{"id":5458,"date":"2019-11-12T17:51:21","date_gmt":"2019-11-12T22:51:21","guid":{"rendered":"https:\/\/sites.bu.edu\/nephtc\/?p=5458"},"modified":"2025-04-27T18:45:17","modified_gmt":"2025-04-27T22:45:17","slug":"learning-can-help-public-health-cross-silos-in-the-opioid-epidemic","status":"publish","type":"post","link":"https:\/\/sites.bu.edu\/nephtc\/2019\/11\/12\/learning-can-help-public-health-cross-silos-in-the-opioid-epidemic\/","title":{"rendered":"Learning Can Help Public Health Cross Silos in the Opioid Epidemic"},"content":{"rendered":"<p>The Public Health Training Centers like nothing better than to see learning take hold and actualized in the real world of public health, particularly on an important issue like the Opioid Epidemic.<\/p>\n<p>In this post, NEPHTC is celebrating work done by a public health team in Kansas, that started with a learning program developed by NEPHTC and Systems Thinking expert Julia Ross for the Vermont Department of Health.\u00a0 Learning is like that, it grows, it morphs, and can be passed along for use and re use by different funders and different teams.\u00a0 The team leaders were Cristi Cain, Director, Local Public Health Program, Kansas Department of Health and Environment, and Amber Dean, Project Manager, Public Health Initiatives, Community Engagement Institute, Wichita State University.<\/p>\n<p><a href=\"\/nephtc\/files\/2019\/12\/Learning-Can-Be-Like-That.jpg\"><img loading=\"lazy\" src=\"\/nephtc\/files\/2019\/12\/Learning-Can-Be-Like-That.jpg\" alt=\"\" width=\"503\" height=\"97\" class=\"alignleft size-full wp-image-5460\" \/><\/a><\/p>\n<p>NNPHI replicated the NEPHTC Systems Thinking Training Program with Coaching at the PHIT training in June 2019.\u00a0 One of the teams who attended that training was made up of members from the Kansas Department of Health and Environment and the Wichita State University.\u00a0 The team decided to use Systems Thinking Coaching to address the issue of having no roadmap for local health departments to address behavioral health.<\/p>\n<p><a href=\"\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362.jpg\"><img loading=\"lazy\" src=\"\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362-1024x461.jpg\" alt=\"\" width=\"1024\" height=\"461\" class=\"alignleft wp-image-5456 size-large\" srcset=\"https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362-1024x461.jpg 1024w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362-636x286.jpg 636w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362-768x346.jpg 768w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Kansas-iStock-820661362.jpg 1526w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>See their description of the issue and the systems thinking work they did to describe the underlying causes here:<\/p>\n<p><span style=\"color: #339966;\"><strong>Issue Selected <\/strong><\/span><\/p>\n<p><span style=\"color: #339966;\">In Kansas, nearly half of the 100 local health departments prioritized behavioral health during community planning processes. Unfortunately, there is no current roadmap about what to do next. As a result, the majority of local health departments that have prioritized behavioral health are not achieving their stated goals. This is the issue this team chose to focus on. Their vision is it to have all of their local health departments seamlessly integrate behavioral health services, including cross referral capabilities, and provide ease of access for all clients.<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"color: #339966;\"><strong>Underlying Causes <\/strong><\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"color: #339966;\">Using a systems thinking approach, the team identified a number of underlying causes which are contributing to this issue remaining in place.<\/span><\/p>\n<ul>\n<li><span style=\"color: #339966;\">Silos within state system (Kansas Department of Health and Environment is different than Kansas Department for Aging and Disability Services \u2013 which handles behavioral health; Local Health Departments (LHDs) are different than Community Mental Health Centers (CMHCs)<\/span><\/li>\n<li><span style=\"color: #339966;\">Crisis intake assessment must be completed by a very narrow set of professionals (other states allow more variation in who completes)<\/span><\/li>\n<li><span style=\"color: #339966;\">Organization of Mental Health is different than physical health \u2013 they have historically not been co-located; can have a neurologist and a cardiologist in the same building but not a mental health specialist and primary care provider<\/span><\/li>\n<li><span style=\"color: #339966;\">Some CMHCs are uncomfortable that LHDs want to work on behavioral health \u2013 example: they are uncomfortable that some LHDs are being trained to do Mental Health First Aid<\/span><\/li>\n<li><span style=\"color: #339966;\">Stigma &#8211; people will not use available services because they don\u2019t want people to know they have a behavioral health need<\/span><\/li>\n<li><span style=\"color: #339966;\">Perspective from some LDHs that \u201cBehavioral health is not my job\u201d and \u201cBehavioral health is outside my wheelhouse.