2016 Update COMMUNITY HEALTH IMPROVEMENT PLAN

Transcription

1 2016 Update COMMUNITY HEALTH IMPROVEMENT PLAN January 2016

2 Dear Barron County, Thrive Barron County has been an evolving partnership between Public Health, Cumberland Healthcare, Lakeview Medical Center, Marshfield Clinic, Mayo Clinic Health System- Northland, and multiple other community organizations. These entities started looking at the health of Barron County residents in In 2013 and again in 2015 Barron County conducted Community Health Assessments to look at health related data. Community members gave input on their health concerns and completed asset mapping worksheets in each of our health concern areas. In 2016 Barron County Public Health, with input from more than 25 different organizations and community members and information received at the 2015 Community Health Assessment, created this update to the Community Health Improvement Plan or CHIP. While our overall health priorities remained the same; what we are working on within those priorities has evolved based on data and community needs. The issues highlighted below are new since the original plan was created in Alcohol, Tobacco, and Other Drugs Tobacco Use Youth Substance Use Prevention Methamphetamine Use Chronic Disease Prevention & Management Pre-Diabetes Hypertension Mental Health Promotion and Stigma Reduction Youth Access Community Health Action Teams (CHATs) along with community organizations are meeting regularly to work on the goals and strategies you will read about in this update. We appreciate and thank the community for its commitment to improving health in Barron County. Sincerely, Laura Sauve, RN, BSN Barron County Public Health Manager/ Health Officer Barron County Community Health Improvement Plan 2016 Update 2

3 TABLE OF CONTENTS CONTENT PAGE INTRODUCTION: Thrive Barron County vision, mission, and goals 4 COMMUNITY HEALTH IMPROVEMENT PLAN: Alcohol, Tobacco and Other Drug Use/Abuse 5 Chronic Disease 10 Mental Health 13 Bibliography Contact Us 17 COVER PHOTO CURTOSY OF KIM ROBEL PHOTOGRAPHY AND THE RUNNING FAR FOUNDATION/HALEY S COMET RACE Barron County Community Health Improvement Plan 2016 Update 3

4 Vision: Community members and organizations working together to improve the quality of life for everyone in Barron County. Mission: Thrive Barron County will work to engage community members and organizations to focus resources and develop and strengthen partnerships to establish sustainable, safe and healthy communities. Overarching Goals: Assess needs-conduct community survey, seek community input, review and analyze data Evaluate efforts-did the intervention meet the goals. If not met; modify or adapt work plan Establish Priorities-Identify three THRIVE BC health priorities based on Healthiest WI 2020 Implementation-Create and implement a work plan for each identified priority based on selected interventions Community members- Interested persons who actively engage in THRIVE Barron Thrive Barron County Growing Together in Health Partnerships- Collaborative efforts of stakeholders Identify programs and policy- Identify evidence based interventions to address identified health priorities Organizations- Interested organization who actively engages in THRIVE Barron County Barron County Community Health Improvement Plan 2016 Update 4

5 Alcohol, Tobacco, & Other Drug Use & Abuse What are our overall goals? 1. By December 2018, reduce the rate of people using methamphetamine in Barron County. 2. By December 2018, decrease the number of Barron County adults reporting smoking and binge drinking based on the County Health Ranking Data. 3. By December 2018, decrease the number of high school students reporting smoking, marijuana, and alcohol use as measured by the Youth Risk Behavior Survey. Goal 1: By December 2018, reduce the rate of people using methamphetamine in Barron County. Why are we concerned: New since 2012: The use of methamphetamine has increasingly become problematic in Barron County, as reported by the Barron County Sheriff, District Attorney, WI State Crime Lab, and Drug and Alcohol Court (DAC). [Meth] Indicator 1.1 Decrease the number of methamphetamine-related cases in Barron County. (Source: Wisconsin State Crime Lab) *Data for 2012 not available. Data for 2016 is not yet available Barron County Community Health Improvement Plan 2016 Update 5

6 [Meth] Indicator 1.2 Decrease the number of Barron County methamphetaminerelated cases charged in the District Attorney s Office. (Source: Barron County District Attorney) [Meth] Indicator 2.3 Decrease the number of methamphetamine-related possession cases in Barron County. (Source: Barron County Sheriff s Department Annual Report) [Meth] Indicator 2.4 Decrease the rate of Barron County Drug and Alcohol Court (DAC) participants who identify meth as their primary drug of choice. (Source: Barron County DHHS 2016 Annual Report) 100% 80% 60% 40% 20% 0% Barron County Community Health Improvement Plan 2016 Update 6

