It is an interesting time to be doing this kind of work. No, I don’t mean the funding cuts, regionalization of government funded programs, increase in regulations, absolute necessity to be open and transparent, have excellent governance, have a continuous improvement process and measurable outcomes. Those all keep things hopping, but what I am referring to is “the Social Determinants.” In Health Care they are referred to as the Social Determinants of Health and in education they are often referred to as the Social Determinants of Success. We, at SCCAP, have referred to them as our work.

It is estimated that 10 percent of a person’s health and wellness happens at a doctor’s office, 20 percent happens in health care. The other 70 percent is impacted by our health behaviors, physical environment and socioeconomic factors, all the things that happen outside of our doctor’s office.

Megan Shreve is the CEO of South Central Community Action Programs Inc.: Their mission is to empower families and engage the community to pursue innovative and effective solutions to break the cycle of poverty.

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