Harm Reduction 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

Baby Safe Haven 701.845.8518 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 Previous Item Next Item

WIC 701.845.8518 WIC (Women, Infants and Children) Not sure if you are eligible? The WIC PreScreening Tool can help you determine if you may be eligible. About The WIC Program aims to safeguard the health of low-income women, infants, and children up to age 5 who are at nutrition risk by providing nutritious foods to supplement diets, information on healthy eating, and referrals to health care. Clients receive an individualized food package and nutrition education. Families must meet income guidelines and be screened for a nutritional risk. Appointments are necessary, please call (701) 845-8518 . Eligibility You must be a: pregnant woman ; breastfeeding woman (up to one year after giving birth) new mother (up to six months after giving birth) parent, guardian or caretaker who has an infant or child younger than 5 years of age AND You must have a nutritional health risk . The WIC Staff will be able to find a risk by checking your height, weight and iron level and having you answer some health and diet questions. AND Your annual household income must be within WIC Income Eligibility Guidelines which are based on gross income unless you are self-employed. Note: You may have a job and still meet these guidelines. OR If you receive Medical Assistance (Medicaid), TANF, SNAP, or Healthy Steps , you are income eligible for WIC even if your income is above these guidelines. [Note: If you are pregnant, you can add one more person to the size of your household.] Did you know WIC offers the following? 1. Healthy Food + Nutrition Tips WIC helps you feed your family healthy meals by providing: Monthly food benefits on an eWIC card to use at your local grocery store Recipes and ideas on how to use the WIC foods Tips for picky eating 2. A Community of Support WIC offers a network of experts for information and guidance: Nutritionists provide personalized nutrition counseling Breastfeeding specialists to help you breastfeed successfully Individual assessment of growth and health 3. Referrals WIC offers information about other helpful services including: Health care professionals such as doctors, dentists, and lactation consultants Immunization services Local social service programs including Medical Assistance, SNAP, and housing assistance. Resources WIC Food List WIC Program Disclaimer This institution is an equal opportunity provider. Please click the link below for the WIC nondiscrimination statement: https://www.hhs.nd.gov/food-programs/WIC/RR Previous Item Next Item

Home Care 701.845.8518 Certified Home Care Care for All. Infancy through Aging. Your Choice. Your Home. Since 1982, City-County Health has been providing high quality care to clients in the comfort of their own home. Services are available to residents of Barnes County under the care and direction of their medical provider. Our home care team includes Registered Nurses, Home Health Aides and a Physical Therapist. We coordinate services and care with Doctors, Pharmacists, equipment providers and other resources. City-County Health District is a Medicare certified, licensed member of the North Dakota Association of Home Care. Who needs home care? Individuals who: have a difficult time leaving the house, typically with a taxing effort are in need of skilled nursing care on an intermittent basis are returning home after a nursing home or swing bed stay are recovering from surgery or other ailments Who pays for home care? Medicare Medical Assistance Veterans Administration Private Insurance Services: Skilled Nursing Home Care Aides Physical Therapy Other Service Coordination Assessment and Education How do I get home care? Request from your physician or hospital discharge planning team that you be visited by City-County Health District’s Home Care Team. When you choose our Home Care team, you’re helping to ensure that Public Health can continue to provide essential services for the community and those who need us most. Resource: VA Community Care – Eligibility Public Health Home Care Services are available to clients in their home billed at 15-minute increments and occur in limited frequency. Our Public Health Nurses can offer: General Health Assessments Medication Management Immunizations Referral to Additional Community Services Our Public Health Aides can offer: Personal Cares Bathing Referrals to Caregiver Support Services for qualifying individuals Who pays for home care? Self-pay. Payment can be made by check or cash. A transaction fee will be applied to payments made by credit card. Referrals can be made by: clients or family members, physicians, other providers, schools, social workers, other agencies, or concerned citizens. Previous Item Next Item

Car Seats 701.845.8518 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 Previous Item Next Item

