From the National Center for Farm Worker Health

To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

An estimated 1.1 million people in the USA are living with HIV/AIDS.  Nearly 200,000 of these individuals do not know that they are infected.  In 2006, the CDC recommended that all healthcare providers routinely offer HIV screening to adolescent and adult patients.  Nurse-dentist collaborations present unique opportunities to provide rapid oral HIV screening to patients in dental clinic settings and reach the many adults who lack primary medical providers.  However, little is known about the feasibility and acceptability of this type of innovative practice. Thus, elicitation research was undertaken with dental providers, students, and patients. This paper reports the results of qualitative interviews with 19 adults attending a university-based dental clinic in New York City. Overall, patients held very positive attitudes and beliefs toward HIV screening in dental sites and identified important factors that should be incorporated into the design of nurse-dentist collaborative HIV screening programs.

Hidden Ha­rvest is a nonprofit organization that gleans or rescues produce from Coachella Valley fields and packi­ng houses. After harvest is complete, local farmers leave millions of dollars worth of first-rate produce behind in the fields due to market fluctuations and other factors.

Hidden Harvest takes­ advantage of this bounty and delivers the healthy produce free-of-charge to agencies that serve the hungry and needy

Hidden Harvest's mission is twofold - 1) to hire low income farmworkers at $10 per hour (above prevailing wage) to 2) to"rescue" or glean fresh, healthy and locally grown food from farmers' fields and area packing houses to feed the poor and hungry.

A depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorse as positive (little pleasure, feeling depressed) indicating the symptom has been present more than half the time in the past two weeks.

In addition the tenth question about difficulty at work or home or getting along with others should be answered at least "somewhat difficult".

When a depression diagnosis has been made patient preferences should be considered, especially when choosing between treatment recommendations of antidepressant treatment and psychotherapy.

Crafting a policy-relevant research agenda for patient navigation in cancer care.

Journal:  Cancer, 117: 3563–3572. doi: 10.1002/cncr.26269
Authors: B. Ashleigh Guadagnolo MD, MPH, Daniel Dohan PhD, Peter Raich MD
Article first published online: 20 JUL 2011

Abstract
BACKGROUND:
Racial and ethnic minorities as well as other vulnerable populations experience disparate cancer-related health outcomes. Patient navigation is an emerging health care delivery innovation that offers promise in improving quality of cancer care delivery to these patients who experience unique health-access barriers. Metrics are needed to evaluate whether patient navigation can improve quality of care delivery, health outcomes, and overall value in health care during diagnosis and treatment of cancer.

METHODS:
Information regarding the current state of the science examining patient navigation interventions was gathered via search of the published scientific literature. A focus group of providers, patient navigators, and health-policy experts was convened as part of the Patient Navigation Leadership Summit sponsored by the American Cancer Society. Key metrics were identified for assessing the efficacy of patient navigation in cancer diagnosis and treatment.

RESULTS:
Patient navigation data exist for all stages of cancer care; however, the literature is more robust for its implementation during prevention, screening, and early diagnostic workup of cancer. Relatively fewer data are reported for outcomes and efficacy of patient navigation during cancer treatment. Metrics are proposed for a policy-relevant research agenda to evaluate the efficacy of patient navigation in cancer diagnosis and treatment.

CONCLUSIONS:
Patient navigation is understudied with respect to its use in cancer diagnosis and treatment. Core metrics are defined to evaluate its efficacy in improving outcomes and mitigating health-access barriers.

La Vida Mia portrays the life of a Latina agricultural worker who is experiencing domestic violence in her personal life.  The video depicts the reality that abuse victims face and the effect the abuse has on their life.  Warning, this video may contain graphic scenarios as it displays abusive situations.  

This photonovella accompanies the video "La Vida Mia"

Please contact Adrian Velasquez, Family Violence Initiative Coordinator at MCN if you would like to receive a DVD version of this educational video.