Community Health Needs Assessment

RIDGEVIEW INSTITUTE COMMUNITY HEALTH
NEEDS ASSESSMENT REPORT
COBB COUNTY, AUGUST 2016
Community Health Needs Assessment 2016 WelcometoRidgeviewInstitute
OurVision…
Istobeapremierbehavioralhealthprovider,recognizedforourqualitytreatmentandspecialty
services.
OurMission…
Istoprovideacomprehensivecontinuumofmentalhealthandaddictiontreatmentservicesbased
uponacommitmenttoexcellenceandqualitycaretopatientsandfamilies.
AboutUs…
RidgeviewInstitute,aprivate,not‐for‐profithospitaltreatingpeoplewithaddictionormental
healthproblems,hasearnedanationalreputationforcareandservice.Since1976,morethan
70,000peoplehaveturnedtoRidgeviewincrisis,indespair,andinhope.
AtourquietcampusinsuburbanAtlanta,patientsandtheirfamiliesfindcost‐effective,highest‐
qualitytreatment,groundedintheexperienceandcompassionofourclinicalleadersandstaff.
Throughacomprehensivearrayofprograms,weserveyouth,youngadults,adults,olderadults,
andprofessionalswhoneedintervention,andwomenaffectedbyeatingdisorders.
EveryprogramatRidgeviewhelpsthepatientacquireboththecourageandtheskillstobegina
newlife.
Source:ridgeviewinstitute.com
CHNA Report p.1
Community Health Needs Assessment 2016 CommunityServed
RidgeviewInstitutespecializesintreatingpeoplewithaddictionormentalhealthproblemsinthe
CobbCountyarea.ManyofRidgeview’spatientsareencompassedinthisgeographicarea.Usinga
countydefinitionasaserviceareaiscrucialfor ouranalysis asmanysecondarydata sourcesare
county specific and serve as a comparison tool to other counties, the state of Georgia, and the
United States. Also, many of our community input sources consider Cobb County their primary
service area. These include members of different agencies of Cobb County, as well as many
differentcommunityadvocacygroupswithwhomRidgeviewInstitutehasrelationships.
CHNA Report p.2
Community Health Needs Assessment 2016 ProcessandMethodology
RidgeviewInstituteidentifiedcommunityhealthneedsbyundergoinganassessmentprocess.This
processincorporatedacomprehensivereviewbythehospital’sCommunityNeedsAssessment
TeamalongwithsecondaryandprimarydatainputusingtheexpertiseofDixonHughesGoodman,
LLP.Theteamusedseveralsourcesofquantitativehealth,socialanddemographicdataspecificto
thehomecountyofthefacilityprovidedbylocalpublichealthagencies,healthcareassociations
andotherdatasources.RidgeviewInstitutetookadvantageofthisopportunitytocollaboratewith
itsadministrators,physicians,stateagencies,andlocalorganizations.
RidgeviewInstitutesoughtoutsideassistancefromDixonHughesGoodman,LLCinthisprocess.
DHGprovideddata,organizedcommunityinput,workedonprioritysessionsandsupportedthe
reportdraftingprocess.
Theassessmentprocessconsistsof5stepspicturedbelow:
CHNA Report p.3
Community Health Needs Assessment 2016 DataAssessmentFindings‐SecondaryData
WithintheframeworkofHealthyPeople2020,12Topicswerechosenas“LeadingHealth
Indicators”.Thesetopicswerechosentocommunicatehigh‐priorityhealthissues.Accordingto
HP2020,“TheHealthyPeople2020LeadingHealthIndicatorsplacerenewedemphasison
overcomingthesechallengesaswetrackprogressoverthecourseofthedecade.Theindicatorswill
