Scaling Community Health Coalitions: The Well Connected Communities Pilot Initiative

Sulzer, Sandra H.; MacArthur, Stacey; Garcia, Zurishaddai; Jensen, Christine; Prevedel, Suzanne; Voss, Maren Wright

doi:10.34068/joe.58.02.11

Cited by 3 publications

(1 citation statement)

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“…If other organizations plan to create CCBHCs in rural areas, this is an area for proactive attention. Partnership with 4-H groups, youth centers, and increasing youth involvement in coalition work may all be strategies to consider employing in the future (Sulzer et al, 2020).…”

Section: Youth Carementioning

confidence: 99%

Challenges and opportunities for rural certified community behavioral health clinics.

Sulzer,

Meier,

Bopp-Williams

et al. 2024

Journal of Rural Mental Health

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In 2014, the Substance Abuse and Mental Health Services Administration's implemented a new pilot program to create Certified Community Behavioral Health Clinics (CCBHC) that would better integrate care and improve substance use disorder and behavioral health outcomes. However, no rural communities had been involved in the CCBHC pilot program. Our program was one of the first attempts at implementing the CCBHC model in a rural setting. Evaluation data, including a community needs assessment, an attestation confirming compliance with the CCBHC criteria, and collection of physical, behavioral, and substance use health outcomes at 6-month intervals, guided an ongoing assessment program. This was further aided by a community advisory board which partnered on programming, suggested interventions and guided data collection. Last, patient satisfaction surveys and interviews were conducted by an outside evaluator to identify any limitations or challenges not otherwise identified. Results indicate that delivery of substance use disorder treatment greatly increased. Access to mental health services, including crises services improved, care coordination expanded, formal partnerships increased, and community involvement was enthusiastic and growing. Nonetheless, securing sufficient workforce was difficult, and the stigma surrounding youth mental health treatment seemed to persist across implementation. The policy context of Utah's Mental Health Authority system created barriers not anticipated by the CCBHC federal model. Effective treatment of youth, workforce recruitment, and policy challenges unique to Utah's Medicaid model created barriers that will vary in their impact on other rural implementation sites. The former two concerns are likely to persist in other rural settings, though the latter may reflect challenges unique to this site. Public Health Significance StatementCertified Community Behavioral Health Clinics (CCBHCs) are a model designed by Substance Abuse and Mental Health Services Administration to incorporate the best practices of care delivery for substance use disorders and related treatments. Therefore, it is essential to develop the model to ensure it is effective in rural settings. This program is outlined here to give other rural care providers key lessons should they wish to implement a CCBHC in their community.

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Section: Youth Carementioning

confidence: 99%

Challenges and opportunities for rural certified community behavioral health clinics.

Sulzer,

Meier,

Bopp-Williams

et al. 2024

Journal of Rural Mental Health

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Social‐ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community–academic partnerships

Aytur

Carlino

Bernard

et al. 2021

Journal Community Psychology

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Suicide is the second leading cause of death among youth in the United States. Data from the 2015 Youth Risk Behavior Survey of 9th-12th grade students in New Hampshire (N = 14,837) were utilized. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using logistic regression models to evaluate associations between suicidal ideation, adverse childhood experiences (ACEs), and other risk factors including using opioids/drugs without a prescription and food insecurity. We also examined whether potentially protective behaviors may attenuate the relationship between ACEs and suicidal ideation. The prevalence of suicidal ideation was 15.4% (girls 20.15; boys 10.67). In unadjusted models, the crude odds ratio reflecting the relationship between suicidal ideation and higher ACE scores was 1.85 (95% CI 1.76-1.94). In adjusted models, suicidal ideation remained positively associated with higher ACE scores (aOR 1.61, 95% CI 1.52-1.70). Risk and protective behavioral factors identified in relation to suicidal ideation and ACEs areThis is an open access article under the terms of the Creative Commons Attribution NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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External Factors Influencing the Implementation of Policy, System, and Environmental Change Strategies Within Cooperative Extension

Kennedy,

Norman-Burgdolf,

Jarvandi

et al. 2024

Health Promotion Practice

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Introduction. Multilevel approaches are important to promote the adoption of healthier practices at the individual and community levels. Cooperative Extension pairs policy, systems, and environmental (PSE) change approaches with direct education programs focused on individual and community health. This study sought to understand Family and Consumer Sciences (FCS) Extension agents’ perceptions of PSE change supports, benefits for their communities, and resources and partnerships important for implementation. Method. The Consolidated Framework for Implementation Research was used to develop a survey to assess outer setting domains related to PSE work. In addition to close-ended questions, the survey included several open-ended, qualitative questions exploring the benefits, resources, and relationships required to implement PSE changes. The surveys were collected online from FCS agents in two states. Descriptive statistics were calculated, open responses were coded, and key themes were established. Results. FCS agents (n=116) indicated high levels of agreement about having necessary support from state-level specialists (71%) and the overall Extension organization (64%). The largest gaps in support were reported as grant or external funding sources, time, and county programming funds. Half of the sample agreed that PSE training was adequate, but only 38.5% reported previously participating in PSE-specific training. Open-ended question responses revealed diverse relationships and numerous benefits of PSE work, including more sustainable health behavior changes and greater local Extension visibility. Discussion. Our findings corroborate previous work and identify potential gaps that future interventions can address to better support Extension and public health professionals when implementing PSE work at the community level.

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Scaling Community Health Coalitions: The Well Connected Communities Pilot Initiative

Cited by 3 publications

References 0 publications

Challenges and opportunities for rural certified community behavioral health clinics.

Challenges and opportunities for rural certified community behavioral health clinics.

Social‐ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community–academic partnerships

External Factors Influencing the Implementation of Policy, System, and Environmental Change Strategies Within Cooperative Extension

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