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C49. Social Determinants of Health and Addiction

C49. Social Determinants of Health and Addiction

Learner category:

  • Intermediate Level

Learning objectives:

  • Participants will identify Social Determinants of Health as they relate to Addiction Discuss the relationship between Social Determinants of Health and Engagement of the client struggling with addiction Articulate health care professional implications in appropriately addressing Social Determines of Health and addiction Recognize the correlation of SDOH and Diversity and Inclusion


This presentation is intended to discuss social determinants of health and the importance of assessment when treating those with addiction. After reviewing the evidence and considering current events plaguing our nation, it is imperative that we discuss and examine the implications of social determinants of health and the influence on those living with addiction. Addiction follows cycles of relapse and recovery. How we adequately address addiction without consideration of where our clients live, work, attend school, church, and play? It is also important to consider the constructs of diversity and inclusion when addressing the determinants of health. Treating addiction requires inclusivity- seeing the client as an individual, without omitting a holistic care plan.


Tracy Hicks
DNP, FNP-BC, PMHNP-BC, CARN-AP, FIAAN C-Trilogy Comprehensive Clinical Care

Tracy Hicks is a dual certified APRN in Family Practice and Psychiatric Mental Health. She received her BSN from the University of Texas at Tyler in 2010, Master’s and Post Master’s degrees from the University of Texas at Arlington in 2013 and 2015, and Doctor of Nursing Practice degree from Frontier Nursing University in 2017. She holds a certification in addictions through the International Nursing Society on Addictions (IntNSA). Certification in Diversity and Inclusion through Cornell University. She is a member of Sigma Theta Tau Nursing Honor Society as well as local, state, and national NP organizations. She serves on committees for the American Academy of HIV Medicine (AAHIVM), Texas Nurse Practitioners (TNP), American Psychiatric Nurses Association (APNA) and IntNSA. Appointed Co-Chair of Texas Steering Committee and Board of Directors for the American Academy of HIV Medicine and Texas Nurse Practitioners. Has served as content expert for the American Nursing Association, Barkley Associates, review panel for the Center for Disease Control (CDC) mental health division for HIV/AIDS, All of Us Research representing Texas. Has served as peer reviewer for APNA and IntNSA.

Comments (19)

  1. Dennis Hagarty

    Well done Dr. Hicks. Very timely subject. I have always treated my patients as people even when they were hateful to me, I appreciate the history you shared. I had never heard of Posttraumatic Slave Syndrome before. Very appropriate to us as SUD providers.

    1. Tracy Hicks

      Thank you Dennis ! I am happy you enjoyed the presentation. I have found Post Traumatic Slave Syndrome to be very interesting and life changing.

  2. Joycelyn Iheanacho

    Thank you Dr. Hicks for your presentation! It is indeed the right time to educate ourselves regarding the social determinants of health and addiction and DEI to better serve our patients, most especially the marginalized and stigmatized due to SUD. Inspiring and educational!

    1. Tracy Hicks

      Thank you, Jocelyn! It is a very timely subject. including the components of SDOH and DEI are essential to optimal outcomes.

  3. Marian Currens

    Such an important topic! We really need to learn DEI and put into practice forever.

    1. Tracy Hicks

      Thank you, Marian! I am working on it!

  4. Bari Platter

    BOOM! You definitely brought IntNSA very rich and disturbing data. I am so pleased that this presentation was included in the conference and hope that we can begin the discussion of how racism and health disparities are interwoven throughout the field of addiction treatment. No lives matter until Black Lives Matter. In awe of your work.
    Your friend,

    1. Tracy Hicks

      Thank you, Bari! It is a difficult topic, one that I do not mind tackling. Yes, you are very correct it is interwoven throughout addiction treatment as well as other areas of healthcare.
      Your friend,
      I look forward to seeing you in the near future!

  5. Rachel Shuster, BSN, RN, CARN, CAAP

    Dr. Hicks,
    Thank you so much for tackling this topic and, by doing do, ensuring this material and education is part of this year’s virtual conference. Without this information, we (as professionals) are misinformed and continue to practice at subpar levels. I cannot thank you enough for this timely and well-presented information. Thank you for continuing to emphasize that Black Lives Matter and ensuring we continue to #SayTheirNames.

    1. Tracy Hicks

      Rachel, yes this is a tough topic and it gave my heart great joy to present! Thank you for your time and attention.

  6. Eileen Maloney-White

    Thank you Dr. Hicks, there is lot to be said for cultivating inclusive practice. Very informative presentation.
    Eileen W

    1. Tracy Hicks

      Yes Eileen this is true. I have found inclusive practice to be most rewarding. It is certainly a reciprocal feeling with the clients I serve.

  7. Elisa Vidal

    Thank you Dr. Hicks . Your presentation was very interesting and as others have stated very timely. I agree this is a topic that needs to be discussed continually and identified in practice more often. I am interested in your reference list which I have not been able to locate on the E-Learning web site. I’d appreciate this information. Your statistics themselves should be posted daily on all social media platforms to better educate the general public. Thank you again.

    1. Tracy Hicks

      Hello Elisa,
      Thank you for viewing and your comments. Please find references below.
      Centers for Disease Control (2020) Social Determinants of Health: Retrived from: /index.htm
      DeGue, S., Fowler, K. A., & Calkins, C. (2016). Deaths Due to Use of Lethal Force by Law Enforcement: Findings From the National Violent Death Reporting System, 17 U.S. States, 2009-2012. American journal of preventive medicine, 51(5 Suppl 3), S173–S187.
      Degruy, J. (2005, 2017) Post Traumatic Slave Syndrome: America’s Legacy of Enduring Injury & Healing: Joy Degruy Publications Inc
      DiAngelo ,R & Dyson,E. (2018) Whit Fragility [Audio Book]Avaliable from
      Gee, G. C. (2016). Racism as a social determinant of health inequities. Leveraging the Social Determinants to Build a Culture of Health, 1-2.
      Guerrero, E. G., Fenwick, K., Kong, Y., Grella, C., & D’Aunno, T. (2015). Paths to improving engagement among racial and ethnic minorities in addiction health services. Substance abuse treatment, prevention, and policy, 10(1), 40.
      Herron, A.J., Brennan, T.K. (2020) The ASAM Essentials of Addiction Medicine (3rd ed) New York, NY : Wolters Kluwer
      Hyman, I. (2009). Racism as a determinant of immigrant health. Ottawa: Strategic Initiatives and Innovations Directorate of the Public Health Agency of Canada.
      Netherland, J., & Hansen, H. B. (2016). The War on Drugs That Wasn’t: Wasted Whiteness, “Dirty Doctors,” and Race in Media Coverage of Prescription Opioid Misuse. Culture, medicine and psychiatry, 40(4), 664–686.
      National Survey on Drufg Use and Health (2018) Retrived from:
      NAACP Criminal Justice Fact Sheet (2020) Criminal Justice System: Law Enforcement; Retrived from

  8. Suesan Tracy

    Thank you for your time and education Dr. Hicks!

    1. Tracy Hicks

      My pleasure Suesan! Thank you for your the gift of your time and attention!

  9. Judith Pasternack

    Excellent and thought provoking. You have brought incredibly important information to this conference. Thank you for this outstanding presentation.

    1. Tracy Hicks

      Thank you Judith for your time and attention!

  10. Dana Murphy-Parker

    Excellent and timely presentation, Tracy. Thank you for putting all of this information together for us.] and providing this education which I was not familiar with.
    I also look forward to the position paper that you are planning through the FIAANs~

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