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Nearly half of US nursing homes report limiting admissions because of staffing shortages,1 and only 19% currently meet the minimum staffing levels mandated by the Centers for Medicare & Medicaid Services by 2029.2 Shortages of nurses and other personnel caused two-thirds of hospitals to operate below full capacity in 2023.3 The Trump administration’s plans to deport undocumented immigrants […]

Background: The inpatient hospital setting is a potential intervention point where people at risk for overdose can be identified and connected to evidence-based substance use disorder (SUD) treatment and harm reduction services. Inpatient addiction consult service (ACS) programs have been shown to have a range of positive outcomes, but there remains an implementation gap, and […]

The body and brain’s normal responses to traumatic stress can result in changes to cognition, emotion, affect, and behavior. Beyond these biological and psychological effects, trauma can also impact our relationships with each other and with our institutions, histories, and social structures. This informs how people who have experienced trauma relate to our organizations. Our […]

Background: In 2022, the City of Boston and other organizations launched a new initiative to create low-threshold sites (LTS) for unsheltered people who use drugs living on the street in the Melina Cass and Massachusetts Avenue area. LTS are transitional, temporary living spaces that do not have strict entry requirements related to abstinence or engagement […]

The Community Solutions for Health Equity program (CSHE) is a grant-making and technical support program funded by the Robert Wood Johnson Foundation (RWJF). In this final evaluation report we discuss the multi-year evaluation activities, the CSHE theory of change and how it maps to its values, the outcomes of the program, and discussions and recommendations […]