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Noble County Health Department Community Health Improvement Plan April 2018
Noble County Health
Department Community Health Improvement Plan April 2018
2
Executive Summary
In 2017, the Noble County Health Department participated in a collaborative effort to conduct a
Community Health Assessment (CHA). This CHA was intended to help community stakeholders better
understand the health needs and priorities of those who reside in Noble County. The final report of this
effort can be accessed via the Noble County Health Department website,
http://www.noblecohd.org/Noble%20County%20and%20Guernsey%20County%20CHA%20Report-
FINAL.pdf.
Public health professionals from the Noble County Health Department (NCHD), along with leaders
representing a diverse array of social service and community organizations, participated in a group
discussion session on June 12, 2017. During this session, community members identified the priority health
issues facing residents in Noble County, relying on the recently completed CHA. After considering the data
summarized by the CHA as well as their personal experience with the community and its residents,
consensus was reached on the following priority health issues:
Drug Dependency/Substance Abuse
Chronic Disease (especially heart disease and obesity)
Mental Health (especially depression and anxiety)
These community members then pledged to work together to develop a strategic plan-this Community
Health Improvement Plan (CHIP)- to address these prioritized community health needs.
After prioritizing the community health needs to be addressed by this collaborative strategic plan, the next
task was to reach agreement on a shared definition, or vision, for a healthy Noble County. During a group
discussion session in January 2018, consensus was reached. Noble County’s vision of health is:
Noble County: To have a thriving community where residents achieve optimal health.
The community members involved in this process then split into three groups to begin drafting health
improvement plans for each health priority, following a systematic process that was informed by Public
Health Accreditation Board Standard 5.2. The plans drafted by each group detail the specific goals, objectives,
and measures that will be used to address the community health priorities and track progress over time. The
three work plan groups considered several overarching principles during their discussions and writing: The
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Health Impact Pyramid, the concepts of evidence based public health practice, and priority alignment with
Ohio’s State Health Improvement Plan.
The resulting CHIP identifies health priorities, goals, objectives, and action steps that can be used by the
community to guide the development and implementation of projects, programs, and policies that are aimed
at improving the health of the residents of Noble County.
Implementation of the CHIP will begin in mid-2018. On an annual basis, Noble County will publish a report
outlining progress made towards accomplishing the goals outlined in the work plan and reconvene
community partners to discuss progress and necessary revisions. The original group of community partners,
along with additional community members, will be invited to provide ongoing guidance and support
throughout the implementation of this CHIP and any revisions that may be necessary. The composition of this
group will be expanded and maintained as this work progresses. The CHIP is scheduled to be implemented
over a three-year period.
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Table of Contents
See Page
Letter from the Health Department………………………………………………………………………………………………… 5
Introduction……………………………………………………………………………………………………………………………………..6
Description of the CHIP Development Process…………………………………………………………………………………7
Review of CHIP Goals, Key Measures, & Objectives…………………………………………………………………………11
Summary & Next Steps……………………………………………………………………………………………………………………15
Appendix A: Work Plans………………………………………………………………………………………………………………….16
Appendix B: List of Community Assets & Resources………………………………………………………………………..24
Appendix C: List of Planning Committee/Work group Members……………………………………………………..26
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Letter from Health Department
Dear Noble County Residents,
I am pleased to present to you the 2018‐2021 Noble County Health Department Community Health
Improvement Plan (CHIP).
A broad coalition of community members, Health Department employees and the Board of Health
participated in developing this plan. The CHIP is strategy document that will guide the efforts of our partners
and this department to improve the health of our citizens over the next 3 years. Much thought went into this
plan and it is truly comprehensive as results from the Community Health Assessment (CHA), feedback from
the community, staff, and the Board of Health were taken into consideration when determining the priority
focus areas and action steps.
Collaboration among our staff and with our partners will be key as we work to achieve our goals.
Collaboration is so important to the plans success, that each one of the three priority focus areas were
developed with feedback from different community groups. The Noble County Wellness Coalition has
adopted the primary focus area of “Chronic Diseases” (especially heart disease and obesity). The anti-drug
coalition Noble County C.A.R.E.S. has adopted primary focus area of “Drug Dependency/Substance Abuse”.
