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MINUTES- Final ORANGE COUNTY BOARD OF HEALTH March 23, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ March Page 3 • Total number of patient encounters: more than 300 • Total number of patients referred: 90 • Total number of patients served: 58 • Total number of integrated visits: more than 30 • Total number of ongoing psychotherapy appointments: 71 She continued by noting the two ways behavioral health services were provided. One way was as requested by clinicians during a clinic visit which would involve the provider asking Ms. Welch to see a patient during a primary care visit after patient issues were identified. The second way was via follow up interventions for issues that required longer term intervention. Dependent on the patient’s needs, the services were provided either by phone and/or through in person counseling sessions. Passive suicidality, interpersonal violence, active PTSD (current or from the past), anxiety, depression and stress management were just a few of the patient conditions/issues that the integrated behavioral health pilot have addressed. Ms. Mulholland provided patient examples and provider feedback which supported the need for the funding of a behavioral health position. She also spoke on the client and provider benefits. The benefits are: • Patients – having immediate, open access to mental health services; safety net; less stigma; client comfort and safety; improved health outcomes. • Providers – on-site, accessible specialty care; support for clinic staff; better control of chronic conditions; lower no-show rates; improved clinic efficiency; indispensable service; lifeline for patients and providers. Lastly, Ms. Goodhand gave the Board details on the projected costs for funding the behavioral health position and posed the staff’s recommendation to the Board. Motion to approve the request for one additional FTE for a Social Work Clinical Specialist to provide integrated behavioral health services and forward to the Board of County Commissioners for action was made by Paul Chelminski, seconded by Barbara Chavious and carried without dissent. The BOH members had questions that were addressed by Ms. Welch, Ms. Goodhand and Dr. Bridger. B. Strategic Planning Process Pt. 1 The Board embarked on its first step in the 2016-2018 Strategic Planning process. The priorities that resulted from the 2015 Community Health Assessment are Social Determinants of Health, Mental Health/Substance Abuse and Physical Activity/Nutrition. Keeping with the precedent from previous Board of Health Strategic Plans, the Chair and Vice-Chair of the Board of Health decided to adopt the same priorities that resulted from the CHA. Dr. Bridger presided over the process which required the Board to narrow down the priorities to focus areas, discuss those focus areas and the vote for the focus areas that will become the priority for each subcommittee. The priority subcommittees are: 1) Social Determinants of Health – focus on FSA, Cultural & Language Barriers and Access 2) Mental Health/Substance Abuse – focus on Integrated Care focus, Service Delivery and Access