It’s September and we’re bidding farewell to these hot and humid North Carolina summer days. Autumn is just around the corner and the school year is back in full swing with fresh starts, new goals, and the pursuit of knowledge.
NCCARE360 K-12 School System/District COVID-19 Resources and Referral Coordination and Recovery Plan
During the summer months, our teams worked with the Department of Child and Family Well-Being (DCFW) at NC DHHS to put together a pilot project to onboard public schools across the state onto the NCCARE360 platform so they can link students and their families to community resources that address unmet social needs. The NCCARE360 K-12 School System/District COVID-19 Resources and Referral Coordination and Recovery Plan supplemented the school-based testing for COVID-19 provided by DCFW as an important layer of protection to keep children safe in the classroom. To further support students and families from the impact of the COVID-19 pandemic, NCCARE360 helps to identify additional drivers of health and connect students to services and resources that will impact students’ physical, behavioral, and social wellness. This project will allow K-12 school systems and their staff to use NCCARE360 to link students and their families to community resources that address critical services like food, housing, utilities assistance, transportation, educational support services, and more.
Connecting Students to Vital Resources
Durham Public Schools (DPS) has always been committed to the well-being and success of its students. Now, they’re taking this commitment a step further by leveraging technology to strengthen the connection between K-12 students and the social resources they need. DPS is partnering with NCCARE360 to make this vision a reality, with plans to onboard up to 56 schools in the DPS school system.
NCCARE360 is a platform designed to bridge the gap between healthcare and social services. DPS will use NCCARE360 to connect students nd their families with essential social resources, ensuring that they have access to the support they need to thrive academically and personally. The success of this initiative will come from the dedicated professionals who work tirelessly to support students’ well-being. Social workers and members of the DPS student support department will be the primary users of the NCCARE360 platform, as their roles are pivotal in identifying students’ needs and connecting them with the appropriate resources.
Why NCCARE360 Matters
Holistic Support: NCCARE360 offers a holistic approach to addressing students’ needs. It goes beyond academics and recognizes the importance of social and emotional well-being in a student’s overall success.
Streamlined Access: The platform streamlines the process of accessing social resources. Instead of navigating a complex web of services, students and their families can access the help they need more efficiently.
Data-Driven Decision-Making: NCCARE360 provides valuable data and insights that can inform decision-making. This data-driven approach ensures that resources are allocated effectively, benefiting those who need them the most.
Enhanced Collaboration: NCCARE360 improves communication and collaboration among schools, social workers, and external service providers. This fosters a supportive ecosystem where everyone works together to help students succeed.
Equity and Inclusion: The platform promotes equity and inclusion by ensuring that every student, regardless of their background, has access to the resources they need to excel.
A Brighter Future for Durham Students
Durham Public Schools’ decision to embrace NCCARE360 is a testament to their commitment to the success and well-being of every student. By fostering stronger connections between students and essential social resources, DPS is paving the way for a brighter and more promising future for the entire community. This innovative approach to education and support demonstrates DPS’s dedication to nurturing not only academic excellence but also the holistic development of its students. The NCCARE360 team will be using DPS as an example for engaging with additional school districts to reach even more students in need. With NCCARE360, the path to success becomes clearer and the journey becomes a shared one, filled with opportunities for growth and achievement.
Richard Johnson, MS, CHES®, TTS, is a busy man. As a public health educator for Person County Health Department (PCHD), he is involved in several projects designed to help his community lead healthier, happier lives. He gives presentations on respiratory care, speaks about the importance of high-quality sleep for good health, teaches cardiovascular disease prevention in women, and promotes tobacco and smoking cessation, just to name a few. He also uses NCCARE360 to connect individuals and families in his community to much-needed services and resources.
Richard has worked in healthcare for more than 30 years, but it was when he began working as a Community Health Worker (CHW) two years ago that he really came to understand the importance of community partnerships in improving health outcomes. During the COVID-19 shutdowns, he spent a lot of time going into communities to locate individuals and families suffering hardships caused by the pandemic. This is when he was introduced to NCCARE360 and found that it was an easily navigated referral system that enabled him to connect community members with needed resources. In March 2022, he came to PCHD to lead his department’s onboarding to NCCARE360. Richard said the onboarding process for their department may have been more involved due to their number of programs and users (seven separate programs and 17 platform users), but they started the initial inquiry of onboarding in September 2022, completed all training in November 2022, and received their first referral in December 2022.
In March 2023, Richard coordinated an information meeting to introduce NCCARE360 to the Person County community. He worked with PCHD’s Equity Advisory Council to invite a variety of community-based organizations, faith-based organizations, civic organizations, African American Greek organizations, and other organizations that serve historically marginalized populations. The meeting was successful and largely attended, and a post-event survey revealed that seven organizations attending the meeting indicated an interest in moving forward with plans to onboard to NCCARE360 within the following 90 days!