The Committee for Mental Health, Noble County has adopted the primary focus area of “Mental Health
(especially depression and anxiety)”.
Our community partners, our staff and the Board of Health are committed to this plan, its implementation
and evaluation. We are excited to move forward, achieving our mission, “To provide quality services that
promote wellness, prevent disease and plan a healthy future for our community.”
Sincerely,
Shawn E. Ray, RS, MPH Health commissioner
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Introduction
In the summer of 2017, the Noble County Health Department ( NCHD) published a comprehensive
assessment of the health of its residents. The 2017 Noble County Community Health Assessment
(CHA) considered a wide range of information, including disease rates, quality of life issues, causes
of death, community resources, and self- reported health status to paint a picture of the health of
Noble County residents.
Following the completion of the 2017 Noble County CHA, the NCHD embarked on a
comprehensive strategic planning process focused on improving the health of the community.
This began with the generation of a vision of health for Noble County, was followed by a review
and discussion of priority health issues (considering the CHA data), and finished with the creation
of a Community Health Improvement Plan (CHIP) for how to address those priorities. The CHIP is
comprehensive and long term, detailing action steps that will be used by community
organizations (including the NCHD) as they implement projects, programs, and policies in Noble
County.
This report provides a description of the process used to engage the community and stakeholders
in the development of the CHIP. Following the process summary, there is a section for each
identified priority, listing the goals, key measures, an overview of the objectives selected for each
health priority, and information to demonstrate the significance of this priority. A work plan that
includes more detailed objectives, action steps, and evidence-based strategies for each priority is
available in Appendix A. This report concludes with a brief discussion of the next steps relative to
implementation, ongoing monitoring, and evaluation of the CHIP.
The NCHD was responsible for providing oversight for the CHIP development process. Also, NCHD
designed the CHIP process, facilitated multiple group meetings to provide technical counsel, and
drafted this document.
Figure 1: CHIP Timeline
June 2017
- Community Health Assessment Finished
- Priority Health issues identified
January 2018
- Vision Identified workplan created
April 2018
- Workplan Revision
June 2018
- CHIP Released
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Description of the CHIP Development Process
Identifying Community Health Priorities
On June 12, 2017, public health professionals from NCHD and leaders representing a diverse array of public
safety, hospital, healthcare providers, social service, political, educational, and community organizations
came together to review the data from the 2017 CHA, which was provided to them in a hard copy format. The
community members reviewed the 2017 CHA data, along with a list of community assets and resources
identified during the CHA process and their personal experience with the community, in order to identify the
health priorities. See Appendix B for a list of the above-mentioned community assets and resources, and
Appendix C for a list of the participating community members.
To aid community members during their deliberations and discussion, the following criteria were
shared for their consideration:
Seriousness: Degree to which the problem leads to death, disability, and impairs one's quality
of life.
Severity of the Consequences of Inaction: Risks associated with exacerbation of problem
if not addressed at the earliest opportunity.
Equity: Degree to which different groups in the county are affected by a problem. Si z e:
Number of persons affected.
Feasibility: Ability of organization or individuals to reasonably combat the problem given
available resources, including the amount of control, knowledge, and influence organization(s)
have on the issue.
In addition, participants were encouraged to consider the statewide effort to have all local CHIPs
align with Ohio's State Health Improvement Plan (SHIP). The 2017 SHIP priorities are Mental Health
and Addiction, Maternal and Infant Health, and Chronic Disease.
Overall, the planning group members identified a large number of issues and themes that affect the health of
Noble County residents. These were:
• Drug abuse
• Chronic disease
• Obesity (BMI)
• Low birth weight
• Mental Health-
Depression & Anxiety
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• Overdose
• Affordability of
dental/healthcare
• Cancer (lung)
• Lack of advanced
education
• Infectious diseases
(Chlamydia- Hep C)
• Lack of licensed
practitioners
• Child abuse
• Domestic Violence
• Diabetes
• Aging
population/elder care
• Lack of exercise
• Flu and pneumonia
vaccine
• Low birth weight
• Teen pregnancy
• Smoking
• Alcohol (binge
drinking)
After multiple rounds of small group discussion and prioritization, the important factors impacting the
health of Noble County residents was systematically narrowed down to the three most important health
issues facing the county:
Drug Dependency/ Abuse
Chronic Disease (especially heart disease and obesity)
Mental Health (especially depression and anxiety)
As shown in Figure 2, the health priorities identified by Noble County community align well with both state and
national priority areas.
