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Description

To improve the health of Cecil County and its residents, in partnership with the community, by providing leadership to find solutions to our health problems through assessment, policy development and assurance of quality health services and education.

* Prevent epidemics and the spread of disease
* Protect against environmental hazards
* Prevent injury
* Promote and encourage healthy behavior and mental health
* Respond to disasters and assist communities in recovery
* Assure the quality and accessibility of health services

Interpreting services are available free of charge to all clients receiving Cecil County Health Department services.

The Cecil County Health Department offers services and clinics to all county residents through its six divisions and one office.

* Administrative Services
* Alcohol and Drug Recovery Center
* Community Health Services
* Environmental Health
* Health Promotion
* Special Populations
* Office of Epidemiology and Emergency Preparedness

Administrative Services

The Division of Administration provides administrative services to include budget, fiscal, human resources, building, fleet and information technology. Services provided to the public are issuing birth and death certificates, health insurance eligibility determinations, and transportation to non-emergency medical appointments for qualified Medical Assistance recipients.

Services

* Vital Statistics
o Birth Certificates
o Death Certificates
* Medicaid Assistance Transportation Program
o Ambulatory
o Non-Ambulatory
* Health Insurance
o Maryland Children's Health Insurance Program (MCHP) Determination
* Emergency Response

Alcohol and Drug Recovery Center

The Division of Addiction Services -- Alcohol and Drug Recovery Center, provides substance abuse related education, assessment, intervention and treatment services to adult and adolescent patients and their family members. Services are delivered from community and detention center based programs. The division utilizes a counseling approach and integrates the Stages of Change model. The program recognizes that addiction is a disease that causes changes in the brain, and that substance abuse is influenced by environmental conditions and behavior; recovery from addiction is possible with appropriate treatment and long-term lifestyle changes. Family support and counseling sessions are offered to patients and their families to help increase understanding of the dynamics of addiction. Patients are also encouraged to attend recovery oriented support groups, including Narcotics Anonymous and Alcoholics Anonymous meetings, several of which are held at the Health Department.

Program Services

* Crisis Intervention
* Drug Court - Adjudicated Adult Treatment Program
* DWI/DUI Assessments, Referral, and Treatment
* Family Education, Therapy & Resource Connection
* Group Counseling for Adults & Adolescents
* Individual Counseling for Adults & Adolescents
* School Based Screening and Early-Intervention
* Substance Abuse Diagnostic Assessments
* Therapeutic Case Management
* Urine Drug Screen Testing
* Emergency Response

Community Health Services Division

The Division of Community Health Services promotes the health of Cecil County residents and offers a variety of health services for children and adults. Services include:

* monitoring and controlling communicable diseases and conditions (communicable disease may include sexually transmitted infections, tuberculosis, rabies, and other public health disease threats.),
* communicable disease surveillance and case management of residents affected by communicable diseases.
* outbreak investigation and control,
* screening, testing and treatment of sexually transmitted infections,
* home visits for pregnant and post partum women and children,
* pregnancy testing, emergency contraception and family planning services.
* case management and referral for children with special health care needs and children with elevated lead levels,
* child and adult immunization and immunization tracking and follow up,
* assurance of primary care,
* ACCU/Ombudsman program which helps Medical Assistance clients to access medical healthcare,
* WIC (Women, Infants and Children's) Program nutrition counseling,

Services

* Communicable Disease Control
o Disease Outbreak Investigation
o Tuberculosis Screening/Evaluation/Treatment
o Rabies pre-exposure clinics & post-exposure follow up
o Sexually Transmitted Diseases - Screening & Treatment
o AIDS/HIV Counseling and Testing
o AIDS/HIV Case Management
o Immunizations - Adult and Children
* Family Planning
o Birth Control and Exam
o Case Management for Abnormal Pap Smears
o Emergency Contraception
o Pregnancy Testing
* Maternal/Child Health
o Immunization Tracking and Follow Up
o Infants and Toddlers Program (Eligibility Screening, Case Management)
o School Health Consultation (Vision and Hearing Screening)
o Children with Special Health Care Needs Evaluation and Case Management
o Assurance of Primary Care - Assistance in finding a medical home
o Assistance with MCHP and Health Choice through the ACCU/Ombudsman Program
o Blood Lead Screening and Case Management
o Prenatal, Postpartum and Infant Home Visits to provide Service Coordination and Education for clients with Medical Assistance or if uninsured, Case Management for pregnant women and children under age 2
* WIC - Women, Infants and Children's Nutrition Program
* Emergency Response

Most services require an appointment, but some are on a walk-in basis.

