Transcript Document

Healthy Anne Arundel
Coalition
“A Ripple Effect”
Updated October 16, 2012
Healthy Anne Arundel Coalition
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Healthy Anne Arundel Coalition
VISION
Healthy County,
Healthy People!
Updated October 16, 2012
Healthy Anne Arundel Coalition
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Healthy Anne Arundel Coalition
MISSION
Working together as a
community to promote the
health and wellness of Anne
Arundel County residents
Updated October 16, 2012
Healthy Anne Arundel Coalition
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Anne Arundel County ~
Who Are We?
Area: 416 square miles
Population 537,656 (2010) §
Geography:


Rural south county
Urban/suburban northern and mid-county
Anne Arundel
Maryland
U.S.
White
72.4%
54.7%
63.7%
Black
15.2%
29.0%
12.2%
Hispanic
6.1%
8.2%
16.3%
Asian
3.4%
5.5%
4.7%
$79,843
$69,193
$50,221
Unemployment (January 2011) †
6.5%
7.5%
9.8%
Uninsured Adults (2010) ¶
10.3%
12.9%
17.8%
Individuals Below Poverty (2010)
6.8 %
9.2%
14.3%
Racial/Ethnic Breakdown:
Median Household Income (2010) *
§ US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011
Updated October 16, 2012
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Public Health Context

Reductions in federal, state and local funding for
public health has required a collaborative
approach to leveraging local resources to
improve the public’s health
 Economic and policy incentives (including
Health Care Reform) will require public and
private sector providers to promote:



Prevention and wellness
Health equity and reduction in health disparities
Patient satisfaction
Updated October 16, 2012
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State Health Improvement
Process (SHIP)
 Provides
a framework for accountability,
local action, and public engagement
 Identifies 39 critical health measures
 Requires each County to develop a Local
Health Improvement Coalition (LHIC)
 Requires each LHIC to develop and
implement a Local Health Improvement
Action Plan
Updated October 16, 2012
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State Health Improvement
Process (SHIP)

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
Maryland’s Health Reform Coordinating Council has
recognized the importance LHICs
The Maryland Governor and Legislature committed State
support to LHICs in SFY 2012 budget
The Maryland Hospital Association provided start-up
funds to LHICs
The Maryland Community Health Resources
Commission provided implementation funding to LHICs
Local health improvement plans are a prerequisite for
local health department accreditation
Updated October 16, 2012
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Rationale for SHIP and LHICs

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Federal goals related to Healthy People 2020
Reductions in federal, state and local funding for
public health
Increased health care costs related to
preventable health conditions
Increased focus on prevention and wellness
Increased focus on health equity and reduction
of health disparities
Increased demand for public health accreditation
Updated October 16, 2012
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What Affects “Good Health?”
Management
of Illness
Human Biology
Environment
Lifestyle
Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health
101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007
Updated October 16, 2012
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Public Monies Spent on
“Good Health”
Lifestyle
Human
Biology
Environment
Management
of Illness
Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health
101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007
Updated October 16, 2012
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A Paradigm Shift
“From Treatment To Prevention”
Pay Now
for PREVENTION
Instead of Paying
Later for Care and
Treatment
Updated October 16, 2012
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Anne Arundel County SHIP Data
Anne Arundel County High Impact Objectives

High Morbidity Impact

Reduce ED visits from:
•
•
•
•
Asthma
Diabetes
Hypertension
Behavioral health conditions (mental health and substance abuse)

