DeKalb Medical Hillandale 2013 Community Health Assessment

Transcription

DEKALB MEDICAL HILLANDALE
2013 Community Health Assessment
Table of Contents
Page
METHODOLOGY
1
DEKALB MEDICAL AT HILLANDALE
6
Profile
Population
Economics
Education
Housing
Households
Labor
8
9
9
9
10
10
Leading Causes
Leading Causes of Hospitalization
Leading Causes of Mortality
12
12
Chronic Diseases
Overview
Cancers
Cardiovascular Diseases
Diabetes
Asthma
16
16
18
20
21
Infectious Diseases
Overview
Sexually Transmitted Diseases
HIV/AIDS
Respiratory Diseases
23
23
24
25
Overview
Leading Types of Injury
Deaths by Type of Injury
30
30
31
Injuries
Maternal and Child Health
Pregnancy
Low Birthweight
Infant Mortality
33
34
34
APPENDICES
Differences in Health Status, Access to Healthcare, and Environment
36
Acknowledgements
38
Index of Tables and Figures
39
Sources
43
Resources and Services
44
* Indicates that this section includes a focus on related risk factors and behaviors.
i
METHODOLOGY
1
Methodology
Understanding a community’s health needs helps health care organizations, like DeKalb Medical, develop programs
and services to improve the health status of the populations they serve.
The 2013 Community Health Assessment Report uses the latest demographic, health and risk behavior data to
describe the health status of DeKalb County and Hillandale area (i.e., Lithonia and Redan) residents.
DEMOGRAPHIC DATA SOURCES
The county’s population estimates were obtained from the U.S. Census Bureau’s 2010 American Community Survey
and The Georgia County Guide for 2010 through 2012.
HEALTH DATA SOURCES
DeKalb Community Service Board
The DeKalb Community Service Board provided all of the data for the Behavioral Health in DeKalb County
section.
DeKalb County Board of Health
The DeKalb County Board of Health’s Division of Environmental Health provided data on West Nile virus for the
Infectious Diseases in DeKalb County section.
Georgia Department of Public Health
Georgia Comprehensive Cancer Registry
The Georgia Comprehensive Cancer Registry collects all cancer cases diagnosed among Georgia residents since
January 1, 1995. The registry staff provided cancer data for the Chronic Diseases in DeKalb County section.
HIV/AIDS Epidemiology Section
The section staff provided HIV/AIDS data for the Infectious Diseases in DeKalb County section.
Online Analytical Statistical Information System (OASIS)
OASIS is a set of web-based tools for analyzing Georgia’s public health data. Data from OASIS is used throughout
the report.
Refugee Program
The program staff provided all of the data for the Refugee Health in DeKalb County section.
State Electronic Notifiable Disease Surveillance System (SENDSS)
SENDSS is a web-based reporting system that collects information pertaining to notifiable diseases in Georgia.
State law requires that healthcare providers notify the state’s public health system of diagnosed cases of over 50
diseases and conditions.
2
RISK BEHAVIOR DATA SOURCES
The DeKalb County Board of Health conducts two surveys to assess residents’ health-related risk behaviors. One
is the Behavioral Risk Factor Surveillance System survey of adults and the other is the Youth Risk Behavior Survey
of high school students.
Behavioral Risk Factor Surveillance System (BRFSS) Survey
DeKalb County residents were interviewed by telephone. Telephone numbers were randomly dialed and
respondents were randomly selected from the adult members of each household. Participation was voluntary
and anonymous, and the sample did not include institutionalized individuals, households without telephones, and
households that use only cellular telephones. Trained telephone interviewers administered the questionnaire.
Data were weighted to represent the age, race/ethnicity and gender distributions of adults in DeKalb County.
Logistic regression was used to compare age groups and trends over time.
Youth Risk Behavior Survey (YRBS)
A sample of students from all 20 traditional DeKalb County public high schools completed a written questionnaire.
The number of participating classes varied depending on the population size of the school. Classes were randomly
chosen from among all second period classes (excluding English as a Second Language and special education). All
students within a selected class were eligible to participate.
Passive consent forms were sent home for parents to sign if they did not want their child to participate. All students
without a signed form were encouraged to participate. Participation was anonymous and voluntary and data are
reported only in aggregate form. DCBOH employees administered the survey.
Results were weighted, are representative of all students in DeKalb County public high schools, and are comparable
to state and national YRBS data. Logistic regression analysis was used to analyze trends over time.
STATISTICAL METHODS
Percentages
For the most part, disease and death-related data are analyzed using percentages instead of rates (e.g., number of
cases per 100,000 population). Percentages are accessible to the general public and facilitate comparison between
DeKalb County and the Hillandale area.
Years of Potential Life Lost (YPLL)
Years of potential life lost is used to compare causes of premature death. YPLL was calculated by subtracting the
age of death from 75 years. The age of 75 years is used as the cut-off as it is close to life expectancy (78 years) in
the United States.
For example, a person who dies at age 27 has lost 75 minus 27, or 48 years, of potential life. A person who dies
at age 72 has lost 75 minus 72, or 3 years, of potential life. Together, these two people contribute 48 plus 3, or 51
years, of potential life lost.
The top ten leading causes of premature death are listed in the Leading Causes sections for DeKalb County and the
Hillandale area. However, death data in other sections include people of all ages.
3
HILLANDALE AREA
The Hillandale area was defined using the following census tracts from 2000: 232.03, 232.04, 232.06, 232.08, 232.09,
232.1, 232.11, 232.12, 233.02, 233.03, 233.09, 233.1, 233.07, 234.17, and 234.18.
LIMITATIONS
Statistical limitation regarding some racial/ethnic groups
Most of the report uses the racial categories of “white,” “black,” and “other.” Since the sizes of the Asian and
Hispanic populations are too small for statistical purposes, these groups are included in the “other” category.
