1. Updated October 16, 2012 Healthy Anne Arundel Coalition “A Ripple Effect” Healthy Anne Arundel Coalition1

2. Healthy Anne Arundel Coalition VISION Healthy County, Healthy People! Updated October 16, 2012Healthy Anne Arundel Coalition2

3. Healthy Anne Arundel Coalition MISSION Working together as a community to promote the health and wellness of Anne Arundel County residents Updated October 16, 2012Healthy Anne Arundel Coalition3

4. Anne Arundel County ~ Who Are We? Area: 416 square miles Population 537,656 (2010) § Geography: Rural south county Rural south county Urban/suburban northern and mid-county Urban/suburban northern and mid-county Anne ArundelMarylandU.S. Racial/Ethnic Breakdown: White72.4%54.7%63.7% Black15.2%29.0%12.2% Hispanic6.1%8.2%16.3% Asian3.4%5.5%4.7% Median Household Income (2010) *$79,843$69,193$50,221 Unemployment (January 2011) † 6.5%7.5%9.8% Uninsured Adults (2010) ¶ 10.3%12.9%17.8% Individuals Below Poverty (2010)6.8 %9.2%14.3% § US Census, 2010; * American Community Survey, 2010; ¶ BRFSS, 2010; † Bureau of Labor Statistics, January 2011 Updated October 16, 2012Healthy Anne Arundel Coalition4

5. Public Health Context  Reductions in federal, state and local funding for public health has required a collaborative approach to leveraging local resources to improve the public’s health  Economic and policy incentives (including Health Care Reform) will require public and private sector providers to promote: Prevention and wellness Prevention and wellness Health equity and reduction in health disparities Health equity and reduction in health disparities Patient satisfaction Patient satisfaction Updated October 16, 2012Healthy Anne Arundel Coalition5

6. State Health Improvement Process (SHIP)  Provides a framework for accountability, local action, and public engagement  Identifies 39 critical health measures  Requires each County to develop a Local Health Improvement Coalition (LHIC)  Requires each LHIC to develop and implement a Local Health Improvement Action Plan Updated October 16, 2012Healthy Anne Arundel Coalition6

7. State Health Improvement Process (SHIP)  Maryland’s Health Reform Coordinating Council has recognized the importance LHICs  The Maryland Governor and Legislature committed State support to LHICs in SFY 2012 budget  The Maryland Hospital Association provided start-up funds to LHICs  The Maryland Community Health Resources Commission provided implementation funding to LHICs  Local health improvement plans are a prerequisite for local health department accreditation Updated October 16, 2012Healthy Anne Arundel Coalition7

8. Rationale for SHIP and LHICs  Federal goals related to Healthy People 2020  Reductions in federal, state and local funding for public health  Increased health care costs related to preventable health conditions  Increased focus on prevention and wellness  Increased focus on health equity and reduction of health disparities  Increased demand for public health accreditation Updated October 16, 2012Healthy Anne Arundel Coalition8

9. What Affects “Good Health?” Environment Lifestyle Human Biology Management of Illness Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007 Updated October 16, 2012Healthy Anne Arundel Coalition9

10. Public Monies Spent on “Good Health” Management of Illness Human Biology Lifestyle Environment Source: Presentation by Rodney B. Glotfelty, RS, MPH, Garrett County Health Officer. "Public Health 101 - A Maryland Perspective." Maryland Association of Counties Winter Conference, January 4, 2007 Updated October 16, 2012Healthy Anne Arundel Coalition10

11. Pay Now for PREVENTION Instead of Paying Later for Care and Treatment A Paradigm Shift “From Treatment To Prevention” Updated October 16, 2012Healthy Anne Arundel Coalition11

12. Anne Arundel County SHIP Data Anne Arundel County High Impact Objectives  High Morbidity Impact Reduce ED visits from: Reduce ED visits from: AsthmaAsthma DiabetesDiabetes HypertensionHypertension Behavioral health conditions (mental health and substance abuse)Behavioral health conditions (mental health and substance abuse)  High Mortality Impact Reduce deaths from cancer and heart disease Reduce deaths from cancer and heart disease  Multiple Impact Reduce overweight/obesity Reduce overweight/obesity Improve maternal and infant health Improve maternal and infant health Reduce tobacco use Reduce tobacco use Increase access to health care Increase access to health care Updated October 16, 2012Healthy Anne Arundel Coalition12

