Background: This paper describes a multilevel youth violence prevention effort called SAFER Latinos (Seguridad, Apoyo, Familia, Educacion, y Recursos), a collaboration between The George Washington University School of Public Health and Health Services (GWU) and two key Latino community organizations.
Objectives: To implement and evaluate an intervention addressing factors within the social ecology of an immigrant Latino community.
Methods: The intervention includes (1) Social promotores for family outreach and problem resolution; (2) Youth peer advocates at the high school level; (3) a drop-in center with support services for families and youth; and (4) community events, capacity building, and messages. Evaluation includes a baseline and follow-up surveys (N = 1,400) and focus groups.
Lessons Learned: (1) Community circumstances change, requiring regular program adaptation. (2) Community interventions with research face potential contradictions in purpose impacting management of the collaboration and model fidelity. (3) Etiological models tied to interventions may have to be revisited owing to changes in the character and dynamics of the immigrant community.
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http://dx.doi.org/10.1353/cpr.2010.0009 | DOI Listing |
JAMA Netw Open
December 2024
School of Social Work, University of Windsor, Windsor, Ontario, Canada.
Importance: Safer supply programs were implemented in Canada to provide pharmaceutical-grade alternatives to the toxic unregulated drug supply. While research shows clinical benefits and reduced overdose mortality among safer supply patients, medication diversion remains a concern.
Objective: To examine provider (prescribing clinicians and allied health professionals) and patient perspectives on diversion of opioids prescribed in safer supply programs.
Lancet
November 2024
Institute for Global Health, University College London, London, UK.
J Am Board Fam Med
August 2024
From the University of Rochester, Department of Family Medicine Family Medicine Research Rochester, NY (MS, KF, CF); Rochester Regional Health, Unity Faculty Partners, Rochester, NY (MD); University of Rochester Medical Center, Rochester, NY (JH, YM).
Background: The 2022 Centers for Disease Control's "Clinical Practice Guidelines for Prescribing Opioids for Pain in United States" called for attention and action toward reducing disparities in untreated and undertreated pain among Black and Latino patients. There is growing evidence for controlled substance safety committees (CSSC) to change prescribing culture, but few have been examined through the lens of health equity. We examined the impact of a primary care CSSC on opioid prescribing, including by patients' race and sex.
View Article and Find Full Text PDFMed Care
June 2024
CHOP PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA.
Research Design: Community-engaged qualitative study using inductive thematic analysis of semistructured interviews.
Objective: To understand Latine immigrants' recent prenatal care experiences and develop community-informed strategies to mitigate policy-related chilling effects on prenatal care utilization.
Background: Decreased health care utilization among immigrants due to punitive immigration policies (ie, the "chilling effect") has been well-documented among Latine birthing people both pre and postnatally.
J Gen Intern Med
May 2024
Department of Medicine, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.
Background: Disparities in life-saving interventions for low-income patients with cirrhosis necessitate innovative models of care.
Aim: To implement a novel generalist-led FLuid ASPiration (FLASP) clinic to reduce emergency department (ED) care for refractory ascites.
Setting: A large safety net hospital in Los Angeles.
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