Lack of some community-level prevalence data
Much of the health data is defined using the International Classification of Diseases, Ninth Revision (ICD-9). The
ICD-9 includes hospital data on individuals who went to an emergency room and/or were admitted. Since it does
212.14
212.13
212.11
212.10
212.07
212.12
213.04
212.02
Hillandale Area Census Tracts
213.03
212.08213.01
218.11
218.12
212.09
213.02
212.04
211
217.05
Remaining DeKalb County Census Tracts
218.08
214.03
214.05 214.04
214.06
214.01
§
¦
¨
85
218.10
217.03
216.01
216.02
215.01
201
222
225
231.05
229
238.03
232.04
231.08
231.01
234.12
234.13
238.02
219.07
233.05
232.09
232.10
232.11232.12
235.04235.05 235.06 235.07
236.03
234.11
232.08
232.06
235.01
234.10
219.06
231.06
231.02
231.07
236.01
236.02
238.01
219.09
230
228
227
206
207208.01
205
208.02
237
219.02
220.05
221
226
204 203
209
218.05
219.04
220.06
220.07
220.04 219.08
220.08
224.01
224.03
218.06
220.01
223.02
223.01
224.02
202
§
¦
¨
285
217.04
216.03
215.02
218.09
217.06
233.07
233.09
232.03
§
¦
¨
233.02
233.06
233.03
233.10
20
234.14
234.17
234.16
234.04
§
¦
¨
675
234.15
234.05
Created by: DeKalb County Board of Health (2012)
Sources: DeKalb Medical and the Atlanta Regional Commission
4
¯
234.18
0
1
2 Miles
not capture individuals who did not access a hospital for care, it does not fully reflect the extent of some conditions
and diseases in the community.
For example, the prevalence of high blood pressure in DeKalb County and Hillandale is analyzed using the number
of individuals who were discharged after a hospital stay for this condition. Since many individuals do not seek
hospital care for high blood pressure, they are not captured.
Lack of 2009 death data by cause of death
The data on the county’s 2009 deaths analyzed by cause of death are not available from OASIS.
Lack of some data at the census tract level
A number of census tract maps are included in the report to demonstrate the geographic distribution of health
issues affecting DeKalb County residents. However, not all health data is available at the census tract level.
5
§
¦ §
¨
¦
¨
85
285
DEKALB MEDICAL
AT HILLANDALE
§
¦
¨
20
§
¦
¨
675
88
PROFILE
OF HILLANDALE
89
Profile of Hillandale
This section provides an overview of the characteristics of residents of the Hillandale area (i.e., Lithonia and Redan),
the service area for DeKalb Medical at Hillandale. The area is defined using a group of U.S. Census Bureau tracts.
Some data reported for all of DeKalb County are not available at the census tract level.
POPULATION
Table 67: Population Profile of Hillandale, 2010
Total 2010 estimate
% Female
132,735
45.0
% Male % Under 5 years of age
% 65 years of age and over
Median age (years)
% Born outside the United States
55.0
7.1
6.1
32.0
8.7
Source: U.S. Census Bureau, 2010 American Community Survey.
Figure 23: Population Estimate (in percentages) by Race, Hillandale, 2010
4.9 1.1
Black/African American (non-Hispanic)
White (non-Hispanic)
Other
94.1
Note: Percentages do not add to 100 due to rounding
8
ECONOMICS
Table 68: Economic Profile of Hillandale, 2010
Median household income
Per capita income
$50,439
$21,814
EDUCATION
Among Hillandale residents, there were 30,845 students enrolled in K-12 in 2010.
Figure 24: Educational Attainment (25 years of age and older), Hillandale, 2010
30%
25%
26.7
26.9
20%
19.4
15%
10.6
10%
5%
7.4
6.1
2.9
0%
Less than 9th
grade
9th to 12th
grade, no
diploma
High school
diploma/GED
Some college,
no degree
Associate’s
degree
Bachelor’s
degree
Graduate or
professional
degree
HOUSING
Table 69: Housing Profile of Hillandale, 2010
Total housing units
55,142
% Occupied housing units
88.6
% Occupied housing units occupied by owner
56.5
9
HOUSEHOLDS
Table 70: Household Profile of Hillandale, 2010
Total households
% Family households
47,456
67.1
% Family households with children under age 18
35.6
% Husband-wife family households with children under age 18
16.3
% Female householder, no husband present with children under age 18*
27.7
% Nonfamily household
32.9
% Householder living alone
28.8
*A householder is the head of a household.
LABOR
Table 71: Labor Profile of Hillandale, 2010
Population
Civilian employed population
98,522
61,222
% Private wage and salary workers
76.1
% Government workers
19.5
% Self-employed in own not incorporated business workers
4.2
% Unpaid family workers
0.2
% Unemployed
10.9
Residents’ average one-way travel time to work in minutes
37.1
Note: Profile is of residents 16 years of age and over.
10
LEADING CAUSES
IN HILLANDALE
93
Leading Causes in Hillandale
LEADING CAUSES OF HOSPITALIZATION
There were a total of 76,073 hospitalizations in Hillandale between 2005 and 2010. The table below displays the
top ten leading causes of these hospitalizations, which accounted for 17.9% of the hospitalizations in DeKalb
County.
Table 72: Top Ten Leading Causes of Hospitalization, Hillandale, 2005-2010
Cause
Number of
Hospitalizations
13,203
Percentage*
2. Cardiovascular diseases
9,556
12.56
3. Respiratory diseases
4,918
6.46
4. Digestive system diseases
4,909
6.45
5. Cancers
4,267
5.61
6. Mental and behavioral disorders
3,796
4.99
7. Endocrine, nutritional, and metabolic diseases
2,997
3.94
8. Genitourinary system diseases
2,673
3.51
9. Musculoskeletal system and connective tissue diseases
2,540
3.34
10. Injuries
2,341
3.08
Other causes
24,873
32.70
76,073
100
1. Pregnancy and childbirth complications
Total
17.36
Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health.
*Percentages are based on the total of all hospitalizations in Hillandale.
In Hillandale from 2005 to 2010:
• The top four leading causes of hospitalization (i.e., pregnancy and childbirth complications, and cardiovascular,
respiratory, and digestive system diseases) were the same as DeKalb County.
• The fifth through tenth leading causes of hospitalization were the same as DeKalb County but in a different
order. For example, injuries were the seventh leading cause of hospitalization in DeKalb County but were the
tenth leading cause of hospitalization in Hillandale.
LEADING CAUSES OF MORTALITY
Premature Death
The total Years of Potential Life Lost (YPLL) due to premature death for Hillandale residents from 2005 to 2010
was 52,261.5 (excluding 2009). Table 73 displays the top ten leading causes of YPLL. Hillandale accounted for
21.3% of the YPLL resulting from premature death in DeKalb County between 2005 and 2010 (excluding 2009).
12
Table 73: Leading Causes of Premature Death, Hillandale, 2005-2008, 2010
YPLL
11,719
Percentage*
22.42
2. Cancers
9,736
18.63
9,350
17.89
4,392
8.40
5. Infectious and parasitic diseases
3,866
7.40
6. Respiratory system diseases
2,057
3.94
1,759
3.36
8. Endocrine, nutritional and metabolic diseases
1,624
3.11
9. Congenital and chromosomal abnormalities
1,498
2.87
10. Nervous system diseases
1,209
2.31
Other causes
5,054
9.67
52,262
100
1. Injuries
Cause
Total
Note: 2009 data are not available.
