Promoting hl with inmates priester david young ppt 2012


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Promoting hl with inmates priester david young ppt 2012

  1. 1. 4/9/2012 Workshop Ground Rules Turn cell phones off or to vibrate/silent Relax, be comfortable, be interactive Share experiences, thoughts and ideas Practice common conversational courtesy  One person talking at a time  Respect different ideas and view points Avoid rabbit trails and editorializing 1
  2. 2. 4/9/2012 Workshop Outline Introductory sharing – “Know your audience” Preliminary information – “Connect the dots” Justification/need for the project Overall goal and objectives Experimental design & process evaluation Observations & preliminary findings Summary Know the Audience Name and position/work area How many years in current position/work area? Where you grew up? What states you have lived in as an adult? What you hope to get out of this workshop? 2
  3. 3. 4/9/2012 Connect the Dots Conference Theme  “Leveraging Partnerships to Improve the Health of the Nation” Creating Healthy Communities CoP Goal  “Provide resource support to improve community health” Workshop focus area  “Promoting Health Literacy with Inmates” Connect the Dots  Literacy  Health Literacy  Incarceration  Recidivism - “a return to prison and/or jail as a result of either a new conviction or a violation of terms of supervision”; Recidivism rates vary nationally:  1 out of 2 (50%)  2 out of 3 (66%)  4 out of 5 (80%) 3
  4. 4. 4/9/2012 Connect the Dots  Health Literacy is the capacity/ability to obtain (find), process (understand) and use (act on) basic health information and services in order to make appropriate health decisions.  Health Literacy is the #1 predictor of health outcomes – ahead of age, race, income, education, and employment Connecting More Dots Statement: “The true health of a community is determined by how it treats its weakest and most vulnerable members” Who are the vulnerable members? (NN/LM)  Elderly (age 65+)  Minority and immigrant populations  Low income  People with chronic mental and/or physical health conditions 4
  5. 5. 4/9/2012Education, Income & Health“Low education rates and inadequate incomecontribute to premature death, chronicdisease, and spending on medical care.Prioritizing education and economicopportunity is an important strategy to savelives, improve health, and reduce spending onavoidable illnesses.” April 3, 2012 2012 County Health Rankings Robert Wood Johnson Foundation – Public Health 5
  6. 6. 4/9/2012 Justification/Need Health literacy is the #1 predictor of health outcomes Poor health literacy is associated with poor self care management, high health care costs, and low use of preventive services Inmates have low health literacy skills and high incidence of chronic illnesses (80-90% vs 50% for all US) Chronic illnesses account for 75% of all health care expenditures and 70% of all deaths Goal of the ProjectTo improve the health literacy, self-care management skills and personal health care decision-making of inmates incarcerated in the county jail 6
  7. 7. 4/9/2012 Objectives of the Project To enhance the capacity of inmates in their understanding of locating, evaluating and using basic health information To motivate inmates to take more responsibility for their own health care To increase the inmate’s understanding of the importance in seeking assistance from local librarians after release Experimental Design Announcing the project to inmates Signing Informed Consent forms Filling out Pre-Survey Questionnaires Distributing the following handouts:  My Health Companion ©  Staying Healthy Student Resource Book  Coping with Stress Student Book 7
  8. 8. 4/9/2012 Experimental Design (con’t) Receiving the following handouts (con’t):  Talking with Your Doctor  Seeking Drug Abuse Treatment: Know What to Ask  the List – Community Resources for Gallatin County Attending formal classes 2.5 hrs/day – M, W, F Attending informal classes 2 hrs/day – T & Th Experimental Design (con’t) Filling out Post-Survey Questionnaires one week after completion of 11.5 hours of classes Modifying project protocol as needed  Decreased class size from 12 to seven  Changed laptops to desktops with headphones  Reduced class time from two weeks to one week  Promoted self-guided learning  Maintained goal to reach 60-70 inmates with pilot project 8
  9. 9. 4/9/2012 Experimental Design (con’t) Health Information Literacy Offline System (HILOS) – “internet-in-a-box”  MedlinePlus  Understanding Medical Words: A Tutorial from the National Library of Medicine  USDA SuperTracker  Plain Language Medical Dictionary  12 Power Point Presentations  42 Videos Experimental Design (con’t) Topics of 12 Module PPTs  Computer Basics  What is Health Literacy?  My Health Companion © and Other Resources  Advocacy and Self-Care  Prevention and Screening  Sexually Transmitted and Infectious Diseases 9
  10. 10. 4/9/2012 Experimental Design (con’t) Topics of 12 Module PPTs (con’t)  Tobacco Epidemic  Mental Illness  The Science of Addiction  Nutrition  Oral Health  Library ResourcesObservations - Target Population  Addictive behaviors/substance abuse  Mental illnesses  History of unhealthy relationships  Complex and chronic health conditions  School dropouts/low literacy  Sex offenders & violent offenders  Minorities 10
  11. 11. 4/9/2012 Observations - Classes Fragile population with frequent dropouts, stop-outs and bail-outs Broad range of literacy, learning and computer skills Broad range of interest and motivation Scheduling conflicts Many positive comments Preliminary Findings “The health literacy class has already aided me in helping my parents with their medical issues.” “I know more about STDs and what I need to do in order to maintain my health.” “Thank you for all the time the volunteers gave to help us.” 11
  12. 12. 4/9/2012 Summary – Key Components Pre- and post- questionnaires Access to desktop computers with 12 module PPTs and internet-in-a-box (offline) system Handout materials  My Health Companion ©  Staying Healthy Student Resource Book  Coping with Stress Student BookSummary - Key Collaborators Gallatin County Detention Center (County Jail) Montana State University (Extension, College of Nursing, & Library) Gallatin City-County Health Department Gallatin Mental Health Center Bozeman Public Library Healthy Roads Media 12
  13. 13. 4/9/2012 Summary – Health Literacy Affordable Care Act (ACA) - March 2010 National Action Plan to Improve Health Literacy - May 2010 Healthy People 2020 - Dec 2010 National Prevention Strategy - June 2011  Healthy and Safe Community Environments  Clinical and Community Preventive Services  Empowered People  Elimination of Health DisparitiesImprove the Health of the Nation Improve self-care management and health care decision-making of inmates upon release Improve community public health Improve public safety Reduce health care costs Reduce recidivism Reduce health disparities 13
  14. 14. 4/9/2012Improve the Health of the Nation Prisoner reentry is a:  Public safety issue  Public health issue  Housing and employment issue  Family and community issue  Education issue  Minority and special needs issue Acknowledgements National Library of Medicine, NIH, DHHS  MedlinePlus  Understanding Medical Words United States Department of Agriculture  SuperTracker Taubman Health Sciences Library, University of Michigan  Plain Language Medical Dictionary 14
  15. 15. 4/9/2012 Acknowledgements (con’t) Healthy Roads Media, Bozeman, MT  39 videos Extension IT Specialist, Montana State University  ‘Internet-in-a-box offline system’ National Network of Libraries of Medicine, Pacific Northwest Region, University of Washington, Seattle, Washington Contact Information David Young Extension/College of Nursing P.O. Box 172230 Bozeman, MT 50717-172230 E-mail: Phone: (406) 994-5552 15
  16. 16. 4/9/2012Medical Library Association Health Literacy Consulting 16