Health Services Connections Branch

Welcome to theWelcome to theHealth Services &

Connections BranchFind out all about our services hereFind out all about our services here

Health Services and Connections BranchPrevention Services DivisionPrevention Services Division

Vision: Optimal health and well-being for all Coloradans.

Mission: Promote health equity by facilitating a continuum of health care services, education and support.

Core Values:Honesty and IntegrityOpenness Acceptance and InclusivenessOpenness, Acceptance and InclusivenessRespect and ConsiderationPassion, Compassion and Social JusticeGrowth, Development and Innovation, pCollaborationCustomer ServiceTimeliness

HealthServicesandConnectionsBranch

EsperanzaYbarra,[email protected]

303.692.2482

Vision: Optimal health and well-being for all Coloradans.Mission: Promote health equity by facilitating a continuum of health care services, education and support.

Evidence -based Public Health

TitleXFamilyPlanning

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NurseHomeVisitorProgram

LifeCoy

ColoradoFamilyPlanningInitiative

Contact:[email protected]

303.692.2301

Maternal,InfantandEarlyChildhoodHomeVisiting

Contact:[email protected] CourseA

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BreastandCervicalCancerScreening

Contact:[email protected]

303.692.2511Contact:[email protected]

Social Determinants of Health

DECEMBER2012

Who We Are

Nurse Home Visitor ProgramThe Colorado Nurse Home Visitor Program (NHVP) provides grants to public or private organizations in

Nurse Home Visitor Program

p g p p gColorado to provide health education and counseling services by specially trained nurse home visitors to first-time low-income women beginning in pregnancy and up totime, low-income women beginning in pregnancy and up to the child's second birthday. First-time mother is defined as having no previous live births and low-income is defined as

t 200% f th F d l P t L l L l tup to 200% of the Federal Poverty Level. Local grantees are implementing the Nurse-Family Partnership program that was developed and tested by the National Center p yfor Children, Families and Communities at the University of Colorado at Denver Health Sciences CenterDenver Health Sciences Center.

Nurse Home Visitor ProgramFunding for the Colorado program is made available as a part of the state's Tobacco


available as a part of the state s Tobacco Settlement legislation. The intention of the legislation is that the program be expandedlegislation is that the program be expanded annually so that the services will be available to all eligible mothers in all parts of the state who choose to participate. The legislation also defines participant eligibility criteria and program

ibiliti f th i i l d iresponsibilities of the various involved agencies. Contracts and funds for Colorado sites are administered through the Colorado Department ofadministered through the Colorado Department of Public Health and Environment.

Nurse Home Visitor ProgramThe target population is low-income (less that 200 percent of the Federal poverty level) first-


200 percent of the Federal poverty level), first-time pregnant women and their children, up to their second birthdays. y

The intent of the legislation is to make the i f h i i il blservices of nurse home visitors available

to all low-income first-time pregnant women throughout the state whowomen throughout the state who choose to participate by the year 2009the year 2009

I FY 2000 2001Nurse Home Visitor Program

In FY 2000-2001:

The program was successfully implemented with the p g y ppromulgation and adoption of rules by the Board of Health and the development and implementation of the competitive grant application process as prescribed in the statutegrant application process, as prescribed in the statute.

Grants were awarded for the second half of the fiscal year (J J 2001) t 12 l l titi t id i(January June 2001) to 12 local entities to provide services in 33 of the states 63 counties.

The program was appropriated 3% of the tobacco settlement agreement funds, which was $2,375,744. Grants totaling $2 256 957 were awarded to the twelve local agencies which$2,256,957 were awarded to the twelve local agencies which included county nursing services, local public health departments and community health centers.

The goal of the CDPHE The Family Planning Program is to reduce unintended pregnancy by ensuring all Coloradans have access to affordable, quality contraceptive and reproductive healthquality contraceptive and reproductive health services. Our program supports clinics across the state where over 62 000 women and men receivestate where over 62,000 women and men receive family planning services annually.

