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Washoe County Community Health Improvement Plan ● 2016-2018 - DRAFT


Table of Contents

Acknowledgements

3

Introduction

5

Executive Summary

6

Washoe County Health Priorities and Action Plans 12

Access to Healthcare and Social Services 13

Behavioral Health 29

Education (K-12) 48

Food Security 59

Appendices 68

Appendix One: Acronyms 69

Appendix Two: Planning Process 70

Appendix Three: Assets and Resources 78

Appendix Four: References 93


Acknowledgements

Community Health Improvement Plan Authors

Lead Author

Sara Dinga - Washoe County Health District

Guest Authors

Carlee Maloy - University of Nevada, Reno Community Health Sciences Intern

Elizabeth Aguilar - University of Nevada, Reno Community Health Sciences Intern

Editing and Support

Dawn Spinola – Washoe County Health District

Community Health Improvement Plan Steering Committee

The Community Health Improvement Plan (CHIP) Steering Committee met monthly between

May and December 2015 to help guide the CHIP process. Steering Committee Members

include:

Chair

Kevin Dick - Washoe County Health District

Co-Chair

Sara Dinga - Washoe County Health District

Members

Amy Cummings - Regional Transportation Commission

Dr. Max Coppes - Renown Health

Father Jorge Herrera - St. Therese Church of the Little Flower

Mike Johnson - Community Member

Maureen McKissick - City of Reno

Kristen McNeill - Washoe County School District

Dr. Melanie Minarik - University of Nevada Reno

Armando Ornelas - City of Sparks

Ken Retterath - Washoe County Social Services


Community Partners

The Washoe County Health District would like to thank the following organizations for their

participation in the CHIP surveys, key informant interviews, and/or workgroups that led to the

development of the Community Health Improvement Plan and the priorities outlined within.

89502 Family Health Festival Planning Committee

Northern Nevada HOPES Northern Nevada Literacy Council

Care Chest of Sierra Nevada Northern Nevada Medical Center Catholic Charities of Northern Nevada Change Companies, The

Project Making Adequate Nutrition Accessible

City of Reno Quest Counseling and Consulting, Inc. City of Sparks Regional Transportation Commission Collaborating for Clients Accountability Team Renown Health Communities in Schools, Western Nevada Ridge House Community Health Alliance Saint Mary’s Regional Medical Center Crisis Call Center Saint Therese Church of the Little Flower Food Bank of Northern Nevada Social Entrepreneurs, Inc. Food Policy Council Good Shepherd’s Clothes Closet

Truckee Meadows Healthy Communities Steering Committee

HealthInsight Human Services Network Join Together Northern Nevada

University of Nevada, Reno, Department of Agriculture, Nutrition and Veterinary Services

JOIN Inc. Immunize Nevada

University of Nevada, Reno, Division of Health Sciences

Local Food Network Nevada Advocates for Planned Parenthood

University of Nevada, Reno, Sanford Center for Aging

Affiliates United Way Nevada Cancer Coalition Washoe County Manager’s Office Nevada Division of Healthcare Financing and Policy

Washoe County Chronic Disease Coalition Washoe County Health District

Nevada Division of Public and Behavioral Health, Office of Suicide Prevention

Washoe County School District Washoe County Senior Services

Nevada Energy Washoe County Social Services Nevada Parents Educating Parents Wells Fargo

Community Members

The Washoe County Health District and CHIP Steering Committee would like to thank the

community for their involvement and participation in the community health improvement

process. Your time and effort is greatly appreciated as we move forward to improve the health

and well-being of Washoe County residents.

Special Thank You

Thank you, Neil Lockhart, for allowing the use of your beautiful photography in our Community Health Improvement Plan. Your photos of Washoe County bring out its true beauty.


Introduction

Background

In 2014, the Washoe County Health District and Renown Health partnered with individuals and

organizations in the region to develop the 2015-2017 Washoe County Community Health

Needs Assessment (CHNA). The CHNA was designed to provide a comprehensive overview of

health needs and service gaps on which to focus community resources in Washoe County. The

data provided within the CHNA is the basis for the goals, objectives and strategies of the

Community Health Improvement Plan (CHIP). The CHNA is available at: Washoe County

Community Health Needs Assessment

What is a Community Health Improvement Plan?

The Public Health Accreditation Board defines a CHIP as "a long-term, systematic effort to

address health problems on the basis of the results of assessment activities and the community

health improvement process. This plan is used by health and other governmental education

and human service agencies, in collaboration with community partners, to set priorities and

coordinate and target resources.1”

The 2016-2018 Washoe County Community Health Improvement Plan provides a framework

for community partners to improve the health and well-being of residents in Washoe County

by taking into account our community’s unique circumstances and needs. Put simply, the CHIP

is a plan of action to address local conditions that are contributing to or causing poor health in

Washoe County. Strategies identified within the CHIP are addressed through partnerships with

community based organizations, with Health District taking on a supportive role.

Management of the Community Health Improvement Plan

The CHIP is managed by community workgroups, with the Health District acting in a supportive

role. On an annual basis, the Health District will provide a community report as it relates to the

status of all goals, objectives and strategies included within the CHIP. The community report

will consider the feasibility and effectiveness of the strategies, as well as community resources

and assets. After measuring the performance of CHIP action plan implementation, revisions

may be made to the strategies, time-frames, targets, or assigned responsibilities. These annual

reports will be made available on the Washoe County Health District website.

In summary, this first CHIP provides an initial direction with revisions expected in the future as

Washoe County organizations and community members work in greater partnership to

improve upon the health and well-being of Washoe County residents.

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Executive Summary

In coordination with community members and community partners, the Washoe County

Health District developed the Washoe County Community Health Improvement Plan (CHIP) to

address local health issues that are contributing to or causing poor health in Washoe County.

The CHIP is a living document that will be updated annually as new information, needs, gaps,

resources, and emergent issues are identified.

For purposes of the CHIP, four priority health issues were selected for Washoe County:

Access to Healthcare and Social Services

Behavioral

Health

Education (K-12)

Food

Security

More than 200 community members and community partners participated in the selection and validation of the above listed priorities. For a detailed description of the processes utilized to select these four health priorities, please refer to Appendix Two.

After selection of the four priority health issues, action plans for each health priority were

developed, and are included within the CHIP. The goals, objectives, strategies, timelines, and

lead organizations included within each action plan were determined based on information

collected from 99 community member interviews, 34 community partner surveys, 20 key

informant interviews, and nine community workgroups.

Implementation of each of the action plans will occur through workgroups and workgroup

subcommittees who will meet on a regular basis beginning in early 2016. The CHIP Steering

Committee and the Washoe County Health District encourage participation from all Washoe

County organizations addressing the four health priorities. Please send an e-mail to

[email protected] if you wish to become involved in one or more

of the CHIP workgroups.

A summary of the goals and objectives within the CHIP action plans are included within the

table on the following pages. The objectives included within the table are abbreviated for the

Executive Summary, and the complete SMART objectives are included within the CHIP action

plans.

mailto:[email protected]


Summary of Washoe County CHIP Goals and Objectives:

Priority One: Access to Healthcare and Social Services

Goals Objectives

1 Improve access to healthcare and social services for individuals on Medicaid and Medicare, and for those who are underinsured or uninsured.

1.1 Provide Family Health Festivals to at-risk communities in Washoe County.

1.2 Develop a Family Health Festival Strategic Plan.

1.3 Increase the percentage of Washoe County residents who have a usual primary care provider.

1.4 Increase the number of non-high school graduate adults who receive their Adult High School Diploma.

1.5 There will be zero (0) ADA paratransit trip refusals in Washoe County within the Reno Transportation Commission paratransit service area.

1.6 There will be zero (0) ADA paratransit trip refusals in Washoe County outside of the Reno Transportation Commission paratransit service area.

1.7 Increase the number of trips provided by private/not-for-profit organizations for seniors, disabled, and low income residents for medical and social service needs.

1.8 Increase the number of reduced-rate or other discounted transit trips provided for seniors, disabled, and low income residents in Washoe County (taxi bucks, RTC ACCCESS coupons, etc.).

2 Improve coordination of care in Washoe County across healthcare settings, social services, individual providers, and the community.

2.1 Develop a strategic plan to restructure and improve Nevada 2-1-1.

2.2 Explore models for engagement of assistance providers in underserved communities.

Priority Two: Behavioral Health

Goals Objectives

3 Improve access to behavioral health services for individuals on Medicaid and Medicare, and for those who are underinsured or uninsured.

3.1 Increase the proportion of adults aged 18 years and older with serious mental illness who receive treatment.

3.2 Increase the proportion of adults aged 18 years and older with major depressive episodes who receive treatment.

3.3 Increase the proportion of persons with co-occurring substance abuse and mental disorders who receive treatment for both disorders.


Priority Two: Behavioral Health (continued)

Goals Objectives

4 Create a healthier environment for Washoe County youth.

4.1 Decrease the number of K-12 bullying incidents within the Washoe County School District.

4.1.a Decrease the percentage of Washoe County high school students who are bullied on school property.

4.1.b Decrease the percentage of Washoe County high school students who are electronically bullied.

4.2 Decrease the percentage of Washoe County high school students who miss school because they feel unsafe at school or on their way to or from school.

4.3 Decrease the percentage of Washoe County high school students who feel sad or hopeless.

4.4 Decrease the percentage of high school students who seriously consider attempting suicide.

4.5 Decrease the percentage of high school students attempting suicide.

5 Protect the health and safety of Washoe County youth through the reduction of substance use and abuse.

5.1 Decrease the percentage of Washoe County high school students who currently drink alcohol.

5.2 Decrease the percentage of Washoe County high school students who recently participated in binge drinking.

5.3 Decrease the percentage of high school students who drank alcohol for the first time before age 13 years.

5.4 Decrease the percentage of University of Nevada, Reno students who currently drink alcohol.

5.5 Decrease the percentage of University of Nevada, Reno students who recently participated in binge drinking.

5.6 Decrease the average number of drinks consumed by University of Nevada, Reno students on last drinking occasion.

5.7 Decrease the percentage of Washoe County high school students who ever used marijuana.

5.8 Decrease the percentage of Washoe County high school students who tried marijuana for the first time before age 13 years.

5.9 Decrease the percentage of Washoe County high school students who currently use marijuana.


Priority Two: Behavioral Health (continued)

Goals Objectives

5

Protect the health and safety of Washoe County youth through the reduction of substance use and

abuse.

5.10 Decrease the percentage of University of Nevada, Reno students who currently use marijuana.

5.11 Decrease the percentage of Washoe County high school students who ever used methamphetamines.

5.12 Decrease the percentage of Washoe County high school students who ever used cocaine.

5.13 Decrease the percentage of Washoe County high school students who ever used inhalants.

5.14 Decrease the percentage of Washoe County high school students who ever used heroin.

5.15 Decrease the percentage of Washoe County high school students who ever used ecstasy.

5.16 Decrease the percentage of Washoe County high school students who ever took prescription drugs without a doctor’s prescription.

5.17 Decrease the percentage of University of Nevada, Reno students who ever took prescription painkillers without a doctor’s prescription.

5.18 Decrease the percentage of University of Nevada, Reno students who ever took prescription sedatives without a doctor’s prescription.

5.19 Decrease the percentage of University of Nevada, Reno students who ever took prescription stimulants without a doctor’s prescription.

5.20 Decrease the percentage of Washoe County high school students who were offered, sold, or given an illegal drug by someone on school property.

5.21 Decrease the percentage of Washoe County high school students who drove a vehicle when they had been drinking alcohol.

5.22 Decrease the percentage of Washoe County high school students who rode in a vehicle by someone who had been drinking alcohol.


Priotiy Three: Education (K-12)

Goals Objectives

6 Improve health outcomes of Washoe County youth through educational attainment.

6.1 Increase the Washoe County School District graduation rate.

6.1.a-6.1.c

Increase the Washoe County School District graduation rate for black/African American, Hispanic/Latino, and Native American/American Indian students.

6.1.d-6.1.f

Increase the Washoe County School District graduation rate for Children in Transition, children living in poverty, and for students enrolled in Special Education classes.

6.2 Decrease the percentage of Washoe County School District graduates attending Truckee Meadows Community College who require remedial math courses.

6.3 Decrease the percentage of Washoe County School District graduates attending Truckee Meadows Community College who require remedial English courses.

6.4 Decrease the percentage of Washoe County School District graduates attending the University of Nevada, Reno who require remedial math courses.

6.5 Decrease the percentage of Washoe County School District graduates attending the University of Nevada, Reno who require remedial English courses.

7 Support student health, wellness and achievement through nutritious eating habits and physical activity.

7.1 The Washoe County School District will adopt a Student Wellness Policy that meets state and federal requirements for nutrition and physical activity.

7.2 Increase the percentage of Title 1 schools with Provision 2 or Community Eligibility status.

7.3 Increase the number of Title I schools with Girls on the Run programming.

7.3.a Provide the Girls on the Run program to 500 adolescent girls in Washoe County.

7.4 Pilot the University of Nevada, Reno’s Coaches Challenge program in at least 20 elementary school classrooms within Washoe County.

7.4.a-7.4.b

Washoe County elementary students who complete Coaches Challenge will report an increase in physical activity and nutritious eating.


Priority Four: Food Security

Goals Objectives

8 Implement programs that address the immediate need for food and promote long-term health and food security in households and communities.

8.1

Conduct a community needs assessment in the 89502 zip code with the goal of better understanding the role of food banks and their partners in a structured approach to achieve community-based outcomes that improve family stability.

8.2

Design a plan for improving outcomes identified through the community needs assessment process (identified in Objective 8.1), including the identification of interventions that draw from the best available evidence base.

8.3 Design an evaluation and data collection plan for those interventions identified in Objective 8.2.

8.4 Implement interventions identified in Objective 8.2 and assess outcomes utilizing the evaluation plan in Objective 8.3.

8.5 Develop a Washoe County Community Garden Plan to identify goals, objectives and strategies for Community Gardens in low-income neighborhoods.

