ASTHO’s podcast series, the Public Health Review, features health officials and public health leadership who are on the front lines of state and territorial public health. The series capitalizes on current public health issues and delivers timely, thoughtful perspectives on the value of public health through the lens of state/territorial health officials and other subject matter experts.
Ebola Preparedness - Lessons Learned from 2014
As Ebola cases grow in Uganda, state and island area health officials are preparing for the possibility of a case in the United States. While there are no U.S. cases currently, there was an outbreak of Ebola in Dallas in 2014 when Dr. David Lakey was Commissioner of the Texas Department of State Health Services. He joins this episode of Public Health Review to discuss his experience managing the outbreak and what lessons and advice he has as health officials prepare for potential cases of Ebola in the United States.
David Lakey, MD, Vice Chancellor for Health Affairs and Chief Medical Officer, The University of Texas System, Alumni-TX Resources:
ASTHO Podcast: Lessons From the Trenches: Leading During a Public Health Crisis CDC Webpage: Ebola (Ebola Virus Disease)
Helping the Helpers Address Youth Mental Health
Building a comprehensive workforce response to the youth mental health crisis requires educators, traditional school behavioral health workers, and public health professionals to work collaboratively. A public health approach is needed to address youth mental health by supporting frontline staff through a “helping the helpers” model. Public health and education sectors can work in tandem to train frontline school staff and create systems of support for staff well-being. This episode highlights strategies for addressing youth mental health through the workforce and promising state practices for cross-sector collaborations.
Sharon Hoover, PhD, Co-Director, National Center for School Mental Health Director, NCTSN Center for Safe Supportive Schools, University of Maryland School of Medicine Allison Budzinski, MSW, CAPSW, Trauma and Resilience Coordinator Wisconsin Department of Health Services Jessica Frain, MSW, School Mental Health Consultant, Student Services/Prevention and Wellness, Wisconsin Department of Public Instruction Resources:
Improving School Workforce Capacity to Address Youth Mental Health ASTHO Report: Improving Youth Behavioral Health Through School Based Strategies NCSMH Advancing Comprehensive School Mental Health Systems: Guidance from the Field Resilient Wisconsin Wisconsin Department of Public Instruction School Mental Health
Improving Health Equity with Data
Health equity is a top priority for many health agencies. In an ideal implementation, public health leaders can use performance management systems to advance health equity goals. These systems ensure that progress is being made toward department goals by systematically collecting and monitoring data to track results and identify opportunities for improvement.
Our latest episode highlights how the current equity efforts can integrate with established performance management practices. It also discusses how health agencies can use planning documents to integrate equity in health assessments, health improvement plans, strategic plans, and performance management systems.
Nicole Alexander Scott, MD, Former Director, Rhode Island Department of Health Harry Chen, MD, Former Commissioner, Vermont Department for Health Anna Bradley, MS, CHES, State Health Improvement Coordinator, Montana Department of Public Health and Human Services Resources:
Data Visualization for Performance Improvement Learning Series Rhode Island Health Equity Measures Montana State Health Improvement Plan CDC Webpage: Paving the Road to Health Equity ASTHOReport Health Equity Metrics (coming soon to astho.org)
Revitalizing Public Health Through Connection
The Senior Leader Reserve Corps connects former government public health leaders with current state health officials in need of leadership-level technical assistance and support. ASTHO developed this program with CDC to support state health officials as they face their biggest professional challenges.
In this episode, Dr. Greg Holzman (alum-MT), Paula Tran (SHO-WI), and Meredith Alexander (ASTHO) discuss this innovative program and highlight the work that Paula and Greg have done in Wisconsin to strengthen the statewide public health infrastructure.
To request support for your health agency, or for more information on volunteering with the Senior Leader Reserve Corps, please reach out to the Performance Excellence team, at email@example.com.
Greg Holzman: Alum-Montana, SLRC Member Paula Tran: SHO-WI Meredith Alexander: Senior Analyst, Performance Excellence and Engagement, ASTHO Resources
Senior Leader Reserve Corps Wisconsin Department of Health Services
Substance Use During Pregnancy - Reducing Stigma of Treatment
Opioid use disorder (OUD) during pregnancy contributes to maternal death and poor birth outcomes. Although prenatal care can reduce these effects, pregnant individuals may delay care due to concerns about stereotyping and stigmatizing by providers. The relationship between a physician and their patient may also be strained by mandated reporting of substance use to law enforcement or social services, and related fears of parent-child separation and criminalization. Such fears may present additional barriers to receiving prenatal care.
In this episode, Dr. Joseph Kanter, the current state health official of Louisiana, and Dr. Amy Ladley, Program Manager for the Louisiana Perinatal Quality Collaborative, discuss Louisiana’s approach to reducing stigma and fears of criminalization around opioid use in pregnant and postpartum individuals. They also highlight the importance of partnerships in these efforts.
Stigma Reinforces Barriers to Care for Pregnant and Postpartum Women with Substance Use Disorder
Supporting Pregnant and Postpartum Women with Opioid Use Disorder: An Infographic Series
Opioid Use Disorder Toolkit: Supporting the Public Health Response in Maternal, Child and Adolescent Health
Making Sure Maine Youth Matter
Since 2000, rates of suicide and substance overdose mortality have steadily increased in the United States. A prevailing theory within public health is that substance use disorder and suicide are both “deaths of despair” and a way to cope with socioeconomic infrastructure challenges, such as poverty, lack of social connection, housing instability, and discrimination—issues which have only been exacerbated by the COVID-19 pandemic.
As a method of preventing suicide and substance use disorder, states turn to addressing upstream factors like creating healthy communities where individuals feel they matter. In this podcast episode, Sheila Nelson, a program manager for adolescent health and injury prevention at the Maine Center for Disease Control and Prevention, and Kini-Ana Tinkham, the executive director of the Maine Resilience Building Network, discuss how they are working in their communities to set youth up to thrive. Using behavioral health data from the Maine Integrated Youth Health Survey (MIYHS), they are collaborating on a Cultivating Mattering for Maine Youth Initiative where they build resilience, incorporate youth voices, and support communities in their suicide and substance use prevention efforts.
Sheila Nelson, Program Manager, Adolescent Health and Injury Prevention, Maine Center for Disease Control and Prevention Kini-Ana Tinkham, Executive Director, Maine Resilience Building Network Resources:
Maine Integrated Youth Health Survey Maine Resilience Building Network
Amazing podcasts on all things public health!