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Health Promotion and Prevention Programs


Communities That Care

The legalization of marijuana in Colorado has raised concerns that, for youth, the perception of risk associated with marijuana use may be diminished as it become more widely normalized. This effect in combination with other identified risk factors can lead to or exacerbate additional problem behaviors to include other drug use and social/emotional challenges negatively affecting our youth. 

Good public health practice is to work upstream to prevent problems before they occur by assessing (and reducing) risk factors and assessing (and increasing) protective factors and will use LOCAL data, LOCAL resources, and LOCAL community members as the driving force behind evidence-based processes to achieve outcomes that assure Fremont County Youth, now and in the future, will lead healthy, happy and productive lives.

For more information, visit: www.communitiesthatcare.net

Baby and Me - Tabacco Free

Baby and Me Tobacco Free is a smoking cessation program that helps pregnant women quit smoking and not begin again after the delivery of their baby. Participants receive smoking cessation information at four prenatal education sessions and take a carbon monoxide breath test to verify smoking status. If a woman quits smoking before delivery, she is eligible to take a breath test monthly and receive $25 worth of diapers or wipes each month for up to one year as long as she doesn't start smoking again. Participants have the option of enrolling one partner as a support person who is also eligible for $25 worth of diapers or wipes each month as long as they stay tobacco free.

Click here to sign up for the program.

Fremont County Sobering Center

It is the mission of the Fremont County Sobering Center to provide safe short term care for individuals under the influence of alcohol by offering a more therapeutic environment than what is experienced in the hospital emergency department or in jail.  It is the goal of the Sobering Center to extend HOPE to its clients by providing access to community resources and recovery options, and to offer each client a new "design for living" and an opportunity to improve their quality of life.

An Opportunity For Change!

After more than a year of planning Fremont County, in collaboration with St. Thomas More Hospital, opened up the first Sobering Center in the State of Colorado.  The idea of the Sobering Center is intended to provide the residents of Fremont County with a safe place to sober up when one has over indulged with alcohol.  It's not a "detox" per se, it simply provides a safe place for men and women to lay down for a few hours and get their "head right".  ALL SERVICES ARE PROVIDED AT NO COST TO THE RESIDENTS OF FREMONT COUNTY.

The Sobering Center is staffed by people who have been in treatment, for alcohol and drug addiction, and who have been shown what it takes to live clean and sober.  Not everyone who comes to the Sobering Center is wanting to change their lives and live sober, and that's fine.  It's up to each individual to decide for themselves if and when they are ready to quit using.  But for those who do want to quit, help is available!

Sometimes a person may feel they can't change their drinking habits because of their living conditions or their financial situation, or maybe they don' have insurance and feel they can't afford treatment.  The Sobering Center staff is prepared to help with each of these scenarios and will work with you every step of the way.

Currently men and women are brought to the Sobering Center by either Fremont County law enforcement, or they are referred by the Emergency Department at St. Thomas More Hospital.  It is the goal of the Sobering Center staff to:
1)    Identify the help you need;
2)    Obtain the help you need; and
3)    Maybe most importantly, show you that a life free of drugs and alcohol is possible if you want it!

Admission Screening Procedure

Each resident coming to the Sobering Center will be screened for admission.  The screening will include:
Vital signs, a short discussion on health history, suicidal screening, screening for any obvious acute medical conditions, and an agreement that each person will behave themselves.  NO aggression of any kind will be tolerated.
1)    A check of vital signs.  Blood pressure, oxygen levels, heart rate and respiratory rates must be within limits;
2)    Blood Alcohol Content ("BAC") must be between .08 and .30  Anyone above .30 must be cleared through the hospital before being admitted into the Sobering Center.

The Fremont County Sobering Center is located at 1338 Phay Avenue, at the very West end of the hospital and has its own entrance.  You must cross through the same parking lot where the landing pad is for the helicopter, and continue South, to the very back of the parking lot.  You will then see the ramp for the entrance.

Currently the Sobering Center is staffed from:
Friday evening from 8:00 pm to 8:00 am Saturday morning; and
Saturday evening from 8:00 pm to 8:00am Sunday morning.

