1. Families USA Health Action Conference 2017
Mouth, Mind, and Body
Families USA Health Action Conference 2017
Erin Loubier
February 16, 2017

2. Our mission is to be the highest quality, culturally competent community health center serving greater Washington’s diverse urban community, including individuals who face barriers to accessing care, and with a special expertise in LGBT and HIV care.

3. Whitman-Walker Health
Our Mission is to be the highest quality, culturally competent community health center serving greater Washington’s diverse urban community, with a special expertise in LGBT and HIV care and individuals who face barriers to accessing care.
Elizabeth Taylor Center
th Street, NW
1525 – New Health Center
th Street, NW
Youth (Metro Teen AIDS)
651 Pennsylvania Ave., SE
Max Robinson Center
2301 Martin Luther King Jr. Ave., SE

4. Our specialty populations
HIV-positive individuals
LGBT community
People facing barriers
…experience significant health disparities

5. Designing Service Delivery to Address Disparities
Integrated care teams – Medical provider, behavioral health specialist, adherence nurse care manager, insurance navigator, referral coordinator, lawyer, community health worker/retention specialist, nutritionist, etc.

6. “Mind and Mouth” Services
Mind – Behavioral Health
Psychiatry
Mental Health Therapy – Individual, Group, Peer Support
Substance Use Disorder Treatment – Outpatient Acute Stabilization, Psychotherapy Group, Relapse Prevention, Medication Assisted Treatment (abstinence and harm reduction options)
Screening and Assessment
Peer Support
Mouth
Preventive Care (cleanings, etc)
Restorative / Comprehensive Care (root canals, dentures, etc)
Aesthetics (whitening, etc)

7. Service Delivery Integrating “Mind and Mouth” to Improve Health
Mind – Behavioral Health Specialists embedded in medical team
Crisis intervention / ER diversion
Immediate connection for entry to behavioral health services
Short term therapy to bridge transitions (into/out of care, life events)
Screening and assessment
Evaluation and support letters for gender affirming surgery
Mouth – Significant expansion of capacity with the opening of 1525
Primary care reminders about making dental appointment
Dental screenings to promote health – understanding whole person (oral cancers, HIV, etc)
Cost/coverage impacts access
DC Medicaid adult dental coverage vs Medicare / commercial and no coverage
Sliding Fee Scale as FQHC – no cost or very low cost preventive visits; percentage fees for restorative work
Ryan White funds (HIV+ patients)
Wellness Services – Examples of specific enhancements to improve health outcomes / improve use of services
Dental referrals to smoking cessation programs
Acupuncture for managing pain instead of medication to access dental work or managing chronic pain instead of medication for patient in recovery program

8. Using Support Services for Engagement, Enhance Health, and Anchor Care – Wellness to improve Mind / Mouth Services
Wellness Services
Freedom From Smoking®
Reiki (Japanese mindfulness technique for stress reduction and relaxation that promotes healing)
Mindfulness Meditation
Therapeutic Massage
Yoga
Functional Fitness
Acupuncture
Nutrition Counseling
Diabetes Self-Management Education
(Legal services, navigation services, health and education services – other examples)

9. How to reach me Erin M. Loubier, Esq
How to reach me Erin M. Loubier, Esq. Senior Director for Health and Legal Integration and Payment Innovation Whitman-Walker Health th Street NW Washington, DC Direct: (202)