The document summarizes a methodology developed by the Florida Department of Children and Families to estimate behavioral health needs and service utilization across the state. It applies prevalence data on behavioral health conditions and poverty levels to population estimates to calculate how many people may need or use substance abuse and mental health treatment services in Florida. Regional and age-based breakdowns of the results are provided. The methodology is intended to support planning for behavioral health services and improving care in the state.
STRATEGIC_PLANNING_FOR_THE_VANDERBURGH_COUNTY_HEALTH_DEPARTMENTChristina Miller
The strategic plan document provides an overview of the Vanderburgh County Health Department, including its organizational structure, mission and vision, SWOT analysis, and recommendations to address strategic issues related to adult smoking, obesity/diabetes, sexually transmitted diseases, meth use, and lead poisoning. It summarizes county health data and rankings, identifies areas for improvement in essential public health services, and analyzes challenges and opportunities for the health department.
Final violence profile report 6 21 12_phd finalAngie Aguirre
This document provides a summary of key violence trends in Santa Clara County from 2012. The following are the main findings:
1) Rates of violent crimes, homicides, assaults, and domestic violence incidents have generally declined over the past decade, though domestic violence deaths increased from 2010 to 2011.
2) Groups most affected by violence are people of color, males, youth/young adults ages 15-24, and women who experience higher rates of intimate partner violence, elder abuse, and sexual assault.
3) Geographic areas with consistently higher violence include San Jose, Morgan Hill, Gilroy, Campbell, Santa Clara, and unincorporated areas. Within San Jose, Central and East San Jose have high child abuse rates
Baseline final report healthy and empowered youthMelody Niwamanya
The Baseline Survey for the "Healthy and empowered youth" project was conducted in Ugandan districts of Amurial, Abim, and Napak, to determine the social economic and health status of youth, as a baseline assessment for the project. The project targeted improving Adoloscent health and livelihoods.
This document provides a summary of the 2015 Community Health Needs Assessment conducted by Lake Regional Health System. Key findings from the assessment include:
1) The leading causes of death in the community as defined by Camden, Miller, and Morgan counties are heart disease, cancer, and smoking-related illness. Rates of premature death are higher than the state average.
2) Overweight and obesity rates are high, with over one-third of adults considered overweight or obese. This puts residents at risk for other health issues.
3) Through a community survey and focus groups, the top four prioritized health needs were identified as access to primary/specialty care, mental health, smoking/tobacco use,
The document reports on substance abuse issues. It finds that substance abuse is one of the top 10 causes of death in Brooklyn, though not nationwide. In Brooklyn in 2002, nearly 90% of drug-related hospitalizations were due to heroin use, and rates were highest among black residents and in certain neighborhoods like Williamsburg. The costs of substance abuse are high both in terms of health effects, like 100,000 deaths annually from alcohol, and economic costs estimated at $276 billion in 1995. Early intervention and treatment can help reduce these impacts.
Fighting Health Security Threats Requires a Cross-Border ApproachHFG Project
This document discusses how health security threats like Ebola and Zika require a cross-border approach. It summarizes efforts taken in the Caribbean region to strengthen health security through regional cooperation. Key steps included conducting a regional self-assessment using Global Health Security Agenda tools, developing a Caribbean Region GHSA Roadmap with input from over 70 stakeholders, and reinvigorating the Regional Coordinating Mechanism for Health Security. The roadmap establishes targets and plans for 19 health security capacities across Caribbean countries and aims to improve regional communication, coordination, and cooperation to address health threats.
The document describes the Albuquerque-Bernalillo County Health Equity Assessment Tool (ABC HEAT), which aims to provide data on health status, disparities, and social determinants of health at the local level to inform decision-making. It outlines the goals of ABC HEAT, categories of indicators being collected, and examples of how the data can be analyzed and applied, such as examining relationships between teen birth rates, poverty, and race/ethnicity.
From Politics to Parity: Using a Health Disparitiies Index to Guide Legislati...Jim Bloyd, DrPH, MPH
This document discusses the creation of a health disparities index (HDI) to quantify racial health disparities in states over time. The researchers analyzed mortality rates for various diseases in Black and White populations in states from 1999-2005. They calculated disparity values and compiled HDI scores for states. States with the lowest average HDI scores, indicating fewer health disparities, were Massachusetts, Oklahoma, and Washington. The HDI scores correlated with social determinants of health like income inequality and rates of uninsured individuals. The researchers aim to use the HDI to guide legislative efforts to reduce health disparities.
STRATEGIC_PLANNING_FOR_THE_VANDERBURGH_COUNTY_HEALTH_DEPARTMENTChristina Miller
The strategic plan document provides an overview of the Vanderburgh County Health Department, including its organizational structure, mission and vision, SWOT analysis, and recommendations to address strategic issues related to adult smoking, obesity/diabetes, sexually transmitted diseases, meth use, and lead poisoning. It summarizes county health data and rankings, identifies areas for improvement in essential public health services, and analyzes challenges and opportunities for the health department.
Final violence profile report 6 21 12_phd finalAngie Aguirre
This document provides a summary of key violence trends in Santa Clara County from 2012. The following are the main findings:
1) Rates of violent crimes, homicides, assaults, and domestic violence incidents have generally declined over the past decade, though domestic violence deaths increased from 2010 to 2011.
2) Groups most affected by violence are people of color, males, youth/young adults ages 15-24, and women who experience higher rates of intimate partner violence, elder abuse, and sexual assault.
