Live Well Lincoln 607 N. Sales Street, Suite 101

Merrill, WI 54452 Phone 715-536-0307

Agenda Healthy Minds for Lincoln County

April 16, 2019 10:00 am – 12:00 pm Lincoln County Service Center, Room 156

Members Ascension Good Samaritan Hospital Ascension of Merrill Ascension Sacred Heart Hospital Aware and Active Citizens HAVEN, Inc Lincoln County Circuit Court Lincoln County Clerk of Court Lincoln County District Attorney Lincoln County Health Department Lincoln County Social Services Marshfield Clinic Merrill Medical College of Wisconsin Merrill Area Public Schools Merrill Police Department North Central Health Care North Central FSET Program Therapy Dog Program UW- Extension Lincoln County

1. Call to Order 2. Welcome and Introductions 3. Approve Minutes of January 15, 2019 Meeting 4. Agenda Items

Annual Action Plan Review

Overview of Various Court Options in the State - Katy Burke, BS CSAC, Wisconsin Statewide Problem-Solving Court Coordinator

5. Next Steps/Future Agenda Items Discuss future presentation topics for meetings

6. Next Meeting Date(s): July 16, October 15 7. Adjournment

Distribution: Healthy Minds for Lincoln County

Service Center-Posted on _______________________at __________m. by_____________ News Media-Notified on _______________________at _________m. by_____________ Courthouse – Posted on ________________________at __________m. by_____________ There may be a quorum of other Lincoln County committees presented at this meeting. Requests for reasonable accommodations for disabilities or limitations should be made prior to the date of this meeting. Please do so as early as possible so that proper arrangements can be made. Requests are kept confidential.

Lincoln County Health Department

Healthy Smiles Meeting Minutes January 18, 2019 1:00pm Health and Human Service Conference 3rd Floor Room 1

Members Present: See attached list Members Excused: Vicki Rice Visitors: none

Agenda Item Notes Assignments

1. Call to order and Approve Minutes of Previous Meeting

Minutes approved from November meeting -

2. Sugar Out Day Dates and times discussed for Sugar Out Day Thursday February 7th at Washington Elementary 9:00-10:00am Thursday February 7th at Jefferson Elementary 12:30-1:30pm Friday February 8th at Kate Goodrich 9:00-10:00 Date changed to March 1st at Tomahawk Elementary 1:30-2:30pm Student dental hygiene volunteers being arranged from North Central

Technical School and possibly Nicolet. New Sugary Snack display boards were approved by the coalition to have them

created and order stands for the existing Rethink Your Drink boards. Pre and post questions were reviewed and revised. Question #2 will change

from ‘Juice has sugar in it? Yes/No to ‘Sugar is the only thing that causes cavities? Yes/No

5210 water bottles will also be given to the 4th grade SOD students with an informational insert about Rethink your Drink and fill with water only.

Will continue a flavored water taster sample for students on SOD also. Program/presentation will remain the same as last year noted except for above

additions.

Karen will continue to update the volunteers and recruitment. Karen will have the amount approved and ordered for time to use for SOD’s.

3. Oral Health Action

Plan Ideas/Actions

New Live Well Lincoln logos presented Discussion of initiating a new dental brochure with dentists and possibly

coverage they take. Adding new clinics to the list. Having the ED business card initiated also. Example from Dane County Researching ideas for a ‘ticker tape’ info on morning news—price and

frequency Researching ideas for more FB posts on the LCHD site.

Karen All

Tuesday Tuesday and Karen

4. Next Steps/Further

Agenda Items

Bring brainstorming ideas to next meeting - All

5. Next Meeting Date(s) March 22nd 2019 1:00-3:00pm May 17th 2019 1:00-3:00pm

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6. Adjournment 3:00pm -

Minutes submitted by: Karen Krueger

Metric trending away from target Metric trending at baseline Metric trending toward target

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Version 4/9/19

Mental Health & Substance Abuse Health Indicators

Indicator Description Baseline Target Current Status Source

Suicide rate

Age adjusted suicide rate (deaths/100,000 pop.)

LC 13.5

(2011-2015)

10.2 HP2020

8.8 (2016-2017)

WISH

WI 14.7 (2016) 15.4

(2016-2017) CDC- Stats of

the State

US 13.5 (2016) 13.5 (2016) Healthy People

2020

Students attempted

suicide

Percent of high school students who attempted suicide

LC 7.3% (2017) 6%

Wisconsin

7.3% (2017)

Lincoln County YRBS

WI 6% (2013) 7.8% (2017) WI YRBS

US 8.6% (2015) 7.4% (2017 U.S YRBS

Students attempted

suicide

Percent of high school students who attempted suicide requiring medical attention (1 or more times in the last year)

LC 2.2% (2017)

1.7% HP2020

2.2% (2017)

Lincoln County YRBS

WI 2.5% (2013) 2.5% (2017) WI YRBS

US 2.8% (2015) 2.4% (2017) U.S YRBS

Students feeling sad or

hopeless

Percent of high school students who reported feeling so sad or hopeless almost every day for 2 or more weeks in a row that they stopped doing some of their usual activities in the last year.

