Top

The Journal of Behavioral Health Services & Research

Open Access 06-05-2024

Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health

Authors: Stacey Li, BSPH, Jennifer Gulley, MPH, BSN, RN, Marisa Booty, MHS, Bradley Firchow, BS, Margaret L. McGladrey, PhD, MA, BA

Published in: The Journal of Behavioral Health Services & Research

Abstract

Behavioral health disorders are well-known to have close links with the social determinants of health, yet little is known about how impacted communities perceive these links. Qualitative participatory methods can not only provide insight into how communities conceptualize these relationships but also empower those with lived experience to contextualize their perspectives and formulate calls to action. This study used Photovoice as a participatory method to supplement the Clark County Health Department Community Health Assessment and determine priority facilitators and barriers contributing to the behavioral health of Clark County, KY, residents. A secondary aim was to gain a greater understanding of how the Photovoice methodology impacts community engagement efforts in Community Health Assessments. Twenty-three Clark County residents participated in four Photovoice groups involving five weekly sessions, which included photograph “show and tell,” critical group dialogue, participatory analysis, and planning for dissemination. Secondary analysis of Photovoice focus group discussions revealed behavioral health facilitators and barriers were most influenced by (1) public sector unresponsiveness, (2) strong partnerships formed between community and grassroots organizations, and (3) the siloed division of responsibility between agencies and across sectors. The authors also found the Photovoice method successfully enhanced engagement and empowered those with lived experience to frame their perspectives of the behavioral health landscape. This project has implications for enhancing community engagement and empowerment in behavioral health–focused public health assessments and shaping policy to promote multi-sector collaboration.

O’Brien BC, Harris IB, Beckman TJ, et al. Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 2014;89(9):1245. Available at https://doi.org/10.1097/ACM.0000000000000388. Accessed 8 January, 2024.

Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality. Publication Number PEP23-07-01-006, NSDUH Series H-58, November 2023. Available at https://www.samhsa.gov/data/report/2022-nsduh-annual-national-report. Accessed 13 December, 2023.

Alegría M, NeMoyer A, Falgas I, et al. Social determinants of mental health: where we are and where we need to go. Current Psychiatry Reports, 2018;20(11):95. Available at https://doi.org/10.1007/s11920-018-0969-9. Accessed 2 November, 2023.

Spear SE, Crevecoeur-MacPhail D, Denering L, et al. Determinants of successful treatment outcomes among a sample of urban American Indians/Alaska Natives: the role of social environments. Journal of Behavioral Health Services & Research, 2013;40(3):330–341. Available at https://doi.org/10.1007/s11414-013-9324-4. Accessed 13 December, 2023.

Hodgkinson S, Godoy L, Beers LS, et al. Improving mental health access for low-income children and families in the primary care setting. Pediatrics, 2017;139(1):e20151175. Available at https://doi.org/10.1542/peds.2015-1175. Accessed 23 October, 2023.

Van Deinse TB, Wilson AB, Macy RJ, et al. Intimate partner violence and women with severe mental illnesses: needs and challenges from the perspectives of behavioral health and domestic violence service providers. Journal of Behavioral Health Services & Research, 2019;46(2):283–293. Available at https://doi.org/10.1007/s11414-018-9624-9. Accessed 13 December, 2023.

Rosales R, Takeuchi D, Calvo R. After the Affordable Care Act: the effects of the health safety net and the Medicaid expansion on Latinxs’ use of behavioral healthcare in the US. Journal of Behavioral Health Services & Research, 2021;48(2):183–198. Available at https://doi.org/10.1007/s11414-020-09715-3. Accessed 13 December, 2023.

Ostrow L, Nemec PB, Smith C. Self-employment for people with psychiatric disabilities: advantages and strategies. Journal of Behavioral Health Services & Research, 2019;46(4):686–696. Available at https://doi.org/10.1007/s11414-018-9625-8. Accessed 13 December, 2023.

Compton MT, Shim RS. The social determinants of mental health. Focus: The Journal of Lifelong Learning in Psychiatry, 2015;13(4):419–425. Available at https://doi.org/10.1176/appi.focus.20150017. Accessed 9 October, 2023.

10.

Fan AZ, Prescott MR, Zhao G, et al. Individual and community-level determinants of mental and physical health after the deepwater horizon oil spill: findings from the Gulf States population survey. Journal of Behavioral Health Services & Research, 2015;42(1):23–41. Available at https://doi.org/10.1007/s11414-014-9418-7. Accessed 13 December, 2023.

