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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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Toolkit
A toolkit to help community organizations and service providers create a trauma informed system of care, particularly for youth and families that have experienced trauma/adverse experiences. The toolkit also includes an evaluation of the authors’ own intervention to provide trauma-informed care to youth their community.
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
This article describes the rapid scale-up of adolescent telehealth services at the Children’s Hospital of Philadelphia (CHOP) Division of Adolescent Medicine. While the scale-up was partially effective in reaching some underserved populations (e.g., people living with HIV, people with substance use disorder, people living with mental illness), racial disparities in visit completion rates are concerning and would need to be addressed by sites replicating this intervention to avoid exacerbating health disparities. The practice strategy this article is focused on is adolescent telehealth services.
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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Case Study
The article presents a mental health intervention for LGBTQ+ youth delivered by telehealth. This article describes the application of a Cognitive Behavioral Therapy (CBT) approach through an online telehealth program called AFFIRM. The affirm approach covered 8 group sessions focusing on youth LGBTQ+ populations and included a brief case study highlighting the approach and feedback from one individual. Though the case study discussed in this article is brief, the Affirmative CBT model has been addressed in other studies and was found to reduce depression, mental health risks, and increase coping skills.The intervention may be useful to bridge access gaps presented by COVID-19.
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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Summary Report/Recommendations
This practice describes a Three-Phase Approach to mitigating COVID-19 in long-term and post-acute care nursing facilities in the Seattle, WA area. The authors outline a structure for addressing the pandemic based on disease surveillance measures, with different focus areas within each phase. Measures include:
(1) Initial: Communication, tracking, PPE preparation
(2) Delayed: Education, testing, isolation
(3) Surge: Activation of a “drop team”” of health care professionals during an outbreak
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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Case Study
The Packed Promise intervention sent monthly food boxes and food vouchers to families with children eligible for free school meals in Chickasaw Nation territory in rural Oklahoma. The deliveries themselves were successful and led to modest improvements in children’s fruit, vegetable, and whole-grain consumption, but the intervention did not result in statistically significant reductions in children’s food insecurity. Adult food insecurity was reduced initially, but the reduction was not sustained after 18 months. 2 articles were written to assess Packed Promise’s impacts on food insecurity (Briefel et al.) and fruit/veg consumption (Cabili et al.).
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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Case Study
At the start of the COVID-19 pandemic, health professions students created a free childcare system for health care workers (HCW). As their usual in-person rotations stopped abruptly, students volunteered their time to childcare. Volunteers and HCW were connected by geographical closeness, with an ideal 1:1 longitudinal pairing to reduce close contacts. The service was highly utilized.
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.
RELEASE DATE:
Systematic Review/Meta-Analysis
This source reviews how the COVID-19 pandemic has affected children and families, and gives recommendations on how these families and surrounding stakeholders can better support them. This includes ensuring age-appropriate information is available for parents and children, supporting childcare needs, collaborating with schools or trusted community institutions, and creating policies that support overall health, safety, and wellbeing as the pandemic continues on.
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
This case study is on the effectiveness of COVID-19 vaccine distribution via mobile vans to residents/staff of 47,907 long-term care facilities (LTCFs) across the United States that relied on algorithms to optimize vaccine distribution. The authors developed a modeling framework for vaccine distribution to high-risk populations in a supply-constrained environment. The framework decomposed this challenge as two separate problems: an assignment problem, where they optimally mapped each LTCF to select CVS stores responsible for vaccines; and a scheduling problem, where they developed an algorithm to assign available resources efficiently. The learning and this framework may be of use to other organizations, including communities where mobile clinics can be established to efficiently distribute vaccines and other healthcare resources in a variety of scenarios.
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.
RELEASE DATE:
Peer Review Study
This article describes the approach and impact of the Stanford Flu Crew, a service learning program at Stanford University School of Medicine, where pre-clinical students provide vaccines to underserved populations in community settings. The article includes information on both program outcomes (i.e., the number of people vaccinated per year over a 4-year period) and student perceptions of learning outcomes achieved through this program.
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.
RELEASE DATE:
Peer Review Study
This is a retrospective cohort study that was used to inform COVID-19 infection prevention measures by identifying and assessing risk and possible vectors of infection in nursing homes (NHs) using a machine-learning approach. The strongest predictors of COVID-19 infection were identified as the county’s infection rate and the number of separate units in the NH; other predictors included the county’s population density, historical health deficiencies, and resident density. In addition, the NH’s historical percentage of non-Hispanic white residents was identified as a protective factor. The study concluded that a machine-learning model can help quantify and predict infection risk.