*Percentages are based on the total of all YPLLs for premature deaths.
Death
There were a total of 3,092 deaths in Hillandale between 2005 and 2010 (excluding 2009). The following table
shows the top ten leading causes of death during these years. Hillandale accounted for 15.2% of the total deaths in
DeKalb County during this period.
Table 74: Leading Causes of Death, Hillandale, 2005-2008, 2010
Number of Deaths
851
Percentage
27.52
2. Cancers
735
23.77
3. Injuries
311
10.06
4. Respiratory system diseases
181
5.85
5. Infectious and parasitic diseases
169
5.47
6. Mental and behavioral disorders
141
4.56
7. Genitourinary system diseases
115
3.72
8. Endocrine, nutritional, and metabolic diseases
104
3.36
99
3.20
59
1.91
Other causes
327
10.58
3,092
100.0
Cause
Total
13
In Hillandale from 2005 to 2008 and 2010:
• The top two leading causes of death were the same as DeKalb County (i.e., cardiovascular diseases and
cancers) and were responsible for over half of all deaths.
• Injuries were the third leading cause of death, while respiratory diseases were the third leading cause of death
in DeKalb County.
• Pregnancy and childbirth complications were the tenth leading cause of death, but they were not a leading
cause of death in DeKalb County.
14
CHRONIC DISEASES
IN HILLANDALE
97
Chronic Diseases in Hillandale
OVERVIEW
In Hillandale, chronic diseases were the leading causes of hospitalization and death in 2005 to 2010. This section
reviews the following chronic diseases impacting Hillandale residents: cancers, cardiovascular diseases, diabetes, and
asthma.
CANCERS
Cancer Hospital Discharges by Type, Race, and Sex
There were 4,267 hospital discharges due to cancer in Hillandale in 2005 through 2010. The following figure and
tables analyze cancer hospital discharges among Hillandale residents by type of cancer, race, and sex.
Figure 25: Leading Types of Cancer Hospital Discharges as a
Percentage of All Cancer Hospital Discharges, Hillandale, 2005-2010
8%
6.4
6
.4
6%
4.7
4.7
4.6
4. 6
4%
2.2
2. 2
1.7
1.. 7
Prostate
Ovary
2%
0%
Colon
Lung
Breast
Source: Online Analytical Statistical Information System (OASIS), Georgia Department of
Public Health.
16
Table 75: Cancer Hospital Discharges among
Blacks, Hillandale, 2005-2010
Type of Cancer
Percentage
1. Colon (incl. rectal)
5.8
Whites, Hillandale, 2005-2010
Type of Cancer
Percentage
11.6
2. Breast
3. Lung (incl. bronchial)
4. Prostate
5. Kidney
Other cancers
Total
3. Ovary
4/5. Breast
4/5. Uterus
Other cancers
Total
4.7
4.2
2.2
1.8
81.3
100
10.7
5.8
4.6
4.6
62.7
100
Males, Hillandale, 2005-2010
Type of Cancer
Percentage
27.0
Females, Hillandale, 2005-2010
Type of Cancer
Percentage
1. Breast
20.7
2. Prostate
4. Liver
5. Esophagus
Other cancers
Total
4/5. Pancreas
4/5. Ovary
Other cancers
Total
13.6
9.4
5.2
4.8
40.0
100
19.3
12.3
6.4
6.4
34.9
100
Deaths due to Cancer
In Hillandale from 2005 to 2010, there were 735 deaths due to cancer.
Figure 26: Leading Cancer Deaths by Type as a Percentage of All Cancer
Deaths, Hillandale, 2005-2008, 2010
25%
22.7
20%
15%
11.7
11.0
10%
6.1
4.9
Prostate
Pancreas
5%
0%
Lung
Breast
Colon
Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public
Health.
17
• Over 22 percent of cancer deaths were due to lung cancer.
• Although pancreatic cancer was not a leading cause of hospitalization, it was fifth among the top five cancers
causing death.
CARDIOVASCULAR DISEASES
Cardiovascular Disease Hospital Discharges by Type, Race, and Sex
There were a total of 4,286 hospital discharges due to cardiovascular diseases in Hillandale between 2005 and 2010.
Figure 27: Leading Types of Cardiovascular Disease Hospital Discharges as a
Percentage of All Cardiovascular Disease Hospital Discharges, Hillandale, 2005-2010
20%
20.2
14.0
9.0
10%
1.4
0%
Obstructive heart
disease
Stroke
High blood
pressure
Hypertensive heart
disease
Public Health.
18
Table 79: Cardiovascular Disease Hospital
Discharges among Blacks, Hillandale, 2005-2010
Type of Cardiovascular Disease
Percentage
1. Obstructive heart disease
18.7
2. Stroke
3. High blood pressure
4. Hypertensive heart disease
5. Other cardiovascular diseases
Total
13.9
10.2
1.6
55.6
100
Discharges among Males, Hillandale, 2005-2010
Type of Cardiovascular Disease Percentage
22.6
2. Stroke
Total
13.5
8.9
1.6
53.4
100
Discharges among Whites, Hillandale, 2005-2010
Type of Cardiovascular Disease Percentage
28.2
2. Stroke
Total
14.0
2.7
0.8
54.3
100
Discharge among Females, Hillandale, 2005-2010
Type of Cardiovascular Disease
Percentage
18.2
2. Stroke
Total
14.5
9.3
1.3
56.7
100
Deaths due to Cardiovascular Disease
There were 564 deaths from cardiovascular disease in Hillandale in 2005 to 2010, excluding 2009.
Figure 28: Leading Cardiovascular Disease Deaths by Type as a
Percentage of All Cardiovascular Disease Deaths, Hillandale, 2005-2008, 2010
30%
25.6
18.7
20%
16.6
10%
0%
5.4
Obstructive
heart disease
Stroke
Hypertensive
heart disease
High blood
pressure
Public Health.
Note: 2009 data are not available
19
DIABETES
Diabetes Hospital Discharges by Race and Sex
There were a total of 1,473 hospital discharges due to diabetes in Hillandale in 2005 to 2010.
Table 83: Diabetes Hospital Discharges by Race
and Sex, Hillandale, 2005-2010
Race
Percentage
Black
93.7
White
Other
Total
Male
Female
Sex
Total
5.4
0.9
100
46.2
53.8
100
Source: Online Analytical Statistical Information System
(OASIS), Georgia Department of Public Health.
