Matching Items (6)
Description
Introduction/Purpose: This paper describes the process of the community needs assessment phase of program implementation for the Student Health Outreach for Wellness (SHOW) clinic. Homeless individuals are more likely (than non homeless individuals) to experience serious illness, depression and mental illness. Access to health care has been identified as a barrier to receiving appropriate health care to manage the diseases and conditions clients may have. SHOW's vision is to operate on Saturdays utilizing Health Care for the Homeless (HCH) to offer extended primary health care hours, along with offering health promotion programming to address the biopsychosocial components of their health. Ultimately, this aims to reduce the homeless population's need to visit emergency room departments for non- urgent, primary care visits. Methods: To validate the need for this clinic's operation of programming and health services, a community needs assessment was conducted to collect data about the population's current health status. Forty-three people (n=43) ages 20-76 (M = 44.87) were surveyed by a trained research team using interview questionnaires. Results: The results show a prevalence of self\u2014reported physical and behavioral conditions, and support that this population would benefit from extended hours of care. Mental and behavioral health conditions are the most prevalent conditions (with the highest rates of depression (41.86%) and anxiety disorder (32.56%)), followed by the common cold (23.36%) and back pain (16.28%). The average reported emergency department (ED) visits within the past six months was 1.18 times. Almost everyone surveyed would visit a free medical clinic on the Human Services Campus (HSC) staffed by health staff and health professional students on the weekends (93.18%). Conclusion: Overall, the community needs assessment conducted for SHOW supports the need for weekend access to health care facilities and an interest in health programming for this population.
ContributorsShqalsi, Eneida Agustin (Author) / Hoffner, Kristin (Thesis director) / Harrell, Susan (Committee member) / Harper, Erin (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2015-05
Description
This paper describes Social Determinants of Health and the implementation of a screener. Social Determinants are structural drivers in an individual's life that affect their status of health. A screener's potential effectiveness at a student-run interdisciplinary clinic was also explored in the paper through the analysis of Student Health Outreach for Wellness (SHOW). SHOW's framework allows for a unique implementation of the screener because of the vulnerable population it serves, and the flexibility of the organization's structure. Its interdisciplinary nature allows for the SDOH screener to be integrated into its process more easily, especially with the presence of disciplines such as social work. A Social Determinants of Health questionnaire can be an important instrument to increase effectiveness in patient care by acknowledging each patient's situation more comprehensively, and moving forward with the most appropriate care plan. Among a vulnerable population such as those experiencing homelessness, an SDOH screener can identify key areas of focus that patients need addressed in order to improve their health status. A literature review was conducted to observe previous screener structures and questions. A model screener and best practices are provided as a guide for other clinics to use and adapt in their own settings. The domains of the sample screener questionnaire are tailored to serve populations with housing insecurity. The hope is to move forward with this screener after further modification of the questions, resources associated to each, and its prospective connection to the EHR system. The screener is planned to be executed at the SHOW clinic in Fall of 2018. In conclusion, a social determinants of health screener should be implemented in interdisciplinary clinics in a similar manner to SHOW's approach, to shift the focus of healthcare toward patient-centered care.
ContributorsThomas, Christy Maria (Author) / Reddy, Swapna (Thesis director) / Essary, Alison (Committee member) / School for the Science of Health Care Delivery (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Origins is a creative project that consisted of developing a cohesive body of artwork and mounting an exhibition of that work. My work approaches the question of origins from a scientific point of view, visually investigating stories of microbiological growth decay and evolution. I use color, texture, and shape to describe these narratives while also examining the ways in which humans can see these organisms.
