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Outreach

August 6, 2023

National Health Center Week and Public Health in Housing: Family First Health Teams with HUD to Provide Mobile Community Medical Services

“HUD’s partnership with Family First Health has been vitally important to improving the health outcomes of individuals in underserved communities and this partnership continues to grow as Family First Health expands its access to more HUD-assisted properties.” ~ Brandon Porinchak, Senior Management Analyst, United States Department of Housing and Urban Development, Office of Field Policy and Management

National Health Center Week runs from August 6th through the 12th with each day highlighting the important work health centers, like Family First Health, do day in and day out. You can find the list of each day’s theme here. To kickoff National Health Center Week 2023, and to recognize “Public Health in Housing” day, we want to shine a light on our Community Medical Program work with the U.S. Department of Housing and Urban Development (HUD) to improve public health in their housing properties in underserved communities. 

Family First Health’s collaborative work with HUD approved housing began in 2021 during the COVID-19 pandemic. During this time, our Community Medical Program provided free COVID-19 vaccines, for both adults and children, COVID-19 education, and PCR testing. The Community Medical Team had the ability to come onsite to eliminate barriers to the residents to receive vaccines and testing. 

As we navigate out of the COVID-19 pandemic, our Community Medical Program has been back in contact with HUD properties about providing health screenings, referrals to care, and health education. The team has been at HUD approved housing facilities in Lancaster, Lebanon, and York counties during the past few months. In that time, they have done three blood pressure events where they have done 44 blood pressure checks to residents. The team has also linked residents to Family First Health services and assisted with insurance needs.

For the residents of HUD properties, having our Community Medical Program coming onsite and providing these services is breaking down any potential barrier that they may have previously had, such as transportation. The residents are able to walk downstairs to the community room where the team is set up, meet with an RN, get their blood pressure checked, and receive health information, or talk to a Community Health Worker about social or insurance needs. 

Currently, the Community Medical Program is at two HUD approved sites for monthly visits. From these monthly visits, the team is able to track monthly trends among the residents. Any HUD approved housing in Columbia, Gettysburg, Lebanon, and York looking to have our team come onsite and provide services can contact our Community Medical Program Manager at 717-845-817 ext. 4876.

Caring for the whole patient

August 19, 2020

Creating a Healthier Community Through Whole-Patient Care

To Effectively Care for a Patient, We Have to Treat the Whole Patient

When Family First Health opened in 1970, we set out to deliver exceptional primary care services to our community’s most vulnerable members. Over the past 50 years, we’ve expanded our services and broadened our capabilities, but our roots in primary care still drive the way we care for our patients. This intention is based upon a recognition that a patient is more than a medical record.

A person’s mental and emotional health are just as integral to their overall wellbeing as their physical health. Our Family First Health providers integrate behavioral health and substance use services into their overall approach to care. This integration is happening at the primary care level, something that’s unique to our organization. And it’s why, year after year, we continue to see incredible results.

Caring for the Whole Patient Takes a Team

We recognized long ago that a team-based approach to care brings about the best patient outcomes. This is particularly evident when you look at the outcomes of our behavioral health and integrated substance use services where a team of specialists works alongside the primary care provider to help that patient work towards recovery.

This team approach to care starts on day one. When a new patient has their first primary care visit, they’re screened for depression and substance use. If that patient’s primary care physician recognizes a substance or psychological issue, or even just feels that the patient could use some additional support, they’ll bring in the behavioral health and/or substance use team and develop a collaborative treatment plan to get the patient the support they need.

Unlike so many other health centers and treatment programs, our primary care physicians are on the front lines of care, regardless of the support the patient needs most.

“You can’t separate primary care from behavioral care; they’re both working towards the same goal which is a patient’s long-term wellness,” said CarrieAnn Frolio, VP of Integration & Business Development at Family First Health. “By placing equal weight on a person’s physical and behavioral needs, and funneling that support through the primary care physician, we’re able to care for the whole patient.”

