WELCOME TO THE COMMUNITY HEALTH COALITION The Health Improvement Plan of Washtenaw County Carrie...
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WELCOME TO THE COMMUNITY HEALTH COALITION The Health Improvement Plan of Washtenaw County Carrie Rheingans, MPH, MSW Community Health Committee Co-Chair Project Manager Washtenaw Health Initiative Lily Guzmán, MPH, MSW Health Improvement Plan Coordinator Washtenaw County Public Health
WELCOME TO THE COMMUNITY HEALTH COALITION The Health Improvement Plan of Washtenaw County Carrie Rheingans, MPH, MSW Community Health Committee Co-Chair
WELCOME TO THE COMMUNITY HEALTH COALITION The Health
Improvement Plan of Washtenaw County Carrie Rheingans, MPH, MSW
Community Health Committee Co-Chair Project Manager Washtenaw
Health Initiative Lily Guzmn, MPH, MSW Health Improvement Plan
Coordinator Washtenaw County Public Health
Slide 2
HIP is a county-wide partnership working to improve the
communitys health 1.Facilitate partnerships, 2.Collect &
analyze local health data and sets health improvement objectives,
3.Promote evidence-based strategies. About the Health Improvement
Plan
Slide 3
HIP Goals Partnerships GGrow partnerships across sectors and
disciplines. Data CCollect, analyze, and disseminate data on health
factors, outcomes, and disparities in Washtenaw County. EEstablish
long term health objectives and monitor progress. Strategies
IIncrease understanding of evidence-based strategies. IIncrease
understanding of policy and environmental approaches. FFurther
address social determinants of health, social justice, and health
equity. DDevelop, implement, and monitor shared countywide health
improvement plan.
Slide 4
Community Health Committee Coordinating Team Implementation
Team Coalition Pa HIP Coalitions
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Funding Partners 2015 HIP Survey Funding Partners
Slide 6
Ann Arbor Center for Independent Living Ann Arbor Public
Schools - Community Recreation & Education Ann Arbor YMCA Area
Agency on Aging 1-B Blueprint for Aging Chelsea-Area Wellness
Foundation City of Ypsilanti Community Support and Treatment
Services Hemophilia Foundation of Michigan HIV/AIDS Resource Center
Hylant Group March of Dimes Michigan Institute for Clinical and
Health Research National Kidney Foundation of Michigan Packard
Health Regional Alliance for Healthy Schools (RAHS) School Based
Health Centers St. Joseph Mercy Health System Slow Food Huron
Valley Social Security Administration TheRide / Ann Arbor
Transportation Authority United Way of Washtenaw County University
of Michigan Comprehensive Cancer Center University of Michigan
Health System University of Michigan Library - Health Sciences
Libraries Washtenaw Area Transportation Study Washtenaw Asthma
Coalition Washtenaw County Community Support and Treatment Services
Washtenaw County Office of Community and Economic Development
Washtenaw County Parks and Recreation Commission Washtenaw County
Tobacco Reduction Coalition Washtenaw Health Plan Washtenaw
Intermediate School District Ypsilanti Health Coalition HIP
Partners
Slide 7
Ann Arbor Public Schools Ann Arbor Public Schools-Rec & Ed
Ann Arbor Public Schools Pathways to Success Ann Arbor YMCA
Catholic Social Services of Washtenaw County Center for Healthcare
Research & Transformation Corner Health Center Growing Hope
Hemophilia Foundation of Michigan IHN @ Alpha House Maternal
Management LLC Mentor2Youth Inc. Ozone House Project Healthy
Schools Slow Food Huron Valley Task Force on At Risk Youth The
Young People's Project, University of Michigan University of
Michigan Health System (UMHS) UMHS Comprehensive Cancer Center UMHS
Project Healthy Schools UMHS Regional Allice for Healthy Schools
UMHS Ypsilanti Health Center United Way of Washtenaw County
Washtenaw Alliance for Children and Youth (WACY) Washtenaw Area
Council for Children (WACC) Washtenaw County Community Support and
Treatment Services Washtenaw Alliance for Virtual Education (WAVE)
Washtenaw Community Health Organization Washtenaw County Office of
the Sheriff Washtenaw County Office of Community & Economic
Development Washtenaw County Public Health Washtenaw County Trial
Court Washtenaw County Youth Center Washtenaw Health Plan Washtenaw
Intermediate School District Todays Attendees
Slide 8
Visit our website http://hip.ewashtenaw.org
http://hip.ewashtenaw.org Join our email list Attend meetings For
more information
Slide 9
Lunch and refreshments Sign-in Restrooms Housekeeping
Slide 10
A big thank you to: Jessica Black, City of Ann Arbor Parks and
Recreation Members of the At-Risk Task Force You! Meeting host:
Naomi Norman Executive Director of Achievement Washtenaw
Intermediate School District Todays Topic: Every Child, Every
Day
Slide 11
AT-RISK YOUTH: A DATA PORTRAIT Washtenaw County -- October
2014
Slide 12
Highest performing county in Michigan? Number 1 in 8 th grade
math (Kids Count) Number 1 in 11 th grade reading
(mischooldata.org) Number 1 in 11 th grade math (mischooldata.org)
Half our high schools in the top 5% of all Michigan high schools
(top to bottom ranking) Several of the top high schools in the
country (US News and World Report)
Slide 13
But are we the best for ALL kids?
