Tools & Materials

The following is a list of useful links related to Social Determinants of Health by sub category. If there are resources or categories that you feel are important to highlight for the SDH community, please email the SDHI coordinator at sdhi@pdx.edu.

Aging Children and Youth COVID-19 Disability General Nutrition and Fitness Poverty Race/Ethnicity

Rural Communities Substance Use Tribal Communities

Aging

Data Resources for Behavioral and Social Research on Aging - NIA supports a variety of longitudinal studies, harmonization projects, archives, and repositories to facilitate research on aging in the behavioral and social sciences. Data from these studies are available to qualified researchers, subject only to restrictions imposed for some linked administrative data. With input from periodic reports, including those by the National Advisory Council on Aging (NACA), the National Academy of Sciences (NAS), and ad hoc expert review panels, BSR has developed a portfolio of data projects to meet evolving scientific priorities.

Children and Youth

Annie E. Casey KIDS COUNT Data Center - KIDS COUNT is a project of the Annie E. Casey Foundation and a premier source of data on children and families. Each year, the Foundation produces a comprehensive report — the KIDS COUNT Data Book — that assesses child well-being in the United States. The indicators featured in the Data Book are also available in the Data Center.

Child Opportunity Index Mapping Tool (diversitydatakids.org) - Inequities run deep—they are ingrained in our systems, structures and institutions. While we need to address the root causes of our biggest societal challenges—systemic racism, for one—to advance equity, we can also work with tools like the Child Opportunity Index to design, improve and implement more equitable policies from the neighborhood to the national level. Explore the Child Opportunity Index mapping tool to understand what children and families are experiencing in your community. Share your findings and use them to drive equitable change.

The Early Childhood Data Collaborative Interactive Map - This data tool allows users to see all relevant survey results and highlights by state.

The Family Engagement Self-Assessment Tool (FE-SAT) - Portland State University developed the FE-SAT and its domains based on research evidence as well as a review of current best practices for family engagement across State and National P3 initiatives. The 5 domains or sections included in the FE-SAT were selected based on a review of the literature on family engagement, which suggests that continuous, focused attention in these areas fosters the types of strong family engagement that is needed to impact positive child-level academic and social outcomes.

The Kids' Inpatient Database (KID) - The KID yields national estimates of hospital inpatient stays for patients younger than 21 years of age. The unique design of the KID enables national and regional studies of common and rare pediatric conditions. The KID can be used to identify, track, and analyze national trends in health care utilization, access, charges, quality, and outcomes. KID data are available every three years from 1997 through 2012, and 2016, which allows researchers to analyze trends over time. The number of States in the KID has grown from 22 in the first year (1997) to 46 plus the District of Columbia in 2016.

National Collaborative on Childhood Obesity Research (NCCOR) Toolkit for Evaluating Childhood Healthy Weight Programs - For public health practitioners and researchers conducting healthy weight programs, program evaluation is a fundamental component. To make it easier to assess the impact of programs and therefore improve program effectiveness and sustainability, NCCOR developed A Toolkit for Evaluating Childhood Healthy Weight Programs (CHWPs) to provide researchers and practitioners resources to evaluate CHWPs. The toolkit offers an overview of program evaluation and provides guidance on evaluation readiness, process measures, outcome measures, contextual factors, program sustainability, and remote evaluation of CHWPs. In addition, the toolkit features a resource library, with links to guides, databases, research articles and other toolkits that will support your evaluation plan.

National Survey of Children's Exposure to Violence III, 1997-2014 - The National Survey of Children's Exposure to Violence III was designed to obtain lifetime and one-year incidence estimates of a comprehensive range of childhood victimizations across gender, race, and developmental stage. Conducted between August 2013 and April 2014, it assessed the experiences of a nationally representative sample of 4,000 children less than 18 years of age living in the contiguous United States (excluding New Hampshire)

Parent Advocacy Toolkit for Transformation - In this toolkit, you will find information and resources that parent advocates and their allies around the world have created. We envision the toolkit as a way that we can learn from each other’s experiences as an international community building the power of parent advocacy. The toolkit was authored and developed by Rachel Blustain of IPAN and Tracy Serdjenian of Rise, with guidance, support and collaboration from the IPAN Parent Review Committee, David Tobis of IPAN and parent advocates and allies around the world.

