2016 Macon County SOTCH Scorecard

Transcription

1 2016 Macon County SOTCH Scorecard Th e follow in g SOTCH Scorecard w as created an d su bmitted March 6, 2017 in order to meet th e requ iremen ts for th e Macon Cou n ty an n u al State of th e Cou n ty's Health (SOTCH) Report. Th e 2015 Commu n ity Health Assessmen t priority areas are: Priority 1- Heart Disease- Redu ce th e in ciden ce of preven table ch ron ic diseases related specifically to cardiovascu lar disease/h eart disease to th ose th at reside in th e commu n ity. Priority 2- Domestic Violen ce- Promote th e reportin g an d appropriate resou rce referrals for domestic violen ce in ciden ts an d redu ce th e in ciden ce of domestic violen ce in th e commu n ity. Priority 3- Econ omic Developmen t- Promote econ omic developmen t opportu n ities th at resu lt in h ealth ier lifestyle ch oices for in dividu als in th e commu n ity. Th e follow in g resou rces w ere u sed/review ed in order to complete th e SOTCH: 2017 Cou n ty Health Data B ook North Carolin a State Cen ter for Health Statistics Health Priority 1 - Heart Disease R CHIP Maconians live long, active, and happy lives. Why It Matters? Heart disease presen ted as th e leadin g cau se of overall death in Macon Cou n ty for th e time period an d w as th u s selected as a priority area. Macon Cou n ty's overall n u mber of death s associated w ith diseases of th e h eart w ere 483 an d a mortality rate of Most cardiovascu lar disease affects older adu lts. It is estimated th at 90% of cardiovascu lar disease is preven table. Modifiable risk factors for h eart disease in clu de h igh blood pressu re, h igh ch olesterol, cigarette smokin g, diabetes, an u n h ealth y diet, ph ysical in activity, an d obesity. Th e Health y NC 2020 Focu s Area to w h ich h eart disease most closely align s w ith is ph ysical activity an d n u trition. Progress Made in Last Year Th e follow in g progress w as made in 2016 on h eart disease in Macon Cou n ty. Th e Resu lts B ased Accou n tability meth od w as u sed to iden tify action items an d to improve th e effectiven ess of th e Task Force. An on lin e poll regardin g th e preferen ce of Heart Disease Task Force meetin g time(s) w as completed to better accommodate Task Force member's sch edu les an d en su re participation. A Diabetes Preven tion Program w as started in September 2016; th is class is n ow in th e secon d ph ase of th e program. I Heart Disease Mortality Rates Story Behind the Curve 1 / 12 2/28/2017, 9:00:57 AM

2 Th e "Stor y B eh in d th e Cu r ve" h elps u s u n derstan d w h y th e data on h eart disease mortality rates is th e w ay th at it is in ou r commu n ity. W h en w e u n derstan d th e root cau ses of ou r commu n ity problems, w e h ave a better ch an ce of fin din g th e righ t solu tion s, togeth er. What's Helping? These are the positive forces are work in our community and beyond that influence this issue in our community. What's Hurting? These are the negative forces are work in our community and beyond that influence this issue in our community. Partners Partners in our Community Health Improvement Process: W NC Health y Impact Mou n tain W ise of Macon Cou n ty Partners With a Role in Helping Our Community Do Better on This Issue: 2 / 12 2/28/2017, 9:00:57 AM

