Healthy Adults and Youth

Healthy Adults and YouthPlan of Work

Back to Plans for the County

Bourbon County CES

Title:

Healthy Adults and Youth

MAP:

Improve Physical and Mental Health

Agents Involved:

Carter, Denniston, Tackett

MAJOR PROGRAM 1:

Health

MAJOR PROGRAM 2:

Substance Use Prevention and Recovery General

MAJOR PROGRAM 3:

Active Living and Health Promotions General

MAJOR PROGRAM 4:

Nutrition and Food Systems General

Situation:

Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion. In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018.
The recent statewide needs assessment identified substance use prevention and recovery as the most urgent priority for Cooperative Extension. In this assessment Bourbon County identified "availability of substance use prevention programs" as an urgency following only, affordable health care insurance and chronic health diseases. Taken together, youth KIP survey data and data from the CES needs assessment demonstrate the need to address substance use prevention, recovery, stigma and impact on families and communities.
A foundation of nutrition knowledge, skills and competencies in topics such as food safety, handling and preparation, cooking methods and techniques, feeding practices, food science, and food systems are essential to changing dietary behaviors. With the increased trend of chronic disease and obesity in Kentucky, individuals, families, and communities need tools and environments that support healthful dietary decisions. CES agents are encouraged to reach diverse audiences to help combat chronic disease and obesity in Kentucky communities. Focusing on a foundation of overall direct health education to increase health literacy and ability to make healthy lifestyle choices. Including, creating spaces or opportunities for active living and health behaviors.

Long-Term Outcomes:

Reduced fatalities
Reduced number of children in foster care
Reduced incarceration
Increased number of youth maintaining positive health habits;
Increased number of youth at a lower risk for serious disease and illness;
Increased number of youth at a lower risk for physical and emotional distress
Reduce the number of youth reporting drug, alcohol, and tobacco use
Reduction of substance use and its related consequences
Routinely meeting physical activity and dietary recommendations that promote health and wellness
Community environment promotes healthy behaviors where people live, learn, work and play
Reduce the rate of chronic disease and obesity
Routinely employ healthy dietary practices that promote health and wellness (e.g. consume recommended daily fruits and vegetables and improve food management skills)

Intermediate Outcomes:

Increased adoption and mastery of healthy behaviors that lead to a healthy lifestyle
New coalitions developed to address SUC and MH
Improved access and utilization of resources
Improved perceived stress and ability to cope
Youth will contribute to their communities
Youth will practice refusal skills,
Youth will intervene to prevent use/abuse
All agents trained in YMHFA
Reduced stigma from local community members
Increased Opioid Stewardship (less Rx'ing by doctors, appropriate Rd disposal, drug take-backs, etc.
Generate positive attitudes toward changing lifestyle choices to be more healthy
Increase intake of fruits, vegetables, and other nutrient-dense foods
Improve self-efficacy in physical activity, movement, and active routes to destinations
Decrease tobacco/ substance use
Generate positive attitudes toward changing dietary decisions to be more healthful.
Increase intake of fruits, vegetables, and other nutrient-dense foods
Decrease intake of solid fats, added sugars, and sodium
Employ healthful cooking methods, feeding practices, and food preservation techniques
Increased access to healthy food via local farmers markets, food retailers, and/or home gardens

Initial Outcomes:

Improved in awareness of health concerns for youth
Improved education about SUD and MH disease
Improved education about diversity and Inclusion
Reduced stigma of individuals with SUD and MH disease
Improved understanding of the consequences of risk behaviors
Promote optimal physical, social and emotional health habits
Increased knowledge of substance use prevention, addiction, and recovery
Increased ability to identify and use destigmatized language
Improved social skills and/or self-efficacy in youth
Increase awareness about lifestyle choices and chronic disease (e.g. tobacco use, poor nutrition, & lack of physical activity)
Increase confidence in ability to employ healthy practices
Improve food and nutrition-related skills (e.g. preparation techniques, safe food handling)
Increase motivation to be active
Increase awareness of accessible safe places for activity
Increase awareness about relationships between food and nutrition practices and chronic disease.
Improve food and nutrition-related skills (e.g. gardening, preparation and preservation techniques, safe food handling, food resource management)
Increase confidence in ability to employ healthy eating practices
Increase motivation to access and prepare healthier foods

