Search Results: MCHLine

Annotation: This report highlights the common threads between housing and reproductive justice, emphasizing the importance of policy solutions that de-silo maternal health and address social and structural barriers. The first section describes how structural racism and structural disinvestment—including residential segregation, poor housing access and conditions, residential instability and gentrification, and the carceral apparatus—contribute to deleterious health outcomes among Black women and birthing people. The second section outlines how Black pregnancy is policed across the reproductive lifespan through forced evictions and displacement during pregnancy, double jeopardy of racism and discrimination in health care settings, and threatened Child Protective Services (CPS) involvement after birth. The third section highlights the status of housing reform in Washington, D.C. and potential opportunities for change. The report ends with Mamatoto Village’s housing justice framework, a summary of federal housing programs and policies, and links to annotated bibliography of key articles.

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Keywords: Barriers, Blacks, Civil rights, Federal programs , Housing, Housing programs, Maternal health, Policy development, Pregnancy, Racism, Social factors, Underserved communities

Annotation: This brief explains how state Medicaid programs can be used to address social determinants of health, including economic stability, education, neighborhood and physical environments, employment, social support networks, and access to health care. It describes how states have been given flexibility through managed care programs and Section 1115 demonstration waivers to address non-clinical aspects of care such as case management, housing supports, employment supports, and peer support services. Included is a summary of the new guidance issued by the Centers for Medicare and Medicaid (CMS) in 2023 on the expansion of opportunities to address health related social needs.

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Keywords: Managed care, Medicaid, Social determinants of health, State programs

Annotation: This report presents an overview of important elements to consider when incorporating social determinants of health (SDoH)--defined as the nonmedical factors that influence health outcomes--into a community health strategy. It describes SDoH factors, including education access, quality healthcare, strong neighborhood and built-environment, economic stability, and social and community context, and it explains how data provides an additional layer of valuable information. Principles for the ethical use of SDoH, importance of SDoH in identifying barriers to care, tracking the policy landscape, assessing SDoH programs, and common challenges are among the topics addressed.

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Keywords: Community programs, Health equity, Initiatives, Model programs, Program development, Public health, Social factors

Annotation: This resource provides a summary of the literature on housing instability as a social determinant of health. It provides background information on the federal Healthy People 2030 framework and describes how housing instability as a social determinant is organized according to the following five domains: Economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. Data methods and sources, related objectives, links to evidence-based resources, and tools for action are also provided.

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Keywords: Federal Initiatives , Health disparities, Housing, Literature reviews, Measures, Socioeconomic factors, Statistical data

Annotation: This brief highlights Goal 5 of the White House blueprint for addressing the maternal health crisis, which is to strengthen economic and social supports for people before, during, and after pregnancy. The brief highlights the need to address social determinants of health, including housing security, food security, environmental safety, economic security, workplace protection, and personal safety. Addressing awareness of workplace benefits and protections for pregnant and postpartum women and prevention and addressing violence against pregnant and postpartum individuals are included in the call to action. Statistical data is provided on food insecurity by state, average monthly participation in the WIC program, cause of maternal mortality ratios; US female homicide victims by pregnancy status, and environmental stressors linked to maternal health outcomes and potential moderating factors. Evidence-informed strategies for maternal health improvement, criteria for states to consider when developing strategies, and additional resources are included.

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Keywords: Economic factors, Financial support, Maternal health, Safety, Social factors, Social support

Annotation: This report describes the various socioeconomic factors and discriminatory practices that contribute to the disproportionate rate of housing evictions among black women. It discusses the health, economic, social, and financial consequences of home displacement and calls on states to respond to the eviction crisis by enacting policies that account for demographic disparities and decrease eviction filing, increase tenant protections and rights during the process, and keep families and individuals out of cycles of poverty and hardship.

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Keywords: Blacks, Discrimination, Homelessness, Housing, Public policy, Racism, Socioeconomic factors, Women

Annotation: This report provides recommendations developed by people who experienced being pregnant while dealing with housing instability and homelessness. A project of Healthy Parents Healthy Babies (an outgrowth of the Framework for an Equitable Homelessness Response) the report includes strategies to help reduce racial disparities, increase housing stability, and improve maternal health, birth outcomes, and child health associated with homelessness and extreme housing instability among women and families of color.

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Keywords: Homelessness, Housing, Initiatives, Models, Pregnant women

Annotation: This report describes the social determinants of health (SDOH) and the ways in which health inequities can be mitigated to achieve better health outcomes. Housing, food and nutrition, transportation, social and economic mobility, education, and environmental conditions are among the contributing factors addressed. Evidence-based interventions and descriptions of federal programs that address SDOH are included.

