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Marion County Public Health Department (MCPHD)

Acute Disease

Immunization Program: The MCPHD Immunization Program provides comprehensive immunization services to residents of Marion County.

Refugee Health: The primary goal of the Refugee Health Program is to increase MCPHD’s capacity to provide health-related screenings and other services in a timely manner to recently arriving refugees in Marion County.
Tuberculosis Control/Outreach: Tuberculosis (TB) Control and Outreach Programs provide outreach to TB risk groups, monitoring of patient therapy and tests, and counseling to patients.

Chronic Disease

Asthma Program: The MCPHD Asthma Program provides asthma education and screening programs for schools, and community and workplace agencies in Marion County.

Tobacco Prevention/Cessation: Tobacco Prevention and Cessation Program provides comprehensive tobacco prevention, education, and cessation services at area health centers and Wishard Hospital. This program also provides education to promote and support smoke-free workplace policies.

Community-Based Care

Healthy Famnilies: This program provides early intervention services to families through in-home parenting training to prevent child abuse.

Dental

Community-Based Dental Services: The MCPHD Dental Services Program provides dental services at Forest Manor, Westside, and Pecar community health centers. Dental Services also utilizes the Smile Mobile, a mobile dental vehicle that allows for increased access to dental care for low-income children.

Emergency Preparedness

Emergency Support Function 8 (ESF-8) Lead: As the Emergency Support Function for Public Health and Medical Services, HHC is responsible for overseeing and coordinating the city of Indianapolis’ health services and public health response in the event of an emergency.

By way of background, Emergency Support Functions (ESFs) are the grouping of governmental and certain private sector capabilities into an organizational structure to provide support, resources, program implementation, and services that are most likely needed to save lives, protect property and the environment, restore essential services and critical infrastructure, and help victims and communities return to normal following domestic incidents.

There are 15 ESFs, and HHC is the primary agency responsible for ESF 8- Public Health and Medical Services. In this capacity, HHC is the lead agency in the event of a pandemic influenza emergency, an environmental hazard, or a biological terrorist event that requires mass dispensing of prophylaxis. HHC is responsible for developing, exercising, coordinating, and implementing the city’s response to such events. HHC is also responsible for the Centers for Disease Control and Prevention's (CDC’s) Cities Readiness Initiative (CRI), which requires MCPHD to spearhead emergency planning for the ten counties in the Indianapolis Metropolitan Statistical Area (Marion County and its seven surrounding counties - Boone, Hamilton, Hancock, Shelby, Johnson, Morgan, and Hendricks - plus Brown and Putnam Counties). CRI also requires MCPHD to coordinate a Medical Reserve Corps. HHC has started to focus its efforts on greater collaboration between the ten counties that are a part of the CRI Indianapolis Metropolitan Statistical Area (MSA).


Epidemiology

The epidemiology group designs and conducts evaluations, tracks health statistics, produces reports about health issues and populations within the county, supports grant writing, gathers data about the Marion County population, and creates systems to provide health department staff and community organizations with needed information informing decisions that affect health in Marion County. The technology section of the epidemiology group participates in several grants to develop new or improved information systems (e.g., the Accelerated Public Health Situational Awareness, the Indiana Center of Excellence in Public Health Informatics, and the Patient Identity Management grants), and to provide epidemiologic support to health department programs (e.g., HIV/AIDS Surveillance).

Health Education Promotion and Training

Appropriate Antibiotics (ICARES): The ICARES project assists state and local agencies in implementing health communication efforts and behavioral interventions to promote appropriate antibiotic use and prevent the spread of antimicrobial resistance throughout the state of Indiana.

Health Education Promotion and Training: The mission of Health Education Promotion and Training is to: provide education and referrals to activities to increase knowledge about nutrition and physical activity; provide tobacco and general health information to citizens through the MCPHD website and a variety of social media marketing tools; and provide tobacco, general health, and health disparity information to minority and at risks citizens through a variety of sources, including social networking and print media.

HIV/Ryan White Services Program

HIV Fetal Infant Mortality Review (FIMR): The HIV/FIMR process was developed through academic and community partnerships to reduce the incidence of maternal HIV/AIDS and reduce the incidence of perinatal HIV/AIDS transmission. The FIMR/HIV prevention methodology addresses case review team and community action team recommendations by collecting comprehensive quantitative and qualitative data via medical record abstraction and maternal interview. This methodology provides an in-depth look at the system failures that result in an unintended perinatal exposure or in perinatal HIV transmission.