3) Geographic areas with consistently higher violence include San Jose, Morgan Hill, Gilroy, Campbell, Santa Clara, and unincorporated areas. Within San Jose, Central and East San Jose have high child abuse rates
Baseline final report healthy and empowered youthMelody Niwamanya
The Baseline Survey for the "Healthy and empowered youth" project was conducted in Ugandan districts of Amurial, Abim, and Napak, to determine the social economic and health status of youth, as a baseline assessment for the project. The project targeted improving Adoloscent health and livelihoods.
This document provides a summary of the 2015 Community Health Needs Assessment conducted by Lake Regional Health System. Key findings from the assessment include:
1) The leading causes of death in the community as defined by Camden, Miller, and Morgan counties are heart disease, cancer, and smoking-related illness. Rates of premature death are higher than the state average.
2) Overweight and obesity rates are high, with over one-third of adults considered overweight or obese. This puts residents at risk for other health issues.
3) Through a community survey and focus groups, the top four prioritized health needs were identified as access to primary/specialty care, mental health, smoking/tobacco use,
The document reports on substance abuse issues. It finds that substance abuse is one of the top 10 causes of death in Brooklyn, though not nationwide. In Brooklyn in 2002, nearly 90% of drug-related hospitalizations were due to heroin use, and rates were highest among black residents and in certain neighborhoods like Williamsburg. The costs of substance abuse are high both in terms of health effects, like 100,000 deaths annually from alcohol, and economic costs estimated at $276 billion in 1995. Early intervention and treatment can help reduce these impacts.
Fighting Health Security Threats Requires a Cross-Border ApproachHFG Project
This document discusses how health security threats like Ebola and Zika require a cross-border approach. It summarizes efforts taken in the Caribbean region to strengthen health security through regional cooperation. Key steps included conducting a regional self-assessment using Global Health Security Agenda tools, developing a Caribbean Region GHSA Roadmap with input from over 70 stakeholders, and reinvigorating the Regional Coordinating Mechanism for Health Security. The roadmap establishes targets and plans for 19 health security capacities across Caribbean countries and aims to improve regional communication, coordination, and cooperation to address health threats.
The document describes the Albuquerque-Bernalillo County Health Equity Assessment Tool (ABC HEAT), which aims to provide data on health status, disparities, and social determinants of health at the local level to inform decision-making. It outlines the goals of ABC HEAT, categories of indicators being collected, and examples of how the data can be analyzed and applied, such as examining relationships between teen birth rates, poverty, and race/ethnicity.
From Politics to Parity: Using a Health Disparitiies Index to Guide Legislati...Jim Bloyd, DrPH, MPH
This document discusses the creation of a health disparities index (HDI) to quantify racial health disparities in states over time. The researchers analyzed mortality rates for various diseases in Black and White populations in states from 1999-2005. They calculated disparity values and compiled HDI scores for states. States with the lowest average HDI scores, indicating fewer health disparities, were Massachusetts, Oklahoma, and Washington. The HDI scores correlated with social determinants of health like income inequality and rates of uninsured individuals. The researchers aim to use the HDI to guide legislative efforts to reduce health disparities.
Assessing the Burden of Mental Illness in Jackson CountyRichard Thoune
This document assesses the burden of mental illness among adults in Jackson County, Michigan. It applies published prevalence rates of various mental illnesses to estimate the number of adults affected in the county. An estimated 4,779 adults have a serious mental illness such as major depression or schizophrenia. Applying rates of other mental illnesses suggests up to 19-26% of adults under the Jackson Health Network's care may have a serious or any mental illness. Most needs would fall under the network's higher levels of care coordination rather than health coaching. Screening data from local practices shows opportunities for improving depression identification and treatment.
The document discusses health surveillance, health informatics, and the application of epidemiology in healthcare delivery. It defines health surveillance as the ongoing collection, analysis, and interpretation of health-related data to reduce morbidity and mortality. It describes different types and categories of public health surveillance data including population-based, community-based, hospital-based, and laboratory-based surveillance. It also discusses integrated disease surveillance programs in India and how health informatics applies information technology to improve healthcare services, management, and planning.
DHS Analysis of healthcsare sector cyber interdependeciesDavid Sweigert
The document discusses cyber threats facing the healthcare and public health sector. It notes that stolen health data is highly valuable on black markets, selling for 10-20 times more than stolen credit card data. As medical devices become more connected, cyber incidents targeting devices are expected to increase because manufacturers do not prioritize security. The sector faces risks of ransomware, distributed denial of service attacks, and theft of personally identifiable data that could enable medical identity theft.
"The future of healthcare in Africa: progress on five healthcare scenarios", a new report written by The Economist Intelligence Unit (EIU) and sponsored by Janssen, explores Africa's recent progress on several major healthcare challenges. The report looks at the continent's increasing focus on primary and preventive care, the empowerment of communities as healthcare providers, the extension of universal healthcare, the spread of telemedicine, and the role of international donors.
The document discusses implementing a public health approach to address drug abuse, mental illness, homelessness, and incarceration of those with mental illnesses or substance abuse issues. It notes the high economic and social costs of the current fragmented system and lack of treatment. Over 20% of jail and prison populations have a mental illness or were incarcerated due to lack of treatment options. The document calls for a national strategy with coordinated services across housing, employment, treatment, law enforcement, and other areas to improve outcomes and reduce costs to taxpayers.
The Office of Hawaiian Affairs (OHA) requests that the State of Hawaii prioritize collecting and reporting disaggregated data on Native Hawaiians relating to the COVID-19 pandemic. Specifically, OHA asks for disaggregated data from the Departments of Health, Labor and Industrial Relations, and Human Services on topics like COVID-19 cases, unemployment claims, and applications for assistance programs. Disaggregated data is critical to understand how the pandemic is impacting Native Hawaiians and to direct resources most effectively. OHA also requests information on how race data is currently collected by these agencies.
