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Home My WebLink About06-2022 June 7 PHAB Minutes The Peaceful Presence Project .pdf Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES June 7, 2022 12:00 p.m. - 1:30 p.m. via Zoom videoconferencing Facilitator Rob Ross, MD, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Ethan Laing Next Meeting August 2, 2022, Zoom Topic and Lead Introductions and Approval of the April Meeting Minutes Some edits to the last month’s minutes – Steve motioned to approve with the addition to the minutes, Tami seconded No objection, minutes pending edits are approved Announcement and Unfinished Business - Public Health Workforce Meeting at COCC starting today – will work as a focus group to increase the workforce Meeting Theme: Community Behavioral Health The Peaceful Presence Project Introduction - Elizabeth Johnson, Erin Collins, Peaceful Presence Project Presentation: Mission: help communities reimagine the way we talk about and plan for the last stage of life. Focusing on improving end-of-life experience and death fluency. The organization was founded in 2018, and in 2019 became a 501 c(3) non-profit. Collective of 6 doulas who take a team approach. Programing falls in 3 main areas: Education, Planning, and Presence. Maintains a philosophy of equitable, compassionate end-of-life care is a human right. Typically working off of a sliding-scale, trying to increase funding to better meet needs of lower-income clients. Currently COHQA 2021 Grant funded through September 2022. Overview includes: establishing an advance care planning framework to support unhoused/housing insecure community member, and Advance Care Planning (ACP) facilitators including Medical and Service Providers, trained EOL Doulas, and Advance Directives via Koda Health Platform (EHR). Advance Care Planning is “a process that supports adults at any age or stage of health in understanding and sharing their personal values, life goals, and preferences regarding future medical care. The goal of advance care planning is to help ensure that people receive medical care that is consistence with their values, goals, and preferences during serious and “To promote and protect the health and safety of our community.” Updated 11/22/22 PHAB presentation 6.7.22.pptx chronic illness.” This process can occur at any time in a lifespan: from healthy people naming proxies in case of unexpected injury to patients with a terminal diagnosis making end-of-life decisions. These plans can and should be initiated outside of the Healthcare system. Why does it matter for persons experiencing homelessness? Morality rates, average life expectancy, and health of older adults without homes are all at higher rates for this population. See ‘Concerns/Fears’ & ‘Preferences’ slide in presentation for further considerations. Currently referrals can be sent through either their website, email, or Connect Oregon/Unite Us referral platform. No One Dies Alone Central Oregon (NODA Central Oregon): compassionate end-of- life care is a social justice issue. Every person deserves to have the planning, support and care to die where and how they want to. NODA Central Oregon adopts a public health approach to palliative and end-of-life care. Goals of the project includes creating a regional coalition to improve end-of-life care for vulnerable community members, and establishing safe physical spaces in the community for dignity-conserving end-of-life care. Stabilization Center Update - Holly Harris, Behavioral Health Program Manager Presentation: The Stabilization Center is an extension of the Deschutes County Crisis Program. This program started about 7 years ago in partnership with the County Sheriff Department. The Stabilization Center, opened 2 years ago, is a 24-hour facility for anyone in crisis to go to, and for local law enforcement to bring people voluntarily who are experiencing a crisis. Goals incudes: - To reduce the number of individuals with Serious Mental Illness who end up in the criminal justice system - To reduce the number of individuals going to the Emergency Department (ED) for mental health crisis - To help people experiencing a mental health crisis stabilize in their community and become connected to resources so they engage in mental health treatment to regain a better quality of life - To provide a place for Law Enforcement (LE) to quickly bring someone in a mental health crisis so LE can get back to their duties Services include crisis walk-in, case management, peer support, and psychiatric nurse practitioner on staff 20-hours a week. Those who need services do not need to be a Deschutes County resident, all can access services. There is also a 23-hour respite site – a voluntary 5 recliner short-term respire unit for adults experiencing a mental health crisis. It provides a quiet and peaceful environment for individuals to stabilize and get connected to appropriate community resources. Most people stay an average of 10-hours. During this service, staff can offer shower, laundry, food, and other needs that may need to be met for the individual. The reason the respite is only 23-hours and not 24-hours is to avoid being classed as an in-patient facility. Additionally, most crisis can be solved within this time. The Stabilization Center has had over 6000 visits since opening – and average of 9 visits per day (approximately 2000 unique individuals). 21% brought in by LE (average 4.5 minutes per drop off). 23% utilize respite, 30% directed from the ED. 89% population served were adults, and 11% children. We are seeing that children utilize ED services more so than ours, and are working on improving access. The Stabilization Center is available to give tours. Reach out to Holly Harris to arrange if interested. Listen/read OPB segment on the Stabilization Center. “To promote and protect the health and safety of our community.” Updated 11/22/22 Health Heroes Award Recap - Tom Kuhn Central Oregon Daily News wrote up a really good article talking about the ceremony. The turnout was really great, and larger than expected. It became a local healthcare celebrity gathering, and a first-time face to face meeting for some of the PHAB members. It was a rousing success, and it really came together. Tom shared some photos from the event. The event really came together nicely. COCC Workforce Committee – Sarah Baron Basically looking to create a certificate of completion or degree that is focused on Public Health. Today’s session is focused on what does the workforce need? Anyone in this group can show up to participate. Adjourn at 1:18pm Board Members Present: Tom Kuhn, Emily Cummins, Renee Wirth, Steve Strang, Lindsay Atagi, Sharity Ludwig, Tami Pike, Charla DeHate, Colleen Sinsky, Sarah Baron, Commissioner Phil Chang, Rob Ross Staff Members Present: Tom Kuhn, Ethan Laing Guess Presenters: Elizabeth Jonson, Erin Collins, Holly Harris FUSE – Frequent Users System Engagement COHC – Central Oregon Health Council COPA – Central Oregon Pediatrics Association PIO – Public Information Officer COCC – Central Oregon Community College OHA – Oregon Health Authority ODE – Oregon Department of Education SCHS – St. Charles Health Systems GME – Graduate Medical Education CMS – Centers for Medicare/Medical Services OHSU – Oregon Health & Science University PHAB – Public Health Advisory Board PIT – Point-in-time NGO – Non-Governmental Organization “To promote and protect the health and safety of our community.” Updated 11/22/22