Figure 2: Noble County CHIP, Ohio SHIP, and National Priority Alignment
Noble County CHIP
Drug Dependency/Abuse
Chronic Disease
Mental Health
Ohio SHIP
Mental Health & Addiction
Chronic Disease
Mental Health & Addiction
Healthy People 2020
Substance Abuse
Nutrition, Ohysical Activity & Obesity
Mental Health
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Defining Health and a Healthy Community In January 2018, Noble County Health Department convened a group of community members (i.e., CHIP planning
group) to begin drafting work plans to focus on the prioritized health issues of Mental Health, Drug Dependency
/ Abuse, and Chronic Disease. These community members represented multiple nonprofit and public-sector
organizations across a variety of community sectors and concern citizens in Noble County.
The participatory process began with the creation of a definition, or vision, of health that articulated the ideal
future state of health in Noble County. Creation of the vision of health was accomplished through a systematic
process of gathering inputs from the planning group on what they thought an ideal future Noble County looks
like. The vision of health for Noble County is:
Noble County: To have a thriving community where residents can achieve optimal health.
The planning group members regularly consulted this definition of health when developing the CHIP.
Creating the Community Health Improvement Plan
The CHIP planning group began their efforts to create the work plans that comprise the main portion of the
CHIP. The planning groups considered the priorities and needs of residents in the community in order to
identify goals, key measures, objectives, action steps, time frames, and accountable persons related to each
priority area. The product of these meetings was a work plan for each of three prioritized health issues; these
work plans define the actions of this CHIP. Detailed work plans can be found in Appendix A.
When drafting their work plans, the work groups were asked to consider the Health Impact Pyramid and the
importance of including evidence based public health practices. The Health Impact Pyramid describes the
effectiveness of different types of public health interventions. Interventions focusing on socioeconomic
factors, at the base of the pyramid, have the greatest potential to improve health. Although interventions at
the higher levels have less of an impact on health, the likelihood of long-term success is maximized when
strategies are implemented at all intervention levels (Frieden, 2010). Policy, System, and Environmental (PSE)
changes are those that create sustainable change, impacting things like regulations and procedures, the rules
of an organization, and the physical environment. PSE changes focus on the broadest sections of the Health
Impact Pyramid. Evidence Based Public Health Practices (EBPHPs) are tested programs, policies, and
interventions that are proven to be most effective in successfully changing behavior. They create sustainable
changes that improve health.
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Lastly, the community members were asked to consider the following three questions, which helped to
identify the size and shape of the strategic action(s) that may be required to move the community’s health
from where it is now to where they want it to be in the future – a gap analysis. For each identified health
priority:
1) Where are we now as a community?
2) Where do we want to be as a community?
3) What are potential ways we could possibly measure whether or not we have made a difference?
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Review of CHIP Goals, Key Measures, & Objectives
Drug Dependency /Abuse
The 2017 Noble County Community Health Assessment identified drug dependency as a priority health
issue facing Noble County residents. Noble County has seen an increase in drug use, overdoses, deaths,
and infants born drug dependent/impacted. Drug dependency is a complex condition of the compulsive
use of alcohol or drugs, despite harmful consequences. Therefore, this CHIP seeks to decrease the
number of Noble County residents who are drug-dependent.
Goals: Noble County residents who overdose will have a better opportunity to survive and thrive
afterwards. Noble County residents will have opportunities to participate in education regarding drug
use, drug abuse and overdose. Fewer babies will be born in Noble County to drug dependent mothers.
Noble County will have more opportunities for second chance employment.
