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COMMUNITY THEMES & STRENGTHS ASSESSMENT ETHNOGRAPHIC INFORMED INTERVIEW FINDINGS
Presented to Community Partners by the Kendall County Health Department on 5/28/15
Mobilizing Action Through Planning and Partnerships (MAPP) Assessment Lenses
Local Public Health System Assessment
Community Themes and Strengths Assessment
Community Health Status Assessment
Forces of Change Assessment
Community Themes and Strengths Assessment Focus
Provides a deep understanding of the issues residents experience as important
Community thoughts, concerns, and experiences are gathered
Community provides insight into issues of importance
Anthropological Research The problem with studying peoples not at
center of mainstream culture is that social schema is informed by a juxtaposition with the social world and the subsequent experience with social structures
Anthropological research deals with the creation and transmission of meaning
Ethnographic Method
Fieldwork is a form of inquiry that requires a researcher to be immersed in the social setting
Researcher becomes familiar with socio-cultural dynamics
Ontology (The study of the essentialities within the nature of being i.e. who is expert)
Epistemology (The theoretical analysis of knowledge as it relates to justification i.e. inductive inquiry)
Triangulation between primary data (new data), emergent theme, and secondary data (existing data)
Demographic Diversity
Interviewee Gender: Male-42% Female-58%
Interviewee Race: Caucasian-80% Latino-10% Black-6% Asain-4%
Approximate Age: 20’s-22% 30’s-18% 40’s-26% 50’s-12% 60+-22%
Landscaping Business
Dry Cleaners Laundry Mat Gas Station Beauty Salon Local Retail Grocery Store Coffee Shop Fast food Senior Center American legion Court House County Jail Grade School Subsidized Housing Local Church Local Hotel Senior Housing Shopping Center Local Library
Health and Wellbeing Themes Mind and body as essential
Physically fit/mentally fit/mental health/feeling safe/free from illness/positive outlook
Health including mind and body both preventative and ongoing My mind and body working 100% without flaws Cross between physical & mental wellbeing, standard of living & quality of
life Physical health as essential Daily activities without discomfort/free from sickness/up to date on shots/
physically fit Not being ill, being well-fed and having essential needs met Being proactive with how you treat your body Having beliefs, disease-free, having the physical means to care for self &
others Social wellbeing as essential Willing to help/being happy with what you want to do/being able to work A community that supports its fellow citizens; financially, physically, and
ethically Community centers, activities for youth and seniors, community
partnerships Comfortable living, happiness with yourself
Health and Wellbeing Themes
Access to care concerns Able to see doc free of insurance concerns/able to get needed shots/afford insurance Having enough money to live on, not worrying constantly, & having insurance Access to regular physical check-ups, dental, & mental health services Having affordable insurance and the ability to see a doctor Exercise and nutrition concerns Diet and exercise/eating well and exercising/fitness and good appetite Exercise and eating right Exercising daily, eating well, going to the doctor regularly Good diet, exercise, going to the doctor to get checked up Safety from violence concerns Safeguard against domestic violence/neighborhood violence/delinquent behavior No fighting in the house, no angry talk with the kids or the spouse We have the library and community police meetings We have neighborhood watch
Social Wellbeing Themes Socioeconomic stability as essential
Socioeconomic disparities/need rental assistance/funding & fundraising
People that have a low socioeconomic status will not have as good of health
Enough money to care for your family & resources to make life comfortable
Community resources as essential
Fitness clubs/senior services/food pantries/Health Department/good healthcare/human services
I have health insurance, I do not seek help & my kids are grown
We have many resources available; organizations, churches, & clubs that help
Community support as essential
Community development/do things beneficial to community/working together to support
Everyone taking care of everyone else
Being able to do things that are beneficial to the community
Community safety as essential
Public services/police officers/safe environment/safe things for kids to do/address bullying
Cleanliness and safety
Not a scary environment, like Chicago
Community connectivity as essential
Community centers/social activities/interacting with people/friendly neighborhoods/belonging
Making sure that you have friends and are able to socialize
Ability to interact with others, important to socialize with others
Social Wellbeing Themes Local Economy as context Economy plays a role/improving economy/quality of food/family-owned businesses/privately
owned There are a lot of locally owned businesses Small business are important Availability of community resources as need Substance abuse counseling/more support groups/need community center/gathering