11.

Hjorth CF, Bilgrav L, Frandsen LS, et al. Mental health and school dropout across educational levels and genders: a 4.8-year follow-up study. BMC Public Health, 2016;16. Available at https://doi.org/10.1186/s12889-016-3622-8. Accessed 2 November, 2023.

12.

Ljungqvist I, Topor A, Forssell H, et al. Money and mental Illness: a study of the relationship between poverty and serious psychological problems. Community Mental Health Journal, 2016;52(7):842–850. Available at https://doi.org/10.1007/s10597-015-9950-9. Accessed 2 November, 2023.

13.

Ghiasi N, Azhar Y, Singh J. Psychiatric illness and criminality. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. 2023. Available at https://www.ncbi.nlm.nih.gov/books/NBK537064/. Accessed 8 January, 2024.

14.

Standards & Measures Version 2022. Alexandria, VA: Public Health Accreditation Board, 2022. Available at https://phaboard.org/accreditation-recognition/version-2022/. Accessed 8 October, 2023.

15.

Rabarison KM, Timsina L, Mays GP. Community health assessment and improved public health decision-making: a propensity score matching approach. American Journal of Public Health, 2015;105(12):2526–2533. Available at https://doi.org/10.2105/AJPH.2015.302795. Accessed 23 June, 2023.

16.

Engaging patients and communities in the community health needs assessment process. Chicago, IL: Health Research & Educational Trust. Available at https://www.aha.org/system/files/2018-01/Engaging-patients-communities-health-needs-assmt.pdf, 2016. Accessed 9 October, 2023.

17.

Resnick J. Exploring community health needs. Chicago, IL: Health Research & Educational Trust. Available at https://trustees.aha.org/articles/988-boosting-community-health-needs-assessments. Accessed 9 October, 2023.

18.

Ravaghi H, Guisset AL, Elfeky S, et al. A scoping review of community health needs and assets assessment: concepts, rationale, tools and uses. BMC Health Services Research, 2023;23(1):44. Available at https://doi.org/10.1186/s12913-022-08983-3. Accessed 9 October, 2023.

19.

Community Health Assessment Toolkit. Chicago, IL: American Hospital Association, 2023. Available at https://www.healthycommunities.org/resources/community-health-assessment-toolkit. Accessed 9 October, 2023.

20.

A Playbook for Fostering Hospital-Community Partnerships to Build a Culture of Health. Chicago, IL: Health Research & Educational Trust, 2017. Available at https://www.aha.org/ahahret-guides/2017-07-27-playbook-fostering-hospital-community-partnerships-build-culture-health. Accessed 9 October, 2023.

21.

Tools for Successful CHI Efforts. Atlanta, GA: Centers for Disease Control & Prevention, 2022. Available at https://www.cdc.gov/chinav/tools/work.html. Accessed 9 October, 2023.

22.

Community Health Assessments and Improvement Plans. Atlanta, GA: Centers for Disease Control & Prevention, 2022. Available at https://www.cdc.gov/publichealthgateway/cha/plan.html. Accessed 28 June, 2023.

23.

Jones N, Callejas L, Brown M, et al. Barriers to meaningful participatory mental health services research and priority next steps: Findings from a national survey. Psychiatric Services, 2023;74(9):902–910. Available at https://doi.org/10.1176/appi.ps.20220514. Accessed 7 January, 2024.

24.

Delman J, Progovac AM, Flomenhoft T, et al. Barriers and facilitators to community-based participatory mental health care research for racial and ethnic minorities. Health Affairs (Millwood), 2019;38(3):391–398. Available at https://doi.org/10.1377/hlthaff.2018.05040. Accessed 7 January, 2024.

25.

Cook T. Participatory research: its meaning and messiness. Beleidsonderzoek Online, 2021;0(3). Available at https://doi.org/10.5553/BO/221335502021000003001. Accessed 9 October, 2023.

26.

Springer AE, Marshall AN, Randolph R, et al. Exploring models for youth engagement in community health planning: the youth-led community health learning initiative. Progress Community Health Partnerships: Research, Education, and Action, 2022;16(2):155–168. Available at https://doi.org/10.1353/cpr.2022.0020. Accessed 9 October, 2023.

27.

