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July 2019 Research Round-Up

See below for publications recently added to the SIREN Evidence Library.

As always, if you are aware of resources you think should be added to the Evidence Library please send them our way.

Journal Articles

Health and Psychosocial Needs of Older Adults Who Are Experiencing Homelessness Following Hospital Discharge
S.L Canham, K. Custodio, C. Mauboules, C. Good, & H. Bosma
This Canadian qualitative study describes the unique needs and vulnerabilities older people experiencing homelessness have upon hospital discharge and explores perceptions of the current services available to them.

Making Connections: Understanding How Screening, Triage, and Referral Processes Can Promote Veteran Housing Stability
M. Cusack, A.E. Montgomery, N. Hunt-Johnson, M. Dichter, & G. True
Social Work in Public Health
In this EMR data review study, veterans who screened positive for housing instability in the VHA did not consistently reach triage or referral services for assistance with their housing issue. Conversely, the majority of veterans presenting for referral services had screened negative for housing instability in the previous 90 days.

Incorporating Social Determinants of Health in Electronic Health Records: Qualitative Study of Current Practices Among Top Vendors
M. Freij, P. Dullabh, S. Lewis, et al.
JMIR Medical Informatics
The authors interviewed six EHR vendors to investigate the development of EHR-based software that allow health care providers to identify and address patients’ SDH in health care settings. Vendors viewed SDH as an area of growth, ranged in the number and size of related products, and expressed willingness to collaboratively discuss policy solutions.

Social Determinants of Health: What's a Healthcare System to Do?
L. Gottlieb, C. Fichtenberg, H. Alderwick, & N. Adler
Journal of Healthcare Management
This commentary describes four complementary strategies that healthcare leaders can pursue to intervene on social adversity.

Fruit and Vegetable Prescriptions for Pediatric Patients in Flint, Michigan: Program Development, Methods, and Baseline Characteristics
A. Saxe-Custack, M. Hanna-Attisha, & K. Zvoch
Current Developments in Nutrition
This baseline assessment of a fruit and vegetable prescription program for pediatric patients in Flint, Michigan found high prevalence of food insecurity and deficiencies in fruit/vegetable intake among participating families.

Impact of Social Needs Navigation on Utilization Among High Utilizers in a Large Integrated Health System: A Quasi-Experimental Study
A. Schickedanz, A. Sharp, Y.R. Hu, et al.
Journal of General Internal Medicine
A difference-in-differences evaluation of a telephonic social needs screening and navigation program found a small decrease in health care utilization overall, with larger decreases among low–socioeconomic status patients .

Social and Mental Health Care integration: The Leading Edge
L. Shields-Zeeman, C. Lewis, & L. Gottlieb
JAMA Psychiatry
This commentary outlines three avenues for mental health professionals to advance the systematic use of social risk informed and targeted care: leveraging integrated care models, clarifying and augmenting payment models, and developing training and education.

To Improve Outcomes, Health Systems Invest in Affordable Housing
D. Tuller
Health Affairs
This piece chronicles how health care networks are helping expand access to stable housing and supportive services in Portland, Oregon.

The Baltimore Community-Based Organizations Neighborhood Network: Enhancing Capacity Together (CONNECT) Cluster RCT
A.W. Wu, C.M. Weston, C.A. Ibe, et al.
American Journal of Preventive Medicine
This cluster RCT evaluated a program combining an online tool (Healthify) to help refer clients to community resources, meet-and-greet sessions between CBO staff and healthcare staff, and technical assistance. The intervention was not found to have a statistically significant effect on healthcare utilization outcomes, CBO client outcomes, or CBO staff outcomes.


HUD Policy Brief on Rural Homelessness: Understanding the Impact and Potential for Health Centers
Corporation for Supportive Housing
This policy brief provides an overview of rural homelessness as well as ways that health centers can address rural homelessness in their communities. These strategies include partnering with local providers, screening for homelessness and housing instability, and participating in coordinated entry.

A Survey of Basic Resource Needs: Results from a Sample of Kaiser Permanente Southern California Members
C.C. Lewis, E.E. Thompson, & A.L. Sharp
Social Needs Network for Evaluation and Translation (SONNET)
This report describes the results of a survey of Kaiser Permanent members that measured: 1) the prevalence of housing, food, transportation, and utilities needs in the last 3 months; 2) members’ desire for assistance from Kaiser Permanente in addressing those needs; 3) and the extent to which KP has helped them address these needs.

Review of Evidence on the Health Care Impacts of Interventions to Address the Social Determinants of Health
M. Tsega, C. Lewis, D. McCarthy, T. Shah, & K. Coutts
The Commonwealth Fund
This review includes relevant evidence from peer-reviewed and gray literature that reported on the costs of social service interventions and/or health care utilization outcomes for adult patients or clients. It is intended to help inform users of the Return on Investment (ROI) Calculator for Partnerships to Address the Social Determinants of Health.

It’s About Trust: Low-Income Parents’ Perspectives on How Pediatricians Can Screen for Social Determinants of Health
D. Schleifer, A. Diep, & K. Grisham
Public Agenda
This report explores low-income parents’ views on discussing social determinants of health with their children’s pediatricians and offers insight on how doctors can have these conversations with parents in productive ways.