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Central District Coordinating Council Quarterly Meeting January 28, 2020

Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

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Page 1: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating

Council Quarterly Meeting

January 28, 2020

Page 2: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Infrastructure:

State Coordinating Council for Public Health Update– Denise Delorie, SCC Representative

Workgroup & Project Updates

• Infectious Disease update – Donna Guppy, Field Epidemiologist

• ACEs/Resiliency – Denise Delorie

• District-wide Prevention Messaging – Nicole Poulin, Jim Wood

• Partners for Recovery Grant – Shane Gallagher, Brie Karstens

• Vaccination Preparedness – Donna Guppy, Paula Thomson

Maine Center for Disease Control and Prevention

Page 3: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Infrastructure:

Prevention Services Contracts – any questions?

• Substance Use Prevention

• Tobacco Use & Exposure Prevention

• Youth Engagement

• ‘Let’s Go’ / Obesity Prevention

Maine Center for Disease Control and Prevention

Page 4: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

2020 Statewide and District Public Health System

Assessments

Proposed process and timeline

Public Health Sector representation and participation

Save the Date – April 28, 8am-4:30pm at Educare

Maine Center for Disease Control and Prevention

Page 5: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

2020 State Public Health System Assessment

& District Public Health System Assessments

National Public Health Performance Standards

Assessment Instruments

Based on four concepts:

1. Include 10 Essential Public

Health Services

2. Focus on the overall public

health system

3. Describe an optimal level of

performance

4. Support a process of quality

improvement

Purpose

• Improve public health system

performance

• Enhance understanding of the

public health system

• Build relationships within the

public health system

• Foster interest and awareness

in performance improvement

• Identify system strengths

and gaps to inform the

development of an

improvement plan.

Page 6: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

The Public Health System

Page 7: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

The Ten Essential Public Health Services

Page 8: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Scoring

Page 9: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Recording

Page 10: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

2011 Central District Public Health Improvement Plan –

Action Summary & Timeline

Priority District Need/Issue & Phase 1 Action Lead **see glossary on back for

abbreviations

2011 Timeline

1st quarter Jan-March

2nd quarter April-June

3rd quarter July-Sept

4th quarter Oct-Dec

Essential Public Health Service (EPHS) #7 - Linking people to needed personal health services and assure the provision of health care when otherwise unavailable

Develop EPHS #7 Workgroup work plan and work commitments LeeAnna Lavoie, Greater Waterville PATCH

Implement developed work plan

Develop & implement medication management messaging campaign encouraging patient engagement in their own care

Dr. Roger Renfrew, Redington-Fairview GH

EPHS #4 - Mobilizing community partnerships to identify and solve health problemsPaula Thomson, Central PH District, OLPH Connect DCC to newly formed District Youth Council

EPHS #3 – Inform, educate, and empower people about health issues Bill Primmerman, Greater Somerset PHC

Implement developed work plan

Form new DCC workgroup to address EPHS #3 goals

Use Central District Public Health Unit Updates and DCC website to communicate important information to DCC, LHOs, & partners

Paula Thomson, Central PH District, OLPH

Use Central District Public Health Unit Updates and DCC website to communicate health evidence & best practices resources to DCC, LHOs, and district partners

Paula Thomson, Central PH District, OLPH

Conduct 1-2 LHO certification & training programs in 2011 Paula Thomson, Central PH District, OLPH

Vaccination Coordination and Support (EPHS #3, #4, & #7) Donna Guppy , Central District Epi, MCDC, & Paula Thomson, Central PH District, OLPH Establish & implement DCC Vaccination Work Group & communication network

Incorporate 2011 Central DPHIP into state DPHIP template & submit to SCC Paula Thomson, Central PH District, OLPH

Identify new Central DPHIP Priorities in Community (HMP) & Partner Plans HMPs & DCC

Other DCC Partner Plans & Central District Issues Presented to DCC DCC

Provide Input for State Health Plan & HealthyMaine 2020 DCC

Review 2011 Central DPHIP Implementation Progress DCC Workgroups & DCC

Incorporate Priorities Identified in Community & Partner Plans DCC

Update Central DPHIP for 2012 DCC Workgroups & DCC

Page 11: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Central District Opioid Response:

