Vision: Milwaukee is a model community with healthy, safe, hopeful and empowered residents
Strategic Question / Goal / Strategies / Possible process objectives for Action Teams(Healthiest State Project and assessment findings) / Collaborators / Community Themes / Data / Related Essential Public Health Services (% score) / Forces of Change:
Trends, Factors, and Events /
How can the organizations, residents and systems in the city of Milwaukee work together to improve prevention and response efforts to achieve safety and peace in all parts of our city? / All persons will live in safety and peace / Improve relationships between community and law enforcement agencies
Implement early childhood interventions as a means of primary prevention of violence and enhance programs through integration of risk assessment and provision of resources around violence
Decrease acceptability of violence and abuse as viable responses
Decrease access to illegal firearms and ammunition
Increase the capacity to deliver high-quality, comprehensive services to survivors (including perpetrators) of violence
Ensure ex-offenders have access to high-quality health and human services that enhance their ability to succeed
Participate incommunity-widepact to support law enforcement efforts to disrupt drug commerce and related illegal activities / Violence Prevention
Programs
Implement evidence-based early childhood education programs as primary prevention of violence
Implement and enhance early childhood home visiting to prevent maltreatment and youth violence
Increase community watch programs, utilizing existing groups (religious and community groups)
Reduce crack-cocaine availability and use on the streets
Increase security within schools
Expand and standardize mentoring programs for children (Big Bro Big Sis)
Implement classroom interventions for youth violence prevention
Implement classroom interventions for intimate partner violence
Develop city-wide skill-based program to reduce bullying and school-based violence
Develop system for providing family- and community-based therapy using stages of change models
Develop wraparound system of care for children with behavioral and emotional needs
Develop therapeutic foster care for chronically delinquent juveniles as alternative to incarceration
Develop system for anonymous crime reporting
Enhance homicide review and review of other crimes
Violence Reduction
Programs
Implement environmental modifications to reduce and control violence (streetlights, improved infrastructure in impoverished neighborhoods)
Participate in city planning/built environment efforts to provide voice around violence prevention
Develop social marketing campaign to reduce violence and drug dealing in communities
Policies
Enhance firearm and ammunition laws (city or state)
Law Enforcement
Programs
Facilitate collaboration between the police department and community members to reduce barriers to community seeking assistance from law enforcement
Program/Policies
Address racial profiling / Challenges
Feeling unsafe/Public safety
Fear of personal safety in accessing services
Handguns/Gun violence
Single bullet sales
Gang violence
Safety of kids on buses
Drugs/drug-related crime
Abuse
Parents afraid of own children
Distrust of Law enforcement
(when providing anonymous tips)
Racial profiling
Assets
People in community care/want to help
After school programs
CBO’s
Caring neighbors / Homicide is the leading cause of deaths in Milwaukee for youth ages 15-19 and young adults ages 20-34.24
7.5% of students carried a weapon on school property in the pervious 30 days, and 12% were threatened with a weapon on school property 32
Nationally, 27% of state prisoners report having experienced physical or sexual abuse before incarceration33
In Milwaukee, 90% of homicide suspects had prior arrests; 77% of homicide victims had prior arrests38
In 2005, almost 40% of homicide victims in Milwaukee tested positive for illicit drugs at the time of their death. 24% of victims were found to be legally intoxicated38
Nearly 80% of homicides in Milwaukee in 2006 were completed using a firearm38
In nearly 40% of homicides in Milwaukee in 2005, the victim and suspect were acquaintances. In another 18% of homicides, the suspect and victim were friends, family members, or intimate partners38
In 2005, 59% of homicides in Milwaukee were precipitated by a robbery; 33% were related to the drug trade38
According to MKE Fire Dept data, from 2000-2005, 2,479 wounds occurred from stabbings, while 1,559 wounds were related to gunshots.
According to the Wisconsin Anti-Violence Effort Educational Fund, an average of 56 teenagers die every year in WI because of gunshot wounds. / EPHS 2. Diagnose And Investigate Health Problems and Health Hazards (84%)
EPHS 5. Develop Policies and Plans that Support Individual and Community Health Efforts (65%) / · Escalating health care costs
· W2 reforms do not assure health care coverage
· Lack of awareness about accessing healthcare services and resources
· Lack of providers in heavily populated areas- ex: Midtown
· High concentration of quality health care systems
· Need for diverse and culturally competent health care workforce
· Increasing number of uninsured
· Continuing tax cuts in Milwaukee County
· Lack of national policy of everyone’s right to health and health care
· Political debate about providing universal health care coverage
· Lack of adequate dialogue on the focus of healthcare and public health expenditures
· Public health and healthcare are consistently confused
· Lack of understanding of public health and the non-governmental entities that compromise the bulk of the public health system
· Multiple hospital and health care systems
· General distrust of public systems such as healthcare, police, criminal justice
· Racial segregation in Milwaukee
· State's largest city
· Poverty in Milwaukee
· Disparities in key health indicators (Infant mortality, teen pregnancy, homicide, insurance coverage, immunization rates)
· Health disparities disproportionately impact black men and boys
· High incarceration rates
· High prevalence of people living in poverty
· Perception of danger and crime
· High rates child abuse, domestic violence, youth violence, homicide
· Availability of guns
Footnotes
1. Milwaukee Vital Records. 2005
2. Baker, B., Chen, V., Fillmore, C., Blair, K., Michalski, K. & Paradowski, J. Fetal Infant Mortality Review (FIMR). 2002-2004. Milwaukee Healthy Beginnings Project, Health Resources and Services Administration & Milwaukee Health Department
3. National Institute of Child Health and Human Development. Health Disparities: Bridging the Gap. 2000, reprinted 2005
4. United Way of Greater Milwaukee. If Truth be Told Report. 2006
5. Riverwest Health Initiative Riverwest Community Health Assessment, 2004-2006.
6. Levine, Marc. After the Boom: Joblessness in Milwaukee Since 2000. University of Wisconsin-Milwaukee Center for Economic Development. 2004.
