Provider resources for the social and structural determinants of health
Docs for Health launches fully in Fall 2020.
Our mission
improvePatient quality of lifeand outcomes
PROMOTE ARights-based approachto patient care
Criminalization
There is significant evidence that incarceration worsens medical and mental health. A large proportion of people who are incarcerated suffer from mental health and substance use disorders. A correctional setting is far from the ideal place to treat these and other medical conditions. In fact, the researchers have found that people with mental illness and substance use disorders do better when they are treated in the community rather than in correctional settings.
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Addressing a Criminal and/or Civil Charge Caused by a Medical Condition
If your patient has been charged with a criminal or civil offense, this resource provides guidance in writing a letter to highlight how a medical condition, mental illness, or disability has contributed to their involvement in the legal system. -
Preventing Incarceration
If incarceration will impact your patient’s medical or mental health, this resource will help you to write a letter advocating that a prison sentence not be imposed on your patient. -
Missed Court Appearances
If, in your assessment, your patient has missed a required court appearance due to an underlying physical or mental health condition and is at risk of facing legal punishment, this resource will help you to write a letter advocating that your patient not be penalized for missing a court date.
Housing
Safe housing provides a stable foundation for patients to work on health-related goals. Without adequate housing, patients may be too preoccupied with survival to discuss longer-term health concerns. For patients with housing, ensuring that living arrangements are sensitive to health-related needs can be an ongoing challenge.
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Preventing Utilities Shut-Off
If your patient is seriously ill or has a disability and is at risk of having their utilities shut-off, this form will allow you to advocate for a deferral of service termination. -
Shelters & Prisons: Requests for Accommodation
If your patient stays in a shelter or prison, has a disability or injury, and could benefit from certain temporary accommodations within these facilities, this resource provides sample language to advocate for your patient. -
Reasonable Accommodation Request
If your patient has been experiencing disability-related denials, eviction notices, or is in need of home repairs, this resource will help you write letters advocating for assistance for your patients.
Immigration
Immigration status can predispose individuals to worse health outcomes in the United States due to factors such as limited insurance status and access to federal benefits, risk of detainment and deportation, and sociocultural barriers to accessing care. The experience of migration can have significant effects on patient's physical and mental health outcomes.
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Medical Exceptions for U.S. Citizenship Test
If your patient is applying for U.S. citizenship and needs to request an exception to the English and civics testing requirements for naturalization because of a physical or developmental disability or mental impairment, this resource will help you provide the medical documentation necessary to support a patient's request. -
Allowing for Family Member Visitation
If your patient is very medically sick and has family members residing outside of the country who are unable to visit due to immigration policies, this resource will help you write a letter advocating for the patient’s relatives to be allowed to temporarily visit the United States. -
Preventing Deportation
If, in your assessment, deportation will impact your patient’s medical or mental health, this resource will help you to write a letter advocating for your patient not to be deported from the United States by immigration officials.
Income Support
Individuals who have a disabling medical or mental condition may experience significant challenges in obtaining employment opportunities and accessing stable incomes. Substance use and housing insecurity further exacerbate these difficulties. Individuals with these co-occurring conditions may be eligible for disability income assistance.
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SOAR Evaluations (Work in Progress)
If your patient has a disabling medical condition and is experiencing homelessness or at risk of homelessness, this resource will help you complete documentation that helps a patient apply for SSI/SSDI benefits.
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Emotional Support Animals
If your patient wishes to be housed with animals whom they identify as supportive to them, this resource provides guidance for writing a letter that allows an individual to bring an animal into a building or other place that prohibits pets, and/or waives a deposit fee. -
Long-term Supports & Services (LTSS)
If your patient has limited mobility, chronic care needs, or diminished cognitive status, this resource will help you advocate for connecting your patient to community supports such as a certified nursing assistant (CNA), meals on wheels, or nursing home placement.
Transportation
Travelling to appointments can be expensive, time-consuming, and unreliable. Faced with transportation challenges before every appointment, patients may find it difficult to maintain steady relationships with healthcare providers.
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MTM (Non-Emergency Medical Transportation)
If your patient experiences transportation difficulties and could use assistance to attend non-emergency healthcare appointments, this resource will help you complete documentation that helps a patient apply for MTM services. -
DMV Disability Placard
If your patient has a disability and needs a disability parking placard for their vehicle, this resource will help you fill out the application form. -
RIPTA Disability Bus Pass
If your patient has a disability and has difficulties paying for public transportation, this resource will help you write a letter advocating for your patient to receive a two-year disability bus pass.
explore ourCOVID-19 Buprenorphine Guide
A guide for DATA-waivered Rhode Island healthcare providers to screen, initiate and maintain patients with opioid use disorder on buprenorphine in light of recent federal regulatory changes due to COVID-19. Whether you have your DATA waiver, but have never prescribed buprenorphine, or you’re an experienced prescriber, this manual may serve as a helpful guide.
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