Youth Suicide and Self-Harm Prevention: 2017 Resource Guide - This guide divides selected resources into seven main sections: (1) Organizations, (2) Policy and Legislation, (3) Evidence-Based Practices, (4) Program Planning, (5) Campaigns, (6) Data and Research, and (7) Resources and Publications. There are subsections on (1) Bullying; (2) Family; (3) Electronic, Social, and Mass Media; (4) Mental Health; (5) Schools; (6) Substance Use; (7) Self-Harm; (8) LGBTQ Youth; (9) American Indian/Alaska Native Youth; and (10) Rural Youth. Each topic-specific section contains organizations, webpages, evidence-based practices, workshops, toolkits, reports, fact sheets, archived webinars, and journal articles, which appear in that order.

COVID-19

CDC COVID-19 by County - COVID-19 Community Levels are a new tool to help communities decide what prevention steps to take based on the latest data. Levels can be low, medium, or high and are determined by looking at hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an area. Take precautions to protect yourself and others from COVID-19 based on the COVID-19 Community Level in your area.

CDC COVID-19 Vaccination Equity Data Tracker - This site provides a county-level view of COVID-19 vaccination coverage, Social vulnerability and Metropolitan vs. Non-Metropolitan. Social vulnerability is measured by CDC Social Vulnerability Index (SVI), which uses U.S. Census data on categories like poverty, housing, and vehicle access to estimate a community’s ability to respond to and recover from disasters or disease outbreaks. Metropolitan vs. Non-Metropolitan classification is based off an aggregation of the six 2013 National Center for Health Statistics (NCHS) Urban-Rural classifications, where “Metro” counties include Large Central Metro, Large Fringe Metro, Medium Metro, and Small Metro and “Non-Metro” counties include Micropolitan and Non-Core (Rural).

John Hopkins' Interactive COVID-19 Map on Tribal Lands - The Johns Hopkins Coronavirus Resource Center and Center for American Indian Health (CAIH) released new data and a visualization tool that maps the COVID-19 pandemic’s spread across AI/AN communities. These tools help fill gaps in information about COVID-19 in Tribal communities.

Mapping the New Politics of Care - An interdisciplinary team of researchers at Columbia and Yale universities unveiled an interactive map that guides policy makers and the public in deploying healthcare workers to communities most affected by the COVID-19 pandemic. The online map uses a wide array of up-to-date data. It shows that decisions about caring for those affected by the pandemic depend not just on surging or falling infection rates but instead on taking into account a range of pre-existing vulnerabilities in U.S. societies.

NIH Community Engagement Alliance (CEAL) Resource Catalog - You can play a vital role in making sure your communities and networks have accurate information about COVID-19. Find resources you can share on different COVID-19 topics, or try our resource catalog to pinpoint the information you need. CEAL regularly updates our Resource Catalog. We have updated our search filters to help you find the information you need, and resources on topics such as COVID-19 Basics, Vaccines, Diversity & Inclusion, and Clinical Trials are now easier to find. We’d also love to hear what kind of additional materials you may need.

NIMH Stigma and Discrimination Research Toolkit -The Stigma and Discrimination Research toolkit is a collection of evidence and resources related to stigma and discrimination research. Health-related stigma and discrimination research has produced theories, models, frameworks, measures, methods, and interventions that can be applied across conditions and populations to help reduce the impact of stigma and discrimination. This toolkit may be helpful for researchers, government officials looking to incorporate research into policy, community agencies, and various other stakeholders across disciplines and sectors. This toolkit includes a special emphasis for those looking to address stigma and discrimination issues related to the coronavirus (COVID-19) pandemic. This toolkit was developed by NIMH, in partnership with the Fogarty International Center (FIC), the National Institute on Drug Abuse (NIDA), and the NIH Stigma Scientific Interest Group.

Urban Indian Health Institute COVID-19 Data Dashboard - The Urban Indian Health Institute’s COVID-19 data dashboard and Urban Indian Organization (UIO) Service Area Site Reports highlight the disproportionate impact COVID-19 has on urban AI/AN communities and can be used to address disparities and improve data quality. Explore these resources for information on COVID-19 cases, hospitalizations, deaths, and data quality.

Disability

AASPIRE Healthcare Toolkit- Primary Care Resources for Adults on the Autism Spectrum and their Primary Care Providers - This web site has information and worksheets for adults on the autism spectrum, supporters, and healthcare providers. It focuses on primary healthcare, or healthcare with a regular doctor. The resources on this site are meant to improve the healthcare of autistic adults. They were made by the Academic-Autistic Spectrum Partnership in Research and Education (AASPIRE) through a series of research studies funded by the National Institute of Mental Health. AASPIRE hopes that you will find these resources helpful.

