Richmond County Health Department Presents CHA 4.0.pdf · Jimmy McDonald Photography Richmond County First-in-Health 2020 Task Force Richmond County Department of Health and Human

Richmond County Health Department Presents:

Richmond County

Community Health

Assessment

2019

The mission of the Richmond County Health

Department is to help prevent disease, promote health,

and protect the environment for all citizens of

Richmond County and to continually assess and

respond to the health needs of the community.

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n behalf of the Richmond County Health & Human Services Department and our

many community partners, we are pleased to present the 2019 Community

Health Assessment for Richmond County. Our team has worked for the past

year, in an effort to gather and analyze data from Richmond County that will

enable our community to have a comprehensive overview of our people,

environment and health status in order for us to determine areas that as a

community are doing well and areas where improvement may be needed. We

encourage you to review this report and utilize any information you find

necessary or useful as you work toward your area of interest.

Figure 1. Harrington Square Rockingham, North Carolina. Photo courtesy of Jimmy McDonald.

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Table of Contents Acknowledgments 3

Community Health Assessment Purpose 4

Executive Summary 5

Richmond County Health Department Clinic and Programs 23

County Profile 24

Service area

Events

Recreations

County Demographics Profile 27

Population estimates

Race estimates

Age population estimates

Neighbor demographic comparison

County Health Rankings and Roadmaps 31

Health ranking trends

Quality of life

Health behaviors

Clinical care

Social and economic factors

Physical environment

County Health Data 38

Leading causes of death

Heart disease and stroke

Cancer

Chronic lower respiratory disease

Diabetes

Opioid crisis

Infant Health and Family Planning 49

Challenges for healthy children

Infant and child mortality

Teen pregnancy

STD/STI surveillance report

Health Disparity 55

Life expectancy

Low birth weight

Minority teen pregnancy

Preventable hospital stays

Children in poverty

References 58

Appendix A: Richmond County Community Resource Guide 61

Appendix B: 2018 Community Health Needs Assessment 96

Cover Image: The Great Seal of Richmond County, North Carolina

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Acknowledgments

Richmond County Division of Public Health would like to thank all the individuals and

businesses that assisted with the compiling of data for the 2019 Community Health Assessment.

Richmond County Public Schools

Jimmy McDonald Photography

Richmond County First-in-Health 2020

Task Force

Richmond County Department of Health

and Human Services

Richmond County Commissioners

Richmond County Health and Human

Services Advisory Board

Rockingham Housing Authority

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Community Health Assessment Purpose

A Community Health Assessment or CHA is a method to identify community health needs and

assets, prioritize those needs, and then implement a plan to address significant unmet needs.

The CHA helps us to answer these types of questions:

Figure 2. Community Health Assessments Questions.

What are the strengths in our community?

What are the community's current health issues?

What are the emerging health issues in our community?

What other resources are needed in the county to address these concerns?

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Executive Summary

The Richmond County Health Department is pleased to present its 2019 Community Health

Assessment. This report provides an overview of the methods used to identify and prioritize

significant health needs in Richmond County.

I. Vision Statement

We commit, through personal and organizational excellence, to be an agent of change

dedicated to achieving a healthier Richmond County.

I. Mission Statement

The mission of the Richmond County Health Department is to help prevent disease,

promote health, and protect the environment for all citizens of Richmond County and

to continually assess and respond to the health needs of the community.

II. Leadership

The Richmond County Community Health Assessment Team (CHAT) consists of

individuals from a diversified cross-sectional group of a wide variety of organizations

and collaborations with the Richmond County Health and Human Services at the

forefront along with the local hospital system, FirstHealth of the Carolinas. This

report provides an overview of the methods and processes used to identify and

prioritize significant health needs in Richmond County. First-in-Health Richmond

County 2020 Taskforce, Richmond County Health, and Human Services and

FirstHealth of the Carolinas medical system collaborated to complete one

comprehensive assessment. The CHAT gathered on Wednesday, January 29, 2020,

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to determine current or emerging health issues as well as identify future health

priorities. It was during the meeting that the final draft version of the CHA was

presented and approved. Distribution was also discussed and plans made for

hardcopy dispersal and digital copy availability for download.

III. Partnerships

The following table and descriptions include the many collaborations and

partnerships within the Richmond County Community. This list should not be

considered an exhaustive list of all possible organizations and collaborations.

Healthy People Healthy Carolinas

The Healthy People Healthy Carolinas established the Montgomery/Richmond

Coalition under the Duke Endowment to incorporate evidence-based interventions

known to improve health in the community. The goals of this collaboration are the

promotion of healthy eating, physical activity, prevention of obesity, and education

about chronic diseases. First-in-Health Richmond County 2020 Task Force formed to

develop best practices for organizing, planning, and implementing community

programs tailored for Richmond County. Such programs are designed to increase the

availability of fresh foods and produce as well as increase the areas open to exercise.

Improving Community Outcomes for Maternal and Child Health

Improving Community Outcomes for Maternal and Child Health or ICO4MCH is a

collaboration of Richmond County, Cumberland County, Hoke County, and

Montgomery County called the Sandhills Collaborative. The overall goal is to

improve birth outcomes, reduce infant mortality, and improve the health status of

children ages birth to five. These goals are accomplished through evidence-based

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programs such as providing long-acting reversible contraception (LARC),

breastfeeding promotion, and smoking cessation promotion through the CEASE

program (Clinical Effort to Address Secondhand Smoke Exposure).

Tobacco Prevention and Control Branch

Tobacco Prevention and Control Branch Region 6 works with the Richmond County

Health Department Public Health Education Division to provide resources to support

the community to avoid the new onset of smoking/vaping or other tobacco use, the

elimination of secondhand smoke exposure, and to offer cessation products for those

who want to quit. Together, we will identify and address tobacco-related health

disparities among Richmond County residents.

Healthy Communities

North Carolina Department of Health and Human Services Healthy Communities

program works with the Richmond County Health Department Public Health

Education Division to assist in the prevention of chronic disease and injury in

Richmond County. Richmond County Health Department has chosen to implement

evidence-based media messaging campaigns approved by the Tobacco Prevention

and Control Branch. The goal is to prevent the use of tobacco products by young

adults and teens, which includes cigarettes, e-cigarettes, cigars, little cigars,

smokeless tobacco, and hookahs.

Community Action Group

The Community Action Group (CAG) is a collaboration of Richmond County youth

and adults who seek to improve on teen reproductive health and support the sexual

health education of teens in Richmond County. This group is a collaboration of

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Richmond County School system, Richmond County Juvenile Detention, Faith-based

community members, March of Dimes, and Richmond County Board of Education

members, and concerned Richmond County residents. Youth Leadership Council

(YLC) contributes to the CAG through teen-friendly interventions such as creating

safe teen spaces in the Richmond County Health Department clinic. The YLC is an

average of 30-40 Richmond County ninth-grade students as well as Richmond

County Early College students. Redefining and Empowering Adolescent and

Community Health or commonly called REACH, is a sexual health education

program run through the Healthful Living eighth and ninth grade classes. The focus

of CAG is to educate teens in reproductive health to decrease the number of teen birth

rates in Richmond County.

Drug Endangered Family Task Force

Richmond County Drug Endangered Family Task Force (DEFT) is a collaboration of

many local agencies to counter the opioid crisis in Richmond County. DEFT is

headed by the Richmond County Department of Social Services. These local

agencies include Richmond County Health Department, FirstHealth Emergency

Medical Services, FirstHealth Outreach Department, Sandhills Behavior Center,

Daymark Recovery Services, Samaritan Colony, Alcohol and Drug Services of

Richmond County, Guardian Ad Litem, several local faith-based organizations,

Juvenile Crime Prevention Council members, Compassionate Counseling, and

advocates from Connections Family Support and Community Collaboration Program.

DEFT runs and promotes many programs such as Lock Your Meds (LYM), Bedroom

Project, as well as dispensing information through social media and local media

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advertisements concerning the opioid crisis and how to find help. The focus of DEFT

is to reduce the oversupply of prescription opioids, increase community awareness

and prevention, and to measure our impact and revise strategies based on results.

Juvenile Crime Prevention Council

Juvenile Crime Prevention Council (JCPC) addresses the issues of delinquent

juveniles, juveniles most likely to become delinquent, as well as the family issues

surrounding delinquent behavior. The organization is a collaboration of the Richmond

County Sheriff’s Department, Richmond School System, United Way, Faith-based

community, Richmond County business owners, Richmond County Sheriff’s

Department, Richmond County Court System, Richmond County Health and Human

Services, Rockingham Police Department, Alcohol and Drug Services of Richmond

County, Richmond County Court Counselors, and the Richmond County

Commissioners. The goals of the JCPC are to strengthen youth and families,

delinquency prevention, and to intervene immediately and effectively when

delinquent behavior occurs. JCPC concentrations their efforts through such programs

as Project Focus, Parenting Wisely, Restitution and Community Services, DASH, and

Teen Court.

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Richmond County Health and Human Services

Richmond County Health Department

Director Dr. Tommy Jarrell

Director of Environmental and General Services

Holly Haire

Director of Nursing Kim Crump

RCHHS Administrative Assistant

Sheila Brosier

Health Education Supervisor

Nancy Porter

Director of Patient Services

Cheryl Speight

Public Health Educator

Kendra Faries


Layne Floyd

Richmond County Department of Social Services

Director Robby Hall

Healthy People Healthy Carolinas & First-in-Health Richmond County 2020 Task Force (Montgomery and Richmond Coalition)

FirstHealth of the Carolinas

Policy Director for FirstHealth Community Health Services

Roxanne Elliott

FirstHealth Moore Regional Hospital- Richmond

President of the Southern Region and Administrator

John Jackson

Richmond County Schools

Director of Student Services

Dr. Wendy Kelly-Jordan

School Nurse Tami Brown

Rockingham Housing Authority

Service Coordinator & Host Site Supervisor for Project REBUILD.

Teraefean Goodwin

Executive Director Cherka Belton

Richmond County Cooperative Extension

Extension Agent, 4-H Youth Development

Catherine Shelly

Area Agent, Family, and Consumer Sciences

Janice Roberts

County Extension Director & Extension Agent, Agriculture -

Paige Burns

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Horticulture Richmond County Chamber of Commerce

President/CEO Emily Tucker

City of Rockingham Rockingham City Clerk

Sabrina McDonald

Richmond County Residents

Larry Weatherly Jimmy McDonald Debbie Rohlder Lois Jones

Richmond County Clergy

Elizabeth Smith

Legal Aid of NC Managing Attorney Erin Haygood Sandhills Food Bank Sandhills Outreach

Coordinator Jessica Ledbetter

Partnership for Children

Executive Director Katrina Chance

Sandhills Center (mental health, substance use, and intellectual or developmental disabilities services)

Community Development Specialist

Pamela Munger

Improving Community Outcomes for Maternal and Child Health (ICO4MCH)

Sandhills Collaborative

Program Manager Nina Beech

Preconception & Inter-Conception Health

Kaitlyn F. Franklin

Clinical Efforts Against Secondhand Smoke Exposure Coordinator

Joseph Hutchinson

Tobacco Prevention and Control Branch

Region 6 Control Manager

Travis Greer


Layne Floyd


Kendra Faries

North Carolina Department of Health

Healthy Communities Evaluator/Program Consultant

Ryan Ward


Layne Floyd

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and Human Services


Kendra Faries

Community Action Group (CAG)

REACH (Redefining & Empowering Adolescent and Community Health)

Facilitators

Martha Richardson Daphne Smith Darrell Wright Mark Burr Julie Jones

Program Coordinator

Nancy Porter

Data Entry Assistant Kim Brigman NCDHHS REACH Coordinator

Ja’nella Henry


Principal Karen Allen

School Nurse Tami Brown Kim Childers

Curriculum Specialist

Kelly Delong

Principal & Student Services Director & Curriculum Specialist


Physical Education Teacher

Teresa Mason

Student Services & Curriculum Specialist

Marsha Porter

ESL Teacher Marco Vasquez Guidance Counselor Monica

Robinson Principal Derek Watkins Curriculum Specialist

Toni Witherow

Title 1 Parent Liaison Coordinator

Susana Franco

Richmond County Commissioners & Advisory Board of Health and Human Services

Tavares Bostick

John Garner


Adult and Children Services

Bunny Critcher

Social Services Lirosia Wall

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Director of Nursing Kim Crump


Layne Floyd

Kendra Faries

Director of Patient Services

Cheryl Speight

Environmental Health Technologist

Brittany Grant

Budget and Finance Savannah Honeycutt

Richmond County Health and Human Services Director

Dr. Tommy Jarrell

Computer Specialist System Administrator

Kalindra Ellerbe

Richmond Community College

Catina Jones

Carlotta Knotts

Richmond County Residents

Retired Hamlet Police Chief

Robert Bristow

Retired Principal & Former Superintendent & Education Board Member

Joe Richardson

Local Business Owner

Elizabeth Stephenson

Faith-Based Community

Pat Greene

Senior Pastor Place of Grace & Executive Director Richmond County Rescue Mission

Gary Richardson

March of Dimes Martina Sconiers

Richmond County Board of Education

Retired Principal & Former Assistant Superintendent and Education Board Member

Joe Richardson

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Education Board Member & NC Department of Public Safety & State Consultant for Juvenile Justice

Ronald Tillman

Richmond County Juvenile Probation

Officer Lavanda Jones

Youth Leadership Council

Richmond County Middle Schools, Richmond County Ninth Grade Academy, and Richmond County Early College

30-40 Teens each year

Richmond County Drug Endangered Family Task Force (DEFT)


Staff Development Specialist II

Theressa Smith

Director of the Department of Social Services

Robby Hall

Administrative Assistant Richmond County Health and Human Services

Amy Greene Sheila Brosier

Program Manager Bunny Critcher


Director of Aging Services

Jacqueline Welch

Administrative Assistant Aging Services

Terry Rush


Layne Floyd

Health Educator Supervisor

Nancy Porter

FirstHealth Moore Regional Hospital-Richmond

Outreach Manager Amy Forester

Emergency Medical Services Director

Buddy Williams

Sandhills Behavioral Center

Chief Operating Officer

Chanel Turner

Daymark Recovery Services

Director Cassandra Byers

System Care Coordinator

Lucy Dorsey

System of Care Coordinator

Megan Tarver

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Community Development Specialist

Pamela Munger

Chief Executive Office

Robert Smith

Samaritan Colony Clinical Supervisor & Program Director

Constance Pearson

Alcohol and Drug Services of Richmond County

Emily Nicholson Prevention and Early Intervention Team Leader

Melinda McDonald

SEARCH Shirlyn Smith Guardian Ad Litem Supervisor Keri Standridge Faith-Based Community

Pastor, Wellsprings Church

Ernie Walters

Richmond County Sheriff’s Department

Sergeant Detective Narcotics Unit

Tahid Rucker

Rockingham Police Department

Detective George Gillenwater

Hamlet Police Department

Detective Sergeant Chris Lampley

Community Care of the Sandhills

Team/Social Worker Lead and Foster Care Coordinator

Bill Butler

Clinical Manager Amy Tatum Richmond County Schools

Director of Student Affairs


Connections Family Support and Community Collaboration Program

Family Advocate Suzanne Maness

Juvenile Crime Prevention Council (JCPC)

Richmond County Chair

Curtis Ingram

Compassionate Counseling

Licensed Clinician Addiction Specialist

Tony Spaulding

Chief Executive Officer

Tiffany Newton

Richmond County Peer Support Program

Certified Peer Support Specialist/Recovery Coach

Kelly Kirk

Juvenile Crime Prevention Council

Chairperson Curtis Ingram

County Commissioner Vice-Chairperson Dr. Kathy Cummings

Piedmont area JCPC Scott Stoker

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consultant Richmond County Board of Education Member

Ronald Tillman


Superintendent Dr. Amber Watkins

Richmond County Sheriff’s Department

Richmond County Sheriff

James Clemmons, Jr.

Rockingham City Police

Rockingham Chief of Police

Lee Bailey

Richmond County Court System

Chief Court Counselor

Richard Griffin

Richmond County Mental Health

Director Laurie Perez


Director Robby Hall


Director Dr. Tommy Jarrell

Alcohol and Drug Services of Richmond County

Substance Abuse Counselor

Emily Nicolson

Faith-based Community

Pastor Rev. Ricky Jacobs

Richmond County Commissioners

County Commissioner

Ben Moss

Appointee Lavonda Jones

Appointee Orrick McDougald

Appointee Jennifer Brown

Appointee Danita McNeill

Business Community Member Suzanne Maness

United Way Cameron Hairston

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IV. Methods

The Community Health Assessment uses two types of data: primary data and secondary data.

Professional Research Consultants (PRC) collected primary data directly as a part of this

report. At the same time, secondary data was obtained from other sources. Local statistics for

Richmond County are compared with state statistics, as well as the neighboring counties. The

adjacent counties are identified as Montgomery, Anson, Moore, Scotland, and Marlboro,

South Carolina. These counties were chosen due to similar demographics, social issues, and

those residents work and shop in Richmond County as well as work collaboratively on

community health projects.

A. Primary Data

The regional health system, FirstHealth of the Carolinas, as well as the First-In-

Health Richmond 2020 Task Force entrusted the Professional Research Consultants

(PRC) in 2018, with conducting countywide surveys. The survey, conducted between

August 17, 2018, and October 25, 2018, was done via random-digit-dial mobile and

landline phones. The survey sample was compared with the United States Census

Bureau population to ensure an accurate representation of the people of Richmond

County. The questions on the survey mirrored the Behavioral Risk Factor

Surveillance Survey at the state and national levels, which were approved by the

First-in-Health Richmond 2020 Task Force. PRC identified areas of opportunity that

are indicative of significant health needs in Richmond County. The criteria for

establishing the health needs were determined by comparing benchmark data

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(national), trends, and consideration of the magnitude of the issue (number of people

and potential health impact). PRC distributed the data to the First-in-Health

Richmond 2020 Taskforce, which analyzed the data in September, October, and

November 2019 during the monthly meetings. These meetings were well attended

and representative of the partnerships in Richmond County.

Figure 3. PRC Survey Population Characteristics for Richmond County.

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B. Secondary Data

The public health education department compiled secondary data throughout October

and November 2019 to which the CHAT then analyzed during December 2019 and

January 2020.

The Richmond County Health Department Public Health Division gathered all

secondary data. Resources are Richmond County Health Department Patagonia

Electronic Health Records, North Carolina County Health Data Book, North Carolina

State Center for Health Statistics, Sexual Health Initiatives for Teens (SHIFTNC),

and the North Carolina Trend Reports 2019 as well as the County Health Rankings

and Roadmaps for Richmond County, Scotland County, Moore County, Montgomery

County, Anson County, and Marlboro, South Carolina. South Carolina data was also

obtained from the South Carolina Department of Health and Environmental Control.

The 2019 Community Health Assessment shares data from a variety of sources, the

North Carolina State Center for Health Statistics, the Centers for Disease Control and

Prevention (CDC), US Census Department, Cecil G. Sheps Center for Health

Services Research, and LINC: Log Into North Carolina.

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V. Key Findings

In summary of all collected primary and secondary data, the CHAT determined that

the health problems with the most significant impact for Richmond County residents

are obesity, aging, diabetes, cardio/cerebrovascular disease, and cancer. The most

significant impact on the quality of life with Richmond County residents is substance

misuse, adolescent health, infant mortality, and chronic health conditions. The

unhealthy behaviors with the most impact and the most problematic are substance

misuse, poor eating habits, and a lack of exercise.

