Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Jenna Hinckley, Cassidy Helena, Ashley King, Riley Smith, James McComb
Atchison is a town rich in history. The county was founded in 1855 as one of the first counties in
Kansas (“Services Area: Atchison County,” n.d.). Being that it was founded so early, much of the town
has a variety of historic buildings, it holds the title as Amelia Earhart’s birthplace, has a few “haunted”
houses, and beautiful Victorian style homes. Atchison’s current day standing reflects its historical nature,
showing those who view it a glimpse into the eighteen and nineteen hundreds. Although it could be
described as having rustic charm, one could also say the town is a bit rundown with most streets being
very unmaintained and others still being made of brick as well as a majority of the houses looking as
The demographics of Atchison include a population of 10,798 people. The median age is 30.1
years and has a male/female ratio of 0.9:1, with 44% of these being married, while 51% have families
with kids under 18. As far as cultural and ethnic diversity, 98% of the population speaks English and 0%
speaking Spanish (the other 2% is not specified) (“Atchison, KS Demographics,” 2016). The median
household income in 2016 was $41,696 with a 2.92% growth. Demographically, 85.8% of Atchison is
white, 5.21% is black, 3.36% is Hispanic and 0.35% is Native (“Data, USA,” 2016).
The boundaries of the community are not exact. Driving into the city, one will see a sign
indicating they are entering the city of Atchison. There is a main suburban area but surrounding the
neighborhoods, downtown, and industrial area is rural countryside. The fields encompassing their
suburbia make the definition of the borders blurry. Assessment of the town was kept to the main city
Windshield Survey
Introduction
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The Atchison community is an older community that could use a little bit of a facelift, but seems
to be working fine for the population that lives there. The population is made up mostly of families that
have lived there their whole lives into older adulthood as well as college students who go to Benedictine.
With a town so old and with so much history, it is easy for the population to want to keep it how it has
always been. The overall health of Atchison is below the average status compared to similar surrounding
communities. The survey took place on October 19, 2018 at noon and 6pm. The downtown area and the
Benedictine campus were the healthiest, most well kept parts of the community while a lot of the
residential neighborhoods and industrial areas were not. The following describes observations of specific
Housing
Atchison boasts a wide variety of housing options ranging from historical brick mansions built in
the 1860’s to modern apartment living. The majority of the town is composed of smaller houses similar to
what can be found in Leavenworth. Depending on the area of town one is in, the houses are either very
well maintained or not kept up at all. Some of the lower income areas had vacant houses that had been
boarded up or abandoned. There were no obvious trailer parks but some of the neighborhoods had several
double wide trailer homes on lots. There are some multi-family houses available to buy or rent in
Atchison and the city has also partnered with the Kansas Housing Resource Corporation’s Moderate
Income Housing Program to incentivise contractors to build more affordable housing for lower income
families. Atchison is a very established community, most of the buildings and houses have been around
for quite some time and the newer developments appeared to be mostly industrial or commercial. There
were also For-Sale signs seen on most of the streets. The housing in the town would indicate that
Atchison has a relatively low income level. Aside from a couple of historical areas where the older, nicer
mansions are, the rest of the housing options are low-middle or lower class residential options.
There are multiple parks and recreational areas in Atchison. There is a fitness trail on River Road
off 2nd street near Benedictine College. This is a dirt road along the river along with multiple stretching
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and fitness stations at the beginning of the road. Many people utilize this trail for biking and running.
There is also Jackson Park off highway 7. This park has multiple hiking paths, picnic benches, awnings,
and a playground for young children. The playground is well maintained, but the road itself is poorly
maintained and has multiple potholes and steep ditches. When the windshield survey was conducted, an
older couple sitting at a picnic table were the only people seen at the park even though it was 60 degrees
and sunny. During the evening around 6pm, there was no one in the park. There is a dirt baseball field on
8th and Riley St. available for the community to use. The field looked maintained, the grass was mowed
and the dirt seemed raked. There were lights near the field as well so people could play at night safely.