3 What Works to Do Better? h e follow in g action s h ave been iden tified by ou r Heart Disease Task Force an d commu n ity members as ideas for w h at can w ork for ou r commu n ity to make a differen ce on h eart disease. (A) Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on heart disease. "Civil officer" train in g/ edu cation on smokin g policies an d en forcemen t Social media campaign th at promotes h ealth y lifestyles (ex. Sn apch at, QR codes, h ash tags) Establish slidin g fee scales at gyms "Local Health y Food O ption s" campaign (ex. Taste of Macon Cou n ty") Tobacco/ E-Cig risks campaign (ex. media blitz an d even ts) Measu red w alkin g path s an d maps in itiative (th rou gh ou t cou n ty an d at bu sin esses) Pu blic/ commu n ity classes/ programs free th rou gh Parks an d Recreation Risk factor edu cation al campaign Promote ph ysical activity/ exercise an d h ow to get started Con n ect an d facilitate relation sh ip bu ildin g w ith Farmers Markets an d Food B an ks Health y food policy developmen t w ith organ ization s an d bu sin esses Health y food flyers/ broch u res/ edu cation in itiative Civic organ ization s spon sor h ealth even ts Mon th ly "h eart h ealth " n igh ts at restau ran ts (B) What is ly Working in Our Community These are actions and approaches that are currently in place in our community to make a difference on heart disease. An gel Medical Cen ter's Passport to W elln ess program for commu n ity an d staff to get people to u n derstan d th e importan ce of h ealth screen in gs Ladies Nigh t O u t an d Men's Nigh t O u t program on h eart h ealth Macon Cou n ty employees w ear red in Febru ar y in recogn ition of Nation al Heart Health Mon th. (C) Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on heart disease. National Public Health Improvement Initiative- New Mexico Department of Public Health Nation al Diabetes Preven tion Resu lts B ased Accou n tability (RB A) Approach to Collaborative Action Plan n in g Process Task force members brain stormed a list of action items u sin g th e Resu lts B ased Accou n tability process. Th e priority action item(s) w as th en voted on based on its valu e if th e action items match ed th e valu es of th e commu n ity, if th ey w ere specific or w ell defin ed en ou gh to implemen t, if th e action item h ad h igh leverage or a stron g impact, an d if th e action item w as feasible. Th e action item(s) w ith th e most votes w as to provide free commu n ity classes th rou gh to recreation cen ter. Data Holes W e are keepin g an eye on h eart disease mortality rates as a w ay of tellin g h ow w e are doin g as a commu n ity in addressin g h eart disease an d bu ild a commu n ity w h ere Macon ian s live lon g, active, an d h appy lives. W e h ave also iden tified oth er data th at is n ot cu rren tly available, bu t th at w e w ou ld like to develop to h elp u s mon itor progress on th is resu lt: 3 / 12 2/28/2017, 9:00:57 AM

4 Smokin g rates Nu mber of people in sportin g teams, recreation, an d gym membersh ips P Provide free community classes through the recreation center. What Is It? Providin g free commu n ity classes th rou gh th e recreation cen ter w as iden tified by th e Heart Disease Task Force as an action, th at w h en combin ed w ith oth er action s in ou r commu n ity, th at h as a reason able ch an ce of makin g a differen ce in h eart disease mortality rates in ou r commu n ity. Th is is a n ew program in ou r commu n ity an d aims to make a differen ce at th e organ ization al/policy level. Implemen tation w ill take place in th e commu n ity recreation cen ter. Th e au dien ce for free commu n ity classes th rou gh th e recreation cen ter are you th an d older adu lts. It is a primar y preven tion measu re to in still h ealth y h abits earlier in life to preven t or redu ce disease; th ere is also equ al importan ce in secon dar y an d tertiar y preven tion measu res to lessen th e impact of disease. Age is a distin gu ish able risk factor in developin g cardiovascu lar or h eart disease. Th e median age in Macon Cou n ty is several years "older" th an th e region al mean an d th e state average median. Th is, an d th e projected grow th over th e n ext tw o decades of th e popu lation 65+, fit w ith th e region al ch aracteristic of a sign ifican tly large popu lation of sen ior citizen s an d th e issu es th at accompan y th at ch aracteristic. Partners Th e partn ers for free commu n ity classes th rou gh th e recreation cen ter in clu de: Updates Recreation Cen ter Th e recreation cen ter w ill be th e h ost location for th e free fitn ess classes. Th is is a n ew partn ersh ip th at w ill su pport th e target popu lation s. Fitn ess In stru ctors Fitn ess in stru ctors w ill be key in leadin g you th an d adu lts in fitn ess classes. Th is is a n ew partn ersh ip. Th e Task Force is in th e ph ase of processin g th e essen tial steps to en su re a su ccessfu l creation of free commu n ity classes th rou gh th e recreation cen ter. Health Priority 2 - Domestic Violence R CHIP In Macon County we want a community that is safe and violence- free. Why It Matters? Domestic violen ce report rates h ave escalated sign ifican tly in recen t years w h ich prompted th e Mou n tain W ise of Macon Cou n ty grou p to select it as a priority area of in terest. Domestic violen ce is a pattern of beh avior w h ich in volves violen ce or oth er abu se by on e person again st an oth er in a domestic settin g. Domestic violen ce in clu des a ran ge of acts in clu din g, bu t n ot limited to, domestic abu se, spou sal abu se, in timate partn er violen ce (IVP), batterin g, an d family violen ce. It mu st be n oted th at sexu al assau lt is in clu ded in discu ssion s abou t domestic violen ce; sexu al assau lt is a form of violen ce an d is often tied to domestic violen ce in stan ces. In Macon Cou n ty FY , 94 person s w ere iden tified as victims of sexu al assau lt. Th e sin gle most frequ en tly specific type of sexu al assau lt du rin g th e period w as ch ild sexu al offen se. REACH of Macon Cou n ty provided th e follow in g sexu al assau lt data for Ju ly 1, Ju n e 30, 2015: Macon Cou n ty 4 / 12 2/28/2017, 9:00:57 AM