13. Selected SHIP Measures (1) Indicator Anne Arundel County Baseline Maryland Baseline Maryland 2014 Target Percentage of adults who are at healthy weight (not overweight or obese) (BRFSS 2008-2010) 33.5%34.0%35.7% Percentage of youth (ages 12-19) who are obese (MYTS 2008) 10.8%11.9%11.3% Rate of cancer deaths per 100,000 age-adjusted population (VSA, 2007-2009) 195.2177.7169.2 Rate of heart disease deaths per 100,000 age-adjusted population (VSA, 2007-2009) 198.8194173.4 Updated October 16, 2012Healthy Anne Arundel Coalition13

14. Selected SHIP Measures (2) Indicator Anne Arundel County Baseline Maryland Baseline Maryland 2014 Target Rate of emergency department visits for a behavioral health condition per 100,000 population (HSCRC, 2010) 1,134.91206.31146.0 Percentage of children ages 4-20 years enrolled in Medicaid that received a dental service in past year (Medicaid CY 2009) 52.6%59.0%62.0% Infant mortality rate per 1,000 births (VSA 2007-2009) 6.77.26.6 Updated October 16, 2012Healthy Anne Arundel Coalition14

15. Selected SHIP Measures (3) IndicatorWhiteBlackHispanic Rate of diabetes-related emergency department visits per 100,000 population (HSCRC 2010) 255.0728.363.8 Proportion of pregnant women starting prenatal care in the first trimester (VSA 2007-2009) 92.2%82.3%74.4% For many indicators, the story is in the health- related disparities (race/ethnic, gender, age, location etc.) Anne Arundel County Updated October 16, 2012Healthy Anne Arundel Coalition15

16. Leading Causes of Death Anne Arundel County, 2010 1. Heart Disease 2. Cancer 3. Stroke 4. Chronic Lower Respiratory Diseases 5. Diabetes 6. Unintentional Injuries 7. Influenza and Pneumonia 8. Septicemia 9. Alzheimer’s Disease 10. Suicide Anne Arundel County Report Card available at www.aahealth.org/statistics Updated October 16, 2012Healthy Anne Arundel Coalition16

17. Rank Health Outcomes Rank Health Factor 1 Howard 2 Montgomery 3 Queen Anne's 3 Frederick 4 Frederick 4 Talbot 5 Carroll 6 Calvert 7 St. Mary's 7 Anne Arundel 8 Talbot 8 Harford 9 Harford 9 Queen Anne's 10 Anne Arundel 10 Baltimore 11 Charles 12 Washington 12 St. Mary's 13 Baltimore 13 Kent 14 Worcester 14 Garrett 15 Prince George's 15 Worcester 16 Garrett 16 Washington 17 Kent 17 Prince George's 18 Cecil 18 Allegany 19 Wicomico 20 Caroline 20 Cecil 21 Somerset 21 Caroline 22 Dorchester 23 Allegany 23 Somerset 24 Baltimore City Source: County Health Rankings 2012, available at www.countyhealthrankings.org Updated October 16, 2012Healthy Anne Arundel Coalition17

18. Source: County Health Rankings 2012, available at www.countyhealthrankings.org Updated October 16, 2012Healthy Anne Arundel Coalition18

19. Public Health Partnerships 1. Public Sector 2. Health Care Providers/Payers ** 3. Community Based Partners 4. Employers/Business Community 5. Academic Partners 6. Philanthropy **Health Care Providers/Payers HospitalsHospitals FQHCsFQHCs PharmaciesPharmacies InsurersInsurers Community Health CentersCommunity Health Centers Physical and Behavioral Health Care ProfessionalsPhysical and Behavioral Health Care Professionals Successful public health initiatives often have multiple and diverse partners including: Updated October 16, 2012Healthy Anne Arundel Coalition19

20. Updated October 16, 2012 Structure of the Healthy Anne Arundel Coalition Healthy Anne Arundel Coalition20

21. Healthy Anne Arundel Coalition Coalition Network Academia Existing Boards, Committees & Coalitions Government Agencies Faith-Based Organizations Community-Based Organizations Health Care Providers Philanthropy Businesses Leadership & Finance Subcommittee Updated October 16, 2012Healthy Anne Arundel Coalition21

