HEALTH & WELLNESS IN THE FIELD OF LAW ENFORCEMENT

Transcription

1 APD Wellness Unit 2014 HEALTH & WELLNESS IN THE FIELD OF LAW ENFORCEMENT JD Maes, MS, CSCS

2 Topics We Will Discuss The American Culture of Poor Health Links between Police Work and Health Risk Benefits of Wellness Programs Practical Interventions

3 Our Culture Of Consumption Excessive weight is a problem of the Westernized world Lifestyle and behavioral habits are the biggest predictors of overall health status We live in a world that encourages over consumption and discourages physical activity

4 Health Care Crisis Children today won t live as long as their parent Increasing Chronic Illness overweight, obesity, diabetes & heart disease We DO NOT have the best health care system in the world!

5 What are your Chances? Diabetes (for those born in the year 2000) ~ 1 in 3 Heart Disease at age 40 ~ 1 in 2 Breast cancer ~ 1 in 8 Major Depression ~ 1 in 11

6 The Rising Cost of Health Insurance Current Medical Management Programs will not suffice Employers are in a unique position to influence their employees Self-Care 75% spent on health care is spent on treatment of preventable disease. It is spent on treatment of disease that is rooted in behavioral or lifestyle choices. If employees can be convinced to make lifestyle modifications the potential cost savings are huge ~ Source: Centers for Disease Control The first wealth is health Ralph Waldo Emerson

7 Lifestyle Related Diseases Percentage of selected chronic diseases that are lifestyle related and avoidable: Cancers 71% Stroke 70% Heart disease 82% Diabetes 91% Sixty percent of all cancers could be eliminated if people ate healthier foods. --The American Cancer Society Source: The Culprit and the Cure, by Dr. Stephen G. Aldana 2006 Wellness Council of America

8 Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

9 Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

10 Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

11 Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

12 Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

13 Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

14 Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

15 Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

16 Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

17 Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

18 Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

19 Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

20 Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

21 Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

22 Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

23 Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

24 Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

25 Obesity Trends* Among U.S. Adults BRFSS, 2001 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

26 Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

27 Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

28 Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

29 Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

30 Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

31 Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

32 Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

33 Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

34 Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person) No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

35 Risk Factors an individual CAN Control Diet Exercise Cholesterol Tobacco Blood Pressure Alcohol Weight Stress

36 Risk Factors an Individual can t Control Family History Age Gender Note: If an individual has risk factors they cannot control, it is important to eliminate factors that they can control.

37 Body Composition Overweight & Obesity are known risk factors for: Diabetes Coronary Heart Disease High blood Cholesterol Stroke Hypertension Gallbladder Disease Osteoarthritis Sleep Apnea & other breathing problems Some forms of Cancer (such as breast, uterine, colorectal, kidney, and others) Pregnancy Complications Menstrual Irregularities Stress Incontinence Depression Surgical Risks Increased Mortality

38 Leading Causes of death in U.S. Cardiovascular diseases Cancer Stroke Accidents 38

39 Behavioral/Environmental Risks In Law Enforcement Higher Occupational Stress Shift Work/ Lack of Sleep Sedentary Lifestyle Unhealthy Food Choices Posture/ gun belt syndrome Vulnerable to Unhealthy Lifestyles Tobacco, alcohol, drugs Source: Bullock, T. (2007) Police officer injury study. VML Insurance programs Law Enforcement Newsletter, 1(2)

40 Health Concerns in Law Enforcement Low Back Problems Colon Cancer Diabetes Arthritis Obesity Cardiovascular Related Diseases Ulcers Unmanaged Stress

41 The Good News... Worksite Wellness Programs Work!!! For every $1 spent on health promotion, an organization can save $3 to $5 in health and safety costs: Medical Absenteeism Workplace accidents Research has also demonstrated 28% reduction in sick leave absenteeism 26% reduction in health costs 30% reduction in workers comp and disability management claims Source: Aldana SG. Financial impact of health promotion programs: a comprehensive review of the literature. Am J Health Promot. 2001;15:

42 Additional Benefits Improved morale Improved communication among work groups Decreased absenteeism Decreased presenteeism / improve productivity Increased employee loyalty to your organization Reduction in risk factors Increased safety / reduce workers comp. & disability Reduced alcohol and drug use risk factors

43 Where Do We Start?? Modifiable behaviors are responsible for the majority of our health risks: Tobacco use Lack of physical activity Poor eating habits Stress Management/Emotional Health Focusing on these modifiable risk factors to reduce the onset of chronic conditions will ultimately improve the health of the workforce and reduce costs related to medical, workers comp and productivity.

