DEKALB MEDICAL HILLANDALE 2013 Community Health …/media... · HIV/AIDS Respiratory Diseases 25 Injuries 30 30 Overview ... The county’s population estimates were obtained from

DEKALB MEDICAL HILLANDALE2013 Community Health Assessment

Table of Contents

i

METHODOLOGY 1

Page

Profile

Population 8Economics 9Education 9Housing 9Households 10Labor 10

Leading Causes

12Leading Causes of Hospitalization Leading Causes of Mor tality 12

Chronic Diseases

16161820

Overview Cancers Cardiovascular Diseases Diabetes Asthma 21

Infectious Diseases

232324

Overview Sexually Transmitted Diseases HIV/AIDS Respiratory Diseases 25

Injuries

3030

Overview Leading T ofypes Injur y Deaths b Ty ofype Injur y 31

Maternal and Child Health

3334

Pregnancy Lo Birw thweight Infant Mortality 34

APPENDICES

36

38

39

43

Differences in Health Status, Access to Healthcare, and Environment

Acknowledgements

Index of Tables and Figures

Sources

Resources and Services 44

* Indicates that this section includes a focus on related risk factors and behaviors.

DEKALB MEDICAL AT HILLANDALE 6

1

METHODOLOGY

2

MethodologyUnderstanding a community’s health needs helps health care organizations, like DeKalb Medical, develop programs and services to improve the health status of the populations they serve.

The 2013 Community Health Assessment Report uses the latest demographic, health and risk behavior data to describe the health status of DeKalb County and Hillandale area (i.e., Lithonia and Redan) residents.

DEMOGRAPHIC DATA SOURCES

The county’s population estimates were obtained from the U.S. Census Bureau’s 2010 American Community Survey and The Georgia County Guide for 2010 through 2012.

HEALTH DATA SOURCES

DeKalb Community Service BoardThe DeKalb Community Service Board provided all of the data for the Behavioral Health in DeKalb County section.

DeKalb County Board of HealthThe DeKalb County Board of Health’s Division of Environmental Health provided data on West Nile virus for the Infectious Diseases in DeKalb County section.

Georgia Department of Public Health

Georgia Comprehensive Cancer Registry The Georgia Comprehensive Cancer Registry collects all cancer cases diagnosed among Georgia residents since January 1, 1995. The registry staff provided cancer data for the Chronic Diseases in DeKalb County section.

HIV/AIDS Epidemiology Section The section staff provided HIV/AIDS data for the Infectious Diseases in DeKalb County section.

Online Analytical Statistical Information System (OASIS)OASIS is a set of web-based tools for analyzing Georgia’s public health data. Data from OASIS is used throughout the report.

Refugee ProgramThe program staff provided all of the data for the Refugee Health in DeKalb County section.

State Electronic Notifiable Disease Surveillance System (SENDSS)SENDSS is a web-based reporting system that collects information pertaining to notifiable diseases in Georgia. State law requires that healthcare providers notify the state’s public health system of diagnosed cases of over 50 diseases and conditions.

3

RISK BEHAVIOR DATA SOURCES

The DeKalb County Board of Health conducts two surveys to assess residents’ health-related risk behaviors. One is the Behavioral Risk Factor Surveillance System survey of adults and the other is the Youth Risk Behavior Survey of high school students.

Behavioral Risk Factor Surveillance System (BRFSS) SurveyDeKalb County residents were interviewed by telephone. Telephone numbers were randomly dialed and respondents were randomly selected from the adult members of each household. Participation was voluntary and anonymous, and the sample did not include institutionalized individuals, households without telephones, and households that use only cellular telephones. Trained telephone interviewers administered the questionnaire.

Data were weighted to represent the age, race/ethnicity and gender distributions of adults in DeKalb County. Logistic regression was used to compare age groups and trends over time.

Youth Risk Behavior Survey (YRBS)A sample of students from all 20 traditional DeKalb County public high schools completed a written questionnaire. The number of participating classes varied depending on the population size of the school. Classes were randomly chosen from among all second period classes (excluding English as a Second Language and special education). All students within a selected class were eligible to participate.

Passive consent forms were sent home for parents to sign if they did not want their child to participate. All students without a signed form were encouraged to participate. Participation was anonymous and voluntary and data are reported only in aggregate form. DCBOH employees administered the survey.

Results were weighted, are representative of all students in DeKalb County public high schools, and are comparable to state and national YRBS data. Logistic regression analysis was used to analyze trends over time.

STATISTICAL METHODS

PercentagesFor the most part, disease and death-related data are analyzed using percentages instead of rates (e.g., number of cases per 100,000 population). Percentages are accessible to the general public and facilitate comparison between DeKalb County and the Hillandale area.

Years of Potential Life Lost (YPLL)Years of potential life lost is used to compare causes of premature death. YPLL was calculated by subtracting the age of death from 75 years. The age of 75 years is used as the cut-off as it is close to life expectancy (78 years) in the United States.

For example, a person who dies at age 27 has lost 75 minus 27, or 48 years, of potential life. A person who dies at age 72 has lost 75 minus 72, or 3 years, of potential life. Together, these two people contribute 48 plus 3, or 51 years, of potential life lost.

The top ten leading causes of premature death are listed in the Leading Causes sections for DeKalb County and the Hillandale area. However, death data in other sections include people of all ages.

4

HILLANDALE AREA

The Hillandale area was defined using the following census tracts from 2000: 232.03, 232.04, 232.06, 232.08, 232.09, 232.1, 232.11, 232.12, 233.02, 233.03, 233.09, 233.1, 233.07, 234.17, and 234.18.

