18
Community Health Status Assessment OKLAHOMA COUNTY WELLNESS SCORE 2014
Community Health Status Assessment
OklahOma cOuntyWellness scOre
2014
Mental and
Social HealtH
88
overall Mental HealtH Score The World Health Organization defines mental health as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make contribution to his or her community. Zip codes 73117, 73170, and 73111 ranked highest overall for mental health.
overall Social HealtH ScoreSocial health includes conditions within the population that influence individuals and group difference in health; specifically, they are risk factors found in one’s life, such as built environment, economic, or accessibility. The social health of a community can impact perceptions of health and well-being.
Best Practices and Policy ConsiderationsMental and social health indicators are a measure of the emotional quality of life of our residents. Increasingly, we are learning that mental and social health is a primary indicator of physical health. This knowledge has the led the Wellness Now Coalition to prioritize mental health and substance abuse for the updated Community Health Improvement Plan. The Oklahoma City-County Health Department actively engaged in partnerships and grants to increase access to mental and social health services, as well as program activities directed at reducing youth suicide through training system providers to recognize the signs and symptoms of depression.
Promising PracticesExpansion and provision of training in Question, Persuade, Refer (QPR) to multiple system points of contacts will support a continuum of care that is staffed to recognize and reduce poor mental health outcomes; additional resources for training and implementation can be found here: •www.mentalhealthfirstaid.org/cs/
Motivational Interviewing and Stages of Change approaches integrate.
Promising Policies/System ImpactsContinuing to fight for parity in health insurance benefits for mental health services is a critical component to improving mental health and reducing substance abuse. Additional resources regarding policies and initiatives can be found here: •www.thecommunityguide.org/mentalhealth/
benefitslegis.html
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73109
73118
73151
73116
73139
73122
73134
73105
7310673104
73103
73102
HighestLowest Moderate HighLow
overall Mental HealtH Score*
Zip code Mental Health Score 73104 9.0 73117 1.0 73114 14.0 73129 9.7 73108 10.3 73149 14.0 73135 26.0 73111 2.3 73127 16.7 73110 18.0 73099 34.7 73115 16.3 73109 10.3 73105 3.5
Zip code Mental Health Score 73139 20.0 73141 16.5 73003 33.7 73008 23.3 73119 17.0 73112 19.0 73170 1.0 73107 23.7 73118 16.3 73121 15.5 73122 25.5 73132 30.7 73142 44.5 73084 12.5
Zip code Mental Health Score 73162 39.3 73169 22.5 73150 35.5 73120 28.0 73106 6.3 73013 40.7 73165 20.0 73012 - 73128 32.0 73159 25.7 73130 31.7 73045 30.3 73020 39.0 73179 42.0
Zip code Mental Health Score 73116 32.0 73034 30.7 74857 35.0 73134 38.5 73145 49.0 73102 10.5 73049 42.5 73103 9.0 73173 - 73025 13.0 73054 22.7 73151 50.0 73007 37.0 73131 35.0
*Thelowertheoverallscorethehigherhealthburdeniswithinthatzipcode
57% 33%
5% 6%
Proportion of Mental Health Visits by Race
54%
46%
Proportion of Mental Health Visits by Gender
Mental Health Visits by Race
Mental Health Visits by Gender
Caucasian Other
AfricanAmerican
Male
AmericanIndian
Female
90
Mental HealtH viSitS
Why it MattersMental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood. Mental health disorders are common in the US and are the leading cause of disability in the US for individuals 15-44 years of age.
What it Means for ProvidersOur mental health is a primary indicator of our physical health. High stress levels can impact our ability to fight infections and our willingness to make healthy lifestyle choices. Partnerships can assist providers in identifying resources to impact mental health risk factors and assure policies and programs are in place to address decreasing mental health disorders in our community.
What it Means for ResidentsLocal public health initiatives require that action plans and strategies take into account community residents; ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce mental health disorders through targeted community campaigns and education.
