ࡱ> ~}'` 3bjbjLULU 7b.?.?+22222a2`3`3`3`3`3`3`3`3aaaaaaa$bh7eXBa`3`3`3`3`3Ba`3`3Wa&7&7&7`3`3`3a&7`3a&7&7F|LH`3T3 pq264tG_$ma0aGe86e$LHeLH`3`3&7`3`3`3`3`3BaBa&7`3`3`3a`3`3`3`3*//  Alcohol and other drug use What stood out? Assets? Youth Drug abuse, drinking driving stood out Heroin use by youth is high Strong AA programs for youth and adults and diversion program 15% of students have access at school, prescription drug abuse, students exchanging/selling Under reported Social media, drinking, parents awarenessawareness increasing. Social media can have positive impact as students are made an example of, being taken out of sporting events. Strong AODA recovery services available, including AA! Number of providers? Low? Only 2 mental health providers. Other professionals in this area addressing AODA issues. Made some gains in this area but would hate to see those gains disappear There are some strong coalitions in our communities, MACY, Inner Wisconsin Coalition for Youth! More data around repeat offenders when it comes to OWIs. 3750 bookings per year, 66000 bed days, 27% repeat, 90% are AODA related concern about the use of prescription drugs. Chronic disease prevention and managementStroke is not improving overall Corporate wellness programs are good Welcome to Medicare physicals for new enrollees are good as well Rates didnt jump out as being terribly bad, some were good comparatively speaking Focus areas can overlap with health conditions Prevention vs. managementHealth Department focuses on chronic disease prevention; slides didnt get at the management pieces of this Rank well in access to critical care issues in Wood County, Health Rankings rank us 3rd in Health Care Access There are different levels of prevention, primary, secondaryif you look at bigger perspective can get at how it is being managed Data related to Community Care of Central Wisconsin (Family Care) = rated are increasing Communicable disease prevention and control Infant immunization rates, 19% are not! How many are access vs. deciding not to obtain Varying schedules are an issue; few kids who have zero immunizations, some vaccines are given vs. all. If you dont have all immunizations by age 2, you are in the 19%. Public perception of vaccination, there is a lot of misinformation about immunization in our community. Hep C in the under 30 population is alarming with drug use Electronic health record and the ability to capture immunizations when they do occur seems to be really good Saint Vincent Depauls free clinics hours are being doubled, in the next 5 years this will continue to increase; lots of chronic disease conditions WEDSS-get reports quick, able to be proactive Rise in Chlamydia? What is going on with this? Doesnt produce obvious symptoms right away, harder to catch Environmental and occupational health Lymes disease on the rise Lead screening has strength in Wood County Radon testing, Auburndale has a number of spots highlighted on map Radon program/kits available through the Health Department for low cost Wood County has a solid program Particulate matter can affect lung function, wood smoke, FRAC sand plants, particles of this size can cause damagethis will be something coming down the pike Healthy growth and development % of smoking women during pregnancy is high and alarming, if you were to tackle tobacco this would be a good target breastfeeding stats = increase awareness of the importance of this, cultural norm shift, community awareness, what can employers do, mothers to know the importance and the ability to do so in public Care through the clinics surrounding breastfeeding was great Focus more on 1st trimester, 19% of women are not getting prenatal care Healthy growth and development has to go through the continuum, looking at seniors as well. Life long growth and development Reach the seniors through various methods Injury and Violence Prevention Fall hospitalizations are high, over age 65 high Fall prevention workshops are a positive things going on in Wood County Safe Kids data with, children falls are also # 1 State trauma system has begun to collect information on falls; consistent data to look at how to do injury prevention and better align Athletes and new legislations Firearm and drowning are higher Taser use is down in the jail!!! ( Nothing about domestic violence, rape, child abuseIf selected as priority can get local data Important not to lose sight of this, just because we are not able to get consistent data Did show up in the United Way Assessment around Social Issues Family Center and Personal Development Center work with these issues Mental health Hotline received over 6500 calls per year, this is a strength that people know of this and are calling it Access to Mental Health Professional = 2, more than many communities have, but is it enough? Children with behavior problems not being tested Great local data in terms of suicides, high school students, etc. This environment, economy, low jobs = set up for increased mental health issues Training going on with QPR (Question, Persuade, Refer) is a good thing 63 or 62 attempts at suicide is a scary number This section gets over looked, so much of mental health is hidden and you dont know what is going on Children have serious mental health issues as young as 1st grade If someone does not have good mental health it affects all of the other health factors! Two recent wars, the numbers of veterans coming back that have PTSD is high Over looked in the elderly