Key Measures: Reduction in drug overdoses (deaths). Increase in number of drug education events
available to the community by one annual event. Reduce the number of babies born drug-impacted.
Increase the number of second chance employers.
Objectives:
By December 31, 2018, Noble County agencies will collaborate to develop an overdose quick
response team
By December 31, 2020, the Noble County Health Department (Naloxone Distribution Center) will
see a 50% increase in the number of Naloxone Kits distributed to First Responders
By December 31, 2018, Public health staff will facilitate meetings with key stakeholders (Noble
County schools, law enforcement, resource officers, A&D services, etc.) to establish or revise an
existing drug use/abuse prevention program in 100% of Noble County schools
By December 31, 2020, Noble County public health staff will work with the Guernsey County
Clean Start Collaborative to engage local OB/GYN physicians (Muskingum Valley Health Center)
resulting in 75% committing to perform routine prenatal drug testing
By December 31, 2020, 50% of Noble County expectant mothers referred from OB office after
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testing positive for drugs prenatally will commit to care coordination and referral to drug
treatment services through the Maternal Health Wellness Program Case Manager
• By December 31, 2020, 5 Noble County employers will commit to offering second chance
employment opportunities to those who are overcoming drug-dependency
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Chronic Disease
In the 2017 Noble County Community Health Assessment, a number of chronic diseases (e.g., heart disease,
stroke, diabetes, COPD, cancer) were identified as priority health issues for many Noble County residents.
Obesity, hypertension, and high cholesterol are conditions that contribute to these chronic diseases, which
can be mitigated by increasing physical activity. Therefore, this CHIP seeks to increase the number of Noble
County residents engaging in physical activity.
Goal: More Noble County residents will engage in physical activity.
Key measures: Increase in number of Noble County residents participating in a healthy community event.
Increase in reported physical activity as measured by next CHA.
Objectives:
• By December 31, 2020, have an increase of 50% participation by agencies, businesses, or
community members to the Wellness Coalition
• By December 31, 2020, create two new (or enhance existing) community events within Noble
County to promote physical activity and/or healthy living
• By December 31, 2020, distribute information about four physical activity options to community
members
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Mental Health
In the 2017 Noble County Community Health Assessment identified mental health as a primary area of
concern for Noble County. The findings indicated that one-third of adult residents reported that they had at
least one day in the past month when poor mental or physical health kept them from doing regular activities.
About one-quarter of the residents stated they had been diagnosed with a depressive disorder. The CHIP will
address increasing accessibility to mental health services and decreasing the stigmatization of mental health
in our community.
Goal: Increase access to mental health services and resources in Noble County.
Key measures: Increase the number of mental health resources available to Noble County residents.
Objectives:
• By December 31, 2020, health care organizations in our jurisdiction will add at least two full-time
licensed mental health professionals to serve Noble County residents
• By December 31, 2020, offer a program of mental health education or family support group for
Noble County residents
• By December 31, 2020, conduct a campaign including personal testimonials, public awareness of
mental health services, success stories, and how to access mental health resources
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Summary & Next Steps
The 2018 Noble County Community Health Improvement Planning process aimed to identify the most
pressing issues in Noble County and bring stakeholders together to collaborate and create an actionable plan
to address those issues. This plan presents priorities and associated goals and objectives to improve the
health of Noble County. The detailed work plans that resulted from these collaborative efforts are located in
Appendix A.
This plan will be monitored and updated annually to reflect accomplishments and new areas of need.
Agencies and organizations are encouraged to align their agency strategic plans to plan where appropriate.
Lastly, Noble County residents and community organizations are encouraged to participate in this process. If
you or your organization is interested in participating in the CHIP, please contact Samantha Hesson, Noble
County Health Department, at 740-732-4958.
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Appendix A: Work Plans
Priority #1: Drug Dependency /Abuse
In the 2017 Noble County Community Health Assessment identified drug dependency as a priority health
issue facing Noble County residents. Noble County has seen an increase in drug use, overdoses, deaths,
and infants born drug dependent/impacted. Drug dependency is a complex condition of the compulsive
use of alcohol or drugs, despite harmful consequences. Therefore, this CHIP seeks to decrease the number
of Noble County residents who are drug dependent.
