Total Suicides, Champaign County
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Champaign County Community Health Plan, 2006 Champaign Urbana Public Health District Champaign County Public Health Department Champaign County Community Health Plan 2006-2011 A Strategic approach to Community Health Improvement For Illinois Department of Public Health Springfield, Illinois May 2006 Prepared By Awais Vaid, MBBS, MPH Epidemiologist Champaign Urbana Public Health District & Diana Yates Director, Health Promotion Champaign Urbana Public Health District 2 Champaign County Community Health Plan, 2006 Acknowledgements The Champaign Urbana Public Health District would like to acknowledge and thank the many individuals and organizations that contributed their valuable time and expertise to this report. Special acknowledgement to Garry Bird, Mark Driscoll, Andrea Goldberg, Joel Goldberg and Julie Pryde for their assistance. Executive Committee Members Awais Vaid Diana Yates Champaign Urbana Public Health District Champaign Urbana Public Health District Mark Driscoll Andrea Goldberg Champaign County Mental Health Board Frances Nelson Community Health Center Public Health System Assessment Committee Members Carol Elliott Mark Driscoll Cunningham Township Supervisor Champaign County Mental Health Board Teresa Miles Andrea Goldberg A Woman's Place Frances Nelson Community Health Center Les Hitchens Karla Peterson Champaign Urbana Public Health District Planned Parenthood of East Central Illinois Julie Pryde Tom O’Rourke, PHD Champaign Urbana Public Health District University of Illinois Julian Rappaport, PHD Diana Yates Champaign County Board of Health Champaign Urbana Public Health District Community Health Status Assessment Committee Members Curtis Crock, MD Robert Kirby, MD Champaign County Medical Society University of Illinois School of Medicine Teresa Miles Kathie Spegal A Woman's Place Planned Parenthood of East Central Illinois 3 Champaign County Community Health Plan, 2006 Kim Busboom Bill Mueller Parish Nurse Program Champaign County Health Care Consumers Kari Schweighart Larry Rogers Americorps Champaign Urbana Public Health District Diana Yates Deb Frank Feinen Champaign Urbana Public Health District Nally, Bauer, Feinen & Bullock Trish Hunt, RN Maryann Sigler Champaign Urbana Public Health District Kraft Foods Cindy Duffy Joel Goldberg, MD Regional Office of Education University of Illinois School of Medicine Carol Humpherys University of Illinois School of Nursing Community Themes and Strengths Assessment Committee Members Diana Yates Charlene Stevens, RN Champaign Urbana Public Health District Champaign Urbana Public Health District Brandon Meline Garry Bird Champaign Urbana Public Health District Champaign Urbana Public Health District Renee Lyell Tammy Lemke American Cancer Society United Way Kathy Ennen Lisa Bell City of Champaign CIDES Janet Reis, RN June Burch University of Illinois Parkland College 4 Champaign County Community Health Plan, 2006 CONTENTS Executive Summary.......................................................................................................6 Summary of Key Findings.............................................................................................8 Community Health Status Assessment ........................................................................18 Demographic Characteristics.....................................................................19 Socioeconomic Measures...........................................................................21 Health Resource Availability.....................................................................31 Quality of Life............................................................................................38 Behavioral Risk Factors.............................................................................39 Maternal & Child Health ...........................................................................65 Death, Illness & Injury...............................................................................68 Communicable Diseases ............................................................................71 Sentinel Events...........................................................................................74 Community Themes and Strengths Assessment..........................................................75 Public Health System Assessment.............................................................................100 Forces of Change .......................................................................................................113 Strategic Issues and Strategies for Community Health Improvement.......................122 Champaign County Community Health Plan Priorities ......................................123 Appendix A: Domestic Violence, Child Abuse, Sexual Assault and Elder Abuse Appendix B: General Public Telephone Survey Appendix C: Local Public Health System Performance Assessment 5 Champaign County Community Health Plan, 2006 Executive Summary Purpose Statement The Champaign County Community Health Plan provides a current portrait of the health assets and needs of the residents of Champaign County. Illinois state law requires every local health department to participate in this process, called the Illinois Project for Local Assessment of Needs (IPLAN). This process must be conducted at minimum every five years. The detailed assessment and plan provides the foundation for evidence-based health planning and decision-making. The essential elements of IPLAN are: 1. An organizational capacity assessment; 2. A community health needs assessment; and 3. A community health plan, focusing on a minimum of three priority health problems. The Champaign County Community Health Plan was created using a model called “Mobilizing for Action through Planning and Partnership” (MAPP). This collaborative approach to community health planning was developed by the National Association of County and City Health Officials (NACCHO) in cooperation with the Public Health Practice Program Office and the federal Centers for Disease Control and Prevention (CDC). MAPP helps communities form effective partnerships that can better identify their unique circumstances and needs and use their resources wisely. MAPP is a community-driven process. It is more intensive than other approaches in that it requires a high level of participation from community organizations and residents. This model employs a variety of methods to uncover community health trends, 6 Champaign County Community Health Plan, 2006 identify gaps in care, evaluate assets and – most importantly – develop and implement a plan that successfully addresses community health needs. The four components of MAPP The Community Health Status Assessment collects and analyzes health data and describes health trends, risk factors, health behaviors and issues of special concern. Community Themes and Strengths Assessment uses participants to make a list of issues of importance to the community, identify community assets and outline quality of life concerns. The Local Public Health System Assessment measures the local public health system’s ability to conduct essential public health services. The Forces of Change Assessment identifies local health, social, environmental or economic trends that affect the community or public health system. The Community Health Plan was initiated by the Champaign-Urbana Public Health District to determine locally relevant health priorities to better serve the residents of Champaign County. Public health issues demand collaborative and coordinated efforts to minimize service duplication and excess cost, and to be successful in intervention. This process provides both the community knowledge and support necessary for the identification and management of health problems. The Health District convened a diverse group of health providers, civic leaders and community representatives to participate in this process. The goal is for all partners in the local public health system to work together to implement the recommendations outlined in this plan. 7 Champaign County Community Health Plan, 2006 KEY FINDINGS Part 1 Community Health Status Assessment BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM SURVEY • The lack of access to health care was the most-often-cited public health problem in all of the assessments. Thirteen to 14 percent of county respondents in the Risk Factor Survey said they were unable to see a doctor or fill a prescription due to cost in the 12 months preceding the survey. This represents about 20,000 county residents. Over 22 percent of non-whites reported that they were unable to see a doctor due to cost, as compared to 10.7 percent of whites. Over 28 percent of non- whites and 10 percent of whites said they were unable to fill a prescription due to cost. • Only 72.5 percent of non-whites had some health care coverage, as compared to 91.8 percent of whites. • Non-whites (36.6 percent) were more likely than whites (22.7%) to report that they could not afford a dentist in the past year, even when they needed to see one. • A larger proportion of non-whites (23.4 %) than whites (13.5 %) reported that they had 8-30 days in the past month when their mental health was “not good.” Females (19.4 %) were more likely than males (8.5 %) to report that physical, mental or emotional problems limited their activities. Nearly one-third (30.4 %) of respondents said that they felt depressed, sad or blue more than two days per month. 8 Champaign County Community Health Plan, 2006 • More than one-quarter of male respondents were at risk for acute