Meeting Social Needs in a Crisis Context: Lessons Learned from Integrating the 'Take Care Initiative' into New York City's Testing and Contact Tracing Program

被引:0
|
作者
Massar, Rachel E. [1 ]
Paul, Margaret M. [2 ]
Kwok, Lorraine [1 ]
Chau, Michelle M. [1 ]
Larson, Rita [1 ]
Islam, Nadia [1 ]
Thorpe, Lorna E. [1 ]
Bendik, Stefanie [1 ]
Bershteyn, Anna [1 ]
Berry, Carolyn A. [1 ]
机构
[1] NYU Grossman Sch Med, Dept Populat Hlth, 180 Madison Ave, New York, NY 10016 USA
[2] Mayo Clin, Kern Ctr Sci Hlth Care Delivery, 5777 E Mayo Blvd, Phoenix, AZ 85054 USA
关键词
Implementation evaluation; Contact tracing; Social needs; SARS-CoV-2; COVID-19 prevention and control;
D O I
10.1007/s11524-024-00900-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The COVID-19 pandemic highlighted the importance of addressing social needs in a crisis context. Some US jurisdictions integrated a social service component into case investigation and contact tracing (CI/CT) programs, including the New York City (NYC) Test & Trace (T2) Program; the Take Care initiative referred NYC residents who tested positive or were exposed to COVID-19 to services to support isolation and quarantine and meet basic needs. More research is needed to determine effective implementation strategies for integrating social needs provision into CI/CT programs. To identify barriers and facilitators to the implementation of the Take Care initiative, we conducted key informant interviews with program staff, community-based organization partners, and cases and contacts as part of a larger evaluation of the T2 program. Interviews were recorded, transcribed, and analyzed using rapid qualitative methods. Key facilitators to implementation included utilizing a case management software system, employing strategies to encourage service uptake, leveraging cross-agency collaborations, and partnering with community-based organizations for resource navigation. Barriers identified included external management of the software system, challenges reaching and engaging the public, administrative complications due to shifting collaborations, and management of CBO partners' structure and hiring. Based on our findings, we provide recommendations to support effective planning and implementation of social needs service provision in a crisis context. Future research should focus on testing promising implementation strategies highlighted in this study and applying them to varied contexts and crisis situations.
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页数:11
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