A Center of Excellence in Pennsylvania

We’ve always believed in the importance of treating the whole patient and in 2016 we were recognized for this approach related to our work supporting patients with opioid addictions. That year we received a Center of Excellence grant from the state of Pennsylvania which let us accelerate the work we were doing, and continue to do, to help more people in our communities recover from the devastating opioid epidemic.

Through this grant, we expanded our substance use services and developed an integrated approach to addiction recovery and care. Today, each Family First Heath patient participating in the program has a team of specialists – including primary care, dental care, case management, recovery support, and behavioral care – all working together to aid in their recovery.

Treating the Whole Patient During a Pandemic

While the blending of primary care, behavioral health and substance use services are the most visible part of how Family First Health is caring for the whole patient, there are many other services we provide, including efforts aimed at making healthcare more accessible. And never before have these efforts been more critical to our community’s wellbeing than during the COVID-19 pandemic.

Well before the pandemic, Family First Health had established strong relationships with organizations throughout York, Adams, Lancaster, and Lebanon counties that allowed us to address challenges our patients experienced getting to their doctor.

“Transportation is one of the biggest barriers to care,” CarrieAnn said. “If patients can’t find a way to get to their physician’s office, they’re not going to receive the care they need. Healthy food is also a big concern. If you’re hungry and worried about finding your next meal, getting to your doctor’s appointment is going to take a backseat.”

When the pandemic hit, access to transportation and healthy food became even more difficult. When we saw this happening, we quickly activated our partners to get patients even more support. Things like ride-sharing and grocery delivery services made a big difference and helped get patients to their appointments.

Some of our long term partners have also made a big impact during the pandemic. We can connect patients with Rabbit Transit in York, the Lebanon transit authority, and Red Rose Transit in Columbia for reliable transportation to our offices. We also work with our neighborhood food banks and local CSAs to make sure our patients get the healthy food they need.

More than ever before, we’re seeing evidence of what we’ve always known to be true – we must care for the whole patient if we want to improve lives and create healthier communities.

Help Us Create a Healthier Community

Our patients and families hold a special place in the heart and history of Family First Health. Join us in celebrating our First 50 and support us as we continue to share our story and care for our community. Click below to make a donation and help us continue to provide high-quality health care services over the next 50 years!


health disparities infographic

February 2, 2017

Health disparities in York City: Nothing for you, without you

A recent health assessment conducted in York City emerged with information that may be shocking to some, but for those that work in local healthcare, it was no surprise at all. Disparities exist between York City and Pennsylvania as a whole, while the health disparities between York City and York County are even more distressing. There is more than a $34,000 difference in the average incomes between York City and York County households, and the gaps do not end there. Poverty in York City overlaps with a lack of general health resources; specifically, accessing mental health services are much more difficult for city residents than for county residents.

FFH-HNA-Infographic-C_02 smaller
Poverty Overlaps with Lack of Health Resources

Health equity is central to the well-being of a community, but how can we obtain health equity if our communities are so disparate? There are steps we can take but we have to take them together. Instead of remaining in isolated and “siloed” in our separate groups, we must engage in a broader conversation for local change in our community. That is where we need your help.

Family First Health, along with York Daily Record and WITF’s Transforming Health initiative, are hosting a community conversation concerning healthcare in York City, taking place on February 23 at 6:30pm at Martin Library in York, PA. This conversation is just the beginning of bringing health equity to the community and is your chance to hear about, and give input on, local change.

A panel of healthcare stakeholders will be discussing the current state of healthcare in York City, what other areas are doing to address health disparities, and programs needed to drive change for our community. We do nothing for you without you, and we want to work with the community, moving outward to illicit positive change. We encourage you to come out and join the first of many discussions around health disparities in York City. You can register online here: https://www.eventbrite.com/e/york-city-community-health-conversation-tickets-31264480904?aff=ehomecard

For more information regarding the health market research study, please visit: https://www.familyfirsthealth.org/community-health

 

 

Lewisberry staff is working on its CORE

August 8, 2016

National Health Center Week 2016

National Health Center week recognizes the services and contributions of community health centers. Health centers not only prevent illness and foster wellness in the most challenging populations, they produce innovative solutions to the most pressing healthcare issues in their communities. They reach beyond the walls of conventional medicine to address the factors that may cause sickness, such as lack of nutrition, mental illness, homelessness and addiction. Because of their long record of success in innovation, managing healthcare costs, and reducing chronic disease, leaders in Congress have declared health centers a model of care that offers a “bipartisan solution to the primary care access problems” facing our nation.

