ASSIGNMENT @4

ASSIGNMENT @4 1

Functional Health Patterns Community Assessment Guide Functional Health Pattern (FHP) Template Directions:

This FHP template is to be used for organizing community assessment data in preparation for completion of your collaborative learning community (CLC) assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community.

Albuquerque, New Mexico

(City of Albuquerque, n.d.) (Greater Albuquerque City of Commerce, n.d.) (The State Center for Health Statistics, 2014)

Value/Belief Pattern

  • Predominant ethnic and cultural groups along with beliefs related to health.

    • There is a large Caucasian culture.

    • There is also a large Hispanic culture in this community.

    • African American population is represented as well.

    • There is also a mix of Pueblo Indian and Chinese cultures.

  • Predominant spiritual beliefs in the community that may influence health.

    • Catholicism. This influences birth control beliefs.

  • Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.).

    • There are many church affiliations. The largest attendance is to the catholic churches.

  • Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)?

    • They value health promotion. There are many conservation and exercise programs available.

  • What does the community value? How is this evident?

    • Outdoor activities. There are many activities available including museums, wildlife and parades.

  • On what do the community members spend their money? Are funds adequate?

    • Housing, food, and outdoor activities.

    • Most have adequate funds for these items.

Health Perception/Management

  • Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state).

    • Drug overdose for Albuquerque is a rate of 26.9% and the US rate is 13.8%.

  • Immunization rates (age appropriate).

    • 93%

  • Appropriate death rates and causes, if applicable.

    • Number of deaths = 5236. Causes are 1) Cancer, 2) Heart disease, 3) Accidents

  • Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient?

    • There are health, environmental and fitness programs available.

    • These are easy to access and sufficient.

  • Available health professionals, health resources within the community, and usage

    • There are many programs that provide adequate resources to access health care.

  • Common referrals to outside agencies.

    • Indian Affairs

Nutrition/Metabolic

  • Indicators of nutrient deficiencies.

    • Not indicated due to school food programs and lower obesity rate.

  • Obesity rates or percentages: Compare to CDC statistics.

    • 23.70% in Albuquerque. US 28%

  • Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.).

    • Lew Wallace Food Pantry available.

  • Availability of water (e.g., number and quality of drinking fountains).

    • This community utilizes water conservation program and values report of water being wasted.

  • Fast food and junk food accessibility (vending machines).

    • There are 49 fast food restaurants in Albuquerque.

  • Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc.).

    • 19.5% recycling rate

    • 5 pounds of trash in landfill/person/day compared to 4 pound for the US

  • Provisions for special diets, if applicable

    • Schools provide education and work with students that have special nutrition needs.

  • For schools (in addition to above):

    • Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence)

      • The school food program is funded through the National School Lunch Act, Child Nutrition Act, and the National School Breakfast Act.

    • Amount of free or reduced lunch

      • More than half of the families qualify for free or reduced lunch.

Elimination (Environmental Health Concerns)

  • Common air contaminants’ impact on the community.

    • Vehicle emissions has the biggest impact on air quality.

  • Noise.

    • Air Traffic from the air force base.

  • Waste disposal.

    • Encourages managing waste through conservation and not generating the waste.

  • Pest control: Is the community notified of pesticides usage?

    • The community lists less toxic alternatives for pest control.

  • Hygiene practices (laundry services, hand washing, etc.).

    • There are many laundry facilities available.

  • Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible.

    • All public facilities have bathroom. Most are clean and have the needed supplies.

  • Universal precaution practices of health providers, teachers, members (if applicable).

    • Health providers abide by the recommendation for hand sanitizer. There are also hand sanitizer available in the local malls.

  • Temperature controls (e.g., within buildings, outside shade structures).

    • The Clean Air Scientific Advisory Committee reviews and researches.

  • Safety (committee, security guards, crossing guards, badges, locked campuses).

    • There are multiple safety programs including personal, work place, and family safety.


Activity/Exercise

  • Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.).

