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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Milwaukee City Health Department

Implementation Approaches

Goal: Improve mental health perception and reduce stigma

Objective: Develop campaigns and educational activities that increase community awareness and knowledge of mental health and addiction/substance abuse

Strategies:

  • Continue and expand stigma-reduction public education presentations by persons with lived experience
  • Expand Milwaukee Behavioral Health Division's efforts to reduce stigma around mental health and substance abuse
  • Expand creative visual arts experiences for youth and their families around stigma reduction

Objective: Identify and support peer-to-peer community ambassadors to educate others about mental health and addiction/ substance abuse

Strategies:

  • Specific strategies to be determined by action team

Goal: Improve access to basic human needs such as healthy & affordable food, and safe & affordable housing

Objective:Create a local, sustainable food system and increase demand for healthy food

Strategies:

  • Develop a citywide food system policy and action agenda
  • Continue Healthy Eating and Active Living Environment (HEALE) projects
  • Support Nutrition and Quality Council to provide education to food pantry employees about healthy food donation and preparation
  • Improve health education to increase demand for fresh and healthy food
  • Strengthen emergency food system that ensures nutritious food

Objective: Foster economic development of businesses that sell healthy food in underserved neighborhoods

Strategies:

  • Establish a Food Trust Model in Milwaukee creating a flexible city fund to address food access
  • Develop other retail outlets as sources of fresh food

Objective: Increase farmers' market, community, and individual garden utilization

Strategies:

  • Expand awareness of use of SNAP funds at farmers' markets
  • Expand acceptance of EBT benefits at all farmers' markets

Goal: Improve mental health perception and reduce stigma

Objective: Develop campaigns and educational activities that increase community awareness and knowledge of mental health and addiction/substance abuse

Strategies:

  • Continue and expand stigma-reduction public education presentations by persons with lived experience
  • Expand Milwaukee Behavioral Health Division's efforts to reduce stigma around mental health and substance abuse
  • Expand creative visual arts experiences for youth and their families around stigma reduction

Objective: Identify and support peer-to-peer community ambassadors to educate others about mental health and addiction/ substance abuse

Strategies:

  • Specific strategies to be determined by action team

Goal: Improve access to mental health services

Objective: Build community capacity to provide mental health and addiction/substance abuse services

Strategies:

  • Reduce barriers to access mental health and substance use disorder treatment services
  • Increase coordination and utilization of City of Milwaukee and Milwaukee County programs, including Homeless Outreach Team, Crisis Intervention Team, Crisis Assessment Response Team, Medicine Disposal and Collection, Mobile Urgent Treatment Team
  • Support the Milwaukee Coalition for Children's Mental Health Plan to improve children's mental health in Milwaukee
  • Advocate for increased Medicaid reimbursement for targeted behavioral health services
  • Support the development and implementation of Access HUBs.
  • Expand enrollment in the Comprehensive Community Services Benefit
  • Expand psychiatric telemedicine including teleconsultation for children and pre- and post-partum women
  • Increase capacity and number of addiction/substance abuse service providers
  • Promote the integration of primary care clinics with integrated behavioral health
  • Support mental and physical preparedness for pregnancy

Goal: Improve access to mental health services

Objective: Build community capacity to provide mental health and addiction/substance abuse services

Strategies:

  • Reduce barriers to access mental health and substance use disorder treatment services
  • Increase coordination and utilization of City of Milwaukee and Milwaukee County programs, including Homeless Outreach Team, Crisis Intervention Team, Crisis Assessment Response Team, Medicine Disposal and Collection, Mobile Urgent Treatment Team
  • Support the Milwaukee Coalition for Children's Mental Health Plan to improve children's mental health in Milwaukee
  • Advocate for increased Medicaid reimbursement for targeted behavioral health services
  • Support the development and implementation of Access HUBs.
  • Expand enrollment in the Comprehensive Community Services Benefit
  • Expand psychiatric telemedicine including teleconsultation for children and pre- and post-partum women
  • Increase capacity and number of addiction/substance abuse service providers
  • Promote the integration of primary care clinics with integrated behavioral health
  • Support mental and physical preparedness for pregnancy

Objective: Improve care coordination between service providers and community members

Strategies:

  • Increase care coordination capacity of community health workers
  • Engage community health workers and parent peers to support families with young children in navigating culturally appropriate, family-directed services to meet their needs with dignity
  • Enhance the Milwaukee Police Department Homeless Outreach Team that works to identify individuals in need and engage in outreach

Goal: Improve mental health perception and reduce stigma

Objective: Develop campaigns and educational activities that increase community awareness and knowledge of mental health and addiction/substance abuse

