Defining the Challenge (WISH, Module 2)

Fee:None
Length: 1 hour
Description:This training presents data that illuminate the relationship and interdependence of mental health, substance abuse, violence, and chronic disease as they affect the long and short term health of women of reproductive age. It is the second training in a six-part series designed for those public health and/or mental health professionals who oversee health programs and services for adolescent girls and women of reproductive age. It is strongly recommended that users complete the modules in the series in sequence. To see a complete listing for the series please go to the Training Series section of this site.

The Women's Integrated Systems for Health (WISH) Online Training Series focuses on key components of an integrated approach to promoting the health of women during late adolescence and throughout the child-bearing years. This training series arose from the need for practice-based tools that advance multi-disciplinary partnership, community engagement and using evidence-based approaches grounded in proven theoretical models.
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To create a login ID and password for the NCIPH Training Website, click on the Create An Account link. If you have previously created an account, click on the Login to Training Link. Please read over the information on this page first.

Women's Integrated Systems for Health (WISH) was a training grant funded by the Maternal and Child Health Bureau and the Bureau of Health Professions in the Health Resources and Services Administration (HRSA) in 2010-13 with a partnership between the NC Institute for Public Health and the Department of Maternal and Child Health at the UNC Gillings School of Global Public Health and the UNC Center for Maternal and Infant Health at the UNC School of Medicine. The project focused on promoting integrative community approaches to optimize mental and physical health among adolescents and women of reproductive age.
WISH

Learning Objectives

Training Personnel

Author:

WISH Project Team

Narrator:

Jessica Southwell, MPH

NCIPH Reviewer:

Rachel Wilfert, MD, MPH, CPH

Subject Matter Expert Reviewers:

Monique C. Bethell, Ph.D
CTG Health Disparities Coordinator
Chronic Disease and Injury Prevention Section
NC Division of Public Health

Karen J. Luken, MSRA
Project Director
North Carolina Office on Disability and Health
Frank Porter Graham Child Development Institute
University of North Carolina at Chapel Hill (UNC)

Connie Renz, MSW
Director, Horizons Program
Department of Obstetrics & Gynecology
UNC School of Medicine

Kathleen Rounds, MSW, MPH, PHD
Professor, Chair of Doctoral Program
UNC School of Social Work

The author(s) and reviewer(s) of this training have no personal financial relationships with commercial interests relevant to this presentation to disclose. Author, narrator, reviewer affiliations listed were current at the time of training development.

Competencies and Capability Functions Addressed

This training addresses selected applied epidemiology, core public health, and public health preparedness and response competencies and public health preparedness capability functions as noted below. (Please note: The following training does not provide comprehensive or in-depth treatment of specified competencies or capability functions, it provides basic knowledge of the competencies or capability functions listed below.)

Core Competencies for Public Health Professionals Tier 1
1A1. Describes factors affecting the health of a community (e.g., equity, income, education, environment) (1: Analytical/Assessment Skills)
8A5. Identifies internal and external facilitators and barriers that may affect the delivery of the 10 Essential Public Health Services (e.g., using root cause analysis and other quality improvement methods and tools, problem solving) (8: Leadership & Systems Thinking Skills)
Core Competencies for Public Health Professionals Tier 2
1B1. Describes factors affecting the health of a community (e.g., equity, income, education, environment) (1: Analytical/Assessment Skills)
Core Competencies for Public Health Professionals Tier 3
1C1. Describes factors affecting the health of a community (e.g., equity, income, education, environment) (1: Analytical/Assessment Skills)

References

[View References]

Overview and Lesson 1

CDC. Public Health Action Plan to Integrate Mental Health Promotion and Mental Illness Prevention with Chronic Disease Prevention, 2011-2015. Atlanta: U.S. Department of Health and Human Services, 2011. Available at: http://tinyurl.com/7ad78gh.

CDC. Recommendations to Improve Preconception Health and Health Care - United States: A Report of the CDC/ATSDR Preconception Care Work Group and Select Panel on Preconception Care. MMWR 2006; 55(No.RR-6):1-21. Available at: http://www.cdc.gov/mmwr/PDF/rr/rr5506.pdf.

Cohen, S., Janicki-Deverts, D., & Miller, G.E. (2007). Psychological stress and disease. Journal of the American Medical Association, 298, 1685-1687.

Hudson, J.I., Hiripi, E., Pope, H.G., Jr., & Kessler, R.C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry, 61, 348-358.

NIMH. Any Disorder Among Adults. Available at: http://www.nimh.nih.gov/statistics/1ANYDIS_ADULT.shtml.

NIMH. Any Mood Disorders Among Adults. Available at: http://tinyurl.com/72ytp4c.

NIMH. Any Personality Disorder. Available at: http://tinyurl.com/alpakrc.