Richard continues to be a strong champion of NCCARE360. In April 2023, he co-presented with FHLI and Unite Us at the Eastern District North Carolina Public Health Association (EDNCHPA) 63rd Annual Conference, detailing his experiences and successes with using NCCARE360 in Person County.
“While using NCCARE360, I saw families receive food. I saw instances where the electricity bills were paid. I saw individuals connected with legal assistance to help them avoid eviction from their homes in the dead of winter.”
Richard reports mostly positive experiences and outcomes using the NCCARE360 network, including thousands of pounds of food delivered to individuals and families, and successful COVID-19 testing and vaccination for many underserved communities. We are proud of our partnerships with local health departments like PCHD and supporters like Richard, and we are doing all we can to help them grow and succeed. Thank you, Richard & PCHD, for your continued use and support of NCCARE360. We couldn’t do it without you!
This April, we’re commemorating the passing of the Fair Housing Act and honoring National Fair Housing Month by raising awareness of the importance of equal access to housing and by recognizing the progress that has been made in the fight against housing discrimination.
Housing stability has a significant impact on health outcomes, as there are many ways in which a lack of housing or poor-quality housing can negatively affect health and wellbeing. Experiencing housing instability may contribute to stress, anxiety, or other mental and physical health issues. Housing is a foundational resource that everyone needs. One goal of NCCARE360 is to provide access to resources to address housing needs. While housing services can be a complicated landscape, we aim to streamline the referral process and connect to coordinated referral systems that already exist. Late last year, NCCARE360 began piloting a Housing Referral Determination Screener built directly into the Unite Us Platform. This screener can assist network organizations in understanding what resources a person may be eligible for to address their housing crisis, with the goal of providing clarity about eligibility for housing programs and increase the quality of referrals to housing agencies and homeless service systems.
In addition to streamlining housing referral services, NCCARE360 has the potential to improve the overall quality of care for individuals and families by facilitating collaboration among service providers and ensuring that all needs are being met. This comprehensive approach to care is especially important for those experiencing homelessness or housing instability, as they often face complex and interconnected challenges.
Rachel Waltz, Program Manager at Orange County Partnership to End Homelessness, uses NCCARE360 to help clients experiencing homelessness. Rachel has always had an orientation toward what felt just and fair as well as an interest in being an agent of change in her community. She decided to explore social work as an avenue of change for individuals, families, and communities when she learned the young people in her therapeutic wilderness program were returning home without the proper social supports needed to continue their growth and development. She now works to end homelessness because she knows that the housing crisis can affect any of us.
NCCARE360 fosters collaborations between service providers and people experiencing homelessness, which Rachel sees as the foundation of our success as a community. NCCARE360 is also allowing for a more equitable lens through which to help. She notes that the people who experience a housing crisis that is unable to resolve on its own are disproportionately Black and African American folks, and this inequity is happening because of policy decisions that have a harmful and persistent legacy.
“The NCCARE360 network enables us to pair folks with the right resources at the right time.” –Rachel Waltz
Rachel says NCCARE360 has been a game changer in terms of looking at how referrals can be sent through the service provider networks in addition to the Orange County Housing Helpline. To successfully find and keep housing once in the formal homeless service system, most folks need a navigator who can help connect them with the right resource at each stage in the process. The Partnership depends on service providers to help make informed referrals to ensure that someone with complex needs receives a higher level of assistance. The NCCARE360 network has enabled the Partnership to continue to focus on some of most vulnerable community members while offering a lighter touch to community members who can successfully meet their housing needs with less intensive intervention.
As we celebrate National Fair Housing Month, it is important to remember that equal access to housing is a fundamental human right. NCCARE360 is a tool that can help us move closer to that goal by streamlining the housing referral process and improving access to the resources individuals and families need to achieve stable housing and a brighter future.
March is National Social Work Month, a time to recognize and celebrate the important role social workers play in supporting individuals, families, and communities. Social workers are professionals who are trained to help people overcome challenges and improve their well-being through a wide range of services, including counseling, case management, advocacy, and community outreach.
Social workers often find it challenging to connect their clients with the right resources and services to address their needs. They are frequently assisting clients with complex cases who require support from multiple providers and organizations. Fragmented systems make it difficult to navigate the complex network of community resources and services that are available. Fortunately, NCCARE360 is making it easier to send referrals for community resources and collaborate with other providers. Social workers can use the platform to quickly and easily refer clients to a wide range of services and resources, including housing assistance, food pantries, transportation services, mental health services, and more.
