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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Marathon County Health Department

Implementation Approaches

Vision Statement: Creating a culture in communities where alcohol is used responsibly and other drugs (tobacco, prescription, and illicit) are not misused.

Goal Statement(s): 

  • Change social norms, attitudes, and behaviors around substance use.
  • Strengthen community collaboration around substance abuse prevention.
  • Increase funding for AODA prevention, treatment, and enforcement.

Strategies: 

2017:

  • Continue to engage new partners in the Marathon County Alcohol & Other Drug (AOD) Partnership and Western Marathon County Healthy Communities (WMCHC).
  • Coordinate partnerships to support local youth prevention efforts.
  • Outreach to local media to increase awareness about AODA issues.
  • Identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Illustrate need for continued funding for AODA prevention, treatment, and enforcement for local activities.
  • Produce another Marathon County Youth Risk Behavior Survey aggregate data set.

2018:

  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Set up public/private partnerships to fund substance abuse prevention, treatment, and enforcement for local activities.
  • Assess, enhance, and expand prevention programs and engage youth through local schools and youth serving organizations.
  • Create a media campaign to educate the public that addiction is a disease.
  • Continue to strengthen partner relationships and community collaboration through continuous communication.
  • Recommend best practices to incorporate in county and state policies.

2019:

  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Further strengthen public/private partnerships to fund substance abuse prevention, treatment, and enforcement.
  • Implement action plan to improve safe, responsible alcohol sales and service at community events.

2020: 

  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Further strengthen public/private partnerships to fund substance abuse prevention, treatment, and enforcement.

Vision Statement: A weight that lowers your risk for health problems. Achievement of a healthy weight includes healthy food choices and physical activity.

Goal Statement(s):

  • Continue the collective efforts of the HEAL Coalition, striving to move to the "collaboration" status.
  • Identify aspects of healthy weight that are important to Marathon County residents.
  • Strengthen the link between healthy weight and economic prosperity.

Strategies: 

2017:

  • Continue implementation of Collective Impact framework to convene community and provide opportunity for increase collaboration.
  • Continue to implement Healthy Eating and Active Living Action Team work plans.
  • Identify local barriers and attitudes regarding healthy weight; identify barriers within underserved and underrepresented populations
  • Local government continues to invest in planning for alternative transportation (walkability, bikeability, bus options)
  • Organizations that provide "healthy weight" programs or initiatives collaborate to increase knowledge, referrals of services and reduce duplication of services.
  • Inform the public on the importance of healthy weight as a county strategy (linking the CHIP, Marathon County Comprehensive Plan, and the County of Marathon Mission/Vision Statement).
  • Assist and implement an Open Streets event in Wausau.

2018:

  • Create shared measurement indicators for healthy weight, including identification of gaps in data sources.
  • Assess and evaluate workplans.
  • Compile list of accessible healthy eating/active living opportunities (trails, pools, farmers markets, equipment to rent, etc.), as well as process for updating established.
  • Include advertising/wayfinding for recreation facilities (community fitness centers, parks w/ active components)
  • Research which strategies have been successful elsewhere.
  • Marathon County and local municipalies will adopt a Complete Streets Policy.
  • Marathon County and local municipalities will explore the adoption of a Health Impact Assessment policy.
  • Explore opportunities for local business and government to invest in building a healthy community.
  • Create messaging to move plan forward.
  • Implement community engaged active living strategies.

2019:

  • Assess shared goals and measurements and report to the community.
  • Assess, evaluate, and adjust workplans, incorporating recommendations from analysis.
  • Evaluate current school curriculum and environment to determine level of recreational opportunities to expose youth to fun, healthy alternatives to traditional exercise. Consider minutes of instructional PE per week, units/topics covered, PACER scores, PEP grant outcomes, and Department of Public Instruction indicators.
  • Revise mapping of community assets (grocery stores, convenience stores, farmers markets, food pantries) and identify gaps (food deserts).
  • Permanent way-finding signs placed in Wausau River District.
  • Implement electronic app to collect community voice on connectedness.
  • Work with cities to implement a formal request process for auditable pedestrians.
  • Continue to support discussions around complete streets policy.

2020:

  • Assess shared goals and measurements and report to the community.
  • Assess and evaluate workplans.
  • Evaluate continued implementation of Farm to School in Marathon County.
  • Determine local funding opportunities for a community campaign regarding the importance of healthy weight and where to find support.

Vision Statement: Creating a culture in communities where alcohol is used responsibly and other drugs (tobacco, prescription, and illicit) are not misused.

Goal Statement(s): 

  • Change social norms, attitudes, and behaviors around substance use.
  • Strengthen community collaboration around substance abuse prevention.
  • Increase funding for AODA prevention, treatment, and enforcement.