LIMITATIONS

Statistical limitation regarding some racial/ethnic groups Most of the report uses the racial categories of “white,” “black,” and “other.” Since the sizes of the Asian and Hispanic populations are too small for statistical purposes, these groups are included in the “other” category.Lack of some community-level prevalence dataMuch of the health data is defined using the International Classification of Diseases, Ninth Revision (ICD-9). The ICD-9 includes hospital data on individuals who went to an emergency room and/or were admitted. Since it does

§̈¦20

§̈¦85§̈¦285

§̈¦675 234.18234.04

233.02

234.05

219.07

233.03

219.02

233.05

222

233.06

211

234.17

232.03

218.06

234.15

233.07

234.16238.02

218.09

237209

213.04

233.10

212.02

234.12

232.06

217.04

216.01

212.07

234.14

229

232.04

218.10

221

212.10

213.02

218.05

226

215.01

212.14

235.06

225

217.03

217.06

231.05

212.11

217.05

238.03

233.09

232.08

231.06

224.03

214.01

214.03

212.09

228

219.04

212.04

213.03

212.12

220.01

232.09

238.01

223.01

232.10227

234.13

216.03

220.04

231.07231.08

213.01

231.01

219.08

219.09

223.02

232.12

203

220.05

234.10

230

224.02

218.11

219.06

216.02

205

218.08

234.11

220.06

236.03

208.02

202

236.01

231.02207

235.01

220.08

206

201

204

214.04

212.08

235.07

215.02

212.13

236.02

224.01

232.11

214.05

235.05235.04

214.06

218.12

208.01

220.07

¯0 21 Miles

Hillandale Area Census Tracts

Remaining DeKalb County Census Tracts

Created by: DeKalb County Board of Health (2012)Sources: DeKalb Medical and the Atlanta Regional Commission

��

5

not capture individuals who did not access a hospital for care, it does not fully reflect the extent of some conditions and diseases in the community.

For example, the prevalence of high blood pressure in DeKalb County and Hillandale is analyzed using the number of individuals who were discharged after a hospital stay for this condition. Since many individuals do not seek hospital care for high blood pressure, they are not captured.

Lack of 2009 death data by cause of deathThe data on the county’s 2009 deaths analyzed by cause of death are not available from OASIS.

Lack of some data at the census tract levelA number of census tract maps are included in the report to demonstrate the geographic distribution of health issues affecting DeKalb County residents. However, not all health data is available at the census tract level.

88

DEKALB MEDICALAT HILLANDALE

§̈¦20

§̈¦85 §̈¦285

§̈¦675

89

PROFILE OF HILLANDALE

8

Profile of HillandaleThis section provides an overview of the characteristics of residents of the Hillandale area (i.e., Lithonia and Redan), the service area for DeKalb Medical at Hillandale. The area is defined using a group of U.S. Census Bureau tracts. Some data reported for all of DeKalb County are not available at the census tract level.

POPULATION

Table 67: Population Profile of Hillandale, 2010

Total 2010 estimate 132,735% Female 45.0% Male 55.0% Under 5 years of age 7.1% 65 years of age and over 6.1Median age (years) 32.0% Born outside the United States 8.7

Source: U.S. Census Bureau, 2010 American Community Survey.

Figure 23: Population Estimate (in percentages) by Race, Hillandale, 2010

Black/African American (non-Hispanic)

White (non-Hispanic)

Other

94.1

4.9 1.1

Source: U.S. Census Bureau, 2010 American Community Survey.Note: Percentages do not add to 100 due to rounding

9

ECONOMICS

Table 68: Economic Profile of Hillandale, 2010

Median household income $50,439Per capita income $21,814


EDUCATION

Among Hillandale residents, there were 30,845 students enrolled in K-12 in 2010.

0%

5%

10%

15%

20%

25%

30%

Figure 24: Educational Attainment (25 years of age and older), Hillandale, 2010

2.96.1

26.7 26.9

10.6

19.4

7.4

Less than 9thgrade

9th to 12thgrade, nodiploma

High schooldiploma/GED

Some college,no degree

Associate’sdegree

Bachelor’sdegree

Graduate orprofessional

degree


HOUSING

Table 69: Housing Profile of Hillandale, 2010

Total housing units 55,142 % Occupied housing units 88.6 % Occupied housing units occupied by owner 56.5


10

HOUSEHOLDS

Table 70: Household Profile of Hillandale, 2010

Total households 47,456% Family households 67.1% Family households with children under age 18 35.6% Husband-wife family households with children under age 18 16.3% Female householder, no husband present with children under age 18* 27.7% Nonfamily household 32.9% Householder living alone 28.8

Source: U.S. Census Bureau, 2010 American Community Survey.*A householder is the head of a household.

LABOR

Table 71: Labor Profile of Hillandale, 2010

Population 98,522Civilian employed population 61,222% Private wage and salary workers 76.1% Government workers 19.5% Self-employed in own not incorporated business workers 4.2% Unpaid family workers 0.2% Unemployed 10.9Residents’ average one-way travel time to work in minutes 37.1

Source: U.S. Census Bureau, 2010 American Community Survey.Note: Profile is of residents 16 years of age and over.

93

LEADING CAUSES IN HILLANDALE

12

Leading Causes in HillandaleLEADING CAUSES OF HOSPITALIZATION

There were a total of 76,073 hospitalizations in Hillandale between 2005 and 2010. The table below displays the top ten leading causes of these hospitalizations, which accounted for 17.9% of the hospitalizations in DeKalb County.

Table 72: Top Ten Leading Causes of Hospitalization, Hillandale, 2005-2010

Cause Number of Hospitalizations

Percentage*

1. Pregnancy and childbirth complications 13,203 17.362. Cardiovascular diseases 9,556 12.563. Respiratory diseases 4,918 6.464. Digestive system diseases 4,909 6.455. Cancers 4,267 5.616. Mental and behavioral disorders 3,796 4.997. Endocrine, nutritional, and metabolic diseases 2,997 3.948. Genitourinary system diseases 2,673 3.519. Musculoskeletal system and connective tissue diseases 2,540 3.3410. Injuries 2,341 3.08Other causes 24,873 32.70

Total 76,073 100

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health. *Percentages are based on the total of all hospitalizations in Hillandale.

In Hillandale from 2005 to 2010:• The top four leading causes of hospitalization (i.e., pregnancy and childbirth complications, and cardiovascular,

respiratory, and digestive system diseases) were the same as DeKalb County.• The fifth through tenth leading causes of hospitalization were the same as DeKalb County but in a different

order. For example, injuries were the seventh leading cause of hospitalization in DeKalb County but were the tenth leading cause of hospitalization in Hillandale.

LEADING CAUSES OF MORTALITY

Premature Death

The total Years of Potential Life Lost (YPLL) due to premature death for Hillandale residents from 2005 to 2010 was 52,261.5 (excluding 2009). Table 73 displays the top ten leading causes of YPLL. Hillandale accounted for 21.3% of the YPLL resulting from premature death in DeKalb County between 2005 and 2010 (excluding 2009).

