Improved Access to mental health and well-being resources Plan of Work
Bracken County CES
County Emphasis:
Improved Access to mental health and well-being resources
Concentration 1:
Mental Health and Well-Being
Concentration 2:
Substance Use Prevention and Recovery
Concentration 3:
Family and Youth Development
Concentration 4:
Health and Wellbeing
Situation:
More than ever before, people are feeling the burden of stress on their wellbeing. More than 1 in 5 adults in the United States lives with a mental illness; in Kentucky, 43% of adults report signs or symptoms of anxiety or depression across their lifespan. At the same time, suicide is a leading cause of preventable death in Kentucky for individuals aged 10-34, and those over the age of 59.
Concern over the state of mental health and access to care was echoed in the Cooperative Extension Community Needs Assessment, where respondents listed “improved access to mental health and wellbeing resources” as one of the top 6 priority issues. Kentuckians are aware of their need for knowledge and skills to recognize and respond to a mental health challenge, whether it be their own or to help someone else, and the ability to advocate for more mental health resources in all areas of the state.
Cooperative Extension is poised with the research and evidence-based resources needed to serve as a beacon of hope in times of distress through our ability to help overcome stigma, connect people to care, and amplify the voices of many to advocate for better quality of life for all.
Youth Focus
Kentucky’s youth population deserves safe and nurturing environments that foster their growth and wellbeing. Unfortunately, mental health challenges affect a significant portion of our youth, with 17% of those aged 6-17 experiencing mental health disorders, according to the National Alliance on Mental Illness (2023), and only 50% receiving treatment. The impact is profound, with one person in the U.S. dying by suicide every 11 minutes, and in Kentucky alone, 800 lives were lost to suicide in 2022. Recognizing the urgency, the Kentucky Cooperative Extension Service’s 2019 and 2023 statewide programming issue surveys highlighted mental health and wellbeing as priority areas. Nationally, 45% of 4-H participants reported high stress in a 2023 survey by 4-H.org. The University of Kentucky Community Needs Assessment (2023) indicates priorities of improve access to mental
health and wellbeing resources, minimizing bullying and/or school violence, stronger parenting and relationship-building skills, and social, emotional, and/or behavioral education for adults working with youth. To address these concerns, the 4-H Program provides evidence-based educational programs focused on positive mental health and self-care, aiming to empower youth with decision-making and critical thinking skills, fostering resilience and overall wellbeing. By emphasizing mental health and offering targeted educational initiatives, we can create a brighter future for Kentucky’s youth.
Though substance use and substance use disorder have been pressing social problems for decades, the public health burden and consequence associated with substance use has rapidly worsened in recent years. Drug overdoses have surpassed car accidents as the leading cause of accidental death and overdoses have contributed to a reduction in average life expectancy in the US. Much of the substance use-related morbidity and mortality is a result of a persistent treatment gap. Each year, about 90% of people who need treatment for SUD in Kentucky do not receive it. To address this gap in service provision, more community-level programming is required to meet the complex needs of Kentuckians who use drugs. Cooperative Extension is uniquely positioned, both with deep connections to each Kentucky county and with its transdisciplinary team of specialists, to address the holistic needs of Kentuckians who use drugs including mental health, fair housing, second-chance employment, nutrition and physical health, and much more.
Youth Focus
Substance use and substance use disorder are persistent public health problems in Kentucky. Kentucky youth fare worse than their US counterparts in terms of numerous indicators of drug use and drug-related harm including cigarette and smokeless tobacco use, vaping, alcohol use, and illicit drug use such as opioid and methamphetamine use. Accordingly, the recent University of Kentucky Cooperative Extension Service Needs Assessment (2023) indicated substance use prevention is the primary concern among most Kentucky counties. Nevertheless, few Kentucky communities support prevention efforts that are informed by research. Cooperative Extension is well-positioned with deep collaborative community ties to support evidence-based prevention programming. Such programs may target substance use directly or indirectly by focusing on pertinent risk and protective factors and promoting overall well-being for Kentucky youth.