While there are countless reasons to celebrate Family First Health, among the most important is our 46 year history of providing access to affordable, high-quality, cost-effective care to anyone in the community who needs it.

Please make a gift in support of Family First Health.

This National Health Center Week, Family First Health is promoting its Fuel a Healthy Body campaign with some fun videos and photos from staff. Head to our Facebook page, vote for your favorite and they can win lunch from LettUsKnow! Check out the videos below, but don’t forget to go online and vote!

Fueling a Healthy Body is something we can all do by just making small steps toward a healthier life. It can be as easy as getting 8 hours of sleep, adding fruits and veggies into your meals, or being a little more active with the kids. Learn more about our #FuelAHealthyBody campaign here.

a carrot with a skateboard

August 1, 2016

Fuel a Healthy Body: Get motivated toward a healthier life

If you don’t fill up your gas tank, it’s a pretty safe bet your car won’t run — or won’t run for very long. The same applies to your body. Without healthy foods, regular exercise and enough sleep, we don’t run for very long either!

Everyone has different reasons for eating healthy foods and staying active. Through the Fuel A Healthy Body campaign, we’re encouraging everyone to consider what motivates them toward a healthier life.

Over several months, we’ll be introducing each of four characters:

Rosa the Strawberry: FFH-FAHB-Email-Elements_Rosa_300

Rosa the Strawberry is an active mom in her early 30s who wants to set a healthy example for her two young children.

 

 

FFH-FAHB-Email-Elements_Joey_300Joey the Carrot:

Joey the Carrot is a competitive 8-year-old who needs energy to keep up with his friends on their skateboards or bikes.

 

 

 

Dave the Apple:FFH-FAHB-Email-Elements_Dave_300

Dave the Apple is an older man in his late 50s who is new to exercise but encouraged by accessible options.

 

 

 

FFH-FAHB-Email-Elements_Ps_300Petey, Paul and Penny:

The Ps — Petey, Paul and Penny — are a three-generation family that knows a good night’s sleep will help you feel energized all day.

CEO Jenny Englerth

June 27, 2016

From our CEO: HIV as a social justice issue

Please take a moment and read the speech on HIV as a social justice issue given by our CEO Jenny Englerth during the public reception for our AIDS Memorial Quilt event – “His Story. Her Story. Our History.”

Twenty-five years ago HIV/AIDS elicited fear, confusion, and anger from so many across the nation. So much so that a young boy with hemophilia and HIV named Ryan White who just wanted to go to school in my home state of Indiana made the national news.

In our community, 25 years ago a handful of people chose love and compassion over the fear and confusion. I share with pride and gratitude that Family First Health made the choice to do something, even when the path was not clearly defined, people needed care not health care just care. This evening we recognize those people and their efforts, those that are here with us and those didn’t make it through the early days of this pandemic.

Politics and lack of information fueled a response that left so many vulnerable. The disproportionate impact on the gay community was undeniable but resulted in a movement that shaped me and so many others personally and professionally.

Advocacy, education and care were taken on by the community impacted by the disease. This resulted in everything from legislation and funding named after the boy who just wanted to go to school to evidence-based medication and treatment to testing and prevention efforts that work to prevent transmission to programs like Caring Together that continue to evolve based on a balance of good medicine and consumer direction.

I looked at my bulletin board this morning a saw a button that I hadn’t taken notice of a long time. It was from a quilt display in 1996 and asked, How Many Names Will It Take? That question
is as relevant today as it was then. I am not suggesting we have not made strides, we see people living long and healthy lives with HIV due to great treatment options that were only imagined at that time, we see dramatic reductions in new infections overall and we rarely if ever see infant infection in the developed world. But, like with most other health conditions, there are communities that are disproportionately impacted. And until those inequities, most often based on race or place are addressed there will be more names.

