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2
CONTACT INFORMATION
For more information about the Barry County Community Health Improvement Plan, or the Barry County Community Health Needs
Assessment, please contact:
Susan Peters, DVM, MPH
Health Analyst
Barry-Eaton District Health Department
1033 Health Care Drive
Charlotte, MI 48820
Phone: (269) 798-4652
Email: [email protected]
This document was prepared by the Barry-Eaton District Health Department
Published: March 27, 2017
ACKNOWLEDGMENTS
The Barry-Eaton District Health Department (BEDHD) would first like to acknowledge the hard work and dedication of Janine
Dalman and other staff from Spectrum Health Pennock, who partnered with BEDHD on development and publication of the 2015
Barry County Community Health Needs Assessment. Without the development of the Community Health Needs Assessment, there
would not be a framework for this Community Health Improvement Plan (CHIP) to be developed from. Additional thanks go out to
the various community stakeholders who participated in the selection of the five health priorities for Barry County for 2016-2018.
We would also like to acknowledge and thank the agencies, community coalitions, and organizations that contributed goals,
objectives, and action items to this CHIP for Barry County:
Barry County Access to Care Coalition
Barry County Great Start Coalition
Barry County Tobacco Reduction Coalition
Barry-Eaton District Health Department
B.Healthy Coalition
Spectrum Health Pennock
3
INTRODUCTION…………………………………………………………………………………….…..…………….4
ABOUT THE REPORT………………………………………………………………………………………………..5
REPORT SUMMARY………………………………………………………………………………………………….7
CONCLUSIONS………..……………………………………………………………………………………………….9
APPENDIX A: CHRONIC DISEASE IN ADULTS WORK PLAN.………………………………………10
APPENDIX B: MENTAL HEALTH WORK PLAN…………………………………………………………15
APPENDIX C: OBESITY WORK PLAN………………………………………………………………………19
APPENDIX D: TOBACCO AND SMOKING WORK PLAN................................................22
APPENDIX E: OPPORTUNITIES FOR PHYSICAL ACTIVITY WORK PLAN........................26
4
BACKGROUND
A Community Health Improvement Plan (CHIP) is an action-oriented plan outlining the priority health issues of a
community and how these issues will be addressed to ultimately improve the health of a community. A CHIP is
developed through the community health improvement process, which includes evaluating the findings of the
Community Health Needs Assessment (CHNA) and incorporating input from community members and stakeholders.
Since 2012, the Barry-Eaton District Health Department (BEDHD) has worked in conjunction with Spectrum Health
Pennock and other community stakeholders to conduct CHNAs and CHIPs for Barry County. A new Barry County CHNA
was developed in fall 2015 and finalized in March 2016. On February 11, 2016, a prioritization event was held with
community stakeholders, including health care providers, community and government agencies, local coalitions and
organizations, businesses, and media. The event allowed for review and feedback of the draft CHNA. In addition, the
event participants selected the following health priorities to be of most importance for the upcoming CHIP:
Chronic disease in adults
Mental health
Obesity
Tobacco and smoking
Opportunities for physical activity
This CHIP describes how BEDHD, Spectrum Health Pennock, and other stakeholders will work together to improve the
health of Barry County residents based on the issues identified by the 2015-2016 CHNA.
Figure 1. The six Core Process Steps of the Community Health Improvement Process. Step 6 includes the Community Health Improvement Plan. From the Association for Community Health Improvement.
5
WHAT IS THE BARRY COUNTY CHIP?
The Barry County CHIP is a strategic plan to propel improvements in our top health issues through multiple, concurrent
interventions across different sectors. It can also be thought of as a community-specific response to the health issues
that were prioritized in the Barry County CHNA. Each issue is addressed in its own appendix at the end of this report, in
the order that they were ranked at the community prioritization event (from highest to lowest):
Chronic Disease in Adults
Mental Health
Obesity
Smoking and Tobacco Use
Opportunities for Physical Activity
Each appendix contains an introduction to the health issue, including relevant data, along with a detailed work plan that
outlines how improvements will be achieved. Data was compared between Barry County, Eaton County, and Michigan;
Eaton County was chosen as a “peer” county based on the CDC’s Community Health Status Indicators methodology,
which includes 19 variables reflecting population demographics, education, housing, income, and unemployment.
WHAT IS THE PURPOSE OF OUR CHIP?
To drive improvements in the top health priority areas in Barry County, which will ultimately improve health
outcomes and quality of life for Barry County residents
To establish collective approaches that can be integrated into strategic plans and action plans of coalitions and
organizations throughout the county
To communicate actions that are being taken to address health issues within our community, so that future actions
that are developed can be complementary and not duplicative
HOW WAS THE CHIP CREATED?
The Barry-Eaton District Health Department sought input for the CHIP from a multitude of Barry County coalitions,
agencies, and organizations. Most stakeholders provided content for the CHIP that was based on existing strategic plans
and aligned with the CHIP priorities. Some coalitions went through a strategic planning process specifically designed to
develop a work plan that would not only guide the work of the coalition, but was appropriate for inclusion in the CHIP. A
work plan template was provided so that various elements of the CHIP work plan could be consistently collected.
CHIP TERMINOLOGY
GOALS: Broad, brief statements that explain what you want to achieve in your community and provide focus or vision
for planning.
STRATEGIES: Methods selected to achieve a goal or objective. For this CHIP, strategies have been included within the
goal statements.
OBJECTIVES: Specific, measurable, achievable, relevant, and time-bound (SMART) statements that define progress
toward a goal.
ACTIVITIES: The detailed actions or steps that will be conducted in order to complete the corresponding objectives.
6
RESOURCES
The following resources listed in the full work plan (Appendices A-E) demonstrate alignment between the Barry
County CHIP and various state and national health priorities. This list may be exclusive, as there are likely
additional plans sharing similar goals and objectives which are not listed here.
2020 Michigan State Oral Health Plan: http://bit.ly/1XlLzoi Healthy People 2020: https://www.healthypeople.gov/2020/topics-objectives MDHHS Tobacco Control Program Strategic Plan (2013-2018): http://bit.ly/2lIe3da Michigan 2016-2019 Infant Mortality Reduction Plan: http://bit.ly/2mBz39N Michigan Health and Wellness 4x4 Plan: http://bit.ly/2mjVUp8 Michigan Maternal Child Health Services Grant: http://bit.ly/2lIelkg MDHHS Medicaid State Plan: http://bit.ly/1gQ0iGX National Prevention Strategy: https://www.surgeongeneral.gov/priorities/prevention/strategy/
ABBREVIATIONS USED IN THIS REPORT:
AAA = Area Agency on Aging
BCCMHA = Barry County Community Mental Health Authority
BEDHD = Barry-Eaton District Health Department
CDC = Centers for Disease Control and Prevention
CHIP = Community Health Improvement Plan
CHNA = Community Health Needs Assessment
CHW = Community Health Worker
CSHCS = Children’s Special Health Care Services
HP = Healthy People
MCH = Maternal Child Health block grant
MDHHS = Michigan Department of Health and Human Services
MI = Michigan
MSU = Michigan State University
SPM = State Performance Measure
7
Priorities, Goals, and Objectives from the 2016-2018 Action Plan
This document provides an overview of the top five health priorities identified from the Barry County Community Health
Needs Assessment, and the corresponding goals and objectives that were developed by community organizations, agencies,
and stakeholders to address these priorities. More information on the detailed activities that will be taking place under these
goals and objectives are located in the work plans for each priority in the appendices at the end of this report.
Prevent development of chronic disease
Prevent chronic dental disease by increasing community awareness of existing dental resources and dental insurance coverage
Increase awareness of and provide technical assistance for Health in All Policies concepts, in order to increase health equity and decrease factors that contribute to chronic disease
Mental Health
Identify and implement strategies to address depression
Compile and prioritize evidence-based strategies that address depression in youth and women of childbearing age, and integrate strategies into the Community Health Improvement Plan
Improve access to mental health resources
Facilitate knowledge and utilization of existing mental health resources within and outside of Barry County
Support and serve residents living with dementia and their family and friend care partners
Obtain additional mental health providers and services
Implement prevention programs to mitigate mental health outcomes related to childhood lead exposure
Implement and evaluate a home-based lead education program for families whose children screen high for lead exposure
Chronic Disease
Improve management of chronic disease by increasing access to health care providers
Increase access to primary care providers for residents who need medical management of chronic diseases
Expand cancer services to include hospital-based Medical Oncology services
Implement telehealth services to increase access to primary and specialty care services
Empower individuals to take an active role in health care decisions regarding chronic disease
Increase the involvement of Barry County Children's Special Health Care Services parents in decisions surrounding service delivery
Support diabetes management
Increase and improve utilization of the Spectrum Health Pennock Hospital's Diabetes Management Program
Supplement existing hospital-based diabetes management programs by supporting Barry County diabetes management programs
Develop Community Health Worker infrastructure
Secure funding for, establish, and educate the community on importance of a county CHW network
Connect CHWs with existing resources and training to improve patient connections to services and resources
8
Provide education about and increase treatment for smoking/tobacco cessation
Provide education on quitting smoking/tobacco use
Seek funding to increase availability of smoking/tobacco cessation treatment efforts
Opportunities for Physical Activity
Increase physical activity
Host community events educating residents about the benefits of physical activity
Increase awareness of healthy and positive food/activity choices
Create a yearly, county-wide health communication campaign to promote and increase awareness of healthy, active lifestyles
Obesity
Implement community education and programming on obesity prevention/management
Provide and improve upon existing obesity prevention and management classes for Barry County residents
Promote nutrition and healthy eating
Make fresh, local produce available and affordable through a variety of local services, including farmers markets and food pantries
Evaluate and provide health education opportunities regarding nutrition at food pantries
Develop and implement a comprehensive, policy-driven approach to affect positive changes in physical activity, nutrition, and/or stress management
Promote policy changes in schools to increase and improve physical activity, nutrition, and stress management in children
Promote policy changes in local businesses to increase and improve the physical activity, nutrition, and stress management of employees
Smoking and Tobacco Use
Target risk groups to prevent smoking/tobacco use
Explore community education opportunities to provide anti-tobacco/smoking messaging
Provide community education on e-cigarettes
Measure and track Teens Against Tobacco Use programming
Seek funding for tobacco/smoking prevention efforts
9
It is inspiring to think that within two years time, six organizations will collectively work towards achieving 15 goals, 28
objectives, and 76 activities that will improve the health and well-being of Barry County residents. No single person or
organization can create lasting change on a large scale, but by working together large-scale change is possible!