Family and Youth Development programming is essential for fostering healthy, supportive environments where both children and adults can thrive. By offering structured activities and educational workshops, UK Extension aims to build strong family bonds equipping young people and older adults with critical life skills. Guided by the Cooperative Extension’s National Framework for Health Equity and Well-being, our programming also addresses social and emotional needs throughout the lifespan, promoting resilience and positive relationships which are two of the key concerns identified in the top 15 needs of Kentucky’s statewide needs assessment. Investing in such programs can prevent future challenges by supporting early intervention and personal growth. Ultimately, these initiatives contribute to the well-being of individuals and the stability of communities, making them a vital component of social development.
The opportunities and resources available to support the health and well-being of adults and families in Kentucky vary widely. Disparities in health-promoting knowledge, resources, and infrastructure contribute to higher rates of chronic health conditions and lower quality of life. Prevention, early detection, and care are essential to maintain and/or improve quality of life. Yet, this burden is often placed on individuals to navigate the
healthcare system and traditional public health entities. Additionally, for decades, little attention has been given to the external factors that undoubtedly affect health such as access to care, education, nutritious foods, and safe physical spaces. These same issues and concerns were echoed throughout the 2023 UK Cooperative Extension Community Assessment. Within the top 15 priority issues identified by Kentuckians, “ensuring individuals and families have access to affordable nutritious foods” was #4 and “reducing youth obesity through nutrition education and/or exercise” was #8. Guided by the Cooperative Extension’s National Framework for Health Equity and Well-being, UK Extension aims to become a critical public health partner for addressing disparities in health-promoting knowledge, resources, and infrastructure through comprehensive health, nutrition, and wellness programming that supports adult physical health and well-being.
Youth Focus
Thriving youth are healthy, productive, and engaged (Arnold, 2024). According to Kentucky Kids Count Database (AECF, 2023) 41% of Kentucky teenagers are obese or overweight. Youth are also experiencing alarming levels of negativity about themselves, their confidence in the future, and their ability to find contentment in life (McKinsey & Company, 2022). 30% of youth are chronically absent (United States Department of Education, 2024). The University of Kentucky Cooperative Extension Service Needs Assessment (2024) identified key priorities issues related to health and wellbeing as need for improved access to mental health and wellbeing resources, reducing youth obesity through nutrition education and/or exercise, minimizing bullying and/or school violence. To address these issues, Kentucky 4-H creates opportunities for youth in the five domains of physical, emotional, social, spiritual, and intellectual health and well-being.
County Situation:
Bracken County, Kentucky, with a population of approximately 8,400 residents, faces significant challenges in mental health and well-being. Recent assessments highlight limited access to mental health care, a shortage of providers, and socioeconomic factors that exacerbate mental health issues. Addressing these concerns is vital for enhancing the overall health and quality of life for county residents.
Key Findings from the 2023 Community Assessment
The 2023 Bracken County Cooperative Extension Community Assessment identified "Improved access to mental health and well-being resources" as a top priority. This underscores the community's recognition of mental health as a critical area needing attention. The assessment gathered input from 248 respondents, reflecting diverse community perspectives.
Mental Health Statistics
Provider Shortage: Bracken County has a mental health provider ratio of 4,220:1, indicating a significant shortage compared to national averages. Stacker
Mental Health Days: Residents report an average of 5.6 poor mental health days per month, suggesting prevalent mental health challenges.
Insurance Coverage: Approximately 7% of residents lack health insurance, which can hinder access to necessary mental health services.
Socioeconomic Factors
Poverty Rate: About 20.4% of Bracken County residents live below the poverty line, higher than the state average of 16.4%.
Education: Approximately 17% of residents aged 25 and over hold a bachelor's degree or higher, which may impact employment opportunities and access to health information.