44 Wellness Is a Partnership Wellness A partnership should be formed between all stake holders to ensure optimal services to employees Police Department

45 Role of the Insurance Provider Facilitate Health Screenings Cholesterol Blood Sugar Blood Pressure Health Risk Assessment Health Coaching for those at risk Offer Initiatives Aimed at Behavior Modification * Often administered through the Human Resources/Benefits Division

46 Health Screening Components Blood Pressure also known as Hypertension Cholesterol-HDL/LDL/Total Triglycerides Glucose A1C Body Mass Index Waist Circumference Body Fat Percentage

47 Health Risk Assessment (HRA) CONFIDENTIAL online questionnaire used to assess and monitor current health risk of each employee Helps individuals examine current lifestyle behaviors and assess readiness to change If one participates each year it gives you a benchmark, based on individual results to show if your health improved, remained the same, or increased It is helpful to know health screening results and family history to generate complete and accurate results

48 Health Risk Assessment Helps Identify Risks Asks questions about you and your behaviors towards: Diet Exercise Stress Level and Coping Weight Management Exams Safety Family history Screening results

49 Health Risk Assessment Results Provide referral to telephonic health coaching Provide the individual with feedback and resources for change Help assess personal behaviors and opportunities to reduce risk Contribute to aggregate results for implementing future programs and monitors progress over time Always confidential

50 Benefits of Health Coaching Helps keep the officer and their family healthy by giving feedback on healthy lifestyles and options for change Provides guidance on proper diet, exercise, stress control, and healthy lifestyle behaviors to reduce individual and group health risk.

51 Lifestyle Initiatives and Programs Weight loss contests Health Fairs Physical activity competitions Newsletters Nutrition education programs Flu shot clinics Tobacco cessation classes Diabetes education classes Discounted gym memberships Fun run events

52 Goals of Program Participation Health Screenings & Health Risk Assessment Low Risk Moderate Risk High Risk Maintain Health Program participation Become a Mentor Health Coaching Targeted program participation Health Coaching Disease Management Risk Reduction

53 Risk Factor Reduction Should be the Primary Focus

54 Risk Management s Role To analyze injury claims and provide feedback to department To provide education on injury prevention To provide assistance in: Emotional Support Mental Health Stress Management

55 The Police Department s Role Promoting existing wellness programs and resources Risk Management Resources Health Provider Sponsored Resources Wellness friendly policies Incentivizing participation in official worksite wellness initiatives Providing fitness testing and training

56 The APD Way. Health education starts in the academy Wellness education classes Personalized nutrition plans Daily physical Training Injury prevention classes Stress management/behavioral health training Cadets are introduced to the Department s resources and contacts for Risk Management, Behavioral Health and the Chaplain Unit

57 The APD Way: After the Academy Policy in place requiring physical fitness testing Wellness Unit in place as resource for nutrition fitness education/coaching 24 hour access to fitness center 24 hour access to behavioral health professionals Strong promotion of existing wellness programs offered through benefits program

58 Yearly Fitness Testing Testing battery includes: Initial health screening: PAR-Q and blood pressure Strength endurance Flexibility Cardiovascular fitness Officers are incentivized with time off and awards for achieving high scores Health Improvement Program Policy in place that gives officers with low fitness scores on duty time to participate in a fitness program supervised by the Wellness Unit

59 Wellness Unit Full time Exercise Physiologist on staff Administers Yearly Fitness Assessment Liaison between City s Wellness program, Risk Management and Department Open door policy to all officers Health coaching Fitness testing and training Nutrition education Risk factor modification Injury prevention education

60 The End Questions??