Ryan White Minority AIDS Initiative (MAI): The MAI program provides outpatient and ambulatory health services, health education/risk reduction, and outreach services to eligible African American and Latino clients at high-risk or diagnosed with HIV/AIDS.

Ryan White Services Program (Parts A and C): The Ryan White Services Program provides services to persons living with HIV/AIDS in the Indianapolis Transitional Grant Area (TGA), which is comprised of the following ten counties: Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Putnam, and Shelby. Through contractual agreements with a network of providers in the TGA, the program offers a number of core and supportive services, including outpatient ambulatory medical care, pharmaceutical drug assistance, oral health services, early intervention service, and mental health services to persons who meet the program’s eligibility requirements. To ensure that program participants continue to access and remain in care, they are linked with case management providers who assist clients in keeping their doctor’s appointments, getting required labs, going to required group sessions, adhering to medication protocols, and accessing support services (e.g., food vouchers, housing, and transportation) that serve to improve their health and wellbeing.

Lead Safe and Healthy Homes

Lead Safe and Healthy Homes Program: The MCPHD Lead Safe and Healthy Homes Program focuses on the promotion and development of healthy housing programs. Within this focus, LSHH has five priority areas: identification of high-risk populations; blood lead testing for children and pregnant women; case management services for children with elevated blood lead levels; lead inspections, risk assessments, and healthy homes inspections; and code enforcement action for housing violations.

Maternal and Child Health

Indianapolis Healthy Start: Indianapolis Healthy Start provides services to reduce infant mortality rates and improve perinatal outcomes by eliminating disparities in perinatal health systems. Services include case management, health education, and outreach services for high-risk pregnant women residing in Marion County, Indiana.

Nutrition

Women Infants and Children Program (WIC): The WIC Program provides nutritious food supplements, breastfeeding support, and nutrition education for low-income women, infants, and children.

Girls on the Run®: Girls on the Run® is a positive youth development program that combines an interactive curriculum with running to inspire self-respect and healthy lifestyles in preteen girls. The program, targeting girls between the ages of eight and thirteen, combines training for a 3.1 mile (5 kilometer) running event, self-esteem enhancing activities, and uplifting workouts. Volunteers from MCPHD and the community serve as the program coaches, and provide the girls with tools to make positive decisions and to avoid risky adolescent behaviors.

Social Services

Mother Baby Health Line: The Mother Baby Healthline is a free, confidential information and referral telephone service. Callers receive information about pregnancy, and infant/child health care services. Additionally, callers are linked to other programs and community resources that provide assistance with transportation, housing, finances, childcare, and other related needs.

Prenatal Substance Abuse Prevention Program (PSUPP): The purpose of PSUPP is to prevent birth defects, low birth weight, premature births, and other problems associated with prenatal substance use by ensuring that babies born in Marion County are born to women who decrease or eliminate tobacco, secondhand smoke exposure, alcohol, and other drug use during pregnancy.

Sexually Transmitted Disease (STD) Control Program

Bell Flower Clinic: MCPHD’s Bell Flower Clinic is Indiana’s only public clinic dedicated to the diagnosis and treatment of sexually transmitted diseases (STDs), providing inexpensive, confidential counseling, testing and treatment for all STDs. The primary role of the Bell Flower Clinic is to facilitate the functions of the MCPHD STD Program, which include improving clinical care, improving laboratory diagnosis, providing resources for disease research, and implementing control strategies.
The specific activities of the Bell Flower Clinic include:
  • District-wide consultation to clinicians on diagnosis and management of STDs;
  • Providing high quality care to one third of the population infected with STDs in Central Indiana;
  • Contact tracing for syphilis, gonorrhea, chlamydia, non-gonococal urithritis, and HIV;
  • Risk reduction counseling; and
  • Counseling and referral service for HIV.

    AIDS/STD Diseases Intervention Specialists: The Bell Flower Clinic’s AIDS/STD Disease Intervention Specialist Program employs Disease Intervention Specialists to investigate reported, suspected, and potential cases of STDs.

  • Substance Use and Outreach Services

    Substance Use and Outreach Services (SUOS), a division of MCHD, provides programs and services specifically targeted toward high-risk substance abusing individuals. The SUOS street outreach program is built around a mobile van that delivers an array of supportive services to injection drug users (IDUs) in high-risk areas of Indianapolis/Marion County. Outreach services include the following: (1) screening, counseling and testing for HIV, Syphilis, Hepatitis, Chlamydia, and Gonorrhea in the office; (2) providing referrals to Salvation Army and Fairbanks Hospital for substance abuse treatment, detoxification, and supportive living; (3) conducting HIV/STD prevention and education; and (4) condom distribution.

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