Rural Health Information Hub Toolkit - Access to Care for Rural People with Disabilities - The intent of this toolkit is to provide rural communities with the information, strategies, resources, and other important materials that could be helpful in implementing a program to improve access to care for people with disabilities.

General

BIPOC-Authored Social Work Papers Database Spreadsheet -The BIPOC-Authored Papers for Social Work database was created in an effort to amplify BIPOC voices and perspectives, and to increase the representation of BIPOC authors across social work curriculum. As faculty engage in critical analysis of their syllabi and curricula, the availability of BIPOC-authored materials is an essential element of dismantling the white supremacy embedded in social work and transforming social work education and practice. As a crowd-sourced database, this collaborative endeavor has the potential to elevate academic excellence and enhance a diverse, inclusive, values-based learning environment. It is our hope that this database will contribute to transformational education as students are exposed to a diversity of ideas, people, and materials.

CA Dept of Public Health Guide for Engaging Communities for Health Equity and Environmental Justice - The Environmental Health Investigations Branch (EHIB) of the California Department of Public Health (CDPH), developed this guide, Engaging Communities for Health Equity and Environmental Justice, to share how the Branch has worked with California’s communities with environmental justice (EJ) concerns over the past 40 years. The CA Dept of Public Health also developed an accompanying toolkit. This compendium of tools, including protocols, checklists, templates, and other resources, is meant to support staff in effectively implementing the strategies in the Engaging Communities for Health Equity and Environmental Justice: A Guide for Public Agencies. Just as the guide contains goals that are aspirational and meant to be carefully applied based on the needs of the agency and community, these tools are also meant to be used when additional guidance is
needed. Please feel free to adapt these tools based on your needs. The Toolkit is organized into chapters by the three Domains. Each chapter has a table of contents with the numbered goals and the supplemental tools. This toolkit only lists the goals that have supplemental tools. For a full list and description of all the goals, refer to the guide.

CDC's Healthy Communities Program - Achieving health equity, eliminating disparities, and improving the health of all groups is an overarching goal for Healthy People 2020 and a top priority for the Centers for Disease Control and Prevention (CDC). CDC's Healthy Communities Program supports eliminating socioeconomic and racial/ethnic health disparities as an integral part of its chronic disease prevention and health promotion efforts. To improve health on the local, state, and national level, communities are encouraged to identify and address social determinants of health and improve these conditions through environmental changes.

The Commonwealth Fund Interactive Data Tool - Biennial Health Insurance Survey, 2003-2016 - This site allows you to explore data from the Biennial Health Insurance Survey in graphic form.

ChangeLab Solutions specializes in researching and drafting model laws and policies, providing analysis and recommendations on environmental change strategies, developing educational toolkits and fact sheets, and providing on-demand training and technical assistance to support stakeholders in their policy reform efforts. Our interdisciplinary team of lawyers, urban planners, architects, policy analysts, and public health specialists successfully apply this approach in the context of land use and transportation planning, childhood obesity prevention, tobacco control, food systems, school environments, and more.

The Commonwealth Fund Interactive Tool - What Would Happen If Health Care in the U.S. Improved?
This tool can be used to see what would happen if the U.S. were to raise its health system performance to the levels achieved elsewhere in the world. Users can select from 11 health systems compared in our report Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally and click through a range of performance measures to see the potential for U.S. improvement.

Commonwealth Fund Online Resource - International Health Care System Profiles

County Health Rankings & Roadmaps - Many factors influence how well and how long we live, from our access to affordable housing or well-paying jobs to opportunities for a good education for our kids. The County Health Rankings model shows us how these factors work together and illustrates where we can take action to improve health and eliminate unjust barriers to opportunity.

HDPulse - HDPulse is a comprehensive resource that provides access to national, state, and county minority data and evidence-based interventions, tools, and materials. It has been redesigned to better serve researchers, public health professionals, and policymakers. Developed by the National Institute on Minority Health and Health Disparities (NIMHD), it offers a data portal that includes population data with applications to calculate and map health disparities. An interventions portal provides access to intervention research studies with accompanying tools and materials.

Health Begins' One-Stop Shop for Healthcare & Community Partnerships - The highest standard of care involves the integration of health care and social services. But it can be hard for healthcare and social service partners to find the right tools to estimate and demonstrate the financial and social impact of their partnership. This site makes it easier to find the right tools and demonstrate financial and social returns for healthcare & social service partnerships.