    • There are 24 community centers located in Albuquerque.

    • 58% residents frequently exercise.

  • Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc.).

    • There are many bike paths available for use.

    • There are also many outdoor sports available for use like aquatics, basketball, golf, softball, tennis, water exercise, and winter sports.

  • Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.).

    • Many crime prevention programs and neighborhood watch programs.

  • Injury statistics or most common injuries.

    • Poisoning 23.8%, motor vehicle crash 15.6%, fall 14.2%

  • Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer).

    • There is available free wireless access through city hot spots.

  • Means of transportation.

    • There is a commuter rail system.

    • There is also a metro bus system.

Sleep/Rest

  • Sleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]).

    • The sleep hour standards are 7-8 hours

    • The community has a wide variety of sleep patterns due to the high level of health care, emergency care, police, air force and technology workers.

  • Indicators of general “restedness” and energy levels.

    • There is a high rate of people who engage in exercise. This indicates that there is a high level of energy.

  • Factors affecting sleep:

    • Shift work prevalence of community members

      • Variable and highly prevalent due to the multiple areas that require 24 hour operations.

    • Environment (noise, lights, crowding, etc.)

      • This community is rapidly expanding and growing.

    • Consumption of caffeine, nicotine, alcohol, and drugs

      • Alcohol and drug use has increased.

    • Homework/Extracurricular activities

      • There are many after school programs available for the community.

    • Health issues

      • Cancer

      • Heart disease


Cognitive/Perceptual

  • Primary language: Is this a communication barrier?

    • English and Spanish are the dominate languages.

    • There is a communication barrier for the Spanish speaking population.

  • Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics.

    • 87.3% have High School Education or higher in 2015. The US rate is 87.1%

  • Opportunities/Programs:

    • Educational offerings (in-services, continuing education, GED, etc.)

      • Albuquerque Public Schools

      • Central New Mexico Community College

      • University of New Mexico

    • Educational mandates (yearly in-services, continuing education, English learners, etc.)

      • There are mandatory education requirement for real estate, massage, construction, electrical, nursing and lawyers.

    • Special education programs (e.g., learning disabled, emotionally disabled, physically disabled, and gifted)

      • Students who are twice exceptional

      • Special education/significant behavior needs

      • Hearing impaired

      • Visual impaired

      • Autism specific program

  • Library or computer/Internet resources and usage

    • Available free wireless access through city hot spots.

  • Funding resources (tuition reimbursement, scholarships, etc.).

    • There is a foundation APS Education Foundation that provides support and grants for the public schools.

Self-Perception/Self-Concept

  • Age levels.

    • The age group of 65 years and older is at 14%.

    • Also at 14% is the age group of 15 -24 years old.

  • Programs and activities related to community building (strengthening the community).

    • Albuquerque Balloon Fiesta

  • Community history.

    • Founded in 1706 by 18 families.

    • Grown from 5000 to 550,000.

    • Originally a community known for its agriculture of sheep-herding and transportation through the railroad.

  • Pride indicators: Self-esteem or caring behaviors.

    • This community is now known for its health care, transportation and technology.

  • Published description (pamphlets, Web sites, etc.).

    • Greater Albuquerque Chamber of Commerce.



Role/Relationship

  • Interaction of community members (e.g., friendliness, openness, bullying, prejudices, etc.).

    • 64% residents believe there are positive interactions between community members.

  • Vulnerable populations:

      • Families living in poverty with children under 18.

    • Why are they vulnerable?

      • It is above the national average at 23%.

      • There are children within these families who are living in poverty and may be a part of the homeless population.

    • How does this impact health?

      • This population may be part of the 10% of residents that don’t have health insurance coverage.

  • Power groups (church council, student council, administration, PTA, and gangs):

      • University of New Mexico (UNM)

      • Homeland Security

      • Gangs

      • Drug cartel

    • How do they hold power?