Because NCCARE360 has the ability to track referrals and outcomes, social workers can monitor the status of their referrals and see if their clients successfully accessed resources, helping to ensure their clients are receiving the support they need to improve their health and well-being. In addition to making referrals to community resources, NCCARE360 also facilitates communication and collaboration among providers. Social workers can use the platform to communicate with other providers and share information about their clients’ needs and progress. This can help ensure that all members of a client’s care team are working together to provide the best possible support.
This month, we are highlighting Leslie Craver, an incredible social worker who utilizes the NCCARE360 network daily to connect their clients to needed social supports and services.
Leslie Craver is a part-time Family Caregiver Specialist at The Life Center of Davidson County, an organization that provides high quality daytime care to older and impaired adults in Lexington, NC. Her interest in social work began in college and led her to a 30-year career with NC Department of Social Services, where she worked mainly in adult services. As a Home Adult Specialist, she monitored adult care homes and investigated any issues that arose in adult care. When it came time to retire, joining The Life Center was a natural fit for Leslie. At the same time, The Life Center was awarded a health equity grant from FHLI to increase their utilization of NCCARE360. Leslie trained on the platform and now uses NCARE360 to connect their residents to needed resources.
“I spent a lot of my time in DSS linking people to resources, so it wasn’t a big jump for me, just a different platform to do so.“ -Leslie Craver.
Leslie states NCCARE360 has helped expand her knowledge of resources not just in Davidson County but throughout the state, and she believes the next important step is helping other community organizations like The Life Center understand the value of the NCCARE360 program so they will be just as eager to join the network. “When you have multiple people come and go from different agencies, it’s a useful tool to not have to make a lot of phone calls. You can just look in the system and see all the places they’ve been and if they got help or not,” she said.
Not only does Leslie use NCCARE360 to connect The Life Center’s clients to resources, but she also makes visits to elderly people in the community who are unable to leave their homes and to the caregivers of those who cannot be left alone. She reaches out with food vouchers, PPE bags and other needed items, and she’s even provided some shopping for elder community members using those food vouchers. Then she enters those services in NCCARE360 and provides additional assessments for any other unmet needs that she can assist with.
“The Life Center is the best,” Leslie declared. “They do great work and tried to reach out even before NCCARE360, and this is just another way they are working to expand.”
National Social Work Month is an opportunity to recognize the important work that social workers do to support our communities. NCCARE360 is a useful tool that is helping them make referrals to community resources and collaborate with other providers to address the complex needs of their clients. By leveraging technology and working together, social workers can help ensure that everyone has access to the resources they need to thrive. NCCARE360 is grateful for the hard work and dedication of all social workers who help improve our communities.
This Black History Month, we are honoring our Black community leaders and spotlighting Natreace Buie, NCCARE360 Referral Manager for The Arc of North Carolina. Natreace is passionate about helping people in her community and she talked to us about how she is able to better support them through her use of the NCCARE360 network.
Natreace graduated from Queens College of CUNY in New York with a major in sociology and a goal of helping others, especially those who needed an extra helping hand. She finds personal and professional fulfillment in providing guidance to people and advocating on their behalf when they are unable to do it themselves. Having two family members with intellectual disabilities helped put her on her career path when she witnessed just how difficult it was to connect them to healthcare providers or community support and resources because of the isolated and fragmented care systems. She found her calling when she realized she could use her experience and skills to help reduce that burden not only for her family but for other North Carolina families experiencing the same struggles.
“It is definitely my calling because it fills me when I’m able to help someone.”
Natreace is the NCCARE360 Referral Manager for The Arc of North Carolina where she supervises the referral journeys for their clients. The Arc of NC provides direct support and services to individuals with intellectual disabilities to enable them to live fully and independently in the community. When The Arc of NC needed someone to implement the NCCARE360 network using the Unite Us Platform, she once again felt that calling. Natreace brought her years of experience working in a variety of roles ranging from providing direct support to individuals in group homes, to working as a coordinator in the health care sector, connecting them all to care and resources that would make their lives a little easier. All these roles have allowed her to provide guidance to those who need it most.
“When I learned [about the NCCARE360 network] I was like, ‘hold on […] to be able to identify the need and to connect our individuals to organizations and to close the loop is phenomenal. With one click!’ It’s phenomenal what the NCCARE360 network offers.”
Natreace also appreciates how the NCCARE360 network addresses health equity by allowing her to identify unmet needs in the community and then reach out to help close those gaps. The network allows her to pull data and graphs to visualize what is missing, where those missing supports are needed most, and when one demographic may need more help than others.
Natreace is excited to see how the NCCARE360 network continues to grow in the future. As she put it, “teamwork makes the dream work and we do it one referral at a time.” Thank you, Natreace, for all of the work you do to help others, and for being a valuable member of our community!