beusedtoassessthehealthoftheNation,facilitatecollaborationacrosssectors,andmotivate
actionatthenational,state,andcommunitylevelstoimprovethehealthoftheU.S.population.”
ThesecondarydataprocessbeganwithanoverallsnapshotofCobbCounty.Oncethiswas
completed,acloserlookwastakenatthosetopicareasspecifictobehavioralandmentalhealth.It
wasfoundthatmanyoftheseareasaddressedneedsthatcouldbetiedtomentalhealth.This
processwascompletedduringAugust,2016.
TheHP2020topicsoutlinedinredaboveareareasthatcouldbetiedtomentalhealth
ThedataassessmentpieceoftheCHNAprocessincludeddatatables,graphs,andmapsfrom
varioussourceswidelyavailable.Anumberofindicatorswereselectedspecifictomentalhealth,
substanceabuse,accesstoservices,andnutrition.Countymeasures,growthestimators,ICD‐9
specificvisits,andsocial/economicdeterminantswereamongtheindicatorsused.
CHNA Report p.4
Community Health Needs Assessment 2016 SOURCESUSED
AvarietyofdifferentsourceswerelookedatinordertocreateasnapshotofRidgeviewInstitute’s
homecountyandmorespecifically,theirtargetpatients.Thefollowingsourceswereusedinthis
process:
NIELSENDEMOGRAPHICSwereusedtocreatemapsoftotalpopulationandbreakdownscertain
otherpopulationsegments.ThisinformationwaspulledforCobbCountyandthestateofGeorgia.
2016and2021demographicswereincluded.BelowisasnapshotoftheCobbCountypopulation
showinggrowthinmostagegroupsoverthenextfiveyears.
% Growth Total Net Growth Total
Pop 2016-2021
Pop 2016-2021
Pop 2016
Pop 2021
Age 00-04
48,568
49,249
1.40%
681
Age 05-09
50,435
50,355
-0.16%
-80
Age 10-14
51,734
52,444
1.37%
710
Age 15-17
31,147
33,708
8.22%
2,561
Age 18-44
279,880
284,324
1.59%
4,444
Age 45-54
110,391
113,958
3.23%
3,567
Age 55-64
91,009
103,992
14.27%
12,983
Age 65-74
54,437
70,618
29.72%
16,181
Age 75-84
22,313
30,436
36.40%
8,123
8,127
9,186
13.03%
1,059
748,041
798,270
6.71%
50,229
Age 85+
Total
Belowisanothertableshowingthe%growthinCobbCounty.Thecountyisgrowingfasterthanthe
StateofGeorgiaandtheUSA. Cobb County
State of GA
USA
Population 2016
748,041
10,241,260
322,431,073
Population 2021
798,270
10,736,776
334,341,965
Net Growth 2016-2021
50,229
495,516
11,910,892
% Growth 2016-2021
6.71%
4.84%
3.69%
38
38
39
Average Median HH Income 2021
$69,081
$53,582
$59,865
Population Under 65 2016
663,164
8,915,003
273,809,029
Population Under 65 2021
688,030
9,125,623
277,163,357
Net Growth Under 65 2016-2021
24,866
210,620
3,354,328
% Growth Under 65 2016-2021
3.75%
2.36%
1.23%
Population 65+ 2016
84,877
1,326,257
48,622,044
Population 65+ 2021
110,240
1,611,153
57,178,608
25,363
284,896
8,556,564
29.88%
21.48%
Average Median Age 2021
Net Growth 65+ 2016-2021
% Growth 65+ 2016-2021
17.60% CHNA Report p.5
Community Health Needs Assessment 2016 2016COUNTYHEALTHRANKINGS:ThissourceisacollaborationbetweentheRobertWood
JohnsonFoundationandtheUniversityofWisconsinPopulationHealthInstitute.Itgivesageneral
snapshotofhowhealthyeachcountyisinrelationtoothersinthesamestate.Itmeasuresand
ranksbothhealthoutcomesandhealthfactorsthatleadtothoseoutcomes.Eachindicatoris
weighed,standardized,andrankedinordertocomeupwithanoverallrankingofhealthforeach
countyinGeorgia.Rankingareasincluded:
Health Outcomes:


LengthofLife
QualityofLife
CobbCountyRanks7outof157
Health Factors: 



HealthBehaviors
ClinicalCare
SocialandEconomicFactors
PhysicalEnvironment
CobbCountyRanks7outof157
CHNA Report p.6
Community Health Needs Assessment 2016 AnotherDataSourceistheCMSINPATIENTSTANDARDANALYTICALFILE.RidgeviewInstitute
increasedinthevolumeofpatientstheyserve.
AllOtherHospitalsaccountfor39additionalhospitalswithfrom1–80cases.
LookingatOutpatientService,TRUVENHEALTHANALYTICSOUTPATIENTFORECASTERwas
usedtoprojectout5yr.growthofvisitsbyICD‐9.Itprovided2016and2021volumesforCobb
Countyforpsychoses,othermentaldisorders,andsubstanceabuseICD‐9s.
2016 Cobb
County
2021 Cobb
County
Net
Change
Cobb
County %
Growth
State of
GA-%
Growth
Psychoses Visits
54,488
59,205
4,717
8.7%
6.2%
Other Mental Disorder Visits
88,977
94,172
5,195
5.8%
4.1%
Alcohol/Drug Visits
20,270
21,198
928
4.6%
3.5%
ICD-9 Defined Area
CobbCountyOutpatientpsychoses,othermentaldisorders(asdefinedbyICD‐9s),and
alcohol/substanceabusevisitsareexpectedtoincreaseoverthenext5yearsatslightlyhigher
ratesthanthestateofGeorgia.
HEALTHINDICATORSWAREHOUSEcontainsthousandsofhealthindicators,oftenwithcounty
leveldata.Weusedcertainindicatorsthatrelatedirectlytomentalhealthandsubstanceabuse
CHNA Report p.7
Community Health Needs Assessment 2016 SummaryFindingsfromDataSources

CobbCountypopulationwillgrow6.7%overthenextfiveyears,mostdrasticallyinage
groups55‐64(14.3%),65‐74(29.7%),and75‐84(36.4%).Oftheyoungerages,15‐17will
growby8.2%.(NielsenDemographics)

TotalHispanic%growthoverthenextfiveyearsis13%,anestimated11,870newlives.
(NielsenDemographics)

22.4%ofadultsinCobbCountyareconsideredobese,while18.3%reportnoleisuretimeor
physicalactivity.(CountyHealthRankings2016)

17.4%ofadultsreportedexcessivedrinking,comparedwith15.6%inthestateofGeorgia
(CountyHealthRankings2016)

21.2%ofadults(under65)inCobbCountyareuninsured(CountyHealthRankings2016)

In2014thePercentageofpopulationages16andolderunemployedbutseekingworkin
CobbCountywas6%andGeorgiawas7.2%(CountyHealthRankings2016)

Onaverage,CobbCountyresidentsreportedhavinganaverageof3.4mentallyunhealthy
daysinpast30days(CountyHealthRankings2016)

CobbCountyOutpatientpsychoses,othermentaldisordersandalcohol/substanceabuse
visitsareexpectedtoincreaseoverthenext5yearsatslightlyhigherratesthanthestateof
Georgia.(TruvenHealthAnalytics,OutpatientForecaster)

CobbCountyhas140MentalHealthProviders/100,000populationcomparedto
118/100,00forthestateofGeorgia(CountyHealthRankings2016)

