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Cross System Integration as a Means for
Reducing Stigma
Karen Larsen MFT
Mental Health Director/Alcohol & Drug Administrator
Yolo County
Yolo County
∗ Population just over
200,000
∗ Median Income-$57,260
∗ Persons below poverty
level 18.7%
∗ Culturally Diverse
∗ Geographically Diverse
Social Determinants of Health
Health Determinants
It’s All Connected
∗ Move day
∗ Hotel stay
∗ Outcomes
Bridge to Housing
∗ Child Welfare
∗ Probation
∗ Mental Health
∗ Primary Care
∗ ACEs
∗ Trauma Focused CBT
Trauma Informed System of Care
∗ PCP-SBIRT-on site access
∗ Partnership Health Plan
∗ Probation department
∗ Sheriff’s department
Substance Use Disorder Continuum
∗ Mental Health Court/Drug Court
∗ Laura’s Law (Assisted Outpatient Treatment)
∗ SB82 – Community Intervention Program
Law Enforcement/Forensic
Partnerships
∗ Karen Larsen MFT
Mental Health Director/Alcohol & Drug Administrator
Yolo County Department of Health Services
Karen.Larsen@yolocounty.org
530-666-8651
Contact Information

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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

  1. Introduce self Educational and Employment background My own history of integration SA + MH + PC + county @ county – integrating health, ADMH, DESS Probation in building
  2. 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
  3. Lifestyle – smoking, obesity, stress, nutrition, blood pressure, alcohol, drug use
  4. 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.