Community Health Assets Mapping Partnership (CHAMP) Randolph County, NC

Background of Mapping Process African Religious Health Assets Program – Developed a PIRHANA tool for identifying and understanding the positive things in communities – Community Health Assets Mapping Partnership or CHAMP was adapted from PIRHANA, developed in Memphis and South Africa to aid in aligning and leveraging assets to improve healthcare outcomes – CHAMP Access to Care is being used in North Carolina as part of our FaithHealthNC movement

Mapping Workshop Process In this community, we held 2 workshops: Health-Seeker Workshop ( ): community members who are primarily consumers of religious and health services Health Provider Workshop ( ): people and organizations providing religious, health, and social services in the community, broadly defined

Study Area Background Basic Stats (in 2013): - Population: 142,577 -Median Age: 39.0 years (national=35.4; NC=37.0) -Percent of Population : Caucasian= 90% ; Latino=10.9% African-American=6.3% -Percent Living Under Poverty level: 17.1% -Median Income=$41,575; HS education=77.8% Boundaries: Randolph County of North Carolina

Seeker Participants 13 People (9 Females, 4 Males) participated

Provider Participants 22 People Participated (17 females, 5 males)

Workshop Facilitators: Facilitators: Dr. Teresa Cutts and Rev. Beth Kennett

Exercises Health Seeker Workshop 1Community Mapping: Participants draw maps of the assets in their community 2Health Index: Participants identify the most important factors contributing and working against health in the community 3Ranking of facilities: Participants rank community organization on how well they support factors contributing to health 4Religion and Health Index: Participants identify ways religion and religious organizations contribute to health 5Religion and Health Ranking: Participants rank religious organization on how their activities related to health and religion 6Good Practice: Participants list outstanding community organizations and describe their characteristics 7Local Action: Participants discuss where we go from here Health Provider Workshop 1 Community Mapping: Participants populate a timeline of key social, political, religious and health events or create a map of the “footprint” of their organizations 2Health Services Matrix: Participants identify the ways that local entities contribute to health 3Social Networking Spidergram: Participants describe the connections and relationships between community entities 4Religion and Health Index: Participants identify ways the religion and religious organizations contribute to health 5Good Practice: Participants list outstanding community organizations and describe their characteristics 6Collaborative Contribution Grid: Participants identify existing and potential collaborative partnerships and shared resources. 7Local Action: Participants discuss where we go from here

Community Mapping

What You Put on the Maps: 51 entities Providers Identified: Both Seeker and Providers Identified: Seekers Identified: Randolph County Health Department Christian United Outreach CenterThe Salvation Army Community Alternative Program Senior Center Randolph County Social Services Randolph Family Healthcare of Merce Randolph HospitalRandolph Community College Partnership with Children Public LibrariesThe Nature Center Daymark Recovery YMCACurrytown Baptist Church Health Communities Hospice of Randolph CountyNorth Carolina Zoo Partnership for Community Care Cross Road Retirement CenterPharmacies Gray’s Chapel UMC Our Daily Bread KitchenHair Salons Living Wellness Caregiver Support GroupsCross Road Baptist Church Run for God Randolph Hospital Home HealthAdult Day Care Facility Hospital Care Transitions St. Luke’s Food Program Randolph Hospital Community Outreach Dialysis Center A3 Arts Guild County Cooperative Extension Urgent Care Randolph Hospital CAP/Home Health Various physician’s offices Totally Committed Shelter Insurance navigators Shelter of Hope Community Choir Gate City Transportation Churches Minister/Chemical Counseling Volunteer Food Banks Food Cooperatives Dentist offices Parks

What we learned from your maps: Seekers Focused on wellness and the benefits of the Randolph county environment to promote physical activity (zoo, walking trails) and better nutrition (community gardens, co-ops) Identified Randolph County as having a broad continuum of care for the elderly (e.g., caregiver support) Think more collaboration among agencies could improve care for vulnerable in the community

What we learned from your maps: Providers Loss of jobs due to the recession and manufacturing plant closing have resulted in higher levels of poverty, especially among children Faith-based ministries often stand in the gap for caring, but may not be known to the broader public Needs of the most vulnerable are growing, as the resources of safety nets are shrinking