9 Enhance home-delivered meal programs to seniors to keep on pace with the rising senior population.

9.1 Reduce the gap in the number of meals served to seniors residing in Washoe County.


Washoe County Health Priorities and Action Plans

Summary of Health Priorities and Goals

For purposes of the CHIP, Washoe County community partners have identified four priority

health areas and nine goals as identified in the table directly below.

Health Priority Goals

Access to

Healthcare and Social Services

GOAL 1: Improve access to healthcare and social services for individuals on Medicaid and Medicare, and for those who are underinsured or uninsured.

GOAL 2: Improve coordination of care in Washoe County across healthcare settings, social services, individual providers, and the community.

Behavioral

Health

GOAL 3: Improve access to behavioral health services for individuals on Medicaid and Medicare, and for those who are underinsured or uninsured.

GOAL 4: Create a healthier environment for Washoe County youth.

GOAL 5: Protect the health and safety of Washoe County youth through the reduction of substance use and abuse.

Education

(K-12)

GOAL 6: Improve health outcomes of Washoe County youth through educational attainment.

GOAL 7: Support student health, wellness and achievement through nutritious eating habits and physical activity.

Food Security

GOAL 8: Implement programs that address the immediate need for food and promote long-term health and food security in households and communities.

GOAL 9: Enhance home-delivered meal programs to seniors to keep on pace with the rising senior population.

Description of Health Priorities and Action Plans

The following pages include a description of each of the four selected health priorities and their

corresponding action plans, containing goals, objectives, strategies, and lead organizations.

Furthermore, these pages include: a) infographics summarizing the critical data for each health

priority, b) a description and rationale for goals and corresponding objectives, c) evidence of

effectiveness, and d) policy recommendations. For a detailed description of the processes used

to select health priorities and develop action plans, please refer to Appendix Two.

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PRIORITY ONE:

Access to

Healthcare

and

Social

Services

The Access to Healthcare

and Social Services

infographic provides a

snapshot of the primary

access issues affecting

Washoe County residents.

All Washoe County

infographics can be found

at: Washoe County Health

District

https://www.washoecounty.us/health/



PRIORITY ONE:

Access to

Healthcare

and

Social

Services

The Access to Healthcare infographic

provides a snapshot of access issues

specific to healthcare in Washoe

County.

All Washoe County infographics can be

found at:

Washoe County Health District



GOAL 1: IMPROVE ACCESS TO HEALTHCARE AND SOCIAL SERVICES FOR INDIVIDUALS ON MEDICAID AND MEDICARE, AND FOR THOSE WHO ARE UNDERINSURED OR UNINSURED.

OBJECTIVE 1.1 Performance Measure: # of Family Health Festivals provided to at-risk communities per year

By December 31, 2018, provide a minimum of

four Family Health Festivals per year to at-risk

communities in Washoe County.

2015 Baseline

2016 Target

2018 Target

Data Source

2/year 4/year 4/year TMHC Steering Committee

OBJECTIVE 1.2 Performance Measure: Development of a Strategic Plan; Implementation of a Strategic Plan

By July 1, 2016, develop a Family Health

Festival Strategic Plan to identify goals,

objectives and strategies for future Family

Health Festivals.

2015 Baseline

2016 Target

2018 Target

Data Source

No Plan Plan Developed Plan

Implemented TMHC Steering Committee

Strategies Lead Organization

Family Health Festivals will be provided on a quarterly basis, beginning with 89502 as a pilot zip code.

Participating organizations must provide a direct service or necessary (free) items to increase access to

healthcare and social services. Examples of direct services include: fluoride treatment, immunizations,

sports physicals, etc. Examples of necessary (free) items include: school uniforms, food, etc.

Truckee Meadows Healthy

Communities Family Health

Festival Planning Committee Develop and implement Family Health Festival Strategic Plan strategies and evaluate progress toward

objectives identified in Plan.


Goal 1 – Objectives 1.1 and 1.2

Description

Community hubs bring local information and services spanning healthcare, social services, and education into a familiar

and friendly place, such as a school or community space that is already a part of everyday life for families and their

children. For parents, guardians, and children, accessing information and services is easier when delivered in a setting

that they are already familiar with2. The Family Health Festivals in Washoe County are a new initiative that began as a

result of the needs and gaps identified in the CHNA.

Rationale

Improving access to healthcare and social services aims to increase the quality of life of Washoe County residents by

providing adequate healthcare and promoting a better understanding of the system. Community hubs provide greater

access to healthcare, social services and education, thereby increasing access to needed services that increase a

person’s/family’s health and well-being. In addition, community hubs can help families create friendships and support

networks, and provide a sense of belonging2.

Evidence of Effectiveness

A Community Hub is an evidence-based, place-based, citizen centric program designed to enhance social inclusion and

social cohesion. Outcomes and objectives are focused on the child, family, school, and community2.

Also Addresses Behavioral Health, Education, and Food Security priorities



OBJECTIVE 1.3 Performance Measure: % of WC residents who have a usual primary care provider

By December 31, 2018, increase the

percentage of Washoe County residents who

have a usual primary care provider to 5%.

2014 Baseline

2018 Target

Healthy People 2020 Target

Data Source

68.1% 71.5% 83.9% BRFSS


Community Health Alliance (CHA), a Federally Qualified Health Center (FQHC), will expand to seven health centers in

Washoe County offering primary care, women’s healthcare, chronic disease management, behavioral health, WIC,

labs/x-rays, and dental care. This expansion into numerous communities in Washoe County will allow for a greater

number of clients to be served.

Community Health

Alliance

Northern Nevada HOPES (NN HOPES), a FQHC, began construction on a brand new, 37,400 sq. foot community wellness

center in downtown Reno. The new, three-story community wellness center, opening in early 2016, will allow NN

HOPES to provide unprecedented healthcare to medically underserved populations in Washoe County. NN HOPES offers

a range of comprehensive services including primary care, chronic disease management, women’s health services, harm

reduction and outreach, behavioral health, social services, and an on-site pharmacy and nutritionist.

Northern Nevada

HOPES

In January 2016, the Sanford Center Geriatric Clinic will offer a comprehensive geriatric assessment and support center

for elders. This specialty care clinic offers a “whole person” assessment and chronic care management services,

provided by a multidisciplinary team, centered around the goals, strengths, and needs of each client. Often times,

elders experience appointments with multiple doctors, who don’t always collaborate on the patient’s care. The

Geriatric Clinic can help alleviate these challenges by providing all of the patient’s health care needs under one roof.

Sanford Center

Geriatric Clinic

In an effort to break the cycle of uninsured individuals inappropriately utilizing emergency rooms, REMSA implemented

their Community Health Program (CHP) to more appropriately utilize emergency responders, including a 24/7 nurse

health line, the Community Paramedic Program, and Ambulance Transport Alternatives.

Regional Emergency

Medical Services

Authority


Goal 1 – Objective 1.3

Description

According to Healthy People 2020, access to health services means the timely use of personal health services to achieve

the best health outcomes. Access assists in the prevention of disease and disability and the detection and treatment of

health conditions. Access is important for the achievement of health equity and for increasing the quality of a healthy

life, as it improves physical, social and mental health status.

The strategies discussed in Objective 1.3 above are a result of community organizations responding to client needs prior

to the development of the CHNA. However, the expansion efforts of these agencies are significant and expected to have

a great impact on the number of individuals on Medicaid and Medicare, and those who are underinsured and uninsured,

in accessing care and establishing themselves with a primary care physician.

Rationale

One in five residents in Washoe County is enrolled in Medicaid, and many have experienced difficulty in finding

providers who accept Medicaid patients. Approximately one-third of Washoe County residents live in a primary care

shortage area. People without a primary care provider do not regularly access the healthcare system and often wait

until a health concern becomes so serious they seek emergency services. With regular primary care, however, patients

receive annual check-ups and health screenings, which help prevent chronic conditions and the progression of disease

to late stages3.


Having a usual primary care provider is associated with a higher likelihood of appropriate care, and a usual source of

care is associated with better health outcomes4.

Healthy People 2020 has identified access to a usual care provider as a Leading Health Indicator (LHI); a subset of

Healthy People 2020 objectives selected to communicate high-priority health issues5.




OBJECTIVE 1.4 Performance Measure: # of non-graduate high school adults in Washoe County who receive their Adult High

School Diploma By December 31, 2018, increase the number

of non-high school graduate adults who

receive their Adult High School Diploma by a

minimum of 4000.

2015 Baseline

2018 Target

Data Source

0* 4000 Northern Nevada Literacy Council

*the baseline begins at 0 each calendar year. Based on the 2010 census, there were more than 40,000 adults in Washoe County without a high

school diploma.


Enroll Washoe County adult residents who do not have a high school diploma into a program where they

can obtain an Adult High School Diploma. Northern Nevada Literacy Council and RISE Academy for Adult

Achievement Educate enrolled adults on services and job opportunities where they receive both a living wage job and

health insurance.



Description

Academic success and achievement are strong predictors of overall adult health outcomes6. In 2013, the number of

uninsured people in the United States, a population comprising mainly minorities and those with less education and

income, totaled nearly 55.4 million3.

Rationale

As expected, the prevalence of Nevadans with health insurance increased with education, according to the Nevada

Behavioral Risk Factor Surveillance System 2012 Annual Report. The annual report shows that 50.85% of adults aged

18+ had health insurance, compared to 72.17% of who graduated high school or have a G.E.D. The percentages climbed

to 79.39% for those with some post high school and to 89.33% for college graduates.

In addition, the primary root causes discussed in community member and community partner CHIP interviews in

relation to why Washoe County residents did not have health insurance revolved around: lack of a high school diploma

and lack of a job that provided health insurance.


Proficient academic skills are associated with lower rates of risky behaviors and higher rates of healthy behaviors. High

school graduation leads to lower rates of health problems and risk for incarceration, as well as enhanced financial

stability6.




OBJECTIVE 1.5 Performance Measure: Number of ADA paratransit trip refusals within RTC paratransit service area By December 2018, there will be zero (0) ADA

paratransit trip refusals in Washoe County

within the Reno Transportation Commission

paratransit service area.

2015 Baseline

2016 Target

2018 Target

Data Source

0 0 0 RTC of Washoe County

OBJECTIVE 1.6 Performance Measure: Number of ADA paratransit trip refusals outside of RTC paratransit service area By December 2018, there will be zero (0) ADA

paratransit trip refusals in Washoe County

outside of the Reno Transportation

Commission paratransit service area.

2015 Baseline

2016 Target

2018 Target

Data Source

TBD 0 0 RTC of Washoe County

OBJECTIVE 1.7 Performance Measure: Number of trips provided By December 2018, increase the number of

trips provided by private/not-for-profit

organizations for seniors, disabled, and low

income residents for medical and social

service needs.

2015 Baseline

2016 Target

2018 Target

Data Source

TBD TBD TBD RTC of Washoe County

OBJECTIVE 1.8 Performance Measure: Number of reduced-rate or other discounted transit trips By December 2018, increase the number of

reduced-rate or other discounted transit trips

provided for seniors, disabled, and low income

residents in Washoe County (taxi bucks, RTC

ACCCESS coupons, etc.).

2015 Baseline

2016 Target

2018 Target

Data Source

TBD TBD TBD RTC of Washoe County



Expand public transportation services from the RTC and through not-for-profit transportation service

providers. Regional Transportation Commission Continue and grow programs such as RTC Taxi Bucks and other not-for-profit RTC grant funded programs

through the FTA Section 5310 program.


Goal 1 – Objective 1.5 through 1.8

Description Regional Transportation Commission (RTC) Access is the paratransit service that provides door-to-door, pre-scheduled

transportation for people who meet the criteria of the Americans with Disability Act (ADA).

Rationale

The 60+ senior population is the fastest growing age group in Washoe County. In 2010, there were 76,000 people over

the age of 60, in 2020 there will be an estimated 100,000, and by 2013, there will be an estimated 130,0003.

Transportation to and from healthcare is not widely available to individuals on Medicaid and Medicare, or may be

difficult to access and navigate. Alternative transportation options and training supports are therefore needed,

especially in non-urbanized areas of the county.


The 2014 Washoe County Master Plan for Aging Services Delivery reports that reducing barriers, including

transportation costs, areas served, and hours of operation can increase seniors' ability to access needed healthcare

services.



GOAL 2: IMPROVE COORDINATION OF CARE IN WASHOE COUNTY ACROSS HEALTHCARE SETTINGS, SOCIAL SERVICES, INDIVIDUAL PROVIDERS, AND THE COMMUNITY.

OBJECTIVE 2.1 Performance Measure: Development of a Strategic Plan; Implementation of a Strategic Plan By July 2016, Nevada Department of Health

and Human Services and statewide community

partners will develop a strategic plan to

restructure and improve Nevada 2-1-1, a call

center and online directory that provides

information and referral services to Nevada

residents.

2015 Baseline

2016 Target

2018 Target

Data Source


Implemented Nevada Department of Health and

Human Services


Develop a Strategic Plan for Nevada 2-1-1 that will allow for 2-1-1 to become a quality resource directory

that is improved, reliable and useful to all Washoe County partners, thereby reducing the immense

amount of work community partners put into creating and updating their own individual resource

directories.

State: Nevada Department of

Health and Human Services

County: Washoe County Health

District and Catholic Charities of

Northern Nevada Implement the Nevada 2-1-1 Strategic Plan.



Description

Nevada 2-1-1 is a part of a nationwide network of call centers that provide information and referral (I & R) services to

Nevada residents. Available information includes basic human services, physical and mental health resources,

employment support services, programs for children, youth and families, support for seniors and persons with

disabilities, volunteer opportunities, and support for community crisis and disaster recovery. Nevada 2-1-1 is available

24 hours per day, 7 days a week and information is provided in multiple languages. Nevada 2-1-1 is a useful resource for

individuals who need help and don’t know where to find it; it is a helpful service repository where service providers can

go to find resources needed by their own client base; 2-1-1 can assist during times of disaster by directing non-

emergency calls away from 9-1-1; and the 2-1-1 system is a mechanism to collect important data about emerging needs,

trends, and gaps in services7.

