follow-up services for detectable cancers. source: Maine Cancer Registry, baseline: 40.6 per 100,000 (2012)) o Uninsured and Under-insured (excluding MaineCare members, or those with Medicare Part B) o ≤250% of Federal Poverty Level 2.1.B. Distribute information to and support health care providers to adopt USPSTF breast cancer screening recommendations. Maine Breast and Cervical Cancer Program, health care providers 2.1.C. Provide outreach to and educate under-served Maine women who have not received a mammogram in the past two years. Breast and Cervical Cancer Program, Health care providers Priority: Cancer (continued) Goals Objectives Strategies Partners 2. Provide evidence-based cancer screening and follow-up services for detectable cancers. (continued) 2.1. Reduce late-stage diagnoses of breast cancer. (continued) 2.1.D. Support community-based strategies with health systems and employers that improve self-management behaviors that reduce the risk for developing cancer. Maine CDC Chronic Disease Program, Maine Breast and Cervical Cancer Program, health care providers, employers 2.1.E. Increase cultural competency of health and public health professionals around messaging to the community and increase awareness of cancer disparities within the LGBTQ+ community among health care providers and patients. Health Equity Alliance (HEAL)/Healthy Communities of the Capital Area (HCCA) 2.1.F. Promote screening practices among LGBTQ+ patients HEAL/HCCA 2.2. Reduce late-stage diagnoses of lung cancer to 71.4% by 2020 (Data 2.2.A. Conduct annual survey to assess availability of Computed Tomography services in Maine for lung cancer screening to identify gaps in screening services. Maine CDC Chronic Disease Program
have diabetes (2016 BRFSS) and one in three (34.1%) adults have high blood pressure (2015 BRFSS). Managing these diseases well can reduce the burdens they cause. Priority: Chronic Diseases Note: During 2017-2018 the Maine CDC will be responding to new guidance from the US CDC to address chronic disease based on the latest evidence-base practices. The State Health Improvement Plan will be updated to reflect changes to US CDC funding requirements. Goals Objectives Strategies Partners 1. Increase of asthma. 1.1. Increase the number of people with asthma and/or their caregivers who are provided with evidence-based asthma self-management education that is funded by Maine CDC* to 650 by 2020. (Data source: Maine CDC Chronic Disease Prevention and Control Program, baseline (2016) 50) *no data source exists for all people who have had asthma self-management education, therefore, this objective is focused on only that Maine CDC funds. 1.1.A. Provide training to health care worker (Community Health Workers, Community Paramedics, Head Start staff, others as identified) to enable them to provide patient self-management education to patients with poorly controlled asthma. Maine CDC Chronic Disease Prevention and Control Program, United Ambulance 1.1.B. Provide asthma specific training to community partners to enable service providers to provide evidence-based education. Maine CDC Chronic Disease Prevention and Control Program, Community Health Workers, Community Paramedics, Head Start 2. Increase of pre-diabetes and diabetes. 2.1. Increase the number of people with pre-diabetes who have completed the National Diabetes Prevention Program (NDPP) to 3,000 by 2020. (Data source: U.S. CDC DPRP State level data report, baseline: 1,500 (August 2017)) 2.1.A. Develop and implement policies/ protocols that facilitate referral and navigation to U.S. CDC-recognized National DPP provider sites. (see See also: ) Maine CDC Chronic Disease Prevention and Control Program, US CDC recognized DPRP\NDPP sites management
2.1.B Increase reimbursement for provision of the National DPP. Maine CDC Chronic Disease Prevention and Control Program, Office of MaineCare Services Priority: Chronic Diseases (continued) Goals Objectives Strategies Partners 2. Increase of pre-diabetes and diabetes. (continued) 2.2. Increase the number of people with diabetes who report that they have taken a formal diabetes self-management course in the last year to 6,500 by 2020. (Data source: Maine CDC DSMT records, baseline: 5,233 (2016)) 2.2.A. Increase the number of locations where accredited DSMT sites offer DSMT services. Maine CDC Chronic Disease Prevention and Control Program, Accredited DSMT sites in Maine 2.2.B Increase reimbursement for ADA-recognized, certified, or Stanford-licensed DSME programs. US CDC, Center for Chronic Disease Prevention and Health Promotion, Maine CDC Chronic Disease Prevention and Control Program 2.2.C. Increase participation in DSME programs among older Mainers via Area Agencies on Aging. Maine Office of Aging and Disability Services, Area Agencies on Aging 3. Increase of high blood pressure. 3.1. Increase the proportion of adults who are aware that they have high blood pressure to 36%* by 2020. (Data source: BRFSS, baseline 34.1% (2016), *may be adjusted in the future to reflect new guidelines) 3.1.A. Implement the Million Hearts initiative – primary care settings follow evidence-based protocols for BP screening and follow-up for patients not at goal for blood pressure. Maine CDC Chronic Disease Prevention and Control Program, Health Information Exchange(HIE) subscribing healthcare organizations 3.2. Increase the number of people who monitor own blood pressure monitoring with clinical support. (Data 3.2.A. Develop and implement policies/ protocols that facilitate the use of the Million Hearts algorithm in care settings Maine CDC Chronic Disease Prevention and Control Program, Clinical partners implementing
