The healthcare setting is thought to be one of the most promising places to identify victims of human trafficking. The present study was designed to relay the experiences of a sample of 10 healthcare providers and hospital administrators who developed and have used a protocol to identify victims of human trafficking since February 2014. To our knowledge, the protocol was one of the first to be adopted by any healthcare system in the U.S. Three primary themes emerged from the participant interviews. First, developing the protocol was challenging because at the time there were no predecessor examples. Second, providers reported that the protocol is simple to use and victim identification is easier because of it. Third, identifying and serving victims of human trafficking remains challenging, because there is still a deficit of trained providers and a lack of community resources for survivors. The field needs evidence that this and similar protocols improve users' knowledge and skills, result in the better identification and treatment of trafficking victims, and ultimately improve public safety and public health.

Caregiving itself is universal, yet LGBT caregivers differed demographically and were more likely to report financial strain compared with non-LGBT caregivers.

BackgroundA dementia diagnosis presents a myriad of non‐medical needs that are burdensome to caregivers and critical for disease management. Most medical professionals lack the time and training to meet these needs for support, education, and resources. The Alzheimer’s Association MA/NH Chapter has developed the Dementia Care Coordination program that partners health care providers and payors with dementia care consultants to improve outcomes for caregivers. Dementia Care Coordination is a telehealth‐based program that has provided invaluable support and tools for caregivers to manage the increased challenges and isolation of the COVID‐19 pandemic. This caregiver support and efficacy are vital to the health and well‐being of a person living with dementia.MethodsA mixed‐methods approach was used to evaluate Dementia Care Coordination. Program data were analyzed. A survey measuring self‐efficacy, unmet needs, and satisfaction was distributed to caregivers at baseline and three months and six months post‐referral. Key informant interviews with caregivers supplemented survey results. A survey measuring provider confidence in dementia management and program impact and satisfaction was distributed to referring partners. Case studies with several referring partners provided additional descriptions.ResultsTotal Referrals for Dementia Care Coordination have increased 91% since the pandemic. Surveys for both caregivers and referring partners found high satisfaction with the program. Key informant interviews with caregivers and case studies with referring partners described the positive impact of the program. Ongoing analyses of the quantitative data from the surveys indicate improvement in unmet needs and self‐efficacy among caregivers and improved provider confidence to manage dementia.ConclusionsDementia Care Coordination is a successful program to meet the needs of and improve outcomes for caregivers. The support, education, and resources were pivotal in managing the additional stresses of the COVID‐19 pandemic for dementia caregivers. The Alzheimer’s Association New England Chapters will use the evaluation data to further improve the program, expand healthcare partners, serve more families, and develop a tool kit for replication in other chapters.

Introduction Residents of the Rio Grande Valley (RGV), Texas have among the worst health outcomes nationally. Rates of chronic disease such as obesity, diabetes, and related mortality in the RGV exceed those in most other regions of Texas and the nation [1, 2]. Poverty is pervasive, placing residents at high risk for poor health; they are more likely to be exposed to environmental hazards and have higher rates of chronic physical and mental health concerns [3-5]. At its foundation, integrated behavioral health care (IBH) aims to address multiple health concerns, and related social determinants, by bringing behavioral health and primary care services together. No single model of IBH can be applied universally to health or social service settings; however, each approach is team-based and involves collaboration between multidisciplinary health and social service providers to achieve shared patient and community outcomes [6]. The SAMSHA-HRSA Center for Integrated Health Solutions categorizes these approaches into three levels: coordinated, focused on communication between providers; co-located, models bringing different services into the same physical space; and integrated, which involves practice and workflow changes [7]. A 2016 update on research on integration of behavioral health and primary care emphasized the increasing strength of evidence highlighting the success of these approaches [8]. IBH has been effective in various populations [9-12] with some studies focusing on specialty populations such as adolescents and those with substance use disorders or severe mental illness, which may need tailored and focused integrated care [13-15].