Colorado family planning clinics provide a range of preventive health services including:preventive health services, including:

Physical exams for women and men

Cervical, breast, and testicular cancer screening

Birth Control information and supplies

Screening for sexually transmitted infections and HIV

Health education and counseling, including information regarding b tiabstinence

Pregnancy testing and counseling

Basic infertility services

Referrals to other health and social services

WHY FAMILY PLANNING?By providing access to contraception, sexual health counseling, and screeningsBy providing access to contraception, sexual health counseling, and screenings for sexually transmitted infections, family planning services allow women and men to avoid pregnancy when they dont want to become pregnant and plan for healthy pregnancies when they do.

Prevention of Unintended PregnancyNearly half of all pregnancies in Colorado are unintended. Unintended pregnancy as several negative health outcomes including:g gDelayed prenatal care Poor maternal mental healthReduced mother-child relationship qualityPoor developmental outcomes for childrenPoor developmental outcomes for children.

Reduction in Teen PregnancyTeen mothers are affected by unintended pregnancy. Teen mothers: Are less likely to graduate from high school or attain a GED by the time they reach age 30 Earn an average of approximately $3,500 less per year, when compared with those who delay childbearing until their 20sthose who delay childbearing until their 20s Receive nearly twice as much federal aid for nearly twice as long.

EVERYONE can use Title X ClinicsAny woman or man, teen or adult, regardless of income level, or immigration status can use services at Title X clinics. Patients do not need to live in the same county as the clinic and do not need a written referral to access services.

Title X Clinics are AffordableTitle X Clinics are AffordableTitle X clinics charge patients directly based on a sliding fee scale or bill Medicaid for family planning services. All services are offered at no or low cost and patients are never turned away due to inability to pay.

Title X Services are Voluntary and ConfidentialMany women and men choose to attend Title X clinics because they offer completely confidential servicescompletely confidential services.

Title X Clinics Specialize in Family PlanningProviders at Title X clinics specialize in offering contraceptive methods and

ti l h lth M t Titl X li i d t ff i d tpromoting sexual health. Most Title X clinics do not offer primary care and are not intended to replace a primary care visit.

Title X Clinics are ConvenientMany Title X Clinics offer walk-in hours as well as hours after 5:00pm.

Family Planning ClinicsClinics can be found across Colorado. Click below to find one closest to you.

http://locator.aids.gov/?feeds=opa&skin=opa

S h l b d h lth t li i l t d ithi h l b ildi h lSchool-based health centers are clinics located within school buildings or on school campuses, which provide primary medical and behavioral health care to youth. Centers may also have oral health providers, substance abuse treatment providers, nutritionists, health educators, and Medicaid/CHIP enrollment specialists as part of their staff. Typically, school-based health centers are located in schools where a high proportion of students qualify for free or reduced school lunches as this often coincides with the students being either un- or underinsured. Many centers are also located in federally-designated health care provider shortage areas.y g p g

School-based health care has been in place for over 35 years and currently, there are over 2,000 centers in 46 states. In Colorado, school-based health care is in a growth phase thanks to a four-year $10 8 million School-Based Health Care Initiative fundedphase thanks to a four year, $10.8 million School Based Health Care Initiative funded by The Colorado Health Foundation. As of fall 2012, there are 52 centers in the state and the Colorado Department of Public Health and Environment awards just over $1 million in contracts each year.

School-based health centers are vital partners to our health care delivery system.

For people new to this type of health care delivery system, whats most important to know is that school-based health centers get integrated care. Its what they do, each and every day. School-based health centers must work effectively with families, school systems, medical and behavioral health systems, community y y yhealth partners and state Medicaid entities in order to deliver services to the children and youth coming into their centers. Their focus on prevention and health promotion means they are well-p p ypositioned to address many of the public health priorities set by the Centers for Disease Control more commonly referred to as Winnable Battles. By offering care in the school settingas Winnable Battles. By offering care in the school setting students can avoid unnecessary absences from school and their parents can avoid taking time away from work.

For a list of School-Based Health Centers, click here.

