Template: Community Profile Inventory
Names_________________________________________________________ Date_____
Community 35205 Birmingham AL south 5 point area
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A. Psychological climate 1. Self-concept (community perception of mental health) 2. Attitude/support r/t mental health 3. Suicide rates |
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B. Nutritional status 1. Sources of food 2. Culture(perception) related to food/health 3. Statistics related to nutritional status |
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C. Physical fitness status 1. Facilities 2. Attitudes/culture r/t physical fitness |
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D. Private/public services (If not local, are there services available & assessable elsewhere? How far?) 1. Primary care providers (how many?) 2. Specialists 3. Public health 4. Hospitals 5. Long-term care 6. Mental health 7. Substance abuse 8. Home health 9. Services for under or uninsured 10. Complementary/integrative services (chiropractor, acupuncture, etc.) |
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E. Other healthcare or related resources 1. Occupational health/physical therapy 2. School nurses 3. Volunteer & welfare agencies 4. Homeless shelters 5. Disaster preparedness services 6. Other? |
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F. Resources for specific health needs (older adults, teen parents, disabled, HIV) |
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G. Overlapping or absent services 1. Provider shortages? 2. Too many services? (ie MRIs?) |
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H. Health disparities in this community: look this up in HP 2030 and online and be very specific; this should relate to your specific community’s health needs. |
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Informant Interviews
·
Referred to the following data collection:
· The B’ham Mayor’s Office (
)… you can get a response from the Mayor.
· Organizational chart for the Jefferson County Dept. of Public Health to reach out to potential informants (
· Community Stakeholders for potential interviews (
)