Mental Health, Substance Use, and Interpersonal Violence Audrey Denakpo, LBSW and Linda Knapp, PhD Prevention and Health Promotion Administration Center for HIV Prevention and Health Services May 21, 2019

MISSION AND VISION Prevention and Health Promotion Administration The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations.   VISION The Prevention and Health Promotion Administration envisions a future in which all Marylanders and their families enjoy optimal health and well-being.

Purpose Importance of Reliability and Validity Mental Health, Substance Use, and Interpersonal Violence Purpose Explore screening tools used across agencies in the Baltimore EMA Overall goal is to ensure an appropriate process is used across the EMA Importance of Reliability and Validity Reliability is the extent to which an experiment, test, or measuring procedure yields the same results on repeated trials Validity ensures screening tools used within EMA measure what they are intended to measure HRSA guidelines for Outpatient Ambulatory Health Services state that age appropriate, standardized tools be used for depression screenings Standardized tools are designed so the questions, conditions for administering, scoring procedures, and interpretations of the results are consistent and are administered and scored in a predetermined, standard manner.

Data Collection– Survey Monkey Sent Received 30 agencies in the Baltimore EMA: Local Health Departments Medical Clinics Specialty Clinics Support Services Housing Services Asked that survey be shared with anyone within the agency who might be best at answering the questions– multiple responses from a single agency were possible 40 total responses, 2 were duplicates (N=38) 25 different agencies responded

Who Administers the Tool? Mental Health, Substance Use, and Interpersonal Violence Who Administers the Tool? Who Gets Screened? Medical Healthcare Professionals Allied Healthcare Professionals Client Self Administered Other (peer counselors, front end staff, advocacy counselors) All Clients Only RW Clients Only Medical Case Management Only Nonmedical Case Management Only New Clients

Mental Health Screening 35 people responded to this question

Standardized Tool Mental Health A total of 21 sites use a standardized screening tool 13 sites do not use ANY standardized screening tool Some sites use multiple screening tools - 17 sites use AT LEAST one standardized tool

Mental Health Screening Frequency

Limited English Proficiency Mental Health Limited English Proficiency

Substance Use Screening 32 people responded to this question

Standardized Tool Substance Use A total of 17 sites use a standardized screening tool 13 sites do not use ANY standardized screening tool Some sites use multiple screening tools - 15 sites use AT LEAST one standardized tool

Substance Use Screening Frequency

Limited English Proficiency Substance Use Limited English Proficiency

Interpersonal Violence Screening 31 people responded to this questions

Standardized Tool Interpersonal Violence A total of 4 sites use a standardized screening tool 23 sites do not use a screening tool

Interpersonal Violence Screening Frequency

Limited English Proficiency Interpersonal Violence Limited English Proficiency

Summary Variation in practices and tools used: Within the EMA Within each agency Is the Planning Council satisfied with this level of variability within Baltimore EMA?

Maryland Department of Health Prevention and Health Promotion Administration 19