Running head: COMMUNITY CARE PLAN ` 1

Community Care Plan

Jessica Heling, Crystal Jacobs, Natalie McGovern, Mariya Garpinitch, Brittany Hilker,

Casey Hasenstein, Joe Dierbeck, Paul Cimermancic, Warren Kothrade

University of Wisconsin Milwaukee College of Nursing

Nursing 415: Nursing Science V, Care of Aggregates

November 30, 2012

COMMUNITY CARE PLAN 2

Data Analysis Summary

Known for its unique and diverse atmosphere, the zip code 53212 is the place close to

33,000 people call “home (Appendix B).” After performing a comprehensive assessment of this

area, we learned of health promoting behaviors as well as health disparities occurring in this

community. While this zip code has various strengths, there are numerous health concerns as

well. Unfortunately, these weaknesses have the potential to create an inherent risk for adverse

health conditions. These strengths and weaknesses as well as their effects on the community’s

health condition are discussed in detail below.

The zip code 53212 has numerous strengths. As observed in our windshield survey, there

are several clinics and local hospitals near our assigned zip code. Columbia St. Mary’s and

Aurora Mount Sinai are the two hospitals that are located close to the community. This close

proximity allows residents the convenience to seek out health care when needed. Besides having

the advantage of close proximity to nearby hospitals and clinics, the city of Milwaukee has a

public bus system available for people who do not have the luxury of possessing their own

means of transportation. Those who do not have their own car to go to a nearby clinic, public

transportation is available to supplement their needs. This community utilizes public

transportation significantly more than the state and country. Specifically, 15% of residents in

53212 utilize the bus, while only 1.8% of the state and 4.9% of the country utilizes the busing

system (Appendix B). Also, this zip code displays a higher achievement in receiving a

Bachelor’s degree than the city of Milwaukee. 14.3% of residents in 53212 have a Bachelor’s

degree, compared to 12.3% in the city of Milwaukee (Appendix B). As described in our

windshield survey, there are many parks accessible to those living in the area (Appendix A). This
COMMUNITY CARE PLAN 3

provides an opportunity for residents to spend time outside with friends and a place to engage in

physical activity.

While analyzing collected data, consideration was given as to what specifically are the

weaknesses that are contributing to the disparities in health quality. There are numerous

possibilities as to what could contribute to some very unfortunate statistics. While visiting the

community of 53212, the poor conditions of many of the homes really stood out. A great deal of

the houses were old and in substandard condition, as opposed to more modern houses located

outside of the city (Appendix A). Houses in this traditional urban neighborhood were painted

with material that could potentially contain lead. This is a health hazard for those living within

these homes. Lead poisoning is a serious health concern that must be addressed. Per 1,000

residents, lead poisoning affects 6.1 people, compared to 3.9 statewide and 2.2 nationwide

(Appendix B). The housing in these neighborhoods needs to be assessed and proper renovations

should be made by professionals, so that these homes can be brought up to proper health codes in

order to improve the overall wellbeing of others. Despite the prevalence of older homes, there

are many more significant contributing factors that deprive the residents of 53212 of having

normal healthy lives.

The lack of employment opportunities and amount of people without a high school

diploma are other areas of concern. If one does not have the foundation of a basic education,

opportunities to obtain a job that would provide a sufficient income to compensate for the costs

of health care become scarce. This increases the likelihood of engaging in unhealthy lifestyle

behaviors. In order to combat these ongoing challenges in the area, the public needs to become

more involved and aware of these social issues so that these health concerns can be properly

addressed. Perhaps an increase in funds on the state and federal level will provide the
COMMUNITY CARE PLAN 4

opportunity to build more public clinics so that residents who have limited financial means can

receive the proper health education and care. This type of aid could ultimately lead to an increase

in health promotion behaviors and decrease the current health concerns in the area.

