Union County, NC
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Healthy Union Advisory Coalition
Created in the fall of 2020, the Healthy Union Advisory Coalition's purpose is to utilize the cooperative strength of many community partners to identify overall health, quality of life and health equity issues, and support work to address those issues in Union County.
Mission
The mission of the Healthy Union Advisory Coalition is to commit time, talents, and resources to co-create a healthy community and a hopeful future for all residents.
Goal
Our goal is to ensure that the community continues to work on the priority areas identified in the Community Health Assessment (CHA)and the Community Health Improvement Plan (CHIP) on an ongoing basis and to identify and/or support additional priority areas as they arise.
Priority Areas
Community Goal
All people in Union County have access to safe, healthy and affordable housing.
Issues that Impact Affordable Housing and Homelessness
- No comprehensive community plan to address affordable housing and homelessness issue.
- Gentrification, building high end homes across the county and tearing down affordable housing.
- Lack of flexibility for new housing developments.
- No rental assistance program in the county.
- Inflation- High interest rates and cost for food, fuel, utilities, etc.
- Stagnant wages or wages that have not kept up with inflation or cost of living.
- Stable, middle-class jobs hard to find.
- High rents.
- Limited Rental Properties (low vacancy rate).
- Increased costs of building materials.
- Crime in low-income areas.
- Opposition to new density developments/affordable housing.
- Development standards.
- Stigma about homelessness.
- Equity issues.
- Limited mental health and substance use disorder programs.
- Taxation – High property taxes.
- Lack of landlord accountability on housing standards.
- Overcrowding in housing.
What Works
Affordable Housing
- Affordable Housing
- Eviction Diversion
- Homebuyer Assistance Program
- Homeowner Rehabilitation Program
- Low Income Housing Tax Credit
- North Carolina Neighborhood Revitalization Program
- Prevention
- Public Housing and Voucher Program
Homeless Population
- Coordinated Entry
- Emergency Shelter and Interim Housing
- Permanent Supportive Housing
- Rapid Rehousing
- Supportive Services (Clothing, Education Programs, Financial Assistance, Food Assistance, Health Services, Transportation, Utility Assistance, Workforce Development)
Partners
- Churches and faith-based organizations
- Nonprofits: Ground 40, House of Pearl, Bridge to Recovery, Community Link, Operation Reach Out, Heart for Monroe, David's Backpacks for Homeless, Crisis Assistance, Community Action, Common Heart
- TruHome
- Law Enforcement
- County and Municipalities
- Planning
- Politicians/local leaders
- Banks: Flexible lending
- Landlords
- Realtors
- Elected officials can help with policy
- Habitat for Humanity
- McKinney Vento
- Community Shelter of Union County
- Union County Public Schools
- Developers
- Residents
- Union County Economic Development
- Union County Planning Department
- Monroe Housing Authority
Community Health Improvement Plan Programs
Housing Symposium
Thrive! Union, a collaboration of individuals and diverse organizations with the mission of alleviating poverty and increasing economic mobility, is putting together a housing symposium in February 2024. The goal of the symposium is to:
- Educate participants about affordable housing issues and needs.
- Provide information about programs that can be implemented to address these issues and needs.
- Spark interest in the development of a community strategic plan to address housing issues and needs.
Community Goal
All Union County residents have equitable access to care and supportive services that promote resilience and mental wellness.
Issues that Impact Mental Health
- Peer pressure
- Stigma
- Lack of insurance
- High costs of treatment
- Lack of providers
- Transportation issues.
- Lack of program awareness.
- Lack of communication amongst providers
- Workforce recruitment and retention
- Gaps in continuum of treatment options in Union County
- Waitlist for treatment
- Limited peer support programs
What Works
- Access to greenspace
- Access to quality and affordable mental health care
- Awareness campaigns
- Employee Assistance programs
- Mental Health First Aid Training
- Question, Persuade, and Refer (QPR)
- Prevention and education
- School-based Health Centers
- School-based Mental Health
- Stop the Stigma Campaigns
- Teletherapy
- Trama Informed Communities
Partners
Behavioral Health Providers
- LME/MCO
- Daymark
- Center for Emotional Health
- NAMI
- Thompson
- Atrium Union
- Bridge to Recovery
- McLeod Addictive Disease Center Behavioral Health Collaborative Outpatient Therapists
- Employee Assistance Programs (EAP)
Health Care Providers
- Primary Care Physicians
- Community Care of North Carolina Community Health Clinic (free clinic)
- HealthQuest
- Matthews Free Medical Clinic
- Atrium Union
- Novant Health
- Union County Health Department Clinics
- Union County Human Services Dental Clinic
Non-Profit Organizations
- Turning Point
Schools & Universities
- Wingate University
- South Piedmont Community College (SPCC)
- Union County Public Schools
- Union Academy (Charter School)
Union County Government
- Human Services Agency: Department of Social Services, Health, Transportation, Veterans Services, Community Support and Outreach
- Union County Communications Department
- Union County Library
- Board Of County Commissioners
- Municipal County Leaders
- Parks and Recreation
Existing Coalitions and Community Committees
- System of Care (SOC)
- Student Health Advisory Committee
- Mental Health Crisis Solutions
Business Community
- Chamber
- Rotary Club
- Transportation Agencies
Other
- Faith-based organizations
- Activists/Community Volunteer
- Parents
- Youth
Community Health Improvement Plan Programs
Behavioral Health Collaborative
The Behavioral Health Collaborative program was started in November 2018 to help support the social and emotional needs of students who attend Union County Public Schools (UCPS). Since 2018, the collaborative staff of social workers and therapists have provided over 84,249 students with services in the school.