There was no one out on the field on either of the times of the survey. There is a YMCA in the middle of
downtown on Commercial St. This building looked newly renovated and modern and there were multiple
cars parked outside of the building. There is a community pool on Commercial St. as well. The pool was
closed due to the season, but the pool and building looked older and well maintained. There is a soccer
field complex off of 17th street that was not seen during the survey, but pictures online show a large grass
field with soccer goals and painted lines with not many buildings in the surrounding area. There are also
multiple parks with basketball courts, tennis courts, and baseball fields. These parks are Bromley park
(Julia St.), Independence park (2nd and Atchison), and Reisner park (10th and Riley). Warnock lake is
another outdoor recreation area. There are sand volleyball courts, hiking trails, awnings and picnic tables
along with grills. RV parking is available along with tent camping areas. There was a few people fishing
on the lake in the afternoon when the survey was done. The last outdoor activity areas are the Pineview
Country Club (Ottawa Rd.) and the Atchison Golf Club at Bellevue (Country Club Rd.).
There are also many museums in Atchison. There is the Amelia Earhart Birthplace Museum
(Terrace St.), the Atchison County Historical Society Museum (10th St.), the Atchison Railroad Museum
(10th St.), the Evah C. Cray Historical Home Museum (5th St.) and the Munich Art Gallery (4th St.).
The majority of the homes in Atchison are poorly maintained. They are rusted, dirty, and have a
lot of junk in their front yards. There is not a lot of trash in the streets, the parks and walking trails are
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well-kept, also. Not a lot of pollution/trash is noticed in the community, including no garbage-filled
vacant land. There is evidence of air pollution. The community includes infrastructure that emits constant
Transportation
The main form of transportation seen being used is cars. A few people were riding bikes. There is
no public transportation available to the community, although there is meals on wheels which helps take
citizens of all ages from their home to the place being served food and back. Streets are not well-
maintained. There are a lot of potholes and are very old, making the windshield survey a very bumpy ride.
The highway entering the town is well-maintained. There is no traffic congestion, aside from the
There are a lot of health services in Atchison, which can probably be attributed to its older adult
population. It has its own hospital (Atchison Hospital) located at the edge of town right when you enter
town coming in on Amelia Earhart Memorial Highway. There is an Atchison County Health Department
and a place where social and rehab services are offered. There are a few pharmacies located throughout
town including CVS, Walmart, and Kex Rx pharmacy. There is also an Atchison Community Health
Clinic that offers a variety of services. Some of these services include medical, dental, and behavioral
health. They also offer outreach and enrollment programs for people needing assistance with Medicare,
Medicaid, or disability enrollment. Along with those, they offer classes to help with things like smoking
cessation, diabetes management, and chronic pain coping (“Atchison Comm. Health Clinic”, 2018). There
are at least 15-20 different primary health care providers that can be found when googling “primary care
providers in Atchison, KS”. These include many family practice physicians as well as a few specialized in
areas like cardiology, occupational health, etc. It seems that there are a decent amount of healthcare
services that could cover most basic health issues, however anything of higher acuity would not be able to
Economics
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The majority of the industries located in Atchison are in the main town center or within 5 minutes
of it. There were not many places to work that were not retail but the main employers were MGP
distillery, the hospital, and the schools in the area. MGP distillery employs over 300 people at their main
plant in Atchison and is the largest US supplier of distilled gin and rye whiskey. There was a surprising
Protective Services
The fire department and police department are three blocks north of downtown Atchison on 6th
street. There were police patrolling the streets of Atchison during the windshield survey and firemen
outside of the fire station. Most houses had identical trash cans and recycling bins on their curbs that read,
“City of Atchison Kansas” on them. All of the trash cans had the labels and ID numbers facing forward
and were placed near each person’s mailbox. The water treatment plant is fairly new being completed in
2016 and producing eight million gallons of quality water for the residents of Atchison each day (“City of
Atchison, Kansas”, 2018). Atchison also has a wastewater treatment plant that receives water from many
sources throughout Atchison’s collection system. The used water comes from homes, businesses,
industries, groundwater, surface water and stormwater. This water goes through numerous stages of
treatment to remove contaminants which includes physical, chemical, and biological processes (“City of
Religion
There is an abundance of churches spread throughout the town of Atchison. There are ten
Catholic churches, two methodist churches, four baptist churches, two lutheran churches, and 9 other
protestant churches. Due to the many churches throughout the town, not all were seen during the survey.