spots/affordable medication The county will need more resources due to the growth in the county If resources are needed from the community that they should be available Employment opportunity as need Having a /being able to financially support family/full time jobs/well paid jobs Many local job opportunities and opportunities to volunteer are needed There are many without a computer & the computer is key to finding & applying for jobs Youth development as need Support for kids after school/youth centers/social activities for kids/structure for youth/ beyond
sports Expanding parks and making them more accessible for kids We do not have anything for teenage youth Named resources as asset Area churches/food pantries/Health Department/park districts/schools districts/ Senior
Services/YMCA PADS is a great asset in the community Private sports leagues for children
Mental Health Themes Emotional stability as essential
How one thinks about self/mentally stable/how you feel/interpret own thoughts & others
The cognitive ability to understand what is going on in your head
Making sure that you are doing everything you can to stay sane
Lifestyle stability as essential
Good conscience/ take care of self/complete functions of daily life/move forward positively/stay active
Being able to make good decisions for yourself
Having healthy behaviors
Stress moderation as essential
Reasonable stress/not worrying constantly/manage stress level/positive outlook/anxiety issues
Being stable enough to be stress and worry free
Positive thoughts
Relationship boundaries as essential
Happy relationships/ability to function socially/take care of family/healthy relationships/not letting others influence
Being able to balance work, family, & social commitments
Having a close family connection with healthy, open communication
Access to care as need
Need affordable MH treatment/insurance companies are difficult/need MH outreach
People cannot afford it
As the county continues to grow we will probably need more supportive services
Mental Health Themes Community resources as need
More activities for seniors & youth/transit options/prescription pain pills
More places for group functions like parks & shopping centers
There is a general lack of gathering places to relieve stress
Community awareness as need
People need to be aware of services/where to go for help/no mental health services in community
I do not see a lot of things in our community related to mental health
People need a place to go when they need help or information
Community education as need
Education about MH for the public/raise awareness of MH issues/MH and drug addiction
Need for more education, stigma to MH causes those in need not to come forward
Connection w/social health, awareness of activities that promote mental health
Named resources as asset
Area YMCA’s/Health Department/public parks/Senior Services
Senior Services brings doctors to present on health issues
Health Department has mental health staff to work with people with low income or no money
Community resources as assets
Center for Alzheimer’s/Physicians that can treat MH/school programs/counseling services
Community is calm, quiet, & peaceful; leads to a non-stressful environment
There are many resources, clinics, and physicians
Environmental Health Themes Clean surroundings as essential
Surroundings effect health/quality of environment/clean community/take care of land Good recycling programs and public transportation programs How the environment effects residents Programs and services as essential We have good services/PADs an asset/river good for boaters/need sidewalks/need
curbs Public transport allows for cutting down on pollution from personal vehicles Insect control, trash pickup, recycling, & skin product testing Air/water as essential Air quality is good/clean water/not much air pollution/clean air & water/truck traffic
could effect air The quality of the air and the overall state of the surrounding environment Clean air and water Community surroundings as context Have access to outdoor activities/good outdoors/open green space/slum lords/poor
sidewalks Clean community, I do not feel endangered at all. I have noticed upkeep in neighborhoods and park districts are clean Cleanliness/pollution as context Clean community/construction is dirty/keep the land clean/discard things properly It is a rural area, there may be a lot of pesticides we do not know about I see more electric cars around the community lately
Environmental Health Themes
Air/water concerns as need
Radium in water/risk of river flooding/clean up river banks/do not allow burning/public water not safe
Increased pollution in Fox River
Water seems clean, although it worries me that it seems highly chlorinated
Recycling interests as need
Recycling/electronic recycling/plenty of people recycle/appliance pick-up
Everywhere I go I see opportunities for recycling cans, bottles, & paper
Recycling options, Illinois does not recycle Styrofoam, we need a program for that
Parks and preserves as asset
Clean parks/more parks/plenty of green space/lots of parks/forest preserves
There are nature preserves and no pollution in the area
Lots of parks, trails, forest preserve areas, & the kayak chute at the Fox River
Clean air/water as asset
No smog/clean water and air/rural with less air pollution/water seems fine/well-kept streams
I think our water department does a great job keeping our water safe
Water here seems very clear
