Background: The adoption of tobacco-free policies in behavioral health settings is an important step in reducing staff tobacco use as well as the high rates of tobacco use among people with mental illness and behavioral disorders. Studies have demonstrated the importance of staff support when implementing tobacco-free workplace policies, but there is limited research examining tobacco use prevalence among staff and staff attitude before and after policy adoption.
Community Context: Integral Care, a local authority for behavioral health and developmental disabilities in Austin, Texas, and Austin Public Health embarked on a comprehensive planning process before implementing a 100% tobacco-free campus policy.
Objectives: We evaluated a real-time ambulatory care-based syndromic surveillance system in four metropolitan areas of the United States.
Methods: Health-care organizations and health departments in California, Massachusetts, Minnesota, and Texas participated during 2007-2008. Syndromes were defined using International Classification of Diseases, Ninth Revision diagnostic codes in electronic medical records.
Introduction: Local public health departments may assume responsibility for sheltering and providing care for medically needy populations displaced by disasters. In addition, medical special needs shelters will inevitably house persons not requiring medical assistance. The presence of nonpatients may help or hinder shelter operations.
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