The document provides results from a survey that assessed the health literacy of 1,000 American adults. Key findings include:
- 36% of respondents were rated as having intermediate health literacy, 29% basic, 17% below basic, and 18% proficient.
- Health literacy varied by gender, age, education level, income, and insurance type. Women, older adults, and those with more education and income generally had higher health literacy.
- Respondents with lower health literacy were more likely to choose more expensive treatment settings and misunderstand insurance terminology and costs. They were also less likely to ask their doctors questions.
- Many Americans were confused about appropriate times and settings to receive care, such as at urgent
Thailand implemented a program in the early 2000s to address widespread tooth decay among adults and children by creating dental nurses to staff rural health centers. These nurses ran outreach programs for prevention of tooth decay and gum disease. A core part of Thai oral health programs was promoting tooth brushing in schools with fluoridated toothpaste. This decreased tooth decay in children and increased oral health awareness. Untreated dental diseases are among the most common worldwide and incidence is increasing in low and middle income countries without prevention programs. Prevention, like Thailand's programs, is more viable for these countries than treatment which exceeds most health budgets. WHO is working with countries to develop prevention policies so fewer people develop oral diseases.
tertulia literaria que pretende fortalecer las competencias lectoras, utilizando el audio como una estrategia pedagógica para motivar e invitar a los estudiantes a la lectura comprensiva, producción escrita y a la expresión oral.
The document proposes a Car Alert System (CAS) that would allow Enterprise rental car customers to search for and be notified of available vehicle classes at nearby locations. The CAS would use GPS coordinates to determine the closest stores with desired vehicles and allow users to set alerts to be notified when vehicles become available. It would also include messaging features to facilitate trades between locations. The benefits would be more efficient searches and alerts to find available vehicles, while potential drawbacks include stores unwilling to trade vehicles or only accepting trades for other in-demand classes.
The document discusses factors that affect pricing decisions for products. It identifies key considerations such as market objectives and positioning, product characteristics, market characteristics, product life cycle, distribution channels, costs, competition, demand, and external economic factors. Effective pricing requires understanding how these various elements interact and influence pricing strategies over the different stages of a product's life cycle. The document provides examples and guidelines for organizations to establish prices that meet business objectives while accounting for costs and market conditions.
This short document promotes creating presentations using Haiku Deck, a tool for making slideshows. It encourages the reader to get started making their own Haiku Deck presentation and sharing it on SlideShare. In just one sentence, it pitches the idea of using Haiku Deck to easily create engaging slideshows.
The World Federation for Coral Reef Conservation (WFCRC) works to minimize human impacts on marine environments and share information to help coastal communities. WFCRC collects and shares spatial data to enable informed decision making regarding coral reef health and development. WFCRC also supports developing national oil spill response plans to minimize damage to coral reefs from disasters like oil spills. The letter invites the reader to support WFCRC's efforts by visiting their website or Facebook page.
Rachel McDermott has received a Silver Membership certificate from the International Association of NLP and Coaching for completing a Cognitive Behavioural Therapy Diploma. The certificate recognizes her as suitably knowledgeable in Cognitive Behavioural Therapy and entitles her to membership rights and privileges until September 15, 2016.
Safe Wrap LLC specializes in interior protection. Safe Wrap has Interior Protection expertise, knowledge, & skill to isolate the area under the renovation. This process insures that the rest of your operation can continue to function smoothly, safely & securely
Assessing the Burden of Mental Illness in Jackson CountyRichard Thoune
This document assesses the burden of mental illness among adults in Jackson County, Michigan. It applies published prevalence rates of various mental illnesses to estimate the number of adults affected in the county. An estimated 4,779 adults have a serious mental illness such as major depression or schizophrenia. Applying rates of other mental illnesses suggests up to 19-26% of adults under the Jackson Health Network's care may have a serious or any mental illness. Most needs would fall under the network's higher levels of care coordination rather than health coaching. Screening data from local practices shows opportunities for improving depression identification and treatment.
The document discusses health surveillance, health informatics, and the application of epidemiology in healthcare delivery. It defines health surveillance as the ongoing collection, analysis, and interpretation of health-related data to reduce morbidity and mortality. It describes different types and categories of public health surveillance data including population-based, community-based, hospital-based, and laboratory-based surveillance. It also discusses integrated disease surveillance programs in India and how health informatics applies information technology to improve healthcare services, management, and planning.
DHS Analysis of healthcsare sector cyber interdependeciesDavid Sweigert
The document discusses cyber threats facing the healthcare and public health sector. It notes that stolen health data is highly valuable on black markets, selling for 10-20 times more than stolen credit card data. As medical devices become more connected, cyber incidents targeting devices are expected to increase because manufacturers do not prioritize security. The sector faces risks of ransomware, distributed denial of service attacks, and theft of personally identifiable data that could enable medical identity theft.
"The future of healthcare in Africa: progress on five healthcare scenarios", a new report written by The Economist Intelligence Unit (EIU) and sponsored by Janssen, explores Africa's recent progress on several major healthcare challenges. The report looks at the continent's increasing focus on primary and preventive care, the empowerment of communities as healthcare providers, the extension of universal healthcare, the spread of telemedicine, and the role of international donors.
The document discusses implementing a public health approach to address drug abuse, mental illness, homelessness, and incarceration of those with mental illnesses or substance abuse issues. It notes the high economic and social costs of the current fragmented system and lack of treatment. Over 20% of jail and prison populations have a mental illness or were incarcerated due to lack of treatment options. The document calls for a national strategy with coordinated services across housing, employment, treatment, law enforcement, and other areas to improve outcomes and reduce costs to taxpayers.
