Innovative Health Equity Approach: Working with Human Service - - PowerPoint PPT Presentation

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Innovative Health Equity Approach: Working with Human Service - - PowerPoint PPT Presentation

Jul 12, 2023 228 likes •677 views

Innovative Health Equity Approach: Working with Human Service Organizations Learning Objectives Demonstrate the importance of working at the organizational level to access populations that disproportionately carry the burden of chronic

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Innovative Health Equity Approach: Working with Human Service Organizations

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Learning Objectives

  • Demonstrate the importance of working at the
  • rganizational level to access populations that

disproportionately carry the burden of chronic disease and obesity

  • Explain the team process of working with
  • rganizations
  • Show the process of assessment, implementation

and maintenance in all strategy areas of healthy eating, physical activity and tobacco-use and

  • exposure. Importance of policy, system and

environmental changes in sustaining change

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PartnerSHIP 4 Health

  • Began in 2009 through Minnesota

Department of Health Statewide Health Improvement Program funding

  • Work focused on schools, worksites,

health care facilities and communities

  • Health inequities was always a focus
  • Identified a focus on human service
  • rganizations
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Starting Point of Health Equity

  • As part of the Community Transformation

Grant the Health Equity Initiative was started

  • Started with a Pilot Organization
  • Held focus groups of consumers and

eventually staff

  • Awarded Competitive Statewide Health

Improvement Program Innovation grant

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Why the organizational level?

Many organizations serve populations that disproportionately carry the burden of chronic disease. Disparate populations have higher rates of

  • besity and/or tobacco use and exposure,

leading to high rates of chronic disease as well as experiencing health inequities.

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Health Equity Populations

  • Individuals with low-socio economic status
  • Individuals diagnosed with mental illness
  • Individuals diagnosed with physical disabilities
  • Elderly
  • Youth
  • Homeless
  • Minority population
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Why these populations?

  • Obesity rates for adults with disabilities are 58%

higher than for adults without disabilities and for children the rate is 38% higher

  • Adults with disabilities are 3x more likely to have

heart disease, stroke, diabetes or cancer Annual health care costs of obesity related to disability are estimated at approximately $44 billion.

  • The rate of smoking among adults with

disabilities is 25.4% compared to 17.3%

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Why these populations?

  • People with Serious Mental Illness

die, on average, 25 years earlier than the general public

  • 1 in 5 adults have some form of

mental illness and 36% smoke

  • 48% of people with mental illness

who live below the poverty level smoke

  • It is estimated that 73% of the

homeless population smokes

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Why these populations?

  • 1/3 of the 3.7 million low-income children

aged 2-4 are obese/overweight (1 of 7 are

  • bese)
  • Low-income families generally have less

access to both healthy food choices and

  • pportunities for physical activity
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Team Process

  • Dietician
  • Health Educator
  • Tobacco Coordinator
  • City Planner
  • Lactation/Breastfeeding

Consultant

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Recruitment

  • Identified organizations that serve disparate

populations and prioritized

  • Mailed out interest letters to 48 organizations
  • Follow up phone call were made to
  • rganizations
  • 22 organizations agreed to meet to discuss

partnership possibilities

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Assessment

  • Meet with key staff
  • Organizations current programming
  • Clientele that are served
  • Major health issues of their clientele
  • Current work in key areas
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Strategizing

  • Team discussion
  • Action plan completion
  • Possible funding opportunities
  • Planning towards policy, system and

environmental changes

  • Prioritize based on readiness
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Implementation

  • Provide action plan
  • Follow up meetings focused
  • n key areas

– Healthy Eating – Reducing Tobacco Use and Exposure – Physical Activity

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  • Are staff involved in meal choices?
  • What kitchen equipment is available?
  • Is nutrition education provided to clients?
  • Is there any nutrition curriculum used for education?
  • Is there a cafeteria/vending options available for clients?
  • Do you receive any donated foods for clients?

Healthy Eating: Assessment

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  • Do your clients use food shelves?
  • Would clients benefit from on-site or nearby garden?
  • Do you purchase any local foods, such as a CSA or farmers

market?

  • Do you have any MyPlate signage or other healthy reminders?
  • What would help your clients be healthier?

Healthy Eating: Assessment

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  • Provide education and resources for staff to assist in guiding clients to

healthier food options.

