Prevention Agenda 2019-2024: Promote Well-Being and Prevent Mental and Substance Use Disorders Action Plan

Promote Well-Being and Prevent Mental and Substance Use Disorders Action Plan (PDF, 960KB, 27pp.)

Table of Contents

Overview

Mental and emotional well-being is essential to overall health. At any given time, almost one in five young people nationally are affected by mental, emotional and behavioral (MEB) disorders, including conduct disorders, depression and substance abuse. Adverse Childhood Experiences and many MEB disorders, such as substance abuse and depression, have lifelong effects that include high psychosocial and economic costs for people, their families, schools and communities. The financial costs nationally in terms of treatment services and lost productivity are estimated at $467 billion in 2012, and $442 billion for misuse of prescription drugs, illicit drugs and alcohol. Mental and physical health problems are interwoven. Improvements in mental health help improve individuals and populations' physical health. The best opportunities to improve the public's mental health are interventions delivered before a disorder manifests itself, to prevent its development. These interventions can be integrated with routine health care and wellness promotion in health care settings, as well as in schools and community settings. Additional information about the burden of chronic diseases, underlying risk factors, associated disparities, and social determinants of health can be found at: Link to the burden documents

Focus Area 1. Promote Well-Being

Goal 1.1 Strengthen opportunities to build well-being and resilience across the lifespan

Target 59.2 out of 100
Baseline 56.4 out of 100
Baseline Year 2017
Data Source Child Trends and Opportunity Nation with data from Opportunity Index, American Community Survey
Data Level County
Target 10.7%
Baseline 11.9%
Baseline Year 2017
Data Source Expanded BRFSS
Data Level County
Target 13.0%
Baseline 14.4%
Baseline Year 2017
Data Source Expanded BRFSS
Data Level County
Target 9.9%
Baseline 11.0%
Baseline Year 2017
Data Source Expanded BRFSS
Data Level County
Target 21.8%
Baseline 24.2%
Baseline Year 2017
Data Source Expanded BRFSS
Data Level County
Target 27.4%
Baseline 30.4%
Baseline Year 2017
Data Source YRBS
Data Level State
Evidence and Resources

Evidence base:

- Robert Wood Johnson Foundation. Wealth Matters for Health Equity

- American Journal of Preventive Medicine. Should health studies measure wealth? A systematic review

- Asset Funders Network. The Health and Wealth Connection. Opportunities for Investments Across the Life Course

Resources

- Democracy Collaborative. Anchor Institutions

- Center for Community Change. Understanding Work-Owned Cooperatives

- Illinois State University. Stevenson Center for Community and Economic Development? Worker Cooperatives as an Innovation Strategy to Address Income Equality?

- Tufts University. Development Without Displacement: The Case for Community Land Trusts

Annie E. Casey Foundation. The Anchor Dashboard. Aligning Institutional Practice to Meet Low-Income Community Needs
Age Range Adults; indirect benefits to children
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
social capital, trauma/ACEs
Lead Sectors Governmental Public Health Agencies
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Contributing Sectors Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
CBOs and Human service agencies
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example - Documented community wealth-building assets (e.g. land trusts, public spaces for people to meaningful engage, worker cooperatives) in the community - Dollars invested in creating community wealth; e.g., inclusive health spaces, community-owned businesses, community development financial institutions
Additional Intermediate-level Measure Example(s) Jobs and businesses created in the community and retained (1 year, 5 years)
Evidence and Resources

Evidence base:

- Health Affairs. Housing and Health: An Overview of the Literature

- Robert Wood Johnson Foundation. Where We Live Matters for Our Health: The Links Between Housing and Health

Resources

- Community-Wealth.org. Community Land Trusts

- Enterprise and Annie E. Casey Foundation. Food at Home: Affordable Housing as a Platform to Overcome Nutritional Challenges

- CMS may allow hospitals to pay for housing through Medicaid

Age Range Adults and older adults; indirect benefits to children
Social Determinants Addressed Economic Stability
Food Security
Housing
Built Environment
Lead Sectors Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Housing agencies
Contributing Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Transportation agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Affordability: Cost and resale cost of Community Land Trust homes compared to median home prices in surrounding homes
Additional Intermediate-level Measure Example(s) Stability of housing: Delinquency and foreclosure rates; Level of community cohesion
Evidence and Resources

