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1 PROGRESS COMMUNITY

MMUNITY PROGRESS - Monroe County, Michigan County CHIP Community Progress 12-5 … · 2016 Baby Net provides BF support in their packets for all babies born at ProMedica Monroe as

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Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity

Action Step Responsible Person/Agency Timeline Progress

Promote Breastfeeding

Year 1: Gather baseline data on hospital

policies regarding giving formula to new

mothers.

Introduce the Ten Steps to Successful

Breastfeeding at ProMedica Monroe

Regional Hospital.

Monroe County Health

Department

ProMedica Monroe Regional

Hospital

Monroe County

Breastfeeding Coalition

2016 Baby Net provides BF support in their packets for all babies born at

ProMedica Monroe as well as prenatal info to expecting parents.

ProMedica Monroe has added this to their Implementation Plan

2016-18.

Breastfeeding consultants are offered prenatally and post-natal

through PMRH and MCHD.

MCHD Breastfeeding Coalition has been restarted. First meeting was

May 17, 2016, and next meeting will be in July. Nursing students will

develop a survey and contact local businesses.

A BF workshop group meeting took place on 7-13-2016.

MCHD hiring part-time BF peer counselor to WIC staff in fall 2016.

MCHD BF classes through WIC will now be open to the all residents,

including non-WIC clients.

ProMedica Monroe is in the process of becoming a Baby-Friendly USA

designated hospital.

ProMedica Monroe has gathered baseline data on hospital policies

regarding giving formula to new mothers.

Year 2: Assist in implementing breastfeeding

policies in at least 3

businesses/organizations in Monroe County.

Pilot the Ten Steps to Successful

Breastfeeding with the ProMedica Monroe

Regional Hospital.

Survey Monroe County employers about

current breastfeeding policies and provide

education and sample policies.

Educate employers on the business case for

breastfeeding which can do the following:

Retention of experienced

2017

ProMedica tentatively receive $10K grant from State to help

implement Ten Steps to Successful Breastfeeding with the ProMedica

Monroe Regional Hospital.

MCHD part-time BF peer counselor currently completing training.

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employees;

Reduction in sick time taken by

both moms and dads for children’s

illnesses; and

Lower health care and insurance

costs

Year 3: Increase the number of

businesses/organizations with a formal

breastfeeding policy by 5% from baseline.

Implement the Ten Steps to Successful

Breastfeeding in the ProMedica Monroe

Regional Hospital.

2018

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity Action Step Responsible Person/Agency Timeline Progress

Implement a Healthy Hospital Food Initiative

Year 1: Collect baseline data to gauge what

other hospitals across the state have done to

promote healthier food options in their facilities.

Facilitate a survey to collect information on

what healthier food options employees are

interested in having available.

ProMedica Monroe

Regional Hospital

2016 In ProMedica Monroe’s Strategic Plan.

Data collected by ProMedica.

ProMedica Monroe removed all sugar-sweetened beverages from the

hospital as of 10-3-16.

Year 2: Create a focus group to set the

parameters for the healthy hospital food

initiative. Consider setting parameters in the

following priority areas:

Cafeterias

Patient meals

Food vending machines

Beverage vending machines

Physician’s lounge

Create an action plan and begin

implementing the healthy hospital food

initiative in at least one priority area

2017

Year 3: Expand the parameters of the healthy

hospital food initiative to encompass

additional parameters and 2 additional priority

areas.

2018

4

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity

Action Step Responsible Person/Agency Timeline Progress

Wellness Resource Guide

Year 1: Create a county resource guide with

the most up-to-date information regarding

nutrition, wellness and physical activity

opportunities in Monroe County. Include

information regarding community gardens and

farmer’s markets in the area.

Raise awareness of the Be Active in Monroe

County Map and highlight free physical activity

opportunities available in Monroe County.

Make sure guides and calendars are available

online and through social media. Update key

words on search engines.

Develop infrastructure to encourage and

enhance bike lanes, additional walking/biking

trails, etc.).

Explore funding opportunities to print and

update the wellness resource guide.

