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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH March 23, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ March Page 2 selected from census blocks, 279 addresses were attempted with 166 door-to-door surveys completed. A new health opinion online survey was completed by 1,548 community residents. There were a total of 1,714 health opinion surveys answered, 5 focus groups conducted and 4 community listening sessions held. The 3 health priorities chosen as a result of the prioritization that occurred at the Healthy Carolinians of Orange County’s Annual Meeting were 1) Social Determinants of Health with priority around Access and Poverty, 2) Mental Health & Substance Abuse, and 3) Physical Activity & Nutrition. As the Board had previously received a copy of the nearly 150 page CHA full report (50 pages before the attachments), Ms. Mercer spoke on the design of the CHA Executive Summary. She also extensively discussed important and pertinent information in regards to each of the 3 focus areas displayed in the CHA Overview document that the Board had also received prior to the BOH meeting. Ms. Mercer addressed questions from the board that pertained to the data represented in the Executive Summary. Jessica asked – regarding the Mental Health and Substance Abuse portion - What’s the denominator (percentage of suicides)? How is it defined? Ms. Mercer expressed that she was not 100% positive of the explanation but would get the answer and would follow-up with Jessica after the meeting. Nick asked – What’s the process of dissemination? Ms. Mercer responded by stating the CHA will be placed on both the Health Dept. and Healthy Carolinians websites, emailed to various list servs, shared with the community thorough press releases and social media, shared with County Commissioners, and sent to community partners. Ms. Mercer thoroughly reviewed and discussed with the Board each of the BOH Requirements for Accreditation including explaining how most of the requirements have been satisfied and the procedures needed to satisfy the remaining benchmark activities. She also went through the dissemination requirements and how they will be satisfied after the Board approves the CHA document. Ms. Mercer explained that there are 8 phases in the CHA process. Currently, it is on schedule and at phase 6 which is to create the CHA document. Upon Board approval, the next phase involves disseminating the CHA document to the community which will include sending to community partners/stakeholders and uploading to different websites. The BOH members had questions that were addressed by Ms. Mercer and Dr. Bridger. VI. Action Items (Non-Consent) A. Integrated Behavioral Health Proposal Kathleen Goodhand, Home Visiting Services Supervisor, began with an introduction of herself, Hannah Welch, MSW Intern, and Andrea Mulholland, Family Nurse Practitioner II. Ms. Goodhand gave an overview of the results of the integrated behavioral health pilot as well as the need for funding a behavioral health position. First, she explained why integrating behavioral health is important. Some of those reasons included: • Behavioral and social factors contribute to nearly every cause of death, illness and disability. • 50% of patients with a mental health diagnosis are seen by their primary care provider. • 85% of physician visits are for problems that have a significant psychological component. • 45% of individuals who die by suicide have visited their primary care provider within a month of their death and over 75% had contact within one year. Next, she spoke on the impact of integrated behavioral health and how it increased patient, family and provider satisfaction. Ms. Goodhand also expressed that mental health should be viewed as a part of physical health. Ms. Welch talked about the population that the Health Department's integrated behavioral health pilot has served.