Social Care Network (SCN)
What Is the Social Care Network?
The Social Care Network (SCN) is a statewide initiative in New York designed to bridge the gap between the healthcare system and the social services communities need to thrive. Recognizing that health outcomes are deeply shaped by social conditions — where people live, what they eat, how they get to appointments, whether they can pay rent — the SCN creates structured pathways to address these health-related social needs.
ASHO is a certified SCN partner, bringing decades of bilingual community outreach experience to two distinct SCN initiatives across New York City. Through the SCN, ASHO navigators meet community members where they are — in neighborhoods, community centers, and homes — conducting screenings, providing personalized navigation, and connecting individuals and families to services that address their most pressing unmet social needs.
- Culturally competent, bilingual outreach in English and Bangla
- Personalized social needs screening for every community member
- Navigation to food, housing, healthcare, employment, and legal services
- ASHO Certified SCN Partner serving multiple NYC boroughs
- 3Boroughs Served
- 2Active SCN Initiatives
- 1,000+Community Connections
- CertifiedASHO SCN Partner
Our Two SCN Initiatives
ASHO participates in two distinct Social Care Network partnerships, each serving a different community across New York City.
Public Health Solutions PartnershipQueens · Manhattan · Brooklyn
SCN – PHSSocial Care Network – PHS Initiative
Led by Public Health Solutions (PHS), this SCN initiative serves communities across Queens, Manhattan, and Brooklyn. ASHO's role is to conduct outreach, provide bilingual navigation support, and connect eligible community members to social services that address their health-related social needs — meeting families in the languages they speak and the neighborhoods they call home.
Services Provided
- Food & Nutrition Support
- Healthcare Navigation
- Transportation Coordination
- Housing Assistance
- Employment & Benefits
- Mental Health Resources
- SCN – SOMOS
Social Care Network – SOMOS Initiative
Led by SOMOS Community Care, this initiative focuses exclusively on the Bronx community. ASHO serves as a key partner providing culturally competent, bilingual outreach and navigation services, ensuring Bronx residents can access the full spectrum of social supports they need. This initiative has a dedicated project subdomain at somos.asho-ny.org.
Services Provided
- Food & Nutrition Support
- Healthcare Navigation
- Transportation Coordination
- Housing Assistance
- Employment & Benefits
- Mental Health Resources
How the Social Care Network Works
From first contact to ongoing support — here is how ASHO walks with every community member through the SCN journey.
Community Outreach
ASHO staff conduct outreach across neighborhoods, in English and Bangla, connecting with families who may be unaware of available social services.
Needs Screening
A brief, private screening identifies each person's social needs — from food security and housing to healthcare access and employment support.
Service Connection
ASHO navigators connect individuals to the appropriate services and programs based on their unique needs — both within ASHO and through partner organizations.
Follow-Up & Support
We follow up to ensure services were received and continue support as needs evolve over time.
Services Addressed Through SCN
The SCN addresses a wide spectrum of health-related social needs. ASHO navigators connect community members to the right services based on their individual screening results.
Food & Nutrition
SNAP enrollment, food pantry referrals, and nutrition program access.
Housing & Shelter
Emergency shelter, rental assistance, and housing stability support.
Healthcare Access
Medicaid enrollment, primary care linkage, and preventive care navigation.
Employment Support
Job training referrals, benefits counseling, and workforce program connections.
Transportation
MetroCard assistance, medical transportation, and mobility support services.
Legal Aid & Benefits
SSI, disability benefits, immigration legal aid, and public benefits access.
Our SCN Partners
ASHO collaborates with two leading New York City organizations to deliver the Social Care Network across multiple boroughs.
- PHS
Public Health Solutions (PHS)
Queens, Manhattan & Brooklyn
Public Health Solutions is one of New York City's largest public health nonprofit organizations, working to make it easier for vulnerable New Yorkers to access the services and resources they need to live healthier, more stable lives. PHS leads the SCN–PHS initiative, with ASHO serving as a frontline community partner.
- SOMOS
SOMOS Community Care
The Bronx
SOMOS Community Care is a healthcare network of independent physicians and community health providers serving diverse New York City communities — with deep roots in Latino and immigrant neighborhoods across the boroughs. SOMOS leads the SCN–SOMOS initiative serving the Bronx, with ASHO as a key outreach and navigation partner.
Ready to Connect with SCN Services?
Whether you need food support, housing help, healthcare enrollment, or any other social service — ASHO's SCN navigators are here to help you find the right resources, in your language.