approach and sharing of information and resources effectively reduces overlap in services and makes the department’s efforts more efficient and effective. The engagement of local elected and appointed officials has also reinforced the role of Public Health in meeting community needs that would otherwise not be met. The relationship between literacy, health, and economic development, for example, has been of special interest in McIntosh and has attracted the interest of diverse participants who have volunteered to engage in implementation of the CHIP. In addition, the planning process has created a much stronger foundation for strategic planning. Engage the community and create community ownership for Public Health issues. Participation in the assessment, followed by widespread data sharing has had a tremendous influence on community perspectives on health care. County officials and representatives from city governments were provided an overview of findings to help engage them in public health issues, which have not always been considered as matters of local government concern. While different sections of the data were of varying relevance to different audiences, the compilation of economic and social data with health data was eye-opening to interests ranging from teen pregnancy educators to the business community, school system, and elected officials. Discovering, for example, the population most likely to smoke or binge drink or those most often using the emergency room in the neighboring county for primary care provided insights into issues that are community concerns, not just Public Health concerns. The collaborative approach helped achieve buy-in from community stakeholders willing to partner with Public Health to address these issues. The Process The First Phase: Community Health Needs Assessment The Community Health Needs Assessment (See results of Community Health Needs Assessment), conducted between September 1 and October 31, 2013, was composed of four pillars: The use of public data including demographic, economic, community resources, and health data to provide a standard of comparison for local survey data. Resources included Centers for Disease Control, the Agency for Healthcare Research and Quality, Georgia’s On-Line Statistical Information System (OASIS), data from Coastal Health District, the U.S. Census, the Bureau of Labor, University of Wisconsin County Health Rankings, Georgia Bureau of Investigation, Georgia Department of Highway Safety, Georgia Department of Natural Resources, and numerous other public resources;
Prevent initiation of drug abuse that causes poor judgment and links to violence and injury Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Public Health Churches Schools School nurses Parent-teacher organization organizations 4-H Youth leaders, pastors Parents Head Start Law enforcement Family Connection/Communities in Schools Continue with curriculum on risk behaviors for middle school students Create the social norm that drug abuse is not socially acceptable; conduct social norms campaign (Family Connection) School counselors/nurses notify parents of suspected drug abuse Department of Education tracks and trends marijuana, alcohol, and other drug use among students (HS Student Health Survey) Conduct simulations of drug use and driving (need partner) Existing laws enforced (law enforcement) Teen Maze (need sponsor) Review performance annually by creating and distributing a report to state officials Conduct social norms campaign annually Notify parents weekly Create a report and distribute quarterly Conduct 4 simulations per year Conduct a quarterly assessment on citations Develop partnerships Students who do not use drugs are less likely to use as adults Students who do not use drugs are more likely to finish school Reduction in teen pregnancy rate Reduction in motor vehicle accidents Healthier students without long-term problems Students who do not use are less likely to engage in risky behaviors Increase in graduation Greater likelihood of attending post-secondary schools More productive workforce Healthier community mandated
Policy change needed: Integrate behavioral health checks with physical health checks in school sports and activities. Goal #2: Increase the use of vehicle seatbelts and child safety seats. Planned Work Intended Results Increase the use of vehicle seatbelts and safety seats. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Law enforcement Patrol Education campaigns (Click It or Ticket and other) WIC/Public Health Fire departments Governor’s Office of Highway Safety SGHS Public health provides seat safety checks WIC provides training to mothers Law enforcement tracks and trends seatbelt and child safety seat use Law enforcement enforces seatbelt laws All new parents are required to have a safety seat installed before leaving the hospital (SGHS) Conduct 30-50 safety checks per Offer weekly trainings Create and distribute report quarterly Stop 50-75 people at a check point monthly Law enforcement will ensure parents have a safety seat installed before leaving the hospital Injuries and fatalities will not be related to failure to wear a seatbelt. Wearing a seatbelt will be the social norm. Automobile travel will be safer if all people use seatbelts.