Evidence base:

Resources:

Age Range All age groups
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors
Intermediate-level Measure Example Level of participation (e.g. informative, advisory, transactional, decision-making)
Additional Intermediate-level Measure Example(s) Opportunities for impromptu conversations in civic commons
Evidence and Resources

Evidence base:

o Healthy People. Mental Health

o Mental Health Commission of New South Wales. Physical health and mental well-being. Evidence Guide

o Canadian Mental Health Association. The Relationship between Mental Health, Mental Illness and Chronic Physical Conditions

o Community Schools: An Evidence—Based Strategy for Equitable School Improvement

Resources:

o New York State Education Department. Social Emotional Learning: Essential for Learning, Essential for Life, Essential for New York

o New York State Education Department. Mental Health

o School Mental Health Resource Training Center

o Community Schools Playbook — A Practical Gide to Advancing Community Schools Strategies

o The Community Guide. Violence: Early Childhood Home Visitation to Prevent — Child Maltreatment

o Center for Addiction and Mental Health. Best practice guidelines for mental health promotion programs: Older adults 55+

o AARP. Framework of Isolation in Adults over 50

Age Range All age groups
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Percentage of adults 55+ who report that they are satisfied with the relationships they have with professionals, family and friends
Additional Intermediate-level Measure Example(s) Percent of adults 55+ reporting good or excellent well-being
Evidence and Resources

Evidence base:

o Glasgow Center for Population Health. Resilience for public health: Supporting transformation in people and communities

o British Medical Journal. Road to resilience: a systematic review and meta-analysis of resilience training programmes and intervention

o Mental Health Commission of New South Wales. Building Community Resilience and Wellbeing Report

o Cogent Psychology. Resilience in chronic diseases: A systematic review

Age Range All age groups
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Natural Environment
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Media
Transportation agencies
Intermediate-level Measure Example Percent who use tools and strategies have documented discussions focusing on tools and strategies that help them cope
Additional Intermediate-level Measure Example(s) Self-sufficiency as linked with education, employment, or similar services

Goal 1.2 Facilitate supportive environments that promote respect and dignity for people of all ages

Target 52.3%;
Baseline 48.9%;
Baseline Year 2017
Data Source Child Trends and Opportunity Nation with data from Opportunity Index, American Community Survey
Data Level County
Target 61.3%
Baseline 57.3%
Baseline Year 2017
Data Source Child Trends and Opportunity Nation with data from Opportunity Index, American Community Survey
Data Level County
Target 59.9%
Baseline 56.0%
Baseline Year 2017
Data Source Child Trends and Opportunity Nation with data from Opportunity Index, American Community Survey
Data Level County
Target 68.1%
Baseline 63.6%
Baseline Year 2017
Data Source Child Trends and Opportunity Nation with data from Opportunity Index, American Community Survey
Data Level County
Evidence and Resources

Evidence base:

o The Community Guide. Violence: Early Childhood Home Visitation to Prevent — Child Maltreatment

Age Range Families with infants and young children
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Insurers
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Media
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Intermediate-level Measure Example Increase in use of positive parenting strategies
Additional Intermediate-level Measure Example(s) Improved family self-sufficiency
Evidence and Resources

Evidence base:

o Mental Health First Aid Efficacy: A Compilation of Research Efforts

Resources

o Mental Health First Aid

o Youth Mental Health First Aid

Age Range Children, teens, adults and older adults
Social Determinants Addressed Education
Community Cohesion
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Insurers
Media
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Knowledge of mental illnesses and their treatments,
Additional Intermediate-level Measure Example(s) Knowledge of appropriate first aid strategies: i.e. steps to take to get support
Evidence and Resources

Evidence base:

o Pescosolido BA, Medina TR, Martin JK, Long SJ. The ""Backbone"" of stigma: Identifying the Global Core of Public Prejudice Associated with Mental Illness. Am J Public Health. 2013;103:853—860. doi:10.2105/AJPH.2012.301147

o Stuart H, Arboleda-Florez J, Sartorius N. 2012. Paradigms Lost: Fighting Stigma and the Lessons Learned. New York: Oxford University Press

o National Academy of Sciences. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change. Approaches to reducing stigma