One of the main necessities needed to acquire adequate health care is to have a sufficient

income and employment. When reviewing data pertaining to household incomes in our assigned

area, the estimated median household income is $31,217 as opposed to the state average of

$50,814 (Appendix B). Also, 41% of people in 53212 have an income below poverty level

(Appendix B). Low incomes can influence an individual’s health habits, such as the purchasing

of unhealthy foods, fewer visits to the doctor, lower incidents of proper vaccinations and an

increase in health disparities. Opportunities for employment in the community are scarce and

only a few places in the zip code offer work. In 53212, only 52% of people are employed,

compared to state employment at 64% (Appendix B). Home Depot, Wal-Mart, Goodwill and a

handful of small convenient stores in the surrounding area are the main sources of employment

(Appendix A). Pay usually consists of minimum wage or slightly higher and minimal health

benefits are offered to employees. The lack of sufficient health insurance and wages makes it

difficult for employees to acquire health necessities such as prescription drugs, immunizations

and routine health examinations from healthcare providers. The scarcity of sufficient

employment is just one of the problems that residents of 53212 endure, besides the many other

underlying factors that contribute to the numerous social and economic challenges for current

residents.

The ability to obtain a solid education is another significant obstacle the zip code 53212

faces. Education increases the likelihood of better employment opportunities, higher wages and

sufficient health insurance. Nearly 40% of the residents in 53212 do not have a high school
COMMUNITY CARE PLAN 5

diploma and less than 15% have a bachelor’s degree. When compared to the state, 17% of the

people in Wisconsin have a bachelor’s degree and only about 10% of the population did not

graduate from high school (Appendix B). These statistics are profound and may provide a

correlation as to why unemployment and low incomes are prevalent in the area.

It was found during our research that this community has low immunization rates

(Appendix B). This leads to the occurrence of vaccine-preventable diseases. There is a high risk

for health care disparities as well. Healthy conditions may be directly depended upon the ability

to access it. Many times, this includes the ability to pay for. It is difficult to acquire adequate

employment and sufficient health care to prevent morbidity and rising mortality rates. Obesity,

diabetes, and high blood pressure are prevalent amongst members of this community and there is

a lack of low cost healthy food stores in the area to help balance these issues. While interviewing

the school administrator, we learned that obesity is a major health problem in their school. This

occurs partially due to poor food choices and the ease of access to fast food (Appendix C). Even

though these issues persist, there is a strong sense of community and effort to reduce the overall

morbidity and mortality in the area. Data collected for our assigned zip code revealed numerous

concerns about the health and wellbeing of individuals residing in the area in terms of morbidity

and mortality rates as well as social and mental health. As of now, the mortality rate in this

community is 8.6% whereas the state is only 6.1%. When observing the current morbidity rates

of 53212, the community is at 15% whereas the state is only 12% (Appendix B).

The comprehensive assessment of the zip code 53212 displayed many strengths and

weaknesses of the community. Strengths included many transportation options and close

proximity to local health centers. However, crime rates are significantly high and many do not

obtain education necessary for accessing health promoting entities. In addition, immunization
COMMUNITY CARE PLAN 6

rates are low and morbidity levels are high compared to state and national levels. Through the

data found, the 53212 community would benefit from our community nursing care plan. In

addition we have written a public policy letter to the state senator of Wisconsin regarding our

concerns (Appendix D).