How Are We Doing?There were approximately 24 mental health visits per 1,000 population on an annual basis from 2010-2012 in Oklahoma County. Females made up a larger portion of the mental health visits (53%) with 54% of these visits occurring in individuals 18 years or older. Zip codes 73117, 73111, and 73106 have the highest rates of mental health visits respectively.
DataSource:OklahomaMentalHealthandSubstanceAbuseCenter2010-2012
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73109
73118
73151
73116
73139
73122
73134
73105
7310673104
73103
73102
HighestLowest Moderate HighLow
Mental HealtH viSitS
Zip code average # of visits 73104 105.8 73117 249.9 73114 121.7 73129 113.2 73108 93.8 73149 83.1 73135 72.1 73111 181.1 73127 83.3 73110 71.9 73099 30.0 73115 70.0 73109 99.8 73105 137.2
Zip code average # of visits 73139 64.7 73141 70.4 73003 30.8 73008 50.9 73119 83.3 73112 63.0 73170 - 73107 56.8 73118 60.4 73121 69.1 73122 56.4 73132 50.7 73142 22.4 73084 109.2
Zip code average # of visits 73162 21.3 73169 64.0 73150 22.8 73120 35.1 73106 148.3 73013 16.0 73165 34.9 73012 - 73128 42.1 73159 55.8 73130 44.2 73045 28.2 73020 23.4 73179 23.4
Zip code average # of visits 73116 37.9 73034 19.0 74857 36.4 73134 21.1 73145 5.2 73102 82.7 73049 22.7 73103 129.1 73173 - 73025 - 73054 38.7 73151 3.5 73007 31.7 73131 62.6
65%
25%
6% 5%
Proportion of Substance Abuse Visits by Race
44%
56%
Proportion of Substance Abuse Visits by Gender
Substance Abuse by Race
Substance Abuse by Gender
Caucasian Other
AfricanAmerican
Male
AmericanIndian
Female
92
SubStance abuSe viSitS
Why it MattersSubstance abuse is defined as the excessive consumption or misuse of a substance for the sake of its nontherapeutic effects on the mind or body, especially illegal drugs or alcohol. Excessive consumption of substances can lead to increased risk for a variety of health problems.
What it Means for ProvidersSubstance abuse is often a sign of deeper mental, social, or emotional stress in an individual’s life. Providers should work collaboratively to advocate for programs, policies, and services that encourage systems of care and coordination for communities at higher risk for substance abuse behaviors.
What it Means for ResidentsResidents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce substance abuse through targeted community campaigning and education.
How Are We Doing?There were approximately 5.8 substance abuse clients per 1,000 populations on an annual basis from 2010-2012 in Oklahoma County as reported through the Oklahoma Mental Health and Substance Abuse Department. Males made up a larger portion of the substance abuse visits (53%) with 42% of these visits occurring in individuals between the ages of 25-40 years. Zip codes 73117, 73111, and 73105 have the highest rates of substance abuse visits.
