Athlone Community Health Need Assessment
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Athlone Community Health Need Assessment ACSC CLG Contents Foreword ..................................................................................................................................... i Abbreviations ............................................................................................................................ iv Executive Summary ................................................................................................................... v Background ............................................................................................................................ v Community Needs Identified ................................................................................................. v 1 INTRODUCTION .............................................................................................................. 1 1.1 Aims and Objectives .................................................................................................... 1 1.2 Background (Why do a Community Needs Assessment for Athlone) ........................ 1 2 COMMUNITY PROFILE OF ATHLONE ........................................................................ 7 2.1 Demographic Profile of the Athlone Area ................................................................... 8 3 ATHLONE AND THE LOCAL HEALTH SERVICE .................................................... 16 3.1 Athlone Community and Voluntary Sector ................................................................... 17 4 METHODOLOGY ........................................................................................................... 18 4.1 How the Needs Assessment was compiled. ............................................................... 18 4.2 Household Questionnaires (see Appendix III) .......................................................... 19 4.3 Service Provider Questionnaires (see Appendix IV and V) ...................................... 19 4.4 Focus Groups (see Appendix VII) ............................................................................. 20 5 RESULTS ......................................................................................................................... 22 5.1 Community / Household Questionnaire, Athlone Area ............................................. 22 5.2 Service Provider Questionnaires ................................................................................ 52 5.3 Focus Groups ............................................................................................................. 73 6 DISCUSSION ................................................................................................................... 83 7 CONCLUSION ................................................................................................................ 84 8 RECOMMENDATIONS.................................................................................................. 85 REFERENCES ........................................................................................................................ 88 Appendix I ................................................................................................................................. x Appendix II ............................................................................................................................ xiii Appendix III ............................................................................................................................ xiv Appendix IV............................................................................................................................ xix Appendix V ............................................................................................................................. xxi Appendix VI......................................................................................................................... xxiii Appendix VII ........................................................................................................................ xxiv Appendix VIII ........................................................................................................................ xxv Appendix IX.......................................................................................................................... xxvi Foreword In welcoming the publication of this Athlone Community Health Needs Assessment I am conscious that this document will assist us in identifying ways to make our services more responsive and effective for the wider population. Each year the HSE engage in a service planning process and the feedback contained within this publication will assist in that work. I commend the project team for their hours of work and most importantly their engagement with many sectors of the Athlone community. They listened attentively and caringly to what people had to say and this is evidence with the Health Needs Assessment. I am very pleased that a collaboration of Westmeath County Council, Athlone Community Services Council, Westmeath Community Development, Public Health, Health Promotion and Primary Care brought this paper to fruition. A Community Health Needs Assessment is a process that: • Describes the state of health of local people; • Enables the identification of the major risk factors and causes of ill health; and • Enables the identification of the actions needed to address these. The project team has achieved the ambitious aims set out in this document. Of course the challenge for all of us now is to action the recommendations of this consultation. Actions informed by the feedback of many people. Actions that have practical implementation and understanding leading to better and more responsive services. I look forward to the developmental progression of this document and await continuous progress reports on the fulfilment of the visions contained within. Pat Bennett, Chief Officer, Community Health Organisation, Area 8. i Acknowledgements This Community Need Assessment was developed with the support, dedication and enthusiasm of a number of agencies, groups and individuals. It was a core prerequisite for this report that a partnership was developed to drive and shape the process. The Athlone Community Health Forum, a group of agencies, community groups and individuals who work to highlight and address local health issues, played a pivotal role in bringing people together to share their health experiences for the purpose of this report. The Forum also offered great support to the process with their advice and guidance throughout. The Community Health Need Assessment Advisory group consists of: Anne Galvin, Administrative Officer, Community Development Section, Westmeath County Council Anne Naughton, Clonbrusk Primary Care Centre Manager, Health Service Executive Colette Anderson, Health Promotion and Improvement Service, Health Service Executive Eileen Dunphy, Researcher, Health Service Executive Gráinne Powell, Health Promotion and Improvement Service, Health Service Executive Joe Whelan, Community Services Manager, Health Service Executive Kate Egan, Assistant Director of Public Health Nursing, Athlone, Health Service Executive Linda Jo Quinn, Social Inclusion and Community Activation Programme, Community Development Co-ordinator, Westmeath Community Development Michele Baker, Health Promotion and Improvement Service, Health Service Executive Thomas Elliffe, Athlone Community Services Council Manager The advisory group would like to warmly thank: The people of Athlone, who have given their time and knowledge to inform this process. Those who completed the questionnaires and attended focus groups. Their passion, honesty and insight was refreshing. Emma Dolan, Athlone Community Services Council for her research and time. Those who helped with the distribution of the questionnaires. The focus group facilitators: Gráinne Powell, Michele Baker, Aisling Warburton, Colette Anderson. The Department of Public Health for the Demographic data. ii Furthermore it is important to acknowledge with much appreciation the crucial role of the staff of the Clonbrusk Primary Care Centre and to the Community and Voluntary Services who supported this report with their time, knowledge and expertise. We wish to thank our Managers for their time and commitment to this Assessment. iii Abbreviations ACSC CLG Athlone Community Services Council Company Limited by Guarantee A&E Accident and Emergency AIT Athlone Institute of Technology CADS Community Alcohol and Drugs Services CAMHS Child & Adolescent Mental Health Service CHNA Community Health Needs Assessment CIE Corás Iompair Éireann CIS Citizens Information Service CSDH Commission on Social Determinants of Health CSO Central Statistics Office DCYA Department of Children and Youth Affairs DOHC Department of Health and Children DSP Department of Social Protection ED Electoral Division ENT Ear, Nose and Throat FSPA Family Support Project Athlone GAA Gaelic Athletic Association GP General Practitioner HI Healthy Ireland HIQA Health Information and Quality Authority HSE Health Service Executive IDA Irish Development Authority IWA Irish Wheelchair Association LDCP Local Development Community Programme MDT Multi Disciplinary Team MHS Mental Health Service MRDATF Midland Regional Drug and Alcohol Task Force MRI Magnetic Resonance Imaging MRYS Midland Regional Youth Services NUIG National University of Ireland Galway OT Occupational Therapy PHCT Primary Health Care Team PHN Public Health Nurse PPN Public Participation Network RTE Raidió