Strategies: 

2017:

  • Continue to engage new partners in the Marathon County Alcohol & Other Drug (AOD) Partnership and Western Marathon County Healthy Communities (WMCHC).
  • Coordinate partnerships to support local youth prevention efforts.
  • Outreach to local media to increase awareness about AODA issues.
  • Identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Illustrate need for continued funding for AODA prevention, treatment, and enforcement for local activities.
  • Produce another Marathon County Youth Risk Behavior Survey aggregate data set.

2018:

  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Set up public/private partnerships to fund substance abuse prevention, treatment, and enforcement for local activities.
  • Engage local prescribers to explore alternative opiate prescribing practices, including alternative pain treatments, and to incorporate promotion of the medication drop box program.
  • Assess, enhance, and expand prevention programs and engage youth through local schools and youth serving organizations.
  • Create a media campaign to educate the public that addiction is a disease.
  • Continue to strengthen partner relationships and community collaboration through continuous communication.
  • Recommend best practices to incorporate in county and state policies.
  • Increase awareness of growing drug trends impacting the community.

2019:

  • Provide education for physicians on non-drug treatments for pain.
  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Further strengthen public/private partnerships to fund substance abuse prevention, treatment, and enforcement.
  • Increase awareness of growing drug trends impacting the community.

2020: 

  • Continue to identify individuals and organizations to advocate for increased funding for AODA prevention, treatment, and enforcement.
  • Further strengthen public/private partnerships to fund substance abuse prevention, treatment, and enforcement.

Health Needs of Aging

Vision Statement: Developing and maintaining optimal mental, social, and physical well-being and function in older adulthood. This includes addressing basic needs, optimizing health and well-being, promoting social/civic engagement, and supporting independence.

Goal Statement(s): 

  • Establish infrastructure for aging-related service providers to collaborate.
  • Create or enhance centralized system for information-programs, services, and eligibility requirements.
  • Establish community messaging about "planful aging."

Strategies: 

2017:

  • Explore the creation of a Health Aging Collaborative initiative in Marathon County to include:
    - Determination of appropriateness of Collective Impact Initiative;
    - Selection of Backbone Organization;
    - Role of Backbone Staff & Support; and
    - Identification of chair for CI Initiative.
  • Explore a community awarenss campaign for healthy aging in Marathon County.

2018:

  • Participate in WI Institute for Healthy Aging's "Help Yourself to Better Health" Campaign.
  • Identify relevant policy opportunities at the local, state, and federal level regarding healthy aging, and hold educational sessions with legislature to discuss community needs regarding healthy aging.
  • Determine opportunities to enhance seniors' non-financial portfolio: volunteer opportunities, mentoring, social interaction, etc.
  • Create opportunities for community organizations and members interested in healthy aging to experience shared learning and identify possible opportunities for implementation in Marathon County.

2019:

  • Create opportunities for community organizations and members interested in healthy aging to experience shared learning and identify possible opportunities for implementation in Marathon County.
  • Participate in WI Institute for Healthy Aging's "Help Yourself to Better Health" Campaign.
  • Determine opportunities to enhance seniors' non-financial portfolio: volunteer opportunities, mentoring, social interaction, etc.

2020:

  • Assess shared goals and measurements and report to the community.

Vision Statement: Promote well-being by preventing or intervening in mental illness such as depression or anxiety, along with preventing or intervening in substance abuse or other addictions.

Goal Statement(s): 

  • Increase the public's awareness of the importance of good mental wellbeing and community services available to support their mental well-being. 
  • Improve alcohol & other drug abuse and mental health treatment services.
  • Further integrate behavioral health within the delivery of health care.

Strategies: 

2017:

  • Create a structure to further partner conversations and align community efforts. 
    - Agree upon and utilize a common language and definition for behavioral health
    - Identify key community agency stakeholders
    - Develop shared measurements and evaluation plan
  • Continue to set up mental health outpatient satellite services in all schools to enable greater access to services for students and their families.
  • Launch the Youth Risk Behavior Survey video project.

2018:

  • CHIP Behavioral Health group will continue to meet quarterly for updates.
  • Continue to set up mental health outpatient satellite services in all schools to enable greater access to services for students and their families.
  • Deliver innovative treatment programs (inpatient and outpatient) offered locally.

2019:

  • CHIP Behavioral Health group will continue to meet quarterly for updates.
  • Assess mental health outpatient satellite services in schools.

2020: 

  • Reassess data and outcomes.
  • Agree on next steps beyond 2020.
  • Assess the effectiveness of treatment plans and approaches.

ACEs 

Vision Statement: Preventing or reducing the impact of potentially traumatic events that can have negative, lasting effects on health and well-being. 

