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Area of Science:

  • Healthcare delivery research
  • Social work in pediatrics
  • Community health initiatives

Background:

  • Hospitals face challenges implementing new regulations for screening health-related social needs (HRSNs).
  • Social workers (SWs) and community health workers (CHWs) are crucial for bridging resource gaps in pediatric care.
  • Understanding SW and CHW perspectives is key to optimizing HRSN interventions.

Purpose of the Study:

  • To explore social worker and community health worker strategies for addressing health-related social needs.
  • To identify effective approaches for managing HRSNs during and after pediatric hospitalizations.
  • To understand challenges and opportunities in providing comprehensive family support.

Main Methods:

  • Semi-structured interviews conducted with 28 inpatient SWs and CHWs across 3 children's hospitals.
  • Thematic analysis used to identify key themes from transcribed interviews.
  • Focus on experiences with resource connection, medical team communication, and post-discharge support.

Main Results:

  • Four major themes emerged: caregiver engagement, approach to addressing needs, medical team communication, and follow-up strategies.
  • SWs and CHWs balance resource provision with promoting family self-sufficiency.
  • Challenges include maintaining updated resource repositories and ensuring continuous support for vulnerable populations.

Conclusions:

  • SWs and CHWs possess complementary skills essential for addressing HRSNs in pediatric settings.
  • Optimizing resource repository management and enhancing longitudinal family support are critical areas for improvement.
  • Collaboration between SWs, CHWs, and medical teams can improve care for families with HRSNs.