The Role of Community Resource Assessments in the Development of 15 Adolescent Health Community-Researcher Partnerships

Deeds, Bethany Griffin; Peralta, Lígia; Willard, Nancy; Ellen, Jonathan M.; Straub, Diane M.; Castor, Judith; Interventions, Aids

doi:10.1353/cpr.2008.0010

Cited by 12 publications

(11 citation statements)

References 20 publications

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“…Other studies identifying barriers to accessing health and social services have reported high rates of self-reported access issues, and have identi ed that those reporting access issues were more likely to be socially and economically vulnerable or suffering from mental health conditions indicating that those who have the hardest time accessing services may be the most in need 16,17 . Studies identifying how barriers to clinical and social services can be reduced use targeted social support interventions and speci c navigation models to promote patient-centered health improvements 18 as well as strategies to evaluate local resources to develop partnerships and disease prevention interventions 19,20 . Most studies raise the need to better understand "the relationship between perceived barriers to accessing services and dissatisfaction with services" 15 in order to promote health equity in our communities.…”

Section: Discussionmentioning

confidence: 99%

Intersecting Systemic and Personal Barriers to Accessing Social Services: Qualitative Interviews in Northern California

Placzek

Cruz

Chapdelaine

et al. 2021

Preprint

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Background. Addressing social risks in the clinical setting can increase patient confidence in the availability of community resources and may contribute to the development of a therapeutic alliance which has been correlated with treatment adherence and improved quality of life in mental health contexts. It is not well understood what barriers patients face when trying to connect to community resources that help address social risks.Methods. This is a qualitative assessment of patient-reported barriers to accessing and using social needs assistance programs. We conducted over 100 in-depth interviews with individuals in Northern California who participated in a navigation and referral program to help address their social needs and describe a unique framework for understanding how policies and systems intersect with an individual's personal life circumstances.Results. Individuals described two distinct domains of barriers: 1) systems-level barriers that were linked to the inequitable distribution of and access to resources, and 2) personal-level barriers that focused on unique limitations experienced by each patient and impacted the way that they accessed services in their communities. While these barriers often overlapped or manifested in similar outcomes, this distinction was key because the systems barriers were not things that individuals could control or overcome through their own initiative or by increasing individual capacity.Conclusions. Respondents describe intersecting systemic and personal barriers that compound patients’ challenges to getting their social needs met; this includes both a picture of the inequitable distribution of and access to social services and a profile of the limitations created by individual life histories. These results speak to the need for structural changes to improve adequacy, availability, and accessibility of social needs resources. These findings highlight the need for advocacy to address systems barriers, especially the stigma that is faced by people who struggle with a variety of health and social issues, and investment in incentives to strengthen relationships between health care settings and social service agencies.

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Section: Discussionmentioning

confidence: 99%

Intersecting Systemic and Personal Barriers to Accessing Social Services: Qualitative Interviews in Northern California

Placzek

Cruz

Chapdelaine

et al. 2021

Preprint

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“…Organizational partnerships serve to enhance community capacity and intervention sustainability and to foster mutual learning, understanding, and trust. Community coalitions can be especially useful in formalizing partnerships, attending to diverse perspectives, and promoting resource sharing and sustainability [70,88]. As funding policies are beginning to require partnerships (e.g., HIV-testing programs must have linkage partners), a more collaborative approach is imperative.…”

Section: Benefits and Challenges Of Organization-engaged Partnershipsmentioning

confidence: 99%

“…Thus, research should continue to use innovative strategies to develop and sustain direct partnerships with adolescents and consider the role that community-based youth-serving organizations can play in HIV prevention and care. Ongoing community collaborations to address structural level changes are useful in decreasing the incidence of HIV and keeping adolescents with HIV healthy [70,88].…”

Section: Research Needs and Prioritiesmentioning

confidence: 99%

HIV Prevention Interventions with Adolescents: Innovations and Challenges in Partnerships across the Integrated Transitions Model

