Social Determinants of Health and Community Health Workers Elizur Bello – The Next Door, Inc. Objectives: Social Determinants of Health and Community Health Workers By the end of the workshop participants will be able to: Define ‘Social Determinants of Health’ and recognize roles Community Health Workers (CHWs) can play in addressing Social Determinants of Health Understand why Community Health Workers are well positioned to address Social Determinants of Health, including job creation Agenda Introduction Dinámica/Movement Building Activity Introduction to Social Determinants of Health (SDOH): Definitions and Examples SDOH video clips from: “Unnatural Causes” SDOH: Deepening our understanding Sociodrama: CHWs and Economic Development Definitions Determinant: Something that determines or affects something else Social determinants of health: Social conditions that affect people’s health Biological determinants: things like parasites, bacteria, and virus Genetic determinants: characteristics we inherit from our parents Examples of social determinants of health Income Social class Race/ethnicity Education Employment Housing Environmental conditions Respect and dignity Video Clips – Unnatural Causes Wealth Equals Health Deepening our understanding What caught your attention in the video clip? What is the relationship between social status and health? What seems to explain the relationship between social status and health? Real Stories Description 1. 58 y/o female, wheelchair bound, problems with fine motor skills due to MS, sought respite care for her full time care giver. 2. 56 y/o female, living in motel, diabetic, personality disorder, distrustful of PCP, nine cats 3. 44 y/o male, on dialysis, needs help finding housing (not using CPAP machine, poor sleeping arrangement, sleeps in front seat of the car, the use of proper bathroom). Outcomes 1. Provided different respite options for pt to contact and she was able to establish a relationship with a care provider to fulfill her needs. 2. Helped pt move back to her home and take care of her cats. Also encouraged her to find PCP that works for her and she now follows up with PCP and diabetes education appropriately. 3. Found temporary Sec. 8 housing, but was unable to apply for extension in time due to lack of knowledge. Now living with exwife. Main Points Social Determinants of Health Social conditions that affect the health of whole communities Generally, as social status increases, life expectancy increases and health improves. Control of destiny explains the relationship between social status and health. Main Points Social Determinants of Health To affect the relationship between social status and health, we can: Work in ways that increase personal control Empower communities Change economic and social policy Community Health Workers are well positioned to address Social Determinants of Health, including job creation and policy advocacy. Thank you!