Policy changes needed: Training at all license renewals; Make sure that seatbelt laws apply to everyone in the car, not just those in the front seat; Ensure that fines for not wearing a seatbelt are high enough to be effective; and Make sure that police and state troopers enforce all seatbelt laws. Goal #3: Reduce violence in McIntosh County, including reducing family violence and criminal acts. Planned Work Intended Results Reduce violence in McIntosh County, including reducing family violence and criminal acts. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, at Individual Level Long-term Impacts Changes that will in organizations, community, or systems due to effort Juvenile Gateway/Other behavioral health providers Prisoner re-entry work programs Schools/school counselors/school nurses identify and refer for treatment cases of family/school violence (schools) Refer 10-15 cases per month children in foster care/adoption system Fewer single parent families More people finding treatment and resources Neighborhoods safer, more people likely to be aside, further reducing crime More people working Fewer people in poverty
Schools Law enforcement Sheriff’s Office Victim Advocate Brunswick Judicial Victim Assistance Family Violence Shelters in Glynn County - Glynn Community Crisis Center, Amity House, Hope House Georgia Family Violence Commission Mandated reporters Department of Juvenile Justice Domestic Violence Task Force in Glynn County Emergency Room DFCS Churches Campaign to increase citizen reporting of crime to hotline; law enforcement track and trend (law enforcement, local governments) In-school telepsychiatry/ telepsychology in place for counseling (future effort) Mandatory reporters encouraged to take online training through Georgia Office of Children and Families (schools, DFCS, medical personnel, Public Health) Change attitudes toward victims through information campaign (Family Violence Organizations that serve McIntosh) Provide additional services to victims through victim’s program/shelters (family violence agencies) DFCS tracks and trends family violence, substantiated cases of child abuse for McIntosh (DFCS, Child Maltreatment Report) Referrals to drug abuse/alcohol abuse counseling for abusers (DFCS) At least 1 Family Violence Prevention Program presented annually in McIntosh Implement in 3 schools per month Complete online training before 90 day period Assess attitudes surveys; conduct information campaign annually Select 4 additional services Create and distribute monthly report Refer 10-15 clients weekly Lower crime rate Perception of community as safe Increased awareness of domestic violence cases of family violence
Task Force on Family Violence, shelters provide education through media, to organizations to build awareness of family violence Tracking and trending by local shelter Disseminate releases monthly Create and distribute monthly report Policy changes needed: Mandatory counseling, drug/alcohol abuse counseling, if applicable, for abusers; and Provide a continuum of care among social service providers. Goal #4: Make swimming lessons accessible to McIntosh residents to reduce the risk of drowning, the county’s leading cause of injury-related mortality. Planned Work Intended Results Make swimming lessons accessible to children to reduce the risk of drowning, the third leading cause of death in McIntosh County. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort YMCA 4-H Schools YMCA, recreation department, 4-H collaborate to provide opportunities for swimming lessons for youth Provide swimming lessons weekly More opportunities for physical fitness Greater safety on and around boats Fewer deaths from drowning Healthier community
Parents Parent-Teacher Organizations Recreation Department Motels Media messages on importance of learning to swim reinforce need for lessons (media) Adult swimming lessons made available through YMCA/recreation department Work with local motels to use pools off-hours for swimming lessons Disseminate 4 press releases monthly Offer 5 adult swimming lessons weekly Develop partnership More opportunity for jobs on water If more adults can swim, their children will be more likely to swim Policy changes needed: Recreation personnel understands and knowingly accepts responsibility for the well-being and safety of youth members; and Recreation personnel are trained on Safe Swim Defense. Goal #5: Reduce the incidence of sexually transmitted diseases. Planned Work Intended Results Reduce the incidence of sexually transmitted diseases. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, at Individual Level Long-term Impacts Changes that will in organizations, community, or systems due to effort
Elected celebrities Fire departments Grocery stores Chamber of Commerce they are obese) through media (local media) unhealthy snacks in classrooms/for parties via school wellness policies/enforcement of policies (school system) Chamber of Commerce promotes healthy workplace initiatives Food distribution sites offer weigh-in and blood pressure checks (McIntosh SEED) Classes in which children teach parents (4-H, Girl Scouts) Information distributed through Extension Service Newsletters Weight/scales available at fire departments Schools track, trend, and compare BMI Implement school policies Implement workplace initiatives Conduct an blood pressure checks twice a week Two classes per month Distribute monthly newsletters Fire departments have 2 weight/scales Create and distribute report annually Policy changes needed: School policies on high-fat, high sugar snacks (including outside foods for parties) are publicized, enforced, and evaluated; Changes in government food assistance programs to encourage healthy eating;
