Priority Alignment. Birth Outcomes. Goal 1-Reduce preterm births. Goal 2 - Reduce substance misuse in pregnant women

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1 Alignment Birth Outcomes Goal 1-Reduce preterm births Birth Outcomes Infant Mortality - Empower People - Reproductive and Sexual Health - Reduce preterm births - Reduce the fetal and infant deaths - Reduce low birth weight (LBW) and very low birth weight (VLBW) - Increase the proportion of pregnant women who receive early and adequate prenatal care Goal 2 - Reduce substance misuse in pregnant women - Birth Outcomes - Neurodevelopmental Disorders - Substance Abuse Infant Mortality : - Empower People : - Reproductive and Sexual Health - Tobacco Free Living - Increase abstinence from alcohol, cigarettes, and illicit drugs among pregnant women - Reduce the occurrence of fetal alcohol syndrome (FAS)

2 Goal 3 - Reduce the infant mortality racial disparity in zip codes: 45400, 45405, 45406, 45414, 45415, 45416, 45417, and Birth outcomes - Stable Employment - Food Access - High School Graduation - Neighborhood Stability/Affordable Housing - Stable Employment - Community Violence - Career Ready-Post-Secondary Credentials - Concentrated Poverty Infant Mortality - Empower People - Elimination of Health Disparities - Reproductive and Sexual Health - Reduce preterm births - Reduce the fetal and infant deaths - Reduce low birth weight (LBW) and very low birth weight (VLBW) - Increase the proportion of pregnant women who receive early and adequate prenatal care - Increase the proportion of pregnancies that are intended - Social Determinants of Health (Topic)

3 Prevention Goal 1 - Increase access to safe physical activity opportunities in zip codes: & (West Dayton), (Jefferson Township), and & (Trotwood) Community Violence, s - Elimination of Health Disparities - Active Living - Injury and Violence Free Living - Reduce the proportion of adults who engage in no leisure-time physical activity - Increase the proportion of the Nation's public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours - Increase legislative policies for the built environment that enhance access to and availability of physical activity opportunities Goal 2 - Increase access to healthy foods s, Food Access - Elimination of Health Disparities - Healthy Eating - Increase the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans

4 Goal 3 - Decrease tobacco use s - Tobacco Free Living Tobacco Use (Topic) Goal 4 - Increase physical activity and healthy eating in children State Health Improvement Plan National Prevention Strategy s - Active Living - Healthy Eating - Increase the proportion of the Nation's public and private schools that require daily physical education for all students - Increase the proportion of adolescents who participate in daily school physical education - Increase the proportion of school districts that require or recommend school recess for an appropriate period of time - Increase the proportion of children and adolescents who do not exceed recommended limits for screen time - Increase the proportion of schools that offer nutritious foods and beverages outside of school meals

5 Behavioral Health Goal 1 - Ensure access to needed behavioral health services at the right amount, at the right time, for the right person, and in the appropriate setting Brain Health - Mental and Emotional Well-Being - Increase the proportion of children with mental health problems who receive treatment - Increase the proportions of adults with mental health disorders who receive treatment - Increase the proportion of persons who need alcohol who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year Goal 2 - Increase integration of primary and behavioral healthcare services Brain Health - Mental and Emotional Well-Being - Increase the proportion of primary care facilities that provide mental health treatment onsite or by paid referral - Increase depression screening by primary providers - Increase the number of Level I and Level II trauma centers and primary care settings that implement evidence-based alcohol Screening and Brief Intervention (SBI)

6 Goal 3 - Enhance care coordination and information sharing across behavioral health and other system partners Integration of Physical and Behavioral Health - Mental and Emotional Well-Being Goal 4 - Reduce the use of opioids and other illicit substances Substance Abuse Injury and Violence - Increase the proportion of adolescents never using substances - Increase the proportion of adolescents who disapprove of substance abuse - Increase the proportion of adolescents who perceive great risk associated with substance abuse - Increase the number of admissions of substance abuse treatment for injection drug use