17.3%ofthehouseholdsinCobbCountyhaveatleast1of4housingproblems:
overcrowding,highhousingcosts,orlackofkitchenorplumbingfacilities.Georgiahas
18.4%.(CountyHealthRankings2016)
CommunityInputFindings
Subsequenttothesecondarydataassessment,theCommunityNeedsAssessmentTeamentered
intodialoguewithkeyhospitaladministrators,communityagenciesandadvocates,andthosewith
knowledge/expertiseinmentalhealth.Thisinterviewprocesswascompletedduringthemonthof
August,2016.Duringthisphase,theteamconductedinterviewsviasurveysandphone
conversationsinwhichrespondentswereabletocommentanddiscussbehavioralhealthissuesof
theirspecificservicearea.
Throughthesenumerousinterviewsandquestionnaires,asummaryofcommunityinputwas
created.
Thelistbelowincludesrespondentswhoparticipatedinthisphase.Theyincludedstateagencies,
thosewhoservetargetpopulations(womenandchildren),behavioralhealthhospital
administration,andcasemanagers.Someoftherespondentsincluded:
CHNA Report p.8
Community Health Needs Assessment 2016 Ana Murphy, LCSW
Supervisor of Social Work for Cobb County School District
Lynet Mortensen, LCSW
Social Worker for Cobb County School District, McEachern High
School and Dowell Elementary School
Trondi Jerry, LPC
Counselor at Cobb Community Services Board, Mothers Making a
Change Program
Stephen Chung
School Counselor Kell High School
Sam Anders
Ridgeview Institute Alumni Coordinator
Brian Conner, LPC
Adolescent Case Manager Coordinator Ridgeview Institute
Amber Spezanno
Clinical Coordinator for Women’s Services Ridgeview Institute
Jeff Dess
Director of Cobb County Prevention Intervention Team
Chris LaSalle, LPC
Clinical Coordinator for Adult Outpatient Services Ridgeview Institute
Frank Sartor
CEO, Ridgeview Institute
Barbara Lindenbaum, RN
Director, Clinical Services, Ridgeview Institute
Amy Davis Bigler, LPC
Director, Administrative Services, Ridgeview Institute
Dirk Huttenbach, MD
Child/Adolescent Psychiatrist, Smyrna, GA
Lisa Crossman
Deputy Director Cobb County Department of Health
Bryan Stephens
CEO, Cobb and Douglas County Services Board
CHNA Report p.9
Community Health Needs Assessment 2016 Respondentswereaskedtoidentifymajorbehavioralandmentalhealthissuesfacingtheresidents
ofCobbCountybySchoolAge,AdultsandGeneralpopulation.Manyoftheissuesandbarrierswere
mentionednumeroustimesbymultiplerespondents.Belowisasummaryofhealthissues,barriers
andfrequencyofhowoftentheywerecited. SchoolAge
General Child,Adols
&Teens
HealthIssuesandBarriers
Adult
SubstanceAbuse/Drug/Alcohol
Depression
Educationand Awareness Financial
Anxiety
Transportation
Access
FamilySupport/patientmotivation
Self‐HarmingBehavior/Suicide Access‐InsuranceChallenges
Bullying
EatingDisorders
Trauma
DomesticViolence/AngerManagement
Finances
MentalIssuesinyounger,EarlyIntervention
Bi‐Polar
MentalHealthProviderIssue’s
SocialIsolation
LanguageBarrier
Staff
Musthavevaliddriver’slicense
Unemployment
Navigationofmentalhealthsystem,especially uninsured
SocialMedia
Physicalassault
poorreimbursementrate
Access‐Financial
PrivateandInsurancePayaregreatestbarrier
Divorces
Avalancheofpaperworkfortreatment
ADHD
Total
11
6
3
3
5
1
2
2
3
3
5
1
2
1
2
3
1
1
4
4
2
2
1
1
1
1
1
1
1
1
1
1
47
26
10
7
5
3
4
3
2
4
1
4
2
1
2
1
1
1
1
45
Total
21
13
12
10
9
7
7
7
4
4
4
3
3
3
2
2
2
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
