Community Intervention Plan of the
Mott Haven-Longwood
Childhood Asthma Partnership
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"The Mission of the Mott Haven Longwood Community Asthma Partnership is to, by all means available, reduce both the levels of childhood illness from asthma and the numbers of children who become lifetime patients. As a core part of this mission we have formed a real partnership among community groups, the public and providers, one in which we look with open minds at all practical ways to control and prevent asthma in our community and orient ourselves to grass-roots implementation."

With Health Force as the lead agency, many groups and agencies - including, the Bronx Borough President's Office, Citizens Advice Bureau, SEBCO Community Life Services, Dominican Sisters Family Health Services, Bronx Lebanon Pediatric Asthma Center, Montefiore Hospital Albert Einstein Institute for Community and Collaborative Health, Urban Health Plan, N.Y. Foundling Bronx Teen Parenting, South Bronx Clean Air, South Bronx Concerned Citizens, Inc. - worked to form an intervention plan targeted to zip codes 10454 and 10455 (covering Community District 1 and parts of Community District 2). This area has one of the highest childhood asthma hospitalization and emergency room visits in the nation. The plan's purpose is to involve health care providers, community groups, schools, parents, and community leaders alike in increasing knowledge about asthma and coordinating resources in order to reverse the asthma crisis in our community. We welcome comment and suggestion from all community members and organizations serving the target area about strategies to carry out the plan and accomplish its mission.

GOAL 1: Reduce the number of emergency room visits and childhood hospitalizations

Year 1

Year 2

OBJECTIVES AND ACTIVITIES

Q4

Q1

Q2

Q3

Q4

  Objective 1.1 : Elevate the quality of care by improving communication between affected families and medical professionals
 

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Promote and educate on the use of asthma action plans in targeted community educational activities (including bilingual)
 

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Work with Bronx Lebanon Hospital to test and distribute questionnaire which teaches parents the correct questions to ask and information to give so that medical professionals are able to treat a child’s asthma condition
  Objective 1.2: Ensure that clients have adequate access to routine and preventive medical care
   

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Recruit agencies who enroll families for Child Health Plus to enroll at Partnership-targeted sites
   

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Work with hospitals, physicians, and visiting nurse service groups to enroll more asthmatic children in community aftercare
   

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Develop a pilot project at an area hospital to create a mechanism to notify primary care providers when an asthmatic child has been admitted to the emergency room
   

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  Work with the Montefiore asthma van to target care to local homeless shelters, and provide CAB homeless outreach van with literature for distribution
 
GOAL 2: Increase the general availability of asthma educational materials and activities

Year 1

Year 2

OBJECTIVES AND ACTIVITIES

Q4

Q1

Q2

Q3

Q4

  Objective 2.1: Undertake targeted community-wide education

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Convene a major asthma prevention conference to promote the Community Intervention Plan, bring together participants, distribute educational materials, and recruit new coalition members
 

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      Work with the New York Academy of Medicine to develop a website that provides information about the Partnership on the internet
 

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Promote the Partnership activities through ongoing out-reach, including attending local health fairs (at least four)
  Objective 2.2: Build capacity for service providers and community agencies to provide direct asthma education and referrals to their clients in affected families
 

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Distribute an information packet/resource manual to local agencies (at least 10 a quarter)

 

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Provide direct training to staff members of CBO’s and local service providers, especially early child education agencies, to assess and properly refer children and families affected with asthma (5 sites a quarter)
 

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  Work with Health Force to train adult and youth peer educators for other groups with preference to Partnership members (10-20 a year)
       

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Build capacity for community case management by building bridges between groups already engaged in case management and groups interested in obtaining information on program design and funding
 
GOAL 3: Reduce lost school days

Year 1

Year 2

OBJECTIVES AND ACTIVITIES

Q4

Q1

Q2

Q3

Q4

  Objective 3.1: Build a clear referral network between the Board of Education district office, schools, school nurses, medical providers, and families
 

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Educate parents on the approval process for school medication form 504, emphasizing the need for physicians to stamp the form legibly

   

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Work with district school offices to expedite the form 504 approval process and to have forms readily available on registration days

 

Objective 3.2: Develop a pilot project in one area school which involves school personnel, parents, and children to cooperatively address the problem of lost school days
 

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Identify site and work with the school to form an asthma committee to plan intervention activities

   

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  Work with the committee and the school attendance officer to ensure that children absent with asthma are being referred properly for additional services
     

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Have the Partnership support asthma education activities that involve all members of the school community (at least two activities)
GOAL 4: Reduce indoor and outdoor environmental triggers, especially in substandard housing units

Year 1

Year 2

OBJECTIVES AND ACTIVITIES

Q4

Q1

Q2

Q3

Q4

  Objective 4.1: Develop a pilot project in one local building which comprehensively involves building owners, tenants, staff, and local advisory groups in reducing triggers
 

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      Identify a building for engagement
   

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    Help participants form a building committee to identify at least two areas of concern and develop an intervention plan
     

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Help coordinate a smoking cessation course for building
 

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Provide additional support as needed, such as locating a peer educator in the building
  Objective 4.2: Develop capacity for assessing and addressing localized environmental concerns

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      Include environmental advocacy information in resource manual and on website

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Work with the South Bronx Clean Air Coalition and other groups to identify and address key local concerns
 
GOAL 5: Increase involvement of community members, leaders, and political representatives in effectively implementing the Intervention Plan

Year 1

Year 2

OBJECTIVES AND ACTIVITIES

Q4

Q1

Q2

Q3

Q4

  Objective 5.1: Continue to strengthen the Partnership and build an advocacy network

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Hold regular Partnership meetings

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Market the Intervention Plan and provide the community with ongoing information about activities through a variety of communication tools such as newsletters, news articles, and the Partnership website
 

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  Host events to update elected officials, community boards, and other leaders on Partnership activities
       

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Evaluate accomplishments and challenges, and outline a future role for the Partnership by developing a Year 3 implementation plan

Mott Haven-Longwood Asthma Partnership Home

For Further Information contact: Antonio Garcia, Senior Coordinator - Health Force - 552 Southern Blvd., Bronx, New York 10455 - Phone (718)585-8585 - Fax (718)585-5041  healthforce@netzero.net