Nevada Division of Public and Behavioral Health

[Pages:58]Nevada Division of Public and Behavioral Health

Program Guide 2018

Brian Sandoval Governor

State of Nevada

Richard Whitley, MS Director

Department of Health and Human Services

Amy L. Roukie, MBA Administrator

Division of Public and Behavioral Health

Leon Ravin Interim Chief Medical Officer Division of Public and Behavioral Health

December 2017

Nevada Division of Public and Behavioral Health

Our Mission It is the mission of the Division of Public and Behavioral Health to protect, promote, and improve the physical and behavioral health of the people in Nevada.

Our Vision The Division of Public and Behavioral Health is the foundation for improving Nevada's health.

A Note from the Administrator Welcome to the Nevada Division of Public and Behavioral Health's (DPBH) program guide. Our services focus on the health and wellness of those residing or visiting the state. DPBH serves as the state's Public Health Authority and Mental Health Commissioner, on the federal level and supports other agencies in urban and rural/frontier areas through funding and oversight. In addition, the regulatory branch of the agency also provides licensing and certification to most healthcare facilities and food establishments thereby protecting the public's health. Our programs are established in each region by evaluating the needs and available resources and then focusing our efforts on the health-related concerns. We add any funding in support of services, when possible, or where gaps exist, provide access to services offered by our agency.

Our dedicated staff of more than 1,800 employees and contractors, focuses on health and wellness issues as we work as a collaborative partner under the Department of Health and Human Services, (DHHS). DPBH also works closely with other state agencies and stakeholders to fund statewide programs to ensure sustainability and growth at the local level. DPBH writes grants for federal funds that, when successfully-funded, are passed down to local agencies so that services can be provided by local neighbors, friends, and communitymembers based in the areas where Nevadans live. DPBH also provides oversight to the WIC, (Women's Infants and Children's) nutrition program, immunizations, HIV/AIDS, substance use disorder treatment and prevention, chronic and communicable disease programs and public health preparedness as well as others.

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Program Guide 2018

Nevada Division of Public and Behavioral Health

DPBH provides direct services for those suffering from mental illness by operating inpatient hospitals at both ends of the state. The civil hospitals include Rawson-Neal, in Las Vegas, and Dini-Townsend, in Sparks. The forensic hospitals include Lakes' Crossing Center and Stein Forensic hospital. Additionally, outpatient services are provided statewide including in the rural and frontier communities for public and mental health needs.

We thank you for your interest in our Division and if you would like more information, please visit our website at: dpbh..

Warmest regards,

Amy L. Roukie, MBA Administrator Division of Public and Behavioral Health

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Table of Contents

Our Mission................................................................................................................................................... 1 Our Vision...................................................................................................................................................... 1 A Note from the Administrator..................................................................................................................... 1 Division of Public and Behavioral Health Overview ...................................................................................... 6 Office of the Chief Medical Officer ............................................................................................................... 6 Community Services Branch ......................................................................................................................... 7

Office of Public Health Investigations and Epidemiology (OPHIE)............................................................ 7 Adult Viral Hepatitis Prevention and Control Program......................................................................... 8 Behavioral Health Analytics .................................................................................................................. 9 Behavioral Risk Factor Surveillance System.......................................................................................... 9 Epidemiology and Laboratory Capacity Program ............................................................................... 10 Healthcare Associated Infection Prevention and Control Program.................................................... 10 HIV/AIDS Surveillance Program .......................................................................................................... 11 Nevada Central Cancer Registry.......................................................................................................... 11 Nevada Violent Death Reporting System (NVDRS) ............................................................................. 12 Enhanced Surveillance of Fatal and Non-Fatal Opioid Use (ESOOS) .................................................. 12 Prescription Drug Overdose Prevention for States............................................................................. 13 Sentinel Events Registry...................................................................................................................... 13 Sexually Transmitted Disease Prevention and Control Program ........................................................ 14 State Systems Development Initiative ................................................................................................ 14 Syndromic Surveillance Program ........................................................................................................ 14 Tuberculosis Control and Elimination Program .................................................................................. 15 Youth Risk Behavior Surveillance System ........................................................................................... 16