High Mortality Impact

Reduce deaths from cancer and heart disease

Multiple Impact

Reduce overweight/obesity

Improve maternal and infant health

Reduce tobacco use

Increase access to health care
Updated October 16, 2012
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Selected SHIP Measures (1)
Anne Arundel
County
Baseline
Maryland
Baseline
Maryland
2014 Target
Percentage of adults who are at
healthy weight (not overweight or
obese) (BRFSS 2008-2010)
33.5%
34.0%
35.7%
Percentage of youth (ages 12-19)
who are obese (MYTS 2008)
10.8%
11.9%
11.3%
Rate of cancer deaths per
100,000 age-adjusted population
(VSA, 2007-2009)
195.2
177.7
169.2
Rate of heart disease deaths per
100,000 age-adjusted population
(VSA, 2007-2009)
198.8
194
173.4
Indicator
Updated October 16, 2012
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Selected SHIP Measures (2)
Anne Arundel
County
Baseline
Maryland
Baseline
Maryland
2014 Target
Rate of emergency department
visits for a behavioral health
condition per 100,000 population
(HSCRC, 2010)
1,134.9
1206.3
1146.0
Percentage of children ages 4-20
years enrolled in Medicaid that
received a dental service in past
year (Medicaid CY 2009)
52.6%
59.0%
62.0%
6.7
7.2
6.6
Indicator
Infant mortality rate per 1,000
births
(VSA 2007-2009)
Updated October 16, 2012
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Selected SHIP Measures (3)
For many indicators, the story is in the healthrelated disparities (race/ethnic, gender, age, location etc.)
Anne Arundel County
Indicator
White
Black
Hispanic
Rate of diabetes-related emergency
department visits per 100,000
population (HSCRC 2010)
255.0
728.3
63.8
Proportion of pregnant women starting
prenatal care in the first trimester (VSA
2007-2009)
92.2%
82.3%
74.4%
Updated October 16, 2012
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Leading Causes of Death
Anne Arundel County, 2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Heart Disease
Cancer
Stroke
Chronic Lower Respiratory Diseases
Diabetes
Unintentional Injuries
Influenza and Pneumonia
Septicemia
Alzheimer’s Disease
Suicide
Anne Arundel County Report Card available at www.aahealth.org/statistics
Updated October 16, 2012
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Rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Health Outcomes
Howard
Montgomery
Queen Anne's
Frederick
Carroll
Calvert
St. Mary's
Talbot
Harford
Anne Arundel
Charles
Washington
Baltimore
Worcester
Prince George's
Garrett
Kent
Cecil
Wicomico
Caroline
Somerset
Dorchester
Allegany
Baltimore City
Rank
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
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Health Factor
Howard
Montgomery
Frederick
Talbot
Carroll
Calvert
Anne Arundel
Harford
Queen Anne's
Baltimore
Charles
St. Mary's
Kent
Garrett
Worcester
Washington
Prince George's
Allegany
Wicomico
Cecil
Caroline
Dorchester
Somerset
Baltimore City
Source: County Health Rankings 2012, available at www.countyhealthrankings.org
Updated October 16, 2012
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Source: County Health Rankings 2012, available at www.countyhealthrankings.org
Updated October 16, 2012
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Public Health Partnerships
Successful public health initiatives often have
multiple and diverse partners including:
1.
2.
3.
4.
5.
6.
Public Sector
** Health Care
Providers/Payers
Health Care
• Hospitals
Providers/Payers **
• FQHCs
• Pharmacies
Community Based Partners
• Insurers
Employers/Business
• Community Health
Centers
Community
• Physical and
Academic Partners
Behavioral Health
Care Professionals
Philanthropy
Updated October 16, 2012
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Structure of the
Healthy Anne Arundel
Coalition
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Academia
Health Care Providers
Government
Agencies
Philanthropy
Community
Outreach
Subcommittee
Obesity
Prevention
Subcommittee
Steering
Co-Occurring
Disorders
Subcommittee
Leadership & Finance
Subcommittee
Community-Based
Organizations
Committee
Existing Boards,
Committees &
Coalitions
Community
Health Needs
Assessment
Subcommittee
Promotion and
Publicity
Subcommittee
Faith-Based
Organizations
Coalition Network
Businesses
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Levels of Engagement

Steering Committee
Member
 Subcommittee
Member
 Network Group
Member
 Network-Steering
Committee Liaison







