Women’s Integrated Systems for Health

The Women’s Integrated Systems for Health (WISH) project is a training grant funded by HRSA and the Maternal and Child Health Bureau. It is a partnership among the NC Institute for Public Health, the UNC Gillings School of Global Public Health, MCH Dept., and the UNC Center for Maternal and Infant Health.

The project focuses on promoting integrative community approaches to optimizing mental and physical health among adolescents and women of reproductive age. The webinar series is the first component of a multi-faceted project to build leadership capacity among public health, mental health, substance abuse, violence prevention and primary care in order to develop more holistic and integrated systems of care women.

For more information about the WISH project, please click here.

 2011 Webinar Series

 OBJECTIVES

  • Increase knowledge of the key chronic disease, substance abuse and mental health issues that impact women of reproductive age
  • Increase understanding of the systems issues and priorities involved in providing a continuum of care from prevention through disease management
  • Describe partnership opportunities in addressing chronic disease, mental health and substance abuse issues
  • Describe effective strategies to bridge the categorical structures of mental health, public health and primary care
  • Describe leadership opportunities for addressing these issues from a variety of approaches, including; policy, systems, and primary prevention

 AUDIENCE

Public health leaders, program managers, agency directors, health care providers, behavioral health specialists, clinic managers, substance abuse specialists, and community leaders

 FRAMEWORK

Each webinar includes:

  • Definition of the problem, including the impact on a variety of racial/ethnic groups
  • Description of strategies that can be deployed to address the problem
  • Description of the challenges to full implementation of best practice approaches
  • Discussion about key partners and allies around this issue, including differing perspectives, approaches and roles
  • Call to action and leadership opportunities

ARCHIVED WEBINARS

Webinar #1: Integration of Mental Health and Substance Abuse Services for Women of Reproductive Age in Clinical and Hospital Settings

Date: March 16, 2011 from 12:00 pm to 1:00 pm

Speaker: Samantha Meltzer-Brody, MD, MPH, Director, UNC Perinatal Psychiatry Program

Description: This session will focus on screening and treating women of reproductive age, particularly those who are planning a pregnancy, are pregnant or are new mothers, for mental health and substance abuse issues. The UNC Healthcare System has developed a number of innovative practices including a perinatal mood disorders clinic, outposting a psychiatric nurse practitioner to the prenatal clinic, and supporting an in-patient psychiatric unit for pregnant women. UNC also has two out-patient programs (Beacon and Horizons) that provide services to women with substance abuse, domestic violence and mental health concerns. The integration of contraceptive health issues and breastfeeding will be discussed.

To view Dr. Meltzer-Brody's slides, please click here.

To assist us with our grant reporting requirements, we ask that you click here to register to watch the archived webinar. To view the archived webinar, click here. We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here.

Webinar #2: Creating Wellness: The Bright Futures For Women’s Health Initiative

Date: April 6, 2011 from 12:00 pm to 1:00 pm

Speakers: Sabrina Matoff-Stepp, PhDAnna Kindermann, JD, and LCDR Morrisa Rice, MHA, REHS, RS, Office of Women’s Health, HRSA. Click on each person's name to view her biosketch.

Description: This session highlighted strategies to build a positive framework for women’s health and integrated systems of health. Dr Matoff-Stepp and Ms. Kindermann highlighted their new Bright Futures for Women’s Health and Wellness Initiative, a new program also focusing on creating partnerships with women and providers to enhance health. To review their materials and products, please click here.

To view their slides, please click here.

To assist us with our grant reporting requirements, we ask that you please click here to register to watch the archived webinar. To view the archived webinar, please click here. We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here.

Webinar #3: Integrating Behavioral Health Services for Women of Reproductive Age into Community-Based Health Systems

Date: May 4, 2011 from 12:00 pm to 1:00 pm

Speaker: Beth Glueck, MA, LPCS, NCC, Pediatric ProgramManager, NC Center of Excellence for Integrated Care, a program of the NC Foundation for Advanced Health Programs 

Description: This session will focus on the new North Carolina Center of Excellence for Integrated Care. The goal of this project is to integrate patients’ physical and behavioral health care together, whether the care is delivered in an office, clinic, hospital, or mental health agency. The session will share how they partner across many different care providers and systems to support the implementation of comprehensive, evidence and best practice care that address issues around access, coordination and “reattaching” the head to the body.

To view the slides please click here

To assist us with our grant reporting requirements, we ask that you please click here to register to watch the archived webinar. To view the archived webinar, please click here. We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here.

Webinar #4: The Impact of Substance Abuse and Mental Health on the Prevention, Development and Management of Chronic Disease

Date: June 1, 2011 from 12:00 pm to 1:00 pm

Speaker: Ruth Petersen, MD, MPH, NC Division of Public Health

Description: This session will describe emerging research about the inter-relationships among substance abuse, mental health and chronic disease. Presenters will share strategies and challenges for addressing these issues from a state and national perspective.

To view Dr Petersen's slides, please click here.

To assist us with our grant reporting requirements, we ask that you click here to register to watch the archived webinar. To view the archived webinar, click here. We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here. Below are additional resources.

