自2016年以来，银河彩票计划一直与当地农场合作，为患者提供健康食品. 两年来，银河彩票计划两个组织共同开展了一个关于饮食质量和获得农场股份的研究项目. Poor diet quality is a leading cause of excess morbidity and mortality—responsible for more deaths than any other risk factor, 占美国残疾调整生命年的10%以上. 改善饮食质量是公共卫生的优先事项，也是慢性病预防工作的关键目标. 进一步, the US population exhibits notable disparities in diet quality such that groups with lower socioeconomic status tend to have worse diet quality and bear a disproportionate burden of diet-related disease. 尽管在过去的几十年里在改善整体饮食质量方面取得了进展, 饮食质量的社会经济差异有所增加. The study sought to determine whether a subsidized CSA share could improve diet quality in individuals at high-risk of diet-related illness. 研究的结果是良好的，从那以后，银河彩票计划一直保持着与只是根的关系, offering flash-frozen sample portions of farm fruits and vegetables to interested patients along with information on how to access discounts on farm shares as well as use SNAP benefits to purchase.
长期以来，社区行动一直是备受重视的社区合作伙伴. Our most recent project has been a collaboration with 社区行动 and the 人类发展中心 called the Youth Access Partnership, 寻求促进创伤知情转诊，并在社区和临床护理环境中提供卫生公平指导. This project has brought an ambitious plan of action to improve the environment within our health center in order to positively impact health and wellbeing of youth and young adults, 尤其是对LGBQ来说, 变性人, 以及性别不一致的病人. 银河彩票计划对医务人员的培训以创伤知识为中心, 文化敏感的做法, 政策, 物理空间. The learning gained from this partnership has been used to improve our awareness of unconscious and implicit bias in health care and to create meaningful social change.
CONNECT项目将在72小时内提供阿片类药物过量后快速反应服务, using an evidence-based regional hub and spoke model to respond to fatal and non-fatal overdoses in the 30-town region of Franklin County and the North Quabbin, 在马萨诸塞州唯一一个联邦指定的农村县. CONNECT有7个目标:1)向阿片类药物过量的幸存者或目击者提供实时援助.g. 家庭, community members); 2) make in-person follow-up visits, 72小时内, to individuals who survived or witnessed an opioid overdose to assess health and social needs; 3) deliver comprehensive evidence-based care (e.g. 病例管理, 同伴支持, 创伤知情实践)将个人与药物治疗联系起来.g. 美沙酮, 丁丙诺啡, 环丙甲羟二羟吗啡酮), community-based services and recovery supports; 4) use “warm handoffs” to ensure opioid overdose survivors and witnesses navigate care across systems; 5) expand naloxone availability and appropriate use by first responders and community bystanders focusing on naloxone deserts; 6) establish a database to track CONNECT participants for care coordination and continuous quality improvement; and 7) conduct trainings on protections for “Good Samaritans” (e.g. those who assist during an opioid overdose) and establish safety protocols on fentanyl and other licit/illicit opioids exposure. 银河彩票计划计划在该团队中提供一名嵌入式CHW，作为健康中心服务的桥梁, 包括浏览健康保险.
自2014年以来，银河彩票计划一直与富兰克林县警长办公室合作. Community Health Caseworkers have provided support for sentenced individuals to assist them with navigating the complexities of health care and insurance. In the most recent two years we have expanded this collaboration under a project that enabled an embedded Community Health Worker (CHW) in the facility working daily with clients to navigate registering for services and applying for health care coverage. The CHW is also available to offer continuity of care for patients’ opioid treatment medical needs such as naltrexone (Vivitrol) and 丁丙诺啡/naloxone (Suboxone), 并帮助确保客户在释放后选择继续治疗的服务无缝过渡到银河彩票计划.
贝斯特富兰克林医疗中心是医院服务的重要社区合作伙伴, however we have also worked together on a unique and ground-breaking project to increase access to emergency dental services and working towards diverting dental emergencies from the hospitals’ emergency room where the costs to provide care are much higher, 结果对预防未来的牙齿疼痛和痛苦是无效的. 这个项目一直是为了获得正确的护理, 来自合适的人, 在正确的地方, 减少抗生素和止痛药的处方. 与医院急诊科工作人员合作, 银河彩票计划 Oral Health Care providers work to ensure that all persons who walk through hospital doors have the opportunity to receive diagnosis, stabilization and definitive treatment of urgent 口腔健康 needs as well as comprehensive disease management and preventative intervention for 口腔健康. This site promotes a pathway to comprehensive oral care through eliminating barriers and increasing access to meet a significant population health crisis. 在成立以来的三年里, the site has been recognized as a best practice at the national level and the subject of a white paper published by the University of Massachusetts.
另一个有价值的行为健康伙伴, BHN和银河彩票计划即将在银河彩票计划位于奥兰治的最新设施内开展合作, MA, 2021年秋季/初冬开放. 博士督导. 露丝Potee, BHN戒毒服务的医疗主管, 并与银河彩票计划合作, BHN will annually provide 150 persons living in the North Quabbin Area (Athol/橙色 and surrounding communities) of Massachusetts with integrated primary care behavi口腔健康 services and immediate access to Methadone in an Outpatient Treatment Program (OTP) in a community that does not currently offer Methadone treatment within 25 miles. Local access to Methadone is a critical need given the significant increase in illicit Fentanyl infiltrating the heroin and cocaine being sold illegally on the streets of Massachusetts. 这种服务上的差距给高危人群造成了严重的负担, 在影响就业和教育机会的条件中遭受严重不平等待遇的高需求人群, 运输, 获得保健服务, 支持系统, 低收入地位. Strong evidence supports the efficacy of Medication Assisted Treatment (MAT) in treating persons with opioid use disorders, 尤其是对芬太尼暴露的人使用美沙酮.
“在一起更好”是格林菲尔德健康中心的座右铭, 那栋楼是银河彩票计划两个组织的总部. 冠心病一直是行为健康服务的长期合作伙伴, 然而，主街102号的翻新和2018年的新办公地点带来了银河彩票计划在初级保健方面的合作, 口腔健康, 行为健康也达到了新的水平. 在过去的三年里，银河彩票计划一直在努力巩固银河彩票计划的协调护理和服务模式, 共同护理计划, and routine huddles and case consults between providers of each organization to ensure that patients get the most reinforcement and support possible for their health care goals.