Figure 4. Problematic Health Areas of Richmond County

Gre

ates

t H

ealt

h I

ssues

• Obesity

• Aging

• Diabetes

• Cardio/Cerbro-vascular Disease

• Cancer

Gre

ates

t Q

ual

ity o

f L

ife

Issu

es • Substance

Misuse

• Adolescent Health

• Infant Mortality

• Chronic Health Conditions

Gre

ates

t U

nH

ealt

hy B

ehav

iors

• Substance Misuse

• Poor Nutrition

• Lack of Exercise

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VI. Health Priorities

The CHAT analyzed the primary and secondary data and chose three areas of concern

to the Richmond County community. Those three areas were determined to be

substance misuse, smoking, and vaping as well as teen pregnancy. These priority

areas will be the focus in the development of the Community Health Improvement

Plans (CHIPS), Richmond County Health Department Strategic Plans 2020-2023, and

Community Action Plans for the next three to five years. These plans will assist

Richmond County residents, programs, and organizations going forward in reaching

the goals of Healthy North Carolina 2030 as well as improve the overall health of

Richmond County residents.

Figure 5. Health Priorities of Richmond County

Teen Pregnancy

Substance Misuse

Smoking & Vaping

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VII. Distribution

Hardcopy versions of the 2019 Community Health Assessment for viewing are found

in these locations:

Any Richmond County Library

Richmond Community College Campus Library and Nursing Building

All Richmond County Middle and High Schools Library

All Richmond County City Halls

Richmond County Aging Services

NC Cooperative Extension-Richmond County Center

Richmond County Chamber of Commerce

Richmond County Economic Development

Richmond County March of Dimes

United Way of Richmond County

FirstHealth Moore Regional Hospital-Richmond Outreach Department

An electronic copy of this report is available for download at the location below:

https://www.richmondnc.com/172/Community-Health-Education

A hard copy of this document is available upon request:

Richmond Health and Human Services

127 Caroline Street, Rockingham, NC 28379

Contact Public Health Education Department 910-997-8292

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Clinics and Programs

Dental Clinic (910)417-4933

Smoking Cessation (910)997-8305

Environmental Health (910)997-8320

Family Planning Clinic (910)997-8300

General Clinic (910)997-8300

Maternity Clinic (910)997-8300

Richmond County Community Care Clinic (910)997-8302

Sexually Transmitted Diseases (STD) Clinic (910)997-8300

Women, Infants, and Children Supplemental Nutrition (WIC) (910)997-8313

Breast and Cervical Cancer Control Program (BCCCP) (910)997-8394

Care Management for At-Risk Children (CMARC) (910)997-8337

Community Alternative Program for Children (CAP/C) (910)997-8337

Community Alternative Program for Disabled Adults (CAP/DA) (910)997-8337

Care Management for High Risk Pregnancy (CMHRP) (910)997-8337

Lead Follow-up Program (910)997-8298

Pharmacy Assistance Program (910)417-4909

Richmond County Health Department offers the community many resources as

well as distributing a Richmond County Community Resource Guide. This guide

is distributed digitally to all the distribution sites as the Community Health

Assessment as well as being available for download on the Richmond County

Community Health Education webpage. The guide can be found in the Appendix.

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Richmond County Profile

Service Area

The service area is the geographical boundary of Richmond County, North Carolina. Richmond

County is located in the southwestern corner of the North Carolina Inner Coastal Plains that is

considered the Sandhills Region. Sandhills, characterized by longleaf pines and coarse sandy

soil, is abundant in the Richmond County area. Richmond County borders Montgomery County

to the north, Moore County to the northeast, Scotland County to the southeast, Anson County to

the west, and Marlboro County, South Carolina to the south. Richmond County is ranked 47th in

the state by landmass and ranked 58th by population.

Transportation

Richmond County is south centrally located within the state of North Carolina, 70 miles east of

Charlotte, 83 miles south of Greensboro, and 90 miles southwest of Raleigh-Durham. The

nearest US Interstate is I-73 and I-74 that runs east-to-west through the County. Highway 220,

74 Business, 74 Bypass, and Highway 1 all run through Richmond County. State Highways in

Richmond County are 38, 73, 381, and 177.

Richmond County has a publicly owned and operated general aviation airport with 5,000 feet of

paved runway and 3500 feet of grass runway. Highway 74 provides access to the

Charlotte/Douglas International Airport located 85 miles to the west, and Highway 1 provides

access to Raleigh/Durham Airport located 100 miles to the northeast. The Piedmont Triad

International Airport in Greensboro is 96 miles north and accessed by Interstate I-73. Hamlet is

the closest stop on the Amtrak passenger railway system, and the nearest Greyhound Lines Bus

Stop is Rockingham.

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Events

Richmond County offers many festivals and special events throughout the year. The City of

Hamlet hosts the Seaboard Festival each October, as well as the annual County Fair. The town

of Norman hosts the NormFest festival each October, and the town of Ellerbe hosts the Farmer’s

Day Parade in November and the Ellerbe Strawberry Festival in May. Richmond County

Chamber of Commerce sponsors the Hoptober Fest each fall at the Rockingham Dragway. The

Rockingham Dragway, locally known as “The Rock,” is a drag racing facility that has various

types of events almost every weekend throughout the year. The Robert L. and Elizabeth S. Cole

Auditorium and Community Center or “The Cole” as it is affectional called by locals is

considered Richmond County’s premier entertainment center. With a seating capacity of 1,000,

this venue hosts multiple large and small scale touring productions as well as serving as a

community meeting venue.

Figure 6. Robert L. and Elizabeth S. Cole Auditorium and Community Center Courtesy of Richmond Community College.

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Recreation

Richmond County boasts many exceptional venues for outdoor recreation and leisure type of

activities for paddlers, anglers, boaters, walkers, bikers, and other family-friendly recreation with

a focus on conservation and appreciation of the great outdoors. Hitchcock Creek “Blue Trail”

Paddleway offers 14 miles of river and 100 protected acres of opportunity to explore the area’s

diverse floodplain forests, historic mill remnants, and rare plants and animals. The Rotary Lodge

and Hinson Lake, a 216-acre Rockingham City park with a 43-acre lake, offer 3 miles of walking

trails, including interpretive signs concerning wildlife and vegetation, 18-hole disc golf course,

canoe rentals, and picnic areas. The Hamlet City Lake area offers picnicking and fishing while

other facilities that include lighted tennis courts and soccer fields. The Sandhills Gamelands is a

60,000-acre nature reserve located in northeastern Richmond County. The Gamelands are open

to the public year-round for hunting (seasonal), hiking, biking, fishing, horseback riding,

camping, and military exercises.

Figure 6. Nona Lee “Pitt” Hinson Cohen Wildlife Conservation Area at Hinson Lake, Rockingham, North Carolina. Photo courtesy of Jimmy McDonald.

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Richmond County Demographics

Figure 7. 2018 Richmond County Population Estimates, US Census Bureau.

Figure 9. Richmond County Population Change Estimates, US Census Bureau (2010-2018).

44,887

North CarolinaPopulation

RichmondCountyPopulation

10,383,620

44,000

45,000

46,000

47,000

46,639

2010 44,887

2018

45,771

2014

Richmond County indicates a

steady decline in population by

an estimated average of 3.7%

from 2010 to 2018. This is due to

net migration from the loss of

industry (Great Recession [2007-

2009]) and a consistent trend of

greater number of deaths to

births.

2708 2801 Births

Deaths

Figure 8. Richmond County Number of Births and Deaths, NC State Center for Health Statistics (2014-2018).

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Figure 10. Richmond County Population Race Estimates, US Census Bureau (2018).

Figure 11. Richmond County Age Population Estimates, US Census Bureau American Community Survey (2009-2018).

White 62.1%

Black 31.6%

American Indian, 3.1%

Asian, 1.0%

Pacific Islander,

0.1% Hispanic or

Latino, 6.4%

Two or More

Races, 2.1%

11.90%

13.40% 13.40%

10.60%

13.10% 13.50% 12.70%

7.70%

3.80%

0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+

Race is a person’s self-

identification with one or

more social group.

Richmond County racial

composition is composed of a

White population at 61.4%

and Black population of

32.0%. The remaining 7%

population is American

Indian, Pacific Islander and

Two or More Races.

Old Age Dependency Ratio

(OADR) for the Richmond

County indicates an aging

population. The Richmond

County ratio for 2010 is 22

and 2018 is 27, while NC

2010 ratio is 19 and 2018 ratio

is 23 also indicates an aging

population.

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Figure 12. Population 2010-2018 Change Estimates, US Census QuickFacts.

-15.00%

-10.00%

-5.00%

0.00%

5.00%

10.00%

15.00%

20.00%

Anson Marlboro, SC Montomery Moore Richmond Scotland NC

North Carolina’s population has grown by 10% in the last 8 years with Moore

County exceeding this growth with 14%. Two Richmond County neighbors,

Anson and Marlboro, SC have a high declining population of -9.2% and -9.7%

respectfully. Richmond (-3.9%) and Scotland (-3.7%) have a similar decline

in population while Montgomery County has a slower decline in population at

-2.2%. The loss of industry in all of the Richmond County neighbors has

accounted for most declines in populations with the addition of an aging

population.

D e c e m b e r 2 0 1 9

Page 30

Table 1

2018 Neighbor Race Population Estimates

Anson

Marlboro Montgomery Moore Scotland

White 47.4% 41.1% 76.5% 83.1% 41.4%

Black 48.6% 51.1% 19.0% 12.2% 51.1%

American Indian 1.0% 4.6% 1.1% 0.9% 4.6%

Asian 1.5% 0.5% 1.6% 1.6% 0.5%

Pacific Islander 0.1% - 0.1% 0.2% -

Hispanic or

Latino*

4.3% 3.3% 15.4% 6.8% 3.3%

Two or More

Races

1.5% 2.1% 1.7% 2.1% 2.1%

Note: Data obtained from US Census QuickFacts (2018).

The concept of race is separate from the concept of Hispanic origin. Percentages for

the various race categories add to 100 percent, and should not combine with the

Hispanic percent.

Table 2

2018 Gender Population Estimates

Richmond Anson Marlboro Montgomery Moore Scotland

Male 51.17% 52% 52.2% 48.8% 48.2% 49.6%

Female 48.83% 48.0% 47.8% 51.2% 51.8% 50.4%

Median

Age

40.3 41.2 40.9 43.3 44.2 39.5

Note: Data obtained from US Census QuickFacts (2018).

The racial composition of Richmond County consists of 61.4% white alone, 32% black alone, 6.7% Hispanic

or Latino, 3.2% American Indian, and 0.9% Asian alone. Each neighboring county has a distinctive racial

makeup as compared to Richmond County with Anson, Marlboro and Scotland being the most similar to each

other. The median age across all the counties averages around 41.5. Gender, across the counties, averages to

be similar in the distribution of males to females.

D e c e m b e r 2 0 1 9

Page 31

County Health Rankings and Roadmaps

The County Health Rankings and Roadmaps (CHRR) help communities understand how healthy

the residents are today (health outcomes) and what will influences health in the future (health

factors). The Rankings use a summary composite score to calculate from eight individual

measures. The calculation of the Health Outcomes ranking was a combination score of Length of

life (50%) and quality of life (50%) The calculation of the summary score of Health Factors

included the following weights: Health behaviors (30%), Clinical care (20%), Social and

economic factors (40%), and the Physical environment (10%). Each component of the Health

Rankings are weighted based on relative importance within the element, as were considerations

made for reliability and availability of the data.

Table 3

Health Ranking Trends

2016

Rank

2017

Rank

2018

Rank

2019

Rank

Health Outcomes (compared to 99 NC counties)

90

87

91

95

Length of Life 92 86 89 94

Quality of Life 84 88 92 93

Health Behaviors 87 95 97 99

Clinical Care 94 91 93 94

Social and Economic Factors 94 93 91 91

Physical Environment 57 64 81 87

Note: Data obtained from County Health Rankings and Roadmaps (2019).

D e c e m b e r 2 0 1 9

Page 32

QUALITY OF LIFE

Examining the quality of life can tell a lot about how people perceive their health – whether they

feel unhealthy and dissatisfied. When communities have high numbers of those who do not feel

healthy, it can influence other factors of health, including mortality rates, unemployment,

poverty, and the percentage of adults who did not complete high school. The CHRR obtained

data from the Behavioral Risk Factor Surveillance System (2016) and the National Center for

Health Statistics - Natality files (2011-2017) for this assessment. The table below depicts

averages from Richmond County age-adjusted adults. They report poor or fair health, poor

physical health, and poor mental health as compared to North Carolina averages for 30 days.

Table 4

Quality of Life

Richmond

County

North

Carolina

Poor or Fair health 24% 18%

Poor physical health days 4.4 3.6

Poor mental health days 4.6 3.9

Note: Data obtained from County Health Rankings and

Roadmaps (2019).

D e c e m b e r 2 0 1 9

Page 33

HEALTH BEHAVIORS

Health behaviors are actions individuals take that affect their health. Actions include eating well

and being physically active as well as actions that increase one’s risk of diseases such as

smoking, excessive alcohol intake, and risky sexual behavior. The CHRR obtained data from the

Behavioral Risk Factor Surveillance System (2016) and Fatality Analysis Reporting System to

report Tobacco, Alcohol, and Drug Use data. For Diet and Exercise, the CHRR used the CDC

Diabetes Interactive Atlas (2015), Business Analyst, Delorme map data, ESRI, & US Census

Tigerline Files, USDA Food Environment Atlas (2015 & 2016), and the Map the Meal Gap from

Feeding America (2015 & 2016). Alcohol and Drug Use data also obtained data from the

Behavioral Risk Factor Surveillance System (2016) and the Fatality Analysis Reporting System

(2013-2017). The Sexual Activity data obtained data from the National Center for HIV/AIDS,

Viral Hepatitis, STD, and TB Prevention (2016) as well as the National Center for Health

Statistics - Natality files (2011-2017). The following table indicates that Richmond County

residents are lagging behind North Carolina in health risk factors such as smoking, obesity, teen

births, low birth weight, lack of exercise as well as the lack of exercise opportunities. The

Richmond County Food Environment Index is comparable to the state average. It includes

measures like the distance between home and a grocery store, locations for healthy food

purchases as well as the cost barriers to purchase healthy foods.

D e c e m b e r 2 0 1 9

Page 34

Table 5

Health Behaviors

Richmond

County

North

Carolina

Adult Smokers 23% 18%

Adult Obesity

(BMI greater than or equal to 30 kg/m2)

38% 30%

Food Environment Index

0 (worst) to 10 (best)

6.5 6.6

Physical Inactivity 32% 23%

Access to Exercise Opportunities 39% 73%

Excessive Drinking 14% 17%

Alcohol-impaired Driving Deaths 27% 30%

Sexually Transmitted Infections

(Newly diagnosed chlamydia cases per 100,000 population)

812.1 577.6

Teen Births

(Per 1,000 female ages 15-19)

49 27

Low Birthweight

(Live births less than 2,500 grams)

12% 9%


Figure 13. Teen Friendly Exam in the Richmond Health Department sponsored by Youth Leadership Council.

D e c e m b e r 2 0 1 9

Page 35

CLINICAL CARE

Access to affordable, quality, and timely healthcare can help prevent diseases and detect issues

sooner, enabling individuals to live longer, healthier lives. While part of a broader context,

looking at clinical care helps to understand why some communities can be healthier than others.

Small Area Health Insurance Estimates (2016), Area Health Resource File/American Medical

Association (2016), Area Health Resource File/National Provider Identification file (2017),

CMS, National Provider Identification (2018) provided data for access to care information.

Mapping Medicare Disparities Tool (2016) provided data for the quality of care items.

Richmond County Health Department attempts to offset many of these areas by providing

community health services such as community clinics, dentistry services, and vaccinations.

Table 6

Clinical Care

Richmond

County

North

Carolina

Uninsured

(Under age 65)

14% 12%

Primary Care Physicians*

(Population to primary care physicians)

2,640:1 1,420:1

Dentists

(Population to dentists)

2,990:1 1,800:1

Mental Health Providers

(Population to mental health providers)

680:1 440:1

Preventable Hospital Stays

(Ambulatory-care sensitive conditions per 1,000 Medicare enrollees)

9,568 4,702

Flu Vaccinations

(Medicare enrollees that had an annual flu vaccination)

46% 50%

Mammography Screening

(Medicare enrollees ages 67-69 that receive mammography

screening)

44% 45%

Notes: Data obtained from County Health Rankings and Roadmaps (2019).

Data does not include Physician Assistants (PAs) or Nurse Practitioners

D e c e m b e r 2 0 1 9

Page 36

SOCIAL AND ECONOMIC FACTORS

Social and economic factors can significantly affect how well and how long we live. They also

affect our ability to make healthy choices, afford medical care and housing, and manage stress as

well as other health-related decisions. Richmond County School System and Richmond

Community College make efforts to counter some of the issues by providing multiple avenues

toward graduation. One such program is the Career & College Promise, in which students attend

the Richmond Early College. Students can graduate high school with an associate degree or

continue after high school graduation with two free years of tuition through the RichmondCC

Guarantee. Richmond Community College also offers teen and adult learners a chance to earn a

high school equivalency diploma or an adult high school diploma on campus and online.

Table 7

Social and Economic Factors

Richmond

County

North

Carolina

High School Graduation (Ninth-grade cohort that graduates in four years)

81% 86%

Some College (Adults [25-44] with some post-secondary education)

47% 67%

Unemployment (16 and older unemployed but seeking work)

(November 2019)

4.9% 3.8%

Children in Poverty (Under 18)

37% 21%

Children in Single-Parent Households 54% 35%

Social Associations (e.g., Rotary Club, Lions Club)

(Per 10,000 population)

14.9 11.5

Violent Crime (Per 100,000 population)

494 351

Injury Deaths (Per 100,000 population)

91 71


D e c e m b e r 2 0 1 9

Page 37

PHYSICAL ENVIRONMENT

The physical environment of our County is where individuals live, work, and play. People

interact with their physical environment through the air they breathe, the water they drink,

houses they live in, and their transportation to work and school. A poor physical environment can

affect our ability to live long and healthy lives. Due to the loss of industry in Richmond County,

many residents find the need to commute for work. Neighboring Moore County is thirty minutes

or less away which may be an indication of why Richmond County rates are lower than the state

average . CHRR gathered data from the Environmental Public Health Tracking Network (2014),

Safe Drinking Water Information System (2017), Comprehensive Housing Affordability Strategy

(CHAS) data (2011-2015), and the American Community Survey, 5-year estimates (2013-2017),

for the physical environment data.

Table 8

Physical Environment

Richmond

County

North

Carolina

Air Pollution – Particulate Matter (average daily density of delicate particulate matter in micrograms per cubic meter

[PM 2.5])

10.2 9.8

Severe Housing Problems (Households with 1 of 4 housing problems: overcrowding, high housing costs, or

lack of kitchen or plumbing facilities)

16% 16%

Driving Alone to Work 86% 81%

Long Commute – Driving Alone (more than 30 minutes)

26% 32%


Air Pollution factors cannot be compared to previous years.