Goal 1.1: Noble County residents who overdose will have a better opportunity to survive and thrive
afterwards. Noble County residents will have opportunities to participate in education regarding drug use,
drug abuse and overdose. Fewer babies will be born in Noble County to drug dependent mothers. Noble
County will have more opportunities for second chance employment.
Key Measure(s):
Reduction in drug overdose (deaths)
Baseline: 0 Target: 2
Increase number of drug education events available to the community by one annual event
Baseline: 0 Target: 1
Increase number of employers offering second chance employment
Baseline: 0 Target: 5
Reduce the number of babies born drug-impacted
Baseline: 0 Target: 5
Alignment with National Priorities: Healthy People 2020: Substance Abuse
Alignment with SHIP: Mental Health & Addiction
Objective(s) that address policy change(s) needed to accomplish: --
Objective Measure Action Steps Timeframe Lead Status
Objective 1.1.1: By December 31, 2018 Noble County agencies will collaborate to develop an overdose quick response team
Baseline: 0
Target: 1 team
Start: June 1, 2018
End: December 31, 2018
Noble County C.A.R.E.S. Committee
Objective 1.1.2: By December 31, 2020 the
Baseline: 0
Start: June 1, 2018
Noble County Health
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Noble County Health Department (Naloxone Distribution Center) will see a 50% increase in the number Naloxone Kits distributed to First Responders
Target: 50% increase of Naloxone kits distributed to First Responders
End: December 31, 2020
Department
Objective 1.1.3: By December 31, 2018, Public Health staff will facilitate meetings with key stakeholders (Noble County schools, law enforcement, resource officers, A & D services, etc.) to establish or revise an existing drug use/abuse prevention program in 100% of Noble County schools
Baseline: 1
Target: 2
Start: June 1, 2018
End: December 31, 2018
Noble County CA.R.E.S. Education Committee
Objective 1.1.4: By December 31, 2020, Noble County public health staff will work with Guernsey County Clean Start Collaborative to engage in local OB/GYN physicians (Muskingum Valley Health Center) resulting in 75% committing to perform routine prenatal drug testing
Baseline: 0
Target: 75% OB/GYN physicians committing to perform routine prenatal drug testing
Start: June 1, 2018
End: December 31, 2020
Noble County Health Department/ Cambridge Guernsey County Health Department
Objective 1.1.5: By December 31, 2020, 50% of Noble County expectant mothers referred from OB office after testing positive for drugs prenatally will commit to care coordination and referral to drug treatment services through the Maternal Health Wellness Program Case Manager
Baseline: 0
Target: 50% of expectant mothers who test positive for drugs
Start: June 1, 2018
End: December 31, 2020
Noble County Health Department
Objective 1.1.6: By Baseline: 0 Start: June 1, Department of
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December 31, 2020, 5 Noble County employers will commit to offering second chance employment opportunities to those who are overcoming drug-dependency
Target: 5 employers
2018
End: December 31, 2020
Job and Family Services, Noble Behavioral Health, Noble County C.A.R.E.S
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Priority #2: Chronic Disease (especially heart disease and obesity)
In the 2017 Noble County Community Health Assessment, a number of chronic diseases (e.g., heart
disease, stroke, diabetes, COPD, cancer) were identified as priority health issues for many Noble County
residents. Obesity, hypertension, and high cholesterol are conditions that contribute to these chronic
diseases, which can be mitigated by increasing physical activity. Therefore, this CHIP seeks to increase the
number of Noble County residents engaging in physical activity.
Goal 2.1: More Noble County residents will engage in physical activity.
Key Measure(s):
Increase in number of Noble County residents participating in a healthy community event.
Baseline: 0 Target: 50
Increase in reported physical activity as measured by next CHA.