Health Tracks 701.845.8518 Health Tracks is a program through North Dakota Medicaid that focuses on prevention, early detection and treatment for children and young adults under 21. Preventive care is as important for your child's health. All children and teens need regular check-ups. Getting regular well-child check-ups helps children and teens stay healthy by: Finding health concerns before they become serious. Preventing illness by making sure children get the health care What services are provided? Health Tracks may cover : Physical exams Hearing and vision checks Glasses and hearing aids Vaccines (shots) and labs Dental care, braces, flouride varnish Health education Behavioral health screenings Growth and development checks Nutrition counseling Other health services The Health Tracks coordinator at City-County Health District will help schedule appointments for services. Some services require prior approval, so check with your coordinator about these requirements. When should my child have a Health Tracks screening? Children should get screenings at regular times, even when they are feeling well. Babies grow fast and need a lot of screenings: Newborn 2-5 days old 1 month 2 months 4 months 6 months 9 months 12 months Toddlers need exams at: 15 months 18 months 24 months 30 months After 30 months , children need exams at 3, 4, 5, 6 and then annually up to age 21. Additional screenings are also covered upon a child's needs. Appointments To schedule a Health Tracks appointment at City-County Health District, call 845-8518. Resources: Apply for North Dakota Medicaid Bright Futures NDHHS Health Tracks Parents Lead Previous Item Next Item

Recovery 701.845.8518 Recovery PRIORITY Ensuring equitable access to rural treatment and recovery systems. Bridges connect people who are in different places. They offer a more efficient way of getting to another point. Bridges reduce isolation, enable help to be connected, and open up the opportunity for people to be helped. A bridge provides support and reach, increasing the range of options available. The Bridges to Rural Recovery (BRR) project is a federally funded grant program using evidence-based practices to improve outcomes for individuals at risk for addiction and/or co-occurring mental disorders, their families, and communities. Project Goals increase prevention activities to reduce behavioral health disorders and their negative outcomes. integration of behavioral health in rural primary care, hospitals, emergency rooms, and other settings. develop recovery-orientated systems of care in the eight-county area (total population 54,331) The eight-county area includes Barnes County, Dickey County, Foster County, LaMoure County, Logan County, McIntosh County, Stutsman County, and Wells County. There are structural and systems-level barriers that prevent rural residents from accessing quality, integrated behavioral health care services. Working across the spectrum of behavioral health , the Bridges to Rural Recovery project seeks to improve rural service delivery. The project’s overarching priority is to increase equitable access to and utilization of rural-centered prevention, treatment and recovery services for those affected by behavioral health conditions. Bridges to Rural Recovery Contact To learn more, contact City-County Health District at 845-8518. Previous Item Next Item

Substance Use Prevention 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

Family Planning 701.252.8130 Family Planning is offered at City-County Health District 2nd Tuesday of every month from 9:00 AM to 12:00 PM Available Services Central Valley Health District offers a range of family health services, including Birth control & family planning. Find the method that's right for you, from oral contraceptives to IUDs. STI testing & treatment. Get screened and treated for sexually transmitted infections to protect your health and that of your partners. Pregnancy testing and counseling. Accurate, confidential pregnancy testing and counseling services are available. HPV vaccinations. Protect yourself with the HPV vaccine, reducing the risk of certain cancers and genital warts. Annual wellness exams. Comprehensive check-ups to assess reproductive health, including pap test, pelvic exams, and more. As a collaborating partner, City-County Health District provides limited services on a daily basis. Call (701) 845-8518 to schedule an appointment for: Pregnancy Testing Emergency Contraceptive Pills (ECP, also known as the morning after pill) About CVHD Services Central Valley Health District offers family planning in collaboration with City-County Health District. We guarantee our services are always Confidential & judgement free. Your privacy is our priority. All services are strictly confidential. Inclusive support. We welcome people of all backgrounds and identities, ensuring a safe space for everyone. Affordable care. All services are provided on a sliding fee scale and based on income and household size. Your appointment may be filed through your medical insurance, if you choose. Schedule An Appointment Call Central Valley Health at 701.252.8130 *Evening hours are available in Jamestown on the first and third Wednesday of each month for those who can't visit during the day. At-Home STI & HIV Testing Need sexually transmitted infection (STI) or HIV testing? Order a FREE home test collection kit to your door today. Benefits of at-home testing Anytime, Anywhere testing Private Free! Order a at-home test kit today. For more information, Central Valley Health Di strict Reproductive Health Services . Previous Item Next Item

Women's Way 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

Breastfeeding 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

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