The Office of Hawaiian Affairs (OHA) requests that the State of Hawaii prioritize collecting and reporting disaggregated data on Native Hawaiians relating to the COVID-19 pandemic. Specifically, OHA asks for disaggregated data from the Departments of Health, Labor and Industrial Relations, and Human Services on topics like COVID-19 cases, unemployment claims, and applications for assistance programs. Disaggregated data is critical to understand how the pandemic is impacting Native Hawaiians and to direct resources most effectively. OHA also requests information on how race data is currently collected by these agencies.
The document provides results from a survey that assessed the health literacy of 1,000 American adults. Key findings include:
- 36% of respondents were rated as having intermediate health literacy, 29% basic, 17% below basic, and 18% proficient.
- Health literacy varied by gender, age, education level, income, and insurance type. Women, older adults, and those with more education and income generally had higher health literacy.
- Respondents with lower health literacy were more likely to choose more expensive treatment settings and misunderstand insurance terminology and costs. They were also less likely to ask their doctors questions.
- Many Americans were confused about appropriate times and settings to receive care, such as at urgent
Thailand implemented a program in the early 2000s to address widespread tooth decay among adults and children by creating dental nurses to staff rural health centers. These nurses ran outreach programs for prevention of tooth decay and gum disease. A core part of Thai oral health programs was promoting tooth brushing in schools with fluoridated toothpaste. This decreased tooth decay in children and increased oral health awareness. Untreated dental diseases are among the most common worldwide and incidence is increasing in low and middle income countries without prevention programs. Prevention, like Thailand's programs, is more viable for these countries than treatment which exceeds most health budgets. WHO is working with countries to develop prevention policies so fewer people develop oral diseases.
tertulia literaria que pretende fortalecer las competencias lectoras, utilizando el audio como una estrategia pedagógica para motivar e invitar a los estudiantes a la lectura comprensiva, producción escrita y a la expresión oral.
The document proposes a Car Alert System (CAS) that would allow Enterprise rental car customers to search for and be notified of available vehicle classes at nearby locations. The CAS would use GPS coordinates to determine the closest stores with desired vehicles and allow users to set alerts to be notified when vehicles become available. It would also include messaging features to facilitate trades between locations. The benefits would be more efficient searches and alerts to find available vehicles, while potential drawbacks include stores unwilling to trade vehicles or only accepting trades for other in-demand classes.
The document discusses factors that affect pricing decisions for products. It identifies key considerations such as market objectives and positioning, product characteristics, market characteristics, product life cycle, distribution channels, costs, competition, demand, and external economic factors. Effective pricing requires understanding how these various elements interact and influence pricing strategies over the different stages of a product's life cycle. The document provides examples and guidelines for organizations to establish prices that meet business objectives while accounting for costs and market conditions.
This short document promotes creating presentations using Haiku Deck, a tool for making slideshows. It encourages the reader to get started making their own Haiku Deck presentation and sharing it on SlideShare. In just one sentence, it pitches the idea of using Haiku Deck to easily create engaging slideshows.
The World Federation for Coral Reef Conservation (WFCRC) works to minimize human impacts on marine environments and share information to help coastal communities. WFCRC collects and shares spatial data to enable informed decision making regarding coral reef health and development. WFCRC also supports developing national oil spill response plans to minimize damage to coral reefs from disasters like oil spills. The letter invites the reader to support WFCRC's efforts by visiting their website or Facebook page.
Rachel McDermott has received a Silver Membership certificate from the International Association of NLP and Coaching for completing a Cognitive Behavioural Therapy Diploma. The certificate recognizes her as suitably knowledgeable in Cognitive Behavioural Therapy and entitles her to membership rights and privileges until September 15, 2016.
Safe Wrap LLC specializes in interior protection. Safe Wrap has Interior Protection expertise, knowledge, & skill to isolate the area under the renovation. This process insures that the rest of your operation can continue to function smoothly, safely & securely
Mel's Hotels is a hotel chain with locations across the United States. They offer comfortable accommodations at affordable prices and amenities like free WiFi, breakfast, and parking. Guests can book online at www.melshotels.com or by calling the central reservations number.
The document is a lesson plan that contains spelling words as the main topic. It likely includes a list of words for students to study and learn how to correctly spell. In just 3 sentences or less, the high-level summary is that this document involves a spelling lesson with vocabulary words for students to practice.
This presentation explores branding from the viewpoint of social media. The scenario is how to document a social media strategy that encapsulates branding strategy and content marketing.
Shop for handmade furniture with Iron Age Office, where we make sure you get only finest quality industrial furniture in Atlanta. Get in touch with us now for more details.
REGRESSION ANALYSIS ON HEALTH INSURANCE COVERAGE RATEChaoyi WU
This document describes a study that uses multiple linear regression to model the rate of uninsured population in counties in Georgia. The study finds that the uninsured rate is closely related to demographic factors like age distribution, income levels, employment rates, gender distribution, and citizenship status. Specifically, counties with larger populations aged 18-24, higher median incomes, lower poverty rates, stronger job markets, and more native-born residents tended to have lower uninsured rates. The researchers used principal component analysis to address correlations between employment-related variables before selecting variables and building the regression model.
Barbados 2012-13 Health Accounts ReportHFG Project
This report presents the findings and policy implications of Barbados’ first Health Accounts estimation, conducted for the year April 2012 to March 2013. It captures spending from all sources: the government, non-governmental organizations, external donors, private employers, private insurance companies and households. The analysis presented breaks down spending to the standard classifications, as defined by the System of Health Accounts 2011 framework, namely sources of financing, financing schemes, type of provider, type of activity and disease/health condition.