Businesses/local governments should offer incentives for healthy behaviors; State should reevaluate the requirement of only 1 quarter of physical education for high school students; and Seek grant funding for church outreach programming. Goal #2: Decrease the proportion of McIntosh residents who are physically inactive. Planned Work Intended Results Decrease the proportion of McIntosh residents who are physically inactive. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Public Health City/county governments Recreation department WIC Parent-teacher organizations Hospital/volunteers YMCA and YMCA programs and summer day camps 4-H Girl Scouts/Boy Scouts funding/donations Recreation department, city/county will identify opportunities for more active playgrounds (local governments) Recreation department will identify more opportunities for adult physical activity (not team based) (recreation department) City/county governments will identify and plan for areas where sidewalks are needed for biking/walking or create an accessible biking trail governments will create policies that include McIntosh County will have at least 1 community-wide fitness/health event per year Identify 3 opportunities per month and inform 20-30 adults Conduct 3 assessments per month County will have at least two new active playgrounds annually County has fewer overweight individuals Years of potential life lost decreases Rates of hypertension, diabetes decrease Less chronic disease Community engagement Culture of physical fitness Healthier community More productive workforce
Volunteers Medical providers Housing Authority Schools School nurses requirements for open/play areas in new developments Conduct an assessment of the walkability/bikeability within a two mile radius of all McIntosh Schools (seek funding) Attendance at YMCA will increase Schools will track/trend success on FitnessGram® Schools will and trend average BMI for comparison to national norms for age group More teachers will include physical activity in learning (school policies) After-school programs will include some form of physical activity (YMCA, other) Community fitness (need partner) Churches offer exercise classes or group walk and talk time for adults/children (churches) Conduct 3 assessments per month; At least one walking/biking trail that is accessible annually Recruit 5 new members for YMCA Create and distribute FitnessGram report Create and distribute quarterly report to school board officials and parents 25 teacher will develop and implement curriculum Conduct 3 after-school programs per week Develop partnership Offer classes once a week
Policy changes needed: All new housing developments/apartment complexes require consideration of sidewalks; Make playground/play areas a requirement for new housing developments/apartments; and Assess walkability/bikeability near schools to see if changes need to be made in infrastructure; plan for new biking/walking trails to meet need. Goal #3: Increase access to healthy and information about nutrition. Planned Work Intended Results Increase access to healthy foods and information about nutrition. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Public Health WIC Parent-teacher organizations Hospital Community volunteers with interest in wellness/nutrition 4-H Community gardens Businesses/Chamber Girl Scouts/Boy Scouts Medical providers Offer at least one nutrition class in the community per year (Public Health) WIC consults with new mothers on nutrition, exercise Community food and fitness to promote wellness Promote a Farmers’ Market that accepts EBT cards (Chamber) Ensure access to healthy snacks at school (school policies) Conduct 4 consultations with new mothers per week Conduct 4 times a year Recruit one farmer per month Implement school policies of healthy snacks a week Individuals will distinguish between healthy and unhealthy foods Healthy foods, including fresh fruits and vegetables, are available and accessible Persons who lose weight more likely to exercise, further improving health Individuals will recognize and address weight problems Children will influence parents Churches will take leadership role in improving health status of members Healthier community More active community Community has culture of good health/fitness Less chronic disease More children are active More productive workforce
Housing Authority Schools CMAP Coastal Georgia Community Action Authority Fire departments Grocery stores College of Coastal Georgia Culinary Program Grant funds for training laypersons to visit churches Food distribution sites offer weigh-in and blood pressure checks (McIntosh SEED) 4-H offer nutrition education and share with others Extension Service continues health promotion newsletters Weight/scales available at fire departments Health laypersons visit churches to check blood pressure/take weights, offer nutrition classes (dependent on grant funding) Schools will collect BMI from FitnessGram® data for trending More businesses will provide incentives for healthy eating habits (Chamber promotion) Establish community gardens program (need partner, schools and Extension) Twice a month; develop curriculum Distribute 30 copies per month Fire departments should have 2 weight/scales At 10 churches are visited each year about layperson to talk about nutrition and do blood pressure checks, cooking demonstrations Distribute quarterly reports to parents and school board officials Recruit 2 businesses per month Develop partnerships Changes in eating habits Businesses encourage healthy habits Policy changes needed: Remove sugary snacks from schools; Add healthy snacks to schools; and Remove unhealthy alternatives from business vending machines and replace with better alternatives.