 COMMUNITY CARE PLAN 7

Nursing Outcome Intervention Level of Level of Intervention Evaluation

Diagnosis Prevention Intervention Rationale Plan

Diagnosis 1. By 3 1a. The community 1a. 1a. 1a. Cholesterol 1. The nurse
1: High risk months nurse will hold Secondary Community screening can identify will measure
for health 25% of monthly free high risk individuals monthly
disparities school-age screenings at who are most likely to attendance
in the children specified 53212 benefit from rates during
53212 and 50% of community individualize risk community
community adults of locations and assess factor counseling health free
related to the 53212 community (dietary instruction, screenings
high rates community members’ blood tobacco cessation, through
of will attend pressure, blood weight reduction, guest sign-in
morbidities monthly re- sugar levels, physical activity, and attendance
as screenings cholesterol levels, drug therapies) log.
evidenced to assess hearing and vision. (Edelman and Mandle,
by the blood 2012 p 238).
53212 pressure,
community blood sugar 1b. The community
1b. 1b. 1b. Good record-
exhibiting levels, nurse will consult keeping promotes
50% cholesterol Secondary Community
families in the better communication
greater levels and 53212 community as well as continuity,
morbidity hearing and on the importance consistency, and
than the vision. efficiency, and
of attendance of
national reinforces
health screenings professionalism within
average through monthly nursing (Wood, 2003
(Baungardn phone calls. p26).
er, 2009;
Center for
Disease
Control,
1c. Valuable
2010). 1c.The community 1c. 1c. information can be
nurse will record Secondary Community elicited from
ongoing assessment interviewing key
data of blood community members
pressure levels, about their health
blood sugar levels, concerns and issues
cholesterol levels, (Edelman and Mandle,
and hearing and 2012 p206). Key
COMMUNITY CARE PLAN 8

vision screenings community members

for children and include church
adults of the 53212 leaders, city
community during government officials,
each screening and community
visit. organizers.

1d. The community 1d. 1d. 1d. The last step is the
nurse will refer Primary Community planning and
53212 community development of an
members to efficient referral
appropriate system to enhance
community continuity of care and
resources/physician to ensure follow up
s based on (Edelman and Mandle,
abnormal screening 2010 p 239).
assessment data.

2. 50% of 2a. Health education 2. The nurse

adults in 2a. The community 2a. System facilitates the will measure
the 53212 nurse will hold development of health monthly
community monthly 2a. Tertiary knowledge, skills, and attendance
with educational classes attitudes (Edelman and rates of
diagnosis in a reserved Madle, 2010 p245). health
of chronic classroom within management
hypertensio the Martin Luther classes
n, or King Milwaukee through
hyperchole Public Library for attendance
sterolemia 25% of school-age sign-in
will attend children and 50% records. The
monthly of adults in the nurse will
self- 53212 community evaluate the
manageme related to chronic participants’
nt classes disease understandin
to learn management of g and
valuable hypertension, learning by
informatio diabetes and the end of 3
n pertinent hypercholesterolem classes
to their through
COMMUNITY CARE PLAN 9

chronic ia. repeat

disease demonstratio
within 3 n of self-
class 2b. The community 2b. 2b. The American health
periods. nurse will hold Aggregate Heart Association, management
dietary classes open 2b. AHA recommends skills.
to the entire 53212 Secondary that people over the
community on age of two years adopt
healthy dietary an overall healthy die
regiments related to and achieve and
the prevention of maintain an
hypertension, appropriate body
diabetes, and weight, cholesterol
hypercholesterolem level, and blood
ia. pressure level
(Edelman and Mandle,
2010 p274).

2c. During the 2c.

2c. A systematic
health screenings, Aggregate
2c. Tertiary review found that self-
the community monitoring of blood
nurse will teach glucose is an effective
members of the tool in the self-
53212 community management of
who present with glucose levels in
elevated blood clients using insulin
sugars the proper therapy (Welschen et
way to self-test al, 2005 p409).
blood glucose and
administer insulin
according to blood
sugar results.

2d.
2d. During monthly 2d. Calendar
Aggregate
chronic disease packaging, especially
2d. Tertiary in combination with
self-management
classes in a education and other
reserved classroom reminder strategies,
 COMMUNITY CARE PLAN 10

within the Martin may improve

Luther King medication adherence
Milwaukee Public (Zedler et al, 2011
Library, the p62).
community nurse
will teach the
importance of
medication
adherence through
use of calendar and
alarm reminders
and through weekly
or monthly filled
pill boxes (Zedler et
al, 2011).

