Using Publicly Available Data for Needs Assessment and Strategic Planning: A Public Health Approach to Addressing Substance Abuse and Health Disparities in Connecticut Connecticut Public health association ANNUAL conference Monday, October 30, 2017 The Aquaturf club, PlaNTSville, CT

Presenters Jennifer Sussman, BA, MFA, UCONN Health Coordinator, DMHAS Center for Prevention Evaluation and Statistics (CPES) Michelle Riordan-Nold, MPP Director, Executive Director, Connecticut Data Collaborative Tyler Kleykamp, Office of Policy and Management Chief Data Officer, State of Connecticut Open Data Initiative

Learning Objectives Participants will: Explore substance abuse as a public health issue, and how to use publicly available data to identify populations at greater risk of health disparities; Gain familiarity with publicly available data resources, including the State’s Open Data Portal, the Connecticut Data Collaborative website, the DMHAS Center for Prevention Evaluation and Statistics (CPES), and the State Epidemiological Outcomes Workgroup (SEOW); Learn about the challenges and limitations of compiling, sharing, and linking public health data, and the benefits of doing so for various constituencies and consumers.

How can public health data be used in addressing substance abuse? Substance Abuse Data Measure the scope of the problem Assess magnitude, severity and impact Prioritize problems and risk factors Identify subpopulations Increase awareness, buy-in, and commitment Measure success/demonstrate value Sustain efforts (secure funding, etc.) Public Health Data Locate where the problem is most evident or likely to occur Explore characteristics of at-risk groups (subpopulations) Hone in on shared risk factors for substance abuse Identify and address health disparities (individual, community) Assess community needs and resources, and access issues Target efforts and resources where they are most needed

Subpopulations and Health Disparities Indicators Population characteristics Poverty rate / community economics Unemployment rate Crime rate Community spending (education, health) Data on public health issues (obesity, disease, child maltreatment, etc.) Housing stability Food security Community livability and equity Community connectedness Availability of services Access to services Availability of transportation

Sources of Public Health Data CT Open Data Portal https://data.ct.gov/ CT Data Collaborative http://ctdata.org/ State Department of Education data (EdSight) http://edsight.ct.gov/SASPortal/ma in.do Department of Labor http://www1.ctdol.state.ct.us/lmi/l aus/laustown.asp CT Crash Data Repository http://www.ctcrash.uconn.edu/ CT Crime Data: Unified Crime Report http://www.dpsdata.ct.gov/dps/ucr/ ucr.aspx CT Census Data: CT State Data Center http://ctsdc.uconn.edu/ connecticut_census_data/ Connecticut Economic Resource Center https://www.cerc.com/resources/town-profiles/

New Britain, Norwalk, and Norwich experienced a decline in number of teen births

2015 Violent Crime (Rate per 100,000) 1,109 365 334 944 272 Dataset on ctdata.org: UCR Crime Index

3 Towns experiencing lower unemployment rates but the rates in two towns (New Britain and Norwich) are consistently higher than the state average Dataset on ctdata.org: Labor Force

Residential Mobility can be an indicator of housing instability

Percent of Assisted Housing Units in 2016 Hartford 38% Windham 30% New Britain 18% Norwich 19% New Haven 30% Norwalk 13% Dataset on ctdata.org: Subsidized Housing by Type Source: CT Department of Housing Assisted includes: CHFA/USDA Mortgages, Deed restrictions, tenant rental assistance, and government assisted

Opioid Related DMHAS Treatment Admissions Data Source: https://data.ct.gov/Health-and-Human-Services/Opioid-Related-Treatment-Admissions-by-Town-in-Dep/4pv7-jhxb

DMHAS Treatment Admissions by Substance & Year New Britain DMHAS Treatment Admissions by Substance & Year Norwalk Norwich Data Source: https://data.ct.gov/Health-and-Human-Services/Admissions-to-DMHAS-Addiction-Treatment-by-Town-Ye/erbt-mpgb

Bus Stop Density and Pharmacies that Dispense Naloxone Data Sources: Bus Stops: https://data.ct.gov/Transportation/CT-Transit-Hartford-New-Haven-New-Britain-Area-Rou/n4zd-qppb/ Pharmacies: https://data.ct.gov/Public-Safety/Pharmacies-offering-Narcan-Evzio-and-other-brands-/2vby-9bet

Fire and EMS Data from the National Fire Incident Reporting System Data Source: https://data.ct.gov/Public-Safety/Connecticut-Fire-Department-Incidents-2012-2015-/qem9-rt8k

What are the challenges of working with publicly available data? Suppression of data (small numbers) Rates provided but not numerators and denominators (population rates, etc.) Disaggregation's not provided or collected (race, gender, age) Some data may not encompass the entire population – Treatment data only reflects those admitted to State supported programs Consistent time frames – State data may be collected by Fiscal Year (July-June) rather than Calendar year Lack of standardized race/ethnicity categories Errors in data Data isn’t the story. You use data to help tell the story. –Brian Fanzo

Contact Us Jennifer Sussman Michelle Riordan-Nold Tyler Kleykamp Coordinator, Center for Prevention Evaluation and Statistics (CPES) UConn Health Phone: (860) 679-5409 E-mail: sussman@uchc.edu Michelle Riordan-Nold Executive Director, Connecticut Data Collaborative Phone: (860) 571-6214 E-mail: mrn@ctdata.org Tyler Kleykamp Chief Data Officer, State of Connecticut Office of Policy & Management Phone:(860) 418-6302 E-mail: Tyler.Kleykamp@ct.gov