Bridging the Gap
At the onset of COVID-19, Interfaith Ministries gathered faith leaders, experts from the Texas Medical Center and government officials from across Houston on Zoom. Interfaith Ministries proactively hosted these calls to better understand the spiritual implications of the pandemic, which they continue to host on a weekly basis.
“We invited 900 leaders of all faith denominations to join the call and support each other. This allows us to see things through the lenses of different religions,” said Cominsky.
Across Texas, faith leaders have offered support, shared best practices and helped each other navigate the pandemic. “A faith leader is a trusted person who is going to take care of the members of the church,” said Caryn Paulos, senior director of faith and community health improvement for Texas Health Resources in Arlington. “This has played such an important role in disseminating information about COVID-19 safety and the vaccine.”
Memorial Hermann worked with Interfaith Ministries to bring vaccines to houses of worship. “People already congregate in churches, and they have lots of space, making them great for mass vaccination efforts,” said Carol Paret, senior vice president and chief community health officer at Memorial Hermann.
And it’s not only COVID-19. Faith-based organizations can play a role in helping solve myriad public health issues. For example, a few years ago, ISH brought together 20 local faith leaders to undergo a roundtable series on substance abuse.
“There is a recognition that we all believe different things, but when something like opioids is ravaging our communities, we have to come together,” said Nelson.
Behavioral health is another area where hospitals and churches can partner to make a big difference bridging the gap between a trusted faith leader and mental health professional. A study from the Mental Health Foundation, a non-profit located in the UK, estimates that 80% of people go to a faith leader about mental health concerns before talking to a medical professional.
“By working with our faith partners, we can understand what behavioral health issues their communities face. We work with faith leaders so they can refer their parishioners to therapists or other mental health professionals,” said Shah.
BSW is currently working on its 10,000 Lives Mental Health First Aid campaign to train community members on mental health first aid. “The faith community has stepped up to help with this initiative. They want to get trained so they can recognize signs of depression and suicidality in their membership,” said Shah.
Service and the Social Determinants of Health
For centuries churches have played a significant role in addressing the social determinants of health. Food, clothing, shelter, transportation and money for essentials are things that people trust to ask for at a church.
Those in the faith community have the same desire to serve others — a valuable resource for hospitals’ community health initiatives. “Without the faith communities, it would be hard for us to address the social determinants of health for all our patients,” said Paulos.
Memorial Hermann’s community health department works to reach vulnerable populations to address social determinants of health. “Working with various organizations is important. No single group is going to be able to address every issue, but through collaboration, we can make a real difference in our communities,” said Paret.
Memorial Hermann works at the community level to best address their needs. For example, one community felt their park was unsafe, impacting their ability to get outside and exercise. Memorial Hermann helped bring organizations to the table to make the park usable for community members.
This year, Interfaith Ministries has been working with Amazon Alexa devices to do daily health checks with the elders they serve. In addition to the devices, the organization has also provided WiFi for seniors who didn’t have internet access.
“We’ve found that our seniors are very eager to learn and use new technology. They recognize the opportunity to connect with their kids and grandkids. This has been wonderful for their mental health,” said Cominsky.
BSW’s faith community health program works to match volunteers with homebound seniors and individuals. “The volunteers do everything from helping with grocery shopping or picking up medications to sitting with them and watching TV,” said Donna Stauber, Ph.D., system program manager of innovation and spiritual care delivery at BSW.
BSW has seen a 40% decrease in inpatient admissions and a 30% decrease in emergency department visits from patients in the program.
“Having someone that you can rely on to help you is life-changing for these patients. We’re able to use volunteers in their community to address their unique social determinants of health,” said Stauber.
Shah added that this also benefits caregivers at the hospital. “Providers tell me how happy their heart is knowing someone is going to be there to support the patient upon discharge.”
Bringing Health Care to the Church
Faith community nursing is a specialty that focuses on the intentional care of the spirit combined with traditional nursing practice. Faith community nurses assist members of their congregation to maintain or regain wholeness in body, mind and spirit.
Texas Health’s faith community nursing program has over 300 volunteers who work in 127 congregations across 16 counties in North Texas to promote health and well-being. Depending on the needs of a congregation, the programs support anything from food pantries to blood pressure screening to diabetes education.
“When you’ve seen one program, you’ve seen one program. The work that faith community nurses do in their congregations varies depending on the needs of members, the time they have to give and the available resources,” said Paulos.
The nurses aren’t working under physicians; they function in an independent nurse role under the Nurse Practice Act in Texas. The most common role they play is a health advocate and educator – keeping parishioners up to date on new public health information or talking with them about a diagnosis they may have received.
“We’ve had many examples where people have needs such as medication, food or clothing, and we can connect them with the resources they need,” said Paulos. “We once had a lady mention not being able to afford medication via a prayer request. The community nurse was able to work with the drug company to secure a scholarship for a year’s worth of medication. It’s all about connecting the pieces between body, mind and spirit.”
BSW helps faith communities develop a church health ministry. At first, they tried a “tell the ministries what they need to do” approach – but soon realized that each congregation is unique, and their leaders know what their parishioners need. “I quickly learned you couldn’t tell churches what they need. You have to go in, find out what they need and get to know what the disparities in their community are,” said Stauber.
Now, BSW helps health ministry teams by informing them on pertinent public health information, offering blood pressure and glucose checks and teaching parishioners how to monitor those things.
“We offer the opportunity for congregations to join us in our faith community health program by offering training on how to be an effective volunteer and different things about safety and their part in offering support to patients,” said Stauber.
Faith and spirituality are how people connect with others and make sense of their world. It’s the innate ability to connect with the deepest parts of ourselves. Leveraging spirituality and faith to promote health creates a unique opportunity for hospitals to work with faith-based organizations to improve the health of communities.
“People are being exposed to different traditions, ethnicities, cultures and ways of being. Bringing in people of different religions helps to foster understanding and better address common problems in communities,” said Nelson. “We all believe in different things, but at the end of the day, we all have a desire to serve and heal our communities.”