Nevada Division of Public and Behavioral Health Program Guide 2016

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Nevada Division of Public and Behavioral Health Program Guide 2018

Brian Sandoval Governor State of Nevada

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

Richard Whitley, MS Director Department of Health and Human Services

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: www.dpbh.nv.gov. Warmest regards, Amy L. Roukie, MBA Administrator Division of Public and Behavioral Health

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Nevada Division of Public and Behavioral Health

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 3

Program Guide 2018

Nevada Division of Public and Behavioral Health 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 4

Program Guide 2018

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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Program Guide 2018

Nevada Division of Public and Behavioral Health

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: http://dpbh.nv.gov/About/AdminSvcs/HR/Organizational_Charts/.

Administrator

Chief Medical Officer

Clinical Services

Medical Epidemiologist

State Dentist

Psychiatric Medical Director

State Dental Hygenist

Community Services

Regulatory and Planning Services

Adminisrative Services

State Epidemiologist

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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Program Guide 2018

Nevada Division of Public and Behavioral Health

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: • • • • • • • • • • • • • • •

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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 Program Guide 2018

Nevada Division of Public and Behavioral Health Program Websites OPHIE Program Website – http://dpbh.nv.gov/Programs/Office_of_Public_Healh_Informatics_and_Epidemiology_(OPHIE)/ Publication’s Website – http://dpbh.nv.gov/Resources/Publications/ Network of Care of Public Health and Wellness: http://www.networkofcare.org/splash.aspx • Choose “Public Health” on left-hand side • Select “Nevada” from the drop-down box • Select a County Nevada Health Statistics Portal - http://statistics.health.nv.gov/ Social Media: http://www.facebook.com/NVOPHIE/ and http://twitter.com/NV_OPHIE

Statutory Authority NRS 439, 440, 441A, 442, 450B, and 457 OPHIE Manager Brian Parrish (775) 684-5291 [email protected] Program Emails State Epidemiologists - [email protected] To Report an Outbreak – [email protected] Program Physical Addresses Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Nevada Division of Public and Behavioral Health – Reno Office Office of Public Health Investigations and Epidemiology 500 Damonte Ranch Parkway, Suite 657 Reno, NV 89521 Nevada Division of Public and Behavioral Health – Las Vegas Office Office of Public Health Investigations and Epidemiology 3811 W. Charleston Boulevard, Suite 205 Las Vegas, NV 89102 Adult Viral Hepatitis Prevention and Control Program Primary activities of the Adult Viral Hepatitis Program include development and implementation of a case management program to provide testing, partner counseling and referral health education, patient assessment, assistance with insurance enrollment, facilitation of support groups, vaccination against HAV/HAB, and medical follow-up to specialty care, mental health services, substance abuse treatment, and hospice care and other health care services. Additionally, the program provides hepatitis education and outreach activities and regularly updates the Hepatitis State Plan and the Nevada Hepatitis Resource Directory. Program Website 8

Program Guide 2018

Nevada Division of Public and Behavioral Health http://dpbh.nv.gov/Programs/Hepatitis/Adult_Viral_Hepatitis_Prevention_and_Control_(HEP)-Home/ Statutory Authority NRS 441A Program Manager Elizabeth Kessler (775) 684-5997 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Behavioral Health Analytics The Behavioral Health Analytics unit provides analysis and report development related to mental health and substance use in Nevada. The program oversees several key datasets in the state related to behavioral health and partners with external agencies including criminal justice, social services, and community-based coalitions to complete more thorough analytics to describe the issues facing Nevadans with a behavioral health condition. Program Manager ~ Vacant Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Behavioral Risk Factor Surveillance System The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based nationwide survey sponsored by the Centers for Disease Control and Prevention (CDC) to gather data on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury health risks in the U.S. The survey has been ongoing in Nevada since 1992. The information gathered is used to identify health issues and determine how public health funds will be expended in Nevada. Currently, data is collected monthly in all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. More than 350,000 adults are interviewed each year, making the BRFSS the largest telephone health survey in the world. Nevada uses BRFSS data to identify emerging health problems, establish and track health objectives, and develop and evaluate public health policies and programs. Program Website http://dpbh.nv.gov/Programs/BRFSS/Behavioral_Risk_Factor_Surveillance_System_(BRFSS)_-_Home/ Program Manager Brian Parrish (775) 684-5291 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Reno Office 9

Program Guide 2018

Nevada Division of Public and Behavioral Health Office of Public Health Investigations and Epidemiology 500 Damonte Ranch Way, Suite 567 Reno, NV 89521 Epidemiology and Laboratory Capacity Program The Epidemiology and Laboratory Capacity (ELC) Program conducts communicable disease surveillance, investigates disease outbreaks, and initiates disease control activities. The ELC Program records and analyzes reportable disease information, conducts interviews with infected individuals and their contacts, refers individuals for medical treatment, analyzes data from disease investigations, identifies risk factors, provides education and recommendations on disease prevention, and works in conjunction with appropriate agencies to enforce communicable disease laws. ELC activities include: •

• • • •

Enhancing the capacity to respond to complex infectious disease threats in Nevada through: o strengthening epidemiology capacity o enhancing laboratory capacity o improving health information systems o enhancing collaboration Developing, implementing, and evaluating public health interventions Providing a platform for networks to be created and managed on a variety of infectious disease issues (e.g., FoodNet, CaliciNet, PulseNet, ArboNet) to ensure prompt identification of emerging infectious diseases Integrating epidemiology, laboratory, and health information systems Promoting early detection methods to ensure timely implementation of control measures and minimal transmission of infectious diseases

Program Website http://dpbh.nv.gov/Programs/ELC/Epidemiology_and_Laboratory_Capacity_(ELC)_Home/ Statutory Authority NRS 441A Program Manager Judy DuMonte (775) 684-5918 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Healthcare Associated Infection Prevention and Control Program The Healthcare Associated Infection (HAI) Prevention and Control Program oversees infection prevention and control activities in health care settings. Infection prevention and control demands a basic understanding of the epidemiology of diseases; risk factors that increase patient susceptibility to infection; and the practices, procedures and treatments that may result in infections. Program Website http://dpbh.nv.gov/Programs/HAI/Healthcare_Associated_Infection_Prevention_and_Control_(HAI)-Home/ Statutory Authority NRS 439 10

Program Guide 2018

Nevada Division of Public and Behavioral Health

Program Manager Kimisha Causey, MPH (702) 486-3568 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Las Vegas Office of Public Health Investigations and Epidemiology 3811 W. Charleston Boulevard, Suite 205 Las Vegas, NV 89102 HIV/AIDS Surveillance Program The primary functions of the HIV/AIDS Surveillance Program are to monitor the HIV/AIDS epidemic and provide data for prevention and care efforts. The tasks to achieve this include soliciting, receiving, reviewing, and filing HIV/AIDS case reports in a timely manner; determining if case reports meet the HIV infection or AIDS case definitions, or both; ensuring the collection of all required information (e.g., through follow-up investigation); and maintaining a complete and accurate HIV/AIDS surveillance database. Program Website http://dpbh.nv.gov/Programs/HIV-OPHIE/HIV/AIDS_Surveillance_Program_(HIV-OPHIE)_-Home/ Statutory Authority NRS 441A Program Manager Danika Williams, MPH 775-684-2219 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Nevada Central Cancer Registry The primary purpose of the Nevada Central Cancer Registry (NCCR) is to collect and maintain a record of reportable cases of cancer in the state. The data is used to evaluate the appropriateness of measures for the prevention and control of cancer and to conduct comprehensive epidemiological surveys of cancer and cancer-related deaths. Cancer case data is collected from hospitals, medical laboratories and other freestanding facilities and from physicians that provide screening, diagnostic or therapeutic services to patients with respect to cancer. The information on these cases of cancer is reported to NCCR. This is accomplished by reporting facilities abstracting state-required patient cancer information from their medical records. Collected data is entered into a specialized database where additional case information is added, edited, and consolidated for accuracy and completeness. The Registry conducts follow-up activities with facilities and/or physicians and uses sources such as the Department of Motor Vehicles, Hospital Discharge, Social Security Death Index, Voter Registration, Census Tract and death information from the State Office of Vital Records to assure case record completeness. NCCR annually compiles comprehensive cancer data collected for all years of operation and submits a report to the Centers for Disease Control and Prevention (CDC)/National Program of Cancer Registries (NPCR) and the North 11

Program Guide 2018

Nevada Division of Public and Behavioral Health American Association of Central Cancer Registries (NAACCR) and for analysis, certifications, and inclusion in national cancer statistics. Timely and complete cancer data are used to evaluate the appropriateness of measures for the prevention and control of cancer and conducting comprehensive epidemiological surveys of cancer and cancer-related deaths statewide and nationally. NCCR is a vital tool for monitoring the incidence of cancer within the state and sharing that information with health care professionals, researchers, and the general public. Program Website http://dpbh.nv.gov/Programs/NCCR/Nevada_Central_Cancer_Registry_(NCCR)_-Home/ Statutory Authority NRS 457 Program Manager Christine Pool (775) 684-3221 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Nevada Violent Death Reporting System (NVDRS) The National Violent Death Reporting system is a CDC grant that provides states and communities with a clearer understanding of violent deaths to guide local decisions about efforts to prevent violence and track progress over time. NVDRS is the only state-based surveillance system that pools data on violent deaths from multiple sources into a usable, anonymous database. These sources include stand and local medical examiner, coroner, law enforcement, toxicology, and vital statistics records. Program Manager Lorne Belt (775) 684-5967 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Enhanced Surveillance of Fatal and Non-Fatal Opioid Use (ESOOS) This is a CDC grant that provides funding to increase the timeliness of opioid overdoes reporting, create, validate, and monitor quality of data and disseminate surveillance results to key stakeholders. This work will be done in complete collaboration with both Clark and Washoe County Coroner Offices. 12

Program Guide 2018

Nevada Division of Public and Behavioral Health Program Manager Lorne Belt (775) 684-5967 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Prescription Drug Overdose Prevention for States This is a CDC funded program with the purpose of advancing and evaluating comprehensive state-level interventions for preventing prescription drug overuse, misuse, abuse, and overdoses. Priority interventions aim to address drivers of the prescription drug overdose epidemic, particularly the muse and inappropriate prescribing of opioid pain relievers. This program is based on the premise that changes at the community level will lead to measurable changes at the state level. Program Manager Brian Parrish (775) 684-5291 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Reno Office Office of Public Health Investigations and Epidemiology 500 Damonte Ranch Parkway, Suite 657 Reno, NV 89521 Sentinel Events Registry The Sentinel Event Registry (SER) Program tracks reportable sentinel events in acute care hospitals, ambulatory care centers, independent emergency room centers, and obstetric centers. A sentinel event is defined as an unexpected occurrence involving facility-acquired infection, death or serious physical or psychological injury or the risk thereof, including, without limitation, any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. The term includes loss of limb or function (NRS 439.830). It is called a sentinel event because it signals the need for immediate investigation and response. Program Website http://dpbh.nv.gov/Programs/SER/Sentinel_Events_Registry_(SER)-Home/ Statutory Authority NRS 439 Program Manager Kimisha Causey, MPH (702) 486-3568 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 13