Evaluation:

Outcome: Increased knowledge of substance use
Indicator : Number of individuals attending programs
Method: Retroactive pre-post
Timeline: Following every Substance Abuse Education/Prevention program

Outcome: Increased ability to identify and use destigmatized language
Indicator: Number of individuals plan to make effort to change behavior
Method: Retroactive pre-post
Timeline: Following any program that includes language training

Outcome: Improved social skills and/or self-efficacy in Bourbon County youth
Indicator: Number of students participating in programming
Method: Retroactive pre-post
Timeline: Following programming

Outcome: Nutrition knowledge and dietary intake
Indicator: Number of individuals who reported: eating 4-6 servings of fruits and/or vegetables daily; utilize the food label to make healthy food choices; choosing smaller portions
Method: Self-report surveys
Timeline: Pre-post implementing curricula or program

Outcome: Physical Activity knowledge, skills, and competencies
Indicator: Number of individuals who reported: knowledge and skills gained about the benefits of physical activity; adoption of physical activity practices; increase in physical activity levels
Method: Self-report survey
Timeline: Pre-post implementing curricula or program

Outcome: Chronic Disease Prevention
Indicator: Number of individuals who reported: participants who had one or more health indicator (cholesterol, blood pressure, body mass index, blood glucose) improved.
Method: Self-report survey
Timeline: Pre-post implementing curricula or program

Outcome: Availability / Access to healthy lifestyle choices
Indicator: Number of communities, health coalitions, or organizations who reported: implemented policy, system, and/or environmental changes to promote healthy eating and active living
Method: Self-report survey
Timeline: Pre-post implementing curricula or program

Outcome: Nutrition knowledge, skills, and competencies
Indicator: Number of individuals who reported: use knowledge and skills to improve food-shopping management; utilize the food label to make healthy food choices; choosing smaller portions; increased food preservation knowledge; demonstrated recommended food preservation practices
Method: Self-report surveys; specific curricula or program evaluations
Timeline: Pre-post implementing curricula or program

Outcome: Preparing and preserving food
Indicator: Number of individuals who reported: preparing more home-cooked meals; modifying ingredients and/or preparation techniques to improve nutrition
Method: Self-report survey; specific curricula or program evaluations
Timeline: Pre-post implementing curricula or program

Outcome: Dietary intake
Indicator: Number of individuals who reported: eating 4-6 servings of fruits and/or vegetables daily
Method: Self-report surveys about fruit and vegetable intake or other dietary improvements; specific curricula or program evaluations
Timeline: Pre-post implementing curricula or program

Outcome: Availability and access to healthy food
Indicator: Number of individuals who reported: utilizing delivery systems/access points (e.g., farmers’ markets, CSAs, WIC, food pantries) that offer healthy foods; supplementing diets with healthy foods grown or preserved (e.g., community or backyard gardens, fishing, hunting, farmers markets); dollar value of vendor-reported sales or EBT, WIC, or Senior benefits redeemed at farmers’ markets; number of pints of foods preserved through water bath canning, pressure canning, freezing, or drying.
Method: Self-report survey
Timeline: Pre-post implementing curricula or program

Learning Opportunities:

Audience: High School Age Youth
Project or Activity: Truth and Consequences Drug Education Program
Content or Curriculum: State Curriculum" T&C: The Choice is Yours"
Inputs: Agents, Community Agencies, Local School Systems

Date: 2021-2022
Audience: 4th and 5th Grade Students
Activity: Healthy Snack Choices School Enrichment
Content or Curriculum: Nutrition Curriculum
Inputs: agents
Date: March 2021, 2022, 2023

Audience: 4th & 5th Grade Students
Activity:4-H Foods Workshops
Content or Curriculum: 4-H Core Curriculum
Inputs: agents
Date: year round

Audience: 4th Grade Students
Activity: County Wide 4th grade Safety Day
Content or Curriculum: various safety presentations
Date: April 2021, 2022, 2023

