STAFF AND COMMITTEE REPORTS
July 21, 2014

REACH Grant Proposal
With the funding for all Community Transformation Grants ending in September, the CDC has issued several Funding Opportunity Announcements (FOA) for similar projects that address reduction of chronic disease through policy/systems/environmental approaches. One of these called REACH (Racial & Ethnic Approaches to Community Health) focuses on specific racial/ethnic populations in limited census tracks. Presbyterian Healthcare Services will be applying for this funding with a focus on the International District and the South Valley. BCCHC would be serving as the coalition to guide implementation and provide coordination needed for a collective impact approach. Some of the current CINCH projects would be continued through this funding, including the work of Farm to Table and Agricultura Network, and the involvement of CHWs in improving people's connections with clinical preventive services. New projects are being proposed with First Choice Community Healthcare, First Nations Community Healthsource, and Bernalillo County Place Matters. The proposal is due July 22, 2014, but notification of awards is not expected until late September 2014. More information is available from Leigh Caswell at .

Community Health Improvement Planning (CHIP) Process
The final deliverable to NMDOH was submitted for $5,000 on June 30, 2014. This document included the community input sources reported in last month's Staff Report. BCCHC has expressed intent to engage in a new deliverable for FY15 that will include continuing to solicit community input on Health Profile data, as well as community involvement in the process of identifying new or maintained priorities. All of this will help inform the Community Health Improvement Planning process that will be one of the DOH deliverables.

Opioid Accountability Initiative
Information is available at on the Opioid Accountability Summit held last September 2013. Reports and handouts from the June 12, 2014 update meeting will be available at that site soon. The Opioid Accountability Initiative Implementation Teams that were formed after the Summit are still open to new participants. The primary focus of each team plus the staff contact are as follows:

  1. Primary Prevention Implementation Team
  2. STAFF CONTACT: Tracy McDaniel, OHSS/Health Promotion Team,
  3. Working in 4 areas - meeting monthly since January 2014
  4. Integrated prevention plan for Bernalillo County
  5. Expanded access to drug counseling/prevention services for high school and middle school students
  6. Expand evidence-based early childhood support programs, including home visiting for first-time mothers with multiple risks
  7. Reduce supply of prescription opioid pain medication by increasing access to and usage of Prescription Drug Monitoring Database, prescribing guidelines, and promotion of evidence-based alternatives to Rx opioids for pain control
  1. Narcan Implementation Team (formerly Harm Reduction Implementation Team)
  2. STAFF CONTACT: Mark Clark, NMDOH Health Promotion,
  3. Meeting monthly since January 2014, the primary focus has been making availability of Narcan (naloxone) normal and universal, beginning with the following targets:
  4. MDC – Working to replicate programs being implemented in San Miguel and Santa Fe Counties where inmates at risk of opioid overdose (or being with others at risk) are provided Narcan upon release
  • Probation & Parole – Working to assure that people on probation/parole are not charged for a violation by possessing Narcan
  • Law enforcement officers – Working to replicate programs elsewhere that make sure that all police officers (City and County) are carrying Narcan and trained in its use
  • Pharmacists – Working to assure implementation of the recent authorization for pharmacists to prescribe Narcan and provide instructions to any patients receiving prescription opioid painkillers
  1. Treatment Implementation Team
  2. STAFF CONTACT: Marsha McMurray-Avila, BCCHC,
  3. Working in 3 areas - have met five times since January 2014
  4. Expand access to MAT (medically assisted treatment – methadone and buprenorphine) - First focus on continuing existing treatment and initiating new treatment at MDC. [This will now be functioning as a separate team, due to the amount of work needed.]
  5. Expand full array of treatment services aligned with ASAM guidelines – First focus on Medicaid enrollment at MDC, changing Medicaid requirement for co-occurring mental health diagnosis to get Medicaid coverage for substance use disorders, and assuring Medicaid coverage for full continuum
  6. Develop comprehensive and coordinated treatment system in Bernalillo County - First focus on developing a comprehensive inventory and mapping of current treatment services to determine gaps in capacity and levels of care as basis for an effective, coordinated system

Urban Health Extension

Enrique Cardiel, Urban Health Extension Coordinator, continues working on the following activities:

•Education = Health (E=H)E=H no longer has a navigator and additional funding is being sought so that a new navigator can be hired.This initiative involves working with a variety of partners from within the International District Healthy Communities Coalition (IDHCC) on educational attainment as a health promotion intervention. This is a multi-sectoral, place-based pilot intervention focusing on increasing HS Graduation, and GED attainment within the International District. This will involve a door-to-door approach to understanding neighborhood level needs and responding to barriers to education. The literature, and experience, shows us that substance abuse, housing quality, neighborhood and school safety, parental educational attainment, and other factors will need to be dealt with to change the situation. Focusing on a pilot area of approximately 425 houses will hopefully reap some learnings to scale this work successfully. The project has found much deeper need than we expected by discovering that at least 25 people on two-blocks are lacking a HS diploma and 20 are interested in attaining a diploma or GED. We have found a great need for English as a Second Language (ESL) skills and basic literacy. The Health Promotion Team has been working on collecting data to assess capacity to serve the thousands of people requiring support. Unofficially we have set the goal at everyone reading at a 12th grade level. As part of the “E=H” pilot there has been recruitment in both ESL and Adult Basic Literacy volunteers for Reading Works, ABQ GED, and the Emerson Elementary ABC Community Schools team.

• Facilitating International District Healthy Communities Coalition (IDHCC) in working toward coordinating services and policies to make the International District a great place to raise Happy, Healthy and Safe Children.

• Working with SE service providers to seek better ways to support those who are publicly intoxicated.

• Supporting organizations working with the Stories of Route 66, a project that engages residents of the International District in storytelling, art and design, transforming public spaces as well as creating a permanent "story plaza" along the Route 66/Central Avenue corridor.On the weekend of July 25-27, a weekend series of events, "ID LIVE!" will celebrate the people and places of the International District. ID LIVE! will feature art installations on empty lots, block parties, a short film festival, performance, workshops and exhibitions. Several of the installations as well as the films and performance have been co-created over seven months, involving over a hundred community members working with a Littleglobe artist team. The celebration is the culmination of Phase One of a larger project entitled "Stories of Route 66: the International District." A guide/map of events will be distributed prior to the event and handed out at various locations during the weekend. For a complete project description: Learn more