NIMH. Major Depressive Disorder Among Adults. Available at: http://www.nimh.nih.gov/statistics/1MDD_ADULT.shtml.

Primm, A.B., Vasquez, M.J.T., Mays, R.A., Sammons-Posey, D., McKnight-Eily, L.R., Presley-Cantrell, L.R., et al. The role of public health in addressing racial and ethnic disparities in mental health and mental illness. Prev Chronic Dis 2010;7(1). Available at: http://www.cdc.gov/pcd/issues/2010/jan/09_0125.htm.

Ranji, U. and Salganico, A. 2011. Women's Health Care Chartbook: Key Findings from the Kaiser Women's Health Survey. The Henry J. Kaiser Family Foundation. Available at: http://www.kff.org/womenshealth/upload/8164.pdf.

UNC Center for Women's Health Research, NC Women's Health Report Card, 2009. Available at: http://projects.fpg.unc.edu/~ncodh/pdfs/2009_ReportCard_Eng.pdf.

U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. Available at: http://tinyurl.com/a7a6bsl.

WHO. Gender and Women's Mental Health. Available at: http://tinyurl.com/a9lzerq.

Lesson 2

Back, S., Contini, R., Brady, K. Psychiatric Times. (2006). Substance Abuse in Women: Does Gender Matter? Available at: http://tinyurl.com/adu4pnk.

Brady, T.M., & Ashley, O.S., (Eds.). (2005). Women in substance abuse treatment: Results from the Alcohol and Drug Services Study (ADSS) (DHHS Publication No. SMA 04-3968, Analytic Series A-26). Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Available at: http://oas.samhsa.gov/WomenTX/WomenTX.htm#1.1.3.

Breslau, N., Kessler, R.C., Chilcoat, H.D., Schultz, L.R., Davis, G.C., & Andreski, P. (1998) Trauma and post-traumatic stress disorder in the community: The 1996 Detroit area survey of trauma. Archives of General Psychiatry, 55, 626-632.

Campaign for Tobacco-Free Kids - Women's Health and Smoking Fact Sheet. Available at: http://www.tobaccofreekids.org/research/factsheets/pdf/0004.pdf.

CDC. Adverse Childhood Experiences (ACE) Study. Available at: http://www.cdc.gov/ace/index.htm.

Collins, James J. and Donna L. Spencer. (2002). Linkage of Domestic Violence and Substance Abuse Services, Research in Brief, Executive Summary. U.S. Department of Justice. Available at: https://www.ncjrs.gov/pdffiles1/nij/grants/194122.pdf.

Easton, C.J., Swan, S., & Sinha, R. (2000). Prevalence of family violence in clients entering substance abuse treatment. Journal of Substance Abuse Treatment, 18, 23-28.

Federal Partners Committee on Women and Trauma (2011). Report of the Federal Partners Committee on Women and Trauma: A Federal Intergovernmental Partnership on Mental Health Transformation. Washington, DC: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Administration. Available at: http://static.nicic.gov/Library/025082.pdf.

Finkelstein N., Kennedy C., Thomas K., Kearns M. Gender-Specific Substance Abuse Treatment. Rockville, MD: Center for Substance Abuse Prevention; 1997.

Illinois Department of Human Services. Domestic Violence/Substance Abuse Interdisciplinary Task Force. Safety and Sobriety: Best Practices in Domestic Violence and Substance Abuse, January 2005. Available at: http://tinyurl.com/d6f844b.

Kilpatrick, D.G., Acierno, R. Resnick, H.S., Saunders, B.E. and Best, C.L. 1997. A 2-year Longitudinal Analysis of the Relationships Between Violent Assault and Substance Use in Women. Journal of Consulting and Clinical Psychology 65 (5): 834-847. Available at: http://tinyurl.com/cm4ro4x.

Moore T.M., Stuart G.L. Illicit Substance Use and Intimate Partner Violence among Men in Batterers' Intervention. Psychology of Addictive Behaviors. 2004;18:385-389.[PubMed]

NAMI. Women and Depression Fact Sheet. Available at: http://tinyurl.com/asc3j4h.

Rape, Abuse and Incest National Network (RAINN). Statistics. Available at: http://www.rainn.org/statistics.

Renz, C. Assistant Clinical Professor, UNC Department of Obstetrics and Gynecology, Director, UNC Horizons Substance Abuse and Domestic Violence: the Connections and the Challenges. (personal communication), 2011.

SAMHSA, Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2011. Available at: http://tinyurl.com/84w5owy.

SAMSHA. (July 2005). Hope for Women in Recovery: Understanding and Addressing the Impact of Prenatal Alcohol Exposure, Raleigh, NC. Available at: http://tinyurl.com/bdhduy8.