Baseline: 4 times/month Target: 7 times/month
Alignment with National Priorities: Healthy People 2020: Physical Activity
Alignment with SHIP: Chronic Disease: Heart Disease
Objective(s) that address policy change(s) needed to accomplish: 2.1.2
Objective Measure Action Steps Timeframe Lead Status
Objective 2.1.1: By December 31, 2020 have an increase of 50% participation by agencies, businesses, or community members to the Wellness Coalition
Baseline: 8 agencies or community members
Target: 12 agencies or community members
Create list of potential members
Send out invitations
Invite county agencies to participate in the Wellness Coalition
Start:
6.1.18
End:
12.31.20
Wellness Coalition Officers:
Angie Feldner, President
Mishelle Trescott, Vice President
Susan Haas, Secretary
Diane Braden, Treasurer
Objective 2.1.2: By December 31, 2020, create 2 new (or enhance existing) community events within Noble County to
Baseline: 0 events
Target: 2 events
Determine what activities are currently in place, which ones are planned, and what new ideas we can
Start:
6.1.18
End:
12.31.20
Wellness Coalition Officers:
Angie Feldner, President
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promote physical activity and/or healthy living
bring to the community
Determine gaps and fill based on community need
Set date and place for community event
Invite agencies to help sponsor and help operate a community event
Mishelle Trescott, Vice President
Susan Haas, Secretary
Diane Braden, Treasurer
Objective 2.1.3:
By December 31, 2020 distribute information on four physical activity options to community members
Baseline: 0 communications
Target: 5 communications
Create flyer about physical activity (especially walking/running) areas
Distribute information in Health Monitor, Women Infants Children (WIC) recipients, Help Me Grow clients
Distribute information in newspaper and via social media
Start:
6.1.18
End:
12.31.20
Wellness Coalition Officers:
Angie Feldner, President
Mishelle Trescott, Vice President
Susan Haas, Secretary
Diane Braden, Treasurer
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Priority #3: Mental Health
In the 2017 Noble County Community Health Assessment identified mental health as a primary area of
concern for Noble County. The findings indicated that one-third of adult residents reported that they had
at least one day in the past month when poor mental or physical health kept them from doing regular
activities. Therefore, this CHIP seeks to increase accessibility to mental health services and decreasing the
stigmatization of mental health in our community.
Goal 3.1: Increase access to mental health services and resources in Noble County
Key Measure(s):
Increase the number of licensed mental health professionals
Baseline: 0 Target: 2
Increase the number of mental health programs available
Baseline: 0 Target: 1
Increase the number of mental health awareness campaigns
Baseline: 0 Target: 1
Alignment with National Priorities: Healthy People 2020: Mental Health
Alignment with SHIP: Mental Health & Addiction
Objective(s) that address policy change(s) needed to accomplish: --
Objective Measure Action Steps Timeframe Lead Status
Objective 3.1.1: By December 31, 2020 health care organization in our jurisdiction will add at least two full-time licensed mental health professionals to serve Noble County residents
Baseline: 0 Mental Health Professionals
Target: 2 Mental Health Professionals
Collaborate with local hospitals and mental health providers to obtain a shared full time independently licensed mental health professional.
Recruit from surrounding colleges, Master level licensed social workers, clinical counselors, PA or certified mental health professionals.
Establish
Start: 6.1.18 End: 12.31.20
Allwell
Mental Health Recovery Board
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memorandum of understanding (MOU) or shared services agreement with other agencies. (i.e. Allwell, Cedar Ridge)
Objective 3.1.2: By December 31, 2020, offer a program of mental health education or family support group for Noble County residents.
Baseline: 0 programs
Target: 1 program
Collaborate with county and regional mental health providers to assess programs, curriculum and support groups that may be available for Noble County.
Research and identify funding opportunities that would bring education and/or family support to Noble County.
Host at least one program of mental health education of family support for the residents of Noble County.
Start: 6.1.18 End: 12.31.20
Allwell Mental Health Recovery Board
Objective 3.1.3:
By December 31, 2020 conduct a campaign including personal testimonials, public awareness of mental health services, success stories, and how to access mental health resources.
