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Harm Reduction Adult Health, Behavioral Health 701.845.8518 Public Health and harm reduction share the following overlapping principles, (usually in the presence of limited financial resources): Health protection - protection against infectious diseases and environmental threats Health improvement - target individual behavior or promote health by education and/or policy change Healthcare services - provide, analyze and improve/optimize healthcare services; "meet people where they’re at" ROPES Opportunities for better health. Stigma-free health services for people who use drugs. Ropes are tiny strands of different materials, bound together, more and more, getting thicker, intertwined, becoming stronger. There is a beginning and an end which can twist, knot, form a link, carry a heavy load, cut some slack or be stretched to the limit. The Rural Opioid Prevention Education and Support (ROPES) project is a federally and locally funded grant program using evidence-based practices to better serve people affected by Substance Use Disorder (SUD) and the disease of addiction. Project Goals: Prevent and reduce the progression of substance abuse and infectious disease Reduce the stigma surrounding addiction Strengthen harm reduction, treatment, and recovery capacity/infrastructure at the community level Project Services: Recovery/Peer Support Medication Assisted Treatment Syringe Exchange Overdose Prevention Education Rapid Testing for Infectious Disease Safer Sex Education Referral to Treatment Visit us on Facebook for program hours and additional info: The ROPES Proj ect Previous Item Next Item

Sheyenne Valley Memory Cafe 701.845.8518 Sheyenne Valley Memory Cafe was created in 2023 as a way to connect people with early-onset dementia or Alzheimer's, and their caregivers/family members. Sheyenne Valley Memory Cafe provides access to resources. Sheyenne Valley Memory Cafe meets monthly from September through May. Meetings are held at Faith Lutheran Church, 309 4th Street NE, Valley City, ND 58072. For more information, follow @sheyennevalleymemorycafe on Facebook or call City-County Health District at 845.8518. Previous Item Next Item

Breastfeeding Maternal Child Health 701.845.8518 Breastfeeding Support For Moms Benefits of Breastfeeding: Protects baby and mom from getting sick. Saves time and money on formula, bottles, and medicine. Helps with mom-baby bonding. For Employers ND Law states you must provide space and breaks for nursing employees. Read more about the law here: Becoming an Infant Friendly Workplace: Why should you become infant friendly? Benefits Include: Less Sick Leave- Breastfed babies stay healthier, so parents can work more. Less Staff Turnover- Companies with breastfeeding programs keep skilled workers longer. More Funds- Nursing babies visit the doctor less, lowering insurance costs. Higher Performance- Support for nursing parents increases success! How can we become infant friendly? Three Easy Steps: Make Space: Workplaces need a clean, private space. Need help creating a space? Grants Available for Infant Friendly Workplace Program! Craft Policy: Policies cover rules for space, breaks, and storage. Sample Policy Apply! Once approved, an Infant Friendly Designation offers many benefits like joining the Infant Friendly Workplaces in North Dakota! Apply now! Application for Infant Friendly Workplace Designation Online Breastfeeding Resources ND Breastfeeding La Leche League International Kelly Mom WIC Breastfeeding Support Previous Item Next Item

Women's Way Women's Health 701.252.8130 City-County Health District contracts with Central Valley Health District (CVHD) for Women's Way services. Women’s Way is a program that pays for breast and cervical screening services for women who meet certain age and income qualifications. Women can have insurance, but that insurance may not cover preventive screening services or they may have a high deductible. The program serves Barnes, Foster, LaMoure, Logan, McIntosh and Stutsman counties. Eligibility Requirements: Is a resident of North Dakota. Is age 40 through 64. Meets income guidelines. Has insurance that doesn’t cover Pap tests and/or mammograms or can’t afford to pay her deductible or co-payments or doesn’t have insurance. Is not enrolled in or eligible for Medicaid or Medicare Part B. Is 65 or older and is not eligible for Medicare or cannot afford Medicare Part B. Is age 21 through 39, has breast symptoms (lump) or is due for a Pap test or needs breast or cervical diagnostic procedures. To enroll, call 1.800.44.WOMEN or 701.252.8130 and ask for Tonya. The process is easy and can be done over the phone. Previous Item Next Item