SAMHSA. (2004). Results from the 2003 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series H-25, DHHS Publication No. SMA 04-3964). Rockville, MD. Available at: http://tinyurl.com/afkvfoa.

SAMHSA, Office of Applied Studies. (October 4, 2007). The NSDUH Report: Substance Use Treatment among Women of Childrearing Age. Rockville, MD. Available at: http://www.samhsa.gov/data/2k7/womenTX/womenTX.htm.

SAMHSA, Office of Applied Studies. (July 15, 2010). The TEDS Report: Substance abuse treatment admissions involving abuse of pain relievers: 1998 and 2008. Available at: http://tinyurl.com/b73lobg.

University of North Carolina Injury Prevention Research Center. (2008). Preventing Sexual Violence in the United States: Literature Update, 2005. Available at: http://tinyurl.com/axpkbp2.

Lesson 3

American Heart Association. Heart Disease and Stroke Statistics - 2007 Update. Dallas, Texas: American Heart Association; 2007.

CDC. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2007. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008. Available at: http://tinyurl.com/4cdwby7.

CDC. Public Health Action Plan to Integrate Mental Health Promotion and Mental Illness Prevention with Chronic Disease Prevention, 2011-2015. Atlanta: U.S. Department of Health and Human Services; 2011. Available at: http://tinyurl.com/7ad78gh.

CDC, CDC Report: Mental Illness Surveillance Among Adults in the United States, 2011. Available at: http://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html.

Chapman D.P., Perry G.S., Strine T.W. The vital link between chronic disease and depressive disorders. Prev Chronic Dis. 2005 Jan. Available from: URL: http://www.cdc.gov/pcd/issues/2005/jan/04_0066.htm.

Institute of Medicine, National Research Council. Living Well with Chronic Illness: A Call for Public Health Action. Washington, DC: The National Academies Press, 2012. Available at: http://tinyurl.com/c375mtf.

National Center for Health Statistics. NCHS Data on Obesity. May 2009. Available at: http://www.cdc.gov/nchs/data/factsheets/factsheet_obesity.htm.

NC State Center for Health Statistics, NC Vital Health Facts: Population & Health Data by Race and Ethnicity, 2010. Available at: http://tinyurl.com/b4unn9p.

Ranji, U. and Salganico, A. 2011. Women's Health Care Chartbook: Key Findings from the Kaiser Women's Health Survey. The Henry J. Kaiser Family Foundation. Available at: http://www.kff.org/womenshealth/upload/8164.pdf.

Robert Wood Johnson Foundation. Spotlight on Prevention. Why strategies that make us healthier are key to health reform, 2009. Available at: http://tinyurl.com/cxuttpx.

Lesson 4

Patel, V., Flisher, A., Hetrick, S. and McGorry, P. Mental Health of young people: a global public health challenge. Lancet, 2007:369:1302-13.

Everywoman NC. Available at: http://everywomannc.com/.

Latina Infant Mortality Awareness Project, NC Healthy Start Foundation, April 2007. Available at: http://www.nchealthystart.org/downloads2/LIMA%20REPORT%202007.pdf.

NC Preconception Health Strategic Plan, September 2005-September 2013. Available at: http://tinyurl.com/al78spq.

NC State Center for Health Statistics, Behavioral Risk Factor Surveillance System (BRFSS). Available at: http://www.schs.state.nc.us/schs/brfss/results.html.

NC State Center for Health Statistics, Pregnancy Risk Assessment Monitoring System (PRAMS). Available at: http://www.schs.state.nc.us/schs/prams/results.html.

NC State Center for Health Statistics. Tracking Preconception Health in NC. Available at: http://www.schs.state.nc.us/SCHS/data/preconception.html.

Uncovering Community Voices: A Catalog of Qualitative Data Regarding Women's Health in North Carolina 1995 - 2005. UNC MCH 315 Spring 2005 Class with Supervision from UNC Sheps Center and UNC Center for Maternal and Infant Health.

U.S. Congressional Budget Office. Factors Contributing to the International Ranking of the United States. Report, February 1992. Available at: http://tinyurl.com/ayh3zpj.

What New Mothers Say: Personal Comments from the North Carolina PRAMS Survey, NC DHHS SCHS, May 2007. Available at: http://www.schs.state.nc.us/SCHS/pdf/SCHS153.pdf.

Women's Health: Attitudes and Practices in North Carolina - Focus Group Research, NC SIM Collaborative/NC Healthy Start Foundation, June 2005. Available at: http://tinyurl.com/akzype5.

To Access and Complete This Training:

To create a login ID and password for the NCIPH Training Website, click on the Create An Account link. If you have previously created an account, click on the Login to Training Link. Please read over the information on this page first.