13

Table 73: Leading Causes of Premature Death, Hillandale, 2005-2008, 2010

Cause YPLL Percentage*1. Injuries 11,719 22.422. Cancers 9,736 18.633. Cardiovascular diseases 9,350 17.894. Pregnancy and childbirth complications 4,392 8.405. Infectious and parasitic diseases 3,866 7.406. Respiratory system diseases 2,057 3.947. Digestive system diseases 1,759 3.368. Endocrine, nutritional and metabolic diseases 1,624 3.119. Congenital and chromosomal abnormalities 1,498 2.8710. Nervous system diseases 1,209 2.31Other causes 5,054 9.67

Total 52,262 100

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health. Note: 2009 data are not available.*Percentages are based on the total of all YPLLs for premature deaths.

Death

There were a total of 3,092 deaths in Hillandale between 2005 and 2010 (excluding 2009). The following table shows the top ten leading causes of death during these years. Hillandale accounted for 15.2% of the total deaths in DeKalb County during this period.

Table 74: Leading Causes of Death, Hillandale, 2005-2008, 2010 Cause Number of Deaths Percentage

1. Cardiovascular diseases 851 27.522. Cancers 735 23.773. Injuries 311 10.064. Respiratory system diseases 181 5.855. Infectious and parasitic diseases 169 5.476. Mental and behavioral disorders 141 4.567. Genitourinary system diseases 115 3.728. Endocrine, nutritional, and metabolic diseases 104 3.369. Digestive system diseases 99 3.2010. Pregnancy and childbirth complications 59 1.91Other causes 327 10.58

Total 3,092 100.0

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health. Note: 2009 data are not available.

14

In Hillandale from 2005 to 2008 and 2010:• The top two leading causes of death were the same as DeKalb County (i.e., cardiovascular diseases and

cancers) and were responsible for over half of all deaths.• Injuries were the third leading cause of death, while respiratory diseases were the third leading cause of death

in DeKalb County.• Pregnancy and childbirth complications were the tenth leading cause of death, but they were not a leading

cause of death in DeKalb County.

97

CHRONIC DISEASESIN HILLANDALE

16

Chronic Diseases in HillandaleOVERVIEW

In Hillandale, chronic diseases were the leading causes of hospitalization and death in 2005 to 2010. This section reviews the following chronic diseases impacting Hillandale residents: cancers, cardiovascular diseases, diabetes, and asthma.

CANCERS

Cancer Hospital Discharges by Type, Race, and Sex

There were 4,267 hospital discharges due to cancer in Hillandale in 2005 through 2010. The following figure and tables analyze cancer hospital discharges among Hillandale residents by type of cancer, race, and sex.

Figure 25: Leading Types of Cancer Hospital Discharges as aPercentage of All Cancer Hospital Discharges, Hillandale, 2005-2010

6.4

4.7 4.6

2.2 1.7

0%

2%

4%

6%

8% 66..4

44..77 44..4444 66

22..22 1..7

Colon Lung Breast Prostate Ovary

Source: Online Analytical Statistical Information System (OASIS), Georgia Department ofPublic Health.

17

Table 75: Cancer Hospital Discharges among Blacks, Hillandale, 2005-2010

Type of Cancer Percentage1. Colon (incl. rectal) 5.82. Breast 4.73. Lung (incl. bronchial) 4.24. Prostate 2.25. Kidney 1.8

Other cancers 81.3Total 100

Table 76: Cancer Hospital Discharges among Whites, Hillandale, 2005-2010

Type of Cancer Percentage1. Colon (incl. rectal) 11.62. Lung (incl. bronchial) 10.73. Ovary 5.8

4/5. Breast 4.6 4/5. Uterus 4.6Other cancers 62.7

Total 100

Table 77: Cancer Hospital Discharges among Males, Hillandale, 2005-2010

Type of Cancer Percentage1. Lung (incl. bronchial) 27.02. Prostate 13.63. Colon (incl. rectal) 9.44. Liver 5.25. Esophagus 4.8

Other cancers 40.0Total 100

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health.

Deaths due to Cancer

In Hillandale from 2005 to 2010, there were 735 deaths due to cancer.

Table 78: Cancer Hospital Discharges among Females, Hillandale, 2005-2010

Type of Cancer Percentage1. Breast 20.72. Lung (incl. bronchial) 19.33. Colon (incl. rectal) 12.3

4/5. Pancreas 6.4 4/5. Ovary 6.4Other cancers 34.9

Total 100

Figure 26: Leading Cancer Deaths by Type as a Percentage of All CancerDeaths, Hillandale, 2005-2008, 2010

22.7

11.7 11.0

6.1 4.9

0%

5%

10%

15%

20%

25%

Lung Breast Colon Prostate Pancreas

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health. Note: 2009 data are not available.

18

In Hillandale from 2005 to 2010:• Over 22 percent of cancer deaths were due to lung cancer.• Although pancreatic cancer was not a leading cause of hospitalization, it was fifth among the top five cancers

causing death.

CARDIOVASCULAR DISEASES

Cardiovascular Disease Hospital Discharges by Type, Race, and Sex

There were a total of 4,286 hospital discharges due to cardiovascular diseases in Hillandale between 2005 and 2010.

Figure 27: Leading Types of Cardiovascular Disease Hospital Discharges as aPercentage of All Cardiovascular Disease Hospital Discharges, Hillandale, 2005-2010

20.2

14.0

9.0

1.40%

10%

20%

Obstructive heartdisease

Stroke High bloodpressure

Hypertensive heartdisease

Source: Online Analytical Statistical Information System (OASIS), Georgia Department ofPublic Health.

19

Table 79: Cardiovascular Disease Hospital Discharges among Blacks, Hillandale, 2005-2010

Type of Cardiovascular Disease Percentage1. Obstructive heart disease 18.72. Stroke 13.93. High blood pressure 10.24. Hypertensive heart disease 1.65. Other cardiovascular diseases 55.6

Total 100

Table 80: Cardiovascular Disease Hospital Discharges among Whites, Hillandale, 2005-2010


Total 100

Table 81: Cardiovascular Disease HospitalDischarges among Males, Hillandale, 2005-2010


Total 100

Table 82: Cardiovascular Disease Hospital Discharge among Females, Hillandale, 2005-2010


Total 100


Deaths due to Cardiovascular Disease

There were 564 deaths from cardiovascular disease in Hillandale in 2005 to 2010, excluding 2009.

25.6

18.716.6

5.4

0%

10%

20%

30%

Obstructiveheart disease

Stroke Hypertensiveheart disease

High bloodpressure

Figure 28: Leading Cardiovascular Disease Deaths by Type as aPercentage of All Cardiovascular Disease Deaths, Hillandale, 2005-2008, 2010

Source: Online Analytical Statistical Information System (OASIS), Georgia Department ofPublic Health. Note: 2009 data are not available

20

DIABETES

Diabetes Hospital Discharges by Race and Sex

There were a total of 1,473 hospital discharges due to diabetes in Hillandale in 2005 to 2010.