7 Strategies to decrease methamphetamine use in Barron County: 1. Work collaboratively with Northwoods Coalition Methamphetamine Workgroup on regional prevention strategies. 2. Educate lawmakers on the impact of methamphetamine in Barron County. 3. Increase community awareness of methamphetamine by hosting Methamphetamine Town Hall events throughout Barron County. 4. Increase community awareness of methamphetamine by hosting the hiding in plain sight interactive display at Barron County schools, businesses, community events. 5. Promote preventative messages through know Meth Barron County initiatives 6. Work collaboratively with law enforcement and community partners to identify treatment and recovery options. 7. Collaborate with other counties to create and publish a report of localized solutions and recommendations collected from the 2016 Regional Stakeholder s Meeting which discussed local challenges and solutions to the meth problem. 8. Share the Hiding in Plain Sight interactive mock room display throughout Barron County. Goal 2: By December 2018, decrease the number of Barron County adults reporting smoking based on the County Health Ranking Data. [Adult Tobacco Use] Indicator 2.1 Decrease the rate of adults who report smoking. (Source: County Health Rankings Data) 30% 25% 20% 15% 10% 5% 0% Barron County Community Health Improvement Plan 2016 Update 7

8 Strategies to reduce adult tobacco use in Barron County: 1. Promote Kick Butts Day throughout Barron County to encourage tobacco cessation. 2. Encourage local lawmakers to establish smoke free outdoor spaces throughout Barron County. 3. Promote the WI Tobacco Quit Line and resources at health fairs, patient waiting rooms, and when speaking to clients. 4. Conduct general community outreach through health fairs, press releases, social media posts, etc. Goal 3: By December 2018, decrease the number of high school students reporting smoking, marijuana, and alcohol use as measured by the Youth Risk Behavior Survey. [Youth Tobacco Use] Indicator 3.1: Decrease the percentage of students who report smoking all or part of a cigarette in the past 30 days (Source: Youth Risk Behavior Survey). 30% 25% 20% 15% 10% 5% 0% [Youth Tobacco Use] Indicator 3.2: Decrease the percentage of students who report having at least one drink of alcohol in the past 30 days (Source: Youth Risk Behavior Survey). 30% 25% 20% 15% 10% 5% 0% Barron County Community Health Improvement Plan 2016 Update 8

9 [Youth Tobacco Use] Indicator 3.3: Decrease the percentage of students who report having at least one drink of alcohol in the past 30 days (Source: Youth Risk Behavior Survey). 30% 25% 20% 15% 10% 5% 0% Strategies to reduce youth alcohol and tobacco use in Barron County: 1. Participate and promote National Kick Butts Day throughout Barron County schools and Boys and Girls Clubs. 2. Conduct WI Wins Tobacco Age Compliance checks to prevent youth access to tobacco. 3. Provide Barron County Tobacco Retailers with information, resources, and educational tools to increase their knowledge and prevent the sale of tobacco to minors. 4. Conduct youth alcohol compliance checks at Barron County alcohol retailers to prevent youth access to alcohol. 5. Promote the Parents Who Host, Lose the Most campaign to increase parental awareness of the dangers and legal ramifications of providing a space for youth to consume alcohol. 6. Host an annual youth outreach event to educate Barron County High School Students about an ATODA subject. 7. Conduct general community outreach through health fairs, press releases, social media posts, etc. 8. Barron County schools incorporate ATODA topics in their Health Education Classes. 9. Offer Safe Serve Classes to ensure that Barron County Alcohol retailers are aware of the laws regarding alcohol sales. Barron County Community Health Improvement Plan 2016 Update 9

10 Chronic Disease Prevention & Management What are our overall goals? 1. By December 2018, maintain or decrease the number of Barron County Residents who have pre-diabetes and type II diabetes. 2. By December 2018, maintain or decrease the number of Barron County Residents who report hypertension. Goal 1: By December 2018, maintain or decrease the number of Barron County residents who have pre-diabetes and type II diabetes. [Pre-Diabetes & Diabetes] Indicator 1.1: Increase the number of residents screened at free Know Your Numbers events from 2013 to (Source: Cumberland Healthcare, Lakeview Medical Center, Mayo Clinic Health System) Cumberland Health Care Lakeview Medical Center Mayo Clinic Health System Barron County Community Health Improvement Plan 2016 Update 10

11 [Pre-Diabetes & Diabetes] Indicator 1.2: Decrease the rate of residents who have fasting blood glucose level categories of pre-diabetic ( mg/dl) and diabetic (>125 mg/dl) at Barron County Know Your Numbers events. (Source: Cumberland Healthcare, Lakeview Medical Center, Mayo Clinic Health System) 100% 80% 60% 40% 20% 0% Pre-diabetic Diabetic Strategies to maintain or decrease the number of Barron County residents who have pre-diabetes and type II diabetes Barron County: 1. Promote and support the evidence based Diabetes Prevention Programs that are offered throughout Barron County. 2. Continue to develop a patient referral system at each medical system for the Diabetes Prevention Program. 3. Conduct general community outreach through health fairs, press releases, social media posts, etc. 4. Share the Diabetes Risk Test on social media, in press releases, and in our patient waiting rooms. 5. Provide information and resources in our patient waiting rooms about diabetes prevention. 6. Support programs that make our environments promote physical activity and healthy eating. Barron County Community Health Improvement Plan 2016 Update 11

