Bmore Healthy Newsletter: March 29, 2018

Baltimore City Health Department Bmore Healthy Weekly Newsletter

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Note From The Commissioner: 

Dear Community Partner,

Yesterday, I joined Mayor Catherine Pugh and Lt. Governor Boyd Rutherford to announce plans for the first Stabilization Center in Maryland—the beginning of Baltimore’s efforts to create a 24/7 “ER” for addiction and mental health. Mayor Pugh and Chief of Operations Pete Hammen have championed the Stabilization Center from when they were in the State Legislature; they were instrumental to Baltimore City securing the $3.6 million for capital costs for the Center. Mayor Pugh is truly at the forefront of leaders across the country to call for science-based, compassion treatment of individuals with the disease of addiction.

I also thank our federal partners in Congress for approving the 21st Century CURES Act. Of the $10 million available to the State of Maryland from CURES, $2 million is provided by the State to Baltimore. Additional operating support comes from the Maryland Community Health Resources Commission, in the way of a $600,000 grant. We thank the CHRC for their early and continued support, and Behavioral Health System Baltimore and Tuerk House among others as our key implementation partners.

We are in the midst of a national epidemic of opioid overdose and addiction. Here in Baltimore City, over 700 people died last year from overdose – that’s around two residents per day. Science shows us that addiction is a disease, treatment exists, and recovery is possible. Yet, a recent Surgeon General’s report found that only 1 in 10 people with the disease of addiction are able to access the treatment that they need. For what other disease would we find this acceptable?

As an emergency physician, I’ve treated thousands of patients who come to the ER seeking help for addiction. They know they need help; I know they need help. And every medical provider who sees them knows that they need help. Yet the ER is not always the best place to help them; these patients often need behavioral support and wraparound services. We providers become frustrated that we can’t get our patients the help that they need. Our patients and family members are frustrated at the inadequacy of our medical system. These are some of our most vulnerable citizens. We would never tell patients suffering from a heart attack, “Sorry, we can’t help you today. Wait three weeks and come back then.” Why would we do this for the disease of addiction?

Here in Baltimore City, under Mayor Pugh’s leadership, we have made progress to treat addiction as the disease that it is. My blanket prescription for the opioid antidote naloxone has enabled everyday residents to save the lives of 1,785 people in the last two years. Together with our public safety partners, including the Fire Department, we responded to the rise in fentanyl deaths by using data to identify hotspots, then we deploy, in real-time, outreach workers to educate and to save lives. We recognize that treating addiction as a crime is unscientific, inhumane, and ineffective. And we are working on expanding access to on-demand treatment through a “Hub & Spokes” model, and – heeding a call to action by Mayor Pugh – we are partnering with our hospitals to treat addiction just as we would diabetes, heart disease, and any other chronic illnesses.

The Stabilization Center is one more step towards on-demand addiction treatment. It will offer a safe place for individuals with addiction to sober and receive short-term medical and social interventions. The Center will conduct medical screenings, connect patients with behavioral health and social services, and offer buprenorphine inductions for those eligible. Patients who meet specific criteria will be diverted through EMS transport to the Stabilization Center. This will create a non-traditional access point for individuals with specific, behavioral health needs. This is the beginning of Baltimore’s efforts to create a 24/7 “ER” for addiction and mental health.

Baltimore City has never taken a back seat to public health. The Stabilization Center is an innovative step towards treatment-on-demand. I feel grateful every day to work with an incredible team at the Health Department, and with our partners on the state- and city-levels, all of whom are dedicated to combating the opioid epidemic in Baltimore and treating addiction as the disease that it is.

Leana Wen, M.D., M.Sc.


City Officials Announce Creation of State’s First Stabilization Center

Stabilization Center Announcement 2


On Wednesday, Lt. Governor Boyd K. Rutherford joined Mayor Catherine Pugh and Health Commissioner Dr. Leana Wen to announce plans for the state’s first Stabilization Center. The Stabilization Center is the beginning of Baltimore's efforts to create a 24/7 behavioral health emergency department. Through emergency medical system (EMS) transport, the Center will divert patients who meet specific criteria from emergency departments, and provide stronger links to community-based behavioral health care. It will create a non-traditional access point for individuals with behavioral health needs who engage in high-risk substance use and related behaviors who are experiencing a crisis and/or are at risk of overdose. The Center is expected to open in Spring 2019.

"Patients in need of addiction and mental health services should be able to access treatment at the time that the need it, which is what we would provide for people requesting help for any other disease,” said Baltimore City Health Commissioner Dr. Leana Wen. “I thank Mayor Pugh for her leadership, and the Maryland Legislature, Governor’s office, and the Maryland Community Health Resources Commission for making this center—the beginning of an ‘ER’ for addiction and mental health—a reality. The Stabilization Center is one step in the right direction to provide 24/7 access to evidence-based, compassionate treatment to all of our residents.”

Please see coverage in The Baltimore Sun, Baltimore FishbowlThe Daily Record, The Seattle TimesThe Washington Post, WBAL, WBFFWCBC, WMARClick here for more information.