Table 83: Diabetes Hospital Discharges by Race and Sex, Hillandale, 2005-2010

Race Percentage Black 93.7 White 5.4 Other 0.9

Total 100

Sex Male 46.2 Female 53.8

Total 100


Deaths due to Diabetes

There were 78 deaths due to diabetes in Hillandale in 2005 to 2010, excluding 2009.

21

ASTHMA

Asthma Hospital Discharges by Race and Sex

There were a total of 1,058 hospital discharges due to asthma in Hillandale in 2005 and 2010.

Table 84: Asthma Hospital Discharges by Race and Sex, Hillandale, 2005-2010


Total 100

Sex Male 61.2 Female 38.7

Total 99.9*

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health. *Percentages do not add to 100 due to rounding.

Deaths due to Asthma

There were 12 deaths due to asthma in Hillandale in 2005 to 2010, excluding 2009.

104

INFECTIOUS DISEASESIN HILLANDALE

23

Infectious Diseases in HillandaleOVERVIEW

This section provides data on the following infectious diseases impacting Hillandale residents: sexually transmitted diseases (STDs), Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS), tuberculosis, influenza, and pneumonia.

SEXUALLY TRANSMITTED DISEASES (STDs)

This section includes the following diseases:

• Chancroid• Chlamydia• Gonorrhea• Syphilis• Lymphogranuloma venereum

Please note that due to reporting practices:• This section includes data on the three diseases covered in the Infectious Diseases in DeKalb County section

plus two additional diseases.• The data in this section cannot be broken down by specific diseases.

Sexually Transmitted Disease Hospital Discharges by Race and Sex

There were 18 hospital discharges related to sexually transmitted diseases in Hillandale between 2005 and 2010.

Tables 85 and 86 analyze the hospital discharges for STD infections among Hillandale residents by race and sex.

Table 85: STD Hospital Discharges by Race, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Only blacks had hospital discharges resulting from STDs.

24

Table 86: STD Hospital Discharges by Sex, Hillandale, 2005-2010

Sex Percentage Male 55.6 Female 44.4

Total 100


Table 87: HIV/AIDS Hospital Discharges by Race, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Blacks had the highest percentage of hospital discharges for HIV/AIDS compared to other races.

In Hillandale in 2005 to 2010:• Males had a higher percentage of hospital discharges resulting from STDs than women.

Deaths due to STDs

There were no deaths due to STDs in Hillandale in 2005 to 2010, including 2009.

HIV/AIDS

HIV/AIDS Hospital Discharges by Race and Sex

There were 558 hospital discharges for HIV/AIDS in Hillandale between 2005 and 2010.

Tables 87 and 88 analyze HIV/AIDS hospital discharges among Hillandale residents by race and sex.

25

Table 88: HIV/AIDS Hospital Discharges by Sex, Hillandale, 2005-2010


Total 100


Table 89: Tuberculosis Hospital Discharges by Race, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Males had a higher percentage of hospital discharges for HIV/AIDS than females.

Deaths due to AIDS

There were 79 deaths due to AIDS in Hillandale in 2005 to 2010, excluding 2009.

RESPIRATORY DISEASES

Tuberculosis

Tuberculosis Hospital Discharges by Race and Sex

There were 19 hospital discharges resulting from tuberculosis among Hillandale residents in 2005 to 2010.

Tables 89 and 90 analyze hospital discharges for tuberculosis among Hillandale residents by race and sex.

In Hillandale in 2005 to 2010:• Blacks had the highest percentage of tuberculosis hospital discharges compared to those of other races.

26

Table 90: Tuberculosis Hospital Discharges by Sex, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Males had a higher percentage of tuberculosis hospital discharges than females.

Deaths due to Tuberculosis

There was one death from tuberculosis in Hillandale in 2005 to 2010, excluding 2009.

Influenza

Influenza Hospital Discharges by Race and Sex

There were 41 hospital discharges resulting from influenza among Hillandale residents in 2005 to 2010.

Tables 91 and 92 analyze influenza hospital discharges among Hillandale residents by race and sex.

Table 91: Influenza Hospital Discharges by Race, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Blacks had a higher percentage of influenza hospital discharges than those of other races.

27

Table 92: Influenza Hospital Discharges by Sex, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Females had a slightly higher percentage of influenza hospital discharges than males.

Deaths due to Influenza

There were two deaths from influenza in Hillandale in 2005 to 2010, excluding 2009.

Pneumonia

Pneumonia Hospital Discharges by Race and Sex

There were 1,454 hospital discharges related to pneumonia in Hillandale between 2005 and 2010.

Tables 93 and 94 analyze pneumonia hospital discharges among Hillandale residents by race and sex.

Table 93: Pneumonia Hospital Discharges by Race, Hillandale, 2005-2010


Total 99.9*


In Hillandale in 2005 to 2010:• Blacks had the highest percentage of pneumonia hospital discharges compared to other races.

28

Table 94: Pneumonia Hospital Discharges by Sex, Hillandale, 2005-2010


Total 100


In Hillandale in 2005 to 2010:• Females had a higher percentage of pneumonia hospital discharges than males.

Deaths due to Pneumonia

There were 33 deaths from pneumonia in Hillandale in 2005 to 2010, excluding 2009.

111

INJURIESIN HILLANDALE

30

Injuries in HillandaleOVERVIEW

Injuries are a leading cause of emergency room visits, hospitalizations, and deaths in Hillandale. Between 2005 and 2010, injuries were responsible for 52,066 emergency room (ER) visits, 2,341 hospitalizations, and at least 311 deaths in the area. These represent 18.2 percent of all ER visits, 3.1 percent of all hospitalizations, and at least 10.1 percent of all deaths in Hillandale.

LEADING TYPES OF INJURY

Figure 29: Leading Injuries by Type as a Percentage of All Injury-RelatedEmergency Room Visits, Hillandale, 2005-2010

21.7 20.3

5.8

1.1 0.60%

10%

20%

30%

Falls Motor vehiclecrashes

Assaults Accidentalpoisonings

Intentionalself-harm


Table 95: Injuries among Blacks,Hillandale, 2005-2010

Type of Injury Percentage1. Falls 20.82. Motor vehicle crashes 20.73. Assaults 6.04. Accidental poisonings 1.15. Intentional self-harm 0.6

Other injuries 50.8Total 100

Table 96: Injuries among Whites,Hillandale, 2005-2010




Tables 95 and 98 analyze injuries among Hillandale residents by race and sex.