Trauma Informed Care/Communities

Denise Delorie, Mid-Maine Substance Use Prevention Coalition,

Healthy Northern Kennebec

Kristina Stewart, Community Program Coordinator,

MaineGeneral Prevention & Healthy Living

Danielle Denis, Program Coordinator, Drug Free Communities

Support Grant, Somerset Public Heal

& networking break…

Maine Center for Disease Control and Prevention

Page 12: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Maine Center for Disease Control and Prevention

Central District Opioid Response (continued) :

Referral to Treatment

Brie Karstens, Community Program Coordinator,

MaineGeneral Prevention & Healthy Living

Betsy Richard, Opioid Response Coordinator, Somerset Public Health

Recovery Coaching and Supports

Betsy Richard, Opioid Response Coordinator, Somerset Public Health

Pat McKenzie, MaineGeneral Prevention & Healthy Living

Kristina Stewart, Community Program Coordinator,

MaineGeneral Prevention & Healthy Living

Page 13: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Screening to Referral DCC Meeting

1/28/2020

MaineGeneral Harm Reduction Program

Page 14: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Screening and Referral Workgroup

• Objectives1. Complete an assessment of OUD services, and implement a system

to maintain current and accurate information in a centralized call center “HUB” directory of regional treatment options and supports for OUD.

2. Increase the number of law enforcement, healthcare professional, and social service providers that are screening and referring individuals and families to OUD services and treatment via the HUB.

Page 15: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Screening and Referral Workgroup

• Objective 1

– Finalizing the OUD resource guide

• Meeting with Marketing in February

– Need to develop a plan for maintaining/updating

– Train HUB staff at MaineGeneral

• Staff able to link people to the resources in guide

• Outcomes– Increase the number of people referred to treatment via

the HUB

Page 16: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Screening and Referral Workgroup

• Objective 2– Develop SBIRT training plan and presentations for

• law enforcement, healthcare professionals, and social service and peer recovery staff.

– Develop sample referral workflows

– Schedule trainings and deliver to organizations identified by workgroup

• Outcomes– Sample Workflows, training presentations, # of individuals

trained

Page 17: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Lets Discuss

• What do you think about our trifold?

• What could be used to give clients who could benefit from recovery services? ( for officers, first responders, etc)

• What other resources should we develop for different populations?

• What is the best way to schedule the trainings and education?

Page 18: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Join Us!

If you would like to participate in the Screening and Referral Workgroup please contact

Meeting scheduled 3/10/2020 @ 10 am

ACH Classroom 3

Brie Karstens @ 626-7346

[email protected]

Or

Alexis Perry @ 626-7355

[email protected]

Page 19: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Maine Center for Disease Control and Prevention

Increasing Harm Reduction Capacity in the Central District?

Harm Reduction

Amelia Bailey, Health Educator,

MaineGeneral Prevention & Healthy Living

Lexi Perry, Health Educator,

MaineGeneral Prevention & Healthy Living

Syringe Service (exchange) programs

LeeAnna Lavoie, Director of Prevention Services,

MaineGeneral Prevention & Healthy Living

Matt L’Italien, Project Director, Somerset Public Health

Page 20: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Harm Reduction Strategies District Coordinating Council

JANUARY 28, 2020

Alexis Perry, Amelia Bailey, & Betsy Richard

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 21: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Maine Opioid Response Action Plan

• Harm Reduction Priorities

– Make naloxone available to anyone who needs it

– Maximize data to reduce harm

– Promote the understanding and use of harm reduction

strategies

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 22: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Current Harm Reduction Activities

• Naloxone training & distribution (MaineGeneral and Somerset

Public Health)

• Sex & Drugs Jeopardy

• HIV/HCV Testing

• Next Step Needle Exchange

– Anonymous, 1-for-1 exchange

– Clean supplies

– Testing

– Education

– Referrals

– Naloxone

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 23: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Future-In the Works

• Trainings

– Harm Reduction (Principles, our activities, etc.)