D e c e m b e r 2 0 1 9

Page 38

Richmond County Health Data Table 9

2019 Leading Cause of Death

Richmond

County

North

Carolina

1 Heart Disease 288.7 180.9

2 Cancer - all 234.1 191.4

3 Chronic Lower

Respiratory Diseases

(CLRD)

84.9 51.9

4 Cerebrovascular Disease 71.3 48.2

5 Diabetes 59.9 27.0

6 Alzheimer’s Disease 49.7 36.5

7 Unintentional Injuries 42.7 35.9

8 Kidney Disease 33.0 18.8

9 Hypertension 26.4 -

10 Chronic Liver Disease

and Cirrhosis

21.1 12.2

Note: Data obtained from NC State Center for Health

Statistics

Hypertension has no state data.

Figure 14 . Leading Cause of Death Compared with Neighboring Counties. Hypertension has no adjacent county data. Data obtained from NC State Center for Health Statistics.

0

50

100

150

200

250

300

350

Richmond Anson Montgomery Moore Scotland NC

HEART CANCER CHRONIC RESPIRATORY CEREBROVASCULAR

DIABETES ALZHEIMER UNINTENTIONAL INJURY KIDNEY

HYPERTENSION LIVER

Top ten 2019 leading causes of death in

Richmond County which are compared

to NC rates. Richmond County has

higher mortality rates than NC. Since

2006, heart disease continues to be the

leading cause of death in Richmond

County, followed by cancer. In

comparison to our neighbors and the

state, Richmond has the highest rates in

heart disease, chronic lower respiratory

disease, diabetes, unintentional

accidental deaths, and cirrhosis/liver

disease.

D e c e m b e r 2 0 1 9

Page 39

Heart Disease and Stroke

Richmond County continues to battle heart disease with prevalence and mortality rates higher

than our neighboring counties and North Carolina rates (North Carolina Department of Health

and Human Services [NCDHH], 2019b). Cerebrovascular or Stroke, Richmond County’s fourth

leading cause of death, is the sudden death of brain cells due to lack of oxygen when the blood

flow to the brain is impaired by blockage or rupture of an artery (CDC, 2019g).

Lifestyle choices can increase the risk of heart disease, heart attack, and stroke. Diets high in

saturated fats, trans-fatty acids (trans fats), salt (sodium), and cholesterol are linked to heart

disease and high blood pressure levels (CDC, 2019f). Richmond County residents have higher

risk levels than the state in lack of physical activity, smoking, limited access to healthy foods,

and mental distress, which increases the risk for heart disease and stroke (CDC, 2019f).

Richmond County residents also have higher rates than the state in medical conditions that are

considered risk factors, such as obesity, high blood pressure, high cholesterol, and diabetes

(CDC, 2019f). It should be noted that exposure to other people’s secondhand smoke can increase

the risk of heart disease even for nonsmokers (CDC, 2019f).

D e c e m b e r 2 0 1 9

Page 40

Table 10

Heart Disease Trends

Heart

Disease Mortality

(2008-2012)

Heart

Disease Mortality

(2013-2017)

Prevalence of

Heart Disease 2015

Prevalence of Heart

Disease

2018

Richmond 250.0 235.5 10.3% 10.2%

Anson 185.6 219.2 - -

Montgomery 147.6 170.0 9.3% 8.2%

Moore 131.7 136.9 7.2% 8.1%

Scotland 229.9 196.8 - -

Marlboro - 346.2

(2015-2017)

- -

NC 174.4 159.8 6.1% 8.0%

Note: Data obtained from NC State Center for Health Statistics and SC Department of Health and Environmental Control

(DHEC).

Table 11

Risk Factors for Heart Disease and Stroke

Adult

Smoking

Physical

Inactivity

Excessive

Drinking

Limited Access to

Healthy Foods

Frequent Mental

Distress

Richmond 23% 32% 14% 6% 15%

Anson 22% 28% 15% 4% 14%

Montgomery 19% 31% 14% 1% 14%

Moore 16% 25% 16% 4% 12%

Scotland 23% 28% 13% 8% 16%

Marlboro 22% 33% 14% 9% 16%

NC 18% 23% 17% 7% 12%


Table 12

Conditions That Increase Heart Disease and Stroke Risk

High Blood Pressure

(2018)

High Cholesterol

(2018)

Diabetes

(2019)

Obesity

(2019)

Richmond 53.9 41.2% 14% 38%

Anson - - 14% 36%

Montgomery 46.7 41.7% 12% 32%

Moore 41.8 34.7% 11% 28%

Scotland - - 14% 36%

Marlboro 55.4%

(2015-2017

- 15% 41%

NC 34.8 41% 11% 30%

Note: Data obtained from County Health Rankings and Roadmaps (2019), PRC Community Needs Assessment (2018),

and SC Department of Health and Environmental Control (DHEC).

D e c e m b e r 2 0 1 9

Page 41

Cancer

Cancer is not one disease but a group of diseases (CDC, 2019a). All cancers have one thing in

common; they can grow and spread uncontrollably if not diagnosed and treated at an early stage

(CDC, 2019a). Cancer can be caused by many things like smoking, poor diet, or family history.

The risk of developing cancer differs for men and women. In the United States, one out of two

men and one out of three women will have cancer in his or her lifetime (CDC, 2019a).

According to the American Cancer Society (ACS) and the Surgeon General’s Report (2014),

smoking and the use of smokeless tobacco are responsible for the majority of all cancers of the

lung, trachea, bronchus, larynx, pharynx, oral cavity and esophagus.

Stopping smoking at any age lowers the risk of developing lung cancer. Steps can be taken to

reduce the risk of cancer, such as eating a variety of healthy foods with an emphasis on plant

sources, adopting a physically active lifestyle, maintaining a healthy weight, and limiting alcohol

consumption (CDC, 2019a). Screenings for early detection for cancer is essential in determining

survival outcomes (CDC, 2019a).

The following charts indicate that Richmond County has lessened the mortality and incident

rates for breast and prostate cancers but continually has high rates in Lung Cancer and Colorectal

Cancer. Although similar to the rates of neighboring counties, the rates are slightly higher than

the state rates (NCDHH, 2019c).

D e c e m b e r 2 0 1 9

Page 42

Table 13

Cancer Mortality Rates

Female Breast

Cancer

(2012- 2016)

Prostate

Cancer

(2012-2016)

Lung

Cancer

(2013-2017)

Colorectal

Cancer

(2013-2017)

Richmond 141.5 88.7 48.3 15.3

Anson 159.5 120.4 51.4 22.7

Montgomery 131.6 115.6 45.0 13.8

Moore 147.3 118.6 42.9 11.4

Scotland 153.0 139.1 64.4 18.0

Marlboro - - 63.0 (2012-2016)

23.0 (2012-2016)

NC 161.8 115.9 45.9 13.4

Note: Data obtained from NC State Center for Health Statistics and SC DHEC.

Table 14

Cancer Incidence Rates

Female Breast

Cancer

Prostate

Cancer

Lung

Cancer

Colorectal

Cancer

Richmond 141.5 88.7 72.6 40.2

Anson 152.9 82.5 66.6 40.0

Montgomery 131.6 115.6 70.7 40.3

Moore 147.3 118.6 64.0 31.5

Scotland 153.0 139.1 93.0 46.5

Marlboro 122.0 (2012-2016)

174.0 (2012-2016)

80.0 (2012-2016)

47.0 (2012-2016)

NC 161.8 115.9 68.8 37.1

Note: Data obtained from NC Central Cancer Registry (2018) and SC Central Cancer Registry

(2018).

D e c e m b e r 2 0 1 9

Page 43

Figure 15. Lung Cancer Mortality Rates. Data obtained from NC State Center for Health Statistics (2019)

Figure 1. Colorectal Cancer Death Rates. Data obtained from NC State Center for Health Statistics (2019)

0

10

20

30

40

50

60

70

80

2003-2007 2008-2012 2013-2017

Richmond

Anson

Montgomery

Moore

Scotland

North Carolina

0

5

10

15

20

25

2003-2007 2008-2012 2013-2017

Richmond

Anson

Montgomery

Moore

Scotland

North Carolina

D e c e m b e r 2 0 1 9

Page 44

Chronic Lower Respiratory Disease

Chronic lower respiratory disease (CLRD) includes asthma, chronic bronchitis, and emphysema.

It is the third leading cause of death in Richmond County (NCDHH, 2019b). These diseases

obstruct airflow to the lungs and affect millions of Americans (CDC, 2019c). CLRDs are not

curable (CDC, 2019c). However, various forms of treatment can help dilate major air passages

and improve shortness of breath (CDC, 2019c). Medications can help control symptoms and

increase the quality of life for people with the disease (CDC, 2019c).

Exposure to things in the environment like mold or dampness, dust mites, second-hand smoke,

smoking, air pollution, industrial chemicals, and dust, as well as having frequent lower

respiratory infections, are linked to developing CLRDs (CDC, 2019c). Air pollution and viral

lung infections may also lead to asthma. Asthma is another risk factor for CLRD that affects the

lungs (CDC, 2019c). It is one of the more common long-term diseases of children, although

adults can have asthma, too (CDC, 2019c). Vaccinations are vital in the fight against CLRDs.

Pneumococcal infections can range from minor ear and sinus infections to pneumonia and

bloodstream infections (CDC, 2019c). Children younger than two years old and adults 65 years

or older are among those most at risk for pneumococcal infections (CDC, 2019c).

Table 15

CLRD Mortality Rates

2015 2016 2017 Richmond 83.6 80.1 107.1

Anson 85.4 74.7 60

Montgomery 79.9 69.3 76.5

Moore 68.9 57.4 79.02

Scotland 42.2 51.1 65.5

NC 52 52.4 54

Note: Crude CLRD Mortality Rates. Data obtained from NC State Center for

Health Statistics.

D e c e m b e r 2 0 1 9

Page 45

Table 16

High-Risk Factors

Ric

hm

on

d

An

son

Mon

tgom

ery

Moore

Sco

tlan

d

Marl

boro

NC

Flu

Vaccinations

46% 42% 50% 57% 42% 39% 50%

Air Pollution 10.2 10.2 9.7 10.4 10.2 10.3 9.8

Second-Hand

Smoke

28.2 - 13.2 14.4 - - -

Note: High-Risk Factors towards CLRD. Data obtained from County Health

Rankings and Roadmaps (2019) and PRC Community Needs Assessment (2018).

Figure 17. Adult Smokers 2015-2019. Data obtained from County Health Rankings and Roadmaps (2019).

0%

5%

10%

15%

20%

25%

30%

2015 2016 2017 2018 2019

Richmond

Anson

Montgomery

Moore

Scotland

Marlboro, SC

North Carolina

Richmond County Health Department Community Care clinic offers preventive care and

vaccinations. Appointments are available Monday through Thursday from 8:00 am - 5:00 pm

and Friday from 8:00 am -12:00 pm.

D e c e m b e r 2 0 1 9

Page 46

Diabetes

Diabetes is Richmond County’s fifth leading cause of death and contributes to deaths from heart

disease and stroke (University of Wisconsin Population Health Institute (UWPHI), 2019).

Diabetes is a leading cause of kidney failure, non-traumatic lower-limb amputations, and

blindness among adults (CDC, 2019d). Type 2 diabetes accounts for 90 to 95 percent of all

diagnosed cases (CDC, 2019d). Type 2 diabetes is a mostly preventable progressive disease

influenced by changeable risk factors, such as smoking, obesity, physical inactivity, high blood

pressure, and poor diet (CDC, 2019d).

Figure 18. Diabetes Prevalence Rates. Data obtained from County Health Rankings and Roadmaps (2019).

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

2015 2016 2017 2018 2019

Richmond

Anson

Montgomery

Moore

Scotland

Marlboro, SC

North Carolina

D e c e m b e r 2 0 1 9

Page 47

Opioid Crisis

For the past century, motor vehicle deaths have been the leading cause of injury death in North

Carolina and the United States. In North Carolina, overdose deaths from all intents overtook

motor vehicle crashes in 2010 to become the leading cause of injury death (NCDHH, 2019a). In

North Carolina, as in the United States, deaths due to medication/drug overdoses have been

steadily increasing since 1999. The vast majority (90%) of these are unintentional (NCDHH,

2019a). The chart below portrays the trends for the last ten years of medication and drug

overdose deaths in Richmond County by intent.

Figure 19. Medication and Drug Overdose Deaths by Intent in Richmond County. It also displays all intents summed together. Data obtained from NC Department of Health and Human Services, Injury and Violence Prevention Branch.

0

2

4

6

8

10

12

14

16

2010 2011 2012 2013 2014 2015 2016 2017 2018

Nu

mb

er o

f d

eath

s

All Intents

Unintentional

Self-Inflicted

Undetermined

Assault

D e c e m b e r 2 0 1 9

Page 48

The epidemic of medicine/drug overdose is mostly driven by opiates, specifically prescription

opioids (NCDHH, 2019a). Historically, prescription opioids drugs like hydrocodone, oxycodone,

and morphine have contributed to an increasing number of medication/drug overdose deaths

(NCDHH, 2019a). More recently, other synthetic narcotics (heroin, fentanyl, and fentanyl

analogs [similar to fentanyl but are chemically modified]) are resulting in increased deaths

(NCDHH, 2019a). Statewide, the number of unintentional poisoning deaths involving cocaine,

benzodiazepines, and alcohol are also on the rise (NCDHH, 2019a).

Figure 16. Unintentional Medication and Drug Overdose Deaths in Richmond County. Data obtained from NC Department of Health and Human Services, Injury and Violence Prevention Branch.

0

1

2

3

4

5

6

7

8

9

10

2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Nu

mb

er o

f d

eath

s

Commonly Prescribed Opioid Medications

Heroin and/or Other Synthetic Narcotics

Cocaine

Psychostimulants

Benzodizepines

Antiepileptic

Alcohol

D e c e m b e r 2 0 1 9

Page 49

Infant Health and Family Planning

An important public health goal for Richmond County is improving the well-being of mothers,

infants, and children because this determines the health of future generations. Predicting future

public health challenges for families and communities can lead to the early identification and

treatment of health conditions. This can prevent death or disability and enable children to reach

their full adult potential.

Table 17

Challenges for Healthy Children 2015 2016 2017 2018 2019 NC

2019

Children in Poverty 41% 37% 43% 38% 37% 21%

Low Birthweight 10.3% 11% 11% 11% 12% 9%

Single Parent

Household

47% 43% 48% 52% 54% 35%

Food Insecurity 22% 22% 21% 21% 21% 15%

Uninsured Children 8% 7% 5% 5% 5% 5%

Disconnected Youth

(18 and under not in

school or employed)

- - 23% 23% 9% 7%

Mothers who

smoked

136 120 124 136 136 9,938

(2018)

Mothers on

Medicaid

83.7 83.6 85.5 - - -

Mothers on WIC 71.6 70.1 69.7 - - -

Note: Data obtained from County Health Rankings and Roadmaps (2019), NC State Center

for Health Statistics (2019).

D e c e m b e r 2 0 1 9

Page 50

Figure 21. Richmond County Infant and Child Deaths. Data obtained from the NC Division of Public Health, Women’s and Children Health Section in Conjunction with the NC State Center for Health Statistics.

Figure 22. Infant Mortality Four-Year Rate 2014-2018. Data obtained from NC State Center for Health Statistics (2019).

Figure 173. 2014-2018 Infant and Child Deaths by Age. Obtained from NC Division of Public Health, Women’s

and Children.

49%

9%

12%

0%

0%

0%

6%

0%

6%

3%

15%

0%

0% 10% 20% 30% 40% 50% 60%

Perinatal Conditions

Birth Defects

All Other Causes

Suicide

Homicide

Unintentional Injury

Strangling/Suffocation/Choking

Poisoning

Drowning

Motor Vehicle Accident

Illness

SIDS

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

20152016

20172018

10.80%

9.70%

13.90%

5.40%

25

1 2 1

4

0

5

10

15

20

25

30

Age Under 1 Ages 1-4 Ages 5-9 Ages 10-14 Ages 15-17

2014-2018 Total Infant Death

by Cause

Richmond County has a seen a

significant decrease in infant

mortality rates since 2015

largely due to such programs as

Baby Easy Sleep Safe Training

for disadvantage families.

Perinatal conditions are still the

number one condition for infant

death under the age of one year

old. The most common causes

of perinatal death are premature

birth and low birthweight.

D e c e m b e r 2 0 1 9

Page 51

Parenting at any age can be challenging, but it can be particularly difficult for teen parents. There

are costs to having children during adolescence such as; teen moms are less likely to finish high

school, more likely to rely on public assistance and more likely to be underprivileged as adults

(CDC, 2019i). Children of teen parents are more likely to be challenged in education, behavior,

and health outcomes over the course of their lives (CDC, 2019i). The Richmond County Health

Department in response to the high teen pregnancy rates as compared to NC state rates began a

ninth and eighth grade teen reproductive health curriculum during the 2016-2017 school years

that continues today. All Richmond County ninth grade classes including the Richmond County

Early College students were educated in teen health using the Reducing the Risk (RTR)

curriculum. All Richmond county eight-grade classes were educated in teen health using the

Promoting Health Among Teens-Abstinence Only (PHAT-AO) curriculum.

Table 18

Richmond County Teen Pregnancy Rates

2014 2015 2016 2017 2018

Teen pregnancy rate

(Per 1,000 15-19 year-old girls)

46.8 42.8 47.6 49.6 45.8

Teen pregnancy rates by age

15-17 years old only

26.9 - 25.2 - -

Teen pregnancy rates by age

18-19 years old only

83.3 95.0 90.3 105.0 104.0

Repeat Pregnancies 13.6% 31.7% 22.7% 19.1% 23%

Change

(Since previous year)

- - - - -8%

NC Pregnancy Rate

(Per 1,000 15-19 year old girls)

32.3 30.2 28.1 26.7 24.6

Note: Data obtained from NC Division of Statistics

Rates based on small numbers (<20 pregnancies) are unstable and not provided.

D e c e m b e r 2 0 1 9

Page 52

Figure 18. Teen Pregnancy Rates 2016-2018 Ages 15-17. Data obtained from the NC State Center for Health Statistics (2019).

Table 19

2018 Teen Pregnancy Rates

15-17

years

old

18- 19

years

old

15-19

years

old

Richmond - 104.0 45.8

Anson - - 29.9

Montgomery - - -

Moore - 57.6 23.8

Scotland - 79.1 46.2

NC 10.6 44.0 24.6

Note: Data obtained from NC State Center for

Health Statistics (2019).

Rates based on small numbers (<20 pregnancies)

are unstable and not provided.

2016 2017 2018

Pregnancies 23 18 12

0

5

10

15

20

25

Richmond County still

battles high teen (18-19

years old) pregnancy

issues; however, since the

implementation of the teen

reproductive health

curriculum in the

Richmond County School

system, there has been a

dramatic decrease in teen

pregnancy rates from the

2016 to the 2018 years.

Richmond County still has

the highest rates as

compared to NC state rates

and neighboring counties.

D e c e m b e r 2 0 1 9

Page 53

2019 STD/STI Surveillance Report

Gonorrhea can cause infections in the genitals, rectum, and throat (CDC, 2019e). It is prevalent

among the 15-24 age groups (CDC, 2019e). This infection is symptomatic in males and slightly

less so in females (CDC, 2019e). Males tend to seek medical treatment, while female’s infections

are detected through screenings (CDC, 2019e).

Figure 25. 2018 Richmond County Gonorrhea Cases. Data obtained from Richmond County Health Department Sexually Transmitted Infections (STIs) Services. *Hispanic combined with other races and not counted in totals.