Opportunities for Improvement
Telehealth Services: Expanding telehealth can mitigate provider shortages and offer residents more accessible mental health care options.
Community Programs: Implementing educational workshops and support groups can raise awareness, reduce stigma, and provide coping strategies.
Collaborations: Partnering with state initiatives and neighboring counties can enhance resource sharing and program effectiveness.
Conclusion
Bracken County's mental health landscape presents challenges that require concerted efforts from community leaders, health professionals, and residents. By focusing on expanding access, education, and collaborative initiatives, the county can work towards improving mental health outcomes and overall well-being for its citizens.
Long-Term Outcomes:
MENTAL HEALTH AND WELL-BEING
Adult
- Reduced incidence of mental health crises and suicide
- Increased access to mental health care and resources for all
Youth
- Kentucky 4-H members report a reduced number of youth that are considering suicide.
- Increased number of 4-Hers who pursue mental health & well-being employment.
- Youth will increase contributions to their communities through applying critical thinking, problem-solving, and effective communication learning in 4-H Health and Well Being.
SUBSTANCE USE PREVENTION AND RECOVERY
Adult
- Increased recovery capital
- Reduced adult substance use
- Reduced adult substance use disorder
- Reduced adult overdose fatalities
- Reduced stigma related to adult substance use
- Improved quality of life
Youth
- Improved social and emotional competency
- Reduced youth substance use
- Reduced youth substance use disorder
- Reduced youth overdose fatalities
- Reduced stigma related to youth substance use
- Improved quality of life
FAMILY AND YOUTH DEVELOPMENT
- Increased meaningful social connections
- Increased support network
- Increased kindergarten readiness rates in the county and state
- Increased caregiver preparation
- Improved quality of family life
HEALTH AND WELL-BEING
Adult
- Routinely meeting guidelines and recommendations for health behaviors that promote wellness and quality of life
- Community environments that equitably support health-promoting behaviors where people live, learn, work, and play
- Increased availability and accessibility to community-based health resources
- Reduced rate and burden of non-communicable chronic diseases and injury
- Decreased health disparity prevalence in Kentucky counties
- Improved quality of life
Youth
- Kentucky 4-H members report decreased obesity.
- Increased number of 4-Hers who pursue employment in the health and wellbeing field.
- Youth will increase contributions to their communities through applying critical thinking, problem-solving, and effective communication learning in the 4-H Health and Well-Being Core Content Area.
Intermediate Outcomes:
MENTAL HEALTH AND WELL-BEING
Adult
- Increased use of de-stigmatized language
- Increased use of self-care and other coping strategies
- Increased advocacy for mental health and wellbeing resources
- Increased partnerships (number or strength) to address mental health and wellbeing issues within the community
Youth
- 4-H members will practice general wellness habits.
- Increased self-reflection and exploration of personal values and beliefs related to mental health and wellbeing among 4-Hers.
SUBSTANCE USE PREVENTION AND RECOVERY
Adult
- Increased availability and accessibility of evidence-based recovery capital-building programs
- Enhanced community partnerships that target recovery from substance use disorder
Youth
- Increased availability and accessibility of evidence-based prevention programs
- Enhanced community partnerships that target youth prevention
FAMILY AND YOUTH DEVELOPMENT
- Increased healthy relationships across generations that support healthy community, nurturing behaviors, and quality time together.
- Enhanced community partnership that equitably support family health (e.g., FRISC, Health Depart., DAIL, AAA,)
HEALTH AND WELL-BEING
Adult
- Increased health-promoting behaviors that support family, community, and occupational health and safety
- Increased and/or strengthened partnerships to address community health or safety issues
- Increased organizational/site/community support for health-promoting behaviors that equitably address community health or safety issues
Youth
- 4-H members will practice general wellness habits.
- Increased self-reflection and exploration of personal values and beliefs related to health and well-being among 4-Hers.