Environmental Health Division

The Environmental Health Division enforces state regulations, conducts inspections, and issues licenses and permits. Services include soil testing for septic systems; well permits; community water supply and sewage systems surveillance; food services inspections; rabies vaccination clinics and control activities; inspection of bathing beaches, swimming pools, public camps, and mobile home parks; issuing burning permits, and nuisance investigations.

Services

* Food Control
o Food facility inspection and plan review
o Outbreak investigation
* On-site Water and Sewerage
o Soil evaluations and perc tests
o Sanitary permit processing
o Well permits
o Water sampling
* Subdivision Development
o Soil evaluations and perc tests
o Consultation and plat review
* Community and Recreational Sanitation
o Community water supplies
o Swimming pools
o Bathing beaches
o Health care facilities
o Family day care and foster homes
o Mobile home parks
o Public camps
o Nuisance investigation
* Rabies Control
* Air Quality
o Open Burning Permits
* Emergency Response
* Solid Waste
* Hazardous Waste
* Air Pollution
* Radiation Control

Maryland Department of Environment has major responsibility for these areas


Division of Health Promotion

The Division of Health Promotion interacts with the community by providing health education and outreach programs. Registered Nurses, Health Educators, Coordinator of Special Programs, and Outreach Workers educate and encourage Cecil County residents to practice behavioral changes that prevent disease and help promote healthy lifestyles. Preschoolers to senior citizens enjoy an extensive range of services and programs including HIV/AIDS prevention, blood pressure screenings, dental sealant program, referrals and follow-up for childhood immunizations, colorectal, breast and cervical cancer screening outreach, free stop smoking programs and Nicotine Replacement Program/Chantix® Services programs. At-risk programs offered are drug use prevention and HIV/AIDS Prevention Education Programs. Mini-grants are also available to community groups in the area for tobacco use prevention. Staff assist the Cancer and Tobacco Task Forces to develop and implement community action plans to address injury issues, colorectal cancer and tobacco use prevention. Staff provides information and educational materials on health topics upon request from the community.

Services provided:

* Cancer Control
o Breast and Cervical Cancer Screening Program
o Colorectal Cancer Screening Program
* Cardiovascular Risk Reduction
o Blood Pressure Screenings
* Childhood Immunization Awareness Outreach and Follow-up
* Health Education and Community Outreach Programs
* Improved Pregnancy Outcomes
o Community Action Team (Child injury and mortality prevention)
o Fetal and Infant Mortality Review, and Child Fatality Review Board
* Lead Poisoning Prevention Outreach
* MD Child Health Insurance Program Outreach
* MD Cigarette Restitution Fund Program
o Colorectal Cancer Education, Screening, Diagnosis and Treatment Program
o Tobacco Use Prevention and Smoking Cessation Programs/Services
* Mini-grants Tobacco Use Prevention
* Oral Health
o Dental Sealant Program
o Dental Advisory Board
* Risk Reduction Programs
o Alcohol and Drug Use Prevention Programs
o HIV/AIDS Prevention Education Programs

Office of Epidemiology and Emergency Preparedness (OEEP)

This Office promotes the health of Cecil County residents by providing epidemiological and public health emergency planning and support. Epidemiological services include community health assessments, project planning and development, and project evaluation. OEEP works jointly with the Office of Communicable Disease Control and Environmental Health Services to provide support and assistance with epidemiological investigations and outbreak control measures. Emergency preparedness activities include emergency response planning and evaluation, staff training and curriculum development, and developing publications for public use.