FFH and our Caring Together program will continue its work but it is up to each of us to look upstream for the root causes of diseases like HIV and take action. Fight for a system that ensures that we all have access to the information, insurance, prevention, care, and treatment that we deserve. Only then will we stop adding names to the list.

As I viewed the panels yesterday with some of the people that will share their story in the video we are about to watch, I was struck by many things; the names and faces that I remembered (Carol, Tommy, Greg, John, Regina, Chris, Joseph, Marty, Maizy) people I hadn’t thought about in years I could suddenly vividly recall.

I was struck by the dates, the slice of an entire generation that was lost, the potential, the contributions and diversity of thought lost.

But most importantly, I was struck by devotion of family, friends and supporters that created and stitched panels and sent them off to be joined with others that will forever be bound together as a reminder to all of us, not a reminder of their death but as a reminder that they lived.

See more photos from our events taken by Digital Ephemera Photography.

Sandra Bones with picture of Cassie

June 20, 2016

‘Let her go with dignity’ – Little Cassie & the NAMES Project

Cassandra Inkrote was born weighing 1.5 pounds. Her grandmother, Sandra Bones said she knew right away – AIDS.

Cassie’s mother was HIV positive, but back in the early 1990s, not a whole lot was known about transmission and how to protect the unborn babies of those already positive. Breathing problems that got worse once Cassie got home led doctors to the diagnosis. They told Bones that they’d have about a year. But if Cassie made it past the year, she’d be OK.

“She was a very good baby for being sick,” Bones said. “Very good. She went through a lot but was very loved every day.”

Even in photos of her at the hospital – Cassie had three trips to the University of Maryland hospital – her bright eyes light up each photo her grandmother holds dear, even the ones in which she’s in pain.

When Cassie hit the year mark, Bones thought she’d be all right. “Our hopes were up,” she said. “We thought she’s going to make it.” It was only two weeks later that Cassie started hemorrhaging and returned to the University of Maryland.

Bones spent a lot of time in the hospital – she was by Cassie’s side for the last three days of her life. The doctors said she was getting better, so Bones rode the bus back to York to get some clothes. By the time she got home, her husband had gotten the call. Bring the family, it’s time to come. They all went down at in the end, it was a tough decision to pull the plug. “Let her go with dignity,” Bones said. Once goodbyes were said, it was done.

In the moments after Cassie drifted away, the doctor asked a huge favor. There was another little boy on life support and the family was struggling with the decision. So just after saying goodbye to Cassie, Bones went to talk to the mother. It was about dignity, after all.

Bones then returned to bathe and dress Cassie. “I turned her loose, but it still hurts,” she said. “It’s going to hurt.”

Soon after Cassie’s death, Bones wanted to help, so she became a buddy for those also living with AIDS. She was paired up with a woman for awhile, until she entered hospice. Then another young woman, who also ended up succumbing to the disease. “I always wanted to work with other babies,” she said. “But I never got the chance. I would have taken one in.”

A few months after Cassie’s death, Bones started working on a quilt for the NAMES Project in her honor. On the light pink swatch, there are a handful of little things from the girl’s short, well-loved life – a rabbit she had, pieces of blankets she had. Bones saw the quilt a few times and then never heard anything else. In her mind, she thought maybe the entire thing was gone.

That is, until a coordinator at the home she lives at in West Manchester Township saw a story in the paper. It was about a mother who lost her son to AIDS, and whose quilt was finally coming home. The coordinator knew Bones was looking for the quilt, so she grabbed the number of the person who wrote the story. And she called – two weeks before the AIDS Memorial Quilt panels were to arrive in York.

The writer told her, with trepidation, that the quilts had already been requested, but yes, they still exist. And after telling Bones about the events, thought she might just run the name and see Cassie’s quilt. Cassie was, in fact, already coming home. Her little pink panel sits on the bottom of the one with Steve Weigel, Rick Bowers and those lost at York House Hospice.