Rationale

Despite the intended benefits of Nevada 2-1-1, multiple needs assessments conducted by various state agencies reveal

Nevada 2-1-1 is not yet established as the preferred source of information and referral by individuals or providers

throughout the state. Furthermore, the system was noted to not be user friendly, accurate, or up to date. On a local

level, the CHIP data collection process revealed that agencies are individually developing their own resource guides

which take up a lot of staff time and resources as opposed to using 2-1-1, because it is out of date. If revitalized,

Washoe County agencies would prefer to utilize Nevada 2-1-1 as a resource7.


United Way Worldwide commissioned a study to access the expected costs and anticipated benefits of a nationwide 2-

1-1 system. The University of Texas Ray Marshall Center for the Study of Human Resources concluded: a) when an

individual seeks information or referral services for which they have little or no prior knowledge or experience, dialing 2-

1-1 is much simpler than other options, b) general information systems, such as 4-1-1, provide information that is too

general in nature to be very useful and may charge a fee, c) as a one-stop shop for social services, 2-1-1 would

ultimately save Americans millions of dollars in taxpayer money, and d) a national service of this type is estimated to

provide $1.1 billion in net value to society in a ten year period.



GOAL 2: IMPROVE COORDINATION OF CARE IN WASHOE COUNTY ACROSS HEALTHCARE SETTINGS, SOCIAL SERVICES, INDIVIDUAL PROVIDERS, AND THE COMMUNITY.

OBJECTIVE 2.2 Performance Measure: Exploration of models

By December 2016, explore models for

engagement of assistance providers in

underserved communities.

2015 Baseline

2016 Target

2018 Target

Data Source

No models explored

Models explored

Implement Model(s)

Truckee Meadows Healthy Communities Steering Committee


The Truckee Meadows Healthy Communities 89502 subcommittee will meet monthly to discuss and

explore models for engagement of assistance providers in underserved communities.


Communities

Begin implementation of model(s) to improve access to underserved communities. Truckee Meadows Healthy

Communities



Description

Through the Truckee Meadows Healthy Communities initiative, providers in Washoe County are looking to improve

coordination of service provision for low-income residents. How services will be better coordinated is still unknown, yet

many options are being explored.

Rationale The CHIP data collection process, as well as the CHNA data collection process, reports that individuals in Washoe County

have many barriers to accessing comprehensive care under the current models used by a myriad of healthcare and

social service organizations in Washoe County.


Truckee Meadows Healthy Communities will be researching evidence-based strategies in 2016.

Also Addresses Behavioral Health, Education, Food Security priorities


Policy Recommendations for Priority One: Access to Healthcare and Social Services

Support the increase of Medicaid reimbursement rates for primary care and specialty care providers.

Provide information to policy makers and the public in Nevada on the value of health insurance coverage and access to quality clinical and

preventive health services.

Support the integration and reimbursement of comprehensive clinical and preventive services, including chronic disease management and

lifestyle change.

Support the healthcare and public health workforce development in Nevada, including recognition, certification, and reimbursement of

emerging health professions such as community health workers and community paramedics.

Support efforts to improve access to healthcare services, including programs and policies that expand health insurance coverage to uninsured

populations, ensure safety net services to medically underserved populations, and adequate provider networks by all public and private health

insurance plans.

Support the development and implementation of school-based health services, including preventive health services for students with behavioral

health needs.

Support efforts to improve access to clinical and preventive services delivered through telehealth technology to medically underserved areas.

By recognizing the fundamental relationship between poverty and poorer health outcomes, support efforts to ensure a living wage and

affordable housing for Nevada workers and families.

Provide information to policymakers and the public in Nevada on the health impact of adequately funding essential public health services, the

value of public health accreditation, and the return on investments from evidence-based, population-health oriented programs and policy.

Support tax reform efforts leading to a more equitable and reliable tax system to ensure adequate funding for essential public health services

that transition Nevada’s health system from a sick-care system focused on treating individuals after they become ill to a prevention-oriented

system focused on population health promotion and wellness.


PRIORITY TWO:

Behavioral

Health

The Mental Health infographic provides a

snapshot of some of the primary mental

health issues affecting Washoe County

residents.


found at: Washoe County Health District



PRIORITY TWO:

Behavioral

Health

The Alcohol and Drugs infographic provides

a snapshot of the primary behavioral

health issues in Washoe County as they

relate to substance use and abuse.


found at: Washoe County Health District



GOAL 3: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES FOR INDIVIDUALS ON MEDICAID AND MEDICARE, AND FOR THOSE WHO ARE UNDERINSURED OR UNINSURED.

OBJECTIVE 3.1 Performance Measure: % of Washoe County adults with SMI who receive treatment

By December 2018, increase the proportion of

adults aged 18 years and older with serious

mental illness (SMI) who receive treatment.

2015 Baseline

2018 Target


Data Source

TBD* TBD* 72.3% TBD*

OBJECTIVE 3.2 Performance Measure: % of Washoe County adults with MDEs who receive treatment By December 2018, increase the proportion of

adults aged 18 years and older with major

depressive episodes (MDEs) who receive

treatment.

2015 Baseline

2018 Target


Data Source

TBD* TBD* 75.9% TBD*

OBJECTIVE 3.3 Performance Measure: % of Washoe County residents who receive treatment for both substance abuse and

mental disorders By December 2018, increase the proportion of

persons with co-occurring substance abuse

and mental disorders who receive treatment

for both disorders.

2015 Baseline

2018 Target


Data Source

TBD* TBD* 3.6% TBD*

*Data for objectives 3.1 – 3.3 is currently reported on a statewide and national level by the Substance Abuse and Mental Health Services

Administration (SAMHSA) and reported through the National Survey on Drug Use and Health. The CHIP Behavioral Health Workgroup will move

forward in 2016 to determine the best method for collecting reporting data on a local level.



Community Health Alliance (CHA), a Federally Qualified Health Center (FQHC), will expand to seven health centers

in Washoe County offering primary care, women’s healthcare, chronic disease management, behavioral health,

WIC, labs/x-rays, and dental care.

Community Health

Alliance

Northern Nevada HOPES (NN HOPES), a FQHC, will expand its clinic site to meet the needs of its growing client

numbers. NN HOPES offers a range of comprehensive services including primary care, chronic disease

management, women’s health services, harm reduction and outreach, behavioral health, social services, and an

on-site pharmacy and nutritionist.

NN HOPES

In January 2016, the Sanford Center Geriatric Clinic will offer a comprehensive geriatric assessment and support

center for elders. This specialty care clinic offers a “whole person” assessment and chronic care management

services, provided by a multidisciplinary team, centered around the goals, strengths, and needs of each client.

Often times, elders experience appointments with multiple doctors, who don’t always collaborate on the patient’s

care. The Sanford Center Geriatric Clinic can help alleviate these challenges by providing all of the patient’s health

care needs under one roof.

Sanford Center Geriatric

Clinic

The University of Nevada School of Medicine Department of Psychiatry has opened a new Behavioral Health

Patient Care Center. The Center offers behavioral health services to children, adolescents and adults, and provides

advanced, evidence-based treatment based on the latest research.

University of Nevada

School of Medicine

Department of Psychiatry

In an effort to break the cycle of uninsured individuals inappropriately utilizing emergency rooms, REMSA

implemented their Community Health Program (CHP) to more appropriately utilize emergency responders,

including a 24/7 nurse health line, the Community Paramedic Program, and Ambulance Transport Alternatives.

The program also connects individuals with mental and behavioral health needs to appropriate services.

Regional Emergency

Medical Services

Authority

Crossroads provides a supportive living arrangement for men and women transitioning out of homelessness.

Clients in the program are given a safe and caring environment to live in, along with wrap-around social services

including drug and alcohol counseling, employment support, volunteer/work opportunities, and other tools to help

them establish a new, more productive path in life. Crossroads is expanding the number of supportive transitional

housing beds from 131 in 2015 to 151 in 2017; including 20-30 crisis intervention beds intended to relieve stress on

local emergency departments. Crossroads also has plans to expand to 200 beds in 2018 and create an off-campus

facility to serve those with substance abuse issues who are not in need of a place to live – but are required by the

courts to be tested for drug/alcohol use.

Crossroads

(Partners include:

Washoe County Social

Services, Washoe County

Sheriff’s Office, Reno

Justice Court, and

Catholic Charities)


Goal 3 – Objective 3.1 through Objective 3.3

Description

Residents of Washoe County who are in need of mental /behavioral health services often go without counseling and

treatment. The CHNA reports that the biggest challenges Washoe County faces in regard to mental and behavioral

health are a lack of resources and access to appropriate care. Hospital emergency departments serve as a care provider

for mental/behavioral patients, which contributes to overcrowding as patients wait for services not readily available in

the ER. On a positive note, providers are getting creative with the resources available in both the public and private

sectors. Furthermore, Washoe County’s two Federally Qualified Health Centers are both expanding behavioral health

services for their low-income clients3.

Rationale

Regardless of creative solutions, much work still needs to be done in Washoe County to address the mental/behavioral

health issues, particularly those of our youth. Washoe County’s teen attempted suicide rate is well above the national

average – in 2013, 21% of high schoolers considered suicide, and 14% attempted suicide. A critical shortage of mental

health professionals means these young people don’t have access to the care they need. To even be close to the

average number of providers available nationwide, Washoe County would have to double its number of mental health

providers3. Currently, 100% of Washoe County’s population resides in a mental health professional shortage area8.


Mental disorders are among the most common causes of disability. The resulting disease burden of mental illness is

among the highest of all diseases. According to the National Institute of Mental Health (NIMH), in any given year, an

estimated 13 million American adults (approximately 1 in 17) have a seriously debilitating mental illness. Mental health

disorders are the leading cause of disability in the United States and Canada, accounting for 25 percent of all years of life

lost to disability and premature mortality9.

Also Addresses Access to Healthcare and Social Services priority


GOAL 4: CREATE A HEALTHIER ENVIRONMENT FOR WASHOE COUNTY YOUTH.

OBJECTIVE 4.1 Performance Measure: # of K-12 WCSD bullying incidents

By December 2020, decrease the number of

K-12 bullying incidents within the Washoe

County School District by 10%

2015 Baseline

2018 Target

2020 Target

Data Source

TBD 10% reduction 20% reduction Washoe County School District

OBJECTIVE 4.1.a Performance Measure: % of WC high school students who are bullied on school property By December 2019, decrease the

percentage of Washoe County high

school students who are bullied on

school property* by 20%.

2013 Baseline

2017 Target

2019 Target

Data Source

21.7% 19.5% 17.4% Youth Risk Behavior Survey

*during the 12 months before the YRBS survey

OBJECTIVE 4.1.b Performance Measure: % of WC high school students who are electronically bullied By December 2019, decrease the

percentage of Washoe County high

school students who are electronically

bullied* by 20%.

2013 Baseline

2017 Target

2019 Target

Data Source



OBJECTIVE 4.2 Performance Measure: % of WC high students missing school because they feel unsafe By December 2019, decrease the percentage

of Washoe County high school students who miss school* because they feel unsafe at school or on their way to or from school by 20%.

2013 Baseline

2017 Target

2019 Target

Data Source


*on at least one day during the last 30 days before the YRBS survey


OBJECTIVE 4.3 Performance Measure: % of WC high school students feeling sad or hopeless

By December 2019, decrease the percentage

of Washoe County high school students who

feel sad or hopeless* by 20%

2013 Baseline

2017 Target

2019 Target

Data Source


*almost every day for two or more weeks in a row so that they stopped doing some usual activities

OBJECTIVE 4.4 Performance Measure: % of high school students seriously considering suicide


of high school students who seriously consider

attempting suicide* by 20%.

2013 Baseline

2017 Target

2019 Target

Data Source



OBJECTIVE 4.5 Performance Measure: % of attempted suicides by high school students


of high school students attempting suicide* by

20%.

2013 Baseline

2017 Target

2019 Target

Data Source


*one or more times during the 12 months before the YRBS survey



Integrate academic, social, and emotional learning, and behavioral programming through Multi-Tiered

Systems of Support. Internal reorganization will integrate behavioral services and intervention services

with MTSS into the Department of Support and Intervention. Support will be provided to administrators

to investigate bullying and support will be extended for culturally responsive practice.

Washoe County School District

A Safe and Healthy Schools Commission within the WCSD has been recently developed in an effort to

provide Trustees with recommendations centering on the safety, security and well-being of WCSD

students, staff and schools. The Safe and Healthy Schools Commission will review and analyze

information from the District-wide safety and security review to be conducted in school year 2015-2016.


Safe and Healthy Schools

Commission

Family Health Festivals, following the Community Hub concept, will be provided to residents of the 89502

high-risk zip code on a quarterly basis. WCSD information regarding safe and healthy schools will be

provided during these events, to include WCSD staff providing informational sessions to parents and

youth regarding a new website in which parents and students can report bullying.


Communities 89502 Planning

Committee

Expand the number of schools with a Communities in Schools program to position coordinators inside

Washoe County schools to assess student needs and provide resources to help them succeed in the

classroom and in life.

Communities in Schools

Signs of Suicide (SOS), an evidence-based program, is administered to 150 youth (ages 12-17) in Washoe

County. SOS is a secondary school-based suicide prevention program that includes screening and

education. Students are screened for depression and suicide risk and referred for professional help.

Students also view a video that teaches them to recognize signs of depression and suicide in themselves

and others.

JTNN and the Children’s Cabinet

Research strategies and methods to track and address Adverse Childhood Experiences (i.e., parental

divorce or separation, economic hardship, parents with alcohol/drug abuse problems, etc.) for Washoe

County youth.

Behavioral Health CHIP Workgroup


Goal 4 – Objectives 4.1 through 4.5

Description

Bullying is one type of youth violence that threatens young people’s well-being. Bullying can occur in person and

through technology. Bullying can result in physical injuries, social and emotional difficulties, and academic problems.

The harmful effects of bullying are frequently felt by others, including families and friends, and can hurt the overall

health and safety of schools, neighborhoods, and society10.

