Resource Directory Research Articles

A Medical Student-Led Multipronged Initiative to Close the Digital Divide in Outpatient Primary Care.

The coronavirus disease 2019 pandemic accelerated the use of telehealth. However, this also exacerbated health care disparities for vulnerable populations. This study aimed to explore the feasibility and effectiveness of a medical student-led initiative to identify and address gaps in patient access to digital health resources in adult primary care clinics at an academic safety-net hospital. Medical students used an online HIPAA-compliant resource directory to screen for digital needs, connect patients with resources, and track outcome metrics. Through a series of Plan-Do-Study-Act (PDSA) cycles, the program grew to offer services such as information and registration for subsidized internet and phone services via the Affordable Connectivity Program (ACP) and Lifeline, assistance setting up and utilizing MyChart (an online patient portal for access to electronic health records), orientation to telehealth applications, and connection to community-based digital literacy training. Between November 2021 and March 2023, the program received 608 assistance requests. The most successful intervention was MyChart help, resulting in 83% of those seeking assistance successfully signing up for MyChart accounts and 79% feeling comfortable navigating the portal. However, subsidized internet support, digital literacy training, and telehealth orientation had less favorable outcomes. The PDSA cycles highlighted numerous challenges such as inadequate patient outreach, time-consuming training, limited in-person support, and unequal language assistance. To overcome these barriers, the program evolved to utilize clinic space for outreach, increase flier distribution, standardize training, and enhance integration of multilingual resources. This study is, to the best of our knowledge, the first time a medical student-led initiative addresses the digital divide with a multipronged approach. We outline a system that can be implemented in other outpatient settings to increase patients' digital literacy and promote health equity, while also engaging students in important aspects of nonclinical patient care.

DRDChain: a blockchain-based distributed resource directory for the internet of things

DRDChain: a blockchain-based distributed resource directory for the internet of things

Implementation of Social Isolation Screening and an Integrated Community Resource Referral Platform.

Screening and referral programs for social isolation and loneliness in older patients increased during the COVID-19 pandemic in primary care settings to mitigate associated adverse health outcomes. This study explores community health centers' experiences implementing a social isolation and loneliness screening program involving a community resource referral platform integrated into the electronic health record to support referrals. A formative mixed methods evaluation in 4 community health centers. Semistructured interviews, observation of implementation meetings, facilitated group discussions, surveys, and utilization data extracted from the electronic health record and community resource referral platform were collected and analyzed concurrently. Screening for social isolation and loneliness can heighten health center staff knowledge and prioritization of socially isolated older patients. Participants indicate using an integrated community resource referral platform may only be useful in certain circumstances, particularly for those located outside urban areas. The experiences of these health centers indicate that when implementing interventions to mitigate patients' social isolation and loneliness, it is necessary to consider other resource directories, needed adjustments to referral and documentation workflows, and potential impacts on patients and care teams. Screening older patients for social isolation could increase care team awareness of social risk; assistance related referral options should be considered carefully.

A coalition-driven examination of organization capacity to address food insecurity in Greater Houston: a qualitative research study.

Economic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts. A twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically analyzed using NVivo, version 11 (Burlington, Massachusetts). The qualitative study was guided by a general inductive approach. In total, over 6 h of audiovisual recording were extracted, and over 100 pages of text exported to NVivo for data analysis. The research team read and coded transcripts independently using the codebook, and met routinely to discuss and resolve codes -resulting in numerous revisions to the codebook. Coding structure was discussed at multiple meetings and differences were addressed through consensus. Predominant qualitative themes impacting food insecurity screening were "stigma and cultural-related barriers", "clinic capacity and attitudes", "need to focus on upstream influences of food insecurity and SDOH needs", "impact of COVID-19", and "need for HEC system responses". Main recommendations to enhance screening and reach included improving staff culture, enhancing cultural sensitivity across organizational practices, and using shared technology to coordinate care. Respondents stated that the HEC can drive these recommendations through networking opportunities, use of shared resource directory, and placing focus on upstream factors. Recommendations to target food insecurity must focus on organizational staff responsiveness and sensitivity to patients' needs. Of equal importance is the need for increased attention to the upstream influencers and integration of systems-level interventions to holistically target the barriers impacting food insecurity.