Bureau of Behavioral Health Wellness and Prevention (BHWP) ............................................................ 16 Substance Abuse Prevention and Treatment Agency (SAPTA) ........................................................... 16 Behavioral Health Services Planning................................................................................................... 17 HIV/AIDS Prevention and Care Programs ........................................................................................... 18

Bureau of Child, Family, and Community Wellness (CFCW) ................................................................... 18 Teen Pregnancy Prevention Program ................................................................................................. 19 Children and Youth with Special Health Care Needs Program ........................................................... 20

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Colorectal Cancer Control Program .................................................................................................... 21

Community Health Worker Program .................................................................................................. 22

Comprehensive Cancer Control Program ........................................................................................... 22

Diabetes Prevention and Control Program ......................................................................................... 23

Early Hearing Detection and Intervention Program ........................................................................... 24

Office of Food Security........................................................................................................................ 25

Heart Disease and Stroke Prevention and Control Program .............................................................. 25

Nevada Home Visiting......................................................................................................................... 26

Nevada State Immunization Program................................................................................................. 27

Nevada Women, Infants and Children Program ................................................................................. 28

Obesity Prevention and Control Program........................................................................................... 29

Office of Suicide Prevention................................................................................................................ 29

Nevada Pregnancy Risk Assessment Monitoring System (PRAMS) .................................................... 30

Rape Prevention and Education Program........................................................................................... 31

Title V Maternal and Child Health Program ........................................................................................ 31

Tobacco Prevention and Control Program.......................................................................................... 32

School Health Program ....................................................................................................................... 33

Women's Health Connection Program ............................................................................................... 33

Worksite Wellness Program................................................................................................................ 34

Regulatory and Planning Services Branch................................................................................................... 35

Bureau of Preparedness, Assurance, Inspections and Statistics............................................................. 35

Emergency Medical Systems Program................................................................................................ 35

Medical Marijuana Patient Registry.................................................................................................... 36

Office of Vital Records and Statistics .................................................................................................. 36

Public Health Preparedness Program ................................................................................................. 36

Radiation Control Program ................................................................................................................. 37

Bureau of Health Care Quality and Compliance ..................................................................................... 38

Child Care Licensing ............................................................................................................................ 38

Dietitian Licensing ............................................................................................................................... 39

Medical and other Health Care Facility Licensing ............................................................................... 40

Medical Laboratories/Medical Lab Personnel .................................................................................... 40

Music Therapist Licensing ................................................................................................................... 41

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Nevada Division of Public and Behavioral Health

Environmental Health Services ............................................................................................................... 41 Administrative Services Branch .................................................................................................................. 43

Fiscal Services.......................................................................................................................................... 43 Revenue Management............................................................................................................................ 43 Human Resources ................................................................................................................................... 44 Office of Information Technology........................................................................................................... 44 Public Information Office ........................................................................................................................ 45 Clinical Services Branch............................................................................................................................... 46

Community Health Nursing................................................................................................................. 48 Lake's Crossing Center for Mentally Disordered Offenders................................................................ 51 Northern Nevada Adult Mental Health Services (NNAMHS) .............................................................. 52 Rural Community Health Services (RCHS)........................................................................................... 53 Southern Nevada Adult Mental Health Services (SNAMHS)............................................................... 54 Stein Forensic Unit .............................................................................................................................. 55 Oral Health Program ........................................................................................................................... 56

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Division of Public and Behavioral Health Overview

The Nevada Division of Public and Behavioral Health (DPBH) is part of the Department of Health and Human Services (DHHS), under the Executive Branch of the state of Nevada. DPBH is comprised of the former Nevada State Health Division and the former Division of Mental Health and Developmental Services. On July 1, 2013, the two divisions merged to form DPBH.