Most teens who attempt or die by suicide have a mental health condition or substance abuse problem. As a result, they

have trouble coping with the stress of being a teen, such as dealing with rejection, failure, breakups, and family

turmoil11.

Adverse childhood experiences (ACEs) are potentially traumatic events that can have negative, lasting effects on health

and well-being. These experiences range from physical, emotional, or sexual abuse to parental divorce or the

incarceration of a parent or guardian. A growing body of research has sought to quantify the prevalence of adverse

childhood experiences and illuminate their connection with negative behavioral and health outcomes later in life12.

Rationale

Washoe County high school students report higher rates of violent behavior or threats of violent behavior than do youth

in Nevada and nationwide. For example, 21.7% of high school students were bullied on Washoe County school property

in 2013, compared to 19.6% of all Nevada high school students and 19.6% of students nationwide. In addition, 16.9% of

Washoe County high school students reported being bullied electronically compared to 15.0% of all Nevada high school

students and 14.8% nationwide. Even more alarming is that Washoe County’s attempted high school suicide rate (14%)

is almost double that of the nation (8%)13. Furthermore, the 2013 Nevada Kids Count Data Book reports that in 2012, a

total of 11 youth, ages 15-19 committed suicide in Nevada, five of which were in Washoe County, and only one more

(six total) in Clark County.


Healthy People 2020 reports that new research over the past 20 years indicates that the greatest opportunity for

prevention in relation to mental health disorders is among young people. Furthermore, Healthy People 2020 reports

that school-based preventive interventions aimed at improving social and emotional outcomes can also improve

academic outcomes9.

Also Addresses Access to Healthcare and Social Services, and Education priorities


GOAL 5: PROTECT THE HEALTH AND SAFETY OF WASHOE COUNTY YOUTH THROUGH THE REDUCTION OF SUBSTANCE USE AND ABUSE.

OBJECTIVE 5.1 Performance Measure: % of WC high school students who currently drink alcohol



currently drink alcohol* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Had at least one drink of alcohol on at least one day during the 30 days before the survey

OBJECTIVE 5.2 Performance Measure: % of WC high school students participating in binge drinking By December 2019, decrease the percentage


recently participated in binge drinking* by

10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Had five or more drinks of alcohol in a row within a couple of hours on at least one day during the 30 days before the survey

OBJECTIVE 5.3 Performance Measure: % of WC high school students who drank alcohol for the first time before age 13 years


of high school students who drank alcohol for

the first time before age 13 years* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*other than a few sips


OBJECTIVE 5.4 Performance Measure: % of UNR students who currently drink alcohol


of University of Nevada, Reno students who

currently drink alcohol* by 10%.

2012 Baseline

2018 Target

2020 Target

Data Source

65.3% 62.0% 58.8% National College Health

Assessment

*During the 30 days before the survey

OBJECTIVE 5.5 Performance Measure: % of UNR students participating in binge drinking



recently participated in binge drinking* by

10%.

2012 Baseline

2018 Target

2020 Target


Data Source

32.1% 30.5% 28.9% 37% National

College Health Assessment

*During the two weeks before the survey

OBJECTIVE 5.6 Performance Measure: # of drinks consumed by UNR students on last drinking occasion

By December 2020, decrease the average

number of drinks consumed by University of

Nevada, Reno students on last drinking

occasion by 10%.

2012 Baseline

2018 Target

2020 Target

Data Source

4.62 4.39 4.16 National College Health

Assessment


OBJECTIVE 5.7 Performance Measure: % of WC high school students who have ever used marijuana



ever used marijuana* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used marijuana one or more times during their life

OBJECTIVE 5.8 Performance Measure: % of WC high school students who tried marijuana for the first time before age 13 years By December 2019, decrease the percentage


tried marijuana for the first time before age 13

years* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used marijuana one or more times during their life

OBJECTIVE 5.9 Performance Measure: % of WC high school students who currently use marijuana



currently use marijuana* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used marijuana one or more times during the 30 days before the survey

OBJECTIVE 5.10 Performance Measure: % of UNR who currently use marijuana



currently use marijuana* by 10%.

2012 Baseline

2018 Target

2020 Target

Data Source


Assessment

*Used marijuana during the 30 days before the survey


OBJECTIVE 5.11 Performance Measure: % of WC high school students who have ever used methamphetamines



ever used methamphetamines* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) one or more times during their life

OBJECTIVE 5.12 Performance Measure: % of WC high school students who have ever used cocaine



ever used cocaine* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used any form of cocaine (e.g., powder, crack or freebase) one or more times during their life

OBJECTIVE 5.13 Performance Measure: % of WC high school students who have ever used inhalants



ever used inhalants* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life

OBJECTIVE 5.14 Performance Measure: % of WC high school students who have ever used heroin



ever used heroin* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used heroin (also called “smack,” “junk,” or “China White”) one or more times during their life


OBJECTIVE 5.15 Performance Measure: % of WC high school students who have ever used ecstasy



ever used ecstasy* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Used ecstasy (also called “MDMA”) one or more times during their life

OBJECTIVE 5.16 Performance Measure: % of WC high school students who ever took prescription drugs without a dr.’s prescription By December 2019, decrease the percentage


ever took prescription drugs without a

doctor’s prescription* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*Took prescription drugs (e.g., OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a Dr.’s prescription one or more times

OBJECTIVE 5.17 Performance Measure: % of UNR students who ever took prescription painkillers without a doctor’s prescription



ever took prescription painkillers without a


2012 Baseline

2018 Target

2020 Target

Data Source


Assessment

*past year

OBJECTIVE 5.18 Performance Measure: % of UNR students who ever took prescription sedatives without a doctor’s prescription



ever took prescription sedatives without a


2012 Baseline

2018 Target

2020 Target

Data Source


Assessment

*past year


OBJECTIVE 5.19 Performance Measure: % of UNR students who ever took prescription stimulants without a doctor’s prescription



ever took prescription stimulants without a


2012 Baseline

2018 Target

2020 Target

Data Source


Assessment

*past year

OBJECTIVE 5.20 Performance Measure: % of WC high school students who were offered, sold, or given an illegal drug by someone

on school property By December 2019, decrease the percentage


were offered, sold, or given an illegal drug by

someone on school property* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*During the 12 months before the survey

OBJECTIVE 5.21 Performance Measure: % of WC high school students who drove a vehicle when they had been drinking alcohol By December 2019, decrease the percentage


drove a vehicle when they had been drinking

alcohol* by 10%.

2013 Baseline

2017 Target

2019 Target

Data Source


*past 30 days

OBJECTIVE 5.22 Performance Measure: % of WC high school students who rode in a vehicle driven by someone who had been

drinking By December 2019, decrease the percentage


rode in a vehicle driven by someone who had

been drinking alcohol* by 10%.

2013 Baseline

2017 Target

2019 Target


Data Source

24.6% 23.4% 22.1% 25.5% YRBS

*past 30 days



Parenting Wisely, an evidence-based prevention program, is administered to 75 parents in Washoe

County. Parenting Wisely is a set of interactive, computer-based training programs for parents of

children 3-18 years of age. Based on social learning, cognitive, behavioral, and family systems theories,

the programs aim to increase parental communication and disciplinary skills.


Family Resource Centers

Project Towards No Drug Abuse, an evidence-based program, is administered to 100 high school youth

(ages 12-17) in Washoe County. The curriculum is designed to help students develop self-control and

communication skills, acquire resources that help them resist drug use, improve decision making

strategies, and develop motivation to not use drugs. It is packaged into twelve 40-minute sessions to be

taught by teachers or health educators. The curriculum was developed for high-risk students in

continuation or alternative high schools.

Children’s Cabinet

The Big Brothers Big Sisters Mentoring Program is designed to help participating youth, ages 6-18

(“Littles”) reach their potential through supported matches with adult volunteer mentors ages 18 and

older (“Bigs”). The program focuses on positive youth development, not specific problems, and the Big

acts as a role model and provides guidance to the Little through a relationship that is based on trust and

caring. JTNN is providing pass-through dollars to Big Brothers Big Sisters to support 50 youth, ages 5-11.

Big Brothers Big Sisters of Northern

Nevada

Positive Action, an evidence-based program, is being administered to 50 youth, ages 5-11 in Washoe

County. Positive Action is an integrated and comprehensive program that is designed to improve

academic achievement; school attendance; and problem behaviors such as substance use, violence,

suspensions, disruptive behaviors, dropping out and sexual behavior. It is also designed to improve

parent-child bonding, family cohesion, and family conflict. All materials are based on the same unifying

broad concept (one feels good about oneself when taking positive actions) with six explanatory sub-

concepts (positive actions for the physical, intellectual, social, and emotional areas) .

ACCEPT

Smart Moves and Smart Kids, an evidence-based program, is being administered to 550 youth, ages 5-14,

in Washoe County. Smart Moves and Smart Kids uses a team approach involving Boys and Girls Club

staff, peer leaders, parents, and community representatives. More than simply emphasizing a “say no”

message, the program teaches young people how to say no by involving them in discussion and role

playing, practicing resistance and refusal skills, developing assertiveness, strengthening decision-making

skills, and analyzing media and peer influence.

Boys and Girls Club of the Truckee

Meadows


Promoting Alternative Thinking Strategies (PATHS), an evidence-based program, is administered to 2000

youth, ages 5-11 within the Washoe County School District. PATHS is a school-based prevention

intervention for children in elementary school. The intervention is designed to enhance areas of social-

emotional development such as self-control, self-esteem, emotional awareness, social skills, friendships,

and interpersonal problem-solving skills while reducing aggression and other behavior problems. Skill

concepts are presented through direct instruction, discussion, modeling, storytelling, role-playing

activities, and video presentations.


Teen Intervene, an evidence-based program, is being administered to 30 youth, ages 12-17 in Washoe

County. Teen Intervene is a brief early intervention program for youth who display the early stages of

alcohol or drug involvement. Integrating stages of change theory, motivational enhancement, and

cognitive behavioral therapy, the intervention aims to help teens reduce and ultimately eliminate their

substance use.

Quest Counseling

Alcohol-Wise, an evidence-based program, is being administered to 3,200 University of Nevada, Reno

college students. Alcohol-Wise is a 75-minute online alcohol abuse prevention course designed

specifically for use on college campuses for first-year students to reduce risk for freshman and positively

impact campus culture. Students receive personalized feedback and access to self-referral tools. The

course clarifies personal choices about drinking habits and attitudes, and how alcohol can affect

academic progress and social behavior.

University of Nevada, Reno

Brief Alcohol Screening and Intervention for College Students (BASICS), an evidence-based program, is

being administered to 300 University of Nevada, Reno college students. BASICS is a prevention program

for college students who drink alcohol heavily and have experienced or are at risk for alcohol-related

problems. Following a harm-reduction approach, BASICS aims to motivate students to reduce alcohol use

in order to decrease the negative consequences of drinking. It is delivered over the course of two 1-hour

interviews with a brief online assessment survey taken by the student after the first session. Based on

principles of motivational interviewing, BASICS is delivered in an empathetic, non-confrontational, and

nonjudgmental manner and is aimed at revealing the discrepancy between the student’s risky drinking

behavior and his or her goals and values.

University of Nevada, Reno



Description

According to the CHNA, behavioral health presented as the most prominent health concern for Washoe County

residents, especially the use and abuse of injection drugs, alcohol, and tobacco. Substance abuse has a major impact on

individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to

costly social, physical, mental, and public health problems. Such problems include, but are not limited to: teenage

pregnancy, HIV/AIDS, STDs, domestic violence, child abuse, motor vehicle crashes, physical fights, crime, homicide, and

suicide. One goal of Healthy People 2020 is to reduce substance abuse to protect the health, safety, and quality of life

for all, especially children14.

Focus groups, key informant interviews, and community member interviews for both the CHNA and CHIP report that

Washoe County’s 24/7 nightlife, the casino and gaming lifestyle, and constant availability of alcohol is problematic for

improving community health.

Rationale

Washoe County has higher rates of alcohol consumption and binge drinking than the rest of Nevada and the nation. In

addition, Washoe County high school students reported drinking and driving, or riding in cars, with intoxicated drivers,

more often than youth nationwide. More than 20% of Washoe County high school students have taken prescription

drugs that were not prescribed to them. Furthermore, patients under the influence of alcohol or drugs accounts for

one-third of emergency room visits in Washoe County during 20133.


Local agencies in Washoe County are currently implementing a variety of evidence-based programs and strategies to

both prevent and treat substance use and abuse in Washoe County. It is the intent of CHIP workgroups to continue and

expand upon these programs. These evidence-based programs are listed in the strategies table on pages 40-41.

Also Addresses Access to Healthcare and Social Services, Education, and Food Security priorities


Policy Recommendations for Priority Two: Behavioral Health

Support early childhood preventive programs that strengthen families’ ability to promote social and emotional development of their children.

Support the increase of Medicaid reimbursement rates for behavioral health providers.

Reduce the burden of licensing for out-of-state behavioral health providers.

Advocate for evidence-based suicide prevention.

Advocate for improved access to mental health and behavioral health services, including the provision of intervention and stabilization services

for youths in crisis.

Support the development and implementation of school-based health services, including preventive health services for students with behavioral

health needs.

Support state and local efforts to monitor, address, and treat substance abusing pregnant women.

Support the prevention of prescription-drug abuse and other substance abuse, including medication assisted treatment.

Advocate for increased funding for the Nevada Office of Suicide Prevention to coordinate a parent education program and public awareness

campaign about the risk of youth suicide.


PRIORITY THREE:

Education

(K-12)

The Education infographic provides a snapshot

of some of the primary education issues

affecting Washoe County students.

All Washoe County infographics can be found

at: Washoe County Health District



GOAL 6: IMPROVE HEALTH OUTCOMES OF WASHOE COUNTY YOUTH THROUGH EDUCATIONAL ATTAINMENT.