The metadata management based on MongoDB for EAST experiment

EAST experiment device uses MDSPlus database to store a large number of experimental data. The users access the data through the API provided by MDSPlus. However, due to the large amount of internal data and the lack of unified resource directory, it is difficult to browse experimental data quickly. This paper proposes a metadata management system based on MongoDB to construct resource directory for data. Firstly, the system uses C++ language to scan the entire MDSPlus database to extract and build metadata. Secondly, based on the basic document in BSON format, the system adopts the form of document nested document array, collects all the metadata of each shot in the same document, constructs single metadata using stream document, and establishes metadata database. Thirdly, encapsulates the interface of typical query and cross cut statistics, and performs performance optimization based on index. Finally, a Web project is constructed based on "Spring Boot+Bootstrap" to provide users with database resource directory navigation services. The realization of Metadata database and metadata management system helps users quickly understand the database resource overview, and supports efficient and convenient access to experimental data.

Volunteers as a resource for asset mapping and maintaining a living resource directory: lessons from an academic-community partnership.

Health and social services are fundamental to public and population health, and disruptions can have devastating effects on individuals of all ages. During the first wave of the COVID-19 pandemic, the availability of health and social services rapidly changed. Existing resources experienced changes in operation and mode of service delivery, while new resources emerged to address escalating needs. Both the general public and service providers lacked access to accurate information on availability and access, and existing service directories became obsolete or unreliable. To address this gap, a committee of university students expanded its volunteer base, partnered with a local non-profit organization, and invested in maintaining a centralized, up-to-date resource directory for the region. Student volunteers sourced and consolidated existing county-level directories to curate more than 370 resources across 12 healthcare and social care domains in a Google Sheets platform. This directory was publicly accessible, available in English and Spanish, adjustable to community feedback and needs, disseminated through the local health system intranet, synthesized into paper handouts for food pantries, and utilized to curate a directory aimed toward older adult needs. Students worked in a tiered leadership model and mobilized quickly to respond to immediate community needs. This academic-community partnership engaging student volunteers can be a low-cost, high-value resource to support public health systems meet the information needs of their community, particularly during periods of crisis or rapid changes in service availability.

Transparent Access to Heterogeneous IoT Based on Virtual Resources

The Internet of Things (IoT) inspires industries to deploy a massive number of connected devices to provide smart and ubiquitous services to influence our daily life. Edge computing leverages sufficient computation and storage at the edge of the network to enable deploying complex functions closer to the environment using Internet-connected devices. According to the purpose of the environment including privacy level, domain functionality, network scale and service quality, various environment-specific services can be provided through heterogeneous applications with sensors and actuators based on edge computing. However, for providing user-friendly service scenarios based on the transparent access to heterogeneous devices in edge computing, a consistent interface shall be provided to deliver services from edge computing to clients. In this paper, we propose transparent computing based on virtual resources to access heterogeneous IoT devices without considering the underlying network configuration at the edge of the networks. For supporting transparent access to different edge computing environments through a consistent interface, the virtual resource of edge gateway is proposed to bridge the Internet and devices which are deployed on the edge of the network. The proposed edge gateway exposes the services of the Internet of Things devices to the Internet using virtual resources that represent the resources of physical devices. The virtual resources provide a consistent interface to enable clients to access devices in edge computing without considering underlying protocols. The virtual resource is generated by the resource directory in the edge gateway through the registration of a device. Based on the device registration, the device information is stored in the gateway to link virtual resources and devices for translating messages according to the destination protocols and identifying physical devices that are represented by virtual resources. Moreover, through collaboration with the service provider, the function of device discovery and monitoring is provided to clients.

Designing and developing a disaster resource directory: A case example.

Access to accurate, up-to-date information about resources and services is essential if survivors are to recover following disasters. Emergency managers need information about community resources to effectively plan for the recovery phase. Long-term recovery committees and case managers rely on resource directories to design recovery plans with survivors. This article describes a replicable approach used to swiftly create and maintain an online resource directory for individuals with disabilities following Hurricane Harvey.

Cognition in Primary Care Community Resource Directory for Individuals, Caregivers, and Providers

A KAER Model recommendation is to refer individuals diagnosed with dementia to resources that help them prepare for the future and services that provide ongoing support. The purpose of this project was to locate local quality services and develop a resource directory for persons with cognitive impairment for use by providers, staff, individuals, families, and caregivers. We worked with a Community Advisory Board and interviewed individuals and caregivers to understand what resources are useful and important to include in the resource directory. We built a web-based resource directory that allows users to query resources based on specific needs. We integrated the resource directory within the electronic health record for providers to include after visit summaries. A resource directory was deployed for community use, with goals of sustainability and longevity after this project is completed.

