Addressing Perinatal Substance Use, Intimate Partner Violence & Mood Disorder Screening in a CPSP Setting Using a Collective Impact Model.

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Presentation transcript:

Addressing Perinatal Substance Use, Intimate Partner Violence & Mood Disorder Screening in a CPSP Setting Using a Collective Impact Model

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH CityMatCH What is CityMatCH? How your program might benefit?

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH CityMatCH Practice Collaborative to Prevent Substance Exposed Pregnancies Funded by CDC - National Center on Birth Defects and Developmental Disabilities Increase awareness of risks among health care providers Increase capacity to deliver screening & brief intervention services to women of reproductive age Six Teams: Baltimore, Dayton, Tampa, Denver, Portland, Sonoma

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Sonoma County Selected 3 Strategies 1.Screening & brief intervention of women seeking reproductive health services at 4 clinical sites 2. Decrease unintended pregnancy among women at high risk for continued use 3. Development of a community plan to address prescription drug misuse among women of reproductive age

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Adverse Childhood Experiences Context is key to successfully addressing perinatal substance us, IPV & mood disorder

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Collective Impact Public Health as the backbone organization in the collective impact process

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Collective impact provide a structure for cross-sector leaders to forge a common agenda for solving a specific social problem

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Plan-Do-Study-Act Process matters – buy-in from team essential to success

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Bundling Evidence Based Tools Preventing missed screening opportunities kpages/PESP%20final%20report.pdf kpages/PESP%20final%20report.pdf

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Women screened  for risky ETOH - 59% experienced DV/SA Physically abused women - >7x risk of ETOH in pregnancy Women with IPV % have symptoms of depression Teens in physically abusive relationships - 3-5x  risk of pregnancy Source: Family Violence Prevention Fund Substance Use Depressive Disorders Intimate Partner Violence

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Local Pilot Results 70% of women screened  for 1 or more areas  20%  ETOH - one third were < 21 yrs  20%  depressive disorder 6%  intimate partner violence 18%  marijuana 42% of non-pregnant women reported using either tobacco or marijuana < ¼ providers assessed birth control 15

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Learnings Marijuana, prevalence of IPV, and access to services for mood disorder dInfantHealthAssessment(MIHA)survey.aspx

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH 24,874 women - over a 7 year period of time …

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH The U.S. Surgeon General reported that smoking during pregnancy is responsible for 10% of all perinatal deaths. National Partnership to Help Pregnant Smokers Quit Tobacco

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Partners Matter!

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Sustainability Fit within CPSP! Billable opportunities – demonstrated need for behavioral health staff! vity/Pages/MO-NUPA-SystemsandEnvironmentalChange.aspx vity/Pages/MO-NUPA-SystemsandEnvironmentalChange.aspx

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Leveraging Data Leverage data to drive program change and resources

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Pregnant women in Sonoma County don’t smoke & drink … right?

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

FAS and the Brain A B C MRI of the corpus callosum of A. a 14-year-old with a normal corpus callosum; B. a 12-year-old with FAS and a thin corpus callosum; C. a 14-year-old with FAS and agenesis (absence due to abnormal development) of the corpus callosum. Source: Mattson, S.N.; Jernigan, T.L.; and Riley, E.P MRI and prenatal alcohol exposure: Images provide insight into FAS. Alcohol Health & Research World 18(1):49–52.

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Ongoing … Printing, quality assurance …

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Thank You! Next …. SBIRT Implementation ….