9-1-1

4-1-1

2-1-1

2-1-1 calls per day, selected markets

Houston, TX 1,000

Atlanta, GA 900

Connecticut 900

Virginia 500

Indiana 500

Denver, CO 350

Detroit, MI 300

Missouri 300

Financial assistance (rent, utilities) 71%

Material resources (clothes, furniture) 9%

Housing (shelter, home repair) 5%

Food (pantries) 3%

Health 1%

Why do people call?

Women 73-90%

Unemployed 54-59%

Household income < $15,000 45-64%

Disproportionately minorities

Who calls 2-1-1?

Pilot studyNovember, 2007 – February, 2008

• Aim 1: Estimate cancer control needs of callers

• Aim 2: Determine feasibility of cancer referrals

Mammography

Pap testing

Colonoscopy

HPV vaccine

Smoking

Smoke-free home policies

Assessing six cancer control actions

Mammograms

Pap smears

Colonoscopies

HPV vaccination

Smoking cessation

Smoke free home policy

Need at least one 85%

Need two or more 54%

Need three or more 30%

Current cancer control needs of 2-1-1 callers

26

1315

0

10

20

30

40

2-1-1 callers Missouri U.S.

percent

No health insurance2-1-1 callers (n=297) vs. Missouri vs. U.S.

33

2320

0

10

20

30

40

2-1-1 callers Missouri U.S.

percent

Current cigarette smoker2-1-1 callers (n=297) vs. Missouri vs. U.S.

52

64

72

0

10

20

30

40

50

60

70

80

2-1-1 callers Missouri U.S.

percent

Has a smoke-free home policy2-1-1 callers (n=297) vs. Missouri vs. U.S.

5058 57

0

10

20

30

40

50

60

70

80

2-1-1 callers Missouri U.S.

percent

Ever had a colonoscopy (ages ≥ 50)2-1-1 callers (n=107) vs. Missouri vs. U.S.

Reactions to pilot intervention

Tailored GenericOutcome (n=20) (n=19)

Recall getting referral 95%89%Recall getting mailing 60%47%Read all of mailing 50% 33%Liked mailing a lot 67% 56%Very easy to understand 75% 56%Called referral agency 30%21%Made an appointment 20% 5%

Opportunity for CPCRNDevelop a network wide 2-1-1 project

• Explore different strategies to enhance use

of cancer control referrals

• Possible integration into renewal applications

Proposed next stepsWashington University in St. Louis

• Share funded R01 proposal

• Lead working group of interested Centers

Proposed next stepsOther centers

• If interested, meet with your local 2-1-1 system and assess interest and willingness to collaborate

• By Dec. 1, indicate “in” or “out” to Kurt Ribisl