CHILDKIND WELLNESS INITIATIVE Clayton State Wellness Consulting Team

CHILDKIND WELLNESS INITIATIVE Clayton State Wellness Consulting Team Megan Brock Katelen Osborne Turki Arbaein Leroy Dangler Shamonica Mc. Gill Hugo Menjay Fred Chand

We would like to thank Hearts to Nourish Hope, Inc. for allowing us to host this event at their facility. We would also like to thank Kim Banks, from Childkind, for permitting our Wellness Consulting Team to work with the agency!

OBJECTIVES Brief Review of Agency Our Mission Methods and Approach Wellness Program Benefits Demographics of Organization Morbidity and Mortality Rates Top 7 Identified Disease/Health Problems/Risk Factors Survey Results Wellness Program Recommendations

• Child. Kind was founded in 1988 by a group of concerned citizens to provide a home for children affected by HIV positive/AIDS. • A short term transition care home, a home for HIV positive mothers and their children, a daycare and short-term-out of home placement for mothers in therapy/treatment. • 1992 - Obtained license to operate as a Child Placement Agency • 2008 - Created its home based services program • To date Child. Kind has provided over 400 special needs children with homes

OUR PURPOSE AND MISSION • Identify the health risk factors and health complications for Childkind Employees. • Development of Wellness Program recommendations that are reflective of the needs of the employees AND that are feasible, affordable, and sustainable!

METHODS AND APPROACH Obtained, mapped analyzed employee demographics and zip codes �Researched and retrieved Georgia mortality and morbidity rates Designed survey regarding the identified risk factor based on demographics.

METHODS AND APPROACH Determined specific health needs of employees based on survey results and assessed employee interest and willingness. Development Wellness Programs recommendations that are reflective of the needs of the employees AND that are feasible, affordable, and sustainable.

BENEFITS OF WELLNESS PROGRAM Reduction in healthcare costs Reduction in absenteeism Positive effect on healthrelated behavior Improvement of employee health Increased worker social relations Improvement of morale and increased productivity Sense of camaraderie Improved health and healthier outlook Stress reduction Increased physical activity Weight reduction Improved physical fitness Lower amount of sick days taken Increased well-being, selfimage, and self-esteem Increased stamina Neely, M. (2012) Wellness strategies for small businesses. Benefits Quarterly: Third Quarter.

Ethnicity Asian Latino 4% 4% DEMOGRAPHICS Caucasian 28% 50 -59 12% 40 -49 16% African American 64% Age 20 -29 28% 30 -39 44% • Most employees are females • Based on the demographics our focused cohort is African- American, Females between the Ages of 20 -39.

MAP OF ZIP CODES

MORTALITY RATES

Disease/ Health Problem/ RATES MORBIDITY Risk Factor Age Mortality per 100, 000 20 -29 30 -44 Infectious 16. 2 Cancer 31. 4 Cardiovascular 10. 3 Infectious 19. 6 Motor Vehicle Acc. 6. 2 Cardiovascular 10. 3 Homicide 6. 2 Endocrine 9. 2 Cancer 5. 4 Respiratory 5. 9 Pregnancy Related 4. 5 Motor Vehicle Acc. 5. 9 Endocrine 4. 1 Nervous Sys. 5. 6 Nervous Sys. 3. 7 Homicide 5. 3 Poisoning 2. 9 Poisoning 4. 8 Respiratory 2. 9 Pregnancy Related 4. 2 Suicide 2. 9 Digestive 3. 9 http: //oasis. state. ga. us/oasis/- Online Analytical Statistical Information System

MORBIDITY RATES

Disease/ MORBIDITY Health Problem/ Risk Factor RATES Morbidity per 100, 000 Age 20 -29 30 -44 Pregnancy Related 2010 Pregnancy Related 1889. 9 Digestive 92 Digestive 263. 8 Reproductive/ Urinary 68. 1 Reproductive/ Urinary 224. 6 Endocrine 58. 6 Endocrine 174. 5 Blood Disorder 51. 6 Cardiovascular 167. 5 Respiratory 45. 8 Respiratory 121 External Causes 41. 3 Blood disorder 86 Infectious 35. 5 Bone/Muscle 79. 5 Cardiovascular 34. 7 Infectious 63 Bone/Muscle 28. 1 Cancer 60. 8 Nervous System 25. 2 Nervous 57. 4

TOP 7 IDENTIFIED DISEASES, HEALTH PROBLEMS, AND RISK FACTORS 1. 2. 3. 4. 5. 6. 7. Pregnancy and Childbirthing Complications Endocrine, Nutritional, and Metabolic Diseases Respiratory Diseases Infectious/Parasitic Diseases Cardiovascular Diseases Nervous System Diseases Cancer

Rate of Response Did Not Respond 0 Rate of Response Responded 25 0 20 40

SALIENT RESPONSES

60% of employees report to work between 41 -60 hours per week. Hours Worked Per Week Less Than 10 40% 60% 10 to 20 21 to 40 41 -60

In response to questioning the conditions employees have been told to have by primary physician, obesity was a main concern. � 10/25 responded “yes” to seeing a physician regarding the this condition 74% consider themselves overweight. 83% are trying to loose weight.