School-based health centers provide many benefits to children and communities:Limit and Prevent DiseaseLimit and Prevent DiseaseImprove health and mental health access and utilization for underserved kidsutilization for underserved kids

Improve academic successReduce health costs

Womens Wellness Connection

Women's Wellness Connection is a program that helps women who live in Colorado get free breast and cervical cancerwho live in Colorado get free breast and cervical cancer screenings. Through our partnerships with more than 120 local health care providers throughout Colorado, we provide free screenings for women who:

Live in Colorado.Are legal residents of the United States.Are 40 - 64 years old.yHave limited or no health insurance to pay for these screenings.Have not had a Pap test or mammogram in the last 12 monthsmonths.Meet income requirements.

Women's Wellness Connection is funded through the Centers for Disease Control and Prevention. The goal of the program and its staff is to reduce breast and cervical cancer mortality through the promotion of compliance with routine screening guidelines and timely state of the art diagnostic evaluationguidelines and timely state-of-the-art diagnostic evaluation.

SERVICESWomen's Wellness Connection provides breast and cervical cancer screenings (clinical breast exams Pap tests and mammograms) to eligiblescreenings (clinical breast exams, Pap tests, and mammograms) to eligible women at more than 120 sites through cooperative efforts of multiple statewide providers. The providers of Women's Wellness Connection operate under HIPPA confidentially laws (Health Insurance Portability and Accountability Act of 1996).

Women's Wellness Connection provides funding for case management in order to provide a broader system to women with abnormal screening resultsorder to provide a broader system to women with abnormal screening results. Part of this broader system includes applying for Medicaid in the event a woman is diagnosed with cancer. Women must be screened through the Women's Wellness Connection in order to qualify for Medicaid's Breast and q yCervical Cancer Treatment Program.

HOTLINEW ' W ll C i ' id h li b 1 866 951 WELLWomen's Wellness Connection's statewide hotline number, 1-866-951-WELL (9355), is made possible through an in-kind donation from the American Cancer Society. Society staff operates the hotline to answer questions, provide additional information about the program and help women makeadditional information about the program, and help women make appointments with local Women's Wellness Connection screening providers.

Today, women have a much better chance against cancer than what you may think. In fact, nearly 100% of women who find breast or cervical cancer early survive it. And the best way to find cancer early is to make sure you get routine breast and cervical cancer screenings.

WHY IS FINDING BREAST CANCER EARLY SO IMPORTANT?

98% of women survive breast cancer when it's found early through routine iscreenings.

Most breast cancers take years to develop.Early on, most breast cancers don't cause any physical symptoms, so without a screening, there's no way of knowing you have it.g, y g yWhen breast cancer is found early, it doesn't get the chance to spread to other places.80% of breast lumps are non-cancerous.Every woman's breast tissue is different and unique Getting screened every yearEvery woman's breast tissue is different and unique. Getting screened every year is very important in helping your health care provider find small changes in your breast tissue. This helps them to find cancer as early as possible.

Why is finding cervical cancer early so important?

92% of women survive cervical cancer when it's found early through routine tests.A Pap test can find abnormal cervical cells years before anyA Pap test can find abnormal cervical cells years before any cancer actually exists.Early on, cervical cancer usually doesn't cause symptoms, so without a test there is no way of knowing it's there.The earlier cervical cancer is found, the better the chances of survival.survival.Receiving a Pap test once a year can help you detect and even prevent cancer of the cervix.You can't control what you find but you can control when youYou can t control what you find, but you can control when you find it.

There's no reason to wait. Making sure you receive breast and cervical cancer screenings every year may just save your life.

Through Womens Wellness Connection, you may qualify forConnection, you may qualify for

free screeningsClick below to find out

http://www.womenswellnessconnection.org/Qualify.aspx

For More InformationFor More Information

Website: http://1.usa.gov/13GwsLkp g

Website: http://1.usa.gov/Xrw7IK

Website: http://1.usa.gov/14vJF5t

Website: www womenswellnessconnection orgwww.womenswellnessconnection.org

Other important sitesb f lwww.beforeplay.org

www.COPrevent.org

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