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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Portage County Health and Human Services

Implementation Approaches

Goal 1: Collaborate with community partners to implement community based policy and environmental changes to reduce alcohol and other drug abuse in Portage County.

Objective: By December 31, 2018, reduce unhealthy and risky alcohol and other drug use among residents by 3 percent.

  • Conduct evidence based community surveys, including Community Alcohol Personality (CAP) survey, implement Youth Risk Behavioral Surveys (YRBS) and support Behavioral Risk Factor Surveillance Surveys (BRFSS) in Portage County to assess strengths and weaknesses of the population.
  • Create a multi-faceted strategic plan to address alcohol and other drug abuse utilizing evidence-based initiatives.
  • Identify and share resources that support alcohol prevention, screening, intervention, and recovery.

Goal 2: Collaborate with community partners to decrease the acceptability of alcohol and other drug abuse among youth, adolescents and adults

Objective: By December 31, 2018, decrease acceptability of adverse behaviors related to drug and alcohol abuse.

  • Support state-wide campaigns to promote drug and alcohol abuse prevention.
  • Endorse and implement evidence based strategies with a county-wide focus to prevent alcohol abuse.
  • Support policies that encourage responsible use of alcohol and prescription medications.

Goal 3: Support cultural change with a focus on community systems, policies, and conditions that reduce substance abuse.

Objective 1: By December 31, 2018, develop stronger cross-coalition relationships through engagement to develop collective impact.

  • Assess alcohol use among culturally diverse groups.
  • Increase mentoring programs at local schools to decrease delinquent behavior and drug-use among at-risk students.
  • Support programs and policies that work to decrease acceptability of alcohol, drug, and tobacco abuse to achieve an environmental and cultural change.

Objective 2: By December 31, 2018, create policy and resources to reduce alcohol and drug availability in the community.

  • Decrease access to drugs and alcohol by community education of illegal drug use through implementing mass media campaigns.

Objective 3: By December 31, 2018, reduce the disparities in unsafe alcohol and other drug use among populations of differing races, ethnicities, sexual identities and orientations, gender identities, and educational or economic status.

  • Support efforts to provide family support resources for those affected by alcohol and drug abuse.

Goal 1: Improve nutrition of Portage County residents by improving access to healthy and nutritious foods as defined by County Health Rankings.

Objective 1: By December 31, 2018, increase the Food Environment Index by 0.5 points through increased access to fruits and vegetables, decreased access to sugar-sweetened beverages, and other less nutritious foods from birth through the entire life span.

  • Increase community education to support healthy eating habits.
  • Identify and optimize awareness of local resources and programs that support healthy and nutritious food consumption.
  • Collaboration with community partners and key stakeholders will create a positive environment for programs and policies that enhance access to healthy and nutritious foods.

Objective 2: By December 31, 2018, support residents in Portage County to access nutritious, high-quality, affordable foods and beverages.

  • Support additional development of Electronic Benefits Transfer (EBT) at area Farmers’ Markets to increase the availability of locally grown fruits and vegetables.
  • Advocate for worksite wellness programs, daycare centers, and after school programs in supporting healthy and nutritious food choices.
  • Support and promote breastfeeding initiatives throughout Portage County.

Goal 2: Improve the physical activity of Portage County residents through active living.

Objective 1: By December 31, 2018, decrease the rate of physical inactivity to by 2 percentage points as measured by the County Health Ranking and Roadmaps.

  • Support programs that highlight non-vehicular transportation such as walking or biking.
  • Promotion of local infrastructure and resources that support physical activity (parks, trails and programs).
  • Support local school districts in adopting “Safe Routes to School” and related programs.

Objective 2: By December 31, 2018, work with communities to encourage, educate, and address safety issues to promote physical activity.

  • Endorse CDC recommendations for physical activity, 60 minutes/day for children and 30 minutes/day for adults.
  • Advocate for worksite wellness through work environments that encourage physical activity as part of the workday.
  • Support local implementation of the Portage County Countywide Bicycle and Pedestrian Plan by supporting systems, environmental change, and policy development.

Goal 3: Increase the percentage of youth and adults in Portage County that have an optimal weight (Adults=BMI <30, Children=BMI at or below the 95th percentile).

Objective 1: By December 31, 2018, residents will demonstrate healthier lifestyles through consumption of healthy and nutritious foods and regular physical activity.

