CHIP - 2020 - 2022

A Community Health Improvement Plan (CHIP) is a “systematic effort to address issues identified by [an] assessment and community health improvement process.” The Logan County CHIP process began by conducting a community needs assessment (CHA). The CHA was conducted in 2020 and involved an extensive data collection process. Primary data was collected via a community survey, key informant interviews, and focus groups of Logan County residents. In addition, a number of secondary data sources were also used to develop a profile of the health needs in the county. The Community Health Assessment (CHA) created a picture of the needs of Logan County, identified community and data strengths and challenges, and provided information for the next steps to improve the quality of life and health in Logan County. The following topics were what was chosen to be of focus for Logan County for the years 2020 - 2022. 

Mental Health
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Story Behind the Curve

The goal is to improve mental health through prevention and by ensuring access to appropriate, quality mental health services.

Partners

Suicide Prevention Coalition

  • Mental Health Drug and Alcohol Services Board for Logan and Champaign Counties

  • TCN

  • Community Health and Wellness Partners 

  • Logan County Health District 

  • Mary Rutan Hospital Staff

  • Family and Children First Council

  • Logan County School Districts

What Works
Strategy

For 2020-22, the Suicide Prevention Coalition (SPC) has developed an Implementation Plan that includes a number of effective strategies designed to prevent suicides. These strategies include school-based suicide education, peer mentoring program, integrating behavioral health and primary care, Zero Suicide and Mental Health First Aid programs, use of telehealth, training in motivational interviewing, Question Persuade Refer, and limiting access to lethal means.

Action Plan
What We Do
Who We Serve
How We Impact
Why Is This Important?

Data from the 2020 CHA indicates that there is a continuing need to address mental health issues among youth and adults in Logan County to prevent suicides. Between 2017 and 2019, harm-related emergency room visits at Mary Rutan Hospital increased by 36% and the number of patients and patient visits for behavioral and mental health issues increased more than threefold. In the first three quarters of 2020, there were over 3,100 patients who said they were “better off dead” or were hurting themselves in some way. This was up from about 1,800 similar responses in 2019 suggesting that the pandemic likely contributed to the spike. In addition, 43.5% of respondents to the CHA survey ranked mental health as a high need and 64% of respondents listed mental health and addiction as a challenge. The number of patients treated for suicide at Mary Rutan Hospital increased for all age groups, including 0–17- year-old youths, and for both males and females from 2017 – 2019. For school-age children, data from the Logan County public schools indicates that between 16-21% of students screened for suicide risk were positive.

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What Works
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Action Plan
What We Do
Who We Serve
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Substance Use
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Story Behind the Curve

The goal is to reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

Partners

Logan County CORE

What Works
Strategy

For 2020-22, the Coalition for Ongoing Recovery Efforts (CORE) has developed an Implementation Plan that includes a number of effective strategies to reduce substance abuse in the county. These strategies include: school-based prevention program, SBIRT alcohol & drug screening, tobacco and vaping programs, parental engagement programs, Naloxone education and distribution, prescription drug monitoring, syringe service program, medication-assisted treatment, and alcohol and drug policy changes

Action Plan
What We Do
Who We Serve
How We Impact
Why Is This Important?

The need to address substance use in Logan County was documented in the 2020 CHA based on several data sources. Naloxone administrations were higher in 2020 than they were in 2018-2019 that likely contributed to a reduction in overdose deaths in 2020. Data from the 2020 CHA showed that 28% of respondents know someone who uses illicit drugs, while drug overdose and alcohol use treatments at Mary Rutan Hospital rose between 2016-2019 by 65% and 37% respectively. Another indicator of concern is that the percent of cases where children were removed from the home because of substance use increased from 35% to 62% from 2019-2020, though the total number of out-of-home placements decreased. Smoking and use of smokeless tobacco is also a concern as 26.7% of respondents to the CHA survey indicated they use tobacco products. Among teens, data from the schools shows that 10.9% reported they currently use E-cigarettes and 18.9% reported experimenting with vaping.

I
2020
15
1
67%
Chronic Diseases
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Story Behind the Curve

The goal is to reduce obesity and chronic disease risk through the consumption of healthful diets and increased physical activity.

Partners

  • Health District Staff Members

  • Mary Rutan Hospital Staff

  • Community Health and Wellness Partners Staff

  • Bellefontaine Joint Recreation District Staff

  • Logan County Board of DD

  • Logan County Farmers Markets

What Works
Strategy

For 2020-22, the Healthy Living Coalition has developed an Implementation Plan that includes a number of effective strategies designed to address the risk factors associated with these diseases to build on the success that has been made. These strategies include Health Habits, Healthy YOU, hypertension screening and follow-up, prediabetes screening, testing, and referral to the Diabetes Prevention Program, vaping and tobacco cessation program, Wholesome Rx and Nature Rx programs, Walk with a Doc/Play with a Doc, Winter Walking programs, preventative care and exercise prescriptions delivered through Patient-Centered Medical Homes, Bellefontaine Joint Recreation District’s activity program, using the website, blogs, and telehealth technologies, and educational classes on healthy living in the schools

Action Plan
What We Do
Who We Serve
How We Impact
Why Is This Important?

In Logan County, chronic diseases related to obesity and other behavioral risk factors continue to affect many residents. Data from the 2020 CHA shows that in 2019 Mary Rutan Hospital treated: 2,770 adults for hypertension; 1,302 for diabetes; and 920 for coronary heart disease. With the exception of diabetes, these numbers have improved since 2016. These gains can, in part, be attributed to the efforts of the Healthy Living Coalition to increase residents’ consumption of healthy foods and engagement in physical activities. Unfortunately, the CHA data also showed that between 48-49% of adult residents are obese and nearly 27% use tobacco products.

I
2020
2,482
2
26%
Housing and Homelessness
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Story Behind the Curve
Partners

  • Residential Administrators

  • First Lutheran Church - Bellefontaine

  • Mental Health Drug and Alcohol Services Board for Logan and Champaign Counties

  • TCN

  • Community Health and Wellness Partners 

  • Logan County Health District

  • Mary Rutan Hospital Staff

  • Bridges To Community Action

  • United Way of Logan County

  • Recovery Zone

  • Metropolitan Housing Authority

  • Campbell Landing Housing Authority

  • Logan County Land Bank 

  • Other community housing authorities/agencies

What Works
Strategy

For 2020-22, the Housing Coalition has developed an Implementation Plan that includes a number of effective strategies designed to increase the availability of safe and affordable housing options. These strategies include rental assistance programs and increased Investment in rental housing assistance for low-income residents, affordable housing development and preservation, incentives for housing developers, neighborhood improvement, development and expand land banking programs, prioritizing Community Block Grant, lead paint education, and abatement. 

Action Plan
  • Enhance skills
  • Build skills
What We Do
Who We Serve
How We Impact
Why Is This Important?

In Logan County, the need for more safe and affordable housing options is evident by the fact that nearly a quarter (23.7%) of the respondents to the CHA survey stated housing and homelessness was a high need for them. In addition, 41.8% of respondents indicated housing was a challenge. This was the second most listed challenge behind mental health and addiction. Respondents who reported not having sufficient funds for housing indicated that the lack of affordable housing in Logan County as one of the most common reasons given. Five (5) percent of the respondents said they had been homeless at least once in the past six (6) months. In the last quarter of 2019, the greatest needs recorded by the County’s 211 service were for emergency shelter and assistance with paying electric bills and rent. Data from Mary Rutan Hospital showed that treatment for asthma increased in 2019, as did treatment for lead poisoning, according to the Ohio Department of Health.

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