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Case Management

Collaborating For Success

Carbon County Public Health collaborates with local health organizations to provide our community with comprehensive case management support services for individuals living with HIV/AIDS, tuberculosis, and chronic diseases.

WDH Communicable Disease Treatment Program

Through this program, individuals gain access to essential healthcare services and support, serving as a safety net for those who are uninsured, under-insured, or facing barriers to medical treatment. These programs offer a wide range of services to meet the diverse needs of individuals living with HIV/AIDS.

Moreover, our partnership extends to the HIV Peer Support Navigation program, which connects individuals living with HIV to Peer Support Navigators—individuals who understand firsthand the challenges and experiences of living with HIV. This program is available to anyone in Wyoming living with HIV and aims to improve health outcomes, overcome barriers to engagement in treatment, and provide support through lived experience.

Our partnership extends to the HIV Peer Support Navigation program, which connects individuals living with HIV to Peer Support Navigators. These Navigators play a crucial role in providing guidance and assistance, including navigating eligibility processes, overcoming barriers related to HIV care, and offering support for integration of wellness practices into daily life. To request an HIV Peer Support Navigator, individuals can complete the request form provided by the Prevention Program Manager at HIV Treatment: Resources for Patients – Wyoming Department of Health.

Tuberculosis

Stay informed about tuberculosis (TB) prevention and management in Carbon County through our collaboration with the Wyoming Department of Health’s TB program. We work closely with healthcare professionals and local agencies to safeguard our community against TB transmission. Our patient assistance programs offer support for diagnostic lab testing and medications, ensuring individuals with TB infection or disease receive the care they need. From overseeing directly observed therapy to conducting contact testing for infectious cases, we’re committed to containing the spread of TB. If you require a TB test, reach out to your healthcare provider or visit a local public health nursing office. For comprehensive TB-related services including case management, education, and treatment, contact us or your nearest public health nursing office. To access this resource, visit Tuberculosis – Wyoming Department of Health.

Who should be tested?

Certain people should be tested for TB infection because they are at higher risk for being infected with TB bacteria, including:

  • People who have spent time with someone who has TB
  • People from a country where TB is common (most countries in Latin America, the Caribbean, Africa, Asia, Eastern Europe, and Russia)
  • People who live or work in high-risk settings (for example: correctional facilities, long term care facilities or nursing homes, and homeless shelters)
  • Healthcare workers who care for patients at increased risk for TB
  • Infants, children, and adolescents exposed to adults who are at increased risk for latent tuberculosis infection or TB

Many people who have latent TB infection never develop TB. But some people who have latent TB infection are more likely to develop TB than others. Those at high risk for developing TB include:

  • People with HIV infection
  • People who became infected with TB bacteria in the last 2 years
  • Babies and young children
  • People who inject illegal drugs
  • People who are sick with other diseases that weaken the immune system
  • Elderly people
  • People who were not treated correctly for TB in the past

TB tests are generally not needed for people with a low risk of infection with TB bacteria.

Chronic Diseases

Chronic diseases, including heart disease, stroke, and type 2 diabetes, are some of the leading causes of death and disability in the United States. According to the Centers for Disease Control and Prevention, about one-third of deaths in the United States in 2022 were due to heart disease, stroke, or diabetes alone. These conditions can be prevented or even delayed by making healthy choices like staying active, eating healthy foods, and not smoking. The Chronic Disease Prevention Program’s goal is to combat and prevent the development of heart disease, stroke, and type 2 diabetes. We offer individual case management and educational opportunities throughout Carbon County, free of charge!

Tai Chi is a martial art that harmonizes mind, body, and spirit, and offers numerous benefits for individuals with chronic illnesses. Tai Chi for health is tailored for all ages and fitness levels, it promotes balance, reduces falls, and fosters integration of mind and body. Through movement control, weight transference, and mind-body integration principles, Tai Chi enhances aerobic capacity and inner energy while cultivating a calm mental state. It can alleviate chronic disease burdens by improving physical condition, muscle strength, coordination, flexibility, and sleep quality.

