H - 15 Leveraging Community Health Care Workers in Rural Communities to Address Brain Health Equity.

Abstract

To address brain health in rural communities, Telehealth ROCKS developed a service delivery program with local partners. Community healthcare workers (CHWs) assess and provide students with referrals to address social determinants of health (SDoH) and mental health needs. Qualitative and quantitative data were collected. This program serves seven school districts and 6876 students in an area historically reliant on a mining/factory economies with high concerns for environmental exposures. Students were from diverse backgrounds with a range of neurological and neurodevelopmental conditions. To close SDOH gaps, CHWs utilized Community CareLink (CCL), an online platform tailored for rural communities that documents, tracks, and identifies SDOH gaps. Since 2022, 85% of families elected to pursue CHW support. To date, 10 CHWs have worked directly with approximately 10% of the school population with 80% of encounters having an attendance component. Thematic analysis shows building trust has been an important encounter theme: "Building that trust within the families is so important. By being able to help them with housing, utility assistance or getting access to Medicaid can be a huge relief..." The pandemic impacted SDOH domains, further exacerbating rural and other systemic disparities that will have long-lasting impact on brain health in rural communities. For neuropsychologists, adopting this program design may help to foster trusted relationships and community partnerships, improve culturally informed referrals, and provide scaffolding/coaching around referrals so that our expertise can aid patients and families where and when it is needed most.