Updated October 16, 2012
Resource Partner
Consumer/Client/
Former Patient
Community
Representative
Observer
Volunteer
Technical Assistance
Presenter
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Healthy Anne Arundel Coalition
Management and Staffing
 Chair
 Vice
and Chair Designees
Chairs
 Steering
Committee
 Subcommittees
 Network
 Staffing
Members
Support
 Implementing
Updated October 16, 2012
Organizations
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Healthy Anne Arundel Coalition
Guiding Principles
Utilize
Existing Groups
Flexibility
Inclusive
and Welcoming
Embrace
Change
Transparent
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Collaborative Process – Values
1.
COMMUNICATING - exchanging information through
networking for mutual benefit and to achieve a common
purpose
2.
COORDINATING - exchanging information and altering
activities for mutual benefit and to achieve a common
purpose
3.
COOPERATING - exchanging information, altering activities,
& sharing resources for mutual benefit and to achieve a
common purpose
4.
COLLABORATING - exchanging information, altering
activities, sharing resources, and enhancing the capacity
of another for mutual benefit and to achieve a common
purpose
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Intervention Framework
 Individual/Group
level
 Community/Societal
 Structural/Policy
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Social-Ecological Model
Source: Marjorie Buchanan, RN, MS, CPH, Clinical Director, Community and Public
Health Nursing, University of Health School of Nursing
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Measures of Success
 Decreased


prevalence of:
overweight, obesity and other related chronic
health conditions (e.g. diabetes, cancer)
behavioral health disorders
 Decreased
ER visits, preventable
hospitalizations and readmissions
 Increased quality of life
Joint Community Needs Assessment to gain
a baseline and monitor success
Updated October 16, 2012
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Coalition Influence and Reach (1)
Organization
Employees Reach
Wellness
Program
A.A. Co. Dept. of Health
710+
All Co. residents
Yes
Anne Arundel Health
System
3,600
80,000+ ED visits;
25,000+ inpatient
Yes
Baltimore Washington
Medical Center
2,600
100,000+ ED visits; Yes
30,000 in outreach
A.A. Co. Public Schools
8,000+
76,000+ students
Yes
A.A. Community College
1,000+
15,000+ students
Yes
Preliminary Data – Healthy Anne Arundel Coalition May 2012
Updated October 16, 2012
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Coalition Influence and Reach (2)
Organization
Employees Reach
Wellness
Program
A.A. Co. Dept. of Aging &
Disabilities
?<100
Older and disabled Yes
Co. residents
A.C. Co. Dept. of
Detention Facilities
400
7,800 inmates/year Yes
A.A. Co. Dept. of
Recreation & Parks
250-300
500,000+ County
Yes
residents & visitors
A.A. Co. Dept. of Social
Services
350
60,000+ families
Yes
A.A. Co. Executive’s
Office
19
500,000+ County
residents
Yes
City of Annapolis
600
38000
Yes
Preliminary Data – Healthy Anne Arundel Coalition May 2012
Updated October 16, 2012
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Coalition Influence and Reach (3)
Organization
Employees Reach
Wellness
Program
MedStar Harbor Hospital
1,400
Approx. 185,000
County residents
Yes
Rite Aid Corporation
150 in Co.
15,000 customers Yes
per week in County
CareFirst BlueCross
BlueShield
5,000 in
Baltimore/
DC area
3.4 million in MD
Yes
People’s Community
Health Centers, Inc.
121
14,600
unduplicated
clients/ year
Yes
~ 300,000+
ALL!
TOTAL ~ 20,000
Preliminary Data – Healthy Anne Arundel Coalition May 2012
Updated October 16, 2012
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Healthy Anne Arundel Coalition
Health Improvement Focus Areas

Obesity*

Mental Health & Substance Abuse as
Co-Occurring Disorders*

Cancer and Tobacco Use

Dental Care

Sexual Health

Housing and Environmental Conditions
*Designated Priority Areas
Updated October 16, 2012
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Priority # 1
Obesity Prevention
Eat Healthier
Updated October 16, 2012
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Move More
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Obesity Prevention
Baseline and Goal for 2015
MD SHIP OBJECTIVE
MD
BASELINE
COUNTY
BASELINE
COUNTY BY
RACE/
ETHNICITY
MD 2014
GOAL
COUNTY
2015
GOAL
DATA
SOURCE
Increase the proportion
of adults who are at a
healthy weight
34.0%
33.5%
White, NonHispanic:
33.9%
Black: 30.0%
35.7%
35.2%
BRFSS
20082010
Reduce the proportion
of young children and
adolescents who are
obese
11.9%
10.8%
N/A
11.3%
10.36%
MYTS
2008
Updated October 16, 2012
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Obesity Prevention
Subcommittee