22. Healthy Anne Arundel Coalition Levels of Engagement  Steering Committee Member  Subcommittee Member  Network Group Member  Network-Steering Committee Liaison  Resource Partner  Consumer/Client/ Former Patient  Community Representative  Observer  Volunteer  Technical Assistance  Presenter Updated October 16, 2012Healthy Anne Arundel Coalition22

23. Healthy Anne Arundel Coalition Management and Staffing  Chair and Chair Designees  Vice Chairs  Steering Committee  Subcommittees  Network Members  Staffing Support  Implementing Organizations Updated October 16, 2012Healthy Anne Arundel Coalition23

24. Healthy Anne Arundel Coalition Guiding Principles  Utilize Existing Groups  Flexibility  Inclusive and Welcoming  Embrace Change  Transparent Updated October 16, 2012Healthy Anne Arundel Coalition24

25. Healthy Anne Arundel Coalition Collaborative Process – Values 1. COMMUNICATING - exchanging information through networking for mutual benefit and to achieve a common purpose 2. COORDINATING - exchanging information and altering activities for mutual benefit and to achieve a common purpose 3. COOPERATING - exchanging information, altering activities, & sharing resources for mutual benefit and to achieve a common purpose 4. COLLABORATING - exchanging information, altering activities, sharing resources, and enhancing the capacity of another for mutual benefit and to achieve a common purpose Updated October 16, 2012Healthy Anne Arundel Coalition25

26. Healthy Anne Arundel Coalition Intervention Framework  Individual/Group level  Community/Societal  Structural/Policy Updated October 16, 2012Healthy Anne Arundel Coalition26

27. Healthy Anne Arundel Coalition Social-Ecological Model Source: Marjorie Buchanan, RN, MS, CPH, Clinical Director, Community and Public Health Nursing, University of Health School of Nursing Updated October 16, 2012Healthy Anne Arundel Coalition27

28. Healthy Anne Arundel Coalition Measures of Success  Decreased prevalence of: overweight, obesity and other related chronic health conditions (e.g. diabetes, cancer) overweight, obesity and other related chronic health conditions (e.g. diabetes, cancer) behavioral health disorders behavioral health disorders  Decreased ER visits, preventable hospitalizations and readmissions  Increased quality of life Joint Community Needs Assessment to gain a baseline and monitor success Updated October 16, 2012Healthy Anne Arundel Coalition28

29. Coalition Influence and Reach (1) OrganizationEmployeesReachWellness Program A.A. Co. Dept. of Health710+All Co. residentsYes Anne Arundel Health System 3,60080,000+ ED visits; 25,000+ inpatient Yes Baltimore Washington Medical Center 2,600100,000+ ED visits; 30,000 in outreach Yes A.A. Co. Public Schools8,000+76,000+ studentsYes A.A. Community College1,000+15,000+ studentsYes Updated October 16, 2012 Preliminary Data – Healthy Anne Arundel Coalition May 2012 Healthy Anne Arundel Coalition29

30. Coalition Influence and Reach (2) OrganizationEmployeesReachWellness Program A.A. Co. Dept. of Aging & Disabilities ?<100Older and disabled Co. residents Yes A.C. Co. Dept. of Detention Facilities 4007,800 inmates/yearYes A.A. Co. Dept. of Recreation & Parks 250-300500,000+ County residents & visitors Yes A.A. Co. Dept. of Social Services 35060,000+ familiesYes A.A. Co. Executive’s Office 19500,000+ County residents Yes City of Annapolis60038000Yes Updated October 16, 2012 Preliminary Data – Healthy Anne Arundel Coalition May 2012 Healthy Anne Arundel Coalition30

31. Coalition Influence and Reach (3) OrganizationEmployeesReachWellness Program MedStar Harbor Hospital1,400Approx. 185,000 County residents Yes Rite Aid Corporation150 in Co.15,000 customers per week in County Yes CareFirst BlueCross BlueShield 5,000 in Baltimore/ DC area 3.4 million in MD Yes People’s Community Health Centers, Inc. 12114,600 unduplicated clients/ year Yes TOTAL ~ 20,000 ~ 300,000+ ALL! Updated October 16, 2012 Preliminary Data – Healthy Anne Arundel Coalition May 2012 Healthy Anne Arundel Coalition31

