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Sonoma County, California. Key Accomplishments. Bundled screening tool is being piloted at 3 sites Family planning clinicians better prepared to offer LARCs Increase awareness about prescription drug misuse. Staff-administered screening tool. Self-administered screening tool.
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Key Accomplishments • Bundled screening tool is being piloted at 3 sites • Family planning clinicians better prepared to offer LARCs • Increase awareness about prescription drug misuse
Findings of Plan-Do-Study-Act • Clinical staff need more training on what is “risky behavior” • Missed opportunities to promoting Tier 1 contraception among risky users • Positive screens for mental health concerns are common → ensure adequate resources • Simplify form!
Kaiser FOR PROVIDER USE ONLY • Provided brief education • Provided handout: • Preconception Health (Half of all pregnancies are unplanned) • Harmful Effects of Alcohol Use • Marijuana • Smoking/Tobacco tear sheet • Domestic Violence tear sheet • Resources for your Emotional Well-Being tear sheet • Perinatal Mental Health Resources • Assessed contraception use • Referral to BMS • Referral to Chemical Dependency • Referral to Early Start, if pregnant • Administered PH-Q9 • Implemented depression care path • Provided referral
Desired Outcomes: ↓ Unintended Pregnancies Short (1-2 yrs) By October 2012, 30 Family PACT clinicians in Sonoma County have completed training on use of intrauterine contraception &/or implants. -26 clinicians have completed IUC training -Upcoming LARC training for all home visitors Intermediate (3-4 years) By 2014, the rate of LARC use among Family PACT enrollees has increased 10% at participating sites and 5% county-wide compared to levels for FY2009-10. Baseline for Title X Family Planning Services in Sonoma: -5.2% clients use IUC -0.9% clients use Implants Long-Term (5+ yrs) By 2016, 50% of women identified at-risk for substance exposed pregnancies receiving family planning services at SRCHC are utilizing tier 1 contraceptives.
Professional Education http://www.scma.org/magazine Community Award for 2012
Consumer Education Healthy Living Grant
Challenges • Balancing the “right” level of engagement with our partners • Spanish-language materials and translation • Trying to prevent John C. Higgins-Biddle’s 3rd biggest mistake “Training people without first establishing an organizational policy decision, communicated to everyone involved, to implement a new program.”
Work Ahead • Supporting policy work on prescription drug disposal • Plan-Do-Study-Act with SBIRT • Reproductive life planning curriculum to prevent unintended pregnancies http://www.thedoctorstv.com/videolib/init/7218