Physical Health Themes Body function as essential Body is functioning/gets me to work & home/body is operating/move comfortably Feeling good every day A healthy body, well maintained Exercise and fitness as essential Being fit/exercising/best shape possible/appropriate weight/be active/care for body You are up and active and not staying idle Maintaining your body at whatever age you are Fitness concerns as need Increase awareness in kids/out-of-school activities for kids/affordable park activities Fitness classes should be provided to those who cannot afford membership Would be nice if we could walk more places, we do not have enough sidewalks Access to care as need Difficult to access specialty care/cost of dental/must have insurance to access/no
nursing home Not sure about access in more rural areas I have Medicaid and this makes it hard to get medical services Nutrition concerns as need School lunches are processed/schools portions/produce is expensive While I see vegetable stands, more health food stores Farmers market would be great, there is a lack of access to fresh produce
Physical Health Themes
Fitness options as asset Opportunities for exercising/ physical activities programs/health clubs There are more fitness centers opening, there is an increased interest in
fitness Bike paths, running paths, open spaces, gyms, and parks are abundant Community resources as asset Biking paths/fitness centers/park districts/sports programs/walking paths Access to grocery stores The outdoors are important Access to care as asset Both Rush Copley/community immediate care centers/good doctors Access to hospitals and doctors in the event that health problems arise Right now, hospitals are close enough
Community Resilience Themes
Cooperation and helpfulness as essential Work together/many interested in helping/some not interested in helping/glued to
electronic devices We should face challenges together in ways that deals with the problems The community may still be small enough to be tight-knit & able to work together Adaptability and change as essential Some towns do not want change/long time residents do not welcome change/some not
adaptable Need to continually change and adapt, trainings and drills need to be ongoing If a community wants to evolve and survive, it has to focus Community communication as essential Texting rather than personal/listen to others/everyone knows one another/stay
connected There needs to be more communication Not sure there is enough communication about change or adaptation Disaster preparedness as need Need tornado plans/responders trained/zombie apocalypse/preparedness activities We have good law enforcement, fire control, & ambulance, but they are limited We have not been tested in a real disaster
Community Resilience Themes
Social concerns as need
Schools must support kids/dropouts are less resilient/need social services/Latino outreach
One of the fastest growing counties around
Increased drug use
Socioeconomic concerns as need
Socioeconomic disparity/affordable rent/foreclosure rate/lack of high paying jobs/lack of funding
Insurance will not pay for rehabilitation
Awareness of hunger and education problems needs to be present
Community context as asset
Neighbors are supportive/good community awareness/health conscious/many providers
Town meetings
Neighborhood watch groups
Named resources as assets
Emergency services/food pantries/Health Department/law enforcement/local schools
In small towns everyone still knows each other
Everyone took fairly good precautions during the Ebola scare, so we seem ready on an outbreak level
Emergent Themes(Findings) Meaning Making Both mind and body is essential to health and wellbeing Socioeconomic stability is essential to social wellbeing Emotional stability is essential to mental health Environmental health is identified with environmentalism & recycling Fully functioning body is essential to physical health Spirit of cooperation and helpfulness is essential to community resilience Community Themes Access to care is a identified as a need for health and wellbeing Availability of resources is identified as a need for social wellbeing Access to care is identified as a need for mental health Air & water concerns are identified need in environmental health Fitness concerns are identified as a need for physical health Access to care is identified as a need for physical health Disaster preparedness planning is identified as a continued need for community resilience Community connectedness including sidewalks and social gathering places is a need Community Strengths Community resources are assets to social wellbeing Organizational resources are identified as an asset for mental health Parks and preserves are assets to environmental health Fitness options available are identified as an asset for physical health Our community cooperative context is identified as an asset for community resilience Community connectedness including small town and public centers of activity is a strength
The Kendall County Health Department is grateful for the many community partners which have been thoughtful participants in our community health assessment process thus far; especially community interviewees, Aurora University Interns, and Rush-Copley Medical Center. Please feel free to contact Amaal at the Kendall County Health Department with further input or insights at (630) 553-8097.