State Health Improvement Plan (SHIP) Strategies for Alcohol and Drugs: 2015-2019 Review and 2020-2024 Priorities

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The State Health Improvement Plan (SHIP) addresses health priorities through strategies and indicators to measure progress, aiming to reduce disparities and achieve collective impact. The 2015-2019 SHIP focused on tobacco use, obesity, oral health, alcohol, substance use, suicide prevention, immunization, and communicable diseases. Strategies for alcohol and drugs included price increases, marketing restrictions, college policies, preventing overdose deaths, and enhancing opioid treatment availability.


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  1. Alcohol, Drugs and the 2020-2024 State Health Improvement Plan Tim Noe Center Administrator Timothy.d.noe@state.or.us PUBLIC HEALTH DIVISION Center for Prevention and Health Promotion

  2. Overview Purpose of the SHIP Process for developing the next SHIP 2020-2024 priorities and next steps Role of the ADPC Questions and discussion PUBLIC HEALTH DIVISION Office of the State Public Health Director

  3. What is a State Health Improvement Plan (SHIP)? Identifies our state s health priorities with strategies to address them and indicators to measure our progress Addresses unjust and unacceptable disparities Tool for aligning and aggregating existing efforts Tool for collective impact with cross-sector partners Required for Public Health Accreditation PUBLIC HEALTH DIVISION Office of the State Public Health Director

  4. Who implements the SHIP? Oregon Health Authority Health care system State legislators and other elected officials State and local public health departments Education (including early childhood, K-12, colleges and universities, and vocational programs) Employers Criminal justice and law enforcement Transportation Housing and human service providers Community based organizations Faith based organizations Foundations and philanthropic partners Anyone wanting to improve health in their community PUBLIC HEALTH DIVISION Office of the State Public Health Director

  5. 2015-2019 SHIP Prevent and reduce tobacco use Slow increase of obesity Improve oral health Reduce harms associated with alcohol and substance use Prevent deaths from suicide Improve immunization rates Protect the population from communicable disease PUBLIC HEALTH DIVISION Office of the State Public Health Director

  6. 2015-2019 SHIP: Alcohol and drug strategies Increase the price of alcohol by 10% Increase jurisdictions covered by alcohol marketing, promotion and retail restrictions Increase number of college and universities with restrictions on alcohol promotion Reduce opioid overdose deaths among American Indian/Alaska Natives Reduce high risk prescribing Ensure availability of medication assisted treatment for opioid use disorder PUBLIC HEALTH DIVISION Office of the State Public Health Director

  7. Vision for 2020-2024 SHIP Oregon will be a place where health and wellbeing are achievable across the lifespan for people of all races, ethnicities, disabilities, genders, sexual orientations, socioeconomic status, nationalities and geographic locations. PUBLIC HEALTH DIVISION Office of the State Public Health Director

  8. Who is building the next SHIP? Community at large Online surveys Culturally responsive community based organizations Other interested agencies and organizations PartnerSHIP and Subcommittees Local and tribal public health CCOs, CACs, hospitals and health insurance Regional health equity coalitions Culturally responsive community based organizations serving marginalized communities People with lived and learned subject matter expertise Community at large PartnerSHIP Core group (PHD staff) PUBLIC HEALTH DIVISION Office of the State Public Health Director

  9. State Health Assessment PUBLIC HEALTH DIVISION Office of the State Public Health Director

  10. PUBLIC HEALTH DIVISION Office of the State Public Health Director

  11. PUBLIC HEALTH DIVISION Office of the State Public Health Director

  12. Strategic Issues ACEs/ALEs, toxic stress and trauma Safe, affordable housing Institutional bias across public/private entities Living wage Food insecurity Incarceration Climate change Violence Tobacco Obesity Substance use Access to mental health care Access to care Suicide PUBLIC HEALTH DIVISION Office of the State Public Health Director

  13. Community Input Process Online survey in English and Spanish Mini-grants to community based organizations o Eastern Oregon Center for Independent Living o Self Enhancement, Inc. o Next Door o Unite Oregon o Q Center o Micronesian Islander Community (of APANO) o Northwest Portland Area Indian Health Board Other community forums PUBLIC HEALTH DIVISION Office of the State Public Health Director

  14. Priorities Online Survey Respondents (N=1,487) PUBLIC HEALTH DIVISION Office of the State Public Health Director

  15. 2020-2024 Priorities Institutional bias Adversity, trauma and toxic stress Economic drivers of health (including issues related to housing, living wage, food security and transportation) Access to equitable, preventive health care Behavioral health (including mental health and substance use) PUBLIC HEALTH DIVISION Office of the State Public Health Director

  16. Framework for Health Equity PUBLIC HEALTH DIVISION Office of the State Public Health Director

  17. Next Steps Subcommittees formed with inclusion of Lived or learned subject matter experts Cross-sector partners from other state agencies Measurement experts Subcommittees charged with - Identifying strategies, measures, and action steps - Soliciting additional feedback from community PUBLIC HEALTH DIVISION Office of the State Public Health Director

  18. Role of ADPC in Behavioral Health Subcommittee Behavioral health subcommittee will be weighted in mental health Final ADPC recommendations will be incorporated into the SHIP 1-2 ADPC members invited to join the behavioral health subcommittee to ensure alignment and coordination PUBLIC HEALTH DIVISION Office of the State Public Health Director

  19. Questions and Discussion PUBLIC HEALTH DIVISION Office of the State Public Health Director

  20. Stay up to date! Visit the SHIP webpage - Healthoregon.org/2020ship Sign up for the SHIP listserve Listen in to PartnerSHIP or subcommittee meetings PUBLIC HEALTH DIVISION Office of the State Public Health Director

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