1. May 27, 2014 KCHP Advisory Group Part 4: Unhealthy Behaviors, Deaths, Illness, Injury, and Disability Kitsap Community Health Priorities - KCHP

2. Welcome! Kitsap Community Health Priorities – KCHP Katie Eilers Assistant Director of Community Health Kitsap Public Health District

3. Schedule Kitsap Community Health Priorities – KCHP Last Tuesday of each month, 1-4pm (3 hours) DATE MEETING TOPIC FEB 25 Demographics and Environmental Health MAR 25 Household Composition, Economic Well-Being, Education, Employment, Housing APR 29 Health Care Resources, Pregnancy/Births, Quality of Life MAY 27 Unhealthy behaviors, deaths, illness, injury, disability JUNE 24 Review key findings and integrate survey findings JULY 29 Discussion: opportunities & challenges AUG 26 No meeting SEPT 30 KCHP community meeting: review key findings & prioritization

4. Natural Environment Age Gender Genetics Race/Ethnicity Income Education Child Care Housing Employment Social Support Health Care Safety Built Environment O PPORTUNITIES, C HOICES, B EHAVIORS Aging population Parents in combat Transportation Walk/bike to school Food access Homelessness Access to early learning Graduation rates Workforce training/edu Living wage jobs Walkability Single parenting Influencing factors… Determine foliage… Determine roots/trunk… Asthma rates Late prenatal care Prenatal care Youth mental health Adverse Childhood Experiences (ACEs) Mental health care Smoking during pregnancy Dental care Babies born into poverty Youth suicide ideation Bullying Youth suicide attempts Obesity Adult mental distress Emotional support Male health care utilization Youth in homes with poor management Gestational diabetes CPS referrals Elder abuse

5. Agenda Kitsap Community Health Priorities – KCHP Who LeadsTime Community Survey draftSiri1:05 Brief Review of FindingsBeth1:10 Data: Unhealthy behaviors, Death, Illness, Injury, Disability Siri & Beth1:15 Break2:25 Small Group AnalysisSponsor Group2:35 Large Group DiscussionKatie3:30 Wrap-upKatie3:55

6. Community Survey Kitsap Community Health Priorities – KCHP Purpose: Gather community input and additional information not in presented data to inform priorities Timeline: Monday June 2 nd – Paper: Tuesday June 17 th Web: Thursday June 19 th Format: Online and paper Distribution: Need your help! Today: Review draft survey and leave us your comments!

7. Key Findings & Prioritization Process Overview Kitsap Community Health Priorities – KCHP FEB-JUNE You are identifying key findings in your small groups and in our large group discussions JULY We will provide summary of overlapping findings - Areas of Convergence You will frame potential priorities from your key findings and Areas of Convergence You will prioritize potential priorities using an evidence-based method (6-10 potential priorities) SEPTEMBER Community Representatives will review summarized assessment data and your potential priorities Community Representatives will use an evidence-based method to identify final priorities (3-5)

8. DATA REVIEW Kitsap Community Health Priorities – KCHP

9. Review of February: Issue Frequency Among Small Groups Kitsap Community Health Priorities – KCHP IssueNumber of Groups Aging population5 Transit cutbacks; transportation issues; walkability 5 Food desertification; poor food access4 Increase in youth with parents in combat3 Fewer kids walking/biking to school3 Higher rates of asthma2

10. Review of March: Top Issue by Small Group Kitsap Community Health Priorities – KCHP Bremerton as outlier Access to early learning Living wage jobs, workforce edu/training Lower graduation rates for low income Single parenting IssueNumber of Groups Bremerton as outlier3 Homelessness3 Access to early learning2 Affordable housing2 Food insecurity2 Living wage jobs, workforce education2 Single parent households2 Issue Frequency Among Small Groups

11. Review of April: Top Issue by Small Group Kitsap Community Health Priorities – KCHP Adverse Childhood Experiences Late Prenatal Care Prenatal Care Access IssueNumber of Groups Youth suicide prevention4 Access to mental health care3 Access to prenatal care3 Adverse Childhood Experiences (ACEs)3 Births to low-income women2 Smoking during pregnancy2 Issue Frequency Among Small Groups

12. Data Today Kitsap Community Health Priorities – KCHP Section G. Unhealthy Behaviors Section H. Deaths, Illness, Injury, Disability

13. Small Group Analysis Kitsap Community Health Priorities – KCHP 1.List most important issues to our community’s health & well-being and why considering size, seriousness, trend, value. 2.Do those issues have differences by sub-groups: gender; age; race/ethnicity; education; income? 3.Identify data gaps – need agency data or community survey question? 4.Current community capacity to address issues? 5.Opportunities, factors, events, barriers affecting issues? 6.Any issues “ripe” for collective impact?

14. Large Group Analysis Kitsap Community Health Priorities – KCHP Compare small group outcomes Consolidate lists of issues including – community capacity – opportunities/factors/barriers – agency data request(s) – community survey questions – collective impact opportunities

15. Wrap-Up Kitsap Community Health Priorities – KCHP What we accomplished today Please leave us your comments on the draft survey Anticipate a call for your help to distribute the survey Next meeting: June 24 th 1-4pm; HMC Silverdale Review survey results and key findings

16. kitsapchp.com Kitsap Community Health Priorities – KCHP