Age Range All age groups
Social Determinants Addressed Economic Stability
Education
Housing
Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Percent of people with lived experience engaged in development and decision-making roles in programs
Additional Intermediate-level Measure Example(s) Percent of people with lived experience engaged in implementation roles in programs
Evidence and Resources

Evidence base:

o Pescosolido BA, Medina TR, Martin JK, Long SJ. The ""Backbone"" of stigma: Identifying the Global Core of Public Prejudice Associated with Mental Illness. Am J Public Health. 2013;103:853—860. doi:10.2105/AJPH.2012.301147

o Stuart H, Arboleda-Florez J, Sartorius N. 2012. Paradigms Lost: Fighting Stigma and the Lessons Learned. New York: Oxford University Press

o National Academy of Sciences. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change. Approaches to reducing stigma

o Yang LH, Link BG. Measurement of Attitudes, Beliefs and Behaviors of Mental Health and Mental Illness, October 2015

Age Range All age groups
Social Determinants Addressed Education
Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Media
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Changes in caller state of mind from the beginning to the end of the call
Additional Intermediate-level Measure Example(s) Change in caller state of mind after three weeks in a follow-up call

Focus Area 2. Mental and Substance Use Disorders Prevention

Goal 2.1 Prevent underage drinking and excessive alcohol consumption by adults

Target 24.4%
Baseline 27.1%
Baseline Year 2017
Data Source YRBS
Data Level State
Target 16.7%
Baseline 18.5%
Baseline Year 2017
Data Source 2017 Expanded BRFSS
Data Level County
Target 19.5%
Baseline 21.7%
Baseline Year 2017
Data Source 2017 Expanded BRFSS
Data Level County
Evidence and Resources

Evidence base:

o The Community Guide. Excessive Alcohol Consumption

Age Range Youth, adults, older adults
Social Determinants Addressed Community Cohesion
Health Care
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Colleges and Universities
CBOs and Human service agencies
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Schools (K-12)
Community or neighborhood residents
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Change in local laws and ordinances to reduce alcohol availability such as passage of Social Host liability laws, restrictions on hours and days of alcohol sales, happy hour and drink promotions, outlet density and alcohol advertising restrictions, prohibitions or controls on alcohol use at community events or in public areas (parks, beaches).
Additional Intermediate-level Measure Example(s) Impact of enforcement of law 6-months to a year after law is enacted e.g. violations, underage drinking in the last 30 days
Evidence and Resources

Evidence base:

o LifeSkills Training. Evaluation Studies

o New York State Office of Alcoholism and Substance Abuse Services

Age Range Youth, adults, older adults
Social Determinants Addressed Education
Lead Sectors Schools (K-12)
CBOs and Human service agencies
Contributing Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Participation and completion of sessions
Additional Intermediate-level Measure Example(s) Follow up in 1 month and six months regarding alcohol use days, alcohol binge days, and use of other substances
Evidence and Resources https://youth.gov/docs/Trauma_Informed_Approach_508.pdf
Age Range Youth, adults, older adults
Social Determinants Addressed Education
Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Insurers
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Media
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Completion of training
Additional Intermediate-level Measure Example(s) Change in policies and/or implementation of policies
Evidence and Resources

Evidence base:

o JAMA. Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults

Age Range Adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent of patients offered routine screening and brief counselling
Additional Intermediate-level Measure Example(s) Percent followed-up with treatment
Evidence and Resources

Evidence base:

o SAMHSA-HRSA Center for Integrated Health Solutions. SBIRT

Age Range Youth, adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent of patients offered SBIRT, completed prescreen and full screen
Additional Intermediate-level Measure Example(s) Percent followed-up with treatment
Evidence and Resources

Resources:

o Implementing a Trauma-Informed Approach for Youth across Service Sector

o Case Western Reserve University. Center for Evidence-based Practices. Motivational Interviewing

Age Range All age groups
Social Determinants Addressed Education
Community Cohesion
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Colleges and Universities
Schools (K-12)
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Community or neighborhood residents
CBOs and Human service agencies
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Completion of training
Additional Intermediate-level Measure Example(s) Implementation of policies

Goal 2.2 Prevent opioid and other substance misuse and deaths

Target 14.0 per 100,000
Baseline 15.1 per 100,000
Baseline Year 2016
Data Source CDC WONDER
Data Level County
Target 43.1 per 1,000
Baseline 35.9 per 1,000
Baseline Year 2017
Data Source PMP Registry
Data Level County
Target 343 per 1,000
Baseline 361.3 per 1,000
Baseline Year 2017
Data Source PMP Registry
Data Level County
Target 53.2 per 100,000
Baseline 56.0 per 100,000
Baseline Year 2017
Data Source SPARCS
Data Level County
Evidence and Resources

Evidence base:

- Larochelle, M. R., et al. (2018). "Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study." Ann Intern Med, 169(3): 137-145.