5 Domestic violen ce most closely align s w ith Health y NC 2020 Focu s Areas of in ju r y an d cross-cu ttin g. In addressin g domestic violen ce as is relates to th ese focu s areas, th e goal is to make a differen ce in th e commu n ity th rou gh preven tion an d respon se efforts. Progress Made in Last Year Th e follow in g progress w as made in 2016 on Domestic Violen ce in Macon Cou n ty. Th e Resu lts B ased Accou n tability meth od w as u sed to iden tify action items an d to improve th e effectiven ess of th e Coalition. Du e to th e gu idan ce an d direction of th e Macon Domestic Violen ce an d Sexu al Assau lt Coalition, th e eviden ce- based strategy in itially iden tified in th e State Action Plan w ill n ot be u sed. Commu n ity programs like Ladies Nigh t O u t an d You th Nigh t O u t address topics on domestic violen ce, sexu al assau lt, teen datin g violen ce, an d h ealth y relation sh ips. I Domestic Violence Incident Reports Story Behind the Curve Th e "Stor y B eh in d th e Cu r ve" h elps u s u n derstan d w h y th e data domestic violen ce in ciden t reports is th e w ay th at it is in ou r commu n ity. W h en w e u n derstan d th e root cau ses of ou r commu n ity problems, w e h ave a better ch an ce of fin din g th e righ t solu tion s, togeth er. What's Helping? These are the positive forces are work in our community and beyond that influence this issue in our community. What's Hurting? These are the negative forces are work in our community and beyond that influence this issue in our community. Partners Partners in our Community Health Improvement Process: W NC Health y Impact Mou n tain W ise of Macon Cou n ty Partners With a Role in Helping Our Community Do Better on This Issue: 5 / 12 2/28/2017, 9:00:57 AM

6 What Works to Do Better? Th e follow in g action s h ave been iden tified by ou r Macon Domestic Violen ce an d Sexu al Assau lt Respon se Coalition an d commu n ity members as ideas for w h at can w ork for ou r commu n ity to make a differen ce on domestic violen ce. (A) Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on domestic violence. Review protocol for PREA, DSS, MCPH, Mission, MSCO, PD, sch ool system, MPP, an d Clerk of Cou rt Develop streamlin ed protocol for referrals an d assessmen ts of victims in a formalized docu men t for all agen cies u sin g best practices Develop aw aren ess activities/campaign for all agen cies to roll ou t du rin g Domestic Violen ce Mon th Implemen t u pdated Law En forcemen t Train in g Implemen t u pdated PREA Train in g Iden tify at risk families an d offer commu n ity resou rce in formation Provide compu ter access to th ose w h o lost employmen t for job application s Develop ou treach campaign for faith commu n ities Job skills train in g for at risk you th You th w ith ou t bou n daries/ cou n ty w ide cu rfew for you th < 18 "Normalize th e Con versation" campaign in sch ools, w ork settin gs, bu sin esses, etc. (ex. domestic violen ce an d sexu al assau lt is n ot okay) Train in g for sch ool n u rses on recogn ition an d resou rces Paren tin g campaign (ex. role modelin g an d w arn in g sign s) Iden tify gatew ay beh aviors an d an aw aren ess campaign to address th ese issu es (B) What is ly Working in Our Community These are actions and approaches that are currently in place in our community to make a difference on domestic violence. REACH of Macon Cou n ty h osted a "Collaborative Domestic Violen ce" train in g on O ctober 17, Th is w as open to th e commu n ity an d su rrou n din g cou n ties. REACH of Macon Cou n ty h osted a North Carolin a Coalition Again st Domestic Violen ce (NCCADV) train in g on November 17, Protocols, procedu res, an d "u n w ritten" policies" from key agen cies w ere review ed specifically as to h ow th e agen cy respon ds to domestic violen ce. REACH an d An gel Medical Cen ter w ill be collaboratin g to con du ct a DELPHI assessmen t for th e h ospital (ex. procedu res, policies, staff ) related to domestic violen ce an d sexu al assau lt. 6 / 12 2/28/2017, 9:00:57 AM

