An Interview With Dr. Gardner, Police Psychologist Oakland County Sheriff's Office, MI

In this interview, Dr. Gardner, Police Psychologist of the Oakland County Sheriff's Office, provides his insights about working with police officers. He provides an overview of the factors that influenced his decision to pursue this career and which experiences were the most meaningful in helping him be successful as a provider within this unique population. He describes his qualifications as a psychologist, his experiences as a police officer, and the importance of having both of these. He discusses the differences in culture between police officers and the community and the barrier this creates for non-police psychologists to serve such individuals. In addition, he reflects on the unhelpful aspects of cop culture and the negative effects this has on officers' mental health. For the sake of increasing mental health integration and improving officers' quality of life, he concludes by encouraging more individuals to pursue a career in police psychology.

1653. Strong Partnership and Effective Communication Between a Tertiary Hospital and a County Health Department Were Critical in Controlling a 2019 Measles Outbreak in Southeast Michigan (SEM)

Background Measles, declared eliminated in the US 2000, is a reemerging vaccine-preventable airborne disease. The 2019 case count (704 as of April 30, 2019) has surpassed the number of 2014 cases (667), the highest since 1994. Many healthcare personnel (HCP) have not seen a case of measles, and this lack of clinical experience may contribute to missed or delayed diagnoses leading to its spread. We describe the processes and measures implemented at Beaumont Hospital, Royal Oak (B-RO) Michigan in collaboration with the Oakland County Health Department (OCHD) to prevent secondary spread during an outbreak. Methods Soon after the initial report of the index case in Oakland County in March, the B-RO epidemiology team connected with OCHD. As both exposed and suspected cases were expected to seek care at B-RO, a one-page informational document was sent to B-RO providers. This document detailed isolation precautions and testing methods, post-exposure prophylaxis (PEP), and contact information. During subsequent days, as measles cases increased, frequent calls between B-RO and OCHD addressed numerous issues, including: media notifications, contact of exposed persons, vaccine and immunoglobulin supply for PEP, safe referral of cases to the EC, and the process of measles specimen submission for testing. As needed, these communications occurred after business hours and during weekends. Serologic testing to confirm measles immunity was ramped up. Results As of April 30, 41 cases have been confirmed in MI associated with the index case. OCHD facilitated the exposure control for 40 patients, of which 6 came to B-RO during their infectious period (Figure 1). To date, there have been no secondary cases developing in B-RO patients, HCPs or visitors, which may be related to successful engineering controls, appropriate protective equipment, mandatory measles immunity confirmation as condition of Beaumont employment since the late 1980s, institution of furlough procedures, PEP for hospitalized patients, and widespread communications with patients, visitors and HCPs (Figure 2). Conclusion During an outbreak, close healthcare facility and local health department collaboration is essential in rapidly limiting an airborne disease outbreak. Disclosures All authors: No reported disclosures.

Introduction: Flint and the Racialized Geography of Indifference

In this introduction to the Critical Sociology symposium, “The Flint Water Crisis and the Failure of Neoliberal Governance,” the authors outline the social and cultural conditions for the racialized underdevelopment of Flint and Detroit in the late 20th and early 21st centuries. We begin with an examination of the racially coded rhetoric of Oakland County manager, L. Brooks Patterson, and the manner in which those racial codes reveal the deep roots of white suburban anxiety and racism in the history of economic and spatial apartheid in Michigan. Turning to Flint itself, we draw upon Andrew Highsmith’s recent history of the city, Demolition Means Progress (2015), and examine 20th century red-lining, school segregation, and neoliberal policy decisions as they interacted, effectively rendering Flint’s African American population invisible and, finally, through emergency management, nearly powerless. We close with a survey of the articles within the symposium. Each contribution to the symposium finds that even within the structural and political limitations imposed by neoliberalism, residents and activists continue to find productive spaces for resistance.

St. Joseph Mercy Oakland Pink Ribbon Mammogram Program designed to address health-care disparities.

11 Background: Despite ongoing national efforts to promote state-mandated health care, such as the Affordable Health Care Act, many regions still struggle with high rates of uninsured and under-insured residents. Over 500,000 people have enrolled in the Healthy Michigan Plan, but premium payments are often prohibitively higher than the penalties for failing to obtain insurance. In Oakland County, 15% of adults remain uninsured and only 66.4% receive access to mammography screening. Developed in 2009, the St Joseph Mercy Oakland Pink Ribbon Mammogram Program takes a unique approach to addressing this issue, providing free breast cancer screening for women in Oakland County. Methods: Since its inception six years ago, the SJMO Pink Ribbon Program has served 806 Oakland County uninsured and under-insured women. This was made possible through the coordination of funding from the Pink Ribbon Trailblazers, a local grass-roots organization led by a breast cancer survivor, and St Joseph Mercy Oakland Hospital. Our program is unique, as women not only receive a free screening mammogram, but also a personalized breast cancer risk assessment and a clinical breast exam by a breast surgeon. The program also covers diagnostic mammogram and ultrasound if necessary. Women who need biopsy meet with the oncology financial navigator. Most women are enrolled in either the State of Michigan Title XV program/BCCCP, or Mercy Support, a charitable financial assistance program through the hospital. Women diagnosed with breast cancer either continue in Mercy Support or are enrolled in Medicaid. Results: We have found that despite the recent Affordable Health Care Act, demand for our program continues to increase annually. There continues to be a need for local communities to address health care disparities amongst lower income populations in Oakland County and throughout the nation. Conclusions: The purpose of this article is to describe the way that a local charitable organization, physician, and the hospital can come together to fund and provide continuity of care from screening, diagnosis, to treatment for low income women.