Background: Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic…

People with intellectual and developmental disabilities (IDD) with more severe impairments often face service disparities. The aim of this study was to explore not only disparities in quality of life outcomes for people with IDD with severe impairments, but also disparities in the supports they receive from disability service organizations. Our…

The mental health and well-being of rural communities in the United States is a growing and serious concern. Generally, suicide rates are higher and increase more rapidly in rural areas than in urban areas (Ringgenberg et al., 2017; Steelesmith et al., 2019). Studies suggest that isolation, limited socioeconomic opportunity, and sparse access to…

Older adults are at risk for mental health concerns, such as social isolation and suicide. Risk factors to suicide among older adults, such as loneliness and social isolation, may be impacted by the COVID-19 pandemic. Gatekeepers in the community are a significant source of identification and referral of older adults at risk of mental and physical…

A systematic review explored the creation and maintenance of community coalitions as effective for alcohol and other drug (AOD) prevention in adolescence. Community coalitions influence the implementation of effective and sustainable community-based prevention via infrastructure supporting development, delivery, and assessment of human service…

As persistent inequities in health gained increased attention nationally due to COVID-19 and racial justice protests in 2020, it has become increasingly important to evaluate both the process and outcomes associated with coalition-based efforts to address health inequities. "The Two Georgias Initiative" supports coalitions in 11 rural…

Mental health challenges for youth continue to be a growing concern. Youth-serving organizations have the potential to play a significant role in recognizing the signs and symptoms of mental health challenges in youth. The Youth Mental Health First Aid (YMHFA) training course is widely used to equip adults working with youth with skills to support…

Context: Rural populations experience both a higher prevalence of and risk for premature death from chronic conditions than do their urban counterparts. Yet barriers to implement community-based chronic disease self-management programs persist. Program: The Living Well program, a multi-sector collaboration between a rural health care system and a…

This mixed methods analysis examined provider perspectives on barriers and facilitators to parent training use with Medicaid-enrolled clients. Provider survey data were analyzed using hierarchical linear regression models and thematic analysis was used to analyze follow-up interviews with providers. Qualitative themes were developed inductively…

In the present study, a didactic perspective was used to examine collaborations and negotiations between preschools and habilitation centres concerning intensive behavioural interventions for children with autism spectrum disorders in inclusive settings in Swedish preschools. The didactic triangle was used as the theoretical tool to analyse…

Background: In 2016, the United States Department of Agriculture issued a final rule to strengthen local wellness policies (LWPs). As school districts pursue compliance, states can provide critical guidance by leveraging support from intermediary programs such as the Supplemental Nutrition Assistance Program--Education (SNAP-Ed). After Arizona…

Non-formal education and training (NFET) programmes in public and private centres in South Africa aim to meet the training needs of adults who have been deprived of formal education which would have fostered skills acquisition and access to employment earlier in their lives. The concern which informs this paper is that adults who face long-term…

Introduction: In 2014, the Centers for Disease Control and Prevention funded the American Heart Association to implement policy, systems, and environment-focused strategies targeting access to healthy food and beverages, physical activity, and smoke-free environments. Method: To understand factors affecting implementation and variations in success…

Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving…

Little work examines the nexus of student homelessness and afterschool provision. This critical ethnographic case study of organizational culture draws from observation, documents, and interviews with youth experiencing homelessness, staff, and volunteers at a community-based afterschool center for youth experiencing homelessness. It explores how…