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1 Hill. She said staff got a later start in Chapel Hill, so the awareness numbers are a little lower, <br />2 but this will change. <br />3 Chair Jacobs said there will be a National Mayors' conference in Chapel Hill in August, <br />4 and he encouraged the BOH to have literature available for that conference. <br />5 Commissioner Price asked how staff would rate Orange County's work in substance <br />6 abuse and mental health. <br />7 Corey Davis said it is a serious and complicated problem, and there is only so much that <br />8 the health department can do with their limited resources. He said for the County, this is less <br />9 about providing primary mental health services and more about ensuring that linkages are in <br />10 place, and residents are aware of what is out there and are able to access it. <br />11 Colleen Bridger said right now staff is trying to make sure there are as many available <br />12 access points to services. She said the goal is to have a dynamic system that makes services <br />13 available wherever you are located. <br />14 Commissioner Price asked if there has been an increase in substance abuse in Orange <br />15 County, or any increases in use at certain ages. <br />16 Colleen Bridger said data on substance abuse is hard, but staff has asked questions of <br />17 high school and middle students. She said there has been an increase in students who report <br />18 having used illegal substances. She said this has to be used as a proxy for the County, <br />19 because there is not a comprehensive database about this in Orange County. She said if more <br />20 services were available there would be no shortage of people to serve. <br />21 Paul Chelminski said he is the doctor on the BOH. He said the most ominous <br />22 development nationally is an epidemic on heroin overdoses. He said this occurred at the same <br />23 time as decrease in prescription drugs. He said if this begins to happen in Orange County, it <br />24 would need to be addressed quickly. He does not want the community to be caught by <br />25 surprise. <br />26 Tony Whittaker said physical health and mental health are very integrated, but the care <br />27 systems are not integrated, which creates a disparity in response. He said the BOH is trying to <br />28 deal with this. <br />29 <br />30 3. Addressing Child Poverty in Orange County <br />31 Colleen Bridger presented the following PowerPoint slides: <br />32 <br />33 Child Poverty in Orange County <br />34 A Public Health Approach to Building a Pipeline to Success <br />35 <br />36 Orange County — A Snapshot (graph) <br />37 Child Poverty Related Indicators (chart) <br />38 Poverty Matters (chart) <br />39 <br />40 ACEs: Why childhood intervention matters <br />41 • The Adverse Childhood Experiences Score is an aggregate measure of 10 early <br />42 traumatic experiences. <br />43 • These events are far more common than expected and many of these experiences are <br />44 disproportionately experience by those in poverty. <br />45 ABUSE <br />46 NEGLECT <br />47 HOUSEHOLD DYSFUNCTION <br />48 (charts) <br />49 <br />50 ACEs: Why childhood intervention matters <br />