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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Richland County Health and Human Services

Implementation Approaches

Goal 1: Increase Community Collaboration

Strategy 1: Providing Information

  • Conduct Capacity Checklist. Share results & create plan to address gaps in infrastructure.
  • Conduct a follow up Capacity Checklist.

Strategy 2: Enhancing Skills

  • Send RCCFAC members to AWY regional meetings, or statewide prevention conferences. Bring in AWY consultants to do sessions. 
  • Conduct 1:1 conversations with each member, sector representatives to assess members’ interest, training needs and potential contributions. 
  • Create an orientation checklist and training packet for RCCFAC members. 
  • Develop job descriptions to strengthen leadership. 
  • Organize a youth prevention team with representation from both county school districts and provide training.

Strategy 3: Modify Policies

  • Assess and update RCCFAC roles and responsibilities organizational structure and bylaws aligning with 12 month action plan, and adopt policies for members.

Strategy 4: Changing Consequences and Public Recognition

  • Create a web based system (website, blog, Mail Chimp) for communicating progress and recognizing members.

Strategy 5: Providing Support

  • Establish an epidemiological workgroup (Epi Workgroup) to oversee evaluation of 12 month Action Plan.

Goal 2: Reduce Youth Substance Abuse

Strategy 1: Providing Information

  • Conduct youth-led presentations to civic organizations, township elected officials, parent/ teacher organizations, 4-H clubs, school clubs, at Counter Act parent night and other community gatherings to educate the community on Wisconsin’s new state wide Social Host Law. 
  • Publish information in the newspaper, on the radio and school district newsletters regarding WI Social Host Law and results of 2017 YRBS.

Strategy 2: Enhancing Skills

  • Conduct a Town Hall meeting focused on providing tips for parents on how to talk to kids about alcohol and keep youth alcohol free at social events. 
  • Send youth prevention team leaders to the Annual Youth Summit near Milwaukee for prevention skills training specifically to implement the Sticker Shock campaign.
  • Widely share SAMHSA video on locking up refrigerators which store beer with civic organizations and parent groups.

Strategy 3: Providing Support

  • Enhancing Protective Factors/ Reducing Risk Raise funds to purchase and provide law enforcement with a breathalyzer for use at events held on school properties. 
  • Send Law Enforcement to Alcohol Policy Seminar to learn about new state Social Host Law.

Strategy 4: Enhancing Access/ Reducing Barriers

  • Provide refrigerator locks for parents throughout the county in order to better monitor alcohol supply.

Strategy 5: Changing Consequences & Public Recognition

  • Recognize parents who sign a pledge stating they will not provide alcohol to youth. 
  • Law enforcement increases patrols on grad/ prom events to respond to underage drinking parties and complaints.

Strategy 6: Physical Design

  • Implement the “Parents Who Host Lose The Most” campaign to include yards signs widely visible throughout the county (dosage) on private property, banners on school properties, car window clings, billboards, radio PSAs, newspaper ads and information in the school newsletters. 
  • Implement the Sticker Shock campaign at county convenience stores.

Strategy 7: Modify Policies

  • Law Enforcement signs a MOU agreeing to have extra patrols grad/prom weekends to respond to underage drinking parties and complaints. 
  • Work with local Law Enforcement and elected officials to ensure that the new state Social Host Ordinance is being enforced. 
  • Event organizers adopt county ordinance for the sales and service of alcohol at community events on public property.

Goal 1: Improve the eating habits of all residents in Richland County.

Strategy 1: Providing Information

  • Provide information to county restaurants on the results of the Healthy Kids menu assessments (Medical College of WI grant). 
  • Provide sample policies, environmental assessments, and technical support to school districts, childcare centers, workplaces and civic organizations for strengthening wellness policies.

Strategy 2: Enhancing Skills

  • FIT Steering Committee and members participate from 2018 to 2021 on the Healthy Wisconsin Leadership Institute COACH team program to support leadership development.

Strategy 3: Providing Support

  • In partnership with another organization, implement an annual harvest and gleaning dinner/ event in the community. 
  • Work with the Richland County Breastfeeding Task Force to advocate for county work places to adopt policies to support Mothers who are breastfeeding.