Chlamydia tends to be asymptomatic for males and females (CDC, 2019b). Female

screenings are the only method of detection (CDC, 2019b). At this time, there are no

acceptable methods of screening for males (CDC, 2019b).

Figure 26. 2018 Richmond County Chlamydia Cases. Data obtained from the Richmond County Health Department Sexually Transmitted Infections (STIs) Services. *Hispanic combined with other races and not counted in totals.

0

10

20

30

40

50

60

70

13-19 20-25 26-35 36-45 46-55 56+

Total All Groups

Am Ind Male

Am Ind Fem

Black Male

Black Fem

*Hisp Male

*Hisp Fem

White Male

0

50

100

150

200

13-19 20-25 26-35 36-45 46-55 56+

Total All Groups

Am Ind Male

Am Ind Female

Black Male

Black Female

White Male

White Female

D e c e m b e r 2 0 1 9

Page 54

Syphilis cases are reported by stage of infection. Primary and secondary infections have

particular symptoms, while early latent infection can be asymptomatic (CDC, 2019h). The

tertiary or late-stage begins when the secondary stage disappears and is no longer infectious

(CDC, 2019h). However, this stage is when it starts to affect the organs and can lead to

complications or death (CDC, 2019h). Pregnant women can pass this infection onto the child

(CDC, 2019h). Richmond County had seven reported cases in 2018, and the data displayed

below indicate the age, race, and gender as well as the stage of the disease.

Table 20

2018 Richmond County Syphilis Cases

Age Gender Race

Syphilis

(Secondary)

31 Male Black

Syphilis

(Early, Non-Primary, Non-Secondary)

31 Male Black

Syphilis

(Unknown Duration or Late)

30 Male Black

Syphilis


33 Female American Indian

Syphilis


30 Male Black

Syphilis


30 Male White

Syphilis


28 Female White

Note: Data obtained from the Richmond County

Health Department Sexually Transmitted Infections Services.

D e c e m b e r 2 0 1 9

Page 55

Health Disparity

“Race” is a social category or a way society identifies individuals based on cultural ancestry and

is not a way of portraying individuals based on biology or genetics (North Carolina Division of

Public Health (NCPH), 2014). The current body of empirical research supports the belief that

genetic factors responsible for racial differences are not factors in health and very rarely for

health outcomes (NCPH, 2014). There is very little research between race and health problems.

Other factors, such as socioeconomic status, income, stress, and barriers to healthcare, may be

more of a root cause of lower health outcomes (NCPH, 2014). Black Americans and other

minority groups have higher numbers of preventable disease and death rates than whites;

however, this may not be true when comparing individuals within the groups (NCPH, 2014).

Hispanic or Latino is an ethnic group and not a racial group and can be counted as white or other

minority groups (NCPH, 2014). There are also challenges in the accuracy of data for this

particular group due to under-reporting (NCPH, 2014).

Figure 27. 2016-2018 Life expectancy by Age, Race, and Gender. Data obtained from NC State Center of Health Statistics.

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

<1

1-4

5-9

10

-14

15

-19

20

-24

25

-29

30

-34

35

-39

40

-44

45

-49

50

-54

55

-59

60

-64

65

-69

70

-74

75

-79

80

-84

85

+

LE

MALE LE

FEMALE LE

WHITE

BLACK

D e c e m b e r 2 0 1 9

Page 56

Low Birth Weight

Low Birth Weight (LBW) (< 2,500 grams) is an indicator of risk for future health problems

(UWPHI, 2019). Some babies may become sick in the first six days of life or develop infections.

Other babies may even suffer from longer-term issues such as delayed motor and social

development or learning disabilities, lower IQ, and adult-onset chronic conditions such as

obesity and diabetes (UWPHI, 2019). Richmond County’s minority community displays the

highest percentages for low birth weight that is similar to surrounding counties. This issue is

compounded by teen pregnancy, underutilizing prenatal care, lack of healthy foods as well as

food insecurity (CDC, 2019i).

Table 21

Percentage of Live Births with Low Birthweight Total

LBW

Black

Hispanic

Latino

White

Richmond 12 17 8 9

Anson 12 14 * 9

Montgomery 10 16 6 10

Moore 9 15 7 8

Scotland 13 15 - 11

Marlboro 12 10 - 13

NC 9 14 7 7

Note: Data obtained from the County Rankings and Roadmaps (2019).

Table 22

Teen Birth Rates by Race/Ethnicity Total Black Hispanic White

Richmond 49 63 49 37

Anson 43 54 69 24


Moore 25 41 42 19

Scotland 52 64 - 36

Marlboro 57 60 - 53

NC 27 - - -


D e c e m b e r 2 0 1 9

Page 57

Preventable Hospital Stays Rates

Preventable hospital stays are inpatient stays that could be avoided with quality outpatient

treatment and disease management (UWPHI, 2019). This serves as an indicator of possible

unmet community health needs and could help identify the populations most in need of

improvements in outpatient care as well as the conditions for which care is most needed

(UWPHI, 2019).

Table 23

Preventable Hospital Stays Rates Total Black Hispanic White

Richmond 4,581 4,936 9,755 9,135

Anson 6,436 8,404 - 5,391

Montgomery 5,029 6,056 - 4,772

Moore 4,444 8,205 1,829 3,892

Scotland 6,266 7,331 - 5,403

Marlboro 6,559 5,644 21,429 6,988

NC 4,702 - - -


Children in Poverty

Children living in poverty have a sense of hopelessness and failure that is difficult to overcome.

These findings create a significant risk of developing mental disorders as well as other physical

and developmental health issues (UWPHI, 2019).

Table 24

Percentage of Children Living in Poverty Total Black Hispanic White

Richmond 37 48 69 29

Anson 33 44 46 9


Moore 15 54 27 11

Scotland 39 60 42 24

Marlboro 39 37 52 36

NC 21 - - -

Notes: Data obtained from County Health Rankings and Roadmaps

(2019).

D e c e m b e r 2 0 1 9

Page 58

References

Center for Disease Control and Prevention (CDC). (2019a). Cancer. Retrieved

from https://www.cdc.gov/cancer/

Center for Disease Control and Prevention (CDC). (2019b). Chlamydia. Retrieved from

https://www.cdc.gov/std/chlamydia/

Center for Disease Control and Prevention (CDC). (2019c). COPD. Retrieved from

https://www.cdc.gov/copd/

Center for Disease Control and Prevention (CDC). (2019d). Basics of diabetes. Retrieved from

https://www.cdc.gov/diabetes/basics/

Center for Disease Control and Prevention (CDC). (2019e). Gonorrhea. Retrieved from

https://www.cdc.gov/std/gonorrhea/

Centers for Disease Control and Prevention (CDC). (2019f). Heart disease. Retrieved from

https://www.cdc.gov/heartdisease/

Center for Disease Control and Prevention (CDC). (2019g). Stroke. Retrieved from

https://www.cdc.gov/stroke/

Center for Disease Control and Prevention (CDC). (2019h). Syphilis. Retrieved from

https://www.cdc.gov/std/syphilis/

Center for Disease Control and Prevention (CDC). (2019i). Teen pregnancy. Retrieved from

https://www.cdc.gov/teenpregnancy/

North Carolina Department of Commerce, Labor & Economic Analysis Division. (2019,

October). AccessNC: North Carolina Economic Data. Raleigh, NC: Retrieved from

https://accessnc.nccommerce.com/DemographicsReports/

North Carolina Department of Health and Human Services (NCDHH). (2019a). Medication and

D e c e m b e r 2 0 1 9

Page 59

Drug Overdose in Richmond County. Raleigh, NC: Injury and Violence Prevention

Branch. Retrieved from

https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/Poisoning.htm

North Carolina Department of Health and Human Services (NCDHH). (2019b). North Carolina

county health data book 2019. Raleigh, NC: Division of Public Health: State Center of

Health Statistics. Retrieved from https://schs.dph.ncdhhs.gov

North Carolina Department of Health and Human Services (NCDHH). (2019c). North Carolina

trend reports 2019. Raleigh, NC: Division of Public Health: State Center for

Health Statistics. Retrieved from https://schs.dph.ncdhhs.gov

North Carolina Division of Public Health (NCDPH). (2019). 2018 North Carolina resident infant

and child deaths. Raleigh, NC: Women’s and Children’s Health Section: State Center for

Health Statistics. Retrieved from https://publichealth.nc.gov

North Carolina Division of Public Health (NCDPH). (2014). Community health assessment

Guide book. Raleigh, NC: North Carolina Division of Health and Human Services.

North Carolina Office of State Budget and Management (OSBM). 2019. Populations by

projection of race, sex, and age groups-Vintage 2019. Retrieved from

https://demography.osbm.nc.gov/explore/?sort=modified

Professional Research Consultants, Inc. (2018). 2018 Community health needs assessment.

Omaha, NE: FirstHealth of the Carolinas.

Richmond County Health and Human Services. (2019). North Carolina HIV/STD surveillance

report. Rockingham, NC: North Carolina electronic disease surveillance system.

Retrieved from https://www.ncdhhs.gov

Sexual Health Initiatives for Teens (SHIFTNC). (2019). Resource and statistics map.

D e c e m b e r 2 0 1 9

Page 60

Sexual Health Initiatives for Teens. Retrieved from www.shiftnc.org

South Carolina Department of Health and Environmental Control. (2019). Marlboro County

health profile. Columbia, SC: Healthy People Healthy Communities. Retrieved from

https://www.scdhec.gov

Sperling, B. (2019, October 16). Climate in Richmond County, North Carolina. Retrieved from

https://www.bestplaces.net/climate/county/north_carolina/richmond

United States Census Bureau. (2018). QuickFacts: Richmond County, North Carolina.

Washington, DC: United States Department of Commerce. Retrieved from

https://www.census.gov/quickfacts/richmondcountynorthcarolina

University of Wisconsin Population Health Institute (UWPHI). (2019). County health rankings

and roadmaps: Building a culture of health, County by County. Retrieved from

https://www.countyhealthrankings.org/app/north-

carolina/2019/rankings/richmond/county/outcomes/overall/snapshot

D e c e m b e r 2 0 1 9

Page 61

Appendix A

Richmond County Community Resource Guide

The mission of the Richmond

County Health Department is to

help prevent disease, promote

health, and protect the

environment for all citizens of

Richmond County and to

continually assess and respond

to the health needs of the

community.

Richmond

County

Community

Resource

Guide

Health Services

Division of Public Health

Richmond County Community Health Resource Guide

Spring 2020 1

Table of Contents

Community Support …………………………………………………………………………………………………….. 2 Affordable Housing Options …………………………………………………………………………………………..

Ellerbe Hamlet Rockingham

5

Adult Education ……………………………………………………………………………………………………………. 10 Senior Support ……………………………………………………………………………………………………………… 11 Career, Training & Volunteer Organizations …………………………………………………………………. 12 Crisis Intervention Services …………………………………………………………………………………………… 15 Mental Health & Substance Misuse Programs ……………………………………………………………… 16 Transportation Services ……………………………………………………………………………………………….. 19 Medical Care …………………………………………………………………………………………………………………

Walk-in Care Emergency Care Community Care Hospice

21

Veteran Support …………………………………………………………………………………………………………… 23 Youth Support & Organizations …………………………………………………………………………………….. 24 Food Pantry ………………………………………………………………………………………………………………….

Ellerbe Hamlet Hoffman Rockingham

28

Information Websites …………………………………………………………………………………………………… 30 Health Organizations …………………………………………………………………………………………………….. 31


Spring 2020 2

Community Support

Pee Dee Pregnancy Resource Center 202 S. Lawrence Street, Rockingham (910) 997-3040 pdpregctr@gmail https://pregnantwhatnow.org/ This resource provides mentoring & support, education ranging from pregnancy to parenting skills to life skills, and abortion recovery. Richmond County Red Cross American Red Cross Sandhills Chapter 208 East Franklin Street Suite E, Rockingham (910) 817-7621 https://www.redcross.org/local/north-carolina/eastern-north-carolina/about-us/locations/sandhills-chapter.html A resource to help prevent, prepare for, and to respond to life-threatening emergencies by providing the following services: Disaster Services & Home Fire Prevention. Richmond County Habitat Restore Habitat for Humanity of the NC Sandhills 1300 East Broad Avenue Suite 17, Rockingham (910) 817-9576 https://www.sandhillshabitat.org This resource helps low-income homeowners who are affected by age, disability, or family circumstances and struggle to maintain their homes. This service helps build ramps, repair roofs, porches, and steps, replace vinyl siding and windows, and clean up yards. They do not do plumbing, electrical, or air conditioning. NC 2-1-1 Dial 2-1-1 or 1-888-892-1162, TTY # 800-735-0533 Our call specialists are available 24 hours a day, 7 days a week www.nc211.org NC 2-1-1 is an information and referral service provided by the United Way of North Carolina. Programs: Affordable Housing, Disaster Preparedness, and Assistance, Federal Poverty Level, Flu Season, Heating Assistance, Healthcare Resources, Prescription Assistance, Seasonal Assistance, Respite Care, if not listed please call and ask

The Christian Closet 770 E. US 74, Rockingham (910) 582-9545 This resource is a thrift store that offers used or new clothing and household goods at affordable prices. Sandhills Community Action Program: Richmond County 602 Rockingham Road, Rockingham (910) 410-0207 Phone

https://pregnantwhatnow.org/

https://www.redcross.org/local/north-carolina/eastern-north-carolina/about-us/locations/sandhills-chapter.html


https://www.sandhillshabitat.org/

http://www.nc211.org/


Spring 2020 3

Offers the following programs: Section 8 HCV Family Self-sufficiency Program (Employment and Asset Building) CSBG Self-sufficiency Program (Education and Employment assistance) Housing counseling (counseling for any housing need including homeownership) Richmond Community College Workforce and Economic Development division Myra Locklear Administrative Assistant (910) 410-1831 http://richmondcc.edu/about-us/workforce-development Personal enrichment classes: Children’s Yoga Camp, Communications & Presentation Skills, Design on a Dime, Digital Photography, Diversity In the Workplace, Leader in Me, NAUI Rescue Diver, Open Water SCUBA, Piano Lessons, Self Defense for Females, Sewing Basics, Yoga North Carolina Cooperative Extension 123 Caroline Street Suite 100, Rockingham (910) 997-8255 https://www.richmondnc.com/158/Cooperative-Extension Richmond County Cooperative Extension offers classes for homeowners, farmers, and businesses and provides youth development activities through the 4-H program. Some services include providing information on soil testing, answering homeowner yard and garden questions, certifications, and credits for pesticide and waste management licenses. Rockingham Lions Club 108 Alcon Rd US 220 N, Rockingham (910) 895-5787 or (910) 334-2050 [email protected] We assist the visually impaired adults and children in our community with glasses, canes, braille readers,

and vision screenings.

Hamlet Lions Club Hwy 38 & Bus 74, Hamlet (910) 582-4586 or (910) 334-2050 We assist the visually impaired adults and children in our community with glasses, canes, braille readers, and vision screenings. Enhanced Care 1006 South Long Drive, Rockingham (910) 206-9865 Enhanced Care, LLC provides the following services: Personal Care I and Personal Care II, Children’s Personal Care Services, In-Home Aide Services, Companion Care, Sitter Services, Respite Care, Head, and Spinal Cord Injury Attendant Care Richmond County Department of Social Services 125 Caroline Street, Rockingham (910) 997-8400 Adoption Services: Discover what steps are involved in adopting a child in Richmond County.

http://richmondcc.edu/about-us/workforce-development

https://www.richmondnc.com/158/Cooperative-Extension

mailto:[email protected]


Spring 2020 4

https://www.richmondnc.com/151/Adoption-Services Food & Nutrition: Food and Nutrition Services helps people with low income or no income buy nutritious food. Apply online at North Carolina ePass website https://epass.nc.gov/CitizenPortal/application.do Low Income Energy Assistance Program: A federally funded program that provides a one-time vendor payment to help eligible households pay their heating bills. Households containing an older adult (60 or over) or a disabled person receiving services through the Division of Aging and Adult Services (DAAS) are eligible. Benefits go from December 1st through December 31st or until funds are exhausted. https://liheapch.acf.hhs.gov/help Child Support: (910) 997-8400: A federal program established to ensure that both parents are responsible for the support of their children to the best of their ability. Anyone with a child support case can get information on his or her case using the web or telephone. The web site address is www.ncchildsupport.com or call 1-800-992-9457. Social Security Administration 220 E. Greene Street, Rockingham (800) 772-1213 Social Security programs offer retirement, disability, and survivor’s benefits. Sandhills Alternative Academy Substance Abuse Intensive Outpatient Program 503 Rockingham Road, Rockingham (910) 417-4922 https://saltacademync.com/services Day Treatment Program (ages 5-18) offers structured school- day-treatment individualized for each child’s needs and age group. The program is to assist with challenges such as chronic behavioral and emotional problems, ADHD (hyperactivity and associated emotional challenges), Depression, Post-traumatic stress disorder, Anxiety-related disorders, Family conflicts, and Parenting issues. The day treatment program offers the added advantage of allowing a child to undergo care while still living at home. The program also individualizes each child’s needs while utilizing the group benefit and family-based treatment approach. Outpatient Therapy Services focus on reducing psychiatric and behavioral symptoms to improve the beneficiary’s functioning in familial, social, educational, or occupational life. Intensive In-Home Services (ages 3-17) is provided when the home environment becomes unstable to preserve the family and reduce the likelihood of recurrence. The program offers a family-based approach to crisis resolution. The service designed to defuse the current crisis, evaluate its nature, stabilize the home, and prevent out-home-placement. Diagnostic Assessment Services are intensive clinical and functional face-to-face mental health evaluation of developmental disability and substance use disorder. This assessment results in the issuance of a written report that provides the clinical basis for the development of someone’s treatment or service plan. Academic: By working with our county schools and Richmond Community College, we are providing students with their educational needs as well as developing workplace readiness, establishing financial planning, and Building character. We introduce trade skills such as Introduction to welding, carpentry, sewing, landscaping, and more.

https://www.richmondnc.com/151/Adoption-Services

https://epass.nc.gov/CitizenPortal/application.do

https://liheapch.acf.hhs.gov/help

http://www.ncchildsupport.com/

https://saltacademync.com/services


Spring 2020 5

Primary Choice 621 East Broad Avenue, Rockingham (910) 434-7180 Primary Choice Crisis Line: 1-910-633-7582 https://www.primaryhealthchoice.org/apc-services.html Home Care services for Children or Adults that will allow an aide in the recipient’s private residence to assist with the personal care needs linked to the recipient’s medical condition. CAP-DA (Community Alternative Program for Disabled Adults) are services to allow adults (age 18 and older) who qualify for nursing facility care to remain in their private residences CAP-C (Community Alternative Program for Disabled Children) is a home-care service for medically fragile children (up to age 20) who would otherwise require long-term hospital care or nursing facility care. Respite Care, which is short-term care that helps a family take a break from the daily routine and stress. Client’s home or out of home settings are possible. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Medicaid funding is a service for individuals less than 21 years of age. The service must be medically necessary to correct or ameliorate a defect, physical or mental illness, or a condition identified through a screening examination. Veterans Care Program, which is made available through the VA, provides financial assistance to veterans of all ages who need home care services. An experienced caregiver can provide physical and emotional support to those in need.

