Together We Can! Healthy Living in Butte County - Community Health Improvement Plan (CHIP) Socioeconomic Factors that Affect Health Scorecard

Poverty & Food Insecurity
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Why Is This Important?

Socioeconomic factors greatly influence access to resources that are important for health, such as: healthcare, education, safe and affordable housing, food, and recreation. Between 2010 and 2014, 21.5% of Butte County residents were living below the federal poverty level. Unfortunately, Butte County’s high poverty rates have also led to an increased prevalence of food insecure households. Food security is defined as having enough to eat and the ability to purchase or obtain healthy food in socially acceptable ways. In 2012, over half of the households in Butte County with incomes near or below the federal poverty level reported being food insecure.

Partners

CSU Chico Center for Healthy Communities, CSU Chico Health & Community Services Department, Butte County Public Health Department Women Infant & Children's (WIC) Program, Butte County First Five Commission, Gridley Reaching Out for Wellness, and St. Timothy's Episcopal Church

Accomplishments To Date
  • In 2015, a partnership was established for CSU Chico students to conduct outreach to individuals and families to obtain WIC and CalFresh benefits.
  • The CSU Chico students participated in more than 26 family community outreach events during the 2015-2016 school year. 200 WIC and 400 CalFresh outreach materials have been distributed.
  • In the spring of 2016, construction of a community garden was completed at St. Timothy’s Episcopal Church in Gridley.
Current Activities
  • Training is occurring on a semester basis for new CSU Chico students in WIC and CalFresh outreach strategies.
  • WIC is developing an action plan to increase utilization of WIC farmer’s market vouchers.
  • The Center for Healthy Communities and WIC are developing a plan to utilize a “soft handoff” or a hyperlink to refer clients to WIC and CalFresh benefits, in addition to conducting outreach events.
Access To Care
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Why Is This Important?

Healthy People 2020 has identified Access to Health Care Services as a priority area. Timely access to health care services, including testing, is essential to achieve health equity, reduce the spread of communicable disease, and increase the quality of life for Butte County’s population. Early access to primary and specialty care can improve overall physical, social, and mental health. Increasing access to testing services can allow for early detection, preventing the spread of disease.

Partners

Ampla Health, Butte 2-1-1, Butte College, Butte County Public Health Department, Butte-Glenn Medical Society, California Health Collaborative, Chico State, Community Action Agency, Disability Action Center, Enloe Medical Center, Feather River Hospital, Feather River Tribal Health, Hmong Cultural Center, Hospital Council, Northern Valley Indian Health, Orchard Hospital, Oroville Hospital, PEP Senior Housing, Shalom Free Clinic.

Accomplishments To Date
  • A countywide “Access to Care” assessment was completed in the spring of 2016
  • A workgroup was formed to address access to care barriers identified in the assessment
Current Activities
  • Currently, Butte County is holding meetings with other rural counties to evaluate options to improve access to care in the region for individuals with Medi-Cal.
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Why Is This Important?

Early identification and treatment of disease can decrease the proportion of infected persons who develop long term complications. Butte County has seen unprecedented increases in Syphilis cases in the past two years. Furthermore, Butte County has one of the highest age adjusted mortality rates for chronic liver disease, a complication of Hepatitis C Virus. Increasing access to testing services for Syphilis and Hepatitis C Virus can allow for early detection, preventing the spread of disease among Butte County’s vulnerable populations.

Partners

Butte County Public Health Department, Butte County Behavioral Health Department, Butte County Department of Employment and Social Services (DESS)

Accomplishments To Date
  • As of May 2017, xx rapid testing outreach events have been conducted for underserved populations
  • As of January 2017, all three major laboratories serving Butte County have implemented policy changes to their Hepatitis C Virus testing algorithm to include confirmatory testing.
Current Activities

Rapid Testing Outreach Events for Syphilis and Hepatitis C virus are occurring on a monthly basis.

Homelessness
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Why Is This Important?

Every two years, the Butte Countywide Homeless Continuum of Care conducts a one day, point-in-time census and survey of those experiencing homelessness. In 2015, it was estimated that there were over 1,127 homeless persons residing in Butte County. Homelessness exerts a severe impact on people's physical and mental well-being. In contrast to the general population, people experiencing homelessness are at elevated risk for communicable disease, chronic illness, and being victims of violence. They are more likely to experience poor mental health, and to develop substance-related and addictive disorders. It is also estimated that the mortality rate for homeless persons may be up to nine times greater than for the general population.

Partners

Butte 2-1-1, Enloe Medical Center, Butte County Public Health Department

Accomplishments To Date
  • The percent of total calls to Butte 211 from individuals experiencing homelessness increased from 8% to 9.4% during the 7/1/15 to 12/31/17 reporting period
  • Ten trainings regarding usage of Butte 211 as a referral resource have been conducted at Enloe Medical Center and Ampla Health.
Current Activities

Enloe Medical Center, Butte 211, and Butte County Public Health Department are evaluating methods to track recidivism and facilitate coordination of care for homeless individuals seeking care at Enloe Medical Center.

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