A Systems-Wide Approach for Early Detection and Management of Dementia in Primary Care

Dementia is frequently unrecognized and under-reported by health care providers. The needs of an aging population increase the burden on an already over-worked primary care system that is often without the appropriate training, resources, and reimbursement to address the growing number of people with cognitive decline in the US. In this symposium we present a systems-wide approach within University of Washington (UW) Primary Care to increase awareness of early signs and symptoms, detection of cognitive impairment, and support of providers, patients and caregivers that will ultimately improve outcomes of care. This quality improvement (QI) program integrates stakeholder-selected components of the GSA KAER (Kickstart-Assess-Evaluate and Refer) Model and Toolkit (2020 Edition), developed by the Gerontological Society of America (GSA), into primary care practice. We describe content and logistics of a continuing education intervention for primary care providers and clinical staff to increase skills for evaluation and management of dementia. Working with UW clinic managers and information technology (IT), we have developed a pragmatic system for streamlining operations and documenting care utilizing newly developed interdisciplinary workflows and electronic health record order sets. Using input from our Community Advisory Board, we explain development of a web-based resource directory to be used in-clinic and at home to support providers, staff, patients, families, and caregivers across cognitive changes. Strategies presented here are aimed to help other health care systems initiate steps to integrate KAER and other tools into a practical QI program for improving detection and management of dementia through support of primary care.

Constructing a web-based health directory for adolescent men who have sex with men: Strategies for development and resource verification.

Online health directories are increasingly used to locate health services and community resources, providing contact and service information that assists users in identifying resources that may meet their health and wellness needs. However, service locations require additional vetting when directories plan to refer vulnerable populations. As a tool included as part of a trial of a mobile life skills intervention for cisgender adolescent men who have sex with men (AMSM; ages 13-18), we constructed and verified resources for an online resource directory focused on linking young people to LGBTQ+ friendly and affirming local health and community social services resources. We collected information for 2301 individual directory listings through database and internet searches. To ensure the listings aligned with the project's focus of supporting young sexual minority men, we developed multiple data verification assessments to ensure community appropriateness resulting in verification of 1833 resources suitable for inclusion in our locator tool at project launch (March 2018). We offer lessons learned and future directions for researchers and practitioners who may benefit from adapting our processes and strategies for building culturally-tailored resource directories for vulnerable populations.

Scotland’s House of Care – Collaborative approaches to embed “More than Medicine” within Primary Care Pathways.

Introduction The House of Care framework provides a visual model of a house built around collaborative care planning conversations. This enables people with long term conditions and their clinicians to work together to determine the shape and the support needed to enable them to live well in their communities. The House of Care programme has been widely applied in primary care in Scotland and is befitting of the country’s ambition for personalised, Realistic Medicine within an integrated, health, social and community landscape.The house metaphor describes the components needed to make coordinated, personalised care planning a reality.The foundation of the house, the informal and formal sources of care support available in the community - “More than Medicine” is a key element of this model.Session overviewThe overarching aim of this is to raise awareness of the House of Care model in practice, it’s alignment to national policy, the key components require to ensure its effectiveness and how it has evolved in Scotland since its introduction in 2014.With a focus on the foundation of the house, the session will share the role and scope of Scotland’s Third Sector in the support and delivery of informal and formal sources of community-based support and resources.Approaches to Community asset mapping and resource directory, raising awareness of community resources amongst primary care teams i.e. information sharing events, role of Community Link Worker initiatives, relationship building and ensuring local support matches identified needs of population will be discussed during the session.Themes – third sector, social prescribing, self-management, collaboration, co-production. Target audienceHealthcare professionals, primary care teams, policy leads, community partners, people with lived experience, researchers.FormatA workshop style session with scene setting presentation followed by world café style discussions.

