Oklahoma county. Community Health Status Assessment

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1 Oklahoma county Wellness Score 2014 Community Health Status Assessment

2 Mental and Social Health

3 Overall Mental Health score The World Health Organization defines mental health as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make contribution to his or her community. Zip codes 73117, 73170, and ranked highest overall for mental health. Overall Social Health score Social health includes conditions within the population that influence individuals and group difference in health; specifically, they are risk factors found in one s life, such as built environment, economic, or accessibility. The social health of a community can impact perceptions of health and well-being. Best Practices and Policy Considerations Mental and social health indicators are a measure of the emotional quality of life of our residents. Increasingly, we are learning that mental and social health is a primary indicator of physical health. This knowledge has the led the Wellness Now Coalition to prioritize mental health and substance abuse for the updated Community Health Improvement Plan. The Oklahoma City-County Health Department actively engaged in partnerships and grants to increase access to mental and social health services, as well as program activities directed at reducing youth suicide through training system providers to recognize the signs and symptoms of depression. Promising Practices Expansion and provision of training in Question, Persuade, Refer (QPR) to multiple system points of contacts will support a continuum of care that is staffed to recognize and reduce poor mental health outcomes; additional resources for training and implementation can be found here: Promising Policies/System Impacts Continuing to fight for parity in health insurance benefits for mental health services is a critical component to improving mental health and reducing substance abuse. Additional resources regarding policies and initiatives can be found here: benefitslegis.html Motivational Interviewing and Stages of Change approaches integrate. 88

4 overall mental health score * *The lower the overall score the higher health burden is within that zip code Lowest Low Moderate High Highest Zip Code Mental Health Score Zip Code Mental Health Score Zip Code Mental Health Score Zip Code Mental Health Score

5 Mental Health Visits Why it Matters Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood. Mental health disorders are common in the US and are the leading cause of disability in the US for individuals years of age. What it Means for Providers Our mental health is a primary indicator of our physical health. High stress levels can impact our ability to fight infections and our willingness to make healthy lifestyle choices. Partnerships can assist providers in identifying resources to impact mental health risk factors and assure policies and programs are in place to address decreasing mental health disorders in our community. What it Means for Residents Local public health initiatives require that action plans and strategies take into account community residents; ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce mental health disorders through targeted community campaigns and education. Proportion of Mental Health Visits by Race Mental Health Visits by Race 5% 6% 33% 57% Caucasian Other African American American Indian Proportion of Mental Health Visits Mental Health by Visits Gender by Gender 46% 54% How Are We Doing? There were approximately 24 mental health visits per 1,000 population on an annual basis from in Oklahoma County. Females made up a larger portion of the mental health visits (53%) with 54% of these visits occurring in individuals 18 years or older. Zip codes 73117, 73111, and have the highest rates of mental health visits respectively. Male Female Data Source: Oklahoma Mental Health and Substance Abuse Center

6 mental health visits Lowest Low Moderate High Highest Zip Code Average # of Visits Zip Code Average # of Visits Zip Code Average # of Visits Zip Code Average # of Visits

7 Substance Abuse Visits Why it Matters Substance abuse is defined as the excessive consumption or misuse of a substance for the sake of its nontherapeutic effects on the mind or body, especially illegal drugs or alcohol. Excessive consumption of substances can lead to increased risk for a variety of health problems. What it Means for Providers Substance abuse is often a sign of deeper mental, social, or emotional stress in an individual s life. Providers should work collaboratively to advocate for programs, policies, and services that encourage systems of care and coordination for communities at higher risk for substance abuse behaviors. What it Means for Residents Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce substance abuse through targeted community campaigning and education. Proportion of Substance Abuse Visits by Race Substance Abuse by Race Caucasian 25% African American 5% 6% 65% Other American Indian Proportion of Substance Abuse Substance Visits Abuse by by Gender How Are We Doing? There were approximately 5.8 substance abuse clients per 1,000 populations on an annual basis from in Oklahoma County as reported through the Oklahoma Mental Health and Substance Abuse Department. Males made up a larger portion of the substance abuse visits (53%) with 42% of these visits occurring in individuals between the ages of years. Zip codes 73117, 73111, and have the highest rates of substance abuse visits. 56% Male 44% Female Data Source: Oklahoma Mental Health and Substance Abuse Center

8 Substance abuse visits Lowest Low Moderate High Highest Zip Code Average # of Visits Zip Code Average # of Visits Zip Code Average # of Visits Zip Code Average # of Visits

9 Child Abuse and Neglect Why it Matters The Oklahoma Department of Human Services (OKDHS) investigates or assesses all accepted reports of alleged child abuse and neglect by the person responsible for the child s care. Investigations are conducted when the report contains allegations of serious threats to the child s safety, whereas assessments are conducted when the allegation of abuse or neglect does not constitute a serious or immediate threat to a child s health or safety. Healthy and safe environments are important in the well-being and development of children. Victims of child abuse are at higher risk of having a number of adverse outcomes throughout their life. What it Means for Providers Care coordination and information sharing around child abuse and neglect is key for prevention of adverse childhood events. Providers should advocate for programs, policies, and services that support responsible and confidential information sharing with the aim of protecting children and strengthening family units. Rate of Confirmed Child Abuse Cases per 1,000 in 2011 Rate of Confirmed Child Abuse Cases per 1,000 in Confirmed Child Abuse and Neglect Child Abuse and Neglect Case Rates Case Rates Oklahoma Oklahoma U.S. Oklahoma County County Oklahoma State State US Child Abuse and Neglect Cases by Gender Child Abuse by Gender What it Means for Residents Local public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce child abuse and neglect through targeted community campaigning and education. 49% Male 51% Female How Are We Doing? Approximately 19 child abuse neglect cases per 1,000 children occurred on an annual basis between Fifty-one percent of the cases were in the female with over 20% of cases occurring in children under 1 year of age. Zip codes 73129, and have the highest rates of child abuse and neglect cases reported between Data Source: Department of Health and Human Services wellness now in action With the growing Hispanic population in Oklahoma County, it is important for Wellness Now to have an ongoing partnership with the Latino Community Development Agency (LCDA). The LCDA provides numerous community programs from English classes to child development programs and beyond. There are treatment programs for substance abuse, child trauma, and partner/sexual violence as well as a program providing parenting aid for behavioral issues. Finally, there are a variety of prevention and community programs, especially for youth, that help build skills and relationship building opportunities. 94

