12/23/2025
The SDoH Solutionary® Designation recognizes applied practice in understanding and addressing the conditions that shape health, opportunity, and lived experience. The designation is grounded in five core domains that operate together across systems and across time.
Intragenerational Mobility
This domain examines how education, employment, income stability, housing, and access to opportunity shift within a single lifetime. It focuses on how early advantages or disruptions compound over time and how policies, workplace practices, and life transitions either expand or constrain choice.
Practitioners learn to assess not only where someone is now, but how their trajectory has been shaped by cumulative access or exclusion.
Sample applied question: How does housing loss cascade across all domains?
Answer: It disrupts work stability, alters inheritance and asset building, strains Soul Care, fractures community ties, and limits digital access needed for jobs, services, and connection.
Intergenerational Equity
This domain explores how resources, wealth, culture, trauma, resilience, and knowledge are transferred across generations. It recognizes that health outcomes are shaped not only by individual behavior, but by what was inherited or withheld long before adulthood. The focus is on legacy patterns, caregiving roles, cultural memory, and how systems either repair or reinforce historical inequities over time.
Practitioners learn to identify how past decisions continue to shape present conditions and future possibilities.
Soul Care
Soul Care centers on emotional, mental, spiritual, and moral wellbeing as foundational to capacity, agency, and decision-making. This domain addresses grief, burnout, moral injury, meaning-making, and the internal costs of navigating misaligned systems. It recognizes that people cannot sustainably engage with care, work, or community when their inner resources are depleted or violated.
Sample applied question: Moral injury most often arises from:
A. Skill gaps
B. Value conflict and institutional harm
C. Time poverty
D. Policy change
Correct answer: B
Explanation: Moral injury stems from violations of deeply held values, often occurring when individuals are forced to act against their ethics within institutional constraints.
Community Networks
This domain looks at the people, places, environments, and institutions that shape belonging, trust, safety, and access. It includes neighborhoods, faith spaces, workplaces, schools, care systems, and informal support networks. The emphasis is on how connection or isolation influences resilience, information flow, and the ability to navigate systems during both stability and crisis.
Practitioners assess not just services, but relational infrastructure.
Virtual Neighborship
Virtual Neighborship examines how digital spaces now function as neighborhoods that shape identity, opportunity, power, and exclusion. This includes access to technology, digital literacy, algorithmic bias, online labor markets, telehealth, and social connection. The domain recognizes that digital presence increasingly determines who is seen, supported, and heard.
Practitioners learn to evaluate digital access as a determinant of belonging, not a convenience.
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https://www.leavesspeak.com/sdohsolutionary
Explore the SDoH Solutionary immersive fellowship by Dr. Maurya Dominica Cockrell, designed to address the social roots of health through joy, justice, and legacy-centered care.