Dr. Wen Speaks at Press Event Celebrating 8th Anniversary of the Affordable Care Act  

ACA Presser


Dr. Wen spoke at a press event organized by Maryland Citizens’ Health Initiative in Annapolis last Friday to celebrate the 8th anniversary of the Affordable Care Act. She was joined by Congressman John Sarbanes, Senators Brian Feldman and James Mathias, and Delegates Joseline Pena-Melñyk, Robbyn Lewis, Bonnie Cullison, and Jay Jalisi.

“Today, 400,000 Marylanders have health insurance because of the ACA. We cannot afford to roll back the gains that have been made; health must be a basic human right,” said Dr. Wen. “Thank you to our Maryland legislators for standing up for our patients and for the fundamental right to health.”


The Hill: Dr. Wen Pens Op-Ed on the City’s Lawsuit Against HHS for Cuts to Teen Pregnancy Prevention Funding


Dr. Wen authored an op-ed in The Hill detailing why Baltimore City is suing the Trump Administration for cutting funding from a grant awarded to the Baltimore City Health Department for evidence-based teen pregnancy prevention education, and how it will impact Baltimore’s youth.

“In Baltimore, we do not see this funding cut as a number,” wrote Dr. Wen. “We see the faces of 20,000 teens who will not receive critical pregnancy prevention education. We see the effect on their futures and on their children’s futures. We see the impact on our communities. We fear what this means for valuing science and evidence, and for how we can continue to fulfill our responsibility of protecting health and ensuring well-being.”

Read the full op-ed here.


Dr. Wen Speaks at National Doctors’ Day Event at Kennedy Krieger Institute

Kennedy Kr


On Monday, Dr. Wen spoke at a National Doctors’ Day event at Kennedy Krieger Institute. She discussed the Health Department’s B’More for Healthy Babies initiative, Vision for Baltimore program, and opioid overdose prevention and treatment work. Dr. Wen took the opportunity to thank the “unsung heroes” of Kennedy Krieger, who help treat some of the most vulnerable patients in Baltimore City, including children with special needs.

“Those of us working in public health have to discuss our successes and flip the narrative about our inner cities,” said Dr. Wen. “Public health is so often invisible – we need to make that work visible.”

Click here to read our White Paper on the State of Health in Baltimore City.


Dr. Wen Honored as Influential Marylander


Last Thursday, The Daily Record awarded Dr. Wen with the 2018 Influential Marylander Award at a ceremony honoring her and other distinguished awardees. Dr. Wen was recognized as a dedicated civic leader and acknowledged for her contributions to the State of Maryland. Special Assistant to the Chief of Staff and Deputy Chief of Staff, Morgan Franklin, accepted the award on her behalf.


Dr. Wen Featured in Baltimore Fishbowl’s “#MeToo in Baltimore” Collection 


Dr. Wen was recently featured in a Baltimore Fishbowl collection of conversations with Baltimore women discussing their reflections on the #MeToo movement. In the article, Dr. Wen talks about witnessing discrimination at work – from her mother’s struggles with a boss, to the challenges she has experienced, even in a leadership position.

“It’s about the system, but we are the system,” said Dr. Wen. “And that’s why I think it’s important for us all to take collective responsibility and say, ‘What can I do as a leader? What can I do in order to identify, promote and mentor other women? How can I best support the women on my team and women that I come into contact with?’”

Click here to read the full article. 


Billion Step Challenge Registers Participants at Reopening of Shake and Bake

Shake and Bake


The Health Department participated in the Grand Reopening of the newly renovated Shake and Bake Family Fun Center this Friday, signing residents up for the Billion Step Challenge. The City of Baltimore is committed to providing a safe and fun environment to get out and active, and the new Family Fun Center will help facilitate this effort.

To join the Billion Step Challenge, click here.


Supporting Male Survivors of Violence (SMSV) Participates in “Kids Play in the Park” Event 

SMSV


The Bocek Community Association of Madison/East End held a “Kids Play in the Park” event last Saturday filled with community members, food, and music. Outreach workers from the Health Department’s Office of Youth Violence Prevention’s Supporting Male Survivors of Violence (SMSV) initiative participated in the event by facilitating games and team building activities, as well as organizing a clothing drive. “We are a dynamic team [Bocek Community Association and SMSV],” said Maxine Lynch, coordinator, Bocek/Madison East Community Association. “And working with the SMSV Outreach Workers was amazing! Youth were excited! It was refreshing to see kids and youth engaged with mini-exercises and games.” SMSV’s aims to identify the needs of young males of color and their families, as well as address existing gaps in services.

For more information about the Office of Youth Violence Prevention (OYVP), click here.


Health Department Recruiting for Baltimore Corps Fellows 

baltimore corps

Applications for the Baltimore Corps Fellowship are now available. The Health Department is looking for new Fellows to join us starting in September 2018. Baltimore Corps places participants in city government agencies, foundations, and non-profit and community organizations throughout Baltimore for a yearlong Fellowship. Baltimore Corps also supports each Fellow through professional development trainings, individual mentorship, and periodic retreats and seminars. If you know a recent graduate or young professional interested in joining us at the Health Department, please send them the application link below.

If you have any questions about the Baltimore Corps Fellowship, please contact Chief Policy and Engagement Officer Gabe Auteri at gabriel.auteri@baltimorecity.gov.

Click here for a link to the application.


Education Through Entertainment

BCHD in the News