OBJECTIVE 6.1 Performance Measure: High school graduation rate

By December 2020, increase the Washoe

County School District graduation rate by 5%. 2015

Baseline 2018

Target 2020

Target Healthy People

2020 Target Data

Source

75% 76.9% 78.8% 82.4% WCSD

OBJECTIVE 6.1.a Performance Measure: High school graduation rate for black/African American students


County School District graduation rate for

black/African American students by 5%.

2015 Baseline

2018 Target

2020 Target

Data Source

66.0% 67.7% 69.3% Washoe County School District

OBJECTIVE 6.1.b Performance Measure: High school graduation rate for Hispanic/Latino students



Hispanic/Latino students by 5%.

2015 Baseline

2018 Target

2020 Target

Data Source


OBJECTIVE 6.1.c Performance Measure: High school graduation rate for Native American/American Indian students By December 2020, increase the Washoe


Native American/American Indian

students by 5%.

2015 Baseline

2018 Target

2020 Target

Data Source



OBJECTIVE 6.1.d Performance Measure: High school graduation rate for Children in Transition



Children in Transition by 5%.

2015 Baseline

2018 Target

2020 Target

Data Source


OBJECTIVE 6.1.e Performance Measure: High school graduation rate for children living in poverty



children living in poverty by 5%.

2015 Baseline

2018 Target

2020 Target

Data Source


OBJECTIVE 6.1.f Performance Measure: High school graduation rate for children enrolled in special education classes By December 2020, increase the Washoe


students enrolled in Special Education

classes by 100%.

2015 Baseline

2018 Target

2020 Target

Data Source

30.0% 45.0 60.0% Washoe County School District

OBJECTIVE 6.2 Performance Measure: % of WCSD graduates requiring remedial math courses through TMCC By December 2020, decrease the percentage

of Washoe County School District graduates

attending Truckee Meadows Community

College who require remedial math courses by

10%.

2013 Baseline

2018 Target

2020 Target

Data Source

77.0% 73.2% 69.3% Truckee Meadows Tomorrow


OBJECTIVE 6.3 Performance Measure: % of WCSD graduates requiring remedial English courses through TMCC By December 2020, decrease the percentage


attending Truckee Meadows Community

College who require remedial English courses

by 10%.

2013 Baseline

2018 Target

2020 Target

Data Source


OBJECTIVE 6.4 Performance Measure: % of WCSD graduates requiring remedial math courses through UNR By December 2020, decrease the percentage


attending the University of Nevada, Reno who

require remedial math courses by 10%.

2013 Baseline

2018 Target

2020 Target

Data Source


OBJECTIVE 6.5 Performance Measure: % of WCSD graduates requiring remedial English courses through UNR By December 2020, decrease the percentage


attending the University of Nevada, Reno who

require remedial English courses by 10%.

2013 WC Baseline

2018 Target

2020 Target

Data Source




Create a professional development plan to increase the capacity of co-teaching among classroom

teachers and special education teachers for students with disabilities. Partnerships with UNR and High

Sierra Industries will be strengthened to address teacher shortages and improved teaching

methodologies for special education students, to include a focus on children with autism.


Student Support Services

Engage businesses and community organizations to establish school partnerships, advocate for resources,

and to link schools and students with resources that provide the skills and knowledge needed for college

and career readiness. Each WCSD school will have at least one signed partnership agreement with a

community organization or business.

Education Alliance

Expand the number of schools with a Communities in Schools program to position coordinators inside

Washoe County schools to assess student needs and provide resources to help them succeed in the

classroom and in life.

Communities in Schools

Senate Bill No. 391 (March 2015) requires the board of trustees at each school district and the governing

body of each charter school to prepare a plan to improve the literacy of pupils enrolled in certain grades;

requiring the principal of each public elementary school to designate a learning strategist to train and

assist teachers in providing intensive instruction to students who have been identified as deficient in the

subject area of reading; requiring certain teachers at public schools to complete professional

development concerning the area of reading; requiring certain interventions for pupils enrolled in

kindergarten or grade 1, 2, or 3 who do not achieve adequate proficiency in reading; prohibiting a public

school from promoting a student to grade 4 if the student does not achieve proficiency in reading;

making an appropriation; and providing other matters properly relating thereto.

State: State of Nevada

Local: Washoe County School

District

UWNNS supports three partnerships that collectively enhance social-emotional development and

beginning literacy in children birth to five, and build on solid reading skills in kids ages five to eight

(emphasizing phonics, comprehension, fluency and vocabulary) – on track to read at grade level at the

end of third grade.

United Way of Northern Nevada

and the Sierra



Description Higher annual incomes, better perceived general health status, and fewer poor mental health days are found to directly

correlate with higher educational attainment3 – and is why education is considered a social determinant of health.

Rationale

The Washoe County School District cohort graduation rate for the Class of 2015 was the highest ever for Washoe

County, at 75%15. Over the past several years, the WCSD has made significant strides in improving graduation rates for

Washoe County students, though Washoe County still falls below the national average of 81%16. In addition, certain

groups continue to have very low graduation rates, especially African Americans, Hispanics, English language learners

(ELL), and students with disabilities3. Although funding has increased over the past ten school years from $6,025 per

student in the 2003-2004 school year to $8,635 in 2012-2013, expenditures have totaled $4,000 less per student than

the US average. Federal and state funding for WCSD has increased, while the share of county funds to support the

education system has decreased. Less funding forces the District and our teachers to do more with less3. According to

Washoe Ready for Life, convened by the Nevada Public Education Foundation, in 2008, more than 19,500 students

dropped out of Nevada high schools; the lost lifetime earnings total more than $5.1 billion. Because high school

dropouts are likely to stay in the region, taking lower skill and lower paying jobs, northern Nevada businesses also pay

the price of training basic job skills17. According to Education Week’s State Facts at a glance, Nevada’s Quality Counts

state grade is a D+, which isn’t surprising since the state ranks last in the nation for school funding support. In their

most recent 2013 report, Nevada still received a D17.


Compared to people who have had some college, college graduates in Washoe County reported: better perceived

general health status; fewer poor mental health days; less likely to be overweight or obese; less likely to smoke

cigarettes; less likely to be unemployed; more likely to be insured; higher rates of immunization; and earn a higher

annual income3.

Also Addresses Access to Healthcare and Social Services, Behavioral Health, and Food Security priorities


GOAL 7: SUPPORT STUDENT HEALTH, WELLNESS AND ACHIEVEMENT THROUGH NUTRITIOUS EATING HABITS AND PHYSICAL ACTIVITY.

OBJECTIVE 7.1 Performance Measure: Adoption of a Student Wellness Policy; Implementation of Policy By December 2017, the Washoe County

School District will adopt a Student Wellness

Policy that meets state and federal

requirements for nutrition and physical

activity.

2015 Baseline

2017 Target

2020 Target

Data Source

No adopted policy

Policy adopted Implement

Policy WCSD Wellness Policy Committee


Maintain a Wellness Advisory Committee. Washoe County School District

Designate a Wellness Coordinator to facilitate implementation of the Student Wellness Policy. Washoe County School District

Demonstrate compliance with the Student Wellness Policy. Washoe County School District

Select and report on goals related to nutrition promotion and education, physical activity, and other

school-based activities that promote student wellness. Washoe County School District

OBJECTIVE 7.2 Performance Measure: % of Title 1 schools with Provision 2 or Community Eligible status

By December 2020, increase the percentage of

Title 1 schools with Provision 2 or Community

Eligibility status to 100%.

2015 WC Baseline 2020 WC Target

Data Source

73% 100% WCSD


The Nutrition Services Department (NSD) will increase participation while reducing application burdens

(to once every four years) for students from low income families. NSD will provide “Breakfast in the

Classroom” to all Provision 2 and/or Community Eligibility schools.



OBJECTIVE 7.3 Performance Measure: # of Title 1 schools with Girls on the Run programming

By June 30, 2018, increase the number of Title

I schools with Girls on the Run programming

by 466%.

2015 Baseline

2018 Target

Data Source

3 14 Girls on the Run - Sierras

OBJECTIVE 7.3.a. Performance Measure: # of WC adolescent girls participating in the Girls on the Run program

By June 30, 2018, provide the Girls on the

Run program to 500 adolescent girls

annually.

2015 Baseline

2018 Target

Data Source

307 (218 in WC) 500 (400 in WC) Girls on the Run - Sierras


Renown Health and Girls on the Run – Sierras are partnering to expand the Girls on the Run program

which focuses on physical activity and social/emotional well-being for girls in third through eighth grades. Girls on the Run - Sierras

OBJECTIVE 7.4 Performance Measure: # of Washoe County elementary classrooms piloting Coaches Challenge By June 30, 2017, the University of Nevada,

Reno’s Coaches Challenge program will be

piloted in at least 20 elementary school

classrooms within Washoe County.

2015 Baseline

2017 Target

Data Source

0 20 Washoe County Health District

OBJECTIVE 7.4.a Performance Measure: % increase in physical activity By June 30, 2017, Washoe County

elementary students who complete Coaches Challenge will report at least a 20% increase in physical activity compared with their behaviors prior to participating in the program.

2015 Baseline

2017 Target

Data Source

TBD at start of program 20% increase over

baseline Washoe County Health District


OBJECTIVE 7.4.b Performance Measure: % increase in nutritious eating By June 30, 2017, Washoe County

elementary students who complete

Coaches Challenge will report at least a

20% increase in nutritious eating

compared with their behaviors prior to

participating in the program.

2015 Baseline

2017 Target

Data Source

TBD at start of program 20% increase over

baseline Washoe County Health District


Washoe County Health District’s Chronic Disease Prevention Program and the University of Nevada

Athletics will collaborate to pilot the four-week UNR Coaches Challenge program to elementary school

classrooms in Washoe County.

Washoe County Health District

Chronic Disease Prevention

Program



Description

The Washoe County School District and community partners are committed to improving the health and well-being of

Washoe County youth through improved partnerships and through a greater number of innovative school district and

community programs.

Rationale

Less than 25% of Washoe County adolescents and adults meet daily physical activity recommendations, and Washoe

County high school students reported being physically active less than high school students across the US. Furthermore,

less than 30% of Washoe County youth receive the recommended daily fruit and vegetable intake. Washoe County

obesity rates are increasing, which contributes to higher healthcare costs. In 2011, more than 3,000 Washoe County

residents who were hospitalized were overweight or obese, with a total hospital bill of $168.5 million. Obese persons

spend 36% more on healthcare than a person of normal weight; this is 15% more than smokers and 14% more than

heavy drinkers3.


Good nutrition, physical activity, and a healthy body weight are essential parts of a person’s overall health and well-

being. Together, these can help decrease a person’s risk of developing serious health conditions, such as high blood

pressure, high cholesterol, diabetes, heart disease, stroke, and cancer. A healthy diet, regular physical activity, and

achieving and maintaining a healthy weight also are paramount to managing health conditions so they do not worsen

over time18.

Also Addresses Behavioral Health and Food Security priorities


Policy Recommendations for Priority Three: Education (K-12)

Promote and support healthy lifestyle programs and policies in schools and child care settings, including efforts to improve access and

opportunities for physical activity, increase consumption of nutritious meals and adherence to nutrition standards at school, and advance the

movement towards requirements for quality physical education class time that meet national guidelines.

Support efforts to collect and report data on student health and wellness by school districts, including annual body-mass index data collection.

Support the implementation of evidence-based comprehensive sexual education and standards by school districts.

Support efforts to promote and establish physical education as a requirement for elementary school students.

By recognizing the fundamental relationship between educational attainment and health outcomes, support increased investments in K-12

education and higher education in Nevada.


PRIORITY FOUR:

Food

Security

The Food Security infographic provides a

snapshot of some of the primary food

insecurity issues affecting Washoe County.

All Washoe County infographics can be found

at: Washoe County Health District



GOAL 8: IMPLEMENT PROGRAMS THAT ADDRESS THE IMMEDIATE NEED FOR FOOD AND PROMOTE LONG-TERM HEALTH AND FOOD SECURITY IN HOUSEHOLDS AND COMMUNITIES.

OBJECTIVE 8.1 Performance Measure: Food Security Needs Assessment developed By June 30, 2016, conduct a community needs

assessment in the 89502 zip code with the

goal of better understanding the role of food

banks and their partners in a structured

approach to achieve community-based

outcomes that improve family stability.

2015 Baseline

2016 Target

Data Source

Not developed Developed Collaborating for Clients

Accountability Team

OBJECTIVE 8.2 Performance Measure: Plan for improving outcomes designed By June 30, 2017, design a plan for improving

outcomes identified through the community

needs assessment process (identified in

Objective 8.1), including the identification of

interventions that draw from the best

available evidence base.

2015 Baseline

2016 Target

Data Source

Not designed Designed Collaborating for Clients

Accountability Team

OBJECTIVE 8.3 Performance Measure: Evaluation and data plan designed

By June 30, 2017, design an evaluation and

data collection plan for those interventions

identified in Objective 8.2.

2015 Baseline

2017 Target

Data Source

Not designed Designed Collaborating for Clients

Accountability Team


OBJECTIVE 8.4 Performance Measure: Interventions implemented

By June 30, 2018, implement interventions

identified in Objective 8.2 and assess

outcomes utilizing the evaluation plan in

Objective 8.3.

2015 Baseline

2018 Target

Data Source

Not implemented Implemented Collaborating for Clients

Accountability Team


Adhere to Collaborating for Clients (C4C) grant Work Plan. Food Bank of Northern Nevada and

Social Entrepreneurs, Inc.

C4C Accountability Team will meet bi-weekly and participate in regular grant conference calls to ensure

grant objectives are met. Social Entrepreneurs, Inc.

Gather information via PhotoVoice to determine needs of the 89502 community. PhotoVoice’s mission is to build skills within disadvantaged and marginalised communities. To achieve this, PhotoVoice utilizes innovative participatory photography and digital storytelling methods. These skills enable individuals to represent themselves and create tools for advocacy and communication. Through this, and through developing partnerships, positive social change can occur.