Program Guide 2018

Nevada Division of Public and Behavioral Health 4126 Technology Way, Suite 201 Carson City, NV 89706 Sexually Transmitted Disease Prevention and Control Program The Nevada STD Prevention and Control Program is responsible for the control and prevention of sexually transmitted diseases (STDs) within the state of Nevada. The section assists state, local and community efforts with interrupting the transmission of chlamydia, gonorrhea, syphilis and other STDs, and reducing the health burden and costs associated with these infections. Primary activities of STD Prevention and Control include testing and treatment of chlamydia, syphilis and gonorrhea (reportable STDs); surveillance of reportable STDs; providing opportunities for statewide STD stakeholder planning and goal development input; locating and treating contacts of known cases with an STD and providing risk reduction education and material. Program Website http://dpbh.nv.gov/Programs/STD/Sexually_Transmitted_Disease_(STD)_Prevention_and_Control_Program-Home/ Statutory Authority NRS 441A Program Manager Elizabeth Kessler (775) 684-5997 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 State Systems Development Initiative The primary focus of the State Systems Development Initiative (SSDI) is enhancing the data capacities of DPBH and the Maternal and Child Health Program (MCH). The key activities are: preparing data for and performing data linkage on databases housed in the DPBH, reporting data for the MCH Block Grant and other MCH projects, increasing the number and quality of databases available for linkage and analysis, and producing the 5-year MCH needs assessment. Program Website http://dpbh.nv.gov/Programs/SSDI/State_Systems_Development_Initiative_(SSDI)_-Home/ Acting Program Manager ~ Vacant Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706 Syndromic Surveillance Program The Syndromic Surveillance (BioSense/Essence) Program oversees the collection and analysis of health-related data that precede diagnosis and may warrant a public health response because it signals a sufficient probability of a

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Program Guide 2018

Nevada Division of Public and Behavioral Health case, an outbreak of disease or other public health emergency. Current syndromic surveillance systems include BioSense 2.0, Essence, and the National Retail Drug Monitor for Public Health Surveillance. Program Website http://dpbh.nv.gov/Programs/BioSense/Syndromic_Surveillance_-Home/ Statutory Authority NRS 441A Program Manager Tami Conn (775) 684-5017 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Reno Office Office of Public Health Investigations and Epidemiology 500 Damonte Ranch Parkway, Suite 657 Reno, NV 89521 Tuberculosis Control and Elimination Program The mission of the Tuberculosis (TB) Program is to reduce the incidence of TB by the aggressive management of newly diagnosed cases and extensive preventive treatment of those infected with TB as defined by NRS 441.A.370. As the lead agency for TB prevention and control in Nevada, the program: • • • • • • •

provides leadership at the local, state and federal level to control TB in Nevada's diverse communities and institutions; collects, analyzes and disseminates information on TB in Nevada; develops and distributes fiscal resources to support TB control and prevention activities at the local level; provides technical assistance, training and advocacy to various groups and organizations; defines minimum standards for TB control and promotes adherence to those standards; fosters collaboration and coordination among public and private organizations; and functions in accordance with Nevada Department of Health and Human Services policies and procedures.

Program Website http://dpbh.nv.gov/Programs/TB/Tuberculosis_(TB)_Prevention,_Control_and_Elimination_Program_-Home/ Statutory Authority NRS 441A Program Manager Susan McElhany, DMD (775) 684-5936 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Central Office Office of Public Health Investigations and Epidemiology 4126 Technology Way, Suite 201 Carson City, NV 89706

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Nevada Division of Public and Behavioral Health Youth Risk Behavior Surveillance System The Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors and the prevalence of obesity and asthma among youth and young adults. The YRBSS includes a national school-based survey conducted by the Centers for Disease Control and Prevention (CDC) and surveys conducted by state, territorial, local education and health agencies and tribal governments. YRBSS data are used to set and track progress toward meeting school health and health promotion program goals, support modification of school health curricula or other programs, support new legislation and policies that promote health, and seek funding and other support for new initiatives. Program Websites Program Website – http://dpbh.nv.gov/Programs/YRBSS/Youth_Risk_Behavioral_Surveillance_System_(YRBSS)_-Home/ University of Nevada, Reno (UNR) YRBSS Website – http://dhs.unr.edu/chs/research/yrbs Program Manager Brain Parish, MPH (775) 684-5291 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health – Reno Office Office of Public Health Investigations and Epidemiology 500 Damonte Ranch Parkway, Suite 657 Reno, NV 89521

Bureau of Behavioral Health Wellness and Prevention (BHWP) The Bureau of Behavioral Health Wellness and Prevention (BHWP) is comprised of the Substance Abuse Prevention and Treatment Agency (SAPTA), Behavioral Health Services Planning, and the HIV/AIDS Prevention and Care Program. Bureau Chief: Kyle Devine, MSW (775) 684-4077 [email protected] Agency Physical Address Nevada Division of Public and Behavioral Health 4126 Technology Way, Suite 200 Carson City, NV 89706 Substance Abuse Prevention and Treatment Agency (SAPTA) The Substance Abuse Prevention and Treatment Agency (SAPTA) works to reduce the impact of substance abuse in Nevada. This is accomplished by identifying the alcohol and drug abuse patterns in Nevada and by supporting a continuum of services including prevention, early intervention, treatment, and recovery support. SAPTA provides regulatory oversight and funding for community-based public and nonprofit organizations. SAPTA is also responsible for developing and implementing a state plan for prevention and treatment, coordinating state and federal funding, and developing of standards for the certification of prevention and treatment programs. The list of funded providers and programs can be found at http://dpbh.nv.gov, click on Programs, Behavioral Health Wellness and Prevention, and then SAPTA. SAPTA objectives include: 16

Program Guide 2018

Nevada Division of Public and Behavioral Health • • •

Statewide formulation and implementation of a state plan for prevention, intervention, treatment, and recovery of substance abuse Statewide coordination and implementation of state and federal funding for alcohol and drug abuse programs Statewide development and publication of standards for certification and the authority to certify treatment levels of care and prevention programs

Program Website http://dpbh.nv.gov/Programs/ClinicalSAPTA/Home_-_SAPTA/ Statutory Authority NRS 458 Bureau Chief: Kyle Devine, MSW (775) 684-4077 [email protected] Agency Physical Address Nevada Division of Public and Behavioral Health 4126 Technology Way, Suite 200 Carson City, NV 89706 Behavioral Health Services Planning The Administrative Office is responsible for administrative programs, program planning, and quality assurance. These responsibilities include: • • • • • • • •

Improve efficiency and effectiveness Enhance communication Increase statewide collaboration Promote team decision making Bring knowledge together to share and improve services and processes Integrate and standardize services; break down silos Streamline access to care, services and processes Include and collaborate with community partners, including but not limited to the statewide Coalitions, National Association of Mental Illness (NAMI), school districts and other community stakeholders.

Program Website http://dpbh.nv.gov/Programs/ClinicalBHSP/HOME_-_Behavioral_Health_Services_Planning/ Statutory Authority NRS 433 and various federal regulations Bureau Chief: Kyle Devine, MSW (775) 684-4077 [email protected] Program Physical Address 4126 Technology Way, Suite 200 Carson City, NV 89706 17

Program Guide 2018

Nevada Division of Public and Behavioral Health

HIV/AIDS Prevention and Care Programs Guided by the principles of public health and social justice, the HIV/AIDS Prevention and Care Program mission is to promote health and reduce the impact and incidence of HIV/AIDS by working in partnership with other agencies and diverse community groups. The Program is comprised of two sub-programs – HIV Prevention and Ryan White Part B. HIV Prevention Program staff coordinates its efforts in collaboration with the local health districts, HIV prevention planning groups, HIV-infected and affected communities, state and local HIV prevention providers, and other concerned and committed citizens to improve HIV prevention service delivery in Nevada; to ensure the HIV prevention planning process supports a broad-based participation; that HIV prevention needs are adequately identified in each jurisdiction; and that resources target those at greatest need and interventions set forth in its Integrated HIV Prevention and Ryan White Care Plan. The Ryan White HIV/AIDS Part B Program (RWPB) provides medications and services to eligible HIV/AIDS clients. Nevada’s AIDS Drug Assistance Program (ADAP) formulary is geared toward optimum patient care; medications are maintained in coordination with and by recommendation of the HIV/AIDS Medical Advisory Committee (MAC). The program also assists with Housing Opportunities for People with AIDS (HOPWA). Funds are used to prevent and eliminate homelessness among people living with HIV/AIDS in Nevada. Services include, but are not limited to, the acquisition, rehabilitation, or new construction of housing units; costs for facility operations; rental assistance; and short-term payments to prevent homelessness. Program Website http://dpbh.nv.gov/Programs/HIV/HIV_and_AIDS_Prevention_-_Home/ Statutory Authority This program is authorized by the Public Health Services (PHS) Act as amended, Section 2611-23, (42 U.S.C. 300ff21-31b), as amended by the Ryan White HIV/AIDS Treatment Extension Act of 2009 (Public Law 111-87). The U.S. Department of Health and Human Services (DHHS) administers the RWPB program through the Health Resources and Services Administration (HRSA); The HIV/AIDS Bureau (HAB), Division of State HIV/AIDS Programs. NRS 441A Infectious Diseases; Toxic Agents, and NRS 439 Administration of Public Health. Program Manager Tory W. Johnson, MMgt (775) 684-4247 [email protected] Program Physical Address 4126 Technology Way, Suite 200 Carson City, NV 89706

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

The Bureau of Child, Family, and Community Wellness mission is to educate and inform the public about healthrelated issues including chronic and preventable disease, and to ensure and advocate for health services for Nevada’s citizens. The Bureau of Child, Family and Community Wellness strives to be the state leader in providing: • • • • • 18

Research on best practices in public health prevention Analysis of data from needs assessments and the development of initiatives and recommendations to address the findings of needs assessments Standards development Provision of technical assistance Preparation of legislative testimony Program Guide 2018

Nevada Division of Public and Behavioral Health • •

Information for Nevada Division of Public and Behavioral Health and other Department of Health and Human Services staff, planning groups, policy makers, and other agencies whose activities affect the Bureau’s target populations Quality assurance

By providing direct services and information, the bureau fulfills its goals through the expertise of a variety of professional staff including Health Program Specialists, Health Program Managers, Health Educators, and Nutritionists. Bureau Chief Beth Handler, MPH (775) 684-5902 [email protected] Deputy Bureau Chief Karissa Loper, MPH (775) 684-3209 [email protected] Maternal, Child and Adolescent Health Section Manager Vickie Ives, MA (775) 684-2201 [email protected] Chronic Disease Prevention and Health Promotion Section Manager Jennifer Bonk, MS (775) 684-5914 [email protected] Immunization Section Manager Shannon Odermann Bennett (775) 684-2225 [email protected] Women, Infants, & Children (WIC) Section Manager Michelle Walker (775) 684-4236 [email protected] Bureau Physical Address 4150 Technology Way, Suite 210 Carson City, Nevada 89706 Bureau Contact Information Phone: (775) 684-4285 Fax: (775) 684-4245 Teen Pregnancy Prevention Program The Teen Pregnancy Prevention Program focuses on youth development and health promotion for adolescents in the state of Nevada and includes efforts to promote comprehensive sex education, adulthood preparation programs, and abstinence education with the goal of preventing pregnancy and the spread of sexually transmitted infections among 19

Program Guide 2018

Nevada Division of Public and Behavioral Health adolescents. The program administers the Teen Pregnancy Prevention Program consisting of the Abstinence Education Grant Program (AEGP) and the State Personal Responsibility Education Program (PREP) of the Family and Youth Services Bureau (FYSB) of the Administration on Children, Youth and Families (ACYF). Program Websites AEGP Website - http://dpbh.nv.gov/Programs/AEGP/AEGP-Home/ PREP Website – http://dpbh.nv.gov/Programs/PREP/PREP-Home/ Maternal and Child Health (MCH) Adolescent Health and Wellness Website – http://dpbh.nv.gov/Programs/AHComp/Adolescent_Health_and_Wellness_Program/ Statutory Authority AEGP: 422, 904 PREP: 402, 422 MCH: Social Security Act, Title V, Section 501(a) (1), as amended. NRS 442.130 – Program for maternal and child health: Purposes; administration Adolescent Health and Wellness Maternal and Child Health Program Coordinator Eileen Hough, MPH (775) 684-4035 [email protected] AEGP Program Coordinator Aundrea Ogushi (775) 687-7527 [email protected] PREP Program Coordinator Lisa Godenick (775)-684-4271 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Children and Youth with Special Health Care Needs Program The Children and Youth with Special Health Care Needs (CYSHCN) Program bridges service gaps, links families to appropriate resources and providers, and develops strategies to better serve children and their families through a network of federal, state, and local community and family-based partners. Children eligible for CYSHCN include those who have or are at increased risk for a chronic physical, development, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally. Program goals to Support Children and Families in Nevada include: • • • • • • 20