Deaths due to Diabetes
There were 78 deaths due to diabetes in Hillandale in 2005 to 2010, excluding 2009.
20
ASTHMA
Asthma Hospital Discharges by Race and Sex
There were a total of 1,058 hospital discharges due to asthma in Hillandale in 2005 and 2010.
Table 84: Asthma Hospital Discharges by Race
and Sex, Hillandale, 2005-2010
Race
Percentage
Black
93.4
White
Other
Total
Male
Female
Sex
Total
5.4
1.2
100
61.2
38.7
99.9*
*Percentages do not add to 100 due to rounding.
Deaths due to Asthma
There were 12 deaths due to asthma in Hillandale in 2005 to 2010, excluding 2009.
21
INFECTIOUS DISEASES
104
IN HILLANDALE
Infectious Diseases in Hillandale
OVERVIEW
This section provides data on the following infectious diseases impacting Hillandale residents: sexually transmitted
diseases (STDs), Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS),
tuberculosis, influenza, and pneumonia.
SEXUALLY TRANSMITTED DISEASES (STDs)
This section includes the following diseases:
•
•
•
•
•
Chancroid
Chlamydia
Gonorrhea
Syphilis
Lymphogranuloma venereum
Please note that due to reporting practices:
• This section includes data on the three diseases covered in the Infectious Diseases in DeKalb County section
plus two additional diseases.
• The data in this section cannot be broken down by specific diseases.
Sexually Transmitted Disease Hospital Discharges by Race and Sex
There were 18 hospital discharges related to sexually transmitted diseases in Hillandale between 2005 and 2010.
Tables 85 and 86 analyze the hospital discharges for STD infections among Hillandale residents by race and sex.
Table 85: STD Hospital Discharges by Race,
Hillandale, 2005-2010
Race
Percentage
Black
100.00
White
Other
Total
0.0
0.0
100
In Hillandale in 2005 to 2010:
• Only blacks had hospital discharges resulting from STDs.
23
Table 86: STD Hospital Discharges by Sex,
Sex
Percentage
Male
55.6
Female
Total
44.4
100
• Males had a higher percentage of hospital discharges resulting from STDs than women.
Deaths due to STDs
There were no deaths due to STDs in Hillandale in 2005 to 2010, including 2009.
HIV/AIDS
HIV/AIDS Hospital Discharges by Race and Sex
There were 558 hospital discharges for HIV/AIDS in Hillandale between 2005 and 2010.
Tables 87 and 88 analyze HIV/AIDS hospital discharges among Hillandale residents by race and sex.
Table 87: HIV/AIDS Hospital Discharges by
Race, Hillandale, 2005-2010
Race
Percentage
Black
96.4
White
Other
Total
1.8
1.8
100
• Blacks had the highest percentage of hospital discharges for HIV/AIDS compared to other races.
24
Table 88: HIV/AIDS Hospital Discharges by
Sex, Hillandale, 2005-2010
Sex
Percentage
Male
69.9
Female
Total
30.1
100
• Males had a higher percentage of hospital discharges for HIV/AIDS than females.
Deaths due to AIDS
There were 79 deaths due to AIDS in Hillandale in 2005 to 2010, excluding 2009.
RESPIRATORY DISEASES
Tuberculosis
Tuberculosis Hospital Discharges by Race and Sex
There were 19 hospital discharges resulting from tuberculosis among Hillandale residents in 2005 to 2010.
Tables 89 and 90 analyze hospital discharges for tuberculosis among Hillandale residents by race and sex.
Table 89: Tuberculosis Hospital Discharges by
Race
Percentage
Black
78.9
White
Other
Total
10.5
10.6
100
• Blacks had the highest percentage of tuberculosis hospital discharges compared to those of other races.
25
Table 90: Tuberculosis Hospital Discharges by
Sex
Percentage
Male
57.9
Female
Total
42.1
100
• Males had a higher percentage of tuberculosis hospital discharges than females.
Deaths due to Tuberculosis
There was one death from tuberculosis in Hillandale in 2005 to 2010, excluding 2009.
Influenza
Influenza Hospital Discharges by Race and Sex
There were 41 hospital discharges resulting from influenza among Hillandale residents in 2005 to 2010.
Tables 91 and 92 analyze influenza hospital discharges among Hillandale residents by race and sex.
Table 91: Influenza Hospital Discharges by
Race
Percentage
Black
92.7
White
Other
Total
4.9
2.4
100
• Blacks had a higher percentage of influenza hospital discharges than those of other races.
26
Table 92: Influenza Hospital Discharges by
Sex
Percentage
Male
48.8
Female
Total
51.2
100
• Females had a slightly higher percentage of influenza hospital discharges than males.
Deaths due to Influenza
There were two deaths from influenza in Hillandale in 2005 to 2010, excluding 2009.
Pneumonia
Pneumonia Hospital Discharges by Race and Sex
There were 1,454 hospital discharges related to pneumonia in Hillandale between 2005 and 2010.
Tables 93 and 94 analyze pneumonia hospital discharges among Hillandale residents by race and sex.
Table 93: Pneumonia Hospital Discharges by
Race
Percentage
Black
86.0
White
Other
Total
12.7
1.2
99.9*
• Blacks had the highest percentage of pneumonia hospital discharges compared to other races.
27
Table 94: Pneumonia Hospital Discharges by
Sex
Percentage
Male
42.0
Female
Total
58.0
100
• Females had a higher percentage of pneumonia hospital discharges than males.
Deaths due to Pneumonia
There were 33 deaths from pneumonia in Hillandale in 2005 to 2010, excluding 2009.
28
INJURIES
IN HILLANDALE
111
Injuries in Hillandale
OVERVIEW
Injuries are a leading cause of emergency room visits, hospitalizations, and deaths in Hillandale. Between 2005
and 2010, injuries were responsible for 52,066 emergency room (ER) visits, 2,341 hospitalizations, and at least 311
deaths in the area. These represent 18.2 percent of all ER visits, 3.1 percent of all hospitalizations, and at least 10.1
percent of all deaths in Hillandale.
LEADING TYPES OF INJURY
Figure 29: Leading Injuries by Type as a Percentage of All Injury-Related
Emergency Room Visits, Hillandale, 2005-2010
30%
21.7
20%
20.3
10%
5.8
1.1
0.6
Accidental
poisonings
Intentional
self-harm
0%
Falls
Motor vehicle
crashes
Assaults
Health.
Tables 95 and 98 analyze injuries among Hillandale residents by race and sex.
