Long Term: - Monroe County Health Department



Monroe County Community Health Assessment &Improvement Plan2015-2018center1397000A Healthy Place to Live, Learn, Work and PlaySeptember 2018 UpdateIntroductionIn April 2016, more than 30 key stakeholders, leaders, and community members convened for a community health improvement planning session. The group reviewed data related to the Healthiest Wisconsin 2020 focus areas specific to Monroe County and identified community health priorities. The following priority focus areas were chosen: Mental HealthAlcohol & Other DrugsAdequate, Appropriate and Safe Food and Nutrition. There was interest in further evaluating chronic disease prevention as a potential focus area before committing to creating goals or a work group for this issue; however, no coordinated effort came into fruition. Over the past few years, three community groups met regularly to address these three health concerns. Two of the groups were already in existence-the Monroe County Safe Community Coalition and Monroe County Mental Health Coalition. In August 2016, the Monroe County Nutrition Coalition formed to address the focus area of “Adequate, Appropriate and Safe Food and Nutrition.” This document serves as an update on progress on community health priorities. The planning for the next iteration (2019-2022) of the Monroe County Community Health Improvement Plan will begin in November 2018.For questions or concerns, please contact Julie Anderson, Public Health Nurse, at Julie.anderson@co.monroe.wi.us or Kayleigh Day, Community Health Educator, at kayleigh.day@co.monroe.wi.us or by telephone at the Health Department at 608-269-8666.Priority Area: Mental HealthMental Health Coalition Goal: Monroe County youth (0-18) will have improved mental wellness.Rationale: The Monroe County Mental Health Workgroup has been in existence since 2012 as a results of the COMPASS NOW 2012 assessment and Monroe County’s Community Health Improvement Plan which identified mental health as a priority area of need. The workgroup is comprised of many community agencies such as law enforcement, healthcare providers, and school districts. In 2015, the workgroup decided that the targeted population that they wanted to focus on was youth based on the data reviewed in 2014.Objectives:Long Term: Improvement in mental health in Monroe County youth (improvements in YRBS, DHS, hospital data)Teen Hopelessness Definition: Percentage of teens that felt so sad or hopeless almost every day for two weeks or more in a row?2017201520132011Monroe County31%28%24%20%Wisconsin28.1%No data13%22.7%Teen Suicide Ideation Definition: Percentage of teens that seriously considered suicide in last 12 months?2017201520132011Monroe County19%17%13%13%Wisconsin16.4%No data13%13.5%Medium Term: Improved access to mental health services (Mental health provider ratio in CHR; YRBS).Ratio of Mental Health Providers to PopulationSource: Definition: This measure represents the ratio of the county population to the number of mental health providers, including child psychiatrists, psychiatrists, and psychologists active in patient care in a given county.?2011-2013201320142015201620172018Data Year2008201020132014201520162017Monroe County43,432:18,952:11,049:1768:1730:1710:1710:1Wisconsin8,437:12,714:11,024:1675:1640:1600:1560:1COMPASS NOW Survey Respondents: Your Access to Mental HealthcareSource: COMPASS NOW, 2012, 2015, 2018 availableNot availableCOMPASS NOW Survey Respondents: Your Ability to Pay for Mental HealthcareSource: COMPASS NOW, 2012, 2015, 2018 availableNot availableMedium Term: Decrease in suspension and expulsion rates from schools.Suspension and Expulsion RatesSource: WISEdash Public Portal Co Suspension %1.5%1.6%2.5%2.4%Wisconsin Suspension %4.5%3.9%3.6%3.9%Monroe Co Expulsion %0.0%0.0%0.0%0.0%Wisconsin Expulsion %0.1%0.1%0.1%0.1%Medium Term: Sustain the number of frontline workers who receive training related to mental health on a regular basis.In progress, see activities data belowShort Term: Increased awareness regarding the five signs of emotional suffering from Change Direction Campaign. Completed-coalition looking to promote other informationShort Term: Increase access to mental health services in schools.Three out of the four school districts providing behavioral health services to studentsShort Term: Increased number of frontline workers will receive training.In progress, see activities data belowActivities:Promote Change Direction CampaignCompleted-coalition looking to promote other information Institute mental health counseling services in at least one school districtCompleted in Sparta School District.Provide training to frontline workers (Crisis Intervention Training, Adverse Childhood Experiences & Trauma Informed Care (ACEs/TIC), Question, Persuade, Refer (QPR) Suicide Prevention Trainings)Coalition Sponsored: Adverse Childhood Events/Trauma Informed Care Training April 2016 at Tomah Memorial Hospital (25 attendees)Coalition Sponsored: Mental Health Awareness Month QPR Training May 2017 (25 attendees)Coalition Sponsored: Mental Health Awareness Month Trauma and Mental Health Stigma from the Wisconsin Institute on Stigma Elimination (30 attendees)QPR trainingsMonroe County Health Dept provided: 8 trainings, reaching 177 peopleScenic Bluffs Community Health Center-annual QPR training to Cashton 9th gradersSparta Middle School: provided QPR