NEXT STEPS
Communication and Feedback
This Barry County CHIP report will be communicated to stakeholders and the public via a variety of methods, including
but not limited to publication on the BEDHD website, BEDHD Facebook postings, a press release, and presentation to
community coalitions and organizations. Stakeholder and public feedback will be sought.
Implementation and Progress
The activities in this plan are scheduled for completion during 2016 through 2018. BEDHD will develop and disseminate
a document to track progress made in completing these activities; these updates will be put into a CHIP progress report.
Assessment and Revision
Based on updates and the progress report, organizations participating in the CHIP will be assisted by BEDHD in reviewing
their existing plans, and revising them if needed. These revisions will be incorporated into a new version of the CHIP.
It is also recognized that some Barry County organizations may not have been able to contribute to this initial CHIP
report, for a variety of reasons, despite a desire to do so and conducting meaningful work towards improving the
identified health priorities. Any agency, coalition, or organization interested in contributing to the Barry County CHIP is
highly encouraged to do so by contacting BEDHD (contact information at the beginning of this report). Any additions to
the work plans will be incorporated into future versions of the CHIP.
HOW TO GET INVOLVED
Share and Communicate
Please share this plan, and any actions that are being taken to achieve the goals within the plan, with others in the
community. It is critical that we communicate about the community health improvement process. Most people are used
to thinking about health as a product of personal responsibility, while in truth the environments in which people live,
work, and play, and the opportunities they have within those environments, build the foundation for health.
The Barry County CHIP is available on the Barry-Eaton District Health Department’s website at: http://bit.ly/2lOMBKh.
Become Engaged
Disparities in health equity affect health outcomes, and negatively impact Barry County as a whole. Community
engagement is vital to understanding and committing to improve health disparities. Planning, implementation, and
evaluation of health improvement actions should include input from community members. In addition, efforts can be
made to inform and influence policy through engagement of local and state decision makers.
Contribute
The community health improvement process works most effectively when all sectors of the community are participating
in the process. Organizations that have not already contributed to the CHIP are encouraged to do so, and those that are
taking action should document and share their progress. By measuring ourselves we can measure our success!
10
IMPACT ON BARRY COUNTY
Chronic conditions and their complications account for a substantial portion of health costs, both direct and indirect.
Chronic diseases account for $3 out of every $4 spent on health care.
DATA SNAPSHOT
High blood pressure, if left
uncontrolled or undetected, can lead
to heart attack, stroke, heart failure,
kidney disease or failure, vision loss,
sexual dysfunction, angina (chest
pain), and peripheral artery disease.
Barry County has a higher percentage
of adults aged 18-64 years reporting
that they have ever been told by a
health professional that they have high
blood pressure (32.7%) than Eaton
County (30.4%). However, this
measure is lower than the reported
rate for Michigan adults (34.2%).
The percentage of adults in Barry
County reporting that they have ever
been told by a health professional
that they have diabetes has
increased by 3.2% between 2003-
2004 and 2011-2013. The most
recent data from 2011-2013
indicates that over 10% of Barry
County adults report having diabetes
at some time.
1. Barry-Eaton Behavioral Risk Factor Survey, 2011-2013; Michigan Behavioral Risk Factor Survey, 2011
2. Barry-Eaton Behavioral Risk Factor Surveys, 2003-2013
Percentage of Barry County Adults 18-64 Years Old with Diabetes2
Percentage of Adults 18-64 Years Old Reporting Ever Had High Blood Pressure1
11
G
oa
l/S
tra
teg
y S
tate
me
nt
#1
: Im
pro
ve
ma
na
ge
me
nt
of
ch
ron
ic d
ise
as
e in
Barr
y C
ou
nty
re
sid
en
ts b
y in
cre
as
ing
acc
es
s t
o h
ea
lth
c
are
pro
vid
ers
Ob
jec
tive
#1
: B
y J
uly
20
18
, in
cre
as
e a
cc
es
s t
o p
rim
ary
ca
re p
rovid
ers
fo
r B
arr
y C
ou
nty
re
sid
en
ts w
ho
ne
ed
me
dic
al
ma
na
ge
me
nt
of
ch
ron
ic d
ise
as
es
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. H
ire four
ne
w p
rim
ary
ca
re
ph
ysic
ians
July
20
18
S
pectr
um
Health
P
enn
ock
A
dditio
nal prim
ary
care
ph
ysic
ians
availa
ble
to p
ublic
No
CD
C H
P 2
020 G
oals
(A
HS
-3,5
,6)
2. H
ire thre
e a
dvanced p
ractice
pro
vid
ers
D
ecem
ber
20
16
S
pectr
um
Health
P
enn
ock
A
dditio
nal prim
ary
care
pro
vid
ers
availa
ble
to p
ublic
No
CD
C H
P 2
020 G
oals
(A
HS
-3,5
,6)
Ob
jec
tive
#2
: B
y M
arc
h 2
01
7,
ex
pa
nd
ca
nc
er
se
rvic
es
fo
r B
arr
y C
ou
nty
re
sid
en
ts t
o i
nc
lud
e h
os
pit
al-
ba
se
d M
ed
ica
l O
nc
olo
gy s
erv
ice
s
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
ein
troduce p
rovid
er-
based
consultative a
nd c
hem
oth
era
py
pro
gra
m
Marc
h 2
017
S
pectr
um
Health
P
enn
ock
Pro
gra
m f
undin
g
thro
ugh S
pe
ctr
um
H
ealth P
ennock
Foundation
Impro
ved local
access for
resid
ents
in
need o
f m
edic
al
oncolo
gy s
erv
ices
Possib
ly
C
DC
HP
20
20 G
oals
(A
HS
-6.1
,6.2
, C
-14
)
Ob
jec
tive
#3
: B
y J
an
ua
ry 2
01
7, im
ple
me
nt
tele
he
alt
h s
erv
ice
s t
o in
cre
as
e a
cc
es
s t
o p
rim
ary
an
d s
pe
cia
lty c
are
s
erv
ice
s f
or
Ba
rry C
ou
nty
re
sid
en
ts in
ord
er
to d
ec
rea
se
co
mm
ute
s a
nd
wa
it t
ime
s f
or
the
se
se
rvic
es
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
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R
eq
uir
ed
An
tic
ipa
ted
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es
ult
s o
r P
rod
uc
ts
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lic
y
ch
an
ge
n
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ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. Im
ple
ment
Sp
ectr
um
Pen
nock-
based M
ed
No
w s
erv
ices
January
2
01
7
Spectr
um
Health
P
enn
ock
Spectr
um
Health
has
exis
ting M
ed
No
w
syste
m
Decre
ase c
om
mute
s
and w
ait tim
es for
county
resid
ents
seekin
g p
rim
ary
and
specia
lty c
are
serv
ices
CD
C H
P 2
020 G
oals
(A
HS
-3,5
,6)
12
Go
al/S
tra
teg
y S
tate
me
nt
#2
: E
mp
ow
er
ind
ivid
ua
ls in
Ba
rry C
ou
nty
to
ta
ke
an
ac
tive
ro
le in
he
alt
h c
are
de
cis
ion
s r
eg
ard
ing
c
hro
nic
dis
ea
se
Ob
jec
tive
#1
: B
y t
he
en
d o
f 2
01
8, in
cre
as
e t
he
in
vo
lve
me
nt
of
Ba
rry C
ou
nty
Ch
ild
ren
's S
pe
cia
l H
ea
lth
Ca
re
Se
rvic
es
(C
SH
CS
) p
are
nts
in
de
cis
ion
s s
urr
ou
nd
ing
se
rvic
e d
eli
ve
ry
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
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lic
y
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ge
n
ee
ded
?
