9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900...

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Transcript of 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900...

Page 1: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

9-1-1

Page 2: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

4-1-1

Page 3: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

2-1-1

Page 4: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.
Page 5: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

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

Page 6: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Financial assistance (rent, utilities) 71%

Material resources (clothes, furniture) 9%

Housing (shelter, home repair) 5%

Food (pantries) 3%

Health 1%

Why do people call?

Page 7: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Women 73-90%

Unemployed 54-59%

Household income < $15,000 45-64%

Disproportionately minorities

Who calls 2-1-1?

Page 8: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Pilot studyNovember, 2007 – February, 2008

• Aim 1: Estimate cancer control needs of callers

• Aim 2: Determine feasibility of cancer referrals

Page 9: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Mammography

Pap testing

Colonoscopy

HPV vaccine

Smoking

Smoke-free home policies

Assessing six cancer control actions

Page 10: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Mammograms

Pap smears

Colonoscopies

HPV vaccination

Smoking cessation

Smoke free home policy

Page 11: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Need at least one 85%

Need two or more 54%

Need three or more 30%

Current cancer control needs of 2-1-1 callers

Page 12: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

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.

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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.

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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.

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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.

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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%

Page 17: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

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

Page 18: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

Proposed next stepsWashington University in St. Louis

• Share funded R01 proposal

• Lead working group of interested Centers

Page 19: 9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets Houston, TX1,000 Atlanta, GA 900 Connecticut 900 Virginia 500 Indiana 500 Denver, CO 350.

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


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