Working w/in HealthWorking w/in Health
Departments to PromoteDepartments to Promote
Harm ReductionHarm Reduction
Larry Cue...
What state and local health
departments CAN do
• Fund programs
• Validate best practices through guidelines,
strategic pla...
What state and local health
departments CANNOT do
• Take public positions supporting or opposing:
- legislation - budget c...
What community-based
organizations & individuals CAN do
• Ask for what you want
• Hold government agencies accountable
• P...
Ways health departments and
CBOs can work TOGETHER
Health department leads Health department
supports community
Community ...
Examples: TEXAS
Why work with the health
department?
• Statewide impact
• Access to additional resources
• Information network
• Disease s...
Harm Reduction and the Texas
State Health Department
• History of harm reduction initiatives in TX
- Condom access
- Syrin...
Examples of Texas Health
Department Activities
• Texas Viral Hepatitis Summits
• Hepatitis education and training activiti...
Examples: California
California Adult Viral Hepatitis (VH)
Prevention Strategic Plan, 2010-2014
Health department leads
- Inviting government r...
Plan: Harm Reduction-Specific
Recommendations
• Research projects:
– Pilot syringe access, safer tattooing in prisons
– Pi...
Plan Implementation: Programs
Health department leads
- Provider education w/
medical associations
Health department
suppo...
Plan Implementation: Policies
Health department leads
- Healthy People 2020
objectives on HCV testing,
HBV vaccination
- A...
Examples: San Francisco
What community-based
organizations & individuals CAN do
• Ask for what you want
• Hold government agencies accountable
• P...
Questions for Discussion
• What has worked well in health
department/community collaborations that
you have been a part of...
Contact Information
Larry Cuellar
Adult Viral Hepatitis Prevention Coordinator
Texas Department of State Health Services
T...
Contact Information
Rachel McLean, MPH
Adult Viral Hepatitis Prevention Coordinator
California Department of Public Health...
Contact information
Emalie Huriaux, MPH
San Francisco Department of Public Health
Community Behavioral Health Services &
H...
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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 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.

Published in: Health & Medicine, Education
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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

    1. 1. Working w/in HealthWorking w/in Health Departments to PromoteDepartments to Promote Harm ReductionHarm 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 8th National Harm Reduction Conference November 19, 2010 Austin, Texas
    2. 2. 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
    3. 3. 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
    4. 4. 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.)
    5. 5. Ways health departments and CBOs can work TOGETHER Health department leads Health department supports community Community supports health department Community leads
    6. 6. Examples: TEXAS
    7. 7. Why work with the health department? • Statewide impact • Access to additional resources • Information network • Disease surveillance (special studies) • Access to epidemiologic expertise
    8. 8. 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
    9. 9. Examples of Texas Health Department Activities • Texas Viral Hepatitis Summits • Hepatitis education and training activities • Hepatitis awareness activities
    10. 10. Examples: California
    11. 11. 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
    12. 12. 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
    13. 13. 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
    14. 14. 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
    15. 15. Examples: San Francisco
    16. 16. 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.)
    17. 17. 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?
    18. 18. 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
    19. 19. Contact Information Rachel McLean, MPH Adult Viral Hepatitis Prevention Coordinator California Department of Public Health STD Control Branch (510) 620-6403 Rachel.McLean@cdph.ca.gov www.cdph.ca.gov/programs/pages/ovhp.aspx
    20. 20. 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 emalie.huriaux@sfdph.org 415-437-4694 ph; 415-431-7154 fax www.sfdph.org

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