DataSource:OklahomaMentalHealthandSubstanceAbuseCenter2010-2012
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73109
73118
73151
73116
73139
73122
73134
73105
7310673104
73103
73102
HighestLowest Moderate HighLow
SubStance abuSe viSitS
Zip code average # of visits 73104 16.8 73117 123.9 73114 14.9 73129 16.6 73108 16.4 73149 12.9 73135 8.1 73111 37.9 73127 18.2 73110 10.8 73099 5.2 73115 10.4 73109 14.3 73105 37.6
Zip code average # of visits 73139 10.4 73141 12.8 73003 8.0 73008 8.8 73119 11.2 73112 11.1 73170 - 73107 12.2 73118 26.6 73121 15.7 73122 10.0 73132 7.5 73142 5.2 73084 12.4
Zip code average # of visits 73162 3.9 73169 10.1 73150 8.7 73120 6.1 73106 26.4 73013 5.2 73165 28.9 73012 - 73128 7.9 73159 9.4 73130 5.9 73045 8.5 73020 5.4 73179 5.5
Zip code average # of visits 73116 4.7 73034 6.0 74857 7.4 73134 8.3 73145 2.4 73102 18.4 73049 5.8 73103 12.3 73173 - 73025 - 73054 7.6 73151 0.7 73007 6.9 73131 3.2
Child Abuse and Neglect Case Rates
12
10
8
6
4
2
00
2
4
6
8
10
12
Oklahoma County Oklahoma State US
Ra
te o
f C
on
firm
ed
Ch
ild
Ab
us
e
Ca
se
s p
er 1
,00
0 i
n 2
011
Confirmed Child Abuse and Neglect Case Rates
OklahomaCounty
OklahomaState
U.S.Rat
e of
Con
firm
ed C
hild
Abu
se
Cas
es p
er 1
,000
in 2
011
51%49%
Child Abuse and Neglect Cases by Gender Child Abuse by Gender
Male Female
94
cHild abuSe and neglect
Why it MattersThe Oklahoma Department of Human Services (OKDHS) investigates or assesses all accepted reports of alleged child abuse and neglect by the person responsible for the child’s care. Investigations are conducted when the report contains allegations of serious threats to the child’s safety, whereas assessments are conducted when the allegation of abuse or neglect does not constitute a serious or immediate threat to a child’s health or safety. Healthy and safe environments are important in the well-being and development of children. Victims of child abuse are at higher risk of having a number of adverse outcomes throughout their life.
What it Means for ProvidersCare coordination and information sharing around child abuse and neglect is key for prevention of adverse childhood events. Providers should advocate for programs, policies, and services that support responsible and confidential information sharing with the aim of protecting children and strengthening family units.
What it Means for ResidentsLocal public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce child abuse and neglect through targeted community campaigning and education.
How Are We Doing?Approximately 19 child abuse neglect cases per 1,000 children occurred on an annual basis between 2010-2012. Fifty-one percent of the cases were in the female with over 20% of cases occurring in children under 1 year of age. Zip codes 73129, 73114 and 73111 have the highest rates of child abuse and neglect cases reported between 2010-2012.
DataSource:DepartmentofHealthandHumanServices2010-2012
wellneSS now in actionWith the growing Hispanic population in Oklahoma County, it is important for Wellness Now to have an ongoing partnership with the Latino Community Development Agency (LCDA). The LCDA provides numerous community programs from English classes to child development programs and beyond. There are treatment programs for substance abuse, child trauma, and partner/sexual violence as well as a program providing parenting aid for behavioral issues. Finally, there are a variety of prevention and community programs, especially for youth, that help build skills and relationship building opportunities.
HighestLowest Moderate HighLow
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73109
73118
73151
73116
73139
73122
73134
73105
7310673104
73103
73102
*per100,000population
cHild abuSe caSeS*
Zip code confirmed cases 73104 1104.1 73117 509.5 73114 1622.8 73129 1689.2 73108 1388.9 73149 1328.2 73135 918.9 73111 1607.5 73127 1325.1 73110 812.9 73099 48.0 73115 992.1 73109 1300.6 73105 572.6
Zip code confirmed cases 73139 451.8 73141 1187.4 73003 252.9 73008 490.7 73119 1204.1 73112 561.9 73170 19.2 73107 778.0 73118 335.7 73121 784.2 73122 640.5 73132 503.4 73142 230.8 73084 881.1
Zip code confirmed cases 73162 116.1 73169 561.8 73150 491.3 73120 265.1 73106 986.4 73013 164.4 73165 338.9 73012 166.4 73128 650.6 73159 505.3 73130 574.8 73045 459.4 73020 320.4 73179 630.5
Zip code confirmed cases 73116 121.7 73034 252.7 74857 - 73134 368.2 73145 658.7 73102 44.7 73049 217.9 73103 363.4 73173 - 73025 - 73054 473.8 73151 - 73007 - 73131 -
16.6 18.1
12.1
0.0
5.0
10.0
15.0
20.0
Oklahoma County Oklahoma State US
Age Adjusted Suicide Rates 2010-2012
Age Adjusted Suicide Mortality Rates 2010-2012
20.0
15.0
10.0
5.0
0.0Oklahoma
CountyOklahoma
StateU.S.