31

In Hillandale from 2005 to 2010:• Whites experienced a higher percentage of falls than blacks.• Blacks experienced a higher percentage of motor vehicle crashes and assaults than whites.

Table 97: Injuries among Males,Hillandale, 2005-2010



Table 98: Injuries among Females,Hillandale, 2005-2010




In Hillandale from 2005 to 2010:• Females experienced higher percentages of falls and motor vehicle crashes than men.

DEATHS BY TYPE OF INJURY

Figure 30: Injury Deaths by Type as a Percentage of All Injury-Related Deaths, Hillandale, 2005-2008, 2010

36.3

27.7

11.67.7 5.8

0%

10%

20%

30%

40%

Assaults Motor vehicle

crashes

Intentional

self-harm

Accidental

poisonings

Falls

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health.Note: 2009 data are not available.

In Hillandale, between 2005 and 2010, excluding 2009:• Almost two-thirds (64 percent) of injury-related deaths in Hillandale were due to assaults and motor vehicle

crashes.• More than one in ten injury-related deaths (11.6 percent) in Hillandale were due to intentional self-harm

(suicide).

114

MATERNAL AND CHILD HEALTH IN HILLANDALE

33

Maternal and Child Health in HillandalePREGNANCY

There were 12,223 pregnancies in Hillandale between 2005 and 2010. Hillandale pregnancies accounted for 12.6 percent of the total pregnancies in DeKalb County during this period. Table 99 analyzes all pregnancies among Hillandale residents by race and separates out pregnancies to females under age 20.

Table 99: Pregnancies by Race, Hillandale, 2005-2010

Race PercentageAll Ages

Black 89.2 White 2.6 Other 8.1

Total 99.9*10-19 Years of Age

Black 89.8 White 1.6 Other 8.6

Total 100.0


In Hillandale from 2005 to 2010:• The percentages of pregnancies for blacks and whites were similar for females of all ages and for females

under age 20.

34

Table 100: Low Birthweight Babies by Race,Hillandale, 2005-2010

Race Percentage* Black 90.3 White 1.9 Other 7.9

Total 100.1


INFANT MORTALITY

Between 2005 and 2010 (excluding 2009), there were 110 deaths of Hillandale infants, which accounted for 24.8 percent of the total infant deaths in DeKalb County during this period. Table 101 analyzes Hillandale’s infant deaths by race.

Table 101: Infant Deaths by Race, Hillandale, 2005-2008, 2010


Total 100

Source: Online Analytical Statistical Information System (OASIS), Georgia Department of Public Health.Note: 2009 data are not available.

In Hillandale from 2005 to 2010, excluding 2009:• The percentage of black infant deaths was more than 14 times that of white infant deaths.

LOW BIRTHWEIGHT

There were 1,501 low birthweight babies born in Hillandale between 2005 and 2010, which accounted for 2.6% of the low birthweight babies born in DeKalb County during this period. Table 100 analyzes low birthweight babies among Hillandale residents by race.

117

APPENDICES

36

DIFFERENCES IN HEALTH STATUS, ACCESS TO HEALTHCARE, AND ENVIRONMENT

There are a number of factors that contribute to a person’s state of health. DeKalb County residents’ health varies by race and income. The factors contributing to these differences may be biological, socioeconomic, psychosocial, behavioral, or social in nature.

The tables below reflect differences in health status, access to healthcare, and environment by race and income.

Figure 31: Differences in Health Status, Access to Healthcare, and Environment by Race, DeKalb County, 2011

Black White Other Races

Health Status

% Diagnosed with diabetes 12.0 9.8 5.7 % Overweight 36.9 31.9 56.9 % Obese 36.3 24.5 5.3 % Are a current smoker 23.2 13.4 14.5 % Heart attack 1.7 3.4 3.2 % Stroke 2.5 2.6 0.9

Access to Healthcare

% No health insurance 21.6 13.0 16.1 % No doctor’s visit 23.8 31.3 38.3

Environment

% Perceive their neighborhood to be slightly safe or not at all safe 30.0 26.7 21.9

Source: 2011 Behavioral Risk Factor Surveillance System.Note: Overweight and obesity ranges are determined by using weight and height to calculate a number called the “body mass index” (BMI). BMI is used because, for most people, it correlates with their amount of body fat. An adult who has a BMI between 25 and 29.9 is considered overweight. An adult who has a BMI of 30 or higher is considered obese.

37

Figure 32: Differences in Health Status, Access to Healthcare, and Environment by Income, DeKalb County, 2011

Less than$15,000

$15,000-24,999

$25,000-34,999

$35,000-49,999

$50,000 and up

Health Status % Diagnosed with diabetes 23.2 12.0 11.4 18.9 3.3

% Overweight 30.4 44.9 41.5 40.2 34.3 % Obese 40.8 26.6 42.4 20.2 23.1 % Are a current smoker 45.7 17.3 24.8 30.0 9.5 % Heart attack 1.5 4.7 2.0 1.4 1.6 % Stroke 4.9 3.5 1.4 1.1 0.9Access to Healthcare % No health insurance 45.3 34.2 25.4 14.6 3.8 % No doctor’s visit 45.8 13.5 13.0 34.5 35.6Environment % Perceive their neighborhood to be slightly safe or not at all safe 36.3 29.8 45.3 20.6 23.5

Source: 2011 Behavioral Risk Factor Surveillance System.Note: Overweight and obesity ranges are determined by using weight and height to calculate a number called the “body mass index” (BMI). BMI is used because, for most people, it correlates with their amount of body fat. An adult who has a BMI between 25 and 29.9 is considered overweight. An adult who has a BMI of 30 or higher is considered obese.

38

ACKNOWLEDGEMENTS

DeKalb Medical, Inc., and the DeKalb County Board of Health thank the following individuals for their time and expertise in creating this report.

DeKalb Community Service BoardMaxime Bouadoumou Burton May, M.A., M.S.W., L.C.S.W.Gary Richey, C.P.A.

