Community Health Program Evaluation

Community Health Program EvaluationAmy SmithNURS 512 Organization, Delivery and Policy in HealthcareMay 2015

Domestic ViolenceLearning Objectives:Recognize signs and symptoms of Domestic ViolenceEvaluate the Statistics in NYCKnow the resources/programs available in NYCEvaluate the programs successes/failuresDetermine outcomes of programReview program sustainability

What is DV or IPV?Domestice Violence (DV) or Intimate Partner Violence (IPV) involves a pattern of behavior exhibiting control and power over someone else.Physical, Sexual and psychological in natureThe use or threat of weaponsHitting, slapping, kicking, pushing, shovingForced or unwanted sexual intercourse/contactThreatening abuse of children/familyCriticizing, name calling, ridiculingControlling access to family, friends, moneyNYC.GOV, 2015

Effects of DV/IPVShame, humiliationIsolation from work (loss of income), friends, familyPhysical injurySelf Harm/SuicidePsychologicalPTSD, Depression and DissociationNYC.Gov, 2015

NYC DataA very serious public health issue:From 2003 to 2005 nearly half of fatal violence against women (44%) resulted from IPVIn 2005, nearly 4,000 ER visits from injuries from IPVAnonymous survey done in 2005 estimated 69,000 women 18 yrs and above reported fearing an intimate partner.Between 1999 and 2005 physical dating violence amongst NYC teens rose 50%

NYC Dept. of Mental Health and Hygiene, 2015

NYC Data contdDomestic Violence is the 3rd Leading cause of homelessness (US Dept. of Housing)1/3 of all homeless families in NYC are a result of Domestic Violence (Safe Horizons, 2015)30-60% Children who live in homes with DV also suffer abuse or neglect.DV costs more than $37 billion a year in law enforcement, legal work, medical and mental health and loss of work. (Safe Horizons, 2015)

Monitoring Program OutcomesHas the Program resulted in Change?According to the Mayors Office to Combat Domestic ViolenceIn 2013- city wide 284,858 reported cases of DVIn 2014- city wide 282, 648 reported cases of DVNet change of -2,210The NYC Healthy Relationship Training Academy conducted a total of 295 workshops and trained 6,276 youth and parentsOCDV conducted over 900 outreach events, an increase of 365%, and distributed 265,000 pieces of public materials, an increase of 874%NYC Dept of Mental Health and Hygiene, 2015

Sustainabilty/Resource AccountabilityThe Fund for Public Health in NY (FPHNY) raises and manages outside funding for DOHMH (Dept. of Health and Mental Hygiene) led projects. Grant funds- whether federal, state, private foundation or individual- have been vital to DOHMH successes. In the last seven years of operations, over $250 million has been raised to quickly develop new knowledge, test ideas and persuade stakeholders to continue to donate to the issues at hand. The funds are used for the following:

Produce Public health policy and program models that can be replicated nationally/globallyReduce the time it takes to identify problems, design a response and implement solutionsEnable public health experts to respond more effectively to emergent issuesFashion new cross agency collaborationsFind new approaches that ameliorate losses in public funding. FPHNY.org, 2015

Revising Program InterventionsThe data shows in improvement in the amount of reported casesStill too many cases, how many cases need happen to call this an epidemic?Education is key, but education in hindsight is too late. Early intervention in schools, camps, youth organizations, Womens Health clinics and Community programs.

Requests for InformationNYC.gov is a very transparent site, where you can find not only resources for a myriad of public heath problems, but all of the data that has been reported out to the most recent year. Available Financials: 2013-2014State Public Health Budget Total- $2.1 billionState Public Health Budget per Capita- $109.00Federal Budget (CDC)- $468 millionFederal Budget per Capita- $24.00

Requests for Information contdFederal Funding from Health Resources and Services Administration (HRSA) $617 millionHRSA Budget per capita- $31.00Total expenditure per capita in NYSapprox $164.00 for Public HealthHealthyAmericans.org , 2015

Unintended AffectsNo unintended affects of the programStraightforward program designed to educate, perform outreach, give resources and lower the amount of DV/IPV in NYC.

Accreditation RequirementsAccredited through the PHAB- Public Health Accreditation BoardFunded by the CDC and the Robert Wood Johnson FoundationSets standards for quality and performance of public health department at all levels of government.Peer reviewed assessments to ensure that each department adheres to a high set of quality standards and measures.One of the requirements was to design and roll out a state health improvement plan. Prevention Agenda 2013-17Health.NY.gov, 2015

ConclusionDomestic Violence/Intimate Partner Violence is a very emergent Public Health IssueIt is costly for cities to not address it.NYC has a robust program, that needs some work in not addressing the problem after it has happenedThe funding is robust and does not seem to be in danger of getting cut.

References:About the Issue. (2015). Retrieved May 31, 2015, from http://joyfulheartfoundation.org/learn/domestic-violence/about-issue Domestic Violence: Statistics & Facts. (n.d.). Retrieved May 31, 2015, from http://www.safehorizon.org/page/domestic-violence-statistics--facts-52.html DOMESTIC VIOLENCE: 2014 FACT SHEET. (n.d.). Retrieved May 31, 2015, from http://www.nyc.gov/html/ocdv/downloads/pdf/Statistics_Annual_Fact_Sheet_2014.pdf Domestic Violence. (2015). Retrieved May 31, 2015, from http://www.nyc.gov/html/doh/html/living/violence-provider.shtml

References:Fund for Public Health NY. (n.d.). Retrieved May 31, 2015, from http://www.fphny.org/programs Intimate Partner Violence: Data Sources. (2014, November 25). Retrieved May 31, 2015, from http://www.cdc.gov/violenceprevention/intimatepartnerviolence/datasources.html Key Health Data About New York. (n.d.). Retrieved May 31, 2015, from http://healthyamericans.org/states/?stateid=NY#section=3,year=2013,code=undefined Milstead, J. (2016). Health policy and politics: A nurse's guide (Fifth ed.). Burlington, MA: Jones and Bartlett Publishing. New York State Health Department Celebrates National Accreditation Through the Public Health Accreditation Board. (n.d.). Retrieved May 31, 2015, from https://www.health.ny.gov/press/releases/2015/2015-02-23_accreditation.htm