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Health Planning and Community Organizing : Its what we do every day World Café Summary Report Department of Children and Families, Circuit 4 Substance.

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Presentation on theme: "Health Planning and Community Organizing : Its what we do every day World Café Summary Report Department of Children and Families, Circuit 4 Substance."— Presentation transcript:

1 Health Planning and Community Organizing : Its what we do every day World Café Summary Report Department of Children and Families, Circuit 4 Substance Abuse and Mental Health Office Prepared by the Health Planning Council of Northeast Florida June 30, 2009

2 Health Planning and Community Organizing : Its what we do every day Table of Contents Who is the Health Planning Council of Northeast Florida3 World Café Assessment Introduction and Background8 Assessment Methodology 10 Summary of Findings by County 12 Circuit Wide Comparisons 25 Debrief Summaries by County 30

3 Health Planning and Community Organizing : Its what we do every day Who is the Health Planning Council? One of 11 Local Health Councils created by state statute 408.033 in 1982 Manage the Certificate of Need process for hospitals and nursing homes located in Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties The only health planning organization to collect, analyze, and warehouse real-time health care utilization data submitted by hospitals and nursing homes in the 7 county northeast Florida region The only non-partisan / non-profit planning organization mandated to dedicate resources and expertise to regional health planning and community organizing on health disparities and healthcare issues (State Statute 408.033) Trained to execute cultural competent health planning models such as the World Cafe, Community Based Participatory Research (CBPR), Community Based Participatory Marketing (CBPM), Social Marketing, Empowerment Evaluation, Strategic Framework Prevention (SPF), Mobilizing for Action through Planning and Partnerships (MAPP), Planned Approach to Community Health (PATCH) * Competency within these models are highly recommended by all major federal and state funding agencies Conducts SPSS data analysis for reliable health planning analysis HPCNEF reviews and provides input on Development of Regional Impact pre-applications via the Northeast Florida Planning Council

4 Health Planning and Community Organizing : Its what we do every day Health Planning Collects monthly hospital utilization statistics, monthly emergency department statistics, and quarterly nursing home utilization statistics from the providers in the seven counties of northeast Florida (over 100 providers) for Agency of Health Care Administration (AHCA) Provides subscription-driven hospital data clearinghouse Develops annual county profiles and regional health plans on hospital utilization rates, health disparities, health care work force capacity, regional development impact studies, health care funding equity Performs theory-based community health needs assessments Facilitates community organizing and convening activities to discuss health disparities and healthcare issues What We Do

5 Health Planning and Community Organizing : Its what we do every day Advocacy Facilitates community forums on Medicaid Reform and Florida KidCare Provides leadership and advocacy for the uninsured and underinsured Contributes to the development of the Jacksonville and Northeast Florida Healthcare Guide (the green pages) Develops the Guide to Assisted Living Facilities in Northeast Florida Develops influencing plans for the health advocates and coalitions Serve on many regional Boards and Advisory council to advocate for cultural competent health planning and health care advocacy What We Do Health Planning and Community Organizing : Its what we do every day

6 What We Do Health Promotion and Evaluation Provides flu, pneumonia and hepatitis vaccinations to high risk, minority populations thru churches, community centers, and homeless shelters in Duval County Conducts social marketing training to regional community based organizations Administers and serves as an AIDS Insurance Continuation Program enrollment site Supports the St. Johns River Rural Health Networks diabetes disease management program for Baker, Clay, Nassau, Bradford and Union counties Conducts program evaluation for small community based organizations

7 Health Planning and Community Organizing : Its what we do every day Non-Profit and Coalition Support Provides fiscal and administrative support to the local non-profits and coalitions including the St. Johns River Rural Health Network and the Healthy Start Coalition of Northeast Florida. Provides fiscal and administrative support for Ryan White Title II, general revenue funded HIV/AIDS Network in for Volusia and Flagler counties, Provides fiscal and administrative support for Housing Opportunities for People with AIDS (HOPWA) for Volusia and Flagler counties Provides staff support and technical assistance to the Duval County Immunization Task Force What We Do

