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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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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.
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 develops a microsimulation model of COVID-19 transmission in a homeless shelter and calibrated it to data from surveys conducted during COVID-19 outbreaks in five homeless shelters in three US cities from March 28 to April 10, 2022. The study estimates the probability of averting a COVID-19 outbreak when an exposed individual is introduced into a representative homeless shelter of 250 residents and 50 staff over 30 days under different infection control strategies. The results show that within communities with high COVID-19 community incidence are unable to prevent a large outbreak, despite extensive infection control strategies. This study suggests a need for non-congregate housing in high-risk settings, is needed to avoid outbreaks within these settings.
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 study looks at survey data from the 2020 U.S. Household Pulse Survey to estimate the associations between state-specific mobility restrictions and well-being across historically excluded groups, including those groups at the intersections of race/ethnicity, sex, and income categorizations. Results found that low-income and African American populations are most likely to be affected by lockdown restrictions, including unemployment, food insufficiency, mental health problems, inaccessibility of medical care, rent or mortgage defaults, and class cancellations.
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 survey results of 33 Black adolescents (ages 12-17) living in Southeastern United States during the COVID-19 pandemic. The survey illustrates stressors and barriers for these teenagers, citing financial issues, access to health care, and increased mental health strain as key issues during the pandemic. These answers could provide context for addressing issues within this population.
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 examines the relationship between changes in health-related socioeconomic risks (HRSRs) and mental health for women ages 18-90 during the COVID-19 pandemic. Data was collected through a survey that asked questions about any patterns of change in HRSRs (food insecurity, housing instability, interpersonal violence, and difficulties with utilities and transportation). The results found that 40% of women had one or more prepandemic HRSRs, with an increase in HRSRs experience during the pandemic. The odds of depression, anxiety, and post-traumatic stress symptoms are two or three times higher among women who reported at least one HRSR.
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:
Case Study
This paper describes how a local public health agency joined a multi-sector community partnership made up of community-based organizations, clinical providers, and peer navigators and others with lived experience of homelessness. Together, this group created a strategic plan to lessen the impact of COVID-19 on people experiencing homelessness. They prioritized education, increased resource allocation and testing in shelters, and slated housing for those who tested positive or those at increased risk of COVID complications. Most of this work took place in shelters.
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.
RELEASE DATE:
Peer Review Study
Members of many underserved communities have long seen worse health outcomes, and this has been exacerbated by COVID-19. This article describes certain strategies that health departments, hospitals, universities, service providers, and others have used to engage and partner with members of underserved communities. In Chicago, health departments, hospitals, service providers, and community organizations formed an alliance that met daily to coordinate services for people experiencing homelessness. The Navajo Nation partnered with health departments and hospitals to create a health command center to get aid to people, test and contact trace, and collect funding. An alliance in Albuquerque used community based participatory research (CBPR) to complete strategic planning regarding mitigating COVID-19 among people experiencing homelessness. Other cities also used CBPR or saw grassroots efforts to partner wit health departments to increase aid and funding to communities with the greatest need.
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:
Case Study
This paper describes how a local public health agency joined a multi-sector community partnership made up of community-based organizations, clinical providers, peer navigators, and individuals with lived experience of homelessness. Together, this group created a strategic plan to lessen the impact of COVID-19 on people experiencing homelessness. They prioritized education, increased resource allocation and testing in shelters, and slated housing for those who tested positive or those at increased risk of COVID-19 complications. Most of this work took place in shelters.
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:
Case Study
This report collects the strategies that urban health departments used to protect residents experiencing homelessness or at risk of experiencing homelessness during COVID-19. Strategies included working with community partners (particularly shelters) to expand housing, increasing outreach and resource allocation to people experiencing homelessness, and building better communication networks.
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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White Paper/Brief
This resource makes recommendations related to establishing crisis stabilization systems for persons living with mental illness. This article describes how pandemic-related changes and funding increases can be leveraged to strengthen statewide crisis stabilization systems for individuals living with mental illness and substance use disorder, including recommendations for specific stakeholders to engage and action steps. The practice strategy this article is focused on is policy and organizational change to improve public health infrastructure.