- 4-H members will increase physical activity.
Initial Outcomes:
MENTAL HEALTH AND WELL-BEING
Adult
- Increased ability to recognize and respond to a mental health concern
- Increased ability to use de-stigmatized language
- Increased knowledge of self-care and other coping strategies
- Increased knowledge of mental health and well-being resources (interpersonal and community-based)
Youth
- Increased knowledge of positive mental health practices
- Increased knowledge and awareness of healthy habits and practices among 4-Hers.
- Improved attitudes and beliefs towards healthy habits and practices among 4-Hers.
- Increased knowledge of general wellness practices
SUBSTANCE USE PREVENTION AND RECOVERY
Adult
Substance use prevention and recovery behaviors for adults include, but are not limited to, pro-social activity, employability, building supportive networks, healthy coping and stress management, and mental health support.
- Increased knowledge about addiction as a chronic disorder
- Increased awareness of community resources to support prevention and recovery
- Increased confidence making decision related to substance use (i.e. substance use refusal skills)
- Increased confidence and motivation to use destigmatized language
- Increased intentions to employ health-promoting behaviors (e.g., exercise, healthy nutrition, positive coping, etc.).
Youth
Substance use prevention and recovery behaviors for youth include, but are not limited to, pro-social activity, positively relating to parents and other non-parental adults, building supportive networks, healthy coping and stress management, substance use refusal self-efficacy, and peer pressure management.
- Increased knowledge about substance use and its effects
- Increased awareness of community resources to support prevention and recovery
- Increased confidence making decisions related to substance use (i.e. substance use refusal skills)
- Increased confidence and motivation to use destigmatized language
- Increased intentions to employ health-promoting behaviors (e.g., exercise, healthy nutrition, positive coping, etc.).
FAMILY YOUTH AND DEVELOPMENT
Strengthening family behaviors include, but are not limited to, spending time together, creating safe environments, engaging in positive communication, building supportive networks, showing appreciation, healthy stress management, engaging in regular selfcare, and adopting a positive outlook.
- Increased knowledge about nurturing parenting and caregiving across the life span.
- Increased awareness of community resources to support healthy families.
- Increased confidence making decisions related to parenting and caregiving.
- Increased confidence and motivation to reduce loneliness and social isolation.
- Improved skills related to nurturing parenting and caregiver support
- Increased intentions to employ health-promoting behaviors (e.g., reading to your child, spending time together, self-care, caregiver preparation, active living).
HEALTH AND WELL-BEING
Adult
Health promoting behaviors include but are not to, regular physical activity, safe preparation and consumption of nutritious foods, vaccinations, moderate or no consumption of alcohol, avoiding/reducing/eliminating tobacco use, health screenings, sleep, stress management, health literacy, pest prevention/reduction/management, and occupational safety.
- Increased knowledge about health-promoting behaviors.
- Increased awareness of community resources to support health-promoting behaviors.
- Increased confidence in making decisions related to health-promoting behaviors.
- Improved skills related to health-promoting behaviors
Youth
- Increased knowledge of positive mental health practices
- Increased knowledge and awareness of healthy habits and practices among 4-Hers.
- Improved attitudes and beliefs towards healthy habits and practices among 4-Hers.
- Increased knowledge of general wellness practices
Evaluation:
Outcome: Short Term
Indicator:
- Number of partnerships with community organizations, institutions, agencies, or individuals to address mental health and wellbeing for youth in the community.
- Number of youth who reported an increased knowledge of how to respond to mental health concerns.
- Number of youth who intend to adopt self-care strategies to improve their own mental health and wellbeing.
- Number of youth who intend to adopt strategies to support or promote mental health and wellbeing in their community.
- Number of youth who reported intended behavior change as a result of participation in mental health and wellbeing programming.
Method: Survey
Timeline: Immediately post-program
Outcome: Increased ability to recognize and respond to a mental health concern
Indicator: Number of participants who reported an increased knowledge of how to respond to mental health concerns.
