Audience Response Where We Live, Learn, Work Who is in our - PDF document

6/12/2014 Creating Healthy Environments Audience Response Where We Live, Learn, Work • Who is in our audience? Select the answer that most and Receive Care closely describes your work. Arizona Department of Health Services Division of Public Health Services 1. Academia 2. Direct Service Provider Presenters: 3. Program Administrator Sherry Haskins, Health Policy Manager - Bureau of Health Systems Development Anna Alonzo, Chronic Disease Office Chief - Bureau of Tobacco and Chronic Disease Matthew Leversee, Healthy School Specialist - Bureau of Nutrition and Physical Activity Health and Wellness for all Arizonans Health and Wellness for all Arizonans Mission of Health Systems Development Objectives of Presentation: To optimize the health of Arizona residents by developing and strengthening systems services to expand access to primary care and other services Increased knowledge of Policy, Systems, and Environmental (PSE) • change with emphasis on the health needs of underserved people and areas. Increased knowledge of how to integrate Behavioral Health and • Public Health strategies Identify one PSE strategy that could be to utilized by your agency • Health and Wellness for all Arizonans Health and Wellness for all Arizonans 1

6/12/2014 Core Functions  Primary Care Office for Arizona  Develop and implement strategies for strengthening primary care/health care delivery system  Administer programs to increase the number of providers/ improve services in underserved areas  Identify areas that need improved health services/assist with federal/state shortage designations  Provide TA to statewide partners Health and Wellness for all Arizonans Health and Wellness for all Arizonans Health in Arizona Policy Initiative (HAPI) What is Health in All Policies (HiAP)? • It is a strategy to assist leaders and policymakers to • Health in Arizona Policy Initiative (HAPI) utilizes evidence- integrate health, well-being and equity in the based approaches to address population health needs including development, implementation, & evaluation of policies the: and services. – Health in All Policy Framework – Health Impact Pyramid – Strategies are meant to ensure all policies and services – National Prevention Strategy from all sectors have beneficial or neutral impact on the determinants of health. How can Behavioral Health be integrated into these evidence- based approaches? Source: Department of Health, Government of South Australia. (2010). Implementing Health in All Policies: Adelaid 2010. http://www.who.int/sdhconference/resources/implementinghiapadel-sahealth-100622.pdf Health and Wellness for all Arizonans Health and Wellness for all Arizonans 2

6/12/2014 Why Worksites? Health in Arizona Policy Initiative (HAPI) • Three year initiative funded through tobacco tax, state lottery and federal Title V dollars. • Focus Areas include Healthy Worksites, School Health, Community Design / Healthy Communities, Clinical Care, & Procurement Health and Wellness for all Arizonans Health and Wellness for all Arizonans Purpose of the Healthy Arizona Worksites Program Healthy Arizona Worksites Program Goals • Reduce the risk of chronic disease among employees and their To help Arizona employers successfully implement families through evidence-based workplace health evidence-based healthy worksite initiatives to interventions and best practices. improve the health of their employees and businesses. • Promote sustainable & replicable workplace health activities. • Promote peer-to-peer healthy business mentoring. Health and Wellness for all Arizonans Health and Wellness for all Arizonans 3

6/12/2014 Program Structure HAWP Utilizes the CDC Worksite Health ScoreCard • Arizona Department of Health Services (ADHS) A tool designed to help employers assess the extent to which they • Maricopa County Department of have implemented science-based Public Health (MCDPH) health promotion interventions in their worksites to prevent heart • Arizona Small Business Association disease, stroke, and related chronic (ASBA) conditions. Health and Wellness for all Arizonans Health and Wellness for all Arizonans 13 The CDC Worksite Health ScoreCard (HSC) CDC ScoreCard – Behavioral Health Areas Stress Management Assesses best practice health promotion interventions: • In the past 12 months did your worksite: o Provide dedicated space where employees can engage in relaxation  Tobacco control  High cholesterol activities, such as meditation, yoga, biofeedback?  Nutrition  Diabetes o Sponsor or organize social events throughout the year? o Provide stress management programs?  Physical activity  Signs and symptoms of o Provide work-life balance/ life-skills programs?  Weight management heart attack and stroke o Provide training for managers on identifying and reducing workplace  Emergency response to  Stress management stress-related issues? o Provide opportunities for employee participation in organizational heart attack and stroke  Depression decisions regarding workplace issues that affect job stress?  Organizational supports  High blood pressure New: Lactation Support, Immunization, Community Connectedness, Worksite Safety Culture Health and Wellness for all Arizonans Health and Wellness for all Arizonans 4