10 Child abuse cases * *per 100,000 population Lowest Low Moderate High Highest Zip Code Confirmed C cases Zip Code Confirmed C cases Zip Code Confirmed C cases Zip Code Confirmed C cases

11 Suicide mortality Why it Matters Suicide is a largely preventable cause of death. Recognition and treatment for those at risk is crucial for lowering the number of deaths. Similarly, public awareness and lowering of stigma for use of mental health care may improve outcomes. Widespread inclusion of mental health treatment in health plans may help increase the use of these services and decrease the number of deaths as well. Areas with high rates may indicate low access to medical or mental health care or low knowledge of resources. What it Means for Providers Trends in suicide rates are often indicative of community norms and changes in cultural and societal expectations. Providers should work collaboratively to identify community pockets of high risk and advocate for programs, policies, and services that target outreach and education to areas of highest need Age Adjusted Suicide Rates Age Adjusted Suicide 18.1 Mortality 16.6 Rates Oklahoma Oklahoma U.S. Oklahoma County Oklahoma State State US What it Means for Residents Local public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce suicide mortality through targeted community campaigning and education. How Are We Doing? The rate of suicide was 16.6 per 100,000 in Oklahoma County. This was higher than the national rate of 12.1 deaths per 100,000 and lower than the state rate of 18.1 per 100,000. Mortality was highest in American Indians and males. The zip codes with the highest rates were 73170, 73054, 73111, 73103, and Suicide Rate by Age Group Suicide Mortality Rates by Age Group and Older Data Source: Oklahoma State Department of Health Vital Statistics Death Records wellness now in action Health at Work aims to impact mental health through worksite trainings around suicide prevention and depression. In addition, the Mental Health workgroup provides Lifelines suicide prevention curriculum to school districts across Oklahoma County and works with local media outlets to include information about the TALK suicide prevention lifeline in all news stories about suicide. 96

12 suicide Mortality * *per 100,000 population Lowest Low Moderate High Highest Zip Code Mortality A average Zip Code Mortality A average Zip Code Mortality A average Zip Code Mortality A average

13 Free OR ReduceD Lunch Why it Matters Free or reduced lunch is provided to children as a nutrition supplement and is made eligible to low-income families in Oklahoma County. This is a secondary indicator of economic hardship and can be used in conjunction with socioeconomic data to identify areas within the community to target for social and health services. What it Means for Providers Local public health efforts and community partnerships can assist providers in identifying resources to impact social inequalities and assure policies and programs are in place to address childhood nutrition in low-income communities. What it Means for Residents Local public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce social inequality and increasing social and health services in our community geared towards childhood nutrition. How Are We Doing? The total number of children for Oklahoma City-County region that received free or reduced lunch is 117,616 which equates to 115 free or reduced lunches per 1,000 population. Of those who get free or reduced lunch 54% are Caucasian and 33% African American. The zip codes with the highest rate of free or reduced lunch participants were 73128, 73115, and 73097, respectively. Race Distribution of Students of Students Rece Receiving Free Free or or Reduced Reduced Lunch Lunch 33% 53.6% Caucasian 11% African American 2.4% Asian Black/ African American orange #4 American Indian Orange #2 Asian Orange #3 Native Hawaiian Orange #1 2.1% American Indian Native Hawaiian 0.3% Data Source: Oklahoma County Public School District Free and Reduced Lunch Data

14 Free or reduced lunch Lowest Low Moderate High Highest Zip Code Free/Reduced L lunches % % % % % % % % % % % % % Zip Code Free/Reduced L lunches % % % % % % % % % % % % % Zip Code Free/Reduced L lunches % % % % % % % % % % % % % Zip Code Free/Reduced L lunches % % % % % % % % % % % % %

15 Grocery Store Availability Why it Matters Access to healthy food choices is an indicator of the standard of health for the community. Eating fresh fruits and vegetables will lower the chances for developing chronic disease such as diabetes, stroke, and hypertension. Areas that have a low capita of grocery stores and high capita of convenient stores and fast food restaurants are considered food deserts. What it Means for Providers Local public health efforts such as Wellness Now and the Tobacco Settlement Endowment Trust, along with community partnerships, can assist providers in identifying resources that impact social inequalities and assure policies and programs are in place to address decreased grocery store accessibility, especially in low-income communities where public transportation is the primary form of commuting. What it Means for Residents Local public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce social inequality and increase social and health services in our community geared towards access to grocery stores. How Are We Doing? The Oklahoma City-County region averages 0.10 grocery stores per capita, 0.29 fast food restaurants per capita, and 0.29 convenience stores per capita. Data Source: City of Oklahoma City Planning Office Food Assessment Study Wellness Now in Action The Nutrition and Physical Activity workgroup advocates for policy changes that make it easier for local households to grow and raise their own food sources. The workgroup successfully advocated for the passage of an Oklahoma City ordinance that enables individuals to grow their own food and harvest rainwater on plots of land smaller than an acre. 100

16 grocery store availability * *Grocery store access within a 1-mile drive by Zip Code

17 grocery store availability * *Grocery store access within a 1-mile drive by Zip Code

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