Westside Health Collaborative Initiative

Transcription

1 Westside Health Collaborative Initiative OVERVIEW, KEY FINDINGS, IMPROVEMENT PLAN

2 Westside on the Rise: Positive Transformation of People and Place Neighborhood Transformation Placed- Based Focus People- Based Focus Residential Commercial Infrastructure Education & Youth Dev Health Economic Inclusion Crime & Safety Civic Empowerment A collective effort among Westside residents, foundations, civic leaders, nonprofits and businesses to catalyze transformation in Atlanta s historic Westside neighborhoods. 2 2

3 Geographical Tiers Westside on the Rise footprint: Three prioritized geographic focus areas Tier 1 Castleberry Hill English Avenue Vine City Tier 2 Ashview Heights Atlanta University Center (AUC) Bankhead Grove Park Washington Park Tier 3 Zip code Zip code

4 Westside Health Collaborative Westside Health Collaborative (WHC) was organized to address the health component of the place-based effort, focusing on the Tier 1 neighborhoods WHC stakeholders include: Health institutions State and county health officials Community based organizations Community members WHC Goal Develop a data-driven, solution-focused three year plan that has the potential to impact priority health issues and produce measurable results 4 4

5 Community Needs Assessment Demographic Overview Economic Overview Environmental Overview Approximately 22,000 residents in Tier 1 and Tier 2 neighborhoods Over 80% African American resident population Approximately 40% of all residents are living below the poverty line Median household incomes less than half the Atlanta average Housing vacancy rates over double the Atlanta average Substandard living conditions (mold) High rates of violent crime Dollars Percent $70,000 $60,000 $50,000 $40,000 $30,000 $20,000 $10,000 $0 100% 80% 60% 40% 20% 0% Tier 1: Income Distribution $24,610 $15,914 $11,016 $13,270 $34,956 $22,848 English Avenue Vine City Castleberry Hill, Downtown Median household income Tier 2: Housing Distribution 74% 77% 26% 29% 23% 27% Per capita Income 64% 66% 50% 36% 34% 39% Ashview Heights, AUC, The Villages Bankhead, Harris Chiles, Just at Castleberry Hill Washington Park Us Atlanta Median Household Income ACS : $46,631 Grove Park % Owner occupied hosuing units % Renter occupied hosuing units % Vacant housing units City of Atlanta Housing Vacancy Rate: 17% 5 5

6 Education: Washington Cluster Washington Cluster (Atlanta Public Schools and Charter schools) *Closed* Over 50% of students in Bethune Elementary missed 6 or more days of school in 2015 Similarly, 50% of students in Brown Middle School missed 6 or more days of school in 2015 (data not shown) Percent 100% 50% 0% Attendance Distribution (2014) 61% 49% 58% 60% 39% 32% 33% 36% 12% 8% 9% 5% Bethune M.A. Jones Connally Venetian Hills % 5 or Fewer Days Absent, 2014 % 6 to 15 Days Absent, 2014 % More than 15 Days Absent, 2014 Chronic absenteeism is a proven early warning sign of academic risk and school dropout. While the causes of chronic absenteeism are multifold, research shows that student health issues are a leading contributor. National Collaborative on Education + Health (March 2015) 6

7 Morbidity and Mortality Tier 1 and Tier 2 leading causes of mortality: Heart disease, hypertension, and lung/throat cancer are in top 5 causes of death Mental and behavioral disorders and HIV are in top ten causes of mortality Tier 1 and Tier 2 morbidity assessed by hospital discharge data confirmed that HIV and mental and behavioral health disorders are extremely important health issues Number of Discharges 1,400 1,200 1, Pregnancy, Childbirth, Puerperium 418 Mental and Behavioral Disorders Tier 1: Leading Causes of Hospital Discharge ( ) HIV Septicemia Pneumonia Endocrine, Nutritional and Metabolic Diseases Heart Disease Diseases of the Cerebrovascular Musculoskeletal Disease System Diabetes Mellitus 7 7

8 Maternal and Child Health Tier 1 and Tier 2 Key trends in maternal and child health: Significantly high percentages of teen birth rates, double the Georgia average High percentages of premature births High percentages of low birthweight births High percentages of births to females with <12 th grade education Percent of All Births 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% Births to Teens Years of Age ( ) 16.1% 18.9% Tier 1 Tier 2 Fulton County 6.6% 8.0% Georgia Percent 100.0% 80.0% 60.0% 40.0% 20.0% Percent Premature Births <37 Weeks Gestation ( ) 0.0% 18.4% 15.9% 13.8% 13.4% Tier 1 Tier 2 Fulton County Georgia 8 8

9 Community Member Surveys Over 100 resident surveys were collected to gain insight into Tier 1 and Tier 2 communities health needs and healthcare practices Number of Responses High BP Resp. Health (asthma) High cholesterol 43 Mental health Biggest Health Concern (Adult) Cancer Stroke Diabetes Drug/Alcohol Abuse Quitting smoking Safety Nutrion HIV Percent 100% 80% 60% 40% 20% 0% 55% Healthcare Practices 45% % No Regular Source of Healthcare % Do Not Visit Healthcare provider Once Per Year for Checkup 64% % ER Is Main Source of Healthcare Services 9 9