Creating survey to identify evidence-based
obesity/wellness/fitness programs in the County
 Developing Healthy Meeting guidelines and
other tools for County businesses and other
organizations
 Researching existing obesity prevention
programs in the County for collaboration
 Launching the AACPS/DOH “Healthiest Schools,
Healthiest Workplaces and Healthiest
Communities” Initiative under the Million Hearts
Campaign®
Updated October 16, 2012
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Adult Obesity – Not Sustainable!
Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US
Data source: National BRFSS
Bend the obesity curve ~ a call to action!
Updated October 16, 2012
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Adult Obesity
Weight Status by Race for Anne Arundel County, 2007
Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007
Updated October 16, 2012
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Childhood Obesity
Weight Distribution by Age Group for Children and Adolescents, 2006
Data source: Anne Arundel County Department of Health Provider-based County Survey of Children
and Adolescents, 2006
Updated October 16, 2012
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Health Disparity: Diabetes
disparities
Source: Maryland Health Services Cost Review Commission
Updated October 16, 2012
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Health Disparity: Hypertension
disparities
Source: Maryland Health Services Cost Review Commission
Updated October 16, 2012
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Obesity Prevention:
Individual Level
Six Target Behaviors:
Eat Healthier…
1. Increase consumption of fruits and
vegetables
2. Increase breastfeeding initiation,
duration, and exclusivity
3. Decrease consumption of sugar
sweetened beverages
4. Decrease consumption of high energy
dense, nutrient poor, foods
Move More…
5. Increase physical activity
6. Decrease television viewing Source: CDC
Updated October 16, 2012
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Obesity Prevention:
Workplace Level
Eat Healthier!

Move More!
Increase Access to
 Promote Physical
Healthy Foods
Activity
 Healthy food
 Walking
options at meetings
programs/courses
and events
 Onsite fitness
 Healthy wending
classes/ equipment
options
 Subsidized gym
memberships
Updated October 16, 2012
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Workplace Wellness Programs
 Resources
for starting or strengthening
worksite wellness programs include:




Benefit Administration, Human Resources
and Workplace Wellness Firms
Centers for Disease Control and Prevention
State and Local Health Departments
Local Health Improvement Coalitions
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Business Resources
http://www.aahealth.org/ltl_healthybus.asp
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Business Resources
http://www.aahealth.org/ltl_50ways.asp
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Ways to Fitness Challenge!

Based on the DOH’s Fitness Challenge available
at www.aahealth.org/fitnesschallenge
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Ways to Fitness Challenge!
6
week program to increase healthy eating
and physical activity
 47 teams of 5; total of 235 participants
(1/3 of DOH employees)
 Complemented by other activities:




healthy eating class
introduction to container gardening
stress reduction workshop
Department-wide potluck at a local park
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Meetings & Events Policy
Note: Policy currently under revision.
Updated October 16, 2012
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Anne Arundel County DOH
Healthy Business Resources
Learn to Live Healthy Living Resources:
http://www.learntolivehealthy.org
410-222-7979
Available resources include Healthy Eating, Cancer
Prevention and Smoking Cessation Information Kits and
other materials
Anyone can download materials, but Learn to Live can only mail
materials to Anne Arundel County addresses
Updated October 16, 2012
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Obesity Prevention
Federal Initiatives
Updated October 16, 2012
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President’s Initiative
 President’s
Challenge
www.presidentschallenge.org

Presidential Active Lifestyle Award (PALA+)
• PALA+ is for people who want to better their health by
making healthier choices related to eating and physical
activity
• Good for beginners

Presidential Champions
• Aimed at individuals who are already physically active
• Good for people who already get regular exercise or a next
step for people who complete PALA+.
Updated October 16, 2012
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President’s Initiative
 President’s