LC 34.1% (2017)

24.6% Wisconsin

34.1% (2017)

Lincoln County YRBS

WI 24.6% (2013) 27% (2017) WI YRBS

US 29.9% (2015) 31.5% (2017) U.S YRBS

Mentally unhealthy

days

Average number of mentally unhealthy days reported in the past 30 days by adults

LC 3.3 (2016)

3.1 Top U.S

3.5 (2018)

County Health Rankings:

Lincoln County, WI, US

WI 3.5 (2016) 3.8 (2018)

Top US

3.0 (2016) 3.1 (2018)

# mental health

providers

Ratio of population to mental health providers

LC 1,330:1 (2016) 330:1 Top

U.S

1,330:1 (2018)

County Health Rankings:

Lincoln County, WI, US

WI 600:1 (2016) 530:1 (2018)

US 360:1 (2016) 310:1 (2018)

# of ACEs

Percent of adults that report 4 or more Adverse Childhood Experiences (ACEs)

LC 22%

(2011-2015)

10% Top Wisconsin

22% (2011-2015)

WI Child Abuse and Neglect Prevention

Board

Top WI

10% (2011-2015)

10% (2011-2015)

US 14.3% (2010) 14.3% (2010) BRFSS

Metric trending away from target Metric trending at baseline Metric trending toward target

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Version 4/9/19

Students drink

alcohol

Percent of high school students who drank alcohol at least 1 day during the last 30 days

LC 33% (2016) 30.4%

Wisconsin

33% (2016)

Lincoln County Social Norms

WI 33% (2013) 30.4% (2017) WI YRBS

US 33% (2015) 29.8% (2017) CDC Alcohol

Students use

electronic vapor

Percent of students who used an electronic vapor product at least one day during the last 30 days

LC 23% (2016)

11.6% Wisconsin

23% (2016)

Lincoln County Social Norms

WI - 11.6% (2017) WI YRBS

US 24% (2015) 13.2% (2017)

HHS: Adolescents

and Substance Abuse

Students use

marijuana

Percent of students who used marijuana one or more times during the last 30 days

LC 18% (2016)

16% Wisconsin

18% (2016)

Lincoln County Social Norms

WI 17% (2013) 16% (2017) WI YRBS

US 22% (2015) 19.8% (2017) CDC: High

School YRBS

Adults binge

drinking

Percent of binge drinking among adults (age 18 and older)

LC 20%

(2012-2014) 12% Top

Northwoods

20% (2012-2014)

Northwoods Coalition

Epidemiological Profile

WI 23%

(2012-2014) 23%

(2012-2014)

US 26.9% (2015) 26.9% (2015) Healthy People

2020

Substance abuse deaths

Rate of deaths related to alcohol and other substances (per 100,000 population)

LC 269.8 (2017)

179.3 Wisconsin

269.8 (2017)

Wisconsin Public Health

Profile: Lincoln County

WI 179.3 (2017) 179.3 (2017)

US - - Healthy People

2020

Opioid hospitaliza

tions

Rate of opioid-related hospitalizations (per 1,000 population)

LC 1.3

(2013-2014) 0.4 Top Northwoods

1.3 (2013-2014)

Northwoods Coalition

Epidemiological Profile

WI 1.6 (2014) 1.6 (2014)

US - -

Drug law arrests

Rate of drug law arrests (per 100,000 population)

LC 390 (2014) 35 Top

Northwoods

390 (2014)

Northwoods Coalition

Epidemiological Profile

WI 439 (2014) 439 (2014)

US - -

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension

Annual Action Plan Review

April 16, 2019 10:00 am – 12:00 pm Lincoln County Service Center, Room 156

Key Indicators

Reference Healthy Minds Key Indicators Handout

Any surprising data?

Any local data we should/could be collecting?

Are there better key indicators to track?

Do we need to monitor all these indicators?

Do we have data for our target audience?

Accomplishments – Outputs and Outcomes

Reference Healthy Minds Action Plan Summary Handout

What accomplishments did we have this year?

What challenges did we experience?

What are our next steps for 2019?