Factors that work against health/well-being in your community: Seekers Lack of Finances and Job Opportunities Rising Cost of Insurance Lack of Transportation Lack of Advocacy Fairly priced healthier food alternatives

Factors that contribute to health/well-being in your community: Seekers Compassionate healthcare providers Suitable Insurance/Availability of Care Compassionate Community members Affordable Medication/ Medical Care Access to Recreation and Wellness Facilities

Factors That Are Most Important to the Health and Well-Being of those who Need Better Access to Care: Providers Transportation Compassionate Care/Spirituality Financial Assistance/Medicaid Expansion (esp. for children) Education Support services for those with mental health and substance abuse issues Communication with Providers Increased funding for CUOC

How Religion Contributes to Health/Well-being Those connected to congregations often have better knowledge of, as well as access to, services and resources Faith communities offer a place where people can express and live out their compassion Churches often offer financial assistance to those in need Churches can help with home repairs or changes needed for aging in place (e.g., build wheelchair ramps) Ministries such as Stephen’s Ministry can extend the resources of traditional providers and services Churches contribute to CUOC Churches help with programs for aging well, Alzheimers’ support, as well as group homes and child care

Organizations of which you are most proud: Seeker Workshop Responses:Provider Workshop Responses: Christian United Outreach Center Randolph Hospital Hospice of Randolph County YMCARandolph City Pregnancy RCATSCross Road Retirement Community PACE Senior CenterYMCA Hospice of Randolph CountyFamily Crisis Center Chik-Fil-A Randolph Hospital Our Daily Bread MERCE Clinic

Winners Were: Christian United Outreach Center… PACE Senior Center YMCA Hospice of Randolph County Cross Road Retirement Community Our Daily Bread MERCE Clinic RCATS Chik-Fil-A

Next Steps: Seekers More unity in the community—the churches could collaborate more and find ways to include non-members Fewer siloes inside hospitals, churches, community agencies, etc.. Share findings of workshops like this one in a wide manner Develop respite care Find out how to access zoo and other resources available for free Mass transport for elders, others gardens; teach fun healthy education, sustainability, cooking classes Programs teaching self-sufficiency and self-management of conditions (communication) Caregiver college Prevention of falls, obesity, chronic disease Teach resiliency Support for the homosexual community in the area

Next Steps: Seekers, continued A3 coalition formed to create walking track downtown Develop caregiver advocacy program—caregiver mentors Senior “navigators”—like “candy stripers in the hospital or pipeline program in high schools High school senior projects in community and health care opportunities RCC nursing Culinary course credits for students serving at Our Daily Bread Hispanic mapping Start program like Haywood county—churches helping homeless leaving the hospital Make opportunities more available to public Preventive care efforts at younger age Pull children and youth into healthier behaviors— school/community

Next Steps: Providers Development of a document that includes an action plan in December to give this effort some traction. Updating of resource book Infiltrating the community or county with this information and knowledge of FaithHealth Invitation to the local newspaper for the December meeting Identify short term action and successes Identify long term action and successes for long term viability Involvement of more faith based organizations Identify resources/organizations that have transportation that is not always used Meeting funding/needs of Christian United Outreach through media ( radio, social media, newspaper, television) – need to be clear about the need being money to sustain the staff - Is there an organization for helping people help themselves (ie., workforce, rehab development groups, financial education)? Conduct town hall meeting to address issues that were identified as issues to be addressed in the CHAMP workshop

Questions Time has passed and, if you went through this experience, what did you get out of the workshops? What did you learn during the process?

Questions Do you see any similarities or differences between the seekers and providers information and next steps? How can we use our community assets to move forward on these next steps? Which of these steps are the most important to you and your community?

Questions How could Randolph Hospital, FaithHealthNC and other organizations, in partnership with the people who live, work and play in your neighborhood, help to get people in your neighborhood the things they need to live healthy (abundant) lives? How would YOU be willing to help us move forward on the ideas we talked about today?

THANK YOU!!! Have a Blessed Holiday Season!