Provide education and family support Promote early screening and detection Ensure proper access to insurance and care Manage linkage to appropriate services Support a Medical Home for coordinated care Ensure smooth transition from youth to adulthood Program Guide 2018

Nevada Division of Public and Behavioral Health • •

Afford employment opportunities Participate in outreach programs and events

Partnerships within MCH, with private and nonprofit agencies, universities, health departments, hospitals and providers, state and local entities and through contracts allow these goals to be carried out and accomplished. Program Website http://dpbh.nv.gov/Programs/CYSHCN/CYSHCN-Home/ Statutory Authority Social Security Act, Title V, Section 501(a) (1), as amended. NRS 442.130 – Program for maternal and child health: Purposes; administration CYSHCN Director Vickie Ives, MA (775) 684-2201 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Colorectal Cancer Control Program The Chronic Disease Prevention and Health Promotion Section partners with the Access to Healthcare Network (AHN) to administer the Colorectal Cancer Control Program (CRCCP). CRCCP is a colorectal cancer early detection program dedicated to serving low-income, high-risk, uninsured/underinsured men and women aged 50 - 64 living in Nevada. The goal of the CRCCP is to reduce the burden of colorectal cancer through education, early screening and diagnostics, care coordination/case management, and improved accessibility to treatment. The funding also supports health systems change, data collection and surveillance, public education, outreach, provider education, and evaluation activities to measure the clinical outcomes, costs, and effectiveness of the program. CRCCP is 100% federally funded through the Centers for Disease Control and Prevention. Program and Partner Websites Colorectal Cancer Website – http://dpbh.nv.gov/Programs/CRCCP/Colorectal_Cancer_-_Home/ Access to Healthcare Network- http://www.accesstohealthcare.org/services-individuals/colon-screening Nevada Nevada Cancer Coalition – http://nevadacancercoalition.org/cancer-resources/screening -treatment/ Challenge Nevada – http://challengenv.com/resources/ Nevada Colon Cancer Partnership – http://nvccp.org Program Manager Rani Reed (775) 687-7581 [email protected] Access to Healthcare Network Dena Miguel, Contractor Program Manager (AHN) 877-385-2345 Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 21

Program Guide 2018

Nevada Division of Public and Behavioral Health

Access to Healthcare Network 4001 S. Virginia Street, Suite F Reno, NV 89502 Program Email [email protected] Community Health Worker Program Community Health Workers (CHWs) are public health workers who are trusted members of their communities. CHWs serve a variety of functions, such as educator, informal counselor, advocate, and liaison, linking their communities to health and social services in a culturally competent way. The Community Health Worker Program in Nevada is funded by multiple federal funding streams across several state programs; including, Women Infants and Children (WIC), Maternal and Child Health, Mental Health, Ryan White, and the Chronic Disease Prevention and Health Promotion Section The goal of the Community Health Worker Program is to reduce the burden of chronic disease by: • • • • • • •

Bridging cultural mediation between communities and the health care system Providing culturally appropriate and accessible health education and information, often by using popular education methods Ensuring that people get the services they need Providing informal counseling and social support Advocating for individuals and communities Providing direct services (such as basic first aid) and administering health screening tests Building individual and community capacity

Current activities of the program: • • • • •

Workforce development, certification and standards Curriculum development Developing a CHW Association Sustainability plan Evaluation plan

Program Website http://dpbh.nv.gov/Programs/CHW/Community_Health_Worker_-_Home/ Program Manager Amanda Santos (775) 684-4092 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Comprehensive Cancer Control Program The State of Nevada’s Comprehensive Cancer Control Program works towards bringing together communities and partner organizations who strive to reduce the burden of cancer in Nevada by combining efforts to: • • 22

Reduce cancer risk Find cancers earlier Program Guide 2018

Nevada Division of Public and Behavioral Health • •

Improve treatments Increase the number of people who survive cancer

This program is funded through the Centers for Disease Control and Prevention, National Comprehensive Cancer Control Program which assists Nevada in supporting the Nevada Cancer Coalition to fight cancer in our state. The Comprehensive Cancer Control Program at the Nevada Division of Public and Behavioral Health is funded through the Centers for Disease Control and Prevention (grant CDC-RFA-DP12-120502CONT13). The goals of the Comprehensive Cancer Control Program as outlined by the CDC align with the Healthy People 2020 goals: • • • • • • • • • •

Reduce the age-adjusted annual rate of cancer mortality per 100,000 population (Healthy People C-1). Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines (Healthy People C-17). Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines (Healthy People C-15). Increase the number of central, population-based registries from the 50 States and the District of Columbia that capture case information on at least 95 percent of the expected number of reportable cancers (Healthy People C-12). Reduce the female breast cancer death rate (Healthy People C-3). Reduce the death rate from cancer of the uterine cervix (Healthy People C-4). Reduce invasive uterine cervical cancer (Healthy People C-10). Increase the percentage of reporting sources (facilities) that submit data electronically to the central registry to 60%. Increase age-appropriate screening prevalence for breast and cervical cancer to 84% and 90% respectively. Decrease the incidence rates of late-stage breast and cervical cancer diagnosis (1% breast and cervical).

Program Websites Program Website – http://dpbh.nv.gov/Programs/CCCP/Comprehnsive_Cancer_-_Home/ Nevada Cancer Coalition - http://www.nevadacancercoalition.org/ Nevada Wellness - http://nevadawellness.org/community-wellness/cancer-screening/ Program Manager Lily Helzer (775) 684-4122 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] Diabetes Prevention and Control Program The Diabetes Prevention and Control Program is funded by the Centers for Disease Control and Prevention (CDC). The goal is to reduce disease, disability, and death related to pre-diabetes and diabetes by: •

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Defining the nature, extent, distribution and causes of the burden of diabetes in Nevada. Developing integrated approaches to reduce the diabetes burden in Nevada. Program Guide 2018

Nevada Division of Public and Behavioral Health • •

• •

Monitor diabetes policy and legislation. Strengthen professional and public education for diabetes prevention and control. Foster Diabetes Prevention Education and Diabetes Self-Management Education Programs throughout the state in partnership with diabetes education providers. Improve the delivery and use of quality clinical and other health services aimed at preventing and managing diabetes; and Increase links between community and clinical organizations to support prevention, self-management and control of diabetes.

Program Website http://dpbh.nv.gov/Programs/Diabetes/Diabetes_-_Home/ Program Manager Vacant Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] Early Hearing Detection and Intervention Program The purpose of the Nevada Early Hearing Detection and Intervention (EHDI) Program is to ensure all children in Nevada are screened for hearing loss at birth and those identified with hearing loss receive timely and appropriate audiological, educational and medical intervention. We promote the national EHDI goals and timelines developed by the Joint Committee on Infant Hearing and the Centers for Disease Control and Prevention (CDC): 1 - Before ONE month of Age: Hearing Screening for all babies; 3 - Before THREE months of Age: Hearing Evaluation by an audiologist if baby did not pass hearing screening; and 6 - Before SIX months of Age: Early Intervention if baby is diagnosed with hearing loss. In addition to assuring screening and intervention for children with hearing loss, the EHDI program provides advocacy for children and families. This is done through the development of partnerships and working with community programs to create awareness and ensure access to services. Program Website http://dpbh.nv.gov/Programs/EHDI/EHDI-Home/ Statutory Authority NRS 442.500 through 442.590 – Screening of Hearing of Newborn Children NAC 442.850 and NAC 443.860 Program Manager Perry Smith (775) 684-4274 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 24

Program Guide 2018

Nevada Division of Public and Behavioral Health Office of Food Security The Governor’s Council on Food Security (GCFS) was established by executive order on February 12, 2014 by Governor Brian Sandoval. The Council was created to implement the goals of Food Security in Nevada: Nevada's Plan for Action, which outlines goals and activities intended to increase food security throughout Nevada. The Office of Food Security (OFS) was established in Nevada’s Department of Health and Human Services in 2014. The OFS supports and coordinates the GCFS. Program activities are federally funded, in part, through SNAP-Education. The goal of SNAP-Education is to, “improve the likelihood that person eligible for SNAP will make healthy food choices within a limited budget and choose physical active lifestyles consistent with the current dietary guidelines for Americans and the USDA food guidance system.” The mission of the Office of Food Security is to improve the quality of life and health of Nevadans by increasing food security throughout the state. Guiding Principles • • • • •

Incorporate economic development opportunities into food security solutions. Use a comprehensive, coordinated approach to ending hunger and promoting health and nutrition, rather than just providing emergency short-term assistance. Focus on strategic partnerships between all levels of government, communities, and nonprofit organizations including foundations, private industries, universities, and research institutions. Use available resources in a more effective and efficient way. Implement research-based strategies to achieve measurable results

Program Website http://dpbh.nv.gov/Programs/OFS/Home_-_Office_of_Food_Security/ Program Manager Laura Urban (775) 684-2205 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Heart Disease and Stroke Prevention and Control Program The mission of the Nevada Heart Disease and Stroke Prevention Program is to prevent and reduce premature death and disability from heart disease and stroke among Nevadans through: • Prevention, detection, and treatment of heart disease and stroke risk factors • Prompt and early detection and treatment of heart disease and stroke • Elimination of disparities in heart disease and stroke care. The Heart Disease and Stroke Prevention Program was established via a federal grant, to reduce the burden of heart disease and stroke among Nevada residents. This program supports strategies to improve uncontrolled hypertension. The Program is designed to be implemented in various settings that include communities, hospitals, schools, and work sites. Currently, the Program is striving to build capacity through: • Building infrastructure by strengthening and promoting partnerships with state and local agencies, schools, universities, healthcare organizations, businesses and non-profit agencies. • Identifying gaps and challenges in clinical systems to address the burden of heart disease and stroke. • Improving standards of cardiac and stroke care in the state through evidence-based guidelines. 25

Program Guide 2018

Nevada Division of Public and Behavioral Health •

Implementing and promoting policy and systems change interventions to address the burden of heart disease and stroke in Nevada.

Program Website http://dpbh.nv.gov/Programs/Heart/Heart_and_Stroke_Prevention_and_Control_-_Home/ Program Manager Victoria Kolar (775) 684-4285 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] Nevada Home Visiting Home visiting is a service offered to support positive parenting, develop nurturing homes and promote healthy child development through regular home visits by trained professionals. Families with children up to age five and/or families expecting a baby may voluntarily request these free in-home services. The Nevada Home Visiting Program supports agencies and organizations that conduct home visiting services to pregnant women, mothers, fathers, and caregivers to educate their young children, improve maternal and newborn health, improve school readiness, and reduce child injuries, neglect, and abuse. Scientific studies have confirmed the positive impacts of home visiting for children and families while yielding between $3 - $6 savings to federal, state, and local governments for every dollar spent. Nevada Home Visiting exists to develop and promote a state-wide coordinated system of evidence-based home visiting that supports healthy child development and ensures the safety of young children and family members. Goals • • • • • •

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Develop a state-wide infrastructure to support home visiting and agencies who administer home visiting programs. Provide training and technical assistance to local home visiting agencies. Improve the quality of home visiting services by incorporating Continuous Quality Improvement (CQI) principles in the administration of Nevada Home Visiting and in its relationships with its partners. Improve the coordination and referrals to community resources and support these resources through interaction and collaboration with public and private organizations. Develop a home visiting database to facilitate the reporting, tracking, and analysis of home visiting program outcomes, CQI measures, and model fidelity. Assist funded home visiting agencies to focus their efforts on the National MIECHV benchmarks, which include: o Improvements in Maternal and Newborn Health o Prevention of Child Injuries, Child Abuse, Neglect, or Maltreatment and Reduction of Emergency Department Visits o Improvements in School Readiness and Achievement o Reduction in Crime or Domestic Violence o Improvements in Family Economic Self-Sufficiency o Coordination and Referrals for Other Community Resources and Supports Program Guide 2018

