Priority needs per CHNA. Androscoggin County

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Priority needs per CHNA County Identified Need Agency Specific program/projects Comments Alcohol abuse Parents Who Host, Lose The Most Campaign Training medical providers on integrating SBIRT, (Screening, Brief Intervention, and Referral to Treatment) into practices. County Alcohol Enforcement Team (enforcing underage drinking laws) Server or Seller training for local liquor licensees Community education Various youth empowerment projects focusing on various substance abuse topics including underage drinking Asthma & St. Mary s Hospital Asthma educators Cancer School systems Public health School nurses Public health nurses Pharmacists for inhaler education Dempsey Center: screenings & education, support groups; Mass General Hospital oncology affiliation for clinical trains, nursing education); staffed resource center. Bennett Breast center/patient navigator Center for cancer and blood disorders: screenings & education, support groups, staffed resource center; patient navigator; breast health center

Diabetes Cmmc AHCH Referral and support for local Diabetes Education and Prevention Programs Diabetes education Center for diabetes: education, screening, support group Community care team Domestic issues/child abuse Heart disease Mental health SafeVoices Child Advocacy Center Advocates for children Sexual assault crisis center DHHS New Beginnings TCMHS Education, housing, exams, referrals Representative from SafVoices onsite weekly; domestic abuse steering committee Education, screenings, comprehensive service line, chest pain center Education, screenings, chest pain center, diagnostic services services for substance use/abuse (outpatient individual and groups) as well as services for children/families and adults who have experienced abuse. Comprehensive behavioral health services; child, adolescent & adult psychiatry, community clinical services, integrated mental health in school based health centers; integrated mental health in practices, behavioral ED

Great Falls Collaborative Integrated mental health in practices Community partnership for mental health services Common Ties Community Concepts Reproductive/sexual health Support Solutions Family Planning WMCA Tobacco use Maine CDC School & Public health nurses Weekly tobacco support group Annual tobacco cessation program (Quit & Win) Periodic tobacco cessation classes (Quit for Life) in partnership with the Dempsey Center Tobacco treatment referral process improvement in clinical electronic medical records and clinical tobacco treatment education with St. Mary's Tobacco policy technical assistance Tobacco education to 5 th grade classrooms Tobacco prevention advocacy with High School youth group Underage tobacco purchasing prevention and recognition program (No Buts and Star Stores) Worksite tobacco prevention and cessation recognition through Work Tobacco education for landlords and tenants

obesity Production of Tobacco Resource Guide Promotion of Smoke Free Homes Pledge Limited technical assistance to worksites interested in health promotion Technical assistance for schools developing district wide wellness policies Youth- driven tobacco advocacy / social media campaign (Why I Don t Smoke) Coordinate Let s Go (5210) obesity prevention effort county wide. Provide technical assistance, networking and resources. Nutrition and cooking education to low income community members through schools, housing sites, adult education, after school programs, community based classes, etc. Nutrition and physical activity in the worksite promotion recognition program (Work ) Technical assistance for schools developing district wide wellness policies Development of cooperative use agreements to allow community members to exercise at sites across the county Technical assistance to Active Community Environment teams and municipalities Production of nutrition and physical activity related guides and materials: Farm Guide, Trail Map and Guide, Let s Go recipe books, various tipsheets and brochures

Oral health treatment & prevention Poverty & food security WMCA- WIC Program smiles St. Marys Provides nutrition & health education & vouchers for healthy foods to infants, children, pregnant & breastfeeding women Limited technical assistance to worksites interested in health promotion Student practicum Fall 2013 for dental health Pediatric dental clinic at B Street Partner on the Lewiston Auburn Food Council Education on healthy eating, breastfeeding, parenting, smoking cessation & more. Referrals to other community resources Access to providers Insurance status Trinity free clinic Physician referral lines First Source at St. Mary s Free Care at Healthcare access to underserved with goal to connect to PCP Apply for assistance