Baseline: 0
Target: 1 campaign
Explore grants and funding opportunities to implement a community awareness campaign
Develop and implement a county-wide awareness campaign to: -Emphasize the
Start: 6.1.18 End: 12.31.20
Noble County Health Department
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importance of mental health wellness
-share success stories
-promote access to care
Utilize social media to promote the campaign
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Appendix B: List of Community Assets & Resources
Community American Legion Post(s) VFW Post Lions Club of Caldwell Noble County Family & Children First Council OSU Extension- Noble County Noble C.A.R.E.S- anti-drug coalition Lutheran Services Food Pantry Good Samaritan House United Way of Guernsey Monroe & Noble Noble County Ministerial Association Noble County Coordinated Council GMN Tri-County, CAC Noble County Commissioner Center Noble County Agricultural Society Noble County 4H Council & 4H Clubs Wolf Run State Park Schools & Universities Caldwell Exempted Village School District Noble Local School District GMN Tri-County Head Start Agency Bright Beginnings of Caldwell & Noble Local Schools The Noble Learning Center Behavioral Health Allwell Behavioral Health Services Inc. Noble Behavior Health Clinical Services Noble County Health Department
• Noble County Home Health Agency
• Speech Therapy Clinic
• Reproductive Health & Wellness Clinic
• Well Child Immunization Clinic Summit Acres Skilled Nursing & Rehab Superior Medical Associates Physician’s Office- Caldwell Location Dr. Alan Spencer, DO- Marietta Memorial Hospital Amy Welch, CNFP Caldwell Vision Center Noble County Eye Care First Settlement Physical Therapy SEORMC Physical Therapy & Sport Medicine
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Senior Services Buckeye Hills Regional Council – Aging & Disability Division Region 8 Noble County Committee on Aging Noble County Senior Center Summit Acres Assisted Living Government Noble County Commissioners Village Councils Township Trustees Noble County EMA Noble County Department of Job & Family Services Ohio Bureau of Motor Vehicles Noble Metropolitan Housing Authority Noble County Veteran Services Commission Business Noble County Chamber of Commerce Freedom Fitness Center Best Western Inn- Caldwell Inn Gillespie’s Drug & Braden Med Services Law Enforcement & Emergency Services Noble County Sheriff’s Department Noble County Volunteer Fire Departments
• Caldwell VFD
• Belle Valley VFD
• Summerfield VFD United Ambulance Arts & Culture Noble County Historical Society Noble County Tourism Council Social Services Noble County Department of Job & Family Services- Children Services Help Me Grow @ Noble County Health Department WIC @ Noble County Health Department Media The Journal Leader AVC Communications The Daily Jeffersonian
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Appendix C: List of Planning Committee/Work group Members
Community Health Assessment Participants Rose Ball Cambridge-Guernsey County Health Department Sharon Bean Guernsey County United Way Brooke Campbell Area Agency on Aging, Region 9 Edward Colby Cambridge-Guernsey County Health Department Matt Costello Guernsey County Board of Developmental Disabilities Olivia Cunningham MU Health Centers Stephanie Danford Noble Family Violence Council Angie Feldner Noble County Health Department Allen Fraley Noble County Chambers of Commerce & Tourism Bureau Skip Gardner Guernsey County Community Member Angie Gray Cambridge-Guernsey County Health Department Herman Gray Workforce Development Board, Area 15 Chair Vickie Hare Mental Health & Recovery Services Samantha Hesson Noble County Health Department Kathy Jamiel Guernsey County Department of Job and Family Services Mark Johnson Noble County Health Department Mindy Lowe Noble County Department of Job and Family Services Amy Murphy Noble County Health Department Diane Phillips Area Agency on Aging, Region 9 Shawn Ray Noble County Health Department Shari Rayner Noble County Health Department Gary Ricer Guernsey Monroe Noble Tri-county CAC, Inc. Randy Shepard Cambridge-Guernsey County Health Department Jim Starr United Ambulance Tammy Stillion Allwell Behavioral Health Services Inc. Shelly Thompson Southeastern Ohio Regional Medical Center Mikaela Van Wey Cambridge-Guernsey County Health Department Tim Welch Guernsey County Juvenile Court Judy Wiesand Noble County Family & Children First Council Jolene Williamson Noble County Health Department Stephanie Pfalzgraf Guernsey County Senior Citizen Center
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Drug Dependency/Abuse Workgroup- Noble County C.A.R.E.S.