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lla
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rati
on
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ith
ou
tsid
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iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
esearc
h b
est
pra
ctice m
ode
ls o
f engagin
g p
are
nts
in s
erv
ice d
eliv
ery
decis
ion-m
akin
g
Novem
ber
20
16
B
ED
HD
S
taff
tim
e
Identification o
f best
pra
ctice m
ode
ls
No
CD
C H
P 2
020 G
oals
(H
C/H
IT-3
)
2. D
evelo
p a
nd im
ple
ment
a s
trate
gy to
en
ga
ge
pa
ren
ts in
de
cis
ion
-makin
g
Septe
mber
20
17
B
ED
HD
S
taff
tim
e
Str
ate
gic
pla
n
No
CD
C H
P 2
020 G
oals
(H
C/H
IT-3
)
3. A
pply
for
CS
HC
S m
ini-
gra
nt to
use
as p
ote
ntial in
centive to incre
ase
pare
nta
l enga
ge
ment
TB
D b
ased
on g
rant
applic
ation
BE
DH
D
Sta
ff tim
e
Com
ple
ted g
rant
applic
ation
No
CD
C H
P 2
020 G
oals
(H
C/H
IT-3
)
Go
al/S
tra
teg
y S
tate
me
nt
#3
: S
up
po
rt d
iab
ete
s m
an
ag
em
en
t fo
r B
arr
y C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y J
un
e 2
01
8, in
cre
as
e a
nd
im
pro
ve
uti
liza
tio
n o
f th
e S
pe
ctr
um
He
alt
h P
en
no
ck
Ho
sp
ita
l's
Dia
bete
s
Ma
na
ge
me
nt
Pro
gra
m
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. In
cre
ase p
atie
nts
refe
rred into
the
Dia
bete
s S
elf-M
anagem
ent E
duca
tion
pro
gra
m b
y 5
% b
y O
cto
ber
201
7 a
nd
anoth
er
5%
by J
une 2
018
June 2
018
S
pectr
um
Health
P
enn
ock
Penn
ock D
iabete
s
Educato
r 10%
in
cre
ase in
num
be
r of
refe
rred
patients
No
CD
C H
P 2
020 G
oals
(D
-2-7
,14
)
2. A
dd a
n a
dditio
nal 0.5
FT
E s
taff t
o
pro
gra
m to a
ccom
modate
patient
de
ma
nd
Augu
st 2017
S
pectr
um
Health
P
enn
ock
Sta
ff tim
e a
nd
associa
ted fin
ancia
l support
are
requir
ed
Incre
asin
g s
taff w
ill
accom
modate
patient dem
and f
or
pro
gra
m
No
CD
C H
P 2
020 G
oals
(D
-2-7
,14
)
3. In
cre
ase c
urr
ent in
div
idualiz
ed g
oal
attain
ment
rate
for
pro
gra
m p
atie
nts
fr
om
87
% to 8
9%
Octo
ber
20
17
S
pectr
um
Health
P
enn
ock
In
cre
ased
appro
priate
dia
bete
s
ma
nag
em
en
t b
y
patients
No
B
arr
y C
ounty
prim
ary
ca
re
pro
vid
ers
CD
C H
P 2
020 G
oals
(D
-2-7
,14),
MI H
ealth
and W
elln
ess 4
x4 P
lan
13
Ob
jec
tive
#2
: B
y J
un
e 2
01
8, s
up
ple
men
t e
xis
tin
g h
os
pit
al-
ba
sed
dia
be
tes
ma
na
ge
men
t p
rog
ram
s b
y s
up
po
rtin
g
Ba
rry C
ou
nty
dia
be
tes
ma
na
ge
men
t p
rog
ram
s
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. P
rovid
e fundin
g, pro
gra
mm
atic
resourc
es, and s
taff to N
ational
Dia
bete
s P
revention p
rogra
ms in B
arr
y
County
Thro
ug
h
June 2
018
S
pectr
um
Health
P
enn
ock, in
colla
bora
tion w
ith
MS
U E
xte
nsio
n
Spectr
um
Health
will
fu
nd
th
rou
gh
Ju
ne
2
01
8,
an
d d
ietitia
n a
nd
dia
betic e
ducato
r sta
ff
tim
e
N
o
MS
U E
xte
nsio
n
CD
C H
P 2
020 G
oals
(D
-14
)
Go
al/S
tra
teg
y S
tate
me
nt
#4
: D
eve
lop
Co
mm
un
ity H
ea
lth
Wo
rke
r (C
HW
) in
fra
str
uc
ture
wit
hin
Ba
rry C
ou
nty
, a
s C
HW
s a
re a
pro
ve
n
str
ate
gy t
o i
mp
rove
ch
ron
ic d
ise
as
e o
utc
om
es
an
d d
ec
rea
se
im
pro
pe
r e
me
rge
nc
y r
oo
m v
isit
s
Ob
jec
tive
#1
: B
y S
ep
tem
be
r 2
01
8, s
ecu
re f
un
din
g f
or,
es
tab
lis
h, a
nd
ed
uc
ate
th
e c
om
mu
nit
y o
n t
he
im
po
rta
nc
e o
f a
Ba
rry C
ou
nty
ne
two
rk o
f C
HW
s
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. A
dvocate
for
sta
ble
fundin
g for
CH
Ws
Septe
mber
20
17
B
ED
HD
P
ote
ntial fo
r re
imburs
em
ent fr
om
P
riority
Health H
MO
or
sta
te M
edic
aid
offic
e
Sta
ble
CH
W
positio
ns a
t B
ED
HD
N
o
Access to C
are
C
oalit
ion
C
DC
HP
20
20 G
oals
(A
HS
-6,
DH
-2,4
,8,1
7),
M
I M
edic
aid
pla
n
2. R
evie
w a
nd e
xplo
re e
xis
ting
MiC
onnectz
CH
W r
efe
rral syste
m a
nd
identify
gaps a
nd
pote
ntial lin
kages to
expand t
he s
yste
m
Septe
mber
20
17
A
AA
(le
ad),
A
ccess to C
are
C
oalit
ion
mem
bers
To b
e d
ete
rmin
ed a
s
part
of th
e a
ctivity
An invento
ry o
f g
aps
an
d p
ote
ntia
l lin
kages
No
CD
C H
P 2
020 G
oals
(A
HS
-6,
DH
-2,4
,8,1
7)
3. E
ducate
Barr
y C
ounty
sta
kehold
ers
on C
HW
s a
nd th
eir
serv
ices
thro
ugh
Septe
mber
20
18
BE
DH
D, A
AA
C
HW
s, possib
le fundin
g
for
pro
motion?
P
resenta
tions, pre
ss
rele
ases,
ne
wspapers
, etc
.
No
CD
C H
P 2
020 G
oals
(A
HS
-6,
DH
-2,4
,8,1
7)
Ob
jec
tive
#2
: B
y S
ep
tem
be
r 2
01
7, c
on
ne
ct
Ba
rry C
ou
nty
CH
Ws w
ith
ex
isti
ng
re
so
urc
es
an
d t
rain
ing
to
im
pro
ve
p
ati
en
t c
on
ne
cti
on
s t
o s
erv
ice
s a
nd
re
so
urc
es
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1.
Ide
ntify
kn
ow
n r
eso
urc
es a
nd
tr
ain
ings that
wo
uld
be a
pplic
able
to
CH
Ws
Septe
mber
20
17
O
rga
niz
ations w
/ C
HW
s (
BE
DH
D
and A
AA
)
Kello
gg C
om
mun
ity
Colle
ge C
HW
tra
inin
g,
oth
ers
TB
D
A lis
t of re
sourc
es
and tra
inin
gs
applic
able
to C
HW
s
No
CD
C H
P 2
020 G
oals
(A
HS
-6,
DH
-2,4
,8,1
7)
14
Go
al/S
tra
teg
y S
tate
me
nt
#5
: P
reve
nt
the
de
ve
lop
me
nt
of
ch
ron
ic d
ise
as
e in
Ba
rry C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y S
ep
tem
be
r 2
01
8, p
reve
nt
ch
ron
ic d
en
tal d
ise
as
e in
Ba
rry C
ou
nty
re
sid
en
ts b
y in
cre
as
ing
c
om
mu
nit
y a
ware
ne
ss
of
ex
isti
ng
den
tal
res
ou
rce
s a
nd
de
nta
l in
su
ran
ce
co
ve
rag
e
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. P
rovid
e e
duca
tion to p
rovid
ers
/C
HW
s/o
thers
ab
out U
nited W
ay d
enta
l co
-pa
y p
rogra
m,
Cherr
y H
ealth d
enta
l serv
ices, and M
y C
om
munity D
en
tal
Cente
r
Septe
mber
20
17
V
ari
ous p
rogra
ms
(Barr
y C
ounty
U
nited W
ay,
Cherr
y H
ealth,
MC
DC
) pro
vid
e
mate
rials
; A
ccess
to C
are
Coalit
ion
mem
bers
dis
trib
ute
Pro
gra
m m
ate
rials
are
n
ee
de
d
Com
munity
dis
trib
ution o
f pro
gra
m m
ate
rials
, especia
lly to
popula
tions in n
eed
No
H
ealth c
are
pro
vid
ers
, C
HW
s
MI S
tate
Ora
l H
ealth
Pla
n, C
DC
2020 H
P
Goals
(A
HS
-6.1
,6.3
, O
H-7
,8,1
4)
2. P
art
ner
with local busin
esses a
nd
munic
ipalit
ies to d
istr
ibute
denta
l re
sourc
es
Gath
er
resourc
es b
y
Sept
2017,
dis
trib
ution to
busin
esses
by S
ep
t 20
18
Access to C
are
C
oalit
ion
mem
bers
Need lis
t of busin
esses
wh
o a
re w
illin
g to
post
resourc
es o
r dis
trib
ute
to
em
plo
yees
Lis
t of busin
esses
an
d m
un
icip
alit
ies t
o
whic
h d
ocum
ent(
s)
dis
trib
ute
d
No
Local busin
esses
an
d m
un
icip
alit
ies
MI S
tate
Ora
l H
ealth
Pla
n, C
DC
2020 H
P
Goals
(A
HS
-6.1
,6.3
, O
H-7
,8,1
4)
Ob
jec
tive
#2
: B
y S
ep
tem
be
r 2
01
7, in
cre
as
e a
ware
ne
ss
of
an
d p
rovid
e t
ec
hn
ica
l a
ss
ista
nc
e f
or
He
alt
h in
All P
oli
cie
s
co
nc
ep
ts,
in o
rde
r to
in
cre
as
e h
ea
lth
eq
uit
y a
nd
de
cre
as
e f
ac
tors
th
at
co
ntr
ibu
te t
o c
hro
nic
dis
ea
se
in B
arr
y C
ou
nty
re
sid
en
ts
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. E
ducate
BE
DH
D m
unic
ipalit
y
outr
each s
taff o
n c
om
munity h
ealth
initia
tives, te
chnic
al assis
tance that
BE
DH
D c
an o
ffe
r, s
trate
gie
s to a
ssess
com
munity r
eadin
ess, and H
ealth
in A
ll P
olic
ies c
oncepts
Septe
mber
20
17
B
ED
HD
BE
DH
D s
taff w
ill
have incre
ased
know
ledge
of H
ealth
in A
ll P
olic
ies
concepts
No
CD
C H
P 2
020 G
oals
(P
A-1
5),
Natio
nal
Pre
vention S
trate
gy
2.
