The availability of alcohol, tobacco and other drug services for adults in New York State Community Health Centers

Abstract Background COVID-19 infection amongst persons living with HIV (PLWH) at Federally Qualified Healthcare Centers (FQHC) is not yet well understood. FQHC patients are frequently impoverished and marginalized due to socioeconomic instability and structural inequities. The virus has a wide-ranging clinical presentation, and little is known about how it affects specific populations such as PLWH and whether specific patterns of immunocompromise confer increased risk. Patients in community health centers and those living with HIV are often underrepresented from clinical trials. Patients seen at FQHC’s are more likely to be uninsured or living in poverty, or of Black or Latinx racial and ethnic backgrounds. Sun River Health is a not-for-profit, New York State licensed Article 28 Diagnostic & Treatment Center and FQHC. Sun River Health provides HIV primary care and supportive services caring for more than 2,500 PLWH primarily concentrated in 16 sites throughout the region. This study is a retrospective analysis of a vulnerable community at the heart of this pandemic. Methods We gathered COVID-19 diagnosis related data from the clinic’s electronic medical record and the New York State Health Information Exchange (HIE). We did chart reviews on 122 PLWH who had positive COVID PCR or antibody test between March 10 2020 and June 10 2020. Data collected included presence of symptoms, presence of comorbidities, CD4 counts, Hospitalization rate, ICU admission, and number of deaths. Results 71.3% of cases occurred between the ages of 40-69 years. There were 85 cases (69.7%) in men and 37 cases (30.3%) in women. 54 cases (44.3%) occurred in African Americans, and 46 cases (37.7%) in Caucasians. 48 cases (39.3%) occurred in Latinx individuals, and 68 cases (55.7%) in Non-Hispanics. 91 cases (74.6%) were symptomatic and had either a positive COVID-19 PCR or antibody test. Symptomatic COVID-19 was present at higher rates in those with multiple predisposing comorbidities. 101 cases (82.8%) were virally suppressed. 89 cases (72.9%) were not hospitalized while 27 cases (22.1%) were hospitalized. Conclusion Most PLWH with COVID-19 were managed on an outpatient basis. PLWH with COVID-19 are not at a greater risk of severe disease or death as compared to HIV negative patients. Disclosures Christine A. Kerr, MD, Galileo Health (Employee, Shareholder)

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Implementing data-to-care initiatives for HIV in New York state: assessing the value of community health centers identifying persons out of care for health department follow-up

AIDS Care ◽

10.1080/09540121.2017.1363851 ◽

2017 ◽

Vol 30 (3) ◽

pp. 391-396 ◽

Cited By ~ 16

Author(s):

Rachel Hart-Malloy ◽

Shakara Brown ◽

Kathleen Bogucki ◽

James Tesoriero

Keyword(s):

New York ◽

Community Health ◽

Community Health Centers ◽

New York State ◽

Health Department ◽

Health Centers ◽

York State

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The New York State level of care survey in community mental health centers and New York State's psychiatric centers

Psychiatric Quarterly ◽

10.1007/bf01064834 ◽

1983 ◽

Vol 55 (1) ◽

pp. 25-34 ◽

Cited By ~ 8

Author(s):

Stanley Fabisiak ◽

David Baskin ◽

Roni Hammer

Keyword(s):

Mental Health ◽

New York ◽

New York State ◽

State Level ◽

Health Centers ◽

Level Of Care ◽

Community Mental Health Centers ◽

York State ◽

Care Survey ◽

Mental Health Centers

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The Availability of Alcohol, Tobacco, and Other Drug Services for Adolescents in New York State Community Health Centers

Journal of Drug Issues ◽

10.1177/0022042617731132 ◽

2017 ◽

Vol 48 (1) ◽

pp. 78-89 ◽

Cited By ~ 2

Author(s):

Sean J. Haley ◽

Susan Moscou ◽

Sharifa Murray ◽

Traci Rieckmann ◽

Kameron Wells

Keyword(s):