Nursing Services 701.845.8518 Nursing Services The City-County Health District Public Health Nursing Team provides nursing services Monday - Friday. Walk-ins are welcome. Some services are available by appointment only. To schedule an appointment, call 845.8518. Blood Pressure Check: CCHD nurses can check your blood pressure. Cost: $5 Availability: Walk-ins welcome. Blood Sugar Check: CCHD nurses can check your blood sugar (glucose). Cost: $6 Availability: Walk-ins welcome. Cholesterol Screening: CCHD nurses can check your cholesterol levels with a fingerprick test. Results will be available before you are done with the appointment. Cost: $40 Availability: By appointment. Footcare: CCHD offers low-cost foot care services to help prevent foot problems for people who are unable to care for their own feet. Cost: $40 Availability: By appointment. Immunizations: CCHD offers immunizations for children and adults. Vaccines prevent disease in people who receive them and protect those who come in contact with unvaccinated people. Cost: Vaccinations can be billed though our partnering insurance companies. Children who are 18 and under, may qualify for free vaccine through the Vaccine for Children (VFC) program. They must meet one of the following criteria: No health insurance Medicaid eligible Native American or Alaskan Native Underinsured *Some adult vaccines are available through the 317 vaccine to adults uninsured or underinsured. Please call to find out which vaccines are available and eligibility requirements. Please call 701.845.8518 if you have any questions. Availability: Walk-ins welcome. By scheduling an appointment, we can help you be seen in a timely manner. Injections: CCHD nurses can administer injections, based on provider prescription. Cost: $20 Availability: Appointment required. For same day, please call ahead to coordinate. Medication Management: CCHD nurses can setup medication boxes to help you manage your medications. Cost: Billable to Medicaid. Self-pay is available. Availability: By appointment. Previous Item Next Item

Substance Use Prevention Adult Health, Behavioral Health 701.845.8518 Prevention is a proactive approach; creating an environment that promotes the health and well-being of individuals and communities, which prevent problems before they occur. Our substance use prevention programs implement evidence-based strategies in the community to prevent use of all substances. What We Do: Advocate for the use of best practices in preventing substance misuse focused on Alcohol , Opioids , and Tobacco . Parents, community members, and professionals can learn more about prevention and behavioral health for children and adults at: Parents Lead  and the North Dakota Department of Health and Human Services . Alcohol Binge drinking among adults in North Dakota is a top public health concern. SPEAKS VOLUMES is a campaign aimed at raising awareness among North Dakota adults on standard drink sizes to help them make better decisions about their alcohol intake. Valley City has a long history of proactive prevention and support for the safety of our community. Social access is our most persistent issue when it comes to underage drinking in North Dakota. Whether it’s from home, from a friend, or another adult over age 21, alcohol is often far too easy to get. Not in my House is a campaign focused on reducing social access to alcohol by raising awareness about social host liability and related misperceptions surrounding underage drinking. Opioids Our goals are to: Reduce misuse of opioid medications Increase drug take-back locations and utilization in the community Increase access to overdose prevention education and Narcan Narcan Naloxone (Narcan) is an antidote to overdose of heroin or other opioid drugs. It works by blocking the effects of opioids in a person’s system, helping to restore breathing. Training for Narcan use (in person and virtual) is available through City-County Health.  A free box with 2 doses of Narcan is provided to participants upon completion of training.   If you are interested in being trained or need Narcan replacement , please call 701-845-8518. Medication Disposal Take Back Locations: Unused meds can be deposited in a Take Back container located at these participating locations: Barnes County Sheriff’s Office, 575 10th Street SW #4 Valley City Police Department, 216 2nd Avenue NE Thrifty White, 239 2nd Avenue NW NuCara Pharmacy, 234 Central Avenue N Central Avenue Health Mart Pharmacy, 323 Central Avenue N #101 Deterra Pouches: In addition to local drug take-back locations, CCHD offers Deterra bags to the public at no cost. Deterra Pouches are proven to destroy unwanted or expired medications safely and permanently, making them unavailable for misuse, abuse, and accidental ingestion. Call our office to request: 845-8518. Screening for Potential Opioid Misuse We screen all home care and public health clients for potential opioid misuse through the ONE (Opioid and Naloxone Education) Program. ONE provides North Dakota organizations to screen patients prescribed an opioid medication and provide education, resources, and support to ensure safe medication use. Tobacco Prevention and Control Our Tobacco Prevention and Control program follows The Centers for Disease Control’s (CDC) Best Practices for comprehensive tobacco control programs. Our focus is to: Provide education and information to state and local policy makers and the public regarding current issues in tobacco control. Assist tobacco users seeking cessation. Work with local policymakers, businesses and organizations, and schools to develop and adopt tobacco-free policies in the workplace and the community. Prevent youth initiation to tobacco. Resources: ND Quits Breathe ND Previous Item Next Item

Environmental Health 701.252.1325 City-County Health District contracts with Central Valley Health District (CVHD) for all environmental health services. The mission of the Environmental Health Division is to protect human health and the environment through prevention of disease, injury, and illness by the promotion of scientific evidence-based practices and education. Central Valley Health District provides environmental health services and education in Southeast Central North Dakota for: Barnes , Dickey , Foster , LaMoure , Logan , McIntosh , Stutsman , and Wells . Please visit the Central Valley Health website for more information on environmental health services . Barnes County Septic Permits: Permits are available at City-County Health District 415 2nd Avenue NE, Ste. 101 Valley City, ND. Visit the front desk to purchase or call 7 01.845.8518 for more information. Who Can Purchase Permits: Licensed Septic Installers may purchase permits. Please visit the Central Valley Health website for a list of licensed septic installers . Property-owners may purchase a permit and install a system on their property. For self-installation, owners must contact Central Valley Health at 701.252.8130 before they can be issued a permit. Property-owners may purchase a permit for a licensed contractor to install a system on their property (contractor must be listed on permit prior to issue). Permit Costs: $150 system installation/repair $125 holding tank/septic tank replacement Food Safety Recalls: Previous Item Next Item