IN THE LAST 12 MONTHS, EMPLOYEES REPORT DISCUSSING THE FOLLOWING WITH PHYSICIANS… Concerns Discussed with Physicians Alcohol Consumption 16% Stress 40% Sleep 28% Smoking or Tobacco Use Concerns Discussed with Physicians 16% Weight 36% Diet or Nutrition 40% Physical Activity 56% 0 5 10 15

EMPLOYEES REPORT EXPERIENCING THE FOLLOWING CONDITIONS FOR A PERIOD OF TWO OR MORE WEEKS: Ailment Loss of Motivation 20% Temperamental 28% Difficulty concentrating/making Tensions decisions Worry/Anxiety 16% 28% 32% Feelings of Hopelessness Decreased Energy/Fatigue 24% Insomnia/Oversleeping 28% Recurrent Headache 32% 0 1 2 3 4 5 6 7 8 Ailment

Eating Habits 55% report eating 5 or more serving of vegetable within that last week. � 41%: 2 -3 servings 43% ate fast food 2 -4 times in the last week. 33% are preparing lunches that include fruits and vegetables 45 days per week � 29% are doing so 2 -3 times per week. Physical Activity 77% report being physically active. � 86% prefer activities that are moderate in intensity. If not active, most report that it is due to lack of time and/or energy. Many individuals reported that they walk several times a week.

COMMITMENT TO ACTIVITIES Stress Reduction Exercise Classes Weight Management Healthy Cooking Class 16% 24% 12% 36% 12% 24% 16% 32% Nutrition Class 20% 16% Yoga 20% Walking 8% 60% 0 2 4 6 8 10 12 14 16 At or near office At or near home

ACTIVITIES EMPLOYEES WOULD COMMIT TO IN THE WORK PLACE Activities Masseuse Services 48%% Preventive Services 36% Activities Healthy Snack Break Room Club 48% Individual or Team Fitness Activities or Classes 48% 0 2 4 6 8 10 12 14

HEALY SNACK BREAK-ROOM CLUB 63% of employees report being willing to participate in a Healthy Snack Break-Room Club. Commitment to Break. Room Club $0 $5 $10 $15 10% 33% 10% 14% 33% $20

STRESS Work Related Stress Level of Disruption (Likert Scale) � Small: Low 19% High 29% Moderate 52% 10 � Point 2: 5 � Point 3: 4 � Point 4: 1 � Large Disruption: 1

EMPLOYEE FEEDBACK Attitude 90% of Employees would like Childkind to implement a Wellness Program. Requests Yoga (on-site) � Group Activities Healthy Snacks Longer lunch break for walks Nutrition Resources Stress Management Discount Gym Rates

RECOMMENDATIONS

EMPLOYEE WELLNESS PROGRAM COMMITTEE A group of individuals who are willing to serve as the committee to oversee Employee Wellness Program activities would serve to ensure fidelity to program and provide leadership by those who are personally motivated to sustain the program.

PHYSICAL FITNESS LA-Fitness � Fitness Sales Representative: Dejuan G. 2880 N Druid Hills Rd Atlanta, Ga 30329 404 -788 -7820 � Hours : Mon – Thu 5: 00 am - 11: 00 pm Fri: 5: 00 am - 10: 00 pm Sat – Sun: 8: 00 am - 8: 00 pm *Group Discount $49. 99 Membership fee � $29. 99 month Vouchers will be emailed to Lead person at Child. Kind

PHYSICAL FITNESS Planet Fitness � 4166 Buford Highway Atlanta, GA 30345 Plaza Fiesta 404 -315 -7999 Hours: � Mon to Fri: 24 hours � Sat and Sun: 7 AM to 7 PM Fees: � Yearly: $39 � Monthly Regular Membership: $10/month Black Card : $ 19. 99/month