Co
nd
uct
pro
mo
tio
n a
nd
com
munic
ation a
ctivitie
s to e
nhance
aw
are
ness o
f B
ED
HD
's technic
al
assis
tance c
apabili
ties a
nd H
ealth in A
ll P
olic
ies c
oncepts
by m
unic
ipalit
ies a
nd
com
mis
sio
ns
Febru
ary
and
Septe
mber
20
17
BE
DH
D
Sta
ff tim
e
Com
munic
ations to
munic
ipalit
ies a
nd
com
mis
sio
ns o
n
capabili
ties
No
CD
C H
P 2
020 G
oals
(P
A-1
5),
Natio
nal
Pre
vention S
trate
gy
15
IMPACT ON BARRY COUNTY
Overall health depends on both physical and mental well-being. Poor mental health can affect one’s ability to work or
perform their normal daily activities. Measuring the number of days when people report that their mental health was not
good or during which they felt depressed represents an important facet of health-related quality of life.
DATA SNAPSHOT
Fewer Barry County adults aged 18-64
years reported a mental health or
emotional problem that was severe
enough to affect their normal activity
during the past month (2.4%) than
adults in Eaton County. Mental health
questions on the Michigan Behavioral
Risk Factor Survey are asked differently
and not included in this analysis.
This indicator represents the
percentage of high school students (9th
and 11th graders) who felt so sad or
hopeless almost every day for two
weeks or more in a row, within the past
year, that they stopped doing some of
their usual activities. More Barry County
students (31.0%) reported experiencing
symptoms of depression than students
in Michigan; however, this data was less
than the reported rate for Eaton County
students. Statewide data includes 9th-
12th graders.
1. Barry-Eaton Behavioral Risk Factor Survey, 2011-2013
2. Michigan Profile for Healthy Youth Survey, 2013-2014; Michigan Youth Risk Behavior Survey, 2013
Percentage of High School Students with Symptoms of Depression in the Past Year2
Percentage of Adults 18-64 Years Old with Poor Mental Health1
16
Go
al/S
tra
teg
y S
tate
me
nt
#1
: Id
en
tify
an
d im
ple
me
nt
str
ate
gie
s t
o a
dd
ress
de
pre
ss
ion
in
Ba
rry C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y S
ep
tem
be
r 2
01
7, c
om
pile
an
d p
rio
riti
ze
a lis
t o
f p
ote
nti
al e
vid
en
ce
-ba
se
d s
tra
teg
ies
th
at
ad
dre
ss
d
ep
ress
ion
in
yo
uth
an
d w
om
en
of
ch
ild
be
ari
ng
ag
e in
Ba
rry C
ou
nty
, a
nd
in
teg
rate
id
en
tifi
ed
s
trate
gie
s in
to t
he
Ba
rry C
ou
nty
Co
mm
un
ity H
ea
lth
Im
pro
ve
me
nt
Pla
n
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
esearc
h e
vid
ence
-based s
trate
gie
s
for
impro
vin
g d
epre
ssio
n a
t th
e p
ublic
health o
r co
mm
unity level
Decem
ber
20
16
B
ED
HD
S
taff
tim
e
Lis
t of depre
ssio
n
pre
ven
tion
str
ate
gie
s
No
C
olla
bora
te w
ith
local m
enta
l health
pro
vid
ers
to
id
entify
an
y k
no
wn
str
ate
gie
s
CD
C H
P 2
020 G
oals
(M
HM
D-4
), M
I M
CH
gra
nt (S
PM
#3),
N
ational P
revention
Str
ate
gy
2. E
valu
ate
and p
riori
tize identified
str
ate
gie
s to a
dd
ress d
epre
ssio
n
Marc
h 2
017
B
ED
HD
S
taff
tim
e, in
put need
ed
from
com
munity
part
ners
Lis
t of prio
ritized
depre
ssio
n
pre
ven
tion
str
ate
gie
s, w
ill b
e
inclu
ded in n
ext
CH
IP v
ers
ion
No
B
arr
y C
om
munity
Resourc
e
Netw
ork
: S
uic
ide
Aw
are
ness
Initia
tive
CD
C H
P 2
020 G
oals
(M
HM
D-4
), M
I M
CH
gra
nt (S
PM
#3),
N
ational P
revention
Str
ate
gy
3.
Ide
ntify
co
mm
un
ity p
art
ne
rs t
o
addre
ss d
epre
ssio
n s
trate
gie
s a
nd
in
tegra
te those e
ffort
s into
the C
HIP
Septe
mber
20
17
B
ED
HD
S
taff
tim
e, in
put need
ed
from
com
munity
part
ners
Str
ate
gic
pla
n ite
ms
inclu
ded in C
HIP
N
o
C
DC
HP
20
20 G
oals
(M
HM
D-4
), M
I M
CH
gra
nt (S
PM
#3)
Go
al/S
tra
teg
y S
tate
me
nt
#2
: Im
pro
ve
ac
ce
ss
to
me
nta
l h
ea
lth
re
so
urc
es
fo
r B
arr
y C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y M
arc
h 2
01
7,
fac
ilit
ate
kn
ow
led
ge
an
d u
tiliza
tio
n o
f e
xis
tin
g m
en
tal h
ea
lth
re
so
urc
es
wit
hin
an
d
ou
tsid
e o
f B
arr
y C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reatio
n a
nd d
istr
ibution o
f a m
enta
l health r
eso
urc
e flo
wcha
rt
Septe
mber
20
17
C
reation -
Barr
y
County
United
Wa
y; R
evie
w a
nd
Dis
trib
ution -
All
Access to C
are
C
oalit
ion
mem
bers
BC
CM
HA
, P
ine R
est,
oth
er
age
ncie
s
pro
vid
ing s
erv
ices
Menta
l health
resourc
e flo
wcha
rt
No
S
pectr
um
Health
Penn
ock
CD
C H
P 2
020 G
oals
(M
HM
D-1
,2,6
,9,1
0,1
2),
N
ational P
revention
Str
ate
gy
17
O
bje
cti
ve
#2
: B
y J
un
e 2
01
7, s
up
po
rt a
nd
se
rve
Ba
rry C
ou
nty
re
sid
en
ts w
ho
are
liv
ing
wit
h d
em
en
tia
an
d t
he
ir
fam
ily a
nd
fri
en
d c
are
part
ne
rs
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. Im
pro
ve d
em
entia c
are
cap
abili
ty o
f care
pro
vid
ers
by o
fferin
g tra
inin
g
June 2
017
A
AA
D
em
entia F
rien
dly
A
merica toolk
it
(ww
w.d
fam
eri
ca.o
rg/
toolk
it-1
/)
Crisis
Pre
vention
Institu
tes
Dem
entia
-capable
care
tra
inin
g: 30
-50
Ma
ybe
A
ccess to C
are
C
oalit
ion
P
ossib
ly C
DC
HP
20
20
Goals
(D
IA-1
,2),
N
ational P
revention
Str
ate
gy
Ob
jec
tive
#3
: B
y S
ep
tem
be
r 2
01
8, o
bta
in a
dd
itio
na
l m
en
tal h
ea
lth
pro
vid
ers
an
d s
erv
ice
s t
ha
t se
rve
Ba
rry C
ou
nty
re
sid
en
ts
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. D
evelo
p a
pla
n that advocate
s for
the a
vaila
bili
ty o
f psychia
tric
serv
ices
for
Barr
y C
ounty
resid
ents
By
Septe
mber
20
17
Access to C
are
C
oalit
ion
mem
bers
Availa
ble
: exis
ting
serv
ices, fa
ith-b
ased
org
aniz
ations, possib
ly
tele
medic
ine s
erv
ices;
Requir
ed: ad
ditio
nal
pro
vid
ers
/sta
ff
Pla
n that can b
e
imple
mente
d to
incre
ase
psychia
tric
serv
ices P
ossib
ly
(inclu
sio
n o
f te
lem
edic
ine
options,
pote
ntial
mem
ora
ndum
s
of
unders
tandin
g)
C
DC
HP
20
20 G
oals
(M
HM
D-5
,6,9
,10
),
National P
revention
Str
ate
gy
2. S
upport
eff
ort
s to incre
ase t
he
num
be
r of p
hysic
ians w
illin
g to
pre
scribe a
ppro
priate
psychotr
opic
m
edic
ations b
y incre
asin
g c
oord
ina
tion
am
on
g p
rovid
ers
Septe
mber
20
18
B
CC
MH
A (
lead
),
Access to C
are
C
oalit
ion
mem
bers
Educational m
ate
rials
and tim
e to e
ducate
pro
vid
ers
are
req
uir
ed;
curr
ently u
nkno
wn if
appro
priate
mate
rials
exis
t
Educational
mate
rials
describin
g
appro
priate
psychotr
opic
m
edic
ation
pre
scribin
g; lis
t of
ph
ysic
ians
conta
cte
d
regard
ing
educational
Possib
ly,
ph
ysic
ian
offic
es m
ay
ne
ed
to
ch
an
ge
pre
scribin
g
pra
ctices
Local ph
ysic
ians
CD
C H
P 2
020 G
oals
(M
HM
D-5
,6,9
,10
),
National P
revention
Str
ate
gy
18
Go
al/S
tra
teg
y S
tate
me
nt
#3
: Im
ple
me
nt
pre
ve
nti
on
pro
gra
ms
to
mit
iga
te m
en
tal h
ea
lth
ou
tco
me
s r
ela
ted
to
ch
ild
ho
od
le
ad
e
xp
osu
re
Ob
jec
tive
#1
: B
y S
ep
tem
be
r 2
01
7, im
ple
me
nt
an
d e
va
lua
te a
ho
me
-ba
se
d l
ea
d e
du
ca
tio
n p
rog
ram
fo
r B
arr
y C
ou
nty
fa
milie
s w
ho
se
ch
ild
ren
sc
ree
n h
igh
fo
r le
ad
ex
po
su
re
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1.