Table 95: Injuries among Blacks,
Type of Injury
Percentage
1. Falls
20.8
Table 96: Injuries among Whites,
Type of Injury
Percentage
1. Falls
35.2
2. Motor vehicle crashes
3. Assaults
4. Accidental poisonings
5. Intentional self-harm
Other injuries
Total
3. Assaults
Other injuries
Total
20.7
6.0
1.1
0.6
50.8
100
30
13.4
3.9
1.0
0.9
45.6
100
• Whites experienced a higher percentage of falls than blacks.
• Blacks experienced a higher percentage of motor vehicle crashes and assaults than whites.
Table 97: Injuries among Males,
Type of Injury
1. Falls
3. Assaults
Other injuries
Total
Table 98: Injuries among Females,
Type of Injury
Percentage
1. Falls
24.2
Percentage
19.3
3. Assaults
Other injuries
Total
16.6
7.0
1.0
0.5
55.6
100
24.1
4.7
1.2
0.8
45.0
100
• Females experienced higher percentages of falls and motor vehicle crashes than men.
DEATHS BY TYPE OF INJURY
Figure 30: Injury Deaths by Type as a Percentage of All Injury-Related Deaths,
Hillandale, 2005-2008, 2010
40%
36.3
27.7
30%
20%
11.6
10%
7.7
5.8
Accidental
poisonings
Falls
0%
Assaults
Motor vehicle
crashes
Intentional
self-harm
Health.
In Hillandale, between 2005 and 2010, excluding 2009:
• Almost two-thirds (64 percent) of injury-related deaths in Hillandale were due to assaults and motor vehicle
crashes.
• More than one in ten injury-related deaths (11.6 percent) in Hillandale were due to intentional self-harm
(suicide).
31
MATERNAL AND CHILD HEALTH
114
IN HILLANDALE
Maternal and Child Health
in Hillandale
PREGNANCY
There were 12,223 pregnancies in Hillandale between 2005 and 2010. Hillandale pregnancies accounted for 12.6
percent of the total pregnancies in DeKalb County during this period. Table 99 analyzes all pregnancies among
Hillandale residents by race and separates out pregnancies to females under age 20.
Table 99: Pregnancies by Race, Hillandale,
2005-2010
Race
Percentage
All Ages
Black
89.2
White
2.6
Other
8.1
99.9*
Total
10-19 Years of Age
Black
White
Other
Total
89.8
1.6
8.6
100.0
• The percentages of pregnancies for blacks and whites were similar for females of all ages and for females
under age 20.
33
LOW BIRTHWEIGHT
There were 1,501 low birthweight babies born in Hillandale between 2005 and 2010, which accounted for 2.6% of
the low birthweight babies born in DeKalb County during this period. Table 100 analyzes low birthweight babies
among Hillandale residents by race.
Table 100: Low Birthweight Babies by Race,
Race
Percentage*
Black
90.3
White
Other
Total
1.9
7.9
100.1
INFANT MORTALITY
Between 2005 and 2010 (excluding 2009), there were 110 deaths of Hillandale infants, which accounted for 24.8
percent of the total infant deaths in DeKalb County during this period. Table 101 analyzes Hillandale’s infant
deaths by race.
Table 101: Infant Deaths by Race,
Hillandale, 2005-2008, 2010
Race
Black
White
Other
Total
Percentage
91.8
6.4
1.8
100
In Hillandale from 2005 to 2010, excluding 2009:
• The percentage of black infant deaths was more than 14 times that of white infant deaths.
34
APPENDICES
117
DIFFERENCES IN HEALTH STATUS, ACCESS TO HEALTHCARE,
AND ENVIRONMENT
There are a number of factors that contribute to a person’s state of health. DeKalb County residents’ health varies
by race and income. The factors contributing to these differences may be biological, socioeconomic, psychosocial,
behavioral, or social in nature.
The tables below reflect differences in health status, access to healthcare, and environment by race and income.
Figure 31: Differences in Health Status, Access to Healthcare, and Environment by Race,
DeKalb County, 2011
Black
White
Other Races
Health Status
% Diagnosed with diabetes
12.0
9.8
5.7
% Overweight
36.9
31.9
56.9
% Obese
% Are a current smoker
% Heart attack
% Stroke
36.3
23.2
1.7
2.5
24.5
13.4
3.4
2.6
5.3
14.5
3.2
0.9
21.6
23.8
13.0
31.3
16.1
38.3
30.0
26.7
21.9
Access to Healthcare
% No health insurance
% No doctor’s visit
Environment
% Perceive their neighborhood to be slightly safe
or not at all safe
Source: 2011 Behavioral Risk Factor Surveillance System.
Note: Overweight and obesity ranges are determined by using weight and height to calculate a number called the “body mass index”
(BMI). BMI is used because, for most people, it correlates with their amount of body fat. An adult who has a BMI between 25 and
29.9 is considered overweight. An adult who has a BMI of 30 or higher is considered obese.
36
Figure 32: Differences in Health Status, Access to Healthcare, and Environment by Income,
DeKalb County, 2011
Less than
$15,000$25,000$35,000$50,000 and
$15,000
24,999
34,999
49,999
up
Health Status
% Diagnosed with
23.2
12.0
11.4
18.9
3.3
diabetes
% Overweight
30.4
44.9
41.5
40.2
34.3
% Obese
40.8
26.6
42.4
20.2
23.1
% Are a current smoker
45.7
17.3
24.8
30.0
9.5
% Heart attack
1.5
4.7
2.0
1.4
1.6
% Stroke
4.9
3.5
1.4
1.1
0.9
Access to Healthcare
% No health insurance
45.3
34.2
25.4
14.6
3.8
45.8
13.5
13.0
34.5
35.6
% No doctor’s visit
Environment
% Perceive their neighborhood to
36.3
29.8
45.3
20.6
23.5
be slightly safe or not at all safe
Source: 2011 Behavioral Risk Factor Surveillance System.
Note: Overweight and obesity ranges are determined by using weight and height to calculate a number called the “body mass index”
(BMI). BMI is used because, for most people, it correlates with their amount of body fat. An adult who has a BMI between 25 and
29.9 is considered overweight. An adult who has a BMI of 30 or higher is considered obese.
37
ACKNOWLEDGEMENTS
DeKalb Medical, Inc., and the DeKalb County Board of Health thank the following individuals for their time and
expertise in creating this report.
Maxime Bouadoumou
Burton May, M.A., M.S.W., L.C.S.W.
Gary Richey, C.P.A.
Vickie Elisa, B.A.
S. Elizabeth Ford, M.D., M.B.A.
Jessica Grippo, M.P.H.
Elizabeth Hedgepeth, M.P.H., C.P.H.