Building Healthy

Communities Coalition

Mark Cochran

Sandie Pierce

Amy Zarend

Jamie Dean

MCHD Intern (Winter 2017)

2016 Looking for volunteers to pull Resource Guide together.

Conversation with Farmers Market and the City of Monroe regarding

having MCHD at the Farmer’s Market.

Great Start will have Resource Guide available on website when

available.

Discussed getting sponsors to help with the cost of printing resource

guide. MCHD will be getting a health education intern in January 2017

to help with this project.

Topic areas to include: organizations, trails, farmers markets, gyms,

parks. Define Target areas and audience.

Discussion was held regarding adding website links to existing

resources through BHC website, promoting BHC site as common

source for up-to-date wellness related resources in Monroe County.

Due to the fact that various printed guides are already produced by

other agencies, further discussion regarding target population will be

held in December.

Year 2: Partner with local businesses, churches

and schools to disseminate current information

throughout Monroe County.

Enlist organizations to update the resource

guide.

Keep the resource guide updated on a

quarterly basis.

Collect endorsements from Monroe County

Building Healthy Communities and other

organizations to support moving forward with

bike lanes and/or additional walking/biking

trails, etc.

2017

MCHD winter 2017 intern will work on updating guide; ProMedica will

send existing their resource guide (updated annually) to assist with

project.

Year 3: Continue efforts of year 1 and 2.

Determine on an annual basis who will sponsor

and update the resource guide for the next 3

years.

2018

5

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity

Action Step Responsible Person/Agency Timeline Progress

Increase Access to Healthy Foods

Year 1: Expand fresh food distribution for low

income adults and families by increasing

enrollment in Senior Project Fresh.

Increase partnerships with local growers and

businesses to increase the availability of fresh

produce.

Convene emergency and supplemental food

distribution providers to improve healthy

content of meals provided and enhance

educational information on nutrition

Community Foundation

of Monroe County

Monroe County

Opportunity Program

(MCOP)

Monroe County Health

Department

Goodwill

2016 Grant to begin 3-15-16 with funding.

Community Foundation received another grant with ProMedica. Meeting

will take place quarterly.

YMCA received a grant from Wal-Mart for summer food program. There

are 8 total sites this summer.

YMCA applied for another grant with MCOP to start a Veggie Van.

3-19-16: annual food bank at Easter Egg Hunt at Munson Park – 250

families served.

4-19-16: ISD first Mobile Food Pantry through MCOP – 250 families served.

6-11-16: Mobile Food Pantry at the ISD.

PMRH is researching adding a farmers market (as of 12/5: will not take

place at this time)

In July 2016, MCOP distributed fresh produce to over 400 senior citizens

through Project Fresh.

Additional Mobile Food Pantries will take place at the ISD on September

10th, November 19th, December 17th.

MCOP and FMC: Food pantries take place every Wednesday at

Temperance

YMCA: Pop-up markets occur every Wednesday

Monroe County Food Policy Council: MCOP received grant; looking into

food policies surrounding food deserts and building community

partnerships

Kroger stores can act as possible funding source for food donation

Year 2: Improve the retention of Project Fresh

participants and increase the utilization rates.

2017

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Increase the pounds of fresh food provided

throughout the local food pantry system.

Implement solution(s) for providing year-round

fresh, healthy foods throughout food pantry

system.

Year 3: Continue to increase the pounds of

fresh food provided throughout the local food

delivery system.

Market nutrition education information

routinely to clients to change lifestyle habits to

show benefits.

2018

7

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity

Action Step Responsible Person/Agency Timeline Progress

Increase Physical Activity

Year 1: Work to increase the number of adults,

seniors and special needs populations

participating in physical activity.

Focus on preventing and addressing physical,

mental and emotional limitations for physical

activity.

Offer and enroll participants in 16 week

exercise classes, 3 days a week at separate

sites including senior centers, MCOP and

Goodwill.

Conduct pre and post assessment measures to

measure and track participant progress.

Community Foundation of

Monroe County

YMCA

Monroe County Health

Department

2016 Foundation grant will begin funding 3-15-16.

Check with ISD Special Needs Program

YMCA started Enhance Fitness classes at 2 senior centers with 46

participants. YMCA anticipates additional sites at Goodwill and MCOP.

Pre- and post-tests of fitness level took place at two senior center sites.