If you have any questions regarding the Fremont County Sobering Center or know someone who could use the services offered at the Sobering Center, please call Pat Cox, Fremont County Care Manager,​ at 719.371.1320

Tobacco Education, Prevention and Cessation

Tobacco remains the leading preventable cause of death in this country and in the world. Tobacco use is a major factor in four out of the five leading causes of death: heart disease, cancer, lung disease and stroke. It causes about a third of heart disease and cancer, and most emphysema.-CDC

FCDPHE is a community partner in tobacco cessation, prevention and education for all ages and populations served in Fremont County. We utilize evidence-based programs and practices to assist those who wish to quit using tobacco products, prevent youth from initiating use with tobacco, vape, or ECIG products, and provide education and resources to policy makers, employers and the community on the effects and tobacco products and how we can improve the health in our community.

Want to quit smoking? We offer a FREE six-week tobacco cessation course that is open to the community and can assist you with the Colorado QuitLine.

For more information or any questions with regard to cessation, please contact the Community Outreach Specialist at (719) 276-7450. Information on the Colorado Quitline can be found by clicking the link below:

https://www.coquitline.org/en-US/

Pregnancy-Related Depression

Postpartum Depression

Postpartum depression is depression that occurs after having a baby. Feelings of postpartum depression are more intense and last longer than those of “baby blues,” a term used to describe the worry, sadness, and tiredness many women experience after having a baby. “Baby blues” symptoms typically resolve on their own within a few days.

How Many Women Experience Depression?

Depression is a common and serious illness. A CDC study shows that about one 1 out of 10 women in the United States experience symptoms of depression. Using the Pregnancy Risk Assessment Monitoring System (PRAMS), CDC research shows that nationally, about 1 in 9 women experience symptoms of postpartum depression. Estimates of the number of women affected by postpartum depression differ by age and race/ethnicity. Additionally, postpartum depression estimates vary by state, and can be as high as 1 in 5 women.

Depression doesn’t feel the same for everyone. How often symptoms occur, how long they last, and how intense they may feel can be different for each person.

Symptoms of depression can include:

  • Lasting sad, anxious, or “empty” mood.
  • Feelings of hopelessness or pessimism.
  • Feelings of guilt, worthlessness, or helplessness.
  • Feelings of irritability or restlessness.
  • Loss of interest in hobbies and activities.
  • Loss of energy.
  • Problems concentrating, recalling details, and making decisions.
  • Difficulty falling asleep or sleeping too much.
  • Overeating or loss of appetite.
  • Thoughts of suicide or suicide attempts.
  • Aches or pains that do not get better with treatment.

How often postpartum depression symptoms occur, how long they last, and how intense they feel can be different for each person. The symptoms of postpartum depression are similar to symptoms for depression, but may also include:

  • Crying more often than usual.
  • Feelings of anger.
  • Withdrawing from loved ones.
  • Feeling numb or disconnected from your baby.
  • Worrying that you will hurt the baby.
  • Feeling guilty about not being a good mom or doubting your ability to care for the baby.
  • Risk Factors for Depression
  • Experiences that may put some women at a higher risk for depression can include
  • Stressful live events.
  • Low social support.
  • Previous history of depression.
  • Family history of depression.
  • Difficulty getting pregnant.
  • Being a mom to multiples, like twins, or triplets.
  • Being a teen mom.
  • Preterm (before 37 weeks) labor and delivery.
  • Pregnancy and birth complications.
  • Having a baby who has been hospitalized.
  • Depression can also occur among women with a healthy pregnancy and birth.

Treatment

Depression is treatable and most people get better with treatment. If you think you may be depressed, the first step to seeking treatment is to talk to your health care provider. You can ask your health care provider for a referral to a mental health professional or visit CDC’s Resources to find help in your area. See CDC’s depression treatment to learn about seeking treatment for depression.

How Depression Affects Fathers

According to a 2010 study using data from 1993 to 2007, approximately 4% of fathers experience depression in the first year after their child’s birth. By a child’s 12th birthday, about 1 out of 5 fathers will have experienced one or more episodes of depression. Younger fathers, those with a history of depression, and those experiencing difficulties affording items such as a home or car were most likely to experience depression.