Nevada Division of Public and Behavioral Health Program Website http://dpbh.nv.gov/Programs/MIECHV/Nevada_Home_Visiting_(MIECHV)_-_Home/ Statutory Authority Social Security Act, Title V, Section 511 (42 U.S.C. 711), as amended by Section 2951 of the Patient Protection and Affordable Care Act of 2010 (P.L. 111148). Reauthorization and appropriation for FY16 provided through Medicare Access and CHIP Reauthorization Act (P.L. 11410). Program Manager Evelyn Dryer (775) 684-4032 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Nevada State Immunization Program The Nevada State Immunization Program administers the Vaccines for Children (VFC) Program, Section 317 and Nevada Cocooning Programs, and is responsible for operating and maintaining Nevada WebIZ. The VFC Program is administered to pediatricians, internists, family practitioners, hospitals, school districts, and public health providers. The Section 317 Program is administered to the jail/prison system, hospitals, federally qualified health centers (FQHCs), adult internists, and public health providers. The Nevada Cocooning Program is administered to all of Nevada’s birthing hospitals as well as OB/GYN providers. Nevada WebIZ is a web-based immunization registry that is required to be used by immunizing providers in the state of Nevada. Nevada WebIZ allows access for both private and public providers with minimal hardware/software requirements; it also allows organizations like schools and daycares to view a student’s immunization record to verify compliance to Nevada’s school-entry laws. There are three health authorities in Nevada: Washoe County Health District, serving Reno and Sparks; Southern Nevada Health District, serving the greater Las Vegas area; and Carson City Health and Human Services, serving Carson City, Lyon, and Douglas counties. The Nevada Division of Public and Behavioral Health serves the remaining counties, except Elko County with public immunization services through local community health nurses. The Nevada Chief Medical Officer (CMO) provides strict enforcement of health laws/regulations to the local health officers. The Nevada State Immunization Program is completely funded by the Centers for Disease Control & Prevention through an annual non-competitive grant, “Nevada Immunization and Vaccines for Children.” Funds are subgranted from the Immunization Program to the three local health authorities and to one non-profit community coalition (Immunize Nevada) to conduct activities on behalf of the program. The local health authorities conduct VFC/AFIX visits and Perinatal Hepatitis B Prevention activities in their jurisdictions. They also conduct special projects to help increase immunization rates in their jurisdictions. The coalitions conduct education and advocacy activities in their jurisdictions. Immunize Nevada provides immunization education opportunities and advocacy activities to promote immunizations across the state. The projects within the Immunization Program include: ▪ Vaccines for Children (VFC) Program ▪ Nevada WebIZ ▪ HL7 Interfacing ▪ Cocooning Program ▪ Perinatal Hepatitis-B Prevention ▪ Vaccine-Preventable Diseases ▪ Special Immunization Projects 27

Program Guide 2018

Nevada Division of Public and Behavioral Health ▪

Influenza

Program Websites Program Website – http://dpbh.nv.gov/Programs/VFC/VFC_-_Home/ Parents’ Page – http://www.vfcnevada.org/for-families/ Find a VFC Provider – http://www.vfcnevada.org/for-families/find-a-provider/ Nevada WebIZ Website – http://dpbh.nv.gov/Programs/WebIZ/WebIZ_-_Home/ Nevada Cocooning – http://dpbh.nv.gov/Programs/Cocooning/Cocooning_-_Home/ Immunize Nevada – http://immunize.nevada.org/ Statutory Authority NRS Chapter 392 – Pupils; NRS Chapter 392C - Interstate Compact on Educational Opportunity for Military Children; NRS Chapter 394 - Private Educational Institutions & Establishments; NRS Chapter 422A - Welfare & Supportive Services; NRS Chapter 432A - Services & Facilities for Care of Children; NRS Chapter 439 - Administration of Public Health; NRS 450B - Emergency Medical Services; NRS 454.213 - Authority to possess and administer a dangerous drug; NRS Chapter 639 - Pharmacists and Pharmacy Immunization Section Manager Shannon Odermann Bennett (775) 684-2225 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Contact (775) 684-5900 [email protected] Nevada Women, Infants and Children Program The Special Supplemental Food Program for Women, Infants, and Children, commonly known as WIC, provides nutritious food to supplement the diets of limited-income pregnant, postpartum and breastfeeding women, infants, and children under age five who are at nutritional risk. WIC provides participants with healthy food, advice on good nutrition, health screening, information on health care services such as immunizations, prenatal care, and family planning, and information about other family support services available in their community. Applicants must be an infant or child under five years of age, a pregnant woman, a postpartum woman (up to six months after giving birth), or a breastfeeding woman (up to the breastfed infant’s first birthday). Applicants must be Nevada residents who physically live in Nevada at the time of application, and must be at or below 185% of the federal poverty level. In addition, applicants must be at nutritional risk, as determined by a Competent Professional Authority (CPA) at the WIC clinic. Program Websites WIC website - http://nevadawic.org Nevada Breastfeeds website - http://nevadabreastfeeds.org/ Statutory Authority WIC Regulations are published by the Federal Register in the Code of Federal Regulations, 7 C.F.R. Part 246. 28

Program Guide 2018

Nevada Division of Public and Behavioral Health Program Manager Michelle Walker (775) 684-4236 [email protected] Program Physical Address Nevada Division of Public and Behavioral Health 400 W. King Street, #300 Carson City. NV 89703 Program Email [email protected] Obesity Prevention and Control Program The Division of Public and Behavioral Health’s Obesity Prevention Program is committed to assisting Nevadans combat and control obesity through environmental and system changes that focus on early care and education, school health and worksite wellness strategies. Program Website Addresses Program Website http://dpbh.nv.gov/Programs/Obesity/Obesity_Prevention_and_Control_-_Home/ Nevada Wellness Website - http://nevadawellness.org/ Statutory Authority Advisory Council on the State Program for Wellness and the Prevention of Chronic Disease (CWCD) Program Manager Kristi Robusto, MPH, PhD (c) (775) 684-2203 [email protected] Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] Office of Suicide Prevention The Nevada Office of Suicide Prevention (NOSP) is the clearinghouse for suicide prevention information in Nevada. The Suicide Prevention Coordinator, Northern Suicide Prevention Training/Outreach Facilitator, Youth Mental Health First Aid (YMHFA) Coodinator, along with the Suicide Prevention Assistant are located, in Reno. The Southern Suicide Prevention Training/Outreach Facilitator, YMHFA Assitant, and AmeriCorps Volunteer are located in Las Vegas. This team is responsible for the development, implementation, and evaluation of the Nevada Suicide Prevention Plan. A major initiative is following up on the Veterans’ Suicide Mortality report through collaboration with Nevada National Guard, the Nevada Substance Abuse Prevention and Treatment Agency (SAPTA), the Governor’s Office, and the Nevada Department of Veterans Services, , to prevent suicides among service members, veterans, and families. Collaboration for awareness/prevention/intervention is occurring in all regions of the state along with strong partnership with local coalitions, school districts, and the Nevada Coalition for Suicide Prevention. Some of our most successful initiatives with our partners have been with Signs of Suicide middle and high school suicide 29

Program Guide 2018

Nevada Division of Public and Behavioral Health awareness curriculum and screening programs statewide, text messaging crisis intervention, safeTALK and Applied Suicide Intervention Skills Trainings. NOSP is staff to Nevada’s Committee to Review Suicide Fatalities. NOSP is also making great strides toward increasing awareness about addressing access to lethal means through the Suicide-Proof Your Home, Securing Firearms Education and The 11 Commandments of Gun Safety. Collaboration with Nevada School Districts on education requirements through safeTALK training is occurring in partnership with the Nevada Department of Education. In addition Youth Mental Health First Aid training is in our communities through NOSP and Project Aware. NOSP will coordinate statewide YMHFA training with all Project Aware grantees and community partners. Program Websites Suicide Prevention Website – www.suicideprevention.nv.gov Nevada Coalition for Suicide Prevention - www.nvsuicideprevention.org Statutory Authority NRS 439.511 and NRS 439.513 Program Manager Misty Vaughan Allen, MA (775) 688-2964 ext. 249 [email protected] Program Physical Address Northern Nevada Office 9670 Gateway Drive, 2nd Floor Reno, NV 89521 Southern Nevada Office 3811 West Charleston Blvd. Suite 210 Las Vegas, NV 89102 Nevada Pregnancy Risk Assessment Monitoring System (PRAMS) The Nevada Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing survey project of mothers who deliver live births in Nevada. PRAMS is a part of a national effort to reduce infant mortality and adverse birth outcomes by providing information useful for developing and implementing intervention programs and for evaluating existing programs. Data obtained from PRAMS is used to monitor progress toward national and state pregnancyrelated health objectives, including Title V maternal and Child Health Priorities. PRAMS is also used to identify and monitor selected self-reported maternal behaviors and experiences that occur before, during, and after pregnancy among women who deliver live-born infants. PRAMS staff collect data through a mailed survey with follow-up of nonrespondents by telephone. The PRAMS survey is revised every three to five years, and each revision is referred to as a phase. Nevada is currently using PRAMS Phase 8 questionnaire. Program Websites Nevada PRAMS Website – http://dpbh.nv.gov/Programs/PRAMS/PRAMS/ CDC PRAMS Website – http://www.cdc.gov/PRAMS/ Statutory Authority This award is pursuant to the authority of 42 USC 241 31 USC 6305 42 CFR 52 and is subject to the requirements of this statute PRAMS Leading Project Coordinator 30

Program Guide 2018

Nevada Division of Public and Behavioral Health Ingrid Mburia, Ph.D., MPH T: (775) 682-7057 E: [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Rape Prevention and Education Program Nevada currently maintains sexual violence prevention strategies targeting its most vulnerable population, teens and young adults of all genders, cultural and racial backgrounds, sexual orientations, religious affiliation, and socioeconomic levels. There is growing empirical evidence well-designed youth development interventions can lead to positive outcomes. Encouraging positive relationship development in young adults facilitates their adoption of healthy behaviors and helps to ensure a healthy and productive future adult population. Strategies implemented for preventing future sexual violence episodes in Nevada include: • • • •

Bystander intervention education and training Healthy relationship education Workshops for professionals and peer educators working within target populations Awareness campaigns

Program Website http://dpbh.nv.gov/Programs/RPE/RPE-Home/ Statutory Authority Sections 317(k)(2) and 393A of the Public Health Service Act (42 U.S.C. Sections 247b and 280b-1b), as amended. Program Coordinator Deborah Duchesne (775) 684-4263 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Title V Maternal and Child Health Program The Nevada Title V Maternal and Child Health (MCH) Title V Program is dedicated to improving the health of families, with an emphasis on women, infants, and children, including children and youth with special health care needs (CYSHCN). Title V funding from HRSA supports health education and prevention activities, increasing access to health care services, developing and leveraging key partnerships and collaborations, and planning and implementing program components reaching MCH target populations, including the CYSHCN, Maternal and Infant, and Adolescent Health and Wellness programs. In collaboration with community-level partners (e.g., stakeholders, coalitions, subgrantees/contractors; - etc.). the MCH program focuses on the following priorities: • • •

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Improve preconception and interconception health among adolescents and women of childbearing age (1544 years of age). Increase percent of infants who are ever breastfed and percent of infants breastfed exclusively through six months of age. Increase the percent of children, adolescents and women of childbearing age who are physically active at least 60 minutes per day. Program Guide 2018

Nevada Division of Public and Behavioral Health • • • • •

Increase the percent of adolescents and women of childbearing age who have access to health care services and percent of routine well visits for MCH populations. Improve care coordination for children, including establishing a medical home portal for CYSHCN and children. Increase developmental screening of children 10-71 months using a parent-completed screening tool. Prevent and reduce substance use among pregnant women and women of childbearing age. Increase the percent of adequately insured children.

