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CR SSD


Center for Rural Health & Social Service Development

Our Vision: That the Center for Rural Health and Social Service Development be recognized for supporting the provision of services to enhance the health and well being of communities and to reduce health disparities.

Our Mission: The Center for Rural Health and Social Service Development at Southern Illinois University Carbondale aims to strengthen rural health infrastructure and to promote opportunities for enhancing health primarily in rural communities.

Our Values: Service to our communities, service to our professions, our stakeholders, motivated, productive, and professional staff, honesty, integrity, and mutual respect, creative thinking, and excellence.

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Center Services Evaluation Proper planning and evaluation of projects is necessary to improve outcome and strategy alignment, reporting of results, responses to accountability standards, and project sustainability.

Geographic Information Systems (GIS) The Center for Rural Health and Social Service Development offers GIS mapping services to support various center and community activities including grant writing, publications, various project needs, and specifically in the Rural Medical Transportation Network project.

Grant Writing The Center for Rural Health and Social Service Development provides expertise and services in the area of grant writing to rural communities and organizations.

Training

Through its social networks and internal expertise, the CRHSSD strategically, efficiently, and effectively plans, implements, and evaluates trainings.

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Center Services

Evaluation

The Center for Rural Health and Social Service Development (CRHSSD)

provides expertise and services in the areas of research and evaluation to rural communities and organizations. Services are offered to key partners on

strategically important projects and/or on fee for service (fee plus fixed costs)

basis. Proper planning and evaluation of projects is necessary to improve out-

come and strategy alignment, reporting of results, responses to accountability standards, and project sustainability. The CRHSSD has successfully evaluat-

ed projects funded by federal, state, foundation, and local organizations. The Center offers expertise in the content areas of health promotion, data analysis,

data management, reporting, telehealth, coalition building, community partnerships, instrument development, and strategic planning. Through its social networks and internal expertise, the CRHSSD strategically, efficiently, and effectively plans, implements, and evaluates projects.

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Center Services

Geographic Information Systems GIS Services

(GIS)

* Demographic maps * Census data maps * Aerial photography with data overlay * Data collection * Data analysis * City/County/State data level maps

GIS Project Areas

* Health-related research * Grant-writing support * Business-related maps * Scientific research with a spatial component GIS Service Examples * Collect data and provide maps for a project area * Provide maps using an already-created database * Add maps to a grant proposal and follow up with maps for the project report/results * Perform feasibility analysis for a proposed site 4


Center Services

Explanation (GIS) GIS Mapping can be used for a variety of situations. Some services are as simple as using data already collected and making maps using that data. For data to be eligible for mapping, it must have a geospatial component, or in other words, there must be a location component to the data. The location can involve coordinates, or a city, county, state, or country to which the data belongs. The complexity of mapping can range from simple maps showing census data to complex maps showing the results of complex data analyses performed using GIS software. If you have any questions or would like an estimate of the cost, feel free to contact us to find out more. We are also willing to take on larger-scale GIS projects.

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Center Services

Grant Writing

The Center for Rural Health and Social Service Development (CRHSSD)

provides expertise and services in the area of grant writing to rural communi-

ties and organizations. The CRHSSD has successfully earned funding from federal, state, foundation, and local organizations. Services are offered to key

partners on strategically important projects and/or on fee for service (fee plus fixed costs) basis. The Center offers expertise in the process of grant writ-

ing and has recently written applications or proposals with or for community organizations, universities, research institutes, and health care systems. The CRHSSD provides grant writing services to improve the social and economic

capital of the CRHSSD and its rural partners. Through its social networks and internal expertise, the CRHSSD strategically, efficiently, and effectively plans, writes, and evaluates proposals and applications.

