1. Wellness Curriculum: Teaching Inmates to Take Care of Their Health Yolanda G. Martinez, Ph.D. Office of Minority Health Orange County Health Department

2. Improving the Health of the Community by Improving the Health of Inmates Acquired Limitations Societal Barriers Prison System Societal Impact of Released Inmates More Acquired Limitations ROOTS

3. Wellness Curriculum 2001 Rationale: need to provide health education to incarcerated individuals Original project: sought to provide education and link newly released individuals to health, work and housing

4. Wellness Curriculum Components Teacher Manual (English) Student Manual (English and Spanish) Transparencies 6 chapters High Blood Pressure Diabetes Breast Cancer Prostate Cancer Colorectal Cancer Sexually Transmitted Diseases

5. Wellness Curriculum Evaluation Demographic form (name, race/ethnicity, last grade completed, zip code of residence, and known health problems) Pre-test (English and Spanish) Post-test (English and Spanish) Teacher Feedback Form

6. Wellness Curriculum: Timeline March 17, 2003 – June 6, 2003 12 weeks 1 group every 2 weeks Total participants = 538 Average age = 32.3 Age range = 14 - 65

7. Wellness Curriculum / Orange County Corrections Department OCCDProjectProject % Adult Male2,85247217% Adult Female 4497917% Juvenile33 100% Total3,33458417% As of June 2003

8. Wellness Curriculum: Participant Race/Ethnicity

9. Wellness Curriculum: Participant Educational Level

10. Participant Zip Code of Residence

11. Areas of Health Concern

12. Areas of Health Concern as Identified by Female Inmates

13. Other Areas of Health Concern Identified by Female Inmates African American: circulatory problems (3.7%), digestive problems (7.4%) chronic diseases (3.7%). Hispanic: thyroid (18.8%), back problems (12.5%), circulatory (6.3%), respiratory problems (50%) White: cholesterol, respiratory, seizures, digestive problems (3.4%)

14. Health Issues Identified by Medical Staff Preconception Reproductive Health Pregnancy and HIV Pregnancy and drug addiction including smoking Chronic diseases such as HBP, asthma, diabetes, seizures, etc.

15. Health Issues Identified by Medical Staff Cont. Depression and Anxiety Abuse Polyps among women of color Nutrition Physical activity Parenting skills