Workforce Capacity
Strengths & Challenges
Twenty-five percent of LHDs reported strengths in supporting providers, giving referrals, coordinating continuity of care, and training health agency staff in evidence-based prevention strategies, while the majority of LHDs reported challenges in the integration of behavioral/mental health and physical health care.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-01.png)
Evidence-Based Strategies
Challenges
Thirty-one percent of LHDs reported some or full capacity to address primary prevention of overdose. This number was lower for primary prevention of suicide and ACEs.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-02.png)
Health Disparities
Strengths & Challenges
While fewer than 22% of LHDs reported some or full capacity to address health disparities in specific populations disproportionally affected by ACEs, suicide, and overdose, 64% of LHDs reported at least sometimes incorporating the perspectives of people with lived experience into their prevention efforts.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-03.png)
Multilevel Leadership
Strengths
More than 75% of LHDs reported leader interaction across sectors and/or jurisdictional levels in suicide, overdose, and/or ACEs prevention.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-04.png)
Strategic & Shared Planning
Strengths
Fifty-eight percent of LHDs have a strategic plan for at least one topic related to suicide, overdose, or ACEs.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-05.png)
Data & Surveillance
Challenges
Only 1 in 8 (or around 12%) LHDs reported using surveillance data to address the intersection of suicide, overdose, and ACEs.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-06.png)
Managed Resources
Challenges
While overdose prevention efforts more commonly had sustained funding, 60% of LHDs do not have sustained funding for even one of suicide, overdose, or ACE prevention.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-07.png)
Networked Partnerships
Strengths
Fifty percent of LHDs partner across sectors and jurisdictions, with more LHDs working with partners on overdose prevention than suicide and ACEs prevention.
![](https://higherlogicdownload.s3.amazonaws.com/NACCHO/f6cf34b2-e402-41a7-b2c3-247aa1764fb8/UploadedImages/graph-08.png)