The AIMS Model: An Approach to Addressing the Social Determinants of Health in Primary Care

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About the Training

Although a growing body of research suggests that social determinants of health—social, functional, environmental, cultural and psychological factors—are intricately linked to health and wellness, our fragmented medical and social services are underequipped to address these needs. The Ambulatory Integration of the Medical and Social (AIMS) model—developed by the Center for Health and Social Care Integration (CHaSCI) at Rush University Medical Center—integrates masters-prepared social workers into primary care teams to identify, address and monitor social needs that influence health. Preliminary evidence indicates that AIMS reduces clients’ emergency department visits, hospitalizations and readmission rates. Also AIMS creates opportunities for community-based organizations (CBO) to develop partnerships with local health clinics to integrate care and promote better health outcomes—building on the expertise of CBOs and opening the door for new sustainability mechanisms. Join this web seminar on April 24 at 1:00 - 2:00 PM ET to highlight training and implementation support for CBOs interested in replicating AIMS.

Participants in this web seminar will be able to:

  • Articulate healthcare’s blind spot and the need for health and social care integration;
  • Identify key elements of the AIMS intervention; and,
  • Identify the opportunities and challenges of building CBO–healthcare partnerships.


Robyn Golden, LCSW, serves as the associate vice president of Population Health and Aging at Rush University Medical Center in Chicago, where she also holds academic appointments in the departments of Preventive Medicine, Psychiatry, Health Systems Management and the College of Nursing. She is a former chair of the American Society on Aging’s board of directors.

Matthew Vail is a clinical social worker in the Department of Social Work and Community Health at Rush University Medical Center. He also serves as a coordinator for the Center for Health and Social Care Integration.