COMMUNITY HEALTH SIMULATION

COMMUNITY HEALTH SIMULATION

 

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Demographics, Neighborhood/Safety, and Scavenger Hunt Assessment Tools

 

Demographics Assessment

  1. Population of Sentinel City: 663, 862

 

  1. Age Percentage breakdown of population of Sentinel City:

 

Persons under 5 years, 7.4%

Persons under 18 years, 21.7%

Persons 65 years and over, 10.5%

 

  1. Race Percentage breakdown of population of Sentinel City:

White alone, percent (a) 80.6%
Black or African American alone, percent (a) 10.4%

American Indian and Alaska Native alone, percent (a) 2.0%

Asian alone, percent (a) 3.7%

Native Hawaiian and Other Pacific Islander alone, percent (a) 0.2%

Two or More Races, percent 3.1%

Hispanic or Latino, percent (b) 31.5%

White alone, not Hispanic or Latino 52.7%

 

  1. Median Household Income of Sentinel City:

$49,091

 

  1. Percentage of Sentinel City residents living below the poverty level:

18.9%

 

  1. Population of each of the four neighborhoods:
    1. Nightingale Square: 103,974
    2. Acer Tech Center: 168,390
    3. Casper Park District: 352,643
    4. Industrial Heights: 38,855
  2. Median Household Income of the four neighborhoods:
    1. Nightingale Square: $269,550
    2. Acer Tech Center: $166,300
    3. Casper Park District: $80,134
    4. Industrial Heights: $24,672

 

  1. Percentage of non-insured residents in each of the four neighborhoods:
  1. Nightingale Square: 0.7%
  2. Acer Tech Center: 1.5%
  3. Casper Park District: 22.7%
  4. Industrial Heights: 37.5%

 

Neighborhood/Safety Assessment

  1. Describe any safety hazards seen (i.e. pollution, stray animals, buildings in disrepair, etc.)

SAME FROM YOUR WINDSHIELD SURVEY Observations

  1. Summarize data related to drug use in the city.

16% arrests due to controlled substances

OF ENTIRE SENTINEL CITY % OF POPULATION using:

24% Tobacco

36% Alcohol

12% Marijuana

5% Cocaine

7% Heroin

10% Methamphetamines

18% Prescription Drug Use

 

  1. What are the EMS response times?

Fire and ambulance services, police patrol. EMS response time 10-15 minutes

  1. What types of crime are occurring in the area?

1231 Crimes of aggravated assault

559 robbery cases

312 rape cases

20 murder cases

Bicycle theft, property damage, shoplifting, drunk and disorderly conduct.

CRIME INDEXES:

Nightingale Square: 93/100

Industrial Heights: 42

Casper Park: 57

Acer Technical District: 89

  1. Is there gang violence? Describe.

20 homicides, 100 aggravated assault, 38 simple assault, 40 robbery

 

Scavenger Hunt

Describe the services offered by each of the following community resources. Summarize any other pertinent data found at the site:

 

  1. Parks and Recreation

swimming lessons, nutrition courses, gardening courses, kids summer programs, city sports leagues, adult fitness courses, after school programs

 

  1. Healthcare System-Elderly Services

Senior Transportation: 6.8%

Service Animals: 2.5%

Meals on Wheels: 1.3%

Elder Abuse Prevention Advocates: 0.9%

Community Centers: 2.9%

Government Entitlement Assistance: 7.6%

Medical Care Advocates: 8.3%

Senior Living Options: Independent Senior Apartment Units, Nursing home units, Assisted Living Units, SNF, Long-term care, swing-beds, Senior Living Center Units

 

  1. City Hall-Social Services

Victim assistance programs:

Therapy, Group Treatment & Support, shelter and safe house, emergency financial assistance, emergency legal advocacy, crisis counseling, information and referral, personal advocacy, criminal justice support and advocacy, telephone contact info and referral, follow-up

 

  1. Better Health Clinic (formerly Community Health Center)

Contraceptive services, pregnancy testing/counseling, achieving pregnancy, basic infertility services, preconception health, STD’s services, Breast cancer screening, cervical cancer screening, preventative health services

 

  1. Soup Kitchen-serves 64% homeless adults, 12% Veterans, 7% disabled adults, 6% elderly, 3% homeless children, 2% healthy children, 6% healthy adults.. Serves 39,000-51,000 meals every month

Programs: Commodity Supplemental Food Program, Food Assistance, USDA Commodity Programs

  1. Affordable Housing Project

Affordable housing complex with apartments for low-income tenants

 

Community Center: Parenting classes, basic computer skills classes, AA, English Language Learners (ELL), stress management classes

 

 

 

SENTINEL CITY NEEDS: add a small library to community, cultural awareness

Need more street lighting, need police call boxes in every neighborhood

City bus to be w/c accessible

 