Affordable Housing Options Ellerbe ARC/HDS Richmond County Group Home 2 190 E Church Street, Ellerbe (336) 273-4404 Subsidized; Low income-affordable senior housing typically provides seniors with a set or limited income, rental assistance for living. Seniors with low incomes usually need to meet specific requirements to take advantage of this assistance frequently given through government assistance programs. Ellerbe Manor Apartments 202 2nd Street, Ellerbe (910) 652-5813 Subsidized; Ellerbe Manor Apartments is a HUD Apartment. HUD residents usually pay 30% of their gross income for rent. The rent amount, less approved HUD deductions such as medical and childcare expenses, and other allowances, includes a utility allowance. HUD Residents also may choose to pay what is known as flat rent. The HACC works with applicants to determine which rent arrangement is best for them.

https://www.primaryhealthchoice.org/apc-services.html


Spring 2020 6

Hamlet Hamlet Housing Authority 1104 Fisher Avenue, Hamlet (910) 582-3279 Hamlet Housing Authority is a Public Housing Agency in Hamlet, North Carolina, that participates in the Public Housing program. Hamlet Housing Authority does not participate in the Section 8 Housing Choice Voucher program, so voucher holders cannot port to this housing authority. Sierra Gardens Apartments 158 Sierra Avenue, Hamlet (910) 582-2071 Income-Based & Accepts Vouchers Sierra Gardens is an elderly/handicapped/disabled property of 32 one and two-bedroom apartments. Rent for a one-bedroom is $395 or $440, and two bedrooms are $475 or $500 with water/sewer, and trash pickup included. Each apartment comes equipped with all the needed appliances. CAC of Richmond County 968 Wiregrass Road, Hamlet (910) 582-9913 Subsidized & Accessible Disabled Supportive CAC of Richmond County apartments is an affordable housing community with one-bedroom apartment units. Income restrictions may apply, please contact CAC of Richmond County apartments for rates, availability and more information. Quail Hollow Apartments 601 Quail Hollow Drive, Hamlet (910) 582-6250 Subsidized Quail Hollow Apartments is a HUD Apartment. HUD residents usually pay 30% of their gross income for rent. The rent amount, less approved HUD deductions such as medical and childcare expenses, and other allowances, includes a utility allowance. HUD Residents also may choose to pay what is known as flat rent. The HACC works with applicants to determine which rent arrangement is best for them. Richmond Village Apartments 324 Green Street, Hamlet (910) 582-4655 Subsidized This apartment accepts HUD subsidies. For HUD subsidized apartments, if you qualify for low-income housing and they have available apartments, rent is based on 30% of your Adjusted Gross Income. Call for details. Hubbard Nelson Lile Homes 152 Thomas Street, Hamlet (910) 582-3279


Spring 2020 7

Since this property is owned and managed by Hamlet Housing Authority, all of the rents at this property are based on tenant incomes. Tenants will make a monthly contribution toward rent equal to 30% of their adjusted income. A housing authority may establish a minimum rent of up to $50. Piney Pointe Apartments 103 Piney Pointe Drive, Hamlet (910) 582-6020 Subsidized, four-bedroom units, Low-Income Housing Tax Credit (LIHTC), Section 515 Rural Rental Housing, Section 521 USDA Rental Assistance Tall Pine Apartments 900 Ridge Drive, Hamlet (910) 997-2082 Subsidized, Section 515 Rural Rental Housing, Section 521 USDA Rental Assistance

Rockingham Rockingham Housing Authority 809 Armistead Street, Rockingham (910) 997-3316 Rockingham Housing Authority is a Public Housing Agency in Rockingham, North Carolina, that participates in the Section 8 Housing Choice Voucher (HCV), and Public Housing programs. Sandhills Community Action program: Richmond County 602 Rockingham Road, Rockingham (910) 410-0207 Phone Offering the following programs: Section 8 Housing Choice Voucher Program (Rental Assistance for low-income households) Section 8 HCV Family Self-sufficiency Program (Employment and Asset Building) CSBG Self-sufficiency Program (Education and Employment assistance) Single-family rehabilitation (home renovations for low-moderate income seniors) Housing counseling (counseling for any housing need including homeownership) USDA Rural Development of Richmond County 123 Caroline Street, Rockingham (910) 997-6281 https://www.rd.usda.gov/ We offer mortgage loans with low rates and no down payment requirement for low-income residents in rural areas who wish to buy or build a home. With a USDA loan guarantee, private lenders will offer mortgage loans that would otherwise not be available. Rural residents should work directly with their lender, and the lender should apply to USDA. If your rural home needs critical repairs that are beyond what you can afford, we offer low-interest loans, as well as grants for seniors. We also finance non-profits that can help with home repairs or water well replacements. Cameron Grove Apartments 150 Lady Mary Lane, Rockingham (910) 817-7715

https://www.rd.usda.gov/


Spring 2020 8

Income-Based and Accepts Vouchers Cameron Grove Apartments is part of the Affordable Housing Community for seniors 55 and older. Greenridge Apartments 200 Greenridge Drive, Rockingham (910) 895-4115 Accepts Vouchers and Low-Income Housing Tax Credit (LIHTC) Crown Pointe Apartments 1253 Cauthen Drive, Rockingham (910) 997-4299 Subsidized Since this property has a Project-Based Section 8 contract with HUD, some or all of the rents at this community are based on tenant incomes. Section 8 Project-Based Rental Assistance tenants will make a monthly contribution toward rent equal to 30% of their adjusted income. There is a minimum tenant contribution of $25 for all rents at this property regardless of tenant income. Gardenwood Apartments 1234 Cauthen Drive, Rockingham (910) 895-2959 Subsidized Gardenwood Apartments is a HUD Apartment. HUD residents usually pay 30% of their gross income for rent. The rent amount, less approved HUD deductions such as medical and childcare expenses, and other allowances, includes a utility allowance. HUD Residents also may choose to pay what is known as flat rent. The HACC works with applicants to determine which rent arrangement is best for them. Timber Ridge Apartments 515 Steele Street, Rockingham (910) 997-7972 Subsidized, Low-Income Housing Tax Credit (LIHTC), Section 515 Rural Rental Housing, Section 521 USDA Rental Assistance Magnolia Apartments (Phase I) 100 Block of Mallard Lane, Rockingham (910) 895-9199 Since this property was built or renovated using funding from HUD’s Section 202 Supportive Housing for the Elderly program, residency is usually restricted to households earning 50% of the Area Median Income (AMI) or less with at least one member age 62 years or older. Holiday Village Apartments Shannon Drive, Rockingham (910) 997-7115 Subsidized and Section 8 Project-Based Rental Assistance CAC of Richmond County 2 270 McArthur Drive, Rockingham (910) 895-7566


Spring 2020 9

Since this property was built or renovated using funding from HUD’s current Section 811 Supportive Housing for Persons with Disabilities program or legacy Section 202 program, residency is usually restricted to households earning 50% of the Area Median Income (AMI) or less with at least one adult member with a disability. Tenants pay rent based on household income. ARC/HDS Richmond County Apartments 534 Steele Street, Rockingham (336) 273-4404 ext. 21 Subsidized Accessible Disabled Supportive Housing This apartment accepts HUD subsidies. For HUD subsidized apartments, if you qualify for low-income housing and they have available apartments, rent is based on 30% of your Adjusted Gross Income. Call for details. ARC/HDS Sandhills ICF /MR Group Home 142 Mallard Lane, Rockingham (910) 895-3428 Subsidized 62+ Accessible Elderly Supportive Housing Section 202 Supportive Housing for the Elderly

Lenox Station Apartments 510 S Caroline Street, Rockingham (910) 410-3878 Accepts Vouchers Low-Income Housing Tax Credit (LIHTC) The Pines Apartments 135 Lady Mary Lane, Rockingham, (910) 997-2082 Subsidized, Section 515 Rural Rental Housing, Section 521 USDA Rental Assistance Village Green Apartments 1003 Beaverwood Court, Rockingham (910) 895-3256 Subsidized, Section 8 Project-Based Rental Assistance Harrington Place 615 Gore Drive, Rockingham (910) 997-3316 Since this property is owned and managed by a Public Housing Authority, all of the rents at this property

are based on tenant incomes. Tenants will make a monthly contribution toward rent equal to 30% of

their adjusted income. A housing authority may establish a minimum rent of up to $50.

Falling Creek Village 157 Lady Mary Lane, Rockingham (910) 997-5774 Accepts Vouchers Low-Income Housing Tax Credit (LIHTC)


Spring 2020 10

Pine Ridge Homes 1035 Pineridge Drive, Rockingham (910) 997-5439 Subsidized, Section 515 Rural Rental Housing, Section 521 USDA Rental Assistance

Adult Education

Richmond Community College Hunter Smith College and Career Readiness Coordinator [email protected] (910) 410-1782 http://richmondcc.edu/academics/adult-education Adult High School Diploma Program, High School Equivalency Diploma (HSE) Program, Adult Basic Education, English as a Second Language (ESL) Richmond County Literacy Council 316 East Washington Street, Rockingham (910) 895-0338 The primary goal of the Literacy Council is to provide free Adult Basic Education (ABE) services to adults who wish to enhance their reading and writing. All Literacy Council Students receive individual or small group instruction and may work at their own pace. WorkKeys Richmond Community College Nikki Page WorkKeys Coordinator Workforce and Economic Development (910) 410-1844 [email protected] http://richmondcc.edu/about-us/workforce-development/pre-employment-training WorkKeys is a job skills assessment system that helps employers select, hire, train, develop, and retain a high-performance workforce. The WorkKeys exam evaluates your skill levels and is given at RichmondCC regularly. The certificate allows individuals to demonstrate their level of skill in essential skills required for success in the workplace. RichmondCC provides free WorkKeys prep classes that prepare you to take the WorkKeys exam. If you have lost your job or are facing a plant closing, now is the time to begin preparing for the exam and the opportunity to add the NCRC to your resume. WorkKeys Assessments are $15 each. Sandhills Community Action Program: Richmond County 602 Rockingham Road, Rockingham (910) 410-0207 Phone Offers the following programs: Section 8 HCV Family Self-sufficiency Program (Employment and Asset Building) CSBG Self-sufficiency Program (Education and Employment assistance)

http://richmondcc.edu/academics/adult-education


http://richmondcc.edu/about-us/workforce-development/pre-employment-training


Spring 2020 11

North Carolina Cooperative Extension 123 Caroline Street Suite 100, Rockingham 910-997-8255 https://www.richmondnc.com/158/Cooperative-Extension Richmond County Cooperative Extension offers classes for homeowners, farmers, and businesses and provides youth development activities through the 4-H program. Some services include providing information on soil testing, answering homeowner yard and garden questions, certifications, and credits for pesticide and waste management licenses.

Senior Support

East Rockingham Senior Center 135 Safie 6th Street, Rockingham (910) 997-8332 The East Rockingham Senior Center is a multi-purpose center, which addresses the needs of mature adults. Free programs are offered to promote health and wellness, education, recreation, socialization, and volunteerism. Ellerbe Senior Center 306 Millstone Road, Ellerbe (910) 652-6006 The Ellerbe Senior Center is a multi-purpose center, which addresses the needs of mature adults. Programs offered to promote health and wellness, education, recreation, socialization, and volunteerism, at no charge. Hamlet Senior Center Sarah Locklear Director 102 Veterans Drive, Hamlet (910) 582-7985 The Hamlet Senior Center is dedicated to the enrichment and higher quality of life for seniors 55 years and older. We provide growth opportunities for seniors socially, spiritually, and through the stimulation of physical and mental challenges. Rockingham Senior Center 225 South Lawrence Street, Rockingham (910) 997-4491 The Rockingham Senior Center is a multi-purpose center, which addresses the needs of mature adults. Programs offered to promote health and wellness, education, recreation, socialization, and volunteerism, at no charge. Richmond County Aging Services Jacqueline Welch Executive Director 225 South Lawrence Street, Rockingham (910) 997-4491 [email protected]




Spring 2020 12

Richmond County Aging Services is an organization that provides a focal point for aging resources as well as opportunities to extend independent living and enrich the quality of life for Richmond County mature adults. Hoffman Senior Center Southern Mission Ministries 267 Blues Bridge Road, Hoffman (910) 281-5957 http://www.southernmissionministries.org/seniors.html We help our seniors remain active while growing old gracefully by providing daily activities to stimulate their body and mind as well as meals to keep them healthy and transportation services to fill their travel needs. Visit the website to apply for membership. Richmond Community Support Center 393 W US 74 Hwy, Rockingham (910) 997-8440 http://www.rccsc393.org/Community-Respite-Rockingham-NC.html Richmond Community Support Center Inc. offers a comprehensive community respite program designed to give individuals and families throughout the area a break they need. Reduced stress leads to increased job productivity and happier home life. Adult Protective Services Richmond County Division of Social Services (910) 997-8450 After Hours: Call 9-1-1 https://www.richmondnc.com/331/Adult-Protective-Services Adult Protective Services (APS) provides to disabled adults in response to reports of suspected abuse, neglect, or exploitation. APS social workers assess the degree of risk to the disabled adult and work with other community-based resources to develop a plan to protect the adult from further harm.

Career, Training & Volunteer Opportunities

NCWorks Richmond County Office 115 West Franklin Street, Rockingham (910) 997-9180 https://des.nc.gov/ Complete set of employment tools for job seekers in North Carolina. Search jobs, create résumés and find education and training. NC Vocational Rehabilitation 1793 E. Broad Avenue, Rockingham (910) 997-9230 1-866-518-6787 The Division of Vocational Rehabilitation Services (DVRS) helps people with disabilities achieve their goals for employment and independence. If you have a disability that prevents you from achieving

http://www.southernmissionministries.org/seniors.html

http://www.rccsc393.org/Community-Respite-Rockingham-NC.html

https://www.richmondnc.com/331/Adult-Protective-Services

https://des.nc.gov/


Spring 2020 13

career success or independence in the community of your choice, DVRS can connect you to services and resources to help you meet your goals. Richmond County Division of Social Services Work First (910) 997-8400 (ask to speak with a Work First worker) Essential services in helping families remain off assistance. Services may include but aren’t limited to employment-related services, transportation to and from work, short-term child care, post-employment skills training, and child/ family enrichment services. Richmond County Red Cross American Red Cross Sandhills Chapter 208 East Franklin Street Suite E, Rockingham (910) 817-7621 https://www.redcross.org/local/north-carolina/eastern-north-carolina/about-us/locations/sandhills-chapter.html Training courses include CPR, Babysitting, AED, Lifeguarding, Water and Safety, First Aid, and Basic Life Support Instruction for Healthcare Providers, ALS/PALS, and CNA Training and Testing. Volunteer opportunities include supporting blood donations and delivering much-needed services to communities. We even have a wide variety of remote (work-from-home) opportunities available. Richmond County Habitat Restore Habitat for Humanity of the NC Sandhills 1300 East Broad Avenue Suite 17, Rockingham (910) 817-9576 https://www.sandhillshabitat.org Volunteers work with ReStore staff collecting and receiving donated materials, pricing and stocking items on the store floor, cleaning and organizing the store, and assisting customers in the Restore. Richmond Community College Workforce and Economic Development division Myra Locklear Administrative Assistant (910) 410-1831 http://richmondcc.edu/about-us/workforce-development Giving students the tools, knowledge, and skills to succeed in the workplace is one of our main goals at Richmond Community College. When you are ready to get career training and certification or the best workforce for your local business, RCC can help. WorkKeys Richmond Community College Nikki Page WorkKeys Coordinator Workforce and Economic Development (910) 410-1844 [email protected] http://richmondcc.edu/about-us/workforce-development/pre-employment-training



https://www.sandhillshabitat.org/

http://richmondcc.edu/about-us/workforce-development


http://richmondcc.edu/about-us/workforce-development/pre-employment-training


Spring 2020 14

WorkKeys is a job skills assessment system that helps employers select, hire, train, develop, and retain a high-performance workforce. The WorkKeys exam evaluates your skill levels and is given at RichmondCC regularly. The certificate allows individuals to demonstrate their level of skill in essential areas required for success in the workplace. RichmondCC provides free WorkKeys prep classes that prepare you to take the WorkKeys exam. If you have lost your job or are facing a plant closing, now is the time to begin preparing for the exam and the opportunity to add the NCRC to your resume. WorkKeys Assessments are $15 each. Richmond County Aging Services Jacqueline Welch Executive Director 225 South Lawrence Street, Rockingham (910) 997-4491 [email protected] Volunteer options: Meals on Wheels Drivers, Meal Site Assistant, Friendly Callers, SHIIP Volunteers Special Events assistants and Planners. Need teachers for the following: arts and crafts, painting, writing and other topics, BINGO operators, Exercise Instructor, Health and Medical (Psychologists & Social Workers), Alzheimer’s Support Group, Grief and Loss Support Group, Income Tax assistance (CPA Certified Public Accountants, bankers) and Legal Attorneys Sandhills Community Action Program: Richmond County 602 Rockingham Road, Rockingham (910) 410-0207 Phone Offers the following programs: Section 8 HCV Family Self-sufficiency Program (Employment and Asset Building) CSBG Self-sufficiency Program (Education and Employment assistance) NC 2-1-1 Dial 2-1-1 or 1-888-892-1162 To volunteer in your community: https://www.nc211.org/ Click on the “Find Help” tab then type “volunteer: in the search bar Pee Dee District Boy Scouts Central North Carolina Council Melissa Alexander-Ewing (910) 334-2050 [email protected] https://centralnccouncilbsa.doubleknot.com/OpenRosters/View_Homepage.aspx?orgkey=2426 Scouts is a year-round program for boys and girls in fifth grade through high school that provides fun, adventure, learning, challenges, and responsibility to help them become the best version of themselves. Volunteer today! Girl Scouts North Carolina Coastal Pines 1-800-284-4475 https://www.nccoastalpines.org/en/about-girl-scouts/who-we-are.html


https://www.nc211.org/

https://centralnccouncilbsa.doubleknot.com/OpenRosters/View_Homepage.aspx?orgkey=2426

https://www.nccoastalpines.org/en/about-girl-scouts/who-we-are.html


Spring 2020 15

The Girl Scout Leadership Experience activities are led by girls themselves, feature cooperative learning, and highlight learning by doing. Girls come up with their own ideas, build teams, and experience the joy of making a positive impact. Be a Volunteer today. Richmond County Teen Court 114 E. Franklin Street, Rockingham (910) 997-8268 Teens fill our teen court models all the roles of the court system and each role except for the judge, who is either a licensed attorney or a presiding judge. The lawyers, bailiff, clerk of court, jury members are all teens who volunteer their time to learn about the judiciary system and to serve their community. Volunteers receive general training about the program and the different positions available.