Challenge (cont.)
Online tracker allows groups to take the
President’s Challenge together
Can register a group together and access
progress reports
Can also register individually
Updated October 16, 2012
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Let’s Move Initiative
http://www.letsmove.gov/
Updated October 16, 2012
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My Plate
 MyPlate
SuperTracker
https://www.choosemyplate.gov/
SuperTracker/default.aspx



Get a personalized nutrition and physical
activity plan
Track foods and physical activities to see how
they stack up
Get tips and support
Updated October 16, 2012
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America on the Move
 America
on the Move
www.americaonthemove.org
 Provides web-based programs, tools, and
resources.
 Encourages people to make realistic small
lifestyle changes.
 Can compete in group challenges or complete
at your own pace
 Offers a similar component for kids under age
13 (America on the Move Kids).
Updated October 16, 2012
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Priority # 2
Mental Health and
Substance Abuse as
Co-Occurring Disorders
Updated October 16, 2012
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Co-Occurring Disorders
Subcommittee

Pre-existing group in Anne Arundel County
 Created to bridge gap between mental health
& substance abuse service providers
 Current Projects:



Assess needs of medical community to handle
substance abuse patients
Mapping of mental health and substance abuse
services
Creation/utilization of a substance abuse
screening tool for physicians
Updated October 16, 2012
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Co-Occurring Disorders
Baseline and Goal 2015
MD SHIP OBJECTIVE
MD
BASELINE
COUNTY
BASELINE
COUNTY BY
RACE/
ETHNICITY
MD 2014
GOAL
COUNTY
2015
GOAL
DATA
SOURCE
Reduce the rate of
emergency department
visits related to
behavioral health
conditions per 100,000
population
1,206.3
1,134.9
White:
1,146.9
Black:
1,450.6
Asian: 152.7
Hispanic:
203.6
1,46.0
1,078.2
HSCRC
2010
Reduce the rate of
drug-induced deaths
per 100,000 population
13.4
15.0
N/A
12.4
13.9
VSA
20072009
Decrease the rate of
alcohol impaired
driving fatalities
0.29
17 (count
only due to
rate
instability)
N/A
0.27
15
SHA 2009
Reduce the rate of
suicides per 100,000
population
9.6
9.6
N/A
9.1
9.1
VSA
20072009
Updated October 16, 2012
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Rate of Emergency Department Visits for Substance
Abuse* by ZIP Code of Residence, Anne Arundel County,
July 2010 – June 2011
Substance
Abuse
*Includes alcohol, illegal drugs and nonmedical use of prescription drugs.
Data Source: Rates calculated based on 2010 U.S. Census; MD Health
Services Cost Review Commission.
Updated October 16, 2012
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Suicide
Rate
per 100,000 persons
Rate* of Suicide-related Emergency Department Visits by Age Group.
Anne Arundel County, July 2010 – June 2011
* Crude rate calculated based on 2010 U.S. Census.
Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland
DHMH; Injury Center, CDC; MD Health Services Cost Review Commission
Updated October 16, 2012
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Suicide
Rate per 100,000 persons
Age-Adjusted Suicide Death Rates, Anne Arundel and Maryland, 2005-2010
Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland
DHMH; Injury Center, CDC; MD Health Services Cost Review Commission
Updated October 16, 2012
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Health Disparity:
Behavioral Health Conditions
disparities
Source: Maryland Health Services Cost Review Commission
Updated October 16, 2012
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Co-occurring Disorders
Targeted Behaviors/Interventions:
 Stress Reduction
 Identify suicidal ideation among youth
 Reduce attempted suicides
 Reduce completed suicides
 Identify prescription drug abuse
 Reduce driving under the influence of alcohol
and drugs
 Manage untreated mental health conditions
 Increase recovery support among adults and
adolescent peers
 Screening, Brief Intervention, Referral and
Treatment (SBIRT)
Updated October 16, 2012
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Individual Stress Management

