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55 <br /> p -gg Su ry& p FF ff r�use! 4� t &gip tat yr g,(f <br /> Prior .t y . ubsI 'in(°e ,A19u e 4? ,�J3 ;'ita , R.e It <br /> Substance abuse and mental health issues permeate local public health. From <br /> exposure to environmental tobacco smoke causing an increase in cardiovascular <br /> disease to the challenges associated with ensuring medication compliance in a <br /> depressed patient with a communicable disease, mental health and substance abuse <br /> have far-reaching health and economic impacts. Addressing these problems will take a <br /> fully engaged and active presence by all organizations serving these clients. The Board <br /> of Health will address this issue through two focus areas: <br /> is <br /> 1) Serve as a catalyst and advocate for policies and practices that promote <br /> integrated care in the Orange County Health Department and other medical <br /> providers in the county. <br /> 2) Advocate for and pursue policies, practices, and partnerships that improve <br /> substance abuse and mental health services in Orange County, especially to <br /> vulnerable populations such as the homeless and those connected with the <br /> criminal justice system. <br /> Focus Area #1: Serve as a catalyst and advocate for policies and practices that <br /> promote integrated care in the Orange County Health Department and other <br /> medical providers in the county. <br /> 1) By January 2017, the Board will receive report on progress of OCHD's integrated <br /> behavioral care program. The Board will also share this report with the Board of County <br /> Commissioners. <br /> 2) By June 2017, Health Department staff will investigate reimbursement barriers for <br /> primary care providers to provide and bill for Screening, Brief Intervention, and Referral <br /> to Treatment (SBIRT), telephone and face-to-face consultation with behavioral health <br /> providers, and care provided by a behavioral health and primary care provider on the <br /> same day in the same clinic. <br /> 3) Based on the lessons learned from 1) and 2), the Health Department will provide a <br /> presentation/training on strategies for implementation, possibly at the annual Orange <br /> County Provider breakfast, together with partners such as the NC Center of Excellence <br /> for Integrated Care and UNC Center for Excellence in Community Mental Health by April <br /> 2018. <br /> ti, <br />