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Center Services

Training

The Center for Rural Health and Social Service Development (CRHSSD)

provides expertise and services in the areas of planning, implementing, and evaluating trainings. The CRHSSD assists partners in proper planning, im-

plementation, and evaluation of professional trainings. Trainings have been offered to assist professionals in meetings continuing education as required

by certifying and licensing entities and to improve community awareness of health issues as well as strategies to address these issues. Trainings are primarily offered in the areas of clinical and community health. Services are

offered to address important issues within communities and/or on fee for ser-

vice (fee plus fixed costs) basis. Recently, the CRHSSD has successfully planned, implemented, and evaluated trainings in the areas of mental health, obesity, and children’s health. Teachers, mental health professionals, physi-

cians, nurses, and other community or clinical providers have attended these trainings. Appropriate professional credits were offered to pertinent partici-

pants of these sessions. Through its social networks and internal expertise, the CRHSSD strategically, efficiently, and effectively plans, implements, and evaluates trainings.

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Projects Caring Connections and CATCH on to Health

The Caring Connections will build telehealth infrastructure; plan,

implement, and evaluate; increase parent satisfaction and comfort; improve IEP team member satisfaction; and increase student attendance.

Illinois Delta Network

The Health Resources and Services Administration’s

Office of Rural Health Policy is the focal point for rural health

activities within the U.S. Department of Health and Human Services.

Live Free-Tobacco Free, SIUC’s Tobacco Control Initiative

Live Free-Tobacco Free Initiative is a policy-focused, evidencebased model with strong community involvement.

National Children’s Study

The National Children’s Study (NCS) is one of the most important contributions to human health in history.

Rural Medical Transportation Network This grant had four main goals to accomplish; analyze; identify; improve; and identify, report, and address.

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Projects

Caring Connections The SIUC Center for Rural Health and

Social Service Development (CRHSSD) in

partnership with Shawnee Health Services and Williamson County Special Education District facilitate the development of the

Illinois innovative project entitled the Caring Connections Individualized Educational

Plan (IEP) Enhancement Program. This Caring Connections Coalition (CCC) includes representatives of the Southern Illinois University Carbondale Cen-

ter for Rural Health and Social Service Development (CRHSSD), Shawnee

Health Services (SHS), and the Williamson County Special Education District (WCSED). The overarching program goals for the Caring Connections

Program include the following: 1) The Caring Connections IEP Enhancement Program will build telehealth infrastructure within WCSED; 2) the Caring Connections Coalition will plan, implement, and evaluate the Caring Connections IEP Enhancement Program; 3) the Caring Connections IEP Enhancement

Program will increase parent satisfaction and comfort regarding the IEP pro-

cess; 4) The Caring Connections IEP Enhancement Program will improve IEP team member satisfaction and comfort regarding the IEP process; and 5) the

Caring Connections IEP Enhancement Program students will demonstrate an increase in attendance and fewer behavioral problems.

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Projects

Caring Connections

The main priorities of the Caring Connections Coalition (CCC) are to in-

clude a psychiatrist and professional health navigators in the Individual Education Plan (IEP) process in schools of Williamson County, Illinois. This project is especially important given that Williamson County is designated as a mental

health profession shortage area and a medically underserved area. Currently, there only two child and adolescent psychiatrists in the Illinois Delta Region,

and Shawnee Health Service employs both of these psychiatrists. Shawnee has agreed to dedicate a portion of child and adolescent psychiatrist time to

this project. Williamson County Special Education District has agreed to dedi-

cate the time of a professional health navigator familiar with the IEP process.

The CCC has also developed a strategy whereby the Caring Connections project would be maintained after the end of United States Health and Human Resources funding.

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Projects

Catch on to Health! The Illinois CATCH on to Health! Consortium (ICHC) applies a planned,

systemic, and coordinated school-based approach to behavioral and environmental change as related to the improvement of children’s nutrition, physical activity, obesity. To address these needs, The ICHC selected the Coordinated

Approach to Child Health (CATCH) as the primary change strategy. The ICHC decided to focus its nutrition and physical activity program on elementary school children in the Illinois Delta Region, based on recommendations from

organizations such as Child Trends and CATCH’s demonstrated effectiveness. In implementing this program, the CRHSSD collaborates with Southern Illinois Health Care, Egyptian Health Department, and Southern Seven Health Department.