RML based ontology development approach in internet of things for healthcare domain

Purpose A huge amount of diverse data is generated in the Internet of Things (IoT) because of heterogeneous devices like sensors, actuators, gateways and many more. Due to assorted nature of devices, interoperability remains a major challenge for IoT system developers. The purpose of this study is to use mapping techniques for converting relational database (RDB) to resource directory framework (RDF) for the development of ontology. Ontology helps in achieving semantic interoperability in application areas of IoT which results in shared/common understanding of the heterogeneous data generated by the diverse devices used in health-care domain. Design/methodology/approach To overcome the issue of semantic interoperability in healthcare domain, the authors developed an ontology for patients having cardio vascular diseases. Patients located at any place around the world can be diagnosed by Heart Experts located at another place by using this approach. This mechanism deals with the mapping of heterogeneous data into the RDF format in an integrated and interoperable manner. This approach is used to integrate the diverse data of heart patients needed for diagnosis with respect to cardio vascular diseases. This approach is also applicable in other fields where IoT is mostly used. Findings Experimental results showed that the RDF works better than the relational database for semantic interoperability in the IoT. This concept-based approach is better than key-based approach and reduces the computation time and storage of the data. Originality/value The proposed approach helps in overcoming the demerits of relational database like standardization, expressivity, provenance and supports SPARQL. Therefore, it helps to overcome the heterogeneity, thereby enabling the semantic interoperability in IoT.

Effect of a Universal Postpartum Nurse Home Visiting Program on Child Maltreatment and Emergency Medical Care at 5 Years of Age

The Family Connects (FC) program, a community-wide nurse home visiting program for newborns, has been shown to provide benefits for children and families through the first 2 years of life. Potential longer-term outcomes for child well-being remain unknown. To determine the effect of randomization to FC on child maltreatment investigations and emergency medical care through 5 years of age. In this randomized clinical trial, families of all 4777 resident births in Durham County, North Carolina, from July 1, 2009, to December 31, 2010, were randomly assigned to receive the FC program or treatment as usual. Impact evaluation was on an intent-to-treat basis and focused on a subsample of 549 families randomly selected from the full population and included review of hospital and Child Protective Services (CPS) administrative records. Statistical analysis was conducted from November 6, 2020, to April 25, 2021. The FC programs includes 1 to 3 nurse home visits beginning at the infant age of 3 weeks designed to identify family-specific needs, deliver education and intervention, and connect families with community resources matched to their needs. Ongoing program engagement with service professionals and an electronic resource directory facilitate effective family connections to the community. Two primary trial outcomes were CPS-recorded child maltreatment investigations and emergency medical care use based on hospital records. Of the 4777 randomized families, 2327 were allocated to the intervention, and 2440 were allocated to services as usual. Among the children in the full study population, 2380 (49.8%) were female, 2397 (50.2%) were male, and 3359 (70.3%) were from racial/ethnic minority groups; of the 531 children included in the impact evaluation follow-up, 284 (53.5%) were female, 247 (46.5%) were male, and 390 (73.4%) were from racial/ethnic minority groups. Negative binomial models indicated that families assigned to FC had 39% fewer CPS investigations for suspected child maltreatment through 5 years of age (95% CI, -0.80 to 0.06; 90% CI, -0.73 to -0.01; control = 44 total investigations per 100 children and intervention = 27 total investigations per 100 children); intervention effects did not differ across subgroups. Families assigned to FC also had 33% less total child emergency medical care use (95% CI, -0.59 to -0.14; 90% CI, -0.55 to -0.18; control = 338 visits and overnight hospital stays per 100 children and intervention = 227 visits and overnight hospital stays per 100 children). Positive effects held across birth risk, child health insurance, child sex, single-parent status, and racial/ethnic groups. Effects were larger for nonminority families compared with minority families. The findings of this randomized clinical trial suggest that, when implemented with high quality and broad reach, a brief postpartum nurse home visiting program can reduce population rates of child maltreatment and emergency medical care use in early childhood. ClinicalTrials.gov Identifier: NCT01406184.

Analysis of Network Characteristics to Assess Community Capacity of Latino-Serving Organizations in Philadelphia.

Latino immigrants are disproportionately impacted by substance use, HIV/AIDS, domestic violence, and mental health (SAVAME). The burden of these syndemic conditions is influenced by limited access to health and social services to prevent and treat these conditions. The syndemic nature of these factors necessitates an integrated, coordinated approach to address them simultaneously. We analyzed characteristics of Latino-serving organizations in Philadelphia, PA, that provide SAVAME-related health and/or social services, and their interorganizational collaborations to meet the needs of Philadelphia’s Latino communities. We surveyed Latino-serving organizations (N=43) identified through existing resource directories and key informants. Network analyses identified patterns and density of collaborative ties (i.e., referrals, administrative, or planning/advocacy) across organizations and characterized these ties by type of service. Density (expressed as percent of all possible ties) revealed a higher referral rate (40%) than administrative (29%) or planning (26%) coordination. Network sociograms display clusters of providers by geography. Examination of bonding (within-group) ties revealed comparable perceptions of high value among both South/Center Philadelphia (57%) and in North Philadelphia providers (56%), but bridging (between-group) ties suggest lower levels of high-value perceptions (24%). No evident clustering by type of service based on syndemic factor was observed. Density of bridging across types of providers was highest for referrals (38%) followed by planning (23%) and administrative coordination (20%). Interventions to promote collaboration between providers should focus on facilitating administrative and planning collaborations that leverage existing capacity of the network. Given the syndemic nature of these conditions, greater collaboration between providers of complementing SAVAME services is imperative.