Angela Ackley Noble County Family & Children First Council Jon Bates Caldwell Village Mayor Corey Ball Department of Youth Services Roger Birch Mental Health Recovery Services Bonnie Carpenter GMN Tri-County Head Start Agency Barb A. Clark GMN Tri-County Head Start Agency Kelli Clark Department of Job and Family Services Kacey Cottrill Caldwell Exempted Village School District Angela Crock Business owner/Community Member Stephanie Danford Noble Family Violence Council Ginger Davey Noble County Department of Job and Family Services Justin Denius Noble Local School District Devvon Dettra Caldwell Exempted Village School District LaShona DeVolld The Noble Learning Center Sandy Doudna Child Mentoring Director Jason Feldner Mid-East Vocational School Melissa Fitzgerald Noble Behavioral Health Bonnie Flynn Noble Local School District Latisha Giffin Noble County Family & Children First Council Becky Hall Community Member Stacy Hrinko Noble County Journal Newspaper Rebecca Johnson Caldwell Exempted Village School District Dan Leffingwell Noble Local School District Mindy Lowe Noble County Department of Job and Family Services Jennifer Mackie GMN Tri-County Head Start Agency Peggy Malcomb Noble County Board of Developmental Disabilities Kirby Moore Noble County Health Department
Dan Milleson Democratic Candidate for State Representative Saroya Mulligan Department of Youth Services Marcia Murphy Noble Local School District Kyla Myers Noble County Department of Job and Family Services Derek Norman Noble County Sheriff’s Department Robert Pickenpaugh Noble County Sheriff’s Department Jessica Perrin Noble Corrections Institution Jody Polen Community Member John Powell Noble County Ministerial Association Kris Presnell Noble County Sheriff’s Department Shawn Ray Noble County Health Department Shari Rayner Noble County Health Department Gary Ricer Guernsey Monroe Noble Tri-county CAC, Inc.
Chasity Schmelzenbach Noble County EMA Justin Seebach Caldwell Exempted Village School District
Todd Shelton Representor for US Senator Rob Portman Nancy Snook OSU Extension- Noble County Tiffany Speck Caldwell Exempted Village School District Tammy Stillion Allwell Behavior Health Services Inc. Phillip Theobald Noble Local School District
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Cindy VanScyoc Noble Local School District Loretta Visger GMN Prevention Director Beth Warner Noble Local School District Tabitha Weisend Noble County Board of Developmental Disabilities Dan Wesson Noble Local School District Jackie Wheeler Noble County Board of Developmental Disabilities Brooke Yontz Noble County Health Department
Chronic Disease Workgroup- Noble County Wellness Coalition Dianne Braden Business Owner/ Community Member Jennifer Croucher Caldwell Exempted Village School District Angie Feldner Noble County Health Department Kathy Fetzer Community Health Link- SEORMC Susan Haas Noble County Health Department Mindy Harding Department of Job and Family Services Lori Harris OSU Extension- Noble County Samantha Hesson Noble County Health Department Dugan Hill Caldwell Exempted Village School District Stephanie Laube United Way of Guernsey Monroe and Noble Kelly Mika GMN Tri-County Head Start Agency Amy Murphy Noble County Health Department Morgan Neuhart Altercare Summit Acres Edna Niswonger Community Member Sami Schott OSU Extension- Noble County Mishelle Trescott Noble County Community Member Lauren Thompson Noble Local School District Madeline Watson Noble County Community Member Joe Williams Veterans Services- Noble County Mary Jo Lee Noble County Community Member
Mental Health Workgroup Herman Gray Workforce Development Board, Area 15 Chair Vicki Hare Mental Health & Recovery Services Mark Johnson Noble County Health Department Mindy Lowe Noble County Department of Job and Family Services Belinda Powell Noble County Health Department Judy Weisend Noble County Family & Children First Council Stephen Williams Board of Developmental Disabilities Jolene Williamson Noble County Health Department
