Transcript BCCHC Planning for Priorities 4.26.16



What really makes people healthy?
What besides health care keeps us healthy?
Determinants of Equity
Determinants of Health
Built Environment
Civic Engagement
Early Childhood
Education
Employment/Income
Environment - Air, Water, Toxins
Food/Nutrition
Health Care - Physical/Mental
Housing
Land Use Policy
Working Conditions
The Health Council currently focuses on the following
desired results:

Healthy and sustainable communities where all
families and individuals have their basic needs met
and prosper.

Improved health and education outcomes for
children/youth from pregnancy to age 25.
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Improved healthcare access and quality of service
for uninsured and indigent populations for both
physical and behavioral health.

Performing periodic Community Health Needs
Assessments and maintaining Community Health Profile
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Supporting county-wide comprehensive planning process
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Convening community members from multiple sectors
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Working collectively with other local coalitions and
collaboratives
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Creating action plans, policy recommendations,
strategies and activities to achieve health equity
Improved health & education
outcomes for children/youth 0-25
EARLY
CHILDHOOD
Early Childhood
Accountability
Partnership
(ECAP)
YOUTH
ABC Community
Schools Partnership
YOUNG ADULT
Mission:Graduate
IDHCC
EDUCATION = HEALTH
Improved healthcare access & quality
of service for uninsured & indigent populations
BEHAVIORAL HEALTH
Opioid Accountability Initiative
(Treatment & Prevention Teams) PHYSICAL HEALTH
Pathways to a Healthy Bernalillo Healthy Here Initiative
County
(Clinical/Community Linkages)
Pathways to a Healthy Bernalillo
County
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HEALTHY
COMMUNITIES
HOUSING/
HOMELESSNESS
NM Coalition to End
Homelessness
LAND USE &
(ABQ
Strategy)
FOOD ACCESS ENVIRONMENTAL
Pathways to a
POLICY
JUSTICE
Healthy
Bernalillo
Healthy Here
Healthy Places for
County
Initiative
New Mexico
(Healthy Eating)
Healthy & sustainable communities where all families &
individuals have their basic needs met & prosper
POVERTY/ INCOME
IDHCC (Co-op Project)
Pathways to a
PUBLIC SAFETY
Healthy Bernalillo
Opioid Accountability
County
Initiative
(Law Enforcement/
Criminal Justice Team)
BUILT
ENVIRONMENT
Healthy Here
Initiative
(Active Living)
SCALE
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Fall 2015 – gathering data (IBIS, CHNA.org, and
NMCDC…using data from ACS, Bureau of Labor Statistics, USDA, EDFacts,
NMDOH PRAMS, CDC, BRFSS, YRRS, CABQ Environment Dept, FBI UCR)
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December 15, 2015 – Data Snapshot
Presentation to BCCHC
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March 7-22, 2016 – Online community survey
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March 22, 2016 – Report back on survey results
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April 18, 2016 – CHNA report submitted to PHS
1. Child Abuse
2. Poverty
3. Drug Overdose
4. Violent Crime
5. Prenatal Care
6. Obesity
7. Child Poverty
8. High School Graduation
9. Food Access
10. Food Insecurity
1.
2.
3.
4.
5.
Violence prevention – Reduce rates of violent crime and
child abuse
Poverty - Reduce the percentage of residents living below
the federal poverty line (focusing on the strategy of increasing
high school graduation rates)
Opioid Overdose - Reduce opioid overdose death rate
(focusing on strategies to improve prevention, treatment,
access to naloxone, and law enforcement/criminal justice
approaches)
Maternal/Child Health - Improve maternal, infant and early
childhood outcomes (focusing on increasing access to and
utilization of prenatal care)
Chronic Disease - Reduce the obesity rate (focusing on
strategies of increasing access to healthy food, opportunities
for physical activity and clinical/community linkages)
3. OPIOID OVERDOSE: Reduce opioid overdose
death rate – Bernalillo County Opioid
Accountability Initiative
(focused on strategies to improve prevention,
treatment, access to naloxone, and law
enforcement/criminal justice approaches)
5. CHRONIC DISEASE: Reduce the obesity rate –
Healthy Here: Communities Leading Healthy
Change
(focused on strategies of increasing access to
healthy food, opportunities for physical activity
and clinical/community linkages)
2. POVERTY: Reduce the percentage of residents living
below the federal poverty line
International District Healthy Communities Coalition
Education = Health (adult literacy)
Economics = Health (promotion of local co-ops)
Prosperity Works
4. EARLY CHILDHOOD: Improve maternal, infant and
early childhood outcomes
Early Childhood Accountability Partnership
(includes increasing access to and use of prenatal care)
1. Violence prevention – reduce rates of violent
crime and child abuse
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Violence impacts our other direct work
 Violence is both cause and consequence of drug
use/abuse (Opioid Accountability Initiative)
 Violence and perception of violence reduces
access to physical activity opportunities and
healthy food (Healthy Here)
Source: CHNA.org – FBI UCR
Bernalillo County, NM & US - 2009-2014
rate per 100,000
17.6
14.4
16
18.5
15.8
7.8
6.7
7.3
5.2
5.9
8.1 5.3
1.9
3.3
1.8
3.1
3.8
1.4
BernCo
NM
US*
Bernalillo County & NM – 2009-2014
Rate per 1,000 children
Bernalillo County
12
12
9
7.1
2009
7.6
2010
8.8
2012
NM
16
15.1
13
9.4
2013
2014
40%
New Mexico*
28%
20%
All Five States**
30% 29%
26%
24%
20%
19% 19%
15%
27%
19%
16%
13% 12%
7% 7%
0%
*n=5,271 (randomly selected New Mexico residents).
**n=26,229 (includes randomly selected residents from Arkansas, Louisiana, New Mexico, Tennessee, and
Washington).
Adverse Childhood Experiences Report by Adults --- Five States, MMWR, December 17, 2010 / 59(49);1609-1613.
ACE Score
0
1
2
3
4
5+
25
20
14.3
13.4
15
%
10.6
9.9
9.3
10
6.5
4.7
5
3.1
0.7
4.1
3.8
1.5
0
< 14
14-18
Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect
and household dysfunction and the risk of illicit drug use: The Averse Childhood Experience Study. Pediatrics ,
111(3), 564–572.
25-54 yr Old Adult Population
30.00%
29.80%
% Homelessness
25.00%
18.90%
20.00%
15.00%
11.10%
10.00%
5.50%
5.00%
2.20%
2.20%
0
1
0.00%
2
3
4-5
6-8
# of ACE
Longhi, D., Silveanu, A., & Porter, L. (2012, February 1). Stress, Strength, Work,
Hope. Family Policy Council - Community Networks. Retrieved August 9, 2013, from
www.fpc.wa.gov/publications/StressStrengthWorkHope.VR-Data-Report.pdf
Problems like violence are so
complex, with so many
contributing factors, that
they're often called "wicked"
or "messy" problems.
Messy, wicked problems
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http://ctb.ku.edu/en/table-ofcontents/analyze/analyze-communityproblems-and-solutions/root-causes/main
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Child abuse
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Intimate partner violence
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Bullying
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Sexual violence
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Homicide
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Suicidal behavior
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Elder abuse & neglect
Source: CHNA.org – FBI UCR
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But why is this happening?