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This case study highlights Utah Asthma Home Visiting program, a cross-sector effort serving individuals and families with uncontrolled asthma and includes a combination of education, assessment, and if needed, referrals and remediation.
The Utah Department of Health Asthma Program is trying to ensure the root causes of uncontrolled asthma are being addressed. Asthma coordinators screen for social determinants of health at the first or second in-person visit. If participants are willing to complete the screening, referrals are made either to government agencies or community-based organizations to help connect them to needed resources, even if they are not directly asthma related (e.g., transportation, work, or food).
Aligning Systems for Health: Health Care + Public Health + Social Services, supported by the Robert Wood Johnson Foundation and managed by the Georgia Health Policy Center, is focused on learning from stakeholders across the nation about effective ways to align these three sectors to better meet people’s goals and needs.