6/12/2014 Public Health in Action CDC ScoreCard – Behavioral Health Areas Depression • In the past 12 months did your worksite: • Collaborative initiative across the Division of Public Health Prevention o Provide free or subsidized clinical screening for depression (beyond HRAs) followed-by directed feedback and clinical referral when appropriate? Services o Provide access to online or paper self-assessment depression screening tools? • New 5 Year grant (Beginning June 29, 2013-Ending June 30, 2018) o Provide brochures, videos, posters, pamphlets, newsletters , or other written or online information that address depression? o Provide a series of educational seminars, workshops, or classes on • The CDC grant is a combination of two components: Basic (Non- preventing and treating depression? Competitive) and Enhanced (Competitive) o Provide on-on-one or group lifestyle counseling for employees with depression? • o Provide training for managers on depression in the workplace? Supports the implementation of targeted strategies resulting in o Provide health insurance coverage with no or low out-of-pocket costs for measureable impacts addressing School Health, Nutrition and Physical depression medications and mental health counseling? Activity, Obesity, Diabetes, Heart Disease and Stroke Prevention Health and Wellness for all Arizonans Health and Wellness for all Arizonans Public Health in Action Public Health in Action • The grant is guided by CDC’s Chronic Disease Prevention and Health • Promote Collaboration and De-Siloing Promotion’s Four Domains: Domain 1-Epidemiology & Surveillance Domain 2-Environmental Approaches that Promote Health • Promote Policy Systems and Environmental (PSE) Domain 3-Health Systems Intervention, and Change/Public Health Approaches Domain 4-Strategies to Improve Community-Clinical Linkages • Budget for Year 1: • Combines the former CDC Diabetes, Heart Disease, Basic Component $624,404 Obesity and School Health funding Enhanced Component $1,291,468 Total Grant: $1,915,872 • Effectively and Efficiently Address the CDC Four Domains Health and Wellness for all Arizonans Health and Wellness for all Arizonans 5

6/12/2014 Empower Schools Audience Response • PHIA-Basic and Enhanced (School Health) - Pilot program in Local Educational Agencies (LEA = school districts) Policy, System and Environment (PSE) change - Partner with Az Department of Education (ADE) Health and 1. Refers to how funding is utilized. Nutrition Team 2. Is implemented to positively impact population health. • Empower model started in Early Childcare Education facilities-2010 3. Evaluates the health of the community. “super - hero themed” • Ten wellness standards for healthier youth and policies to address them • Expansion - Empower Plus - Empower Home Visiting - Empower Schools Health and Wellness for all Arizonans Health and Wellness for all Arizonans Empower Schools Empower Schools • • Quick history of what school policies need to address: Nine LEAs across seven counties through 2018 • Wellness policy leadership - ~38,000 students • Inclusion • • Nutrition promotion/education Creation of ten wellness standards, guidebook and policies • - “ Empower Schools addresses physical activity and education, safety, Physical Activity/Physical Education • nutrition and health promotion in the school environment” Other student wellness programming • Food/beverage marketing • • Updates, assessment, public notice Based off of CDC-Coordinated School Health Model • Oversight - (Health education, physical education, health/nutrition, counseling/psychological, health promotion, community involvement) Health and Wellness for all Arizonans Health and Wellness for all Arizonans 6