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University of Wisconsin–Madison

Assessing and Improving Community Health in Wisconsin

Winnebago County Health Department

Implementation Approaches

Goal: Reduce substance use and addiction.

Strategy 5.1: Reduce access and exposure to alcohol in social settings.

  • Focus areas/Example activities: decrease focus on alcohol at social events; improve alcohol guidelines at festivals; generate support for policies/ordinances limiting minors in bars and alcohol marketing; reduce the “alcohol specials” that promote heavy drinking; reduce reliance on alcohol for fundraising

Strategy 5.3: Improve access to treatment and recovery options.

  • Focus areas/Example activities: build/enhance public/private partnerships for coordinated care and providing recovery/treatment services; payment for appropriate treatment (in-patient, outpatient, medication-assisted treatment)

Strategy 5.4: Improve data collection related to alcohol/drug use

  • Focus areas/Example activities: implement system to measure place of last drink; collect qualitative data from high school youth related to underage drinking

Healthy Foods and Beverages

Goal: Increase access to and consumption of fruits, vegetables, and healthy beverages while decreasing consumption of sugar-sweetened beverages in children and adults.

Strategy 3.1: Improve food environment in food retail and social settings focusing on most vulnerable populations.

  • Focus areas/ Example activities: improve nutritional content of foods available for people with food insecurity

Strategy 3.2: Improve food environment in institutions that serve children.

  • Focus areas/Example activities: increase servings of vegetables provided in daycares/schools

Strategy 3.3: Improve food environment in institutions that serve adults

  • Focus areas/Example activities: increase servings of vegetables provided in assisted living centers, faith based organizations, colleges and universities, recreational centers, etc.

Strategy 3.4: Improve residents’ ability to recognize and use healthy foods.

  • Focus areas/Example activities: increase nutrition literacy

Goal: Reduce substance use and addiction.

Strategy 5.2: Reduce access to and misuse of prescription and illicit drugs.

  • Focus areas/Example activities: promote Prescription Drug Monitoring Program; decrease access to medications in the home; promote proper disposal of prescription drugs

Strategy 5.3: Improve access to treatment and recovery options.

  • Focus areas/Example activities: build/enhance public/private partnerships for coordinated care and providing recovery/treatment services; payment for appropriate treatment (in-patient, outpatient, medication-assisted treatment)

Strategy 5.4: Improve data collection related to alcohol/drug use

  • Focus areas/Example activities: implement system to measure place of last drink; collect qualitative data from high school youth related to underage drinking

Access to Opportunities that Improve Health

Goal: Improve and expand access to and availability of already existing services or opportunities.

Strategy 2.1: Support activities which connect agencies serving similar populations in order to increase access to multiple services.

  • Focus areas/Example activities: increase use of and access to entities such as The Hub or Leaven; educate community partners about the concept of no ‘wrong door/warm hand-off’

Strategy 2.2: Identify barriers to accessing social service programs and gaps within those programs.

  • Focus areas/Example activities: conduct an assessment to understand who is eligible for services but not using/accessing them and why; and to understand who is not eligible but in need of services

Goal: Improve mental health systems of care and mental health among residents.

Strategy 4.1 Expand mental health services and focus on integration of these into primary care.

  • Focus areas/Example activities: build/enhance public/private partnerships for case management and provide mental health services (e.g., no wrong door to the right mental health services)

Strategy 4.2 Prevent suicide-related behaviors.

  • Focus areas/Example activities: expand/sustain evidence-based strategies related to suicide prevention

Strategy 4.3 Promote protective factors, healthy relationships.

  • Focus Area/Example activities: increase awareness among residents about social and place connectedness

Strategy 4.4 Improve coping skills and build resilience in individuals that have experienced or are vulnerable to trauma.

  • Focus areas/Example activities: reduce use of tobacco and other substances among people with poor mental health; reduce self-harm; increase participation in group activities and neighborhood associations

Social and Place Connectedness

Goal: Residents are connected and engaged in the places and spaces that matter to them.

Strategy 1.1: Integrate public health into local municipal planning processes and decision-making systems so health outcomes are considered in decision-making processes (“health in planning”).

Strategy 1.2: Support community development initiatives designed to engage, improve, and strengthen community connectedness, and improve physical, social and service environments in local neighborhoods.

Strategy 1.3: Enable community and civic connections at a neighborhood level to improve neighborhoods and relationships with all people in those neighborhoods (specifically older adults, people with disabilities, people with lower incomes, new parents, and youth).

  • Focus areas/Example activities: conduct an assessment related to social networks/connectedness

Access to Opportunities that Improve Health

Goal: Improve and expand access to and availability of already existing services or opportunities.

Strategy 2.3: Improve access to transportation.

  • Focus areas/Example activities: increase use of safe, active transportation; improve public and para-transit systems; support policy that allows individuals to maintain a driver’s license with non-vehicular violations

Strategy 2.4: Support efforts to ensure a range of affordable housing is available for all.

  • Focus areas/Example activities: home improvement loans and grants; transitional housing; mixed use, mixed income, and affordable rentals