Abstract

Objectives: The first objective of this case study is to describe and analyze the experience of a young adult clinic patient exposed to negative Social Determinants of Health (SDOH), non-medical factors that affect medical, emotional, and economic well-being. The second objective is to suggest interventions that enhance the patient’s ability to succeed economically and medically that are within the scope of the program.

Method: This is a single qualitative case study, of a 22-year-old female experiencing a variety of non-medical barriers. Our team evaluated semi-structured interviews, based content analysis and social work principles. The selected theoretical model focused on Social Determinants of Health and several aspects of Trauma Informed Care.

Results: The analysis of the patient's interview allowed the team to identify social determinant categories in agreement with the model variables. The impact of family of origin factors combined with minimal financial support and the demands of participation in academic classes were recognized in the adolescent's adjustment process. Social work and navigator interventions focused on education and support especially as it related to employment and clinic continuity.

Conclusion: The theoretical model of Social Determinants of Health combined with aspects of trauma informed care can contribute to understanding the needs of youth experiencing pervasive non-medical crises. Such approaches allow medical and social work interventions to moderate and mediate variables and promote economic success. The model proved to be suitable for future interventions for adolescents and young adults (AYA) experiencing similar situations.