Are we reaching high risk populations? If not how do we do this better?

Are we targeting the right audience based on our data and knowledge?

Coalition Operations Questions

How do we recruit the target audience to be part of our coalition?

Based on this discussion, does our action plan need to be revised – new strategies introduced/old strategies abandoned?

Other items that need to be discussed?

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

Mental Health and Substance Abuse Action Plan Goal 1: Increase preventative education and outreach that increases knowledge strengthens families, builds life skills (coping, decision making, problem solving, conflict resolution, etc.) and increases resiliency. Objective Responsible Target Status 2018 2019

By December 31, 2023, the Coalition will publish 2 Lincoln County Youth Health Profiles that include Social Norms Survey and Youth Risk Behavior Survey Data from Merrill and Tomahawk School Districts

LCHD, Lincoln County UW Extension, Merrill Area Public Schools, and Tomahawk School District

2

Youth Health Profiles 224 distributed

YRBS & SN Presentations (83 participants)

Tomahawk Social Norms Survey Administered (2/14/18)

YRBS Administered (TMS & THS 2/13 & 2/14 & PRMS & MHS 3/11/19)

By December 31,2023, the Coalition will implement 1 public awareness campaign annually in Lincoln County.

LCHD, Lincoln County UW Extension, Merrill Area Public Schools, Tomahawk School District, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital and interested coalition members.

1 annually (6 total)

6 Campaigns Dose of Reality Campaign

(newspaper ads Jan – March) Social Norms Campaign

(posters, billboards, school trivia, etc. – Jan- Dec)

Gun Lock Safety Campaign (gun locks w/ education – March – April)

Parents Who Host Campaign (May – June)

Suicide Prevention Month Positive Rocks Initiative (rocks w/positive messages placed on local trails/32 rocks & evaluations returned – Sept)

Hopeline (billboard – Sept – Dec)

4 Campaigns Hopeline Billboard (billboard

Dec – May) Social Norms Campaign

(posters, billboards, school trivia, etc. – Jan- present)

Dose of Reality Campaign (billboard, Facebook ads, materials distribution, press release, etc. – Apr)

kNOwMeth Campaign (digital ads – Apr)

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

By December 31, 2023,

the Coalition will

implement 2 community

events in Lincoln County

LCHD, Lincoln County UW Extension, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital, Northwoods Veterans Auxiliary, TB Scoot Free Library, Tomahawk Public Library and interested coalition members.

2

9 Events Community Poverty Simulation

2/26/18, 35 participants

Taking Care of You Programs (3/5/18 - 3/26/18 - 13 participants); (4/2/18-5/7/18, 17 participants); (10/1/18 - 10/2/18 - 72 Pine Crest employees) & (11/15/18 - 7 participants)

Straight Forward Screening 4/12/18 - 35 participants,

Lincoln County Safety Day Camp “Minds Up” 8/7/18 - 83 youth

Mock Teen Bedroom Display 9/22/18 - 26 participants

Let's Talk about Pain Meds 10/16/18 - 2 participants

4 Events Mock Teen Bedroom

Display (3/5/19) Not in this Neighborhood &

Mock Teen Bedroom Display (4/3/19)

Taking Care of You Program (4/6/19 & 4/13/19); abbreviated (4/11/19)

By December 31, 2023, the Coalition will implement 4 community trainings annually in Lincoln County

LCHD, Lincoln County UW-Extension, Ascen-sion Good Samaritan Hospital, Ascension Sacred Heart Hospital, Coalition Members with Training Certifications,

4 annually

(24 total)

8 Trainings Adult Mental Health First Aid

Training 1/2/18 - 31 participants

Drug Impairment Trainings for Edu. Professionals (DiTep) (2/28/18 - 3/1/18 – approx. 50 participants); (10/18/18 - 10/19/18 – 19 participants)

Naloxone Training 3/21/18 -51 participants

Youth Mental Health First Aid (5/16/18 - 5/17/18 - 8 participants,); (11/27/18 - 11/28/18 - 14 participants)

3 Trainings Youth Mental Health First

Aid (2/23/18) & (2/26/18 & 2/28/19)

Let's Talk About Pain Meds & Naloxone Training (3/7/19)

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

Mental Health Provider Meeting 6/18/18 - 15 professionals

Let's Talk About Pain Meds & Naloxone Training 12/17/18 - 14 participants,

By December 31, 2023, the Coalition will provide Merrill and Tomahawk School Districts with 2 evidence based strategies to promote mental health and prevent substance abuse among youth

LCHD, Lincoln County UW-Extension, HAVEN, Merrill Area Public Schools, Tomahawk School District, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital, and interested coalition members

2

Discussion with MAPS and TSD about offering Youth QPR in schools. Reference Jackson County Mode. Goal to provide QPR in school classrooms; taught by educators and peers.