to middle school studentsApplied Suicide Intervention Skills Training (ASIST) through Fort McCoy Army Substance Abuse ProgramYouth Mental Health First Aid trainingsCircle of Security training provided to Monroe County Human ServicesAdverse Childhood Experience (ACES) and Trauma-Informed Care trainings through school districtsAddress continuity of care youth mental health care between school counselors and clinical mental health providersCompletedOther Activities and Accomplishments Please note: this list is not exhaustive, if you notice activities from your organization are missing, please contact Kayleigh Day (kayleigh.day@co.monroe.wi.us)Mental Health Awareness Month Campaign held annually in May. Events include proclamation signing, public education, and a mental health training.Trauma-informed community efforts. Promoted Campaign to Change Direction materials to local agencies, businesses, etc. Gained better understanding of how youth handle mental health issues from workgroup member being a part of youth mental health focus group in Cashton.Coalition members attended professional development opportunities related to mental health (i.e. Self- Injury Conference; Adolescent Health Symposium, Tomah VA Mental Health Summit).Developed and distributed Mental Health Resource Guide.Various mental health presentations provided by coalition members: Monroe County Tavern League, Sparta Middle School Wellness Day, Monroe County Retired Teachers Association, Tomah Catalyst, Distributed over 325 gun locks for suicide prevention through Fort McCoy Army Substance Abuse program, National Night Out, and June Dairy Days. QPR training being provided to classes at Cashton High School and Sparta Middle School.Funding ($1500) received from Theisen’s to help fund a larger medication drop box at Sparta PD. Grant written in collaboration with Monroe County Safe Community Coalition.Collaboration with school districts for various mental health resources, trainings, networking, and support. Partnered with Monroe County Safe Community Coalition for Teen Wellness Day to provide mental health education to Tomah, Norwalk-Ontario-Wilton sophomores, and students at Sparta SAILs. Education included international mental health speaker Mettie Spiess, and sessions on mental health and mindfulness from Gundersen and the UW-La Crosse psychology department. Mettie also provided an evening talk for community members, with approximately 25 attendees. Meetings: The Mental Health Coalition meets the first Thursday of each month from 8:00-9:30 a.m. and rotates meeting locations in Sparta and Tomah. Please contact Kayleigh Day at kayleigh.day@co.monroe.wi.us.or 608-269-8674 for more information or to be added to the meeting mailing list. Priority Area: Alcohol and Other Drug UseAlcohol and Other Drug UseGoal One: Increase community collaborationGoal Two: Reduce youth substance abuse: alcohol, prescription drugs, and marijuanaThe Monroe County Safe Community Coalition (MCSCC) has four work groups that meet monthly to work on the goals of the coalition. Each work group has a specific action plan that is updated annually for the Drug Free (DFC) Communities Grant cycle (starting October 1st each year). During this CHIP, the MCSCC has completed years six through eight of the DFC grants. The summary below reviews activities and accomplishments of the MCSCC through year 8 of the DFC grant.Work Group activities- for Year 8, ending September 2018Operations Work GroupReported coalition outcomes to funders, community members, and other stakeholders.Created and utilize opportunities to collaborate more with other organizations/businesses.Increased coalition presence in the community among “general population”, not just professionals through the use of billboards or PSAs.Utilized local radio stations and or/ newspapers to have monthly opportunities to provide educational information to our communities.Utilized the 12 Month Coalition Action Plan to monitor MCSCC’s performanceUpdated and maintained the evaluation plan to ensure desired outcomes are achieved.Continued to update and utilize orientation packet with new and/or potential members.Ensured representative of the MCSCC are present at Legislative and/or Chamber events to increase presence in the community. Continued work on sustainability plan and evaluate appropriateness of current coalition structure. Prescription Drug Work Group Sent out a reminder every six months to funeral homes about prescription drug drop boxes to share with their clients.Promoted permanent medication drop box locations and proper medication disposal through flyers and social media.Investigated partnerships with Fort McCoy & Army National Guard.Educated parents about sports injuries & RX drugs. Utilized popcorn bags for sporting events-convey message about Rx drugs.Investigated region wide hospital opioid policy changes. Maintained current medication return boxes in the county and support the proper disposal of prescription drugs/medications.Continued to conduct outreach to engage new community partners (faith based) to help promote proper disposal of prescription drugs.Educated on alternative ways to improve pain v.s use of pain meds.Marijuana Work Group Continued collecting data in regards to marijuana use locally from law enforcement, emergency rooms, employee assistance programs, poison control, etc.?Collected stories about local