Assignment: Community Assessment – Strategic Plan PowerPoint
Assignment: Community Assessment – Strategic Plan PowerPoint
Community Assessment Part Two: Data Collection Tool
Subsystems (Policy and Government, Education, Health and Social Services, Communication, and Recreation)
Name:_____________________________________________________________________
Community: _______________________________________________________________
At-risk population:_____________________________________________________________
Instructions: Use this tool to document your assessment findings. Include a succinct synopsis in paragraph form for each of the assessment categories below. Remember to provide adequate depth and breadth for each subsystem of the assessment. Be sure to cite the sources to support your findings, and include your reference list.
| Subsystem | Findings |
| Health and Social Systems Subsystem
(2 points each) Must Provide: · Health facilities · Providers · Clinics/ Dialysis care · Public health services · Home-care · Hospice /Palliative · Long-term care · Social services · Counseling services · Medicaid services |
Looking at the location that has been provided in this case, that is Madisonville city there are different health facilities that are there, some of these include pennyroyal center, Baptist health deaconess Madisonville, Owensboro health Madisonville and many others. The healthcare facilities in this case are considered to have enough healthcare providers. Looking also at the city in this case, there are different and many clinics/dialysis care facilities, some of these include the Fresenius Kidney Care, DaVita Madisonville Dialysis Center, Ascension Medical group and many more that help in tackling diseases that do need dialysis. Looking at the public services that are also there, there are some of these in Madisonville city, some of these include Madisonville Sanitation Department, Hopkins County Health Department, Baptist Health Deaconess Madisonville and others. When it comes to home care, there are different and many of these that do exist in the city, some of them include Madisonville Homecare, Owensboro Homecare and others that do exist in the said location (Acree, 2020). Some of hospice/palliative care there are found in Madisonville city include Green River hospice, Baptist Health Deaconess Madisonville Hospice care and many others. When it comes to long term care, there are different of these that are found in Madisonville city, these include Madisonville health and rehabilitation, hillside center and others. Some of the social services found in the city include Hopkins county child support, Pennyrile Allied community services, department of families & children and many others. Some of counselling services found on Madisonville include Cares counselling, Baptist counseling center and many others. When it comes to Medicaid services some of these include Cabinet-Health & Family Services, Pennyrile Allied community services and others. Assignment: Community Assessment – Strategic Plan PowerPoint |
| Education Subsystem
Must Provide: · Educational level · Literacy level of community members · Educational sources:
o Children o Adult o Daycare o Library
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The education level of people in Madisonville city is considered to be high, a large number of the city’s population have acquired education up to the highest levels of education. Looking at the literacy levels in Madisonville city, they are considered to be good, more than 75% of the city’s population are considered to be literate (TownCharts, n.d.). There are different educational sources in the city, these are always grouped in different ways that is children, adult, daycare and even library educational sources. To begin with, some of children educational sources include The Children’s House of Cincinnsti, Learning Center of Madisonville and many others. When it comes to Adult educational sources include the Adult Center for Educational Excellence, Adult Education in Madisonville community College and many others. When it comes to daycare educational sources, some of these that are found in Madisonville city include Christ the king learning and growth center, YMCA Afterschool program, camp pride child care and many others. Some of the library educational resources include Hopkins county Madisonville Public Library, st. Tammary Paris Library and others. Assignment: Community Assessment – Strategic Plan PowerPoint |
| Politics and Government Subsystem
Must Provide: · Local governmental leadership · Politically active organizations present within the community · Governmental facilities in the community (i.e., court house, jail, prison) · Democrats and republicans voting statistics from last election. |
In Madisonville city, there are government subsystems and politics that do exist in the area and understanding them is also very important. The city of Madisonville is managed by an executive authority and which under the united states constitution it is managed by the mayor. The mayor has the responsibility of enforcing the mayor council plan, city ordinance and other executive duties. In the city also, there are different politically active organizations, some of these include the Madisonville lions club, the Madison community council and many others (Acree, 2020). In the city, there are also government facilities in the area, some of these include Hopkins County District Court, Madisonville city jail, Hopkins county jail and many other government facilities. Looking at the political climate in Madisonville city, it is usually considered to be moderately conservative, in the last elections, statistics show that 25.4% of people voted Democrat while 72.9% voted for the republican party, the remaining 2% voted independent (Census Reporter, n.d). |
| Communication Subsystem
Must Provide: · Formal communication · Informal communication · Cell phone towers · Weather sirens |
In the city there are different communication subsystems that are used when it comes to communication, some of these are different. Some of the formal communication systems in the city include Tv stations, podcasts and other social media platforms. Some of the informal communication systems that are there include postal offices. There are also cell phone towers in the city, some of these include Doyl E Pflueger, Joan Robbins, Gary Hall towers and many others. There are no standardized weather sirens in the city (City data, n.d.). |
| Recreation Subsystem
Must include: · Recreation facilities · Entertainment opportunities |
There are different recreational subsystems in the city, some of the recreational facilities in the city include the Madisonville City Park, Madisonville City Park Pool, Madisonville skate park and many others. The entertainment opportunities that are found in the city include level Up Gaming, 2$vn0 entertainment and many others. |
| Assessment of Selected At-Risk Population
And At-risk population field work.