MCHD has screened participants at both locations of Enhance Fitness.

MCHD conducted Goodwill pre-tests; post-testing will take place on

10-27-16.

Working to set 2017 fitness classes.

MCHD cholesterol, blood sugar, blood pressure, & BMI testing as of 12/5:

1) Monroe Center for Healthy Aging: 40 participants tested

2) Goodwill: 21 participants tested

Year 2: Increase awareness and enrollment of

participants by 5% from baseline.

Continue post-assessment measures.

75% of participants will show increased fitness

on the post assessment.

2017

Two new classes scheduled to start at Monroe Center for Healthy Aging

in January 2017.

Year 3: Continue efforts from years 1 and 2. 2018

8

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity

Action Step Responsible Person/Agency Timeline Progress

Increase Education on Healthy Eating

Year 1: Provide quarterly lunch and learn

presentations on nutrition and fitness related

topics at various locations in Monroe County

including senior centers, MCOP, YMCA and

Goodwill.

Conduct monthly grocery store tours by a

Registered Dietitian in grocery stores

throughout Monroe County. Invite the seniors

and disabled populations to attend along with

the general public.

Provide educational assistance at the Monroe

County Farmer’s Market to distribute healthy

recipes and nutritional information and

increase knowledge on healthy eating and

cooking habits with fresh produce.

Evaluations will be given at each lunch and

learn, and grocery store tour to measure

knowledge gained.

Community Foundation

of Monroe County

2016 Foundation grant – MCHD providing quarterly Lunch and Learn and

monthly Grocery Store Tours

Medical Staff Lunch and Learns – ProMedica Monroe

5-4-16: Healthy Food on a Budget at ISD by Great Start – 22 participants.

There will be cooking demonstrations at the Farmers Markets based on

veggies in season. Installing a handicap ramp at the Farmers Market free

of charge.

MCHD Presentations:

Nutrition Bingo Total: 200 participants

6/2 – Goodwill – 53 participants

6/9 – Dundee – 25

6/13 – Orchard – 8

6/15 – Water Tower Park – 9

6/22 – Sullivan – 7

7/5 – Frenchtown – 5

7/14 – Monroe Senior Center – 30

8/2 – MCOP – 57

8/16 – Bedford – 5

8/25 – Milan – 11

9/14 – YMCA – 6

99% participants reporting learning something new; 98% report plans to

eat more fruits and vegetables

Portion Distortion: 12 sites October- December

Portion Distortion Total: 336

10/4 – Frenchtown - 22

10/10 – Orchard - 12

10/10 – Ash - 48

10/19 – Water Tower Park - 15

10/20 – Milan - 12

10/25 – Bedford - 45

10/26 – Sullivan - 9

11/2 – YMCA - 15

11/3 – Dundee - 15

11/10 – Goodwill - 48

11/18 – Monroe Senior Center - 20

12/7 – MCOP – 75

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98% of participants reported learning something new and also reported

having a clearer understanding of portion size. 91% reported that they will

adjust portion size based upon the presentation

May – August 2016 Grocery Tours Total: 22 participants

5/18 – Monroe Meijer – 12

7/13 – Lambertville Kroger – 4

8/10 – Monroe Kroger - 6

September – December 2016 Grocery Tours: 11 participants

9/28 – Monroe Meijer - 6

10/5 – Dundee Kroger - 0

11/9 – Lambertville Kroger - 0

11/30 – Monroe Kroger - 7

MCHD Presentations for Youth through YMCA Grant at Meet Up and Eat

Up Summer Lunch sites total: 160 Participants

Topic 1: Eating Healthy with MyPlate

7/11 – Ash Park – 7

7/15 – Christ Love Fellowship – 13

7/20 – Oaks of Righteousness – 10

7/27 – YMCA – 20

7/27 – Village Pine – 6

7/29 – Greenwood – 17

Total: 73 participants

Topic 2: Eating a Rainbow with Fruits and Veggies

8/3 – YMCA – 8

8/3 – Ash Park - 9

8/4 – Christ Love Fellowship – 20

8/10 – Greenwood – 20

8/11 – Oaks of Righteousness – 20

8/18 – Village Pine – 10

Total: 87 participants

Year 2: Increase awareness and participation

in lunch and learns, grocery store tours and

increase the number of individuals assisted at

the Monroe County Farmer’s Market.

