Goals for the Day By the end of the day, participants will be able to: Examine the major health issues facing the North Country and the Sate Discuss ways other communities have chosen to address these issues Evaluate the health issue(s) most affecting residents in your community Identify strategies to address the issue or issues Identify the next steps necessary to implement these strategies

Putting It All Together Taking the Next Steps in Community Change

Top Ten Comparison – Sub-regions and Region-wide RankRegion-WideNorthern Grafton Western CoosBerlin-Gorham 1Substance AbuseObesitySubstance Abuse 2ObesitySubstance AbuseObesityUnemployment 3 Access to Mental Health Providers UnemploymentObesity 4UnemploymentUninsured Access to Mental Health Providers Children in Poverty 5UninsuredPhysical InactivityUninsured Access to Mental Health Providers 6Children in PovertyTobacco UseChildren in Poverty Limited Access To Health Foods 7Excessive Drinking Uninsured 8Physical InactivityChildren in Poverty Limited Access To Health Foods Physical Inactivity 9Tobacco Use Limited Access To Health Foods Tobacco UseExcessive Drinking 10 Limited Access to Healthy Foods Inadequate Social Support Physical Inactivity Access to Primary Care Physicians

Western Coos Area Towns: Pittsburg, Clarksville, Stewartstown, Dixville, Colebrook, Columbia, Millsfield, Stratford, Stark, Northumberland, Groveton, Lancaster, Whitefield, Jefferson, Dalton, Twin Mountain Reporter: Identified Priorities Identified Strategies

Top Ten Comparison – Sub-regions and Region-wide RankRegion-WideNorthern Grafton Western CoosBerlin-Gorham 1Substance AbuseObesitySubstance Abuse 2ObesitySubstance AbuseObesityUnemployment 3 Access to Mental Health Providers UnemploymentObesity 4UnemploymentUninsured Access to Mental Health Providers Children in Poverty 5UninsuredPhysical InactivityUninsured Access to Mental Health Providers 6Children in PovertyTobacco UseChildren in Poverty Limited Access To Health Foods 7Excessive Drinking Uninsured 8Physical InactivityChildren in Poverty Limited Access To Health Foods Physical Inactivity 9Tobacco Use Limited Access To Health Foods Tobacco UseExcessive Drinking 10 Limited Access to Healthy Foods Inadequate Social Support Physical Inactivity Access to Primary Care Physicians

Berlin-Gorham Area Towns: Wentworth’s Location, Errol, Dummer, Cambridge, Milan, Berlin, Randolph, Gorham, Shelburne Reporter: Identified Priorities Identified Strategies

Top Ten Comparison – Sub-regions and Region-wide RankRegion-WideNorthern Grafton Western CoosBerlin-Gorham 1Substance AbuseObesitySubstance Abuse 2ObesitySubstance AbuseObesityUnemployment 3 Access to Mental Health Providers UnemploymentObesity 4UnemploymentUninsured Access to Mental Health Providers Children in Poverty 5UninsuredPhysical InactivityUninsured Access to Mental Health Providers 6Children in PovertyTobacco UseChildren in Poverty Limited Access To Health Foods 7Excessive Drinking Uninsured 8Physical InactivityChildren in Poverty Limited Access To Health Foods Physical Inactivity 9Tobacco Use Limited Access To Health Foods Tobacco UseExcessive Drinking 10 Limited Access to Healthy Foods Inadequate Social Support Physical Inactivity Access to Primary Care Physicians

Northern Grafton Towns: Littleton, Bethlehem, Monroe, Lyman, Lisbon, Sugar Hill, Franconia, Lincoln, Bath, Landaff, Easton, Woodsville, Haverhill, Benton, Woodstock, Piermont, Warren Reporter: Identified Priorities Identified Strategies

Next Steps Over the next year, NCHC is committed to helping each Initiative Working Group with the following: Compiling the ideas and commitments from the summit's participants and providing this information to the groups Creating and disseminating "leader packets", including next steps based on the outcome of the facilitated breakout sessions at the Summit Providing guidance and oversight Working with groups to create an online forum to facilitate communication and discussion of ideas and strategies Attending each group's initial Summit follow up meeting. Will attend monthly/bi-monthly meetings as requested Providing meeting space and technical support for monthly or bi-monthly meetings Connecting Working Group's to the resources that will further the Initiative in their communities

Julie’s Slide

Current NCHC Programs NCHC Programs Video

Thank You!