Healthy People 2030 Social Determinants of Health - Our health is determined in part by access to social and economic opportunities; the resources and supports available in our homes, neighborhoods, and communities; the quality of our schooling; the safety of our workplaces; the cleanliness of our water, food, and air; and the nature of our social interactions and relationships. The conditions in which we live explain in part why some Americans are healthier than others and why Americans more generally are not as healthy as they could be.

The Health and Medical Care Archive (HMCA) - Mathematica's Data Visualization Tool - The Agency for Healthcare Research and Quality (AHRQ) announced today that Mathematica is the grand prize winner of the Agency's Visualization Resources of Community-Level Social Determinants of Health Challenge for its data visualization tool. AHRQ Director Gopal Khanna, M.B.A, made the announcement at AcademyHealth's annual Health Datapalooza conference in Washington, DC. The data visualization tool uses county-level data sources from the American Community Survey, the Robert Wood Johnson Foundation, the Centers for Disease Control and Prevention's Diabetes Atlas, Area Health Resource Files, Opportunity Atlas, Walk Score, the Centers for Medicare & Medicaid Services, and the Colorado Department of Public Health and Environment.

Life Expectancy Calculator (Robert Wood Johnson Foundation) - People living just a few blocks apart may have vastly different opportunities to live a long life in part because of their neighborhood. Unfortunately, significant gaps in life expectancy persist across many United States cities, towns, ZIP codes and neighborhoods. The latest estimates of life expectancy reveal differences down to the census tract level. Use the tool below, and interactive map, to explore how life expectancy in America compares with life expectancy in your area, and resources to help everyone have the opportunity to live a longer, healthier life.

National Association of County and City Health Officials - Health Equity and Social Justice Toolkit
NACCHO's Health Equity and Social Justice Toolkit is intended to help local health departments explore and tackle the root causes of inequities in the distribution of disease, illness, and death. It covers subjects ranging from social justice theory to public health practice, and includes journal articles, video clips, reports, PowerPoint presentations, book references, action guides, Web sites, and more.

National Health Interview Survey, 2011 - The purpose of the National Health Interview Survey (NHIS) is to obtain information about the amount and distribution of illness, its effects in terms of disability and chronic impairments, and the kinds of health services people receive across the United States population through the collection and analysis of data on a broad range of health topics.

Oregon Data/Reports/Resources on Social Issues - Portland State University School of Social Work Professor, Dr. Laura Nissen, curated a resource list for her policy class that highlights Oregon data and reports relating to social issues. Dr. Nissen would like to share these resources with social workers statewide! Feel free to make suggestions, use, and share this document.

Oregon Health Authority: Addressing Social Determinants of Health & Equity through Health-Related Services - The purpose of this guidance document is to define HRS (Health-related Services) and SDOH (Social Determinants of Health), and provide guidance on how CCOs (Coordinated Care Organizations) can use HRS to improve member and community SDOH and report this spending accurately via Exhibit L. Additional guidance and technical assistance on other HRS topics can be found on OHA'S HRS website.

PCORI's Guide for Engaging with Research Partners about Data Analysis - PCORI’s mission is to fund patient-centered, comparative clinical effectiveness research that can help patients and those who care for them make better-informed healthcare choices. Including the voices of patients, caregivers, advocacy groups, health system representatives, and others in study planning and design helps accomplish this. However, investigators are often unsure how to expand engagement during quantitative data analysis, interpretation, and results reviews. This uncertainty has led to an “engagement slump” that occurs during the data analysis phase in research projects.

To help close this gap, PCORI has developed a Guide for Engaging with Research Partners about Data and Analysis to prepare research staff to involve research partners in analyzing and interpreting quantitative data. The Guide will present concepts, terms, and examples that are specific to comparative clinical effectiveness research and patient-centered outcomes research methodologies. It provides a series of tips, resources, and activities to help research staff foster communication with partners and build their capacity to actively participate in data analysis and interpretation.

PhenX Toolkit: Social Determinants of Health Collections - The SDOH assessments collection enables and encourages researchers to develop, disseminate, and use standard data collection measures. Through this collection, researchers have access to protocols that will support research addressing structural SDOH. Structural determinants measure upstream socioeconomic factors like poverty, labor forces, and neighborhood segregation that can influence health outcomes.

PolicyLink - National Equity Atlas - PolicyLink s a national research and action institute advancing economic and social equity by Lifting Up What Works. Founded in 1999, PolicyLink connects the work of people on the ground to the creation of sustainable communities of opportunity that allow everyone to participate and prosper. Such communities offer access to quality jobs, affordable housing, good schools, transportation, and the benefits of healthy food and physical activity.