7 (C) Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on domestic violence. Nation al Pu blic Health Improvemen t In itiative- New Mexico Departmen t of Health Seekin g Safety for Adolescen ts Resu lts B ased Accou n tability (RB A) Approach to Collaborative Action Plan n in g Process Task force members brain stormed a list of action items u sin g th e Resu lts B ased Accou n tability process. Th e priority action item(s) w as th en voted on based on its valu e if th e action items match ed th e valu es of th e commu n ity, if th ey w ere specific or w ell defin ed en ou gh to implemen t, if th e action item h ad h igh leverage or a stron g impact, an d if th e action item w as feasible. Th e action item(s) w ith th e most votes w as to review protocols an d develop a streamlin ed docu men t for all agen cies. Data Holes W e are keepin g an eye on domestic violen ce in ciden t reports as a w ay of tellin g h ow w e are doin g as a commu n ity in addressin g domestic violen ce an d bu ild a commu n ity th at is safe an d violen ce free. W e h ave also iden tified oth er data th at is n ot cu rren tly available, bu t th at w e w ou ld like to develop to h elp u s mon itor progress on th is resu lt: 911 calls Coordin ated in ciden ts Nu mber of in mates on domestic violen ce an d sexu al assau lt P Review protocols and develop a streamlined document for community agencies. What Is It? Th e review of protocols an d developmen t of a streamlin ed docu men t for commu n ity agen cies w as iden tified by Macon Domestic Violen ce an d Sexu al Assau lt Respon se Coalition as an action, th at w h en combin ed w ith oth er action s in ou r commu n ity, th at h as a reason able ch an ce of makin g a differen ce in a safe an d violen ce- free commu n ity. Th is is a n ew program in ou r commu n ity w h ich aims to make a differen ce at th e organ ization al/policy level. Th e au dien ce for review in g protocols an d developin g a streamlin ed docu men t is a collaboration of commu n ity agen cies an d partn ers w h o h an dle domestic violen ce in ciden ts. Implemen tation w ill take place in commu n ity agen cies' protocols (listed below in partn ers). Men, w omen, an d ch ildren are all at risk for domestic violen ce an d sexu al assau lt. How ever th e sin gle most frequ en tly specific type of sexu al assau lt du rin g th e FY w as ch ild sexu al offen se. Th e review of protocols an d developmen t of a streamlin ed docu men t w ou ld syn ergize mu ltiple agen cies in order to redu ce th e n u mber of times an d person s th e victim w ou ld h ave to recou n t th eir experien ce. Partners Th e partn ers for review in g protocols an d developin g a streamlin ed docu men t for all agen cies in clu de: Updates REACH REACH is a du al agen cy establish ed to provide in ter ven tion, preven tion, an d coordin ated commu n ity respon se to domestic violen ce an d sexu al assau lt. REACH is an establish ed partn er w h ose role is to collaborate, su pport, an d provide tech n ical assistan ce an d marketin g/promotion to th e Macon Domestic Violen ce an d Sexu al Assau lt Respon se Coalition. PREA, MCPH, MCSO, REACH, MPP, DSS, Mission, PD, MC sch ools, an d Clerk of Cou rt Th ese agen cies are represen ted in th e Macon Domestic Violen ce an d Sexu al Assau lt Respon se Coalition. In th is collaboration, some partn ers are n ew w h ile oth ers are establish ed. How ever th ey all play a role in su pportin g an d takin g respon sibility for th e Respon se Coalition's action items. 7 / 12 2/28/2017, 9:00:57 AM