Tai Chi serves as an ideal preventive intervention, fostering self-awareness, flexibility, strength, and balance, while reducing stress and fostering social connections. Tai Chi classes, offered three times a year, provide a supportive environment at Platte Valley Martial Arts facility in Saratoga, Wyoming. Participants aged 65+ can further benefit from Tai Chi for Arthritis, an evidence-based program proven to reduce fall risks by up to 55%.

Prediabetes is a condition in which blood sugar is high, but not high enough to be considered type 2 diabetes. It is reversible, unlike type 1 diabetes. People diagnosed with prediabetes who lose 5-7% of their body weight decrease their risk of developing type 2 diabetes by 58%, and by 71% if they are over the age of 60. Lifestyle change programs like the National Diabetes Prevention Program can help those diagnosed with prediabetes to lose weight and lower their risk.

Heart disease is the leading cause of death in the United States. The most common type of cardiovascular disease in the US is coronary artery disease, which can cause heart attacks and death. High blood pressure, high cholesterol, diabetes, and being overweight or obese are all risk factors for heart disease. Heart disease can be delayed or prevented with diet, exercise, not smoking, and with medicine, if necessary.

Diabetes is a metabolic condition in which blood sugar levels are elevated due to issues with insulin production. It can cause many complications, including heart disease, stroke, kidney disease, limb loss, and blindness. There are many types of diabetes, including:

  • Type 1 diabetes: Occurs when the pancreas does not produce enough insulin. The exact cause is unknown, but genetics and environmental factors are likely involved.
  • Type 2 diabetes: Occurs when cells fail to respond to insulin properly, which may lead to inadequate insulin production. It is the most common type of diabetes, and its primary cause is obesity and unhealthy lifestyles.
  • Gestational diabetes: Occurs when pregnant women without a history of diabetes experience high blood sugar levels.

 

HIV Case Management

Carbon County Public Health provides comprehensive case management services for individuals qualifying for the Ryan White Program. To contact the Ryan White Case Management program, contact our office.

In order to be eligible for assistance, an individual must meet all three of the following requirements:

  1. Must be HIV-positive or have a diagnosis of AIDS.
  2. Must be a resident of the state of Wyoming.
  3. Must have a valid photo ID.

Our case managers can provide assistance with the following services:

  • HIV Medical Care
  • Laboratory and Diagnostic Services
  • Medications
  • Dental Care Services
  • Vision Care Services
  • Mental Health and Substance Abuse Treatment
  • Nutritional Services
  • Insurance Premium Assistance
  • Insurance Deductibles and Copays/Coinsurance Assistance
  • Transportation Assistance
  • Rental Assistance
  • Rent and Utility Deposits
  • Past Due Utilities
  • Past Due Rent or Mortgage

 

Carbon County Public Health offers additional services to persons living with HIV and their partners, including comprehensive sexual risk assessments and sexual health exams, testing for sexually transmitted infections (STI), and one-stop clinical services during our special CareFair events.

For more information about the Ryan White Program, please visit the Wyoming Department of Health’s HIV Treatment Program’s website.

Tracy Young

Tracy has dedicated the past 22 years to community prevention work in Wyoming, demonstrating a deep and unwavering commitment to the well-being of her peers and communities. The majority of her impactful career has been spent in Laramie, where she also served for several years with the Wyoming Association of Chiefs and Sheriffs of Police. Currently, Tracy serves Carbon County as a local Community Prevention Specialist. Her dedication extends beyond county lines, as she also serves as a Crisis Intervention Team Coordinator and Trainer for the Albany County Sheriff’s Office.

Tracy and her husband established their roots in Laramie in 2001 with their son, Alex. In 2013, during the heart of her career focused on substance abuse and suicide prevention, Tracy and her husband faced the unimaginable loss of their only child, Alex, to suicide. This profound personal experience has undoubtedly deepened Tracy’s resolve and understanding in her ongoing work within the prevention field.