8 Health Planning and Community Organizing : Its what we do every day Assessment Introduction and Background The Department of Children and Families (DCF), Circuit 4 (Clay, Duval, and Nassau counties) is reviewing its strategic plan for the long term future and success of the Circuit. As part of the process, leaders from Circuit 4 contracted with the Health Planning Council of Northeast Florida (HPC) to plan, coordinate, facilitate four World Café dialog meetings in each county located within the Circuit: Clay County- 31 people in attendance Hilltop Country Club- Orange Park Thursday May 21, 2009 2:00 PM - 5:00 PM Duval County- 34 people in attendance Three Layers Cake- Downtown Jacksonville Friday May 22, 2009 9:00 AM -12:00 PM Nassau County- 9 people in attendance Hampton Inn and Suites- Fernandina Beach Friday May 22, 2009 2:00 PM - 5:00 PM Nassau County- 3 RSVPs – meeting cancelled County Inn and Suites- Yulee Thursday, June 18, 2009 2:00 PM – 5:00 PM

9 Health Planning and Community Organizing : Its what we do every day 1.How do we blend our substance abuse and mental health services into services for clients with co-occurring disorders? 2.Prioritize our Circuits services. 3.Assess the effectiveness and quality of our system of care. 4.If additional dollars come into Circuit 4, what substance abuse and mental health services would you like to see expanded or created? In other words, where would you like the money to go? 5.How do we integrate our substance abuse and mental health services into our child welfare system? The purpose of the World Café was to engage community stakeholders and provide them an opportunity to share their thoughts on the effectiveness of the system of care (infrastructure and service delivery) within the substance abuse and mental health services, offer ideas for integrating our services, and to help the Circuit prioritize substance abuse and mental health services. *Over 70 individuals attended one of the three World Cafés meetings where they were asked to discuss the following five questions: At the end of each meeting, all participants were asked to debrief about their experience in a Town Hall setting Assessment Introduction and Background

10 Health Planning and Community Organizing : Its what we do every day Three weeks prior to the scheduled World Café meeting dates, the HPC sent electronic invitations to community leaders, advocates, providers, the judicial system, law enforcement, school board members, academic institutions, and elected officials. Recipients of the electronic invitation were encouraged to forward their electronic invitation to other constituents who would see value in attending. Each of the four World Café meetings were held in Circuit 4s respective counties eliminating the participants from having to drive more than 15-20 miles from their service area to attend a meeting. By request, a forth World Café meeting in Nassau County was added to provide west Nassau County stakeholders a closer venue. This venue was cancelled due to the low number of RSVPs (3). World Café locations (Hilltop Country Club, Three Layers, Hampton Inn and Suites, and Country Inn and Suites) were selected because of their café style environments. This relaxing and inviting environment is one of the pillars of the World Café dialog model. RSVP lists for each of the four meetings were managed by using a computer based polling program called doodle.com. Assessment Methodology

11 Health Planning and Community Organizing : Its what we do every day Attendees participating in each World Café meeting were presented with the same *five questions in order to capture consistent data from each of the three World Café meetings. It is important to recognize that each person had the opportunity to give multiple responses to each question. Notes recorded on table-top paper were also included in the analysis. The HPC collected all of the data from each World Café meeting and synthesized the data according to each county. Major themes emerged in the responses to each question, and they, along with un-coded responses are reported in the summary of findings by county and then by Circuit. Themes are presented in the order of magnitude. Rounding is used in the display of percentages, so totals may fall within +/- 1% of 100. * Due to World Café requirements, the attendees participating in the Nassau County World Café in Fernandina Beach were presented with three questions rather than five questions. Low attendance (20 RSVPs; 9 people in attendance) restricted the HPC from introducing additional meaningful questions. An additional meeting was scheduled in Nassau county (Yulee) however, due to low RSVP numbers, this meeting was cancelled. Assessment Methodology

12 Health Planning and Community Organizing : Its what we do every day Summary of Findings By County- Clay Question 1 : How do we blend our substance abuse and mental health services into services for clients with co-occurring disorders? 4 major themes emerged from a total of 29 responses. Collaboration and integration of services52% Education and cross training of providers24% Innovation, electronic medical records and data sharing 7% Develop social change awareness9% Creative funding, demand evidence-based intervention 1 response each

13 Health Planning and Community Organizing : Its what we do every day Summary of Findings By County- Duval Question 1 : How do we blend our substance abuse and mental health services into services for clients with co-occurring disorders? 6 major themes emerged from a total of 21 responses. Education and cross training of providers29% Collaboration and integration of services19% Prevention and early intervention14% Provide choice of services14% Improve funding9% Develop social change awareness9% Improve communications among providers1 response