Additional information can be found at: http://www.mchb.hrsa.gov/programs/titlvgrants/index.html. Program Website http://dpbh.nv.gov/Programs/TitleV/TitleV-Home/ Statutory Authority Social Security Act, Title V, Section 501(a) (1), as amended NRS 442.130 - Program for maternal and child health: Purposes; administration. MCH Director Beth Handler, MPH (775) 684-5902 [email protected] CYSHCN Director Vickie Ives, MA (775) 684-2201 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Tobacco Prevention and Control Program The Tobacco Prevention and Control (TPC) Program is funded by the Centers for Control and Prevention (CDC) and the Fund for a Healthy Nevada. The goal of a comprehensive tobacco control program is to reduce disease, disability, and death related to tobacco use by: • Preventing the initiation of tobacco use among young people • Promoting quitting tobacco among young people and adults • Eliminating nonsmokers’ exposure to second hand smoke (SHS) • Identifying and eliminating the disparities related to tobacco use and its effects among different population groups. • Nevada Tobacco Prevention and Control has designated the following three priority strategies for 20152020: • 100% Smoke-free Workplaces • Telephonic Cessation Counseling • Tobacco Pricing Strategies Program Websites Program Website – http://dpbh.nv.gov/Programs/TPC/Tobacco_Prevention_and_Control_-_Home/ Nevada Tobacco Prevention Coalition - http://www.tobaccofreenv.com/ Nevada Wellness – http://nevadawellness.org

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Program Guide 2018

Nevada Division of Public and Behavioral Health Program Manager Debra Kawcak (775) 684-4261 [email protected] Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] School Health Program The Division of Public and Behavioral Health’s School Health Program is committed to advancing the health of Nevada’s youth through comprehensive, evidence based practices to improve nutrition, physical activity, physical education, health education and overall wellness. Program Websites Program Website - http://dpbh.nv.gov/Programs/SH/School_Health_-_Home/ Nevada Wellness Website – http://nevadawellness.org Statutory Authority Advisory Council on the State Program for Wellness and Prevention of Chronic Disease (CWCD) Program Manager Rose Sutherland (775) 684-4238 [email protected] Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected] Women's Health Connection Program The Chronic Disease Prevention and Health Promotion Section partners with the Access to Healthcare Network (AHN) to administer the Women's Health Connection Program (WHC) Program. WHC is a breast and cervical cancer early detection program dedicated to serving low-income, high-risk, uninsured/underinsured women living in Nevada. The goal of the WHC is to reduce the burden of breast and cervical cancer through education, early screening and diagnostics, care coordination/case management, and improved accessibility to treatment. WHC is 100% federally funded through the National Breast and Cervical Cancer Early Detection Program. Program Websites Women’s Health Connection Website – http://dpbh.nv.gov/Programs/WHC/Women_s_Health_Connection_-_Home/ Access to Healthcare Network – http://www.accesstohealthcare.org/services-individuals/womens-health-connection Program Manager Melissa Madera (775) 684-4241 33

Program Guide 2018

Nevada Division of Public and Behavioral Health [email protected] Access to Healthcare Network Dena Miguel, Contractor Program Manager (AHN) 877-385-2345 Program Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Access to Healthcare Network 4001 S. Virginia Street, Suite F Reno, NV 89502 Program Email [email protected] Worksite Wellness Program The Worksite Wellness Program is dedicated to improving the health of Nevadans while on their worksite. Employees spend approximately 36 percent of their total waking hours at work, and more employees are becoming overweight from poor eating habits and physical inactivity, and heart disease, stroke, cancer, and diabetes are all linked by common risk factors associated with poor eating habits, physical inactivity and tobacco use. As employers, it makes sense for us to get the most out of our employees by creating a work environment that supports and encourages good health. Program Website Addresses Program Website - http://dpbh.nv.gov/Programs/WW/Worksite_Wellness_-_Home/ Program Manager Kristi Robusto, MPH, PhD (c) (775) 684-2203 [email protected] Physical Address 4150 Technology Way, Suite 210 Carson City, NV 89706 Program Email [email protected]

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Program Guide 2018

Nevada Division of Public and Behavioral Health

Regulatory and Planning Services Branch

The Regulatory and Planning Services Branch is led by Ross Armstrong, who serves as the Deputy Administrator. There are three sections within this branch – the Bureau of Preparedness, Assurance, Inspections, and Statistics, the Bureau of Health Care Quality and Compliance, and Environmental Health Services.

Bureau of Preparedness, Assurance, Inspections and Statistics

The Bureau of Preparedness, Assurance, Inspections and Statistics (PAIS) has oversight of the following activities: • • • • •

Emergency Management Services Medical Marijuana Program Office of Vital Records and Statistics Public Health Preparedness Radiation Control Program

Bureau Chief ~ Vacant Bureau Physical Address 4150 Technology Way, Suite 200 Carson City, NV 89706 Emergency Medical Systems Program The purpose of the Emergency Medical Systems (EMS) Program is to promote and support an EMS system that provides prompt, efficient, and appropriate emergency medical care, ambulance transportation, and air ambulance transport for the people of Nevada. The EMS Program oversees the certification and licensure of personal, agency permits, Do Not Resuscitate (DNR) registry and Physician Orders for Life Sustaining Treatment (POLST). Program Website http://dpbh.nv.gov/Reg/Emergency_Medical_Systems_(EMS)/ Statutory Authority NRS 405B and NAC 450B Program Manager Tina Smith (775) 687-7597 [email protected] Program Physical Address 4150 Technology Way, Suite 101 Carson City, NV 89706 Program Contact (775) 687-7590 EMS Training Email Address [email protected]

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Nevada Division of Public and Behavioral Health Medical Marijuana Patient Registry The Nevada Medical Marijuana Patient Registry administers the provisions of the Medical Use of Marijuana law as approved by the Nevada Legislature and adopted in 2001. Statutory Authority NRS 453A and NAC 453A Program Physical Address 4150 Technology Way, Suite 101 Carson City, NV 89706 Program Contact (775) 687-7594 [email protected] Office of Vital Records and Statistics The Office of Vital Records and Statistics administers the statewide system of Vital Records by documenting and certifying the facts of births, deaths and family formation for the legal purposes of the citizens of Nevada, participates in the national vital statistics systems, and responds to the needs of health programs, health care providers, businesses, researchers, educational institutions and the Nevada public for data and statistical information. The Office of Vital Records and Statistics also amends registered records with required documentation such as court orders, affidavits, declarations and reports of adoptions per NRS and NAC 440. Amendments include corrections, alterations, adoptions and paternities. Program Website http://dpbh.nv.gov/Programs/Office_of_Vital_Statistics/ Statutory Authority NRS 440 Program Manager Jason Lewis (775) 684-4162 [email protected] Program Physical Address 4150 Technology Way, Suite 104 Carson City, NV 89706 Program Contact (775) 684-4242 [email protected] Public Health Preparedness Program Public Health Preparedness (PHP) assists Nevadans in preparing for public health emergencies and protects the health of all Nevadans and visitors to our state through the prevention of disease, injury and disability. Public health and medical preparedness programs, such as the Hospital Preparedness Program and the Public Health Emergency Preparedness Cooperative, build the capabilities of community health care and public health systems to support people in need during and after disasters. The Trauma Registry is housed within the Public Health Preparedness Program. Pursuant to NRS 450B.238, and NAC 450B.768, the Nevada Trauma Registry (NTR) was established in

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Nevada Division of Public and Behavioral Health 1987 to collect data on persons who sustain a physical (blunt or penetrating) injury caused by an accident or by violence. The NTR data are collected from all licensed acute care hospitals and trauma centers in Nevada. Program Websites Program Website – http://dpbh.nv.gov/Programs/Preparedness/ Trauma Registry - http://dpbh.nv.gov/Programs/NVTrauma/NVTrauma_-_Home/ SERV-NV - www.servnv.org Statutory Authority PAHPRA is the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA) (Public Law 1135). Pandemic and All-Hazards Preparedness Act of 2006 (PAHPA) (Public Law 109-417) was passed to develop new authorities to sustain and strengthen national preparedness for public health emergencies involving chemical, biological, radiological, and nuclear (CBRN) agents, including emerging infectious disease threats (e.g., pandemic influenza). This law is referred to as PAHPRA. On March 13, 2013, President Obama signed into law the bill H.R. 307 to reauthorize the PAHPRA. Pursuant to NRS 450B.238, and NAC 450B.768, the Nevada Trauma Registry (NTR) was established in 1987, to collect data on persons who sustain a physical (blunt or penetrating) injury caused by an accident or by violence. Program Manager Malinda Southard, DC (775) 684-4039 [email protected] Program Physical Address 4150 Technology Way, Suite 200 Carson City, NV 89706 Program Contact [email protected] – for SERV-NV questions (775) 684-4117 [email protected] - for Nevada Trauma Registry questions (775) 684-3244 Radiation Control Program The Radiation Control Program (RCP) is committed to safeguarding health and safety by preventing unnecessary radiation exposure through effective licensing, registration, inspection, control, enforcement and incident response to protect the public and radiation workers in the state of Nevada. The RCP is responsible for providing health, safety and security functions associated with radioactive materials; radiation-producing machines; mammography; investigation of radiation incidents; radon public information and outreach; education and training of emergency first responders; licensing and oversight of the closed low-level waste disposal site near Beatty, Nevada. RCP also conducts statewide radiological emergency response activities. Program Website http://dpbh.nv.gov/Reg/Radiation_Control_Programs/ Statutory Authority Under NRS 459.010 through NRS 459.370, the RCP administers an Agreement between the United States Nuclear Regulatory Commission (NRC) and the State of Nevada (effective July 1, 1972) for Discontinuance of Certain Commission Regulatory Authority and Responsibility within the State pursuant to Section 274 of the Atomic Energy Act of 1954 as amended for control of radioactive material. In addition, the RCP regulates the use of radiation producing devices. 37

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Under NRS 457.182 through NRS 457.187, the RCP regulates the use of mammography machines. Program Manager Karen K. Beckley, MPA, M.S. (775) 687-7540 [email protected] Program Physical Address Central Office: 675 Fairview Drive, Suite 218 Carson City, NV 89706 Las Vegas Office: E. Flamingo Road, Suite 218 Las Vegas, NV 89119 Program Contact (775) 687-7550

Bureau of Health Care Quality and Compliance

The Bureau of Health Care Quality and Compliance (HCQC) licenses child care, medical and other health facilities, laboratories, dieticians, and music therapists in Nevada. Bureau Website http://dpbh.nv.gov/Reg/HealthFacilities/HealthFacilities_-_Home/ Statutory Authority NRS Chapter 449, 652, 640D, 640E and 432A Bureau Chief Paul Shubert (702) 486-6515 [email protected] Program Physical Address Northern Nevada Office 727 Fairview Drive, Suite E Carson City, NV 89701 Southern Nevada Office 4220 S. Maryland Pkwy Las Vegas, NV 89119 Program Contact (775) 684-1030 Child Care Licensing The Child Care Licensing Unit mission is to promote the healthy growth, development, and protection of children, increase availability of positive and nurturing learning environments and provide support for families by regulating and licensing high quality, developmentally appropriate, and flexible care, through a wide range of care options. This mission includes mentoring and guiding child care providers to become advocates for children and family issues and 38

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Nevada Division of Public and Behavioral Health foster the growth and development of the provider community. Child Care Licensing works to expand the awareness of state legislators, local regulatory agencies and consumers to encourage support for improving the quality of child care environments for Nevada's children and families Program Website http://dpbh.nv.gov/Reg/ChildCare/Child_Care_Licensing_-_Home/ Statutory Authority NRS 432A Program Manager Latisha Brown (702) 486-0574 [email protected] Program Contact (702) 486-3822 or (775) 684-4463 Program Physical Address Carson Office: 727 Fairview Drive, Suite E Carson City, NV 89706 Elko Office: 1010 Ruby Vista Drive, Suite 101 Elko, NV 89801 Las Vegas Office: 3811 W. Charleston Boulevard, Suite 210 Las Vegas, NV 89102 Dietitian Licensing The Bureau of Health Care Quality and Compliance licenses dietitians in Nevada. In 2011, the Nevada Legislature declared that the practice of dietetics is a learned profession affecting the safety, health and welfare of the public. Program Website http://dpbh.nv.gov/Reg/Dietitian/Dietitian_-_Home/ Statutory Authority NRS Chapter 640E Program Manager Leticia Metherell (775) 684-1045 [email protected] Program Physical Address 727 Fairview Drive, Suite E Carson City, NV 89701