Goal #4: Decrease the prevalence of diabetes and hypertension among McIntosh residents. Planned Work Intended Results Decrease the prevalence of diabetes among McIntosh residents. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short- and Long-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will in organizations, community, or systems due to effort Public Health WIC Medical providers Churches Fire departments Grant for blood pressure cuffs, training of laypersons McIntosh SEED Case managers Southeast Georgia Health System Nutrition classes available at annually (Public Health) WIC consults with new mothers on diabetes and hypertension Diabetes support group available (SGHS Diabetes screening available at no or low cost at Health Department Food distribution sites offer diabetes screenings (McIntosh SEED) Fire departments will do BP checks/weight checks Lay persons will visit churches to do BP checks and talk about need to diabetes screening (pending grant funding) Conduct consultations with new mothers after delivery Conduct support groups once a month Provide diabetes screenings twice a month Offer two diabetes screenings per month Fire departments conduct 2 BP/weight checks per month At least 10 churches are visited each year by layperson to talk diabetes awareness (pending grant funding) Pre-diabetics increase awareness Diabetics better manage disease through better nutrition and exercise Churches will take leadership role in improving health status of members Hypertensives more aware of need to monitor blood pressure Persons with hypertension better manage disease through better nutrition and exercise Churches will take leadership role in improving health status of members Reduce long-term disability Reduce number of strokes Healthier community More active community Less chronic disease More productive workforce health care costs
Primary care community of providers Southeast Georgia Health System/Discharge planners Gateway/Other Behavioral Health Providers Citizens interested in attracting a Federally Qualified Health Center Community Case Management Programs, including Community Care, Area Agency on Aging, SOURCE School system Public Health Media Encourage sign-up for insurance, access to Navigators (Providers, SGHS) Increase community awareness of insurance solutions (Public Health, SGHS, Media) School nurses will make referrals to available providers (schools) Information provided through hospital, nonprofits/Public Health about navigators “Frequent fliers” to Emergency Room identified by hospitals with referrals to physicians (SGHS) Hospital will inappropriate ER visits Recruitment of primary care providers/mid-levels (SGHS, FQHC) Recruitment of dentists willing to accept Medicaid/insurance Recruitment/retention of mental health professionals (Gateway) Recruit 10-15 clients per week Conduct annual health fair Make 4 referrals per month Provide 100 pamphlets Distribute 5 frequent fliers monthly Distribute 1 monthly report to the ER Recruit 3 primary care providers per year Recruit 5 dentists per year Recruit 3 mental health professionals per year More patients will seek primary care first Fewer patients will use the ER inappropriately More doctors, dentists, and mental health providers will accept Medicaid and insurance on the Exchange More clinics open after hours New providers attracted to the community, leading to greater access Less waste and redundancy in care provided as tests are not repeated, due to primary care coordination Improved access to primary care Improved continuity of care for better outcomes Increase patient awareness of cost of care and appropriate care
not eligible for exchange, access available services through CMAP, Public Health, and, if realized, FQHC Inform 20 clients about access to available services weekly More people can purchase necessary medications Policy changes needed: Make Medicaid sustainable/dependable for families, that is, create eligibility for longer or set period of time rather than month to month; Expand Medicaid to 138% of FPL; Expansion of FQHC into McIntosh County; and Promote telehealth in schools. Goal #3: Improve access to care and services for special populations. Planned Work Intended Results Improve access to care and services for special populations. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short- and Long-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Coastal Regional Coaches physicians Gateway/Other behavioral health providers FQHC (if achieved) Law enforcement will collect and trend data of persons jailed with a diagnosis of mental illness Medicaid Care Management Organizations/transportation companies will coordinate Distribute data report monthly Disseminate 3 press releases monthly Persons with mental illness will be able to access care Persons with chronic disease will better understand how to care for themselves Mental health is no longer taboo for discussion All citizens know how to access needed resources