Strategy 4: Enhancing Access/ Reducing Barriers

  • Provide reasonable examples of healthy choices/options for sale at concession stands, food stands, and food school fundraisers. 
  • Work towards Point of Purchase goals by working with two new local restaurants per year to add healthy options to the kids menu and healthy options to their overall menu. 
  • Work towards Point of Purchase goals by working with concession stands to add healthier options to their overall menu.

Strategy 5: Changing Consequences & Public Recognition

  • Publically recognize all organizations, individuals, childcare centers, and workplaces in the county who make changes to wellness policies. 
  • Publically recognize organizations and businesses who offer healthy choices/options where food is sold at concessions stands, restaurants, C-stores and grocery stores.

Strategy 6: Physical Design

  • Conduct nutrition assessments of non-traditional food retailers, analyze and follow up with potential changes.

Strategy 7: Modify Policies

  • Begin the process of policy change with school districts, childcare centers, workplaces and civic organizations in order to strengthen wellness policies. (to include language about local procurement of food and access to non-nutritive food in local schools, G.R.A.C.E. to adopt a policy about access to healthy choices in 100% of locations where fundraisers are held-possible phased in approach).

Goal 2: Increase physical activity of all residents in Richland County.

Strategy 1: Providing Information

  • Through social media, parent newsletters, the newspaper/newsletters, and radio promote the importance of physical activity and health benefits.

Strategy 2: Enhancing Skills

  • Encourage participation in monthly calls and webinars offered by healthTIDE’s WACA organization.

Strategy 3: Providing Support

  • Maintain a partnership with SW Partners work on increasing access to outdoor activities such as Bike the Pine and Safe Routes to school. 
  • Work in collaboration with the Symons Recreational Complex to support the annual Ugly Sweater Fun Walk/Run held in December.

Strategy 4: Enhancing Access/ Reducing Barriers

  • Support the work of the Community Prosperity Alliance to advocate for an additional grocery store in Richland County.

Strategy 5: Changing Consequences & Public Recognition

  • Using social media and other media outlets publicly recognize organizations, workplaces and individuals who encourage/influence others to stay physically active.

Strategy 6: Physical Design

  • Work to support work with elected officials to complete the Safe Routes to School project.

Strategy 7: Modify Policies

  • Encourage adoption of organizational and workplace policy around physical activity.

Goal 3: Promote a holistic concept of fitness in total.

(See Mental Health Treatment priority for goals, objectives, and strategies to improve mental wellbeing and increase an understanding of holistic health.)

Goal 4: Enhance the strength of the Richland F.I.T. coalition.

Strategy 1: Providing Information

  • Information will be provided to or presented to stakeholder organizations such as; G.R.A.C.E, SW Partners, and Elected Officials describing the role of Richland FIT coalition as an organization inspiring/influencing community change.

Strategy 2: Enhancing Skills

  • FIT Steering Committee members including a RCHHS Public Health representative will participate in the Healthy WI Leadership Institute’s C.O.A.C.H Team program.

Strategy 3: Providing Support

  • By December 2021, be an active partner on the county-wide HAWCs to address the health needs of Richland county residents in a comprehensive approach.

Strategy 4: Enhancing Access/Reducing Barriers

  • Ways to reduce/eliminate barriers to involvement on the coalition will be sought (language, childcare, transportation, etc…)

Strategy 5: Changing Consequences & Public Recognition

  • Using social media and other media outlets, Richland FIT will recognize organizations, individuals and groups who promote the 4 goals areas of the coalition.

Strategy 7: Modify Policies

  • Steering Committee members will sign Memorandum of Understanding documents outlining their roles and responsibilities in the effort to influence change policies 
  • Community agencies will increase offering of evidence-based prevention strategies

Goal 1: Increase Community Collaboration

Goal 2: Reduce Youth Substance Abuse - Marijuana Use

Strategy 1: Providing Information

  • Provide education and information to county residents regarding the health consequences of youth marijuana us. Intentionally focus education effort to address the change in rate from 9th (10%) to 10th (20.6%)
  • Present current youth marijuana rates in appropriate manner to County residents.
  • Conduct a community forum or/and town hall meeting and couple with increased enforcement, will result in a lower rate of use/misuse of marijuana.

