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CCHS has numerous programs to ensure that healthcare services within Contra Costa County are comprehensive and address the needs of county residents.

Public Health Clinic Services

The CCHS Public Health Clinic Services provides an array of health and wellness programs to diverse segments of county residents. Many of the services are low-cost or free. Services include skilled medical and nursing services to address:

ƒ Family and child health care issues, including family planning, birth control counseling, and education;

ƒ Sexually Transmitted Disease treatment and education; ƒ Immunization and tuberculosis screening;

ƒ Breast screening; and ƒ Family nutrition education.

Specific programs are available for targeted populations, including refugees, homeless, teens and children, women’s heath, and Spanish-speaking women.

CCHS has eight health centers offering a range of services, as shown below in Table 3.1. The location and hours of each of the clinics is included in Appendix A.

Table 3.1

Contra Costa Health Services – Health Center Services

Medical Services Martinez Pittsburg Richmond Concord Brentwood Antioch _Point Bay _Richmond North

Allergy ✔ ✔ - - - Adult Medicine - - - ✔ - ✔ - - Addiction Medicine ✔ - - ✔ - - - - Anticoagulant ✔ ✔ ✔ - - - Audiology ✔ ✔ ✔ - - - Breast Health ✔ - ✔ - - - Cardiology ✔ - ✔ - - - Chest ✔ ✔ ✔ - - - Child Abuse ✔ - - - Child Development ✔ - - - Dental ✔ ✔ ✔ - - - ✔ ✔ Dermatology ✔ ✔ ✔ - - - Dietician - ✔ - - - Dysplasia ✔ ✔ ✔ - - -

Ear Nose Throat ✔ ✔ ✔ - - -

Family Practice ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Gastroenterology ✔ ✔ ✔ - - - Geriatrics-Psychiatry - - - ✔ - - - - Glasses ✔ ✔ ✔ - - - Gynecology ✔ ✔ ✔ - - - Hansen's Disease ✔ - - - Healthy Start ✔ ✔ ✔ - ✔ - - ✔

High Risk Obstetrics ✔ ✔ ✔ - - -

Immunization - ✔ ✔ ✔ ✔ - - - Immunodeficiency ✔ ✔ ✔ - - - Infusion ✔ - - - Internal Medicine ✔ ✔ ✔ ✔ ✔ - - - Minor Surgery/Proced ✔ - - - ✔ - - - Musculoskeletal ✔ - ✔ - - - Neurology ✔ - - - Oncology/Hematology ✔ ✔ - - - Ophthalmology ✔ ✔ ✔ - - - Orthopedics ✔ ✔ ✔ - - - Pediatrics ✔ ✔ ✔ ✔ ✔ ✔ - - Plastic Surgery ✔ - ✔ - - - Podiatry ✔ ✔ ✔ - - - Prenatal Care ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Prosthetics ✔ - - - Psychiatry - - ✔ - - - Psych Liaison ✔ ✔ ✔ - - - Pulmonary/Bronch ✔ - - - Rehabilitation ✔ ✔ ✔ - - - Renal ✔ - - -

Table 3.1

Contra Costa Health Services – Health Center Services

Medical Services Martinez Pittsburg Richmond Concord Brentwood Antioch _Point Bay _Richmond North

Rheumatology ✔ ✔ - - - Saturday ✔ ✔ - - - Short Notice ✔ ✔ ✔ - - - Surgery Clinic ✔ ✔ ✔ - - - Urology ✔ ✔ ✔ - - - Vascular Surgery ✔ - - - Women's Health ✔ ✔ - ✔ - - - - Work Fitness ✔ - - - Mobile Clinics

There are three mobile clinics within the county. The “Health on Wheels” van is owned and operated by CCHS Public Health and serves the West County. Health Care for the Homeless is a transport van that carries staff, medicine and supplies to shelters and community locations throughout the county. It is owned and operated by CCHS Public Health Clinic services. Lastly, the John Muir Health Mobile Clinic serves central and east county. It is owned and operated by John Muir Health and staffed by the CCHS Public Health Division.