Method: Post-participation survey/evaluation results
Timeline: On-going; Surveys should be administered immediately after a program
Outcome: Increased knowledge about substance use and its effects (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased knowledge about addiction as a chronic disorder (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased knowledge about nurturing parenting and caregiver support across the lifespan (e.g., how often you read to your child, benefits of spending time together, identifying selfcare behaviors, enhance communication) (initial)
Indicator: Number of participants who reported increased knowledge of nurturing parenting and/or caregiver support practices.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Enhanced community partnerships that equitably support family health (e.g., FRISC, Health Depart., DAIL, AAA,)(intermediate)
Indicator: Number of participants who reported seeking support from local community organizations and/or its individual member.
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture behavior change over time
Outcome: Medium Term
Indicator:
- Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
- Number of youth who reported that they have used nutrition as a way to improve their overall health.
- Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
Learning Opportunities:
Audience: Families and Individuals
Project or Activity: Promoting Well-being
Content or Curriculum: MARK (Mind, Art, Recovery, Kentucky), Take a Beat: Healing Hearts and Minds, Handling Farm Stress: A Workshop for New and Beginning Farmers, Mindfulness Trails, Yoga-ta Try This (KEHA lesson), Self-care programming, Mindfulness programming, Recovery Gardens, Mental Health and Wellbeing Series, The Mind-Body Connection
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: Families and Individuals
Project or Activity: Mental Health Education Programming
Content or Curriculum: Adult Mental Health First Aid, QPR (Question, Persuade, Refer), CODE RED, ACT (Awareness, Communication, and Triage and Treat) for Farm Families, Understanding and Coping with Trauma after Natural Disasters, After the Storm, Blue to You
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: 4-Hers, Extension Professionals, Clientele
Project or Activity: Your Feelings Matter (Club/Group/Individual)
Content or Curriculum: Your Feelings Matter Curriculum. Additional resources include Healthy Bodies: Teaching Kids What They Need to Know, Mental Health First Aid, and National Alliance on Mental Illness.
Inputs: These programs are supported by the research base of the Cooperative Extension Land-grant system, funding from the Kentucky 4-H Foundation, Inc., local, state, and federal sources, grants, and the engagement of volunteers, youth, communities, and external stakeholders such as civic groups. Focus is on Grades 4-8.
Date: Program Year
Audience: 4-Hers, Extension Professionals, Clientele
Project or Activity: Mental Health First Aid
Content or Curriculum: Mental Health First Aid (Youth). Additional resources include Healthy Bodies: Teaching Kids What They Need to Know, and National Alliance on Mental Illness
Inputs: These programs are supported by the research base of the Cooperative Extension Land-grant system, funding from the Kentucky 4-H Foundation, Inc., local, state, and federal sources, grants, and the engagement of volunteers, youth, communities, and external stakeholders such as civic groups. Focus is on Adults working with youth.