Priority: Healthy Weight (continued) Goals Objectives Strategies Partners 2. Increase breastfeeding. 2.1. Increase the average maternity practices in infant nutrition and care (mPINC) scores for birthing hospitals to 89 in 2019. (Data source US CDC mPINC state report baseline: 84 out of 100 (2015)) 2.1.A Implement practices supportive of breastfeeding in prenatal practices and birthing facilities via education, consultation, communication, technical support and quality improvement collaboratives. State Breastfeeding Specialist, WIC Breastfeeding Coordinator, IBCLCS/CLCS (international of certified lactation consultants/ certified lactation consultants), birthing facilities in Maine, obstetric and pediatric care providers 2.2. Increase breastfeeding initiation among WIC clients enrolled during the pregnancy to 81% in 2020. (Data source: WIC Spirit, baseline: 78% (SFY2017)) 2.2.A Provide counseling and consultation to new mothers by certified lactation specialists and peer mothers. Maine CDC WIC program, WIC community agencies 2.2.B. Loan high-quality breast pumps to WIC mothers who are breastfeeding. Maine CDC WIC program, WIC community agencies 3. Increase physical activity. 3.1. Increase the proportion of youth who are physically active for at least 60 minutes during 7 out of 7 days. (Data source: MIYHS, baseline: 20.3% (HS) (2017), target: 21.5% (2019)) 3.1.A Promote the adoption of physical education policies for schools. Maine Dept. of Education, Maine CDC Let’s Go!, SAUs 3.1.B Promote the adoption of recess policies for schools. Maine Dept. of Education, Maine CDC Let’s Go!, SAUs 3.1.C Develop and implement comprehensive physical activity programming before, during, and after school (such as recess, classroom activity breaks, walk/bicycle to school, physical activity clubs). Maine Dept. of Education, Maine CDC Let’s Go!, SAUs 3.1.D Promote the adoption of physical activity (PA) in early care and education (ECEs). CDC, ECE Providers, PAN in ECE Workgroup, Maine Roads, Let’s Go! component
3. Increase stable and appropriate housing. discharged from hospitals and residential treatment programs. (Data source: SAMHS assessment tools, Baseline and target to be determined) Services, Office of Adult and Disability Services, community behavioral health providers, hospitals 3.1.B. Analyze assessments for appropriate treatment and housing placements. 4. Reduce suicide. 4.1. Reduce suicide deaths in adults ages 25 and over to 21.14 per 100,000 by 2020 (Data source: Maine Vital Records, Baseline: 22.24/100,000 (2015)) 4.1.A. Expand suicide-safer care practices within Maine’s Behavioral Health Homes. Maine CDC, Behavioral Health Homes Priority: Mental Health (continued) Objectives Strategies Partners 4. Reduce suicide (continued) 4.1. Reduce suicide deaths in adults ages 25 and over (continued) 4.1.B. Implement the Towards Zero Suicide model within three community mental health agencies Maine CDC, Sweetser, Aroostook Mental Health Centers, Crisis and Counseling Services 4.1.C. Increase community follow up and connection to care for individuals following a suicide attempt or suicidal crisis through better collaboration among hospitals, emergency rooms, inpatient mental health programs and local crisis service providers. CDC, hospitals, crisis service programs 4.2. Reduce suicide deaths in adults ages 10-24 (Data source: Vital Records, Baseline: 9.04/100,000 (2015) and target for 2020: 8.59/100,000) 4.2.A. Provide training to educators, medical and mental health providers, and youth serving agencies on strategies for assessing, referring, and treating youth at risk of suicide CDC, NAMI Maine, Schools 4.2.B.Engage educators, medical and mental health providers, and youth serving agencies to increase support and referral for students at risk of suicide or experiencing unmet mental health needs Maine CDC, NAMI Maine, universities, community colleges, and job training programs
2. Reduce the number of opiates prescribed per capita in Maine. 2.1. Reduce the annual number of narcotic prescriptions dispensed per capita from 920 per 1,000 people in 2015 to 740 per 1,000 people in 2020. Maine CDC, Office of Substance Abuse and Mental Health Services, Maine Medical Association, AdCare Educational Institute, University of New England & 22 Community EMHS (eastern Maine Health Systems) 2.1.B Promote the use of the prescription monitoring program among providers to reduce access and availability of opiates and prevent patients from getting prescriptions from multiple doctors. 2.1.C. Encourage pain management alternatives to prescriptions for MaineCare members. Office of MaineCare Services, Change Health, Health care providers 2.1.D. Encourage use of non-opioid prescriptions for MaineCare members. Office of MaineCare Services, Change Health, Health care providers 2.2. Compliance with limits of prescription (100 Morphine Milligram Equivalent) (baseline: 93%; target 100%). 2.2.A. Identify high prescribers and address via academic detailing and/or non-compliance process. Office of Substance Abuse and Mental Health Services 3. Reduce the number of overdose deaths in Maine. 3.1. Reduce the number of opiate related overdose deaths in Maine from 269 in 2014 to 222 in 2019. 3.1.A Develop and implement a state-wide media campaign on safe storage and disposal of medication, the dangers of sharing medication and the dangers associated with opiate addiction. Maine CDC Tobacco and Substance Use Prevention and Control Program, Office of Substance Abuse and Mental Health Services, Rinck Advertising 3.1.B. Promote syringe exchange statewide and safer drug use education. Health Equity Alliance (HEAL) & Maine Harm Reduction Alliance (MEHRA) 3.1.C. Distribute Naloxone among people who use drugs state-wide. HEAL &