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Keywords: Economic factors, Federal initiatives, Health equity, Housing, Nutrition and food, Social factors, Social services, Socioeconomic factors, Transportation

Annotation: This report examines the implementation of the 12-month postpartum coverage extension in Medicaid and the Children’s Health Insurance Program (CHIP) following the American Rescue Plan Act. It describes operational strategies for states, such as managing eligibility, financing, and managed care contracts, while emphasizing the role of this policy in addressing racial disparities and health equity. The document provides recommendations for improving the quality of postpartum care, expanding access to community-based providers such as doulas, and integrating two-generation health approaches through maternal depression screening during well-child visits,,,. Substantial discussion is included regarding the use of data and quality metrics to track progress in maternal and infant health outcomes,.

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Keywords: Medicaid, Health care reform, Health insurance, Postpartum care, Quality improvement

Annotation: This fact sheet discusses housing as a community health and health equity problem and illustrates why legal and policy innovations are needed to address the issue of housing instability. It is the first in a series of fact sheets exploring state- and local-level legal and policy approaches to reduce tenant displacement and eviction and provide supports to prevent housing instability and homelessness.

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Keywords: Child health, Health equity, Homelessness, Housing, Maternal health, Public health

Annotation: The database aggregates sample evidence-based/informed strategies that can be used as-is or adapted to develop Evidence-based or informed Strategy Measures (ESMs) for each of the MCH National Performance Measures (NPMs). The strategies are listed by National Performance Measure, from NPM 1-Well Woman VIsit throught NPM 15-Continuous and Adequate Insurance. [Funded by the Maternal and Child Health Bureau]

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Keywords: Evidence based medicine, Model programs

Annotation: This web resource presents the Community Preventive Services Task Force recommendation on providing tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes including housing quality and security, healthcare use, and neighborhood opportunities, such as lower poverty level and better schools. Children under the age of 12 whose households used vouchers show improvements in education, employment, and income later in life. The CPSTF's findings are based on evidence from a systematic review of studies published between January 1999 and July 2019. The web report provides links to supporting materials and relevant publications.

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Keywords: Access to health care, Health disparities, Health status, Housing, Literature reviews, Public housing, Social factors, Socioeconomic factors

Annotation: This issue brief provides an overview of the scope and impact of homelessness; the association between homelessness, mental illness, and substance use disorders (SUD); states’ efforts to integrate health care and housing services; and strategies that the Title V Maternal and Child Health Services Block Grant can use to serve vulnerable women and families facing homelessness and behavioral health disorders.

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Keywords: Homelessness, Housing, Model programs, Service integration, State MCH programs, Title V programs

Annotation: This issue brief from the Association of Maternal & Child Health Programs examines the intersection of housing instability, mental health, and substance use disorders (SUD) among maternal and child health populations. It highlights how homelessness disproportionately affects women and children, with 33% of the U.S. homeless population being families with children, and describes how housing instability both contributes to and is exacerbated by mental illness and SUD. The document outlines various housing intervention models, from prevention to permanent supportive housing, including Recovery Housing and Housing First approaches, and emphasizes the importance of cross-system collaborations between healthcare and housing partners. It presents successful state initiatives and partnerships between Title V programs, Medicaid agencies, child welfare departments, and housing authorities, such as Massachusetts' FOR Families program and North Carolina's Healthy Opportunities Pilot. The brief concludes with specific strategies for Title V programs to address these intersecting challenges, including promoting housing instability screening in healthcare settings, partnering with housing authorities, and ensuring home visitors are equipped with appropriate tools and resources.

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Keywords: Mental health, Title V programs, Block grants, Housing, Homelessness, Substance abuse, Family centered services

Annotation: This tip sheet highlights various ways in which Title V programs can form partnerships with state agencies and work in tandem with pediatric health professionals to address social determinants of health and improve child health outcomes. Included are examples of innovative Title V programs in Iowa, Florida, New Mexico, Minnesota, and the District of Columbia. The recommendations are based on The American Academy of Pediatrics (AAP) Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 4th Edition.

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Keywords: Adolescent health, Child health, Guidelines, Health equity, Pediatric care, Preventive health services, Social factors, Title V Programs

Annotation: This brochure describes and innovative program that brings together child welfare agencies and supportive housing services to support and strengthen society’s most vulnerable families so that children are not removed and placed in foster care. The brochure describes the initial pilot project and outcome results; provides details on the project components; and presents program success stories. This New York City program is presented as a model for other cities and states.

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Keywords: Child welfare, Families, Foster care, Housing, Local initiatives, Models