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AZ BioSense Community of Practice

The mission of the Arizona BioSense Workgroup is to work collaboratively as partners to build capacity and quality of BioSense syndromic surveillance in Arizona. Our vision is to improve population health and emergency response through the use of timely and effective syndromic surveillance. This space is a platform for our members to continue discussions and share cross-role topics and questions from providing the data to using syndromic data (clinician/IT/public health).
Laura ErhartJoli WeissTaylor Lutich, AZHayleigh McCall, Program Analyst III, Syndromic Surveillance at CSTEMatt RoachIrene, Senior Surveillance EpidemiologistAmanda Swanson, TB Special Projects Epidemiologist at AZDHSKaitlyn ChorbiAlyaa Altabbaa, Program Analyst at CSTEHeather VenkatLaura Fox, Environmental Public Health Tracking EpidemiologistChristina Mrukowicz, EpidemiologistSarah GieszlAmy LaiMichelle Kreutzberg-Martinez +189 others
Posted by Krystal Collier ·

Poll: NSSP CoP Syndrome Definition Subcommittee Mental Health Syndrome

Hi All,

The NSSP CoP Syndrome definition Subcommittee pushed out a poll today that I believe is of interest to many of you.  If you would like to share you feedback with the NSSP CoP Syndrome Definition Subcommittee complete the poll question below.

Thank you to those who were able to join today’s Syndrome Definition Subcommittee call. During the call, the subcommittee agreed to develop a mental health-related syndrome and several members indicated their interest in pursuing this effort.
 
The group determined two potential approaches to developing the syndrome:
  • Option 1: A broad mental health syndrome that covers all mental health related visits
  • Option 2: Specific mental health syndromes such as depression, anxiety, bipolar disorder, unspecified mental health, etc. that could be used in combination to create a broad mental health syndrome.
 
Please indicate your preference for which option the Syndrome Definition Subcommittee should focus their efforts on here by EOD, Friday, October 9th.
 
The call recording can be accessed on the NSSP CoP Knowledge Repository.

Comments & Events

Mark Person Mark Person
Sorry I missed live meeting. Just listened to recording and had a couple points to include regarding mental health in context of COVID.

Consider stressors from mitigation efforts to guide methodology. We cant measure any of these things but it's important in the context of timing.
  • Environmental: lockdowns, outbreaks, school closures, business closures, mask mandates, park closures, gym closures, transportation restrictions (no mask no ride). 
  • Psychological: fear infused through media, isolation, government mandates, community protests, distanced from natural supports.
  • Situational: wage cut, job loss, eviction, divorce, health care disruption, insurance coverage disruption, arrest, child removal.   
If you look at timing of major events and their anticipated impact on mental health you can potentially identify concerning trends early on by measuring any or all of these:
  • Suicide/Self injury: Fatal and non-fatal
  • DV 
  • Child Abuse/Neglect
  • Overdose: Fatal and non-fatal
  • Psychiatric crisis
  • Detoxification
  • Involuntary commitments (Court ordered evaluations) 
  • Payer source trends (surge in Medicaid?)
  • Sexual assault 
  • NAS
Also consider decreases may also be just as concerning as an increase. Prolonged abuse, neglect, DV, all escalate and increase risk of aggravating injuries, trauma, and homicide. Un-treated mental health and addiction increases chances of overdose, suicide, lost wages/employment, and homelessness. In other words, the appearance of a statistical decrease may translate to untreated/prolonged stressors that produce worse outcomes later on.      
Krystal Collier, Syndromic Surveillance Program Coordinator You are Awesome!
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