ON-SITE PHYSICAL FITNESS Personal Trainer: Eddie Hill � Former personal training at LA Fitness for two years � B. S. Athletic Coaching Education Current Master’s Student at Life University for Sport Injury � American Aerobics Association International (AAAI) Certified � Contact Information (770) 685 -3594 Fee: $10. 00 person per session (1 hour) � Minimum of 20 participants Location: Dresden Park � 2301 Dresden Drive, Atlanta, GA, 30319

PHYSICAL FITNESS Yoga �A Healing Paradigm Dr. Eric Bridges 14 years of experience Fitness Instructor 1867 Harvard Avenue, Historic College Park, GA 30337 www. ahealingparadigm. com � Price: Drop-Ins: $12 5 Classes: $45 10 Classes: $75

WALKING FITNESS CLUB Haines et al. (2007) implemented a walking and health education intervention using virtual communication. � Educational Components supplied online Stress Reduction Walking Safely Physical Activity for Stress Reductions � Pedometer Readings tracked and share via email. FREE Smart Phone Applications “Runtastic Pedometer”- Android & I-Phone friendly “Pacer Pedometer”- Android & I-Phone friendly Program had moderate effects on fitness behaviors, mood, health awareness, nutrition, and overall health.

WALKING FITNESS CLUB Employees decide whether they would like accountability partners near home or at work. � Commit to walking with each other at least 3 times per week for a minimum of 20 minutes. List of parks near work site and near home of employees � Manually record distance or utilization pedometer’s wireless tracker pedometer and share with club. Email Other virtual communication venues

COPING WITH STRESS Employing the Relaxation Response can counteract several stress-related disease processes and certain health-restrictions (Esch, Fricchione, & Stefano, 2003). � Immunological, cardiovascular, and neurodegenerative diseases/mental disorders. Listening to calming music following feelings of stress result in a more rapid reduction stress level compared to groups recovering from stress in silence (Khalfa, Bella, Roy, Peretz, & Lupien, 2003). Six minutes of reading for relaxation can result in lowering stress levels by 68%.

WELLNESS BLOG Haines et al. (2007) implements of educational material aided in health awareness. � Having a forum in which all employee can access information regarding healthy living can also serve as a way to report fitness accomplishments. � Also, enforces the concept of accountability. Provide links to resources http: //www. nutrition. gov/shopping-cooking-meal-planning/foodlabels http: //www. fda. gov/downloads/Food/Resources. For. You/Consumer s/UCM 275396. pdf � Or a forum for other activities such as a Virtual Book club!

CHILDKIND BOOK CLUB Steps for Creating a Book club Decide on the tone and theme of the club. Spread the word. Decide on physical vs. virtual meetings 1. 2. 3. 4. 5. Coffee shop vs. Blog Develop rules Finalize how books and chose moderator Encourages employee engagement in self-care activities to alleviate stress and aid in optimal helping professional practice.

CALM SPACE Why: To relax and decompress Where: Previous play room or other available office space Materials: Books � Magazines � � Atlanta Business Chronicle Health & Wellness Guide Released yearly Calming music Portable Sound Machine: $19. 97 at Walmart Employees could all contribute to purchase

SCHOOLS OF MASSAGE IN THE AREA Sensability � Atlanta School of Massage (770) 677 - 0300 2 Dunwoody Park, S Atlanta, GA 30338 � Pricing: 1 hour Massage: $40. 00 Body Polish: $40. 00 Aromatherapy: $40. 00 Spa Sampler: $40. 00 And so much more!

SCHOOLS OF MASSAGE IN THE AREA Rising Spirit School of Massage � Gwinnett College (770) 457 - 2042 6690 Roswell Rd, #1210 Sandy Springs, GA � Pricing: 1 hour: $40. 00 1. 5 hours: $55 2 hours: $70 dollars

SCHOOLS OF MASSAGE IN THE AREA Georgia Massage School � Student Massage Clinic (678) 482 - 1100 415 Horizon Dr. , Bldg 200, Ste. 275 Suwanee, GA 30024 Pricing 1 hour: $35. 00 � By appointment only

PHYSIOTHERAPY Dr. Allan Spagnardi � National Board Certified � Trained in Active Release Technique Focus on headaches, back pain, carpal tunnel syndrome, tensions in back, etc. � Offer FREE initial assessment. Sessions typically $40 � Location: Health Management Services- Atlanta 1475 Terrel Mill Rd. Suite 108. Marietta, GA, 30067 Email: Drallan 101@gmail. com Phone Number: (404)556 -7716

MENTAL HEALTH SERVICES Low Cost Local Services � Emory University Psychological Center Department of Psychology 36 Eagle Row, Room 270 Atlanta, Ga 30322 (404 -727 -7451) Sliding fee scale: $18 -$60 for individual, couples, family, or group counseling. � Transitional Family Service 2302 Parklake Dr NE Ste 350, Atlanta, GA 30345. (770 -621 -0469)

MENTAL HEALTH SERVICES �Kirkwood Mental Health Center 23 Warren Street SE Atlanta, Georgia 30317 (404 -370 -7474) Sliding fee scale for payment assistance. Offers individual, group, family, and other counseling services. Also, has meditation services.

