Social support

Innovations

Church-Health System Partnership Facilitates Transitions From Hospital to Home for Urban, Low-Income African Americans, Reducing Mortality, Utilization, and Costs 11/29/11

A partnership between a large health system and 512 churches supports the transition from the hospital back into the community, leading to lower mortality, health care utilization, and health care costs and to higher satisfaction with hospital care.

Group Sessions and Automated Phone Counseling Help Overweight Children in Low-Income Families Improve Health-Related Behaviors, Quality of Life, and Body Mass Index 11/20/11

Small-group discussions and automated, interactive phone calls over a 12-week period helped low-income parents promote healthier behaviors in their overweight children, leading to reductions in body mass index and improvements in health-related quality of life.

Hospital-Based Social Workers Follow Up With Recently Discharged Older Adults to Resolve Transition Problems, Reducing Readmissions and Deaths 11/11/11

Hospital-based social workers support recently discharged older patients and their caregivers in resolving problems related to their transition back home, leading to enhanced patient and caregiver knowledge, better attendance at followup appointments, and fewer readmissions and deaths.

Partnership Supports Patients With Dementia and Their Caregivers Through Care Coordinator Team, Leading to Improved Psychosocial Outcomes 11/11/11

Through a partnership between the Veterans Administration and the Alzheimer's Association, a two-person care coordinator team provided support to patients with dementia and their caregivers over a 12-month period. The program led to improved psychosocial outcomes for veterans and caregivers, fewer readmissions and institutional placements, enhanced access to outpatient services, and higher overall health care costs.

Trained Paramedics Provide Ongoing Support to Frequent 911 Callers, Reducing Use of Ambulance and Emergency Department Services 11/10/11

An emergency medical system provider uses advance practice paramedics to provide in-home and telephone-based support to patients who frequently call 911, reducing the use of ambulance and emergency department services.

Coordinated Treatment and Support Enhance Access to Care for Veterans With Post-Traumatic Stress Disorder and Traumatic Brain Injury and Their Families 11/02/11

A partnership between academic medicine and a major-league sports team enhances access to care by providing treatment and support to veterans who suffer from traumatic brain injury and posttraumatic stress disorder and their families, generating high levels of patient satisfaction.

Culturally Tailored Cessation Program Significantly Reduces Tobacco Use Among Members of American Indian Tribe 08/29/11

A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.

Individual and Group Support Sessions Enhance Skills and Knowledge, Reduce Burden and Depression for Caregivers of Dementia Patients 07/14/11

Individual and group support enhances the skills and knowledge of those caring for patients with dementia, leading to less caregiver burden and depression and fewer problem behaviors among patients.

Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health 05/25/11

Onsite care coordination and support of seniors in affordable housing community leads to fewer falls, reduced hospital admissions, improved nutritional status, and increased levels of physical activity, promoting seniors' ability to remain in their homes as they age.

Comprehensive, Culturally Sensitive Care and Self-Management Support Improves Health-Related Behaviors, Clinical Outcomes, and Emotional Health in Native Americans with Diabetes 05/06/11

The Full Circle Diabetes program provides comprehensive care and self-management support to Native Americans with diabetes, leading to improvements in health-related behaviors, clinical outcomes, and emotional health.

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