- Sordo, L., et al. (2017). "Mortality Risk During and After Opioid Substitution Treatment: Systematic Review and Meta-analysis of Cohort Studies." BMJ; 357: j1550.

- FDA Drug Safety Communication: FDA Urges Caution about Withholding Opioid Addiction Medications from Patients Taking Benzodiazepines or CNS Depressants: Careful Medication Management Can Reduce Risks

Resources:

- SAMHSA TIP 63: Medications for Opioid Use Disorder

- Facing Addiction in America: The Surgeon General's Spotlight on Opioids

- Increasing Access to Medication-Assisted Treatment of Opioid Abuse in Rural Primary Care Practices. Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD.

- New York State. You Don't Have to be Alone in Addiction

- NYSDOH. Buprenorphine

- OASAS. Addiction Medications

Age Range Youth, adults, older adults
Social Determinants Addressed Economic Stability
Health Care
Lead Sectors Healthcare Delivery system
Insurers
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent Initiation of pharmacotherapy upon new episode of opioid dependence
Additional Intermediate-level Measure Example(s) Percent staff trained in trauma informed approach
Evidence and Resources

Evidence base

- Oregon Health and Science University. Best Practices in Naloxone Treatment Programs for Opioid Overdose

Resources

- New York State's Opioid Overdose Prevention Program

- NYSDOH. How to Become a Registered Opioid Overdose Program

- NYSDOH. Availability of Naloxone in Pharmacies

- Prescribe to Prevent

Age Range Youth, adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent staff who completed naloxone administration training
Additional Intermediate-level Measure Example(s) Percent staff trained in trauma informed approach
Evidence and Resources

Evidence base:

- Kattan, J. A., et al. (2016). "Public Health Detailing-A Successful Strategy to Promote Judicious Opioid Analgesic Prescribing." Am J Public Health 106(8); 1430-1438.

Resources

- CDC Guideline for Prescribing Opioids for Chronic Pain, MMWR Recommendations and Reports / March 18, 2016 / 65(1): 1-49 ; Erratum, March 25, 2016 / 65(11)

- NYSDOH. Opioids Regulation and Legislation

- NYSDOH. Opioids: Healthcare Provider Information

Age Range Youth, adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example High dose prescribing rates
Additional Intermediate-level Measure Example(s) Median day supply per prescription
Evidence and Resources

Evidence Base

o SAMHSA. Recovery and Recovery Support

Resources

o OASAS. Building a Foundation of Recovery in New York State

o Drug User Health Hubs: A Model Public Health Response in New York

Age Range Youth, adults, older adults
Social Determinants Addressed Health Care
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
CBOs and Human service agencies
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Opioid patients referred; served; and admitted for treatment within a defined time period
Additional Intermediate-level Measure Example(s) Number of patients referred to Drug User Health Hubs within a defined time period
Evidence and Resources

Evidence base

o FDA. Safe Disposal of Medicines

Resources:

o NYSDOH. Medication Drop Boxes by County

Age Range Youth, adults, older adults
Social Determinants Addressed Health Care
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Proportion of controlled prescription drug units collected within a defined time period
Additional Intermediate-level Measure Example(s) Proportion of controlled prescription drug units dispensed within a defined time period
Evidence and Resources

Evidence base

o FDA. Safe Disposal of Medicines

Resources:

o Implementing a Trauma-Informed Approach for Youth across Service Sector

o Case Western Reserve University. Center for Evidence-based Practices. Motivational Interviewing

Age Range Youth, adults, older adults
Social Determinants Addressed Education
Community Cohesion
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Completion of training
Additional Intermediate-level Measure Example(s) Change in policies and/or implementation of policies

Goal 2.3 Prevent and address adverse childhood experiences (ACES)

Target 12.9%
Baseline 13.6%
Baseline Year 2016
Data Source Expanded BRFSS
Data Level Region
Target 10 per 1,000 children and youth
Baseline 11 per 1,000 children and youth
Baseline Year 2017
Data Source National Child Abuse and Neglect Data System (NCANDS)
Data Level County
Target TBD
Baseline TBD
Baseline Year
Data Source DOH/OASAS/OMH
Data Level County
Evidence and Resources

Evidence base:

Trauma Informed Practice & the Opioid Crisis. A Discussion Guide for Health Care an d Social Service Providers.