Running head MEMO-PERSUASIVE MESSAGE 1MEMO-PERSUASIVE MESSAG.docxcharisellington63520
The public relations director is proposing an environmental conservation plan to address environmental issues in the local community and accusations of hypocrisy against the company. The plan involves replacing company vans with hybrid cars to reduce pollution, and offering employee rebates to purchase hybrid cars. This would promote environmental conservation, protect the company's reputation, and potentially increase sales. The director requests approval of this plan from the CEO.
Vital statistics is accumulated data gathered on live births, deaths, migration, fetal deaths, marriages and divorces. The most common way of collecting information on these events is through civil registration, an administrative system used by governments to record vital events which occur in their populations.
Vital statistics is accumulated data gathered on live births, deaths, migration, fetal deaths, marriages and divorces. The most common way of collecting information on these events is through civil registration, an administrative system used by governments to record vital events which occur in their populations.
The document discusses vital statistics, which are numerical records of life events like births, deaths, marriages, and divorces that can be used to study public health trends. Vital statistics are collected through civil registration systems and sample surveys. They provide data to evaluate health programs, plan for disease control, inform legislation and policymaking, and allow comparisons between populations. Important vital statistics include crude death rate, age-specific death rate, infant mortality rate, neonatal mortality rate, post-neonatal mortality rate, and maternal mortality rate.
Bad Effects of Urbanization and Lifestyles, Population Health Improvements us...IRJET Journal
This document discusses the effects of urbanization and modern lifestyles on population health. It notes that urban populations face increased risk of spreading infectious diseases due to population density. Lifestyles in urban areas have also become less physically active. However, urban populations may have better access to healthcare and immunizations. The document proposes using predictive analytics and machine learning on healthcare data to predict future population health trends based on current lifestyles and identify ways to improve health outcomes. It evaluates several classification algorithms on a diabetes dataset and finds that a Naive Bayes classifier achieved the best performance. Suggested countermeasures to improve urban population health include promoting sustainable urbanization and economic reinvestment in healthcare.
Sonoma County Medical Services Program (2008)MarlaStuart
The number of Sonoma County CMSP enrollees is increasing.
- 11,977 different residents received CMSP from December 2006 to July 2008, representing 4% of adults ages 19-65.
- The number of enrollees increased from 3,431 in December 2006 to 4,440 in July 2008, a 29% rise.
- On average, 468 individuals each month are new enrollees, representing 11% of all enrollees that month.
Vital statistics provide information on births, deaths, diseases, marriages and divorces in a community. They are used to assess community health, develop public health policies and programs, and conduct demographic research. Collecting accurate vital statistics requires a robust registration system to record vital events as they occur, as well as census data and health surveys to estimate rates when registration is incomplete. Community health nurses play an important role by collecting, analyzing and reporting local vital statistics data.
This document discusses various methods for collecting demographic data, including population censuses, sample surveys, vital statistics registration, and administrative records. It describes how each method works, their advantages and limitations, and examples of their use in Bangladesh. The key points are that censuses aim to count the entire population but are infrequent, while surveys sample subsets of the population and are more cost-effective. Combining multiple data sources provides the most complete demographic picture. Accuracy depends on minimizing errors like undercoverage.
As a Community Coalition Partnership grantee the San Antonio Council on Alcohol and Drug Abuse (SACADA) and the Circles of San Antonio (COSA) Community Coalition have been tasked by Department of State Health Services (DSHS) with developing a needs assessment as part of an overall strategic plan that will be implemented over the next two years. This community needs assessment is a fluid document and subject to revision as our understanding of the data develops, further data becomes available or conditions within the community change.
This document provides a summary of key insights from analyzing a healthcare insurance dataset:
- State R1011 has the highest average hospitalization costs and number of diabetic customers, while state R1025 has the lowest costs. Tier 2 hospitals have the most diabetic customers.
- Customers who have had major surgeries have an average BMI of 31.01, suggesting they tend to have higher BMIs.
- Tier-1 cities have the most customers, followed by tier-2 and tier-3 cities. The analysis of customer data by location can guide resource allocation and program development.
The document summarizes health insurance marketplace enrollment data from October 2013 to February 2014. It finds that over 3.3 million people selected marketplace plans in total, with growth in enrollment each month. Younger adults aged 18-34 increased their share of enrollments from 24% in the first 3 months to 27% in January. 62% of enrollees selected silver plans while 19% chose bronze and 12% chose gold.
This document provides an overview of demography and its scope, sources of demographic data, and the civil registration system in India. It discusses that demography can be studied from a macro or micro perspective. The key sources of demographic data in India are the population census, civil registration system, sample surveys, and health surveys. The civil registration system in India involves the continuous, compulsory recording of vital events like births and deaths at local, district, and national levels to provide legal records and vital statistics.
Magellan Health’s Programmatic Suicide Deterrent System David Covington
This document provides information about Arizona's Programmatic Suicide Deterrent System Project, including:
1) The project aims to reduce suicide rates in Maricopa County by training behavioral health staff to better identify and intervene with at-risk individuals.
2) Screening tools and clinical protocols have been developed for adults, adolescents, and children to stratify suicide risk levels and determine appropriate interventions.
3) An initial pilot program saw over 4,800 screens administered with a 16% positive rate and no reported suicides, demonstrating the potential effectiveness of the new screening and intervention strategies.
