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Cross System Integration as a Means for Reducing Stigma - Karen Larsen, MFT
1. Cross System Integration as a Means for
Reducing Stigma
Karen Larsen MFT
Mental Health Director/Alcohol & Drug Administrator
Yolo County
2. Yolo County
∗ Population just over
200,000
∗ Median Income-$57,260
∗ Persons below poverty
level 18.7%
∗ Culturally Diverse
∗ Geographically Diverse
6. ∗ Move day
∗ Hotel stay
∗ Outcomes
Bridge to Housing
7. ∗ Child Welfare
∗ Probation
∗ Mental Health
∗ Primary Care
∗ ACEs
∗ Trauma Focused CBT
Trauma Informed System of Care
8. ∗ PCP-SBIRT-on site access
∗ Partnership Health Plan
∗ Probation department
∗ Sheriff’s department
Substance Use Disorder Continuum
9. ∗ Mental Health Court/Drug Court
∗ Laura’s Law (Assisted Outpatient Treatment)
∗ SB82 – Community Intervention Program
Law Enforcement/Forensic
Partnerships
10. ∗ Karen Larsen MFT
Mental Health Director/Alcohol & Drug Administrator
Yolo County Department of Health Services
Karen.Larsen@yolocounty.org
530-666-8651
Contact Information
Editor's Notes
Introduce self
Educational and Employment background
My own history of integration
SA + MH + PC + county
@ county – integrating health, ADMH, DESS
Probation in building
West Sacramento-urban-lower socio economic-very diverse
Woodland-county seat- agricultural
Davis-university –higher socio economic
Rural Areas- agricultural, removed from services
Smallest of the medium sized counties
Lifestyle – smoking, obesity, stress, nutrition, blood pressure, alcohol, drug use
Individual level- education, income, wealth, occupation, race, age, gender, genetics, health behavior, health resources, health beliefs
Interpersonal level- family, peers, neighbor
Organizational Level – stores, police, schools, employers, community groups, faith based institutions, transit, health care providers
Community Environment level- physical weather, healthy foods, exercise, built environment, play areas, public safety, pollution toxins
Cultural – health related norms, community capacity, community relationships, community assets – residential segregation by race or income
Societal/Public Policy – segregation, racism and discrimination, economic conditions, health policy, marketing of lifestyle choice, media, other policy (education, economic, urban planning, housing, criminal justice.