Michelle Leon, B.S.
Jewell Martin, M.H.S.A., B.S.N., R.N.
Nia Mitchell, M.P.H., C.P.H.
Leslie Richmond, M.D., M.B.A.
Beth Ruddiman, Ph.D.
Keir Sims, B.A.
Juanette Willis
DeKalb Medical, Inc.
Don Fears, M.A.
Sarah Kalaf, R.N., B.S.N., C.P.H.Q.
Jacquelyn Paynter, R.N., M.P.H., C.C.M.
Kenya Baqi
Richard Dunville, M.P.H.
Ladonna Jones, M.P.H.
Chrissy McNamara, M.S.P.H.
Monica L. Vargas, M.S.P.H., M.B.A.
38
INDEX OF TABLES AND FIGURES
Methodology
Figure 1: Hillandale Area Census Tracts
Demographic Profile of DeKalb County
Table 1: Population Profile of DeKalb County, 2010
Figure 2:
Population Estimate (in percentages) by Race/Ethnicity, DeKalb County, 2010
Table 2: Healthcare Profile of DeKalb County
Figure 3:
Health Insurance Coverage, DeKalb County, 2010
Economic Profile of DeKalb County, 2010
Table 3: Table 4: Educational Profile of DeKalb County, 2009 - 2010 School Year
Figure 4:
Educational Attainment (25 years of age and older), DeKalb County, 2010
Table 5:
Housing Profile of DeKalb County, 2010
Table 6:
Household Profile of DeKalb County, 2010
Labor Profile of DeKalb County, 2010
Table 7:
Table 8:
Crime Profile of DeKalb County, 2010
Table 9:
Disability Profile of DeKalb County, 2010
Leading Causes in DeKalb County
Table 10:
Top Ten Leading Causes of Hospitalization, DeKalb County, 2005-2010
Leading Causes of Premature Death, DeKalb County, 2005-2008, 2010
Table 11:
Table 12:
Leading Causes of Death, DeKalb County, 2005-2008, 2010
Chronic Diseases in DeKalb County
Table 13:
Chronic Disease Risk Factors, DeKalb County, 2010 and 2011
Leading Types of Cancer Diagnosed as a Percentage of All Cancer Cases, DeKalb County,
Figure 5: 2005-2009
Table 14:
Cancers among Blacks, DeKalb County, 2005-2009
Table 15:
Cancers among Whites, DeKalb County, 2005-2009
Cancers among Males, DeKalb County, 2005-2009
Table 16:
Cancers among Females, DeKalb County, 2005-2009
Table 17:
Figure 6:
Cancer Deaths by Type as a Percentage of All Cancer Deaths, DeKalb County, 2005-2008, 2010
Cancer Hospital Discharges, DeKalb County, 2005-2010
Figure 7:
Tobacco Use among High School Students, DeKalb County, 2005-2010
Table 18:
Leading Types of Cardiovascular Disease Hospital Discharges as a Percentage of All Cardiovascular
Figure 8:
Disease Hospital Discharges, DeKalb County, 2005-2010
Cardiovascular Diseases among Blacks, DeKalb County, 2005-2010
Table 19:
Cardiovascular Diseases among Whites, DeKalb County, 2005-2010
Table 20:
Cardiovascular Diseases among Males, DeKalb County, 2005-2010
Table 21:
Cardiovascular Diseases among Females, DeKalb County, 2005-2010
Table 22:
Cardiovascular Disease Deaths by Type as a Percentage of all Cardiovascular Disease Deaths,
Figure 9:
DeKalb County, 2005-2008, 2010
Cardiovascular Disease Hospital Discharges, DeKalb County, 2005-2010
Figure 10:
Physical Activity among High School Students, DeKalb County, 2005-2010
Table 23:
Stroke Performance Measures, DeKalb Medical at North Decatur, 2009-2010
Table 24:
Diabetes by Race, DeKalb County, 2005-2010
Table 25:
Diabetes by Sex, DeKalb County, 2005-2010
Table 26:
39
Figure 11:
Table 27:
Table 28:
Table 29:
Figure 12:
Table 30:
Diabetes Hospital Discharges, DeKalb County, 2005-2010
Self-Perception of Weight and Weight Loss Behaviors among High School Students, DeKalb
County, 2005-2010
Asthma by Race, DeKalb County, 2005-2010
Asthma by Sex, DeKalb County, 2005-2010
Asthma Hospital Discharges, DeKalb County, 2005-2010
Asthma Among High School Students, DeKalb County, 2005-2010
Infectious Diseases in DeKalb County
Table 31: Vaccine-Preventable Diseases, DeKalb County, 2005-2010
Figure 13:
Chlamydia, Gonorrhea, and Syphilis Cases as a Percentage of All STD Cases, DeKalb County,
2005-2010
Table 32:
Chlamydia, Gonorrhea, and Syphilis Cases by Race, DeKalb County, 2005-2010
Table 33:
Chlamydia, Gonorrhea, and Syphilis Cases by Sex, DeKalb County, 2005-2010
Table 34:
Sexual Risk Behaviors among High School Students, DeKalb County, 2010
Table 35:
STD Diagnoses among High School Students, DeKalb County, 2010
Figure 14:
Persons Newly Diagnosed with HIV by Method of Transmission as a Percentage of All Persons
Newly Diagnosed with HIV, DeKalb County, 2005-2010
Table 36:
Method of HIV Transmission by Race, DeKalb County, 2005-2010
Table 37:
Method of HIV Transmission Sex, DeKalb County, 2005-2010
Table 38:
Injection Drug Use among High School Students, DeKalb County, 2010
Table 39:
HIV/AIDS Education among High School Students, DeKalb County, 2010
Figure 15:
Hepatitis A, B, and C Cases by Type as a Percentage of All Hepatitis A, B and C Cases,
DeKalb County, 2005-2010
Table 40:
Hepatitis by Type and Race, DeKalb County, 2005-2010
Table 41:
Hepatitis by Type and Sex, DeKalb County, 2005-2010
Figure 16:
Cases of Six Foodborne, Waterborne, and Environmental Disease Casesby Type as a
Percentage of All Cases of the Six Diseases, DeKalb County, 2005-2010
Table 42:
Foodborne, Waterborne, and Environmental Diseases by Race, DeKalb County, 2005-2010
Table 43:
Foodborne, Waterborne, and Environmental Diseases by Sex, DeKalb County, 2005-2010
Figure 17:
Cases of Six Invasive Bacterial Diseases Cases as a Percentage of All Cases of
the Six Diseases, DeKalb County, 2005-2010
Invasive Bacterial Diseases by Race, DeKalb County, 2005-2010
Table 44:
Table 45:
Invasive Bacterial Diseases by Sex, DeKalb County, 2005-2010
Table 46:
Tuberculosis Hospital Discharges by Race and Sex, DeKalb County, 2005-2010
Table 47:
Influenza Hospital Discharges by Race and Sex, DeKalb County, 2005-2010
Pneumococcal Immunizations of Pneumonia Patients, DeKalb Medical at North
Table 48:
Decatur and Hillandale, 2005-2010
Table 49:
Influenza Immunizations of Pneumonia Patients, DeKalb Medical at North Decatur and
Table 50:
West Nile Virus Cases by Race and Sex, DeKalb County, 2005-2010
Injuries in DeKalb County
Figure 18:
Leading Injuries by Type as a Percentage of All Injury-Related Emergency Room Visits, DeKalb
County, 2005-2010
Table 51:
Injuries among Blacks, DeKalb County, 2005-2010
Injuries among Whites, DeKalb County, 2005-2010
Table 52:
Table 53:
Injuries among Males, DeKalb County, 2005-2010
Table 54:
Injuries among Females, DeKalb County, 2005-2010
40
Figure 19:
Figure 20:
Table 55:
Injury Deaths by Type as a Percentage of All Injury-Related Deaths, DeKalb County, 2005-2008,
2010
Emergency Room Visits for Injury, DeKalb County, 2005-2010
Injury Risk Behavior among High School Students, DeKalb County, 2005-2010
Behavioral Health in DeKalb County
Figure 21:
Number of Clients Served by Outpatient Services, DeKalb County, 2005-2010
Table 56: Mental Health Disorder Category for New Clients as a Percentage of All New Clients,
DeKalb Community Service Board, 2005-2010
Table 57:
Developmental Disability Cases by Severity as a Percentage of All Developmental Disability Cases,
DeKalb Community Service Board, 2005-2010
Table 58:
Suicidal Thoughts and Behaviors among High School Students, DeKalb County, 2005-2010
Maternal and Child Health in DeKalb County
Table 59:
Pregnancies by Race, DeKalb County, 2005-2010
Table 60:
Low Birthweight Babies by Race, DeKalb County, 2005-2010
Table 61:
Infant Deaths by Race, DeKalb County, 2005-2008, 2010
Table 62:
Sudden Infant Death Syndrome (SIDS) Deaths by Race, DeKalb County, 2005-2008, 2010
Table 63:
Sexual Behaviors among High School Students, DeKalb County, 2005-2010
Refugee Health in DeKalb County
Table 64:
Refugee Arrivals by Country of Origin as a Percentage of All Refugee Arrivals, DeKalb County,
2005-2010
Figure 22:
Leading Causes of Abnormal Screening Results as a Percentage of All Refugees Screened,
DeKalb County, 2005-2010
Table 65:
Leading Causes of Abnormal Screening Results among All Male Refugees Screened, DeKalb
County, 2005-2010
Table 66:
Leading Causes of Abnormal Screening Results among All Female Refugees Screened, DeKalb
County, 2005-2010
Hillandale Demographic Profile
Table 67: Population Profile of Hillandale, 2010
Population Estimate (in percentages) by Race, Hillandale, 2010
Figure 23:
Table 68: Economic Profile of Hillandale, 2010
Figure 24:
Educational Attainment (25 years of age and older), Hillandale, 2010
Table 69: Housing Profile of Hillandale, 2010
Household Profile of Hillandale, 2010
Table 70: Table 71: Labor Profile of Hillandale, 2010
Leading Causes in Hillandale
Table 72:
Leading Causes of Hospitalization, Hillandale, 2005-2010
Leading Causes of Premature Death, Hillandale, 2005-2008, 2010
Table 73:
Table 74:
Leading Causes of Death, Hillandale, 2005-2008, 2010
Chronic Diseases in Hillandale
Figure 25:
Leading Types of Cancer Hospital Discharges as a Percentage of All Cancer Hospital Discharges,
Table 75:
Cancer Hospital Discharges among Blacks, Hillandale, 2005-2010
Table 76:
Cancer Hospital Discharges among Whites, Hillandale, 2005-2010
41
Table 77:
Table 78:
Figure 26:
Figure 27:
Table 79:
Table 80:
Table 81:
Table 82:
Figure 28:
Table 83:
Table 84:
Cancer Hospital Discharges among Males, Hillandale, 2005-2010
Cancer Hospital Discharges among Females, Hillandale, 2005-2010
Leading Cancer Deaths by Type as a Percentage of All Cancer Deaths, Hillandale, 2005-2008, 2010
Leading Types of Cardiovascular Disease Hospital Discharges as a Percentage of All Cardiovascular
Disease Hospital Discharges, Hillandale, 2005-2010
Cardiovascular Disease Hospital Discharges among Blacks, Hillandale, 2005-2010
Cardiovascular Disease Hospital Discharges among Whites, Hillandale, 2005-2010
Cardiovascular Disease Hospital Discharges among Males, Hillandale, 2005-2010
Cardiovascular Disease among Females, Hillandale, 2005-2010
Leading Cardiovascular Disease Deaths by Type as a Percentage of all Cardiovascular Disease Deaths, Hillandale, 2005-2008, 2010
Diabetes Hospital Discharges by Race and Sex, Hillandale, 2005-2010
Asthma Hospital Discharges by Race and Sex, Hillandale, 2005-2010
Infectious Diseases in Hillandale
Table 85:
STD Hospital Discharges by Race, Hillandale, 2005-2010
Table 86:
STD Hospital Discharges by Sex, Hillandale, 2005-2010
Table 87:
HIV/AIDS Hospital Discharges by Race, Hillandale, 2005-2010
Table 88:
HIV/AIDS Hospital Discharges by Sex, Hillandale, 2005-2010
Table 89:
Tuberculosis Hospital Discharges by Race, Hillandale, 2005-2010
Table 90:
Tuberculosis Hospital Discharges by Sex, Hillandale, 2005-2010
Table 91:
Influenza Hospital Discharges by Race, Hillandale, 2005-2010
Table 92:
Influenza Hospital Discharges by Sex, Hillandale, 2005-2010
Table 93:
Pneumonia Hospital Discharges by Race, Hillandale, 2005-2010
Table 94:
Pneumonia Hospital Discharges by Sex, Hillandale, 2005-2010
Injuries in Hillandale
Figure 29:
Leading Injuries by Type as a Percentage of All Injury-Related Emergency Room Visits, Hillandale,
2005-2010
Table 95:
Injuries among Blacks, Hillandale, 2005-2010
Table 96:
Injuries among Whites, Hillandale, 2005-2010
Table 97:
Injuries among Males, Hillandale, 2005-2010
Injuries among Females, Hillandale, 2005-2010
Table 98:
Figure 30:
Injury Deaths by Type as a Percentage of All Injury-related Deaths, Hillandale, 2005-2008, 2010
Maternal and Child Health in Hillandale
Pregnancies by Race, Hillandale, 2005-2010
Table 99: Table 100:
Low Birthweight Babies by Race, Hillandale, 2005-2010
Table 101:
Infant Deaths by Race, Hillandale, 2005-2008, 2010
Appendices
Figure 31:
Figure 32:
42