3.1.D. Promote Law Enforcement Assisted Diversion – Bangor. HEAL 3.1.E. Increase HIV/HCV testing. HIV service organizations, including HEAL Priority: Substance Use, including Tobacco (continued) Goals Objectives Strategies Partners 4. Increase access to effective substance use treatment services. 4.1. Reduce waitlists for substance use services. (Baseline and target to be determined.) 4.1.A. Map and analyze Medicine Assist Treatment (MAT) waitlist data. Office of Substance Abuse and Mental Health Services 4.1.B Use hot-spotting and syndromic data to identify and address critical needs. Office of Substance Abuse and Mental Health Services, Maine CDC, Infectious Disease Epidemiology Program 4.1.C. Include law enforcement and other stakeholders in data analytics. Office of Substance and Mental Health Services, Department of Public Safety 4.1.D. Align OTP regulations with federal regulations. Office of Substance and Mental Health Services 4.1.E. Address other barriers to services by developing additional resources where necessary. Office of Substance Abuse and Mental Health Services 4.1.F. Maintain substance use medicine assisted treatment (MAT) locator via Maine 211. Office of Substance Abuse and Mental Health Services 4.1.G. Provide SBIRT, warm hand-offs, and 30-day check-ins via 211. Office of Substance and Mental Health Services 4.1.H. Increase the number of qualified Medication Assisted Treatment (MAT) prescribers. EMHS (Eastern Maine Health Systems)
4.2. Increase the number of Opioid Health Homes where patients with substance use disorders receive integrated health care and substance use treatment. (Baseline and target to be determined.) 4.2.A. Create Opioid Health Homes that ensure best practices of Medicated assisted treatment are integrated with patients’ other health needs. Office of MaineCare Services Priority: Substance Use, including Tobacco (continued) Goals Objectives Strategies Partners 4. Increase access to effective substance use treatment services. 4.3. By 9/30/2018, increase the number of qualified Medication Assisted Treatment (MAT) prescribers (baseline and target to be determined) 4.3.A Encourage providers to become Medication Assisted Treatment (MAT) prescribers. EMHS (Eastern Maine Health Systems) 5. Increase employment among Mainers who have substance use disorders. 5.1. Increase employment among clients under Sections 65 and 97 to greater than 50% (Data source: SAMHS, baseline: 48%) 5.1.A. Administer “Need for Change” Assessment as part of Individual Treatment Plans. Office of Substance and Mental Health Services, community agencies 6. Increase stable housing among Mainers who have substance use disorders. 6.1. Increase housing in the community among clients under Sections 65 and 97 (Data source: SAMHS, baseline and target TBD) 6.1.A Provide housing resources via Individual Treatment Plans. Office of Substance Abuse and Mental Health Services, community agencies 7. Reduce the number of substance-exposed 7.1. Reduce the number of substance-exposed infants due to illicit substances (Data 7.1.A Improve data collection to distinguish between women in MAT versus illicit use. Maine DHHS, hospitals
infants due to illicit substances. source: DHHS, baseline and target TBD) 7.1.B. Promote the use of the Snuggle ME guidelines to increase screening of pregnant women for substance use. Maine CDC Maternal and Child Health Program, Maine CDC Substance and Tobacco Use Prevention and Control Program 7.1.C. Provide technical assistance to Behavioral Health Homes to implement Snuggle ME guidelines. Maine CDC Maternal and Child Health Program, Office of MaineCare Services, Maine CDC Substance and Tobacco Use Prevention and Control Program Priority: Substance Use, including Tobacco (continued) Goals Objectives Strategies Partners 7. Reduce the number of substance-exposed infants due to illicit substances (continued). 7.1. Reduce the number of substance-exposed infants due to illicit substances (continued). 7.1.D. Promote substance use treatment for women who are pregnant or may become pregnant via targeted social media messaging and sponsored search results. Maine CDC Tobacco and Substance Use Prevention and Control Program, Rinck Advertising 8. Reduce underage drinking persons aged 12 to 20. 8.1. Reduce the past alcohol use among 7th & 8th graders from 3.7% in 2017 to 3.61% in 2019 and among HS students from 22.5% in 2015 to 21.94% in 2019 (MIYHS). 8.1.A Educate various audiences including parents, and youth serving professionals on the dangers of underage drinking and binge drinking, parental monitoring and modeling for youth substance use. Maine CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients, Rinck Advertising, AdCare Educational Institute, Schools, EMHS 8.1.B Disseminate information through brochures, posters, flyers, and social on underage drinking, binge drinking, the risks and dangers of alcohol use, and the importance of parental modeling/monitoring. Maine CDC Tobacco and Substance Use Prevention and Control Program University of New England & 22 Community sub-recipients. based