  • Consult on healthier vending options for food and beverages
  • Consult regarding onsite gardening options, or connect with local food
  • ptions such as CSAs or Farmers Markets
  • Provide healthy menu and recipe ideas for use in the facility
  • Assist in reviewing current policies and practices that support healthy

eating in the organization

Healthy Eating: Recommendations

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CCRI, Moorhead

  • University of MN Extension “Let’s Cook” class for staff

Healthy Eating: Successes

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“I will plan healthier meals for my clients and will cook with more confidence”

  • an attendee from Let’s Cook class

Healthy Eating: Successes

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Access of the Red River Valley, Moorhead

  • Raised bed gardens

Healthy Eating: Successes

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West Central Regional Juvenile Center, Moorhead

  • Gardening project for youth

Healthy Eating: Successes

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Tobacco Use & Exposure: Assessment

  • Is there currently a tobacco-free policy?
  • Are there signs that communicate a policy?
  • Is the policy enforced? Are there challenges?
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Tobacco Use & Exposure: Assessment

  • Are clients connected to cessation services?

– Onsite classes, phone based counseling, etc.

  • Are staff allowed to smoke with clients?

– Purchase tobacco for clients?

  • Are there receptacles on the property?
  • Is there e-cigarettes being used by clients?

– Where?

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Tobacco Use & Exposure: Recommendations

  • Updating Policies
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Tobacco Use & Exposure: Recommendations

  • Updating Forms
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Tobacco Use & Exposure: Recommendations

  • Implementing

Educational Resources

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Tobacco Use & Exposure: Recommendations

  • Provide positive

messages, posters, etc.

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Tobacco Use & Exposure: Recommendations

  • Placement of signage
  • Provide signage
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Tobacco Use & Exposure: Recommendations

  • Promote quit resources

– Health plans, QuitPlan, etc.

  • Promote quit medication
  • Are there success stories for
  • ther employees to hear?

– If so make sure to share them!

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Tobacco Use & Exposure: Success Stories

  • Lakeland Mental Health Center in Moorhead

– Received a Carbon Monoxide meter

  • Using that with ARMHS clients
  • Had 1 staff member quit smoking after using the CO

monitor

– Now working on updating policy

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Tobacco Use & Exposure: Success Stories

  • Compassion House in Detroit Lakes

– Attended our 1st Dr. Jill Williams training in 2013 – Using a Carbon Monoxide meter with residents

  • Now looking to start a group after attending follow-up

training

– Updated policy to become tobacco-free

  • Staff not providing or transporting clients
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Tobacco Use & Exposure: Success Stories

  • CCRI

– Added Nicotine Addiction on the Axis 1 Diagnosis

  • Placing in treatment plans
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Physical Activity: Assessment

  • How much and what type of physical

activity do clients get?

  • Do staff incorporate physical activity

with clients?

  • Are membership discounts available

to clients or do they have access to equipment?

  • Are surrounding areas conducive to

walking/biking?

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Physical Activity: Assessment

  • Are questions

incorporated into needs/interest assessments?

  • Do clients use transit?
  • Are bikes available?
  • Is a bike rack available?
  • What would help you help your clients be

more physically active?

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Physical Activity: Recommendations

  • Provide input on options or potential
  • pportunities to create an

environment/system that integrates increased physical activity

  • Education and resources to staff that

assist in purchasing, preparing and/or guiding clients to increased physical activity

  • Consult on low cost, east to use

resources for physical activity

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Physical Activity: Recommendations

  • Work with staff to introduce ideas for physical

activity with clients

  • Provide review and assist with health

education resources that includes physical activity

  • Review current policies and practices and/or

assist in developing policies and practices that support physical activity

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Physical Activity: Successes

West Central Regional Juvenile Center

– Active Recess Consultants “This has led to an increase in self-esteem and

  • pportunities for learning skills that they can take

away from their program.”

  • Stephen Larson, WCRJC Director
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Physical Activity: Successes

Access of the Red River Valley

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Physical Activity: Successes

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Physical Activity: Successes

A Place 2 Belong “Walking provides a simple physical outlet for individuals with mental illness and assists in emotional and mental wellbeing.”

  • Sue Wilkin, AP2B Director
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Other Areas

  • Lactation/Breastfeeding Support
  • Worksite Wellness
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Evaluation

  • Meet on quarterly basis with partners
  • What kind of policy, system and

environmental change is being made

  • What is the result of the policy, system and

environmental change

  • Next steps
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Contact Information

Corey Ernst corey.ernst@co.clay.mn.us (218) 299-5063 Keely Ihry keely.ihry@co.clay.mn.us (218) 299-7180 Dana Rieth drieth@lcsc.org

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