Strategy 2: Enhancing Skills

  • Implement the evidence based Strengthening Families Program which can help families in conflict or those that present certain risk factors for adolescent drug use—such as parental support for drugs—to achieve certain reductions in risky, multi-use behavior.
  • Implement a “comprehensive” long-term, school-based marijuana prevention program (including social refusal skills). All Stars or/and Life Skills.
  • Implement a school-based intervention program, such as Keepin’ It R.E.A.L., which can be effective in the promotion of antidrug norms and the acquisition of effective decision-making skills and communication skills. The program is “from youth for youth” and teaches participants resistance strategies that are important among peers.
  • Organize a youth prevention team of leaders to provide peer to peer strategies. (leadership development).

Strategy 3: Providing Support

  • Promote activities and services of schools, churches, parent organizations and other agencies that provide safe alternative activities, education, treatment or enforcement.

Strategy 4: Enhancing Access/Reducing Barriers

  • Implement a county wide youth curfew to reduce youth crime and drug use.
  • Implement Drug Free Zones around school buildings to represent a space where children can play without encountering drug users and dealers. (within a thousand feet of a school, and the integrity of the zone can be reinforced by laws that impose severe penalties for drug use or sale within such zones). Drug-free school zones are most effective when the school, parents, police, and local citizens work together and use publicity to promote the project.

Strategy 5: Changing Consequences & Public Recognition

  • Recognize youth who pledge to stay substance free.

Strategy 6: Physical Design

  • Work with Crime-stoppers to implement anonymous texting tip line to report youth Marijuana use.

Strategy 7: Modify Policies

  • Assess school policies monitoring and enforcing marijuana use at school.
  • Implement school policy requiring minimum of 2 canine (Rambo) drug checks per year.

Goal 2: Reduce Youth Substance Abuse - Non-RX Drug Use

Strategy 1: Providing Information

  • Conduct Red Ribbon Week Proclamations from county Townships, cities (Richland Center, Ithaca, and Cazenovia).
  • Conduct a comprehensive media campaign “Dose of Reality” to educate county residents of the dangers of misusing prescription drugs.
  • Set up a countywide viewing of “Straight Forward” video.
  • Provide staffed informational tables at multiple community events (school orientation, sporting events, and county fair).
  • Offer presentations to local senior centers, retirement homes and other interest groups.
  • Place articles and op-ed in newspapers, church bulletins, and on website on Drug Take Back Day and lock box locations.

Strategy 2: Enhancing Skills

  • Meet with local providers to share data and learn current prescribing practices.
  • Healthcare providers champion will offer lunch & learn to prescribers at local healthcare organization to educate on best practices and current dug trends in the community.

Strategy 3: Providing Support

  • Send coalition members to Annual Prevention Training on prescription best practice.
  • Conduct countywide Naloxone training for county residents, law enforcement, EMTs, healthcare providers.

Strategy 4: Enhance Access/Reduce Barriers

  • Conduct Drug Take Back Day events in rural townships and remote areas of the county. Translate drug box information and maps into Spanish.

Strategy 5: Change Consequences & Public Recognition

  • Work with local school district to modify school policy to change consequences for students caught with medications.
  • Host recognition event to honor parents, youth, and schools participating in RCCFAC prevention activities.

Strategy 6: Physical Design

  • Secure lock boxes on school field trips.
  • Conduct Rx Drug Lock Box distribution at pharmacies, hotels, clinics, senior centers (meal sites), realtors, vets, chiropractors, and dentists.

Strategy 7: Modify/Change Policy

  • Work with local school district to improve and update school policy related to students and Rx medications.
  • Local healthcare organization formally adopts state recommended protocol for responsible prescribing practices and discarding unused medications.

Goal 2: Reduce Youth Substance Abuse - Methamphetamine Use

Strategy 1: Providing Information

  • Conduct focus groups, one-on-one interviews, and key informant interviews to understand the local conditions relative to Meth use in the county.
  • Increase training and education countywide regarding the signs of Meth use and addiction.
  • Disseminate WI DHS Fast Facts on Methamphetamine countywide.
  • Work with the recovery community to disseminate personal stories regarding effects of use.

