioid treatment.
Wells House eventually turned to “telemedicine”—using technology to tap into a network of physicians who could provide treatment remotely. The initial idea came from Eric Weintraub, MD, director of substance abuse services at University of Maryland School of Medicine (UMSOM). The charity had sought out his help in prescribing and managing buprenorphine treatment for clients with opioid disorders. But frequent travel out to Wells House from Baltimore posed a problem for Weintraub and his colleagues. So he turned to technology.
“It was a no-brainer,” Weintraub said. “Medication-assisted treatment is the gold standard for opioid addiction, and we have learned that telemedicine is as effective in most places as face-to-face care, so why not put the two together?”
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Aug 23, 2017, 12:00 PM, Posted by
Creative programs in Latin America are inspiring U.S. communities to pursue similar approaches that connect young adults to education and employment.
Like many high school graduates in Brazil, Caroline was eager to find a job. She desperately needed money to continue her studies and pursue her dream of becoming an engineer. But two years after graduating, she was still unemployed. Caroline eventually managed to improve her job prospects in an unlikely way—through drawing, dance and breath work.
Intent on breaking free from a family history of women who weren’t able to get good jobs or finish high school, Caroline discovered a job training program run by Rede Cidadã (The Citizen Network). The non-profit organization connects youth to jobs and apprenticeships throughout Brazil, where the youth unemployment rate is nearly 25 percent.
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Aug 3, 2017, 10:00 AM, Posted by
Twenty-five years ago, the future of the Shoalwater Bay Indian Tribe was in jeopardy. Today, they are looking at seven generations: back three generations, the present, and forward three generations. Here is how they are ‘pulling together’ for health.
My tribe sees life within the frame of seven generations: The current generation is shaped by the experience of people three generations before and tasked with setting the course for three generations to come.
That’s why I summoned the stamina needed to paddle a canoe for eight days last summer in a tradition that binds our generations. I joined thousands of men, women, teens and children from my tribe—Shoalwater Bay Indian Tribe—as well as our neighbors from the Chinook Indian Nation, to paddle together in a dugout canoe for 200 miles. It was an annual journey with deep roots in our culture and history. I learned what it really means to pull together. You get into a rhythm with your team, and you move forward.
That’s what we’re trying to do for our community’s health, too.
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