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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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Blog
This blog post offers considerations for pediatric medical care teams and community partners to ensure more equitable COVID-19 vaccine distribution among children. These recommendations fall under four broad categories and draw from conversations with pediatric practices, family advisors, and core partners engaged in Accelerating Child Health Transformation, a national initiative led by the Center for Health Care Strategies with support from the Robert Wood Johnson Foundation.
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:
Blog
This blog highlights how the Pennsylvania Department of Human Services is addressing algorithm bias as part of a larger strategy to improve equity across all of the agency’s programs and activities, which were recently detailed in the state’s comprehensive Racial Equity Report.
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 paper highlights several successful state initiatives that policymakers may consider adopting to improve routine HPV vaccination rates among adolescents and provide catch-up vaccinations to the estimated one million adolescents who are now behind due to challenges created by the pandemic.
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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White Paper/Brief
To help policymakers and other stakeholders identify opportunities to improve health equity in their states, SHADAC has produced a set of data resources for the 50 states and the District of Columbia. Using the Behavioral Risk Factor Surveillance System (BRFSS) Survey — combining the three most recent years of data (2018–2020) to improve our ability to develop reliable state-level estimates for smaller population subgroups — SHADAC created maps and charts showing how states compare to the U.S. average in measures of people’s self-reported physical and mental health, and how people’s physical and mental health varies depending on their race and ethnicity, level of income, and age within each state.
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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Data Collection Tool
The COVID Racial Data Tracker is a collaboration between the COVID Tracking Project and the Boston University Center for Antiracist Research. The tracker is a collection of race and ethnicity data on COVID-19 in the United States.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
A retrospective registry-based chart review examined the various demographic and clinical risk factors associated with COVID-19 severity among patients aged 18-29. The study was done within a metropolitan health care system in Houston, TX. In the cohort of 1,853 young adult patients diagnosed with COVID-19 infection at a hospital encounter, including 226 pregnant women, 1,438 (78%) scored 0 on the Charlson Comorbidity Index, and 833 (45%) were obese (≥30 kg/m2). Within 30 days of their diagnostic encounter, 316 (17%) patients were diagnosed with pneumonia, 148 (8%) received other severe disease diagnoses, and 268 (14%) returned to the hospital after being discharged home. In multivariate logistic regression analyses, increasing age, male gender, Hispanic ethnicity, obesity, asthma history, congestive heart failure, cerebrovascular disease, and diabetes were predictive of severe disease diagnoses within 30 days. Non-Hispanic Black race, obesity, asthma history, myocardial infarction history, and household exposure were predictive of 30-day readmission.
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
Youth nationwide face new intensified stressors like illness, death, social isolation, economic stress, food insecurity, family hardship, and increase domestic violence risk. These stressors are associated with outcomes like depression, behavioral problems, anxiety disorders, and worsened existing mental health conditions. School-based health centers (SBHCs) are a cost-effective health care delivery model that increases mental and behavioral health access and use. SBHC patients live in underserved communities and are at a greater risk for mental health issues. The qualitative data from this study highlight increased demand for mental health services and a lack of resources to meet this demand, resources to ensure universal telehealth technology access are needed to improve health care access for youth, and parental buy-in and support are crucial component of sustained care.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Summary Report/Recommendations
This article is a review of legal issues impacting Tribal public health during the pandemic. Most notably the article highlights the failure of the federal government to adequately support American Indians and Alaska Natives, as well as the impacts and importance of Tribal authority/jurisdiction in creating culturally appropriate public health measures. The article includes recommendations for Tribal, federal, and local governments in how to best manage the pandemic.
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 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.