St. Benedict’s Abbey and St. Benedict Catholic churches were seen. Both of these churches are on
Benedictine College’s campus. They are both well maintained and had a traditional and older style
architecture. The other church seen was the Seventh Day Adventist Church downtown, this was also an
Schools
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Atchison has a total of 3 elementary schools, 2 middle schools, 2 high schools, and 2 colleges. Of
these there is a private high school, Maur Hill-Mount Academy, and a public high school, Atchison High
School. For middle schools, there is a public middle school, Atchison Middle School, and a private school
that teaches from preschool through eighth grade, Trinity Lutheran School. Counting Trinity Lutheran
School as both elementary and middle school, that leaves the public school Atchison Elementary School,
and the private Saint Benedict’s Elementary school. Lastly, there are two colleges. The private catholic
school, Benedictine, and the public community college, Highland. Atchison High School, Atchison
Elementary School and Highland Community College are located on the west side outskirts of town.
Trinity Lutheran School and Atchison Middle school are both located central of town. Saint Benedict’s
and Benedictine are both northeast of the town. Maur Hill-Mount Academy is located at the very southern
General Observations
When the windshield survey was conducted, there was not a lot of evidence of people loitering or
any gang activity. There were people sitting on their porches in the early evening, and few people and
families walking around downtown. The main thing that stood out was the fact that the streets were not
very well maintained, and that there were a lot of abandoned, boarded up homes and buildings.
Communication
Atchison has a biweekly newspaper named Atchison Daily Globe. This newspaper also maintains
an online presence that keeps the residents updated on local news, sports, schools, important voices in the
community, global news, and more. The local radio broadcaster, KAIR is located on 5th street and is
Atchison’s local radio station. KAIR Hot Country 93.7, is the local radio station that provides listeners
with new country music, local news, sports, weather, and community events (“KAIR Radio...Hot Country
93.7, n.d.). While driving around Atchison with elections coming up there were tons of political
billboards and signs. The only political party observed on these signs was the Republican party which
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reflects the political background of Atchison residents. While driving around Atchison there were
Commercial areas
The downtown area is one little street called Commercial Street lined with small shops. The street
is not paved for cars to drive, but made with stone for a nice wide path to walk on through the shops.
There were many park benches and places to stop and hang out. There were a lot of insurance and law
offices and banks, but not very many retail stores. The retail stores included a small shoe store and a
couple boutiques. There were also a couple flower shops and a guitar store. While the rest of Atchison has
a church around every corner, the only church in the downtown area is a Seventh Day Adventist Church.
There were not a lot of people in the downtown area either of the times we visited it. It was hard to tell if
there were a lot of cultural and ethnic groups represented - the stores were mainly of North American
culture. The downtown area is really nice with a grand arch marking the entrance of the shopping area. It
is probably the most well kept part of Atchison aside from the Benedictine campus. As far as restaurants
go, most of the restaurants in Atchison are located in different parts around town. There are only a few
places on Commercial Street to eat though. There are a couple Bar & Grills, a Mexican restaurant, a
steakhouse, a donut shop, and a pizza place. It is not a huge area with common outlet stores like places
like the Legends or Zona Rosa - it is mostly small businesses most likely run by families from the area.