CATCH (Coordinated Approach To Child Health) is a program designed to promote physical activity, healthy food choices, and prevent tobacco use in

elementary school aged children. CATCH employs a coordinated approach to

child health promotion by targeting multiple aspects of the school environment

and involving classroom teachers, school food service staff, physical education (PE) teachers, students’ families, and the broader school community in a range of health promoting activities for all children in grades K-5, similar to

the Center for Disease Control’s (CDC’s) Coordinated School Health Program model.

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Projects

Catch on to Health! The four core components of CATCH include:

(1) the Eat Smart school nutrition program

(2) physical activity and healthy eating curriculation (3) the CATCH physical education program and

(4) a family education and involvement program.

The coordination of health messages and activi-

ties between these four component areas is critical to positively impacting children’s knowledge, skills, and behavior. Over a period of 20 years CATCH has

developed an evidence base for improving physical activity and nutrition (decreasing fat consumption) as well as maintaining those changes across time.

These changes are applied to both advantaged and disadvantaged school

children. More recently, a CATCH program in El Paso, Texas reported significant effects of CATCH on preventing the onset of overweight and obesity among male and female school children. A recent cost-effectiveness study of

CATCH showed that the program’s cost-effectiveness ratio was about $890

per quality-adjusted life year and that the monetary net benefit of CATCH, when considering future medical costs averted, outweighed the costs of program implementation.

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Projects

Illinois Delta Network

The Center for Rural Health and Social Service Development (CRHSSD) oversees the Illinois Delta Network, which is funded by the United States Health Resources and Services Administration. The funding has enabled the CRHSSD to implement the Illinois Catch on to Health and the Caring Connections IEP Enhancement Program.

The Illinois CATCH on to Health! Consortium (ICHC) applies a planned, systemic, and coordinated school-based approach to behavioral and environmental change as related to the improvement of children’s nutrition, physical activity, obesity. To address these needs, ICHC selected the Coordinated Approach to Child Health (CATCH) as the primary change strategy. ICHC decided to focus its nutrition and physical activity program on elementary school children in the Illinois Delta Region, based on recommendations from organ zations such as Child Trends and, due to the fact, that CATCH has demonstrated effectiveness. In implementing this program, CRHSSD collaborate with Southern Illinois Health Care, Egyptian Health Department, and Southern Seven Health Department.

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Projects

Illinois Delta Network

The SIUC Center for Rural Health and Social Service Development (CRHSSD) in partnership with Shawnee Health Services and Williamson County Special Education District facilitate the development of the Illinois innovative project entitled the Caring Connections IEP Enhancement Program. The Caring Connections program is a telepsychiatry pilot project designed to: 1) Incorporate a psychiatrist into the IEP (individualized educational plan) process via video-conference; 2) increase the parent and IEP team satisfaction with the IEP process; and 3) create a sustainable telepsychiatry program that could be used as a model in medically underserved rural regions.

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Projects

Live Free-Tobacco Free

SIUC’s Tobacco Control Initiative

The Live Free-Tobacco Free Initiative is administered through the Center for

Rural Health and Social Service Development (CRHSSD). This campus-wide

collaboration began in Spring 2001, and is funded by the Illinois Department

of Public Health and the Tobacco Free Communities. The initiative focuses on replication of the Live Free model at other higher education institutions in Illinois. Live Free-Tobacco Free Initiative is a policy-focused, evidence-based

model with strong community involvement. It encour-

ages institutions to set their

goals for campus and community

tobacco

program-

ming based upon a thorough

policy analysis of their institution and community, with programmatic efforts supporting

policy change to align with the new Smoke-Free Illinois

Law. Programmatic compo-

nents of the Live Free-Tobacco Free models are being replicated at thirty-one higher education institutions in Illinois. In addition to policy, other areas that the

Live Free-Tobacco Free Initiative focuses include education and/or curriculum,

advocacy, awareness, cessation, surveillance, evaluation and compliance as it relates to the Illinois Smoke-Free Act.

