Florida Community-Engaged Research Alliance (FL-CEAL)

• Community health workers (CHW) (Behavioral): Participants will meet with a Community Health Worker (CHW) who will help facilitate and provide personalized navigation to existing resources for addressing health challenges such as food insecurity and access to care. CHW will meet with participants in person or virtually at least three times for approximately 15-60 minutes for over the six month period
• Educational Materials (Behavioral): Participants will receive one time educational materials including information of existing health resources. Participants will be able to review materials at participant discretion.

Primary outcomes

• Change in General well-being (GWB), measured by the Personal Wellbeing Index (PWI) [Baseline, 6 months]: In the PWI, each item is rated on a 0-to-10 scale (0 = No satisfaction at all; 10 = Very satisfied).

Secondary outcomes

• Change in number of participants health insurance status as measured by CEAL Common Survey 4 (CS4) [Baseline, 6 months]: Health insurance status will measured by the number of participants who answered yes to the health insurance status
• Change in number of participants having a usual source of care as measured by CEAL Common Survey 4 (CS4) [Baseline, 6 months]: Having a usual source of care will measured by the number of participants who answered yes to having usual source of care
• Change in number of participants delayed medical care as measured by CEAL Common Survey 4 (CS4) [Baseline, 6 months]: Delayed medical care will measured by the number of participants who answered yes to having delayed medical care due the cost.
• Food Insecurity as measured by U.S. Department of Agriculture Economic Research Service Questionnaire [Baseline, 6 months]: Food security status is assigned as follows: Raw score 0-1-High or marginal food security (raw score 1 may be considered marginal food security, but a large proportion of households that would be measured as having marginal food security using the household or adult scale will have raw score zero on the six-item scale) Raw score 2-4-Low food security Raw score 5-6-Very low food security

Sex: All, ages: 13 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Individuals living within the target community who do not plan to move out of the community within the next six months
* Having two un-met SDOH needs

Site Specific Inclusion Criteria:

University of Miami/ Healthy Little Havana Inclusion Criteria

* Age 18 and over

Health Choice Network/ Broward Community Health Center/ Genesis Community Health Center Inclusion Criteria

* Age 18 and over

Florida International University Inclusion Criteria -Latina Women Age 18 and over

Mayo Clinic Florida Inclusion Criteria

-Age 21 and over

Florida A\&M University/ Mother Care Network Inclusion Criteria

* Female minors between the ages 11-14 years
* Black/African American; Hispanic or Non-Hispanic ethnicity

University of Florida Inclusion Criteria

* Women aged 18 and over
* Pregnant and recently post-partum minority women

Exclusion Criteria:

* Are unable or unwilling to consent
* Plans to move out of the community during the next six months
* Enrollment in a research study addressing Social Determinants Of Health (SDOH) in the last three years.
* Prisoners

• Olveen Carrasquillo, MD, Principal investigator, University of Miami

NIH grants: OT2HL158287