The Funding Gap in the Dominican Republic’s National HIV/AIDS ResponseHFG Project
HFG conducted a gap analysis to calculate the increase in resources required to fully fund the National HIV and AIDS Response in the medium-term, including different investment scenarios. This report includes the methodology used, the estimate of funding gaps under different scenarios, and a section of analysis and conclusions that presents some alternatives to increase the efficiency of the distribution of resources to control the epidemic.
Medicaid and Medicare at 50: Trends and ChallengesKFF
This document contains information about health insurance coverage in the United States in 2013. It shows that the largest sources of health insurance were employer-provided plans (48%), Medicaid (16%), Medicare (15%), and private plans (6%). It also notes that 13% of the population was uninsured. The document then discusses Medicaid and Medicare spending as part of the federal budget and shows these programs together account for nearly one-fourth of federal spending.
Mobile Money for Health Case Study CompendiumHFG Project
Resource Type: Case Studies
Authors: Health Finance and Governance (HFG)
Published: 10/31/2015
Resource Description:Globally, 2.5 billion people are “unbanked,” lacking access to formal financial services. As a result, roughly one third of the world’s population is forced to rely on cash transactions or informal financial systems, which can often be unsafe, inconvenient, and expensive. Among the unbanked, however, a billion have access to a mobile phone, and mobile-based financial services are quickly closing the financial access gap.
Recognizing the potential of mobile-based financial services, the United States Agency for International Development (USAID) is committed to accelerating the adoption and uptake of mobile money based on its potential to increase financial inclusion, root out corruption, and provide economic benefits to communities. To support these goals, the USAID Health Finance and Governance (HFG) Project seeks to promote the use of mobile money in health programs, both as catalyst for uptake in communities and to strengthen health systems.
Despite the recent proliferation of mobile phone usage and uptake of mobile money in developing markets, use in the health sector remains limited and, often, has not been brought to scale. This compendium seeks to expand the knowledge base on mobile money in the health sector by drawing out trends from existing programs and examining what’s worked, what hasn’t, and why, while documenting recommendations and insights from past and current practitioners for future adaptation.
The 14 mobile money programs profiled in this compendium span a range of countries, health topics, and application types, from health insurance schemes promoting universal health coverage, to lottery voucher payments encouraging parents to vaccinate their children against polio and other diseases.
Eliminating Health Disparities Initiative Jan 2009 report to MN LegislatureMitchell Davis Jr
This report summarizes the outcomes of the Eliminating Health Disparities Initiative (EHDI) in Minnesota. The EHDI provides grants to local programs and projects to develop strategies for eliminating health disparities in seven priority areas. Since 2001, the EHDI has funded $10.4 million in grants. The report finds that the EHDI has achieved measurable reductions in disparities for several health indicators, including decreases in infant mortality rates, gonorrhea incidence, heart disease mortality, and HIV infections for various racial/ethnic groups. However, the goals of a 50% reduction in infant mortality and immunization disparities by 2010 have not yet been fully met. The report recommends further steps to fully integrate health disparity elimination strategies
This document presents the HIV National Strategic Plan for the United States from 2021-2025. The plan sets bold targets to end the HIV epidemic in the US by 2030, including a 75% reduction in new HIV infections by 2025. It outlines 4 goals: 1) prevent new HIV infections, 2) improve health outcomes for people with HIV, 3) reduce HIV-related disparities, and 4) achieve coordinated efforts among partners. Key strategies and indicators are provided under each goal. The plan identifies priority populations disproportionately affected by HIV and key focus areas. It aims to increase HIV prevention, testing, care, and treatment while reducing stigma and improving health equity.
This document provides an overview of substance abuse issues in Monroe County, Michigan. It finds that drug overdose deaths have increased from 14 in 2004 to 41 in 2013, with heroin, methadone, and cocaine being top contributors. The county currently funds prevention programs and medication take-back events using various sources, but recommends expanding treatment and prevention services given the growing problem. Appendices provide more data on demographics, programs, and funding sources for substance abuse services in the county.
3. 1
Version 2.4
Table of Contents
I. BACKGROUND.......................................................................................................................3
II. FLORIDA POPULATION.......................................................................................................3
III. METHODOLOGY....................................................................................................................4
IV. APPLICATION........................................................................................................................ 5
V. NEXT STEPS........................................................................................................................... 9
VI. CONCLUSION .......................................................................................................................10
4. Behavioral Health Advisory Workgroup Report
2
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied without
permission from the Department of Children and Families (DCF), Office of Substance Abuse and Mental
Health Programs. However, citing the source provides credibility and reliability of the information
presented. This publication may not be reproduced or distributed for a fee without the specific, written
authorization of the DCF Office of Substance Abuse and Mental Health Program.
Prepared by:
Jennifer Evans, LMHC
Kathleen Roberts, MS
Florida Department of Children and Families
Substance Abuse and Mental Health
1317 Winewood Boulevard, Building 6
Tallahassee, Florida 32399-0700
Completion Date:
January 8, 2014
5. Behavioral Health Advisory Workgroup Report
3
I. Background
The Behavioral Health Advisory Workgroup (BHAW) is being convened by the Department of Children
and Families Substance Abuse and Mental Health Program Office (SAMH) to assist with the development
of a predictive estimation of potential service utilization using prevalence data related to behavioral health
conditions in Florida and estimates of the population in the range of 19% to 138% of the federal poverty
level guidelines. Information from this model will be used to support SAMH planning efforts that will
ultimately improve the quality of health and behavioral health care in the State of Florida.
The BHAW is comprised of researchers, statisticians and epidemiologists. Participant’s role on the
BHAW is to:
Provide leadership in the identification, development and validation of an estimated pool of
eligible population;
Identify appropriate data sources and indicators for a predictive model;
Assist in the analysis and interpretation of results; and
Provide recommendations for meeting current and future demands for behavioral health services
in Florida.