Services provided:

* Epidemiology
o Community health assessment, planning, and evaluation
o Health statistics
o Outbreak investigation and control
* Emergency Preparedness
o Emergency preparedness and response planning
o Staff training
o Education development
o Risk communication
* Emergency Response

Special Populations Division

The Special Populations Division is comprised of four units. Each of these units provide distinct, yet related, services. The Mental Health-Core Service Agency performs planning and funding of service development for areas not otherwise covered in the public mental health system. Services include funding for the uninsured. The Personal Care program provides in-home practical help to chronically ill persons to allow them to stay in their homes and to live independently, as long as possible. The program is developed for long-term maintenance of patients at risk of institutionalization. Adult Evaluation and Review Services provides assessments for frail adults at risk of institutionalization. This unit develops comprehensive plans of care to allow the client to remain in their home. The Developmental Disabilities program provides case management to eligible residents having a developmental disability or suffering a severe disability occurring prior to the age of 22 years. The goal is to assist the individual to achieve optimal integration into society.

Services provided:

* Mental Health - Core Service Agency
o Contract management of grants and services
o Interagency collaboration for local service development
o Grievance handling
o Outreach education services for Public Mental Health System
o Pharmacy, supportive services for uninsured
* Personal Care Program
o Nursing supervision of private personal care providers
* Adult Evaluation and Review Services
o Assessments conducted in client's home to evaluate needs, functional eligibilities, and geriatric services.
o Pre-Admission screening and resident review (PASRR) evaluations for individuals with psychiatric disabilities
* Developmental
o Resource coordination (case management):
+ For individuals with developmental disabilities
+ For individuals with severe disabilities occurring prior to age 22
o Monitor in-place services to developmentally disabled individuals

Adult Addiction Services

What services are provided for those over the age of 18 at the Cecil County Health Department Alcohol and Drug Recovery Center?

The Cecil County Health Department offers traditional outpatient services for those 18 years and older. Traditional outpatient treatment services consist of completing an evaluation and enrolling in one of the group sessions that are offered. We have traditional adult treatment groups Monday through Thursday at various times throughout the week. We also offer an aftercare program for those individuals that have completed an inpatient treatment facility. We also offer a satellite program that is held in Rising Sun. For those clients that are assessed at their evaluation or during the course of treatment as needing more intensive treatment are referred to the appropriate level of care. If a client presents him/herself as in need of other community services, referral to those services are provided as well.

What services are provided for incarcerated individuals?

Those individuals on the lock-up side of the detention center have access to treatment and aftercare services through the ARC and ARCA programs. Maximum tier inmates receive treatment in the MARC group. In addition, the Alcohol and Drug Recovery Center conducts evaluations mandated by the courts through DHMH. CARC, or work release, also has treatment and aftercare services embodied in the CAP and CAPA programs. CARCADE is a drug and alcohol education program for inmates who either do not meet criteria for admission to CAP, whose work schedule conflicts with the group time, or who do not wish to attend group. We work with all jail clients in attempting to provide continuing care treatment services.

How will my fee be determined?

The cost for services at The Alcohol and Drug Recovery Center is based on an ability to Pay Schedule determined by your gross annual income and the number of family members residing in the household. A fee reduction will be considered when special circumstances exist, such as outstanding medical bills or court ordered child support for children that do not reside in your immediate household. No one will be denied service due to inability to pay.

Adolescent Services

What services are provided for those under the age of 18 at the Cecil County Health Department Alcohol and Drug Recovery Center?

The Cecil County Health Department offers traditional outpatient services and substance abuse educational programs for those under the age of 18. Adolescents are evaluated to determine what services will best meet their needs and then placed in our program or referred to an appropriate provider. Traditional outpatient treatment services are offered in the evening as our educational group. Those clients that are assessed at their evaluation or during the course of treatment as needing more intensive treatment are referred to the appropriate level of care. If a client presents him/herself as in need of other community services, referral to those services are provided as well.

How will my fee be determined?

The cost for services at The Alcohol and Drug Recovery Center is based on an ability to Pay Schedule determined by your gross annual income and the number of family members residing in the household. A fee reduction will be considered when special circumstances exist, such as outstanding medical bills or court ordered child support for children that do not reside in your immediate household. No one will be denied service due to inability to pay.

Crisis Services

How can I access detoxification or inpatient services?

Even though detoxification and inpatient services are not available at the Cecil County Health Department, the Alcohol and Drug Recovery Center can provide referrals when necessary. We have relationships with several facilities in neighboring counties and states. Here is what you need to know.