Ide
ntify
be
st
pra
ctice
s f
or
ho
me
-based lead e
ducation p
rogra
ms a
nd
dete
rmin
e p
ote
ntial need for
such a
pro
gra
m in B
arr
y C
ounty
Decem
ber
20
16
B
ED
HD
S
taff
tim
e, exis
ting local
health d
epart
me
nt
education p
rog
ram
s
Education p
rogra
m
ele
ments
and d
ata
id
entify
ing p
rog
ram
n
ee
d
No
M
DH
HS
, lo
cal
health
depart
ments
CD
C H
P 2
020 G
oals
(E
H-8
), M
I In
fant
Mort
alit
y R
ed
uction
Pla
n (
Goals
4,6
)
2. E
xplo
re s
taffin
g feasib
ility
, re
so
urc
e
allo
cation, and b
illin
g c
om
pon
ents
of
ho
me
-based lead e
ducation p
rog
ram
s
January
2
01
7
BE
DH
D
Sta
ff tim
e, exis
ting local
health d
epart
me
nt
education p
rog
ram
s
P
ossib
ly -
re
imburs
em
ents
ma
y b
e
ne
ed
ed
fro
m
sta
te o
r in
sura
nce
pro
vid
ers
MD
HH
S, lo
cal
health
depart
ments
CD
C H
P 2
020 G
oals
(E
H-8
), M
I In
fant
Mort
alit
y R
ed
uction
Pla
n (
Goals
4,6
)
3. D
evelo
p a
nd im
ple
ment
hom
e-b
ased
lead e
ducation p
rogra
m
by A
pri
l 2017
BE
DH
D
Fundin
g to im
ple
ment
pro
gra
m is r
equir
ed
H
om
e v
isits to
fam
ilies w
ith c
hild
ren
dia
gnosed w
ith lead
pois
onin
g
No
CD
C H
P 2
020 G
oals
(E
H-8
), M
I In
fant
Mort
alit
y R
ed
uction
Pla
n (
Goals
4,6
)
4. M
on
itor
and e
valu
ate
hom
e-b
ased
lead e
ducation p
rogra
m
Septe
mber
20
17
B
ED
HD
S
taff
tim
e
Evalu
ation r
eport
N
o
C
DC
HP
20
20 G
oals
(E
H-8
), M
I In
fant
Mort
alit
y R
ed
uction
Pla
n (
Goals
4,6
)
19
IMPACT ON BARRY COUNTY
Obesity increases the risk of many diseases and health conditions, such as high blood pressure, diabetes, coronary heart
disease, stroke, sleep apnea, arthritis, gallbladder disease, high cholesterol, and some forms of cancer. In 2012, Michigan
had the 10th highest prevalence of obesity in the United States. Overweight is defined as having a body mass index (BMI)
between 25.0 and 29.9, and obesity is a BMI greater than or equal to 30.0. BMI is defined as weight in kilograms divided
by height in meters squared (w/h2).
DATA SNAPSHOT
Slightly more adults in Barry County
reported being overweight or obese
(68.3%) than those in Eaton County or
throughout Michigan (65.2% and 65.7%,
respectively). Data on obesity was
calculated from the self-reported height
and weight measurements of residents
participating in local and state Behavioral
Risk Factor Surveys (BRFS). Some people
tend to underestimate their weight
when self-reporting in a phone survey
such as the BRFS.
This chart represents the percentage of
high school students (9th and 11th
graders) who are considered overweight
or obese, as calculated by self-reported
height and weight data. There is a
slightly higher percentage of overweight
or obese students in Barry County when
compared to Eaton County, but less than
for Michigan. Statewide data includes
9th-12th graders.
Percentage of High School Students Who are Overweight or Obese2
Percentage of Adults 18-64 Years Old Who are Overweight or Obese1
1. Barry-Eaton Behavioral Risk Factor Survey, 2011-2013; Michigan Behavioral Risk Factor Survey, 2012
2. Michigan Profile for Healthy Youth Survey, 2013-2014; Michigan Youth Risk Behavior Survey, 2013
20
Go
al/S
tra
teg
y S
tate
me
nt
#1
: Im
ple
me
nt
co
mm
un
ity e
du
cati
on
an
d p
rog
ram
min
g f
or
Ba
rry C
ou
nty
re
sid
en
ts o
n o
bes
ity p
reve
nti
on
a
nd
ma
na
gem
en
t
Ob
jec
tive
#1
: B
y J
un
e 2
01
8, p
rovid
e a
nd
im
pro
ve
up
on
ex
isti
ng
ob
es
ity p
reve
nti
on
an
d m
an
ag
em
en
t c
las
se
s f
or
Ba
rry C
ou
nty
re
sid
en
ts
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. In
cre
ase r
ete
ntion r
ate
s in the
Spectr
um
Health
Pen
nock W
eig
ht
Ma
nag
em
en
t cla
ss b
y 2
%
Esta
blis
h
baselin
e
January
2
01
7,
incre
ase b
y
June 2
017
Spectr
um
Health
P
enn
ock
In
cre
ased
part
icip
ation in
cla
ss, le
adin
g to
weig
ht
reduction o
f 5%
by c
lass
part
icip
ants
over
12
month
s
No
CD
C H
P 2
020 G
oals
(N
WS
-8,9
,11),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
2.
Co
nd
uct
two
6 w
ee
k B
. H
ea
lth
y
Fam
ilies p
rogra
ms to a
ddre
ss o
besity in
the c
om
munity
Conduct one
cla
ss b
y
June 2
017
an
d o
ne
by
June 2
018
Spectr
um
Health
P
enn
ock, w
ith th
e
B. H
ea
lth
y
Coalit
ion
E
ach c
lass w
ill
educate
at le
ast 20
child
ren a
nd o
ne
adult c
are
giv
er
per
part
icip
ating fam
ily
No
N
E E
lem
enta
ry in
Hastings, D
elton
Gard
ens
CD
C H
P 2
020 G
oals
(N
WS
-8,9
,10
,11
),
National P
revention
Str
ate
gy, M
I H
ea
lth
and W
elln
ess 4
x4 P
lan
Go
al/S
tra
teg
y S
tate
me
nt
#2
: P
rom
ote
nu
trit
ion
an
d h
ea
lth
y e
ati
ng
th
rou
gh
ou
t B
arr
y C
ou
nty
Ob
jec
tive
#1
: B
y S
ep
tem
be
r 2
01
7, m
ake
fre
sh
, lo
ca
l p
rod
uc
e a
va
ila
ble
an
d a
ffo
rda
ble
th
rou
gh
a v
ari
ety
of
loc
al
se
rvic
es
, in
clu
din
g f
arm
ers
ma
rkets
an
d f
oo
d p
an
trie
s in
Ba
rry C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. A
ssess c
urr
ent re
sourc
es for
and
barr
iers
to s
torin
g a
nd d
istr
ibuting
nutr
itio
us foods in food p
an
trie
s
Decem
ber
20
16
B
ED
HD
S
taff
tim
e
Lis
t of curr
ent
resourc
es a
nd
barr
iers
No
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-12
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
2. W
ork
with local fo
od p
antr
ies to
pro
vid
e infr
astr
uctu
re im
pro
vem
en
ts
and technic
al support
Septe
mber
20
17
B
ED
HD
S
taff
tim
e, $5
00
incentive for
part
icip
ating p
antr
y
Incre
ased
local fo
od
pantr
y c
apacity t
o
sto
re a
nd d
istr
ibu
te
nutr
itio
us foods
No
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-12
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
21
3. W
ork
with local fo
od p
antr
ies to
esta
blis
h p
olic
ies that offer
more
nutr
itio
us food a
nd b
evera
ge o
ptions to
low
incom
e r
esid
ents
Septe
mber
20
17
B
ED
HD
S
taff
tim
e, $5
00
incentive for
part
icip
ating p
antr
y
Incre
ased
num
ber
of
foo
d p
an
trie
s
offering
more
nutr
itio
us food
options
Yes
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-12
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
4. W
ork
with local fo
od p
antr
ies to
develo
p p
art
ne
rship
s w
ith local
pro
duce, dair
y, a
nd m
ea
t fa
rmers
to
obta
in local, n
utr
itio
us food for
foo
d
pantr
ies
Septe
mber
20
17
B
ED
HD
S
taff
tim
e, $5
00
incentive for
part
icip
ating p
antr
y
Incre
ased
num
ber
of
foo
d p
an
trie
s
offering
local,
nutr
itio
us food
options
No
Local fo
od
pantr
ies, lo
cal
farm
ers
CD
C H
P 2
020 G
oals
(N
WS
-12
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
Ob
jec
tive
#2
: B
y S
ep
tem
be
r 2
01
7, e
va
lua
te a
nd
pro
vid
e h
ea
lth
ed
uc
ati
on
op
po
rtu
nit
ies
re
ga
rdin
g n
utr
itio
n a
t B
arr
y
Co
un
ty f
oo
d p
an
trie
s
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. A
ssess the c
urr
ent m
eth
ods u
sed b
y
local fo
od p
antr
ies to e
ducate
clie
nts
a
bo
ut
nu
tritio
us f
oo
ds a
nd
co
okin
g
meth
od
s
Decem
ber
20
16
B
ED
HD
sta
ff tim
e
Description o
f curr
ent educatio
n
meth
od
s
No
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-14
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
2. P
rovid
e technic
al support
and
resourc
es to foo
d p
antr
ies to o
ffe
r cookin
g d
em
onstr
ations a
nd/o
r fo
od
tastings
Septe
mber
20
17
B
ED
HD
sta
ff tim
e, $5
00 f
or
nutr
itio
n-r
ela
ted
in
centives to incre
ase
att
en
da
nce
, re
cip
e
card
s, b
rochure
s,
"Health
y N
udges"
model sig
ns
Num
ber
of
att
en
de
es a
t dem
on
str
ations o
r cla
sses
No
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-14
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
3.