Strategy 2: Enhancing Skills

  • Working with retailers to increase awareness of ingredient purchases related to Meth production.
  • Provide training to coalition members for recognizing the signs of Meth use.

Strategy 3: Providing Support

  • Increase access to peer support groups. (NA, faith based and NAMI Chapter)
  • Working with PD to create policy requiring education on recognizing Meth signs and neutralizing Meth threats.
  • Recognize businesses that are supportive of individuals in recovery by providing incentives.
  • Advocate for resources in rural areas (Sober living).

Strategy 4: Enhancing Access/Reducing Barriers

  • Maintain a Drug Endangered Children program or committee.
  • Expand the number of safe and sober living options.
  • Increase access to recovery coaches to provide services in the community.

Strategy 5: Changing Consequences & Public Recognition

  • Help share stories of Meth use to gain acceptance of recovery within the public and reduce stigma.
  • Expand best-practice diversion and rehabilitation programs to incorporate family interventions.
  • Increase Treatment Alternatives and Diversion (TAC) grant funding to provide support to develop and maintain diversion programs.

Strategy 6: Physical Design

  • Establish and maintain medication disposal sites.
  • Provide and maintain a needle collection exchange program.

Strategy 7: Modify Policies

  • Create or update drug free workplace policies.
  • Support and promote the importance of policies related to pseudoephedrine sales to decrease illegal possession.

Limit access and availability of tobacco products and increase access to treatment.

Strategy 1: Providing Information

  • Reach out to tobacco retailers at least four times per year on proper identification checking and state statutes pertaining to tobacco sales.
  • Meet with behavioral health providers on the benefits of integrating nicotine replacement therapy into their treatment practices.
  • Meet with property managers and residents about the benefits of smoke-free housing to increase engagement.

Strategy 2: Enhancing Skills

  • Train stakeholders and professionals working in the behavioral health setting on how to integrate nicotine replacement therapy into their services through an onsite staff training or free online 6 credit CEU course.

Strategy 3: Providing Support

  • Provide free retailer education through witobaccocheck.org and in-person, onsite options.
  • Conduct meetings with school leaders to update comprehensive tobacco/nicotine-free policies, provide model language, and help with signage.

Strategy 4: Enhancing Access/Reducing Barriers

  • Increase QuitLine outreach through community events and public housing resident meetings.
  • Target First Breath outreach to pregnant women and their families through all family-focused Richland County Health Department services and community events.

Strategy 5: Changing Consequences & Public Recognition

  • Conduct Youth Tobacco compliance checks each year to ensure retailers are complying with Wisconsin Statutes for tobacco sales.
  • Publicly acknowledge and thank retailers who keep youth safe by reusing sales to incentivize and promote responsible sales practices.

Strategy 6: Physical Design

  • A multi-unit housing complex will change and publicize their tobacco policy

Strategy 7: Modify Policies

  • Conduct policy assessment for all Richland County school districts.
  • At least one Richland County tobacco/nicotine-free policy to comprehensively protect youth.
  • At least one Richland County multi-unit housing complex will implement a new smoke-free housing policy.

Goal: Maintain partnerships to increase access to mental health treatment.

Strategy 1: Providing Information

  • Support for Mental Health First Aid training, WISE Wisconsin, stigma reduction and mental health awareness efforts and outreach. Targeted strategies to support healthcare settings, law enforcement and employers to change their environments with regard to stigma and acceptability. 
  • Provide information to county residents regarding the evidence based recovery programs and a future sober living/housing facility.

Strategy 2: Enhancing Skills

  • Provide training to recovery coalition members

Strategy 3: Providing Support

  • Support efforts to organize a NAMI Chapter, Narcotics Anonymous and Smart Recovery

Strategy 4: Enhancing Access/ Reducing Barriers

  • Conduct asset/strengths mapping activities and compile results made available to county residents. 
  • Direct county residents to online resource guide/tool.

Strategy 5: Changing Consequences & Public Recognition

  • Provide opportunities for people in recovery to share their stories, specifically regarding their first drug of initiation.

Strategy 6: Physical Design

  • Support for establishing a sober housing opportunity in the county.

Strategy 7: Modify Policies

  • Establish a data sharing policy among agency partners