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Established Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by previous studies that are consistent with the objectives of the activities.
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Peer Review Study
This study assessed differences in COVID-19 cases and mortality rates in traditional nursing homes and Green Houses. Green Houses are smaller, more intimate residential living environments that promote personalized care and more tight-knit communities of residents and care givers. Using CMS data, researchers found that, adjusting for age, gender, and disability status, small and large nursing homes had higher COVID-19 cases and mortality rates compared to Green Houses.
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 study conducted interviews with public health professionals from local and state health departments to understand their experiences in providing comprehensive COVID-19 case investigation and contact tracing with refugee, immigrant, and migrant communities. The research identified six themes related to promising practices, including understanding the community and public health context, cultivating relationships, ensuring linguistic and cultural concordance, communicating intentionally, evolving response strategies, and implementing equity measures. These findings aim to inform proactive, community-engaged solutions for public health organizations working with these communities during public health crises, such as COVID-19, to improve collaborations and staff wellbeing.
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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White Paper/Brief
This article discusses the Foundation for Opioid Response Efforts (FORE) distribution of $1.3 million in grants to organizations studying the potential permanent adoption of COVID-19 care access measures to promote health equity in opioid use disorder treatment. The grants aim to investigate the impact of temporary policies, such as virtual care, on access to care and patient outcomes. The studies will explore how relaxed prescribing policies for buprenorphine, telehealth strategies, and other COVID-19 measures have affected patient access and outcomes, particularly among underserved populations. The research will inform evidence-based policies to sustain access to better care beyond the pandemic and address the ongoing opioid crisis.
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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Toolkit
The Framework for an Equitable COVID-19 Homelessness Response offers guidance on utilizing funding sources like the CARES Act to address homelessness during the pandemic. It aims to conduct emergency measures while planning for recovery. The framework emphasizes racial justice and requires coordination among partners and systems. It is regularly updated and provides tools and resources. For individuals experiencing homelessness, local 2-1-1 hotlines can provide assistance.
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 article discusses the challenges of contact tracing among people experiencing homelessness. It suggests combining the traditional person-based approaches to contact tracing with location-based contact tracing approaches when conducting investigations among unhoused individuals. Location-based approaches collect data on the places people have visited in the past 48 hours, rather than the individuals with whom they interacted. Facility-wide testing and resources can be provided in locations where someone accessed support 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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Peer Review Study
This article identifies levels of vaccine hesitancy and acceptance among people experiencing homelessness. It gives public health practitioners information on ways to address the relatively higher levels of hesitancy among this population and encourages logistical barriers such as transportation to be addressed as part of a larger strategy.
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 El Bari Clinic launched a telemedicine initiative during the COVID-19 pandemic to reduce in-person visits and reduce transportation as a barrier to accessing health care. This cases study notes that the clinic offers patient-centered and culturally competent care to under and uninsured community members, which largely includes working-class ethnic minorities.
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 review examines major reasons for vaccine hesitancy among immigrants without documentation, particularly around lack of access to information, language barriers, and work conflicts, and fear of government/immigration services. The paper also discusses solutions to overcome vaccine hesitancy, particularly government stakeholders providing culturally and linguistically responsive information and education about COVID-19 and vaccines, and partnering with trusted community-based organizations.
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 article describes the implementation of telemental health services within the Veterans Health Administration before and during the COVID-19 pandemic. The article identifies strategies the VHA has used to reach hard to reach populations, including unhoused veterans and veterans living in rural communities, and outlines future goals to improve and expand access to telemental health services.
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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Case Study, Peer Review Study
Practice strategy involves including unhoused peer ambassadors in outreach plans to encourage vaccination against Covid-19 in homeless encampments/shelters. Peer ambassadors were found to be effective in promoting vaccination among their peers. However, some concerns existed around the ethics of exploiting the trust unhoused PAs had with their communities, as well as apathy and frustration towards the academic and bureaucratic nature of the research study.