C4C PhotoVoice subcommittee



Description

Washoe County was one of only five communities in the United States to receive a grant from the Laura and John Arnold

Foundation totaling more than $500,000 (includes match). The grant was the result of numerous organizations coming

together through the Truckee Meadows Healthy Communities initiative, and is a direct result of a need identified in the

CHNA. The grant will focus on outcomes related to food security, which include health, housing, employment/income,

and education.

Rationale

Economic stability, a social determinant of health, impacts food security. In Washoe County, the number of people

reliant on federal and public nutrition support is at an all-time high3. According to the Nevada Department of Health

and Human Services, difficult economic conditions in Nevada have led to an increase in the number of households that

are food insecure, meaning that they do not have access at all times to enough food for an active, healthy life for all

household members.

Child food insecurity is particularly troubling because children who are poorly nourished are less able to fight off

illnesses. Studies show that these children are less able to focus in school; about one in four children living in Nevada

are food insecure19. In Washoe County, 42.7% of all students during the 2013/2014 school year were eligible for the free

and reduced lunch program. However, only two-thirds of those eligible participated in the lunch program and even

fewer participated in the breakfast program3.


Interventions identified in Objective 8.2 above will be evidence-based.

Also Addresses Access to Healthcare and Social Services, Behavioral Health, and Education priorities


GOAL 8: IMPLEMENT PROGRAMS THAT ADDRESS THE IMMEDIATE NEED FOR FOOD AND PROMOTE LONG-TERM HEALTH AND FOOD SECURITY IN HOUSEHOLDS AND COMMUNITIES.

OBJECTIVE 8.5 Performance Measure: Development of a Strategic Plan; Implementation of a Strategic Plan

By December 31, 2016, develop a Washoe

County Community Garden Plan to identify

goals, objectives and strategies for Community

Gardens in low-income neighborhoods.

2015 WC Baseline

2016 WC Target

2018 WC Target

Data Source


Implemented TBD by CHIP Food Security

Workgroup


Identify communities that need and are interested in starting a community garden. Establish

relationships with these communities and existing programs or local businesses that can support these

efforts through funding or other resources. TBD by CHIP Food Security Workgroup Study existing zoning regulations that are relevant to community and home gardening.

Develop a plan for starting a community garden.

Start a community garden in a low-income community.



Description

Community gardens are collaborative projects created by members of a community in which participants share both the

maintenance and the products of the garden, including fruits and vegetables. Gardens can be located in a park or a

community lot. Community gardens can be managed by neighborhood residents, community-based organizations,

government agencies, or coalitions. Gardens can also be incorporated into school curricula20.

Rationale

Lack of access to nutritional foods in low-income communities has led to poor diets which are high in caloric intake but

inadequate in nutrients. One important step towards stemming chronic diseases linked to poor or inadequate diets is

ensuring access to healthy, nutritious foods in the most vulnerable communities. Community gardens supplement food

security efforts by increasing the availability of nutritious foods to low-income urban residents. Additional benefits of

community gardens include: environmental benefits such as turning vacant parcels into resources; reductions in crime,

vandalism, and health care costs; promotion of neighborhood clean-up and watch efforts; as well as increased social

cohesion21.


An evaluation of a large urban gardening project found that gardeners reported a higher consumption of specific

vegetables and a lower consumption of milk, citrus, and sweet foods and drinks than non-gardeners. Focus groups

conducted with inner-city youth revealed that those involved in garden programs reported more willingness to eat

healthy food and try unfamiliar food than those not involved in a program. Other studies have found an association

between gardening and fruit and vegetable consumption, even when gardening activity occurred in the past20.

Also Addresses Behavioral Health and Education priorities


GOAL 9: ENHANCE HOME-DELIVERED MEAL PROGRAMS TO SENIORS TO KEEP ON PACE WITH THE RISING SENIOR POPULATION.

OBJECTIVE 9.1 Performance Measure: # of meals needed to meet the needs of the WC senior population

By June 30, 2016, reduce the gap in the

number of meals served to seniors residing in

Washoe County by 29%.

2015 Baseline

2016 Target

Data Source

114,000 81,000 Washoe County Senior Services


Utilize an increase in grant funding for Washoe County to purchase and deliver additional meals to the

homebound senior population. Washoe County Senior Services

Partner with organizations such as the Food Bank of Northern Nevada to distribute food. Washoe County Senior Services

Participate in Senior Farmer’s Market program to provide an increase in fresh produce. Washoe County Senior Services



Description The Washoe County senior population is rapidly growing as baby boomers age. Currently, there are 76,000 seniors living

in Washoe County (13% of the population), and this number is expected to grow to 130,000 senior residents by 20303.

Rationale

A primary goal of Washoe County government is to keep senior services on pace with the rising senior population, to

include ensuring seniors receive adequate food/nutrition. During one-on-one interviews with seniors in Washoe

County, it was reported that they do not have adequate funds to pay for food due to a fixed income and high medical

bills.


Studies show that a good diet in later years reduces risk of osteoporosis, high blood pressure, heart disease, and certain

cancers22.

Also Addresses Behavioral Health priority


Policy Recommendations for Priority Four: Food Security

Promote and support community environments conducive to healthy eating and active living, including built environments that integrate

physical activity into daily life, increase access to healthy foods, and eliminate food deserts.

Increase consumption of nutritious meals and nutrition standards at school.

Support an increase in minimum wage and address living wage laws.


Appendices

The following appendices are included within the CHIP:

Appendix One: Acronyms

Appendix Two: Planning Process

Appendix Three: Community Assets and Resources

Appendix Four: References


Appendix One: Acronyms

ACA Affordable Care Act

ADA Americans with Disabilities Act

BASICS Brief Alcohol Screening and Intervention for College Students

BRFSS Behavior Risk Factor Surveillance System

CDC Centers for Disease Control

CHA Community Health Alliance

CHIP Community Health Improvement Plan

CHNA Community Health Needs Assessment

CHP Community Health Program

CSA Community Services Agency

ED Educational Development

ELL English Language Learners

ER Emergency Room

FBNN Food Bank of Northern Nevada

I&R Information and Referral

LHI Leading Health Indicator

MAPP Mobilizing for Action through Planning and Partnerships

MDEs Major Depressive Episodes

MMWR Morbidity and Mortality Weekly Report

NACCHO National Association of County and City Health Officials

NIMH National Institute of Mental Health

NN HOPES Northern Nevada HOPES

NSD Nutrition Services Department

NYEP Nevada Youth Empowerment Project

PATHS Promoting Alternative Thinking Strategies

RTC Reno Transportation Commission

SAMHSA Substance Abuse and Mental Health Services Administration

SMI Serious Mental Illness

SNAP Supplemental Nutrition Assistance Program

SOS Signs of Suicide

TMT Truckee Meadows Tomorrow

UNR University of Nevada Reno

UWNNS United Way of Northern Nevada and the Sierra

WCHD Washoe County Health District

WCSD Washoe County School District

WIC Women, Infants and Children

YRBS Youth Risk Behavior Survey


Appendix Two: Planning Process

Community Health Improvement Plan Steering Committee

In May 2015, a CHIP Steering Committee was formed to work in partnership with the Washoe

County Health District to serve an advisory role in community health improvement decisions and

processes. The end goal of the committee was to develop a Community Health Improvement Plan

that would assist in improving the overall health and quality of life for Washoe County residents.

Over a period of eight months, the CHIP Steering Committee provided recommendations to Health

District leadership regarding the following:

Identification of priority health issues in Washoe County

Validation of priority health issues with Washoe County residents and community partners

Determination of root causes for each priority health issue

Development of CHIP Action Plans via community interviews and workgroups

Washoe County Health Priorities

In May 2015, the CHIP Steering Committee met for the first time to discuss the health needs and

service gaps identified in the Washoe County Community Health Needs Assessment. In June and

July 2015, the CHIP Steering Committee utilized the data in the CHNA to identify the following four

health priorities for Washoe County:


Behavioral Health Education (K-12) Food Security


Health Priority Selection Process

The CHIP Steering Committee used a five step process to select the four health priorities for

Washoe County.

STEP

1

REVIEWED and ANALYZED the QUANTITATIVE DATA contained in the

Community Health Needs Assessment.

STEP

2

REVIEWED and ANALYZED the QUALITATATIVE DATA contained in the

Community Health Needs Assessment.


STEP

3

CREATED twenty-one INFOGRAPHICS to

ORGANIZE the key DATA.

Those issues identified as a priority by

community members were marked with a

COMMUNITY PRIORITY STAMP.

STEP

4

NARROWED PRIORITY HEALTH ISSUES using the Dotmocracy process. All

infographics were hung on the walls of a conference room. The CHIP Steering

Committee members were given nine sticker dots each (three red, three blue,

and three yellow):

red dots, worth three points each, were placed next to those health topics

believed to be of highest priority

blue dots, worth two points each were placed next to those health topics

believed to be of second highest priority

yellow dots, worth one point each, were placed next to those health topics

believed to be of third highest priority

Those health

issues with the

highest scores

made it past the

first priority

selection

process. These

health issues

included: Access

to Healthcare

and Social

Services

Alcohol and Drugs: Built Environment: education; Food Security; Income/Poverty; Mental Health; and Obesity/Physical Activity.


STEP

5

Grid analysis was then utilized by the CHIP Steering Committee to SELECT THE

TOP HEALTH PRIORITIES FOR WASHOE COUNTY. The eight priorities selected

during the Dotmocracy process were scored based on the following:

importance to community members as identified by the qualitative data that

was discussed in Step Two

the current opportunities and available assets that exist within Washoe

County

the severity of the health issue as identified by quantitative and qualitative

data in the Community Health Needs Assessment

the number of people affected by a particular health issue

how much the data suggested a need for improvement

Through the

grid analysis

process,

those

health

issues

receiving

the highest

scores

(Access to

Healthcare

and Social

Services,

Education,

Food

Security,

and Mental

Health*)

were then

validated by community members and community partners: 99 community

members were interviewed or surveyed; 34 community partners completed

surveys; 15 community partners participated in key informant interviews; and 40

community partners participated in workgroups.

*Through this validation process, it was determined that community members

and partners preferred that the “Mental Health” priority terminology be changed

to “Behavioral Health.”


Community Health Improvement Workgroups

Once the validation process for the four health priorities was complete, Washoe County and

State partners took part in nine workgroup sessions to develop action plans for each health

priority identified in the CHIP. Workgroup members utilized data from the CHNA, community

member surveys, community partner surveys, key informant interviews, and

personal/professional experience to build the action plans. Those agencies who participated in

one or more of the nine workgroup sessions are identified below. These agencies, and others

who were unable to attend the workgroup sessions for action plan development, will continue

to meet to begin implementation of strategies beginning in 2016.


If you would like to join one of the Health Priority Workgroups, please e-mail

[email protected].

mailto:[email protected]


Mobilizing for Action Through Planning and Partnerships

The National Association of County and City

Health Officials (NACCHO), in cooperation with

the Public Health Practice Program Office of the

Centers for Disease Control and Prevention

(CDC), developed a community-driven strategic

planning approach to improving the health of

communities nationwide. This nationally

recognized strategic planning approach is titled,

“Mobilizing for Action through Planning and

Partnerships” (MAPP), and provides a

framework to assist communities in applying strategic thinking when prioritizing public health

issues and identifying resources to address them. The MAPP process was utilized as a

framework when developing both the CHNA and CHIP.

The MAPP process includes six phases:

Phase One: Organizing – the purpose of this phase is to structure a planning process that

builds commitment, engages participants as active partners, uses participants time well, and

results in a plan that can be realistically implemented.

Phase Two: Visioning – guides the community through a collaborative, creative process that

leads to a shared community vision.

Phase Three: Assessments – the four MAPP assessments include: Community Themes and

Strengths Assessment; Local Public Health System Assessment; Community Health Status

Assessment; and the Forces of Change Assessment.

Phase Four: Strategic Issues – development of an ordered list of the most important health

issues facing the community.

Phase Five: Goals/Strategies – formulation of goal statements related to the priority health

issues and the strategies to achieve those goals.

Phase Six: Action Cycle – implementation of the action for addressing priority goals and

objectives.


Appendix Three: Community Assets and Resources

The following community assets and resources were taken from the Community Health Needs

Assessment for the four health priorities identified in the CHIP.


Assets

Access to Healthcare Network (AHN): AHN provides low-income individuals and families as well as

undocumented immigrants with access to medical treatment at greatly reduced prices with its Medical

Discount Program. AHN also offers free preventive care, including mammograms, pap smears, colon

cancer screenings and more, to low-income individuals and families through its Women’s Health

Connection program and other grant funding. Recently, AHN opened a children’s hematology oncology

practice, Sierra Pediatric Blood and Cancer Specialists, for the children of Northern Nevada.

Community Health Alliance (CHA): A reorganization of two formerly existing healthcare providers in the

areas, combined to form CHA in 2012. CHA has seven health centers and four mobile units in the Reno-

Sparks area offering primary care, women’s health care, chronic disease management, behavioral

health, WIC, labs/x-rays, and dental care. CHA accepts most insurance plans, including Medicaid, Nevada

Check Up and Medicare. For the uninsured, CHA allows all visits to be paid for on an income-based

sliding fee.

Northern Nevada HOPES (NN HOPES): NN HOPES, founded in 1997, is an integrated community health

center located in downtown Reno offering a range of comprehensive services including primary care,

chronic disease management, women’s health services, harm reduction and outreach, behavioral

health, social services and an on-site pharmacy and nutritionist.

Northern Nevada Medical Center (NNMC): NNMC is a 108-bed acute-care hospital in Sparks.

Regional Emergency Medical Services Authority (REMSA): REMSA has an innovative and successful

Community Health Program in place. It’s aimed at improving access to appropriate care and decreasing

overall healthcare costs by training community paramedics, transporting patients to alternative care

sites instead of the ER and encouraging people to utilize a nurse hotline to determine appropriate entry

in to the medical system.

Renown Health: Renown Health is a not-for-profit healthcare network with three acute-care hospitals,

as well as a large network of medical groups and urgent care centers throughout the Truckee Meadows.


Saint Mary’s Regional Medical Center (SMRMC): SMRMC is a 308-bed acute-care hospital in downtown

Reno.

