Kanabec County Public Health and Family Services

1. Kanabec County Public Health and Family Services Presentation to SCHA August 2014

3. Kanabec County Pronounced – ke nay bek Named after Ojibwe “Ginebig” meaning “snake” after the Snake River which flows through the county ▪Organized in 1859 ▪Located in East Central MN ▪Encompasses 533.38 square miles ▫524.93 square miles of land ▫8.45 square miles of water

4. Kanabec County ▪County Seat – Mora ▪Other cities ▫ Braham (located mainly in Isanti County but extends into Kanabec) ▫Grasston ▫Ogilvie ▫Quamba ▪15 Townships

5. Kanabec County • Population – approximately 16,240 • 27.58 % under age 18 • 6.9 % age 18-24 • 27.5 % age 25-44 • 23.90 % age 45-64 • 14.1 % age 65 and up • 97 % White • .17 % African American • .81 % Native American • .44 % Asian • .20 % Other • 1.1 % from two or more races

6. Kanabec County • 2 school districts (2013-2014) • Mora - enrollment 1732 • Ogilvie – enrollment 545

7. Community Events • Mora Vasaloppet Ski Race • Held in February of each year. Volunteers assist to host up to 3,000 cross country skiers for this race. • Canoe Race • Held in May of each year. • Half Marathon • Held in August of each year. • Bike Tour • Held in September of each year. Riders can choose a 25 or 50 mile route. • Complete these four events in a years time and receive a Mora Classic award.

8. Community Events • Majstang Festival – Celebrates Swedish Heritage in the Annual Raising of the Majstang Pole. Events and activities throughout the weekend. • Kanabec County Fair – Third weekend in July

9. Activities • Parks • Bike/Walking Trails • Lakes/Rivers • State Forests • Snowmobile/ATV trails • Community Pool • Golf

10. Public Health – It’s what we do!

11. Family Health • Maternal, Infant, and Early Childhood Home Visiting - Maternal, Infant, and Early Childhood Home Visiting supports pregnant women and families and helps parents of children from birth to age 5 tap the resources and develop the skills they need to raise children who are physically, socially and emotionally healthy and ready to learn. • Nurse Family Partnership • Nurse-Family Partnership is an evidence-based community healthcare program that empowers low-income, first-time mothers to become confident parents and strong women by partnering them with nurse home visitors. This trusted relationship instills a level of confidence in the first-time moms that will help them guide them and their children to successful futures. • Healthy Families America (HFA) • is a nationally recognized evidence-based home visiting program model designed to work with overburdened families who are at-risk for adverse childhood experiences, including child maltreatment. It is the primary home visiting model best equipped to work with families who may have histories of trauma, intimate partner violence, mental health and/or substance abuse issues. HFA services begin prenatally or right after the birth of a baby and are offered voluntarily, intensively and over the long-term (3 to 5 years after the birth of the baby).

12. Family Health • New Baby Home Visit • Every new baby born to a family living in Kanabec County is entitled to a home visit from a nurse. A Public Health Nurse will offer to visit you and your baby in your home to weigh and measure the baby, listen to his/her lungs and heart, talk about feeding and dressing, bathing and caring for a sick baby.  The nurse will also talk to Mom about changes she may be experiencing and give some helpful hints to both new parents. When we visit we'll give you some great information about caring for you and your baby. • Home Visits to Handicapped Children • Children with chronic health conditions may receive home visits from a nurse to monitor their health status.  The nurse will also assist families to make connections to community resources. • Confidential Pregnancy Testing • Any woman may come into the Public Health office to test for pregnancy.  Payment is based on a sliding scale with a maximum charge of $5.00 - although no woman will be turned away if unable to pay.  Results are private.  Women will receive education, support and referrals to community resources based on the test outcome.

13. Family Health • Breast Feeding • For information or assistance with breastfeeding schedule an appointment with a Certified Lactation Counselor • WIC - Women, Infants , & Children Nutrition Program • WIC is a nutrition education program which provides supplemental foods which promote good health. • Follow Along Program • Babies and young children grow and learn at their own rate. Some children, though, need special help to grow up healthy and learn skills such as sitting, walking, or talking. The Follow Along Program can help you know if this is true for your child. • Child and Teen Checkups • Child and Teen Checkups are regular health checks that check your child's growth, development, hearing and vision. • Car Seat Program

14. Health Promotion • Public Health Nurse Clinics • A preventative health care clinic designed to serve seniors. Services provided are: health assessment and education, foot care, medication management, INR testing and management. The nurse will take time to listen to the client and discuss their questions and concerns. Referrals to physicians may be made, as indicated by a client's current status.