75% of clients will show increased knowledge of

healthy eating habits and increased

consumption of fresh produce consumed.

2017

3-23/17 Cooking Matters class at ISD

Heart Healthy Habits Presentations: January –March 2017

1/20 - Sullivan

1/23 – Ash

1/26 – Water Tower Park

1/30 – Milan

2/1 - Dundee

2/2- Goodwill

2/5 – Dundee

2/13 – Orchard

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2/15 – Frenchtown

2/16 – Monroe

3/14 – Bedford

Rethink Your Drink Presentations: April – June 2017

January - April 2017 Grocery Tours

1/25- Monroe Meijer

2/1-Dundee Kroger

3/22-Lambertville Kroger

4/5-Monroe Kroger

Year 3: Continue efforts from years 1 and 2. 2018

11

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Decrease Obesity Action Step Responsible Person/Agency Timeline Progress

Implement Health in Planning Policies

Year 1: Raise awareness of the Positive Health

Outcomes in Monroe County Planning Guide

and Integrating Health into Local Planning in

Monroe County presentation and recommend

that all local jurisdictions adopt policies to

incorporate health in planning.

Develop outreach plan to local municipalities.

Monroe County Health

Department

Monroe County Planning

Department

2016 Kim Comerzan, MCHD, is the Health Representative for the Economic

Development Corporation.

Year 2: Begin to implement the following

Health in Planning Objectives:

Increase in member jurisdictions which

adopt health in planning policies including

Site Plan Review and Health Impact

Assessments.

Provide public recognition to municipalities

and projects which utilize health in

planning policies.

MCHD 2017

Post-election, re-send out Resilient Monroe educational materials

related to health-promotion efforts to new elected officials serving

municipalities throughout Monroe.

Year 3: Continue efforts from years 1 and 2. 2018

Increase Efforts to Improve School Health

Year 1: Increase participation in the Monroe

County Healthy School Program coordinated

by the Monroe County BHC Coalition.

Initiate conversation with local lawmakers

regarding school health policies. Encourage

development of policies which will lead to

enhanced school health (i.e. more stringent

requirements for school health education,

increased requirements for PE classes, etc.)

Monroe County Health

Department

Monroe County ISD

Building Healthy

Communities Coalition

2016 28 schools participating for 2015-16 school year.

Awards presented April 23rd at Earth Day Expo.

Jamie Dean and Jean Foster met with Senator Zorn, Rep Sheppard and

Rep LaVoy in Feb. 2016 on quality of health and physical education in

the schools.

Revise Healthy Schools application to require at least one mental

health-related goal from mental health category.

Final application will be sent out to schools by email. Press release will

be submitted when application process opens.

YMCA hosting free after-school CATCH program (includes nutrition,

physical education, arts activities, etc.) at multiple schools

MCHD expanded list of health education presentation offerings;

conducted 81 presentations reaching 2833 students in 2016.

12

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Year 2: Continue efforts from year 1 2017 Discuss improvements to school lunch programs.

Year 3: Continue efforts from years 1 and 2. 2018

Increase Mental Health Services among Adults and Youth

Action Step Responsible Person/Agency Timeline Progress

Increase Awareness of Available Mental Health Services

Year 1: Educate school personnel, guidance

counselors and social workers in at least three

local school districts on the availability of

mental health services and how to make

referrals.

Support and disseminate an informational

resource guide that highlights all organizations

in Monroe County that provide mental health

services.

Increase awareness and participation in the

mental health round table to expand

community collaboration and coordination of

efforts.

Monroe County

Community Mental

Health Authority

2016 Community Mental Health currently in discussion with Michelle

Brahaney to present to counselors and teachers on suicide signs and

symptoms as well as all Mental Health services.

CMH will discuss at Mental Health Round Table - April 29th at 10:00am

CMH - Have guide that they will place on their website and plan to

update information on Counseling sites. CMH is collaborating with

PMRH on the guide to provide for the public.

Initial meeting of Mental Health organizations to discuss youth mental

health, self harm and suicide. Developing training for schools.