Differences in Health Status, Access to Healthcare, and Environment by Race, DeKalb County,
2011
Differences in Health Status, Access to Healthcare, and Environment by Income, DeKalb County,
2011
SOURCES
The 2010 Georgia County Guide, The University of Georgia
• 2010 DeKalb Youth Risk Behavior Survey (YRBS) Report
• 2011 DeKalb County Communities Putting Prevention to Work (CPPW) Behavioral Risk Factor Surveillance
System (BRFSS) Report
Diagnostic and Statistical Manual for Mental Disorders, Fourth edition (DSM-IV-TR)
• Georgia Comprehensive Cancer Registry
• HIV/AIDS Epidemiology Section
• Office of Refugee Health
• Online Analytical Statistical Information System (OASIS)
• State Electronic Notifiable Disease Surveillance System (SENDSS)
International Classification of Diseases, Ninth Revision, Clinical Modification, Sixth edition, 2009 (ICD-9)
U.S. Census Bureau, 2010 American Community Survey
43
RESOURCES AND SERVICES
DeKalb County Board of Health (www.dekalbhealth.net)
Clifton Springs (South DeKalb) Health Center
3110 Clifton Springs Road
Decatur, GA 30034
Phone: 404-244-2200
Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Family Planning, Women’s Health,
Children’s Health, Immunizations, Adolescent Health and Youth Development, BreastTest and More
East DeKalb Health Center
2277 S. Stone Mountain-Lithonia Road
Lithonia, GA 30058
Phone: 770-484-2600
Services: Hearing and Vision Screening, WIC, Women’s Health, Children’s Health, Immunizations, Adolescent
Health and Youth Development
Eleanor L. Richardson Health Center
445 Winn Way
Decatur, GA 30030
Phone: 404-294-3700
Services: STD/HIV Testing, HIV Treatment, Health Assessment and Promotion, Environmental Health, Refugee
Health, Vital Records
Kirkwood Health Center
30 Warren Street
Atlanta, GA 30317
Phone: 404-370-7360
Services: Dental, WIC, Adolescent Health and Youth Development
North DeKalb Health Center
3807 Clairmont Road
Chamblee, GA 30341
Phone: 770-454-1144
Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Women’s Health, Children’s Health,
Immunizations, Travel Medicine
T. O. Vinson (Central) Health Center
440 Winn Way
Decatur, GA 30030
Phone: 404-294-3762
Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Women’s Health, Children’s Health,
Immunizations, Travel Medicine
44
DeKalb Medical (www.dekalbmedical.org)
DeKalb Medical at Downtown Decatur
450 N. Candler Street
Decatur, GA 30030
Phone: 404-501-6260
Services: Long Term Acute Care (additional recovery time for serious illnesses, rehabilitation, etc.), Rehabilitation
Services, Intensive Nursing and Respiratory Care with Therapeutic Services, Wound Care
DeKalb Medical at Hillandale
2801 DeKalb Medical Parkway
Lithonia, GA 30058
Phone: 404-501-8000
Services: Inpatient Medical Care, Inpatient and Outpatient Surgery, Intensive Care Unit, Emergency Department,
Diagnostic Imaging Technology
DeKalb Medical at North Decatur
2701 N. Decatur Road
Decatur, GA 30033
Phone: 404-501-1000
Services: 24-hour Emergency Services, Commission on Cancer-accredited Cancer Center, Health Promotion
Programs and Wellness Center, Maternity Center, Surgical Weight Loss Center, Joint Solutions Center, Surgical
Services, Inpatient and Outpatient Rehabilitation Services, Sleep Disorder Center, Cardiovascular Services,
Comprehensive Wound Care Center
DeKalb Community Service Board (www.dekcsb.org)
CHOICE Program
Lithonia, GA 30058
Services: Community-based day habilitation program for individuals with developmental disabilities
Clifton Springs Center
3110 Clifton Springs Road, Suite B
Decatur, GA 30034
Services: Community support; Adult, adolescent and child outpatient mental health services
Criminal Justice Services
Court Services
455 Winn Way
Decatur, GA 30030
Services: Clinical evaluations; outpatient substance abuse treatment program; mental health screening;
state-certified domestic violence program; risk reduction/DUI school
Crossroads Program
23 Warren Street, SE
Atlanta, GA 30317
45
Services: Mental health program for supported employment and peer support
DeKalb Addiction Clinic
455 Winn Way
Decatur, GA 30030
Services: Day and evening substance abuse treatment, Post Traumatic Stress Disorder services
DeKalb Enterprises
Lithonia, GA 30058
Services: Sheltered and community-integrated work experience
DeKalb Regional Crisis Center
450 Winn Way
Decatur, GA 30030
Services: Mobile Response Unit and 24 hour/7 day a week services for Outpatient Crisis Stabilization, Psychiatric
Emergency Services and Emergency Recovery and Evaluation Services for Psychiatric Stabilization for Mental
Health and Substance Abuse Subacute Detox
DeKalb Services Center
2660 Osborne Road, NE
Atlanta, GA 30319
Services: Day habilitation, support and work activity for individuals with developmental disabilities
Fox Recovery Center
3100 Clifton Springs Road
Decatur, GA 30034
Services: Residential substance abuse program for veterans
The Kirkwood Center
23 Warren Street, SE
Atlanta, GA 30317
Services: Adult outpatient mental health services and psychosocial rehabilitation; Assessments, counseling and
psychiatric services for individuals with development disabilities
North DeKalb Center
3807 Clairmont Road
Chamblee, GA 30341
Services: Adult outpatient mental health services, psychosocial rehabilitation and mental health services office
Winn Way Center
445 Winn Way
Decatur, GA 30030
Services: Adult, adolescent and child outpatient mental health services; Mental health residential services office
46
47
DEKALB MEDICAL
2013 Community Health Assessment

DeKalb Medical Hillandale 2013 Community Health Assessment

Transcription

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