“I was so happy, I was on such a high that day,” Bones said. She went to tell her husband, and he laughed. Of course she’s coming home. Bones has plans to bring many of her nine children to the public reception. One will accompany her on Friday. And on Saturday, she’ll be at the Serenity Garden of Hope to plant perennials for Cassie.

Cassie’s mother lived until 2007. Cassie’s death was something she – and all of them – struggled and continue to struggle with. HIV/AIDS is part of their lives forever.

Bones sits next to a framed photo of Cassie on a cloth about the NAMES Project and the AIDS Memorial Quilt. Above the TV, next to an angel sits another photo of Cassie with the words “shining star.” She speaks of a Rice Krispies’ bank Cassie had. Whenever you put money in it, it would “snap, crackle and pop.” After her death, it would still sometimes snap, crackle and pop. Bones and her husband would laugh, saying “she’s going at it, again.”

“After 25 years, she’s still here with me,” Bones said.

Scott Smith with picture of Aids quilt

June 15, 2016

Not just another number – The AIDS Memorial Quilt

Rick Bowers didn’t want to be another number.

It was actually 1986 and while on his second date with Scott Smith that he disclosed he had AIDS, Smith recalled. Bowers had been diagnosed six months before the two started dating.

“It didn’t really bother me much at all,” Smith said. “I’ve dealt with cancers, strokes through family. For me it was one of those things. It was part of Rick .. something you dealt with. … We learned what needed to be done to maintain his health and other things. It goes to say a lot about Rick. Today I’m still HIV negative.”

Not wanting to be a statistic was something that weighed heavily on Bowers. Even when the two went to get tested every three months. “It’s not just Rick and Scott,” Smith said. “It’s this number and this number, from files. Everything we did, we were just a number.” Even with AIDS was talked about in the news, it was a count of statistics, Smith said. It was 12,000 infected, never the 10,000 who are surviving and living a life. There was never talk of doing what needed to be done to either “beat this or at least extend it.”

One of Bowers’ biggest regrets was not making it down to the March on Washington. In the months after his death, Smith was looking for a way to honor his partner. He joined the Open Group as a buddy, working with those who were living with HIV/AIDS. Then came the AIDS Memorial Quilt.

“When we started on the quilt, it was once again another number,” Smith said, noting the size of the panels and all the requirements. “By adding Rick to the quilt it became not a number, it became something personal. You see the pictures. You see the dates. You see everything right in front of you rather than just another number panel.”

Five friends helped Smith with Bowers’ AIDS Memorial quilt. Three of them have since died from AIDS. “It’s not always here with us, but it’s out there and we know it’s out there.”

For Smith, it’s all about education. Most people don’t start talking about HIV/AIDS until early November and that’s only ahead of World AIDS Day. Smith used to speak to school groups and churches, something he said needs to start up again. It’s something he wants people to think about when his partner’s AIDS Memorial quilt panel comes home June 23.

Last time the quilt was here in 1994, Smith said the turnout was much bigger than expected. The biggest thing people didn’t realize, he said, was that it was personal. “Yes, we did lose,” he said. “But we still have them here.” And this time? “Rick’s coming back home again,” he said. “It’s something York needs itself. To reawaken and so there’s not a lot more statistics.”

“It’s going to be tough. It’s going to be welcomed with being able to personally see the panel again,” Smith said. “The biggest thing is it’s the fact that you’re not only getting to see the panel and everything, it’s going to bring back memories, good and bad, that we had that we dealt with at the time and everything. The biggest part goes back to education.”

Despite the pain, those memories still make Smith smile. And it was his husband, Dwayne, who encouraged him to reach out and see if they could bring Bowers home. On the quilt, Smith said from memory is: roses – Bowers’ favorite flower – a photo of him, a teddy bear and the number 77.

The teddy bear represents Scotty Jr. The first time Bowers was in the hospital with full-blown AIDS, Smith came to visit with a bear. Bowers named it Scotty Jr. and said it’s “something here with me when you can’t be.” When the two were together from 1986 to 1993, they couldn’t publicly say “I love you,” so instead they said 77. It had to be on the quilt.

