Fordham GSS faculty members Rahbel Rahman, Ph.D., and Abigail Ross, Ph.D., presented their research on November 6 as part of the 2022 American Public Health Association Annual Meeting & Expo.
The presentation, titled “Predictors to service integration by Community Based Providers in New York State offering maternal and infant services”, examined data from Community Health Workers and Home Visitors in regard to service integration — defined as “the screening, delivery and referral-making of two or more services over the course of six months.”
GSS MSW student Rupal Patel was a co-presenter.
Read the abstract here:
Perinatal maternal depression, interpersonal violence, (IPV) substance use and poor sexual health are critical public health concerns with significant negative impacts on child development. Despite widespread calls for service integration at the systems/organizational level and well-documented benefits to children and families, predictors to service integration are not well understood. Using cross-sectional data from 159 community-based providers (CBPs) who identify as community health workers (CHWs) or home visitors (HVs), our study examines organizational and individual level predictors to service integration. Service integration in this study is defined as the screening, delivery and referral-making of two or more services over the course of six months. Services of interest in this study include mental health, IPV, sexual health, mental health, and substance abuse services. Descriptive statistics were performed to characterize our sample and show the distribution of service types. Logistic regression was used to identify salient organizational (job satisfaction: communication, contingent rewards, fringe benefits, operating conditions, and coworker; and training helpfulness) and individual characteristics (self-efficacy) that are associated with service integration. The majority of participants (n=70, 44.03%) integrated all four of the services: mental health, IPV, sexual health and mental health services. Training helpfulness (b=-2.48, p=0.0089), self-efficacy (b=0.0682, p<0.001), and job satisfaction (b=-0.0361, p=0.0114) were significantly associated with provision of integrated services. Specifically, elements of job satisfaction that were associated with integrated service provision included satisfaction with communication (b=-0.2792, p=0.0047), and coworkers (b=-0.2929, p=0.0043). Findings elucidate areas for future investment for human services agency administrators and point to future areas of intervention that can bolster integrated service provision, thereby improve efficiency, cost effectiveness, and optimal maternal and child health care outcomes for at-risk populations.