Goal Statement(s): 

  • Maintain the established ACEs/TIC Collaborative Initiative in Marathon County.
  • Increase community providers and the public's understanding of the link between Adverse Childhood Experiences and overall mental and physical wellbeing.

Strategies: 

2017:

  • Explore the creation of a ACEs/TIC Collaborative Initiative.
  • Map what resources already exist and what organizations are doing locally regarding ACEs/TIC.
  • Compile inventory of ACE/TICs trainings in Marathon County.
  • Deliver ACE Interface Trainings to community partners/organizations.

2018:

  • Maintain the ACEs/TIC Collaborative Initative
  • Determine shared goals and measurements for the ACEs/TIC Collaborative Initiative.
  • Establish an online resource hub for organizations in the community to train new employees at.
  • Gather and share examples of TIC practices to community organizations who were identified in 2017 survey.
  • Plan an ACE Interface Training for all childcare providers in Marathon County.
  • Work with ACE Interface trainers to set up standing ACE Interface times throughout the year to refer clients, customers, and residents to.
  • Promote and have Marathon County attendees at the ACE Interface Train the Trainer opportunity Nov 1-2 in Chippewa Falls.
  • Highlight local trauma informed care success stories on the Marathon County Health Priorities - ACEs website
  • Draft a County Board resolution to support ACEs/TIC work in our community.
  • Create a provider support/collaboration group that meets regularly to provide networking and support to prevent burn-out.
  • Deliver ACE Interface Trainings to community partners/organizations.
  • Research evidence-based best practice strategies for Trauma Informed Care and ACEs among community sectors.

2019:

  • Assess shared goals and measurements for the ACEs/TIC Collaborative Initiative.
  • Secure commitment by community organizations to implement a best practice strategy in relation to Trauma Informed Care and/or Adverse Childhood Experiences (identified from research in 2018).
  • Present and advocate for a County Board resolution to support ACEs/TIC work in our community.
  • Present and advocate for state policy makers to invest in home visiting programs and early childhood education/needs.
  • Implement a strategy(ies) around secondary traumatic stress (STS) prevention, such as a provider support/collaboration group that meets regularly to provide networking and support to prevent STS/compassion fatigue.
  • Deliver ACE Interface Trainings to community partners/organizations.
  • Expand public/private partnerships to promote ACES/TIC trainings throughout the community.
  • Collect data and stories from community organizations, service providers, or schools that are utilizing ACEs or TIC practices.

2020:

  • Identify community foundations investment in services that support Trauma Informed Care and Adverse Childhood Experience strategies/best practices.
  • Create mechanism to determine sustainability infrastructure and surveillance to support ongoing ACEs and TIC best practice strategies.
  • Assess community ACE Training needs.

Vision Statement: Promote healthy teeth and the entire mouth such as gums, chewing muscles, palate, and tongue with the goal of being free of tooth decay, gum disease, oral cancer, and chronic oral pain.

Goal Statement(s):

  • Establish an oral health collaborative initiative in Marathon County that will focus community partners' efforts.
  • Further the integration of oral health within the delivery of health care.
  • Expand current oral health prevention programs and services.

Strategies:

2017:

  • Create Oral Health Collaborative initiative in Marathon County.
  • Determine the feasibility of expanding fluoride varnish program at Women, Infant and Children (WIC). 
  • Re-establish on-call list of dentists between Emergency Room physicians and dentists from Bridge Community Health Clinic in the Wausau area. 

2018:

  • Conduct surveillance of current oral health assets in Marathon County: municipal water fluoridation, Medicaid utilization rate of dental benefits, number of dentists accepting Medicaid in Marathon County, sealant and fluoride varnish programs implemented in Marathon County.
  • Conduct surveillance of legislative and organizational policies impacting oral health in Marathon County.
  • Implement fluoride varnish program at Healthfirst with WIC clients.
  • Strengthen the implementation of school-based oral health program in Marathon County schools.

2019:

  • Implement a community education campaign about the importance of oral health.
  • Begin to implement action steps to further integrate oral health into the delivery of primary health care across the lifespan. Implementation Phase - 2018, 2019
  • Create standardized referral processes and procedures between primary care providers and oral health care providers. 
  • Explore opportunities to the further integrate oral health into primary care.

2020:

  • Explore an oral health screening and case management service model for school districts.
  • Evaluate and refine the community education campaign about the importance of oral health across the lifespan.
  • Continue implement action steps further integrate oral health into the delivery of primary health care. 
  • Implement a standardized referral processes and procedures between primary care providers and oral health care providers. 
  • Move forward the further integration of fluoride varnish with Well Child Checks. 
  • Create a policy agenda regarding oral health initiatives.