The executive team that leads DPBH is comprised of the Administrator, Chief Medical Officer (CMO), Senior Advisor on Psychological Services, Medical Epidemiologist, Psychiatric Medical Director, and State Dental Officer.

DPBH is organized into four branches, each overseen by a Deputy Administrator and Subject Matter Experts which includes: Community Services, Regulatory and Planning Services, Clinical Services, and Administrative Services. For more detailed organizational charts, please visit our website at: .

Administrator

Chief Medical Officer

Clinical Services

Community Services

Regulatory and Planning Services

Adminisrative Services

Medical Epidemiologist

State Dentist

State Epidemiologist

Psychiatric Medical Director

State Dental Hygenist

Office of the Chief Medical Officer

The Office of the Chief Medical Officer is comprised of two additional clinical executive positions in addition to that position: Medical Epidemiologist (Dr. Ihsan Azzam), Psychiatric Medical Director (Dr. Leon Ravin). Dr. Leon Ravin also is currently acting as Nevada's Chief Medical Officer. He is certified by the American Board of Psychiatry and Neurology in General Adult and Forensic psychiatry. As acting Chief Medical Officer, Dr. Ravin is directly responsible for enforcing all laws and regulations pertaining to public health throughout Nevada. This includes interpreting, implementing and providing guidelines for the State Board of Health, and public and private entities on federal and state laws and Board of Health regulations. He also investigates causes of disease, epidemics, sources of mortality, and other matters impacting public health.

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Community Services Branch

The Community Services (CS) Branch is led by Julia Peek, who serves as the Deputy Administrator. The primary purpose of the programs within the CS Branch is to establish and develop relationships with community partners to improve public health and behavioral health outcomes for all communities within Nevada.

CS is comprised of the following sections:

? Office of Public Health Investigations and Epidemiology (OPHIE)

? Bureau of Behavioral Health Wellness and Prevention (BHWP)

? Bureau of Child, Family, and Community Wellness (CFCW)

Office of Public Health Investigations and Epidemiology (OPHIE)

The Office of Public Health Investigations and Epidemiology (OPHIE) plays a pivotal role in improving the health of all Nevadans by providing public health data and epidemiological investigation, prevention, and surveillance. The OPHIE is a committed and responsive team whose mission is to provide quality, timely, and relevant data and statistics to public health stakeholders. These stakeholders include local health authorities, as well as local, state, and national planning and research bodies, and the public. Staff in the OPHIE performs data management, quality assurance, analysis, and reporting in a broad spectrum of public health areas. The OPHIE houses many core public health datasets, including communicable disease data, health survey data, inpatient hospital discharge data, births, deaths, fetal deaths, abortions, marriages, and divorces. Common elements between databases enable matching or linking of these databases in order to provide newly accessible and standardized information for analytical and programmatic purposes. Extracted databases derived from each database and linked databases are available for statistical data analysis. Analyses are compiled in a variety of reports, which are posted on the DPBH's website, making the data available for program evaluation and planning and policy development.

The OPHIE has three offices: central office in Carson City, and satellite offices located in Las Vegas and Reno.

The programs/projects located within the OPHIE include:

?

Behavioral Risk Factor Surveillance Survey (BRFSS)

?

HIV/AIDS Surveillance Program

?

Communicable/Reportable Disease Epidemiology and Outbreak Control

?

Epidemiology and Laboratory Capacity Building

?

Sexually Transmitted Disease Prevention and Control Program

?

Adult Viral Hepatitis Prevention and Control Program

?

Tuberculosis Control and Elimination Program

?

Sentinel Event Registry

?

State Systems Development Initiative (SSDI)

?

Chronic Disease Biostatistics

?

Vital Statistics Data Analysis

?

Nevada Central Cancer Registry

?

Youth Risk Behavior Surveillance System (YRBSS)

?

Nevada Violent Death Reporting System (NVDRS)

?

Behavioral Health Analytics

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Program Guide 2018

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