Community Resiliency Model (CRM)®
The Community Resiliency Model (CRM)® is a skills-based wellness and prevention program that provides a biological, non-stigmatizing perspective on normal human reactions to stress and trauma. Community Resiliency Model (CRM)® trains community members to not only help themselves but to help others within their wider social network. The primary focus of this skills-based, stabilization program is to re-set the natural balance of the nervous system and create a cadre of CRM informed community members who are educated in:
- The biology of traumatic stress reactions
- The biology of resiliency
- To widen the “Resilient Zone” in individuals, family members and the extended community
Develop a plan to improve the continuum of Mental Health Providers in Union County
The Mental Health Crisis Solutions Group, facilitated by the Union County Social Services Director, met from September 2022- April 2023 to identify gaps in MH services in Union County. The top five gaps in Union County Include the following:
- Emergency/Crisis Stabilization for Youth & Adults
- Treatment/Placement Options for Youth and Adults with Neurocognitive Challenges
- Day Treatment & Intensive Outpatient
- Care Management when Transitioning
- Prevention Services
Mental Health Awareness and Community Education
Union County Public Schools and Union County Humans Services provide community education on different mental health topics, prevention measures, treatment options, and resources. False beliefs about mental illness can cause significant problems. People who have mental illness experience two types of stigmas - public stigma and self-stigma. Community awareness and education can help to reduce the stigma surrounding mental health conditions and promote a positive mental health environment. Change in the perception of mental health often starts with individuals; moves to families, the workplace, and schools; and ends with community leaders who are then equipped to maintain formal and informal community education efforts surrounding mental health.
Mental Health First Aid (MHFA) and Question, Persuade, and Respond (QPR)
Several organizations, including Partners Health Management, Atrium Health, and UCPS are teaching Youth Mental Health First Aid (YMHFA) to professionals and Community members. Mental Health First
Aid is a public education program that can help individuals across the community understand mental illnesses, support timely intervention, and save lives. impact and provides an overview of common.
Mental Health First Aid Goals include:
- Assist someone experiencing a mental health or substance use-related crisis.
- Learn risk factors and warning signs for mental health and addiction concerns.
- Learn strategies for how to help someone in both crisis and non-crisis situations.
- Where to turn for help.
The mission of QPR is to reduce suicidal behaviors and save lives by providing innovative, practical, and proven suicide prevention training for general community members. The skills and techniques taught during this 1-hour training empower all people, regardless of their background, to make a positive difference in the life of someone they know.
QPR goals include:
- How to Question, Persuade and Refer someone who may be suicidal.
- How to get help for yourself or learn more about preventing suicide.
- The common causes of suicidal behavior.
- The warning signs of suicide.
Community Goal
All residents of Union County have equitable access to education, prevention, treatment, and recovery services related to substance use disorders.