 

 

Industrial Heights:

59 are homeless

homeless teens, single parents, veterans-want homeless shelter, faith based clinics; need funding for projects

rodents in street, trash, faith based billboards, graffiti on clinic

Homeless people at reservoir and in abandoned buildings

Homeless people might steal, sell cigs or drugs to make money. Make money with some jobs at the church

Need: job training program

Veterans and depression, service dog, stray animals, don’t know how to access services for VA Benefits

45 households receiving supplemental nutrition assistance

 

Nightingale square:

prostitution, violent crimes, intoxication and drug use, littering, trespassing

trash near grocery store, street jugglers, bar, bus stops, blind man walking, some building graffiti, older restaurants

 

Acer Tech Center:

25 households receiving supplemental nutrition assistance

Town hall protesting about taxes, lack of resources for disabled veterans, increased smoking and alcohol consumption among school students

Clean city,

Save your lungs, save your life cigarette billboard

 

Casper Park District:

24% homeless, lots of trash, it can wait don’t text and drive billboard, daycare, graffiti on buildings, stray dogs and cats, rodents, sewage pipe leaking onto the street, increase in pesticides and other contaminants spilling into the Sentinel water Reservoir

38 householdshouseholds receiving supplemental nutrition assistance, c/o factory smoke pollution, police activity, pests and mold

 

 

 

 

COMMUNITY ASSESSMENT WINDSHIELD SURVEY Directions: As you “drive” through Sentinel City, write about your impressions of the community. Take notes about the community using the following questions as a guide. You may discover other areas that you want to note. Include your findings in the community description section of your paper.

 

ELEMENT DESCRIPTION:

Housing and Commercial Buildings:

  • How old are the houses and buildings in the community?
  • What materials are the homes and buildings constructed from?
  • Are all the houses similar in age and architecture?
  • How would you characterize their differences?
  • Are the houses detached or connected to each other?
  • Are there solar panels? Windmills?
  • Do the houses have space in front or behind them?
  • What is the general condition of the houses and buildings?
  • Are there signs of disrepair (e.g., broken doors or windows, leaks, missing locks)?
  • Are there signs of neighborhood pride, such as well-tended yards?
  • Is there central heating, modern plumbing, air conditioning?

 

Open space:

  • Is the county primarily rural, suburban, urban, or a mix? How much open space is there?
  • What is the quality of the space (i.e., lush green parks or rubble-filled lots)?
  • What is the lot size of the houses, lawns, and flower boxes?
  • Do you see trees on the streets or a green island in the center of the streets?
  • Is the open space public or private? Who uses this space? Boundaries:
  • What signs are there of where neighborhoods begin and end?
  • Are the boundaries natural (a river, a different terrain); physical (a highway, a railroad); or economic (differences in real estate or presence of industrial or commercial units along with residential)?
  • Do the neighborhoods have an identity or a name? Do you see them displayed? Are there unofficial names? “Commons”:
  • What are the neighborhood hangouts (e.g., schoolyard, convenience store, bar, restaurant, park, 24-hour drugstore)?
  • What groups of people tend to gather at these hangouts?
  • At what time do they typically meet?
  • Does the commons area have a sense of territoriality, or is it open to everyone?

 

Transportation:

  • How do people get in and out of the neighborhoods (e.g., car, bus, bike, walking)?
  • Are the streets and roads conducive to good transportation and bicycle use and also to community life?
  • Are there major highways running through the county? Who do these highways 3 serve?
  • How frequently is public transportation available?
  • Are gas stations available?
  • Are there train stations or light rail stations?

 

Service centers:

  • Do you see social agencies, clients, recreation centers, signs of activity at the schools?
  • Are there offices of doctors, dentists, and other such services?
  • Are there parks? Are these parks in use?

 

Stores:

  • Where do residents shop (e.g., shopping centers, neighborhood stores, outdoor markets)? ***Note: The Bodega is currently the only building that you can go into in Sentinel City***
  • How do they travel? People out and about:
  • If you are traveling during the day, who do you see on the street (e.g., an occasional passerby, a father with a baby)?
  • Do you see anyone you would not expect?
  • Can you spot the purpose of those that you see, such as a door-to-door salesperson or a postal worker?
  • Is the dress of those you see representative or unexpected?
  • What animals do you see (e.g., stray cats, pedigreed pets, watchdogs, birds, wildlife)?

 

Signs of community vibrancy:

  • Is the community alive?
  • How would you decide?
  • Are there signs of arts and cultural expression?
  • Do you see any of the following: street vendors, trash, abandoned cars, political posters, neighborhood-meeting posters, real estate signs, abandoned houses, mixed zoning usage, people tending their yards, sidewalks in good repair, historical places?