Additional mental health presentations from MCHD health educators

are available to schools during the 2016-2017 school year. These have

been promoted through HD brochures.

ProMedica has launched a fundraising campaign to create a mental

health resource guide. They exceeded their $20K goal by $4K, bringing

their total to $24,000. Money collected will be used towards creating

guide and online resource. Met and determined guide will be

distributed in January/February 2017, with website launched shortly

after.

ProMedica additionally plans to work with schools to determine their

needs related to mental health and is currently fundraising for this

effort.

CMH: 38 trained in Mental Health First Aid in September 2016

CMH: Suicide Prevention Group currently working to revise workplan,

including adding gatekeeper training for schools

13

CMH: Working on development of mental health and suicide

information recommendations for community, including press

recommendations for reporting on mental health and suicides

ISD/MPS: Developing suicide protocol for schools; promoting to

superintendents

ISD conducted 3 roundtables for schools 2016-2017:

September and October 2016 - Met to discuss assessment tool – 45

participants (total between 2 meetings)

November 2016 - Discussed resources available in community- 52

participants

MCHD: Presented on Stress, Emotions, and Coping to 166 students

since September 2016

-115 students in grade 9 at Airport High School

-51 students in grades 5-8 at St. Patrick’s

Presentations are scheduled for over 200 middle and high school

students in 2017 thus far.

Year 2: Educate school personnel, guidance

counselors and social workers in all Monroe

County school districts on the availability of

mental health services and how to make

referrals.

Continue presentations on available mental

health services to Monroe County groups.

Continue to increase participation of the

mental health round table discussions.

Create a presentation on available mental

health services and present to Monroe County

area churches, law enforcement, Chamber of

Commerce, City Councils, Monroe College

students majoring in social work, etc.

2017

ISD Roundtables:

March - Will discuss methods for fostering positive climate surrounding

discuss of mental health

ProMedica mental health resource guide distributed January/February

2017, with website launched shortly after.

Year 3: Continue efforts of years 1 and 2 and

expand outreach.

Determine on an annual basis, who will update

the mental health resource guide.

2018

14

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Increase Mental Health Services among Adults and Youth

Action Step Responsible Person/Agency Timeline Progress

Increase the Number Primary Care Physicians Screening for Depression During Office Visits

Year 1: Collect baseline data on the number of

primary care physicians that currently screen

for depression during office visits

ProMedica Monroe

Regional Hospital

2016 ProMedica Monroe moving to Epic EMR system in May 2017;

depression screenings will be incorporated at that time.

Year 2: Introduce PHQ2 and PHQ9 to

physicians’ offices and hospital administration

Pilot the protocol with one primary care

physicians’ office

2017

Year 3: Increase the number of primary care

physicians using the PHQ2 screening tool by

25% from baseline.

2018

Implement Evidence-based Programs Targeting Youth

Year 1: Educate administrators on the youth

mental health data collected from the 2015

Monroe County Health Assessment.

Introduce the Michigan Model for Health to all

Monroe County School District Administrators

and provide education on the evidence of

effectiveness.

Monroe County

Intermediate School District

2016 CMH is working to access schools.

38 trained in Youth Mental Health First Aid in September 2016.

Monroe Public Schools: Implementing Gabby’s Ladder program

offering counseling, including grief counseling, to students at Manor

and Arborwood identified as candidates for program.

Family Medical Center serving Arborwood and Aiport; offers

telemedical consult from social worker, counselor, etc.

These efforts also included as part of ProMedica funding to address

mental health needs in schools.

ISD: Working to connect with non-profit run by Jennifer Frackleman in

Ohio to promote mental health services for Monroe school students.

Year 2: Implement the Michigan Model for

Health with fidelity in at least 2 school districts.

2017

Year 3: Increase the number of school districts

implementing the Michigan Model for Health

by 25%.

2018

15

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Increase Mental Health Services among Adults and Youth

Action Step Responsible Person/Agency Timeline Progress

Provide Mental Health First Aid Training

Year 1: Obtain baseline data on the number

of trainings that have taken place and the

number of participants.

Market the training to Monroe County area

churches, schools, service clubs, law

enforcement, Chamber of Commerce, City

Councils, college students majoring in social

work/mental health, etc.