14 Health Planning and Community Organizing : Its what we do every day Summary of Findings by County- Nassau Question 1 : How do we blend our substance abuse and mental health services into services for clients with co-occurring disorders? 6 major themes emerged from a total of 40 responses. Collaboration and integration of services60% Innovation / electronic medical records8% Improved funding8% Enhanced professional workforce8% Education and cross training of providers5% Improved communications among providers5% Commitment / ownership of issues at all levels, HIPPA / FERPA issues, Annual community assessments 1 response each

15 Health Planning and Community Organizing : Its what we do every day Question 2: Prioritize the Circuits services 7 major themes emerged from a total of 22 responses Integration of services and care coordination18% Self directed care14% Improve funding streams9% Prevention, education and early intervention9% Housing9% Community education and social change9% Demand evidence-based intervention, needs assessments and data 9% Transportation, medication, access to insurance and homeless 1 response each Summary of Findings By County- Clay

16 Health Planning and Community Organizing : Its what we do every day Question 2: Prioritize the Circuits services 9 major themes emerged from a total of 35 responses Centralized access, mental health authority, instant access, integration of services & coordination 19% Self directed care17% Improve funding streams- braiding11% Family services11% Transportation6% 24 hour helpline6% Housing6% Discharge planning/ safe placement6% Early intervention, medication, school based programs, data sharing 1 response each Summary of Findings By County- Duval

17 Health Planning and Community Organizing : Its what we do every day Question 2: Prioritize the Circuits services 9 major themes emerged from a total of 35 responses Transportation19% Emergency psychiatric services16% Housing14% Centralized assessment / linkage/ integrated services12% Early intervention / prevention7% Residential substance abuse5% School based services5% Outpatient services5% Medication, policy, HIPPA, indigent, aftercare and home based care 1 response each Summary of Findings by County- Nassau

18 Health Planning and Community Organizing : Its what we do every day Question 3: Assess the effectiveness and quality of our systems of care 3 major themes emerged from a total of 21 responses Fragmentation / lack of integration of services38% Poor housing options19% Fragmented funding streams10% Lack of awareness in community, no money for medication, all parallel counseling, poor professional workforce, no evidence based treatment 1 response each Summary of Findings By County- Clay

19 Health Planning and Community Organizing : Its what we do every day Question 3: Assess the effectiveness and quality of our systems of care 5 major themes emerged from a total of 44 responses Fragmentation / lack of integration of services/ data sharing 25% Treatment inadequacies (i.e. access, waiting list etc…) 23% Prevention starts too late14% Limited transportation11% Professional training is poor7% Funding is poor, parent engagement needs to improve and better community stewardship is needed 1 response each Summary of Findings By County- Duval

20 Health Planning and Community Organizing : Its what we do every day Question 3: Assess the effectiveness and quality of our systems of care 8 major themes emerged from a total of 30 responses Services and treatment inadequacies (i.e. access, waiting list etc…) 30% Limited transportation13% Location of services is challenging13% Professional training is poor13% Funding is poor13% Physical care and effectiveness is good6% Need to improve collaboration6% More local control, gaps in housing, no socialization 1 response each Summary of Findings by County- Nassau

21 Health Planning and Community Organizing : Its what we do every day Question 4: If additional dollars came into Circuit 4, what substance abuse and mental health services would you like to see expanded or created? 7 major themes emerged from a total of 23 responses Expand to the underserved22% Expand self directed care17% Improve access to care via better transportation 15% Mental health court8% Medications8% Evidence based services8% School based programs, housing, family support, expand awareness 1 response each Summary of Findings By County- Clay

22 Health Planning and Community Organizing : Its what we do every day Question 4: If additional dollars came into Circuit 4, what substance abuse and mental health services would you like to see expanded or created? 8 major themes emerged from a total of 52 responses Central access/ integration of services12% Self directed care, peer support, Club House, consumer choice 12% 24 hour emergency service12% Treatment (i.e. detox, case management, counseling)10% Employment opportunities for clients10% Expand to underserved8% Increase awareness and education8% Housing8% Increase salaries, medication, respit, prevention, recreation services, standards, 1 or 2 responses only Summary of Findings By County- Duval

23 Health Planning and Community Organizing : Its what we do every day Question 5: How do we integrate our substance abuse and mental health services into our child welfare system? 2 major themes emerged from a total of 13 responses Access schools38% Service integration31% Evidenced based, family preservation, cross training, improved workforce, mentoring, incentives and FIS 1 response only Summary of Findings By County- Clay