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Program Contact (775) 684-1030 [email protected] Medical and other Health Care Facility Licensing The Bureau of Health Care Quality and Compliance licenses medical and other health facilities in Nevada in accordance with NRS (Nevada Revised Statutes) Chapter 449 and with NAC (Nevada Administrative Code) Chapter 449. The Bureau also has an agreement with the federal Centers for Medicare and Medicaid Services (CMS) to certify medical facilities and providers and skilled nursing facilities in the Medicare and Medicaid reimbursement programs. Surveys (inspections) are conducted in accordance with applicable regulations (Code of Federal Regulations, Title 42), based on the type of facility, and follow specific time frames and procedures. The Bureau also conducts complaint investigations for all licensed and/or certified facilities. Program Website http://dpbh.nv.gov/Reg/HealthFacilities/HealthFacilities_-_Home/ Statutory Authority NRS Chapter 449 – Medical Facilities and Other Related Entities. Agreement with the Federal Centers for Medicare and Medicaid Services (CMS) to certify medical facilities, providers and skilled nursing facilities in the Medicare and Medicaid reimbursement programs. Bureau Chief Paul Shubert (702) 486-6515 [email protected] Program Physical Address Carson Office: 727 Fairview Drive, Suite E Carson City, NV 89701 Las Vegas Office: 4220 S. Maryland Parkway. Bldg. D, Suite 810 Las Vegas, NV 89119 Program Contact (775) 684-1030 or (702) 486-6515 Medical Laboratories/Medical Lab Personnel The Bureau of Health Care Quality and Compliance licenses and certifies medical laboratories, laboratory directors, and laboratory personnel in accordance with Nevada Revised Statutes and Nevada Administrative Code, Chapter 652 Medical Laboratories. The Bureau has an agreement with the federal Centers for Medicare and Medicaid Services (CMS) to certify laboratories for the Clinical Laboratory Improvement Amendment (CLIA) program. Surveys are conducted prior to laboratory testing in accordance with the chapter 652 medical laboratory requirements. Out of state laboratory inspections are conducted on-site using chapter 652 laboratory requirements as well. Program Website http://dpbh.nv.gov/Reg/MedicalLabs/Medical_Laboratories_-_Home/

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Statutory Authority NRS Chapter 652 – Medical Laboratories Agreement with the federal Centers for Medicare and Medicaid Services (CMS) to certify laboratories for the Clinical Laboratory Improvement Amendment (CLIA) program. Program Manager Vickie Estes (775) 684-1060 [email protected] Program Physical Address 727 Fairview Drive, Suite E Carson City, NV 89701 Program Contact (775) 684-1030 Music Therapist Licensing The Bureau of Health Care Quality and Compliance licenses music therapists in Nevada. In 2011, the Nevada Legislature declared that the practice of music therapy is a learned allied profession affecting the safety, health and welfare of the public. Program Website http://dpbh.nv.gov/Reg/MusicTherapist/MusicTherapists_-_Home/ Statutory Authority NRS Chapter 640D Program Manager Leticia Metherell (775) 684-1045 [email protected] Program Physical Address 727 Fairview Drive, Suite E Carson City, NV 89701 Program Contact (775) 684-1030 [email protected]

Environmental Health Services

Environmental Health Services (EHS) is responsible for safeguarding the health of Nevada residents and visitors by preventing avoidable death and disease. From its proactive stance, the following public health protection tools are utilized: education, frequent inspections and enforcement action, when necessary. EHS establishes reasonable standards, issues permits, and operates in the following public health arenas: food establishments, drug and cosmetic manufacturers, food manufacturers and bottled water facilities, dietary supplement manufacturers, public bathing, correctional facilities, schools, RV parks, state parks, private on-site sewage systems and septic pumpers. EHS staff respond to emergencies impacting public health such as food truck wrecks, floods, sewage discharge, fires, and foodborne illness outbreaks. 41

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Program Websites http://dpbh.nv.gov/Reg/Environmental_Health/ Statutory Authority NRS/NAC – 202, 439, 444, 446, 447, 585, 211, 432A, 445A, 449, 583, 586 and 625A Program Manager Barrett M. Evans (775) 687-7539 [email protected] Program Physical Address Carson City (Central Office): 727 Fairview Drive, Suite D, Carson City, NV 89701 Phone: (775) 687-7550, Fax: (775) 687-7551 Winnemucca: 475 W. Haskell Street, Rm 38, Winnemucca, NV 89445 Phone: (775) 623-6588, Fax: (775) 623-6528 Elko: 1020 Ruby Vista, #103, Elko, NV 89801 Phone: (775) 753-1138, Fax: (775) 753-1140 Ely: 725 Avenue K, Ely, Nevada 89315 Phone: (775) 289-3325, Fax: (775) 289-6935 Fallon: 485 B Street, #103, Fallon, NV 89406 Phone: (775) 423-2281, Fax: (775) 428-0259 Las Vegas, Pahrump, & Tonopah: 2080 E. Flamingo Road, Suite 319, Las Vegas, NV 89119 Phone: (702) 486-5068, Fax: (702) 486-5024

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Administrative Services Branch

The Administrative Services Branch is led by Debi Reynolds, who serves as the Deputy Administrator. The primary purpose of the Administrative Services Branch is to provide information technology, human resources, public information, and fiscal support to the programs within the DPBH.

Fiscal Services

The Fiscal Services office provides general oversight for all fiscal-related activities and includes the Grants Management Unit, Contract and Leases Unit and the Fiscal Office. The Fiscal Office provides biannual budget preparation and monitoring, fiscal analysis of programs within the Division, processing expenditures and payments, work program preparation, payroll processing and internal controls development. Additionally, the Fiscal Office acts as lead on all federal and state audits and the Single Audit for the Division. The Grants Management Unit provides oversight for all federal grant-related activities including grant application processing and monitoring, federal draws and federal financial reporting, provides the final approval of expenditures, and develops and analyzes grant reconciliations. The Contract and Leases Unit provides contract and lease processing and tracking (including contracts, subgrants, work orders, MOUs, maintenance agreements, building leases, copier leases, etc.), serves as the Division liaison regarding contracting and leasing related matters, provides training and guidance for programs on subgrant and contract development, and serves as the central point of contact for request for proposals and other solicitations as well as building maintenance and janitorial services for the Division’s main office. Administrative Services Officer IV Mark Winebarger (775) 684-4262 [email protected] Program Physical Address 4150 Technology Way, Suite 300 Carson City, NV 89706

Revenue Management

The Billing Office works directly with NNAMHS, SNAMHS and Rural Clinics to serve as the billing agent for all Behavioral Health services provided to clients. This includes all billing, accounts receivable and denial management processing. Additionally, staff performs rate development for Behavioral Health services, state and federal reporting, projections for fiscal staff and invoicing other state agencies for services provided by Rural Clinics. The Cost Allocation office works with Program and Fiscal Staff to determine how expenditures are assigned to various cost pools within the behavioral health agencies. This information is used to develop the Cost Allocation Plan which is used as the guide for fiscal staff to determine the coding of expenditures. Additionally, staff assists in identifying Medicaid administrative reimbursable activities, and collaborates with the Division of Health Care Financing and Policy to collect appropriate funds. On the Public Health side, the Cost Allocation office uses financial data to calculate the indirect cost rates for the Division’s Public Health programs. Additionally, staff is responsible for the development and management of the Division’s time tracking system, submits county assessment data, and provides fee analysis for programs.

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Nevada Division of Public and Behavioral Health Rates and Cost Containment Manager Tiffany Lewis (775) 684-5952 [email protected] Program Physical Address 4150 Technology Way, Suite 300 Carson City, NV 89706

Human Resources Human Resources (HR) provides comprehensive human resource services to all DPBH employees, including, but not limited to: Recruitment & Hiring, Classification, Employee and Management Relations, HR policy development and updates, and Performance Management. Program Websites Employment Information - http://health.nv.gov/Employment.htm State Job Announcements - http://nvapps.state.nv.us/NEATS/Recruiting/ViewJobsHome.aep Statutory Authority NRS Chapter 284, 281, 289 and various other state statues; Federal laws (FLSA, FMLA, ADAAA). Human Resources Officer Darren Squillante (775) 684-5972 [email protected] Program Physical Address 4126 Technology Way, Suite 300 Carson City, NV 89706

Office of Information Technology

The Office of Information Technology (OIT) provides technical infrastructure and information technology support to DPBH programs This includes field and technical services, cyber security, video conferencing and telehealth, networking, project management, database administration, and application support. Chief IT Manager Erin Williams (775) 684-4213 [email protected] OIT Support Contact (775) 684-5906 [email protected] Program Physical Address 4150 Technology Way, Suite 100 Carson City, NV 89706

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Public Information Office

The Nevada Division of Public and Behavioral Health, Public Information Office (PIO), is often the first point of contact for the public when seeking information regarding public health, health care needs, medical issues, statistics, and other public health information. On behalf of the Administrator and Bureau Chiefs, staff responds to requests from visual and print media, both local and national. In coordination with program managers, the Public Information Office prepares and prints informational brochures and publications regarding a myriad of public health issues affecting Nevadans. The Public Information Office provides consultation, technical assistance, review of all publications for external distribution, and oversight of the Nevada Division of Public and Behavioral Health website for the office. Program Website http://dpbh.nv.gov/About/AdminSvcs/PIO/PIO/ Public Information Officer Martha Framsted (775) 684-3211 [email protected] Program Physical Address 4150 Technology Way, Suite 200 Carson City, NV 89706

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Clinical Services Branch

The Clinical Services Branch is led by Eddie Ableser, who serves as the Deputy Administrator. The primary purpose of Clinical Services is to provide statewide inpatient, outpatient and community-based public and behavioral health services to Nevadans. Clinical Services Branch is comprised of the following programs and services: • • • • • •

Lake’s Crossing Center (LCC) Northern Nevada Adult Mental Health Services (NNAMHS) Rural Clinics (RC) Southern Nevada Adult Mental Health Services (SNAMHS) Stein Forensic Unit Oral Health Program

Behavioral Health programs provide behavioral services to individuals with behavioral health disorders across the continuum of care based on their individually assessed biopsychosocial needs. Services are provided on a sliding fee basis and Medicaid, Medicare and most insurance carriers are accepted. Behavioral Health Inpatient Services – LCC, NNAMHS, SNAMHS, and Stein Psychiatric Hospitalization Services assist individuals needing a high level of psychiatric care requiring 24-hour observation and supervision by mental health professionals. This service includes comprehensive discharge planning and formal aftercare coordination. Discharge planning meetings are held with family and other support persons to allow individuals to move to least restrictive/community setting as quickly as possible. Length of stay is usually a few days to several months. Behavioral Health Outpatient Services – All Agencies (unless otherwise indicated) Crisis Intervention (CI) Services assist individuals in acute psychiatric and/or personal distress to reduce this symptom and improve coping and stabilization to prevent hospitalization. Day Treatment Services are provided in a therapeutic environment to reduce emotional, cognitive, and behavioral problems and improve functioning for community transition and integration. Service available at SNAMHS. Medication Clinic/Psychiatric Services provides medication management and monitoring, medication training and support, health education and pharmacy services to consumers. Clinics are staffed with Psychiatrists, Advanced Practice Nurses, Registered Nurses, Pharmacists and Pharmacy Technicians. Mental Health/Behavioral Health Therapy, provided individually or in a group, is a dynamic, holistic, strengthsbased and psychoeducational modality of treatment that is designed to assist an individual in increasing functioning and improving coping strategies to manage symptoms; change distorted thinking patterns; improve communication and interpersonal relationships and learn successful problem-solving techniques. Mental Health Court is a collaboration between each agency and the Criminal Justice system. This program provides opportunity for people with misdemeanor and minor felony criminal charges who would benefit from behavioral health and case management services to be diverted from the standard criminal justice system if they participate in the voluntary program. It is a multidisciplinary treatment model, ensuring consumers obtain benefits, comply with court ordered treatment, medication and substance abuse recovery. Services available at NNAMHS, SNAMHS, and RCHS. 46