Must include: · Unique health needs faced by your at-risk as noted in national statistics and in scholarly sources.
· Health needs faced by your at-risk population as seen in your community, through your personal/professional observations, experiences and information gleaned from the field work with your chosen at- risk population on health issues is noted. |
This paper will focus on teens and young adults. This demographic has special health needs, one of which is that the medical facilities that young adults are expected to go to when they have mental health difficulties are costly, making it difficult for them to obtain them. Statistics from academic resources also suggest that there is less understanding on what young people should do to ensure they know where to go when they have mental health difficulties, therefore awareness is required Census Reporter, n.d). When it comes to the health needs of teenagers and young people, I have seen that there are very few established and proposed initiatives that seek to reach out to them and ensure their safety in terms of their health, and even what to do in cases of mental illness. While there are facilities in place, awareness is crucial, and from my own experience and knowledge from the field, this is something that is lacking. |
| Key Informant Interview
Must be with a person working with the public. Preferably an expert in their field. · What is your role in the community? · How long have your worked in this community? · Based on your area of expertise, what issues are a concern in the community? · How is this specific at-risk population in this community struggling right now? Assignment: Community Assessment – Strategic Plan PowerPoint · What do you feel the strengths and weaknesses of your community are related to this at-risk population?
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In this situation, I selected to interview a healthcare professional who specializes in counselling. The informant’s responsibility in the community is to reach out to the community and educate them about mental health. The primary informant in this case has worked in Madisonville for almost 30 years in various agencies and healthcare organizations. According to the informant, some of the concerns that affect the community and notably young mental adults and teenagers health include social media usage. Many teens and young adults have been engrossed in various social media platforms, exposing them to many factors influencing their mental health.
Teenagers and young adults are presently grappling with social media awareness and mental health because ensuring that they are safeguarded from the bad impacts of social media has become a very big concern. The monetization of social media information, notably bullying and other unpleasant things, is a challenge that teens and young people face. According to the key informant, one of the community’s strengths is its willingness to band together to assist the greater population in their activities. In assisting teens and young adults, the community’s cohesiveness is a strength. However, one of the community’s weaknesses is in controlling teens’ and young adults’ usage of social media. |
References
Acree, L. H. (2020). Regrowing Madisonville: A Proposal To Create Positive Redevelopment (Doctoral dissertation, University of Cincinnati). https://search.proquest.com/openview/caaa0c051e557f71151f8b45615ecbb1/1?pq-origsite=gscholar&cbl=18750&diss=y
Census Reporter. (n.d ). Census profile: Madisonville, KY. https://censusreporter.org/profiles/16000US2149368-madisonville-ky/
City data (n.d.). FCC Registered Cell Phone and Antenna Towers in Madisonville, Kentucky. http://www.city-data.com/towers/cell-Madisonville-Kentucky.html
TownCharts (n.d.) Madisonville Tennessee Education Attainment Charts. https://www.towncharts.com/Tennessee/Education/Madisonville-city-TN-Education-data.html
Winnie (n.d.) Best Daycares in Madisonville, KY. https://winnie.com/madisonville-ky/daycares
Community Assessment Part One: Community Core (Due in Assignment 2.3)
Data Collection Tool
Name:_________________________________ Community:_________ City of Madisonville ________________________
Instructions: Use this tool to document your assessment findings. Include a succinct synopsis in paragraph form for each of the assessment categories below. Remember to provide adequate depth and breadth for each category of the assessment. Be sure to cite the sources to support your findings and include your reference list.