II. Florida Population
To determine need, the Department must first establish the potential population that could receive this
safety net of funding services. The Florida Office of Economic and Demographic Research (EDR) provide
annual population estimates for legislative planning. At the February 2013 Demographic Estimating
Conference, EDR estimated the population in Florida to be 19,259,543.1 For the purposes of establishing
population for the determination of need, the Department has made the following assumptions in relation
to the reported population:
Persons 65 and older are majorly covered by Medicare, this creates rates that are unstable;
The Affordable Care Act provides insurance exchanges to persons residing at 138% to 400% of
federal poverty guidelines; and
To impute a population estimate for each age range within the safety net, the Department applied
the poverty and insurance status distribution from the American Community Survey2 to the
aggregated 2013 population estimate of Florida.
The result of these assumptions is that the Department estimates 1,137,601 people could be eligible to
receive safety net services from SAMH program funding based on insurance status and poverty level. In
addition, the Department looked at all potential service utilization to estimate affect of behavioral health
service provision. The Department estimates 4,314,138 persons could utilize treatment in the coming
year.
1
This estimating conference was selected because itincluded the mostrecenttotal county population estimate from
EDR. See http://edr.state.fl.us/Content/population-demographics/data/CountyPopulation.pdf (site accessed,
December 19,2013).
2 The United State Census Bureau developed the American CommunitySurvey as ongoing statistical surveyto
sample small percentages ofpopulation every year. Population estimates help inform need for planning and investing
for services in communities. See https://www.census.gov/acs/www/data_documentation/data_via_ftp/ (site accessed
December 30,2013).
6. Behavioral Health Advisory Workgroup Report
4
III. Methodology
The following steps outline the approach for calculating the projection estimate for numbers served:
Step 1- 2010 age distribution was applied to the EDR 2013 county-level population estimate.3
Step 2- Multiply Step 1 by the Distribution of persons within the 19% to 138% poverty level (FPL).4
Step 3- Multiply the result of Step 2 by the percent of persons without insurance status within FPL.5
Step 4- Multiply Step 3 by the rates identified by Florida’s National Survey of Drug Use and Health
(NSDUH) for substance abuse and mental health treatment.
Step5- County numbers were aggregated into regions and then summed for total Florida estimates.
Data was examined based on the following inclusion criteria:
Residence;
Population data was broken down by county and aggregated up to regional and state
outputs.
NSDUH data was filtered by state for either specifically to Florida only or by all states, to
pick up Florida data.
American Community Survey data was also broken down by household size and income
to obtain FPL estimates.
Behavioral Health Service;
Using the NSDUH codebook, only measures of behavioral health utilization were
considered.
Poverty Level; and
NSDUH data was controlled for poverty level. Behavioral health utilization rates were
identified controlling for 19-138% FPL.
Age.
NSDUH data was filtered by age range. Ranges included: (0-17), (18-64), (65+).
American Community Survey and EDR population estimates were also broken down in
the same manner to account for children, adult, and Medicare populations.
Data exclusion is based on availability of data from the NSDUH survey. NSDUH collects information from
residents of households and non-institutional group quarters (e.g., shelters, rooming houses, dormitories)
and from civilians living on military bases. The survey excludes homeless persons who do not live in
shelters, military personnel on active duty, and residents of institutional group quarters such as jails and
hospitals. In addition, the online system used for analytic data runs is limited to displaying numbers of
observations below a certain threshold. To preserve confidentiality, tables cannot be displayed when the
number of observations in any cell in the table is too low. Data was excluded when it was unable to be
displayed for this reason.
To review data input and steps in further detail, see attachment A, Behavioral Health Needs Spreadsheet.
3 2010 Decennial Census provides age distribution of population broken down into three age ranges, 0-
18, 18-64, and 65+.
4 Distribution was obtained from the American Community Survey (ACS)
5
Ibid
7. Behavioral Health Advisory Workgroup Report
5
IV. APPLICATION
The Department estimates approximately 3,520,690 people are within 19% to 138% of federal poverty level. Of this population, approximately
1,137,601 individuals do not have insurance. Table 1 provides a breakdown by region for the total utilization estimates for the state. Tables 2, 3,
and 4 breakdown this utilization estimate by age group: 0-18, 18-64, and 65+, respectively.