Co
nd
uct
a p
re-
and p
ost-
surv
ey to
dete
rmin
e food p
antr
y c
lients
' know
ledge
of be
nefits
of nutr
itio
us
foods a
nd their
com
fort
/kno
wle
dg
e o
f usin
g them
to c
reate
me
als
Septe
mber
20
17
B
ED
HD
sta
ff tim
e
Surv
ey r
esults
No
Local fo
od p
antr
ies C
DC
HP
20
20 G
oals
(N
WS
-14
-19),
National
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
22
IMPACT ON BARRY COUNTY
Smoking contributes to the development of many kinds of chronic conditions, including cancers, respiratory diseases,
and cardiovascular diseases. Smokers die up to 15 years earlier than non-smokers. Smoking among pregnant women is
a major contributor to premature births and infant mortality. The Michigan Department of Health and Human Services
estimates that smoking costs Barry County $15.7 million in annual smoking-related health care costs, and kills 76 Barry
County residents each year—67 directly, and 9 via secondhand smoke.
DATA SNAPSHOT
Less adults in Barry County report
being a current smoker (20.5%) than
adults in Eaton County (20.8%) or
throughout Michigan (23.3%).
Current smokers are defined as
adults who reported that they had
ever smoked at least 100 cigarettes
in their life and that they smoke
cigarettes now, either every day or
on some days.
Less Barry County high school
students (8.5%) in the 9th and 11th
grades reported recently smoking a
cigarette (within the past month)
when compared to high school
students from Eaton County or
Michigan. Statewide data includes
9th-12th graders.
1. Barry-Eaton Behavioral Risk Factor Survey, 2011-2013; Michigan Behavioral Risk Factor Survey, 2012
2. Michigan Profile for Healthy Youth Survey, 2013-2014; Michigan Youth Risk Behavior Survey, 2013
Percentage of Adults 18-64 Years Old Who are Current Smokers1
Percentage of High School Students Who Smoked a Cigarette in the Past 30 Days2
23
G
oa
l/S
tra
teg
y S
tate
me
nt
#1
: T
arg
et
ris
k g
rou
ps
to
pre
ve
nt
sm
ok
ing
an
d t
ob
acc
o u
se
in
Barr
y C
ou
nty
Ob
jec
tive
#1
: B
y J
un
e 2
01
7, e
xp
lore
co
mm
un
ity e
du
ca
tio
n o
pp
ort
un
itie
s t
o p
rovid
e a
nti
-to
bac
co
/sm
ok
ing
m
es
sa
gin
g t
o B
arr
y C
ou
nty
re
sid
en
ts
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
? C
oll
ab
ora
tio
n
wit
h o
uts
ide
o
rga
niz
ati
on
s
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reate
a lis
t of all
curr
ent
com
munity e
vents
whe
re tobacco
education w
ould
be a
ccepte
d
June 2
017
B
CC
MH
A (
as p
art
of B
arr
y C
ou
nty
T
obacco R
eduction
Coalit
ion)
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to p
lan fo
r and
pre
p for
com
mun
ity
events
No
CD
C H
P 2
020 G
oals
(T
U-
1,2
,3),
Na
tional
Pre
vention S
trate
gy,
MD
HH
S T
obacco C
ontr
ol
Pro
gra
m S
trate
gic
Pla
n
(Goal 4
)
2. C
reate
a lis
t of all
locations a
t w
hic
h
tobacco/e
-cig
are
tte m
ate
rials
could
be
dis
trib
ute
d
Marc
h
20
17
B
CC
MH
A a
nd
B
ED
HD
(as p
art
of
Barr
y C
ounty
T
obacco R
eduction
Coalit
ion)
Sta
ff tim
e, com
munity
fam
iliarity
A
bili
ty to p
lan o
ut,
in
advance, w
here
and
wh
en to d
istr
ibute
m
ate
rials
and w
hic
h
ones to d
istr
ibute
No
CD
C H
P 2
020 G
oals
(T
U-
1,2
,3),
Na
tional
Pre
vention S
trate
gy,
MD
HH
S T
obacco C
ontr
ol
Pro
gra
m S
trate
gic
Pla
n
(Goal 4
)
Ob
jec
tive
#2
: B
y D
ec
em
ber
20
18
, p
rovid
e c
om
mu
nit
y e
du
ca
tio
n o
n e
-cig
are
tte
s w
ith
in B
arr
y C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
? C
oll
ab
ora
tio
n
wit
h o
uts
ide
o
rga
niz
ati
on
s
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
esearc
h e
vid
ence
-based
pro
gra
mm
ing for
education o
n e
-cig
are
ttes
June 2
017
B
arr
y C
ounty
T
obacco R
eduction
Coalit
ion
Sta
ff tim
e, capabili
ty
and c
apacity
Researc
h-b
ased
tactics to p
rovid
e
com
munity e
ducation
ab
ou
t e
-cig
s
No
CD
C H
P 2
020 G
oals
(T
U-
1,2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
Str
ate
gic
P
lan (
Goal 4
)
2. D
evelo
p a
resourc
e lis
t A
ugu
st
20
17
B
ED
HD
(as p
art
of
Barr
y C
ounty
T
obacco R
eduction
Coalit
ion)
Sta
ff tim
e, capabili
ty
and c
apacity
Researc
h-b
ased
tactics to p
rovid
e
com
munity e
ducation
ab
ou
t e
-cig
s
No
CD
C H
P 2
020 G
oals
(T
U-
1,2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
Str
ate
gic
P
lan (
Goal 4
)
3. H
ost a c
om
mu
nity e
ducation
sessio
n a
bout e
-cig
are
ttes for
the
G
reat S
mokeout
Novem
ber
20
17
B
ED
HD
and
MD
HH
S (
as p
art
of
Barr
y C
ounty
T
obacco R
eduction
Coalit
ion)
Utiliz
e s
tate
connections, sta
ff tim
e
Com
munity
education
N
o
C
DC
HP
20
20 G
oals
(T
U-
1,2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
Str
ate
gic
P
lan (
Goal 4
)
4. P
rovid
e e
-cig
are
tte e
ducation a
t com
munity e
vents
D
ecem
ber
20
18
B
arr
y C
ounty
T
obacco R
eduction
Coalit
ion
Sta
ff tim
e
Researc
h-b
ased
mate
rials
to s
hare
w
ith r
isk g
roups
No
CD
C H
P 2
020 G
oals
(T
U-
1,2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
Str
ate
gic
P
lan (
Goal 4
)
24
O
bje
cti
ve
#3
: B
y N
ove
mb
er
20
18
, m
ea
su
re a
nd
tra
ck
Te
en
s A
ga
ins
t T
ob
ac
co
Us
e p
rog
ram
min
g in
Ba
rry C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
esearc
h b
est
pra
ctices to m
ea
sure
and tra
ck T
eens A
gain
st T
obacco U
se
(TA
TU
) pro
gra
mm
ing
Febru
ary
2
01
7
BC
CM
HA
(as
part
of B
arr
y
County
Tobacco
Coalit
ion)
Sta
ff tim
e, ab
ility
and
know
ledge
requir
ed to
researc
h s
tud
y
constr
uction, etc
.
Researc
h-b
ased
fou
nd
atio
n t
o
conduct a s
tud
y t
hat
analy
zes T
AT
U
effectiveness
No
CD
C H
P 2
020 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
2. P
lan o
ut lo
ngitudin
al stu
dy o
n T
AT
U
Octo
ber
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, ab
ility
and
know
ledge
requir
ed to
pla
n s
tud
y c
onstr
uction,
etc
.
A w
ell
though
t ou
t pla
n to a
ct as the
fram
ew
ork
to c
arr
y
out a s
tud
y th
at
analy
zes T
AT
U
effectiveness
No
CD
C H
P 2
020 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
3.
