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Community-Based Health Care

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Community-based health care represents a unique mode of care delivery with its own set of considerations, challenges, advantages, and disadvantages. RAND experts have studied a diverse range of community health programs, neighborhood characteristics including food environments, public health implications of prisoner reentry, the role of faith-based groups in health care, and much more.

Essay
Mental Health First Aid: Training People to Help Others
An innovative program trains and empowers people to not look away from those experiencing mental illness, but to listen to them, reassure them, and encourage them to get help. Most trainees of the program in New York City were still using what they had learned five years later.
May 3, 2023
Report
Hyper-Local Strategies Are Working to Promote Vaccination Equity
The Equity-First Vaccination Initiative, launched in summer 2021, has already made progress in reducing racial/ethnic disparities in U.S. COVID-19 vaccination rates. Hyper-local, community-led strategies are helping to increase vaccine confidence and access for communities that identify as Black, Indigenous, and people of color.
Jan 28, 2022

Explore Community-Based Health Care

Infographic
Preventing Maternal Deaths in Medi-Cal: What Researchers Can Do
This fact sheet presents recommendations for researchers from the Birth-Centered Outcomes Research Engagement in Medi-Cal Project to decrease maternal mortality and severe maternal morbidity among Medi-Cal members.
Jul 24, 2023
Infographic
Preventing Maternal Deaths in Medi-Cal: What Policymakers Can Do
This fact sheet presents recommendations for policymakers from the Birth-Centered Outcomes Research Engagement in Medi-Cal Project to decrease maternal mortality and severe maternal morbidity among Medi-Cal members.
Jul 24, 2023
Report
Improving Maternal Outcomes in California
Though California leads the nation with its low maternal mortality rate, there are still significant disparities. RAND researchers explored whether using the Birth-Centered Outcomes Research Engagement approach could improve outcomes for publicly insured people and certain racial and ethnic groups.
Jul 24, 2023
Infographic
Preventing Maternal Deaths in Medi-Cal: What Communities Can Do
This fact sheet presents recommendations for communities from the Birth-Centered Outcomes Research Engagement in Medi-Cal Project to decrease maternal mortality and severe maternal morbidity among Medi-Cal members.
Jul 24, 2023
Infographic
Preventing Maternal Deaths in Medi-Cal: What Medi-Cal and Health Plans Can Do
This fact sheet presents recommendations for Medi-Cal administrators and contracted health plans from the Birth-Centered Outcomes Research Engagement in Medi-Cal Project to decrease maternal mortality and severe maternal morbidity in Medi-Cal.
Jul 24, 2023
Infographic
Preventing Maternal Deaths in Medi-Cal: What Health Care Systems Can Do
This fact sheet presents recommendations for health care systems (e.g., birth facilities, clinics) from the Birth-Centered Outcomes Research Engagement in Medi-Cal Project to decrease maternal mortality and severe maternal morbidity in Medi-Cal.
Jul 24, 2023
Report
Improving Mental Health Care Systems in the United States: Policy Questions Arising from a Case Study of Sheppard Pratt
The authors interviewed senior staff at Sheppard Pratt, a community-based mental health specialty care system in Maryland and West Virginia, to understand how Sheppard Pratt's experiences can potentially inform national mental health policy.
Jul 12, 2023
Journal Article
"Trying to Find People to Fit the Tech...": A Qualitative Exploration of the Lessons Learnt Introducing Artificial Intelligence-Based Technology Into English Social Care
This journal article describes the results of a qualitative study on the decision making process about and implementation of a home sensor technology with AI capabilities in English adult social care.
May 19, 2023
Journal Article
Barriers and Facilitators to Home- and Community-Based Services Access for Persons With Dementia and Their Caregivers
Barriers to HCBS access for persons with dementia range from community and infrastructure barriers (e.g., clinicians and cultural differences), to interpersonal and individual-level barriers (e.g., caregivers, awareness, and attitudes).
May 4, 2023
Commentary
Remembering Slain LA Bishop David O'Connell and His Tireless Community Work
Bishop Dave left a mark on so many lives, and, even after becoming bishop, remained close to the community he so loved. The world has lost a fearless and compassionate leader.
Mar 3, 2023
Commentary
RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities
The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.
Feb 20, 2023
Blog
State of the Union, Mental Health First Aid, China's Spy Balloon: RAND Weekly Recap
This weekly recap focuses on President Biden's State of the Union address, the benefits of mental health first aid training, insights on China’s spy balloon, and more.
Feb 10, 2023
Report
The Benefits of Mental Health First Aid Training
More than 155,000 New Yorkers were trained in Mental Health First Aid between 2016 and 2020. They learned how to be active listeners, to provide reassurance and information, and to encourage professional care when appropriate. Most of the trainees ended up using their MHFA skills to support others and their own well-being.
Feb 7, 2023
Research Brief
Large-Scale Training in Mental Health First Aid: An Evaluation of New York City's 2016–2020 Efforts
In an evaluation of a city-wide effort to train New Yorkers in Mental Health First Aid, RAND researchers found that the majority of participants had used their skills to help friends, family, neighbors, and coworkers in the past six months.
Feb 7, 2023
Journal Article
Low Exposure to Home- and Community-Based Services Among U.S. Adults: Cause for Concern?
A lack of knowledge about HCBS is a barrier to access, and exposure to HCBS users is one source of knowledge. There are no contemporary estimates of exposure in the U.S. population. Overall, service exposure was more home- than community-based.
Oct 11, 2022
Report
Strategies for Improving Prehospital Outcomes for Cardiac Arrest
Out-of-hospital cardiac arrest (OHCA) is a common, life-threatening event that is a leading cause of death in the United States. RAND researchers identified 49 strategies to improve OHCA survival and the delivery of care.
Jul 20, 2022
Journal Article
Cost-Effectiveness of Community-to-Clinic Tailored Navigation for Colorectal Cancer Screening in an Underserved Population: Economic Evaluation Alongside a Group-Randomized Trial
Adding community-to-clinic tailored navigation to a community-based colorectal cancer screening promotion program may be highly cost-effective.
May 13, 2022
Journal Article
Understanding What Works: Measuring and Monitoring Quality in Medi-Cal's Home and Community-Based Services
This issue brief describes challenges and opportunities related to measuring, reporting, and monitoring the quality of HCBS sponsored by Medi-Cal.
Jan 26, 2022

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RAND Health Care

Researcher Spotlight

Kathryn Pitkin Derose

Senior Policy Researcher

Kathryn P. Derose is a senior policy researcher at the RAND Corporation and professor at the Pardee RAND Graduate School. She is also a professor at the University of Massachusetts Amherst. Her research focuses on understanding and addressing health disparities. She has particular expertise…
Khadesia Howell

Assistant Policy Researcher, RAND

Khadesia Howell is a Ph.D. student in the Community-Partnered Policy and Action stream at the Pardee RAND Graduate School and an assistant policy researcher at RAND. Her interests include the intersection of health policy and ethics/bioethics, public health policy, women’s health, the social…

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