Monthly Update
Earlier this year, more than 2,000 demographers met for the  Population Association of America 's annual meeting, where they discussed topics  ranging from the changing family to international migration flows and came up with seven  demographic trends shaping the U.S. and the world in 2018.  Read about it here.
Patient Profile
"Maryam" was referred to Casa by a partner agency to be tested for a highly contagious infection after exposure to an infected person. Her case manager made the appointment for her.

When she arrived at the appointment, she appeared confused as to the reason for her visit, as well as the timeline for receiving her test results. The receptionist noticed this and informed clinic staff of the need for especially careful attention and patient education.

Thanks to the presence of a  LAMP Arabic interpreter, communication between the patient, the receptionist, and the clinic staff was smooth and clear. In the exam room, the patient was able to explain what she already understood about her risk, and ask the questions that hadn't been answered to her satisfaction before.

Maryam's story illustrates the impact of proactive, patient communication on healthcare outcomes. The
referral partners, the Front Desk team, skilled interpreters, and clinicians all collaborated with and on behalf of the patient. Had any one of these pieces been missing the patient's access to screening and preventative care may have been delayed.  But working together led to a good outcome. 
Volunteer Spotlight
December's spotlight highlights a medical provider who recently celebrated her sixth anniversary volunteering with Casa de Salud.
Chezna Warner, PA 
Chezna Warner returned to her native Saint Louis in 2012 for a faculty position at Saint Louis University. Upon learning about Casa, she knew immediately that she wanted to get involved. As a Physician Assistant (PA) in Family Medicine, Chezna has spent nearly half her career working with Spanish-speaking immigrant populations.

Prior to life as a PA, Chezna spent over two years living in the Dominican Republic as a member of the Peace Corps. 

In reflecting on those experiences, Chezna said, "Those were some of the most rewarding experiences I've had in my career, and Casa allows me to continue doing what I love."  She added, "Being able to identify and help meet the unique needs of immigrants and particularly Latinos is something I am strongly committed to doing."  

Chezna was the first PA to volunteer at Casa. In addition to the wealth of experience she brings, Chezna has helped facilitate rotations with SLU's PA program as well as connect Casa de Salud to the broader Physician Assistant community. Thank you, Chezna, for your commitment to our patients and to the community!
Supporting Casa
We are very grateful to the  JF Maddox Foundation for their generous contribution this month.
Please, consider a donation to Casa today. Thanks to a generous grant from the Brown Sisters Foundation
Your contribution will be matched up to $20,000.
You can mail a check to our office at 3200 Chouteau Avenue, St. Louis, 63103, you can give on line, or donate by texting "casa" to 314-270-1992. 
Your generosity makes Casa de Salud the premier resource for affordable and quality care for the foreign-born community in the St. Louis region!
Watch Our Video!
Casa de Salud - Compassionate Path to Wellness 
Casa Welcomes New Front Desk Staff
Casa is happy to announce that Lianet Blanco and Nicole Bach have joined our Front Desk Team. 
Lianet Blanco 
Lianet was born in Cuba, but has been established in Saint Louis since 1997. She has a Bachelor's degree in business, is a Certified Applications Counselor, and has an extensive background in customer service. Her favorite things include sushi, the smell of fresh steamed white rice, traveling with her family, being involved with different cultures, and learning new things! 

Nicole Bach
Nicole is a St. Louis native who's always been fascinated by other cultures. When she was 16, she was a Rotary International Youth Ambassador and she spent a year in Brazil where she learned to speak Portuguese.  

She then majored in Spanish at Webster University and spent a semester in Argentina at the Universidad Nacional de Cuyo. 

While employed in the Latin American Division of RGA, she earned a Master's degree in Spanish literature from Saint Louis University. 
Nicole began teaching Spanish at Jefferson College in 2003 and won the Governor's Award for Excellence in Teaching in 2013.   She is 
currently preparing to apply to a graduate program in Speech Language Pathology and hopes to be one of Casa's providers in the future.
Staff Training
Over the last year Casa has been working diligently to make our clinic feel more welcoming to more immigrant communities. This past month, as part of that process, our staff began a series of training sessions on topics such as trauma-informed care, cultural sensitivity, the refugee resettlement process, and best practices for working with interpreters. 
Trina Orlet (far right) of BIAS with Casa Staff
We are grateful to LAMPBilingual International and the International Institute for the sessions they led, and look forward to future trainings from additional partner organizations.
Kelly Moore of International Institute with Casa staff
Friends of Casa
Friends of Casa is ready to celebrate a successful year of fundraising and friend-raising! Join them on December 13th for a night of food, friends and a little holiday spirit!  RSVP here
@ Levant 
386 North Euclid Avenue
  St. Louis, MO 63108

Letter from the President
As we close in on the end of 2018, I'm thankful to all of you who made it possible for Casa to effectively serve so many people this year. 

Our clinic continued to provide high quality primary care, GUIA worked with myriad partners throughout the region to make sure that people who needed specialty care received it even if they were uninsured, and 13 agencies and individual practitioners came together to deliver behavioral health services at the Mental Health Collaborative (MHC). I couldn't be prouder of our staff, partners, and volunteers for their dedication and effort.
There's lots more to do in the New Year. With good fortune and hard work, we hope to establish a dental program, which, next to mental health, has been the most difficult of referrals. 

We'll also be executing all of the changes in our messaging and outreach that we spent the latter half of 2018 developing as we strive to welcome and serve all immigrants and refugees, not just Hispanics. 

And we will continue to add capacity to the MHC so that our average wait time, already reduced from 18 months to 16 days, will go down even more and allow us to increase our service capacity for members of our community who are suffering from anxiety, depression, substance abuse, or PTSD.
I am grateful to all of you, our friends and investors, who gave us the means by which to do our work.  On behalf of all of us at Casa de Salud, I wish you and yours a blessed holiday season. 
Jorge Riopedre 
President & CEO, Casa de Salud

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