Central District Coordinating Council Quarterly Meeting January 28, 2020
Central District Coordinating
Council Quarterly Meeting
January 28, 2020
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
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
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
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.
The Public Health System
The Ten Essential Public Health Services
Scoring
Recording
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
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
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
Screening to Referral DCC Meeting
1/28/2020
MaineGeneral Harm Reduction Program
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.
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
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
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?
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
Or
Alexis Perry @ 626-7355
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
Harm Reduction Strategies District Coordinating Council
JANUARY 28, 2020
Alexis Perry, Amelia Bailey, & Betsy Richard
MAINEGENERAL DRUG OVERDOSE PREVENTION AND HARM REDUCTION
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
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
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
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
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
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
HRSA2 SUPER
Grant – Goals, and Work Plan
At a GlanceDCC Meeting
January 28, 2020
Kristina Stewart, MPH., Community Programs Coordinator – Prevention & Healthy Living
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
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
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.
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
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
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
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
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)
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
Thank You!
January 28, 2020
Maine Center for Disease Control and Prevention