8 Th e Macon Domestic Violen ce an d Sexu al Assau lt Respon se Coalition is in th e process of review in g variou s protocols in order to begin streamlin in g Macon Cou n ty agen cy specific protocols. Health Priority 3 - Economic Development R CHIP In Macon County we want a community that is healthier, happier, and a marketable place to be. Story Behind the Curve Th e follow in g progress w as made in 2016 on econ omic developmen t in Macon Cou n ty. Th e Resu lts B ased Accou n tability meth od w as u sed to iden tify action items an d to improve th e effectiven ess of th e Task Force. An on lin e poll regardin g th e preferen ce of Econ omic Developmen t Task Force meetin g time(s) w as completed to better accommodate Task Force member's sch edu les an d en su re participation. New members w ere added to th e Task Force in O ctober. Why It Matters? Econ omic developmen t as it relates to h ealth w as ch osen as a priority area based on in come an d poverty measu remen ts in Macon Cou n ty. Th e relation sh ip betw een h u man developmen t an d econ omic developmen t can be explain ed in th ree w ays. First, in crease in average in come leads to improvemen t in h ealth an d n u trition. Secon d, it h as been proposed th at social ou tcomes can on ly be improved by redu cin g in come poverty. Lastly, social ou tcomes can also be improved w ith essen tial ser vices su ch as edu cation, h ealth care, an d clean drin kin g w ater.employmen t provides in come an d, often, ben efits th at can su pport h ealth y lifestyle ch oices. O n average 46.3% of Macon Cou n ty residen ts w ere classified as low - in come du rin g Correspon din gly poverty rates in Macon Cou n ty an d comparable ju risdiction s in creased in a period th at in clu ded several years of fallin g u n employmen t. Th e percen t of u n in su red in 2013 w as 20% h igh er th an in Th e econ omic availability of employmen t w ith ben efits su ch as in su ran ce cou ld be con sidered part of th e reason w h y rates of u n in su red con tin u e to rise. Th e Health y NC 2020 O bjective th at most closely align s w ith econ omic developmen t as it relates to h ealth is Social Determin an ts of Health an d Ph ysical Activity & Nu trition. I Unemployment Rates Story Behind the Curve Th e "Stor y B eh in d th e Cu r ve" h elps u s u n derstan d w h y th e data on u n employmen t rates is th e w ay th at it is in ou r commu n ity. W h en w e u n derstan d th e root cau ses of ou r commu n ity problems, w e h ave a better ch an ce of fin din g th e righ t solu tion s, togeth er. What's Helping? These are the positive forces are work in our community and beyond that influence this issue in our community. What's Hurting? These are the negative forces are work in our community and beyond that influence this issue in our community. 8 / 12 2/28/2017, 9:00:57 AM

9 Partners Partners in our Community Health Improvement Process: W NC Health y Impact Mou n tain W ise of Macon Cou n ty Partners With a Role in Helping Our Community Do Better on This Issue: What Works to Do Better? Th e follow in g action s h ave been iden tified by ou r Task Force an d commu n ity members as ideas for w h at can w ork for ou r commu n ity to make a differen ce on econ omic developmen t as it relates to h ealth. (A) Actions and Approaches Identified by Our Partners These are actions and approaches that our partners think can make a difference on economic development. Commu n ity garden G reen w ay improvemen t an d promotion campaign Free fitn ess for commu n ity campaign (1X/w eek) Nu trition al an d exercise in formation campaign w ith you th leagu es Health y food policies w ith bu sin esses an d organ ization s Affordable garden in g campaign Decrease costs associated w ith you th extra cu rricu lar activities Social media campaign for h ealth y activities in commu n ity (ex. Sn apch at, filters, QR, h ash tags) You th fitn ess in itiative for th ose n ot in terested in team sports (ex. take advan tage of n atu ral resou rces) Promote local job opportu n ities at CareNet O n lin e sports (ex. recreation, sch ool, leagu e) on lin e portal for you th an d adu lts Commu n ity garden s w ith faith based grou ps New bu sin ess fairs (ex. in tern sh ips, volu n teer, an d job opportu n ities) 9 / 12 2/28/2017, 9:00:57 AM