– HIV Training

– Hepatitis Training

– Substance-Specific Trainings

– Safe Storage of medications

– Proper, safe disposal of drugs

– Education on not sharing medications

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 24: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Future

• Next Step Needle Exchange-Expansion

– Hours will be expanding in both the Waterville and Augusta

locations

– Increase in community outreach to make the communities

aware of our services

• Expanded overdose prevention and naloxone

distribution jails

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 25: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Discussion

• How do we increase public education efforts

surrounding naloxone/overdose prevention?

• What other types of trainings or education should we

develop?

• Who are our key target populations for each of these

trainings and how do we reach those people?

– Where could we distribute materials?

– How do we get more community involvement?

MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION

Page 26: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Central District Coordinating Council (DCC)

Updates & Networking Asks from the DCC

Wrap Up, Next Steps, Evaluation

• thank you for filling out the meeting evaluation!

Next DCC Meeting & LPHSA = April 28, 2020

8am-4:30pm at Educare

Maine Center for Disease Control and Prevention

Page 27: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

HRSA2 SUPER

Grant – Goals, and Work Plan

At a GlanceDCC Meeting

January 28, 2020

Kristina Stewart, MPH., Community Programs Coordinator – Prevention & Healthy Living

Page 28: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

GOALS

Goal 1

Improve coordination and

collaboration across the region for

SUD/OUD opportunities

Goal 2

Increase access to quality prevention,

treatment, and recovery services

Goal 3

Decrease infectious complications and

overdoses by expanding harm reduction and

recovery services

Goal 4

Improve individual, family, caregiver and community support

for recovery and treatment

Page 29: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Work Plan

• Recruit Partners in the Consortium

- new members

- ADA – Kristin Murray-James

- Faith based; Rev. Kristin White

- Grandparent/Caregiver – Donna Allen

• Identify workgroups

– ongoing

Page 30: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Assessments

• Currently using MYHS Data

• USM – quantitative/qualitative analysis

• Scheduling meeting with schools – ACE’s and developing school assessment questions –Winslow so far…

• Grandparent assessments – barriers to treatment and recovery, social services, reducing stigma etc.

Page 31: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Assessments cont.• Assessing needs of providers

• Asking what do you need, want…from grant?

- Referrals for HCV + patients

- Follow up to referrals

- Screening and referral training – best practices

• Enhance discharge coordination prisoner re-entry

Page 32: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Assessments cont.• Increased distribution of Naloxone boxes

• Increase access to recovery coaches and OHH (Opioid Health Home)

• Trauma-informed care trainings

• Provide and educate around appropriate verbiage and evidence based treatment and prevention strategies

Page 33: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Preventions and Implementations• Members of consortium identified

• Relationship with schools has begun

– Winslow school system

• Upcoming meeting with Donna Griffin –Director of Snow Pond Senior Center and Fran Mullin – Director of Healthy Northern Kennebec – grandparent/caregiver

• Ongoing collaboration with Bruce Noddin –Maine Prisoner Re-entry program

Page 34: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Preventions and Implementations• Navigating referral process and follow-up

with patients diagnosed with HCV

• Staff training for certification in rapid HIV/HCV testing – Feb 27 & 28 – this will increase testing possibilities and availability

• MLK Day event – resulted in 20 Naloxone boxes handed out – this will be an ongoing effort in the community

Page 35: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Preventions and Implementations• Collaborating with Somerset Public Health on

their planning grant

• Year 2&3 will target more comprehensive approaches to recovery and recovery coaches

• Working with Robin Cochrane-Crane and Patricia Mackenzie to increase access to recovery coaches and implement regular HIV/HCV testing at the new OHH (Somerset County)

Page 36: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Potential Outcomes➢ Enhanced capability of responding and/or providing

emergency treatment to those with SUD/OUD

➢ Eliminate stigma, improve understanding of evidence-based treatments/prevention strategies with the public/family/caregivers

➢ Increased school prevention programs

➢ Increased referral and recovery services

➢ Increased provider training and knowledge

➢ Increased home and community based support structures

➢ Increased access to recovery/treatment for prisoner re-entry

➢ Increased referrals and tracking of positive HIV/HCV patients

Page 37: Central District Coordinating Council Quarterly Meeting...Jan 28, 2020  · Central District Coordinating Council (DCC) 2020 Statewide and District Public Health System Assessments

Thank You!

January 28, 2020

Maine Center for Disease Control and Prevention