NUTRITION Nutrition Seminar: � The Dekalb County Board of Health is willing and available to speak about nutrition or healthy habit for FREE. Coordinator Greg French, � glfrench@dhr. state. ga. us � 404. 297. 7204 � http: //www. dekalbhealth. net/ Services Breast-Test and More Family Planning Injury Prevention And More!

NUTRITION Instead of stopping by the local fast-food chain restaurants, there are several eateries in the area. � Your Dekalb Farmers Market 3000 E. Ponce De Leon Ave. Decatur, GA 30030 $8. 99 per pound Offers fresh, organic, natural foods ranging from the popular lasagna and extensive salad bar. � Whole Foods 2111 Briarcliff Rd. Atlanta, GA 30329 $8. 49 Per pound The prepared foods department offers an array of delicious hot of chilled meal options. Several Locations

NUTRITION Rainbow Natural foods � 2918 North Decatur Road, Atlanta, GA 30033 � $6. 75 Per pound � Offers a selections of items on the hot and chilled bar that are vegan and vegetarian friendly and provide the comfort of a home-cooked meal.

EMPLOYEE SNACK BAR Most employees reported being willing to participate in creating a hub for healthy food choices in the office break room. There are several options: Appoint someone who is willing to collect funds and shop for preferred items. 1. This person is responsible for stocking the break room will healthy options for employees who have contributed to the fund. Ex: Typical trip to Dekalb Farmer’s Market

EMPLOYEE SNACK BAR Fresh Harvest 1. Local Delivery Company 735 Park North Blvd. Suite 116 Clarkston, GA, 30021 http: //freshharvestga. com/home. php 770 847 6630 Typical Break Room Basket: $59 Eat Right Atlanta 2. Local company the delivers organic/nonorganic, fresh fruits, vegetables, and snacks. http: //www. eatrightatlanta. com/Eat-Right-At-Work. html � Some baskets as low at $30 (678) 523 -6981

ADOPTION OF RECOMMENDATIONS Recommendations Physical Fitness Gym Membership On-Site Trainer Walking Club Stress Relief Wellness Blog Book Club Calm Space Therapeutic Resources School of Massage Physiotherapist Yes or No Recommendations Mental Health Services Therapists Nutrition Seminar Nutritious Eateries Yes or No

LIMITATIONS Additional Questions on women’s health and prevention for survey � Originally left out due to insurance coverage Question utilization of health insurance benefits by employees � Ascertain the utility of current health plan

QUESTIONS?

REFERENCES Bloxham, S. & Evans, C. (2013) Increasing productivity by improving staff health and well-being. Management Services, 1: 12 -16. Esch, T. , Fricchione, G. L. , and Stefano, G. B. (2003) The therapeutic use of the relaxation response in stress related dieseases. Medical Science Monitor, 9(2): 23 -34. Haines, D. J. , Davis, L. , Rancour, P. , Robinson, M. , Neel-Wilson, T. & Wagner, S. (2007) A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff. Journal of American College Health, 55(4): 219 -225. Khalfa, S. , Bella, S. D. , Roy, M. , Peretz, I. , & Lupien, S. J. (2003) Effects of relaxing music of salivary cortisol level of psychological stress. Annals of the New York Academy of Science, 999: 374 -376. Neely, M. (2012) Wellness strategies for small businesses. Benefits Quarterly: Third Quarter. Society of Human Research Management (April 2014) Productivity Loss. Retrieved from http: //www. shrm. org/hrdisciplines/benefits/Articles/Pages/Productivity. Loss. aspx Society of Human Research Management (April 2014) 10 Steps for Wellness. Retrieved from www. shrm. org/hrdisciplines/benefits/Articles/Pages/10 Stepsfor. Wellness. aspx Shier, M. L. , Graham, J. R. , Fukuda, E. , Brownlee, K. , Kline, T. J. B. , Walji, S. & Novik, N. (2012) Social workers and satisfaction with child welfare work: aspects of work, profession, and personal life that contribute to turnover. Child Welfare, 91(5): 117 -138.