10 Slidin g fee scale at fitn ess cen ters Health y men u in itiative at restau ran ts Sch ool gym u se for commu n ity programs In crease tran sportation rou tes to in clu de gym an d facilities Free pu blic, commu n ity classes/programs th rou gh recreation departmen t Commu n ity W orksite W elln ess In itiative In crease promotion of ben efits of recreation al opportu n ities (ex. facilities an d en viron men t) O pen a YMCA Create commu n ity garden space on vacan t cou n ty property (B) What is ly Working in Our Community These are actions and approaches that are currently in place in our community to make a difference on economic development. Th e Tow n of Fran klin organ ized a commu n ity even t for th e Total Solar Eclipse in su mmer Th is is expected to brin g in reven u e th rou gh ou t th e cou n ty. Th e u n employmen t office h as collaborated w ith commu n ity agen cies to promote job open in gs. (C) Evidence-Based Strategies These are actions and approaches that have been shown to make a difference on economic development. Nation al Pu blic Health Improvemen t In itiative- New Mexico Departmen t of Health Resu lts B ased Accou n tability (RB A) Approach to Collaborative Action Plan n in g Process Task force members brain stormed a list of action items u sin g th e Resu lts B ased Accou n tability process. Th e priority action item(s) w as th en voted on based on its valu e if th e action items match ed th e valu es of th e commu n ity, if th ey w ere specific or w ell defin ed en ou gh to implemen t, if th e action item h ad h igh leverage or a stron g impact, an d if th e action item w as feasible. Th e action item(s) w ith th e most votes w as to provide a free to th e pu blic fitn ess class th at takes place on e time per w eek. Data Holes W e are keepin g an eye on u n employmen t rates as a w ay of tellin g h ow w e are doin g as a commu n ity in addressin g econ omic developmen t as it related to h ealth an d bu ild a commu n ity th at is h ealth ier, h appier, an d a marketable place to be. W e h ave also iden tified oth er data th at is n ot cu rren tly available, bu t th at w e w ou ld like to develop to h elp u s mon itor progress on th is resu lt: Affordability of h ou sin g an d th e cost of ren t P Provide a free to the public fitness class that takes place once per week. What Is It? Providin g a free to th e pu blic fitn ess class th at takes place on ce per w eek w as iden tified by Econ omic Developmen t Task Force as an action, th at w h en combin ed w ith oth er action s in ou r commu n ity, th at h as a reason able ch an ce of makin g a differen ce in econ omic developmen t as it relates to h ealth in ou r commu n ity. Th is is a n ew program in ou r commu n ity w h ich w ill be implemen ted in a commu n ity space th at is low cost an d w h ere ph ysical activity is feasible. Th e free fitn ess class aims to make a differen ce at th e en viron men tal ch an ge level. Th e au dien ce for providin g a free to th e pu blic fitn ess class th at takes place on ce per w eek are you th an d adu lts. Th e association betw een econ omic developmen t an d h u man developmen t en compasses h ealth, edu cation, an d even 10 / 12 2/28/2017, 9:00:57 AM

11 family dyn amics. In Macon Cou n ty, as in mu ch of North Carolin a, ch ildren su ffer sign ifican tly an d disproportion ately from poverty. In th e 5 year period from , an estimated 296 Macon Cou n ty gran dparen ts livin g w ith th eir min or-aged gran dch ildren also w ere fin an cially respon sible for th em. 27% of h ou seh olds w ere h eaded by a female sin gle paren t, an d 7 % w ere h eaded by a male sin gle paren t. Partners Th e partn ers for th is a free pu blic fitn ess class th at takes place on ce per w eek in clu de: Fitn ess In stru ctors Fitn ess in stru ctors w ill be key in leadin g you th an d adu lts in fitn ess classes. Th is is a n ew partn ersh ip. Updates Th e Econ omic Developmen t Task Force h as an sw ered th e qu estion "w h at essen tial steps an d/or action s does it take to en su re su ccessfu l creation of a free to th e pu blic fitn ess class th at takes place on ce per w eek?" Th ey are in th e process of bein g assign ed action item respon sibilities. New and Emerging Issues & Initiatives R Monitor New and Emerging Issues Notes Th ese are th e n ew or emergin g issu es in ou r commu n ity th at w ere n ot iden tified as priorities in ou r 2015 CHA. W ildfires spread across W estern North Carolin a w h ich th reaten ed air qu ality at th e time an d also h ad lon g term affects to n atu ral resou rces. R Keep Track of New Initiatives & Community Changes Notes Th e follow in g are n ew in itiatives or ch an ges in ou r commu n ity in Fu ll Circle Recover y Cen ter w as aw arded a federal Health Resou rces an d Ser vices Admin istration Ru ral O pioid O verdose Reversal gran t to su pport th e Macon O verdose Preven tion Coalition. You th Nigh t O u t, a program for all h igh sch ool-aged stu den ts, w as lau n ch ed. Th is mon th ly program ru n s from September to May brin gin g experts to th e Fran klin High Sch ool Fin e Arts Cen ter to talk to stu den ts an d an sw er th eir qu estion s abou t certain topics. 11 / 12 2/28/2017, 9:00:57 AM

12 Macon Cou n ty Sch ools started STEM (scien ce, tech n ology, en gin eerin g an d math ematics) edu cation program. 12 / 12 2/28/2017, 9:00:57 AM