Table 1. State Overview of Substance Abuse and Mental Health Need for Treatment by Region
Region
Total
Population
19%-138*
Illicit Drug or
Alcohol Abuse
or
Dependence
(A x 10%)
Received
Any
Treatment
for Illicit
Drugs or
Alcohol
(A x 2.2%)
Received Any
Mental Health
Treatment in
Past Year
(A x 12.9%)
Receipt of
Any Inpatient
Mental
Health
Treatment
( A x 2%)
Receipt of Any
Outpatient
Mental Health
Treatment
( A x 6.7%)
Receipt of Any
Prescription
Medication
for Mental
Health
Treatment
( A x 11.1%)
A B C D E F G
Central
262,223 24,911 5,769 33,827 5,244 17,569 24,911
Northeast
137,153 13,029 3,017 17,693 2,743 9,189 13,029
Northwest
72,988 6,934 1,606 9,415 1,460 4,890 6,934
Southeast
255,107 24,235 5,612 32,909 5,102 17,092 24,235
Southern
194,984 18,523 4,290 25,153 3,900 13,064 18,523
Suncoast
215,148 20,439 4,733 27,754 4,303 14,415 20,439
1,137,601 108,072 25,027 146,751 22,752 76,219 108,072
8. Behavioral Health Advisory Workgroup Report
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Table 2. Age 0-18 Population Estimate by Region
Region
0-18 Population
19%-138% Poverty
Line
Illicit Drug or
Alcohol
Abuse or
Dependence
Received Any Illicit
Drugs or Alcohol
Treatment
Received
Any Mental
Health
Treatment
in Past Year
Receipt of
Any
Inpatient
Mental
Health
Treatment*
Receipt of
Any
Outpatient
Mental
Health
Treatment*
Central
43,989 3,255 572 2,683 880 2,947
Northeast
16,881 1,249 219 1,030 338 1,131
Northwest
12,957 959 168 790 259 868
Southeast
42,088 3,115 547 2,567 842 2,820
Southern
28,945 2,142 376 1,766 579 1,939
Suncoast
29,953 2,217 389 1,827 599 2,007
TOTAL
174,813 12,936 2,273 10,664 3,496 11,712
9. Behavioral Health Advisory Workgroup Report
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Table 3. Age 18-64 Population Estimate by Region
Region
18-64 Population 19%-
138% Poverty Line
Illicit Drug or
Alcohol Abuse
or Dependence
Received Any
Treatment for
Illicit Drugs or
Alcohol
Received Any
Mental
Health
Treatment in
Past Year
Receipt of
Any
Inpatient
Mental
Health
Treatment
Receipt of
Any
Outpatient
Mental
Health
Treatment
Central 2,585,573 315,440 74,982 351,638 56,883 196,504
Northeast 1,635,472 199,528 47,429 222,424 35,980 124,296
Northwest 907,595 110,727 26,320 123,433 19,967 68,977
Southeast 2,254,221 275,015 65,372 306,574 49,593 171,321
Southern 1,703,668 207,848 49,406 231,699 37,481 129,479
Suncoast 2,735,802 333,768 79,338 372,069 60,188 207,921
11,822,332 1,442,324 342,848 1,607,837 260,091 898,497
10. Behavioral Health Advisory Workgroup Report
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Table 4. Age 65+ Population Estimate by Region
Region
65+ Population19%-
138% Poverty Line
IllicitDrug or
Alcohol
Abuse or
Dependence*
ReceivedAny
Treatment for
IllicitDrugs or
Alcohol*
ReceivedAny
Mental
Health
Treatment in
Past Year*
Receiptof
Any Inpatient
Mental
Health
Treatment*
Central 1,052 18 2 114 5
Northeast 264 5 1 29 4
Northwest 272 5 1 29 4
Southeast 2,660 46 6 288 38
Southern 2,007 34 4 217 28
Suncoast 1,526 26 3 165 22
7,781 133 17 842 110
11. Behavioral Health Advisory Workgroup Report
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V. Next Steps
The Behavioral Health Advisory Workgroup (BHAW) will review methodology in comparison with the SAMHSA toolkit and provide
recommendations for:
Other possible Florida-linked data sources
Additional or New variables
Comparing against other data sources
Identifying methods to improve the process and provide greater accuracy in estimation
The BHAW is currently reviewing the following sources utilizing the SAMHSA toolkit methodology:
Florida Agency for Healthcare Administration (AHCA) – Medicaid
Florida Criminal Justice
Department of Juvenile Justice
Department of Corrections
Florida Department of Health
All agency data is housed in its own database. Through data sharing agreements the Department is able to access data sources through county
level aggregates. A new database will be created to summarize all data sources by county with recoded variables related to:
Substance abuse or dependence;
Mental health; and
Behavioral health.
These recoded variables will become the basket of measures in which rates will be identified. Agency level data accessible to the Department is
not linked with household income or federal poverty level identifiers, therefore, rates are applied to state population estimate. Once state level
estimates are found, federal poverty level will then be applied to define the doughnut hole of service applicable to the Department. Further this will
be compared against the NSDUH estimations for similarities and identify a range for Florida behavioral health utilization rates.
12. Behavioral Health Advisory Workgroup Report
10
VI. Conclusion
As indicated, many individuals who may need behavioral health services do not access them due to lack of health care coverage. However, health
reform will significantly reduce this barrier to behavioral health services. It is estimated that approximately 11 million of the individuals who will
have access to coverage beginning in 2014 will have mental and/or substance use disorders and will have access to care with the continued
implementation of health reform (SAMHSA, 2011). This increase is expected to strain an already thinly stretched workforce. ”
The issue of workforce development in the field of behavioral health has long been a critical one. With the advent of health care reform and parity,
workforce issues have taken on a greater sense of urgency (SAMHSA, 2013). According to the Annapolis Coalition (2007), there is evidence that
the behavioral health workforce is not equipped in skill or in numbers to respond adequately to the changing needs of the American population and
the evolving healthcare landscape. Behavioral health professionals who have been trained to provide behavioral health prevention and
intervention have not kept pace with current trends in the field, which have been shifting toward strengths-based and resilience-oriented models, a
systems-of-care approach, and the use of evidence-based practices. These deficiencies become even more problematic with increasing demands
for integration of primary care, increasing focus on improving quality of care, and improved outcomes (SAMHSA, 2013). This determination of
need is based on prevalence estimates and predicted rates of use. The Department plans to follow this research with the following to enhance
effectiveness of services and improve quality of care:
Environmental Scan of behavioral health services;
Consumer evaluation on service provision and accessibility;
Continued collaborative building through Florida Learning System Managing Entity Workgroups;
Epidemiological profiles;
Evaluation;
Utilization management;
Training and Capacity build series; and
A data management system to track and record behavioral health outcomes and relevant variables.