Crisis Intervention Services

Richmond County Red Cross American Red Cross Sandhills Chapter 208 East Franklin Street Suite E, Rockingham (910) 817-7621 https://www.redcross.org/local/north-carolina/eastern-north-carolina/about-us/locations/sandhills-chapter.html The Red Cross is here for you with disaster emergency aid when you need it most. Advice and assistance are also available to help you recover from a disaster or become better prepared to face one in the future. Richmond County Division of Social Services (910) 997-8481 After Hours: Call 9-1-1 https://www.richmondnc.com/331/Adult-Protective-Services Adult Protective Services: Adult Protective Services (APS) provides for disabled adults in response to reports of suspected abuse, neglect, or exploitation. APS also provides Guardianship services, Special Assistance In-Home, and Payee services as well as a Medicaid Transportation Unit (See under Transportation). Child Protective Services (910) 997-8481: Get information on what aid is available within Richmond County to children who have suffered from abuse or neglect. New Horizons Life and Family Services 801 East Broad Avenue Suite 15, Rockingham (910) 997-4840 24-hour confidential assistance crisis: (910) 997-4840 [email protected]



https://www.richmondnc.com/331/Adult-Protective-Services



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New Horizons offers free and confidential services: Emergency Transportation to Court and Doctors, Support and Empowerment Groups, Referrals to Appropriate Agencies, Crisis, and Supportive Counseling, Court Accompaniment, Community Outreach, Options to Crisis Needs, Emergency Shelter Therapeutic Alternatives 877-626-1772 Your local number: 800-256-2452 Sandhills Center for MH/DD/SA Services Access Center is available 24 hours a day, seven days a week. Customer Service Specialists will assist you in finding a crisis provider that is well-matched with your needs. If you already have a service provider, call them first. Providers who know you are usually best prepared to assist you in a crisis. Have Support Come to You Crises are often best resolved at home. Mobile Crisis Teams are available 24 hours a day. Professional counselors will speak with you and your family during a visit. They have an average response time of 2 hours. Go To A Crisis Center Daymark Recovery Services 116 South Lawrence Street, Rockingham (910) 895-2462 A specialized crisis center, where you can walk in for a crisis assessment as well as be referred for additional services. No Appointment needed. 24-Hour Crisis Hotline 866-275-9552 Suicide Prevention Lifeline 800-273-8255 Veterans Crisis Line https://www.veteranscrisisline.net/ Crisis Hotline: Call 800-273-8255 and press 1 Or Text: 838255 Call TTY if you have hearing loss 800-799-4889

Mental Health & Substance Misuse Programs

Narcotics Anonymous 24-Hour Phone line: 1-888-835-8801 North Carolina Statewide Phone line 1-855-227-NCNA (6262) https://ncregion-na.org/greater-sandhills-area/ Narcotics Anonymous makes no distinction between drugs, including alcohol. Membership is free, and we have no affiliation with any organizations outside of NA, including governments, religions, law enforcement groups, or medical and psychiatric associations. Through all of our service efforts and our cooperation with others seeking to help addicts, we strive to reach a day when every addict in the world has an opportunity to experience our message of recovery in his or her language and culture.

https://www.veteranscrisisline.net/

tel:18002738255

https://ncregion-na.org/greater-sandhills-area/


Spring 2020 17

Alcoholics Anonymous District 52 of Alcoholics Anonymous in North Carolina Moore County Alcoholics Anonymous Serving Moore, Hoke, Richmond, Lee, and Scotland Counties https://moorecountyaa.org/ https://aanc52.org/ Alcoholics Anonymous is a fellowship of men and women who share their experiences, strengths, and hopes with each other that they may solve their common problem and help others to recover from alcoholism. The only requirement for membership is a desire to stop drinking. There are no dues or fees for AA membership; we are self-supporting through our contributions. AA is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy; neither endorses nor opposes any causes. Our primary purpose is to stay sober and help other alcoholics to achieve sobriety. Daymark Recovery Services 116 South Lawrence Street, Rockingham (910) 895-2462 https://www.daymarkrecovery.org/locations/richmond-center Daymark Recovery Services is a non-profit organization established to provide comprehensive behavioral healthcare services for those in need of mental health or substance abuse treatment options. Services: Substance Abuse Outpatient Treatment, Mental Health Outpatient Treatment, Psychiatric Services/ Medical Services, Emergency Services (advanced services), Intensive In-Home Services Alcohol and Drug Services Rockingham Branch 1015-A Fayetteville Street, Rockingham (910) 997-7105 https://adsyes.org/ We provide prevention and early intervention services, education, individual and group counseling, and specialized medical services to residents of the Piedmont Triad and Central North Carolina. Samaritan Colony 136 Samaritan Drive, Rockingham (910) 895-3243 [email protected] http://www.samaritancolony.com/index.html Samaritan Colony is a Non-Profit Male Residential Substance Abuse Treatment Facility. At Samaritan Colony, we help our clients start a journey toward a life free from the devastating effects of alcohol and other drug addictions by providing the highest quality treatment that is affordable to all. Sandhills Alternative Academy Substance Abuse Intensive Outpatient Program 503 Rockingham Road, Rockingham (910) 417-4922 https://saltacademync.com/services An outpatient program designed to assist adults and teens in beginning recovery and learning skills for recovery maintenance. Services include individual counseling and support, group counseling and support, family counseling, training, and support, biochemical assays to identify recent drug use,

https://moorecountyaa.org/

https://aanc52.org/

https://www.daymarkrecovery.org/locations/richmond-center

https://adsyes.org/


http://www.samaritancolony.com/index.html



Spring 2020 18

strategies for relapse prevention (to include community and social support systems in treatment), life skills, crisis contingency planning, and disease management. The treatment support activities have been adapted or specifically designed for individuals with physical disabilities, or individuals with co-occurring disorders of mental illness and substance use; or an intellectual and developmental disability and substance use disorder. Chapman’s Substance Abuse Services 111 Mallard Lane, Rockingham (910) 817-7233 Licensed substance misuse counselor as well as helps with other mental health issues Sandhills Behavioral Care 523 Rockingham Road, Rockingham (910) 562-9882 https://www.sandhillscares.com/ [email protected] A comprehensive outpatient mental health clinic committed to providing holistic, culturally competent psychiatric care to promote and improve mental wellbeing. Services include medication management, child/adolescent/adult psychopharmacology treatment, clinical evaluation, and pharmacogenetics testing. Therapy Services include Behavior Therapy, Cognitive Therapy, Exposure Therapy, Interpersonal Therapy, Play Therapy, Psychodynamic Psychotherapy, Psychoeducation, Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Family Therapy, Addiction Therapy, and Grief and Loss Therapy. Compassionate Counseling Services 1219 Rockingham Road, Suite 12, Rockingham (910) 817-9927 [email protected] https://compassionatecounselingllc.com/ We provide support, therapeutic counseling, behavioral modification techniques, and skill-building services to individuals who have behavioral, mental health, and substance abuse challenges. These challenges are known to lead to social, educational, economic, relationship, and employment problems. Our services are designed to encourage recovery, growth, and independence. Trinity Services 302 Leak Street, Rockingham (910) 895-6270 After Hour Crisis: 866-214-8150 [email protected] http://www.nctrinityservices.com/ We provide a safe and confidential environment where we conduct effective therapies, consulting services, and behavioral interventions to individuals and families. The services and programs offered are Multisystemic Therapy (MST), Outpatient Services, Individual Family Therapy and Assessment, Medication Management, Substance Use Services, Urine Drug Testing, and Medication Monitoring Drug Testing.

https://www.sandhillscares.com/



https://compassionatecounselingllc.com/


http://www.nctrinityservices.com/


Spring 2020 19

Primary Health Choice 621 East Broad Avenue, Rockingham (910) 434-7180 Primary Health Choice Crisis Line: 1-888-739-1445 https://www.primaryhealthchoice.org/index.html Primary Health Choice offers services to include School-Based Therapy, Intensive In-Home Therapy, Medication Management, Telemedicine, Developmental Therapy, Personal Assistance, Respite care, and Individual/Group/Family. TASC (Treatment Accountability for Safer Communities) Insight Human Services Justice Services, Region 3 500 W. Fourth Street, Suite 103, Winston-Salem, NC 27101 (336) 714-7099 https://insightnc.org/ Insight Human Service’s Treatment Accountability for Safer Communities (TASC) offers community-based treatment for substance-abusing and mentally ill offenders. TASC provides behavioral health services as an effective bridge between two separate institutions: justice and treatment. The justice system’s legal sanctions reflect the community’s concern for public safety. The treatment community emphasizes therapeutic relationships as a means for changing behavior and reducing the personal suffering associated with substance abuse and mental illness. NOTE: Individuals cannot self-refer; court system, lawyers or judges must refer them.

Transportation Services

Area of Richmond Transit (ART) Neel Peacock Area of Richmond Transit Director 125 Caroline Street, Rockingham (910) 895-1313 ART provides a Rural General Public (RGP) route for those citizens who are not Human Service clients. RGP will operate Monday through Friday for people who go to work and school. All other appointments will are for Tuesday & Thursday ONLY. Medicaid Transportation Richmond County Social Services 125 Carolina Street, Rockingham (910) 997-8445 (910) 997-4935 A program responsible for providing transportation to/from medical providers to individuals for qualifying medical procedures with qualifying Medicaid and available Monday through Friday 8:00 am until 5:00 pm and has an answering machine to schedule appointments after regular working hours.

https://www.primaryhealthchoice.org/index.html

https://insightnc.org/


Spring 2020 20

NC Department of Motor Vehicles (DMV) Richmond County Driver License Office 200 College Drive, Hamlet, (910) 582-7032 Services include NC. REAL ID, License renewal, and Driver license duplicate/replacement, First time North Carolina driver license, ID cards, Permits, Teen Driver All Levels, Motorcycle Skills Tests, and Knowledge/Computer Tests NC License Plate Agency 601 S Long Drive, Rockingham (910) 997-4014 https://www.ncdot.gov/dmv/Pages/default.aspx Services include license renewal, registration renewal, property tax payment center, or order duplicate license or ID Omega Elite Transportation 116 Sturdivant Drive, Rockingham 910-248-9779 [email protected] https://omegaelitetransportation.com/ Services include shipping by truck: Enclosed 52’ enclosed 3-car trailer with side access doors. Winching capabilities, onboard video surveillance and GPS Tracking also a 24’ enclosed car trailer. Open 3-car trailer and a 44’ hydraulic dovetail flatbed and a 40’ flatbed w/ mega ramps. Act of Kindness Adult Care Services (AOK) 143 Bowen Street, Hoffman (910) 322-5082 (910) 995-5395 http://actofkindnessacs.com/ A non-emergency medical transporter that specializes in Wheelchair/Stretcher Van Transportation, Bariatric Transportation, as well as Relocation services. We will take you to doctor appointments, shopping family visits, evenings out, and airports. Some services by appointment only. FX Limousine Service Rockingham (843) 845-1189 (910) 477-8939 https://darrylparnell.wixsite.com/limousine-service We offer Chauffeur Service, Corporate Transportation, and Airport Transportation Services. All Of Our Drivers Are DOT Qualified To Make Your Event A Safe, Pleasant, And Fun Experience. Drive-2-Day Transportation Courier & Logistics 114 Plum Tree Lane, hamlet (910) 557-7199 (910) 557-7204 [email protected] http://drive2daytransport.com/

https://www.ncdot.gov/dmv/Pages/default.aspx


https://omegaelitetransportation.com/

http://actofkindnessacs.com/

https://darrylparnell.wixsite.com/limousine-service


http://drive2daytransport.com/


Spring 2020 21

We are a logistics and courier transportation company picking up and delivering to residential homes as well as hospitals, clinics, warehouses, etc. From a small envelope or package to a full van load, we are committed to offering superior levels of service with the most flexible options for your time-sensitive same-day deliveries. Specialize in big, small parcel packages and general freight as well as medical supply. We use Sprinter van, cargo van, minivan, cars, and pickup trucks with covered shell loads NOTE:*We do not pick up and deliver with semi-tractor trailers* Greyhound Bus Stop JP Rockingham/Marathon Station 824 E Broad Avenue, Rockingham (800) 231-2222 https://www.greyhound.com/en/ All the new buses have free Wi-Fi, individual power outlets, and extra legroom. Coaches make scheduled stops for meal and rest breaks; the itinerary will have all the stops detailed. Other services include charters and group bookings, package delivery, advertising, and commercial sales for large or small business travel accounts. Amtrak Train Station Main Street, Hamlet (800) 872-7245 https://www.amtrak.com/home.html Amtrak is a rail passenger service that makes regular stops. Details provided on the website. Other services include Auto Train, where you take your vehicle with you to save travel, wear and tear as well as reduce carbon footprint.

Medical Care Walk-in Care FastMed Urgent Care 1262 East Broad Avenue, Rockingham (910) 817-9200 https://www.fastmed.com/ FastMed Urgent Care clinics offer convenient, immediate care seven days a week, 365 days a year. Our timely care includes extended hours on weekdays, weekends, and holidays. Our knowledgeable, friendly staff and comfortable, family-friendly clinics provide the care you need, precisely when you need it. Walk-in during business hours, or check-in online first for a shorter wait. FirstHealth Convenient Care 1021 W. Hamlet Avenue, Hamlet (910) 417-4100 https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-convenient-care-hamlet FirstHealth Convenient Care provides treatment for all your urgent but non-life-threatening illnesses and family medical care needs.

https://www.greyhound.com/en/

https://www.amtrak.com/home.html

https://www.fastmed.com/

https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-convenient-care-hamlet

https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-convenient-care-hamlet


Spring 2020 22

Emergency Care FirstHealth Moore Regional Hospital Richmond 925 Long Drive, Rockingham (910)417-3000 https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-richmond

Community Care Richmond County Health Services Community Care Clinic 127 Caroline Street, Rockingham (910) 997- 8301 https://www.richmondnc.com/270/Clinics Richmond County Division of Public Health provides an array of medical services such as dental services, immunizations, sexually transmitted disease testing, family planning, and breast/cervical cancer screenings. We also provide several programs, such as the pharmacy program. Hospice Care Richmond County Hospice 1119 US Hwy 1, Rockingham (910) 997-4464 https://www.richmondcountyhospice.com/ Richmond County Hospice offers end of life services. We exist to enrich lives, beginning with each life we touch: Our patients, their loved ones and caregivers, our employees, volunteers, the communities in which we serve, and those we will meet in the days to come. Community Home Care and Hospice 1791 East Broad Avenue, Rockingham (910)895-2871 http://www.communityhch.com/services Community Home Care & Hospice works with local healthcare providers to develop a personalized hospice care plan that delivers the superior service that our patients and their families deserve. Our team of experienced hospice professionals will implement a holistic approach to the physical, spiritual, and emotional care our patients have come to expect and appreciate.

https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-richmond

https://www.firsthealth.org/directory/hospitals-and-service-locations/firsthealth-moore-regional-hospital-richmond

https://www.richmondnc.com/270/Clinics

https://www.richmondcountyhospice.com/

http://www.communityhch.com/services


Spring 2020 23

Veteran Support Richmond County Veterans Service Office 1401 Fayetteville Road, Rockingham (910) 997-8232 https://www.richmondnc.com/212/Veteran-Services VA Outpatient Clinic 100 Jefferson Street, Hamlet (910)582-3536 https://www.va.gov/ Highly qualified primary care providers who provide local care and specialty care referrals to the Fayetteville VA Medical Center

Primary Choice 621 East Broad Avenue, Rockingham (910) 434-7180 Primary Choice Crisis Line: (910) 633-7582 https://www.primaryhealthchoice.org/apc-services.html Veterans Care Program, which is a pension program made available through the VA to provide financial assistance to veterans of all ages who need home care services. An experienced caregiver can provide physical and emotional support to those in need.

Homeless Veterans Program National Homeless Veterans Hotline: 1-877-4AID VET or 1-877-424-3838 We work to end Veteran homelessness by cooperating with our internal and external partners to increase homeless Veteran access to healthcare, income, and stable, affordable housing. Health Care for Homeless Veterans Coordinator: Mary Fisher Murray 910-488-2120, Ext. 7340 HCHV OUTREACH: Homeless Social Worker facilitates site visits at local shelters and missions and responds to day centers, soup kitchens, and per referral to 21 county areas to reach, assess and refer homeless Veterans for housing and services. Contact: (910) 488-2120, Ext. 5528/7791 VETERANS JUSTICE OUTREACH: VJO Staff works with Veterans and civil court systems to advocate on behalf of and connect Veterans involved in the court system with treatment diversion options. Contact: (910) 488-2120, Ext. 7225 or 7269

Fayetteville VA Hospital 2300 Ramsey Street Fayetteville, NC 28301 (910) 488-2120 | (800) 771-6106 https://www.fayettevillenc.va.gov/index.asp

https://www.richmondnc.com/212/Veteran-Services

https://www.va.gov/

https://www.primaryhealthchoice.org/apc-services.html

https://www.fayettevillenc.va.gov/index.asp


Spring 2020 24

US Department of Veteran’s Affairs https://www.va.gov/ Call VA311: 844-698-2311 Veterans Crisis Line https://www.veteranscrisisline.net/ Crisis Hotline: Call 800-273-8255 and press 1 Or Text: 838255 Call TTY if you have hearing loss 800-799-4889

Youth Support & Organizations

National Runaway Safeline (NRS) 3141B N. Lincoln, Chicago, IL 60657 (773) 880.9860 Crisis Hotlines: CALL 1-800-RUNAWAY; CLICK 1800RUNAWAY.org or TEXT 66008 (Message & data rates may apply)

https://www.1800runaway.org/youth-teens/ The mission of the National Runaway Safeline is to keep America’s runaway, homeless and at-risk youth safe and off the streets. Services Include: Information & Referrals: provides countless options for youth and families to access services, such as counseling, shelter, alcohol/drug treatment and child protective services Conference Calls: When youth request assistance contacting their family or an agency that can help, NRS facilitates a conference call. The crisis services team member remains on the line with the youth, advocating on their behalf as needed. Message Service: NRS maintains a message service for children who want to relay a message but are not ready to communicate directly with their parents. NRS’ message service is a less intimidating means for youth to reestablish contact with their parent/guardian and often serves as the first step toward reunification. Also, a parent may access the service to leave a message for their child. Home Free Program: In partnership with Greyhound Lines, Inc., NRS helps reunite youth with their families, or get to an alternate living arrangement through a free bus ticket. This process initiated by calling our hotline at 1-800-786-2929. Let’s Talk: Runaway Prevention Curriculum is a free 14-module, interactive prevention curriculum that is available in English and Spanish. This evidence-based tool builds life skills, increases knowledge about available resources, educates about alternatives to running away, and empowers youth to access and seek help from trusted community members. Prevention and Educational Materials: NRS provides prevention and educational materials free of charge to individuals, schools, and organizations to distribute within their community. All prevention and education materials are available to order or download at 1800RUNAWAY.org. Pee Dee District Boy Scouts Central North Carolina Council Melissa Alexander-Ewing (910) 334-2050 [email protected]

https://www.va.gov/

https://www.veteranscrisisline.net/

tel:18002738255

https://www.1800runaway.org/youth-teens/


Spring 2020 25

https://centralnccouncilbsa.doubleknot.com/OpenRosters/View_Homepage.aspx?orgkey=2426 Scouts BSA is a year-round program for boys and girls in fifth grade through high school that provides fun, adventure, learning, challenge, and responsibility to help them become the best version of themselves. Join today! Girl Scouts North Carolina Coastal Pines 1-800-284-4475 https://www.nccoastalpines.org/en/about-girl-scouts/who-we-are.html NC Coastal Pines provide girls with the Girl Scout Leadership Experience, in which the girls themselves lead activities, featuring cooperative learning, and highlighting education by doing. Girls come up with their own ideas, build teams, and experience the joy of making a positive impact. Join today! Pee Dee Pregnancy Resource Center 202 S. Lawrence Street, Rockingham (910) 997-3040 pdpregctr@gmail https://pregnantwhatnow.org/ This resource provides mentoring & support, education ranging from pregnancy to parenting skills to life skills, and abortion recovery. Sandhills Alternative Academy Substance Abuse Intensive Outpatient Program 503 Rockingham Road, Rockingham (910) 417-4922 https://saltacademync.com/services An outpatient program designed to assist adults and teens in beginning recovery and learning skills for recovery maintenance. Services include individual counseling and support, group counseling and support, family counseling, training, and support, biochemical assays to identify recent drug use, strategies for relapse prevention (to include community and social support systems in treatment), life skills, crisis contingency planning, and disease management. The treatment support activities have been adapted or specifically designed for individuals with physical disabilities, or individuals with co-occurring disorders of mental illness and substance use; or an intellectual and developmental disability and substance use disorder. Day Treatment Program (ages 5-18) offers structured school- day-treatment individualized for each child’s needs and age group. The program is designed to assist with challenges such as chronic behavioral and emotional problems, ADHD (hyperactivity and associated emotional challenges), Depression, Post-traumatic stress disorder, Anxiety-related disorders, Family conflicts, and Parenting issues. The day treatment program offers the added advantage of allowing a child to undergo care while still living at home. The program also individualizes each child’s needs while utilizing the group benefit and family-based treatment approach. Outpatient Therapy Services focus on reducing psychiatric and behavioral symptoms to improve the beneficiary’s functioning in familial, social, educational, or occupational life. Intensive In-Home Services (ages 3-17) is provided when the home environment becomes unstable to preserve the family and reduce the likelihood of recurrence. The program offers a family-based approach to crisis resolution. The service designed to defuse the current crisis, evaluate its nature, stabilize the home, and prevent out-home-placement.