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Mobile Crisis Team (MCT) is a specialized unit that works with Las Vegas area hospital emergency departments. The Team is comprised of licensed clinical social workers who travel to local emergency rooms (ER) to evaluate patients on involuntary holds and when feasible, develop safe discharge plans to allow the ER to discharge the person back to the community. This service averts unnecessary psychiatric hospitalizations, saves ER personnel time and reduces the numbers of psychiatric patients in the ER. Services available at SNAMHS. Mobile Outreach Safety Team (MOST) is a specialized program staffed with two Licensed Clinical Social Workers from NNAMHS, in collaboration with local law enforcement agencies (Reno, Sparks, and Washoe County) to offer psychiatric services to homeless mentally ill and those with mental illness who bring themselves to the attention of law enforcement. This helps prevent increasing numbers of mentally ill from being housed in the jail and assists with enrolling them in appropriate services. Services available at NNAMHS. Psychosocial Rehabilitative Mental Health (RMH) Services assist consumers in recovering their ability to perform activities of daily living, social activities, relationships and employment related skills. Services include: Basic Skills Training (BST): BST services teach individuals a variety of life skills such as self-care, social, communication, organization, transitional living and time management. Consumer Assistance Programs – Peer Support Services: Peer run programs offering clients the opportunity to connect with others are run by specially trained consumers. Peer Support Services are designed to improve functioning and to help the individuals live, work, learn and participate fully in their communities. These services include peer groups, education, and advocacy. Peer Drop-In Centers are currently available at SNAMHS, NNAMHS, and RCHS. Psychosocial Rehabilitation (PSR): PSR services target psychological functioning within a variety of social settings and may include any combination of the following interventions: behavior management, social competency, problem identification and resolution, effective communication, moral reasoning, identity and emotional intimacy, self-sufficiency, life goals and sense of humor. Residential Support, offered in conjunction with other services, assists those living with severe mental illness to remain in a community living situation. The program includes rent and utility assistance and assistance with activities of daily living based on the individual consumers' particular needs. This program is funded in part by the HUD Shelter Plus Care Grant and also the Olmstead Grant (the Olmstead Grant is received by the Nevada DHHS Director's Office and then given to DPBH through a contractual arrangement). The remaining resources come from general fund. Services available at NNAMHS, SNAMHS, and RCHS. Projects for Assistance in Transition from Homelessness (PATH) assists homeless, or those at risk of becoming homeless, individuals access mental health services, apply for housing assistance, and/or maintain current housing. This program is funded through a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). DPBH contracts with three private providers throughout the state to meet the program objectives. Service available at: Statewide. Service Coordination/Case Management Services link individuals to needed medical, social, educational, and other community support services. The caseload guideline is 1/35. Services available at NNAMHS, SNAMHS, and RCHS. Intensive Service Coordination is similar to service coordination, but is limited to serving people who have a mental illness and have committed a felony offense, those deemed incompetent to stand trial, as well as those released from the corrections system after they have served their sentence. Clients are provided coordination of care specific to 47

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Nevada Division of Public and Behavioral Health housing, medication management, obtaining benefits, and community resource assessment. This service is funded primarily with State General Funds. Services available at SNAMHS. Program for Assertive Community Treatment (PACT) is a multi-disciplinary, team-based approach of 24/7 comprehensive and flexible treatment, support and services within the community. Sometimes described as a hospital without walls, this service provides intensive support to people (caseload ratio of 1/12) with mental illness who have a history of high use of emergency, hospital and law enforcement services. The teams work in an interdisciplinary manner to support consumers in living in the community with adherence to their medication program and employment rehabilitation. The PACT team must be composed of at least one qualified mental health professional (QMHP) and one other QMHP, qualified mental health associate (QMHA) or Peer Supporter. PACT is for individuals who have the most serious and intractable symptoms of a severe mental illness and who, consequently, have the greatest difficulty with basic daily activities, keeping themselves safe, caring for their basic physical needs or maintaining a safe and affordable place to live and require interventions that have not been effectively addressed by traditional, less intensive services. Services available at NNAMHS and SNAMHS. Co-occurring Disorders Programs for individuals who have both substance abuse and mental health treatment needs, may receive specialized services that address both disorders. This treatment is provided in an outpatient setting and may include individual and group therapy. Treatment may be provided within a specific mental health program or may be coordinated with additional treatment providers in the community, including SAPTA-funded agencies. Community Triage Centers are operated by a private non-profit providers, and funded through a cooperative agreement between DPBH, the counties in which they operate (Washoe in the north, and Clark in the south), and local hospitals. The centers provide short-term (maximum three day) residential and medical services primarily for individuals with alcohol/substance abuse problems. The purpose of the centers is to serve as an alternative to local emergency rooms for individuals who do not meet the criteria for involuntary commitment but require brief detoxification and assessment/referral for co-occurring disorders. Forensic Mental Health Services at the Lake's Crossing Center (LCC) and Stein Forensic Unit provides statewide forensic mental health services in a maximum security facility to offenders who are referred from the court system so their competency can be restored. LCC and Stein are Nevada's only facilities for this purpose and, therefore, serve people from throughout the state. On the DPBH Campus in Sparks, evaluations are done to determine capacity for restoration of legal competency to stand trial and for treatment of clients adjudicated Not Guilty by Reason of Insanity (NGRI) so they may return safely to the community. LCC staffs the Sex Offenders' Certification Panel and the Community Tier Reconsideration Panel with a licensed Psychologist. LCC is also charged with certifying all Forensic Examiners throughout the state. Psychiatric Residency is run in conjunction with the University of Nevada School of Medicine. Residents in psychiatry complete educational and clinical practice rotations at the Dini Townsend and Rawson Neal Hospitals, as well as in SNAMHS outpatient clinics. Most of the psychiatrists who work at these facilities are former residents. Services available at NNAMHS and SNAMHS. Community Health Nursing Community Health Nursing (CHN), as the sole provider of public health nursing in Nevada’s 10 frontier and rural counties, endeavors to promote optimal wellness through the delivery of public health nursing, preventive health care, and health education. Each Community Health Nursing clinic offers a variety of services including nursing services to residents of all ages and incomes. The community health nurses provide services in 13 locations. Each clinic provides services at a low cost or uses a sliding scale dependent upon income. CHN does not deny services due to inability to pay. The clinics accept self-pay, private insurance, Medicaid and Medicare. 48

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CHN provides essential public health services such as immunizations, well child exams, breast and cervical cancer screenings, sexually transmitted disease prevention and treatment, and men and women reproductive health services an area of responsibility of over 96,000 square miles. The nurses average 1,000 miles per month of traveling throughout the rural counties to serve residents in the state of Nevada. Community Health Nursing has earned a reputation of reliability and is a trusted source for healthcare for rural populations within Nevada. Se Services Provided The Community Health Nursing program offers a variety of services to residents of all ages in rural Nevada. Residents are asked to check with their local clinic for available services in their area and to schedule appointments. Cancer Screening • Breast • Cervical • Colorectal • Testicular Communicable Disease Services • Client-centered counseling and education • Referral for follow-up • Community education upon request Dental Health • Fluoride varnish for children Family Planning Services • Pregnancy testing, client centered counseling and referrals • Physical exam • Laboratory tests: pap smear, STD/HIV screening, WIC hemoglobin, urine dipstick • Contraceptive services for women and men • Pregnancy verification for Medicaid HIV/AIDS Services • Rapid HIV testing • Referrals • Client-centered counseling Immunizations • Vaccine for Children (VFC) immunizations for infants/children through age 18 years.; limited supply of adult vaccines • Flu vaccines (Seasonal) • Employer required OSHA vaccinations • Seasonal School Health Services • Dental education • Human sexuality education • Lead screen • Preschool/daycare screen 49

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Sexually Transmitted Disease (STD) Services • Physical examination • Testing • Education and client-centered counseling • Treatment • Referrals Tuberculosis (TB) Services • Education • Referrals • Skin Tests • Treatment for persons infected with tuberculosis Well-Child and Healthy Kids (EPSDT) Services • Screening examination • Education and guidance on stages of appropriate developmental milestones • Limited laboratory testing: hemoglobin and blood lead, urine analysis • Hearing, vision and scoliosis screenings • Referrals • Immunizations Program Website http://www.health.nv.gov/CommunityHealthNursing.htm Statutory Authority NRS 441A, 439.535, 170 and 200 Program Manager Greg Kitchingman, RN (775) 684-5023 [email protected] Program Addresses and Contact Information Central Office: 1665 Old Hot Springs Road, Suite 157, Carson City, NV 89706 Phone: (775) 687-5162, Fax: (775) 687-1181 Battle Mountain (Lander County) 555 S. Humboldt Street, Battle Mountain, NV 89820 Phone: (775) 635-2386, Fax: (775) 635-9203 Panaca (Lincoln County) 1005 Main Street, PO Box 261, Panaca, NV 89402 Phone: (775) 962-8086, Fax: (775) 726-3874 Dayton (Lyon County) 5 Pine Cone Road, Suite 101, Dayton, NV 89403 Phone: (775) 246-6211, Fax: (775) 246-6312

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Nevada Division of Public and Behavioral Health Ely (White Pine County) 297 11th Street, Suite 5, Ely, NV 89301 Phone: (775) 293-6558, Fax: (775) 293-1561 Fallon (Churchill County) 485 W. B Street, Suite 101, Fallon, NV 89406 Phone: (775) 423-4434, Fax: (775) 423-0422 Fernley (Lyon County) 555 E. Main Street, PO Box 988, Fernley, NV 89408 Phone: (775) 575-3363, Fax: (775) 575-3364. Hawthorne (Mineral County) 331 1st Street, PO Box 1477, Hawthorne, NV 89415 Phone: (775) 945-3657, Fax: 945-2039 Lovelock (Pershing County) 535 Western Avenue, PO Box 1166, Lovelock, NV 89419 Phone: (775) 273-2041, Fax: (775) 273-4900 Pahrump (Nye County) 1981 E. Calvada Boulevard N. Suite 100, Pahrump, NV 89060 Phone: (775) 751-7070, Fax: (775) 751-7077 Silver Springs (Lyon County) 2965 Fort Churchill, Silver Springs, NV 89429 Phone: (775) 577-5016, Fax: (775) 577-5211 Tonopah (Nye/Esmeralda County) #1 Frankee Street, PO Box 409, Tonopah, NV 89049 Phone: (775) 482-6659, Fax: (775) 482-3430 Winnemucca (Humboldt County) 102 E. Haskell Street, Winnemucca, NV 89445 Phone: (775) 623-6575, Fax: (775) 623-6576 Yerington (Lyon County) 26 Nevin Way, Yerington, NV 89447 Phone: (775) 463-6539, Fax: (775) 463-6534 Lake's Crossing Center for Mentally Disordered Offenders Lake's Crossing Center (LCC) is Nevada's first forensic psychiatric facility. The program provides inpatient and outpatient services statewide to individuals involved with the criminal justice system who have concurrent mental health issues. The biggest portion of the population served is individuals for whom there is a question of their competency to stand trial and who may need restoration to competency so they can proceed with their adjudication. Approximately 850 outpatient evaluations are performed by the clinical staff annually to determine whether individuals referred by the courts from the counties need to be committed for restoration. LCC performs all precommitment evaluations for the state except for Clark County, which contracts with private providers. When a need for restoration is determined, defendants are sent to LCC for restoration. Approximately 230 defendants a year are provided those inpatient services. The program also treats individuals who are found Not Guilty by Reason of Insanity and those who cannot be restored to competency and are too dangerous to be committed to the civil hospitals. Some 51