Resources

Organization Type Website Phone Number

CARE Chest of Sierra Nevada

Medical Supplies

http://www.carechest.org 775-829-2273

Circle of Life Community Hospice

Medical http://www.colhospice.com/about.html 775-827-2298

Community Health Alliance Medical &

Dental http://www.chanevada.org/ 775-329-6300

Nevada Diabetes Association

Medical Supplies

http://diabetesnv.org/programs-services/

775 856-3839

Nevada Urban Indians, Inc. Medical http://www.nevadaurbanindians.org/ 775-788-7600

Northern Nevada HOPES Medical http://www.nnhopes.org/ 775 786-4673

Reno-Sparks Indian Tribal Health Center

Medical & Dental

http://www.rsic.org/rsic-services/reno-sparks-tribal-health-center/

775-329-5162

St. Mary's Low Cost Clinic Medical http://www.saintmarysmedicalgroup.co

m/Medical-Services/Clinic-at-Walmart.aspx

775-770-7664

The Healthcare Center, Renown

Medical http://www.renown.org 775 982-5000

TMCC Dental Clinic Dental http://www.tmcc.edu/dental-hygiene/dental-hygiene-clinic-

information/

775-673-8247

http://www.carechest.org/

http://www.colhospice.com/about.html

http://www.chanevada.org/



http://www.nevadaurbanindians.org/

http://www.nnhopes.org/



http://www.saintmarysmedicalgroup.com/Medical-Services/Clinic-at-Walmart.aspx



http://www.renown.org/

http://www.tmcc.edu/dental-hygiene/dental-hygiene-clinic-information/




Behavioral Health

Assets

Community Health Alliance also provides mental and behavioral health services to low-income patients.

Crossroads: Washoe County Social Services and Catholic Charities of Northern Nevada have been

proactive in managing serial inebriants through the Crossroads program. The program provides housing

and substance abuse/mental health services for those who would otherwise revolve through the County

jail and court system.

Join Together Northern Nevada (JTNN): JTNN is a nonprofit substance abuse coalition working with

agencies and community members to address substance-abuse-related issues in Washoe County. JTNN

currently supports programs offered through ACCEPT, Big Brothers Big Sisters, Boys and Girls Club of

Truckee Meadows, Children’s Cabinet, Quest Counseling and Consulting, University of Nevada Reno,

and Washoe County School District Family Resource Center.

The Mobile Outreach Safety Team (MOST) is comprised of law enforcement and social workers and is

dispatched during the weekdays for triage and crisis intervention.

Mojave Mental Health provides mental and behavioral health services to low-income patients.

Northern Nevada Adult Mental Health Service (NNAMHS): NNAMHS in Sparks offers inpatient services

for adults with mental illness and co-occurring disorders. Its outpatient services include a medication

clinic and psychosocial rehabilitation groups. The facility also provides walk-in assessments and up to 72

hours of crisis intervention; its Rapid Stabilization Unit provides beds for 10 patients and another 20 for

inpatient psychiatric care. NNAMHS team members assist in case management at the community level.

Northern Nevada HOPES also provides mental and behavioral health services to low-income patients.

The Reno Police Department, Sparks Police Department, Washoe County Sherriff’s Office, Drug

Enforcement Agency, Waste Management and several pharmacies have partners in prescription drug

round-up programs.

Renown Behavioral Health Services provides outpatient assessment and a variety of treatment

modalities. The Partial Hospitalization Program serves as an alternative to inpatient care. Its nurses

provide case management, group and individual counseling, detoxification and addiction rehabilitation

services, as well as psychiatric medication management for stabilization of mental health and co-

occurring disorders. Intensive Outpatient Programs serve adults who need mental health education,

coping skills or addiction rehabilitation treatment. Two clinic locations offer traditional outpatient

behavioral healthcare such as individual therapy, marriage and family therapy, medication management,

and psychological testing in addition to child and adolescent services. Renown Behavioral Health’s

professionals provide consultations 24/7 at Renown’s two emergency rooms, Main and South Meadows,

to help determine inpatient referral or follow-up care for those presenting with mental health needs or

addiction.


REMSA has a community paramedic program that provides triage and pre-hospital care and collaborates

with other providers such as NNAMHS and West Care Community Triage to transport directly to non-

emergency room resources.

Senior Bridges, located within Northern Nevada Medical Center, provides inpatient and outpatient care

for adults age 50 and older.

VA Sierra Nevada Health Care System (VA): Veterans may receive inpatient and outpatient mental

health services at the VA, including outreach and case management programs for homeless veterans in

need of psychiatric and substance abuse services.

West Care Community Triage Center (West Care): West Care provides temporary housing for members

of the uninsured population in need of medically supervised substance abuse detoxification or brief

mental health crisis stabilization.

West Hills Hospital is a freestanding psychiatric facility providing assessment and both inpatient and

outpatient psychiatric care to children, adolescents and adults. The hospital also provides detoxification

inpatient and outpatient chemical dependency rehabilitation services.

Resources


A Safe Embrace Counseling http://www.safeembrace.org/ 775-322-3466

ACCEPT Drug and

Alcohol Ed. http://www.acceptonline.org/conta

ct.php

775-786-5886

Alliance Family Services Substance

Abuse Counseling

http://www.alliancefamilyservices.com

775-337-2394

American Comprehensive Counseling Services

Counseling http://www.accsnv.net/ 775-356-0371

American Comprehensive Counseling Services

Substance Abuse

Counseling http://www.accsnv.net/ 775-356-0371

Behavioral Health at Renown

Clinical Substance

Abuse

http://www.renown.org/behavioralhealth

775 982-5318

Bristlecone Family Resources

Clinical Substance

Abuse http://www.bristleconereno.com 775-954-1400

Casa de Vida Sexual Health

http://www.casadevidareno.org 775-329-1070

Center for Behavioral Health Nevada

Clinical Substance

Abuse

http://centerforbehavioralhealth.com/treatment-centers/nevada/#reno

775-829-4472

http://www.safeembrace.org/

http://www.acceptonline.org/contact.php


http://www.alliancefamilyservices.com/

http://www.alliancefamilyservices.com/

http://www.accsnv.net/

http://www.accsnv.net/



http://www.bristleconereno.com/

http://www.casadevidareno.org/

http://centerforbehavioralhealth.com/treatment-centers/nevada/%23reno

http://centerforbehavioralhealth.com/treatment-centers/nevada/%23reno



Center for Hope of the Sierras

Counseling www.centerforhopeofthesierras.co

m

866-690-7242

CEP (Counseling and Educational Psychology)

Downing Counseling Clinic Counseling

http://www.unr.edu/education/centers/downing-clinic

775-682-5515

Child Adolescent and Family Counseling Center

Substance Abuse

Counseling

http://www.childfamilycounselingreno.com

775-826-1002

Children's Cabinet Youth http://www.childrenscabinet.org/ 775 856-6200

Committee to Aid Abused Women (CAAW)

Counseling http://caaw.org/ 775-329-4150

Crisis Pregnancy Center Sexual Health

https://crisispregnancyreno.com/ 775-826-5144

Family Counseling Service Substance

Abuse Counseling

http://www.fcsnv.org/ 775-329-0623

Family Counseling Service Sexual Health

http://www.fcsnv.org/ 775-329-0623

Footprints Counseling Service

Substance Abuse

Counseling

http://vitalityunlimited.org/Home.shtml

775-322-3668

Human Behavior Institute Clinical

Substance Abuse

http://www.hbinetwork.com/ 775 324-1600

Inter-Tribal Council of Nevada (ITCN)

Domestic Violence

http://www.itcn.org/ 775-355-0600

Join Together Northern Nevada

Substance Abuse

Prevention http://www.jtnn.org/ 775 324-7557

Life Change Center Clinical

Substance Abuse

http://www.tlccreno.org/ 775-355-7734

McGee Center Youth http://www.washoecounty.us/juven

ilesvs/McGee.html

775 856-4600

Mojave Adult, Child and Family Services

Counseling & Clinical

http://www.mojave.org 775 334-3033

Northern Nevada Adult Mental Health Services

(NNAMHS) Clinical

https://uwayreno.communityos.org/zf/profile/service/id/3425

775-688-2001

Northern Nevada HOPES Substance

Abuse Counseling

http://www.nnhopes.org/ 775 786-4673



http://www.childfamilycounselingreno.com/

http://www.childfamilycounselingreno.com/

http://www.childrenscabinet.org/

http://caaw.org/

https://crisispregnancyreno.com/

http://www.fcsnv.org/

http://www.fcsnv.org/



http://www.hbinetwork.com/

http://www.itcn.org/

http://www.jtnn.org/

http://www.tlccreno.org/

http://www.washoecounty.us/juvenilesvs/McGee.html

http://www.washoecounty.us/juvenilesvs/McGee.html

http://www.mojave.org/



http://www.nnhopes.org/



Northern Nevada Intergroup of Alcoholics

Anonymous

Community Support Group

http://www.nnig.org/ 775-355-1151

Northern Nevada Outreach Team

Sexual/Rep-roductive

Health

https://www.washoecounty.us/health/programs-and-

services/preventive-health/sexual-health-program.php

775-328-6147

Nevada Urban Indians, Inc. Substance

Abuse Counseling


775-788-7600

Planned Parenthood 5th Street Clinic

Sexual Health

http://www.plannedparenthood.org/health-

center/centerDetails.asp?f=2262

775 688-5555

Pregnancy Connection (WCHD)

Sexual Health

http://www.washoecounty.us/teenhealthmall

775-328-2470

Project ReStart, Inc. Clinical &

Counseling http://www.restartreno.org/ 775-324-2622

Project ReStart, Inc. Substance

Abuse Counseling

http://www.restartreno.org/ 775-324-2622

Quest Counseling http://questreno.com/ 775-786-6880

Quest Counseling Substance

Abuse Counseling

http://questreno.com/ 775-786-6880

Reno Community Triage Center

Clinical Substance

Abuse

https://www.westcare.com/page/where-we-serve_NV_01d

775-348-8811

Reno Sparks Indian Colony Social Services

Substance Abuse

Counseling

http://www.rsic.org/rsic-services/reno-sparks-tribal-health-

center/

775-329-5071

Reno Triangle Club Community

Support Group

http://renotriangleclub.com/Reno_Triangle_Club/Mission.html

775-324-7977

Reno-Sparks Gospel Mission, Inc.

Substance Abuse

Counseling http://www.rsgm.org/ 775 323-0386

Reno-Sparks Indian Colony Social Services

Substance Abuse

Counseling

http://www.rsic.org/rsic-services/reno-sparks-tribal-health-

center/

775-329-5162

Renown Pregnancy Center Sexual Health

http://www.renown.org/ 775-982-5640

Ridge House Substance

Abuse Counseling

http://www.ridgehouse.org/ 775-322-8941

http://www.nnig.org/

https://www.washoecounty.us/health/programs-and-services/preventive-health/sexual-health-program.php






http://www.plannedparenthood.org/health-center/centerDetails.asp?f=2262





http://www.restartreno.org/

http://www.restartreno.org/

http://questreno.com/

http://questreno.com/








http://www.rsgm.org/




http://www.renown.org/

http://www.ridgehouse.org/



Safe Harbors of Nevada Substance

Abuse Counseling

http://www.safeharborsofnv.com/ 775-337-6777

Salvation Army Substance

Abuse Counseling

http://www.gosalarmy.org/deloro/reno

775-688-4555

STEP 1

Clinical Substance Abuse and Counseling

http://step1inc.org/ 775-329-9830

STEP 2

Clinical Substance Abuse and Counseling

and Domestic Violence

http://step2reno.org/ 775-787-9411

Suicide Prevention Hotline Counseling http://www.crisiscallcenter.org/ 775-784-8090

Teen Health Mall (WCHD) Sexual Health

http://www.washoecounty.us/health/cchs/thm.html

775-328-2470

Vestige Project Community Based Mental Health

Services

Counseling & Clinical

www.vestigeproject.com 775-825-3043

Victims of Crime Treatment Center

Sexual Health

http://www.sexualassaulthelp.info 775-682-8680

Victims of Violent Crime Violent Crime

http://voc.nv.gov/ 775-688-2900

West Hills Hospital Clinical

Substance Abuse

http://www.westhillshospital.net/ 775-323-0478

Willow Springs Clinical

Substance Abuse

http://willowspringscenter.com/about/

775-858-3303

http://www.safeharborsofnv.com/



http://step1inc.org/

http://step2reno.org/

http://www.crisiscallcenter.org/



http://www.sexualassaulthelp.info/

http://voc.nv.gov/

http://www.westhillshospital.net/




Education

Assets

The Career College of Northern Nevada provides extensive professional career training and education.

Northern Nevada Literacy Council (NNLC): NNLC provides free classes for adult learners, and assists adults with obtaining their Certificate of High School Equivalency if they did not graduate high school. They also offer English as a Second Language classes provide job training.

Sierra Nevada Job Corp provides students with the skills needed to succeed in today’s workforce.

RISE Academy for Adult Achievement (RISE): RISE provides innovative and flexible programs for adults to receive their Certificate of High School Equivalency if they did not graduate high school. Students graduate to be career and college ready.

Truckee Meadows Community College (TMCC): TMCC is a community college serving more than 25,000 students each year.

University of Nevada, Reno (UNR): UNR is a Tier 1 University, and offers a variety of undergraduate and graduate programs.

Washoe County School District (WCSD): WCSD is Washoe County’s public K-12 school system.

