Orange County NC Website
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UNC Clinics <br /> Access in Orange County <br /> - Second healthiest county in NC 2011 <br /> - 18% residents w/o regular MD <br /> - 28% did not visit MD within past year <br /> - 15% did not see MD due to money & increasing <br /> - Barriers: Language, north-south mal-distribution <br /> ACA & Supreme Court(text from Predictions of Experienced Observers Based on <br /> Supreme Court Oral Arguments in the ACA Case) <br /> Board of Health Strategic Plan <br /> Access to Care Focus Areas <br /> - Catalyst and facilitator for health access partnerships in the county; <br /> - Advocate for policies/legislation that improve access to health care; <br /> - Foster a culture of innovation at the Health Department so that new ways of <br /> addressing this issue can be tested and developed and <br /> - Actively communicate about effective interventions and advocate for their <br /> funding. <br /> Mental Health and Substance Abuse <br /> Mental Illness Frequently Complicates Chronic Disease <br /> Mental Illness Epidemiology, 2009 (graph) <br /> Mental Illness is Chronic and Relapsing <br /> Mental Health & Substance Abuse. <br /> - 6.2% of healthcare budget <br /> - $193 billion in lost earnings <br /> - Disproportionately affects safety net population <br /> - More likely to have multiple illnesses <br /> The Burden of Mental Illness (chart) <br /> Coordinating 8� Integrating Care <br /> Obstacles <br /> - Fragmentation <br /> - Costs: Direct, Indirect, Opportunity <br /> - Redundancy and duplication <br /> - Challenging patient population <br /> Board of Health Strategic Plan <br /> Mental HealthlSubstance Abuse <br /> Focus Areas <br /> - Review current smoking bans for expansion; <br />