Age Range All age groups
Social Determinants Addressed Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Completion of training
Additional Intermediate-level Measure Example(s) Change in policies and/or implementation of policies
Evidence and Resources

Evidence base:

o American Academy of Pediatrics. Addressing Childhood Experiences and Other Types of Trauma in the Primary Care Setting

Age Range All age groups
Social Determinants Addressed Community Cohesion
Health Care
Lead Sectors Healthcare Delivery system
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent of primary care settings that screen for ACEs
Additional Intermediate-level Measure Example(s) Percent of support referrals followed through in six months of being screened for ACEs
Evidence and Resources

Resources:

o International Journal of Mental Health Addiction. A Whole Community Approach toward Child and Youth Resilience Promotion: A Review of Resilience Literature

o ACEs Connection. Growing Resilient Communities 2.0

Age Range All age groups
Social Determinants Addressed Community Cohesion
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Intermediate-level Measure Example Number of community residents who participated in __ minutes of ACEs dicussions
Additional Intermediate-level Measure Example(s) Changes in attitudes and understanding in six months after participation
Evidence and Resources

Evidence base:

o The Community Guide. Violence: Early Childhood Home Visitation To Prevent — Child Maltreatment

Age Range Families with infants and young children
Social Determinants Addressed Economic Stability
Education
Food Security
Housing
Transportation
Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Insurers
CBOs and Human service agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Media
Community or neighborhood residents
Policy makers and elected officials
Transportation agencies
Housing agencies
Intermediate-level Measure Example Increase in use of positive parenting strategies
Additional Intermediate-level Measure Example(s) Improved family self-sufficiency

Goal 2.4 Reduce the prevalence of major depressive disorders

Target 6.2%
Baseline 6.5%
Baseline Year 2016-2017
Data Source NSDUH
Data Level State
Target 10.4%
Baseline 11.5%
Baseline Year 2016-2017
Data Source NSDUH
Data Level State
Evidence and Resources

Evidence base:

Age Range Children, teens, adults and older adults
Social Determinants Addressed Community Cohesion
Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Dollars in strengthening economic and housing supports
Additional Intermediate-level Measure Example(s) Stability of housing: Delinquency and foreclosure rates
Evidence and Resources

Evidence base:

o Guide to Community Preventive Services. The Community Guide. Evidence-Based Strategies to Manage Depressive Disorders

Resources

o CDC Promotes Public Health Approach To Address Depression Among Older Adults

Age Range All age groups
Social Determinants Addressed Community Cohesion
Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Change in social connections
Additional Intermediate-level Measure Example(s) Resilience scores as measured by validated surveys
Evidence and Resources

Evidence base:

o Effect of a Web-based Guided Self-help Intervention for Prevention of Major Depression in Adults with Subthreshold Depression: A Randomized Trial

o Major Depression Can Be Prevented

Age Range All age groups
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Participation rates in therapy
Additional Intermediate-level Measure Example(s) Participants perceived level of improvement and therapist satisfaction level
Evidence and Resources

Evidence base:

o Effect of a Web-based Guided Self-help Intervention for Prevention of Major Depression in Adults with Sub-threshold Depression: A Randomized Trial

o Major Depression Can Be Prevented

Age Range All age groups
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Insurers
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example

Goal 2.5 Prevent suicides

Target 9.1%
Baseline 10.1%
Baseline Year 2017
Data Source YRBS
Data Level State
Target 7 per 100,000
Baseline 7.8 per 100,000
Baseline Year 2015
Data Source Vital Statistics
Data Level County
Evidence and Resources

Evidence base:

Age Range All age groups
Social Determinants Addressed Economic Stability
Housing
Lead Sectors Healthcare Delivery system
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Housing agencies
Economic development agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Transportation agencies
Natural environment agencies
Intermediate-level Measure Example Dollars in strengthening economic and housing supports
Additional Intermediate-level Measure Example(s) Stability of housing: Delinquency and foreclosure rates
Evidence and Resources