Israel BA, Schulz AJ, Parker EA, et al. Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 1998;19(1):173–202. Available at https://doi.org/10.1146/annurev.publhealth.19.1.173. Accessed 7 January, 2024.

28.

Mizock L, Russinova Z, Shani R. New roads paved on losses: photovoice perspectives about recovery from mental illness. Qualitative Health Research, 2014;24(11):1481–1491. Available at https://doi.org/10.1177/1049732314548686. Accessed 23 October, 2023.

29.

Van Steenberghe T, Vanderplasschen W, Bellaert L, et al. Photovoicing interconnected sources of recovery capital of women with a drug use history. Drugs: Education, Prevention and Policy, 2021;28(5):411–425. Available at https://doi.org/10.1080/09687637.2021.1931033. Accessed 9 October, 2023.

30.

Smith E, Carter M, Walklet E, et al. Investigating recovery from problem substance use using digital photovoice. Journal of Community Psychology, 2023;51(3):1378–1393. Available at https://doi.org/10.1002/jcop.22957. Accessed 23 October, 2023.

31.

De Seranno S, Colman C. Capturing recovery capital: using photovoice to unravel recovery and desistance. Addiction Research & Theory, 2022;30(4):237–245. Available at https://doi.org/10.1080/16066359.2021.2003787. Accessed 23 October, 2023.

32.

Cabassa LJ, Nicasio A, Whitley R. Picturing recovery: A photovoice exploration of recovery dimensions among people with serious mental illness. Psychiatric Services Washington DC., 2013;64(9):https://doi.org/10.1176/appi.ps.201200503. Available at https://doi.org/10.1176/appi.ps.201200503. Accessed 23 October, 2023.

33.

Muroff J, Do D, Brinkerhoff CA, et al. Nuestra Recuperación [Our Recovery]: using photovoice to understand the factors that influence recovery in Latinx populations. BMC Public Health, 2023;23(1):81. Available at https://doi.org/10.1186/s12889-023-14983-7. Accessed 23 October, 2023.

34.

Tippin GK, Maranzan KA. Efficacy of a photovoice-based video as an online mental illness anti-stigma intervention and the role of empathy in audience response: A randomized controlled trial. Journal of Applied Social Psychology, 2019;49(6):381–394. Available at https://doi.org/10.1111/jasp.12590. Accessed 23 October, 2023.

35.

Tippin GK, Maranzan KA. Photovoice as a method to reduce the stigma of mental illness among health care students. Health Promotion Practice, 2022;23(2):331–337. Available at https://doi.org/10.1177/15248399211057152. Accessed 10 October, 2023.

36.

Smith E, Carter M, Walklet E, et al. Exploring the methodological benefits and challenges of utilising a Photovoice methodology with individuals in recovery from problem substance use. Qualitative Health Research, 2024;0(0). Available at https://doi.org/10.1177/10497323231217601. Accessed 2 March, 2024.

37.

Wang C, Burris MA. Photovoice: concept, methodology, and use for participatory needs assessment. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 1997;24(3):369–387. Available at https://doi.org/10.1177/109019819702400309. Accessed 8 June, 2023.

38.

Shaffer R. Balanced participation in development. Tropical Doctor, 1991;21(2):73–75. Available at https://doi.org/10.1177/004947559102100212. Accessed 14 December, 2023.

39.

Liebenberg L. Photovoice and being intentional about empowerment. Health Promotion Practice, 2022;23(2):267–273. Available at https://doi.org/10.1177/15248399211062902. Accessed 8 June, 2023.

40.

Seitz CM, Orsini MM. Thirty years of implementing the photovoice method: Insights from a review of reviews. Health Promotion Practice, 2022;23(2):281–288. Available at https://doi.org/10.1177/15248399211053878. Accessed 14 May, 2022.

41.

Lofton S, Grant AK. Outcomes and intentionality of action planning in photovoice: A literature review. Health Promotion Practice, 2021;22(3):318–337. Available at https://doi.org/10.1177/1524839920957427. Accessed 8 June, 2023.

42.

Han C, Oliffe J. Photovoice in mental illness research: A review and recommendations. Health:, 2016;20(2):110–126. Available at https://doi.org/10.1177/1363459314567790. Accessed 15 June, 2023.

43.

Teti M, Myroniuk T. Image to action: Past success, ongoing questions, and new horizons for photovoice exhibits. Health Promotion Practice, 2022;23(2):262–266. Available at https://doi.org/10.1177/15248399211054774. Accessed 8 June, 2023.