DeKalb County Board of HealthVickie Elisa, B.A.S. Elizabeth Ford, M.D., M.B.A.Jessica Grippo, M.P.H.Elizabeth Hedgepeth, M.P.H., C.P.H.Michelle Leon, B.S.Jewell Martin, M.H.S.A., B.S.N., R.N.Nia Mitchell, M.P.H., C.P.H.Leslie Richmond, M.D., M.B.A.Beth Ruddiman, Ph.D.Keir Sims, B.A.Juanette Willis

DeKalb Medical, Inc. Don Fears, M.A.Sarah Kalaf, R.N., B.S.N., C.P.H.Q. Jacquelyn Paynter, R.N., M.P.H., C.C.M.

Georgia Department of Public HealthKenya BaqiRichard Dunville, M.P.H. Ladonna Jones, M.P.H. Chrissy McNamara, M.S.P.H.Monica L. Vargas, M.S.P.H., M.B.A.

39

INDEX OF TABLES AND FIGURES

MethodologyFigure 1: Hillandale Area Census Tracts

Demographic Profile of DeKalb CountyTable 1: Population Profile of DeKalb County, 2010Figure 2: Population Estimate (in percentages) by Race/Ethnicity, DeKalb County, 2010Table 2: Healthcare Profile of DeKalb County Figure 3: Health Insurance Coverage, DeKalb County, 2010Table 3: Economic Profile of DeKalb County, 2010Table 4: Educational Profile of DeKalb County, 2009 - 2010 School YearFigure 4: Educational Attainment (25 years of age and older), DeKalb County, 2010Table 5: Housing Profile of DeKalb County, 2010Table 6: Household Profile of DeKalb County, 2010Table 7: Labor Profile of DeKalb County, 2010Table 8: Crime Profile of DeKalb County, 2010Table 9: Disability Profile of DeKalb County, 2010

Leading Causes in DeKalb CountyTable 10: Top Ten Leading Causes of Hospitalization, DeKalb County, 2005-2010Table 11: Leading Causes of Premature Death, DeKalb County, 2005-2008, 2010Table 12: Leading Causes of Death, DeKalb County, 2005-2008, 2010

Chronic Diseases in DeKalb CountyTable 13: Chronic Disease Risk Factors, DeKalb County, 2010 and 2011Figure 5: Leading Types of Cancer Diagnosed as a Percentage of All Cancer Cases, DeKalb County,

2005-2009Table 14: Cancers among Blacks, DeKalb County, 2005-2009Table 15: Cancers among Whites, DeKalb County, 2005-2009Table 16: Cancers among Males, DeKalb County, 2005-2009Table 17: Cancers among Females, DeKalb County, 2005-2009Figure 6: Cancer Deaths by Type as a Percentage of All Cancer Deaths, DeKalb County, 2005-2008, 2010Figure 7: Cancer Hospital Discharges, DeKalb County, 2005-2010Table 18: Tobacco Use among High School Students, DeKalb County, 2005-2010Figure 8: Leading Types of Cardiovascular Disease Hospital Discharges as a Percentage of All Cardiovascular

Disease Hospital Discharges, DeKalb County, 2005-2010Table 19: Cardiovascular Diseases among Blacks, DeKalb County, 2005-2010Table 20: Cardiovascular Diseases among Whites, DeKalb County, 2005-2010Table 21: Cardiovascular Diseases among Males, DeKalb County, 2005-2010Table 22: Cardiovascular Diseases among Females, DeKalb County, 2005-2010Figure 9: Cardiovascular Disease Deaths by Type as a Percentage of all Cardiovascular Disease Deaths,

DeKalb County, 2005-2008, 2010Figure 10: Cardiovascular Disease Hospital Discharges, DeKalb County, 2005-2010Table 23: Physical Activity among High School Students, DeKalb County, 2005-2010Table 24: Stroke Performance Measures, DeKalb Medical at North Decatur, 2009-2010Table 25: Diabetes by Race, DeKalb County, 2005-2010Table 26: Diabetes by Sex, DeKalb County, 2005-2010

40

Figure 11: Diabetes Hospital Discharges, DeKalb County, 2005-2010Table 27: Self-Perception of Weight and Weight Loss Behaviors among High School Students, DeKalb

County, 2005-2010Table 28: Asthma by Race, DeKalb County, 2005-2010Table 29: Asthma by Sex, DeKalb County, 2005-2010Figure 12: Asthma Hospital Discharges, DeKalb County, 2005-2010Table 30: Asthma Among High School Students, DeKalb County, 2005-2010

Infectious Diseases in DeKalb CountyTable 31: Vaccine-Preventable Diseases, DeKalb County, 2005-2010Figure 13: Chlamydia, Gonorrhea, and Syphilis Cases as a Percentage of All STD Cases, DeKalb County,

2005-2010Table 32: Chlamydia, Gonorrhea, and Syphilis Cases by Race, DeKalb County, 2005-2010Table 33: Chlamydia, Gonorrhea, and Syphilis Cases by Sex, DeKalb County, 2005-2010Table 34: Sexual Risk Behaviors among High School Students, DeKalb County, 2010Table 35: STD Diagnoses among High School Students, DeKalb County, 2010Figure 14: Persons Newly Diagnosed with HIV by Method of Transmission as a Percentage of All Persons

Newly Diagnosed with HIV, DeKalb County, 2005-2010Table 36: Method of HIV Transmission by Race, DeKalb County, 2005-2010Table 37: Method of HIV Transmission Sex, DeKalb County, 2005-2010Table 38: Injection Drug Use among High School Students, DeKalb County, 2010Table 39: HIV/AIDS Education among High School Students, DeKalb County, 2010Figure 15: Hepatitis A, B, and C Cases by Type as a Percentage of All Hepatitis A, B and C Cases,

DeKalb County, 2005-2010Table 40: Hepatitis by Type and Race, DeKalb County, 2005-2010Table 41: Hepatitis by Type and Sex, DeKalb County, 2005-2010 Figure 16: Cases of Six Foodborne, Waterborne, and Environmental Disease Cases by Type as a

Percentage of All Cases of the Six Diseases, DeKalb County, 2005-2010Table 42: Foodborne, Waterborne, and Environmental Diseases by Race, DeKalb County, 2005-2010Table 43: Foodborne, Waterborne, and Environmental Diseases by Sex, DeKalb County, 2005-2010Figure 17: Cases of Six Invasive Bacterial Diseases Cases as a Percentage of All Cases of

the Six Diseases, DeKalb County, 2005-2010Table 44: Invasive Bacterial Diseases by Race, DeKalb County, 2005-2010Table 45: Invasive Bacterial Diseases by Sex, DeKalb County, 2005-2010Table 46: Tuberculosis Hospital Discharges by Race and Sex, DeKalb County, 2005-2010Table 47: Influenza Hospital Discharges by Race and Sex, DeKalb County, 2005-2010Table 48: Pneumococcal Immunizations of Pneumonia Patients, DeKalb Medical at North