12 Goal 2: By December 2018, maintain or decrease the number of Barron County Residents who report hypertension. [Hypertension] Indicator 2.1: Decrease the rate of people reporting Pre- Hypertensive ( ) or Hypertensive (>140/90) blood pressure readings at Barron County Know Your Numbers events. (Source: Cumberland Healthcare, Lakeview Medical Center, Mayo Clinic Health System) 100% 80% 60% 40% 20% 0% Pre-Hypertensive Hypertensive Strategies to reduce hypertension in Barron County: 1. Conduct general community outreach through health fairs, press releases, social media posts, etc. 2. Promote the Know Your Numbers Events through social media, press releases, and in patient waiting rooms. 3. Promote National Heart Month throughout Barron County. 4. Share information about Barron County locations where residents can get free blood pressure readings. 5. Support local healthcare systems as needed. Barron County Community Health Improvement Plan 2016 Update 12

13 Mental Health What are our overall goals? 1. By March 2019 Barron County adults will report fewer poor mental health days. 2. By December 2018 Barron County youth mental health indicators as measured on the Why are we concerned: New since 2012: According to the , Adverse Childhood Experience (ACE) study, almost 21% of Barron County residents 18 or older have experienced four or more ACE s. Barron County receives a high number of child protection access calls compared to counties of similar size. In 2013, Barron County received a total of 971 access calls to Youth & Family services for child welfare and child protection services. Goal 1: By March 2019, Barron County adult mental health indicators will improve. [Adult Mental Health] Indicator 1.1: The number of poor mental health days/month reported by Barron County adults. (Source: Barron County Health Rankings, Question: Thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good? ) In 2016, Barron County adults reported 3.4 mentally unhealthy days/month *how this indicator is calculated changed in Barron County Community Health Improvement Plan 2016 Update 13

14 [Adult Mental Health] Indicator 1.2: Monitor the number of calls to the Mental Health Crisis Line calls. (Source: Barron County Behavioral Health Unit) [Adult/Youth Mental Health] Indicator 1.3 Reduce the rate of Barron County suicides. (Source: WI DHS - WISH, data for 2012 not available) Goal 2: By December 2018, Barron County youth mental health indicators will improve. [Adult/Youth Mental Health] Indicator 2.1: Reduce the rate of Barron County suicides. (Source: WISH: WI Violent Deaths Reporting System, data for 2012 not available) Barron County Community Health Improvement Plan 2016 Update 14

15 [Youth Mental Health] Indicator 2.2: Decreased rate of Barron County High School and Middle School students reporting feeling so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities. (Source: Youth Risk Behavior Survey, Question: During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more or more in a row that you stopped doing some usual activities? ) 30% 25% 20% 15% 10% 5% 0% High School Middle School [Youth Mental Health] Indicator 2.3: Decreased rate of Barron County High School and Middle School students reporting suicide contemplation. (Source: Youth Risk Behavior Survey, Question: During the past 12 months, did you ever seriously consider attempting suicide?) 25% 20% 15% 10% 5% 0% High School Middle School Barron County Community Health Improvement Plan 2016 Update 15

16 Mental Health Strategies: Continue to promote mental health issues during May is Mental Health Month, Mental Health Promotion Week in November. Continue to conduct activities that reduce the stigma around mental health. Promote community efforts that promote resiliency and reduce Adverse Childhood Events. Promote trauma informed communities. Continue to develop mental health capacity to provide Trauma Focused Cognitive Behavior Therapy to youth identified with trauma. Increase Mental Health First Aid trainings in Barron County. Barron County Community Health Improvement Plan 2016 Update 16

17 Please contact Barron County Public Health with questions, comments, or concerns , extension E Monroe Ave, Room 338 Barron, WI Barron County Community Health Improvement Plan 2016 Update 17

18 Bibliography Barron County Community Coalition. Barron County Youth Risk Behavior Survey Results Barron: Barron County Community Coalition, Print. "Barron County Health Rankings." County Health Rankings Data. University of Wisconsin Population Health Institute, Web. Beranek, Angela L. District Attorney - Barron County, Wisconsin - Barron County Government, n.d. Web. 15 May Cumberland Healthcare System, Lakeview Medical Center, and Mayo Clinic HEalth System "Know Your Numbers" Event Results. Rep. Barron: Thrive Barron County, Print. Fitzgerald, Chris. Barron County Sheriff's Department 2016 Annual Report. Rep. Barron: Barron County Sheriff's Department, Print. Frolik, Stacey, Laura Sauve, Bonnie Burke, Karla Broten, and Ann Haye. Barron County Department of Health and Human Service 2016 Annual Report. Rep. Barron: Barron County Department of Health and Human Service, Print. Behavioral Health Unit Updates. "Wisconsin Department of Justice." Wisconsin State Crime Laboratory Wisconsin Department of Justice. Wisconsin Department of Justice, n.d. Web. 15 May "WISH Query: Violent Deaths." Wisconsin Department of Health Services. Wisconsin Department of Health Services, 15 Nov Web. 15 May "Youth Risk Behavior Surveillance System (YRBSS)." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 11 Aug Web. 15 May Barron County Community Health Improvement Plan 2016 Update 18