44.

Budig K, Diez J, Conde P, et al. Photovoice and empowerment: evaluating the transformative potential of a participatory action research project. BMC Public Health, 2018;18(1):432. Available at https://doi.org/10.1186/s12889-018-5335-7. Accessed 8 January, 2024.

45.

Morgan LM. Community participation in health: perpetual allure, persistent challenge. Health Policy and Planning, 2001;16(3):221–230. Available at https://doi.org/10.1093/heapol/16.3.221. Accessed 29 November, 2023.

46.

Haldane V, Chuah FLH, Srivastava A, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PloS One, 2019;14(5):e0216112. Available at https://doi.org/10.1371/journal.pone.0216112. Accessed 29 November, 2023.

47.

George AS, Mehra V, Scott K, et al. Community participation in health systems research: A systematic review assessing the state of research, the nature of interventions involved and the features of engagement with communities. PloS One, 2015;10(10):e0141091. Available at https://doi.org/10.1371/journal.pone.0141091. Accessed 29 November, 2023.

48.

Iton A, Ross RK, Tamber PS. Building community power to dismantle policy-based structural inequity in population health. Health Affairs (Millwood), 2022;41(12):1763–1771. Available at https://doi.org/10.1377/hlthaff.2022.00540. Accessed 3 November, 2023.

49.

Cole M, Jolliffe M, So-Armah C, et al. Power and participation: How community health centers address the determinants of the social determinants of health. New England Journal of Medicine Catalyst, 2022;3(1). Available at https://doi.org/10.1056/CAT.21.0303. Accessed 3 November, 2023.

50.

Kataoka SH, Ijadi-Maghsoodi R, Figueroa C, et al. Stakeholder perspectives on the social determinants of mental health in community coalitions. Ethnicity & Disease, 28(Suppl 2):389–396. Available at https://doi.org/10.18865/ed.28.S2.389. Accessed 5 November, 2023.

51.

Palacio A, Seo D, Medina H, et al. Provider perspectives on the collection of social determinants of health. Population Health Management, 2018;21(6):501–508. Available at https://doi.org/10.1089/pop.2017.0166. Accessed 5 November, 2023.

52.

Kostelanetz S, Pettapiece-Phillips M, Weems J, et al. Health care professionals’ perspectives on universal screening of social determinants of health: a mixed-methods study. Population Health Management, 2022;25(3):367–374. Available at https://doi.org/10.1089/pop.2021.0176. Accessed 5 November, 2023.

53.

Shrider EA, Creamer J. United States Census Bureau, Current Population Reports, P60–280. Poverty in the United States: 2022. U.S. Government Publishing Office, Washington, DC, September 2023. Available at https://www.census.gov/content/dam/Census/library/publications/2023/demo/p60-280.pdf. Accessed 5 March, 2024.

54.

U.S. Census Bureau. QuickFacts: Clark County, Kentucky. Suitland, MD: U.S. Census Bureau, 2022. Available at https://www.census.gov/quickfacts/fact/table/clarkcountykentucky/PST045222. Accessed 27 October, 2023.

55.

Clark, KY Health Outcomes. Madison, WI: County Health Rankings & Roadmaps University of Wisconsin Population Health Institute School of Medicine and Public Health, 2023. Available at https://www.countyhealthrankings.org/explore-health-rankings/kentucky/clark?year=2023. Accessed 5 March, 2024.

56.

Firchow, BA, Boroughs, K, Ingram, RC. Local health departments’ approach to community health needs assessment and improvement planning in Kentucky. Presented at the American Public Health Association Annual Meeting, Atlanta, GA. November, 2023.

57.

HEALing Communities Study Consortium. The HEALing (Helping to End Addiction Long-term SM) communities study: protocol for a cluster randomized trial at the community level to reduce opioid overdose deaths through implementation of an integrated set of evidence-based practices. Drug and Alcohol Dependence, 2020;217:108335. Available at https://doi.org/10.1016/j.drugalcdep.2020.108335. Accessed 14 December, 2023.

58.

Sprague Martinez L, Rapkin BD, Young A, et al. Community engagement to implement evidence-based practices in the HEALing communities study. Drug and Alcohol Dependence, 2020;217:108326. Available at https://doi.org/10.1016/j.drugalcdep.2020.108326. Accessed 14 December, 2023.