Decatur and Hillandale, 2005-2010Table 49: Influenza Immunizations of Pneumonia Patients, DeKalb Medical at North Decatur and

Hillandale, 2005-2010Table 50: West Nile Virus Cases by Race and Sex, DeKalb County, 2005-2010

Injuries in DeKalb CountyFigure 18: Leading Injuries by Type as a Percentage of All Injury-Related Emergency Room Visits, DeKalb

County, 2005-2010Table 51: Injuries among Blacks, DeKalb County, 2005-2010Table 52: Injuries among Whites, DeKalb County, 2005-2010Table 53: Injuries among Males, DeKalb County, 2005-2010Table 54: Injuries among Females, DeKalb County, 2005-2010

41

Figure 19: Injury Deaths by Type as a Percentage of All Injury-Related Deaths, DeKalb County, 2005-2008, 2010

Figure 20: Emergency Room Visits for Injury, DeKalb County, 2005-2010Table 55: Injury Risk Behavior among High School Students, DeKalb County, 2005-2010

Behavioral Health in DeKalb CountyFigure 21: Number of Clients Served by Outpatient Services, DeKalb County, 2005-2010Table 56: Mental Health Disorder Category for New Clients as a Percentage of All New Clients,

DeKalb Community Service Board, 2005-2010Table 57: Developmental Disability Cases by Severity as a Percentage of All Developmental Disability Cases,

DeKalb Community Service Board, 2005-2010Table 58: Suicidal Thoughts and Behaviors among High School Students, DeKalb County, 2005-2010

Maternal and Child Health in DeKalb CountyTable 59: Pregnancies by Race, DeKalb County, 2005-2010Table 60: Low Birthweight Babies by Race, DeKalb County, 2005-2010Table 61: Infant Deaths by Race, DeKalb County, 2005-2008, 2010Table 62: Sudden Infant Death Syndrome (SIDS) Deaths by Race, DeKalb County, 2005-2008, 2010Table 63: Sexual Behaviors among High School Students, DeKalb County, 2005-2010

Refugee Health in DeKalb CountyTable 64: Refugee Arrivals by Country of Origin as a Percentage of All Refugee Arrivals, DeKalb County,

2005-2010Figure 22: Leading Causes of Abnormal Screening Results as a Percentage of All Refugees Screened,

DeKalb County, 2005-2010Table 65: Leading Causes of Abnormal Screening Results among All Male Refugees Screened, DeKalb

County, 2005-2010Table 66: Leading Causes of Abnormal Screening Results among All Female Refugees Screened, DeKalb

County, 2005-2010

Hillandale Demographic Profile Table 67: Population Profile of Hillandale, 2010Figure 23: Population Estimate (in percentages) by Race, Hillandale, 2010Table 68: Economic Profile of Hillandale, 2010Figure 24: Educational Attainment (25 years of age and older), Hillandale, 2010Table 69: Housing Profile of Hillandale, 2010Table 70: Household Profile of Hillandale, 2010Table 71: Labor Profile of Hillandale, 2010

Leading Causes in HillandaleTable 72: Leading Causes of Hospitalization, Hillandale, 2005-2010Table 73: Leading Causes of Premature Death, Hillandale, 2005-2008, 2010Table 74: Leading Causes of Death, Hillandale, 2005-2008, 2010

Chronic Diseases in HillandaleFigure 25: Leading Types of Cancer Hospital Discharges as a Percentage of All Cancer Hospital Discharges,

Hillandale, 2005-2010Table 75: Cancer Hospital Discharges among Blacks, Hillandale, 2005-2010Table 76: Cancer Hospital Discharges among Whites, Hillandale, 2005-2010

42

Table 77: Cancer Hospital Discharges among Males, Hillandale, 2005-2010Table 78: Cancer Hospital Discharges among Females, Hillandale, 2005-2010Figure 26: Leading Cancer Deaths by Type as a Percentage of All Cancer Deaths, Hillandale, 2005-2008, 2010Figure 27: Leading Types of Cardiovascular Disease Hospital Discharges as a Percentage of All Cardiovascular

Disease Hospital Discharges, Hillandale, 2005-2010Table 79: Cardiovascular Disease Hospital Discharges among Blacks, Hillandale, 2005-2010Table 80: Cardiovascular Disease Hospital Discharges among Whites, Hillandale, 2005-2010Table 81: Cardiovascular Disease Hospital Discharges among Males, Hillandale, 2005-2010Table 82: Cardiovascular Disease among Females, Hillandale, 2005-2010Figure 28: Leading Cardiovascular Disease Deaths by Type as a Percentage of all Cardiovascular Disease

Deaths, Hillandale, 2005-2008, 2010Table 83: Diabetes Hospital Discharges by Race and Sex, Hillandale, 2005-2010Table 84: Asthma Hospital Discharges by Race and Sex, Hillandale, 2005-2010

Infectious Diseases in HillandaleTable 85: STD Hospital Discharges by Race, Hillandale, 2005-2010Table 86: STD Hospital Discharges by Sex, Hillandale, 2005-2010Table 87: HIV/AIDS Hospital Discharges by Race, Hillandale, 2005-2010Table 88: HIV/AIDS Hospital Discharges by Sex, Hillandale, 2005-2010Table 89: Tuberculosis Hospital Discharges by Race, Hillandale, 2005-2010Table 90: Tuberculosis Hospital Discharges by Sex, Hillandale, 2005-2010 Table 91: Influenza Hospital Discharges by Race, Hillandale, 2005-2010Table 92: Influenza Hospital Discharges by Sex, Hillandale, 2005-2010Table 93: Pneumonia Hospital Discharges by Race, Hillandale, 2005-2010Table 94: Pneumonia Hospital Discharges by Sex, Hillandale, 2005-2010

Injuries in HillandaleFigure 29: Leading Injuries by Type as a Percentage of All Injury-Related Emergency Room Visits, Hillandale,

2005-2010Table 95: Injuries among Blacks, Hillandale, 2005-2010Table 96: Injuries among Whites, Hillandale, 2005-2010Table 97: Injuries among Males, Hillandale, 2005-2010Table 98: Injuries among Females, Hillandale, 2005-2010Figure 30: Injury Deaths by Type as a Percentage of All Injury-related Deaths, Hillandale, 2005-2008, 2010

