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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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Peer Review Study
This study examined internet access and mode of access by social class, race, and ethnicity among youth in the U.S. to gain insight on whether these vulnerable populations experienced disparities in access and health education. The study found that low-income Black and Hispanic youth are least likely to have access to internet at home, meaning web-based dissemination of health information is not reaching this 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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Summary Report/Recommendations
1: Ensure federal child care relief funds reach individual early care and education staff in the form of direct cash payments. 2: Ensure health coverage and guaranteed paid leave of at least two weeks for all staff working in regulated early care and education programs. 3: Adjust eligibility requirements for public safety net programs utilized by early childhood personnel until the period when all state ARPA funds related to child care are liquidated. 4: Prioritize equitable distribution of funding to programs located in communities with the most need, which have been impacted most acutely by this pandemic. 5: Improve systems administration and technical assistance to facilitate accessible, simple application processes. 6: Establish essential, yet simple data collection protocols to examine the utilization and impact of ARPA funding in order to inform future policies and resource allocation. 7: Prohibit the use of quality ratings as a determining factor for eligibility to receive ARPA funds or to condition levels of payment.
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
The purpose of this brief is to highlight some of the strategies states are pursuing to address equity in allocating their ARPA child care funds. It also provides a framework to support decision making around how to use recovery funds that focuses on the needs and preferences of families—particularly families that face barriers to accessing high-quality ECE. Strategies include: (1) Conducting town halls with families, providers, and other early childhood stakeholders to inform state priorities for allocating the funding.(2) Partnering with intermediary organizations to conduct outreach and technical assistance around the stabilization grants with ECE providers. (3) Using the Social Vulnerability Index to distribute grants to ECE providers that serve the communities most in need within their 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.
RELEASE DATE:
Peer Review Study
This paper outlines how to structure a youth-friendly community-based participatory research environment to maintain strong partnerships over time. It highlights a case study from Bronx Youth as Partners in Community-Based Participatory Research which aimed to prevent and reduce mental health and other health disparities among both Latino and Black adolescents in the Bronx. Key components to positive partnerships with youth include acknowledging the developmental needs and capacities of youth, understanding the autonomy and experience in decision-making youth have, and being aware of the age timeline that youth are considered adolescents before becoming adults. Strategies for implementing these components include using a Youth Development framework that is a strength-based approach to engagement, integrates structure, uses paid trained staff, accommodates times around schedules, and ensures activities are engaging and youth-friendly. Authors note the importance in offering opportunities for youth to take on tasks that build on their strengths and interests.
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 case study reviews how youth can impact health policy and the importance of including them in these conversations. Authors review their experience incorporating the perspectives of youth who are affected by violence through community-based participatory research methods. Process outcomes included high-school students developing their data skills and fostering networking with leaders in government and public health. Key recommendations include partnering with a community-based organization which provides a trusting infrastructure for youth to engage.
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:
Summary Report/Recommendations
We recommend that lead agencies, in partnership with other state agencies, implement the following provisions in support of the early care and education workforce: (1) Ensuring federal child care relief funds reach individual early care and education staff in the form of direct cash payments. (2) Ensuring health coverage and guaranteed paid leave of at least two weeks for all staff working in regulated early care and education programs. (3) Adjusting eligibility requirements for public safety net programs utilized by early childhood personnel until the period when all state ARPA funds related to child care are liquidated. (4) Prioritizing equitable distribution of funding to programs located in communities with the most need, which have been impacted most acutely by this pandemic. (5) Improving systems administration and technical assistance to facilitate accessible, simple application processes. (6) Establishing essential, yet simple data collection protocols to examine the utilization and impact of ARPA funding in order to inform future policies and resource allocation. (7) Prohibiting the use of quality ratings as a determining factor for eligibility to receive ARPA funds or to condition levels of payment.
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.
RELEASE DATE:
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.
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
In the United States, mobile health clinics are an important method for delivering high quality care to medically underserved populations. To address declining vaccination coverage among young children in Boston during the pandemic, Mattapan Community Health Center (Mattapan) and Codman Square Health Center (Codman Square) partnered with the Kraft Center for Community Health at Massachusetts General Hospital and the Massachusetts League of Community Health Centers to deploy a pediatric mobile health clinic as an adjunct to their in-person clinical services.
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:
Summary Report/Recommendations
Data from the Adolescent Behaviors and Experiences Survey (AMES) was used by CDC to assess 9th-12th grade student behaviors and experiences during the COVID-19 pandemic. The prevalence of poor mental health and suicidality was high across students of all sex, sexual identity, and racial and ethnic groups; however, poor mental health, persistent feelings of sadness or hopelessness, and suicidal thoughts and behaviors were less prevalent among those who felt close to persons at school and were virtually connected with others during the pandemic. The mental health of youth might be improved via strategies that improve connections with others at home, in the community, and at school.