Slide 14
Definitions of At-risk MDE Low achievement (levels 3 or 4) on
Michigan Education Assessment Program (MEAP) tests in mathematics,
reading or science Failure to meet core academic curricular
objectives in English language arts or mathematics (applies to
grade K-3 pupils only) OR Victim of child abuse/neglect Pregnant or
parenting Eligible for free and reduced lunch Atypical behavior or
attendance Family history of school failure, incarceration or
substance abuse Washtenaw Alliance for Children & Youth (WACY)
WACY has focused on economically disadvantaged school-aged youth in
their recent shared outcomes process and defines that population
by: * those who qualify for the free or reduced lunch program
and/or youth from families with incomes below 185% of the federal
poverty limit (FPL). Task Force Input Mental health issues Physical
health issues Substance abuse Age of first Criminal Justice Contact
More than one traumatic experience Death of caregiver Witness
violence Witness abuse, neglect Disposition Pattern of middle
school failure English Language Learners African American males
Middle school behaviors on/off track
Slide 15
How many students are free and reduced lunch eligible? How many
students miss 10 or more days of school? 36 days or more? What
percent of students score at the lowest level on the MEAP in all
tested areas? Number of homeless youth 2012-13? What percent of
students reported binge drinking in the last 30 days?
Predictions
Slide 16
14,128 Washtenaw County students eligible for free and reduced
lunch in 2013-14 school year. Demographics 46,797 Students enrolled
in Washtenaw Intermediate School District in 2013-14.
Slide 17
Demographics PercentRace/Ethnicity 64%White 18%African American
7%Asian 5%Hispanic 5%Two or more races 1%Others
Slide 18
Homeless Youth 1,316 Number of youth served by the Education
Project for Homeless Youth in 2012-13.
Slide 19
Slide 20
Pair-Share What do you consider the most important criteria for
being At-risk?
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ACADEMIC PERFORMANCE
Slide 22
MEAP Math 4 th Grade by Race
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ACT Math Comparison by Race
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ACT Math Comparison by Income
Slide 25
Academic Performance 1,349 Number of students scoring lowest
level of proficiency on ALL tested subjects. That is 17% of the
students who were assessed by MEAP across all grades tested. 63%
scored at least one 4. Source: BAA
Slide 26
African American Math Performance 482 African American 8 th
graders, Fall 2013 280 of those also in their district in 3 rd
grade
Slide 27
Pair-Share What is one reason some groups of kids dont perform
as well as others?