Goal #1: Prevent initiation of smoking/tobacco/nicotine use among youth. Planned Work Intended Outcomes Prevent initiation of smoking/tobacco use among youth. Resources/Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short and Long-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Parents Schools Students Public health Law enforcement Convenience stores, other places that sell cigarettes Physicians/medical providers American Cancer Society Relay for Life Physical education teachers Funding for billboards, campaigns YMCA Churches Law enforcement upholds existing laws Compliance checks at stores selling cigarettes (law enforcement) Social norms campaign to make tobacco use uncool (need partner, Family Connection) Demonstration of lung from smoker (need funding) Testimonials from former smokers with lung disease (schools) Increase “no smoking” areas where young people gather (Chamber) Schools continue with state mandated education on behaviors Treat nicotine delivery systems like tobacco products Develop partnerships with stores Conduct monthly compliance checks Conduct social norms campaign; develop partnership with Family Connection Conduct 5 demonstrations per year Recruit 5-7 former smokers Designate 8-10 no smoking areas annually Implement state policies; create and distribute report to state officials Have a monthly nicotine delivery class Healthier and more active students Fewer younger students start smoking Students will influence their parents to quit smoking Younger students delay experimentation Lower rate of lung disease As fewer young people smoke, social norms will have more influence Fewer “years of potential life lost”
Policy changes needed: More smoking prohibited areas; Increase cigarette tax in Georgia to make cigarettes more expensive; Better enforcement of tobacco purchasing laws; More law enforcement compliance activities; Raise smoking age to 21; and Restrict E-nicotine delivery systems, with tobacco and smoke free designated areas. Goal #2: Decrease the total number of people who smoke/use tobacco/nicotine. Planned Work Intended Outcomes Decrease the total number of people who smoke/use tobacco. Resources/Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short and Long-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Children of parents who smoke/use tobacco Schools Relay for Life American Cancer Society Public health Physicians/medical providers Churches Businesses Schools continue mandatory education on health risks, including tobacco (part of curriculum) Social norms campaign to make tobacco use uncool (Public Health, Family Connection, schools) Demonstration of lung with cancer/smoker (sponsored by health providers, community organizations) Testimonials from former smokers with lung disease Implement mandatory education; Create and distribute annually reports on mandatory education Conduct campaign annually Conduct 5 demonstrations per year Recruit 5 individuals who will provide testimonials Healthier and more active adults Fewer people start smoking Students will influence their parents to quit smoking Lower rate of lung disease Fewer “years of potential life lost” Social norms will influence adults
Increase “no smoking” areas (Chamber of Commerce) More businesses have “no smoking” policies on premises and no hire policies for smokers (Chamber of Commerce) Treat nicotine delivery systems like tobacco (local government policies, business policies) Designate 8-10 no smoking areas yearly Implement 2-3 policies for no smoking Conduct a monthly nicotine delivery class Policy changes needed: Raise taxes on tobacco products; More smoke-free places; More businesses refuse to hire smokers; Limit number of tobacco retailers; Enforcement of existing laws on sales; and Treat nicotine delivery systems like cigarettes.