Maternal and Child Health in HillandaleTable 99: Pregnancies by Race, Hillandale, 2005-2010Table 100: Low Birthweight Babies by Race, Hillandale, 2005-2010Table 101: Infant Deaths by Race, Hillandale, 2005-2008, 2010

AppendicesFigure 31: Differences in Health Status, Access to Healthcare, and Environment by Race, DeKalb County,

2011Figure 32: Differences in Health Status, Access to Healthcare, and Environment by Income, DeKalb County,

2011

43

SOURCES

The 2010 Georgia County Guide, The University of GeorgiaThe 2011 Georgia County Guide, The University of GeorgiaThe 2012 Georgia County Guide, The University of Georgia

DeKalb Community Service Board

DeKalb County Board of Health• 2010 DeKalb Youth Risk Behavior Survey (YRBS) Report• 2011 DeKalb County Communities Putting Prevention to Work (CPPW) Behavioral Risk Factor Surveillance

System (BRFSS) Report

Diagnostic and Statistical Manual for Mental Disorders, Fourth edition (DSM-IV-TR)

Georgia Department of Public Health• Georgia Comprehensive Cancer Registry• HIV/AIDS Epidemiology Section• Office of Refugee Health• Online Analytical Statistical Information System (OASIS)• State Electronic Notifiable Disease Surveillance System (SENDSS)

International Classification of Diseases, Ninth Revision, Clinical Modification, Sixth edition, 2009 (ICD-9)

U.S. Census Bureau, 2010 American Community Survey

44

RESOURCES AND SERVICES

DeKalb County Board of Health (www.dekalbhealth.net)

Clifton Springs (South DeKalb) Health Center3110 Clifton Springs RoadDecatur, GA 30034Phone: 404-244-2200Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Family Planning, Women’s Health, Children’s Health, Immunizations, Adolescent Health and Youth Development, BreastTest and More

East DeKalb Health Center2277 S. Stone Mountain-Lithonia RoadLithonia, GA 30058Phone: 770-484-2600Services: Hearing and Vision Screening, WIC, Women’s Health, Children’s Health, Immunizations, Adolescent Health and Youth Development

Eleanor L. Richardson Health Center445 Winn WayDecatur, GA 30030Phone: 404-294-3700Services: STD/HIV Testing, HIV Treatment, Health Assessment and Promotion, Environmental Health, Refugee Health, Vital Records

Kirkwood Health Center30 Warren StreetAtlanta, GA 30317Phone: 404-370-7360Services: Dental, WIC, Adolescent Health and Youth Development

North DeKalb Health Center3807 Clairmont RoadChamblee, GA 30341Phone: 770-454-1144Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Women’s Health, Children’s Health, Immunizations, Travel Medicine

T. O. Vinson (Central) Health Center440 Winn WayDecatur, GA 30030Phone: 404-294-3762Services: STD/HIV Testing, TB, Dental, Hearing and Vision Screening, WIC, Women’s Health, Children’s Health, Immunizations, Travel Medicine

45

DeKalb Medical (www.dekalbmedical.org)

DeKalb Medical at Downtown Decatur450 N. Candler StreetDecatur, GA 30030Phone: 404-501-6260Services: Long Term Acute Care (additional recovery time for serious illnesses, rehabilitation, etc.), Rehabilitation Services, Intensive Nursing and Respiratory Care with Therapeutic Services, Wound Care

DeKalb Medical at Hillandale2801 DeKalb Medical ParkwayLithonia, GA 30058Phone: 404-501-8000Services: Inpatient Medical Care, Inpatient and Outpatient Surgery, Intensive Care Unit, Emergency Department, Diagnostic Imaging Technology

DeKalb Medical at North Decatur2701 N. Decatur RoadDecatur, GA 30033Phone: 404-501-1000Services: 24-hour Emergency Services, Commission on Cancer-accredited Cancer Center, Health Promotion Programs and Wellness Center, Maternity Center, Surgical Weight Loss Center, Joint Solutions Center, Surgical Services, Inpatient and Outpatient Rehabilitation Services, Sleep Disorder Center, Cardiovascular Services, Comprehensive Wound Care Center

DeKalb Community Service Board (www.dekcsb.org)

CHOICE Program2277 S. Stone Mountain-Lithonia RoadLithonia, GA 30058Services: Community-based day habilitation program for individuals with developmental disabilities

Clifton Springs Center3110 Clifton Springs Road, Suite BDecatur, GA 30034Services: Community support; Adult, adolescent and child outpatient mental health services

Criminal Justice ServicesCourt Services455 Winn WayDecatur, GA 30030Services: Clinical evaluations; outpatient substance abuse treatment program; mental health screening; state-certified domestic violence program; risk reduction/DUI school

Crossroads Program23 Warren Street, SEAtlanta, GA 30317

46

Services: Mental health program for supported employment and peer support

DeKalb Addiction Clinic455 Winn WayDecatur, GA 30030Services: Day and evening substance abuse treatment, Post Traumatic Stress Disorder services

DeKalb Enterprises2277 S. Stone Mountain-Lithonia RoadLithonia, GA 30058Services: Sheltered and community-integrated work experience

DeKalb Regional Crisis Center450 Winn WayDecatur, GA 30030Services: Mobile Response Unit and 24 hour/7 day a week services for Outpatient Crisis Stabilization, Psychiatric Emergency Services and Emergency Recovery and Evaluation Services for Psychiatric Stabilization for Mental Health and Substance Abuse Subacute Detox

DeKalb Services Center2660 Osborne Road, NEAtlanta, GA 30319Services: Day habilitation, support and work activity for individuals with developmental disabilities

Fox Recovery Center3100 Clifton Springs RoadDecatur, GA 30034Services: Residential substance abuse program for veterans

The Kirkwood Center23 Warren Street, SEAtlanta, GA 30317Services: Adult outpatient mental health services and psychosocial rehabilitation; Assessments, counseling and psychiatric services for individuals with development disabilities

North DeKalb Center3807 Clairmont RoadChamblee, GA 30341Services: Adult outpatient mental health services, psychosocial rehabilitation and mental health services office

Winn Way Center445 Winn WayDecatur, GA 30030Services: Adult, adolescent and child outpatient mental health services; Mental health residential services office

47

DEKALB MEDICAL2013 Community Health Assessment

Documents

DEKALB MEDICAL HILLANDALE 2013 Community Health …/media... · HIV/AIDS Respiratory Diseases 25 Injuries 30 30 Overview ... The county’s population estimates were obtained from