32. Healthy Anne Arundel Coalition Health Improvement Focus Areas  Obesity*  Mental Health & Substance Abuse as Co-Occurring Disorders*  Cancer and Tobacco Use  Dental Care  Sexual Health  Housing and Environmental Conditions *Designated Priority Areas Updated October 16, 2012Healthy Anne Arundel Coalition32

33. Updated October 16, 2012 Priority # 1 Obesity Prevention Healthy Anne Arundel Coalition33 Move More Eat Healthier

34. Obesity Prevention Baseline and Goal for 2015 MD SHIP OBJECTIVEMD BASELINE COUNTY BASELINE COUNTY BY RACE/ ETHNICITY MD 2014 GOAL COUNTY 2015 GOAL DATA SOURCE Increase the proportion of adults who are at a healthy weight 34.0%33.5%White, Non- Hispanic: 33.9% Black: 30.0% 35.7%35.2%BRFSS 2008- 2010 Reduce the proportion of young children and adolescents who are obese 11.9%10.8%N/A11.3%10.36%MYTS 2008 Updated October 16, 2012Healthy Anne Arundel Coalition34

35. Obesity Prevention Subcommittee  Creating survey to identify evidence-based obesity/wellness/fitness programs in the County  Developing Healthy Meeting guidelines and other tools for County businesses and other organizations  Researching existing obesity prevention programs in the County for collaboration  Launching the AACPS/DOH “Healthiest Schools, Healthiest Workplaces and Healthiest Communities” Initiative under the Million Hearts Campaign® Updated October 16, 2012Healthy Anne Arundel Coalition35

36. Adult Obesity – Not Sustainable! Percent of Obese Adults By Year for Anne Arundel County, Maryland, and the US Data source: National BRFSS Bend the obesity curve ~ a call to action! Updated October 16, 2012Healthy Anne Arundel Coalition36

37. Adult Obesity Weight Status by Race for Anne Arundel County, 2007 Data source: Anne Arundel County Behavioral Risk Factor Survey, 2007 Updated October 16, 2012Healthy Anne Arundel Coalition37

38. Childhood Obesity Weight Distribution by Age Group for Children and Adolescents, 2006 Data source: Anne Arundel County Department of Health Provider-based County Survey of Children and Adolescents, 2006 Updated October 16, 2012Healthy Anne Arundel Coalition38

39. disparities Source: Maryland Health Services Cost Review Commission Health Disparity: Diabetes Updated October 16, 2012Healthy Anne Arundel Coalition39

40. disparities Source: Maryland Health Services Cost Review Commission Health Disparity: Hypertension Updated October 16, 2012Healthy Anne Arundel Coalition40

41. Six Target Behaviors: Eat Healthier… 1. 1.Increase consumption of fruits and vegetables 2. 2.Increase breastfeeding initiation, duration, and exclusivity 3. 3.Decrease consumption of sugar sweetened beverages 4. 4.Decrease consumption of high energy dense, nutrient poor, foods Move More… 5. 5.Increase physical activity 6. 6.Decrease television viewing Source: CDC Obesity Prevention: Individual Level Updated October 16, 2012Healthy Anne Arundel Coalition41

42. Obesity Prevention: Workplace Level Eat Healthier!  Increase Access to Healthy Foods Healthy food options at meetings and events Healthy food options at meetings and events Healthy wending options Healthy wending options Move More!  Promote Physical Activity Walking programs/courses Walking programs/courses Onsite fitness classes/ equipment Onsite fitness classes/ equipment Subsidized gym memberships Subsidized gym memberships Updated October 16, 2012Healthy Anne Arundel Coalition42

43. Workplace Wellness Programs  Resources for starting or strengthening worksite wellness programs include: Benefit Administration, Human Resources and Workplace Wellness Firms Benefit Administration, Human Resources and Workplace Wellness Firms Centers for Disease Control and Prevention Centers for Disease Control and Prevention State and Local Health Departments State and Local Health Departments Local Health Improvement Coalitions Local Health Improvement Coalitions Updated October 16, 2012Healthy Anne Arundel Coalition43