3.05 5.74 5.31 2.53
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
0-24 25-44 45-64 65 and Older
Suicide Rate by Age Group Suicide Mortality Rates
by Age Group7
6
5
4
3
2
1
00-24 25-44 45-64 65+
96
Suicide Mortality
Why it MattersSuicide is a largely preventable cause of death. Recognition and treatment for those at risk is crucial for lowering the number of deaths. Similarly, public awareness and lowering of stigma for use of mental health care may improve outcomes. Widespread inclusion of mental health treatment in health plans may help increase the use of these services and decrease the number of deaths as well. Areas with high rates may indicate low access to medical or mental health care or low knowledge of resources.
What it Means for ProvidersTrends in suicide rates are often indicative of community norms and changes in cultural and societal expectations. Providers should work collaboratively to identify community pockets of high risk and advocate for programs, policies, and services that target outreach and education to areas of highest need.
What it Means for ResidentsLocal public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce suicide mortality through targeted community campaigning and education.
How Are We Doing?The rate of suicide was 16.6 per 100,000 in Oklahoma County. This was higher than the national rate of 12.1 deaths per 100,000 and lower than the state rate of 18.1 per 100,000. Mortality was highest in American Indians and males. The zip codes with the highest rates were 73170, 73054, 73111, 73103, and 73034.
DataSource:OklahomaStateDepartmentofHealthVitalStatisticsDeathRecords2010-2012
wellneSS now in actionHealth at Work aims to impact mental health through worksite trainings around suicide prevention and depression. In addition, the Mental Health workgroup provides Lifelines suicide prevention curriculum to school districts across Oklahoma County and works with local media outlets to include information about the 800-273-TALK suicide prevention lifeline in all news stories about suicide.
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73118
73151
7311673122
73134
73109
73105
73139
7310673104
73103
73102
*per100,000population
HighestLowest Moderate HighLow
Suicide Mortality*
Zip code Mortality average 73104 - 73117 - 73114 16.1 73129 20.9 73108 22.6 73149 - 73135 11.0 73111 37.1 73127 13.4 73110 20.6 73099 17.0 73115 25.0 73109 25.9 73105 -
Zip code Mortality average 73139 20.1 73141 - 73003 12.2 73008 20.7 73119 19.3 73112 20.8 73170 71.1 73107 14.0 73118 19.0 73121 - 73122 - 73132 13.8 73142 - 73084 -
Zip code Mortality average 73162 14.2 73169 - 73150 - 73120 21.3 73106 21.8 73013 13.6 73165 - 73012 - 73128 - 73159 15.7 73130 14.8 73045 16.4 73020 8.0 73179 -
Zip code Mortality average 73116 19.9 73034 32.5 74857 - 73134 - 73145 - 73102 - 73049 - 73103 34.2 73173 - 73025 20.9 73054 51.0 73151 - 73007 - 73131 -
Black/ African American33.1059179 orange #4American Indian10.8395748 Orange #2Asian 2.09796858 Orange #3Native Hawaiian0.34479338 Orange #1
Race Distribution of Students Receiving Free or Reduced Lunch
33%
11%
2.1%2.4%
53.6%
0.3%
Race Distribution of Students Receiving Free or Reduced Lunch
Caucasian AmericanIndian
Asian
AfricanAmerican NativeHawaiian
98
Free or reduced luncH
Why it MattersFree or reduced lunch is provided to children as a nutrition supplement and is made eligible to low-income families in Oklahoma County. This is a secondary indicator of economic hardship and can be used in conjunction with socioeconomic data to identify areas within the community to target for social and health services.
What it Means for ProvidersLocal public health efforts and community partnerships can assist providers in identifying resources to impact social inequalities and assure policies and programs are in place to address childhood nutrition in low-income communities.