15. Health Promotion • Partners in Healthy Living (Statewide Health Improvement Program) • Our mission is to foster healthier communities where all residents live, work, learn, and play. We achieve this by increasing access to nutritious foods, physical activity opportunities, and tobacco-free living. Strategies include: • Active Living - Active living is the freedom to enjoy physical activity throughout your day. It also means providing safe and convenient opportunities for physical activity at schools, in the workplace, and in the community • Child Care - Partners in Healthy Living is proud to partner with local Child Care Centers and Daycares to support best practices in nutrition, breastfeeding support and physical activity • Health Care - Partners in Healthy Living works with providers to encourage referrals, support breastfeeding, and cessation services for patients using tobacco products. We help clinicians to be successful in working with patients who are obese or at risk for obesity, including referrals to community resources. • Healthy Community Foods -Too many Minnesotans cannot find fresh fruits and vegetables near their homes, or what they can find is limited and expensive. Partners in Healthy Living works with our communities to increase access to and consumption of fruits and vegetables through farmers markets, healthy corner store initiatives, and other community-based healthy eating strategies.

16. Health Promotion • Partners in Healthy Living Strategies continued: • Schools - Active School Day - Partners in Healthy Living is proud to work with 33 schools across our 5 county region. Some of the efforts include: • Safe Routes to School: Safe Routes to School helps more kids walk and bicycle to school more often through infrastructure improvements, education and promotional activities. Walking and bicycling to school helps families stay active and healthy and kids arrive to school focused and ready to learn. • Physical activity in schools: Across Minnesota, schools are working to increase physical activity within the instructional setting, building a foundation for lifelong physical activity. Active classroom breaks, physical education and recess all mean kids not only are healthier, but also learn better. • Schools – Healthy Eating- Partners in Healthy Living assists school districts to review current policies, conduct or review their needs assessment, and review nutrition practices and environment. The schools can then develop goals and determine an action plan based on their findings and capacity. Each school will have a distinct action plan.

17. Health Promotion • Partners in Healthy Living Strategies continued: • Healthy Community Foods -Too many Minnesotans cannot find fresh fruits and vegetables near their homes, or what they can find is limited and expensive. Partners in Healthy Living works with our communities to increase access to and consumption of fruits and vegetables through farmers markets, healthy corner store initiatives, and other community-based healthy eating strategies • Health Care - Partners in Healthy Living works with providers to encourage referrals, support breastfeeding, and cessation services for patients using tobacco products. We help clinicians to be successful in working with patients who are obese or at risk for obesity, including referrals to community resources. • Tobacco-free living • Tobacco-free parks - Many residents of cities across Minnesota now enjoy tobacco-free parks, protecting kids from secondhand smoke. • Smoke-free multi-unit housing. Partners in Healthy Living supports apartment building owners to put in place voluntary policies restricting smoking, resulting in less second-hand smoke exposure for families and lower maintenance costs.

18. Health Promotion • Partners in Healthy Living Strategies continued: • Worksite Wellness - Coordinators partner with worksite wellness groups to promote: • Healthy eating: Increase fruit and vegetable consumption, and decrease sodium, added sugar and saturated fat by addressing vending /healthy snack station, catering, and cafeteria food. • physical activity: Increase access to facilities, active transportation, and opportunities for physical activity. • Tobacco-free: Completely tobacco-free environments and provide cessation support. • Breastfeeding Support: Accommodate and support breastfeeding women.

19. Health Promotion • Substance Abuse Coalition of Kanabec County (SACK) • The Substance Abuse Coalition of Kanabec County (SACK) provides innovative programs and services that help keep Kanabec County residents strong and resilient against alcohol, tobacco and other drugs (ATOD). SACK meetings occur monthly and include representation from community members and organizations that are working to build a healthier environment for all people in Kanabec County. SACK membership includes: Youth, Parents, Businesses, Media, Schools, Youth-Serving Organizations, Law Enforcement, Justice/Corrections, Faith-Based Organizations, Civic and Volunteer Groups, Healthcare, State and Local Government, Other Organizations Involved in Reducing Substance Abuse, and High-Risk Sub-Populations. • Drug Free Communities Grant (DFC) • The Drug-Free Communities Support Program (DFC) is a Federal grant program that provides funding to community-based coalitions that organize to prevent youth substance use. Current DFC strategies are being implemented to reduce prescription drug abuse and marijuana use in Kanabec County. • Strategic Prevention Framework – State Incentive Grant (SPF-SIG) • The three goals of the SPF SIG Program are: • Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking; • Reduce substance abuse-related problem; and • Build prevention capacity and infrastructure at the State, territorial, tribal and community levels.

20. Immunization Program • Provides immunizations to the public. • Infant • School readiness • Hepatitis • Seasonal Influenza • HPV

21. Public Health Emergency Preparedness • Programming to help public health departments to effectively respond to a range of public health threats, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events. Preparedness activities funded by the PHEP cooperative agreement are targeted specifically for the development of emergency-ready public health departments that are flexible and adaptable.

22. Policy, Systems and Environmental Change • Health Promotion work that is based on policy, systems and environmental change. • Policyinterventionsmay be a law, ordinance, resolution, mandate, regulation, or rule (both formal and informal). Example: Organizational policies that provide time off during work hours for physical activity. • Systems interventionsare changes that impact all elements of an organization, institution, or system. Types of systems include: school, transportation, parks and recreation, etc. • Environmental interventions involve physical or material changes to the economic, social, or physical environment. Example: Incorporating sidewalks, paths, and recreation areas into community design.