Diagnosis 1. The 1a. Higher 1a. Primary 1a. 1a. Social marketing is 1. The nurse
2: Risk for 53212 education through Community an intervention that will review
injury community distribution of can be effective when crime
among the will leaflets and fliers injury prevention is statistics in
53212 decrease throughout the the goal of a the 53212 zip
population total crime 53212 community community health code area
related to risk index regarding public nurse. This through the
high crime by 5% by safety precautions, intervention would help of the
rates as December especially in public also be beneficial if local law
evidenced 1, 2013. areas such as the implemented with enforcement
by total post office, bus other community agency
crime risk stops, churches, and partners (such as local quarterly in
index of public bathrooms. radio stations). Social order to
329 Collaborate with marketing can send measure the
(CLRChoic organizations such out public service crime index
e, Inc., as the National announcements about decline
2012) Crime Prevention health promotion and within the
compared Council to obtain safety (Minnesota community.
to the materials on safety Department of Health, The nurse
national and crime 2006). will adjust
average prevention for interventions
total crime distribution. accordingly.
risk index
of 100
(Milwauke
 COMMUNITY CARE PLAN 11

e, WI
53212
Crime 1b. Collaborate 1b. 1b. 1b. Consultation
Indexes). with community Primary Community between community
church leaders in health nurses and
order to promote community
and distribute organizations such as
information (word churches is aimed at
of mouth, fliers, bringing health issues
pamphlets) about to the attention of
domestic violence, decision-makers for
signs of violence, the purpose of
and hotlines to call changing laws,
in case of risk for regulations, and
harm. policies that effect
community health and
wellness. This
collaboration may also
create compelling
reasons why
community partners
would want to become
more involved in
developing resources
and supporting anti-
crime efforts
(Minnesota
Department of Health,
2001).

1c. Contact local

1c. System
school and 1c. The nurses build
collaborate with 1c. Primary coalition with the
school school system and
administrators and another organization
anti-drug and anti- in order to work
violence towards achieving a
community common goal: to
organizations in lower drug and
order to support and violence activity
COMMUNITY CARE PLAN 12

promote a social within schools. This

marketing coalition may help to
campaign that is raise awareness on the
aimed at reducing issue and highlights
drug use in the role of nurses and
adolescents and community
abstinence from organizations (Nies &
violence. McEwen, 2011).
2) The nurse
will conduct
2. The 2a. System a follow-up
2a. Encourage local 2a. Policy
53212 survey
policy makers and 2a. Primary development and
community within 3
safety enforcement enforcement is
will adopt months of
agencies to be important in
one new
vigilant about promoting community home safety
household with all
making sure homes health and safety.
security
and lots are up to These population-level community
measure members
date on home safety legislative
within 3 completing
codes in the 53212 interventions are part
months of the home
community. of a wider, more
completion safety course
comprehensive
of a of home
campaign to secure
community
public support for the improvement
health s around the
underlying health
education 53212
promotion message
class on community.
(BMC Public Health,
home
2010).
safety.

2b. Send leaflets 2b. System 2b. Support of healthy

through the mail to
community activities
the 53212 2b.
promotes health
community Primary
lifestyles and reduces
residents regarding
health threats and risks
information about
in the community.
crime statistics in
Health teaching
the 53212
through printed
community,
materials is one way to
neighborhood
support the
safety, home safety,
community (World
 COMMUNITY CARE PLAN 13

and websites to Health Organization,

reference on the 2010).
subject of ways to
improve the safety
of a home and
neighborhood.

2c. The influence of

2c. Organize a class 2c.Communi peer pressure and
on home safety and ty modeling by adults
crime prevention has an effect on
that parents and 2c. Primary children’s safety
children can attend behaviors. Children
for free. were more likely to
practice safety if their
friends were practicing
safety or if they were
with an adult who was
practicing safety
(Community-Based
Injury Prevention
Interventions, 2000).