2 MAPS Staff trained in QPR Facilitator Training in Rhinelander (3/15/19)

Goal 2: Increase outreach and programming for those identified as high risk in the community. Objective Responsible Target Status 2018 2019

By December 31, 2023, the Coalition will implement 2 family-based education opportunities to identified families at higher risk in the community

Lincoln County UW Extension, Merrill Area Public School, Tomahawk School District, Kinship of Tomahawk, Big Brothers and Big Sisters and interested coalition members

2

Contacted state to express interest in Mindfulness Enhanced Strengthening Families Facilitator Training in 2019

Formed Drug Endangered Children (DEC) Committee approved at Social Services Committee Meeting (2/20/19), first DEC Committee meeting held on 3/27/19

Planning Committee established to organize Trauma Informed Care County- wide Strategic Planning Session

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

By December 31, 2019, the Coalition will develop a substance abuse and mental health resource guide and distribute throughout Lincoln County.

LCHD, Lincoln County–UW-Extension, Ascen-sion Good Samaritan Hospital, Ascension Sacred Heart Hospital, and interested coalition members

1

Awarded DHS Opioid Grant to fund local resource guide.

Resource Guide Data Collection in progress. Survey sent to agencies to collect data for guide in Feb.

By December 31, 2023, there will be a 10% increase in number of inquiries to 211 from Lincoln County residents

Merrill Area United Way, Lincoln County Interagency Members and interested coalition members

10% increase

No progress

No progress

Other Related Efforts

231 prescription lock boxes and bags; 101 deactivation units distributed

201 prescription lock boxes & 200 deactivation units distributed

Permanent Drug Drop Box at Tomahawk Pharmacy

Goal 3: Become a community that supports recovery

Objective Responsible Target Status 2018 2019

By December 31, 2023, Lincoln County will have 10 individuals trained and active as recovery coaches

LCHD, Lincoln County Department of Social Services, HAVEN, North Central Health Care, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital and interested coalition members

10

4 HAVEN Recovery Coaches Awarded DHS Opioid Grant

(funding to develop local recovery coach model and to fund training)

Contracted with HAVEN to develop Recovery Coach Model for Lincoln County (Opioid Grant)

NCHC is developing a tri-county recovery coach program. HAVEN is attending monthly planning meetings.

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

By December 31, 2023, the Coalition will pursue expansion of additional substance abuse and mental health support groups for individuals and their family members in Lincoln County

North Central Health Care, Lincoln County Department of Social Services, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital and interested coalition members

-

Current: NAMI Family Support Group, Ascension Depression and Grief Support Groups

Contact made with Narcotics Anonymous Group about starting local group (no progress made)

Call with Kenosha County Survivors of Suicide Support Group Facilitator 3/28/19

By December 31, 2023, the Coalition will meet with elected officials (county board, city council, schoolboards) and legislators annually to discuss and advocate for policy change

LCHD and Lincoln County UW Extension

1 annual meeting (6 total)

Representative Felzkowski invited to Mental Health Provider Meeting 6/18/18 (no show)

No updates

Other Related Efforts

No updates Provided (5) Mental Health Books to T.B. Scott Free Library & Tomahawk Public Library (books target adults)

Goal 4: Merge the Lincoln County Mental Health Coalition and the Lincoln County Drug Free Coalition Objective Responsible Target Status 2018 2019

By July 31, 2018, the Coalition will begin meeting quarterly

LCHD and Lincoln County—UW Extension

4 meetings 24 total

2 Meetings 7/12/18, 10/16/18

1 Meeting 1/15/19

Lincoln County Health Department & Lincoln County UW-Madison Division of Extension Last updated 4/10/19

By December 31, 2018, the Coalition will have a name, mission statement, and organizational structure

LCHD, Lincoln County UW Extension, Kinship of Tomahawk, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital and interested coalition members

-

Healthy Minds Name, Tagline, Mission finalized (7/12/18)

Met to discuss coalition bylaws (11/9/18)

No Updates

By December 31, 2020, the Coalition will establish a marketing and branding presence in Lincoln County

LCHD, Lincoln County - UW Extension, Ascension Good Samaritan Hospital, Ascension Sacred Heart Hospital, Law Enforcement, HAVEN, Local Marketing Professional and interested coalition members

-

Logo discussion at LWL Partnership Meeting on 11/2/18

Logo finalized Coalition vinyl sign ordered