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 Integrity Openness Acceptance and InclusivenessOpenness, Acceptance and Inclusiveness Respect and Consideration Passion, Compassion and Social Justice Growth, Development and Innovation, p Collaboration Customer Service Timeliness

HealthServicesandConnectionsBranch

EsperanzaYbarra,Directoresperanza.ybarra@state.co.us

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:JodyCampjody.camp@state.co.us

303.692.2301

Maternal,InfantandEarlyChildhoodHomeVisiting

Contact:LuciaWatermanlucia.waterman@state.co.us303.692.6290 CourseA

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BreastandCervicalCancerScreening

Contact:EmilyKinsellaemily.kinsella@state.co.us

303.692.2511Contact:JoEnglishjo.english@state.co.us303.692.2386

Social Determinants of Health

DECEMBER2012

Who We Are

Nurse Home Visitor Program (MIECHV and NHVP)

The Colorado Home Visitation program seeks to improve health and development outcomes for at-risk children from the time of birth to age 5 years. Through five evidenced-based models, Colorado offers families a continuum of care and provides health education and counseling services to pregnant women and caregivers who reside in at-risk communities.

Goals of the Home Visitation Program:g Improve maternal and child health Prevent child injuries, child abuse, or maltreatment Improve school readiness and academic performancep p Reduce crime or domestic violence Improve family economic self-sufficiency

Home Visitation Program: Maternal, Infant, and Early Childhood Home Visiting Program

The Maternal, Infant, and Early Childhood Home Visiting program (MIECHV) was authorized by a provision in the Patient Protection and Affordable Care Act of 2010. In September 2010, Colorado conducted a statewide needs assessment. Fifteen counties

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were identified and were then ranked using a methodology that considered both risks and community strengths. MIECHV funding supports all 15 counties through expansions of evidence based home visiting programs, funding to strengthen local early childhood systems, or both. y ,The six evidence based models implemented in the MIECHV program include: Healthy Steps Home Instruction for Parents of Preschool Youngsters (HIPPY) Nurse Family Partnership (NFP) Nurse Family Partnership (NFP) Parents as Teachers (PAT) Early Head Start - Home Based SafeCare

Specifically, MIECHV seeks to: 1) Strengthen and improve programs and activities carried out under Title V (including the State Maternal and Child Health Program)g )2) Improve coordination of services for at-risk communities3) Identify and provide comprehensive services to improve outcomes for families that reside in at-risk communities.

Home Visitation Program: Nurse Home Visitor Program

The Colorado Nurse Home Visitor Program (NHVP) awards grants to public or private organizations to provide health education and counseling services to families across the state Local grantees implement the Nurse Family

Nurse Home Visitor Program

families across the state. Local grantees implement the Nurse-Family Partnership program that was developed and tested by the National Center for Children, Families and Communities at the University of Colorado at Denver Health Sciences Center. Specially trained nurse home visitors provide services to first-time, 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 up to 200% of the Federal Poverty Level. The goal of the NHVP is to improve pregnancy outcomes child health and developmentof the NHVP is to improve pregnancy outcomes, child health and development, and overall parental life course.

The NHVP is defined in Colorado Revised Statute C.R.S. 25.31.(101-108), and f di f th C l d i d il blfunding for the Colorado program is made available as a part of the state's Tobacco Settlement legislation. The intent of the legislation is that the program be expanded annually to ensure that services will beexpanded annually to ensure that services will be available to all eligible mothers across the state who choose to participate.

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 regardingb 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 has several negative health outcomes including:g g Delayed prenatal care Poor maternal mental health Reduced mother-child relationship quality Poor developmental outcomes for children Poor 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 theyreach age 30

Earn an average of approximately $3,500 less per year, when compared withthose who delay childbearing until their 20sthose who delay childbearing until their 20 s

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

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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 Disease Limit and Prevent Disease Improve health and mental health access and utilization for underserved kidsutilization for underserved kids

Improve academic success Reduce health costs

Womens Wellness Connection

The mission of Womens Wellness Connection is to provide and ensure quality breast and cervical cancer screenings for women inensure quality breast and cervical cancer screenings for women in Colorado, and to connect them to resources.

Through our partnerships with more than 120 local health care id th h t C l d id f i fproviders throughout Colorado, we provide free screenings for

women who:

Live in Colorado or a border state Are legal residents of the United States and meet lawfulpresence requirements for Colorado

Are 40 - 64 years old Have limited or no health insurance to pay for these Have limited or no health insurance to pay for thesescreenings

Meet income requirements

Women's Wellness Connection is funded by the Centers for Disease Control and Prevention and Colorado Amendment 35 tobacco tax. The goal of the program and its staff is to reduce breast and cervical cancer mortality through the promotion ofbreast and cervical cancer mortality through the promotion of compliance with routine screening guidelines and timely state-of-the-art diagnostic evaluation.

ServicesWomen's Wellness Connection provides breast and cervical cancer screenings (clinical breast exams, Pap tests, HPV testing and mammograms) to eligible women ( , p , g g ) gat more than 120 diverse sites across Colorado. The providers of Women's Wellness Connection operate under HIPPA confidentially laws (Health Insurance Portability and Accountability Act of 1996).

As part of its screening program, Women's Wellness Connection provides case management services to women with abnormal screening results, to ensure appropriate navigation and follow up with the healthcare system. Case management g y gservices include assistance with applying for Medicaid in the event a woman is diagnosed with cancer. Currently, women must be diagnosed through the Women's Wellness Connection in order to qualify for Medicaid's Breast and Cervical Cancer Treatment ProgramTreatment Program.

HotlineWomen's Wellness Connection operates a statewide hotline in partnership with the American Cancer Society. Women calling the hotline can be screened for eligibility and, if they qualify, can be directly connected with the provider closest to them. Hotline services are in English and SpanishHotline services are in English and Spanish Statewide toll-free number: 866-951-WELL (9355) Local numbers: 719-545-4992 and 970-356-5059

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 routinescreenings.M t b t t k t d l Most breast cancers take years to develop.

Early stages of breast cancer may not cause any physical symptoms, so without ascreening there is no way of knowing you have it.

When breast cancer is found early, it doesn't get the chance to spread to othery, g pplaces.

80% of breast lumps are non-cancerous. Every woman's breast tissue is different and unique. Getting routine screenings canhelp your health care provider find small changes in your breast tissue This helpshelp your health care provider find small changes in your breast tissue. This helpsthem 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 any cancer actually exists.

Early on, cervical cancer usually doesn't cause symptoms, so without a test there isno way of knowing it's there.

The earlier cervical cancer is found, the better the chances of survival.

Receiving a routine Pap test once a year can help you detect and even preventcancer of the cervixcancer of the cervix.

You can't control what you find, but you can control when you find it.

There's no reason to wait. Making sure you receive routine 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