reduce chances of a second pregnancy Public Health tracks age of teen births for trending Outreach to older teens about free/low cost birth control (Public Health) DFCS makes referrals to Public Health/community partners for education and counseling Create and distribute monthly report Reach 4 teens per month Make 10 referrals per Policy change needed: substantive and collaborative andragogical parent involvement opportunities. Goal #2: Parents know about effective care and nurturing of children. Planned Work Intended Results Parents know about effective care and nurturing of children. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort
Parent-teacher organizations host annual meeting on helping children succeed in school peer mentorship programs for young or abusive parents (DFCS, Family Connection Partnership) Each school parent-teacher organization will offer at least one annual event on helping children succeed in school Enroll 10-15 parents twice a year Policy changes needed: Mandatory parenting classes for persons reported for child abuse/neglect (not just referrals); Annual training (for CEUs) for mandated reporters available locally/online; Resources for parenting provided to at-risk families while in the hospital; Peer Mentorship Program; Establish a help line; and Families with history of abuse/neglect have mandatory in-home visits after birth of new baby. Goal #3: All children live in safe homes. Planned Work Intended Results All children live in safe homes. Resources/Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, Often at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Public Health DFCS DFCS requires parenting classes for families with reported child abuse/neglect Parenting classes on a regular basis in McIntosh children in single parent homes (County Health Rankings) Higher graduation rates More intact families
YMCA after-school programs and summer day camps Community organizations that work with family violence, including Task Force Against Family Violence Georgia Commission on Family Violence Georgia Bureau of Investigation/local law enforcement CareNet (Brunswick) Family Connection Mandatory reporters SGHS Churches Social service organizations like Salvation Army Schools Safe Harbor Children’s Center CASA Grant funding for training for mandatory reporters, in-home visits Community resource list to parents when abuse/neglect suspected but not substantiated GBI/local law enforcement handles criminal cases, but also makes referrals to community resources Include resource material on Family Connection web pages Churches/social service organizations provide family counseling as needed, appropriate Churches/social service organizations publicize counseling options Mandatory reporters take training online through Georgia Office of Children and Families CareNet offers to earn” classes for at-risk mothers YMCA and other after-school programs work with parents Schools offer classes on parenting (PH/community partners/schools) Resource list of community organizations readily available for law enforcement, hospital, DFCS, social service organizations – (Family Connection, community partners) 10 referrals per month Make resource material readily available Offer counseling once a week Disseminate 4 press releases per month At 20 mandated reporters take training annually Offer monthly classes Develop partnerships Fewer children in foster care (Administration on Children and Families) Fewer cases of child abuse/neglect (Administration on Children and Families) Improved reporting of child abuse/neglect More people are made aware of how to report child abuse/neglect Higher family incomes Healthier families Lower crime rate More collaboration between medical providers and social service agencies
Babies Can’t Wait Georgia Department of Early Care and Learning Head WIC includes component on child development monthly classes Develop 3 components on child development Policy changes needed: Provide a continuum of care social service providers; and Provide affordable and safer housing for families. Goal #4: Increase affordable and safe housing alternatives for low-income families and persons with special needs. Planned Work Intended Results Increase safe and affordable housing alternatives for low-income families and persons with special needs. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short- and Long-term Outcomes Benefits to Participants, at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Developers Financial institutions/lenders Chamber of Commerce More affordable housing starts Develop a partnership among housing developers and banks Develop partnership Fewer people live in substandard homes Neighborhoods are more stable when housing is decent Crime is reduced and more people venture out of their homes to use local parks, thus healthier community