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ATTENDANCE
Slide 29
The Importance of Being in School
Slide 30
How are absence rates determined? Any absence from school or
from a class period excused or unexcused examples: illness,
skipping class, participating in school-sponsored activity, family
vacation Calculated as a percent present of total time possible
Example 1 Student misses 2-3 days per month = 18-27 days (80-85%
attendance) Example 2 Student is late once a week and misses half a
day = 18 days (85% attendance)
Slide 31
What is chronic absence? Michigan Department of Education
Missing 10 days a year or more (5% or more) Attendanceworks.org
defined as missing 10% of a school year for any reason Missing 18
days a year (or more) Severe chronic absence Missing 20% of the
school year or more Missing 36 days or more
Slide 32
Source: MiSchoolData.org
Slide 33
13,981 Students in Washtenaw County missed 10 or more days in
2012-13 Source: MiSchoolData.org
Slide 34
Source: MSDS 2013-14 Attendance Data Washtenaw County
Slide 35
Who is missing school? Which subgroups of students are impacted
most? Average White student in Washtenaw County attends 171 days of
school Average Black student attends 160 days of school Source:
MSDS 2013-14 Attendance Data Washtenaw County
Slide 36
Slide 37
Suspension Patterns for Students with IEPs (Special Education)
Type of Disciplinary Consequence Students with IEPs in Washtenaw
County 2013-14 Approximately 6,100 students with disabilities with
1400 discipline consequences 1037 out-of- school suspensions 352 in
school suspensions 11 expulsions Source: MSDS 2013-14 Discipline
Data Washtenaw County
Slide 38
County Average
Slide 39
In Washtenaw County 2013-14: 1037 out of school suspensions for
an average of 3.6 days each 3743 days of school missed Source: MSDS
2013-14 Discipline Data Washtenaw County
Slide 40
For More Information Attendance Works:
http://www.attendanceworks.org/http://www.attendanceworks.org/
Chronic Absenteeism Report: http://new.every1graduates.org/wp-
content/uploads/2012/05/FINALChronicAbsenteeismRepo rt_May16.pdf
http://new.every1graduates.org/wp-
content/uploads/2012/05/FINALChronicAbsenteeismRepo rt_May16.pdf
Attendance data for all districts and schools in Michigan:
http://mischooldata.org http://mischooldata.org For more
information about this presentation and its data, please contact:
Naomi Norman, Washtenaw ISD, [email protected], 734-994-8100
ext. 1263 [email protected]
Slide 41
Pair-Share What is one reason that students miss school that
you feel we can address?
Slide 42
DEPRESSION / SUICIDALITY
Slide 43
Adreanne Waller, MPH, Epidemiologist/Health Analyst Washtenaw
County Public Health March 2013
Slide 44
Interventions that Work Adverse Childhood Experiences Mortality
Behaviors/Risks Emergency Department Admissions Highlights
Connection between needs, interventions and data? Adreanne Waller,
MPH - Washtenaw County Public Health
Slide 45
Mental Health Promotion For Whole Population Those Who Have
Already Been Affected By Suicide or Suicidal Behaviors Persons With
Risk Factors Like Depression
Slide 46
Adreanne Waller, MPH - Washtenaw County Public Health Mental
Health Promotion For Whole Population Those Who Have Already Been
Affected By Suicide or Suicidal Behaviors Persons With Risk Factors
Like Depression What risk groups? Are we addressing? Opportunities
for intervention? Other or different data needed?
Slide 47
SAMHSA Adreanne Waller, MPH - Washtenaw County Public
Health
Slide 48
Create supportive environments that promote healthy and
empowered Individuals, families, and communities Enhance clinical
and community preventive services Promote the availability of
timely treatment and support services Improve suicide prevention
surveillance collection, research, and evaluation National Strategy
for Suicide Prevention GOALS
Slide 49
The truth about childhood is stored up in our bodies and lives
in the depths of our souls. Our intellect can be deceived, our
feelings can be numbed and manipulated, our perceptions shamed and
confused, our bodies tricked with medication, but our soul never
forgets. And because we are one, one whole soul in one body,
someday our body will present its bill. Alice Miller Adreanne
Waller, MPH - Washtenaw County Public Health
Slide 50
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Adverse Childhood Experiences Social, Emotional, &
Cognitive Impairment Adoption of Health-risk Behaviors Disease,
Disability Early Death The Influence of Adverse Childhood
Experiences Throughout Life Death Birth Adreanne Waller, MPH -
Washtenaw County Public Health
Slide 53
Slide 54
Vincent J. Felitti, M.D. Robert F. Anda, M.D.
Slide 55
Vincent J. Felitti, M.D. Robert F. Anda, M.D.
Slide 56
Childhood Experiences Underlie Chronic Depression Adreanne
Waller, MPH - Washtenaw County Public Health Vincent J. Felitti,
M.D. Robert F. Anda, M.D.