New York ◽

Community Health ◽

Health Center ◽

Behavioral Health ◽

Community Health Centers ◽

Multilevel Models ◽

New York State ◽

Community Health Center ◽

Treatment Services ◽

Significant Public Health

Adolescent experimentation with alcohol, tobacco, or other drugs is commonplace, and limited access to screening and treatment services poses a significant public health risk. This study identified alcohol, tobacco, and other drug services available for adolescents at community health center sites in New York. A survey was distributed to medical and behavioral health directors across 54 community health center organizations serving 255 primary care adolescent sites. One third of sites required adolescent screening for substance use disorders (SUDs). Twenty-eight percent of sites said all/nearly all (80%-100%) and 12% said most (60%-79%) adolescents actually were screened. On-site tobacco cessation treatment and substance abuse counseling were offered at 53% and 14% of sites, respectively. Multilevel models suggested that community health center organizations positively influenced sites’ adolescent SUD screening and tobacco treatment. Additional investment in adolescent behavioral health screening and treatment is needed to reduce alcohol, illicit drug, or tobacco use among the underserved.

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New York State Health Foundation Grant Helps Health Centers Win Federal Expansion Funds

Health Affairs ◽

10.1377/hlthaff.2012.0862 ◽

2012 ◽

Vol 31 (11) ◽

pp. 2583-2587

Author(s):

David Sandman ◽

Maureen Cozine

Keyword(s):

New York ◽

New York State ◽

Health Centers ◽

State Health ◽

York State

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The Process To Develop a Meaningful Community Health Assessment in New York State

Journal of Public Health Management and Practice ◽

10.1097/00124784-200207000-00009 ◽

2002 ◽

Vol 8 (4) ◽

pp. 45-53 ◽

Cited By ~ 7

Author(s):

Colene Byrne ◽

James B. Crucetti ◽

Michael G. Medvesky ◽

Marie D. Miller ◽

Sylvia J. Pirani ◽

...

Keyword(s):

New York ◽

Community Health ◽

New York State ◽

Health Assessment ◽

Community Health Assessment ◽

York State

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Patient-Centered Practices for Engaging Transgender and Gender Diverse Patients in Clinical Research Studies

10.21203/rs.3.rs-56021/v2 ◽

2020 ◽

Author(s):

Andrew Asquith ◽

Lauren Sava ◽

Alexander B. Harris ◽

Asa E. Radix ◽

Dana J. Pardee ◽

...

Keyword(s):

New York ◽

Clinical Research ◽

Community Health ◽

Community Health Centers ◽

Underserved Populations ◽

Health Centers ◽

Barriers And Facilitators ◽

Community Research ◽

Gender Diverse ◽

And Gender

Abstract Background: The purpose of this formative study was to assess barriers and facilitators to participation of transgender and gender diverse (TGD) patients in clinical research to solicit specific feedback on perceived acceptability and feasibility of research methods to inform creation of a multisite longitudinal cohort of primary care patients engaged in care at two community health centers.Method: Between September-November 2018, four focus groups (FGs) were convened at two community health centers in Boston, MA and New York, NY (N=28 participants across all 4 groups; 11 in Boston and 17 in New York). FG guides asked about patient outreach, acceptability of study methods and measures, and ideas for study retention. FGs were facilitated by TGD study staff, lasted approximately 90 min in duration, were audio recorded, and then transcribed verbatim by a professional transcription service. Thematic analyses were conducted by two independent analysts applying a constant comparison method. Consistency and consensus were achieved across code creation and application aided by Dedoose software.Results: Participants were a mean age of 33.9 years (SD 12.3; Range 18-66). Participants varied in gender identity with 4 (14.3%) male, 3 (10.7%) female, 8 (28.6%) transgender male, 10 (35.7%) transgender female, and 3 (10.7%) nonbinary. Eight (26.6%) were Latinx, 5 (17.9%) Black, 3 (10.7%) Asian, 3 (10.7%) another race, and 5 (17.9%) multiracial. Motivators and facilitators to participation were: research creating community, research led by TGD staff, compensation, research integrated into healthcare, research applicable to TGD and non-TGD people, and research helping TGD communities. Barriers were: being research/healthcare averse, not identifying as TGD, overlooking questioning individuals, research coming from a ‘cisgender lens”, distrust of how the research will be used, research not being accessible to TGD people, and research being exploitative.Conclusion: Though similarities emerged between the perspectives of TGD people and research citing perspectives of other underserved populations, there are barriers and facilitators to research which are unique to TGD populations. It is important for TGD people to be involved as collaborators in all aspects of research that concerns them.

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