| Assessment Category | Findings |
| Historical overview of the community
Must Include: · When the community was settled · By whom · First Business · Important information about the community |
The city of Madisonville, Kentucky, was established in 1807 and was named for the then secretary of state, James Madison. The city was named the seat of Hopkins County in 1808 (Gamblin, 2018). It was formally incorporated in 1808. Farming was the primary occupation of the city’s residents, with tobacco as the leading crop. The first outcropping of coal was discovered in 1837, and the first coal mine was opened in 1869. In the early 20the century, the city of Madisonville was known for being a rail hub, coal-mining center, and a large tobacco market. Currently, it is labeled as “the best town on Earth” and serves as the leading manufacturing hub. Assignment: Community Assessment – Strategic Plan PowerPoint |
| Demographic description of the community population
Must Include: · Birth rates · Death rates · Pertinent morbidity rates · Distribution of Age · Sex · Race · Ancestry (i.e., German, Asian, Indian, etc.) · Marital status · Education status · Household types & size |
As of 2020, the city is estimated to have approximately 19,542 people making it the most populated city in Kentucky. Based on the 2019 demographic data, the city of Madisonville showed a birth rate of 23.7%. The death rate was estimated to be 1,048 per 100,000 people as of 2018. The median age in the city is 36.3 years, 41.9 years for females, and 32.8 years for males. Individuals between 18 and 64 years cover about 57% of the city’s total population; persons under 18 years cover approximately 26 %, while those above 64 years are about 17% (World Population Review, n.d.). According to US Census Bureau Statistics, females in the city make up about 50.8% while males are 449.2%. The percentage of whiles is 82.2%, African American 11.8%, American Indian and Alaska Native 0.4%, and Asian approximately 1.3%. Approximately 4,010 people (27.14% of the total population) in Madisonville are single, while about 7,100 individuals (47.75%) are married. Regarding education, the percentage of high school graduates or high is 87.6 %, while the percentage of persons with a Bachelor’s degree or higher is 20.8% (US Census Bureau, n.d.). The household types in the city include married, single female, single male, one-person, and those with children. Persons per household are estimated to be 2.40. |
| Values, beliefs, and perceptions within the community
Must Include: · Community’s values, beliefs, and perceptions of importance of religion · Degree of religious diversity in the community reflected in the faith groups · Cultural influences reflected in any significant ethnic or religious traditions |
Madisonville welcomes every faith. About 64.5% of the total population in the city value religion, with 53.1% Baptist, 4% Methodist, 1.1% Catholic, and 2.5% Pentecostal (City-Data, n.d.). The city offers places of worship for diverse religious backgrounds, including worship, fellowship, faith-based educational institutions, and ministries focused on helping other people. Faith community offers various church styles ranging from traditional to contemporary and Española services. |
| Physical Environment
· Information will come from the windshield survey. You should state this in your own words. · Provide dates of your survey. |
The findings regarding the physical environment of the city of Madisonville will be provided once the windshield survey is completed. The survey will be conducted between March 14 and 17, 2022. |
| Economic
· Financial status of people o Individuals o Households · Occupational categories in the community · Businesses/Industries |
Generally, about 22.4% of the total population lives below the poverty line. The city’s unemployment rate currently stands at 5.3%; however, the job Madisonville market has decreased by -1.1% during the past year. The feature job growth is predicted to be 28.4%. The average income of a city resident is $22,394 annually, while the median household income is $44,720 yearly (Census Reporter, n.d ). The percentage of persons in poverty is 22.4%. Females aged 25 to 34 are the largest demographic living in poverty, followed by those aged 35 to 44 and 6 to 11. Males in the city have an average income of 1.35 times higher than the average female income. The income inequality, measured using the Gini index, is 0.456. there are approximately 7880 people employed in the economy of Madisonville, KY, with the largest industries being Health Care and Social Assistance ( approximately 1500 people), Manufacturing (about 1000 people and Retail trade (900 people). The highest paying industries include Information ($74,890), mining, quarrying, Oil and Gas Extraction ($62,990), agriculture, fishing and mining, forestry, and mining ($62,470) (US Census Bureau, n.d.). |
| Transportation and Safety Types of transportation available
o personal o public · Police protection · Crime statistics · Fire protection · Sanitation services |