44. http://www.aahealth.org/ltl_healthybus.asp Anne Arundel County DOH Healthy Business Resources Updated October 16, 2012Healthy Anne Arundel Coalition44

45. http://www.aahealth.org/ltl_50ways.asp Anne Arundel County DOH Healthy Business Resources Updated October 16, 2012Healthy Anne Arundel Coalition45

46.  Based on the DOH’s Fitness Challenge available at www.aahealth.org/fitnesschallenge Anne Arundel County DOH Healthy Ways to Fitness Challenge! Updated October 16, 2012Healthy Anne Arundel Coalition46

47. Anne Arundel County DOH Healthy Ways to Fitness Challenge!  6 week program to increase healthy eating and physical activity  47 teams of 5; total of 235 participants (1/3 of DOH employees)  Complemented by other activities: healthy eating class healthy eating class introduction to container gardening introduction to container gardening stress reduction workshop stress reduction workshop Department-wide potluck at a local park Department-wide potluck at a local park Updated October 16, 2012Healthy Anne Arundel Coalition47

48. Anne Arundel County DOH Healthy Meetings & Events Policy Updated October 16, 2012 Note: Policy currently under revision. Healthy Anne Arundel Coalition48

49. Anne Arundel County DOH Healthy Business Resources Learn to Live Healthy Living Resources: http://www.learntolivehealthy.org http://www.learntolivehealthy.org 410-222-7979 Available resources include Healthy Eating, Cancer Prevention and Smoking Cessation Information Kits and other materials Anyone can download materials, but Learn to Live can only mail materials to Anne Arundel County addresses Updated October 16, 2012Healthy Anne Arundel Coalition49

50. Updated October 16, 2012 Obesity Prevention Federal Initiatives Healthy Anne Arundel Coalition50

51.  President’s Challenge www.presidentschallenge.org www.presidentschallenge.org Presidential Active Lifestyle Award (PALA+) Presidential Active Lifestyle Award (PALA+) PALA+ is for people who want to better their health by making healthier choices related to eating and physical activityPALA+ is for people who want to better their health by making healthier choices related to eating and physical activity Good for beginnersGood for beginners Presidential Champions Presidential Champions Aimed at individuals who are already physically activeAimed at individuals who are already physically active Good for people who already get regular exercise or a next step for people who complete PALA+.Good for people who already get regular exercise or a next step for people who complete PALA+. President’s Initiative Updated October 16, 2012Healthy Anne Arundel Coalition51

52.  President’s Challenge (cont.) Online tracker allows groups to take the President’s Challenge together Online tracker allows groups to take the President’s Challenge together Can register a group together and access progress reports Can register a group together and access progress reports Can also register individually Can also register individually President’s Initiative Updated October 16, 2012Healthy Anne Arundel Coalition52

53. http://www.letsmove.gov/ Let’s Move Initiative Updated October 16, 2012Healthy Anne Arundel Coalition53

54.  MyPlate SuperTracker  MyPlate SuperTracker https://www.choosemyplate.gov/ SuperTracker/default.aspx https://www.choosemyplate.gov/ SuperTracker/default.aspx Get a personalized nutrition and physical activity plan Get a personalized nutrition and physical activity plan Track foods and physical activities to see how they stack up Track foods and physical activities to see how they stack up Get tips and support Get tips and support My Plate Updated October 16, 2012Healthy Anne Arundel Coalition54

55. America on the Move  America on the Move www.americaonthemove.org Provides web-based programs, tools, and resources. Provides web-based programs, tools, and resources. Encourages people to make realistic small lifestyle changes. Encourages people to make realistic small lifestyle changes. Can compete in group challenges or complete at your own pace Can compete in group challenges or complete at your own pace Offers a similar component for kids under age 13 (America on the Move Kids). Offers a similar component for kids under age 13 (America on the Move Kids). Updated October 16, 2012Healthy Anne Arundel Coalition55

56. Updated October 16, 2012 Priority # 2 Mental Health and Substance Abuse as Co-Occurring Disorders Healthy Anne Arundel Coalition56

