Online Program

Developing statewide measures for hospitals and local health departments to monitor interventions for promoting mental health and preventing substance abuse

Monday, November 2, 2015 : 3:30 p.m. - 3:50 p.m.

Sean J. Haley, Ph.D., MPH, Department of Health and Nutrition Sciences, Brooklyn College & CUNY School of Public Health, Brooklyn, NY
Priti Irani, MPH, MS, Office of Public Health Practice, New York State Department of Health, Albany, NY
Caroline Bolarinwa, Department of Health Policy, Management, and Behavior, State University of New York at Albany, School of Public Health, Rensselaer, NY
Christopher Maylahn, MPH, Bureau of Chronic Disease Prevention and Health Promotion, New York State Department of Health, Albany, NY
David Shern, Ph.D, Johns Hopkins University, Tampa, FL
Sylvia Pirani, MPH, MS, Office of Public Health Practice, NYSDOH, Albany, NY
In Fall 2012, the New York State Health Department of Health (NYSDOH) released the 2013-2017 New York State Prevention Agenda (NYSPA), the state’s health improvement plan. “Promote Mental Health and Prevent Substance Abuse’ is among the five statewide priorities identified in the NYSPA.  Under the ACA, nonprofit hospitals are compelled by the IRS to conduct needs assessments and develop community action plans. In December, 2013, local health departments submitted statutorily-required community health improvement plans for at least two priorities and hospitals submitted their action plans based on guidance issued by NYSDOH.  

An extensive review of 152 hospital and 48 local health department reports identified “Promote Mental Health and Prevent Substance Abuse” (PMH/PSA) as the second most common priority area by both LHDs and hospitals after “Prevent Chronic Disease.” In all, 47% of hospitals and 50% of LHDs selected PMH/PSA as their first or second priority.

The NYSDOH convened stakeholders (LHDs, hospital associations, community organizations, researchers) to review PMH/PSA findings from both LHDs’ and hospitals’ plans and to identify intermediate measures consistent with evidence-based or best practice interventions.

Findings from the reports and stakeholder feedback suggest:

1)  MHP/SAP represents a new collaborative topic area for both LHDs and hospitals to address;

2) A shared definition of PMH/PSA across settings is needed;

3) Local communities that identify “mental health promotion” and “strengthening infrastructure” need help with identifying measures and interventions; and

4) Opportunities exist for LHDs and hospitals to clarify roles related to behavioral health promotion, disorder prevention, and treatment and recovery.

Continued stakeholder involvement will provide guidance on measures related to PMH/PSA that can be shared with decision-makers in public health, mental health and substance abuse arenas.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss measures used by local health departments, non-profit hospitals and mental health agencies. Explain measures’ linkages to interventions and evidence-based approaches. Describe extent of alignment of recommended measures with the New York State Prevention Agenda. Identify the stakeholder processes used to identify local-level intermediate measures. Describe recommended consensus measures for PMH/PSA.

Keyword(s): Prevention, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as a policy research scientist at the Treatment Research Institute and Sr. Research Analyst at the National Association of State and Alcohol Directors. As a faculty member at the CUNY School of Public Health, my research focuses on the intersection of substance abuse and public health with a particular emphasis on the integration of primary care and substance abuse treatment and population health and substance abuse prevention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.