8.1.C. Identify high risk youth and provide interventions using the Prime for Life curriculum including the Universal Program and Student Intervention and Reintegration Program (SIRP). Maine CDC Tobacco and Substance Use Prevention and Control Program University of New England & 22 Community sub-recipients. 8.1.D. Implement policies including local ordinances, pricing and promotion of alcohol, underage drinking law enforcement details. Maine CDC Tobacco and Substance Use Prevention and Control Program University of New England & 22 Community sub-recipients. 8.1.E. Implement mass reach health communications on underage drinking. Maine CDC Tobacco and Substance Use Prevention and Control Program Rinck Advertising Priority: Substance Use, including Tobacco (continued) Goals Objectives Strategies Partners 8. Reduce underage drinking among persons aged 12 to 20 (continued) 8.2. Reduce the past 30-day alcohol use Mainers ages 18-20 from 41.6% in 2014-15 to 40.56% in 2018-19 (BRFSS) 8.2.A Educate various audiences including parents, young adults, and young adult serving professionals on the dangers of underage drinking and binge drinking, parental monitoring and modeling for youth substance use. Maine CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients, Rinck Advertising, AdCare Educational Institute, Schools, EMHS 8.2.B Disseminate information through brochures, posters, flyers, and social media on underage drinking, binge drinking, the risks and dangers of alcohol use, and the importance of parental modeling/monitoring. Maine CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients
9.1.C Implement policies and local ordinances to reduce access and availability of marijuana for youth and to increase the perception of harm of use. CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients. 9.1.D Identify high risk youth and provide interventions using the Prime for Life curriculum including the Universal Program and Student Intervention and Reintegration Program (SIRP). Maine CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients. 9.1.F Implement mass health communications to raise awareness about the risks and dangers of marijuana use. Maine CDC Tobacco and Substance Use Prevention and Control Program, Rinck Advertising 9.2. Reduce the past use of marijuana among Mainers ages from 29.7% in 2014 to 28.2% in 2019 (NSDUH) 9.2.A Educate various audiences including parents, young adults, and young adult serving professionals on the dangers of marijuana use, responsible adult use, parental monitoring and modeling for youth substance use. Maine CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients. Rinck Advertising Priority: Substance Use, including Tobacco (continued) Objectives Strategies Partners 9. Reduce marijuana use persons aged 12 to 20 (continued). 9.2. Reduce the past use of marijuana among Mainers ages (continued). 9.2.B Disseminate information through brochures, posters, flyers, and social on young adult marijuana use, the risks and dangers of young adult use, responsible adult use, safe storage and disposal, and the importance of parental modeling and monitoring. CDC Tobacco and Substance Use Prevention and Control Program, University of New England & 22 Community sub-recipients. 9.2.C Implement policies and local ordinances to reduce access and availability of marijuana for young adults and to increase the perception of harm of use. Maine CDC Tobacco and Substance Use Prevention and Control Program, 25
Maine State employees) from 1 in FFY17 to 3 in FFY18 (baseline 1; increase of 2 for the year). 12.1.C. Increase the number of individuals trained on evidence-based tobacco assessment and treatment methods from 620 in FFY17 to 740 in FFY18 (baseline 620; increase of 120 for the year). CDC Tobacco and Substance Use Prevention and Control Program MaineHealth-Center for Tobacco Independence 12.1.D. Increase the number of tailored treatment approaches for tribal and Lesbian, gay, Bisexual, transgender and Queer youth from 0 in FFY17 to 2 in FFY18 (baseline 0; increase of 2 for the year). Maine CDC Tobacco and Substance Use Prevention and Control Program MaineHealth-Center for Tobacco Independence 12.1.E. Increase the number of health care provider initiated referrals for tobacco users to the Maine Tobacco HelpLine from 2,350 in FFY17 to 2,435 in FFY18 (baseline 2,350; increase of 85 for the year). Maine CDC Tobacco and Substance Use Prevention and Control Program MaineHealth-Center for Tobacco Independence 12.1.F. Provide oversight and maintenance of the tobacco portion of the Pharmacy Benefit Manager contract for the distribution of Nicotine Replacement Therapy. Maine CDC Tobacco and Substance Use Prevention and Control Program