Resources


ACCEPT Community

Health Education


775-786-5886

Agnes Risley Elementary School (CSA)

Head Start http://www.csareno.org/index.php 775-786-6023

American Red Cross Community

Health Education

http://www.nevada.redcross.org 775-856-1000

Bernice Mathews Elementary (CSA)


Catholic Charities of Northern Nevada - Holy

Child Early Learning Center Head Start http://ccsnn.org/index.html 775-329-2979

Child Assault Prevention (CAP) Project

Community Health

Education

http://www.childassaultprevention.org/

775-348-0600

Children's Cabinet GED/Credit Recovery

http://www.childrenscabinet.org/ 775-856-6200

Community Services Agency (CSA)




http://www.csareno.org/index.php

http://www.nevada.redcross.org/


http://ccsnn.org/index.html







Cyesis Program GED/Credit Recovery

http://www.washoe.k12.nv.us/schools/educational-options/washoe-high-

school

775-333-5150

Desert Heights Elementary School (CSA)


Early Head Start (UNR) Head Start http://www.unr.edu/education/cente

rs/cfrc

775-327-5100

Echo Loder Elementary (CSA)

Head Start http://www.csareno.org/index.php 775 786-6023

Family Engagement for High School Success Program (UWNNS)

GED/Credit Recovery

http://www.uwnns.org/non-profits/uwnns-programs/family-engagement-high-school-success

775-322-8668

Healthcare for Homeless Veterans

Life Skills/Job Training

775-786-7200

ext 1803

Hungry Valley Head Start Head Start http://www.rsic.org/rsic-

services/education/head-start-program-2/

775 329-2936


Head Start http://www.itcn.org/ 775-355-0600

Job Connect GED/Job Training

http://nevadajobconnect.com/ 775-336-5437

McGee Center GED/Credit Recovery

775 856-4600

Men's Drop in Center Life

Skills/Job Training

775-329-4141

Nevada Center for Excellence in Disabilities

Community Health

Education http://nced.info/ 775-784-4921

Nevada Diabetes Association

Community Health

Education


775 856-3839

Nevada Urban Indians, Inc. Community

Health Education

http://www.nevadaurbanindians.org/ 775-788-7600

Northern Nevada Literacy Council

GED/Job Training

http://www.nnlc.org 775-356-1007

Northern Nevada Teen Challenge International

GED/Credit Recovery

http://teenchallenge.net/centers/reno/

775-424-6777

Reno Rodeo Foundation GED/Job Training

http://www.renorodeofoundation.org/vips

775-636-3373

Reno-Sparks Indian Colony Head Start http://www.rsic.org/rsic-

services/education/head-start-program-2/

775 329-2936

http://www.washoe.k12.nv.us/schools/educational-options/washoe-high-school




http://www.unr.edu/education/centers/cfrc

http://www.unr.edu/education/centers/cfrc





http://www.rsic.org/rsic-services/education/head-start-program-2/




http://nevadajobconnect.com/

http://nced.info/




http://www.nnlc.org/










Ridge House GED/Job Training

http://www.ridgehouse.org/ 775-322-8941

Sierra Nevada Job Corp GED/Credit Recovery

http://sierranevada.jobcorps.gov/home.aspx

775-789-1000

Smithridge Elementary School (CSA)


Sun Valley Recreation Center (CSA)


The Early Learning Program at the E. L. Wiegand Youth

Center Head Start http://www.bgctm.org/ 775 322-9030

Washoe High School GED/Job Training

http://www.washoe.k12.nv.us/schools/educational-options/washoe-high-

school

775-333-5020

Women & Children's Center of the Sierra

GED/Credit Recovery

http://waccs.org/ 775-825-7395

Wooster High School Head Start http://www.csareno.org/index.php 775 786-6023

http://www.ridgehouse.org/





http://www.bgctm.org/




http://waccs.org/



Food Security

Assets

Bridges to a Thriving Nevada is a community initiative that partners with other community

organizations, individuals, businesses and educational institutions. They use the Bridges out of Poverty

constructs in order to: 1) better train service providers, employers and educators on how to work with

and support people living in poverty, and 2) train and support people living in poverty as they move

toward greater economic stability and mobility.

Food Bank of Northern Nevada (FBNN): FBNN and its extensive network of partner agencies distribute

more than 1 million meals every month to thousands of food-insecure residents in northern Nevada.

More than half of those partner agencies are located in Washoe County and include churches, social

services agencies, and school-based programs. These agencies distribute meals through emergency

pantries, after school and summer meal programs, and mobile pantries for distribution of healthy foods

and produce.

National School Lunch and Breakfast Programs (NSLP and SBP): The UDSA’s federally funded NSLP and

SBP provide low-cost meals (free or reduced-price-FRP) to eligible children every school day.

The State of Nevada has also identified food security as a top priority. Last year, the Office of Food

Security was created within the Department of Health and Human Services to implement a food security

strategic plan developed in 2012. More recently, Governor Sandoval issued an Executive Order to

establish the Governor’s Council on Food Security to help implement the goals of the strategic plan.

Supplemental Nutrition Assistance Program (SNAP): SNAP is a federally funded program which

provides limited additional resources to eligible, low-income individuals and families with which to

purchase food each month. SNAP can only be used for approved food items. Households are provided a

SNAP electronic benefit transfer (EBT) card, which works like a debit card and the cost of eligible food

items are deducted from the household’s monthly nutrition allowance

Washoe County Senior Services is a public agency that plays a large role in providing services, including

free meals, to the ever-growing senior population.


Resources


Assistance League FBNN Pantry

775-329-1584

Bethel AME Church Food Pantry

FBNN Pantry

775-355-9030

Calvary Chapel Northwest Reno/Sonrise Church

FBNN Pantry

http://www.calvaryreno.com/ 775-746-4567

Capitol Hill Veteran's Outreach

FBNN Mobile Pantry

Catholic Charities of Northern Nevada

Other Food Bank http://ccsnn.org/index.html

775 329-5363

Children's Cabinet FBNN Pantry

http://www.childrenscabinet.org/ 775-352-8090

Children's Cabinet FBNN Pantry

http://www.childrenscabinet.org/ 775 856-6200

Church of Jesus Christ Spirit Filled

FBNN Pantry

http://spiritfilledchurch.org/ministries/

775-358-2842

Community Food Pantry FBNN

Mobile Pantry

775-391-0482

Cottonwood Village Apartments

FBNN Pantry

775-825-4999

Desert Springs Baptist Church

FBNN Pantry

http://desertspringsbaptistchurch.org/

775-746-0692

Destiny Christian Center FBNN Pantry

775-376-8304

Division of Welfare & Supportive Services (DWSS)

Other Food Bank

https://dwss.nv.gov/ 775-684-7200

Donald W. Reynolds Facility

Boys & Girls Club

Food Program

http://www.bgctm.org 775-331-3605

E.L. Wiegand Youth Center

Boys & Girls Club

Food Program


Echo Loder Elementary FBNN

Mobile Pantry

775-689-2540

El Cordero de Dios FBNN Pantry

775-338-4345

Faith Alive Christian Center FBNN Pantry

775-225-1309

http://www.calvaryreno.com/

http://ccsnn.org/index.html







https://dwss.nv.gov/





Faith Lutheran Church FBNN Pantry

http://www.faithlutheranreno.org/ 775-747-3246

First Samoan Full Gospel Church

FBNN Pantry

775-359-1956

First United Methodist Church

FBNN Pantry

http://www.renofirstmethodist.org/ 775-322-4565

Food Bank of Northern Nevada

FBNN Pantry

http://fbnn.org/ 775 331-3663

Gate of Life Christian Center

FBNN Pantry

775-674-3777

Golden Apartments FBNN

Mobile Pantry

775-826-6563

Grace Tabernacle Church of God in Christ

Other Food Bank

775-331-1404

Greater New Hope Baptist Church

FBNN Pantry

http://www.greaternewhopereno.org/

775-329-6260

Hands of Hope Food Bank / Operation Feedback

Other Food Bank

http://www.handsofhope.org 775-284-8878

Hope Church of the Nazarene

FBNN Pantry

775-673-2700

Hug High School FBNN

Mobile Pantry

775-333-5300


Other Food Bank

http://www.itcn.org/ 775-355-0600

Joseph's Inn FBNN

Mobile Pantry

775-322-2290

Kid to Seniors Korner FBNN Pantry

775-858-5250

Libby Booth ES FBNN

Mobile Pantry

775-333-5140

Living Waters Christian Fellowship

FBNN Pantry

http://lwcfsparks.org/ 775-287-9457

Northern Nevada HOPES FBNN

Mobile Pantry

775-786-4673

Nancy Gomes ES FBNN

Mobile Pantry

775-677-5440

http://www.faithlutheranreno.org/

http://www.renofirstmethodist.org/

http://fbnn.org/



http://www.handsofhope.org/


http://lwcfsparks.org/



Neil Road Rec Center FBNN

Mobile Pantry

775-689-8484

Nevada Urban Indians FBNN Pantry

http://www.nevadaurbanindians.org/ 775-788-7600

New Believer's Christian Fellowship

FBNN Pantry

http://newbelieverschristianfellowship.angelfire.com/

775-379-3850

New Life Assembly of God Church

Other Food Bank

http://www.nlaog.us/ 775-972-1088

O'Brien MS FBNN

Mobile Pantry

775-677-5420

Our Savior Lutheran Church FBNN Pantry

775-358-0743

Project Solution Center

Boys & Girls Club

Food Program


Rehoboth Holy Temple FBNN Pantry

http://www.rhtcogic.com/ 775-823-9711

Reno-Sparks Gospel Mission, Inc.

Other Food Bank

http://www.rsgm.org/ 775 323-0386

Reno-Sparks SDA Spanish Church

FBNN Pantry

775-327-4545

Salvation Army Other Food Bank

http://www.gosalarmy.org/deloro/renoprograms

775-688-4555

Sister Carmen's Ministry to the Needy and the Poor

FBNN Pantry

775-329-0904

Sparks Christian Fellowship FBNN Pantry

http://www.scf.net/ 775-331-2303

Sparks Senior Center Other Food

Bank http://www.cityofsparks.us/residents/

recreation/senior-programs

775-353-3110

Sparks Seventh Day Adventist Church

Other Food Bank

http://sparkschurch.adventistfaith.org/

775 331-4332

St. Paul's Episcopal Church FBNN Pantry

http://stpaulssparks.org/ 775-358-4474

St. Peters Canisius FBNN

Mobile Pantry

775-673-6800

The Bridge Church FBNN Pantry

http://www.thebridgereno.com/ 775-323-7141

The Friar's Pantry FBNN Pantry

http://www.stacathedral.com/ 775-329-2571




http://www.nlaog.us/


http://www.rhtcogic.com/

http://www.rsgm.org/



http://www.scf.net/

http://www.cityofsparks.us/residents/recreation/senior-programs

http://www.cityofsparks.us/residents/recreation/senior-programs



http://stpaulssparks.org/

http://www.thebridgereno.com/

http://www.stacathedral.com/



Traner Middle School FBNN

Mobile Pantry

775-333-5130

University Family Fellowship

FBNN Pantry

http://universityfamilyfellowship.org 775-359-2222

Valley View Christian Fellowship

FBNN Pantry

http://www.valleyviewreno.org/ 775-772-7873

Voice in the Wilderness FBNN Pantry

775-329-2511

Washoe County Senior Citizen's Center

FBNN Pantry

http://www.washoecounty.us/seniorsrv

775-328-2590

Washoe Valley Christian Church

FBNN Mobile Pantry

http://washoevalley.org/wv/temp%20new%20beginnings.htm

775-849-3932

William N. Pennington Facility

Boys & Girls Club

Food Program

http://www.bgctm.org/donate/pennington_project/

775-331-5437

http://universityfamilyfellowship.org/

http://www.valleyviewreno.org/








Appendix Four: References

1 National Association of County and City Health Officials. Accreditation Prerequisite: Community Health

Improvement Plan. The National Connection for Local Public Health. Retrieved November 6, 2015 from http://www.naccho.org/topics/infrastructure/accreditation/chip.cfm. 2 Community Hubs. About Community Hubs. Page last updated on December 22, 2015. Retrieved December 23,

2015 from http://www.communityhubs.org.au/about-community-hubs/. 3 Washoe County Health District and Renown Health (2015). Washoe County Community Health Needs

Assessment, 2015-2017. 4 County Health Rankings and Roadmaps. Robert Wood Johnson Foundation. Access to Care. Retrieved November

11, 2015 from http://www.countyhealthrankings.org/our-approach/health-factors/access-care. 5 Healthy People 2020. Access to Health Services. Retrieved November 11, 2015 from

http://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services. 6 Healthy People 2020. Adolescent Health. Retrieved December 23, 2015 from

http://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health. 7 Social Entrepreneurs, Inc. (2015). 2-1-1 Strategic Plan 2016-2020 DRAFT.

8 Griswold, T., Packham, J., Etchegoyhen, L., Marchand, C. (January 2015). Nevada Rural and Frontier Health Data

Book – Seventh Edition January 2015. 9 Healthy People 2020. Mental Health and Mental Disorders. Retrieved December 10, 2015 from

http://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mental-disorders. 10

Centers for Disease Control and Prevention. Injury Prevention and Control: Division of Violence Prevention. Featured Topic: Bullying Research. Page last updated on October 7, 2015. Retrieved on November 23, 2015 from http://www.cdc.gov/violenceprevention/youthviolence/bullyingresearch/index.html. 11

Mayo Clinic. Healthy Lifestyle Tween and Teen Health. Teen Suicide: What Parents Need to Know. Retrieved December 23, 2015 from http://www.mayoclinic.org/healthy-lifestyle/tween-and-teen-health/in-depth/teen-suicide/art-20044308. 12

Child Trends (July 2014). Research Brief; Publication #2014-28. Adverse Childhood Experiences: National and State-Level Prevalence. Retrieved December 22, 2015 from http://www.childtrends.org/wp-content/uploads/2014/07/Brief-adverse-childhood-experiences_FINAL.pdf. 13

2013 Nevada Youth Risk Behavior Survey (February 2014). Edition 1.0. Retrieved December 11, 2015 from http://dhs.unr.edu/Documents/dhs/chs/yrbs/2013NevadaYRBSReportFinal10142014.pdf.

http://www.naccho.org/topics/infrastructure/accreditation/chip.cfm

http://www.communityhubs.org.au/about-community-hubs/

http://www.countyhealthrankings.org/our-approach/health-factors/access-care

http://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health

http://www.healthypeople.gov/2020/topics-objectives/topic/mental-health-and-mental-disorders

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