7. Acevedo-Garcia, D., McArdle, N., Osypuk, T.L., Lefkowitz, B. & Krimgold, B. Children Left Behind: How Metorpoliatn Areas are Failing Americans Children. Harvard School of Public Health & Center for the Advancement of Health. January 2007. diversitydata.org
8. Wisconsin Council on Children and Families. Start Smart Milwaukee. 2005
9. Community Health Improvement in Metcalfe and Concordia (CHIMC). “CHIMC Secondary Data Overview” 2006
10. Pawasarat, J. & Quinn, L.. Legal Action Wisconsin Housing Report. University of Wisconsin-Milwaukee Employment and Training Institute. 2007
11. Lapine, L., Larson, L., & Schmitter, A. Child Care for Children who are Mildly Ill: A Description of Perspectives from Child Care Providers, Parents and Employers. Planning Council for Health and Human Services, Inc. 2000.
12. The Wisconsin Department of Public Instruction. http://www.dpi.state.wi.us/
13. Aurora Health Care. Aurora Milwaukee Community Health Survey 2006. In Partnership with Milwaukee Health Department & Center for Urban Population Health. Prepared by JKV Research, LLC
14. Aurora Health Care. Aurora Central Milwaukee Community Health Survey 2006. In Partnership with Milwaukee Health Department & Center for Urban Population Health. Prepared by JkV Research, LLC.
15. Wisconsin Hospital Association. www.wha.org
16. Wisconsin Department of Health and Family Services. Wisconsin Local Health Department Survey 2003-2004. 2005.
17. Milwaukee Health Department. Public Health Report by Aldermanic District. October 18, 2005.
18. Federal Investigation Bureau. 2005.
19. Wisconsin Department of Health and Family Services. Wisconsin Child Abuse and Neglect Report, 2005 data. Office of Program Evaluation and Planning. Division of Children and Family Services.
20. Bureau of Justice Statistics Factbook, U.S. Department of Justice. 1998
21. Wisconsin Domestic Abuse Incident Report for 2001, Office of Crime Victim Services
22. WCADV, 2000 Domestic Homicide Report
23. Wisconsin Domestic Abuse Incident Report for 2005, Office of Crime Victim Services
24. Blair, K., & Liegel, J. Death: Leading Causes for 1995-2005, City of Milwaukee. June 2007. Milwaukee Health Department.
25. Department of Health and Human Services. Wisconsin Interactive Statistics on Health. http://dhfs.wisconsin.gov/wish
26. Wisconsin STD program. 2004
27. Bureau of Health Information and Policy, Division of Public Health, Wisconsin Department of Health and Family Services. Wisconsin Family Health Survey: City of Milwaukee. 2005.
28. Coley, B., Hollander, G. & Seal, D. Health Disparities Among LBGT Populations In Wisconsin: A Summary Report of Needs. Diverse and Resilient & Center for AIDS Intervention and Research. 2006.
29. Centers for Disease Control and Prevention. Survnet. Data 2000-2006. accessed on the Milwaukee Health Department website www.milwaukee.gov/health
30. Department of Workforce Development. Wisconsin Shares Subsidy Porgram. Monthly Statistics. Accessed on
http://dwd.wisconsin.gov/childcare/wishares/default.htm. 2007. Graph only
31. Pawasarat, J. & Quinn, L.M., Addressing Barriers to Employment: Increasing Child Care Rates and the Rate Setting Process Under the Wisconsin Shares Program. University of Wisconsin-Milwaukee Employment and Training Institutes. 2002.
32. Center for Disease Control and Prevention. Youth Behavior Risk Survey. www.cdc.gov
33. Glaze LE. & James DJ, Mental health problems of prison and jail inmates. Bureau of Justice Statistics Special Report. September 2006.
34. United Way of Greater Milwaukee. “Breaking the Cycle of Poverty.” 2008.
35. Pawasarat, J. & Quinn, L. Racial Integration in Urban America: A Block Level Analysis of African American and White Housing Patterns. Employment and Training Institute. School of Continuing Education, University of Wisconsin-Milwaukee, December 2002, revised January 2003.
36. Wisconsin Department of Health and Family Services, Bureau of Health Information and Policy, Division of Public Health. Wisconsin 2001-2005.
37. Wisconsin Department of Health Services.Framework for Action to Eliminate Racial and Ethnic Disparities in Birth Outcomes. January 2009-01-16
38. Milwaukee Homicide Review Commission Interim Progress Report. May 2007.
39. Citylights. Selected health adolescent disparities data. 2007:16(2):3-14.
40. Milwaukee Fire Department. Life Threatening Penetrating Trauma Patients Transported by ALS Units. 2000-2005.
41. Wisconsin Anti-Violence Effort Educational Fund (WAVE). WAVE Report. Fall 2008: Volume 5, Issue 2.
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