For more information, visit their website: www.tolivefree.com

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Projects

National Children’s Study

The National Children’s Study (NCS) is one of the most important contribu-

tions to human health in history. The NCS will give us a better understanding of positive and negative influences on human health and development by studying the affects of genetics, physical environments, lifestyles, and social environments. 100,000 children and families across the nation will participate

in the study from preconception or the first trimester through 21 years of age. The NCS Johnson, Union, and Williamson counties (JUWC) site will offer 1,000

families and their children an opportunity to participate in this historic study. The study is projected to include 105 sites across the United States. The JUWC site is one of the projected 26 rural sites in the nation. The SIUC Center for Rural Health and Social Service Development (CRHSSD) collaborates

with Saint Louis University (principal investigator), Battelle Memorial Institute, SIU School of Medicine, SIU Edwardsville, Washington University, Coalitions

Work, and many community

stakeholders to plan, implement, and evaluate the work of

the JUWC NCS site. For more information regarding the National Children’s Study as a whole, please go to

www.nationalchildrensstudy. gov.

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Projects

Rural Medical Transportation Network The Rural Medical Transportation Network Project (RMTNP) is funded

through a grant from Illinois Department of Transportation, and is currently in its third year of funding. This grant had four main goals to accomplish; to ana-

lyze existing medical transportation systems for the purpose of increasing their

coordination and efficiency; to identify, develop a plan, and address “gaps� among existing rural transportation providers, consumers, medical transportation systems, and health and social service providers; to improve access and

availability to care for rural residents through network development to increase

accessibility of medical providers, transportation availability, improved routes, reduced costs, and outreach to rural areas; lastly, to identify, report, and address policy issues which impact funding and operations of rural medical transportation networks.

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Projects

Background The Health Resources and Services Administration’s Office of Rural Health

Policy (ORHP) is the focal point for rural health activities within the U.S. Department of Health and Human Services. The Office is statutorily required in

Title VII (Section 711) of the Social Security Act to advise the Secretary on the

effects of current policies and regulatory changes in the programs established

under titles XVIII (Medicare) and XIX (Medicaid) on the financial viability of small rural hospitals, the ability of rural areas to attract and retain physicians and other health professionals and access to (and the quality of) health care in

rural areas. The Social Security Act also requires ORHP to coordinate activities within HHS that relate to rural health care and provide relevant informa-

tion to the Secretary and others in the Department. ORHP accomplishes this mission through two broad strategies that focus on policy and programs. The Office addresses the difficulties of providing health care in rural communities through its grant programs.

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Projects

Past Projects American Cancer Society The aim of the grant is to provide cessation intervention training to prevent the development of deleterious health effects of tobacco use including cancer, heart disease and periodontal disease.

Broadband Telemedicine Expansion The CRHSSD, in partnership with the Office of Research and Development Administration, is coordinating efforts to explore the expansion of regional broadband capabilities to capitalize on the telemedicine opportunities available to enhance health care access and delivery in rural settings. This project will assess current telemedicine usage and capabilities while also identifying barriers by facilitating meetings of hospitals, health clinics and community mental health agencies in Southern Illinois.

Carbondale SafePlace Project

The Center for Rural Health and Social Service Development is working with the Carbondale Police Department to conduct a community needs assessment and an evaluation of services available for crime victims and potential crime victims with disabilities in the Carbondale community. The 2003 community needs assessment consists of a series of focus groups and key informant interviews to draw detailed information concerning the needs of individuals who have a disability and may have needs for victim advocacy services. The project is funded for three years by the Federal Office for Victims of Crime through the SafePlace Foundation in Austin, Texas.

Community Outreach Partnership Center The CRHSSD received funding from the U.S. Department of Housing and Urban Development to implement a unique community-based approach to improving and implementing the development of affordable housing, economic growth, neighbhood revitalization, and health and education issues in North Carbondale.

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Projects

Past Projects

Connect SI

Connect SI is a 20-county collaborative effort aimed at improving the quality of the lives of Southern Illinoisans. The goal is to enhance the economic and community development of Southern Illinois through greater Internet access and bandwidth. During FY 06, the CRHSSD was an early driver of the initiative which has now made its permanent home in the SIU President’s Office. Connect SI continues to be embraced by not only the healthcare industry, but also network providers and community and economic development leaders throughout the region. The CRHSSD is proud to continue to be an enthusiastic participant in this initiative that will greatly impact not only quality healthcare access, but also community and economic development in the region.