59.

Young AM, Brown JL, Hunt T, et al. Protocol for community-driven selection of strategies to implement evidence-based practices to reduce opioid overdoses in the HEALing Communities Study: a trial to evaluate a community-engaged intervention in Kentucky, Massachusetts, New York and Ohio. BMJ Open, 2022;12(9):e059328. Available at https://doi.org/10.1136/bmjopen-2021-059328. Accessed 14 December, 2023.

60.

McMillan SS, King M, Tully MP. How to use the nominal group and Delphi techniques. International Journal of Clinical Pharmacy, 2016;38:655–662. Available at https://doi.org/10.1007/s11096-016-0257-x. Accessed 26 October, 2023.

61.

Golden SD, McLeroy KR, Green LW, et al. Upending the social ecological model to guide health promotion efforts toward policy and environmental change. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 2015;42(1 Suppl):8S-14S. Available at https://doi.org/10.1177/1090198115575098. Accessed 13 December, 2023.

62.

Clark County Activity Coalition Photovoice2022. Winchester, KY: Clark County Activity Coalition, 2022. Available at https://www.ccactivitycoalition.com/photovoice2022. Accessed 3 March, 2024.

63.

Clarke V, Braun V. Thematic Analysis. Thousand Oaks, CA: SAGE Publications Inc, 2021. Available at https://us.sagepub.com/en-us/nam/thematic-analysis/book248481. Accessed 15 October, 2023.

64.

U.S. Department of Agriculture. Rural-Urban Commuting Area Codes. Economic Research. Service, 2023. Available at https://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes.aspx. Accessed 21 November, 2023.

65.

Blanco C, Wiley TRA, Lloyd JJ, et al. America’s opioid crisis: the need for an integrated public health approach. Translational Psychiatry, 2020;10:167. Available at https://doi.org/10.1038/s41398-020-0847-1. Accessed 4 December, 2023.

66.

Kaltenborn Z, Paul K, Kirsch JD, et al. Super fragmented: a nationally representative cross-sectional study exploring the fragmentation of inpatient care among super-utilizers. BMC Health Services Research, 2021;21(1):338. Available at https://doi.org/10.1186/s12913-021-06323-5. Accessed 14 December, 2023.

67.

Croft B, Parish SL. Care integration in the Patient Protection and Affordable Care Act: Implications for behavioral health. Administration and Policy in Mental Health, 2013;40(4):https://doi.org/10.1007/s10488-012-0405-0. Available at https://doi.org/10.1007/s10488-012-0405-0. Accessed 8 October, 2023.

68.

Pincus HA, Page AEK, Druss B, et al. Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. American Journal of Psychiatry, 2007;164(5):712–719. Available at https://doi.org/10.1176/ajp.2007.164.5.712. Accessed 15 December, 2023.

69.

Institute of Medicine (US) Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders. Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. Washington D.C: National Academies Press (US), 2006. Available at http://www.ncbi.nlm.nih.gov/books/NBK19830/. Accessed 15 December, 2023.

70.

Papoulias C. Showing the unsayable: Participatory visual approaches and the constitution of ‘patient experience’ in healthcare quality improvement. Health Care Analysis, 2018;26(2):171–188. Available at https://doi.org/10.1007/s10728-017-0349-3. Accessed 15 December, 2023.

71.

Balbale SN, Morris MA, LaVela SL. Using photovoice to explore patient perceptions of patient-centered care in the Veterans Affairs health care system. The patient, 2014;7(2):187–195. Available at https://doi.org/10.1007/s40271-014-0044-5. Accessed 15 December, 2023.

72.

Mathura P, Li M, McMurtry N, et al. Enhancing the healthcare quality improvement storyboard using photovoice. BMJ Open Quality, 2020;9(4):e001104. Available at https://doi.org/10.1136/bmjoq-2020-001104. Accessed 15 December, 2023.

73.

Rabinowitz, P. Chapter 3, Assessing Community Needs and Resources. Section 20: Implementing Photovoice in Your Community. The Community Tool Box. Lawrence, KS: Center for Community Health and Development at the University of Kansas. Available at https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/photovoice/main. Accessed 15 December, 2023.

74.

Friebe M. From SICKCARE to HEALTHCARE to HEALTH. In: Friebe M, ed. Novel Innovation Design for the Future of Health: Entrepreneurial Concepts for Patient Empowerment and Health Democratization. New York, NY: Springer International Publishing, 2022, pp. 23–32. Available at https://doi.org/10.1007/978-3-031-08191-0_3. Accessed 16 December, 2023.

