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Welcome to the Community Health Coalition

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

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Welcome to the Community Health Coalition

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  1. 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

  2. About the Health Improvement Plan HIP is a county-wide partnershipworking to improve the community’s health Facilitate partnerships, Collect & analyze local health dataand sets health improvement objectives, Promote evidence-based strategies.

  3. HIP Goals HIP Goals Partnerships • Grow partnerships across sectors and disciplines. Data • Collect, analyze, and disseminate data on health factors, outcomes, and disparities in Washtenaw County. • Establish long term health objectives and monitor progress. Strategies • Increase understanding of evidence-based strategies. • Increase understanding of policy and environmental approaches. • Further address social determinants of health, social justice, and health equity. • Develop, implement, and monitor shared countywide health improvement plan.

  4. Coalition Pa HIP Coalitions • Community Health Committee • Coordinating Team • Implementation Team

  5. 2015 HIP Survey Funding Partners Funding Partners

  6. HIP Partners 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

  7. Today’s Attendees 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

  8. For more information • Visit our website • http://hip.ewashtenaw.org • Join our email list • Attend meetings

  9. Housekeeping • Lunch and refreshments • Sign-in • Restrooms

  10. Today’s Topic: Every Child, Every Day 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 NormanExecutive Director of AchievementWashtenaw Intermediate School District

  11. At-RISK Youth: A DATA Portrait Washtenaw County -- October 2014

  12. Highest performing county in Michigan? • Number 1 in 8th grade math (Kids Count) • Number 1 in 11th grade reading (mischooldata.org) • Number 1 in 11th 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)

  13. But are we the best for ALL kids?

  14. Definitions of “At-risk” 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).” 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 Task Force InputMental health issuesPhysical health issues Substance abuse Age of first CriminalJustice Contact More than one traumatic experienceDeath of caregiver Witness violence Witness abuse, neglect DispositionPattern of middle school failureEnglish Language Learners African American males Middle school behaviors on/off track

  15. Predictions 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?

  16. Demographics 46,797 Students enrolled in Washtenaw Intermediate School District in 2013-14. 14,128 Washtenaw County students eligible for free and reduced lunch in 2013-14 school year.

  17. Demographics

  18. Homeless Youth 1,316 Number of youth served by the Education Project for Homeless Youth in 2012-13.

  19. Pair-Share What do you consider the most important criteria for being “At-risk”?

  20. Academic Performance

  21. MEAP Math 4th Grade by Race

  22. ACT Math Comparison by Race

  23. ACT Math Comparison by Income

  24. 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

  25. African American Math Performance 482 African American 8th graders, Fall 2013 280 of those also in their district in 3rd grade

  26. Pair-Share What is one reason some groups of kids don’t perform as well as others?

  27. Attendance

  28. The Importance of Being in School

  29. 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)

  30. 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

  31. Source: MiSchoolData.org

  32. 13,981 Students in Washtenaw County missed 10 or more days in 2012-13 Source: MiSchoolData.org

  33. Source: MSDS 2013-14 Attendance Data Washtenaw County

  34. 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

  35. Source: MSDS 2013-14 Attendance Data Washtenaw County

  36. 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

  37. County Average Source: MSDS 2013-14 Discipline Data Washtenaw County

  38. 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

  39. For More Information • Attendance Works: http://www.attendanceworks.org/ • Chronic Absenteeism Report: http://new.every1graduates.org/wp-content/uploads/2012/05/FINALChronicAbsenteeismReport_May16.pdf • Attendance data for all districts and schools in Michigan: http://mischooldata.org • For more information about this presentation and its data, please contact: Naomi Norman, Washtenaw ISD, nnorman@washtenawisd.org, 734-994-8100 ext. 1263

  40. Pair-Share What is one reason that students miss school that you feel we can address?

  41. Depression / Suicidality

  42. Know the Risks:Increase Hope Adreanne Waller, MPH, Epidemiologist/Health Analyst Washtenaw County Public Health March 2013

  43. Outline 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

  44. Mental Health Promotion For Whole Population Persons With Risk Factors Like Depression Those Who Have Already Been Affected By Suicide or Suicidal Behaviors Adreanne Waller, MPH - Washtenaw County Public Health

  45. What risk groups? Are we addressing? Opportunities for intervention? Other or different data needed? Mental Health Promotion For Whole Population Persons With Risk Factors Like Depression Those Who Have Already Been Affected By Suicide or Suicidal Behaviors Adreanne Waller, MPH - Washtenaw County Public Health

  46. National Strategies SAMHSA Adreanne Waller, MPH - Washtenaw County Public Health

  47. Create supportive environments that promote healthy and empowered Individuals, families, and communities Improve suicide prevention surveillance collection, research, and evaluation National Strategy for Suicide Prevention GOALS Enhance clinical and community preventive services Promote the availability of timely treatment and support services

  48. “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

  49. Adreanne Waller, MPH - Washtenaw County Public Health

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