Coordinated School Health Program (CSHP) The Center for Rural Health and Social Service Development received a contractual grant from Southern Seven Health Department to assess health education and preventive health service needs of students, parents, and faculty in Union County schools. Southern Seven Health Department received a grant from the Illinois Department of Human Services to develop a Coordinated School Health pilot program in Union County schools. The program’s objectives are to provide health education information to students, faculty, and the parents, and increase access to health services, thus promoting the schools as the hub of services in the community. The CSHP will achieve its objectives by addressing gaps in the following areas: school health policies, school environment, health education, physical education, mental health, nutrition, school health services, health promotion for staff and faculty, and increased community involvement.

Evaluation Services for Illinois Center for Violence Prevention The CRHSSD was awarded a fourth year of funding from the Illinois Center for Violence Prevention (ICVP). A CRHSSD staff member serves as the evaluation coach for local violence prevention programs that receive funding from the Illinois Violence Prevention Authority (IVPA). In addition to the local violence prevention programs, two school districts were added this year. The evaluation coach provides consultation services on evaluation, training, and technical assistance. This program has been well received by violence prevention programs in Southern Illinois and throughout the state.

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Projects

Past Projects Healthy S. I. Delta Network (HSIDN)

The Healthy S.I. Delta Network is a collaborative project funded by the United States Health Resources and Services Administration. Health departments, hospital stakeholders, and technical assistants have collaborated to develop a comprehensive, inclusive, and integrated plan to address cardiovascular disease in southern Illinois. This strategic planning process is expected to prepare the consortium to earn implementation funding. The long-term aim of the HSIDN is to decrease cardiovascular disease health disparities.

Women’s Health and HIV The purpose of HIV/AIDS study is to capture perspectives on what factors play a role in motivating African American women to get tested for HIV. A survey instrument was developed to assess respondent’s perceptions about HIV/AIDS; knowledge about the transmission of HIV/AIDS; opinion on barriers to testing; awareness about local resources; health service utilization; and awareness of risk and protective factors.

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Resources

County Profiles We provide two different county profiles

for the southern Illinois area.

The first database, was compiled by the Paul Simon Public Policy Institute in partnership with SIU’s School of Medicine and The Center for Rural Health and Social Service Development. The database contains data for 21 of the southern Illinois counties. The first spreadsheet has overall data for the 21 counties, followed by 21 spreadsheets with data for each separate county. The remaining spreadsheets have misc. data and data categories provided for all of the southern Illinois counties listed by county. TThe second database, for 22 counties of southern Illinois, is based on a select group of health and socio-economic indicators. This dataset could be of interest to policy planners, academic scholars, researchers and social service agencies who seek to develop research agendas, procure external funding, conduct pure/theoretical research, and/or identify populations for which agencies provide services. The data was compiled from various web based data systems such as the U.S. Census Bureau, Illinois Project for Local Assessment of Needs (IPLAN), Illinois Department of Employment Security (Labor Market Information), Illinois Department of Aging, Illinois State Police Report, Illinois Department of Public Health, Illinois Department of Human Services, Illinois KidCare, Anne E. Casey Foundation, and Government Information Sharing Project of Oregon State University. 22


Staff

& Advisory Board Members

Both the professional and support staff of the CRHSSD are committed to promoting programs and conducting research that enhance the health and quality of life of the people living in rural regions. A roster of CRHSSD staff members, as well as biographical information for each member, can be found at http://www.siu.edu/~crhssd/about/staff.html. The Advisory Board of the CRHSSD provides guidance to staff in the development of the Center’s mission and the formulation of its goals and objectives. It is comprised of persons who are professionals in the various aspects of health care and social services. For more information on the Advisory Board, go to http://www.siu.edu/~crhssd/about/advboard.html.

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CRHSSD Center Booklet