10 Community Asset Gap Summary In addition to a number of great assets, resources and organizations to build on through future programming, the asset map identified critical gaps: Food desert with minimal access to nutritious food Lack of quality early childcare programs Gaps in health education programs Lack of home-visiting programs Inconsistent developmental screening Gaps in mental health and addiction treatment services Gaps in physical fitness programming Gaps in social networking activities Lack of health education Lack homevisiting programs Food Desert Asset Gaps Lack of mental health and addiction treatment Limited quality early childcare Limited social networking activities Lack of healthy living programming 10 10

11 Community Contextual Effects The social determinants of health in the Tier 1 and Tier 2 neighborhoods have created a community atmosphere that is negatively affecting health Food Desert Lack of mental health and addiction treatment Socioeconomic Isolation Mental Health Issues Lack of health education Lack homevisiting programs Asset Gaps Lack of healthy living programming Limited quality early childcare Limited social networking activities Delay of Health Services Community Context Lack of Trust Hopelessness & High Stress Fear for Safety Community Health Status 11 11

12 Developing a Community Health Improvement Plan PROCESS: Data collection quantitative and qualitative Needs assessment and asset mapping WHC retreat and assessment Three-year strategic plan and one-year implementation plan 12

13 Health Priorities and Goals Goal 1 Increase Access to Healthcare Health Priorities 1. Low access to healthcare 2. Poor maternal and child health outcomes 3. High rates of morbidity and mortality associated with cardiometabolic syndrome 4. High rates of HIV infection Goal 2 Improve Maternal and Child Health Goal 3 Decrease Morbidity and Mortality Associated with Cardiometabolic Syndrome Goal 4 Decrease High Rates of HIV Infection Goal 5 Establish a Sustainable Model for Continued Collaborative Efforts 13 14

14 WHC Three-Year Strategic Plan Health Priorities 1. Low access to healthcare 2. Poor maternal and child health outcomes 3. High rates of morbidity and mortality associated with cardiometabolic syndrome 4. High rates of HIV infection Goal 1 Increase Access to Healthcare Goal 2 Improve Maternal and Child Health Goal 3 Decrease Morbidity and Mortality Associated With Cardiometabolic Syndrome Goal 4 Decrease High Rates of HIV Infection Goal 5 Establish a Sustainable Model for Continued Collaborative Efforts Focused on Health Improvements Year 1 Strategies Develop a community health worker program (short) Develop a home-visiting program for children 0-5 years of age (short) Implement Diabetes Prevention Program (DPP) (short) Increase the number of HIV testing and treatment services (medium) Establish long-term structure for WHC sustainability (short) Year 2 and 3 Strategies Expand available mental health and addiction services for adults, children and families (medium) Increase opportunities for social networking and support groups (medium) Improve options for public transportation (medium-long) Develop mobile units for health education and health services (medium-long) Expand school-based health services (long) Develop and strengthen parenting education programs (short) Integrate comprehensive preventive care practices, including developmental screening, into early childcare and pediatric practices (short) Expand pregnancy prevention programs (short-medium) Implement CenteringPregnancy Program (CPP) (medium) Expand access to quality early childcare and increase enrollment including in-school opportunities (long) Expand opportunities for affordable physical activities (short-medium) Provide access to safe and affordable nutritious foods (medium-long) Improve the built environment to provide opportunities for increased physical activity (long) Develop and strengthen HIV prevention program for children and youth (medium) Increase harm reduction services (medium) Develop an education and outreach campaign to reduce stigma (medium) Create a forum for service provider communication (short-medium) 15

15 Year One Implementation WHC 5 Year-One Strategies for implementation as soon as practicable: Goal 1 Increase Access to Healthcare Develop a community health worker program (short) Goal 2 Improve Maternal and Child Health Develop a homevisiting program for children 0-5 years of age (short) Goal 3 Decrease Morbidity and Mortality Associated With Cardiometabolic Syndrome Implement Diabetes Prevention Program (DPP) (short) Goal 4 Decrease High Rates of HIV Infection Increase the number of HIV testing and treatment services (medium) Goal 5 Establish a Sustainable Model for Continued Collaborative Efforts Focused on Health Improvements Establish long-term structure for WHC sustainability (short) WHC Measurement Subcommittee is identifying objectives, indicators and performance targets for year-one programs 15 16

16 American Medical Association Arthur M. Blank Family Foundation Atlanta Housing Authority Center for Disease Control and Prevention Children's Healthcare of Atlanta Families First Fulton County Dept. Public Health GA Department of Public Health Grady Health System HEALing Community Center Health Care GA Together, we can all make a difference Integrity Community Development Corporation /English Avenue Neighborhood Association Morehouse School of Medicine Mosaic Group (Consultant) Sisters Action Team/ Vine City Civic Association Street Smart Youth Project United Way of Georgia Urban Perform Wellspring Resources Westside Future #westsideontherise #changeispossible 16