      • UNM is involved in all areas of the community

      • Homeland security and local police have a pubic presence and has had issues with excessive force in the past, but improvements have been made.

      • High gang population and drug cartel are responsible for the crimes and violence with in the community and may be responsible for the human trafficking issues.

    • Positive or negative influence on community?

      • The UNM is a large positive influence and involved in many areas of the community.

      • The drug cartel, gangs, and the possible other groups responsible for human trafficking are a big negative community influence

      • Homeland security has a major positive influence

  • Harassment policies/discrimination policies.

    • This can happen in multiple areas. The Albuquerque Human Rights Office handles these complaints and offers resolution or referrals.

  • Relationship with broader community:

    • Police

      • The police have been criticized for excessive force in years past, but have made improvements and is better now.

      • Multiple community programs are available: crime stoppers, academies.

    • Fire/EMS (response time)

      • 1:56 minutes

      • Fire calls = 11,347 in 2015

      • EMS calls = 81,692 in 2015

    • Other (food drives, blood drives, missions, etc.)

      • First aid courses

      • CPR classes

      • Mental Health First Aid

Sexuality/Reproductive

  • Relationships and behavior among community members

    • There is a strong tie between the community and the air force base and the Native American Indian tribe.

  • Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.).

    • Recreational services to all ages and provides public classes and education

  • Access to birth control

    • Available through BeWellNM which provides an opportunity for health insurance.

  • Birth rates, abortions, and miscarriages (if applicable).

    • In 2014 there were 7967 births; birth rate = 11.8 %

    • Pregnancy with abortive outcome = 1.9%

  • Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave, etc.).

    • The Health Resources and Services Administration Maternal and Child Health Bureau is available to the community and it covers all the areas in need.


Coping/Stress

  • Delinquency/violence issues.

    • All crimes reported for 2007 have increased to 163,8990 total from 158,718 in 2006.

  • Crime issues/indicators.

    • Larceny is the highest reported crime for 2007, except traffic violations are higher.

  • Poverty issues/indicators.

    • Trespassing of property increased and larceny and vandalism decreased from 2007 and prior year of 2006.

  • CPS or APS abuse referrals: Compare with previous years.

    • Family offenses 8279 for 2007 and 11,218 for 2006.

  • Drug abuse rates, alcohol use, and abuse: Compare with previous years.

    • Narcotic offenses 4462 for 2007 and 4023 for 2006.

    • DUI 5907 for 2007 and 4788 for 2006.

  • Stressors.

    • Crime rates increasing

    • Drug cartel

    • Gangs

    • Human trafficking

  • Stress management resources (e.g., hotlines, support groups, etc.).

    • Crisis Intervention Team hotline

  • Prevalent mental health issues/concerns:

    • How does the community deal with mental health issues

      • Crisis Intervention Team available

    • Mental health professionals within community and usage

      • Mental Health Response Advisory Committee

  • Disaster planning:

    • Past disasters

      • New Mexico is the least disaster prone state in the United States.

      • Earthquakes, tornados, and floods are the highest past disaster in Albuquerque.

        • Two earthquake events:

          • The last event was in 1971 with a magnitude of 4.7

        • Tornado:

          • The last event was in 1975

        • Floods:

          • Since 1950 there have been 90 floods

    • Drills (what, how often)

      • Drills are held annually for the many different reasons such as earthquake, tornado, and flood readiness.

    • Planning committee (members, roles)

      • The University of New Mexico has a department for disaster medicine for coordinating these drills and the actual disasters.

    • Policies

      • During drills, it is a policy to evacuate quickly and calmly to the Albuquerque Evacuation Emergency Operations center.

    • Crisis intervention plan

      • Department of Homeland security is ramping up its disaster preparedness plan towards earthquakes, strong winds, and fires


References:

City of Albuquerque. (n.d.)

Greater Albuquerque Chamber of Commerce. (n.d.).

The State Center for Health Statistics. (2014). New Mexico Selected Health Statistics Annual Report 2014.

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