24 Health Planning and Community Organizing : Its what we do every day Question 5: How do we integrate our substance abuse and mental health services into our child welfare system? 4 major themes emerged from a total of 34 responses Access schools29% Service integration23% Evidence-based only14% Cross training9% Access, discharge, standards, leverage funding, awareness 1 response each Summary of Findings By County- Duval

25 Health Planning and Community Organizing : Its what we do every day Circuit Wide Comparison Question 1 : How do we blend our substance abuse and mental health services into services for clients with co-occurring disorders? ClayDuvalNassau 1 Collaboration and integration of services Education and cross training of providers Collaboration and integration of services 2 Education and cross training of providers Collaboration and integration of services Innovation / electronic medical records 3 Innovation, electronic medical records and data sharing Prevention and early intervention Improved funding 4 Develop social change awareness Provide choice of servicesEnhanced professional workforce 5 Improve fundingEducation and cross training of providers

26 Health Planning and Community Organizing : Its what we do every day Circuit Wide Comparison Question 2 : Prioritize the Circuits services ClayDuvalNassau 1 Integration of services and care coordination Centralized access, mental health authority, instant access, integration of services & coordination Transportation 2 Self directed care Emergency psychiatric services 3 Improve funding streamsImprove funding streams- braiding Housing 4 Prevention, education and early intervention Family servicesCentralized assessment, linkage, integrated services 5 HousingTransportationEarly intervention, prevention

27 Health Planning and Community Organizing : Its what we do every day Circuit Wide Comparison Question 3 : Assess the effectiveness and quality of our systems of care ClayDuvalNassau 1 Fragmentation / lack of integration of services Fragmentation / lack of integration of services/ data sharing Services and treatment inadequacies (i.e. access, waiting list etc…) 2 Poor housing optionsTreatment inadequacies (i.e. access, waiting list etc…) Limited transportation 3 Fragmented funding streams Prevention starts too lateLocation of services is challenging 4 Limited transportationProfessional training is poor 5 Funding is poor

28 Health Planning and Community Organizing : Its what we do every day Circuit Wide Comparison Question 4 : If additional dollars came into Circuit 4, what substance abuse and mental health services would you like to see expanded or created? ClayDuvalNassau 1 Expand to the underservedCentral access/ integration of services 2 Expand self directed careSelf directed care, peer support, Club House, consumer choice 3 Improve access to care via better transportation 24 hour emergency service 4 Mental health courtTreatment (i.e. detox, case management, counseling) 5 MedicationsEmployment opportunities for clients

29 Health Planning and Community Organizing : Its what we do every day Circuit Wide Comparison Question 5 : How do we integrate our substance abuse and mental health services into our child welfare system? ClayDuvalNassau 1 Access schools 2 Service integration 3 Evidence-based only 4 Cross training

30 Health Planning and Community Organizing : Its what we do every day Debriefing- Clay More specific training is needed for staff, CBCs, teachers etc… Align Baker Act and Marchman Act with each other better Lack of continuity of care Silos in funding Fragmentation of system Transportation- rural communities have unique needs Education the community on services available There is a lot of duplicated people Prevention education is needed Gaps in services Develop the concept of no wrong door Work better with the criminal justice system Staff retention is awful Share! Share! Share!

31 Health Planning and Community Organizing : Its what we do every day Debriefing- Duval A lot of work to be done Need more community engagement There is no community ownership Consistent training and standards are needed Streamline processes Centralized assessments are necessary Need a quality work force There is a willingness and desire to work together 24/7 services Combine physical heath and behavior health Self directed care works

32 Health Planning and Community Organizing : Its what we do every day Debriefing- Nassau Transportation is a big issue Services do not match the treatment needed Very positive results in providing intervention and prevention in Nassau county schools Surprised to hear about the great work being done in the schools Surprised to hear about how the female gangs are outnumbering the male gangs Substance Abuse Prevention Coalition is working

33 Health Planning and Community Organizing : Its what we do every day World Café Findings This report is intended to provide an executive level overview of the findings from the three World Café meetings. Copies of the hand written synthesis and illustrations of the collapsing process of the data is available by written request. All information contained in this report is owned by the Health Planning Council of Northeast and can not be reproduced without their permission. Furthermore, any of the findings listed in this report must be cited and or referenced in all public documents including web site postings. For further information, please contact Dawn Emerick, Executive Director of the Health Planning Council of Northeast Florida. 904-723-2162


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