Sonoma County, California

Key Accomplishments

• Bundled screening tool is being piloted at 3 sites• Family planning clinicians better prepared to

offer LARCs• Increase awareness about prescription drug

misuse

Staff-administered screening tool

Self-administered screening tool

Findings of Plan-Do-Study-Act

• Clinical staff need more training on what is “risky behavior”

• Missed opportunities to promoting Tier 1 contraception among risky users

• Positive screens for mental health concerns are common → ensure adequate resources

• Simplify form!

Kaiser FOR PROVIDER USE ONLY

Provided brief education

Provided handout:

Preconception Health (Half of all pregnancies are

unplanned)

Harmful Effects of Alcohol Use

Marijuana

Smoking/Tobacco tear sheet

Domestic Violence tear sheet

Resources for your Emotional Well-Being tear

sheet

Perinatal Mental Health Resources

Assessed contraception use

Referral to BMS

Referral to Chemical Dependency

Referral to Early Start, if pregnant

Administered PH-Q9

Implemented depression care path

Provided referral

Short (1-2 yrs)By October 2012, 30 Family PACT clinicians in Sonoma County have completed training on use of intrauterine contraception &/or implants.-26 clinicians have completed IUC training-Upcoming LARC training for all home visitors

Intermediate (3-4 years)By 2014, the rate of LARC use among Family PACT enrollees has increased 10% at participating sites and 5% county-wide compared to levels for FY2009-10. Baseline for Title X Family Planning Services in Sonoma:

-5.2% clients use IUC-0.9% clients use Implants

Long-Term (5+ yrs)By 2016, 50% of women identified at-risk for substance exposed pregnancies receiving family planning services at SRCHC are utilizing tier 1 contraceptives.

Desired Outcomes: ↓ Unintended Pregnancies

Community Award for 2012

Professional Education

http://www.scma.org/magazine

Consumer Education

Healthy Living Grant

Challenges

• Balancing the “right” level of engagement with our partners

• Spanish-language materials and translation • Trying to prevent John C. Higgins-Biddle’s 3rd

biggest mistake“Training people without first establishing an

organizational policy decision, communicated to everyone involved, to implement a new program.”

Work Ahead• Supporting policy work on prescription drug

disposal• Plan-Do-Study-Act with SBIRT• Reproductive life planning curriculum to

prevent unintended pregnancies

http://www.thedoctorstv.com/videolib/init/7218