Editorial
How Trauma-Informed Programming to Treat Social Determinants Unveils Challenges to Systems Alignment
Journal of health care for the poor and underserved, v 32(2), pp 638-653
01 May 2021
PMID: 34120965
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cross-sector collaboration and systems alignment to promote a culture of health can address social determinants of health (SDH), improve family well-being, and create a more equitable society. This paper documents our attempt to align Temporary Assistance for Needy Families (TANF) and Medicaid to promote health through a trauma-informed program, The Building Wealth and Health Network (The Network). The Network successfully integrated into traditional TANF and addresses SDH through peer group programming where caregivers heal from adversity and build financial skills. We identify three challenges to alignment of TANF and Medicaid: 1) TANF's culture of compliance, 2) societal and systems level forces including racism and discrimination, 3) misaligned partnerships (values, priorities, structure, and capability). For each challenge, we propose solutions including incentives for innovation and partnership, and promotion of racial equity initiatives, including reparations. By highlighting challenges and solutions we seek to strengthen current approaches to achieve health equity through systems alignment.
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Details
- Title
- How Trauma-Informed Programming to Treat Social Determinants Unveils Challenges to Systems Alignment
- Creators
- Emily Brown Weida - Drexel UniversityVictoria Egan - Drexel UniversityMariana Chilton - Drexel University
- Publication Details
- Journal of health care for the poor and underserved, v 32(2), pp 638-653
- Publisher
- Johns Hopkins Univ Press
- Number of pages
- 17
- Grant note
- Annie E. Casey Foundation PEW Charitable Trusts Robert Wood Johnson Foundation; Robert Wood Johnson Foundation (RWJF) W.K. Kellogg Foundation Claneil Foundation, Inc. First Hospital Foundation
- Resource Type
- Editorial
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy
- Web of Science ID
- WOS:000744657400011
- Scopus ID
- 2-s2.0-85108226143
- Other Identifier
- 991019167442404721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health