CDC, BRFSS Health-Related Quality of Life
http://apps.nccd.cdc.gov/HRQOL/TrendV.asp?State=35&Category=1&Measure=3


Health Equity, Addressing the Social Determinants of Health through the Life Course
http://www.cdphe.state.co.us/pp/injuryprevention/PowerPointPresentationsISVPConference2010/U.%20ISV%20and%20Social%20
Determinants%20of%20Health_Zimmer_8.25.10.pdf


Healthy Carolinians
http://www.healthycarolinians.org/


NC Institute of Medicine, Prevention for the Health of North Carolina: Prevention Action Plan
http://www.nciom.org/publications/?prevention-for-the-health-of-north-carolina-prevention-action-plan-7725


NC State Center for Health Statistics
http://www.schs.state.nc.us/


Prevention Institute, Fact Sheets: Links Between Violence and Chronic Diseases, Mental Illness and Poor Learning
http://www.preventioninstitute.org/component/jlibrary/article/id-301/127.html


SAMHSA, Office of Applied Studies
http://www.oas.samhsa.gov/


Cloutier S, Martin SL, Poole C. Sexual assault among North Carolina women: prevalence and health risk factors. J Epidemiol Community Health 2002; 56:265-71.

Felitti VJ, Anda R, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. the adverse childhood experiences (ACE) study. Am J Prev Med 1998; 14(4), 245-258.

Rich-Edwards JW, Spiegelman D, Lividoti Hibert EN, Jun HJ, Todd TJ, Kawachi I, Wright RJ.  Abuse in childhood and adolescence as a predictor of type 2 diabetes in adult women. Am J Prev Med 2010; 39:529-36.

Riley EH, Wright RJ, Jun HJ, Hibert EN, Rich-Edwards JW. Hypertension in adult survivors of child abuse: observations from the Nurses’ Health Study II.  J Epidemiol Community Health 2010; 64:413-8.

Thomas C, Hypponen E, & Power C. Obesity and Type 2 diabetes risk in midadult life: The role of childhood adversity. Pediatrics 2008; 121, e1240-e1249.

Webinar #5: The Impact of Violence on Substance Abuse and the Mental and Physical Health of Adolescents and Young Women

 

Date: June 29, 2011 from 12:00 pm to 1:00 pm

Speakers: Rebecca Macy, PhD, ACSW, LCSW, UNC School of Social Work, Connie Renz, MSW, UNC Horizons Perinatal and Maternal Substance Abuse Treatment Program, and Kathy Hodges, MSW, Family Violence and Rape Crisis Services 

Description: This session will model the impact of domestic violence and sexual violence on the health of adolescents and women of childbearing age. It will discuss the many inter-related issues and problems that evolve from these experiences. The session will highlight best practice approaches for identifying women with these experiences and integrating care.

To view Webinar #5 slides, please click here. 

To assist us with our grant reporting requirements, we ask that you click here  to register to watch the archived webinar. We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here. Below are additional resources. 

The Advocates for Human Rights, Stop Violence against Women-Coordinated Community Response
http://stopvaw.org/coordinated_community_response.html

 

CDC, Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings
http://www.cdc.gov/ncipc/pub-res/images/ipvandsvscreening.pdf

National Center on Domestic and Sexual Violence-Coordinated Community Response / Collaboration and Coalition Building / Community Organizing Resources
http://www.ncdsv.org/publications_ccr.html 

 CDC-Injury, Violence and Safety http://cdc.gov/InjuryViolenceSafety/

Webinar #6: The Impact of State Budget Deficits and Health Care Reform on Access to Substance Abuse, Chronic Disease and Mental Health Services

Date: July 20, 2011 from 12:00 pm to 1:00 pm

Speakers (Panel): Brent Ewig, Association of Maternal and Child Health Professionals; Jennifer Bills, JD, Disability Rights NC

Description: The session will feature a variety of perspectives on the impact of shrinking state budgets and the potential of health care reform on access to care for individuals with chronic disease, mental health and substance abuse issues. Speakers will represent a national, state and consumer advocacy perspective.

To view Brent Ewig's slides, please click here. To view Jennifer Bill's slides, please click here.

To assist us with our grant reporting requirements, we ask that you click here to register to watch the archived webinar.  We also ask that you take a few minutes to provide us feedback for evaluation for this webinar by clicking here.

AMCHP, National Center for Health Reform Implementation ACA Fact Sheets
http://www.amchp.org/Advocacy/health-reform/Pages/default.aspx

The Commonwealth Fund – Health Reform Resources http://www.commonwealthfund.org/Health-Reform.aspx

Georgetown University Health Policy Institute, Center for Children and Families – Summary of Medicaid, CHIP, and Low-Income Provisions in Health Care Reform
http://ccf.georgetown.edu/index/key-provisions-in-health-care-reform-package

Institute of Medicine – Clinical Preventive Services for Women: Closing the Gaps
http://www.iom.edu/~/media/Files/Report%20Files/2011/Clinical-Preventive-Services-for-Women-Closing-the-Gaps/Preventive%20Services%20Women%202011%20Report%20Brief.pdf

Kaiser Family Foundation – Health Reform Source
http://healthreform.kff.org/

Kaiser Family Foundation – Summary of Coverage Provisions in the Patient Protection and Affordable Care Act
http://kff.org/healthreform/8023.cfm

Kaiser Family Foundation – Summary of New Health Reform Law
http://www.kff.org/healthreform/upload/8061.pdf

US Government Printing Office – Public Law 111-148, Patient Protection and Affordable Care Act
http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/content-detail.html

Presentation 2

Disability Rights NC
http://www.disabilityrightsnc.org

NC Center for Personal Assistance Services

http://www.pascenter.org/state_based_stats/index.php?state=northcarolina

 

NC Institute of Medicine Implementation of the Patient Protection and Affordable care Act in North Carolina, Interim Report, March 2011
http://www.nciom.org/wp-content/uploads/2011/03/HR-Interim-Report.pdf