MacKenzie Phillips, MPH Program Coordinator

MacKenzie Phillips, MPH Program Coordinator

Funding / Support This work is funded either in whole or in part by a grant awarded by the Ohio Department of Health, Bureau of Child and Family Health Services, Child and Family Health Services Program as a sub-award of a grant issued by the Health Resources and Services Administration (HRSA) under the Maternal and Child Health Block Grant, grant award number B04MC26688, and CFDA number 93.994 and Am. Sub. H.B. 59. MomsFirst, A City of Cleveland Department of Public Health Program. Supported in part by Project H49MC00082 from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act). In-kind Support provided by: University Hospitals Case Medical Center

CRPN Structure University Hospitals Case Medical Center (Grants Fiscal Administrator) Cleveland Regional Perinatal Network Project Director Program Coordinator Maternal Mental Health / Perinatal Depression Child & Adolescent Mental Health Not On Tobacco N-O-T

Maternal Mental Health / Perinatal Depression Project Developed strategy to identify perinatal depression and enhance access to mental health services. Created a system-wide approach to screen and refer women identified at risk at several health care institutions and community agencies in the Cleveland area. Accomplished through collaboration and commitment of stakeholders in the region. Had impact on local, state-wide and national levels of public health including project duplication in other counties. REFERRALS 900 800 700 600 500 400 300 200 100 0 # REFERRALS MADE 773 665 457 190 1 2 3 4 YEAR # Referrals Made

Child and Adolescent Mental Health Between 9.5% and 14.2% of children ages birth to five experience socialemotional problems that negatively impact their functioning, development, and school readiness. Young children of color are more likely to to experience key risk factors that put them at risk for mental illness. The 2013 Youth Risk Behavior Survey in Cuyahoga County showed that 25.6% of students felt sad or hopeless, 13.8% of students seriously considered suicide, and 10.2% of students actually attempted suicide. The Cuyahoga County Child Fatality Report indicated there were 4 suicides and 9 homicides among youth ages 10-17 in 2012. Risk factors were identified as parental and/or child substance abuse, poverty, problems at school, and parental history of mental illness.

The CRPN received funding to address Child and Adolescent Mental Health in Cuyahoga County Document gaps and barriers to mental health and / or addiction services by interviewing referring agencies and mental health agencies in Cuyahoga County Develop a network of referring providers and mental health agencies to ensure care coordination of underinsured and uninsured children and adolescents to mental health services Develop a data tracking system to monitor referrals, intakes, and withdrawals on a quarterly basis

25.00% 20.00% 15.00% 10.00% 5.00% 0.00% Why Tobacco Programming? Data from Prevention Research Center for Healthy Neighborhoods at Case Western University Adolescent Tobacco Use 22.30% 10.40% 15.10% Cuyahoga County 10.60% Any Tobacco Product Cigarettes Cigar Hookah Youth in Cuyahoga County are smoking at nearly the same rate as Cuyahoga County adults (23.2% in 2012), although youth are choosing products that are less regulated, and potentially more accessible, than cigarettes. More than 1 in 5 high school students in Cuyahoga County have used tobacco in the past 30 days. Of particular concern is the overall high rate of multiple product use among Cuyahoga County adolescents. Overall, 8.4% of students reported using at least two tobacco products in 2013

Not On Tobacco American Lung Association Evidence based programming that focuses on tobacco use in adolescents. Designed for tobacco using adolescents between the ages of 13 19 who voluntarily would like to quit. Youth centered techniques focus on teenager s motivations to quit smoking. Group interaction, hands-on activities, interactive models, and incentivized program participation help teens remain interested and complete programming.

Flexible Program Layout designed to fit the needs of your agency or school 1 MEETING / WEEK 45 MINUTES 10 WEEKS TOBACCO CESSATION 1 MEETING / WEEK 90 MINUTES 5 WEEKS 2 MEETINGS / WEEK 45 MINUTES 5 WEEKS By collaborating with agencies and schools where teens are already gathered, we can eliminate the transportation barrier.

Program Objectives Quit smoking. Reduce the number of cigarettes or tobacco products used per day for those who are unable to quit Increase healthy lifestyle behaviors in the areas of physical activity and nutrition Enhance their sense of self-control Improve life skills such as stress management, decision making, coping, and interpersonal skills

Target Audience Teens ages 13-19 who Are regular smokers or tobacco users Volunteer to participate (want to quit) Want to quit using a group support program Have parental permission to participate (if required in your setting) Programming can be adapted to middle school students!

Lessons SELF REFLECTION NICOTINE TRAP REASONS FOR USING TOBACCO EXCUSES FOR NOT QUITTING IDENTIFYING TRIGGERS HEALTH EFFECTS DEALING WITH SLIP UPS BIG TOBACCO MARKETING SOCIAL SUPPORT STRESS MANAGEMENT COPING SKILLS

Recruitment / Incentives Explore ideas around recruitment that will work for your site (word of mouth, drop box of names, announcements, information session with food / some other draw, friend to friend recruitment) Incentive items and rewards Quit Day Celebration / graduation celebration Tangible rewards for regular attendance, follow-through, acts of empathy, skill demonstration, etc. Building a community of support for one another

QUESTIONS? MacKenzie Phillips, MPH Cleveland Regional Perinatal Network Program Coordinator 216-844-3392 MacKenzie.Phillips@uhhospitals.org