Running head: FUNCTIONAL HEALTH PATTERNS COMMUNITY ASSESSMENT

FUNCTIONAL HEALTH PATTERNS COMMUNITY ASSESSMENT GUID
Ugommah Miller
Grand Canyon University
NRS427V

CASTILLA ROSE
April 30, 2012

FUNCTIONAL HEALTH PATTERNS COMMUNITY ASSESSMENT GUIDE
According to Stanhope & Lancaster (2010), community assessment is the process of critically thinking about the community and getting to know and understand the community client. Assessment helps identify community needs, clarify problems, and identify strengths and recourses. This paper will provide a brief description of Prescott County: identify the Value/Belief pattern, Health perception /Management, Nutrition/Metabolic, Elimination, Activity/Exercise, Sleep/Rest, Cognitive/perceptual, Self-perception/Self Concept, Role/Role-relationship Sexuality/Reproductive, Coping/ Stress. Prescott Valley is a town in Yavapai, Arizona State US, Prescott Valley was the seventh fastest-growing place among all cities and towns in Arizona between 1990 and 2000. According 2010 to census, the population of the town is 38,822.
Value/Belief Pattern- Predominant ethnic and cultural groups along with beliefs related to health. White: 144, 98 Black/African American: 421 Hispanic: 16,300 Native American/Eskimo: 2,315
Asian: 843 Hawaiian / Pacific Islander: 47 other: 162 or more: 2,591.The Native American who migrated into the area to hunt deer, pronghorn and smaller game. Availability of spiritual resources within or near the community (churches/ chapels synagogues chaplain, Bible studies, sacraments, self-help groups, support groups were available in community of Prescott. Percentage of population affiliate with religious congregation 29.73% churches like Baptist and church of Jesus Christ Later Day Saint and other smaller supporting groups were available
For community residents the primary sources of income were from the sales of cattle, hay and horses – both ranch horses and bucking horses for rodeo, Meat cutting, carpentry, blacksmith.
The residents love the rural atmosphere and beauty of the area. The majestic mountains that form the backdrop for the valley still inspire and provide the opportunity to commune with natures which promote healthy lifestyle and healing of their environments from contamination.
What does the community value? How is this evident? Tribal beliefs and values about consultation include: an emphasis on face-to-face interaction; dialogue about issues rather than only responding to completed Plans; attention to the cultural and sociopolitical differences among tribes in structuring consultation processes; appreciation of the cultural and fiscal roadblocks to tribal participation in consultation processes; development of cultural awareness about tribes to facilitate effective consultation; This is my home. It was my father’s home, his father’s home, and back into history. I don’t plan to go anywhere else, I couldn’t go anywhere else and feel at home. Other people do that and find home in any place they live. But, for us Dine, home is in the land and the history of our people with this place. We are of this place.
The median income for a household in the city was $35,446, and the median income for a family was $46,481. Males had a median income of $31,834 versus $22,982 for females. The per capital income for the city was $22,565. About 7.4% of families and 13.1% of the population were below the poverty line including 14.4% of those under age 18 and 6.4% of that age 65 or over.