Secondary Data
At the county and city level of Atchison, there are tons of different statistics that stand out among the
others. There are currently 10,798 people residing in the city of Atchison. The main cause of mortality
among this population is ischemic heart disease with 187.2 males per 100,000 dying of this disease and
118.3 female per 100,000. When it comes to crime in Atchison, property crime exceeds violent crime by a
landslide. In 2018, 16% of the population was described as having poor or fair health. See Appendix C for
more statistics regarding Atchison. Most of the very important information regarding Atchison, Kansas
can be found on their public websites, cityofatchison.com and atchisonkansas.com. These website inform
their residents on the communities disaster plan, services provided within the community, resources
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available, and much more regarding the quality of these residents lives. The services available in Atchison
are a police/fire department, water treatment plant, trash collection, and a social and rehab facility. There
are no transportation services provided, but Project Concern is a non for profit program that provides
cheap transportation, free meals, and Meals on Wheels to the population that needs it.
● Give first aid and get help for seriously injured people
● Listen to your battery powered radio for new and instructions-- tune to KAIR Radio 93.7
● Evacuate if advised to do so, wear protective clothing and sturdy shoes, you may also be asked to
“Shelter-in-Place”
● Use flashlights-- do not light matches or turn on electrical switches if you suspect damage
● Sniff for gas leaks starting at the water heater, if you smell gas or suspect a leak turn off the main
● Shut off any other damaged utilities, if not damaged, you may leave utilities on
● Clean up spilled medicines, bleaches, gasoline, and other flammable liquids immediately
● Locate your 72 hour kit or preparedness supplies and put them in safe location
● Call your family contact-- use your cell phone sparingly to conserve the battery’s charge
● Make sure you have an adequate water supply in care service is cut off
● Do not turn on utilities. That should be done by a trained utility employee” (2018)
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Three community members were interviewed via email sent out on October 3rd: a head coach at
Benedictine College, a student in the Masters program at Benedictine College, and a young adult that has
grown up in Atchison his whole life. These people were chosen because each has a unique perspective of
the community. The coach is employed by Benedictine College, a large employer in the town, and he is a
big supporter of community outreach by the college students to the youth of Atchison. The student in the
Masters program has lived in Atchison for five years and is employed by the college as well as a local
restaurant. She has developed friends in the community through her work and has become well
established in the town. The third person interviewed has lived in Atchison his whole life and could
provide how the town has progressed/ declined in many different aspects.
There was a general trend of the interview answers that related to the lack of safe activities for
Atchison’s youth. More after school programs or local initiatives should be implemented to help provide
children and young adults with safe opportunities. Another issue that was discussed throughout multiple
interviews was the lack of employment that offer more than minimum wage. Residents will travel to
Weston or St. Joseph for career opportunities. The person who lived in Atchison his whole life travels to
Weston everyday for his job at Holladay Distillery. Each person interviewed has more than one job in
Discuss
Problems that were seen throughout the city of Atchison included old roads and houses that were
not well maintained, high amounts of pollution, a high rate of smoking, a lack of public transportation, a
lack in places of employment, and a lack in safe outlets for the youth of the community. There were many
abandoned buildings and houses that were boarded up and nothing was being done with them. The roads
were full of potholes and were not well maintained at all. There is a large distillery that puts out copious
amounts of pollutants into the air. The only form of transportation seen was cars/small vehicles - there
were no buses, and no one was seen using bicycles. The people that were interviewed expressed their
concern about the fact that there were really no places of employment other than the distillery or the
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schools. They also expressed concern about the fact that the city’s youth did not have safe outlets outside
of school. Another big problem is the smoking and illicit drug use of the population. Another interviewee
expressed concern for the towns safety in regards to illicit drug use. There is also a very high rate of
poverty and homelessness that needs some work. The morbidity and health rates of Atchison are also
pretty high in comparison with the United States as a whole. (See statistics in section C).
