November 3, 1999
BOARD OF HEALTH MEETING
Harris Hall Main Floor - 9:00 a.m.
Commissioner Bobby Green, Sr., presided with Commissioners Bill Dwyer, Anna Morrison, Peter Sorenson and Cindy Weeldreyer present. County Administrator Bill Van Vactor, County Counsel Teresa Wilson and Recording Secretary Melissa Zimmer were also present.
REPORT Semi-Annual Board of Health Report.
Karen Gaffney, Health and Human Services, noted for the past six months, the traditional community health indicators looked good as communicable disease rates are down. She noted there were concerns during the last period about the restaurant inspection program and the state had audited them and they passed.
She noted the breast and cervical cancer project has been one of the leaders in the state and in 1997 there was an increase in diagnosis of breast and cervical cancer in the county, but a decrease in death. She noted the early intervention programs are successful in the community.
She said with regard to the tobacco prevention program, there has been two additional rural communities added to its targeted prevention efforts.
She noted there is an increased need of collaboration and cooperation in the approach to help with the developmentally disabled when families go into crisis.
She said there are challenges, and one is the continuous increase in the heroin problem. She noted that last year there were 33 deaths in Lane County (an all time high) and in the first 3/4 of 1999, there were 30 deaths, projecting out to 40 deaths for the year. She noted methadone clinics have continued to expand and not be able to meet demand. She said there is also a lack of detox services and there is one provider in Lane County whose beds have to go empty due to lack of funding and there are no youth detox services in Lane County.
She said with regard to prevention efforts, they are trying to continue to get in front of the problem and are working with treatment providers to understand how to better treat youth that are becoming addicted to heroin and are working with law enforcement and businesses to create a system that will prevent people from using heroin in the first place.
Gaffney spoke about the mental health services. She said there is a need to combine services better for people who have co-occurring mental illness and addiction issues. She noted that Lane Care has had successful years and reinvestment into the community rather than taking it off as profits and they hope to expand those services for chemical dependency services and to reinvest those resources for the community.
She noted there is a great need for acute services for children who have mental illness and who are 12 years or older, as they cannot be served in this community if they need something other than outpatient treatment. She added if children do have problems, they are sent to Portland and services are not able to be coordinated with local resources. She noted that is one of their priorities for the next six months.
She described the crisis of long-term and acute care beds in the County. She said that Lane County is the only county in the state that owns its psychiatric hospital that is full every day. She said the state has a shortage of state hospital beds for long-term care. She said because there are not state hospital beds, people are sitting in Lane County Psychiatric Hospital who need and have been approved for the state hospital who stay for up to 9 weeks and that decreases Lane Countys access to its own beds.
She noted several programs are dealing with issues of domestic violence in the community. She said in the family mediation program, 40% of the cases referred to family mediation have domestic abuse issues and is having an unfunded impact on parole and probation.
She stated for priorities, they are looking at the adult program and how services can be provided for young people.
Morrison noted that Lane County received a $90,000 grant for prevention of heroin. She asked how the evaluation is done and whether or not Lane County will be successful. She asked if a report would be coming and if there will be a way to measure what they had done.
Gaffney responded that the grant was renewable for up to five years and is $100,000, but it is not enough money to completely turn it around. She noted the feds asked them to use the money to help leverage resources to better coordinate communities in helping to make a difference.
Morrison stated she wants to see what the evaluation says when it comes back.
MOTION: to approve Board of Health Minutes for May 5, 1999.
Morrison MOVED, Dwyer SECONDED.
There being no further business, Commissioner Green recessed the meeting at 8:45 a.m.
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