57. Co-Occurring Disorders Subcommittee  Pre-existing group in Anne Arundel County  Created to bridge gap between mental health & substance abuse service providers  Current Projects: Assess needs of medical community to handle substance abuse patients Assess needs of medical community to handle substance abuse patients Mapping of mental health and substance abuse services Mapping of mental health and substance abuse services Creation/utilization of a substance abuse screening tool for physicians Creation/utilization of a substance abuse screening tool for physicians Updated October 16, 2012Healthy Anne Arundel Coalition57

58. Co-Occurring Disorders Baseline and Goal 2015 MD SHIP OBJECTIVEMD BASELINE COUNTY BASELINE COUNTY BY RACE/ ETHNICITY MD 2014 GOAL COUNTY 2015 GOAL DATA SOURCE Reduce the rate of emergency department visits related to behavioral health conditions per 100,000 population 1,206.31,134.9White: 1,146.9 Black: 1,450.6 Asian: 152.7 Hispanic: 203.6 1,46.01,078.2HSCRC 2010 Reduce the rate of drug-induced deaths per 100,000 population 13.415.0N/A12.413.9VSA 2007- 2009 Decrease the rate of alcohol impaired driving fatalities 0.2917 (count only due to rate instability) N/A0.2715SHA 2009 Reduce the rate of suicides per 100,000 population 9.6 N/A9.1 VSA 2007- 2009 Updated October 16, 2012Healthy Anne Arundel Coalition58

59. Rate of Emergency Department Visits for Substance Abuse* by ZIP Code of Residence, Anne Arundel County, July 2010 – June 2011 *Includes alcohol, illegal drugs and nonmedical use of prescription drugs. Data Source: Rates calculated based on 2010 U.S. Census; MD Health Services Cost Review Commission. Substance Abuse Updated October 16, 2012Healthy Anne Arundel Coalition59

60. Suicide R ate per 100,000 persons Rate* of Suicide-related Emergency Department Visits by Age Group. Anne Arundel County, July 2010 – June 2011 * Crude rate calculated based on 2010 U.S. Census. Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission Updated October 16, 2012Healthy Anne Arundel Coalition60

61. Suicide Rate per 100,000 persons Age-Adjusted Suicide Death Rates, Anne Arundel and Maryland, 2005-2010 Data Source: Maryland Vital Statistics Annual Report, Division of Health Statistics, Maryland DHMH; Injury Center, CDC; MD Health Services Cost Review Commission Updated October 16, 2012Healthy Anne Arundel Coalition61

62. disparities Source: Maryland Health Services Cost Review Commission Health Disparity: Behavioral Health Conditions Updated October 16, 2012Healthy Anne Arundel Coalition62

63. Targeted Behaviors/Interventions:   Stress Reduction   Identify suicidal ideation among youth   Reduce attempted suicides   Reduce completed suicides   Identify prescription drug abuse   Reduce driving under the influence of alcohol and drugs   Manage untreated mental health conditions   Increase recovery support among adults and adolescent peers   Screening, Brief Intervention, Referral and Treatment (SBIRT) Targeted Behaviors/Interventions:   Stress Reduction   Identify suicidal ideation among youth   Reduce attempted suicides   Reduce completed suicides   Identify prescription drug abuse   Reduce driving under the influence of alcohol and drugs   Manage untreated mental health conditions   Increase recovery support among adults and adolescent peers   Screening, Brief Intervention, Referral and Treatment (SBIRT) Co-occurring Disorders Updated October 16, 2012Healthy Anne Arundel Coalition63

64. Individual Stress Management  Managing stress is about taking charge of your emotions, thoughts, schedule and how you respond to challenges  Identify triggers of stress  Ask family and friends for help and support when you feel stressed  Learn relaxation techniques and other healthy ways to mange stress Updated October 16, 2012Healthy Anne Arundel Coalition64

65. Individual Stress Management  Learn Strategies for Stress Management: 1. Avoid unnecessary stress 2. Alter the situation 3. Adapt to the stressor 4. Accept the things you cannot change 5. Make time for fun and relaxation 6. Adopt a healthy lifestyle Adapted fromhttp://www.helpguide.org/mental/stress_management_relief_coping.htm Updated October 16, 2012Healthy Anne Arundel Coalition65