Date: Program Year
Audience: Communities
Project or Activity: Community-Based Substance Use Prevention
Content or Curriculum: Substance Use Prevention Education (i.e. Addiction 101, Ad Hoc Webinars, etc.), Engaging People with Lived Experience (testimonies), Strengthening Families
Inputs: Programmatic materials, paid staff, volunteers, community partners, elected officials, faith-based organizations, health coalitions, and faith-based organizations
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Positive Youth Development
Content or Curriculum: Health Rocks, Positive Employability, Mindful Mechanics, Get Experience in Mindfulness (GEM), Social/Emotional Health-Focused Programming
Inputs: Programmatic materials, paid staff, volunteers, community partners, faith-based organizations, health coalitions, schools and school staff
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Addiction Education
Content or Curriculum: Publications, Addiction 101, Harm Reduction 101
Inputs: Programmatic materials, community partners, ASAP Boards and Community Coalitions, residential treatment centers, detention centers, healthcare providers, clergy, and healthcare providers
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Parenting Education
Content or Curriculum: Active Parenting 4th ed., Parenting A Second Time Around, Parent Express Newsletter, Laughter in Marriage is a Must, Information releases and Publications, Am I Lying to My Child When I Say the Tooth Fairy is Real?; Navigating Trauma After a Natural Disaster; Understanding Suricide; Living with Loss: Self-Care and Managing Grief; Entertaining Little Ones; Pathways to Wellness: Navigating the people, places, and spaces that influence health; Inspiring Grandchildren to become Grand Cooks; Emergency Health Information Cards; Time Well Spent: Organizing Tips for Increased Productivity; In the Face of Natural Disaster Toolkit; Athletic Performance (Nutrition); Cook Together, Eat Together; Eating for Health; Faithful Families; Food Safety; Family Mealtime; Increasing Powerhouse Vegetables; Making Health Lifestyle Choices; Making the Most of Meals while Traveling; Maternal and Child Health; Vegetables for Wellness; Home is Where the Health Is; Piecing it Together: Essential Skills for Single Parent Families; How to Help Military Families; Feed Hungry Young Minds through Storybook Adventures; Life Story/Memory Banking; Understanding Risky Adolescent Behavior and Health Brain Development; Building Your Preschooler’s Financial Capacity; Traveling Light; Grandparent and Grandchildren Together; Parent Express; Keys to Great Parenting
Inputs: Programmatic materials, paid staff, volunteers, community partners, Family Resource Youth Support Coordinators; Department of Community Based Services, health departments, non-profits, faith-based organizations, schools, company health & wellness, community centers, etc.
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Caregiver Support
Content or Curriculum: Publications, Family Caregiver Health Bulletins, Faithful Families, Story Walks, Health and Wellness Ambassadors, Share Space Agreements, Health Coalitions, Be More, WIN, Health Partners, Bingocize, Walk Your Way, Families on the Move, County Walking Challenges; Nutrition for Older Adults, AARP Prepare to Care, In the Face of Disaster Toolkit; Living with Loss; Indoor Air Quality; Strong Bones for Life: Prevent Osteoporosis and Nourish Your Bones and Joints; Understanding and Coping with Farm Stress; Understanding Suicide; Savvy Online Grocery Shopping; Pathways to Wellness; Inspiring Grandchildren to Become Grand Cooks; Health Literacy for the Win; Tips for Managing Stress Eating; Estate Planning; Transferring Cherished Possessions; Emergency Health Information Cards; Time Well Spent; Consumer Protection; Scams; Masting Mindfulness; Eating for Health; Food as Health; Food Safety; Making Health Lifestyle Choices (Nutrition); Healthy Bladder Habits; Kick Kentucky Caner; Mental Health and Well-Being Series; Stand Up to Falling; The Mind/Body Connection; General Housing—Accessibility and Lighting; Keys to Embracing Aging; Mental Health Matters; How to Help Military Families; 10 Warning Signs of Alzheimer’s; Understanding Alzheimer’s Disease; WITS Workout
Inputs: Programmatic materials, paid staff, volunteers, community partners; facilities, health coalitions, healthcare providers, health department, non-profits, schools, company health & wellness, faith-based organizations, Homemakers, community centers, etc.
Date: Ongoing/seasonal
Audience: Families and Individuals
Project or Activity: Communication/Relationships Across the Lifespan
Content or Curriculum: Pathways to Wellness, Faithful Families, Story Walks, Shared Space Agreements, Trail development, Active Community Toolkit, Be More Guide, resources for early care and education settings, food system work (e.g., farmers’ markets, backpack programs, community gardens), SNAP-Ed toolkit; Memory Banking/Life Story; Keys to Embracing Aging; AARP Prepare to Care; Kick Kentucky Cancer; Living with Loss; Mental Health Matters; In the Face of Disaster Toolkit; How to Help Military Families; Understanding Risky Adolescent Behavior and Healthy Brain Development; WITS Workout; Grandparents and Grandchildren Together.