for Addiction Recovery, Maine CDC, Maine Children's Home for Little Wanderers, MaineGeneral Health, Redington-Fairview General Hospital, Sebasticook Family Doctors, Sebasticook Valley Hospital, Skowhegan Family Medicine, School Health Coordinators, Nurses, Resource Officers, Somerset Public Health, Somerset County Association of Resource Providers, Spectrum Generations, Togus VA, United Way of Mid-Maine, Youth Matter, full DCC communication strategy to reduce stigma. Central Priority Area 1: Substance Use (including tobacco) (continued) Goals Objectives Strategies District Partners 1. Reduce substance use in the District (continued). 1.2. Increase the number of district schools and community groups that use evidence based/ best practice programs that promote resilience and healthy decision-making. 1.2.A. Conduct an inventory / gap analysis of programs that promote resilience and healthy decision making. Organizations listed plus full DCC 1.2.B. Host community gatherings in at least 3 school districts to highlight the need for resilience / healthy decision making programs and promote those currently available. Organizations listed above, especially Drug-Free Communities Grantees, plus full DCC 1.2.C. Increase educational opportunities for school administration and staff on programs that promote resilience, healthy decision making, and other positive behavioral interventions. Organizations listed above, especially Drug-Free Communities Grantees, plus full DCC 1.2.D. Partner with schools to implement programs and policies that promote resilience, healthy decision making, and positive behavioral interventions as alternatives to suspension for substance/tobacco use infractions. Organizations listed above, especially Drug-Free Communities Grantees, plus full DCC 1.3. Improve the effectiveness and increase the number of supports 1.3.A. Work with community partners to improve referral process to appropriate interventions. Organizations listed above, especially care navigators and the health care system, plus full DCC
vegetable consumption. vegetable consumption in food serving institutions. care, Hospitals, Nursing Homes, and Community Institutions serving food 3.2.B. Create plan to address barriers to increasing fruit and vegetable consumption in food serving institutions. Cumberland Priority Area 1: Substance Use Prevention Description/Rationale/Criteria: Substance Use Prevention was chosen because it was identified by multiple stakeholders and partners that it was of top priority. It was selected by 100% of Cumberland District hospitals as an implementation strategy through community health needs assessments; was identified as a community goal through United Way of Greater Portland’s Thrive 2027 initiative; and received the most votes among Cumberland DCC members and interested parties. According to the 2015 Cumberland County CHNA Summary (CHNA), binge drinking of alcoholic beverages was much higher for adults in Cumberland County (20.7%) than in Maine (17.4%) and the U.S. (16.8%). Chronic heavy drinking in adults was also found to be higher in Cumberland County (9.0%) than in Maine (7.3%) and the U.S. (6.2%). Goals Objectives Strategies District Partners Goal 1: Reduce substance use rates in populations aged years and older. 1.1. Enhance coordination of district-wide substance use prevention efforts. 1.1.A. Conduct a community scan to identify which stakeholders should be invited to district-wide forums of substance use prevention stakeholders, taking into account communities experiencing health disparities. (Community-based Process). Prevention services grantees, hospitals, Communities grantees, municipalities, organizations, community members, law enforcement 1.1.B By June 30, 2019, convene at least 3 District-wide forums of substance use prevention stakeholders with the goal of identifying and coordinating the various activities, as well as to exchange ideas and network. 1.2. Increase awareness of substance use prevention, intervention, treatment and recovery resources. 1.2.A Update service directories on substance use prevention, intervention, treatment and recovery services. Prevention services grantees, hospitals, Communities grantees, municipalities, community-based organizations, community members, law enforcement 1.2.B. Disseminate local service directories on substance use prevention, intervention, treatment and recovery services to substance use prevention stakeholders. 1.3 By June 30, 2019, 10 municipal 1.3.A. Provide information to municipal officials on their authority to enact free
underutilized capacity and ongoing gaps. centers, oral health program partners and stakeholders 1.2. Increase vulnerable populations’ Patient Activation Measure (PAM) scores on understanding of how to access dental care and ability to make financial plans in order to do so. 1.2.A. Engage Community Health Outreach Workers and Community Financial Literacy to assist vulnerable populations in health savings planning. CHOWs, CFL 1.2.B. Work with dental providers to enhance patient outreach and education such as alternative methods of appointment reminders. Dental health providers, oral health program partners and stakeholders 1.3. Increase awareness about oral health hygiene best practices, including the effect of diet on oral health. 