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Big Wheels Keep on Turnin’: Expanding Mobile Services throughout Downstate Illinois

Big Wheels Keep on Turnin’: Expanding Mobile Services throughout Downstate Illinois. Julie A. Pryde, MSW, LSW Director, Division Infectious Disease Prevention & Management Champaign-Urbana Public Health District. Our Community. Population of over 180,000

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Big Wheels Keep on Turnin’: Expanding Mobile Services throughout Downstate Illinois

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  1. Big Wheels Keep on Turnin’: Expanding Mobile Services throughout Downstate Illinois Julie A. Pryde, MSW, LSW Director, Division Infectious Disease Prevention & Management Champaign-Urbana Public Health District

  2. Our Community • Population of over 180,000 • Diversity: 77% White; 11.2 % Black; 6.5% Asian; and 2.9% Hispanic. • Home of the University of Illinois (world-renowned Natl. Center for Supercomputing Applications). • Excellent medical facility: (Level I Trauma Center, Level III Perinatal Center, teaching hospital) • A vibrant business community • An assortment of cultural resources and facilities • Nationally and internationally recognized city and county park systems • More than 100 churches/religious facilities reflecting a variety of religious beliefs

  3. Our Community through Public Health’s eyes: • 16.1% of the population living in poverty. • 2 emergency homeless shelters for men, none for women • Limited mental health services for low-income persons • Paucity of substance abuse treatment resources: no pay-methadone treatment facility in all of downstate IL (yet) • Champaign is a high incidence county for Gonorrhea and Chlamydia. • Syphilis outbreak in 2002-03 and again in 2005-06. • Third highest HIV/AIDS rate in the State of Illinois. • Only one, small, federally-funded community health center (seriously overburdened) • No Title III Clinic for persons with HIV

  4. The Problem facing the Health Department: • Needed to increase outreach services to targeted populations (MSM, IDU, HRH) • Public Health offered only limited hours (M-F: 8-4 with an hour for lunch). • STD clinic hours only total 5 hours a week • Needed an outreach site where we could provide exams for STDs • Needed a way for clients to receive HIV/STD/TB/Hepatitis services which was confidential (avoid stigma)

  5. The Problem facing the Mobile Program: • The mobile unit was used almost exclusively in rural areas • The mobile unit provided very limited services • The services offered were very underutilized • Carle had an undeserved reputation in community as being unconcerned about needs of poor

  6. The Solution for both: • A collaboration between the health department and the existing mobile program at the hospital

  7. The solution:Wellness on Wheels

  8. How does WOW work? • PH conducted key informant interviews to help us pick locations • The Mobile provides a nurse driver ($20 hr.) who provides services • PH pays mileage of $2 a mile (cheap as we are in town) • PH sends a nurse and or a counselor (flex schedule)

  9. What we provide (FREE services): • Blood pressure screening • Blood sugar screening • Cholesterol checks • Anonymous HIV testing • STD screening • Immunizations • Risk reduction counseling • Health education • Facilitated referrals to community resources • Risk reduction supplies • Linkage to syringe exchange • TB testing • Acute care

  10. “Mobile” allows us maximum flexibility We choose locations based on: • STD map • Participant input • Shifting population • Need (outbreaks) • Community input (special events)

  11. WOW Special Event Locations African American "Day in the Park"

  12. LATINO Back-to-School Fair Special Events:

  13. Special Events: Gay Pride Celebration

  14. The Results:

  15. Specifically…

  16. Another problem emerges! • We noticed high STD rates among youth • There were barriers to youth using our clinics: hours of operation & stigma. • Youth had less access to transportation What to do?!?!?!?!

  17. Collaborate with another Mobile Program TEEN WELLNESS on WHEELS!

  18. Teen Wellness on Wheels • Started in 2002 • Operates outside of local High Schools when school is in session • Operates outside of local pool and water park during summer months • Collaborates with Planned Parenthood’s Teen Peer Educators to provide information on birth control • Reached nearly 500 youth during the first year of operation • Requests from other schools to bring the Mobile to events

  19. How does Public Health Benefit from these collaborations? • Increased trust with target populations • Increased case finding • Increased attendance in STD clinic • Much free publicity • Benefits of being associated with Carle • Increased collaboration and cooperation from sites (public housing, soup kitchen, homeless shelters, and others)

  20. How Do Mobile Unit Owners Benefit from these collaborations? • Giving back to the community (not-for-profit Foundation) • Good public relations (much publicity) • WOW has sparked interest within Carle & Christie about the Mobile Health Program • Have since created a linkage with overburdened community health center (provide 2 extra exam rooms 4 days wk) • Increased cooperation with other community agencies (Planned Parenthood, American Lung Assoc., UI Community Health, and others)

  21. 2004: Yet another problem emerges! • Lack of flexibility with shared mobile units. • Inability to use mobiles during late night and early morning hours • Inability to change the schedule without a great deal of advance notice • The Mobiles were too large for some locations SOLUTION?!?!

  22. WOWee!!! 2 Room Mobile Counseling & Testing Unit

  23. WOWee: • Works weekends & evenings • Parks outside of Labor Ready from 5:30-8:30 AM • Parks outside of gay bars from 11PM-2AM • Allows us to attend special events • Parks in Public Housing • Allows maximum flexibility to target specific areas (GIS/Chlamydia Project)

  24. Graphics Matter!

  25. How can we expand even further? • IL Children’s Health Care Foundation grants • Collaborated with the IDPH Office of Minority Health to expand WOW throughout IL (received federal grant) • Illinois Governor Rod Blagojevich made WOW a part of BASUAH statewide initiative

  26. What can you do to keep the Big Wheels Turnin’? • Collaborate with local health departments and CBOs • Use your mobile & their expertise of the target populations to expand services (you use it during the day, they use it at night) • Partner with Health Departments & CBOs to apply for funding opportunities that you may not qualify for on your own • Consider selling or donating your used mobile to a health department or CBO. They have the advantage of your experience & can call with questions or advise

  27. Join the Downstate IL Mobile Health Alliance • Modeled after the Chicago Mobile Health Alliance • Will provide opportunities for: • Networking • Resource sharing • Technical assistance • Group projects • Future conferences and trainings

  28. THANK YOU! Keep those Big Wheels Turnin’!!! Julie A. Pryde jpryde@cuphd.org 217-239-7827

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