Department of Community Affairs Department of Housing and Urban Development City/county home inspectors, code enforcement Local governments Coastal Regional Commission Law enforcement Coastal Georgia Community Action Authority Churches Social service organizations Volunteers Home rehabilitation with DCA funding if available (grant dependent) Identifying abandoned homes and taking action before they become blighted (local governments) Home inspections to identify substandard housing and refer to community agencies, when appropriate (local governments) CGCAA provides financial counseling to home buyers, provides weatherization services Link persons who live in without adequate insulation and moisture barriers to CGCAA Law enforcement shares information about housing with city/county inspectors for follow-up Churches assist in “missions at home” More substandard homes are identified and rehabilitated with available funds, volunteers (local governments) Conduct 5 home inspections per month Financial counseling is provided before customers purchase homes Refer 20 individuals to CGCAA per month Law enforcement meets monthly with city/county inspectors Offer monthly programs Families have access to safe and affordable housing More permanent residents who become a part of the community abandoned, neglected homes More pride in community Policy changes needed:
Build a community in which all residents are high school graduates, which increases the opportunity for higher education and health literacy. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short-term Outcomes Benefits to Participants, at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Altamaha Tech College of Coastal Georgia Coastal Workforce Investment Board Head Start TANF Department of Labor Goodwill Service Center, Brunswick Salvation Army, Brunswick Churches Wellcare of Georgia GED Benefits Program Teachers/school counselors/principals Publicize Wellcare’s offer to pay for GED for members of the health plan Teachers/school counselors identify students are risk for referral to tutoring, resources To encourage college, work with Altamaha Tech and CCGA to encourage joint enrollment High schools will track college/tech school admission rate Literacy programs will include components of health literacy (Family Connection, Public Health) Outreach to parents of Head Start, TANF participants, DOL unemployed and job-seekers, county incarcerated with At least 30 Wellcare Patients will complete their GEDs through the Wellcare program (Wellcare data) Refer students quarterly At least 15 McIntosh County students will experience college through joint enrollment at an area technical school or college (Schools) Create and distribute report annually Restructure literacy programs as needed annually Conduct 5 outreach events per year More students graduating from high school (County Health Rankings) Increased population with technical skills More potential employers attracted to McIntosh County by the Long-term Impacts of a stronger workforce More students furthering their education after high school (school data) Greater numbers of McIntosh residents successfully completing GED exams (GED Testing Program, Altamaha Technical College, Wellcare) More collaboration among communities, schools More educated workforce, ready for work More educated people, healthier community Improved literacy increases health literacy
Stores that sell alcoholic beverages Courts Family Connection McIntosh Recreation Department YMCA looking people to purchase alcohol; publicizing stores that broke the law Law enforcement makes arrests of minors in possession of alcohol, according to Georgia law Teens caught DUI will be prosecuted and lose licenses, within Georgia law More alcohol-free community events governments) Virtualization exercise for driving under the influence for students (need partner, funding) Testimonials Campaign to discourage parents from “social hosting” Create a program that will reduce the number of minor arrests Create a program that will reduce DUIs among teens Conduct an alcohol-free community event quarterly Conduct virtualization exercise tour once a month to students Recruit 5 individuals who would be willing to give testimonials per year Conduct annually Policy changes needed: Graduated license plates to identify teen drivers/new drivers; Parental notification required if student caught while drinking; and Administrative loss of license.
Policy changes needed: Local government regularly conduct policy checklist for best community practices and set goals based on the assessment; Increase taxes on alcohol; and Regulate marketing of alcoholic beverages. Problem #3: Decrease the number of deaths/injuries of McIntosh residents related to driving/boating under the influence. Planned Work Intended Results Reduce the number of deaths/injuries of McIntosh residents related to driving or boating under the influence. Resources/ Inputs Resources essential to conduct this program/effort including community partners Activities How we will accomplish our planned activities and who will be engaged. Outputs The amount of service delivered or number of people served Short- and Long-term Outcomes Benefits to Participants, at Individual Level Long-term Impacts Changes that will occur in organizations, community, or systems due to effort Law enforcement DUI schools Churches Public health Bars Organization that can host drunk driving simulation Victims of DUI accidents Family Connection Wider use of interlock devices for those with previous DUI conviction (law enforcement, courts) Frequent road/boater checks by law enforcement, DNR Law enforcement will monitor and trend DUI arrests Virtualization demonstrations of drinking and drinking for students, public (need partner) Conduct 4 site visits per month with previous DUI conviction Conduct twice a month Create and distribute report quarterly Conduct twice a month at schools needless accidents people put at risk of injury, death Fewer auto accidents Fewer alcohol related injuries and deaths