Weaving ACEs Science into MCAH Title V efforts Community Needs Assessment - Priority Areas (FHOP) Scope of Work - Goals - Objectives - Activities Community Profile - (FHOP Template) ROI and Medi-Cal Managed Care - funding? Next Steps - simple to complex Journal articles and more Six Specialized CDPH MCAH Programs: 1) Adolescent Family Life Program (AFLP) 2) Black Infant Health Program (BIH) 3) Comprehensive Perinatal Services Program (CPSP) 4) Fetal Infant Mortality Review (FIMR) 5) Sudden Infant Death Syndrome (SIDS) 6) California Home Visiting Program (CHVP)

Trauma Informed California Vision - early adopters CA Bridge Program -Trauma Informed Foster Care Services CA Essentials for Childhood Initiative First 5 Trauma-Informed Collaborative San Diego State University ACE Connection Strategies 2.0 Northern Region Strategies 2.0 Southern Region UC Davis ACEs Connection Others? Links found on CA ACEs Action site - on ACEs Connection

Counties with ACEs Connection Communities Placer County Sacramento County San Bernardino County San Diego County North County San Diego San Diego City Heights San Francisco County Santa Barbara County Santa Clara County Sonoma County Ventura County Yolo County Alameda County Butte County Del Norte County El Dorado County Fresno County Humboldt County Kern County Lake County Los Angeles County Napa County Mendocino County Orange County

Community Needs Assessment Q 5 years

Community Needs Assessment Resources [FHOP] Problem Analyses: Maternal Health Potential Precursors MV Injury 0-4yrs Potential Precursors Obesity Potential Precursors Oral Health Potential Precursors Partner and Family Violence Potential Precursors Perinatal Mood Disorders Potential Precursors *Perinatal Substance Use Potential Precursors Preconception Health Potential Precursors Premature Births Potential Precursors Prenatal Care Entry and Adequacy Potential Precursors SIDS Potential Precursors Access to Care Potential Precursors. Adolescent injury Adolescent Mental Health Potential Precursors Adolescent Pregnancy Potential Precursors Adolescent Sexual Health Potential Precursors Adolescent Violence Potential Precursors Blank PA with boxes Breastfeeding Potential Precursors Child Abuse Potential Precursors Child Injury Death 0-14yrs Potential Precursors Child Injury Potential Precursors Infant Mortality Potential Precursors

Perinatal Substance Use: Problem Analysis Diagram

MCAH Annual Scope of Work [6 goals] *Identify and monitor the health status of women of MCAH population including the social determinants of health and access/barriers to the provision of: Preventive, medical, dental, and social services *Participate in collaboratives, coalitions, community organizations, review data and develop policies and products to address social determinants of health and disparities. *WOMEN/MATERNAL DOMAIN: Improve access and utilization of comprehensive, health and social services for reproductive age women. Examples of focus areas can include but are not limited to: · Well-women visit · Mental health · Substance use · Chronic disease · Preconception/ Interconception care · Birth Intervals-Spacing · Unintended/mistimed pregnancy · Family planning · Intimate partner/domestic violence Organize intervention activities using the three core functions of PH: Assessment, Policy Development and Assurance*

What we intuitively know

Partnership Health Plan (MCMC) Local Innovation Grants on Social Determinants of Health Planning Grants: Hill Country Community Clinic Northeast $50,000 will investigate the feasibility of the development of the Center of Hope, a village campus to be created in Redding California to provide medical care, training, substance abuse treatment and hope to homeless individuals, with Medi-cal. Shasta County HHSA - Public Health Branch Northeast $50,000 Develop a coalition of health care providers to pilot test screening, assessment, and connection to services for patients with history of Adverse Childhood Experiences (ACE). First 5 Shasta Northeast $31,500 Planning for Implementation of Help Me Grow Developmental Screening and Referral Model in Shasta County. Health Alliance of Northern California on behalf of Siskiyou Healthcare Collaborative Northeast $47,152 will form a Social Determinant of Health subcommittee to identify needs, resources, priorities and strategies to effectively address key social determinants impacting health outcomes for residents. California School-based Health Alliance Southwest/Southeast $50,000 School-based health centers in PHC’s Southeast and Southwest Regions will conduct assessment of patient needs, community partnerships, and their own capacity and use this information to develop plans for strengthening their work on social determinants of health. Implementation Grants: North Coast Clinics Network Northwest $500,000 Rx for Wellness is a comprehensive, integrated patient centered program that fosters cultural change in the health care delivery system by supporting patients in achieving their individual wellness goals and by optimizing patients’ access to resources that support healthy eating, active living, educational gardening, and community engagement. La Clinica de La Raza, Inc. Southeast $250,864 La Clínica proposes to begin a Transitions Clinic, which will provide a patient-centered medical home to 100 patients with a recent history of incarceration who require ongoing care for chronic medical conditions. In partnership with corrections officials, local government and numerous community-based organizations, the goals of the Transitions Clinic are to improve health outcomes, improve health care delivery, and reduce health care costs. Yolo County HHSA Southeast $499,125 The Bridge to Health and Housing project proposes to use a PHC Local Innovation Grant to improve the health and well-being of people experiencing homelessness in Yolo County who are medically vulnerable. Ukiah Valley Medical Center Southwest $394,000 The proposed program will provide healthcare services and connections to social services to homeless individuals at non- traditional sites in Mendocino County, resulting in increased access to care and improved health status among the target population. Through reducing this population’s utilization of emergency and inpatient services by 20% or more, the project will reduce the overall cost of providing healthcare. Petaluma Health Care District Southwest $86,469 Fund the Petaluma Sober Circle Serial Inebriate Program, a two-year pilot project designed to connect the chronically inebriated homeless to programs and services that will help break the cycle of poverty and addiction while promoting a safer community with a higher quality of life for all Petaluma residents. Sonoma County Task Force for the Homeless / Health Care for the Homeless Collaborative Southwest $134,655 will complete develop, launch and monitor a countywide Serial Inebriate Program including 6-month residential treatment beds to provide residential treatment beds to provide the support needed to stabilize the lives of chronically intoxicated people cycling repeatedly through emergency departments and law enforcement contacts and costing local services over $9 million/yr.

Simple steps to bring folks together