 

Race:

  • Are the residents primarily Caucasian, African-American, Asian, of another group, or is the area integrated?

 

Ethnicity:

  • Are there indications of ethnicity—food stores, churches, private schools, information or signs in a language other than English?

 

Religion:

  • Of what religion are the residents?
  • Do you see evidence of heterogeneity or homogeneity?
  • What denominations are the churches, temples, and mosques?
  • Do you see evidence of these religious facilities being used other than on days of worship?

 

Health:

  • Do you see evidence of acute or of chronic diseases or conditions?
  • Do you see evidence of accidents, communicable morbidity diseases, alcoholism, drug addiction, mental illness, etc.?
  • How far it is to the nearest hospital? To the nearest clinic?

 

Politics:

  • Do you see any political campaign posters?
  • Is there a headquarters present?
  • Do you see evidence of a predominant party affiliation?

 

Media:

  • Do you see indications of television use such as satellite dishes?
  • What magazines and newspapers do residents read?
  • What media do you see being sold in the stores?
  • What form of media seems most important to the residents (e.g., radio, television, print, online)?
  • What languages are represented in the various forms of media?
  • Physical environment:
  • Are there indications of an excess of certain types of activities, such as stores that sell alcohol or fast food restaurants?
  • What sorts of billboards are displayed and what do they indicate?

E-cigs

  • Are there many cell phone towers or is cell phone access limited?

 

 

Primary Prevention Topic List

Assess the community and identify which Healthy People Topic Area impacts it. This community assessment will provide evidence that this topic is a problem in the community. Develop a Community Health Diagnosis for this topic.

Healthy People 2020 Leading Health Indicators/Primary Prevention Topic Areas to Choose for Field Experience.

Access to Health Services

The goal of this leading health indicator is to improve access to comprehensive, quality health care services.

Access to:

  • Mental health services
  • Dental health services
  • Health services
  • Promotion of health literacy

 

Potential barriers to assess for:

  • High cost of care
  • Inadequate or no insurance coverage
  • Lack of availability of services
  • Lack of culturally competent care

Older Adults

Promotion of:

  • vaccinations
  • injury prevention
  • prevention of social isolation

Environmental Quality and Physical Environment

 

Promotion of healthy physical environment, including:

  • air quality
  • land quality
  • water quality

Injury and Violence

 

Unintentional Injuries

 

Prevention of:

  • workplace injuries
  • pedestrian injury and death

 

Prevention of motor/recreational vehicle related death/injuries:

  • Bicycle
  • ATV
  • Boating

Violence

 

Prevention of:

  • domestic violence/intimate partner violence
  • prevention of dating violence
  • prevention of gang violence
  • prevention of community violence
  • bullying/cyber-bullying
  • suicide/depression
  • human/sex trafficking

Maternal, Infant, and Child Health, Women’s and Maternal Health

 

Prevention of:

  • unintended pregnancies
  • neonatal mortality

 

 

Promotion of:

  • breastfeeding
  • vaccination

Early and Middle Childhood

 

Prevention of unintentional childhood injuries, including:

  • sudden unexpected infant death (SUID)
  • poisoning
  • drowning
  • motor vehicle related (child safety seat and seat belt use)
  • sports related
  • pedestrian related

 

Prevention of child abuse

 

Promotion of vaccination

 

Mental Health

Access to mental health services

Prevention of suicide/self-harm

Mental illness screening

 

Nutrition, Physical Activity, and Obesity

 

Promotion of:

  • achieving mean daily intake of total vegetables
  • physical activity
  • prevention of obesity among children, adolescents, and adults

 

Prevention of food deserts

 

Oral Health

 

Prevention of:

  • dental caries
  • periodontal diseases

 

Early diagnosis of oral and pharyngeal cancers

Oral and facial pain (e.g. dentures, TMJ)

 

Reproductive and Sexual Health

 

Prevention of:

  • sexually transmitted infections.
  • prevention of HIV/AIDS, including
  • sexual transmission
  • prenatal transmission
  • IV drug use transmission

 

Social Determinants of Health Disability and Health

 

Promotion of health and well-being, including:

  • Access to disability related services and devices
  • Limit barriers to participating in home, work, school, or community activities

 

Social Environment               

Prevention of homelessness:

  • safe, affordable, and quality housing

Substance Abuse                     

 

Responsible alcohol consumption

Energy drink abuse

 

Prevention of:

  • IV drug use
  • Prescription drug abuse
  • Illegal drug use

Tobacco Use

Prevention of:

  • smoking

 

Preparedness

 

Promotion of:

  • community resilience

 

Preparation for

  • adverse health impacts of chemical, biological, radiological, and nuclear attacks
  • Natural or manmade disaster response
  • Response to emerging and re-emerging infectious diseases

 

 

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