Community Health Needs Assessment
Transcription
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