Issues that Impact Substance Use Disorder
- Opioid Epidemic
- E-cigarette Epidemic in Youth
- Stigma
- Lack of Insurance
- High Costs of Treatment
- Lack of Providers
- Transportation Issues
- Lack of Program Awareness
- Lack of Communication Amongst Providers
- Workforce Recruitment and Retention
- Gaps in Continuum of Treatment Options in Union County
- Waitlist for Treatment
- Limited Peer Support Programs
- Lack of coordinated re-entry services for substance users coming out of the jails
- Number of Tobacco/Vape stores within one mile of K-12 schools
What Works
Substance Use
- Evidence-based addiction treatment
- Recovery support services
- Recovery housing support
- Employment-related services
- Early intervention
- Alternatives to suspension
- Naloxone distribution
- Post-overdose response team
- Syringe Service Program
- Criminal justice diversion programs
- Addiction treatment for incarcerated persons
- Medication lock-up and drop-off
- Medication dispensing laws
- Media campaigns
Tobacco
- Prevention
- Education
- Media Campaigns
- Evidenced-Based School Curriculum
- Alternatives to Suspension
- Policies
- Quitline
Partners
Behavioral Health Providers
- Partners LME/MCO
- Daymark
- Center for Emotional Health
- NAMI
- Thompson Atrium Union
- Behavioral Health Collaborative Outpatient Therapists
- Employee Assistance Programs (EAP)
Faith-Based Community
- Langford Chapel
- New Testament Baptist Food Pantry Prospect Methodist Church
- Prospect Methodist Church
- Thomas Rogers Ministries
- Waxhaw Baptist Church
- New Central Communitario Healthcare Providers
- Community Care of North Carolina Community Health Clinic (free clinic) HealthQuest
- Matthews Free Medical Clinic
- Atrium Union
- Novant Health
- Union County Health Department Clinics
Law Enforcement
- Sheriff’s Office
- Monroe Police Department
- Stallings Police Department
- Waxhaw Police Department
Non-Profit Organizations
- Common Heart
- Community Shelter of Union County Heart for Monroe
- Loaves and Fishes
- Operation Reach Out
- Turning Point
Substance Use Disorder Providers
MAT Providers
- Dr. Adam Salisu, MD
- Broadview Health
- Daymark Recovery
- McLeod
- New Beginnings
Naloxone Distributors
- Center for Prevention
- Bridge to Recovery
- Ground 40
- House of Pearls
- Safe Communities
Support Communities
- Cameron’s House of Hope
- Shine House
- NA, AA, Alanon, Alateen, NarAnon
Treatment Providers (Clinical)
- Daymark (Detox, SAIOP)
- New Beginnings (Outpatient)
Schools and Universities
- Wingate University
- South Piedmont Community College (SPCC)
- Union County Public Schools
- Union Academy (Charter School)
Union County Government
- Human Services Agency: Department of Social Services, Health, Transportation, Veterans Services, Community Support and Outreach
- Union County Communications Department
- Union County Library
- Board Of County Commissioners
- Municipal County Leaders
- Parks and Recreation
Existing Coalitions and Community Committees
- Opioid Task Settlement Taskforce
- Student Health Advisory Committee
- Safe Kids
- Opt Out Task Force
Community Health Improvement Plan Programs
Family Treatment Court
Family Treatment Court is defined as a juvenile or family court docket for cases of child abuse or neglect in which parental substance use and often co-occurring mental health disorders are contributing factors. Judges, court personnel, attorneys, child protective services, treatment professionals, and other community partners collaborate on and coordinate services with the goal of ensuring that children have safe, nurturing, and permanent homes; family members receive the needed supports and services; and parents achieve stable recovery within mandatory time frames. Union County has designated some of its Opioid Settlement Funding to develop a Family Treatment Court for parents involved in DSS cases. The program is in the development stages currently and will be implemented in January 2024, at the earliest.
Naloxone Distribution
The State allocated $1,000,000 on a one-time basis to support opioid abatement programs throughout Partners Behavioral Health Management’s catchment area to assist in the reduction of harm to individuals affected by the opioid crisis. Funds were appropriated by The NC General Assembly’s 2021 -2023 biennial budget for utilization by June 30, 2023. Partners Behavioral Health allocated $91,484 to Union County Human Services. These funds were used to expand the availability of naloxone in the community and raise awareness of substance use and harm reduction efforts. Human Services worked with both existing and new community partners to distribute the naloxone along with substance use educational information. Additional funding will be provided to the Public Health Department from the Opioid Settlement Fund to continue funding these efforts.
School, Law Enforcement, Behavioral Health Collaborative Initiative
Union County has designated some of its Opioid Settlement Funding to develop a collaborative program in Union County Public Schools along with Behavioral Health Collaborative and Law Enforcement.
Substance use and vaping continue to be a significant disciplinary issue in public schools. School suspension has not been effective in decreasing this issue. The goals for this program include:
• Encouraging youth not to use drugs in the first place.
• Encouraging youth who are already using it to stop or at least cut back or make alternative choices to reduce their risk.
• Providing straightforward; science-based information.
• Exploring the risks and perceived benefits of drugs.
• Prioritizing safety through personal responsibility and knowledge.
• Teaching healthy coping skills when dealing with stress.
Tobacco-Free Ordinance
Tobacco use remains the number one preventable cause of death and disease in North Carolina and the United States. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), and it also increases risk for tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis (CDC, nd). In 2018, nearly 14 of every 100 U.S. adults aged 18 years or older (13.7%) smoked cigarettes.
North Carolina Standard Plans, Tailored Plans, and LME/MCOs that serve people with Medicaid or who are uninsured requires contracted medical, behavioral health, and some intellectual/ developmental disabilities (IDD)/traumatic brain injury (TBI) organizations to provide a 100% tobacco-free campus, by April 1st, 2024.
The Union County Department of Public Health provides services to Medicaid participants and therefore plans to implement a 100% tobacco-free campus at Union County Human Services Agency. A Tobacco- Free Ordinance for the Union County Human Services Agency was approved by the Union County Board of County Commissioners in November 2023. The ordinance will go into effect on February 1, 2024.