Building a Healthy Nevada

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Building a Healthy Nevada
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Presented by the HHS Committee on Future
Directions

• College of Health and Human Sciences

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Building a Healthy Nevada
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Goal to identify strategic direction for the HHS
directed toward addressing Nevadas most pressing
social/health needs

• Process
• Input from HHS Faculty, summer 2005
• Inclusive of all HHS units
• Data-driven, macro-level working plan

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Building a Healthy Nevada
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• This presentation is the first step in
• Planning for new directions that will enhance
  current college initiatives
• Presenting our plan for addressing Nevadas most
  pressing social/health problems
• Clarifying for key constituents what HHS does
• Requesting your reaction to the direction we are
  proposing to make HHS a more vital,
  problem-solving, proactive college, with a more
  clearly defined, easily communicated mission

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Building a Healthy Society
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• Initiative Objectives
• Assessment
• Plan for accreditation
• On-going impact assessment
• Produce a statewide Report Card

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HHS Mission Statement (abbreviated)
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• To create and communicate health and human
  sciences knowledge
• Through education, research and scholarly
  activity, and service
• To enhance the quality of life of the citizens of
  Nevada, the nation, and the world

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Charges from the Provost
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• What are Nevadas most pressing problems?
• What needs to be done to address these issues?
• What resources are necessary to address these
  issues more effectively?
• This presentation will focus on 1

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Building a Healthy Nevada
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• UNR Faculty teach, engage in basic/applied
  research, outreach
• Uniquely, HHS faculty
• Provide in-service pre-service training for
  current and future professionals to conduct
  research and provide professional service
  delivery (including prevention and intervention
  activities)
• Participate in collaborations with other
  University units, community partners, and
  statewide collaborators
• Examples include HAWC Clinic, Advanced
  Directives for Health Care Decisions, CYFERNet,
  and the Child and Family Services Analysis
  System, a variety of research-based efforts
  with state and county health departments
• Conduct significant outreach education and
  service
• Make contributions to the Land Grant and
  statewide mission through our Centers

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Social Health Indicators
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All Ages Homicides Alcohol-Related Traffic
Deaths Food Stamp Coverage Housing Cost
Burden Income Equality

• Children Infant Mortality
• Child Abuse
• Child Poverty
• Youth Teenage Suicide
• Teenage Drug Abuse
• High School Completion
• Adults Unemployment
• Average Weekly Wages
• Health Insurance Coverage
• Aging Poverty Among Those Over 65
• Suicide Among Those Over 65

1The Social Health of the States, 2003, The
Fordham Institute
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• Nevada has a poor overall social health
  scorefourth from the bottomwith a rank of 46
  for the second year in a row. It is a social
  recession state, and one of only four in the
  nation to receive 8 or more Fs. (out of the 16
  indicators from the previously cited Fordham
  report).
• (The Social Health of the States, 2003 by the
  Fordham Institute for Innovation in Social
  Policy.)

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Social Health of the States, 2003
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State Rank
Social Health Score
Iowa 1 Minnesota 2 Pennsylvania
3 Maine 4 Nebraska 5 Connecticut
6 New Jersey 7 Wisconsin
8 Vermont 9 Utah 10
72.5 70.4 66.4 65.9 65.8 65.5 64.3 62.3 62.1 62
Above average performance Range of 54.9
61.1 Average performance, Range of 47.5
54.4 Below average performance Range of 36.8
46.3
Excellent Performance
Range of 62 72.5
Rank 11 20 Above Average Performance Rank 21
30 Average Performance Rank 31 40 Below
Average Performance
36 35.4 34.3 34 34 30.9 29.1 29 27.9 20.8
California 41 North Carolina
42 Alabama 43 Montana 44 Texas
44 Nevada 46 Arizona 47 Mississippi
48 Louisiana 49 New Mexico 50
Poor performance
Poor Performance
1 Each state receives a social health score from
1-100 based on its cumulative performance on
these indicators and is ranked accordingly among
the fifty states. 2 Source Fordham Institute
for Innovation in Social Policy
Range of 20.8 - 36
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Building a Healthy Nevada
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• In addition
• The elderly in Nevada are almost 5 times more
  likely to commit suicide than elderly people in
  Rhode Island.
• Nevada covers less than half of those eligible
  for food stamps, while Hawaii covers nearly all.
• (The Social Health of the States, 2003)

