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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Evaluation Report
This evaluation report described the Pima County Housing First Initiative pilot phase, which provided permanent supportive housing and case management to justice-involved individuals experiencing homelessness in Pima County, Arizona. Justice-related service utilization and health care costs declined for program participants enrolled in the program for 12 months or more, offsetting the program costs. However, additional analysis is needed to determine whether there is a causal relationship between program enrollment and reduction in service utilization.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This report examines decarceration as a public health response to the COVID-19 pandemic. People in correctional facilities are more susceptible to COVID-19 for a wide variety of reasons, including overcrowding and higher rates of pre-existing conditions. Public health agencies can advocate for these decarceration policies or participate directly in discharge planning or health care provision to these vulnerable populations.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Summary Report/Recommendations
This framework focuses on strategies and action steps recommended for health departments to enhance access to testing, quality care, and prevention methods in correctional/incarceration facilities. This resource opines that health departments, which often provide health care in carceral settings or contract private organizations to provide health care, should strengthen health care services for incarcerated people. All people, regardless of whether they are incarcerated, should have immediate access to testing, care, and the ability to protect themselves from disease.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article presents recommendations for planning and implementing high-quality sexual orientation and gender identity data collection in primary care settings in order to address disparities and care for people within this minority population.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study seeks to examine the impact of incarceration on the health of sexual and gender minority populations using publicly accessible, representative health datasets from 2010 to 2020. The study reveals a lack of diverse gender minority data that could address how this population is impacted on large levels.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study utilized an online survey to gain insight into perceptions of COVID-19 testing, vaccinations, and symptoms. The results found disparities in vaccination and prevention interest amongst LGBT individuals, specifically Black and Latino communities, in specific categories.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article provides insight and recommendations into how providers and healthcare systems can address the disproportionate impact of COVID-19 on sexual and gender minority groups by ensuring equitable treatment. Sexual and gender minority populations are an underserved and marginalized demographic that could be affected disproportionately by the social, psychological, financial, physiological, and mental health impacts of COVID-19. The authors provide steps for equitable treatment by healthcare staff, which include: (1) maintain and increase cultural responsiveness training and preparedness for SGM populations, (2) increase use of sexual orientation and gender identity measures in surveillance, (3) conduct research on the impacts of COVID-19 on SGM populations, and (4) include equity-focused initiatives in disaster preparedness plans. These actions toward equity would begin to allow for our current health system to care more appropriately for SGM populations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The objectives of the study were to describe patterns of COVID-19 testing among LGBTQ+ people and to differentiate rates of COVID-19 testing and test results by sociodemographic characteristics. Participants completed an internet-based survey from May through July 2020 that assessed COVID-19 testing and test results and sociodemographic characteristics. Data were analyzed on receipt and results of PCR and antibody testing for COVID-19 in relation to sociodemographic characteristics. The study confirms the need to create COVID-19 public health messaging and programming that attend to LGBTQ+ populations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
Using public information, the researchers in this study constructed and analyzed a database of incarceration episodes in the city jail system, focusing on what happened March 23-29, 2020, immediately following the mayor’s order to release individuals incarcerated in New York City jails who were at high risk of contracting the disease and at low risk of committing criminal re-offense. They found that being discharged during the focus week was associated with a lower probability of readmission as compared to being discharged during the same calendar week in previous years. Furthermore, comparing the individuals discharged during the focus week of 2020 to those discharged during the same calendar week in previous years, they found that the former group was, on average, slightly older than the latter group, although the difference was not large. Additionally, the individuals in the former group had spent substantially longer in jail than those in the latter group.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
The paper outlines the work of the Gender Harmony Project, which has developed a gender-inclusive Health Level Seven International (HL7) logical model: the HL7 Gender Harmony Model. The Gender Harmony Model is a logical model that provides a standardized approach that is both backwards-compatible and an improvement to the meaningful capture of gender identity, recorded sex or recorded gender, sex for clinical use, the name to use, and pronouns that are affirmative and inclusive of gender-marginalized people. The Gender Harmony Project was formed to create more inclusive health information exchange standards to enable a safer, higher-quality, and embracing healthcare experience. The Gender Harmony Model provides the informative guidance for standards for developers to implement a more thorough technical design that improves the narrow binary design used in many legacy clinical systems.