1.3.A. Develop materials that provides information oral health hygiene best practices, taking CLAS Standards into account Dental health providers, oral health program partners and stakeholders 1.3.B. Disseminate newly developed and increase dissemination of existing education materials (ex. From the First Tooth, Smile Partners resources). Dental health providers, medical offices, health departments, community centers, oral health program partners and stakeholders Downeast Priority Area 1: Cardiovascular Health through Food Security, Nutrition and Physical Activity Description/Rationale/Criteria: The incidence and severity of Cardiovascular disease is rising in the Downeast District. Public health initiatives for prevention, diagnosis, and changes in environment and lifestyle can significantly reduce onset and manage consequences of cardiovascular disease. Increasing food security reduces stress, leads to better nutrition and health outcomes. Programs, including improving food access, teaching food preparation skills, and improving diet and increasing physical activity, can significantly reduce excess weight and obesity and related incidence of disease. Goals Objectives Strategies Partners Planning The DEPCH will plan a program for reducing cardiovascular disease at the community-level through nutrition and physical activity. Create a plan by June 2017. Food security Nutrition Physical Activity. Convene planning team Survey regional assets Identify SWOT Draft three-year plan E.g. Hospitals Health Clinics Community Health Coalition Regional Planners Food Pantries Towns Schools
Educational information will be available for consumers at food hubs, including schools, food pantries, grocery stores and convenience markets. - 1 educational program planned by June, 2017. - 4 education programs implemented by June 2018. E.g. Senior meal and pantries will provide education about the impact of diet on health. - 1 educational program planned and tested by June 2017. - 4 education programs implemented by June 2018. E.g. Meals on Wheels/3D Oral Health Education and environmental change will encourage better diets that reduce tooth decay, improve nutrition and reduce obesity. Schools will reduce offerings of sugary beverages and other foods and beverages known to contribute to tooth decay. - 1 educational program planned by June 2017 - 2 schools adopt policy by 2018 - 2 schools adopt policy by 2019 E.g. E.g. Community Health Coalition Hospitals Schools Dental care providers Maine Dental Association Families will receive information strategies to protect children’s oral health. - 1 educational program implemented by June 2018 - 2 educational programs implemented by 2018 E.g. E.g. E.g. Downeast Priority Area 1: Cardiovascular Health (continued) Goals Objectives Strategies Partners Physical Activity The Downeast District will foster healthy, active communities where physical activity is the easy choice. Physical activity programs will reduce risk of developing disease. Schools and Towns assessments plans prepared by June 2017 demonstration programs implemented by 2018 demonstration programs implemented by 2019 E.g. E.g. E.g. E.g. E.g. E.g. Winter Kids Hospitals Health Clinics Community Health Coalition Regional Planners Towns Governments Schools Land trusts
Businesses Downeast Priority Area 2: Alcohol and Drug Use Description/Rationale/Criteria: Substance misuse, including alcohol, heroin, methamphetamine and prescription drugs, has risen significantly in the Downeast District in recent years. Substance misuse is associated with violence, property crimes, car crashes, infectious, mental and chronic disease. Public health initiatives to prevent, treat and rehabilitate persons that misuse alcohol and drugs can have significant individual and societal benefits. Goals Objectives Strategies District Partners Planning The Downeast District will formulate priorities for preventing alcohol and drug misuse. Partners will create a district-wide alcohol and drug use prevention plan by June 2017 Convene planning group Identify priorities for drug and alcohol misuse programs Healthcare Providers Law Enforcement Community Health Coalition, Prevention The Downeast District will increase efforts to prevent drug and alcohol misuse. plan for work-place prevention by June, 2017 awareness of workplace substance misuse impacts and assistance programs by June 2018 Convene substance abuse prevention program for farming, fishing and forestry Drug Free Communities, Community Health Coalition, , Lobsterman Assoc., , , , Penobscot East Res Center, Schools Support ongoing program to identify and resolve substance misuse challenges E.g. E.g. Prevent or onset of substance misuse among middle school and high school students. - 1 educational program planned by June 2017 - 4 education programs implemented by June 2018 E.g. E.g. E.g. Downeast Priority Area 2: Alcohol and Drug Use (continued) Goals Objectives Strategies District Partners Treatment The Downeast District will support treatment options for drug and alcohol misuse. Initiating recovery - Demonstrate a hub and spokes system in 2017 E.g. Hospitals, Regional Medical Centers Downeast Substance Treatment Network AA/NA, Operation Hope Sustaining sobriety - Provide training for Recovery Coaches in 2017 E.g.
reducing risk behavior, isolation. Treatment There will be a seamless transition from screening to treatment for children and youth with identified mental health issues. Qualified students will be referred to mental or behavioral health services. 1 Pilot Program by June 2017 2 Programs by June 2018 E.g. E.g. Law enforcement Schools Mental health institutions - Peers will engage in supporting positive social behavior in 2 schools by June 2019 E.g.
