Association Between Neighborhood Context and Psychotropic Polypharmacy Use Among High-Need Children.

Objective: The authors explored whether neighborhood context is associated with psychotropic polypharmacy and psychotherapy among a cohort of children with high needs for psychiatric and general medical care.

Methods: Electronic health record data from a large health care system were used in a cross-sectional design to examine psychotropic polypharmacy and psychotherapy in 2015-2019 among children ages 2-17 years (N=4,017) with geocoded addresses. Inclusion criteria were a diagnosis of a mental health condition, an intellectual and developmental disability, or a complex medical condition and one or more clinical encounters annually over the study period.

Medical-Legal Partnership in Western North Carolina: Addressing Social Determinants of Health Through Team-Based Care.

Having an attorney on a health care team helps address patients' social determinants of health. Through a medical-legal partnership, Pisgah Legal Services provides an attorney embedded within the Mountain Area Health Education Center clinical practices. The attorney impacts the Triple Aim of reducing costs by improving health and the patient experience.

Buncombe County: One Path Toward a Resilient Community.

There is an increasing national awareness that improving the health of the nation will need to involve addressing social determinants of health, including adverse childhood experiences. Advances in translational science and the science of social change have created new opportunities to address this refractory problem. This paper will describe a cross-sector collaborative effort in Western North Carolina that has produced unexpected fruit since its start in 2010, discuss themes that supported success, and identify future essential work.