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Funding was provided by The Boston Foundation to the Kraft Center for Community Health at Massachusetts General Hospital. The content material was solely the accountability of the authors and doesn’t essentially symbolize the official views of the funders. The sponsors had no role in the program design; collection, evaluation and interpretation of data; writing of report; or decision to submit for publication. We will evaluate the HUGS/Abrazos Program using a mixed-methods approach, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework .
These fundamental principles used for HUGS/Abrazos implementation could be utilized to any program in search of to offer speedy response aid to populations suffering from public well being crises. Furthermore, the multidisciplinary structure of the HUGS/Abrazos program and the utilization of Aunt Bertha and IRIS can extend beyond the acute part of the pandemic to offer sustained support for susceptible younger households as the stressors of the pandemic will probably proceed beyond its acute part. Community well being staff are utilizing two new technological tools in the course of the patient navigation process that improve knowledge, improve workers resource sharing, and enhance connection to sources via direct referral. Aunt Bertha is a web-based resource portal which is free to all, though a custom account has been created for MGH workers to permit for an built-in workflow. Community health employees use Aunt Bertha to search for desired group sources (i.e., meals bank), which they then save to early childhood shared folders to scale back redundant searching throughout workers, manage useful resource experience feedback, and rapidly discover past-utilized agencies by geographic domain. CHWs can textual content and email assets directly to families by way of Aunt Bertha, which offers an organized area for staff to maintain track of and follow-up on gentle referrals.
In the realm of ladies’s healthcare, patient navigation applications have been successful in stopping maternal-child obesity, lowering preterm delivery rates, and enhancing postpartum care supply (29–31). We consider that affected person navigation can be utilized to pave consolidated and integrative pathways to resources for pregnant ladies and families with kids beneath age 6 through credit balance refund chase the COVID-19 pandemic. When indicated, the HUGS/Abrazos social employee could refer sufferers for long run behavioral health support, or to services such as substance use therapy programs, legal assist, and monetary companies. In addition, the social worker might connect the affected person with the community health employee if there are unmet social needs impacting the affected person’s progress.
Lastly, it permits for straightforward switch of affected person info from their medical chart to each observe for documentation functions. First, our focus on serving pregnant women and young youngsters is especially important since this population has been up to now understudied in the course of the period of the COVID-19 pandemic, despite the profound implications on continual health outcomes. Second, from growth and all through implementation, we elucidated input from all stakeholders–primary care, behavioral health, and neighborhood health–to perceive the most urgent wants of the community and to deal with the specific barriers we would have liked to beat.
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