Managing stress is about taking
charge of your emotions, thoughts,
schedule and how you respond to
challenges
 Identify triggers of stress
 Ask family and friends for help
and support when you feel stressed
 Learn relaxation techniques and
other healthy ways to mange stress
Updated October 16, 2012
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Individual Stress Management
 Learn
1.
2.
3.
4.
5.
6.
Strategies for Stress Management:
Avoid unnecessary stress
Alter the situation
Adapt to the stressor
Accept the things you cannot change
Make time for fun and relaxation
Adopt a healthy lifestyle
Adapted fromhttp://www.helpguide.org/mental/stress_management_relief_coping.htm
Updated October 16, 2012
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Workplace Stress Management
 Promote
healthy lifestyles, including
healthy eating and physical activity
 Encourage stress relief breaks



Meditation
Walking
Check-ins with family/friends
 Provide
stress management tips by
newsletters, e-mail or Lunch and Learns
Updated October 16, 2012
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Workplace Stress Management

Consider offering options that
promote work-life balance including
telecommuting and flexible
schedules
 Encourage employees to use
earned time off for personal time
and vacations
 Encourage employees to use sick
leave when ill or for health care
appointments
Updated October 16, 2012
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Additional Resources
 Medline
Plus: Stress Management
http://www.nlm.nih.gov/medlineplus/ency/articl
e/001942.htm
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Overview of stress management
Tips for a stress management program
 Stress
Management from Mind Tools
http://www.mindtools.com/smpage.html
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
Interactive modules for coping with stress
Links to additional resources
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Join the Healthy Anne
Arundel Movement
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What Can You Do?
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Step 1: Determine your healthy weight and
make weekly goals to reach it
Step 2: “Eat healthier” by choosing healthier
foods for you and your family
Step 3: “Move more” during your leisure time or
through workplace initiatives
Step 4: Get a mental health screening for
depression or post-traumatic stress
Step 5: Get screened for alcohol, opioid or
prescription drug abuse
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What Can You Do?
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Step 6: Review your family history and get
screened for cancer
Step 7: Visit your dental health provider every
six months
Step 8: Get tested for sexually transmitted
infections and HIV
Step 9: Schedule your annual health visit with
your primary care doctor
Step 10: Keep your home, community and work
space free of clutter
Updated October 16, 2012
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HealthyAnneArundel.org
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Healthy Anne Arundel Coalition
Contacts
www.HealthyAnneArundel.org
[email protected]
Laurie B. Fetterman, MSW
Phone: 410-222-7203
Email: [email protected]
Brandon J. Johnson, MHS
Phone: 410-222-7244
Email: [email protected]
Updated October 16, 2012
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County Executive John R. Leopold
Department of Health
J. Howard Beard Health Services Building
3 Harry S. Truman Parkway
Annapolis, Maryland 21401
Phone: 410-222-7375 Fax: 410-222-4433
Maryland Relay (TTY): 1-800-735-2258
www.aahealth.org
www.HealthyAnneArundel.org
[email protected]
Anne Arundel County Department of Health
Representatives:
Jinlene Chan, M.D., M.P.H., Acting Health Officer,
Antigone Vickery, M.P.H., Director,
Office of Assessment, Planning and Response
Laurie Fetterman, M.S.W., Health Planner,
Office of Assessment, Planning and Response
Brandon Johnson, M.H.S., Community Engagement
Coordinator, Office of Assessment, Planning and Response
Updated January 29, 2013
Steering Committee Member Organizations:
A.A. Co. Office of the County Executive
A.A. Co. Dept. of Aging and Disabilities
A.A. Co. Dept. of Detention Facilities
A.A. Co. Dept. of Health
A.A. Co. Dept. of Recreation & Parks
A.A. Co. Dept. of Social Services
A.A. Co. Public Schools
A.A. Co. Mental Health Agency, Inc.
Anne Arundel Community College
Anne Arunde l County NAACP
Anne Arundel Economic Development Corporation
Anne Arundel Health System
Arundel Community Development Services, Inc.
Baltimore Washington Medical Center
Care First Blue Cross Blue Shield
City of Annapolis Mayor’s Office
Community Foundation of Anne Arundel County
Housing Authority of the City of Annapolis
MedStar Harbor Hospital
People’s Community Health Centers, Inc.
Rite Aid Corporation
School of Public Heath, University of Maryland
Walmart
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