Provide at least 2 trainings

Monroe County

Community Mental

Health Authority

2016 CMH presented at Making Connections, March 10th 2016.

Family Medicine Residency Center and United Way asked for

presentation on Mental Health First Aid Training.

Trained over 540 individuals in the last five years, national best

practice.

February – 12 participants

April – 15 participants

September – 38 participants

6/1: discussion on suicide and suicide risks at Network on

Homelessness.

11/11 & 11/12: Monroe parish leaders attended Mental Health First

Aid Training hosted by the Archdiocese of Detroit

CMH – Will send numbers (currently creating plan for 2017)

Year 2: Provide 3 additional trainings and

continue marketing efforts.

2017

Year 3: Continue efforts from year 2. 2018

Increase Awareness of Trauma Informed Care

Year 1: Facilitate an assessment among

clinicians in Monroe County on their awareness

and understanding of toxic stress and trauma

informed care.

Survey community members of their awareness

and understanding of toxic stress and trauma.

Facilitate a training to increase education and

understanding of toxic stress and trauma.

Great Start

Collaborative/Toxic

Stress and Trauma

Committee

2016 Mental Health Round Table met twice to find one assessment tool to

route kids to the appropriate agency for services.

Panel at Making Connections – March 10th 2016 – 45 people

attended.

CMH – 105 youth attended educated on coping and stress

management during youth leadership training at ISD

Year 2: Facilitate trainings for Monroe County

teachers on trauma and Adverse Childhood

Experiences.

Develop and implement a trauma screening

tool for social service agencies who work with

at risk youth.

2017

3-17-16 Making Connections Panel

16

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Continue education on toxic stress and

trauma.

Year 3: Continue efforts of years 1 and 2

Increase the use of trauma screening tools by

25%.

2018

Substance abuse

Action Step Responsible Person/Agency Timeline Progress

Increase Awareness and Efforts of the Monroe County Substance Abuse Coalition

Year 1: Work to increase awareness and

outreach efforts of the Monroe County

Substance Abuse Coalition.

Enlist any missing sectors to be a part of the

coalition.

Implement an annual Drug Summit and

increase participation.

Increase participation in 4 designated

workgroups.

Continue implementing strategies that will

reduce the use of alcohol, marijuana, and

other illegal drugs.

Research potential funding sources to further

the work of the coalition.

Monroe County Substance

Abuse Coalition

2016 Panel at Making Connections 3-10-16 – 45 people attended.

“I Say No” Campaign will be at Celebrate Children – April , traveling

display schools will be available for use

Billboard on Telegraph Rd. for “I Say No” Campaign

Health Checks and medication take backs in May

Red Med boxes promoted through county with a county-wide

mailer

Call to Action Workgroups are meeting April 5th

Prevention, Law Enforcement and Medical

Treatment will meet on 3-28-16

SAC will be at the Monroe County Fair again.

Plans for another 5K – Rethink Addiction on 10-2-16.

Monroe County Board of Commissioners named June 7, 2016 as Red

Med Awareness Day.

8-31-16: Presentation at ISD on trending drugs

September 2016: Hosted prescription drug use safety training

10-11-16: Quarterly workgroup meetings

10-11-16: Attend Monroe Senior Safety Summit

10-14-16: Meeting on Red Med boxes at the Commission on Aging

17

10-14-16: MSP presented on current drug trends at CMH – 63

participants

10/20 & 11/3: Medication take-backs and health check

All 12 schools committed to participating in educational campaigns

(4 topics throughout the year)

4th Annual Prescription Drug and Heroin Summit – 12-6-16

Approximately 300 attendees, including over 130 students

Medical Workgroup: Sent letter to involve podiatrists and dentists in

workgroup and substance abuse campaign efforts

Medical Workgroup: Hosted pharmacy forum with participation from

5 pharmacies in Monroe County; speakers included pharmacists,

DEA, and prosecutors’ office

Harbor Light: 20 peer recovery coaches trained; setting up peer

support crisis team.

Year 2: Research potential funding sources to

further the work of the coalition.

