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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH May 22, 2019 S:\Managers Working Files\BOH\Agenda & Abstracts\2019 Agenda & Abstracts/ May Page 4 defined by statute and includes members of law enforcement, school, mental health, EMS and providers. In 2018, the CFPT reviewed 5 child deaths. No systems issues were identified. Ms. McCall revealed that the CFPT has had some challenges in attendance. The members were urged to adhere to their commitment. The CFPT did lose one of their parent members (requirement is that they must’ve lost a child under age 18). Ms. McCall notified the BOH that they are seeking members for the CFPT. D. Tobacco Update April Richard gave a brief update on the tobacco program. Below are some of the highlights. • Ms. Richard completed an intensive 4-day training offered by Duke and UNC on intensive tobacco treatment. It focused on how nicotine works in the brain, how pharmacology can improve rates of quitting and on providing treatment to the complex population of people with addictions to tobacco complicated by pregnancy, mental health and substance abuse disorders, chronic stress and trauma. • Freshstart is a 4-week long tobacco cessation class that meets for 1 hour and focuses on not just quitting tobacco but provides coping skills to prevent relapses. Since 2018, there have been 5 classes that reached 40 participants. Freshstart has been revamped as they’re at different host sites with the intent to be where the people are, not necessarily make the people come to the OCHD. • Freshstart classes were also held at UNC Horizons where there were about 45 pregnant and parenting women over the last 1½ years that participated. The classes were offered during their typical UNC Horizon program sessions. Support was provided to their prescriber to avoid under dosing tobacco treatment. • At Lutheran Services Carolina, there was 1 class with 6 participants. There is stigma that people with mental health disorders can’t quit or that smoking helps them control their behaviors. Group counseling was provided as well as direct access to free Nicotine Replacement Therapy (NRT). • Tobacco cessation and counseling was provided to 30 clients attending Project Connect with 12 participants receiving 4 weeks of free NRT (e.g. gum, patches, lozenges). When following up, it was discovered that one of those 12 had already quit using the NRT given to them. • NRT works best when combined (e.g. gum and patch). There were 392 boxes of NRT dispensed. Cessation referrals were integrated into OCHD Dental and Medical Clinics implementing the 5A’s - Ask (about tobacco use), Advise (tobacco users to quit), Assess (readiness to make a quit attempt), Assist (with the quit attempt) and Arrange (follow up care). • There is consistent signage at agencies as our tobacco-free signage has been updated. E-cigarettes are now on the signage. • Ten presentations on emerging products were given to youth influencers and young adults. There are nicotine pods and delivery devices such as Juul being used amongst youth. Prevention and cessation movie ads were created, in the past, by Tobacco Reality Unfiltered (TRU) clubs and were played at every showing in movie theaters in Durham, Burlington, Greensboro and Chapel Hill. There has been inconsistent implementation at the 5 schools that have TRU clubs. Ms. Richard noted that there is a proposal in the works to create a youth health advisory council for Orange County.