Generally, 7,668 workers, 16 years and above, travel to work. More than 85% of the population uses personal cars (car, truck or van) while about 12% use public transport. The city has different kinds of security systems, including ADS security that serves the security needs of the residents. The average crime rate is estimated to be 13.20 per 1000 residents. There are 1.84 violent crimes per 1000 residents annually, while property crime is 11.36 per 1000 residents annually (City-Data, n.d.). There are various sanitation services available for residents of the city. These services include garbage collecting, industrial/hazardous waste management, disposal, and wastewater treatment. Assignment: Community Assessment – Strategic Plan PowerPoint |
| Key Informant Interview
Key points from the interview with a key informant. · |
Madisonville, KY, provides primary care and wellness services that form the backbone of employees’ and families’ best health outcomes. There is proper management of chronic disease and the cost for their treatment. Employees and their families have accessed virtual health, BlueMine, which provides online telemedicine and other related services. It has an acute and skilled care facility that emphasizes community outreach and training medical students in rural areas. Given its population, the city is directly accessible by air, rail, and highway. |
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References
Census Reporter. (n.d ). Census profile: Madisonville, KY. https://censusreporter.org/profiles/16000US2149368-madisonville-ky/
City-Data. (n.d.). Madisonville, Kentucky (KY 42431) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders. https://www.city-data.com/city/Madisonville-Kentucky.html
Gamblin, K. (2018). Business, Life, and Bourbon: RP Drake of Madisonville, Kentucky (Doctoral dissertation, The Florida State University).
US Census Bureau. (n.d.). U.S. Census Bureau QuickFacts: Madisonville city, Kentucky. Census Bureau QuickFacts. https://www.census.gov/quickfacts/fact/table/madisonvillecitykentucky/SBO030212#SBO030212
World Population Review. (n.d.). Madisonville, Kentucky population 2022 (demographics, maps, graphs). https://worldpopulationreview.com/us-cities/madisonville-ky-population
Community Assessment
| Strengths | Weaknesses |
| Based on demographics, Madisonville is a highly populated area based on the 2020 statistics. The birth rate is higher than the death rate hence it is clear that the city has a big population. However, people have personal strength that is very significant to their recovery in case they suffer from a mental illness. Several personal factors can enhance the recovery of people. Personality assets can be essential in the long-term recovery and improvement in case of such health conditions within a given period. Great character strengths also play a great role in controlling this condition.
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Research shows that young adults are more prevalent in mental illness. In Madisonville, the demographics show that the people between 18 and 64 years cover a great range of 57% of the total population of the city. However, the older people are less since the statistics show that only 17% of the population consists of people aged above 64 years. It is also discovered that more females suffer from mental illnesses compared to men. Mental illness consists of conditions that have different degrees of severity, with a range that can be either severe, moderate, or mild. The illness can be either serious mental illness or any mental illness. Any mental illness is a condition that can be emotional, mental, or affect the behaviors of an individual. On the other hand, serious mental illness can also be a behavioral, emotional, or mental condition that causes severe impairment of the body’s functioning hence obstructing vital life activities. Most people suffering from serious mental illness are in the adolescent stage and mostly among the youth (Settipani et al., 2019). This is due to the stress caused by the changes involved in the transition from adolescence to adulthood in areas such as social aspects, financial stability, and emotional aspects, among others. Assignment: Community Assessment – Strategic Plan PowerPoint
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| The education level of the people in Madisonville city is considered to be very high with very high literacy levels in the city. With different educational sources in the city from children to adult education centers and afterschool programs, it is clear that the city has well-educated people. Since education levels are high, studies can be carried out to assess the health of students before they begin their studies and carry out a follow-up to ensure mental stability. Research gives knowledge concerning the problems associated with mental health and how they arise and their effect on the study progress of the students and academic performance. Health services and counseling can be offered in the learning institutions to ensure a high rise in mental health mastery and facilitate help-seeking among the students and also members of society. Psycho-educational involvements, guidance, and counseling, reduction of stigma, measures of health promotion, treatment, group initiatives, among other measures can be carried out and evaluated to ensure the good mental health of the students (Annan et al., 2017). A combination of educational and psychological concepts in higher education greatly contributes to the greater comprehension of the relation between academic self-efficacy mental health, and study progress.