129
CHNA Report p.10
Community Health Needs Assessment 2016 Respondentswerealsoencouragedtooffersuggestionsforaddressingtheseneeds.Manyofthe
suggestionscouldbeappliedacrossmorethanoneissue.Someofthesuggestionsincluded:
Suggestions
Implement programs in Elementary and middle schools, recognize signs of depression, suicide, self‐injury, keep composure, crisis training, stress/anxiety management Professional seminars, great at offering continuing professionals. Needs to be offered to school staff, provide in services focused for non‐professionals (managing certain types of behaviors) Increased use of Cobb County Prevention/Intervention Teams in Schools
Need more workshops for parents and staff. Reshape local policy to make kids more accessible, Increases coordination between mental health providers and school Be familiar with Restorative Circles Training Make Students and families aware of CPIT (Cobb Prevention/Intervention Team) Coalition has a list of providers who can assist Awareness Initiatives: Cobb and Douglass Counties Community Service Boards, Bright Changes School Partnerships Program The Clubhouse Program TEAM Clubhouse The Hartman Center AA United Way Monthly seminars would be helpful, such as adult ADHD or PTSD to provide ongoing training and education Schools want strategies for dealing with behavioral problems, they NEED to know how to recognize subtle cues‐ bring to counselor attention and know of process. Supply Hospital EDs, PCP offices with short/simple education brochures on issues like substance abuse, depression, bullying, anxiety Screening Tools Available of Ridgeview website – make aware Be more visible in the community to encourage use of the inventory of programs already being offered Continue to offer professional education and training A paid monitored aftercare program for members of the community who need support and accountability. Family support groups Direct access to clinical staff for difficult case consultations in schools or workplace CHNA Report p.11
Community Health Needs Assessment 2016 PrioritizationofNeedsIdentifiedbyDataandInput
OncethementalhealthneedsofCobbCountywereidentified,aprioritizationsessionwasheldwith
membersofRidgeviewInstitute’sCHNAteam.Thepurposeofthissessionwastodiscussdataand
inputandprioritizetheneedsofthehospital’scommunity.Criteriausedincludedimportanceto
theservicearea,relevanceofthehealthissuetothepopulationserved,andtheabilityofRidgeview
toeffectivelyimpactandimprovethehealthissue.
Thefollowingissueswereidentifiedaspriorities:
A.
B.
C.
D.
E.
F.
G.
SubstanceAbuse
AccesstoServices
EducationandAwareness
Depression
Anxiety
Financial–affectsaccesstocare,medications,etc.
FamilySupport/PatientMotivation
SubstanceAbuse‐Theseincludeissuessuchasaddiction,codependency,familyandrelationships,
workissues,age‐relatedissues,communicationskills,painissues,andnutritionalcounselingand
education.
Ridgeview’sInventoryofServicesincludes:GroupTherapy,12‐steprecoveryprograms,family
therapy,spirituality,significantotherssupportgroup,familyworkshops,medicationmanagement,
physicalandmedicalevaluation,aftercare,alumnisupport,andrelapsemanagement.
Accesstoservices–Thereareprimarilythreedifferenttypesofaccessissuesthatwerementioned
intheassessmentprocess.

