2.  What really makes people healthy?  What besides health care keeps us healthy?

4. The Health Council currently focuses on the following desired results:  Healthy and sustainable communities where all families and individuals have their basic needs met and prosper.  Improved health and education outcomes for children/youth from pregnancy to age 25.  Improved healthcare access and quality of service for uninsured and indigent populations for both physical and behavioral health.

5.  Performing periodic Community Health Needs Assessments and maintaining Community Health Profile  Supporting county-wide comprehensive planning process  Convening community members from multiple sectors  Working collectively with other local coalitions and collaboratives  Creating action plans, policy recommendations, strategies and activities to achieve health equity

6.  HEALTHY COMMUNITIES Improved health & education outcomes for children/youth 0-25 Improved healthcare access & quality of service for uninsured & indigent populations Healthy & sustainable communities where all families & individuals have their basic needs met & prosper POVERTY/ INCOME IDHCC (Co-op Project) Pathways to a Healthy Bernalillo County HOUSING/ HOMELESSNESS NM Coalition to End Homelessness (ABQ Strategy) Pathways to a Healthy Bernalillo County BUILT ENVIRONMENT Healthy Here Initiative (Active Living) SCALE FOOD ACCESS POLICY Healthy Here Initiative (Healthy Eating) LAND USE & ENVIRONMENTAL JUSTICE Healthy Places for New Mexico PUBLIC SAFETY Opioid Accountability Initiative (Law Enforcement/ Criminal Justice Team) EARLY CHILDHOOD Early Childhood Accountability Partnership (ECAP) YOUTH YOUNG ADULT ABC Community Mission:Graduate Schools Partnership IDHCC EDUCATION = HEALTH PHYSICAL HEALTH Healthy Here Initiative (Clinical/Community Linkages) Pathways to a Healthy Bernalillo County BEHAVIORAL HEALTH Opioid Accountability Initiative (Treatment & Prevention Teams) Pathways to a Healthy Bernalillo County

7.  Fall 2015 – gathering data (IBIS, CHNA.org, and NMCDC…using data from ACS, Bureau of Labor Statistics, USDA, EDFacts, NMDOH PRAMS, CDC, BRFSS, YRRS, CABQ Environment Dept, FBI UCR)  December 15, 2015 – Data Snapshot Presentation to BCCHC  March 7-22, 2016 – Online community survey  March 22, 2016 – Report back on survey results  April 18, 2016 – CHNA report submitted to PHS

8. 1. Child Abuse 2. Poverty 3. Drug Overdose 4. Violent Crime 5. Prenatal Care 6. Obesity 7. Child Poverty 8. High School Graduation 9. Food Access 10. Food Insecurity

9. 1. Violence prevention – Reduce rates of violent crime and child abuse 2. Poverty - Reduce the percentage of residents living below the federal poverty line (focusing on the strategy of increasing high school graduation rates) 3. Opioid Overdose - Reduce opioid overdose death rate (focusing on strategies to improve prevention, treatment, access to naloxone, and law enforcement/criminal justice approaches) 4. Maternal/Child Health - Improve maternal, infant and early childhood outcomes (focusing on increasing access to and utilization of prenatal care) 5. Chronic Disease - Reduce the obesity rate (focusing on strategies of increasing access to healthy food, opportunities for physical activity and clinical/community linkages)

10. 3. OPIOID OVERDOSE: Reduce opioid overdose death rate – Bernalillo County Opioid Accountability Initiative (focused on strategies to improve prevention, treatment, access to naloxone, and law enforcement/criminal justice approaches) 5. CHRONIC DISEASE: Reduce the obesity rate – Healthy Here: Communities Leading Healthy Change (focused on strategies of increasing access to healthy food, opportunities for physical activity and clinical/community linkages)

11. 2. POVERTY: Reduce the percentage of residents living below the federal poverty line International District Healthy Communities Coalition Education = Health (adult literacy) Economics = Health (promotion of local co-ops) Prosperity Works 4. EARLY CHILDHOOD: Improve maternal, infant and early childhood outcomes Early Childhood Accountability Partnership (includes increasing access to and use of prenatal care)

12. 1. Violence prevention – reduce rates of violent crime and child abuse  Violence impacts our other direct work  Violence is both cause and consequence of drug use/abuse (Opioid Accountability Initiative)  Violence and perception of violence reduces access to physical activity opportunities and healthy food (Healthy Here)

13. Source: CHNA.org – FBI UCR

18. *n=5,271 (randomly selected New Mexico residents). **n=26,229 (includes randomly selected residents from Arkansas, Louisiana, New Mexico, Tennessee, and Washington). Adverse Childhood Experiences Report by Adults --- Five States, MMWR, December 17, 2010 / 59(49);1609-1613.

19. Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect and household dysfunction and the risk of illicit drug use: The Averse Childhood Experience Study. Pediatrics, 111(3), 564–572.

20. Longhi, D., Silveanu, A., & Porter, L. (2012, February 1). Stress, Strength, Work, Hope. Family Policy Council - Community Networks. Retrieved August 9, 2013, from www.fpc.wa.gov/publications/StressStrengthWorkHope.VR-Data-Report.pdf

21. Problems like violence are so complex, with so many contributing factors, that they're often called "wicked" or "messy" problems. Messy, wicked problems

24.  http://ctb.ku.edu/en/table-of- contents/analyze/analyze-community- problems-and-solutions/root-causes/main http://ctb.ku.edu/en/table-of- contents/analyze/analyze-community- problems-and-solutions/root-causes/main

25.  Child abuse  Intimate partner violence  Bullying  Sexual violence  Homicide  Suicidal behavior  Elder abuse & neglect

26. Source: CHNA.org – FBI UCR

27.  But why is this happening?