Abstract
It's ok to not be okay: An award winning rural academic practice partnership
Krista Jones, DNP, MSN, PHNA-BC, RN1 and Alisha Betka, DNP, RN2
(1)UIC College of Nursing, Champaign, IL, (2)UIC College of Nursing, Urbana Campus, Champaign, IL
APHA's 2020 VIRTUAL Annual Meeting and Expo (Oct. 24 - 28)
Purpose/Background: Mental Health was chosen as a priority in the 2017-2022 Vermilion County Community Health Illinois Population Local Assessment of Needs (IPLAN). According to the 2018 Robert Wood Johnson County Health Rankings, citizens reported their mental health was poor an average 4 days out of 30. This exceeds both state (3.4) and national (3.0) performers. According to the county’s 708 Board Annual Report, 21% of adults were mentally ill in 2015. The county suicide rate is 15.1 per 100,000 population compared to Illinois’ rate of 4.41. The stigma attached to psychiatry was a significant concern among the population (IPLAN).
Methods: Public Health Nursing students distributed 50 mental health surveys to area health care providers. The 10-question survey measured local provider participation in depression screening, referral sources, and barriers to screening/referral.
Results: Twenty-seven surveys were received. From these, we established a process to track increases in referrals and screenings following our education initiatives. Additionally, students created a community media education plan to address the stigma associated with mental illness. The intervention included articles in two local papers and a series of radio spots. We were honored to receive the Illinois Broadcaster Association Small Radio Market Best Radio Public Service Announcement for our “It’s Okay Not To Be Okay” radio spots. Further, one thousand professional pamphlets highlighting referral sources, locations and hours or services were created and posted around the community.
Conclusion: These interventions have demonstrated the significant impact of an academic practice partnership in addressing rural community mental health concerns.
Administer health education strategies, interventions and programs Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Provision of health care to the public Public health or related education Public health or related nursing
Abstract
Working in partnership to move beyond illness care: Enhancing population health through community-oriented health promotion and disease prevention initiatives
Erika Metzler Sawin, PhD, FNP-BC, Christina Lam, PhD, RN, Jamie Robinson, PhD RN CNL, Tina Switzer, MSN, RN, Melody Eaton, PhD, MBA, RN, CNE, FAAN, Deborah Elkins, DNP, MBA, FNP-BC, Anne-Callie Skillman, BSN, RN and Theresa Gillenwater, BSN, RN
James Madison University, Harrisonburg, VA
APHA's 2020 VIRTUAL Annual Meeting and Expo (Oct. 24 - 28)
Background: RNs that cross over between primary care and population health can respond to the complex needs of vulnerable populations living in medically underserved areas through individual and population-level interventions to promote health. The U.S. health system is often focused on individual-level illness care; it is challenging to incorporate population health promotion/ disease prevention initiatives into practice.
Community-based academic-practice partnerships can advance community health and strengthen nursing .
Purpose: This presentation will describe a community-based academic-practice partnership that bridges primary care with population health RN roles to enhance services/programs to a rural, medically underserved community. This partnership is changing primary care paradigms and is generating initiatives to improve care to not only individuals but families and communities.
Description: The Undergraduate Primary Care and Rural Education (UPCARE) Project was developed in response to a primary care focused HRSA funding initiative. An academic-practice partnership was formed to establish community-oriented interventions that are flexible and responsive to community and health system needs, such as home visits, hypertension clinics, health fairs, and targeted health education initiatives through mobile health.
Lessons Learned: Working within existing systems is challenging, but as we re-brand the RN as a primary care/population health cross over expert, we are finding new ways to address population health and improving health at both the individual and the population level.
Implications/Recommendations: The re-envisioned RN role is pivotal to the development of interventions that are responsive to determinants of health, particularly in a rural community where resources are scarce, and the needs are high.
Assessment of individual and community needs for health education Chronic disease management and prevention Planning of health education strategies, interventions, and programs Provision of health care to the public Public health or related nursing
Abstract
Interrupting impacts of ACEs and toxic stress: Replicable ACEs screening and systems wide integrated treatment model
Michael Changaris, PsyD
Wright Institute, Berkeley, CA
APHA's 2020 VIRTUAL Annual Meeting and Expo (Oct. 24 - 28)
Statement of the problem
Adverse Childhood Experiences (ACEs) are a central driver of health and mental health illnesses. Community exposure to ACEs are highly prevalent nationwide (>60% of the population with at least 1 ACE) with significant increases odds ratios some of the most costly illnesses of the day (CVD 2.1, DM II 1.4, Stroke 2.0, MDD 4.7, Suicide 37.5). Current approaches to addressing ACEs often lack a systems approach to identifying key drivers of ACEs recovery and integrating treatment delivery using existing system resorces.
Approach
This interactive presentation will walk participants through a step-by-step process of assessing local resources, developing an ACEs screening and triage plan as well as developing an ACEs focused integrated system of care. Critical drivers of ACE recovery and prevention will be analyzed. Participants will learn strategies to assess for and integrate existing services while assessing local resources for the ability to be drivers of ACE recovery.
Product/outcome
This interactive program will support participants to understand ACEs as a driver for public health and quality improvement in addressing social determinants of health. Participants attending the presentation will develop an understanding of assessment, treatment, and systems design factors to drive ACEs recovery.
Implications
The prevalence and impact of ACEs on all public systems of heath are high. Driving long-term health will require a systematic approach to addressing ACEs. The disintegration of systems and services drives poor public health. Having a map of crucial divers ACEs recovery is a central factor in moving from health care to health-promoting systems.
Administer health education strategies, interventions and programs Advocacy for health and health education Provision of health care to the public Public health or related organizational policy, standards, or other guidelines Social and behavioral sciences Systems thinking models (conceptual and theoretical models), applications related to public health
Abstract
Alignment of public health and public health nursing frameworks to inform evidence-based practice
Shirley Orr, MHS, APRN, NEA-BC1 and Kaye Bender, RN, PHD, FAAN2
(1)SOCO Consulting, Wichita, KS, (2)Public Health Accreditation Board, Alexandria, VA
APHA's 2020 VIRTUAL Annual Meeting and Expo (Oct. 24 - 28)
Evidence-based practice in public health nursing is often based on the key frameworks that guide both public health and public health nursing practice. Over the course of the past few years, some changes have been made in some of the key frameworks familiar to public health nursing practice. Among those are the Foundational Public Health Services, which grew out of a public health financing report from the National Academies of Medicine (then, the IOM) in 2012. The Public Health Nursing Scope and Standards have been revised during this time. The American Public Health Association, Public Health Nursing Section. (2013). Updated the definition and practice of public health nursing statement. The Quad Council of Public Health Nursing Organizations completed revisions to the public health nursing competencies. Public Health 3.0 has been championed by many organizations as a framework to guide 21st Century practice, defining the role of chief health strategists in engaging cross-sector collaborations to improve health. And, in 2020, an updated Essential Public Health Services framework will be released in June 2020, but a draft for vetting will have been developed by April 2020. This session will focus on the alignment of these key documents and frameworks, highlighting their important role in informing and shaping the evidence for public health nursing practice/administration, evaluation, and research
Administration, management, leadership Public health or related nursing Public health or related organizational policy, standards, or other guidelines