Financial‐Financialaccessbarrierscenteroninsurancecoverageandreasonablecostof
service.21.2%ofadults(under65)inCobbCountyareuninsured(CountyHealthRankings
2016).MedicaredaysavailableandMedicaidaccesswerealsodiscussedaschallengesforthe
county.
KnowledgeofAvailableServices‐Amainissueandbarriertomentalhealthcareisthe
knowledgeofhowtoidentifypotentialproblemsandtheservicesavailabletotreatthese
problemsonceidentified.Thoughtheservicesmaybeavailable,theyareunderutilizeddue
toalackofknowledgeoftheirexistence.
 Transportation–Individualsthatareinthelowerincomelevelsoftenhavelimitedaccessto
transportationandhence,challengeswithgettingaccesstocare.
EducationandAwareness‐Educationalopportunitiesformentalhealtharecrucialforthe
communitytounderstandandidentifyissuesandalsoforprofessionalstoprovidetheidealcarefor
theseissues.Thiscanbesubcategorizedintoprofessionaleducationofcounselorsandcase
managers,andfamily/patienteducationofhowtorecognizeabehavioralormentalissue.


ProfessionalandNonProfessionalEducation‐Educationforprofessionalsisacontinuing
needofCobbCounty.Thisincludescounselors,casemanagers,therapistsandothermental
CHNA Report p.12
Community Health Needs Assessment 2016 
healthprofessionals.Aneedthatmaybeoftenoverlookedistheneedforeducationofnon‐
professionals,mostnoticeablyteachers/educatorsandyouthpastorsinchurches.
FamilyandPatientEducation‐theunderutilizationofmentalhealthcarecanoftenbe
attributedtoamisunderstandingofmentalandbehavioralhealthissuesandtheservices
availabletotreatthem.Educationonmanagingcertainbehaviors,howtorecognizesubtle
cues,andhowtofindhelparecrucialtotreatingtheseissues.
Ridgeview’sInventoryofServicesincludes:Ridgeview’swebsitehaseducationforallkindsof
BehavioralandMentalHealthneeds.Weprovideeatingdisordertreatment,treatmentformental
healthdisorderssuchasdepression,anxietyandmooddisorders,trauma,andaddictiondisorders,
anddualyoungadulteatingdisorderandaddictiontreatment.Somemethodsoftreatmentinclude
24hournursingcarepsychiatricstabilization,medicalstabilization,anddetoxificationinan
inpatientsetting.Ridgeviewalsooffersmedicationmanagement,experientialgroups,psycho‐
educationgroups,familytherapy,andexpressivetherapy.
DepressionandAnxiety–Depressionandanxietydisordersaredifferent,butpeoplewith
depressionoftenexperiencesymptomssimilartothoseofananxietydisorder,suchasnervousness,
irritability,andproblemssleepingandconcentrating.Buteachdisorderhasitsowncausesandits
ownemotionalandbehavioralsymptoms.(AnxietyandDepressionAssociationofAmerica).In
CobbCountybothofthesedisordersstoodouttothosesurveyed,askeyissuetoaddress.Creating
accesstoeducationaroundthesedisorderswasidentifiedasasignificantcommunityneedand
somethingthatRidgeviewcouldhelpwith.
Ridgeview’sInventoryofServicesforDepressionandAnxietyincludes:GroupTherapy,mentalhealth
supportgroups,familytherapy,spirituality,significantotherssupportgroup,familyworkshops,
medicationmanagement,andphysicalandmedicalevaluation.
Financial–Thecostofmentalhealthserviceshasalwaysbeenasignificantbarriertoaccessing
careforpeoplewithmentalhealthneeds.Asstatedabove,financialaccessbarrierscenteron
insurancecoverageandreasonablecostsofservice.Organizationsaroundthecountryarestarting
tofindnewwaystoformpartnershipswithothernon‐profitorganizationstohelpprovidefinancial
supporttothoseinneed.
RidgeviewhasaFinancialAssistancePolicyinplacetoassistindividualswhoareuninsuredor
underinsuredandwhosehouseholdincomeislessthanorequalto200%oftheFederalPoverty
Guidelines.
FamilySupport/PatientMotivation–AccordingtotheNationalallianceonMentalIllness1in25
Americanslivewithaseriousmentalhealthcondition.Mentalhealthprofessionalshaveeffective
treatmentsformostoftheseconditions,yetinanygivenyear,only60%ofpeoplewithamental
illnessgetmentalhealthcare.OneofthemajorfactorsforthisisFamilysupport.TheFamily
ResearchCouncil(FRC)revealedadismayingstatisticaboutthestateofAmericanfamilies:55
percentof15‐to‐17‐year‐oldsinAmericadonotliveinintactfamilies.ThisisanissueforCobb
Countyasitisalimitingfactortosupportsystemsandamajordriverforthelackofpatient
CHNA Report p.13
Community Health Needs Assessment 2016 motivationtoseekhelp.AfocusonWellnesswasatopicdiscussedseveraltimesthroughoutthis
processandsomethingthathasprovendatatosupportthestrategyasawhole.
Ridgeviewprioritizesfamilyinvolvementasapartofapatient’streatment,andoffersaFamily
Workshopforfamiliesofpatientsintreatment.Severalfamilysupportgroupsforthecommunity
arealsohostedoncampus.
Issuesinthesecategorieswerediscussedandprioritized.Certainareaswerechosenasthe
frameworkforthehospital’simplementationstrategies.Also,inaccordancewithIRSproposed
regulations,theteamidentifiedwhichneedswouldnotbeaddressedintheimplementation
strategyandwhy.AfterdiscussingeachpriorityareaandexaminingRidgeviewInstitute’s
expertiseandwiderangeofservicescurrentlyavailable,thefollowingissueswerechosenfor
implementation.
SubstanceAbuse





Collaborationwithlocalschools
FamilyOutreach
EarlyDetectionprograms
Crisisplanningandresponse
Trainingandeducationonaninteractivewebsite/blog
Accesstoservices


Addressingaccessbarriers
Knowledgeandunderstandingofservicesavailable
EducationandAwareness
 ProfessionalandNonProfessionalEducation
 FamilyandPatientEducation
DepressionandAnxiety


Createawareness
AlignmentwithAccesstoservicesandEducation
FamilySupport/PatientMotivation