2017

Year 3: Continue efforts from years 1 and 2 2018

Implement Evidence-Based Programs Targeting Youth

Year 1: Educate administrators on the alcohol,

tobacco and drug use data collected from

the 2015 Monroe County Health Assessment.

Introduce the Michigan Model for Health to all

Monroe County School District Administrators

and provide education on the evidence of

effectiveness.

Monroe County Substance

Abuse Coalition

Monroe County

Intermediate School District

2016 Shifting away from Michigan Model for Health towards peer to peer

approach and other education methods.

All school districts have coordinated Student Prevention Leadership

Teams (SPLT).

October 2016: Meeting with MCCC student government to discuss

assembling a substance abuse taskforce on campus

Harbor Light: 20 peer recovery coaches trained; setting up peer

support crisis team

Under- age drinking campaign – about 10 schools committed

Kick Butts Campaign – about 8 schools committed over next month

Marijuana Campaigns : October 2016 - All 12 Monroe County high

schools completed school marijuana education campaigns

All 12 schools committed to participating in educational campaigns

(4 topics throughout the year)

4th Annual Prescription Drug and Heroin Summit – 12-6-16

Approximately 300 attendees, including over 130 students

18

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Year 2: Implement the Michigan Model for

Health in at least 2 school districts.

2017

Year 3: Increase the number of school districts

implementing the Michigan Model for Health

by 25%.

2018

Substance abuse

Action Step Responsible Person/Agency Timeline Progress

Increase the Number of Health Care Providers Screening for Alcohol and Drug Abuse

Year 1: Introduce Project ASSERT. ProMedica Monroe

Regional Hospital

2016

Year 2: Introduce a screening, brief

intervention and referral to treatment model

(SBIRT) to physicians’ offices and hospital

emergency departments.

Pilot the model with one primary care

physician’s office and hospital ER.

Collect baseline data on the number of

emergency department, primary care and

specialty care providers that currently screen

for drug and alcohol abuse (and at what age

they start screening).

2017

Year 3: Increase the number of ER and primary

care physicians using the SBIRT model by 25%

from baseline.

2018

Increase Community Awareness & Education of Substance Abuse Issues and Trends

Year 1: Plan a community awareness

campaign to increase education and

awareness of risky behaviors and substance

abuse trends.

Include information on e-cigarettes, alcohol

use, prescription drug abuse, marijuana use,

Monroe County

Substance Abuse

Coalition

2016 “I Say No Campaign” with billboard donated by MB & T for 1 month.

Bookmarks – Low Risk Drinking, Smoking and Medication Safety will be

given away at Celebrate Children on April 16th, 2016.

Under- age drinking letter to all High School Seniors Parents and

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heroin use and other illegal drug use.

Determine best ways to educate community

and parents (social media, newspaper, school

websites or newsletters, television, church

bulletins, etc.)

Guardians in Michigan State Police envelope

Handouts given at Easter Egg Hunt - 1) Tips for medication safety,

2) Tips for modeling low-risk drinking, and 3) Tips for protecting your

children from secondhand smoke.

April 13 and May 11 – Lunch and Learns at PMRH on trends in

Marijuana with about 60 providers at each.

August 2016: Information distributed on substance abuse at Monroe

County Fair

August 2016: Press release and article on Tobacco Free Youth for

new school year.

ProMedica Monroe article on prescription medical use safety and

disposals.

10-14-16: MSP presented on current drug trends at CMH – 63

participants

11-28-16: MCHD health educator presented Introduction to

Substance Abuse to 115 youth at Airport High School

12-6-16: Prescription Drug Abuse and Heroin Summit-open to the

public

United Way website: Monroe Treatment and Recovery Community

Resource Guide

**See completed progress activities above for additional events**

Year 2: Plan awareness programs/workshops

focusing on different “hot topics” and risky

behavior trends.

Attain media coverage for all

programs/workshops

2017

Year 3: Continue efforts of years 1 and 2. 2018

20

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Safe Driving

Action Step Responsible Person/Agency Timeline Progress

Implement a Community Based Comprehensive Program to Reduce Driving Under the Influence of Alcohol

Year 1: Research successful community

interventions which reduce high-risk driving.

Work with all area law enforcement agencies

to determine which components would be

feasible to implement.