as well, depression, abuse from caregivers Great Alzheimers association assistance to health with caregiver mental health stress The new initiative in the county with dementia, moving out of mental health system and into Edgewater Haven they dont belong in mental health unit Link between homelessness or experiencing homelessness issues and mental health Mental health affects everything The homeless individuals sometimes end up in the jail, 6 holding cells, many times over the past year they have used these as temporary mental health holding cells Clubhouse now available in Marshfield Mobile crisis unit now available More than 5 people have been sentenced to go state institutions but waiting time is 3-4 weeks to get it This was a health priority in the previous plan and was very successful!!!!! Nutrition and Healthy Foods Coupons for farmers markets, how many people cant get there, is it an access issue Income issues are huge here as well Not experienced in preparing fresh food, Healthy Lifestyles program has a AmeriCorps Vista program person who will be teaching Donations comes from farmers markets and go to Saint Vincent Depaul, other people grow excess and donate to food pantries, and grocery stores Community gardens donating CPPW initiatives Challenge in sustaining what we have started 50% of WIC household have low food security 17% have very low food security Prevention of nutrition issues, how to grow your own food, buy seeds with foodshare dollars Farm to School Harvest of the Month, Healthy Vending / a la carte, new guidelines for food programs, school gardens / greenhouse use Schools to continue programs that have started, School Wellness Policy Updates Sugar commercial Healthy eating, putting lots of attention on children and good habits, but we also need to keep in mind those who live alone, older, live on a budget, have limited transportation, processed foods Many elderly only receive $16 dollars per month for foodshare EBT now accepted at 75% of farmers market Costs about $6 per day to feed someone in jail Retraining parents to provide healthy foods for their children Oral health Strengths = great coalition working on oral health + billboards around oral health and pregnancy currently in Wood County Students get sealants in 2nd grade through Healthy Smiles and oral health education Number of patients who are pregnant with cavities and those in their 30th having all their teeth pulled = huge unmet need Dental Clinics in Wisconsin Rapids and Marshfield have increased access Long waiting list in Wisconsin Rapids still, those clients are coming to Marshfield there is a bus that goes from W.R. to MFLD Mental health populations access to oral health is a large issue as well, need to address this Clients have gone to get a crown or get a tooth pulled, cheaper to get tooth pulled rather than to get crown Riverview data 75% of those with oral health concerns are in 20-30s, prime child bearing years Dentists seeing children at 3 years of age rather than at 1, which is recommended Physical activity 50% of adults do not exercise on a daily basis, not good Parents need to be role models to youth ElementaryMiddleHigh School, transition of willingness to participate as they age School Districts are starting to cut Physical Education, if you are in sports you dont need to take Physical Education classes Budget constraints with schools and they end up cutting Physical Education, music, art, etc. UW-MFLD3 credits needed for your degree, could be a lecture class, does not need to be actual physical activity More education for people around physical activity to raise awareness and knowledge Signage and messaging can teach them about eating right, exercising, etc. Number of (worksite) wellness programs has increased, private and public, increase in the number of people using biking and walking trails!!! 10 years ago, spending money on walking trails was frowned upon, now it is a good thing. Afterschool programs in schools incorporating physical activity and nutrition School Wellness Policies Get Active 2gether, worksite wellness initiatives Taken away recess is used as a punishment, not good! Having family focused events monthly to get them active, Wood County walk Reproductive and sexual health Older teen pregnancy rate is concerning STD rates also are high and disturbing Healthy Birth program is an asset that the county has Text IT program, teens can text sexual related questions and receive response back from health professional = strength Womens health at Aspirus is strong Follow-up for pregnant women, health coordinator for pregnant women/families Concerned that contraceptive options will not be available in the future or discussed at school, comprehensive reproductive health needs to be a focus A fair number of high school students are using two methods of contraceptives, data shows the youth are sexually active and it is concerning that they may not have access to the discussion of these 19-20 year-olds are having unprotected sex and getting pregnant, post secondary school can address these issues differently than high schools Taboo subject, stigma attached to it Tobacco use and exposure Amount of smokeless tobacco is higher in Wood County, snus, chew, etc. Tobacco free restaurants and worksites have been a huge asset!! Great program at local health department in the past 50% of high school students who smoke have tried to stop, this is impressive! 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