Strategies:

  • Continue and expand stigma-reduction public education presentations by persons with lived experience
  • Expand Milwaukee Behavioral Health Division's efforts to reduce stigma around mental health and substance abuse
  • Expand creative visual arts experiences for youth and their families around stigma reduction

Objective: Identify and support peer-to-peer community ambassadors to educate others about mental health and addiction/ substance abuse

Strategies:

  • Specific strategies to be determined by action team

Goal: Become a trauma-informed city

Objective: Provide Trauma 101 or trauma-informed service delivery training for community organizations, residents, and city government employees

Strategies:

  • Train all City of Milwaukee Health Department staff who provide direct services in trauma-informed care
  • Continue practice of training all police officers on Fair and Impartial policing and Procedural Justice
  • Train all Milwaukee County Department of Health and Human Services staff in trauma-informed care
  • Train community organizations and residents in trauma-informed care
  • Adopt a trauma-informed approach to violence prevention in Milwaukee, across sectors, institutions and partners that acknowledge trauma and encourage trauma-sensitive approaches to violence prevention
  • Promote and implement police practice that is trauma- -informed and reduces elements of bias across government departments and other sectors, including education and youth serving organizations
  • Offer ongoing, collaborative opportunities for training and capacity-building for organizational partners and community stakeholders to better understand best and promising practices in preventing violence and reducing trauma
  • Offer training to providers, professionals, and first responders to better identify, engage, assess, and support youth and families who have experienced trauma
  • Use validated assessment strategies to determine which social services are trauma informed, culturally responsive and useful for youth and families

Goal: Improve access to basic human needs such as healthy & affordable food, and safe & affordable housing

Objective: Increase safe housing environments

Strategies:

  • Provide free home repairs to low-income homeowners
  • Provide weatherization products and energy conservation
  • Support City's sale of tax foreclosed properties to low income residents
  • Support the City's landlord training program
  • Maintain Strong Neighborhood Loan Program
  • Maintain Compliance Load Program offering qualified home owners interest-free, deferred payment loans to repair code violations

Goal: Improve access to and quality of education

Objective: Increase and encourage positive youth engagement

Strategies:

  • Strengthen quality and coordination of mentorship and after school/summer programs
  • Bolster school-based violence and trauma prevention and community schools' initiatives

Goal: Promote equitable laws and practices

Objective: Expand implicit bias and micro-aggression reduction and de-escalation tactics training for first responders, including law enforcement and crisis intervention service providers.

Strategies:

  • Continue and expand practice of training all police officers on Fair and Impartial Policing and Procedural Justice
  • Conduct trainings for City of Milwaukee employees to learn about health and racial equity
  • Potentially expand to Milwaukee Public School Employees

Goal: Improve access to and quality of education

Objective: Advocate for a sustainable funding model that supports high-quality early childhood education

Strategies:

  • Reduce the State-imposed per-pupil revenue gap that exists between pupils in Milwaukee Public Schools and students in surrounding communities to ensure equal revenue per pupil across Wisconsin
  • Advocate for full funding for all-day 4K programming by allowing school districts to count each child in all-day K4 programming as a full 1.0 FTE of funding
  • Advocate for funding for K3 programming
  • Advocate for an increase in the amount of State funding to meet the growing costs of bilingual education

Objective: Improve family environments and quality of early learning to foster healthy child development

Strategies:

  • Promote early childhood home visitation and positive parenting programs
  • Strengthen preschool enrichment with family engagement
  • Refund/Create Family Resource Centers in MPS schools and neighborhood centers

Objective: Increase and encourage positive youth engagement

Strategies:

  • Strengthen quality and coordination of mentorship and after school/summer programs
  • Bolster school-based violence and trauma prevention and community schools' initiatives

Goal: Improve access to employment that provides family-supporting wages and benefits

Objective: Develop and promote neighborhood businesses that hire local residents

Strategies:

  • Continue to refine sector strategies and improve and coordinate business services to support employers
  • Use new and existing financing resources to expand business development and spur job creation
  • Make neighborhoods more desirable for housing and business development by reducing the number of foreclosed and vacant properties
  • Increase job training, skill enhancement, and educational opportunities by fostering partnerships between state agencies and nonprofit community groups
  • Create incentives and improve employer readiness to hire and retain those facing accessibility barriers and remove barriers for jobs
  • Create opportunities for local entrepreneurship and economic development

Objective: Increase access to and awareness of job training, skill enhancement, and educational opportunities

Strategies:

  • Collaborate to implement cross-program strategies to ensure there are "no wrong doors" for job seekers who navigate the talent development system
  • Continue and expand Employ Milwaukee's Youth Workforce Investment Activities
  • Work with system partners to align workforce development and education programs and resources
  • Support minimal level of proficiencies necessary to allow individuals to be successful in job training programs
  • Continue and expand workforce development partnerships as well as internship, job shadowing, summer job programs for high school and college students
  • Develop ladders of advancement for Milwaukee youth and Milwaukee Entrepreneurs
  • Advocate for the expansion of the State of Wisconsin transitional jobs program
  • Increase coordination of youth job programs to link higher need youth to subsidized jobs and supportive services (strengthen employability and earn income concurrently)
  • Integrate financial education with employment services to improve economic opportunities for low to moderate income communities

Objective: Advocate for local and state policies that increase wages and benefits

  • Strategies TBD

Objective: Expand financial literacy and security education

  • Strategies TBD

Goal: Improve access to and quality of education

Objective: Improve family environments and quality of early learning to foster healthy child development

Strategies:

  • Promote early childhood home visitation and positive parenting programs
  • Strengthen preschool enrichment with family engagement
  • Refund/Create Family Resource Centers in MPS schools and neighborhood centers

Objective: Increase and encourage positive youth engagement

Strategies:

  • Strengthen quality and coordination of mentorship and after school/summer programs
  • Bolster school-based violence and trauma prevention and community schools' initiatives

Goal: Enhance community connectedness

Objective: Increase community conversations and healing sessions

Strategies:

  • Use creative placemaking to establish places where all residents can interact
  • Continue and consider expanding Sankofa, Celebrando, and Community Health Worker forums that bring individuals together with positive health messages
  • Continue and consider expanding Hate at Home workshops
  • Continue to host police and resident listening sessions
  • Create and promote community events and safe transportation routes in neighborhoods most impacted by violence

Objective: Provide increased opportunities for government-community partnerships and trust-building

Strategies:

  • Increase the number of public meetings and/or hearings occurring in the community

Objective: Increase opportunities for neighborhood beautification projects

Strategies:

  • Expand resources available for Bloom and Groom
  • Continue to use City vacant lots for community gardens

 

Goal: Improve access to basic human needs such as healthy & affordable food, and safe & affordable housing

Objective:Create a local, sustainable food system and increase demand for healthy food

Strategies:

  • Develop a citywide food system policy and action agenda
  • Continue Healthy Eating and Active Living Environment (HEALE) projects
  • Support Nutrition and Quality Council to provide education to food pantry employees about healthy food donation and preparation
  • Improve health education to increase demand for fresh and healthy food
  • Strengthen emergency food system that ensures nutritious food

Objective: Foster economic development of businesses that sell healthy food in underserved neighborhoods

Strategies:

  • Establish a Food Trust Model in Milwaukee creating a flexible city fund to address food access
  • Develop other retail outlets as sources of fresh food

Objective: Increase farmers' market, community, and individual garden utilization

Strategies:

  • Expand awareness of use of SNAP funds at farmers' markets
  • Expand acceptance of EBT benefits at all farmers' markets

Objective: Increase safe housing environments

Strategies:

  • Provide free home repairs to low-income homeowners
  • Provide weatherization products and energy conservation
  • Support City's sale of tax foreclosed properties to low income residents
  • Support the City's landlord training program
  • Maintain Strong Neighborhood Loan Program
  • Maintain Compliance Load Program offering qualified home owners interest-free, deferred payment loans to repair code violations

Objective: Promote fair housing policies

Strategies:

  • Advocate for anti-eviction policies for pregnant women

Inclusive and Fair Society

Goal: Promote equitable laws and practices

Objective: Advocate for the requirement to conduct an equity review as part of the legislative process

Strategies:

  • Explore the feasibility of adopting a Health in All Policies approach for the City of Milwaukee
  • Develop a rubric for evaluating policies on fair housing practices
  • Promote the creation of a racial equity impact assessment at the city and county level

Goal: Strengthen and enhance neighborhood and civic leadership

Objective: Build community member capacity for civic leadership

Strategies:

  • Support the growth of affinity groups that engage young Milwaukeeans in civic life
  • Explore the feasibility of creating a community advisory board for the City of Milwaukee Health Department
  • Continue Building Neighborhood Capacity program
  • Educate community members to be neighborhood advocates
  • Expand efforts to build neighborhood and resident organizing and advocacy capacity

Objective: Reduce barriers to voter registration and casting ballots

Strategies:

  • Continue and expand pre-election registration and voter education activities in communities that have been historically un- or under-represented in voting
  • Continue and expand partnerships to make voter registration more accessible