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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Monroe County Health Department

Implementation Approaches

Goal: Reduce youth substance abuse

Strategy 1: Reduce youth access to alcohol using evidence based practices and environmental strategies.

Activities:

  • Conduct alcohol compliance checks throughout Monroe County
  • Investigate the merit system for alcohol issues and how it is being implemented currently. Look at ways of improving this method to work toward creating an additional ordinance within Monroe County.
  • Track impaired driving statistics within Monroe County and educate about different types of impaired driving issues.
  • Work with Hispanic community based on the results from Year 6 conversations.
  • Create public awareness of effects on maternal/child health issues related to alcohol use.
  • Continue incentive program and sharing outcome data for passed compliance checks.
  • Increase awareness of the long-term negative effects of alcohol on the teenage brain through public outreach.
  • Educate on what laws are regarding serving minors in Wisconsin and how this is impacted by the culture of drinking within our state.

Goal: Increase community collaboration

Strategy 1: Promote the Monroe County Safe Community Coalition (MCSCC) through the utilization of consistent promotional materials, effective media strategies, and community collaborations.

Activities:

  • Biannually report coalition outcomes to funders, policy makers, community members, and other stakeholders.
  • Utilize opportunities to collaborate more with other organizations/businesses
  • Increase coalition presence in the community among “general population,” not just professionals, through the use of billboards or movie theatre PSAs.

Strategy 2: Offer educational and learning opportunities (ex. diversity and cultural competence, advocacy, environmental strategies, sustainability, evaluation, and current drug trends) to MCSCC members through the utilization of multiple training methods and activities.

Activities: 

  • Utilize local radio stations to have monthly radio spots to provide educational information to our communities

Strategy 3: Participate in long-range strategic and action planning through MCSCC and standing workgroups.

  • Utilize the 12 Month Coalition Action Plan to monitor MCSCC’s performance.
  • Update and maintain the evaluation plan to ensure desired outcomes are achieved.
  • Administer the Youth Risk Behavior Survey (YRBS) within a sample of students (grades 6-12) to assess the 4 Core Measures and share results.
  • Research the possibility of levels of donations by businesses (bronze, silver, gold) annually.
  • Ensure representatives of the MCSCC are present at Legislative breakfasts and/or Chamber events to increase presence in the community.
  • Conduct a Community Perceptions Survey to determine the level of community support for environmental/policy changes.

Draft Goals:

  1. Develop a strategic plan for the nutrition workgroup.
  2. Increase the number of county residents that consume an adequate amount of fruits and vegetables each day.
  3. Increase education and awareness efforts regarding nutrition in the county.

Goal: Reduce youth substance abuse

Strategy 1: Reduce youth access to prescription drugs by educating youth and adults and promoting proper disposal of prescription drugs.

Activities:

  • Work with hospice on policy review/revision to include education on proper disposal of medications.
  • Promote permanent medication drop box locations and proper medication disposal through flyers and social media.
  • Investigate partnerships with High Intensity Drug Trafficking Areas (HIDTA) program and Army National Guard.
  • Provide parent education through Boys & Girls Clubs, 4H, Scouts, Community Learning Centers (CLC), and Church Youth Groups.
  • Create one traveling display board for each school district (4 total) that can be used during school functions.
  • Maintain current medication return boxes in the county and support the proper disposal of prescription drugs/medications. Increase drop boxes to 3 total in the county.
  • Conduct outreach to engage new community partners (including Realtors and Senior Meal Sites) to help promote proper disposal of prescription drugs.

Strategy 2: Reduce youth access to marijuana by educating youth and adults about the harmful effects of marijuana use.

Activities: 

  • Collect stories about local issues around marijuana.
  • Continue collecting data in regards to marijuana use locally from law enforcement, emergency rooms, poison control, etc.
  • Collaborate with La Crosse County to bring in a SAM representative to train coalition members and key stakeholders on marijuana.
  • Talk with local large businesses about drug testing policies and issues they are encountering with marijuana.
  • Create community education plan to include presentations and media.
  • Conduct policy maker assessments on where they stand regarding marijuana.

Goal: Increase community collaboration

Strategy 1: Promote the Monroe County Safe Community Coalition (MCSCC) through the utilization of consistent promotional materials, effective media strategies, and community collaborations.

Activities:

  • Biannually report coalition outcomes to funders, policy makers, community members, and other stakeholders.
  • Utilize opportunities to collaborate more with other organizations/businesses
  • Increase coalition presence in the community among “general population,” not just professionals, through the use of billboards or movie theatre PSAs.

Strategy 2: Offer educational and learning opportunities (ex. diversity and cultural competence, advocacy, environmental strategies, sustainability, evaluation, and current drug trends) to MCSCC members through the utilization of multiple training methods and activities.

Activities: 

  • Utilize local radio stations to have monthly radio spots to provide educational information to our communities

Strategy 3: Participate in long-range strategic and action planning through MCSCC and standing workgroups.

  • Utilize the 12 Month Coalition Action Plan to monitor MCSCC’s performance.
  • Update and maintain the evaluation plan to ensure desired outcomes are achieved.
  • Administer the Youth Risk Behavior Survey (YRBS) within a sample of students (grades 6-12) to assess the 4 Core Measures and share results.
  • Research the possibility of levels of donations by businesses (bronze, silver, gold) annually.
  • Ensure representatives of the MCSCC are present at Legislative breakfasts and/or Chamber events to increase presence in the community.
  • Conduct a Community Perceptions Survey to determine the level of community support for environmental/policy changes.

Goal: Monroe County youth (0-18) will have improved mental wellness.

Objectives:

  • Improvement in mental health in Monroe County youth (improvements in YRBS, DHS, hospital data)
  • Improved access to mental health services (Mental health provider ratio in CHR; YRBS).
  • Decrease in suspension and expulsion rates from schools.
  • Sustain the number of frontline workers who receive training related to mental health on a regular basis.
  • Increased awareness regarding the five signs of emotional suffering from Change Direction Campaign.
  • Increase access to mental health services in schools.
  • Increased number of frontline workers will receive training.

Activities: 

  • Promote Change Direction Campaign
  • Institute mental health counseling services in at least one school district
  • Provide training to frontline workers: Crisis Intervention Training, Adverse Childhood Experiences & Trauma Informed Care (ACEs/TIC), Question, Persuade, Refer (QPR) Suicide Prevention Trainings
  • Addressing continuity of care youth mental health care between school counselors and clinical mental health providers