Improving Health & Well BeingPlan of Work

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Jessamine County CES

Title:
Improving Health & Well Being
MAP:
Health, Safety, & Wellness
Agents Involved:
Karli Giles, Cathy Weaver, Steve Musen
MAJOR PROGRAM 1:
Substance Use Prevention and Recovery General
MAJOR PROGRAM 2:
Health
MAJOR PROGRAM 3:
Active Living and Health Promotions General
MAJOR PROGRAM 4:
Nutrition and Food Systems General
Situation:

The Jessamine County Cooperative Extension Services identified health, safety, and wellness shortfalls within the county through the Jessamine County Needs Assessment. One of the health concerns is obesity and its associated health risks such as diabetes and hypertension. The Cooperative Extension’s goal to address obesity is to change Jessamine County residents' health behavior choices. A strategy to improve health behavior choices is to provide food demonstrations and healthy cooking classes to the community. 


 Another emerging issue within the county is substance abuse. Fatal overdoses have increased 41% from 2010 to 2017 and nonfatal overdoses have increased 113% in the same time period. One of the Jessamine County Cooperative Extension’s goals to address substance abuse is to provide life skills classes at Revive Ministries. Research has indicated that life skills taught to individuals in recovery provides them with the knowledge and skills to live on their own successfully.

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.


Long-Term Outcomes:

Jessamine county residents' overall health improves.

Participants adopt a healthy eating lifestyle.

•    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


s.

Intermediate Outcomes:

Participants make healthier choices at the grocery store

Participants increase their fruit and vegetable consumption

Participants demonstrate new kitchen skills at home.

•    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


Initial Outcomes:

Participants will increase overall nutrition knowledge

Participants learn new kitchen skills

Participants increase their interests in fruits and vegetables


•    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


Evaluation:

The success of programs will be measured at the end of the program evaluation tool. An evaluation will immediately be given to participants after the last session of Lunch N' Learn, Cook Together Eat Together, LEAP, Super Star Chef, and Plate It Up Kentucky. The evaluator wants to determine if knowledge was increased by attending the program and if participants plan to make behavior changes. A six-month follow-up will be mailed or emailed to participants to assess their health behaviors after programs. If knowledge is increased and healthy behavior choices are made, programs (Lunch N' Learn, Cook Together Eat Together, Plate It Up Kentucky) will be deemed successful.

Outcome to be Evaluated

•    Number of youth who indicated they learned about healthy food choices through 4-H

•    Method of Evaluation

•    Number of youth who were educated on health and well-being through 4-H programs? (KOSA)

•    Number of youth who indicated they made healthy lifestyle choices as are result of what they learned through 4-H programming? (PRACTICE)

•    Number of youth who indicated they increased their daily number of servings of fruits and vegetables eaten as a result of 4-H programs? (PRACTICE) Number of youth who indicated “yes or usually” to the Common Measures Experience Survey Question #6 “Is 4-H A place where you get to figure out things for yourself?” (SEEC)

•    Number of youth who indicated “yes or usually” to the Common Measures Experience Survey Question #13 “Is 4-H a place where you have a chance to be a leader


Learning Opportunities:

Lunch and Learn
State-supported FCS curriculum will be used
Audience: adults
Inputs: FCS Agent and FCS curriculum
Timeframe: January-October 

Cook Together, Eat Together
State-supported FCS curriculum will be used
Audience: youth and their caregivers
Inputs: FCS Agent and FCS curriculum
Timeframe: Spring months

LEAP
State-supported SNAP-ED curriculum will be used
Audience: 3-5-year-olds
Inputs: FCS Agent and FCS curriculum
Timeframe: throughout the school year

Community Health Fairs
UK Extension and SNAP-ED publications will be used
audience: Jessamine County residents
inputs: FCS Agent, 4H Agent, Ag Agent, UK and SNAP-ED publications
timeframe: Back to School Rallys, Summer kickoff celebrations, late spring with downtown festivals, fall before holidays 

Super Star Chef
State-supported SNAP-ED curriculum will be used
audience: 9-18-year-olds
inputs: 4-H Agent, FCS Agent, SNAP-ED volunteers, superstar chef curriculum
timeframe: summer months

Plate It Up Kentucky
State-supported FCS curriculum and recipes will be used
audience: adults
inputs: FCS Agent, Plate It Up KY recipe cards, state-supported curriculum
timeframe: spring-fall, farmer's market season 

Truth and Consequences Drug Prevention Program
state-supported UK Extension curriculum will be used
audience: Jessamine County High School Seniors
inputs: FCS Agent, 4-H Agent, Ag Agent, community volunteers, and leaders, school teachers, and truth and consequences curriculum
timeframe: Spring semester 

Life Skills at Revive Ministries
Healthy Choices for EveryBody state-supported SNAP curriculum will be used
audience: adult males in recovery
inputs: FCS Agent and FCS curriculum
timeframe: fall months 


Project or Activity: Small-scale Brambles Production and Nutrition Program

Project or Activity: Fall Foods from Seeds to Supper



Success Stories

Fall Foods Seed to Supper

Author: Karli Giles

Major Program: Nutrition and Food Systems General

Fall Foods Seed to Supper

The Jessamine County Cooperative Extension Services offered a four-week online gardening program. The Agriculture & Natural Resources Agent, 4-H Youth Development, and Family & Consumer Sciences Agent partnered together to create a dynamic learning experience. Each week the agents worked together to create a spotlight video as the main lesson for the week. Topics included seeds, raised beds, transplants, and recipe demonstrations. In addition to the spotlight videos, the agents shared th

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Fall Foods, Seed to Supper Gardening and Nutrition Program

Author: Steven Musen

Major Program: Horticulture, Consumer and Home

Fall Foods, Seed to Supper Gardening and Nutrition Program

The Jessamine County Cooperative Extension Services offered a four-week online gardening program. The Agriculture & Natural Resources Agent, 4-H & Youth Development, and Family & Consumer Sciences Agent partnered together to create a dynamic learning experience. Each week the agents worked together to create a spotlight video as the main lesson for the week. Topics included seeds, raised beds, transplants, and recipe demonstrations. In addition to the spotlight videos, the agents sha

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Virtual Healthy Habits at Jessamine County Early Learning Village

Author: Karli Giles

Major Program: LEAP

During the month of February 2021, Kindergarten classes at JELV viewed the Healthy Habits video presentation by Karli Giles, the Extension Agent for Family & Consumer Sciences in Jessamine County. The presentation covered areas such as handwashing, proper facial masks use, and not spreading germs. Results from the program are listed below:21 classes viewed the presentation397 total students viewedChildren were asked the following questions before viewing the presentation. The percentage

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Substance Use Prevention and Recovery Seminar

Author: Karli Giles

Major Program: Substance Use Prevention and Recovery General

Substance use and substance use disorder (SUD) are pervasive public health problems in the United States, and specifically, in the state of Kentucky.  In the year since the beginning of the Covid-19 pandemic in March 2020, the United States suffered a record 88,000 overdose deaths (CDC, 2021).  More specifically, Kentucky counties have seen increases in hospitalizations, infectious diseases, non-fatal overdoses, and other complications related to drug use, all while leading the nation

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