BOH agenda 012517 - Laserfiche WebLink

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Language/Cultural - #3 Gap (cont’d) residents to access services for any of the listed disorders (Major Depressive, Generalized Anxiety, Bipolar, Personality, Eating, Substance Abuse, or Schizophrenia Spectrum), making this the #3 gap identified in the survey. There is need for more diversity in the languages MH and SA services are offered in (i.e. Spanish, Burmese/Karen… etc.), as well as cultural competency training to help providers better understand how to work with refugee/undocumented populations. Culturally-relevant practices that provide support for LGBTQ teens are also needed. Education to combat stigma (adolescent and family) - #4 Awareness initiatives in the community are helping combat the stigma associated with MH conditions. More could be done to continue the dialogue encouraging people to seek appropriate treatment. Parents also need to be educated about the importance of ensuring their child gets the help they need. Barriers exist where parents are either unaware of the importance of taking their child to appointments or have busy schedules that conflict with their ability to do so. Knowing how to navigate the Cardinal system and properly enroll their child in MH and SA services is a barrier to accessing treatment. Post-diagnosis maintenance of care - #5 Non-emergency treatment options are non-existent or scarce. Psychiatric care in particular is a critical need for adolescents yet this type of therapy is largely unavailable to this population, especially if uninsured. In general, there is a need for more varied types of therapy (i.e. cognitive behavioral therapy, other types of counseling), as well as therapists trained to do trauma work both in the school systems and in the community. Preventive/Early intervention care - #6 Preliminary efforts to incorporate MH services into the school system are showing success. More robust systems for identifying issues earlier within the primary care and school settings are still needed. There is also a need for more variety of screening tools. Citizenship status – barrier identified through stakeholder interviews and survey responses Cardinal Innovations does not provide behavioral health services to residents without proof of US citizenship. Undocumented immigrants have to rely on the scarce services provided by other community organizations. Inpatient Care Usage/Access – barrier identified through stakeholder interviews and survey responses 2009-2015 UNC Hospital data obtained shows that after an initial decline in mental health-related Emergency Department (ED) visits