Inputs: Programmatic materials, paid staff, community partners, volunteers, grant funds, local organizations and community partners, health coalitions, Nutrition Education Program, local farms/growers/producers, key stakeholders, elected officials, Department of Transportation, employee health and wellness, schools, etc.
Date: Ongoing
Audience: Communities
Project or Activity: Policy, Systems, and Environmental (PSE) Approaches
Content or Curriculum: Pathways to Wellness, Faithful Families, Story Walks, Shared Space Agreements, parks and trail development, Active Community Toolkit, resources for early case and education settings, food system work (e.g. farmers’ markets, backpack programs, community gardens), SNAP-Ed toolkit, creating and Maintaining Health Coalitions, Arts in Health publications, CEDIK Healthy Communities toolkit
Audience: Youth
Project or Activity: Health Rocks
Content or Curriculum:
4-H Health Rocks! Curriculum.
Additional resources include Healthy Bodies: Teaching Kids What They Need to Know
Substance Abuse
Mental Health Services Administration.
Inputs:
- 4-H Family and Consumer Sciences programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
- Accredited and certified volunteers in 4-H FCS projects.
- Kentucky Extension Homemakers Association
- Four residential camping facilities.
- Cooperative Extension Educational facilities.
- Utilization of approved research-based curriculum.
- Outreach of the Cooperative Extension Land-Grant System.
- Funding from the Kentucky 4-H Foundation, Inc.
- Funding from local, state, and federal sources.
- Engagement of youth and volunteers in program delivery.
- Engaging communities in identifying and implementing programming based on local needs
Date: September 1 – August 30
Audience: Youth
Project or Activity: 4-H Camp
Content or Curriculum: Curriculum is sourced from Shop 4-H, the Land Grant System and American Camp Association.
Inputs: These programs are supported by the research base of the Cooperative Extension Land-grant system, funding from the Kentucky 4-H Foundation, Inc., local, state, and federal sources, grants, and the engagement of volunteers, youth, communities, and external stakeholders.
Date: 4-H Program Year
Evaluation:
Outcome: Short Term
Indicator:
- Number of partnerships with community organizations, institutions, agencies, or individuals to address mental health and wellbeing for youth in the community.
- Number of youth who reported an increased knowledge of how to respond to mental health concerns.
- Number of youth who intend to adopt self-care strategies to improve their own mental health and wellbeing.
- Number of youth who intend to adopt strategies to support or promote mental health and wellbeing in their community.
- Number of youth who reported intended behavior change as a result of participation in mental health and wellbeing programming.
Method: Survey
Timeline: Immediately post-program
Outcome: Increased ability to recognize and respond to a mental health concern
Indicator: Number of participants who reported an increased knowledge of how to respond to mental health concerns.
Method: Post-participation survey/evaluation results
Timeline: On-going; Surveys should be administered immediately after a program
Outcome: Increased knowledge about substance use and its effects (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased knowledge about addiction as a chronic disorder (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased knowledge about nurturing parenting and caregiver support across the lifespan (e.g., how often you read to your child, benefits of spending time together, identifying selfcare behaviors, enhance communication) (initial)
Indicator: Number of participants who reported increased knowledge of nurturing parenting and/or caregiver support practices.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Enhanced community partnerships that equitably support family health (e.g., FRISC, Health Depart., DAIL, AAA,)(intermediate)
Indicator: Number of participants who reported seeking support from local community organizations and/or its individual member.
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture behavior change over time
Outcome: Medium Term
Indicator:
- Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
- Number of youth who reported that they have used nutrition as a way to improve their overall health.
- Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
- Acting Associate Dean & Director — Craig Wood, Ph.D.
- S107 Ag. Science Center North
- Lexington, KY 40546-0091
- +1 (859) 257-4302
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