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Madisonville city has many learning centers and a population that is highly educated. Student life can result in mental distress since it can be very challenging and stressful. The distress tends to greatly affect the academic performance of the involved student. Study progress and academics have proved to be greatly involved in distress.
Many students develop complications while in school compared to before they began their studies. University students have a high rate of mental health problems that are associated with factors such as academic performance expectations, and financial insecurities, among others. Depression and anxiety in the students are detrimental to their social participation and academic performance of students. The students also experience emotional stress during their studies hence resulting in distress.
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| Based on transportation, a higher percentage of the residents at Madisonville travel to work by personal means. The study shows that 85% of the population use personal vehicles whereas only 12% of the residents travel by public transport. Safe, properly designed and unbiased transport systems can boost access to services such as health and education, job opportunities, family, and social networks, hence resulting in positive impacts on the mental health and wellbeing of the individuals. Furthermore, a good transport system facilitates various aspects that contribute to good mental health such as reduced stress, more time for leisure, and distraction from issues associated with mental health, among others. Assignment: Community Assessment – Strategic Plan PowerPoint
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· Noise originating from motorized vehicles result in anxiety and stress and further result in cardiovascular disease. Furthermore, driving vehicles can lead to anxiety, road rage, and stress, especially in Madisonville where a great percentage of the residents travel to work by private means of transport. Severance from the community can also result in isolation and loneliness hence affecting the mental health of the people.
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| Politically, Madisonville is managed by an executive authority which is managed by the mayor under the united states constitution. The city has different politically active organizations and several government facilities. An examination carried out to determine the link between diagnosis of depression and political susceptibility helps to recommend the attitudes to change in circumstances that have very high uncertainty. Evaluation of political objects, political efficiency, and political interest of the people can help offer guidance to the associated parties to enhance proper mental health.
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Politics takes a substantial toll on the mental health of the person involved based on aspects such as loss of sleep, stress, and worse even suicidal thoughts and failure to break political thoughts from the mind and creation of unrestrained social media posts (Lassale et al., 2020). The mental effects tend to increase and get worse when the election period gets near. The young people who get politically engaged and interested in politics or on the political left have a high probability of reporting negative effects.
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| Health and Social Services in Madisonville are very adequate. The city has various health facilities with adequate health providers, many clinics, numerous public services, home care facilities, social services, Medicaid services, and counseling services. A good social support system helps an individual through stress or chronic illness. Health and social services are significant in lowering cardiovascular risks through approaches such as lowering blood pressure, increasing the ability to deal with stressful circumstances, improvement of self-esteem, relieving the effects of emotional distress, and encouraging healthy lifestyle habits. Assignment: Community Assessment – Strategic Plan PowerPoint
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Lack of social support can result in loneliness and isolation. It can also result in a high risk of poor cardiovascular and mental health as well as other associated health problems. Failure to access health and social services can worsen the condition and expose the individual to other mental illnesses. |
| Communication in Madisonville involves both formal and informal communication. Formal communication systems include Tv stations and social media platforms whereas informal communication involves postal offices. Communication helps boost mental health by facilitating good relationships with people, emotional support, self-identity, team building, and self-expression, among others. Social media helps boost mental health by offering entertainment and a feeling of acceptance provided it is used in moderation.
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Contemporary symptoms of internet addiction, depression, and information burden, among others, are associated with communication, especially in ICT. Social media is a major cause of mental illness since it is associated with fatigue and depression and internet addiction.
