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Working with/in Health Departments to Promote Harm Reduction: Cuellar, McLean, Huriaux, Thomas - HRC 2010

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Larry Cuellar (Texas Department of State Health Services), Rachel McLean (California Department of Public Health), Emalie Huriaux, (San Francisco Department of Public Health), and Laura Thomas (Drug ...

Larry Cuellar (Texas Department of State Health Services), Rachel McLean (California Department of Public Health), Emalie Huriaux, (San Francisco Department of Public Health), and Laura Thomas (Drug Policy Alliance) on harm reduction collaborations between community groups and health departments. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.

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  • Also frequently a difference between what people who work in government believe they are allowed to do, and what they in fact are allowed to do.

Working with/in Health Departments to Promote Harm Reduction:  Cuellar, McLean, Huriaux, Thomas - HRC 2010 Working with/in Health Departments to Promote Harm Reduction: Cuellar, McLean, Huriaux, Thomas - HRC 2010 Presentation Transcript

  • Working w/in Health Departments to Promote Harm Reduction Larry Cuellar, Texas Department of State Health Services Rachel McLean, MPH, California Department of Public Health Emalie Huriaux, MPH, San Francisco Department of Public Health Laura Thomas, MPP, Drug Policy Alliance 8 th National Harm Reduction Conference November 19, 2010 Austin, Texas
  • What state and local health departments CAN do
    • Fund programs
    • Validate best practices through guidelines, strategic plans, reports, conferences, research
    • Work with other government agencies
    • Provide health information materials, expertise
    • Mobilize communities to solve health problems
  • What state and local health departments CANNOT do
    • Take public positions supporting or opposing:
    • - legislation - budget cuts
        • candidates - court decisions
    • Talk to the media without getting talking points cleared first by office of public affairs
  • What community-based organizations & individuals CAN do
    • Ask for what you want
    • Hold government agencies accountable
    • Participate in community planning groups
    • Educate the press and policymakers
    • (Take public positions on legislation, etc.)
  • Ways health departments and CBOs can work TOGETHER Health department leads Health department supports community Community supports health department Community leads
  • Examples: TEXAS
  • Why work with the health department?
    • Statewide impact
    • Access to additional resources
    • Information network
    • Disease surveillance (special studies)
    • Access to epidemiologic expertise
  • Harm Reduction and the Texas State Health Department
    • History of harm reduction initiatives in TX
      • - Condom access
      • - Syringe access
      • - Other programs
    • State Health Department policies & procedures
      • - Permissible activities
      • - Gray areas
      • - Non-permissible activities
  • Examples of Texas Health Department Activities
    • Texas Viral Hepatitis Summits
    • Hepatitis education and training activities
    • Hepatitis awareness activities
  • Examples: California
  • California Adult Viral Hepatitis (VH) Prevention Strategic Plan, 2010-2014
    • Health department leads
    • Inviting government reps. (mental health, drug and alcohol, corrections, etc.)
    • Finalizing plan, coordi-nating implementation
    • Health department supports community
    • Drafting the plan
    • - Convening meetings
    • - Paying for space, facilitator, travel
    • Community supports health department
    • Approval for the plan
    • Media coverage for plan
    • Community leads
    • Sharing plan with media, legislature, policymakers
  • Plan: Harm Reduction-Specific Recommendations
    • Research projects:
      • Pilot syringe access, safer tattooing in prisons
      • Pilot safer injection facilities
      • Effective HCV prevention strategies for young IDUs
    • Programs:
      • Expanded HCV testing, hepatitis A/B vaccine access
      • Statewide viral hepatitis referral guide
      • Expanded syringe access programs
    • Policies:
      • Ensure implementation of health reform addresses health issues of uninsured individuals with chronic VH
  • Plan Implementation: Programs
    • Health department leads
    • Provider education w/ medical associations
    • Health department supports community
    • Funding for syringe exchange, HCV testing
    • Free hepatitis A/B vaccine
    • Referral guide contacts
    • Community supports health department
    • Community advisory group, clinical task force
    • Community leads
    • Service delivery
    • Fundraising to develop statewide VH referral guide
  • Plan Implementation: Policies
    • Health department leads
    • - Healthy People 2020 objectives on HCV testing, HBV vaccination
    • Analysis of health reform
    • Overview of viral hepatitis costs, epidemiology in CA
    • Health department supports community
    • Recommendations to HHS on health care reform implementation and VH
    • Community supports health department
    • Appointment, info. requests to CDPH Public Health Advisory Committee
    • Community leads
    • - CA Health Policy Forum on viral hepatitis
    • Syringe access legislation
  • Examples: San Francisco
  • What community-based organizations & individuals CAN do
    • Ask for what you want
    • Hold government agencies accountable
    • Participate in community planning groups
    • Educate the press and policymakers
    • (Take public positions on legislation, etc.)
  • Questions for Discussion
    • What has worked well in health department/community collaborations that you have been a part of?
    • What surprised you?
    • What challenged you?
    • What did you learn?
    • How will you work differently with your health department/community partners differently after this presentation?
  • Contact Information
    • Larry Cuellar
    • Adult Viral Hepatitis Prevention Coordinator
    • Texas Department of State Health Services
    • TB/HIV/STD Branch MC 1873
    • P.O. Box 149347
    • Austin, Texas 78714-9347
    • (512) 533-3124
  • Contact Information
    • Rachel McLean, MPH
    • Adult Viral Hepatitis Prevention Coordinator
    • California Department of Public Health
    • STD Control Branch
    • (510) 620-6403
    • [email_address]
    • www.cdph.ca.gov/programs/pages/ovhp.aspx
  • Contact information
    • Emalie Huriaux, MPH
    • San Francisco Department of Public Health
    • Community Behavioral Health Services &
    • HIV Prevention Section
    • 25 Van Ness Avenue, Suite 500
    • San Francisco, CA 94102
    • [email_address]
    • 415-437-4694 ph; 415-431-7154 fax
    • www.sfdph.org