1. Mental Health, Substance Use, and Interpersonal Violence
Audrey Denakpo, LBSW and Linda Knapp, PhD
Prevention and Health Promotion Administration
Center for HIV Prevention and Health Services
May 21, 2019

2. MISSION AND VISION Prevention and Health Promotion Administration
The mission of the Prevention and Health Promotion Administration is to protect, promote and improve
the health and well-being of all Marylanders and their families through provision of public health
leadership and through community-based public health efforts in partnership with local health
departments, providers, community based organizations, and public and private sector agencies, giving
special attention to at-risk and vulnerable populations.
VISION
The Prevention and Health Promotion Administration envisions a future in which all Marylanders and
their families enjoy optimal health and well-being.

3. Purpose Importance of Reliability and Validity
Mental Health, Substance Use, and Interpersonal Violence
Purpose
Explore screening tools used across agencies in the Baltimore EMA
Overall goal is to ensure an appropriate process is used across the EMA
Importance of Reliability and Validity
Reliability is the extent to which an experiment, test, or measuring procedure yields the same results on repeated trials
Validity ensures screening tools used within EMA measure what they are intended to measure
HRSA guidelines for Outpatient Ambulatory Health Services state that age appropriate, standardized tools be used for depression screenings
Standardized tools are designed so the questions, conditions for administering, scoring procedures, and interpretations of the results are consistent and are administered and scored in a predetermined, standard manner.

4. Data Collection– Survey Monkey
Sent
Received
30 agencies in the Baltimore EMA:
Local Health Departments
Medical Clinics
Specialty Clinics
Support Services
Housing Services
Asked that survey be shared with anyone within the agency who might be best at answering the questions– multiple responses from a single agency were possible
40 total responses, 2 were duplicates (N=38)
25 different agencies responded

5. Who Administers the Tool?
Mental Health, Substance Use, and Interpersonal Violence
Who Administers the Tool?
Who Gets Screened?
Medical Healthcare Professionals
Allied Healthcare Professionals
Client Self Administered
Other (peer counselors, front end staff, advocacy counselors)
All Clients
Only RW Clients
Only Medical Case Management
Only Nonmedical Case Management
Only New Clients

6. Mental Health
Screening
35 people responded to this question

7. Standardized Tool Mental Health
A total of 21 sites use a standardized screening tool
13 sites do not use ANY standardized screening tool
Some sites use multiple screening tools sites use AT LEAST one standardized tool

8. Mental Health
Screening Frequency

9. Limited English Proficiency
Mental Health
Limited English Proficiency

10. Substance Use
Screening
32 people responded to this question

11. Standardized Tool Substance Use
A total of 17 sites use a standardized screening tool
13 sites do not use ANY standardized screening tool
Some sites use multiple screening tools sites use AT LEAST one standardized tool

12. Substance Use
Screening Frequency

13. Limited English Proficiency
Substance Use
Limited English Proficiency

14. Interpersonal Violence
Screening
31 people responded to this questions

15. Standardized Tool Interpersonal Violence
A total of 4 sites use a standardized screening tool
23 sites do not use a screening tool

16. Interpersonal Violence
Screening Frequency

17. Limited English Proficiency
Interpersonal Violence
Limited English Proficiency

18. Summary Variation in practices and tools used:
Within the EMA
Within each agency
Is the Planning Council satisfied with this level of variability within Baltimore EMA?

19. Maryland Department of Health Prevention and Health Promotion Administration19