If you have insurance, your first step is to contact your provider. You should ask the following:

* What coverage do I have for these services?
* How do I access the service?
* Do I need a referral or to be evaluated by a physician or other healthcare professional?
* What facilities do you cover?

If you do not have insurance, please contact our agency. Make sure you explain that you are seeking detoxification or inpatient services so you speak with a member of our clinical staff. Some of the information that will be gathered over the phone includes your name, what substance(s) you are using, physical status, mental health status, motivation, etc. You will then be scheduled for an assessment that will determine what level of care you require. Once it is determined what the most appropriate course of action is, our staff will help you find a facility.

What is the "Alcohol and Other Drug Abuse (AODA) Prevention Program"?

The Alcohol and Other Drug Abuse Prevention Program promotes healthy drug free lifestyles among youth and their families. A drug use prevention program that promotes drug resistance, personal self-management skills and general social skills is presented at selected sites.

Cecil County Mental Health Core Service Agency

The Cecil County Core Service Agency assures the existence and timely access to quality Public Mental Health Services for eligible Cecil County residents and their families, suffering from the devastating effects of acute, as well as, serious persistent mental illness.

Functions of the Cecil County Core Service Agency

* To work collaboratively with, Mental Hygiene Administration (MHA) and Maryland's APS Healthcare (MAPS-MD) the Administrative Service Organization to coordinate and administer Maryland's Public Mental Health System (PMHS).
* To plan, develop, and manage a full range of treatment and rehabilitation services for Cecil County consumers with serious mental illness.
* To handle consumer complaints, grievances, and appeals.
* To assure consumer access and consumer rights


How Can The Cecil County Core Service Agency Help Me?

You (or someone you know) can get help from the Cecil County CSA if:

* You need mental health services and have Maryland Medical Assistance (Medicaid)

OR

* You need mental health services and have limited income and cannot get Medicaid. In many cases a co-pay maybe required.
* Cecil County Mental Health Core Service Agency Brochure
* Guide to Behavioral Health Services

Services Available

Maryland's PMHS is set up to meet your mental health needs anywhere in the state. Services covered include:

* 24-hour crisis help
* Hospitalization
* Outpatient therapy
* Residential rehabilitation
* Supported living
* Other community-based outpatient mental health services
* Residential treatment
* Rehabilitation services
* Mobile treatment
* Day treatment

Developmental Disabilities:

Provides case management services for Cecil County adults and children (ages 3 years and up) with developmental disabilities and their families. Services include assessment, planning, resource coordination, resource access, monitoring, and advocacy. For more information click here Developmental Disabilities Administration.
Mission

The mission of the Cecil County Health Department Resource Coordination Program is:

* To provide leadership to assure the full participation of individuals with developmental disabilities and their families in all aspects of community life in the least restrictive environment.
* To promote the individual's and their family's ability to access quality supports and services necessary to achieve optimal health and safety, social integration, independence and productivity.

The Cecil County Health Department complies with all applicable State and Federal laws, regulations and policies on anti-discrimination with regard to the delivery of service, in employment, or in the purchase of goods and services. It also complies with the Americans with Disabilities Act to ensure that qualified individuals with disabilities are given an opportunity to participate in and benefit from all services and programs

Resource Coordination

The Cecil County Health Department Division of Special Populations is contracted by the Eastern Shore Regional Office of the Developmental Disabilities Administration to assist people with developmental disabilities who have applied for services.

Resource Coordinators (case managers) are the Cecil County Health Department employees who first determine eligibility* and then assist these individuals and their families in the development of plans to meet their needs.

* Eligibility for services means the disability occurred prior to the age of 22 and the applicant is a resident of Cecil County.

Services Provided

* Assess the applicant's eligibility and urgency of need for DDA-funded services.
* Inform individuals/families about community services and supports
* Suggest, plan for, locate, and advocate for services to meet the individual's strengths preferences and needs.
* Assist individuals in advocating for themselves.
* Coordinate residential, day, and support services, review the funding information and prepare the necessary paperwork for the Eastern Shore Regional DDA office.
* Conduct psychological and behavioral assessments and develop behavioral intervention plans and training
* Review services periodically to insure they continue to meet the individual's needs, outcomes are being met and plans are being implemented.
* Talk to people about their dreams and experiences so that plans are accurate and up to date.
* Provide community education.

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