Whether program is evidence based. Midcoast Priority Area 3: Obesity Goals Objectives Strategies/ District Partners 1. Decrease the impact of Chronic Disease in the Midcoast District (continued). 1.2. By June 30, 2019, assure implementation of community education and lifestyle coach mentoring programs in the district. 1.2.A. (Yr. 2 & 3) Amplify awareness campaigns about Diabetes Prevention Program (DPP) and CDSM for primary care providers District primary care and general physicians District hospitals DPP Lifestyle coaches 1.2.B. (Yr. 2 & 3) Host two learning sessions on successes in the district for lifestyle health coach mentoring systems 1.2.C. (Yr. 2 & 3) Swan’s Island media success story model and implement in Midcoast 2. Increase public use of existing low or no cost physical activity resources 2.1. By June 30, 2019, implement a Midcoast Moves campaign and/or mobile app. 2.1.A. (Yr. 1-3) Assess readiness for technology options Develop and implement technology options to promote use of existing or low-cost physical activity resources such as outdoor trails, indoor walking routes, playgrounds Bowdoin College Land Trusts, Conservation Groups Mid Coast Hospital Pen Bay Medical Center, County Hospital, Lincoln Health, YMCAs Pemaquid Watershed Association, Midcoast Conservancy, Damariscotta River Assoc., WinterKids Realtors, Municipalities Non-Governmental Organizations 2.1.B. (Yr. 1-3) Convene and collaborate with district land trusts and conservation groups to assess partnerships and work plans, how to increase public use of their resources Penquis Priority Area 1: Drug & Alcohol Abuse and Tobacco Use Description/Rationale/Criteria: Data shows that substance abuse continues to be the most significant health issue in Penobscot and Piscataquis counties. Partners from around Penquis Public Health District are engaged in focused
measurable progress on organizational goals identified in pantries, Mayo Regional Hospital, Millinocket Regional Hospital, Penobscot Community Health Care, Penobscot Nation, Penquis, Piscataquis Healthy Community, Piscataquis Regional YMCA, Sebasticook Valley Health, St. Joseph Healthcare, United Way of Eastern Maine, University of Maine Cooperative Extension 2.2. Increase access to physical activity opportunities and nutrition resources. 2.2.A. Partner with worksites to identify gaps and implement policies and programs. Health Access Network, Millinocket Regional Hospital, Penobscot Valley Hospital, regional Chambers of Commerce, Wellness Council of 2.3. Increase access to physical activity opportunities. 2.3.A. Engage existing Active Community Environment Teams to solicit a plan for a project to increase access to physical activity. Active Community Environment Organizations listed above. Penquis Priority Area 3: Access to behavioral care/mental health care Description/Rationale/Criteria: According to the Shared CHNA data, mental health ranks as one of the top five health issues in Penquis Public Health District and access to behavioral care/mental health care as one of the top five health factors. A number of partner organizations have included mental health and access to mental health care/behavioral care as a priority of focus. Goals Objectives Strategies District Partners 3. Decrease stigma around mental health issues. 3.1. Increase public awareness around mental health disorders and available resources. 3.1.A. Provide education to the community about disorders and available resources. Acadia, Blue Sky Counseling, Charles A. Dean Memorial Hospital, Charlotte White Center, City of Bangor, Community-based organizations, Community Health and Counseling Services, Health Access Network, Helping Hands with Heart, Maine Resilience Building Network, Mayo Regional Hospital, Millinocket Regional Hospital, National Alliance on Mental Illness Bangor, Pathways of Maine, Penobscot Community Health Care, Penobscot Valley Hospital, Schools, Sebasticook Valley Health, St. Joseph Healthcare. Wabanaki Health and Wellness Penquis Priority Area 4: Poverty
York Priority Area 3: Substance Misuse Description/Rationale/Criteria: Substance misuse and dependence are preventable health risks that lead to increased medical costs, injuries, related diseases, cancer and even death. Substance misuse also adversely affects productivity and increases rates of crime and violence. According to the 2015 SHNAPP, in York County, past-30-day marijuana use for high school students in York county is at 22.7%, as compared with the state rate of 21.6%. Past 30-day-day marijuana use for adults is at 8.8%. Drug induced mortality rates are slightly higher in York County than the State rates, similarly with emergency medical service overdose response rates. Goal Objectives Strategies District Partners 1. Reduce substance use to protect the health, safety, and quality of life for all. 1.1. Increase awareness of available community resources for prevention, treatment, and recovery by 2019. 1.1.A. Complete inventory of existing community resources and gap analysis of community resources (211, asset map, SAMHS, etc.). TBD 1.1.B. Increase public awareness and use of community resources by compiling information and developing an electronic resource guide. Tribal Public Health District Priority Area 1: Mental Health and Substance Use Disorders – Alcohol, Commercial Tobacco and other Substances Goal Objective Strategies Partners Improve the availability and quality of substance abuse services By June 30, 2017, the Tribal District will conduct one assessment to determine current substance use disorder services and needs (Assessment) Assess surrounding area substance abuse programs Assess Hospital Substance Use Disorder programs Assess Tribal medication assistant treatment clinics Assess historical loss and trauma Assess SUD treatment options Assess family support and aftercare programs Tribal Health Centers, Tribal Behavioral Health Programs, Acadia, Northeast Occupational Exchange, Local Hospitals, Wabanaki Health and Wellness, Community members, Wellness Court