Community Wellness and Prevention Program

The CCHS Community Wellness and Prevention Program seeks to improve the environmental, social, and economic conditions that contribute to poor health, with special attention to those who are

underserved. CCHS works in partnership with individuals, diverse communities, and organizations to increase individual skills, educate and mobilize communities, build coalitions, and advocate for change in organizational and public policy. Projects include the following:

ƒ Chronic Disease Prevention Project

ƒ Community Health Assessment, Planning and Evaluation ƒ Healthy Neighborhoods Project

ƒ Injury Prevention Program

ƒ Lead Poisoning Prevention Project

ƒ Nutrition, Physical Activity and Food Security Project ƒ Tobacco Prevention Project

Family, Maternal and Child Health Programs

Family, Maternal and Child Health Programs promote the health and well-being of families and children. Programs include the following:

ƒ California Children Services

ƒ Child Health and Disability Prevention Program ƒ Children’s Oral Health Program

ƒ Developmental Disabilities Council

ƒ Health Coverage Programs for Children, Youth and Pregnant Women ƒ Medically Vulnerable Infant Program

ƒ Safely Surrendered Baby Law

ƒ Teenage Program – Adolescent Health Alliance Perinatal programs include:

ƒ Black Infant Health ƒ Breastfeeding

ƒ Comprehensive Perinatal Services Program ƒ Council for Perinatal Health

ƒ Fetal Infant Mortality Review Program ƒ MediCal Perinatal Outcomes Project ƒ Prenatal Guidance

ƒ Sudden Infant Death Syndrome Program ƒ Women, Infant and Children’s (WIC) Program ƒ WIC Breastfeeding Counselor Program

CCHS recently launched the Women’s Health Partnership for Contra Costa. This partnership will build on the Contra Costa Breast Cancer Partnership’s success in eliminating health disparities in breast cancer early detection rates among African American, Latina, Asian/Pacific Islander, and white women. It is envisioned that the members of the partnership will work collaboratively to increase health care access, decrease mortality rates from breast and cervical cancer, and address other health disparities that disproportionately affect underserved women in the county.

Contra Costa County was one of five communities selected by the California School Health Centers Association to work on improving school-based health through local initiatives. The project is funded for three years by the California Endowment. Participants include CCHS, West Contra Costa Unified

School District, and representatives from several middle and high schools. School-based health services are a means to greatly increase access to health care for children.

Homeless Programs

The CCHS Homeless Program is a component of the Contra Costa Homeless Continuum of Care Plan. This system of care includes:

ƒ Community Homeless Court Program ƒ Advocacy

ƒ Outreach services to encampments ƒ Information and referral services

ƒ Multi-service centers that provide case management and support services ƒ Emergency shelter

ƒ Transitional housing

ƒ Permanent supportive housing for adults, youth and families Advisory Groups

CCHS collaborates with a number of health service advisory groups, including the following: ƒ Alcohol & Other Drugs Advisory Board

ƒ Center for Health Advisory Board ƒ Contra Costa Health Access Coalition ƒ Developmental Disabilities Council ƒ Emergency Medical Care Committee ƒ Hazardous Materials Commission

ƒ Homeless Continuum Of Care and Advisory Board ƒ HIV/AIDS Consortium

ƒ Managed Care Commission ƒ Mental Health Commission

ƒ Public & Environmental Health Advisory Board

The Contra Costa Health Access Coalition (HAC) was established in 1998 as a means to ensure that low-income families have affordable, accessible health care. The HAC has collaborative relationships

Summary

As outlined above, there is a wide range of issues and healthcare needs within Contra Costa County. The County is following a comprehensive approach to address these needs, using a variety of

organizations, funding sources and collaborations to make the greatest inroads in overcoming the challenges. Part of LAFCO’s evaluation of special districts and their appropriate service areas is the level of benefit a district provides given an area’s identified service needs. The West Contra Costa Healthcare District and Los Medanos Community Healthcare District can show a direct relationship between the services and programs each district provides or financially supports to one or more of the healthcare issues the County has identified. While providing benefits through the John Muir/Mt. Diablo Community Health Fund grant making, the Mt. Diablo Health Care District should be encouraged to develop service plans that demonstrate similar strong linkages.