66. Workplace Stress Management  Promote healthy lifestyles, including healthy eating and physical activity  Encourage stress relief breaks Meditation Meditation Walking Walking Check-ins with family/friends Check-ins with family/friends  Provide stress management tips by newsletters, e-mail or Lunch and Learns Updated October 16, 2012Healthy Anne Arundel Coalition66

67.  Consider offering options that promote work-life balance including telecommuting and flexible schedules  Encourage employees to use earned time off for personal time and vacations  Encourage employees to use sick leave when ill or for health care appointments Workplace Stress Management Updated October 16, 2012Healthy Anne Arundel Coalition 67

68. Additional Resources  Medline Plus: Stress Management http://www.nlm.nih.gov/medlineplus/ency/articl e/001942.htm http://www.nlm.nih.gov/medlineplus/ency/articl e/001942.htm Overview of stress management Overview of stress management Tips for a stress management program Tips for a stress management program  Stress Management from Mind Tools http://www.mindtools.com/smpage.html Interactive modules for coping with stress Interactive modules for coping with stress Links to additional resources Links to additional resources Updated October 16, 2012Healthy Anne Arundel Coalition68

69. Updated October 16, 2012 Join the Healthy Anne Arundel Movement Healthy Anne Arundel Coalition69

70. What Can You Do?  Step 1: Determine your healthy weight and make weekly goals to reach it  Step 2: “Eat healthier” by choosing healthier foods for you and your family  Step 3: “Move more” during your leisure time or through workplace initiatives  Step 4: Get a mental health screening for depression or post-traumatic stress  Step 5: Get screened for alcohol, opioid or prescription drug abuse Updated October 16, 2012Healthy Anne Arundel Coalition70

71. What Can You Do?  Step 6: Review your family history and get screened for cancer  Step 7: Visit your dental health provider every six months  Step 8: Get tested for sexually transmitted infections and HIV  Step 9: Schedule your annual health visit with your primary care doctor  Step 10: Keep your home, community and work space free of clutter Updated October 16, 2012Healthy Anne Arundel Coalition71

72. HealthyAnneArundel.org Updated October 16, 2012Healthy Anne Arundel Coalition72

73. Healthy Anne Arundel Coalition Contacts www.HealthyAnneArundel.org HealthyAnneArundel@aacounty.org Laurie B. Fetterman, MSW Phone: 410-222-7203 Email: hdfett00@aacounty.org hdfett00@aacounty.org Brandon J. Johnson, MHS Phone: 410-222-7244 Email: hdjohn33@aacounty.org hdjohn33@aacounty.org Updated October 16, 2012Healthy Anne Arundel Coalition73

74. County Executive John R. Leopold Department of Health J. Howard Beard Health Services Building 3 Harry S. Truman Parkway Annapolis, Maryland 21401 Phone: 410-222-7375 Fax: 410-222-4433 Maryland Relay (TTY): 1-800-735-2258 www.aahealth.org Anne Arundel County Department of Health Representatives: Jinlene Chan, M.D., M.P.H., Acting Health Officer, Antigone Vickery, M.P.H., Director, Office of Assessment, Planning and Response Laurie Fetterman, M.S.W., Health Planner, Office of Assessment, Planning and Response Brandon Johnson, M.H.S., Community Engagement Coordinator, Office of Assessment, Planning and Response Steering Committee Member Organizations: A.A. Co. Office of the County Executive A.A. Co. Dept. of Aging and Disabilities A.A. Co. Dept. of Detention Facilities A.A. Co. Dept. of Health A.A. Co. Dept. of Recreation & Parks A.A. Co. Dept. of Social Services A.A. Co. Public Schools A.A. Co. Mental Health Agency, Inc. Anne Arundel Community College Anne Arunde l County NAACP Anne Arundel Economic Development Corporation Anne Arundel Health System Arundel Community Development Services, Inc. Baltimore Washington Medical Center Care First Blue Cross Blue Shield City of Annapolis Mayor’s Office Community Foundation of Anne Arundel County Housing Authority of the City of Annapolis MedStar Harbor Hospital People’s Community Health Centers, Inc. Rite Aid Corporation School of Public Heath, University of Maryland Walmart www.HealthyAnneArundel.orgHealthyAnneArundel@aacounty.org Updated January 29, 2013Healthy Anne Arundel Coalition74