9-1-1

4-1-1

2-1-1

2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350 Detroit, MI 300 Missouri 300

Financial assistance (rent, utilities)71% Material resources (clothes, furniture) 9% Housing (shelter, home repair) 5% Food (pantries) 3% Health 1% Why do people call?

Women73-90% Unemployed 54-59% Household income < $15, % Disproportionately minorities Who calls 2-1-1?

Pilot study November, 2007 – February, 2008 Aim 1: Estimate cancer control needs of callers Aim 2: Determine feasibility of cancer referrals

Mammography Pap testing Colonoscopy HPV vaccine Smoking Smoke-free home policies Assessing six cancer control actions

Mammograms Pap smears Colonoscopies HPV vaccination Smoking cessation Smoke free home policy

Need at least one85% Need two or more54% Need three or more30% Current cancer control needs of callers

No health insurance callers (n=297) vs. Missouri vs. U.S.

Current cigarette smoker callers (n=297) vs. Missouri vs. U.S.

Has a smoke-free home policy callers (n=297) vs. Missouri vs. U.S.

Ever had a colonoscopy (ages ≥ 50) callers (n=107) vs. Missouri vs. U.S.

Reactions to pilot intervention Tailored Generic Outcome (n=20) (n=19) Recall getting referral 95%89% Recall getting mailing 60%47% Read all of mailing 50%33% Liked mailing a lot 67%56% Very easy to understand 75%56% Called referral agency 30%21% Made an appointment 20% 5%

Opportunity for CPCRN Develop a network wide project Explore different strategies to enhance use of cancer control referrals Possible integration into renewal applications

Proposed next steps Washington University in St. Louis Share funded R01 proposal Lead working group of interested Centers

Proposed next steps Other centers If interested, meet with your local system and assess interest and willingness to collaborate By Dec. 1, indicate “in” or “out” to Kurt Ribisl