Community Health Educator’s Role on the 3D Team

As a member of the 3D Team, the bilingual, bicultural Community Health Educator (CHE) addresses needs expressed by study participants related to social determinants of health. Clinical triggers generated by nurse practitioners (NPs) that lead to CHE referral include: social isolation and loneliness; lack of transportation access; lack of resources to sustain nutritional adequacy, purchase medications, and purchase assistive devices; and cultural and linguistic barriers that lead to lack of knowledge about community resources. To date, 50% of study participants randomized to receive 3D Team care have triggered referral to the CHE. In this presentation, the team CHE will provide details on the frequency of different needs expressed by study participants, how she utilizes an ever-growing community resource directory, and specific types of information and guidance she provides to address their expressed needs. Case studies will help illustrate ways in which CHE services have successfully provided assistance to study participants.

A web-based, peer-supported self-management intervention to reduce distress in relatives of people with psychosis or bipolar disorder: the REACT RCT.

Relatives caring for people with severe mental health problems find information and emotional support hard to access. Online support for self-management offers a potential solution. The objective was to determine the clinical effectiveness and cost-effectiveness of an online supported self-management tool for relatives: the Relatives' Education And Coping Toolkit (REACT). This was a primarily online (UK), single-blind, randomised controlled trial, comparing REACT plus a resource directory and treatment as usual with the resource directory and treatment as usual only, by measuring user distress and other well-being measures at baseline and at 12 and 24 weeks. A total of 800 relatives of people with severe mental health problems across the UK took part; relatives who were aged ≥ 16 years, were experiencing high levels of distress, had access to the internet and were actively seeking help were recruited. REACT comprised 12 psychoeducation modules, peer support through a group forum, confidential messaging and a comprehensive resource directory of national support. Trained relatives moderated the forum and responded to messages. The main outcome was the level of participants' distress, as measured by the General Health Questionnaire-28 items. Various online and offline strategies, including social media, directed potential participants to the website. Participants were randomised to one of two arms: REACT plus the resource directory (n = 399) or the resource directory only (n = 401). Retention at 24 weeks was 75% (REACT arm, n = 292; resource directory-only arm, n = 307). The mean scores for the General Health Questionnaire-28 items reduced substantially across both arms over 24 weeks, from 40.2 (standard deviation 14.3) to 30.5 (standard deviation 15.6), with no significant difference between arms (mean difference -1.39, 95% confidence interval -3.60 to 0.83; p = 0.22). At 12 weeks, the General Health Questionnaire-28 items scores were lower in the REACT arm than in the resource directory-only arm (-2.08, 95% confidence interval -4.14 to -0.03; p = 0.027), but this finding is likely to be of limited clinical significance. Accounting for missing data, which were associated with higher distress in the REACT arm (0.33, 95% confidence interval -0.27 to 0.93; p = 0.279), in a longitudinal model, there was no significant difference between arms over 24 weeks (-0.56, 95% confidence interval -2.34 to 1.22; p = 0.51). REACT cost £142.95 per participant to design and deliver (£62.27 for delivery only), compared with £0.84 for the resource directory only. A health economic analysis of NHS, health and Personal Social Services outcomes found that REACT has higher costs (£286.77), slightly better General Health Questionnaire-28 items scores (incremental General Health Questionnaire-28 items score adjusted for baseline, age and gender: -1.152, 95% confidence interval -3.370 to 1.065) and slightly lower quality-adjusted life-year gains than the resource directory only; none of these differences was statistically significant. The median time spent online was 50.8 minutes (interquartile range 12.4-172.1 minutes) for REACT, with no significant association with outcome. Participants reported finding REACT a safe, confidential environment (96%) and reported feeling supported by the forum (89%) and the REACT supporters (86%). No serious adverse events were reported. The sample comprised predominantly white British females, 25% of participants were lost to follow-up and dropout in the REACT arm was not random. An online self-management support toolkit with a moderated group forum is acceptable to relatives and, compared with face-to-face programmes, offers inexpensive, safe delivery of National Institute for Health and Care Excellence-recommended support to engage relatives as peers in care delivery. However, currently, REACT plus the resource directory is no more effective at reducing relatives' distress than the resource directory only. Further research in improving the effectiveness of online carer support interventions is required. Current Controlled Trials ISRCTN72019945. This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 32. See the NIHR Journals Library website for further project information.

