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Marginalized populations exhibit low rates of preventive service use, often avoiding use of non-urgent services. Poor access to preventive and health promoting care serves to maintain inequities in health experienced by many marginalized populations. Of particular concern are marginalized families with young children below the age of school entry, when physical, emotional and psychological foundations for lifelong health are being established. Many community based organizations recognize the need to improve families' access and use of preventive services. However, they are faced with a gap in understanding what inter-organizational interventions could be implemented to improve integration of services particularly focused on addressing experiences of marginalized families. Therefore, we used the integrative review method to identify and describe inter-organizational (I-O) interventions in the literature that aim to improve access to preventive services by marginalized families. As per integrative review methods, the literature was searched for research studies using qualitative, quantitative or mixed method designs, and investigating I-O interventions aiming to improve access to preventive services through increased service integration. Three levels of screening and relevance review identified fourteen articles. A conceptual model informed by socio-ecological theory was used to classify interventions as relational or structural. Results show that reports of rigorously conducted studies of I-O interventions are relatively sparse, and emphasize structural factors such as shared leadership, shared review or development of policies/protocols, changes to referral mechanisms and geographical/caseload matching. Interorganizational interventions that influence relational factors were rare but have included: joint training/education, facilitated communication, addition of an integration role, and strategic partnerships. We suggest that combining both structural-and relational-focused strategies in inter-organizational integration intervention design may have greater impact on improving access to preventive services for marginalized families, with increased use of early childhood preventive services contributing to reducing health disparities.

The purpose of this study was to explore the meaning attributed to the word feel and how people make sense of
its use in their communication across their social network. The findings showed that the function of the word feel,
in its basic form, was to emotionally self-disclose or to inquire about the private inner experiences of others.
However, discursive rules dictated that it was not appropriate for all relationships. Most participants reported an
open use in interdependent and supportive personal relationships. These relationships are portrayed as the most
trustworthy and, through using the word feel, a source of well-being via the opportunities they provide to be
cathartic and socially intimate. By contrast, the use of feel in relationships defined by dependence and
vulnerability was perceived as being social risky. The word feel is portrayed as a potential indicator of enacted
social support and a possible leverage point for interventions in social support.2007