Smith hopes that by bringing Bowers home again – along with several other area panels – some may see the AIDS Memorial quilt for the first time. Kids are graduating from high school and don’t know that HIV/AIDS is something they should be aware of. He wants them to see Bowers and what he wanted his life and death to stand for – education. “AIDS/HIV is still out there. It still needs to be looked at, still needs to be publicized,” Smith said. “It’s not a thing of the past. It’s still here. It’s still current.”

“We lost Rick too soon,” Smith said, adding that his favorite memory was helping raise Bowers’ son from age 4 to 8. The two still spoke weekly until about a year ago and he hopes to bring him to the quilt. But it will be hard, Smith said. And it will bring back up the hardest thing Smith deals with: “Knowing that pretty much no matter what he did or what I did it wasn’t going to be good enough. We were going to lose him.”

Mary Jane Sanders

June 13, 2016

The AIDS Memorial Quilt: Mary Jane Sanders

It’s something you never get over, Mary Jane Sanders says simply. When you have a child, you love that child. “You think about what they go through. … You often wonder who he would have been.”

Sanders always wanted to be a grandmother. But she knew it wouldn’t happen the traditional way, once her son Steven told her he was gay. He moved out to California where he worked as a waiter. Sanders laughs as she said she knew he had a lot of friends – a lot of partners. But then he met someone special and was really happy. In the height of the AIDS epidemic, they wanted to be sure so they went to get tested.

Then Steve called home.

“That was, for me, the beginning of the end,” his mother said. “I knew and he knew there was nothing out there to help him.”

Every morning, Sanders starts her day by getting out of bed and saying “Good morning” to the portrait of her son that hangs in her bedroom.

“He was my only child. He was the light of my life,” she said. “I just really love my son and really miss my son. People say God giveth and taketh away and I have to cope with this.”

After Steve’s death, Sanders got active in The Open Group. The group – mostly mothers of those who died from AIDS – wanted to reach out and help others living with AIDS. They wanted to support the mothers, but the mothers found hosting monthly dinners helped in their grief. And it gave them a new family to rely on.  “It was sad. As they died, it was hard. But it helped us,” she said. “You fell in love with them. You knew how they were feeling.”

Buried deep inside the warehouse that holds the 12-by-12-foot panels of the AIDS Quilt, is one dedicated to Steve. A group of about 15 people from her old job in the Central York Middle School came together to put it together for Steve. In it, you’ll see Steve’s cats, old middle school, references to San Francisco and Tahoe – where they had a home. You’ll also see a note that says “always in my heart, Mom” and some children. He called her once from the hospital toward the end during a bout of pneumonia. “He said Jesus loves all the children in the world. Why can’t we just love each other?”

That’s what Sanders wants people to see when they view the quilt – her Steve. He was happy go lucky. He put people at ease. He was always on the go. In the center of the quilt is a picture of Steve. She wants you to see reflected in his smile that he was a kind and loving person. He was a good son. “See his 36 good years on this earth and that he loved and helped people.”

Sanders has seen Steve’s quilt since the day they sent it to the Naming Project. In fact, she and one of Steve’s friends from California went down to see it in Washington D.C., on the National Mall. It was overwhelming, Sanders recalled. “There were so many quilts. … It brought back a lot of memories, a lot of heartache … All of these people have lost loves ones to this disease.”

And when she sees Steve’s quilt this time, she’ll see it with her family of others who have lost their loved ones to AIDS. It will be hard, Sanders admits. “But it will make us closer.” That’s what their sons did. They never knew each other in life, but they brought their mothers together as family.

“People don’t realize what we lost,” she said. “People didn’t care about it. They thought ‘as long as I don’t have AIDS, it’s all right.'”

There’s another thing Sanders wants people to take from seeing her son’s quilt – awareness. “This will bring awareness to those people (living with AIDS) – that there is help, hoping for a cure.”

And we haven’t forgotten.

(Photo and video by Randy Flaum, York Storyman.)

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