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Social Health Indicators
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All Ages Homicides (46th) Alcohol-Related
Traffic Deaths Food Stamp Coverage (50th) Housing
Cost Burden Income Equality

• Children Infant Mortality
• Child Abuse (41st)
• Child Poverty
• Youth Teenage Suicide (44th)
• Teenage Drug Abuse (47th)
• High School Completion (49th)
• Adults Unemployment
• Average Weekly Wages
• Health Insurance Coverage (41st)
• Aging Poverty Among Those Over 65
• Suicide Among Those Over 65 (50th)

Scores of F are shown in TEAL
1The Social Health of the States, 2003, The
Fordham Institute
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Guiding Premises
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• Nevada ranks poorly compared to other states on
  these indicators
• Nevada is the fastest growing state in the nation
  
• Growth and increasing diversity stress
  infrastructure and magnify problems

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Elements of a Healthy Society (9 domains)
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• Physical Health
• Social Well-Being
• Behavioral Health
• Economics
• The Environment
• Public Safety
• Informed Citizenry (Education)
• Aesthetics
• Spirituality

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HHS Priorities Through research, teaching, and
outreach efforts, the College of HHS currently
focuses on addressing 5 (of the previously cited)
9 elements
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• Physical Health
• Social Well-Being
• Behavioral Health
• Public Safety
• Informed Citizenry

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Physical Health
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• Percentage of overweight Nevadans has increased
  35.3 (2000) 38.8 (2004) well above lt25 goal of
  Healthy People 2010(BRFSS, 2000 2004)
• HHS Initiatives Nursing, SPH, HDFS, SW, and
  Campus Recreation and Wellness (CRW) to combat
  obesity and overweight
• Other HHS Initiatives immunization, access to
  care, infectious/chronic diseases

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Social Well-Being
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• 2nd highest pregnancy rate in the nation for
  15-19 year olds (2000)
• Nevada teen pregnancy rate 53.9/1000 (2002)
• HHS Initiatives HDFS/Social Work, SPH on teen
  pregnancy
• Other HHS Initiatives family stability,
  domestic/child/elder abuse

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Public Safety
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• 8th highest rate of violent crime per 100,000
  population (2003)
• HHS Initiatives CJ SW domestic violence
• Other HHS Initiatives conflict resolution,
  bioterrorism preparedness
• Violent crime defined as murder, forcible rape,
  robbery aggravated assault.

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Informed Citizenry
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• 49th lowest high school graduation rate
• Wellness promotion
• HHS Initiatives HDFS/Cooperative Extension
  parenting education, family literacy
  intergenerational learning juvenile delinquency,
  child development, Early Head Start, SPH, CRW
  Nursing in senior wellness, cardiovascular
  health, diabetes prevention
• Other HHS Initiatives conflict management
• (The Social Health of the States, 2003)

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Behavioral Health
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• 10th highest number of individuals in the nation
  26 and older who need, but do not receive,
  treatment for alcohol use (unmet treatment need).
• 6th highest national rate for the number of
  adolescents diagnosed with a substance abuse
  dependence disorder
• HHS Initiatives CASAT, Nursing, SPH alcohol and
  drug use
• Other HHS Initiatives prevention
• (National Survey of Drug Use and Health, 2003)

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Building a Healthy Nevada
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Building a Healthy Nevada
1 Center for Application of Substance Abuse
Technologies, 2Campus Recreation and Wellness,
3Child and Family Research Center, 4 Center for
Program Evaluation and Partnership Development,
5Gerontology Academic Program, and 6Nevada Center
for Ethics and Health Policy
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Building a Healthy Nevada
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• HHS three-phase plan
• Phase One Macro-level work -- domain
  identification sample indicators
• What are Nevadas most pressing problems
• Phase Two Intensive micro-level work --
  finalize domains, specific indicators
  associated data points
• What needs to be done to address these issues?
  
• Phase Three Identification of resources needed
  to address issues more effectively

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Building a Healthy Nevada
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• Our goal is to address Nevadas most pressing
  social/health needs and to invite others to help
  build a Healthy Nevada.