  • Encourage collection of baseline data, which supports BMI, from schools, worksites and healthcare systems for areas that need improvement.
  • Support initiatives that ensure children receive 60 minutes a day of physical activity in schools.
  • Support programs and policies that enhance physical activity and nutrition in the community.
  • Encourage environmental change supporting active communities.

Objective 2: By December 31, 2018, promote access to physical activity and healthy and nutritious food consumption to target in-need populations.

  • Support community partners that help residents manage chronic disease appropriately through environments that support physical activity.
  • Support programs for residents managing chronic disease by increasing awareness and access to affordable nutritious foods.
  • Partner with senior living facilities and the Aging and Disabilities Resource Center (ADRC) of Portage County to ensure seniors have access to physical activity and healthy and nutritious foods.

Goal 1: Collaborate with community partners to implement community based policy and environmental changes to reduce alcohol and other drug abuse in Portage County.

Objective: By December 31, 2018, reduce unhealthy and risky alcohol and other drug use among residents by 3 percent.

  • Conduct evidence based community surveys, including Community Alcohol Personality (CAP) survey, implement Youth Risk Behavioral Surveys (YRBS) and support Behavioral Risk Factor Surveillance Surveys (BRFSS) in Portage County to assess strengths and weaknesses of the population.
  • Create a multi-faceted strategic plan to address alcohol and other drug abuse utilizing evidence-based initiatives.

Goal 2: Collaborate with community partners to decrease the acceptability of alcohol and other drug abuse among youth, adolescents and adults

Objective: By December 31, 2018, decrease acceptability of adverse behaviors related to drug and alcohol abuse.

  • Support state-wide campaigns to promote drug and alcohol abuse prevention.
  • Support policies that encourage responsible use of alcohol and prescription medications.

Goal 3: Support cultural change with a focus on community systems, policies, and conditions that reduce substance abuse.

Objective 1: By December 31, 2018, develop stronger cross-coalition relationships through engagement to develop collective impact.

  • Increase mentoring programs at local schools to decrease delinquent behavior and drug-use among at-risk students.
  • Support programs and policies that work to decrease acceptability of alcohol, drug, and tobacco abuse to achieve an environmental and cultural change.

Objective 2: By December 31, 2018, create policy and resources to reduce alcohol and drug availability in the community.

  • Implement a uniform opioid prescribing policy to be used throughout the medical community.
  • Decrease access to drugs and alcohol by community education of illegal drug use through implementing mass media campaigns.

Objective 3: By December 31, 2018, reduce the disparities in unsafe alcohol and other drug use among populations of differing races, ethnicities, sexual identities and orientations, gender identities, and educational or economic status.

  • Implement and evaluate Community Anti-Drug Coalitions of America (CADCA) survey and develop a model of change for Portage County.
  • Support efforts to provide family support resources for those affected by alcohol and drug abuse.

Goal 1: Collaborate with community partners to decrease the negative mental health stigma in Portage County.

Objective: By December 31, 2018, support services that reduce stigmas associated with mental health by establishing three educational campaigns that support a positive mental health environment.

  • Implement promotional and educational efforts that decrease the stigma of mental illness while identifying resources that support mental health.
  • Increase community awareness to mental health support services and resources.
  • Support programs such as, Question, Persuade, and Refer (QPR), to train corporate organizations, school districts, health care, and other community groups in mental health procedures.

Goal 2: Reduce the rate of suicide in Portage County through increased awareness and access to mental health services.

Objective: By December 31, 2018, work to reduce the current rate of suicide by 9 percent for all disproportionately affected populations.

  • Support utilization of Employee Assistance Programs (EAP) through Portage County businesses.
  • Increase implementation of Question, Persuade, and Refer (QPR) in community businesses and organizations.
  • Promote available community resources.

Goal 3: Sustain and apply evidence-based programs to resolve gaps in the mental health service delivery system.

Objective 1: By December 31, 2018, implement two evidence based school and/or community interventions to improve access to care and reduce gaps in mental health services.

  • Increase the amount of community institution staff (schools and shelters) that receive mental illness training to make them more effective.
  • Support accessibility to mental health services for those who are in need, regardless of income or employment.
  • Increase access to the amount of mental health related resources for community institutions that support mental health.

Objective 2: By December 31, 2018, improve the amount of poor mental health days related to depression, anxiety and emotional problems from 2.3 days out of 30, to 1.3 out of 30.

  • Support more screening and community outreach opportunities to address depression, anxiety and emotional problems.
  • Collaborate with local mental health providers to address the current needs of at-risk populations.