abstract: 'Background Health and social inequality are associated with multiple

  adverse childhood experiences including poverty, mental illness, and

  child maltreatment. While effective interventions currently exist for

  many health and social problems, large segments of the population

  experience barriers accessing needed services. In alignment with broader

  public health efforts to reduce health and social inequality in one

  state in the U.S.A., the current study describes the development and

  formative evaluation of a brief, low cost, portable model of

  prevention-oriented family service navigation called Navigate Your Way.

  Methods Caregivers of children experiencing significant unmet health or

  social service needs were recruited to the study. Participants completed

  an initial and closing telephone interview which included measures of

  past and current family health and social service utilization, service

  barriers, parenting stress, and child internalizing/externalizing

  behaviors. Between interviews participants created a family service plan

  and received 10 weeks of telephone and web-mediated family navigation,

  at which time process and fidelity of implementation data were

  collected. Frequency and descriptive statistics are provided for

  participant demographic characteristics, service barriers, intervention

  engagement, and primary and secondary study outcomes. Paired samples

  t-tests examined changes in study outcomes between initial and closing

  telephone interviews. Results Thirty two caregivers enrolled,

  twenty-nine completed the study. The age range was 20-59 (M = 39.5, SD =

  10.0). The majority identified as female (96.9\%, n = 31), racial/ethnic

  minority (56.2\%, n = 18), and reported an average 10 barriers to care

  (M = 10.4, SD = 4.1). The most frequently reported service needs were

  mental health care, housing, food security, transportation, and health

  insurance. The mean duration of intervention delivery was 83 days. Most

  participants (82.8\%, n = 24) were connected to one or more health or

  social services. Caregivers reported significant improvements to youth

  internalizing behaviors (d = 2.5, p = .05) and high levels of overall

  satisfaction with the navigation approach. Conclusion Telephone and

  web-mediated service navigation is a feasible and practical approach to

  supporting families in rapidly connecting to health and social care.

  Future research investigating the efficacy and implementation of

  Navigate Your Way in routine settings is indicated.'
affiliation: 'Waid, J (Corresponding Author), Univ Minnesota Twin Cities, Sch Social
  Work, 1404 Gortner Ave,105 Peters Hall, St Paul, MN 55108 USA.

  Waid, Jeffrey; Kutzler, Courtney, Univ Minnesota Twin Cities, Sch Social Work, 1404
  Gortner Ave,105 Peters Hall, St Paul, MN 55108 USA.

  Tomfohrde, Olivia, Univ Minnesota Twin Cities, Family Social Sci, 1985 Buford Ave,
  St Paul, MN 55108 USA.

  Kutzler, Courtney, Univ Minnesota Twin Cities, Sch Publ Hlth, 420 Delaware St SE,
  Minneapolis, MN 55455 USA.'
article-number: '1972'
author: Waid, Jeffrey and Tomfohrde, Olivia and Kutzler, Courtney
author-email: jdwaid@umn.edu
author_list:
- family: Waid
  given: Jeffrey
- family: Tomfohrde
  given: Olivia
- family: Kutzler
  given: Courtney
da: '2023-09-28'
doi: 10.1186/s12889-022-14320-4
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Children; Equity; Families; Health; Inequality; Maltreatment;

  Navigation; Prevention; Social Work'
keywords-plus: DESIGNS; INCOME
language: English
month: OCT 27
number: '1'
number-of-cited-references: '35'
papis_id: 34fdd7e4a46f1839f5f98638a46660a6
ref: Waid2022promotinghealth
times-cited: '1'
title: 'Promoting health and social equity through family navigation to prevention
  and early intervention services: a proof of concept study'
type: article
unique-id: WOS:000874929200007
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '22'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2022'