Co
mp
lete
lo
ng
itu
din
al stu
dy o
n
TA
TU
D
ecem
ber
20
17
- M
ay
20
18
Barr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, stu
dy
part
icip
ants
, w
aiv
er
form
s, capabili
ty a
nd
resourc
es to tra
ck s
tudy D
ata
tha
t m
easu
res
the
eff
ective
ne
ss o
f T
AT
U p
rogra
mm
ing
No
Local schools
C
DC
HP
20
20 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
4. A
naly
ze T
AT
U longitudin
al stu
dy
results
June 2
018
B
ED
HD
(as p
art
of B
arr
y C
ou
nty
T
obacco
Coalit
ion)
Sta
ff tim
e, capabili
ty
and c
apacity
Data
-based
conclu
sio
ns b
ased
upon longitudin
al
stu
dy o
utc
om
es
No
CD
C H
P 2
020 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
5. C
reate
repo
rt o
f T
AT
U s
tud
y r
esults
Octo
ber
20
18
B
ED
HD
(as p
art
of B
arr
y C
ou
nty
T
obacco
Coalit
ion)
Sta
ff tim
e, capabili
ty
and c
apacity
Vis
ual
repre
senta
tion o
f conclu
sio
ns b
ased
upon longitudin
al
stu
dy o
utc
om
es
No
CD
C H
P 2
020 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
6. P
resent T
AT
U s
tud
y r
ep
ort
N
ovem
ber
20
18
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, lis
t of pla
ces
to p
resent re
port
Leaders
hip
/ com
munity/ sta
te/
national know
led
ge
of T
AT
U
effectiveness
No
CD
C H
P 2
020 G
oals
(T
U-2
,3),
MD
HH
S T
obacco
Contr
ol P
rog
ram
S
trate
gic
Pla
n (
Go
al 4),
N
at P
revention S
trate
gy
Ob
jec
tive
#4
: B
y O
cto
be
r 2
01
7,
see
k g
ran
t fu
nd
ing
fo
r to
ba
cco
an
d s
mo
kin
g p
reve
nti
on
eff
ort
s in
Barr
y C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reate
a lis
t of possib
le fundin
g
sourc
es
Ma
y 2
01
7
Barr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to c
arr
y o
ut
pre
ven
tion e
ffort
s
with m
ore
im
pact
No
2. A
pply
for
rele
vant gra
nt
opport
unitie
s to s
upport
sm
okin
g a
nd
tobacco p
reve
ntion e
ffort
s
Octo
ber
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to c
arr
y o
ut
pre
ven
tion e
ffort
s
with m
ore
im
pact
No
25
G
oa
l/S
tra
teg
y S
tate
me
nt
#2
: P
rovid
e e
du
ca
tio
n a
bo
ut
an
d in
cre
ase
tre
atm
en
t fo
r s
mo
kin
g/t
ob
ac
co
ce
ssa
tio
n f
or
Ba
rry C
ou
nty
re
sid
en
ts w
ho
us
e t
ob
ac
co
Ob
jec
tive
#1
: B
y A
ug
us
t 20
17
, p
rovid
e e
du
ca
tio
n o
n q
uit
tin
g s
mo
kin
g/t
ob
ac
co
us
e t
o B
arr
y C
ou
nty
re
sid
en
ts w
ho
u
se
to
ba
cco
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reate
a d
ata
base for
best pra
ctices
for
quitting tobacco b
ased o
n incom
e
level, d
em
ogra
ph
ics, etc
.
Apri
l 2017
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, capabili
ty
and c
apacity
Researc
h-b
ased
meth
od
s to
com
munic
ate
with
risk g
roups
No
CD
C H
P 2
020 G
oals
(T
U-
4,5
,6,7
), M
DH
HS
T
obacco C
ontr
ol P
rogra
m
Str
ate
gic
Pla
n (
Go
al 3),
N
at P
revention S
trate
gy
2. C
reate
pla
n to s
urv
ey r
isk g
roup
s o
n
effective e
ducation m
eth
ods o
n K
ick
Butts D
ay
Marc
h 2
017
Barr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, capabili
ty
and c
apacity
Form
aliz
ed p
lan t
o
gath
er
qu
alit
ative
da
ta
No
CD
C H
P 2
020 G
oals
(T
U-
4,5
,6,7
), M
DH
HS
T
obacco C
ontr
ol P
rogra
m
Str
ate
gic
Pla
n (
Go
al 3),
N
at P
revention S
trate
gy
3. C
reate
a d
ocu
ment to
tra
ck m
ost
effective "
quit"
meth
ods
Apri
l 2017
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, capabili
ty
and c
apacity
A d
ata
base to s
ave
qualit
ative d
ata
N
o
C
DC
HP
20
20 G
oals
(T
U-
4,5
,6,7
), M
DH
HS
T
obacco C
ontr
ol P
rogra
m
Str
ate
gic
Pla
n (
Go
al 3),
N
at P
revention S
trate
gy
4. C
reate
an info
gra
phic
hig
hlig
hting
best pra
ctices for
quitting tobacco
A
ugu
st
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, capabili
ty
and c
apacity
Vis
ual, r
esea
rch
-based m
eth
ods t
o
com
munic
ate
with
risk g
roups
No
CD
C H
P 2
020 G
oals
(T
U-
4,5
,6,7
), M
DH
HS
T
obacco C
ontr
ol P
rogra
m
Str
ate
gic
Pla
n (
Go
al 3),
N
at P
revention S
trate
gy
Ob
jec
tive
#2
: B
y O
cto
be
r 2
01
7,
see
k g
ran
t fu
nd
ing
to
in
cre
as
e a
va
ila
bilit
y o
f s
mo
kin
g/t
ob
ac
co
ces
sati
on
tre
atm
en
t e
ffo
rts
in
Barr
y C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. A
pply
for
rele
vant gra
nt o
pport
unitie
s
to incre
ase t
obacco c
essation
treatm
ents
Octo
ber
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to c
arr
y o
ut
treatm
ent eff
ort
s
with m
ore
im
pact
No
2. C
arr
y o
ut an
y a
ward
ed g
rant
opport
unitie
s
Octo
ber
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to c
arr
y o
ut
treatm
ent eff
ort
s
with m
ore
im
pact
Possib
ly
C
DC
HP
20
20 G
oals
(T
U-
4,5
,6,7
), N
atio
na
l P
revention S
trate
gy
3. C
arr
y o
ut an
y a
ward
ed g
rant
activitie
s
Octo
ber
20
17
B
arr
y C
ounty
T
obacco
Coalit
ion
Sta
ff tim
e, utiliz
ation o
f exis
ting c
onnections/
netw
ork
s
Abili
ty to c
arr
y o
ut
pre
ven
tion e
ffort
s
with m
ore
im
pact
Possib
ly
CD
C H
P 2
020 G
oals
(T
U-1
,2,3
), N
atio
nal
Pre
vention S
trate
gy
26
IMPACT ON BARRY COUNTY
Regular physical activity has been shown to reduce the risk of many diseases, including cardiovascular disease,
diabetes, colon and breast cancer, and osteoporosis. Keeping physically active also helps to control weight, maintain
healthy bones, muscles, and joints, and can relieve symptoms of depression.
DATA SNAPSHOT
More (10.6%) Barry County adults
aged 18-64 years reported that they
do not participate in either moderate
or vigorous physical activity during a
usual week than Eaton County adults.
Physical activity questions on the
Michigan Behavioral Risk Factor
Survey are asked differently and not
included in this analysis.
This indicator represents the
percentage of high school students
(9th and 11th graders) who reported
that they had at least 60 minutes of
physical activity on five of the past
seven days. This data indicates that
more Barry County high school
students are engaging in consistent
physical activity than their
counterparts in Eaton County or
throughout Michigan. However, over
40 percent of Barry County high
schoolers are not engaging in
adequate physical exercise. Statewide
data includes 9th-12th graders.
1. Barry-Eaton Behavioral Risk Factor Survey, 2011-2013
2. Michigan Profile for Healthy Youth Survey, 2013-2014; Michigan Youth Risk Behavior Survey, 2013
Percentage of High School Students Reporting at Least 60 Minutes of Physical Activity on Five of the Past Seven Days2
Percentage of Adults 18-64 Years Old Reporting No Moderate and No Vigorous Physical Activity1
27
Go
al/S
tra
teg
y S
tate
me
nt
#1
: In
cre
ase
th
e p
hys
ica
l a
cti
vit
y o
f B
arr
y C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y A
ug
us
t 20
17
, h
ost
co
mm
un
ity e
ve
nts
ed
uc
ati
ng
Ba
rry C
ou
nty
re
sid
en
ts a
bo
ut
the
be
nefi
ts o
f p
hys
ica
l a
cti
vit
y
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. B
roaden t
he R
oll
& R
ea
d P
are
nts
as
Teache
rs e
vent
Augu
st 2017
B
arr
y G
reat S
tart
C
olla
bora
tive
Coord
ina
tor,
G
reat S
tart
P
are
nt C
oalit
ion
Gre
at S
tart
Pa
rent
Coalit
ion P
are
nt
Educato
rs, P
are
nt
Lia
ison
Settin
g a
com
munity
exam
ple
to
encoura
ge fam
ilies
to p
art
icip
ate
in
ph
ysic
al activitie
s
an
d m
od
el lit
era
cy
str
ate
gie
s
No
CD
C H
P 2
020 G
oals
(E
MC
-2.3
, P
A-1
),
National P
revention
Str
ate
gy
Go
al/S
tra
teg
y S
tate
me
nt
#2
: In
cre
ase
aw
are
nes
s o
f h
ea
lth
y a
nd
po
sit
ive
fo
od
/ac
tivit
y c
ho
ice
s t
o t
ho
se
wh
o liv
e, w
ork
an
d p
lay i
n
Ba
rry C
ou
nty
Ob
jec
tive
#1
: B
y J
an
ua
ry 2
01
8, c
rea
te a
ye
arl
y,
co
un
ty-w
ide
healt
h c
om
mu
nic
ati
on
ca
mp
aig
n t
o p
rom
ote
an
d
inc
rea
se
aw
are
nes
s o
f h
ea
lth
y, a
cti
ve
lif
es
tyle
s t
o B
arr
y C
ou
nty
re
sid
en
ts
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. R
esearc
h p
revio
us s
uccessfu
l,
researc
h-b
ased c
om
munic
ation
cam
paig
ns a
nd p
resent options to
gro
up
January
2
01
7
BE
DH
D (
as p
art
of B
.Health
y
Coalit
ion)
Researc
h-b
ased
descriptions o
f cam
paig
ns
A fra
me
wo
rk to b
ase
our
cam
paig
n o
ff o
f N
o
C
DC
HP
20
20 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
2.
Ch
oo
se
ca
mp
aig
n t
o b
eg
in c
arr
yin
g
out in
2017
January
2
01
7
All
B.H
ea
lthy
Coalit
ion
mem
bers
Lis
t of cam
paig
ns a
nd
their
fra
me
work
s
A lis
t of fr
am
ew
ork
s
for
mem
be
rs to
choose a
s a
team
No
CD
C H
P 2
020 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
3.