Audience: Bourbon Youth
Project or Activity: Life Skills - Decision Making
Content or Curriculum: Life Skills
Inputs: Bourbon Juvenile Court
Date: September - December

Audience: Families Impacted By Addiction
Project or Activity: Substance Use/Prevention
Content or Curriculum: Addiction 101
Inputs: Local School FRYSC directors; Outreach Bourbon County
Date: January

Audience: 5th grade students
Project or Activity: Recipe for Life
Content or Curriculum: Recipe for Life
Inputs: Snap Ed Assistant, Agents, FRYSC directors, Bourbon County Extension Homemakers
Date: September

Audience: Recovery Centers
Project or Activity: Recovery Gardening
Content or Curriculum: Recovery Garden
Inputs: Snap Ed Assistant, Director of Shane Wallin House, Outreach Bourbon County
Date: May

Audience: Communities
Project or Activity: Policy, Systems, and Environmental Approaches
Content or Curriculum: Health Coalitions, Story Walk, ,
Inputs: Volunteers, community partners, key stakeholders, elected officials, Health Coalitions, Employee Health and Wellness, SNAP-Ed Toolkit
Date: Winter into Spring

Audience: Families and Individuals
Project or Activity: Chronic Disease Prevention
Content or Curriculum: Publications, Health Bulletins, Cook Together Eat Together, Dining with Diabetes, Fit Blue, Plate It Up! Kentucky Proud Resources, Health Partners, Keys to Embracing Aging
Inputs: Programmatic materials, paid staff, community partners, health coalitions, Healthcare Providers, Health Department, Non-profits, Schools, Company Health & Wellness, Homemakers, Community Centers, etc.
Date: Ongoing projects throughout the year

Project or Activity: Physical Activity
Content or Curriculum: Publications, Story Walk, Health Coalitions, Be More, Fit Blue, WIN, Health Partners, Keys to Embracing Aging
Inputs: Paid staff, volunteers, facilities, health coalitions, Healthcare Providers, Health Department, Non-profits, Schools, Company Health & Wellness, FBOs, Homemakers, Community Centers
Date: Periodically each year

Audience: Kentucky Extension Homemakers Association/Volunteers
Project or Activity: Promoting Healthy Lifestyle Choices
Content or Curriculum:Health Bulletins, Monthly Leader Lessons
Inputs: Volunteers, paid staff, community partners
Date: Monthly

Audience: Communities
Project or Activity: Farmers Market Outreach
Content or Curriculum: Cooking programs, marketing, increased access (e.g. location, hours, EBT), Plate It Up! Kentucky Proud resources, Farmers Market Toolkit
Inputs: Nutrition Education Program (NEP), paid staff, facilities, Kentucky Department of Agriculture
Date: April – October/Growing seasons

Audience: Families and Individuals
Project or Activity: Food Preparation for Better Health
Content or Curriculum: Cook Together Eat Together, Dining with Diabetes, Super Star Chef,Plate It Up! Kentucky Proud Resources
Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions
Date: Ongoing projects throughout the year

Project or Activity: Food Preservation
Content or Curriculum: Publications, Trainings, Home-Based Micro-Processing Training
Inputs: Paid staff, volunteers, facilities, programmatic materials, NEP
Date: July – September for adults and youth

Audience: Kentucky Extension Homemakers Association/Volunteers
Project or Activity: Promoting Nutrition with Volunteers
Content or Curriculum: Food preservation workshops, Monthly Leader Lessons
Inputs: Volunteers, paid staff, community partners

Success Stories

Kick Kentucky Cancer - Taking Care of Mental Health During Cancer

Author: Karen Denniston

Major Program: Active Living and Health Promotions General

Mental health issues after a cancer diagnosis are common and costly.  Proven community-based prevention programs can increase participants' knowledge and create positive changes in behavior.  These programs could save thousands of dollars in health-care costs and even prevent deaths by suicide.Bourbon County Extension Family and Consumer Sciences presented Taking Care of Mental Health during Cancer to eleven participants.  After the program, 100% of the participants reported t