Health Perception/Management-The Prescott community perceive health as a gift from GOD and to be healthy is to be happy Health -The medical needs of Prescott residents are met by a full spectrum of health services. There are over 150 practicing physicians in the area, more than 40 dentists, 30 chiropractic physicians and a large number of opticians, optometrists, and ophthalmologists.
Yavapai Regional Medical Center (YRMC), located on Willow Creek Road, is a full service regional health care facility offering the warmth and comfort of a community hospital along with superior care and state-of-the-art technology. YRMC’s staff includes doctors representing most medical specialties. Quality health care is also provided by the staff of the Veterans Administration Medical Center located in Prescott at historic Fort Whipple on Highway 89. In addition, fine nursing homes, personal care homes and adult day care are also available. Air quality data for Prescott is available through the Arizona Department of Environmental Quality.
Nutrition/Metabolic
Indicators of nutrient deficiencies: No almost all Community residents had gardens and canned what they grew in order to survive the winter. Beef, pork, and chicken from domestic animals supplemented fruits and vegetables from the garden, as deer meat from wild game. Meat was smoked, salted, hung in cellars, and sometimes canned. Prescott resident eats healthy food due to fresh fruits and vegetables and animal product they produce from their gardens Obesity rates or percentages: Compare to CDC statistics. Obesity rate is low in Prescott County from CDC and from the State Trust and National forest land s including the Granite Mountains, Wilderness Area, offer hiking trails that provides a chance to observe animal’s life, plant as well as study and enjoy the geological formation of the nature.
Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.).Yes available despite this rural atmosphere, another attraction is the Community’s proximity to shopping, health care, employment, schools, and entertainment in Prescott, Prescott Valley, and Chino Valley.1 Post offices and public libraries are also located in these nearby municipalities. Availability of water (e.g., number and quality of drinking fountains).Yes majority of the community residence obtain their water from private wells, some subdivisions and planned Area Development have formed water companies which operate centralized wells and distribute water to their residents, Fast food and junk food accessibility (vending machines) delivers meal on the wheel to elderly and the vulnerable population with chronic health issues. Evidence of healthy food consumption or unhealthy food consumption, (trash, lines, observations, etc.) Yes because most residents have gardens with fresh produce and supplemented domestic animals like pork, beef and chicken and meat from wild game. Provisions for special diets, if applicable. Not applicable For schools (in addition to above): not applicable Nutritional content of food cafeteria an vending machines: Compare to ARS15-242/The Arizona Nutrition Standards (or other state standards based on residence) Not applicable because meat were smoke, salted. Hung sometimes canned.
Amount of free or reduced lunch- Not applicable
Elimination (Environmental Health Concerns) The City of Prescott is a participant in the federally mandated National Pollution Discharge Elimination System (NPDES) Phase II, which is intended to help prevent storm water pollution from entering the storm drain system and protect the quality of our creeks and lakes. This program is implemented through the Arizona Department of Environmental Quality, Permit Number AZ2002-002. Solid Waste Disposal and Pollution
City and County codes regulate water, air, land, and light pollution and reflect community values. Laws and codes concerning highway and property litter are in effect throughout the Community. County codes regulate ambient light pollution by limiting the number of lumens for outdoor lighting. These codes require downcast lighting in residential and most commercial applications.1 Environmental cleanup is maintained at the volunteer, commercial, and governmental levels. Litter lifters clubs, as well as other groups and individuals, keep road shoulders and easements free of litter thrown from vehicles. Paper collection centers are located in shopping centers; for example, the Lions Club center at the Safeway stores in Prescott. . The City of Prescott will focus on preventing pollutants entering our waterways through the fulfillment of these six (6) management strategies. 1. Public Education and Outreach 2. Public Involvement and Participation 3. Illicit Discharge Detection and Elimination 4. Construction Site Runoff Control 5. Post Construction Site Controls
Pollution Prevention and Good Housekeeping. Empty buckets into the sanitary sewer system (clean-out, sink, or toilet) Common air contaminants’ impact on community Noise Waste disposal. Pest control: Is the community notified of pesticides usage? Yes, when using herbicides, pesticides, and fertilizers always follow application and disposal directions listed on the product’s label. Do not apply during windy conditions or if rain is expected within 24 hours. Do not apply pesticides and herbicides within 100 feet of waterways Hygiene practices (laundry services, hand washing, etc.).Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, yes if possible Sweep up dry spills and use towels, absorbent or similar materials to remove wet spills. Dispose of properly. Universal precaution practices of health providers, teachers, and members maintained Keep dumpsters covered and keep the area around them clean. Do not overfill dumpsters and report leaking dumpsters to your waste hauler for replacement.
Any toxic substance or liquid waste that is dumped on the ground or pavement must be properly cleaned and material disposed of properly. Remove all trash and debris from the wash area. Select a location where wash water can soak into a lawn or gravel surface, or be directed to landscaping. Activity/Exercises
Social life revolved around neighbors helping neighbors with cattle roundups and putting up hay.
The distance between ranches, frequently three or more miles, deterred frequent visits. Dancing was popular, and traveling bands visited Skull Valley, Kirkland, Williamson Valley, and Chino Valley. Rodeos were the biggest social events with Prescott’s rodeo the crown jewel .Residents held smaller, informal rodeos on individual ranches for fun and to practice for the major events .Next to rodeo, the most popular recreation for men and boys was hunting. In fact, rite of passage for boys was the exchange of the BB gun for a .22 rifle. Deer, antelope, and rabbits were commonly hunted for their meat. Cougars were plentiful and unpopular with the ranchers, because they killed cattle and deer. Antelope Hills Golf Course, which consist of the City of Prescott South Course and the City of Prescott North Course. Means of transportation- Horses were the preferred mode of transportation around ranches and on back roads. Residents also used automobiles, primarily the Model T and Model A Fords, for traveling between ranches and for trips into town. Overland transportation was by stagecoach. A stage stop was located on the west side of Williamson Valley Road across from the Crossroads Ranch. In general, roads were poor and traveling was difficult and slow. The two main thoroughfares in and around Prescott are Arizona State Route 69 and Arizona State Route 89. Route 69 connects Prescott with Prescott Valley to the east, eventually curving southeast before reaching Interstate 17 at mile marker 262.
Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.).Yes available
Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.).Maintained according to municipal rules, Injury statistics or most common injuries: Home injuries like cut or fall
Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer-Yes Prescott residents has telephone services utilize Qwest communication for local service. Table top telephone company and Midvale telephone offer service to some neighborhoods that Qwest dose not reach. Wireless Telephone services are available through Qwest, Sprint, Verizon, ALLTEL, Cingular and AT&T, some community residents with broadband internet connections, Utilize Voice over internet protocol (VoIP). Others subscribe to satellite television services Sleep/Rest Sleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]). Normal good 8 hours sleep as recommended Indicators of general “restedness” and energy levels .No Factors affecting sleep: Not applicable residents denies insomnia * Shift work prevalence of community members most of residents are famers. * Environment (noise, lights, crowding, etc.) Here waking up in the morning to the sound of a rooter crowing replaces waking up to sound of community traffic. * Consumption of caffeine, nicotine, alcohol, and drugs not applicable. * Homework/Extracurricular activities
Health issues Denies health issues rather the majestic mountains that form the backdrop for the valley still inspire and provide the opportunity to commune with nature Cognitive/Perceptual Primary language: The primary language is English and there are 5 top language spoken English only 143,455, Spanish 11,175, German 905, French 575, Navaho 375. Is this a communication barrier? Communication barrier is of low significance. Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics. The Prescott Unified School District and the Chino Valley Unified School District serve the Williamson Valley Community. Both districts have a full range of instruction consisting of elementary, middle school, and high school. In addition to public education, there are numerous private schools ranging from early childhood development centers to K-12 institutions. Public schools and some private institutions also provide Special Education services for the area. Yavapai Community College, Prescott College, and Embry-Riddle Aeronautical University serve the Community as well. Opportunities/programs educational offerings (in-services, continuing education, GED, etc.) Yes: Caregivers work with these local charities. Hospice volunteers care for residents in need. Red Cross, “Reserve-a-Ride “provides transportation for the elderly and disabled. “Meals-on-Wheels” provides a valuable service delivering nutritious meals to the housebound elderly. Many assisted-living and long-term care facilities are located in the area as well.
Self-Perception/Self-Concept
* Age levels; They have all ages but most age is 45-54, 65-75 and 60-64and the number of teenager are low and children compared to urban cities in the state of Arizona. * Programs and activities related to community building (strengthening the community).Consider establishing an annual community events the community and support the annual Prescott Downtown Arts and Craft show at the Courthouse, Establish community bulletin kiosks in at least two locations for disseminating information regarding the community. Educate and encourage residents to comply with the Light pollution Control (“Dark Skies”)
Community history: Prescott Valley’s Fitzmaurice Ruins contain artifacts from the early Mountain patayan people who inhabited the area some 14,000 years ago. Prescott Valley, formerly known as Lonesome Valley, was settled by ranchers in the 1880s, raising beef to supply the miners and new settlers. The Fain family, pioneer ranchers, still ranch in the valley. There has been human habitation in the area since at least 900AD .The first settler were the Native American and discovery of Gold brought a new migration of Euro-American miners and settlers into these area. Pride indicators: Self-esteem or caring behaviors. One element common to most, if not all, of the Community’s neighborhoods is the noticeably large number of horse corrals and horses at residences.
Published description (pamphlets, Web sites, etc.) They bulletins and web sites for information
Pride indicators: Self-esteem or caring behaviors. One element common to most, if not all, of the Community’s neighborhoods is the noticeably large number of horse corrals and horses at residences. Residents choose to live here for the rural flavor provided by surrounding mountains and long views. Despite this rural atmosphere, another attraction is the community’s proximity to shopping, health care, employment, schools and entrainments in Prescott
Role/Relationship- Interaction of community members (e.g. friendliness , openness, bullying , Prejudices etc.). Resident’s social life revolved around neighbors helping neighbors with cattle round ups and putting up hays and they respect each other in the community. The distance between ranches, frequently three or more miles, deterred frequent visits
Vulnerable populations: the elderly that live in their homes are a vulnerable group and have barriers to being healthy .This vulnerability can lead a negative health status as compared to the rest of the population or non-vulnerable elderly individual with proper support (Stanhope & Lancaster, 2010) They have a high prevalence of hypertension , respiratory infection risk, poor living condition and diet , can lead to cycle of vulnerability due to increase stress on the elderly individual and family trying to manage health problems with inadequate resources .(Stanhope & Lancaster, 2010). This is especially a problem in rural areas
How does this impact health? This stress and continued vulnerability can lead to hopelessness with social isolation. Power groups (church council, student council, administration, PTA, and groups) How do they hold power by voting during election. Positive or negative influence on the community –yes to the community residents.
Harassment policies/policies; Denies harassment policies except to the sex offenders and non-compliance individual to rules and regulations of the community. Relationship with border community is cordial. Police- professionalism, vigilance, Dedication our mission is to protect the people we serve, reduce the incident of crime as well as the fear of crime.
Fir/EMS (response time)- Lifeline Ambulance services serves Prescott community. Sexuality/Reproductive Relationships and behavior among community members understand the importance of sexuality and reproduction Educational offerings/programs (e.g., growth and development, STD/AI education contraception, abstinence, etc.). Access to birth control. Birth rates, abortions, and miscarriages (if applicable). Access to maternal child health programs and services (crisis pregnancy center, support groups, Prenatal care, maternity leave, etc.).The Residents denies lack of access to maternal child health Program service.