ContributorsMcGinnis, Nora Kristine (Author) / Verstegen, Clare (Thesis director) / Eckert, Tom (Committee member) / Foy, Joseph (Committee member) / Barrett, The Honors College (Contributor) / School of Art (Contributor)
Created2013-05
Description
Objective: To explore the dimensions of the human animal bond and provide a community needs assessment to inform the community stake holders such as the Arizona Humane Society and Nina Mason Pulliam Charitable Trust Foundation how many animals are in need of veterinary services within the homeless population of Phoenix, Arizona. In addition to this, pets of the homeless individuals will be able to gain access to veterinary services for eight consecutive weeks. Background: Pets have an important impact on human mental, physical, social, and emotional health. It has been reported that about one third of the homeless population in Arizona has pets that are not able to gain access to veterinary care (Wang, 2015). Most homeless shelters will not allow people to access services with pets. As a consequence people will sleep out in the streets. Animals as Lifechangers and Lifesavers: Pets in the Redemption Narratives of Homeless People (Irvine, 2013) contains interviews of homeless people based on their life stories. A common theme among interviewees was that they felt they had a responsibility to their pets that served as a motivating purpose for giving up horrible personal habits because they had a sense of responsibility. Methods/Materials: Wandering Paws was launched in February 2015, but did not officially start as an eight-week study until March 2016. This pilot program serves the homeless populations' dogs and cats with veterinary care. The Arizona Humane Society was approached to acquire their services for this project including a veterinarian, a technician, and usage of their seventy-one foot mobile unit. Homeless individuals who wanted veterinary services were recruited and asked to fill out a twenty-three-question survey. Secondary data was procured from the Arizona Humane Society about the animal and services rendered for that pet. Results: Over the course of the first four weeks 22 surveys have been completed. 86% of the surveys completed indicate a strong bond between the owner and animal. The remaining 14% of the surveys completed indicate a weaker bond between the animal and owner. Conclusion/Implications: The research indicates a strong connection between most people and their animals. The veterinary services provided for the homeless population should be continued on a monthly basis as a wellness clinic in the future, as these services are in great demand.
ContributorsHowarth, Amber (Author) / DeNardo, Dale (Thesis director) / Thatcher, Craig (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Background: This paper details the development of screening and education tools for finding Social Determinants of Health (SDH) in Maricopa County’s vulnerable population. SDH is known as structural or physical differences that hinder everyone to have an equal opportunity for improved health, and one of the steps to overcome the differences is through understanding what SDHs are prevalent in the targeted community, so that the community can develop the needed resources. SDH screening process was developed in collaboration with Student Health Outreach for Wellness (SHOW), a student-run organization whose aim is to provide healthcare for underserved populations. SHOW has a unique multi-disciplinary approach of treating each of their patients, and this screening is planned to be implemented during the treatment.
Methods: A literature review was conducted and SDH screening tool were adapted from known SDH screeners, such as Health Leads, PRAPARE, and CLEAR, to fit to the general population that SHOW serves. Training was also developed to educate the student volunteers who will be conducting the SDH screening and included necessary education about the population and the importance of SDH in general. Training materials include a practice scenario, a resources guide, SMART goal sheet, an introduction to the resource guide, and a process flowchart.
Outcomes: This project consists of different versions of screening tools, a training presentation, activities, handouts, and implementation ideas required to succeed in accurate SDH determination.
Methods: A literature review was conducted and SDH screening tool were adapted from known SDH screeners, such as Health Leads, PRAPARE, and CLEAR, to fit to the general population that SHOW serves. Training was also developed to educate the student volunteers who will be conducting the SDH screening and included necessary education about the population and the importance of SDH in general. Training materials include a practice scenario, a resources guide, SMART goal sheet, an introduction to the resource guide, and a process flowchart.
Outcomes: This project consists of different versions of screening tools, a training presentation, activities, handouts, and implementation ideas required to succeed in accurate SDH determination.
ContributorsChung, Min Kyung Rebecca (Author) / Harrell, Liz (Thesis director) / Essary, Alison (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
Over the past seven years, the Student Health Outreach for Wellness (SHOW) Community Initiative has served vulnerable populations in Maricopa County through a volunteer workforce of providers, graduate health professional students, and undergraduates from all three of Arizona’s public universities. With an interprofessional volunteer base, SHOW has managed to transition its health education and screenings from a clinic-based setting to community-based settings. These new clinical outreach programs within SHOW present unique challenges to maintaining the integrity of interprofessional, team-based care, and new evaluative tools are needed to provide feedback for improvement. Now, as a pioneer site for the National Center for Interprofessional Practice and Education, SHOW must continue to conduct internal research to evaluate their innovative model of care. For this project, the four core competency domains for interprofessional collaborative practice were used to outline proposals for the implementation of several new evaluative measures: the Assessment for Collaborative Environments (ACE-15), the Interprofessional Collaborative Competencies Attainment Survey (ICCAS), patient satisfaction surveys, and critical incident reporting. These tools and protocols are necessary to solidify SHOW as a national model for interprofessional education and practice.
ContributorsSmith, Julianna Marie (Author) / Harrell, Susan (Thesis director) / Saewert, Karen (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05