Program Guide 2018

Nevada Division of Public and Behavioral Health of these individuals are successfully treated to qualify for conditional release in the community where they are supervised by LCC caseworkers. Eventually, if they are successful in treatment, the court may discharge them from supervision. Lake's Crossing also provides staff for the Community Tier Notification Review Panel and other community education and service projects such as trainers for the Crisis Intervention Teams. LCC is largely funded by state general funds, with a small amount coming from county reimbursements. LCC also provides fee-based assessments to consumers in detention facilities. Statutory Authority NRS 178.398 through 178.471 Program Manager Tom Durante (775) 688-1900 x 233 [email protected] Program Physical Address 500 Galletti Way Sparks, NV 89431 Program Contact (775) 688-1900 [email protected] Northern Nevada Adult Mental Health Services (NNAMHS) NNAMHS occupies part of 92 acres deeded to Nevada in the 1800s for the benefit of the mentally ill and intellectually disabled. Located adjacent to the Truckee River in Sparks, Nevada, it shares sculpted grounds with Lake's Crossing Center, the State Forensic Hospital, and Sierra Regional Center, the treatment center for the intellectually disabled. NNAMHS is a comprehensive, community-based, behavioral health system for adult consumers. Inpatient services are provided through Dini-Townsend psychiatric hospital, located on the same campus as the central NNAMHS site. Numerous outpatient services are available which include but are not limited to the Washoe Community Mental Health Center, Outpatient Pharmacy, Program of Assertive Community Treatment (PACT), Psychosocial Rehabilitation Program, Medication Clinic, Service Coordination, Mental Health Court, Residential Programs, and Mobile Outreach Services Team (MOST). Statutory Authority NRS: Title 39 - Chapter 433 - Mental Health General Provisions NRS: Chapter 433 - Administration of Mental Health and Mental Retardation Programs NRS: Chapter 458 - Abuse Of Alcohol and Drugs Agency Manager Christina Brooks (775) 688-2010 [email protected] Program Physical Address 480 Galletti Way Sparks, NV 89431 Program Contact (775) 688-2001 52

Program Guide 2018

Nevada Division of Public and Behavioral Health Rural Community Health Services (RCHS) Rural Community Health Services (RCHS) offer outpatient behavioral health services. Services are provided Monday through Friday from 8:00 am to 5:00 pm. RCHS serves both children and adults and has 13 clinics and one integrated care center in the northern rural areas of the state. RCHS also includes the community health nursing (CHN) clinics. Statutory Authority NRS: Title 39 - - Chapter 433 - Mental Health General Provisions NRS: Chapter 433 - Administration of Mental Health and Mental Retardation Programs NRS: Chapter 458 - Abuse Of Alcohol and Drugs Program Manager Tina Gerber-Winn (775) 684-5013 [email protected] Program Addresses and Contact Information Central Office: 1665 Old Hot Springs Road, Suite 157, Carson City, NV 89706 Phone: (775) 687-5162, Fax: (775) 687-1181 Battle Mountain Mental Health Center (Lander County) 10 East 6th Street, P.O. Box 50, Battle Mountain, NV 89820-0050 Phone: (775) 635-5753, Fax: (775) 635-8028 Caliente Counseling and Supportive Services (Lincoln County) 100 Depot, Suite 20, Caliente, NV 89008 Phone: (775) 726-3368, If no answer call: (702) 346-4696, Fax: (775) 726-3356 Carson Counseling and Supportive Services (Carson City) 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 Phone: (775) 687-4195, Fax: (775) 687-5103 Dayton RCSS Integrated Care Center (Lyon County) 5 Pinecone Drive, Dayton, NV 89403 Phone: (775) 461-3769, Fax: (775) 577-9571 Douglas Counseling and Supportive Services (Douglas County) 1528 Highway 395, Suite 100, Gardnerville, NV 89410 P.O. Box 1509, Minden, NV 89423 Phone: (775) 782-3671, Fax: (775) 782-6639 Elko Counseling and Supportive Services (Elko County) 1825 Pinion Road, Suite A, Elko, NV 89801 Phone: (775) 738-8021, Fax: (775) 738-8842 Ely Counseling and Supportive Services (White Pine County) 1675 Avenue F, P.O. Box 151107, Ely, NV 89315 Phone: (775) 289-1671, Fax: (775) 289-1699 53

Program Guide 2018

Nevada Division of Public and Behavioral Health Fallon Counseling and Supportive Services (Churchill County) 151 North Maine Street, Fallon, NV 89406-2902 Phone: (775) 423-7141, Fax: (775) 423-4020 Fernley Counseling and Supportive Services (Lyon County) 415 Hwy 95A Building I #901, Fernley, Nevada 89408 Phone: (775) 575-7744, Fax: (775) 575-7769 Hawthorne Counseling and Supportive Services (Mineral County) 1000 C Street, P.O. Box 12, Hawthorne, NV 89415-0012 Phone: (775) 945-3387, Fax: (775) 945-2307 Lovelock Counseling and Supportive Services (Pershing County) 775 Cornell Avenue Suite A-1, P.O. Box 1046, Lovelock, NV 89419 Phone: (775) 273-1036, Fax: (775) 273-1109 Pahrump Counseling and Supportive Services (Nye County) 240 South Humahuaca, Pahrump, NV 89048 Phone: (775) 751-7406, Fax: (775) 751-7409 Silver Springs Counseling and Supportive Services (Lyon County) 3595 Highway 50 West, Suite 3, P.O. Box 1136, Silver Springs, NV 89429-1136 Phone: (775) 577-0319, Fax: (775) 577-9571 Tonopah Counseling and Supportive Services Center (Nye County) 400 Howerton Hills Drive, Suite C, PO Box 1451, Tonopah, NV 89049-0494 Phone: (775) 482-6742, Fax: (775) 482-3718 Winnemucca Counseling and Supportive Services (Humboldt County) 475 West Haskell Street, #3, P.O. Box 230, Winnemucca, NV 89446 Phone: (775) 623-6580, Fax: (775) 623-6584 Yerington Counseling and Supportive Services (Lyon County) 215 W. Bridge Street Suite #5 Yerington, NV 89447 Phone: (775) 463-3191, Fax: (775) 463-4641 Southern Nevada Adult Mental Health Services (SNAMHS) SNAMHS provides inpatient and outpatient services for adults living in Clark County and adults, children and adolescents in four southern rural communities – Pahrump, Mesquite, Caliente and Laughlin. Inpatient services are provided on the main SNAMHS campus located at 6161 West Charleston Boulevard, Las Vegas. There are three hospital buildings on the campus designed to provide services for adults with mental illness. The three buildings are the Rawson Neal Hospital Building, the 3A Hospital Building and the Stein Hospital Building. Currently the hospital buildings serve the civil population. In 2015, the Stein hospital building will also serve the forensic population for adults. The campus is co-located with the state hospital for children and adolescents and with the southern facility for the intellectually disabled, Desert Regional Center. SNAMHS has seven behavioral health clinics serving the community and rural southern Nevada. There are three urban clinics serving the Las Vegas Valley and four rural clinics serving Nevada’s southern rural areas. SNAMHS services include, but are not limited to, Inpatient Acute Psychiatric, Mobile Crisis, Outpatient Counseling, Service Coordination, Intensive Service Coordination, Medication Clinic, Residential Support Programs, Mental Health Court, Peer Support Programs and Programs for Assertive Community Treatment (PACT) Teams. 54

Program Guide 2018

Nevada Division of Public and Behavioral Health Statutory Authority NRS: Title 39 - - Chapter 433 - Mental Health General Provisions NRS: Chapter 433 - Administration of Mental Health and Mental Retardation Programs NRS: Chapter 458 - Abuse Of Alcohol and Drugs Hospital Administrator Joanne Malay (702) 486-8894 [email protected] Out-Patient Administrator Ellen Richardson-Adams (702) 486-6238 [email protected] Program Addresses and Contact Information Main Office: 6161 West Charleston Boulevard Las Vegas, NV 89146 (702) 486-6000 East Las Vegas Behavioral Health Center 1785 East Sahara Avenue, Suite 145, Las Vegas, NV, 89104 Phone: (702) 486-6400; Fax: (702) 486-6408 Henderson Behavioral Health Center 1590 West Sunset Road, Henderson, NV 89014 Phone: 707-496-6770; Fax: (702) 486-0559 Laughlin Behavioral Health Center (Clark County) 3650 South Pointe Circle, Suite 208, Laughlin, NV 89029 Phone: (702) 298-5313, Fax: (702) 298-0188 Mesquite Behavioral Health Center (Clark County) 61 North Willow, Suite 4, Mesquite, NV 89027 Phone: (702) 346-4696, Fax: (702) 346-4699 Rawson-Neal Psychiatric Hospital 1650 Community College Drive, Las Vegas, NV 89146 Phone: (702) 486-4400, Fax: (702) 486-4536 West Charleston Behavioral Health Center 6161 West Charleston Boulevard, Las Vegas, NV, 89146 Phone: (702) 486-6000; Fax: (702) 486-6248 Stein Forensic Unit Stein Forensic Unit is Nevada’s second forensic psychiatric facility. Stein is located on the SNAHMS campus and houses forty seven psychiatric patients. The opening of Stein in November 2015, adds to the state’s capacity to help the population needing forensic mental health treatment and represents significant progress in ensuring adequate service is available. Prior to their opening, individuals were evaluated and treated at the Lake’s Crossing Center 55

Program Guide 2018

Nevada Division of Public and Behavioral Health (LCC) in Sparks, Nevada. Similar to LCC, the program provides inpatient and outpatient services statewide to individuals involved with the criminal justice system who have concurrent mental health issues. The biggest portion of the population served is individuals for whom there is a question of their competency to stand trial and who may need restoration to competency so they can proceed with their adjudication. Statutory Authority NRS 178.398 through 178.471 Program Manager Sharon Dollarhide, LCSW, LCADC (775) 688-1900 x 254 [email protected] Program Address and Contact Information 6161 West Charleston Boulevard Las Vegas, NV 89146 Phone: (702) 486-6473 (Unit Secretary) Fax: (702) 486-6721 (Unit Secretary) Oral Health Program The mission of the Nevada Oral Health Program is to protect, promote, and improve the oral health of the people of Nevada. The Oral Health Program and its partners collaborate to promote optimal oral health for Nevadans across the lifespan. Current and proposed oral health related activities include: • • • • • • • • •

identifying and supporting opportunities for inter-discipline oral health education; establish sustainable oral health initiatives focusing on pregnant women, infants and young children; ensure access and utilization of dental services for Medicaid and Nevada Check-up eligible children; increasing availability of provider, patient and family education on preventing oral diseases, as well as access to oral health services for Nevadans living with disabilities; ensuring oral health is integrated into chronic disease prevention, education and disease selfmanagement programs; improving quality, availability and usability of oral health data and surveillance; improving oral health for adults, including older adults; leveraging in-state opportunities for infrastructure and policy improvement and development; and, developing sustainable funding infrastructure for the State Oral Health Program and community oral disease prevention programs.

Program Website http://dpbh.nv.gov/Programs/Oral_Health/ Statutory Authority NRS 439.271 through NRS 439.2794 Contact Information Antonina C. Capurro, DMD, MPH, MBA State Dental Health Officer (702) 774-2573 [email protected] 56

Program Guide 2018

Nevada Division of Public and Behavioral Health Judy A. White, RDH, MPH State Public Health Dental Hygienist (775) 350-5275 [email protected]

57

Program Guide 2018

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Nevada Division of Public and Behavioral Health Program Guide 2016

Nevada Division of Public and Behavioral Health Program Guide 2018 Brian Sandoval Governor State of Nevada Amy L. Roukie, MBA Administrator Division...

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