Tanner

Philbin

2014

Innovations in HIV Prevention Research and Practice Through Community Engagement

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In the USA, the incidence of HIV is rapidly increasing among young people. To increase the effectiveness of HIV prevention and care, efforts for adolescents should consist of interdisciplinary partnerships that address the complexity of the population and co-occurring physical and mental health issues. Partnerships among academic researchers; representatives from educational and testing organizations, health departments, clinics, and other communitybased organizations (including youth-serving organizations); and adolescents themselves are essential. These partnerships can produce innovative strategies that address adolescent-specific issues related to HIV prevention, diagnosis, and care, as well as cultural norms and gender-role expectations particular to adolescents, their developmental stage, and their local communities. Such partnerships can also increase understanding during exploratory and formative evaluation phases, inform the development of interventions and programs that are most relevant to adolescents, and increase the likelihood that these interventions and programs will be implemented, found to be effective, and sustained (if warranted) by communities. Some academic researchers, clinicians, and other providers partner directly with adolescents, while others partner with youth-serving organizations to engage and work with adolescents. In this chapter, we use the integrated model of continuities and transition in adolescent/youth HIV prevention, diagnosis and treatment and the care continuum to illustrate innovative adolescent HIV prevention interventions and programs that engage adolescents and representatives from community organizations, incorporate partnerships, and promote community participation along a continuum. Specifically, we explore two types of partnership strategies-youth-engaged and organization-engaged. We provide an overview of the phases of the integrated model and associated programs with (and without) partnerships with adolescents and community organizations. We conclude with lessons learned and directions for future community-engaged research, interventions, and programs for primary and secondary HIV prevention with adolescents.

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“…Various phases of C2P, including theory, coalition formation, structural and organization functioning, and process measures, have been described in detail elsewhere (Chutuape et al, 2010; Deeds et al, 2008; Geanuracos et al, 2007; Willard et al, 2012; Ziff et al, 2006). Each ATN site’s local institutional review board approved or exempted this research.…”

Section: Introductionmentioning

confidence: 99%

“…C2P was founded on the best practices in the field of community mobilization (Watson-Thompson, Fawcett, & Schultz, 2008) and, to our knowledge, is the only initiative of its kind in focus, scope, and longevity addressing HIV prevention among youth. Various phases of C2P, including theory, coalition formation, structural and organization functioning, and process measures, have been described in detail elsewhere (Chutuape et al, 2010; Deeds et al, 2008; Geanuracos et al, 2007; Willard et al, 2012; Ziff et al, 2006). Each ATN site’s local institutional review board approved or exempted this research.…”

Section: Introductionmentioning

confidence: 99%

Targeting Structural Change for HIV Prevention

Willard¹,

Chutuape²,

Stewart-Campbell³

et al. 2015

Health Promotion Practice

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To address the persistent HIV epidemic in the United States, prevention efforts are focusing on social determinants related to HIV risk by targeting systems and structures, such as organizational and institutional policies, practices and programs, and legislative and regulatory approaches to modify features of the environment that influence HIV risk. With limited evidenced-based examples, communities can benefit from strategic planning resources that help them consider developing structural-level changes that target root causes of HIV risk. In this article, we present the Connect to Protect® project that outlines a process and a tool to move from general ideas to specific structural changes. Examples from 14 coalitions are also provided. Using the process and tools presented here can provide a launching pad for other coalitions seeking to build an HIV prevention agenda and for practitioners seeking to incorporate structural changes for community health promotion.

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The Role of Community Resource Assessments in the Development of 15 Adolescent Health Community-Researcher Partnerships

Abstract: Background-Connect to Protect (C2P): Partnerships for Youth Prevention Interventions is an initiative that alters the community's structural elements to reduce youth HIV rates.

Cited by 12 publications

References 20 publications

Intersecting Systemic and Personal Barriers to Accessing Social Services: Qualitative Interviews in Northern California

Intersecting Systemic and Personal Barriers to Accessing Social Services: Qualitative Interviews in Northern California

HIV Prevention Interventions with Adolescents: Innovations and Challenges in Partnerships across the Integrated Transitions Model

Targeting Structural Change for HIV Prevention

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