What it Means for ResidentsLocal public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce social inequality and increasing social and health services in our community geared towards childhood nutrition.
How Are We Doing?The total number of children for Oklahoma City-County region that received free or reduced lunch is 117,616 which equates to 115 free or reduced lunches per 1,000 population. Of those who get free or reduced lunch 54% are Caucasian and 33% African American. The zip codes with the highest rate of free or reduced lunch participants were 73128, 73115, and 73097, respectively.
DataSource:OklahomaCountyPublicSchoolDistrictFreeandReducedLunchData2012
73099
73054
73020
73049
73165
74857
73045
730127300773034
73013
73025
73170
73150
73084
73120
73173
73159
73131
73141
73127
73110
73129
73135
73114
73128
73179
73130
73111
73169
73121
73142
73108
73112
73003
73107
73008
73149
73132
73162
73117
73119
73115
73145
73118
73151
7311673122
73134
73109
73105
73139
7310673104
73103
73102
HighestLowest Moderate HighLow
Free or reduced luncH
Zip code Free/reduced lunches 73104 19.9% 73117 45.8% 73114 47.1% 73129 39.0% 73108 46.9% 73149 34.0% 73135 46.5% 73111 43.7% 73127 48.4% 73110 59.6% 73099 - 73115 71.0% 73109 47.9% 73105 73.5%
Zip code Free/reduced lunches 73139 25.3% 73141 35.0% 73003 17.5% 73008 9.2% 73119 52.8% 73112 20.5% 73170 - 73107 33.4% 73118 38.4% 73121 70.4% 73122 7.1% 73132 5.9% 73142 5.3% 73084 68.5%
Zip code Free/reduced lunches 73162 5.7% 73169 52.9% 73150 26.1% 73120 19.5% 73106 44.7% 73013 12.4% 73165 - 73012 6.7% 73128 64.4% 73159 40.6% 73130 47.6% 73045 2.7% 73020 37.3% 73179 49.9%
Zip code Free/reduced lunches 73116 7.3% 73034 9.1% 74857 5.5% 73134 18.1% 73145 37.0% 73102 48.6% 73049 1.0% 73103 22.3% 73173 - 73025 3.6% 73054 0.5% 73151 2.2% 73007 11.1% 73131 6.5%
100
grocery Store availability
Why it MattersAccess to healthy food choices is an indicator of the standard of health for the community. Eating fresh fruits and vegetables will lower the chances for developing chronic disease such as diabetes, stroke, and hypertension. Areas that have a low capita of grocery stores and high capita of convenient stores and fast food restaurants are considered food deserts.
What it Means for ProvidersLocal public health efforts such as Wellness Now and the Tobacco Settlement Endowment Trust, along with community partnerships, can assist providers in identifying resources that impact social inequalities and assure policies and programs are in place to address decreased grocery store accessibility, especially in low-income communities where public transportation is the primary form of commuting.
What it Means for ResidentsLocal public health initiatives require that action plans and strategies take into account community residents, ideas and activities. Residents have an opportunity to improve community awareness and system changes along with developing or advocating for programs, services, and policies that aim to reduce social inequality and increase social and health services in our community geared towards access to grocery stores.
How Are We Doing?The Oklahoma City-County region averages 0.10 grocery stores per capita, 0.29 fast food restaurants per capita, and 0.29 convenience stores per capita.
DataSource:CityofOklahomaCityPlanningOfficeFoodAssessmentStudy2012-2013
wellneSS now in actionThe Nutrition and Physical Activity workgroup advocates for policy changes that make it easier for local households to grow and raise their own food sources. The workgroup successfully advocated for the passage of an Oklahoma City ordinance that enables individuals to grow their own food and harvest rainwater on plots of land smaller than an acre.
*Grocerystoreaccesswithina1-miledrivebyZipCode
grocery Store availability*
*Grocerystoreaccesswithina1-miledrivebyZipCode
grocery Store availability*