https://centralnccouncilbsa.doubleknot.com/OpenRosters/View_Homepage.aspx?orgkey=2426

https://www.nccoastalpines.org/en/about-girl-scouts/who-we-are.html

https://pregnantwhatnow.org/



Spring 2020 26

Diagnostic Assessment Services are intensive clinical and functional face-to-face mental health evaluation of developmental disability and substance use disorder. This assessment results in the issuance of a written report that provides the clinical basis for the development of someone’s treatment or service plan. Academic: By working with our county schools and Richmond Community College, we are providing students with their educational needs as well as developing workplace readiness, establishing financial planning, and Building character. We introduce trade skills such as Introduction to welding, carpentry, sewing, landscaping, and more. Compassionate Counseling Services 1219 Rockingham Road, Suite 12, Rockingham (910) 817-9927 [email protected] https://compassionatecounselingllc.com/ We provide support, therapeutic counseling, behavioral modification techniques, and skill-building services to individuals who have behavioral, mental health, and substance abuse challenges. These challenges are known to lead to social, educational, economic, relationship, and employment problems. Our services are designed to encourage recovery, growth, and independence. Sandhills Behavioral Care 523 Rockingham Road, Rockingham (910) 562-9882 https://www.sandhillscares.com/ [email protected] A comprehensive outpatient mental health clinic committed to providing holistic, culturally competent psychiatric care to promote and improve the mental wellbeing of your community. Services include Medication Management Services, Child/Adolescent/Adult Psychopharmacology Treatment, clinical evaluation, Personalized Treatment, and Pharmacogenetics Testing. Therapy Services include Behavior Therapy, Cognitive Therapy, Exposure Therapy, Interpersonal Therapy, Play Therapy, Psychodynamic Psychotherapy, Psychoeducation, Eye Movement Desensitization and Reprocessing (EMDR), Motivational Interviewing, Family Therapy, Addiction Therapy, and Grief and Loss Therapy. New Horizons Life and Family Services 801 East Broad Avenue Suite 15, Rockingham (910) 997-4840 24-hour confidential assistance crisis: (910) 997-4840 [email protected] New Horizons offers free and confidential services: Emergency Transportation to Court and Doctors, Support and Empowerment Groups, Referrals to Appropriate Agencies, Crisis, and Supportive Counseling, Court Accompaniment, Community Outreach, Options to Crisis Needs, Emergency Shelter FX Game Trailer Rockingham (843) 845-1189 (910) 477-8939 https://darrylparnell.wixsite.com/limousine-service A New Way to Celebrate Birthday Parties and More: XBOX, PlayStation 4, Wii, Karaoke, Movie Theater


https://compassionatecounselingllc.com/

https://www.sandhillscares.com/



https://darrylparnell.wixsite.com/limousine-service


Spring 2020 27

Union County Community Action Head Start and Early Head Start Program Fayetteville Street Head Start 105 Fayetteville Street, Hamlet (910) 582-2366 South Hamlet Center 205 Thomas Street, Hamlet (910) 582-4793 https://www.uccainc.org/ Union County Community Action, Inc. (UCCA) provides services to promote independence for children, youth, adults, and families across Union, Anson, & Richmond counties. Our services are funded primarily through the Head Start, Early Head Start, and CSBG programs. With over 50 years of success to build upon, UCCA looks forward to a hopeful future in which we will continue to assist the individuals and families of the communities we serve to achieve their goals of self-sufficiency and improved quality of life. Richmond County Partnership for Children 315 S. Lawrence Street, Rockingham (910) 997-3773 https://smartstartrichmond.org/ Richmond County Partnership for Children’s mission is to create a higher quality of life for children aged birth to five in our county. We strive to ensure that every Richmond County child enters school healthy and ready to succeed. Safe Kids of the Carolinas – First Health 925 South Long Drive, Rockingham (910)417-3735 FirstHealth Community Health Services lead Safe Kids Mid-Carolinas Region in partnership with local law enforcement and fire departments. Based on the needs of the community, this coalition implements evidence-based programs, such as car-seat checkups, safety workshops, and sports clinics. These programs help parents and caregivers prevent childhood injuries. North Carolina Cooperative Extension 4-H Youth Development 123 Caroline Street Suite 100, Rockingham (910) 997-8255 https://www.richmondnc.com/158/Cooperative-Extension Richmond County Cooperative Extension offers classes for homeowners, farmers, and businesses and provides youth development activities through the 4-H program. Some services include providing information on soil testing, answering homeowner yard and garden questions, certifications, and credits for pesticide and waste management licenses. Richmond County Teen Court 114 E. Franklin Street, Rockingham (910) 997-8268 Teens fill our teen court models all the roles of the court system and each role except for the judge, who is either a licensed attorney or a presiding judge. The lawyers, bailiff, clerk of court, jury members are all

https://www.uccainc.org/

https://smartstartrichmond.org/



Spring 2020 28

teens who volunteer their time to learn about the judiciary system and to serve their community. Volunteers receive general training about the program and the different positions available. Students who are interested in becoming an attorney receive training for defense and prosecution, learning how to open and close statements, what types of questions each side should ask, learning how to object, and making recommendations for sanctions are invited to volunteer.

Food Pantry

Ellerbe Foundation of Jesus Christ 4409 Main Street, Ellerbe Every Wednesday 5:30 - 6:30 pm Church of God of Prophecy 122 Jackson Street, Ellerbe (910) 652-3593 https://cogop.org/ Every Tuesday and Wednesday: 9:30 am -11 am & Saturday for emergencies only

Hamlet Outreach for Jesus 440 Battley Dairy Road, Hamlet (910) 582-8888 Every Thursday: 9:00 am- 10 pm Prayer and Faith Temple Church 205 Thomas Street, Hamlet (910) 582-1177 Second and Fourth Wednesday of every month: 10 am-12 pm Helping Hands of Hamlet, Inc. 615 Cheraw Rd, Hamlet (910) 334-1009 Every Thursday: 1:00 pm- 3:00 pm St. Paul Lutheran 311 Marlboro Street, Hamlet (910) 582-0729 Third Saturday of every month: 9:00 am- 11:30 am

https://cogop.org/


Spring 2020 29

First Presbyterian Church 200 Rice Street, Hamlet (910) 582-0111

Hoffman Southern Mission Ministries 267 Blues Bridge Road, Hoffman (910)281-5957 Thursday of each week: 10:00 am – 2:00 pm

Rockingham

Mt. Zion UCC 986 Ledbetter Road, Rockingham (910) 997-3739 Third Friday of every other month at 4 pm Our Daily Bread 106 South Randolph Street, Rockingham (910) 895-3536 Tuesday, Wednesday, and Thursday of every month: 9:30 am- 12:30 pm Red Sea Ministries Ram in the Bush Food Pantry 122 E Washington Street, Rockingham (910) 730-8790 www.crossingredsea.org Facebook: @crossingredseaministries Third Sunday of each month: After service Tabernacle Full Gospel 328 Airport Road, Rockingham (910) 419-4271 [email protected] Food Bank Open to the Public each Thursday at 12 pm (Noon) Jesus Is Justice Mission, Inc. 469 Mills Street, Rockingham (917) 566-1961 Every Thursday: 10:30 am- 1:30 pm; emergencies food supplies available; delivery for homebound

http://www.crossingredsea.org/



Spring 2020 30

Informational Websites

Richmond County Health Information and Statistics

Richmond County Health and Human Services: https://www.richmondnc.com/168/Health-and-Human-

Services

Richmond County Community Health Assessment: https://www.richmondnc.com/172/Community-

Health-Education

North Carolina Health Information and Statistics

North Carolina Department of Health and Human Services: www.dhhs.state.nc.us

North Carolina Public Health: www.ncpublichealth.com

NC State Center for Health Statistics: www.schs.state.nc.us

National Health Information and Statistics

Center for Disease Control (CDC): www.cdc.gov

US Census Bureau: www.census.gov

National Institutes of Health (NIH): www.nih.gov

United States Department of Health and Human Services: http://www.hhs.gov/

International Health Information and Statistics

World Health Organization (WHO): https://www.who.int/

Himmelfarb Health Sciences Library: https://guides.himmelfarb.gwu.edu/c.php?g=27767&p=170198

https://www.richmondnc.com/168/Health-and-Human-Services




http://www.dhhs.state.nc.us/

http://www.ncpublichealth.com/

http://www.schs.state.nc.us/

http://www.cdc.gov/

http://www.census.gov/

http://www.nih.gov/

http://www.hhs.gov/

https://www.who.int/

https://guides.himmelfarb.gwu.edu/c.php?g=27767&p=170198


Spring 2020 31

Health Organizations

Lung and Heart Health

American Heart Association: www.americanheart.org

American Lung Association: www.lungusa.org

National Heart, Lung and Blood Institute: www.nhlbi.nih.gov/health/dci/index.html

Tobacco Cessation (stop smoking)

FirstHealth: https://www.firsthealth.org/specialties/more-services/quit-tobacco-programs

NC Quitline: http://www.quitlinenc.com/

Smokefree: https://smokefree.gov/

Food and Drug Administration: https://www.fda.gov/tobacco-products

Richmond County Health Services-Division of Public Health: https://www.richmondnc.com/168/Health-

and-Human-Services

Diabetes and Nutrition

FirstHealth Diabetes and Nutrition Education: https://www.firsthealth.org/specialties/more-

services/diabetes-and-nutrition-education


and-Human-Services

NC Eat Smart Move More: http://www.eatsmartmovemorenc.com/

Food and Drug Administration: https://www.fda.gov/food/nutrition-education-resources-

materials/new-nutrition-facts-label

MyPlate: https://www.choosemyplate.gov/

American Diabetes Association: http://www.diabetes.org/

http://www.americanheart.org/

http://www.lungusa.org/

http://www.nhlbi.nih.gov/health/dci/index.html

https://www.firsthealth.org/specialties/more-services/quit-tobacco-programs

http://www.quitlinenc.com/

https://smokefree.gov/

https://www.fda.gov/tobacco-products



https://www.firsthealth.org/specialties/more-services/diabetes-and-nutrition-education

https://www.firsthealth.org/specialties/more-services/diabetes-and-nutrition-education

http://www.eatsmartmovemorenc.com/

https://www.fda.gov/food/nutrition-education-resources-materials/new-nutrition-facts-label

https://www.fda.gov/food/nutrition-education-resources-materials/new-nutrition-facts-label

https://www.choosemyplate.gov/

http://www.diabetes.org/


Spring 2020 32

Sexual Health


and-Human-Services

National Campaign to Prevent Teen Pregnancy: www.teenpregnancy.org

SHIFT NC: http://www.shiftnc.org/

Planned Parenthood: http://www.plannedparenthood.org

Center for Disease Control: https://www.cdc.gov/sexualhealth/

HIV Testing Sites: www.hivtest.org

Know HIV/AIDS www.knowhivaids.org

MATERNITY INFORMATION


and-Human-Services

March of Dimes: www.marchofdimes.com

Childbirth Connection: www.childbirthconnection.com

Lamaze International: www.lamaze.org



http://www.teenpregnancy.org/

http://www.shiftnc.org/

http://www.plannedparenthood.org/

https://www.cdc.gov/sexualhealth/

http://www.hivtest.org/

http://www.knowhivaids.org/



http://www.marchofdimes.com/

http://www.childbirthconnection.com/

http://www.lamaze.org/


Spring 2020 33

Produced By:

Richmond County Health Services

Division of Public Health

127 Caroline Street

Rockingham, NC 28379

(910) 997-8301

https://www.richmondnc.com/168/Health-and-

Human-Services

If you or your organization wish to be included in this guidebook,

please contact: Richmond Health Services at (910) 997-8292

Appendix B

2018 Community Health Needs Assessment

2018 Community Health

Needs Assessment EXECUTIVE SUMMARY

Richmond County, North Carolina

Sponsored By:

FirstHealth of the Carolinas

Prepared For:

Richmond County Division of Public Health

Prepared By:

Professional Research Consultants, Inc.

11326 P Street Omaha, NE 68137-2316

www.PRCCustomResearch.com

2019-0120-02

© March 2019

COMMUNITY HEALTH NEEDS ASSESSMENT

2

Project Overview

Project Goals

This Community Health Needs Assessment — a follow-up to similar studies conducted in the

area in past years by FirstHealth of the Carolinas (in 1999, 2003, 2007, 2011, and 2015) — is

a systematic, data-driven approach to determining the health status, behaviors, and needs of

residents in Richmond County, North Carolina. Subsequently, this information may be used to

inform decisions and guide efforts to improve community health and wellness.

A Community Health Needs Assessment provides information so that communities may

identify issues of greatest concern and decide to commit resources to those areas, thereby

making the greatest possible impact on community health status. This Community Health

Needs Assessment will serve as a tool toward reaching three basic goals:

• To improve residents’ health status, increase their life spans, and elevate their

overall quality of life. A healthy community is not only one where its residents suffer

little from physical and mental illness, but also one where its residents enjoy a high

quality of life.

• To reduce the health disparities among residents. By gathering demographic

information along with health status and behavior data, it will be possible to identify

population segments that are most at-risk for various diseases and injuries.

Intervention plans aimed at targeting these individuals may then be developed to

combat some of the socio-economic factors that historically have had a negative

impact on residents’ health.

• To increase accessibility to preventive services for all community residents.

More accessible preventive services will prove beneficial in accomplishing the first

goal (improving health status, increasing life spans, and elevating the quality of life),

as well as lowering the costs associated with caring for late-stage diseases resulting

from a lack of preventive care.

This assessment was conducted by Professional Research Consultants, Inc. (PRC). PRC is a

nationally recognized healthcare consulting firm with extensive experience conducting

Community Health Needs Assessments in hundreds of communities across the United States

since 1994.


3

Methodology

This assessment incorporates data from primary research (the PRC Community Health

Survey) and secondary research (vital statistics and other existing health-related data).

PRC Community Health Survey

Survey Instrument

The survey instrument used for this study is based largely on the Centers for Disease Control

and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as

various other public health surveys and customized questions addressing gaps in indicator

data relative to health promotion and disease prevention objectives and other recognized

health issues. The final survey instrument is similar to previous surveys used in the region,

allowing for data trending.

Community Defined for This Assessment

The study area for the survey effort is defined as each of the residential ZIP Codes primarily

associated with Richmond County, Indiana

Sample Approach & Design

A precise and carefully executed methodology is critical in asserting the validity of the results

gathered in the PRC Community Health Survey. Thus, to ensure the best representation of

the population surveyed, a telephone interview methodology — one that incorporates both

landline and cell phone interviews — was employed. The primary advantages of telephone

interviewing are timeliness, efficiency, and random-selection capabilities.

The sample design used for this effort consisted of a random sample of 319 individuals age

18 and older in Richmond County,. All administration of the surveys, data collection and data

analysis was conducted by PRC.

For statistical purposes, the maximum rate of error associated with a sample size of 319

respondents is ±5.5% at the 95 percent confidence level.

Sample Characteristics

To accurately represent the population studied, PRC strives to minimize bias through

application of a proven telephone methodology and random-selection techniques. While this

random sampling of the population produces a highly representative sample, it is a common

and preferred practice to “weight” the raw data to improve this representativeness even

further. The final sample is representative of Richmond County for key demographics such as

gender, age, race/ethnicity, and income level.

The sample design and the quality control procedures used in the data collection ensure that

the sample is representative. Thus, the findings may be generalized to the total population of

community members in the defined area with a high degree of confidence.


4

Public Health, Vital Statistics & Other Data

A variety of existing (secondary) data sources was consulted to complement the research

quality of this Community Health Needs Assessment. Data for Richmond County were

obtained from the following sources:

• Center for Applied Research and Environmental Systems (CARES)

• Centers for Disease Control & Prevention, Office of Infectious Disease, National

Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

• Centers for Disease Control & Prevention, Office of Public Health Science Services,

Center for Surveillance, Epidemiology and Laboratory Services, Division of Health

Informatics and Surveillance (DHIS)

• Centers for Disease Control & Prevention, Office of Public Health Science Services,

National Center for Health Statistics

• Community Commons

• ESRI ArcGIS Map Gallery

• National Cancer Institute, State Cancer Profiles

• OpenStreetMap (OSM)

• US Census Bureau, American Community Survey

• US Census Bureau, County Business Patterns

• US Census Bureau, Decennial Census

• US Department of Agriculture, Economic Research Service

• US Department of Health & Human Services

• US Department of Health & Human Services, Health Resources and Services

Administration (HRSA)

• US Department of Justice, Federal Bureau of Investigation

• US Department of Labor, Bureau of Labor Statistics

Benchmark Data

Trending

Similar surveys were administered in Richmond County since 1999 by PRC on behalf of

FirstHealth of the Carolinas. Trending data, as revealed by comparison to baseline survey

results, are provided whenever available.

North Carolina Risk Factor Data

Statewide risk factor data are provided where available as an additional benchmark against

which to compare local survey findings; these data represent the most recent BRFSS

(Behavioral Risk Factor Surveillance System) Prevalence and Trends Data published online

by the Centers for Disease Control and Prevention. State-level vital statistics are also

provided for comparison of secondary data indicators.


5

Nationwide Risk Factor Data

Nationwide risk factor data, which are also provided in comparison charts, are taken from the

2017 PRC National Health Survey; the methodological approach for the national study is

similar to that employed in this assessment, and these data may be generalized to the US

population with a high degree of confidence. National-level vital statistics are also provided for

comparison of secondary data indicators.

Healthy People 2020

Healthy People provides science-based, 10-year national objectives for

improving the health of all Americans. For three decades, Healthy People

has established benchmarks and monitored progress over time in order to:

• Encourage collaborations across communities and sectors.

• Empower individuals toward making informed health decisions.

• Measure the impact of prevention activities.

Healthy People strives to:

• Identify nationwide health improvement priorities.

• Increase public awareness and understanding of the determinants of health, disease, and disability

and the opportunities for progress.

• Provide measurable objectives and goals that are applicable at the national, State, and local levels.

• Engage multiple sectors to take actions to strengthen policies and improve practices that are driven

by the best available evidence and knowledge.

• Identify critical research, evaluation, and data collection needs.