Monroe County

Substance Abuse

Coalition

Michigan State Police

2016 3 schools participating in safe driving program: Flat Rock, Ida and

Carlson, Spring 2016

CDC info: Motor vehicle crashes and prevention efforts tool

Dundee High School, Jefferson and Whiteford implemented a

distracted driving campaign.

September 2016: Ida Schools texting & driving/drinking & driving

simulators

Monroe County? received $74K safety grant to be used towards

impaired driving and seat belt enforcement.

MSP: Strive for a Safe Drive program: Promoting grant application to

high school principals; will send out flier.

MSP & PMRH: Researching available safe driving educational

programs for schools as part of ProMedica efforts for Level 3 Trauma

Center.

Year 2: Implement at least 2 of the following

strategies:

Sobriety checkpoints

Compliance checks

Seller/server trainings

Parents Who Host Lose the Most

campaign (educating parents on the

laws for distributing alcohol to minors)

Use zoning and municipal regulations

to control alcohol outlet density

Research alternative paid

transportation opportunities

2017

Year 3: Expand strategies to all areas of the

county and implement remaining strategies

Publicize results of efforts.

2018

21

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Safe Driving

Action Step Responsible Person/Agency Timeline Progress

Implement a Coordinated Safe Driving Campaign

Year 1: Gather baseline data on all local

schools, agencies, businesses and

organizations implementing safe driving

programs or messages in Monroe County.

Organize a group of engaged citizens to

create a safe driving committee. Invite

members from the following sectors:

Law enforcement

Insurance agencies

Driving schools

Community-based organizations and

coalitions

Concerned community members

Work to assess community needs, and begin to

develop a coordinated safe driving

campaign.

Begin looking for funding sources at the local,

state and national level to expand efforts.

Monroe County Health

Department

Michigan State Police

2016 Ongoing car seat checks , local Tech being trained as a Trainer for

Car Seat Technicians

All Monroe County Schools will do Under-age Drinking Campaign

(except SMCC and Erie Mason)

Dundee is ending campaign with a mock car accident by the Fire

Dept on Friday, May 6th at 1pm

Starr towing is dropping off wrecked vehicle at the school for their

campaign

Dave Odell will speak at Orchard for their campaign.

Speaker from Hope for Recovery will speak at Whiteford

June 11th – Newport Fireman’s Park – anticipate 40 car seat techs

36 car seat checks conducted by MCHD certified car seat

technician as of 9-10-16

61 parents/caregivers educated on car seat safety in infant CPR and

Safety class at MCHD

September 2016: Car seat checks conducted by MSP at Mall of

Monroe

ISD & MCHD: Continuing car seat checks.

Year 2: Raise awareness about safe driving

and begin disseminating the coordinated safe

driving campaign.

Determine best ways to educate the

community (social media, newspaper, school

websites or newsletters, television, church

bulletins, etc.).

2017

22

Secure funding to expand outreach.

Identify additional agencies with staff

available to be trained as car seat technicians.

Additional car seat technicians trained and

participate in community coordinated car seat

check events.

Incorporate local work and school chapters of

SADD into community safe driving efforts.

Year 3: Continue efforts of years 1 and 2. 2018

23

Building Healthy Communities

Community Health Improvement Plan

Progress Report

Additional Meeting Notes:

3-14-16 – Progress noted at quarterly meeting today. Future meeting dates set for 10:00am on June 6th, October 3rd and December 5th, 2016 at MCHD. _______________________________________________________________________________________________________________________________ 6-6-16 – Progress updated. __________________________________________________________________________________________________________________________________ 2016 Health Check Participants – Bedford: 153/Dundee: 133 __________________________________________________________________________________________________________________________________ 10-3-16 – Progress noted at quarterly meeting today. Future meeting dates set for 10:00am on December 5th, 2016 and March 6th, June 5th, October 2nd, and December 4th, 2017 at MCHD. __________________________________________________________________________________________________________________________________ 10-5-16 – Progress updated. __________________________________________________________________________________________________________________________________ 12-5-16 – Progress noted at quarterly meeting today. Next meeting will take place Monday, March 6th at 10:00 am. __________________________________________________________________________________________________________________________________ 12-6-16 - Progress updated. __________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________