De
term
ine
me
asu
rem
en
t fo
rma
t fo
r assessin
g c
am
paig
n e
ffectiveness
Febru
ary
2
01
7
BE
DH
D (
as p
art
of B
.Health
y
Coalit
ion)
Measure
ment syste
m
Effective
measure
ment an
d
definitio
n o
f success
of
the
ca
mp
aig
n,
baselin
e e
sta
blis
hed
No
CD
C H
P 2
020 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
28
4. C
reate
a c
hecklis
t/P
ow
erP
oin
t com
pri
sed o
f com
pon
ents
of th
e
cam
paig
n, obesity r
esolu
tion, and o
ther
necessary
B.H
ea
lthy info
rmation t
o
pre
sen
t to
com
munity leaders
Febru
ary
2
01
7
B.H
ealth
y
Coalit
ion
S
taff
tim
e, coalit
ion
colla
bora
tion,
com
munity n
etw
ork
s
A s
trate
gic
pla
n/
pre
sen
tation to
com
munic
ate
with
com
munity leade
rs
to a
do
pt
a
com
munity o
besity
resolu
tion a
nd
facili
tate
cam
paig
n
pro
motion
No
CD
C H
P 2
020 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
5. P
itch c
am
paig
n to c
om
munity
leaders
of la
rge c
itie
s a
nd tow
nship
s in
Barr
y C
ounty
Marc
h 2
017
A
ll B
.Hea
lthy
Coalit
ion
mem
bers
Exis
ting n
etw
ork
s,
mem
ber
tim
e
com
mitm
ent,
pre
sen
tation
Com
munity
part
icip
ation
N
o
C
DC
HP
20
20 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
6. T
ow
nship
com
munity leaders
pro
mote
cam
paig
n to their
respe
ctive
com
munitie
s
Apri
l 2017
A
ll B
.Hea
lthy
Coalit
ion
mem
bers
, to
wnship
leaders
Check lis
t of netw
ork
s/
part
ners
tha
t have b
een
sent in
fo
Com
munity-w
ide
part
icip
ation
P
ossib
ly
Com
munity
leaders
C
DC
HP
20
20 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
7.
La
un
ch
in
div
idu
al ca
mp
aig
n
com
pon
ent
Septe
mber
20
17
A
ll B
. H
ea
lthy
Coalit
ion
mem
bers
City/to
wnship
pro
motion
Indiv
idually
-based
cam
paig
n w
ill a
dd to
effort
s o
f com
mu
nity
-based c
am
paig
n
No
CD
C H
P 2
020 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
8. A
ssess b
oth
com
munic
ation
cam
paig
n's
effectiveness
January
2
01
8
BE
DH
D (
as p
art
of B
.Health
y
Coalit
ion)
Utiliz
ation o
f a too
l to
evalu
ate
effectiveness
Results to indic
ate
w
heth
er
or
not th
e
coalit
ion w
ill
continue to u
tiliz
e
the c
am
paig
n
No
CD
C H
P 2
020 G
oals
(P
A-1
,15),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
Go
al/S
tra
teg
y S
tate
me
nt
#3
: In
sti
tute
a p
lan
to
de
ve
lop
an
d im
ple
me
nt
a c
om
pre
he
ns
ive
, p
olic
y-d
rive
n a
pp
roac
h t
o a
ffe
ct
po
sit
ive
c
ha
ng
es
in
th
e p
hys
ica
l a
cti
vit
y,
nu
trit
ion
, a
nd
/or
str
es
s m
an
ag
em
en
t o
f B
arr
y C
ou
nty
re
sid
en
ts
Ob
jec
tive
#1
: B
y A
ug
us
t 20
18
, p
rom
ote
po
lic
y c
ha
ng
es
in
sc
ho
ols
to
in
cre
as
e a
nd
im
pro
ve
ph
ys
ica
l a
cti
vit
y,
nu
trit
ion
, a
nd
str
ess
man
ag
em
en
t in
Ba
rry C
ou
nty
ch
ild
ren
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reate
a lis
t of all
Barr
y C
ounty
schools
' exis
ting p
hysic
al activity,
nutr
itio
n, and s
tress m
anag
em
ent
polic
ies
Ma
y 2
01
8
BE
DH
D (
as p
art
of B
.Health
y
Coalit
ion)
Sta
ff tim
e
Com
ple
te lis
t of
curr
ent polic
ies in
pla
ce
No
CD
C H
P 2
020 G
oals
(E
CB
P-2
.8,2
.9,3
.5,3
.6,
EM
C-4
, N
WS
-10
, P
A-3
-7),
Na
t P
revention
Str
ate
gy, M
I H
ea
lth
and W
elln
ess 4
x4 P
lan
29
2. C
reate
a r
ese
arc
h-b
ased lis
t of polic
y
changes s
chools
could
im
ple
ment
July
20
18
B
ED
HD
(as p
art
of B
.Health
y
Coalit
ion)
Mem
ber
tim
e
Resourc
es for
inte
reste
d s
chools
N
o
C
DC
HP
20
20 G
oals
(E
CB
P-2
.8,2
.9,3
.5,3
.6,
EM
C-4
, N
WS
-10
, P
A-3
-7),
Na
t P
revention
Str
ate
gy, M
I H
ea
lth
and W
elln
ess 4
x4 P
lan
3. C
reate
lis
t of lo
cal schools
who c
ould
pote
ntially
im
ple
ment a
polic
y c
hange
and a
ssig
n a
gro
up m
em
ber
to c
onnect
with e
ach s
chool
July
20
18
B
.Health
y
Coalit
ion, B
ED
HD
Mem
ber
tim
e, e
xis
ting
connections, new
connections
A c
om
ple
te lis
t of
schools
in the a
rea
to c
onnect
with
No
Local schools
C
DC
HP
20
20 G
oals
(E
CB
P-2
.8,2
.9,3
.5,3
.6,
EM
C-4
, N
WS
-10
, P
A-3
-7),
Na
tional
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
4.
Co
nn
ect
with
sch
oo
ls t
o a
sse
ss/
begin
im
ple
menta
tion
A
ugu
st 2018
A
ll B
.Hea
lthy
Coalit
ion
mem
bers
Mem
ber
tim
e
Polic
y c
hange
imple
menta
tion
Y
es
Local schools
C
DC
HP
20
20 G
oals
(E
CB
P-2
.8,2
.9,3
.5,3
.6,
EM
C-4
, N
WS
-10
, P
A-3
-7),
Na
tional
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
Ob
jec
tive
#2
: B
y O
cto
be
r 2
01
8,
pro
mo
te p
olic
y c
ha
ng
es
in
lo
ca
l b
us
ine
sse
s t
o i
nc
reas
e a
nd
im
pro
ve
th
e p
hys
ica
l a
cti
vit
y,
nu
trit
ion
, a
nd
str
es
s m
an
ag
em
en
t o
f e
mp
loye
es
wo
rkin
g in
Ba
rry C
ou
nty
Ac
tivit
y
Tim
e-
fra
me
Re
sp
on
sib
le
Pa
rtie
s
As
se
ts A
va
ila
ble
/ R
es
ou
rces
R
eq
uir
ed
An
tic
ipa
ted
R
es
ult
s o
r P
rod
uc
ts
Po
lic
y
ch
an
ge
n
ee
ded
?
Co
lla
bo
rati
on
w
ith
ou
tsid
e
org
an
iza
tio
ns
Ali
gn
me
nt
wit
h
oth
er
loca
l/s
tate
/ U
S p
rio
riti
es
1. C
reate
a lis
t of all
Barr
y C
ounty
busin
esses' e
xis
ting p
hysic
al activity,
nutr
itio
n, and s
tress m
anag
em
ent
polic
ies
June 2
018
B
ED
HD
(as p
art
of B
.Health
y
Coalit
ion)
Sta
ff tim
e
Com
ple
te lis
t of
curr
ent polic
ies in
pla
ce
No
CD
C H
P 2
020 G
oals
(E
CB
P-9
, N
WS
-7, P
A-
12),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
2. C
reate
a r
ese
arc
h-b
ased lis
t of polic
y
changes b
usin
esses c
ould
im
ple
ment
Augu
st 2018
B
ED
HD
(as p
art
of B
.Health
y
Coalit
ion)
Mem
ber
tim
e
Resourc
es for
Inte
reste
d
busin
esses
No
CD
C H
P 2
020 G
oals
(E
CB
P-9
, N
WS
-7, P
A-
12),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
3. C
reate
lis
t of lo
cal busin
esses w
ho
could
pote
ntially
im
ple
ment
a p
olic
y
change a
nd
assig
n a
gro
up m
em
ber
to
connect w
ith e
ach b
usin
ess
Augu
st 2018
A
ll B
.Hea
lthy
Coalit
ion
mem
bers
Mem
ber
tim
e, e
xis
ting
connections, new
connections
A c
om
ple
te lis
t of
busin
esses in the
are
a to c
onnect
with
No
Local busin
esses
CD
C H
P 2
020 G
oals
(E
CB
P-9
, N
WS
-7, P
A-
12),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
4.
Co
nn
ect
with
bu
sin
esse
s t
o a
sse
ss/
begin
im
ple
menta
tion
O
cto
ber
20
18
A
ll B
.Hea
lthy
Coalit
ion
mem
bers
Mem
ber
tim
e
Polic
y c
hange
imple
menta
tion
Y
es
Local busin
esses
CD
C H
P 2
020 G
oals
(E
CB
P-9
, N
WS
-7, P
A-
12),
Natio
nal
Pre
vention S
trate
gy, M
I H
ealth a
nd W
elln
ess
4x4 P
lan