Slide 57
Childhood Experiences Underlie Suicide 1 2 0 3 4+ Adreanne
Waller, MPH - Washtenaw County Public Health Vincent J. Felitti,
M.D. Robert F. Anda, M.D.
Slide 58
*That portion of a condition attributable to specific risk
factors Vincent J. Felitti, M.D. Robert F. Anda, M.D.
Slide 59
Mental health is tightly linked to physical health Adreanne
Waller, MPH - Washtenaw County Public Health
Slide 60
Suicide attempt monitoring, as well as other related measures,
help us to take the ten thousand mile view regarding what groups
are at highest risk and where interventions may be most
needed.
Slide 61
Adreanne Waller, MPH - Washtenaw County Public Health
Slide 62
Source: Michigan Department of Community Health and Washtenaw
County Public Health Waller, A. suicidetrendsbyage.pptx
7/8/14suicidetrendsbyage.pptx
Slide 63
YOUTH Adreanne Waller, MPH - Washtenaw County Public
Health
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No Data 11.9% - 13.8% 13.9% - 15.3% 15.4% - 17.3% 17.4% - 20.6%
Percentage of High School Students Who Were Electronically Bullied*
*Including being bullied through e-mail, chat rooms, instant
messaging, websites, or texting during the 12 months before the
survey. State Youth Risk Behavior Surveys, 2013
Slide 69
Adreanne Waller, MPH - Washtenaw County Public Health
Slide 70
Washtenaw County residents who were admitted to hospitals other
than SJMH or UMHS for suicide attempts, i.e. VA Suicide attempts
that did not result in medical care Completed suicides Some
unintentional injuries Adreanne Waller, MPH - Washtenaw County
Public Health
Slide 71
SAINT JOSEPH MERCY HOSPITALS & UNIVERSITY OF MICHIGAN
HEALTH SYSTEM WASHTENAW COUNTY RESIDENTS ONLY Adreanne Waller, MPH
- Washtenaw County Public Health
Slide 72
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Youth and young adults increasing risks April/May and Sept/Oct
Latinos higher risk Asians increasing risk Access to lethal means
prescription drugs Adreanne Waller, MPH - Washtenaw County Public
Health
Slide 80
Slide 81
SAFETY
Slide 82
What is MiPHY? Michigan online student health survey Grades 7,
9, 11 MiPHY or MiPHY Basic MiPHY Basic excludes sexual behavior and
suicide Available every other school year, even years 179 High
School questions 161 Middle School questions Students complete in
approximately 30 minutes
Slide 83
School Safety: Violence, Substance Abuse, Sexual Behavior MiPHY
Survey results Grades 9 and 11 3,421 students 5 school districts
Exit Survey results Grade 12 3278 students 14 school districts
Senior Exit Survey
Percent of students who did not go to school because they felt
unsafe at school or on their way to or from school on one or more
of the past 30 days 3.4% MiPHY 2013-14 Washtenaw County, n=3421, 9
th & 11 th grade
Slide 86
Bullying/Violence Amongst Youth Senior Exit Survey, Washtenaw
& Livingston Counties, Class of 2014
Slide 87
Pair-Share How does bullying impact youth and their ability to
learn?
Slide 88
SEXUAL BEHAVIOR
Slide 89
MiPHY: Sexual Behavior Grade9th11th % students ever had sexual
intercourse 10.1%32.3% 14.5 % or 435 respondents reported having
sexual intercourse with one or more people during the past three
months MiPHY 2013-14 Washtenaw County, n=3421, 9 th & 11 th
grade
MiPHY: Other Drugs MiPHY 2013-14 Washtenaw County, n=3421, 9 th
& 11 th grade MiPHY 2011-12 Washtenaw County, n=1115, 9 th
& 11 th grade
Slide 97
Pair-Share What is one way we can address drug use?
Slide 98
OPPORTUNTIES
Slide 99
Why do some at-risk students succeed despite traditional
indicators that predict otherwise? What correlates to success most
closely? Resilience
Slide 100
Supportive Adults At least one adult at my school that I could
count on to help and support me if I needed assistance Sometimes or
Often: 78.3% Senior Exit Survey, Washtenaw & Livingston
Counties, Class of 2014
Slide 101
Pilots Engage Social Emotional Survey Pilot
Slide 102
Partnerships School Justice Partnership Washtenaw Futures