While there were a multitude of problems within the community, probably attributed to the age of
it, it also had a few good strengths. As far as healthcare, the community provides a multitude of options
for different types of healthcare including a hospital, many primary care physicians, dentists, and
chiropractors. There are also plenty of schools to accommodate the population size plus a college where it
is very common for the population to attend after high school graduation. They provide a lot of resources
for the community including plenty of resources for the older adult. There are homeless shelters, quick
health clinics, a community center, and plenty of churches that provide services in all aspects. Another
strength this community has is its emergency services. The police and fire stations are located right
downtown which gives them the ability to respond to most places very quickly. Many patrol cars were
seen out and about in the community. There is also a boys and girls club that is doing work to combat
teens engaging in risky behaviors. It is, however, the only program the community implements to help
teens. The downtown area is a very nice place for people of the community to spend their evenings or
weekends off. There are a few different places that can be visited for different needs as well as a couple
different restaurants that people can eat at. There are a few more weaknesses than strengths in the
Atchison Community.
The Healthy People 2020 objective that fits the strengths and weaknesses of Atchison best is
ECBP-2: Increase the proportion of elementary, middle, and senior high schools that provide
comprehensive school health education to prevent health problems in the following areas: unintentional
injury; violence; suicide; tobacco use and addiction; alcohol or other drug use; unintended pregnancy,
HIV/AIDS, and STD infection; unhealthy dietary patterns; and inadequate physical activity (“Healthy
People 2020”, 2018). This objective encompasses almost every issue that the people of Atchison face as a
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whole - morbidities, alcohol use, illicit drug use, smoking, teen pregnancy, poverty and homelessness. If
it can be combated at a young age, the rates of these issues would go down drastically. (See statistics in
section C). This objective also goes along with the plan that is to be discussed later in this paper.
Diagnosis
A nursing diagnosis that addresses Atchison's substance abuse problem of smoking is deficient
community health, related to substance abuse, as evidenced by inadequate social support for program.
According to Data USA, 17.7% of adults in Atchison County smoke cigarettes. The community is aware
of the risks associated with smoking but are not ready to make a change and quit. There are programs in
place to educate the community including the live well live Atchison website which has a plethora of
A nursing diagnosis that addresses the risky behaviors of the youth in Atchison is risk prone health
behavior, related to inadequate comprehension, as evidenced by failure to take action that prevents health
problems. There was inconclusive data on the number of teens that use tobacco since the surveys only
covered adults, and the teen pregnancy rate in Atchison County was 18% in 2014.
Plan
After reviewing the interviews, a common problem known among the citizens of the community
is the lack of education in youth about participating in risky behaviors. There is a Boys and Girls Club
already established in the community where there is a large outreach. Since a lot of kids (elementary
through high school) already go to the club after school, it would be an optimal place to implement a
program educating them on said risky behaviors and their negative consequences. The community health
nurse would reach out to the director of the club and present them with the idea. Following their probable
agreeance to implement the program, a discussion of the funding would partake. The Boys and Girls Club
receives funding partially through the government, but is mainly funded through donations. They also
provide transportation for the kids. The nurse would work out an agreement with them on budgeting a
certain portion for the program, but the risky behavior program will be relatively inexpensive. Budgeting
would include printing costs for pamphlets and other paper resources for the kids to take home and
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potential use during program allotted hours, coming out to around $1,000. There would be a budget of
$3,000 for activities including field trips, crafts, guest speakers, etc. The community nurse would be paid
$100/per month, $25/session (1 session per week). The plan could be implemented within a month, after
going over specifics with the director like what times could be allotted, which day of the week, making a
teaching plan for each day, etc. A Healthy People 2020 objective that is consistent is SA-4 increase the
proportion of adolescents who perceive a great risk associated with substance abuse
(healthypeople2020.gov). Implementing this program will help adolescents see the negative consequences
of substance abuse because this topic will be addressed during the program.
In the article by Campa, Leff, and Tufts (2018), a program educating the youth on sexual
education needs to be expanded beyond the school setting. This supports the intended plan of educating
youth in an out of school setting to further express the importance of knowing the effects of risky
behaviors. In the second article by Kremer, Maynard, Polanin, Vaughn, & Sarteschi (2015), promotes
after school programs as comprehensive programs that offer many different activities ranging from play
and socializing activities, academic enrichment and homework help, snacks, community service
opportunities, sports, arts and crafts, music, etc. These activities offered within the after school programs
for the youth have goals set in place to provide reliable and safe supervision for after school hours. Which
is exactly the intended plan for Atchison, Kansas and helping reduce the risky behaviors of the youth
population. According to the article these after school programs help alleviate crime, academic
achievement gap, substance abuse, and other behavioral problems and academic shortcomings.