Clinical effectiveness of a web-based peer-supported self-management intervention for relatives of people with psychosis or bipolar (REACT): online, observer-blind, randomised controlled superiority trial

BackgroundThe Relatives Education And Coping Toolkit (REACT) is an online supported self-management toolkit for relatives of people with psychosis or bipolar designed to improve access to NICE recommended information and emotional support.AimsOur aim was to determine clinical and cost-effectiveness of REACT including a Resource Directory (RD), versus RD-only.MethodsA primarily online, observer-blind randomised controlled trial comparing REACT (including RD) with RD only (registration ISRCTN72019945). Participants were UK relatives aged > = 16, with high distress (assessed using the GHQ-28), and actively help-seeking, individually randomised, and assessed online. Primary outcome was relatives’ distress (GHQ-28) at 24 weeks. Secondary outcomes were wellbeing, support, costs and user feedback.ResultsWe recruited 800 relatives (REACT = 399; RD only = 401) with high distress at baseline (GHQ-28 REACT mean 40.3, SD 14.6; RD only mean 40.0, SD 14.0). Median time spent online on REACT was 50.8 min (IQR 12.4–172.1) versus 0.5 min (IQR 0–1.6) on RD only. Retention to primary follow-up (24 weeks) was 75% (REACT n = 292 (73.2%); RD-only n = 307 (76.6%)). Distress decreased in both groups by 24 weeks, with no significant difference between the two groups (− 1.39, 95% CI -3.60, 0.83, p = 0.22). Estimated cost of delivering REACT was £62.27 per person and users reported finding it safe, acceptable and convenient. There were no adverse events or reported side effects.ConclusionsREACT is an inexpensive, acceptable, and safe way to deliver NICE-recommended support for relatives. However, for highly distressed relatives it is no more effective in reducing distress (GHQ-28) than a comprehensive online resource directory.Trial registrationISRCTN72019945 prospectively registered 19/11/2015.

Implementing Community Resource Referral Technology: Facilitators And Barriers Described By Early Adopters.

Health care organizations are increasingly implementing programs to address patients' social conditions. To support these efforts, new technology platforms have emerged to facilitate referrals to community social services organizations. To understand the functionalities of these platforms and identify the lessons learned by their early adopters in health care, we reviewed nine platforms that were on the market in 2018 and interviewed representatives from thirty-five early-adopter health care organizations. We identified key informants through solicited expert recommendations and web searches. With minor variations, all platforms in the sample provided similar core functionalities: screening for social risks, a resource directory, referral management, care coordination, privacy protection, systems integration, and reporting and analytics. Early adopters reported three key implementation challenges: engaging community partners, managing internal change processes, and ensuring compliance with privacy regulations. We conclude that early engagement with social services partners, funding models that support both direct and indirect costs, and stronger evidence of effectiveness together could help advance platform adoption.

S-COAP: Semantic Enrichment of COAP for Resource Discovery

Internet of Things (IoT) paradigm is progressing at an enormous rate creating an expansive ecosystem of interconnected smart devices which needs to be controlled and managed by end applications or users. So, the solution is to discover the best device matching the user requirement in timely manner. Ensuring efficient and context aware resource discovery is a challenge in seamless operation of IoT applications. Semantic Intelligence can be built for resource discovery. In this paper, we propose semantic enrichment of COAP protocol to discover the resources. Resources are semantically modelled, and COAP protocol CORE Link format is modified to incorporate semantic information. Also, we have proposed a framework which is aware of the social relationship between the devices to accommodate distributed topologies. We conducted the experiments in COOJA simulator on CONTIKI OS with COAP protocol semantically enriched. COAP CORE Link format and Resource Directory were semantically enriched, and its effectiveness was measured.