Population Health Innovation Lab (PHIL) Toolbox for Measuring Cross-Sector Alignment - Includes resources developed by the Population Health Innovation Lab (PHIL) and others for measuring aligning across sectors. If you need support in measuring success in your aligning efforts, or just aren’t sure where to start, these resources may be able to help.

Pragmatic and Group-Randomized Trials in Public Health and Medicine - A 7-part online course by NIH to help researchers design and analyze group-randomized trials (GRTs). It includes video presentations, slide sets, suggested reading materials, guided activities, and a list of course references.

Public Health and Social Justice - This website contains articles, slide shows, syllabi, and other documents relevant to topics in public health and social justice. References for most of the information contained in the slide shows can be found in the accompanying articles. Presentations are updated every 6-12 months (Note: dates in link addresses refer to dates of creation of original versions, not dates of most recent updates). The site is aimed at students, educators, and the general public. It addresses the social, economic, environmental, human rights, and cultural contributors to health and illness. Some of the content focuses on the medical humanities and the history of medicine.

Russell Sage Foundation-Funded Public Datasets - For decades, RSF has provided funding for research studies that involved significant data collection. Studies that produced publicly available datasets can now be accessed here and are searchable by keyword. The archive currently contains 76 datasets, covering topics such as child development and well-being, economic inequality, educational access, employment discrimination, immigrant integration, and political participation.

RWJF County Health Rankings - You can find out information on how your county is doing for different health outcomes, and their roadmaps includes lists of policies that can help people achieve better health. They also have a health coaching program that is nation-wide. Anyone can call and get free technical assistance.

SAMHSA-HRSA Center for Integrated Health Solutions - This website includes assessment tools, interventions, health & wellness strategies, models of service integration, and links to other resources.

SIREN and UCSF Guide to Implementing Social Risk Screening and Referral-making - Adverse social determinants of health – referred to in this guide as social risks – include contextual factors such as food, transportation, and housing instability, and social isolation. Collecting information on these risks can help ambulatory care teams understand and address how these factors impact their patients’ health. This pragmatic guide will help your clinic implement social risk screening and (if desired) referral-making, or improve your current practices. It is meant to be used by any primary / ambulatory care staff interested in implementing social risk screening and referral-making. This guide uses a five-step roadmap for implementing or improving social risk screening and related activities at your clinic. It provides tools and materials to support each step, and a list of useful resources.

SIREN and UCSF Electronic Exchange of Data and “Closing the Loop” in Medical-Legal Partnerships (MLP) -Building the electronic exchange of data directly into the EHR is needed to reduce inefficiencies, document patient connection with available legal services, and track patient legal outcomes. This case study provides a concrete example of how a medical-legal partnership (MLP) in Iowa set up electronic referrals in the EHR as well as the ability to “Close the Loop” via electronic updates from the legal partner. Those updates are delivered directly to the EHR and describe whether the patient is connected with legal assistance and the legal outcomes of that assistance.

Training Institute for Dissemination and Implementation Research in Cancer (TIDIRC) - This website includes open access training modules in dissemination and implementation research. The modules can be viewed together as a whole or individually by section. In the facilitated course, trainees move through the online modules after establishing a D&I research project idea. Each module consists of viewing videos, completing readings, and responding to assignment questions to build up their project idea. Trainees then workshop their proposed projects by incorporating knowledge gained from each of the online sections.

Unnatural Causes - This website includes information, tools, resources, educational materials, and media related to health equity and social justice. Their action center includes a database for connecting to organizing as well as information on how to organize your own campaigns and events.

"Which" and "How": Tools for Population Health Integrators - For networks to move the needle on health outcomes and foster healthy, thriving communities, "which" integrative activities a network chooses to focus on is as important as "how" the integrative activities are put into action in the real world. These toolkits are intended to support networks in strengthening strategic use of integrative activities - including tools for assessment, alignment, action planning, and implementation. These resources were developed as part of Nemours' Exploring the Roles & Functions of Health Systems within Population Health Integrator Networks initiative.

World Health Organization Data - The WHO provides useful and extensive information related to global health issues.

Nutrition and Fitness

CommunityHEALTHADVISOR -Today, public health practitioners are called upon to incorporate evidence in decision making, policy development, and program implementation. This focus is illustrated in Healthy People 2020, which calls for the engagement of “multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge." Furthermore, there is a push among funders to support evidence-based programs. And, when evaluating interventions for a specific community, practitioners and policymakers need to know the likely impact of an intervention, how much it will improve health, how much in medical costs will be saved, and the cost of implementing the intervention. CommunityHEALTHADVISOR provides an answer to these questions. It is an online resource with detailed information about evidence-based policies and programs to reduce tobacco use and increase physical activity in communities.

