Mental Health, Substance Use, and Interpersonal Violence

May 21, 2019 Mental Health, Substance Use, and Interpersonal Violence Audrey Denakpo, LBSW andLinda Knapp, PhD Prevention and Health Promotion Administration Center for HIV Prevention and Health Services

Prevention and Health Promotion Administration MISSION AND VISION MISSION The mission of the Prevention and Health Promotion Administration is to protect, promote and improve the health and well-being of all Marylanders and their families through provision of public health leadership and through community-based public health efforts in partnership with local health departments, providers, community based organizations, and public and private sector agencies, giving special attention to at-risk and vulnerable populations. VISION The Prevention and Health Promotion Administration envisions a future in which all Marylanders and their families enjoy optimal health and well-being.

Mental Health, Substance Use, and Interpersonal Violence Purpose • Explore screening tools used across agencies in the Baltimore EMA • Overall goal is to ensure an appropriate process is used across the EMA Importance of Reliability and Validity • Reliability is the extent to which an experiment, test, or measuring procedure yields the same results on repeated trials • Validity ensures screening tools used within EMA measure what they are intended to measure • HRSA guidelines for Outpatient Ambulatory Health Services state that age appropriate, standardized toolsbe used for depression screenings • Standardized tools are designed so the questions, conditions for administering, scoring procedures, and interpretations of the results are consistent and are administered and scored in a predetermined, standard manner.

Data Collection– Survey Monkey Sent Received 40 total responses, 2 were duplicates (N=38) 25 different agencies responded • 30 agencies in the Baltimore EMA: • Local Health Departments • Medical Clinics • Specialty Clinics • Support Services • Housing Services • Asked that survey be shared with anyone within the agency who might be best at answering the questions–multiple responses from a single agency were possible

Mental Health, Substance Use, and Interpersonal Violence Who Administers the Tool? Who Gets Screened? All Clients Only RW Clients Only Medical Case Management Only Nonmedical Case Management Only New Clients • Medical Healthcare Professionals • Allied Healthcare Professionals • Client Self Administered • Other (peer counselors, front end staff, advocacy counselors)

Mental Health Screening 35 people responded to this question

Mental Health Standardized Tool A total of 21 sites use a standardized screening tool 13 sites do not use ANY standardized screening tool Some sites use multiple screening tools - 17 sites use AT LEAST one standardized tool

Mental Health Screening Frequency

Mental Health Limited English Proficiency

Screening Substance Use 32 people responded to this question

Substance Use Standardized Tool A total of 17 sites use a standardized screening tool 13 sites do not use ANY standardized screening tool Some sites use multiple screening tools - 15 sites use AT LEAST one standardized tool

Substance Use Screening Frequency

Substance Use Limited English Proficiency

Screening Interpersonal Violence 31 people responded to this questions

Interpersonal Violence Standardized Tool • A total of 4 sites use a standardized screening tool • 23 sites do not use a screening tool

Interpersonal Violence Screening Frequency

Interpersonal Violence Limited English Proficiency

Summary Variation in practices and tools used: • Within the EMA • Within each agency Is the Planning Council satisfied with this level of variability within Baltimore EMA?

Maryland Department of HealthPrevention and Health Promotion Administration 19

Mental Health, Substance Use, and Interpersonal Violence