SupportSystems
Wellness
Priorities not being addressed include:
Financial Reasoning/Explanation
Thereareotherorganizationsinthecounty
thatarespecificallyfocusedonuninsured
individuals
CHNA Report p.14
Community Health Needs Assessment 2016 RidgeviewInstitute’sCommunityNeedsAssessmentTeamwillinitiatethedevelopmentof
implementationstrategiesforeachhealthpriorityidentifiedabove.TheImplementationPlanwill
berolledoutoverthenextthreeyears.AswiththepreviousCHNA,theteamwillworkwith
communitypartnersandhealthissueexpertsonthefollowingforeachoftheapproachesto
addressinghealthneedslisted:
•
Identifywhatotherlocalorganizationsaredoingtoaddressthehealthpriority
•
Developsupportandparticipationfortheseapproachestoaddresshealthneeds
•
Developspecificandmeasurablegoalssothattheeffectivenessoftheseapproachescanbe
measured
•
Developdetailedworkplans
•
Communicatewiththeassessmentteamandensureappropriatecoordinationwithother
effortstoaddresstheissue
TheteamwillthendevelopamonitoringmethodattheconclusionoftheImplementationPlanto
providestatusandresultsoftheseeffortstoimprovecommunityhealth.RidgeviewInstituteis
committedtoconductinganotherhealthneedsassessmentinthreeyears.
Inaddition,RidgeviewInstitutewillcontinuetoplayaleadingroleinaddressingthehealthneeds
ofthosewithinourcommunity,withaspecialfocusonthebehavioralhealthneedsoflocal
residents.Assuch,communitybenefitplanningisintegratedintoourHospital’sannualplanning
andbudgetingprocessestoensurewecontinuetoeffectivelysupportcommunitybenefits.
CHNA Report p.15
Community Health Needs Assessment 2016 EvaluationImpact–outputssincethe2013CHNA 2013
Strategies
Access to
Services
2013 CHNA
Action Steps
Continue to provide community with access to Masters Level clinician who can assess individual in crisis and make recommendation of care 24 hours per day, 7 days a week, 365 days per year. In 2013 we provided 9,392 assessments. In 2015 we provided 10,160 assessments Provide Cobb County Emergency Departments with consultation/support for women that have symptoms consistent with an Eating Disorder. We continue to offer assessments for any patients from the Emergency Departments with eating disorder symptoms Provide Cobb County School District with behavioral health education to help better serve students of Cobb County Ridgeview participates in the Cobb County School Nurses Health Fair annually. Each year we also participate in Drug and Alcohol Awareness Week, providing information to families about substance use issues. Provide Cobb County behavioral health professionals with education/training in intervention and treatment of behavioral health disorders. In 2015 we offered 14 professional continuing education seminars on campus. Provide information and support on website. Information has been loaded and is being accessed on an ongoing basis. Participate in local task forces in community to better ascertain substance use disorder prevalence in adolescents and provide early intervention of substance use disorders in adolescents in Cobb County. Ridgeview participates in Drug Awareness Week and hosts Cobb Drug and Alcohol Task Force meetings on campus. Develop a support/education group free to residents of Cobb County for parents of adolescents with substance use We have offered educational groups to parents of adolescent patients on our campus. We hope to begin hosting support groups specifically for parents of adolescents with substance use issues. Develop an older adult treatment continuum for Substance Use disorders for individuals 60 years or older in the county Ridgeview offers a specific treatment track in our Day Hospital for older adults with substance use disorders. We also host support groups designed specifically for older adults. Continue to provide older adults in psychiatric crisis with psychiatric stabilization and treatment. Ridgeview has increased the size of our older adult unit, opening Evergreen at Ridgeview, a new building designed specifically for older adults. Continue to assess the growing population of older adults in Cobb County and strive to meet the changing behavioral health needs of the older adult population. Our new unit increases the number of older adults we are able to assist with inpatient stabilization and treatment for mental health and substance use issues. Education
Adolescent
Substance
Use
Disorders
Older Adult
Needs
Evaluation Impact
CHNA Report p.16
Community Health Needs Assessment 2016 BoardApproval
ThisCommunityHealthNeedsAssessmentReportforFiscalYEAugust31,2016wasapprovedby
theRidgeviewInstituteBoardofDirectorsatitsmeetingheldonAugust31st,2016
CHNA Report p.17