issues around marijuana.Increased capacity for youth involvement through: Peer to peer educationCreated and disseminated educational materials about the addictiveness and negative consequences of marijuana useContinued to conduct educational presentations on the negative impact of marijuana use for various target audiences, such as school professionals, parents, medical professionals, business leaders and policy makersCollaborated with La Crosse County, WI to bring in a state/national representative to train coalition members and key stake holders on marijuana with emphasis on health care providersCelebrated successes and recognize community leadership.Discussed possible workplace initiatives, procedures, practices, public policy actions or systems of change within government, communities and/or organizations about marijuana prevention/consequences.Addressed local and state marijuana legislation issues through education and advocacy.?Strategic PlanMCSCC Strategic Plan was updated in January 2018. A copy of that document is linked here for your information. \sWorkgroup Contact information: Natalie Carlisle, Coulee Cap, Drug Free Communities Coordinator, 608-269-2391 or Natalie.Carlisle@. The Monroe County Safe Community Coalition meets on the 2nd Tuesday of every month.The Alcohol workgroup meets on the 4th Tuesday of every month. The Marijuana and Prescription workgroups meet on the 1st Monday of every month. Priority Area: Adequate, Appropriate and Safe Food and Nutrition. Monroe County Nutrition CoalitionThe Monroe County Nutrition Coalition formed in August of 2016 to address this priority area. See below for the coalition’s membership, vision, mission, accomplishments, and progress on strategic plan objectives. Vision “A healthier Monroe County, one bite at a time”Mission“To build a healthy community through a comprehensive initiative to promote good nutrition and access to healthy foods.”ObjectivesDevelop a strategic plan for the nutrition coalition by June 30, 2017 (completed).Increase the number of county residents that consume an adequate amount of fruits and vegetables each day by December 31, 2018 (data to be evaluated yet).Increase education and awareness efforts regarding nutrition in the county by December 31, 2018 (completed).Networking & PartnershipsEcumenical Food Pantry, SpartaFit Families Gundersen Health System Mayo Clinic Health SystemMorrison Healthcare SpartaMonroe County Health DepartmentNorwalk Ontario Wilton School District Sparta Farmer’s MarketSparta School DistrictUW-Extension Women, Infants, & ChildrenEducational EffortsTaste the Rainbow educational displays at county events to encourage eating fruits and vegetablesGreat Apple Crunch- county wide apple taste testing & promotion of locally grown foodsDeveloped a website for community education, including finding reliable nutrition information and healthy recipes sharing regarding county resources for healthy food options, support for food insecurity, as well as community programsSquare Foot Gardening/Gardening 101- provided by Mayo Clinic Health SystemHydration Challenge- provided by Gundersen Health SystemHarvest of the Month- highlighting how to purchase, store, and prepare local fruits and vegetables monthly. Colorful fliers are distributed through the coalition and to be added to the list, contact Kayleigh Day at kayleigh.day@co.monroe.wi.us.Current ProjectsHungercare Coalition- Collaborative effort with Second Harvest and the Nutrition coalition along with all healthcare providers in Monroe County to screen patient’s for food insecurity. Staff training, clinic flow process support, and resources for patients are provided. Further data here. Backpack Program- A pilot project to develop a community/volunteer run backpack program with three Sparta School district elementary schools (Lawrence Lawson, Southside, and Cataract) for the spring semester of 2018. For the 2018-19 school year, all five elementary schools are included (adding Maplewood and Lakeview schools). The intention is to create a tool kit, including a well defined process led by volunteers, so this program can be sustainabile with community support. The backpack tool kit and process experience would opportunities to offer this program to other school districts in Monroe County as needed when community support & volunteers are identified. 127 families in the Sparta School District being served by program.Farm to School Program- The coalition is reviewing options with La Crosse County regarding a regional farm to school program model utilizing well-developed tools & resources already in place in La Crosse. Interest in this program came out of a planning meeting with Monroe County School staff and was further evaluated through a study completed by a Viterbo dietetics student. Recommendations for next steps are anticipated to be completed by March 2019.Strategic PlanThe Nutrition Coalition Strategic Plan was updated in 2018. A copy of that document is linked here for your information. \sMeetings: The Nutrition Coalition meets the second Wednesday of each month from 1:30-3:00 p.m. at the Community Services Building, conference room, at 315 W. Oak St. in Sparta. Please contact Julie Anderson, Julie.anderson@co.monroe.wi.us or 608-269-8674 for more information or to be added to the meeting mailing list. ................
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