\u201d<\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\"><span style=\"color: #339966;\">After more coaching and processing the team decided to implement a pilot event, a Behavioral health Community Planning Day, which they held in 2019.\u00a0 Importantly, they invited a wide range of community organizations to attend the day, deliberately creating an environment in which people could meet others across silos:<\/span><\/p>\n<p style=\"padding-left: 30px;\"><span style=\"color: #339966;\">Community Mental Health Centers<\/span><\/p>\n<ul>\n<li><span style=\"color: #339966;\">Education (pk-12 and Higher Ed)<\/span><\/li>\n<li><span style=\"color: #339966;\">Healthcare Providers<\/span><\/li>\n<li><span style=\"color: #339966;\">Insurance\/Managed Care Organizations<\/span><\/li>\n<li><span style=\"color: #339966;\">Kansas Department of Aging and Disability Services<\/span><\/li>\n<li><span style=\"color: #339966;\">Kansas Department of Health &amp; Environment<\/span><\/li>\n<li><span style=\"color: #339966;\">Kansas State Research &amp; Extension<\/span><\/li>\n<li><span style=\"color: #339966;\">Law Enforcement &amp; Corrections<\/span><\/li>\n<li><span style=\"color: #339966;\">Judicial\/Court<\/span><\/li>\n<li><span style=\"color: #339966;\">Local County Health Departments (12 out of 100 Health departments represented)<\/span><\/li>\n<\/ul>\n<p>The team was richly rewarded for their innovation, planning and taking the risk of getting different groups together, using a systems thinking approach.<\/p>\n<p><a href=\"\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080.jpg\"><img loading=\"lazy\" src=\"\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080-636x424.jpg\" alt=\"\" width=\"636\" height=\"424\" class=\"alignleft wp-image-5457 size-medium\" srcset=\"https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080-636x424.jpg 636w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080-768x512.jpg 768w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080-1024x683.jpg 1024w, https:\/\/sites.bu.edu\/nephtc\/files\/2019\/12\/Mixing-Teams-iStock-170042080.jpg 1254w\" sizes=\"(max-width: 636px) 100vw, 636px\" \/><\/a><\/p>\n<p>The evaluation data show:<\/p>\n<ul>\n<li>100% would be interested in participating in another similar session<\/li>\n<li>96% learned of a resource\/strategy of which they were previously unaware<\/li>\n<li>7 out of 10 in assisting with ideas and resources for addressing behavioral health priorities<\/li>\n<\/ul>\n<p>In addition, Aetna Insurance has awarded nine mini grants to local health departments to replicate similar events.<\/p>\n<p>To see the agenda of the behavioral health day, and to read a description of the team\u2019s process and evaluation results, <a href=\"\/nephtc\/files\/2019\/12\/Kansas-Behavioral-Health-Report_Final.pdf\">please download the final report here.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Public Health Training Centers like nothing better than to see learning take hold and actualized in the real world of public health, particularly on an important issue like the Opioid Epidemic. In this post, NEPHTC is celebrating work done by a public health team in Kansas, that started with a learning program developed by [&hellip;]<\/p>\n","protected":false},"author":12057,"featured_media":5457,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[16,338],"tags":[354,218,41,355,39],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/posts\/5458"}],"collection":[{"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/users\/12057"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/comments?post=5458"}],"version-history":[{"count":13,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/posts\/5458\/revisions"}],"predecessor-version":[{"id":5491,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/posts\/5458\/revisions\/5491"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/media\/5457"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/media?parent=5458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/categories?post=5458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.bu.edu\/nephtc\/wp-json\/wp\/v2\/tags?post=5458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}