Determining Significance

Differences noted in this report represent those determined to be significant. For survey-

derived indicators (which are subject to sampling error), statistical significance is determined

based on confidence intervals (at the 95 percent confidence level), using question-specific

samples and response rates. For the purpose of this report, “significance” of secondary data

indicators (which do not carry sampling error but might be subject to reporting error) is

determined by a 15% variation from the comparative measure.

Information Gaps

While this assessment is quite comprehensive, it cannot measure all possible aspects of

health in the community, nor can it adequately represent all possible populations of interest.

It must be recognized that these information gaps might in some ways limit the ability to

assess all of the community’s health needs.

In terms of content, this assessment was designed to provide a comprehensive and broad

picture of the health of the overall community. However, there are certainly medical conditions

that are not specifically addressed.


6

Summary of Findings

Significant Health Needs of the Community

The following “Areas of Opportunity” represent the significant health needs of Richmond

County, based on the information gathered through this Community Health Needs

Assessment and the guidelines set forth in Healthy People 2020. From these data,

opportunities for health improvement exist in the area with regard to the following health

issues (see also the summary tables presented in the following section).

The Areas of Opportunity were determined after consideration of various criteria, including:

standing in comparison with benchmark data (particularly national data); identified trends; the

preponderance of significant findings within topic areas; the magnitude of the issue in terms of

the number of persons affected; and the potential health impact of a given issue.

Areas of Opportunity Identified Through This Assessment

Access to Healthcare Services

• Lack of Health Insurance

• Barriers to Access o Cost of Prescriptions

• Primary Care Physician Ratio

• Emergency Room Utilization

Cancer • Leading Cause of Death

• Lung Cancer Incidence

Dementia, Including Alzheimer's Disease

• Alzheimer’s Disease Deaths

Diabetes • Diabetes Deaths

• Diabetes Prevalence

Heart Disease & Stroke

• Leading Cause of Death

• Heart Disease Deaths

• Stroke Deaths

• High Blood Pressure Prevalence

• Overall Cardiovascular Risk

Infant Health & Family Planning

• Low-Weight Births

• Infant Deaths

• Teen Births

Injury & Violence • Unintentional Injury Deaths o Including Motor Vehicle Crash Deaths

• Firearm-Related Deaths

Kidney Disease • Kidney Disease Deaths

• Kidney Disease Prevalence

— continued next page —


7

Areas of Opportunity (continued)

Mental Health • “Fair/Poor” Mental Health

• Symptoms of Chronic Depression

Nutrition, Physical Activity, & Weight

• Difficulty Accessing Fresh Produce

• Food Insecurity

• Overweight & Obesity

• Access to Recreation/Fitness Facilities

Oral Health • Regular Dental Care

Respiratory Diseases

• Chronic Lower Respiratory Disease (CLRD) Deaths

• Chronic Obstructive Pulmonary Disease (COPD) Prevalence

• Pneumonia/Influenza Deaths

• Flu Vaccination [Age 65+]

• Pneumonia Vaccination [Age 65+]

Sexually Transmitted Diseases

• Gonorrhea Incidence

• Chlamydia Incidence

Substance Abuse • Cirrhosis/Liver Disease Deaths

• Binge Drinking

• Unintentional Drug-Related Deaths

Summary Tables: Comparisons With Benchmark Data

The following tables provide an overview of indicators in Richmond County, as well as trend

data where available for survey indicators. These data are grouped to correspond with the

Focus Areas presented in Healthy People 2020.

Reading the Summary Tables

In the following tables, Richmond County results are shown in the larger, blue column.

Tip: Indicator labels beginning with a “%” symbol are taken from the PRC Community Health

Survey; the remaining indicators are taken from secondary data sources.

The columns to the right of the Richmond County column provide trending, as well as

comparisons between local data and any available state and national findings, and Healthy

People 2020 targets. Again, symbols indicate whether Richmond County compares favorably

(B), unfavorably (h), or comparably (d) to these external data.

Note that blank table cells signify that data are not available or are not reliable for that area

and/or for that indicator.

TREND SUMMARY (Current vs. Baseline Data) Survey Data Indicators: Trends for survey-derived indicators represent significant changes since 1999 or the first survey year that a question was asked.


8

Richmond County

Richmond County vs. Benchmarks

TREND

Social Determinants vs. NC vs. US vs.

HP2020

Linguistically Isolated Population (Percent) 3.0 d B 2.9 4.5

Population in Poverty (Percent) 25.8 h h 16.9 15.1

Population Below 200% FPL (Percent) 51.5 h h 37.7 33.6

Children Below 200% FPL (Percent) 64.1 h h 48.2 43.3

No High School Diploma (Age 25+, Percent) 19.7 h h 13.7 13.0

Unemployment Rate (Age 16+, Percent) 6.1 h h 4.3 4.1

% Worry/Stress Over Rent/Mortgage in Past Year 39.3 h 30.8

% Written Health Information is "Seldom/Never" Easy to Understand

8.7 d 12.2

% Spoken Health Information is "Seldom/Never" Easy to Understand

5.4 d 8.3

B d h better similar worse

Richmond County


TREND

Quality of Life vs. NC vs. US vs.

HP2020

% Community is a "Fair/Poor" Place to Live 24.0 B 28.1

% Feel Able to Affect Quality of Community Life 79.0 d 70.1



9

Richmond County


TREND

Overall Health vs. NC vs. US vs.

HP2020

% "Fair/Poor" Overall Health 32.2 h h d 19.1 18.1 24.6

% Activity Limitations 27.8 h d d 21.6 25.0 23.9

% Poor Physical/Mental Health Limited Activities 3+ Days/Past Month

18.4


Richmond County


TREND

Access to Health Services vs. NC vs. US vs.

HP2020

% [Age 18-64] Lack Health Insurance 22.5 d h h d 18.8 13.7 0.0 13.5

% [Age 65+] Have Medicare Supplemental Insurance 67.6

% Went Without Coverage in Past Year 30.2 d 12.4

% Difficulty Accessing Healthcare in Past Year (Composite) 43.3 d 43.2

% Difficulty Finding Physician in Past Year 11.8 d 13.4

% Difficulty Getting Appointment in Past Year 13.9 d 17.5

% Cost Prevented Physician Visit in Past Year 18.0 d 15.4

% Transportation Hindered Dr Visit in Past Year 11.5 d 8.3

% Inconvenient Hrs Prevented Dr Visit in Past Year 10.4 d 12.5


10

Richmond County


TREND

Access to Health Services (continued) vs. NC vs. US vs.

HP2020

% Language/Culture Prevented Care in Past Year 3.2 d 1.2

% Cost Prevented Getting Prescription in Past Year 21.4 h d 14.9 18.0

% Difficulty Getting Child's Healthcare in Past Year 0.0 B 5.6

Primary Care Doctors per 100,000 41.6 h h 80.0 87.8

% Preventive Routine Medical Care is “Very Important” 81.6

% Have a Regular Source for Medical Care 90.3 d 91.7

% Have Had Routine Checkup in Past Year 80.2 B B 74.9 68.3

% Likely to Use Telehealth if Offered 66.2

% Have Access to the Internet for Personal Use 86.6

% Have a Smartphone 80.2

% Two or More ER Visits in Past Year 18.9 h 9.3



11

Richmond County


TREND

Cancer vs. NC vs. US vs.

HP2020

Cancer (Age-Adjusted Death Rate) 182.1 d d d 161.1 155.6 161.4

Lung Cancer (Age-Adjusted Death Rate) 0.0 B B B 44.2 38.5 45.5

Prostate Cancer (Age-Adjusted Death Rate) 0.0 B B B 19.5 18.9 21.8

Female Breast Cancer (Age-Adjusted Death Rate) 0.0 B B B 21.1 20.1 20.7

Colorectal Cancer (Age-Adjusted Death Rate) 0.0 B B B 13.6 13.9 14.5

Female Breast Cancer Incidence Rate 137.7 d d 129.4 123.5

Prostate Cancer Incidence Rate 114.5 d d 125.0 114.8

Lung Cancer Incidence Rate 85.6 h h 70.0 61.2

Colorectal Cancer Incidence Rate 42.3 d d 37.7 39.8

% Cancer (Other Than Skin) 7.4 d d 6.8 7.1

% Skin Cancer 7.5 d d 7.2 8.5

% [Men 50+] Prostate Screening in Past 2 Years 54.8 d 56.8

% [Women 50-74] Mammogram in Past 2 Years 81.6 d d d d 79.3 77.0 81.1 87.7

% [Women 18+] Clinical Breast Exam in Past 2 Years 71.7 d 85.7

% [Women 21-65] Pap Smear in Past 3 Years 82.9 d B h d 84.0 73.5 93.0 89.0


12

Richmond County


TREND

Cancer (continued) vs. NC vs. US vs.

HP2020

% [Age 50-75] Colorectal Cancer Screening 76.6 d d B 72.8 76.4 70.5


Richmond County


TREND

Dementias, Including Alzheimer's Disease vs. NC vs. US vs.

HP2020

Alzheimer's Disease (Age-Adjusted Death Rate) 48.3 h h 36.4 30.2


Richmond County


TREND

Diabetes vs. NC vs. US vs.

HP2020

Diabetes (Age-Adjusted Death Rate) 45.0 h h h 23.6 21.3 20.5

% Diabetes/High Blood Sugar 21.8 h h d 11.4 13.3 14.3

% Borderline/Pre-Diabetes 9.8 d 9.5

% [Diabetics] Taking Insulin/Medication 92.0

% [Diabetics] Hospital/ER Visit for Diabetes in Past Year 17.6


13

Richmond County


TREND

Diabetes (continued) vs. NC vs. US vs.

HP2020

% [Diabetics] Taken Diabetes Management Course 48.3

% Blood Sugar Tested in Past 3 Years 92.0


Richmond County


TREND

Heart Disease & Stroke vs. NC vs. US vs.

HP2020

Diseases of the Heart (Age-Adjusted Death Rate) 258.6 h h h 158.2 166.3 156.9

Stroke (Age-Adjusted Death Rate) 63.7 h h h 43.6 37.5 34.8

% Heart Disease (Heart Attack, Angina, Coronary Disease) 10.2 d 8.0

% Stroke 5.7 d d 3.7 4.7

% Blood Pressure Checked in Past 2 Years 96.9 B B d 90.4 92.6 96.3

% Told Have High Blood Pressure (Ever) 53.9 h h h h 34.8 37.0 26.9 34.9

% [HBP] Taking Action to Control High Blood Pressure 90.2 d B 93.8 80.7

% Cholesterol Checked in Past 5 Years 93.4 B B B d 86.7 85.1 82.1 90.1

% Told Have High Cholesterol (Ever) 41.2 d h d 36.2 13.5 28.7

% [HBC] Taking Action to Control High Blood Cholesterol 91.3 d B 87.3 69.4


14

Richmond County


TREND

Heart Disease & Stroke (continued) vs. NC vs. US vs.

HP2020

% 1+ Cardiovascular Risk Factor 92.8 h d 87.2 90.5


Richmond County


TREND

HIV vs. NC vs. US vs.

HP2020

HIV/AIDS (Age-Adjusted Death Rate) 0.0 B B B 2.6 2.3 3.3

HIV Prevalence Rate 309.6 d d 326.3 353.2


Richmond County


TREND

Immunization & Infectious Diseases vs. NC vs. US vs.

HP2020

% [Age 65+] Flu Vaccine in Past Year 63.4 d h d d 66.4 76.8 70.0 66.4

% [High-Risk 18-64] Flu Vaccine in Past Year 54.7 d h 55.7 70.0

% [Age 65+] Pneumonia Vaccine Ever 70.7 d h h 71.9 82.7 90.0

% [High-Risk 18-64] Pneumonia Vaccine Ever 66.7 B d 39.9 60.0



15

Richmond County


TREND

Infant Health & Family Planning vs. NC vs. US vs.

HP2020

No Prenatal Care in First Trimester (Percent) 39.9 h h 31.4 22.1

Low Birthweight Births (Percent) 10.3 d h h 9.1 8.2 7.8

Infant Death Rate 11.9 h h h 7.2 5.8 6.0

Teen Births per 1,000 (Age 15-19) 75.9 h h 41.7 36.6


Richmond County


TREND

Injury & Violence vs. NC vs. US vs.

HP2020

Unintentional Injury (Age-Adjusted Death Rate) 62.4 h h h 52.1 46.7 36.4

Motor Vehicle Crashes (Age-Adjusted Death Rate) 17.7 h h h 14.2 11.4 12.4

[65+] Falls (Age-Adjusted Death Rate) 0.0 B B B 74.9 62.1 47.0

Firearm-Related Deaths (Age-Adjusted Death Rate) 22.6 h h h 13.3 11.6 9.3

Homicide (Age-Adjusted Death Rate) 0.0 B B B 6.8 6.0 5.5

Violent Crime Rate 446.3 h d 334.5 379.7

% Victim of Violent Crime in Past 5 Years 3.8 d d 3.7 2.5

% Household Has 1+ Working Smoke Detector 92.5


16

Richmond County


TREND

Injury & Violence (continued) vs. NC vs. US vs.

HP2020

% Household Has 1+ Working Carbon Monoxide Detector 67.3

% Household Has Family Emergency Plan 70.4

% Household Has Emergency Kit 63.4


Richmond County


TREND

Kidney Disease vs. NC vs. US vs.

HP2020

Kidney Disease (Age-Adjusted Death Rate) 34.0 h h 16.7 13.2

% Kidney Disease 6.8 d h 4.2 3.8


Richmond County


TREND

Mental Health vs. NC vs. US vs.

HP2020

% "Fair/Poor" Mental Health 18.7 h 13.0

% 3+ Days of Poor Mental Health in Past Month 28.9 B 26.5

% Symptoms of Chronic Depression (2+ Years) 44.7 h d 31.4 32.7

% 3+ Days Worried, Tense, or Anxious in Past Month 45.9 B 48.1


17

Richmond County


TREND

Mental Health (continued) vs. NC vs. US vs.

HP2020

Suicide (Age-Adjusted Death Rate) 14.2 d d h 13.6 13.6 10.2

% Have Ever Sought Help for Mental Health 30.8 d d 30.8 16.3

% Unable to Get Mental Health Svcs in Past Yr 3.2 B 6.8


Richmond County


TREND

Nutrition, Physical Activity & Weight vs. NC vs. US vs.

HP2020

% Food Insecure 34.2 h 27.9

% Eat 2+ Servings of Fruit Per Day 14.0

% Eat 3+ Servings of Vegetables Per Day 11.7

% "Very/Somewhat" Difficult to Buy Fresh Produce 28.1 h 22.1

% Used a Food Bank/Pantry or Church/Community Org for F&V in Past Yr

16.1

% Used a Corner/Convenience/Gas Station for F&V in Past Yr 11.6

% Used a Farmer’s Market/Permanent Farm Stand in Past Yr 60.0

% Used a Grocery/Superstore for F&V in Past Yr 98.2

Population With Low Food Access (Percent) 22.2 d d 23.6 22.4


18

Richmond County


TREND

Nutrition, Physical Activity & Weight (continued) vs. NC vs. US vs.

HP2020

% Eat 2+ Servings of Whole Grain Bread Per Day 13.9

% Consumed 1+ Sugar-Sweetened Beverage Yesterday 70.6

% <4 Days/Week Eating Meals at Home 23.0

% No Leisure-Time Physical Activity 31.5 h d d d 25.6 26.2 32.6 29.0

% Meeting Physical Activity Guidelines 22.1 d d d 18.8 22.8 20.1

% Child [Age 2-17] Physically Active 1+ Hours per Day 70.2 B 50.5

% Have a Park/Playground Within Walking Distance of Home 28.2

% Can Purchase Healthy Foods Within Walking Distance of Home 20.7

% Neighborhood Is Safe for Walking During the Day 92.1

% Neighborhood Is Safe For Walking at Night 52.3

% Neighborhood Has Adequate Lighting 59.0

% Neighborhood Has Safe Crosswalks 28.4

% Neighborhood Has Good Sidewalks 25.1

Recreation/Fitness Facilities per 100,000 4.3 h h 11.8 11.0

% 3+ Hours of Screen Time Per Day 58.8


19

Richmond County


TREND

Nutrition, Physical Activity & Weight (continued) vs. NC vs. US vs.

HP2020

% Overweight (BMI 25+) 78.7 h h h 66.9 67.8 64.0

% Healthy Weight (BMI 18.5-24.9) 18.5 h h h h 31.3 30.3 33.9 34.7

% Obese (BMI 30+) 45.0 h h h h 32.1 32.8 30.5 28.9


Richmond County


TREND

Oral Health vs. NC vs. US vs.

HP2020

% Have Dental Insurance 58.0 d 59.9

% [Age 18+] Dental Visit in Past Year 48.5 h h d B 63.6 59.7 49.0 63.7


Richmond County


TREND

Respiratory Diseases vs. NC vs. US vs.

HP2020

CLRD (Age-Adjusted Death Rate) 72.4 h h 45.2 41.0

Pneumonia/Influenza (Age-Adjusted Death Rate) 18.7 d h 17.6 14.3

% Adults Asthma (Ever Diagnosed) 20.9 h d d 13.6 19.4 13.1

% COPD (Lung Disease) 17.7 h h 7.8 8.6


20

Richmond County


TREND

Respiratory Diseases (continued) vs. NC vs. US vs.

HP2020

% [Smoked For 11+ Years] Have Asthma 22.5

% [Smoked For 11+ Years] Have COPD 33.8


Richmond County


TREND

Sexually Transmitted Diseases vs. NC vs. US vs.

HP2020

Chlamydia Incidence Rate 700.4 h h 478.6 456.1

Gonorrhea Incidence Rate 131.5 d h 146.4 110.7


Richmond County


TREND

Substance Abuse vs. NC vs. US vs.

HP2020

Unintentional Drug-Related Deaths (Age-Adjusted Death Rate) 21.6 h h h 17.6 16.7 11.3

Cirrhosis/Liver Disease (Age-Adjusted Death Rate) 18.8 h h h 10.4 10.8 8.2

% Current Drinker 43.3 B B h 50.4 55.0 24.5

% Binge Drinker (Single Occasion - 5+ Drinks Men, 4+ Women) 15.8 d d B h 15.4 20.0 24.4 6.0

% Excessive Drinker 17.2 B B 22.5 25.4


21

Richmond County


TREND

Substance Abuse (continued) vs. NC vs. US vs.

HP2020

% Illicit Drug Use in Past Month 2.8 d B d 2.5 7.1 3.5

% Illegal Drug Use by Member of HH in Past Year 5.4

% Prescription Drug Abuse by Member of HH in Past Year 1.8

% Ever Sought Help for Alcohol or Drug Problem 5.4 d d 3.4 3.1

% Life Negatively Affected by Substance Abuse 41.6 d 37.3


Richmond County


TREND

Tobacco Use vs. NC vs. US vs.

HP2020

% Current Smoker 21.1 d d h B 17.2 16.3 12.0 23.1

% Regularly Exposed to Secondhand Smoke 28.2

% Currently Use Vaping Products 6.1 d d 4.6 3.8


Richmond County


TREND

Vision vs. NC vs. US vs.

HP2020

% Eye Exam in Past 2 Years 55.6 d d 55.3 69.7


Documents

Richmond County Health Department Presents CHA 4.0.pdf · Jimmy McDonald Photography Richmond County First-in-Health 2020 Task Force Richmond County Department of Health and Human