Mayor’s Healthy Hometown Movement (MHHM)
Tobacco Free Living Committee
400 E. Gray St., 5:30pm
March 18, 2013
Meeting Minutes
Attendees: Bev Beckman (Upstream to Equity), JoAnn Orr (Sickle Cell Association), Danny Dubosque (FHC), Tom Walton (University Hospital), Teresa Campbell (UAW FORD, Community Health Initiatives/KHC), Lelan Woodmansee (Greater Louisville Medical Society), Kate Crandell (Bellarmine University), Barton Cooper (Community Health Charities), Dana Carpenter (U of L Health Promotion), Sharon Elesser (Norton Healthcare), Tony Zipple (Seven Counties), Leanne French (LPMHW), Ryan Irvine (LMPHW), Marigny Bostock (LMPHW), Anneta Arno (Center for Health Equity), Peter Rock (Center for Health Equity) and Ann Badger (Center for Health Equity).
I. Welcome…………………….………………………………………………………………….Anneta Arno, Ph.D., MPH
II. Co-Chair Nominations……………………………………………………………….……Anneta Arno, Ph.D., MPH
Danny Dubosque was recommended to chair the committee by a peer. Tammy Pikago has
also been nominated for co-chair. All chair nomination forms will be sent out via email for
vote by the entire committee.
III. Strategic Planning…………………………………………………………………………………………Peter Rock, MPH
Across the entire Mayor’s Healthy Hometown Movement, strategic planning is underway to ensure committee objectives and priorities are informed by community needs and best practices. The strategic planning session broke members out into groups of four to brainstorm on high and low level impact chronic disease objectives. These objectives were then shared by each group and sorted into categories on a spectrum between 1 and 6; one being the smallest impact and six being the largest.
Suggested, possible objectives are listed below:
· Focus on behavioral health and treat suicide as something that should never happen. The rate of suicide is twice as high as homicide in our community; suicide is measureable and effective prevention has been done successfully in other cities.
· Addiction- power of addictive diseases i.e. drug & alcohol addiction, in our community is growing.
· Trauma informed care – Adverse Childhood Experiences (ACE) study (partially funded by the CDC), is a score that we should know as well as our blood pressure, cholesterol, etc. because this number will show the likelihood of chronic disease outcomes and early death.
· Health Literacy- HL is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. The Family Health Centers, Inc. already does a great job with health literacy and communication strategies so expanding this to other clinics and hospitals might be a good priority.
· Mandate policy within JPCS to make physical education a requirement in schools and bringing in dieticians to help students make good choices.
· Lastly, four themes emerged from the committee that the Health Dept. will gather data on to help prioritize objectives. Data for each theme will be sent out via email for review by the entire committee. Also, an emphasis on Health Literacy will be included throughout each:
I. Substance use disorder
II. Suicide
III. Childhood trauma
IV. Depression
Questions/Comments:
· The consensus amongst the group is to focus on mental & behavioral health issues.
· Will the committee’s plan collaborate with the state’s chronic disease plan i.e. Unbridled Health?
· What are the primary needs of the community from a data driven and informed perspective?
· The committee keeps shrinking. Let’s focus on mental health issues and also perhaps on obesity since food is a crutch for most people. Create a targeted mission and start creating change.
· Let’s use the local data to drive mission statement and also the state’s plan for creating change.
· Can the Health Dept. provide the data since they are familiar with it, as we are not?
· Is there a focus on programmatic efforts or targeting populations in specific zip codes?
· The push around the country is to include Behavioral health services into primary care.
· Create Immediate, intermediate and long term goals.
· Focus on depression & health literacy.
· De-stigmatization of mental illness in the community is enormously expensive to and doesn’t necessarily change people’s opinions and beliefs. It’s more effective to focus on the decreasing the stigma of providers.
· It may be beneficial to include Dr. Kevin Johnson from the Center for Mental Health Disparities @ U of L to get a research perspective.
The strategic planning will be guided by the Strategic Prevention Framework; see diagram below:
For more information on Strategic Prevention Framework: http://ctb.ku.edu/en/tablecontents/sub_section_main_210.aspx
It is recommended that the committee start with looking at existing assessments of Louisville’s tobacco usage, services, programs and policies to ensure committee objectives are timely and relevant.
Examples of existing assessments include:
Health Equity Report
BRFSS, YRBS
KIP survey?
DFC coalitions
Smoke Free Kentucky data
Louisville Metro Public Health and Wellness
Health Status Report
Future assessments:
Private housing tenant survey
What do the assessments tell us the objectives should be?
Objectives need to be SMART:
Specific
Measurable
Achievable
Realistic
Time-phased
Once objectives have been chosen, the committee will move into planning stages before implementation. It is recommended that the committee refer to the following existing resources for strategic planning purposes:
National Prevention Strategy
Healthy People 2020
Development of healthy-KY and healthy-Louisville objectives
Evidence-based approaches
Successful approaches from comparable cities
What does the research say?
Is it sustainable
Higher levels of spectrum of prevention
During next stage of planning, a 12 month action plan will be created for the objectives the committee decides to pursue.
Next Meeting: Monday, April 15th at 5:30pm at 400 E. Gray Street