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Goal 2.1: Improve behavioral health through prevention, treatment, and recovery

Health Indicators
The following health indicators help track progress and current status on improving Behavioral Health
Compared to MD Counties, Somerset, MD has a value of 17.3% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 13.8% while counties in the worst 25% have a value higher than 15.7%. Compared to MD Counties, Somerset, MD has a value of 17.3% which is in the worst 25% of counties. Counties in the best 50% have a value lower than 13.8% while counties in the worst 25% have a value higher than 15.7%.
Frequent Mental Distress
Compared to MD Counties, Somerset, MD has a value of 5.3 which is in the 2nd worst quartile of counties. Counties in the best 50% have a value lower than 5.0 while counties in the worst 25% have a value higher than 5.4. Compared to MD Counties, Somerset, MD has a value of 5.3 which is in the 2nd worst quartile of counties. Counties in the best 50% have a value lower than 5.0 while counties in the worst 25% have a value higher than 5.4.
Poor Mental Health: Average Number of Days
Compared to MD Counties, Somerset, MD has a value of 69.0% which is in the best 50% of counties. Counties in the best 50% have a value higher than 65.2% while counties in the worst 25% have a value lower than 61.0%. Compared to MD Counties, Somerset, MD has a value of 69.0% which is in the best 50% of counties. Counties in the best 50% have a value higher than 65.2% while counties in the worst 25% have a value lower than 61.0%.
Self-Reported Good Mental Health
Compared to MD Counties, Somerset, MD has a value of 48.9 which is in the 2nd worst quartile of counties. Counties in the best 50% have a value lower than 39.9 while counties in the worst 25% have a value higher than 51.3. Compared to MD Counties, Somerset, MD has a value of 48.9 which is in the 2nd worst quartile of counties. Counties in the best 50% have a value lower than 39.9 while counties in the worst 25% have a value higher than 51.3.
Death Rate due to Drug Poisoning

County: Somerset, MD

(Compared to MD Counties)

         Objective 1                    

By June 2025, reduce the rate of suicide deaths in the service area.

Wicomico: Reduce rate to 9.0 per 100,000 (Baseline: 11.7 in 2020).

Sussex: Reduce rate to 10 per 100,000 (Baseline 11.9 in 2020).

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Increase the number of persons trained in Mental Health First Aid (WiCHD)

  • Implement the Talk Saves Lives Program (WiCHD)

  • Educate the community about 988 suicide and crisis line (WiCHD)

  • Increase access to treatment and prevention services including the Crisis Stabilization Center (TidalHealth)

  • Conduct PHQ 2 and 9 surveys in primary care settings (TidalHealth)

  • Support Sussex County Health Coalition on suicide prevention strategies (TidalHealth)

Performance Measures

  • Persons trained in Mental Health First Aid (target = 100)

  • Meeting with American Foundation for Talk Saves Lives Program (1 meeting)

  • Number of individuals trained to implement Talk Saves Lives (target = 2)

  • Documented marketing and distribution of 988 resources

  • Percentage of PHQ 2 and 9 screenings (Goal: 90 percent)

         Objective 2                    

By June 2025, reduce and prevent opioid misuse and overdoses.

Wicomico: Reduce deaths by 40% (Baseline: 39 in 2020).

Somerset: Reduce deaths by 25% (Baseline is 13 in 2020).

Sussex: Reduce Age-adjusted drug and opioid-involved overdose death rates per 1,000 from 46.6 to 44.6.

How We Will Accomplish This Objective

Strategies (Project Owner)

Jan
2023

  • Expand access to Narcan/Naloxone and training in the community (WiCHD, TidalHealth)

  • Continue linking individuals to treatment via Community Outreach Addiction Team (COAT) services. (WiCHD)

  • Conduct regular Local Overdose Fatality Review Team Meetings to address reasons for overdose and possible preventative measures. (WiCHD)

  • Increase access to treatment and prevention services including the Crisis Stabilization Center (TidalHealth)

  • Provide and promote use of Narcan/Naloxone upon discharge when prescribed opioid medication (TidalHealth)

  • Provide and promote use of Narcan/Naloxone in community (TidalHealth)

  • Support regional Go Purple campaigns

Performance Measures

  • Number of Narcan trainings to those with social experience and their family members. (Target = 300 trained)

  • Percentage of COAT contacts (including non-residents) successfully linked to treatment

  • Percentage of COAT clients remaining in recovery for at least six months

  • Number of Overdose Fatality Review Meetings (target = 10); Annual data report summary by July 2024 on the reasons for overdoses and possible preventative measures

         Objective 3                    

By June 2025, strengthen the integrated behavioral health-primary care model among local healthcare providers.

Wicomico:

  • Academic Detailing Target = 12 visits
  • Hub and Spoke Target = 15 individuals served through care coordination
  • Target: 1,000 referrals to TidalHealth behavioral health therapist annually
  • Goal: 90 percent patients screened for PHQ 2/9 (TidalHealth)

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Increase referrals to behavioral health therapist among TidalHealth Medical Partners primary care practices

  • Increase PHQ 2 and 9 screenings at TidalHealth Medical Partners primary care practices (TidalHealth)

  • Hub and Spoke Program will support community prescribers to expand care for more patients with opioid use disorder. (WiCHD)

  • Academic Detailing visits to healthcare providers for best practices in prescribing opioids. (WiCHD)

Performance Measures

  • Number of referrals to TidalHealth behavioral health therapist (Goal: 1,000 referrals annually)

  • Percentage of PHQ 2 and 9 screenings (Goal: 90 percent)

  • Number of individuals receiving care coordination through the Hub and Spoke Program

  • Number of academic detailing visits (target = 12 sessions with somatic care providers; 3 sessions with non-physician providers)

         Objective 4                  

By June 2025, decrease the proportion of adults reporting excessive poor mental health days.

Wicomico: reduce the proportion of adults reporting poor mental health for 14 or more days each month to 12%. (Baseline: 15.3%; MD BRFSS).

Sussex: Reduce to 10% (Baseline 11.9% in 2020).

How We Will Accomplish This Objective

Strategies (Program Owner)

  • Expand the PEARLS program (TidalHealth/MAC)

  • Assertive Community Treatment (ACT) (Lower Shore Clinic)

  • Increase referrals to behavioral health (TidalHealth)

Performance Measures

  • Number of people completing PEARLS Program