Food Research Action Center (FRAC) Interactive Data Tools

Poverty

Confronting Poverty: Tools for Understanding American Inequality - This project provides a set of tools for learning more about poverty and inequality in the United States. Tools include a poverty risk calculator, a discussion guide, and research. We hope that you are able to use these tools to create a positive change by confronting American poverty.

Race and Ethnicity

AISP (Actionable Intelligence for Social Policy) Toolkit for Centering Racial Equity Throughout Data Integration - This toolkit is designed to help guide partnerships, collaboratives, agencies, and community initiatives seeking to center racial equity while using, sharing, and integrating administrative data. Not sure what we mean by using, sharing, and integrating administrative data? Take some time to review our Introduction to Data Sharing & Integration,10 which covers key terms, concepts, and first steps.

Racial Equity Tools - Racial Equity Tools is designed to support individuals and groups working to achieve racial equity. This site offers tools, research, tips, curricula and ideas for people who want to increase their own understanding and to help those working toward justice at every level – in systems, organizations, communities and the culture at large.

Racial Neighborhood Inequality in the United States, 1980-2010 - This project examined economic differences in the neighborhoods where whites, blacks, Hispanics, and Asians live in the U.S. The objective of this project is to account for the decline in racial neighborhood inequality by investigating why it has declined faster in some metropolitan areas than in others.

Office of Minority Health Profile: American Indian/Alaska Native - This online resource contains information about American Indian/Alaska Native health and health disparities both generally and across a variety of specific conditions and provides regional resources.

Rural Communities

Rural Suicide Prevention Toolkit - The toolkit compiles evidence-based and promising models and resources to support organizations implementing suicide prevention programs in rural communities across the United States. The modules in the toolkit contain resources and information focused on developing, implementing, evaluating, and sustaining rural suicide prevention programs. 

Substance Use

CommunityHEALTHADVISOR - Today, public health practitioners are called upon to incorporate evidence in decision making, policy development, and program implementation. This focus is illustrated in Healthy People 2020, which calls for the engagement of “multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge." Furthermore, there is a push among funders to support evidence-based programs. And, when evaluating interventions for a specific community, practitioners and policymakers need to know the likely impact of an intervention, how much it will improve health, how much in medical costs will be saved, and the cost of implementing the intervention. CommunityHEALTHADVISOR provides an answer to these questions. It is an online resource with detailed information about evidence-based policies and programs to reduce tobacco use and increase physical activity in communities.

Oregon Health Authority - Data Dashboard: Prescribing and Overdose Data for Oregon

NACCHO's Health Equity in the Response to Drug Overdose Training - This a 12-module, free online course designed to guide local health practitioners in their integration of foundational health equity concepts and practices into their drug overdose prevention and response efforts.

While this course is open and accessible to all, this course may be best utilized by those who already have some basic grounding in health equity (e.g. Health Equity 101) and are, at this point, prepared to put their knowledge into practice. However, we have included some potential resources below as suggested prerequisites for those who are still new to health equity.

In addition, this course was designed to be taken by individual practitioners or by a group of practitioners, using the course's supplemental materials. Supplemental materials for groups include weekly checklists with guidance on how to space out the course modules as well as discussion prompts. Upon completion of this course, you will be rewarded with a certificate of completion for your participation.

NIMHD Cross-cultural, Multilingual Health Information on Substance Abuse - The risk for substance abuse varies among racial and ethnic groups and by substance. Alcohol abuse may be significantly rarer among Asian Americans, of whom 15.2% reported binge drinking in 2015. Rates for all other groups ranged from 23.4% for Native Hawaiian or other Pacific Islander adults to 28.7% for Hispanic/Latino adults. Illegal drug use is equally variable. In 2014, approximately 10.2% of Americans aged 12 and up reported using illicit drugs in the past month. This number was lower among Asian Americans (4.1%) and Hispanic/Latino adults (8.9%), but higher for African Americans (12.4%), and American Indians and Alaska Natives (14.9%), and Pacific Islanders or Native Hawaiians (15.6%). There are disparities in treatment for substance abuse; as with other behavioral health services, members of racial and ethnic minority groups are less likely than non-Hispanic Whites to receive treatment. Access to treatment, a lack of health insurance, and the cost of services may all contribute to this gap.