Depression is common and treatable. If you think you have depression or postpartum depression, seek treatment from your health care provider as soon as possible.

https://psychology-tools.com/epds/

For local resources contact Christina Taylor 719-276-7458

Pregnancy Related Depression or Anxiety Survey

1 in 7 mothers and 1 in 10 dads will experience some type of pregnancy related depression or anxiety (PRDA). We want to hear your voice! Nobody understands the experiences, feelings and needs of PRDA like those who have lived it. We would like to learn from you about what was helpful, what wasn’t, and what you wish was available.

Fill out the survey here: https://www.surveymonkey.com/r/3CHV7L9

Healthy Communities Program

For Fremont/Custer County Residents

If you live in Fremont or Custer County, our Healthy Communities program may be able to assist you in basic non-medical issues for clients aged 0-20 years and pregnant women on Medicaid (MCD) or Child Health Plan Plus (CHP+)

Access To Care:

We may be able to help you:

  • Find a doctor, dentist, specialist, or other service accepting Medicaid or CHP+ health insurance
  • Find clothing, food, shelter, employment services, and other resources in your community
  • Help coordinate transportation to and from medical offices and your home
  • Help you understand when it is best to go to your healthcare provider, or urgent care center, or Emergency Department
  • Help you with basic questions about your Medicaid or CHP+ benefits
  • Help you apply for Medicaid or CHP+ health insurance and determine if you may qualify for these benefits
  • Help you setup an account on your computer for Colorado PEAK to apply for benefits, or make future changes such as updating your address, phone number, or reporting a newly born baby

How do I know if I qualify for Medicaid or Children’s Health Plan Plus (CHP+) Health Insurance programs?

You should start out by going to Colorado Peak to create an account and complete an insurance screening form. Once you complete an online application, it will tell you if you qualify for Medicaid or CHP+, and if you do not, it will show all of the available Health Insurance plans you do qualify for at this time, and the amount of money the government will subsidize for you.

How can I make an appointment to have someone help me complete my Medicaid or CHP+ Health Insurance application at Fremont County Health Department?

To reach the Fremont County Family Health Coordinator, call (719) 276-7458

Quick Links:

How do I know if I qualify for Medicaid or Children’s Health Plan Plus (CHP+) Health Insurance programs?

You should start out by going to Colorado Peak to create an account and complete an insurance screening form. Once you complete an online application, it will tell you if you qualify for Medicaid or CHP+, and if you do not, it will show all of the available Health Insurance plans you do qualify for at this time, and the amount of money the government will subsidize for you.

Can the Fremont County Health Department Healthy Communities Program update my address, phone number, or make other changes to my benefits?

Unfortunately our program cannot make these changes for you. You have two options to report changes to the County. The best option is to go to Colorado Peak and create an account. Once you have an account, you can make these changes directly. You can also contact your DHS County technician by phone, but this can sometimes take a long time and require multiple phone calls. If you need help finding your technician’s contact phone number, you can call the main phone number on the back of your health insurance card.

I currently have Medicaid and just gave birth. I need to report the birth of my baby so they are added to my account and can go see a doctor and dentist. How do I make sure my baby is added?

You have several options for this. The fastest and easiest way to add your baby is to go to Colorado Peak and create an account if you don’t have one. Once you have created an account, or if you have one already, log in and report the addition of a new baby. These changes will happen very quickly. You can also contact the Fremont/ Custer County Family Health Coordinator to report the addition of a new baby and we can assist you in having them added.

For Healthcare Providers

If you are a healthcare provider for Fremont or Custer County, our Healthy Communities program can help you contact Medicaid or CHP+ patients regarding referrals to a specialist, an unnecessary Emergency Department visit, or a missed appointment in your office.

HCP

HCP previously was called the Health Care Program for Children With Special Needs. Now we're known simply as HCP.

HCP programs are located within local public health agencies throughout Colorado and have nurse-led teams with special knowledge of the complexities that families of children and youth with special health care needs experience.

To contact your local public health agency, call the HCP coordinator at (719) 276-7457

What is HCP?

Who can receive HCP services?

HCP provides services to children and youth with special health care needs from birth to 21 years living in Colorado, who have or are at risk for physical, developmental, behavioral or emotional conditions.

HCP services are tailored to fit the need of individual families.

HCP has no diagnosis or income restrictions.

Most services are free and no family is ever turned away due to their inability to pay.