OFFICE OF THE CHIEF FOR PUBLIC HEALTH PRACTICE Mission: “to advance achievement of CDC’s Health Protection goals through science- based, practice-oriented standards, policies and legal tools.” Striving towards overall “Excellence in Practice to Performance” as a means to better health outcomes.

Foci of Interest Performance Standards and Measuring Results of Performance Accreditation Community Strategic Planning and Action Best Practices Legal Tools and Analysis of legal interventions Public Health Systems Research Translation of Science into Practice

continued Workforce/Leadership Development Public Health Practice Council Health System Leadership Enhancing the results of International, State, Local, Tribal and Territorial PH networks State Management Officials

PUBLIC HEALTH PRACTICE COUNCIL An opportunity for us to seek common understanding of and solutions for important practice-related issues A forum for a coordinated, enterprise-wide approach to addressing practice issues A facilitation towards shared leadership of public health practice, communication about and strategic contribution re: the practice.

A “Glimpse” Into Local PH Stephanie Bailey Office of the Chief for Public Health Practice 12/08/06

THREE PICTURES One you are most familiar with and……. Two that you may not be.

Tsunami Dec 04-Feb 05 E-Coli Outbreak Sept-Oct 2006 West Nile Virus Aug-Nov 04 Hurricane Wilma Oct 04-Present Guam Typhoon Feb 04 Hurricane Isabel Sept 03 Influenza Sept 03 RNC 2004 Aug 04 West Nile Virus Aug-Nov 02 Space Shuttle Columbia Disaster Feb 03 SARS Mar-Aug 03 Monkey Pox June-Aug 03 Northeast Blackout Aug 03 California Wildfires Oct-Nov 03 Ricin Tularemia Anthrax Oct-Nov 03 BSE Dec 03 Avian Influenza Jan-Mar 04 Ricin Domestic Response Feb 04 G8 Summit June Summer Olympics June 04 DNC 2004 July 04 Hurricanes (Charley, Frances, Ivan, Jean) Aug-Oct 04 Influenza Vaccine Shortage Oct World Trade Center Sept 2001 Anthrax Attacks Oct-Nov 01 Health Protection: Urgent Threats Hurricane Katrina Aug present Marburg Virus Mar 05-Sept 05 Hurricane Rita Sept present CDC – Protecting People’s Health

The first ‘unknown’ to you The Stories of our Children Data:2004

Raphael, age 10, 4 th Grade Mother incarcerated “waited all day to talk to mentor, wanting only to tell her about seeing his sister being shot the night before” Expelled at end of school year because someone said something about his mother

Renaldo, age 11, 6 th grade Mother killed at age 6 Father lives in East Tennessee 3 cousins in household

Amanda, age 8 Mother on disability Old brother, age 17, in jail Older sister, age 15, pregnant All three children have separate dad

Christopher, age 12, 5 th grade 1 of 6 children Father on disability Suspended 2 x week, in school, for anger All brothers expelled from school 2 older/2 younger

Kenny, age 12, 4 th grade 1 of 6 children Father incarcerated

Thomas, Kindergarten Crack baby Kicked out of school for attacking teacher

Courtney, age 5, Kindergarten Mother incarcerated Aunt raising 7 children, none are hers

Keisha, age 6, 1 st grade Dad incarcerated 5 siblings, older teenage sister has a baby

Jarvis Age six, first grade Two older brothers, ages 16 and 17 Lives with aunt because both parents incarcerated on drug charges October 2005, placed back in first grade……………

Jackie, age 12, 4 th grade Family has been put out of MDHA Was in room when uncle was shot Has been raped WHEN SHE GROWS UP…. ……………she wants to be a doctor

Social Costs of This Disparity - Incarceration Handicaps Violence, truancy, suspensions Mixed families Failure (academic) Needing and/or wanting attention Lack of tools Adult indifference Low self-esteem

The second ‘unknown’ picture to you What funding streams (and policies) look like at the local (and state) level

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (HCFA)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (HRSA)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (CDC)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (SAMHSA)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (OPHS)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow (STATE FUNDS)

Pregnant Wife, Drug Addicted Husband Children CMS State Funds Substance Abuse Agency Department of Health MEDICAID Mental Health Agency Family Planning Community Organizations Clinics Department of Health CHC Substance Abuse CDCSAMHSAOPHS State Family Planning Agency HRSA Resource Flow

MCOs Home Health Federal Agencies Economic Development Non-profits Employers Corporations Mental Health HSR Institutions Civic Groups CHCs Schools of Public Health/ Universities Hospitals EMS Community Centers Doctors State Health Department Fellowships Philanthropist Neighborhood Associations Tribal Health Schools Police Fire Insurers Environmental Health The venue for making it happen everyday ….. Gov’t Depts Faith Orgs Professional Sports Media Advocates

A “ Glimpse ” Into Local PH Practice Stephanie Bailey Office of the Chief for Public Health Practice 12/08/06