Contact Contact Leadership Katie Beyer , CHES | Administrator Kerry Due , RN | Director of Nursing Contact Email: cchd@barnescounty.us Phone: 701.845.8518 Fax: 701.845.8542 Emergency Contacts If you are ill , see your healthcare provider. To report an emergency, call 9-1-1. If you are experiencing a mental health crisis , call or text 9-8-8. To report a public health emergency , call 701.952.8196 .

Emergency Preparedness 701.845.8518 Previous Item Next Item City-County Health District works with the North Dakota Department of Health and Human Services (NDHHS), public safety agencies, and other community groups to plan and prepare for disasters or emergency situations. This is in conjunction with local all hazards emergency planning, preparedness, and response. City-County Health District is part of an eight-county region established by NDHHS for emergency preparedness and response planning. Counties included in our region are: Barnes , Dickey , Foster , LaMoure , Logan , McIntosh , Stutsman , and Wells. An emergency preparedness/response coordinator and a public information officer serve the eight counties within the Southeast Central Region. Their work is funded in part by federal grants and is focused on public health emergencies. This is done through public education and planning which involves partnerships for enhanced regional response plans and capabilities. For more information, contact Central Valley Health District – Emergency Preparedness. Emergency Notifications Barnes County offer services to inform residents of emergency situations or critical community alerts. Alerts are issued for a variety of situations, including natural disasters, terrorism threats, gas leaks, water contamination, chemical spills, missing child alerts, severe weather such as tornadoes and flash flooding, and for general community notifications. Signup for Barnes County alerts .

Environmental Health 701.845.8518 Previous Item Next Item City-County Health District contracts with Central Valley Health District (CVHD) for all environmental health services. The mission of the Environmental Health Division is to protect human health and the environment through prevention of disease, injury, and illness by the promotion of scientific evidence-based practices and education. Central Valley Health District provides environmental health services and education in Southeast Central North Dakota for: Barnes , Dickey , Foster , LaMoure , Logan , McIntosh , Stutsman , and Wells . Please visit the Central Valley Health website for more information on environmental health services . Barnes County Septic Permits: Permits are available at City-County Health District 415 2nd Avenue NE, Ste. 101 Valley City, ND. Visit the front desk to purchase or call 7 01.845.8518 for more information. Who Can Purchase Permits: Licensed Septic Installers may purchase permits. Please visit the Central Valley Health website for a list of licensed septic installers . Property-owners may purchase a permit and install a system on their property. For self-installation, owners must contact Central Valley Health at 701.252.8130 before they can be issued a permit. Property-owners may purchase a permit for a licensed contractor to install a system on their property (contractor must be listed on permit prior to issue). Permit Costs: $150 system installation/repair $125 holding tank/septic tank replacement Food Safety Recalls:

Baby Safe Haven Maternal Child Health 701.845.8518 Previous Item Next Item What is Baby Safe Haven? City-County Health District is an approved location for Baby Safe Haven. North Dakota’s Baby Safe Haven Law allows a parent or parent’s agent (another person with a parent’s consent), who feels they are unable to take care of their baby, to anonymously surrender the baby without being charged for abandonment. Baby Safe Haven Law protects parents who meet all 4 criteria: The baby is unharmed. The baby is under one year of age. The baby is left at an approved location. The baby is given to an on-duty staff member. Where are Baby Safe Haven Locations? A hospital where the baby was born Hospital/Emergency Rooms Local Public Health Units/Offices City-County Health District is an approved location. Human Service Zone Offices Law Enforcement Centers Regional Human Service Centers Long Term Care Nursing Facilities Children's Advocacy Centers 911 EMS Responders Location Closed? Please call 9-1-1. Baby Safe Haven Resources: Baby Safe Haven Brochure North Dakota Health and Human Services - Safe Haven

Car Seats Maternal Child Health 701.845.8518 Previous Item Next Item City-County Health District can help with car seats! We offer: Car seat checkup events Car seat installation by appointment Free car seats for families who qualify What to Expect: Our trained and certified child passenger safety technician will show you how to correctly use your child’s car seat or seat belt. Did you know? Five of six car seats are used incorrectly in North Dakota. During the checkup, we make sure your car seat: Has not been recalled. Meets federal safety standards. Is installed correctly Fits your child’s age, weight and height. Secures your child properly. Car seats for those who qualify. Your family may qualify for a free car seat if you are enrolled in programs like WIC, TANF, or Medicaid. We follow guidelines from the ND Department of Health and the ND Department of Transportation. For more information or to schedule an appointment, call 845-8518. Resources Child passenger safety best practices ND child passenger safety laws