In the summer of 2017, Cabin Creek Health Systems entered a scope change to support a robust Syringe Service Program. They were able to provide direct, integrative primary care services to participants actively engaged in intravenous drug use. In addition to primary care, relationships with participants were established that worked to motivate participants through the stages of change supporting their transition to Medication Assisted Treatment. social determinants of health were quickly identified as barriers to treatment with an active use population, and successful transition from use to Medication Assisted Treatment was mostly unsuccessful. Since that time Cabin Creek Health System has been in collaboration with Community-Based Organizations to address the social determinants of health. The collaboration includes, a large meal services, multiple shelters, the City of Charleston, WV, and the local Continuity of Care agency. Through collaboration participants are identified and supported as they are transitioned to a person-centered substance use treatment program. Interested participants receive housing support, ancillary items such as identification, and birth certificates, transportation to resources and appointments, meal support, and integrative primary care. Modifications to traditional substance use treatments were required to better meet the needs of the population, this has increased retention, and decreased the negative impacts of other social determinants of health. Adoption of a program involving eight or more agencies has yielded communication difficulties, however having increased connection to resources is improving provider moral and decreasing burnout within Cabin Creek Health System, and for the partners. The target population are individuals who use IV substances, face housing difficulties, homelessness, and struggle with social determinants of health. Initial pilot hopes to track 25 participants of mixed age, race, gender, and sexual orientation. Recruitment continues to be open, and more participants are being induced routinely. Participants will be monitored monthly for continued motivation, attrition, and adherence to program. Providers will be asked to measure their felt work stress and burnout in relation to this participant group. It is expected that participant adherence, attrition, and motivation will be improved in comparison to past referral attempts. A comparison group is unavailable due to poor referrals previously. After collecting this initial data, a more robust research design can be developed for further research. This program aims to establish a community ecosystem of care that activates multiple community agencies into an integrative team to address social determinants of health for an often forgotten, at risk population.
- Participants will be able to identify the partnerships to address social determinants of health.
- Participants will be able to discuss the impact of poor partnerships on provider and participant outcomes.
- Participants will be able to identify possible community relationships to improve practice.