To evaluate the effectiveness of the plan, the attendance of the after school program would be
measured. Also, a comparison of the prevalence of teens engaging in risky behaviors after a year of the
References
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ks/crime/
Atchison Community Health Clinic (2018). Patient Services. Retrieved from https://achc-
ks.org/patient-services/
https://www.areavibes.com/atchison-ks/demographics/
Campa, M. I., Leff, S. Z., & Tufts, M. (2018). Reaching High-Need Youth Populations With
City of Atchison, Kansas (2018). Water Treatment Plant, Waste Water Treatment Plant.
Retrieved from
cityofatchison.com
https://datausa.io/profile/geo/atchison-ks/#top
https://www.google.com/maps/place/Atchison,+KS/@39.5612615,-
95.2447275,12z/data=!3m1!4b1!4m5!3m4!1s0x87bf8b3f5eee3b71:0x188eea2cdc3d3917
!8m2!3d39.5630521!4d-95.1216356
Healthy People 2020 (2018). Educational and Community-Based Programs. Retrieved from
https://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-
community-based-programs/objectives
https://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse/objectives
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Institute for Health Metrics and Evaluation (IHME), US County Profile: Atchison County,
Kremer, K., Maynard, B., Polanin, J., Vaughn, M., & Sarteschi, C. (2015). Effects of
A Systematic Review and Meta-Analysis. Journal of Youth & Adolescence, 44(3), 616–
636. https://doi-org.stmary.idm.oclc.org/10.1007/s10964-014-0226-4
https://livewellatchison.org/our-work/tobacco-free-living/
U.S. Census Bureau (2016). American Community Survey 5-year estimates. Retrieved from’
<https://censusreporter.org/profiles/16000US2002900-atchison-ks/>
US Census Bureau (2017). Quick Facts: Atchison County, KS. Retrieved from
https://www.census.gov/quickfacts/atchisoncountykansas
Atchison County, KS (2018). County Health Rankings and Roadmaps. Retrieved from
http://www.countyhealthrankings.org/app/kansas/2018/rankings/atchison/county/outcome
s/overall/snapshot
Appendix A
Interview Questions
2. How long have you lived here? Do you plan on staying much longer?
4. What is a concern you have with the town? (Safety/ jobs/ etc)
5. What is an area that you think contributes to the quality of life in town? Why?
Appendix B
Map of Atchison
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Appendix C
● Birth rate: Atchison’s birth rate as of 2016 was 6% (Town Charts, 2018)
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● Death rate in Atchison City: Males- 1,064.3 per 100,000, Females- 748 per 100,000 (IMHE,
2014)
○ Diabetes, urogenital, blood, and endocrine diseases: Male- 99.1, Female- 57.8
○ Cirrhosis and other chronic liver diseases: Male- 20.2, Female- 12.3
● Morbidity: As of 2017, 11.4% of people under the age of 65 have a disability (county) (US
● Crime rate in Atchison City, Kansas: violent crime rate is 6% lower than Kansas average however
property crime rate is 33% higher than Kansas average (Area Vibes, 2016)
○ Murder: 0
● Health status in Atchison County in 2018: poor or fair health- 16% (County Health Rankings &
Roadmaps, 2018)
● Graduation rates in the City of Atchison, Kansas (United States Census Bureau, n.d.)
● Atchison County employment status: Population age 16 and older in the workforce: 62.5%
● Vehicle crashes: As of 2016, 356 vehicular crashes took place in Atchison, Kansas (United States
● Alcohol use in youth: In 2015, 15% of Atchison County youth surveyed reported having beer,
wine or hard liquor at least once within the past 30 days and 15% surveyed reported they were 15
years old when they first began drinking alcohol regularly (County Health Rankings &
Roadmaps, 2018).