Community Health Project

Dornea Hart-Morris
Departments of Nursing, Jacksonville
University Keigwin
NUR 453: Community-Focused Professional
Nursing
Professor Sherri Bateh
April 17, 2023
 Community
Milton City, of Santa Rosa County in Florida was the community of interest in
the assessment. I narrowed it down the cheval community located at 5870
Cheval Street.
It is a rural community with a population of 12,839.
The largest ethnic group or race is White at 53.6%, followed by 23.6%
Hispanics. The Asian race is the least at 10.7% (Florida Cities by Population,
n.d.).
The people in the community have access to schools, religious centers,
recreational facilities, parks, veterinary services, markets, and restaurants. It is
a quiet community full of hospitable people of all ages with a median age of
39.9 years.
It is in the neighborhood of Arcadia Street, Gainer Ave, and Morningside Ln.
 Community Assessment Model

This model helps the community in

identifying health needs within and
addressing them with resources that
are available (Stanhope et al., 2020).
The model allows the whole
community to participate in the
program, thus building confidence and
The vision for the model : trust. People with drug abuse problems
“Communities achieving who are often isolated and stigmatized
improved health and quality of then get an opportunity to engage with
life by mobilizing partnerships the community in helping them get
and taking strategic action.” better.

Mobilizing for
Action through
Planning and
Partnerships
(MAPP)
 • The total percentage of deaths from drug and
substance abuse within Santa Rosa County was
1.2% compared to 0.8% in the entire state of
Florida.
• The majority were teens who used
Health methamphetamines.
Problem
Project:
• This led to increased rate of emergency room
Substance visits
abuse
• Factors such as neglect, child abuse, poverty
contributed to adolescent substance abuse.
• One thing about this community is their
reception to new information and new
perspectives on matters affecting the health of
the community.
 TRENDS
Substance abuse is a huge behavioral health problem in Milton city,
with a report of 100 deaths from drug overdose in 2020.
In comparison to the entire state of Florida, there was an increase
of 150% of opioid-related deaths in 2020 from 2013. The number
of hospitalizations due to opioid abuse also increased that year.
Nationally, substance abuse is recognized as a problem. Across the
states, opioid abuse and addiction are the major health concerns.
The mortality rate in the US increased by 30% from 2019 to 2020.
Approximately 19.4 million adults were diagnosed with substance
abuse disorder as reported by the National Survey on Drug Use and
Health
Substance abuse is a major health issue affection populations at all
levels; locally, regionally, and nationally.
Identification of Health Needs of
Community

Windshield Survey:
During my community survey, I Putting together my findings during
Community Key Person Interview the windshield survey, the
made observations on the
available resources in the I got an opportunity to complete community key person interviews
interviews with 3 different key and health statistics, I identified the
community. I came across a few persons in the community. A following strategic issues related to
resources that provided common concern among the 3 was substance abuse: inaccessibility of
rehabilitation services to the unhealthy behavior of drug and substance abuse treatment due to
residents struggling with substance abuse among teens and scarce resources within the
addiction and substance abuse young adults within the community.
They recognized the need to
community, and barriers like high
disorder. They were sparsely educate , counsel, and support the cost of treatment, stigma
spread out through Milton, and community members through surrounding substance abuse, and
therefore not entirely easily rehabilitation lack of community effort for early
accessible to all residents in need prevention and intervention.
of these services.
 Specific: Increase awareness and understanding of substance abuse as a health issue rather than a moral
failing.
Increase the availability and accessibility of substance abuse treatment resources in the community.

Measurable: Conduct a community survey to measure attitudes towards substance abuse

GOALS
Achievable: Partner with a local substance abuse treatment center and agencies to provide educational
programs for community members.
Develop and implement an awareness campaign on substance abuse that involves community partners
such as schools, healthcare providers, and local businesses
Partner with local healthcare providers and substance abuse treatment centers and agencies to increase
the availability of treatment resources.
Seek grants and funding opportunities to support the development of new treatment centers

Relevant: Address the specific cultural and social factors that contribute to substance abuse stigma in
the community
Address specific challenges to accessing treatment in the community, such as cost of treatment and
transportation.

Time-bound: Implement the educational programs within the next four months.
Community and partners to develop a plan for increasing treatment availability and accessibility within
the next four months
 • Offers Family Counseling, Inpatient and Outpatient Programs, Individual and Group Therapy, Medical
Sacred Heart Hospital Detoxification, Dual Diagnosis Treatment, and Relapse Prevention.
• Accepts Medicaid, Private Pay, Medicare, and Insurance and open 24hours
Rehabilitation Center5151 N 9th • https://www.sacred-heart.org/locations/
Ave, Pensacola, FL • (850) 416-7550

Lakeview Center - Alcohol & Drug • Offers Family Counseling, Inpatient and Outpatient Programs, Individual and Group Therapy, Medical
Treatment Detoxification, Dual Diagnosis Treatment, and Relapse Prevention.
• Accepts insurance and other payments, opens Monday-Friday 8am to 5pm
• https://elakeviewcenter.org/
6051 Doctor's Park Road, Milton, • (850) 494-5000
FL

• Inpatient and Outpatient Programs, Medical Detoxification, Dual Diagnosis Treatment, and Relapse
The Friary of Lakeview Center Prevention
• Accepts insurance, opens 24 hours
4400 Hickory Shores Blvd, Gulf • https://thefriary.org/
Breeze, FL • (850) 932-9375

• Inpatient and Outpatient Programs, Medical Detoxification, Relapse Prevention

Twelve Oaks Recovery 2068 Healthcare • Accepts insurance, opens 24 hours
•
Ave, Milton, FL •
https://www.twelveoaksrecovery.com/
(850) 810-4813
 Implementation Phase
IDENTIFY RESOURCES CREATE LEAFLETS AND
POSTERS
Generated an easy to read leaflet
containing basic information like contact
Composed a list of the information, addresses, and payment
available resources for options on resources available in the
substance abuse treatment community.
within the community and Put up posters that increase awareness
the county. and understanding of substance abuse as
a health issue rather than a moral failing.
Contacted different agencies for
partnership and resource support.

Action!
Provided the leaflets to community members by handing them out to community social settings like
eatery places, and local convenience stores. They are easily acquired and portable as they can be
carried in pockets, bags, purses to allow them to read and reference them later. Put up posters in
social settings and high traffic areas because they are visible and anyone can read them.
 This phase allows for an assessment of
the effectiveness of the strategies and

Evaluation Phase
provides an opportunity to make
necessary adjustments to improve their
impact.
The evaluation phase for this project
would entail further investigation into
the needs the community regarding
substance abuse.
Another survey will be carried four
months down the line to measure
changes in attitudes of people towards
individuals struggling with substance
abuse disorder, changes in
stigmatization, and the level of
implementation of campaign and
education programs.
The substance abuse treatment centers and
partner agencies will take part in justifying
the need for increasing availability of
resources by providing data on those who
have utilized their services from the
studied zip code.
Establish if the community got funding
and support opportunities for development
of new treatment facilities.
The windshield survey and community interviews
were tasks I did well.
I addressed the issue of awareness,
stigmatization, and finding accessible facilities
for treatment and recovery of substance and
alcohol abuse disorder.
Given another opportunity I will do an
investigation on the social determinants of health
that cause substance abuse, and develop harm
reduction strategies like overdose prevention
programs to decrease the detrimental effects of
substance abuse.
REFERENCES
in. (2019). Models for Collaborative Planning in Communities. Nih.gov; National
Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK221247/
Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered
health care in the community (9th ed.). Elsevier.