Determine data-related activities Research BRFSS, Census, American Community Survey Determine Tribally-based data sources IHS, Maine CDC, USET Epidemiology By June 30, 2018 the Tribal District will develop a minimum of three culturally appropriate tools and/or strategies to address substance use disorder needs (Planning and Capacity) Develop tools and strategies based on evidence-informed practice Determine strategies to address historical trauma Tribal Health Centers, Tribal Behavioral Health Programs, Wabanaki Health and Wellness, Community members, Nashville Area IHS, Canadian First Nations Determine funding sources to implement tools and strategies State, Federal, and Philanthropy Expand upon current use of Insight Vision for performance metrics Insight Vision By June 30, 2019, the Tribal District will implement a minimum of two tools and/or strategies (Implementation and Evaluation) Implement funded tools and strategies TBD Track usage of tools and strategies to determine progress and effectiveness Insight Vision, TBD Conduct evaluation TBD Tribal Priority Area 1: Substance Use Disorder – Alcohol, Commercial Tobacco and other Substances (continued) Goal Objective Strategies Partners Improve the availability and quality of mental health services By June 30, 2017, the Tribal District will conduct one assessment to increase knowledge of the current mental health system (Assessment) Assess surrounding area mental health programs Assess behavioral health programs Assess Tribal behavioral health programs Assess Early Childhood and Youth-serving mental health programs Assess availability of programs that address historical loss and trauma Tribal Health Centers, Tribal Behavioral Health Programs, Acadia, Northeast Occupational Exchange, Local Hospitals, Wabanaki Health and Wellness, Community members, Wellness Court
Determine Data-related activities Research BRFSS, Census, American Community Survey Determine Tribally-based data sources IHS, Maine CDC, USET Epidemiology By June 30, 2018, the Tribal District will develop a minimum of three tools and/or strategies to improve the cultural appropriateness of mental health services (Planning and Capacity) Develop tools and strategies based on evidence-informed practice Determine strategies to address historical trauma Tribal Health Centers, Tribal Behavioral Health Programs, Wabanaki Health and Wellness, Community members, Nashville Area IHS, Canadian Nations Determining funding sources to implement tools and strategies State, Federal, and Philanthropy Expand upon current use of Insight Vision for performance metrics Insight Vision By June 30, 2019, the Tribal District will implement a minimum of two tools and/or strategies (Implementation and Evaluation) Implement funded tools and strategies TBD Track usage of tools and strategies to determine progress and effectiveness Insight Vision, TBD Conduct evaluation TBD Tribal Priority Area 2: Health Across the Lifespan Goal Objectives Strategies Partners Increase Opportunities for Advocacy, Skill Building and Leadership By June 30, 2017, the Tribal District will conduct one assessment to determine the needs of Tribal youth (Assessment) Assess Tribal youth-based programming Assess areas for needed life skills Assess services for new families Assess employment and educational opportunities Tribal education and recreation departments, Boys and Girls Club, Youth Councils, Tribal Vocational Rehabilitation Assess possible sources of youth data Tribal government, Boys and Club By June 30, 2017, the Tribal District will develop at least two programs for Tribal Youth Work with Council to develop tools and strategies based on evidence-informed practice Tribal Council
Promote cultural activities as prevention By June 30, 2017, the Tribal District will conduct one assessment of cultural activities (Assessment) Assess current cultural events Create an inventory of community members who are able to teach ceremonies and/or traditional healing activities TBD Determine data sources TBD By June 30, 2018, the Tribal District will determine at least three new cultural activities (Planning and Capacity) Develop tools and strategies based on evidence-informed practice Determine how to incorporate cultural and spiritual healing into current services Assess language immersion programs TBD Determining funding sources to implement tools and strategies State, Federal, and Philanthropy Expand upon current use of Insight Vision for performance metrics Insight Vision By June 30, 2019, the Tribal District will implement at least two tools and strategies (Implementation and Evaluation) Implement funded and strategies TBD Track usage of tools and strategies to determine progress and effectiveness Insight Vision, TBD Conduct evaluation TBD