Social determinants of health are conditions in which people are born, grow, play, live, work, and age. They vary widely from one community to the next, exacerbate chronic disease, and reinforce a revolving cycle of poverty. 

New York City's most vulnerable families live, work, and play in the face of challenges - a lack of social connectedness, poverty, unemployment, racism, language barriers, poor housing conditions, and homelessness. When left unchecked, these conditions lead to high rates of hospital use and declining quality of life.

The good news is that many of these conditions can be mitigated with strategic, multifaceted interventions. a.i.r. nyc Community Health Workers use a patient-centered approach to listen to, inform, involve, and engage families in health-seeking behavior and to provide referrals to supportive services, connecting the dots within a challenging set of circumstances.