75.

Marvasti FF, Stafford RS. From “sick care” to health care: Reengineering prevention into the U.S. system. New England Journal of Medicine, 2012;367(10):889–891. Available at https://doi.org/10.1056/NEJMp1206230. Accessed 16 December, 2023.

76.

Drake RE, Bond GR. Psychiatric crisis care and the more is less paradox. Community Mental Health Journal, 2021;57(7):1230–1236. Available at https://doi.org/10.1007/s10597-021-00829-2. Accessed 16 December, 2023.

77.

Internal Revenue Service. Community Health Needs Assessment for Charitable Hospital Organizations - Section 501(r)(3). Internal Revenue Service, 2023. Available at https://www.irs.gov/charities-non-profits/community-health-needs-assessment-for-charitable-hospital-organizations-section-501r3. Accessed 21, June 2023.

78.

Beatty KE, Wilson KD, Ciecior A, et al. Collaboration among Missouri nonprofit hospitals and local health departments: content analysis of community health needs assessments. American Journal of Public Health, 2015;105(S2):S337-S344. Available at https://doi.org/10.2105/AJPH.2014.302488. Accessed 21 June, 2023.

79.

Pennel CL, McLeroy KR, Burdine JN, et al. Community health needs assessment: Potential for population health improvement. Population Health Management, 2016;19(3):178–186. Available at https://doi.org/10.1089/pop.2015.0075. Accessed 22 June, 2023.

80.

Cramer GR, Singh SR, Flaherty S, et al. The progress of US hospitals in addressing community health needs. American Journal of Public Health, 2017;107(2):255–261. Available at https://doi.org/10.2105/AJPH.2016.303570. Accessed 21 June, 2023.

81.

Frank S, Drake A. Variation in process and priorities between local health department and hospital led community health assessments. Paper presented at the Annual Research Meeting, Minneapolis, MN June 2015. Available at https://academyhealth.confex.com/academyhealth/2015arm/meetingapp.cgi/Paper/4737. Accessed 28 June, 2023.

82.

Carlton EL, Singh SR. Joint community health needs assessments as a path for coordinating community-wide health improvement efforts between hospitals and local health departments. American Journal of Public Health, 2018;108(5):676–682. Available at https://doi.org/10.2105/AJPH.2018.304339. Accessed 8 October, 2023.

83.

Prybil LD, Scutchfield FD, Dixon RE. The evolution of public health–hospital collaboration in the United States. Public Health Reports, 2016;131(4):522–525. Available at https://doi.org/10.1177/0033354916662208. Accessed 16 December, 2023.

84.

Isehunwa OO, Dobalian A, Ahn S, et al. Local health department and hospital collaboration around community health needs assessment to improve health outcomes. Family & Community Health, 2021;44(3):136–145. Available at https://doi.org/10.1097/FCH.0000000000000280. Accessed 8 January, 2024.

85.

Rosenbaum S. Principles to consider for the implementation of a community health needs assessment process. Washington, D.C: The George Washington University School of Public Health and Health Services, Department of Health Policy, June 1, 2013. Available at https://hsrc.himmelfarb.gwu.edu/sphhs_policy_facpubs/863. Accessed 28 June, 2023.

86.

Local health department operations requirements of 2023. 902 KAR 8:160, Section 10, 2023. Frankfort, KY: Office of Legislative and Regulatory Affairs. Available at https://apps.legislature.ky.gov/law/kar/titles/902/008/160/. Accessed 9 October, 2023.

87.

Yin RK. Case Study Research and Applcations Design and Methods (6^th ed.). Thousand Oaks, CA: Sage Publications, 2017. Available at https://us.sagepub.com/en-us/nam/case-study-research-and-applications/book250150. Accessed 18 December, 2023.

Title: Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health
Authors: Stacey Li, BSPH
Jennifer Gulley, MPH, BSN, RN
Marisa Booty, MHS
Bradley Firchow, BS
Margaret L. McGladrey, PhD, MA, BA
Publication date: 06-05-2024
Publisher: Springer US
Published in: The Journal of Behavioral Health Services & Research
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-024-09885-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Using Photovoice to Improve Engagement in Community Health Assessments Addressing Behavioral Health

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content