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| The economic situation in Madisonville is good since only a small percentage of 22.4% of the people live below the poverty level. Furthermore, the unemployment rate of 5.3% is minimal. Economic equality results in a lower prevalence of mental illness. Such a high-income country with an advanced mental healthcare system facilitates treatment and counseling services.
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Economic inequity is greatly associated with poor mental health, especially in high-income areas. Unemployment, poverty, poor housing, debts, and poor income among others greatly contribute to poor mental health. The socioeconomic disadvantage of several residents results in suicidal behavior (Lassale et al., 2020). Inequality in income causes distress to people at the bottom of the economic ladder.
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| At-Risk Population Gap Analysis | |||
| At-Risk Population | Community Statistics | State Statistics | National Statistics |
| 57% of the population consists of young people, 50.8% of the females in the city, and 87.6% consisting of school graduates are the most people at risk of mental illness. | The population consists of 19452 people with a birth rate of 23.7% and a death rate of 0.01%. Male occupants are 49.2% while females are 50.8%. | Male occupants are 49.2% while females are 50.8%. About 22.4% of the total population are living below the poverty level. | The percentage of whites is 82.2%, 11.8% consist of African-Americans, 0.4% for Natives, and approximately 1.3% for Asians. |
| Problems identified | |||
| 1. | Mental distress associated with the use of social media | Academic impacts on mental health. | Social effects on mental health |
| 2. | Problems based on economic inequality | Distress associated with transport | Political effects on mental health |
| 3. | Distress due to political issues | Stress among the youth | Depression among young adults |
Nursing Diagnoses- Related to At-Risk Population
Community nursing diagnosis #1 – Anxiety, distress, and fatigue
Community nursing diagnosis #2 – Stress and depression
Community nursing diagnosis #3 – Cardiovascular disease
Field Work
Results from the fieldwork show that young adults are more exposed to mental distress and access to health facilities is very costly for the teens hence causing difficulty in obtaining medical assistance. There is also little awareness among teenagers on where to get help in case of mental health difficulties. There are very few initiatives that reach out to young people to ensure their mental safety. Awareness is greatly lacking even though it is very significant in ensuring the youth gain access to facilities for their mental safety. Assignment: Community Assessment – Strategic Plan PowerPoint
Conclusion
Based on the community assessment, the main focus was on teens and young adults. The assessment shows that the young ts are more exposed to mental stress and require medical attention although the medical facilities tend to be expensive hence posing a challenge for young people to access. There should be awareness concerning the health facilities where the youth can access treatment and counseling in case of mental distress. Better initiatives should be created to ensure health safety and conquer mental illness. Social media use is a major concern for the mental health of teenagers. Young adults should therefore be safeguarded from the negative impacts of social media and bullying.
References
Lassale, C., Gaye, B., Hamer, M., Gale, C. R., & Batty, G. D. (2020). Ethnic disparities in hospitalization for COVID-19 in England: the role of socioeconomic factors, mental health, and inflammatory and pro-inflammatory factors in a community-based cohort study. Brain, behavior, and immunity, 88, 44-49.
López-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernández-Alonso, O., Lluis, J., … & Chadwick, P. (2015). Mindfulness improves the psychological quality of life in community-based patients with severe mental health problems: A pilot randomized clinical trial. Schizophrenia Research, 168(1-2), 530-536.
Settipani, C. A., Hawke, L. D., Cleverley, K., Chaim, G., Cheung, A., Mehra, K., … & Henderson, J. (2019). Key attributes of integrated community-based youth service hubs for mental health: a scoping review. International Journal of Mental Health Systems, 13(1), 1-26.
Friedman, E. M., Ruini, C., Foy, R., Jaros, L., Sampson, H., & Ryff, C. D. (2017). Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging & mental health, 21(2), 199-205.
Annan, J., Sim, A., Puffer, E. S., Salhi, C., & Betancourt, T. S. (2017). Improving mental health outcomes of Burmese migrant and displaced children in Thailand: A community-based randomized controlled trial of a parenting and family skills intervention. Prevention Science, 18(7), 793-803. Assignment: Community Assessment – Strategic Plan PowerPoint