Evidence base:

o Zero Suicide

Age Range Children, teens, adults and older adults
Social Determinants Addressed Health Care
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Percent of patients who were screened for suicide during reporting period
Additional Intermediate-level Measure Example(s) Percent of clients who screened and assessed positive for suicide risk and were counseled about lethal means (same day as screening) during the reporting period
Evidence and Resources

Evidence base :

o Harvard T.H. CHAN School of Public Health. Means Matter

Age Range All age groups
Social Determinants Addressed Community Cohesion
Built Environment
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Community or neighborhood residents
CBOs and Human service agencies
Housing agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Policy makers and elected officials
Transportation agencies
Economic development agencies
Natural environment agencies
Intermediate-level Measure Example Percent of providers who completed Counseling on Access to Lethal Means (CALM) training
Additional Intermediate-level Measure Example(s) Percent of family and community members who complete lethal means counselling, and follow through on recommendations
Evidence and Resources

Evidence base:

o Suicide Prevention Resource Center. Choosing a Suicide Prevention Gatekeeper Training Program A Comparison Table

o RAND Suicide Prevention Program Evaluation Toolkit

o QPR Gatekeeper Training

Age Range All age groups
Social Determinants Addressed Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Proportion who felt comfortable applying suicide prevention skills, active listening, problem-solving, anger management, and stress management skills to identify and refer individuals at risk for suicide to appropriate care;
Additional Intermediate-level Measure Example(s) Proportion who were knowledgeable about the signs and symptoms of suicide, as well as the mental health problems associated with suicide, such as depression and substance abuse (e.g., depression is an illness that a doctor can treat)
Evidence and Resources

Evidence base

o National Center for Injury Prevention and Control. Preventing Suicide: A Technical Package of Policy, Programs, and Practices

Age Range All age groups
Social Determinants Addressed Community Cohesion
Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Employers, businesses and unions
Insurers
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Media
Transportation agencies
Intermediate-level Measure Example Extent to which individuals have engaged in help-seeking behaviors in the past three months (e.g., In the past three months, have they received treatment from a psychologist?)
Additional Intermediate-level Measure Example(s) Proportion who had positive expectancies about living, engaged in civic life

Goal 2.6 Reduce the mortality gap between those living with serious mental illness and the general population

Target 27.4%
Baseline 34.3%
Baseline Year 2015-2016
Data Source NSDUH
Data Level State
Evidence and Resources

Evidence base

World Psychiatry. Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas

Age Range Adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Governmental Public Health Agencies
Healthcare Delivery system
Policy makers and elected officials
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example - Evidence of a written plan that has components of components of individual, health systems, community and policy level interventions
Additional Intermediate-level Measure Example(s) - Evidence of implementation and evaluation of the plan
Evidence and Resources

Evidence base

o National Institute on Drug Abuse. Do people with mental illness and substance use disorders use tobacco more often?

Age Range Adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Insurers
Media
Colleges and Universities
Schools (K-12)
Community or neighborhood residents
CBOs and Human service agencies
Policy makers and elected officials
Transportation agencies
Housing agencies
Economic development agencies
Natural environment agencies
Urban planning agencies
Intermediate-level Measure Example Proportion of patients follow treatment regime recommended by mental health providers
Additional Intermediate-level Measure Example(s) Extent to which an individual is adhering to prescribed psychotropic medications
Evidence and Resources

Evidence base

o Promoting Health Systems Improvement for a Tobacco-Free New York. Supporting Evidence-based Tobacco Dependence, Screening and Treatment. Behavioral Health Settings Training Toolkit

Age Range Adults, older adults
Social Determinants Addressed Health Care
Lead Sectors Healthcare Delivery system
Insurers
Colleges and Universities
Mental, Emotional and Behavioral Health agencies
Contributing Sectors Governmental Public Health Agencies
Employers, businesses and unions
Media
CBOs and Human service agencies
Policy makers and elected officials
Intermediate-level Measure Example Proportion of mental health providers licensed to screen and treat for tobacco dependence
Additional Intermediate-level Measure Example(s) Extent to which an individual is adhering to prescribed psychotropic medications