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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Columbia County Division of Health

Implementation Approaches

Goal: Reduce burden of disease associated with ATODA

Objective: Alcohol – Reduce binge drinking in adults in Columbia County 

Strategies:

  • Reduce youth access to alcohol by enhancing enforcement programs that initiate or increase the frequency of retailer compliance checks for laws prohibiting the sale of alcohol to minors.
  • Promote and support the Prevention and Response Columbia County Coalition and other local leaders that provide educational sessions on the evidence-informed policies that prevent and reduce excessive alcohol use.
  • Improve the number of health care providers implementing routine Behavioral Screening and Intervention (BSI, which screens for multiple risky health Behaviors) or Screening, Brief Intervention, Referral and Treatment (SBIRT, which Screens for excessive alcohol use).
  • Decrease alcohol outlet density by using regulatory authority to reduce the density of alcohol beverage outlets (i.e. places that sell alcohol) or to limit increases in the density of such outlets.
  • Reduce alcohol access in public places by creating policies to restrict the availability of alcohol at sporting events, other public events such as concerts and street fairs, and public spaces such as parks and beaches. Restrictions can be implemented voluntarily by event organizers or through local legislation.
  • Support maintaining the minimum State of Wisconsin legal drinking age of 21 years in which the purchase or public consumption of alcoholic beverages is illegal.

Goal: Reduce burden of disease associated with ATODA

Objective: Opioids – Decrease rate (per 100,000 population) of drug overdose deaths involving opioids in Columbia County

Strategies:

  • Promote and support evidence-informed screening and treatment, intervention and referral for treatment among health care, mental health and social service professionals.
  • Encourage health care providers to screen their patients for opioid use disorder and provide or connect them with evidence-informed treatment. 
  • Promote and support prescription drug security, collection and disposal.
  • Promote effective models of opioid outreach, intervention, treatment and support that reach out to active drug users; non drug-using friends and family members; community-based organizations; correction facilities; and hospitals.
  • Support law enforcement Drug Recognition Experts (DRE) training, recertification, and enforcement.
  • Support law enforcement drug interdictions.
  • Implement a community education and/or media campaign to include the dissemination of Dose of Reality materials, media and other community education materials.
  • Promote and support the Prevention and Response Columbia County Coalition and other local partners that provide educational sessions on the evidence-informed policies that prevent and opioid use.
  • Promote and support drug courts that offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration.

Goal: Reduce burden of disease associated with ATODA

Objective: Tobacco – Reduce smoking in pregnant women in Columbia County 

Strategies:

  • Improve access to, coverage for and use of cell phone-based tobacco cessation interventions. Target outreach to pregnant women in Columbia County, their families and health care providers. Outreach will include pregnant women enrolled in Women, Infants and Children (WIC), Nurse Family Partnership (NFP) and Prenatal Care Coordination (PNCC).
  • Improve and promote tobacco cessation into behavioral health care treatment and educate tobacco users with behavioral health concerns about benefits of quitting smoking.
  • Support statewide comprehensive tobacco control programs which use educational, clinical, regulatory, economic and social strategies to prevent tobacco uptake, promote quitting, and reduce secondhand smoke exposure.
  • Educate stakeholders and professionals working in tobacco intervention about the correlation between and among addictions, and on trauma-informed care practice and motivational interviewing.
  • Improve and promote health care provider reminder systems for tobacco cessation which remind or encourage health care professionals to support tobacco cessation among their patients.
  • Promote and support the Tobacco Free Columbia Dane County Coalition and other local partners that provide educational sessions on the evidence-informed policies that prevent and reduce tobacco use.

Goal: Improve mental health services for children and adults

Objective: Increase access to mental health services by increasing the ratio of population to mental health providers in Columbia County and ratio of population to primary care physician rate in Columbia County. 

Strategies:

  • Support the promotion of training psychiatrists and encouraging psychiatrists to practice in underserved areas.
  • Support the promotion of training primary care physicians and encouraging primary care physicians to practice in underserved areas.
  • Consider ways to connect psychiatric services to those in need in shortage areas through expanding training programs, telemedicine and consultations to primary care providers in underserved areas.
  • Integrate and coordinate medical and mental health care within medical clinics, hospitals and schools.
  • Support school based mental health services and funding for these services.
  • Actively participate in educating providers in Wisconsin about federal and state mental health parity laws and support the full and proper implementation of mental health parity.
  • Work to enhance all funding sources for mental health, alcohol and other drug programs, mental wellness services, and advocate for fair reimbursement for physicians, therapists, and facilities providing these services.

Goal: Improve mental health services for children and adults

Objective: Increase the use of evidence based practices at the provider, community and policy level.

Strategies:

  • Promote and support evidence based suicide prevention training (i.e. Question, Persuade, Refer).
  • Promote and support evidence based parenting programs (i.e. Columbia County Nurse Family Partnership).
  • Promote and support Mental Health First Aid Training and Youth Mental Health First Aid Training.
  • Promote consultative, diagnostic, and treatment services remotely for patients who live in areas with limited access to care or would benefit from frequent monitoring; also called telehealth.
  • Promote and support trauma-informed communities.

Goal: Improve mental health services for children and adults

Objective 1: Increase access to mental health services by increasing the ratio of population to mental health providers in Columbia County and ratio of population to primary care physician rate in Columbia County.

Strategies:

  • Support the promotion of training psychiatrists and encouraging psychiatrists to practice in underserved areas.
  • Support the promotion of training primary care physicians and encouraging primary care physicians to practice in underserved areas.
  • Consider ways to connect psychiatric services to those in need in shortage areas through expanding training programs, telemedicine and consultations to primary care providers in underserved areas.
  • Integrate and coordinate medical and mental health care within medical clinics, hospitals and schools.
  • Support school based mental health services and funding for these services.
  • Actively participate in educating providers in Wisconsin about federal and state mental health parity laws and support the full and proper implementation of mental health parity.
  • Work to enhance all funding sources for mental health, alcohol and other drug programs, mental wellness services, and advocate for fair reimbursement for physicians, therapists, and facilities providing these services.

Objective 2: Increase the use of evidence based practices at the provider, community and policy level.

Strategies:

  • Promote and support evidence based suicide prevention training (i.e. Question, Persuade, Refer).
  • Promote and support evidence based parenting programs (i.e. Columbia County Nurse Family Partnership).
  • Promote and support Mental Health First Aid Training and Youth Mental Health First Aid Training.
  • Promote consultative, diagnostic, and treatment services remotely for patients who live in areas with limited access to care or would benefit from frequent monitoring; also called telehealth.
  • Promote and support trauma-informed communities.