23. Home Care • Skilled Nursing- Home visit to clients for health assessments, teaching, and other direct nursing care. The Nurse will make a thorough assessment of your needs and resources and then consult with you and your doctor to develop the home care plan. • Home Health Aide - Assistance with personal care needs. • PT/OT/ST (Therapies) - Physical, Occupational and Speech therapy home visits. • Homemaking - Assistance with home management needs. • Information and Referral - Coordination of care with community resources to help meet the needs of the client and their family. • Loan Closet for durable medical equipment - Medical equipment including wheelchairs, walkers, and commodes are available free of charge for Kanabec County Residence up to 6 months.

24. Hospice • Skilled Nursing - Registered Nurses assess, treat and monitor the symptoms of the illness. Focus is on pain management and comfort care. • Bereavement Services - As part of the Hospice Program bereavement services are provided to the primary care giver for up to 12 months. • Respite - Relief and rest for family caregivers. • Chaplain Services -Spiritual Advisors encompass spiritual comfort, counseling and support based on the individual and families beliefs. Acts as a liaison between the local clergy and faith community. • Hospice Social Services - Hospice Social Worker supports the family with emotional counseling, financial planning, educating on death and dying, connecting with community services, client advocacy for end of life care, funeral arrangements and bereavement counseling. • Home Health Aide - Provide personal hygiene and home care assistance that ensure a safe and comfortable environment. • Volunteers - Provide individuals and families with a friend who can be depended on for important social needs such as, activities, primary care giver relief, assisting with errands and providing a much needed smile.

25. Care Coordination • Care Coordination • Kanabec County Public Health R.N. Case Managers work with individuals to determine eligibility for State waiver programs as well as coordinate care for those services. • LTCC consults are provided to seniors and others seeking long term care options • Preadmission screenings for entrance into a nursing home are provided by the Kanabec County Public Health R.N. • Personal Care Attendant screenings for eligibility

26. Strong Partnerships • Kanabec County Public Health maintains strong relationships within all sectors of the community • Referrals • Coalitions • Partners in Health Living • Substance Abuse Coalition of Kanabec County • Advisory Committees • Planning services • Partnering to deliver services • Health Information Exchange

27. Kanabec County Family Services • Mission: To make a positive and lasting difference in the lives of those we serve Adult Services Child Protection Fiscal Child Support Financial Assistance Children’s Mental Health

28. Adult Services • Chemical Dependency – Rule 25 chemical use assessments, outreach, chemical dependency commitments, referrals for the general public • Developmental Disabilities – case management and assistance for individuals with developmental disabilities or related conditions; Assessment and outreach for Traumatic Brain Injury (TBI) waiver and Community Alternatives for Disabled Individuals (CADI) waiver clients • Mental Health – CNSs provide medication management and RNs assist clients with renewing prescriptions under a regional mental health grant and a psychiatrist is available by ITV up to four hours per week for consultations; Case management; Community Support Program (CSP); Pre-petition screenings for civil commitments • Adult Protection – protecting the freedom and safety of the vulnerable population with the least disruption to lifestyle and least restrictive care alternative for those who can’t protect themselves.

29. Adult Services (continued) • Licensing – Child Care, Adult and Child Foster Care; Custody Evaluations; Sudden Infant Death Syndrome and Car Seat trainings for Child Care Providers

30. Children’s Services • Children’s Mental Health – CNSs provide medication management and RNs assist clients with renewing prescriptions under a regional mental health grant; case management, monitoring and referrals to appropriate services • Child Protection – Services for victims of abuse and neglect • Child Welfare – i.e. minor parents and victims by someone other than a household member; preventive services

31. Child Support • Mission: “Working to the best of our ability in order to gain the trust and respect of our clients; enabling us to take care of the children.” • Location of absent parents • Establishment of support orders • Enforcement of support orders • Establishment of parentage through court action or Recognition of Paternity

32. Financial • All Programs have different eligibility standards - individuals must meet income and asset requirementsfor each program • Medical Assistance (MA) • Minnesota Care • Food • Cash • DWP • MFIP • EBT Cards

33. FISCAL:Accounting, Administrative Staff, Collections and Fraud This group provides support and assistance to the units within the Family Service Agency - Includes office support specialists who manage the phone and front desk duties of the entire agency - Case aides who assist the different units within our agency including child support, financial assistance, social services and accounting - Collections and fraud is a specialized area that investigates to determine if there is fraud activity or if there is an overpayment works to collect it - The accounting unit is responsible for the payment of vouchers, receipting dollars, billing for services, and compiling the reports that generate funding

34. We hope you have enjoyed this tour of Kanabec County and the services available and the photo gallery we have attached It has been our pleasure to be your guide Kanabec County Health & Human Services , August 2014