Coping/Stress- The residents cope with their stress as real owners of the community by respecting each other and also settle their differences with dialogue.
Delinquency/violence issues. Are reported to the county sheriff’s office that provides law enforcement
Crime issues/indicators: By today’s standards, the crime rate was low. A cattle rustling was considered one of the most serious offences
Poverty issues/indicators: Percentage of residents living in poverty in 2009: 12.1%
(10.4% for White Non-Hispanic residents, 17.1% for Black residents, 27.7% for Hispanic or Latino residents, 22.2% for American Indian residents, 22.1% for other race residents, 20.7% for two or more races residents
CPS or APS abuse referrals: Compare with previous years .High
Drug abuse rates, alcohol use, and abuse: Compare with previous years.
Stressors. High
Stress management resources (e.g., hotlines, support groups, etc.).
Prevalent mental health issues/concerns: * How does the community deal with mental health issues in professional and accurate way * Mental health professionals within community and usage-mental health clinic and rehab and mental health professionals available for the county
Disaster planning:
Past disasters Natural disasters:
The number of natural disasters in Yavapai County (16) is greater than the US average (12).
Major Disasters (Presidential) Declared: 8
Emergencies Declared: 2

Causes of natural disasters: Floods: 8, Storms: 7, Fires: 6, Tornado: 1, Drought: 1, Hurricane: 1, Winter Storm: 1 (Note: Some incidents may be assigned to more than one category). * Drills (what, how often) * Planning committee (members, roles) * Crisis intervention plan Prescott-area historical earthquake activity is significantly below Arizona state average. It is 80% smaller than the overall U.S. average.

On 4/29/1993 at 08:21:00, a magnitude 5.5 (5.5 MB, 5.0 MS, 5.3 MW, Depth: 6.2 mi, Class: Moderate, Intensity: VI - VII) earthquake occurred 74.8 miles away from the city center
On 3/2/2005 at 11:12:57, a magnitude 5.1 (5.1 MB, 4.6 ML, Depth: 3.1 mi) earthquake occurred 85.5 miles away from Prescott center
On 4/25/1993 at 09:29:50, a magnitude 5.0 (5.0 MB, 4.5 MS, Depth: 6.2