Diagnosis 1. Adults 1a. Community 1a. Primary 1a. 1a. Socioeconomic 1. Conduct
3: 65 + within adults 65+ will Aggregate status (SES) and yearly
Readiness the 53212 participate in a community unequal access to surveys of
for community mailed survey to health care are thought vaccination
advanced will assess barriers to to contribute to rates in the
immunizati increase flu and disparities in elderly
on status of their pnuemococcal vaccination rates population of
the adult influenza immunizations such (Egede, 2003, p. 326). 53212.
ages 65+ in and as access, cost, and
zip code pneumococ cultural differences.
53212 cal
related to vaccination
low elderly rates to 1b. 1b. A surveillance
1b. Survey of all
(65+) 75% by 1b. Aggregate system is useful if it
primary care
immunizati December Primary community contributes to the
providers in the
on rates aeb 53212 community prevention and control
 COMMUNITY CARE PLAN 14

31% total 30, 2013. to observe methods of adverse health

population and frequency of events, including an
Influenza immunization improved
vaccination promotion to 65 + understanding of the
rate and adults. public health
27% total implications of such
population events. A surveillance
Pneumococ system can also be
cal useful if it helps to
vaccination determine that an
rate in adverse health event
53212 previously thought to
(Racial and be unimportant is
ethnic actually important
disparities (CDC, 1988).
in
immunizati
on 1c. Community 1c. Increasing
initiative health nurse will 1c. Primary 1c. System community education
community work with and providing
plan for community immunizations free
Milwaukee, healthcare through Medicare will
Wisconsin, providers to increase immunization
2004). coordinate rates among elderly.
opportunities for (Eves, 1994).
immunization at
free clinics in the
53212 zip code.

2a. Nurse will

2. Adults 2a. There is a general 2. Assess
assess the 53212
65 + within lack of awareness knowledge of
community adults’ 2a. Primary 2a.
the 53212 among parents and immunizatio
65+ current Aggregate
community adolescents about the n
knowledge about
will risk and severity of risks/benefits
immunization
demonstrat infectious diseases and in adults 65+
benefits through
e an the need for in the 53212
mailed out surveys.
understandi immunizations community
ng of the (Lehmann & Benson, using
COMMUNITY CARE PLAN 15

risks and 2009) (Ackley & questionnaire

benefits of Ladwig, 2010, 461). s at
individual 2b. Nurse will immunizatio
immunizati assess 53212 2b. Cultural sensitivity n sites during
community adults 2b. 2b. is the foundation of
on each visit.
decisions. 65 + cultural beliefs Primary Aggregate community outreach
and practices that (Stauffer, 2008)
may have an impact (Ackley & Ladwig,
on the educational 2010, p. 463).
and decision
making process
specific to
immunization
through mailed
surveys.

2c. Assist adults in

2c. Social marketing is
acquiring
a behavior change
appropriated 2c. System
strategy that offers a
information and
2c. Primary promising, nuanced
resources regarding
population-level
immunization
approach toward
through a social
maintaining the
marketing
societal consensus for
campaign.
immunizations and
potentially increasing
vaccination rates
(Opel, 2009).
COMMUNITY CARE PLAN 16

References

Ackley, B. J., & Ladwig, G. B. (2011). Nursing diagnosis handbook: An evidence-based guide to

planning care (9th ed). St. Louis, MO: Mosby Elsevier.

Advameg, Inc. (2012). 53212 Zip code detailed profile. Retrieved from

http://www.city-data.com/zips/53212.html

Baumgardner, D. J., Cisler, A. R., Halsmer, S. E., Remington, P. L., Swain, G. R., & Vila, P. M.

(2009). Health disparities in Milwaukee by socioeconomic status. Wisconsin Medical

Journal, 106(7).366-372.

Berkelman, R. L., Buehler, J. W., Klaucke, D. N., Parrish, R. G., Thacker, S. B., & Trowbridge,

F. L. (2007). Guidelines for evaluating surveillance systems. CDC WONDER. Retrieved

from http://wondercdc.gov/wonder/Prevguid/p0000112/p0000112.asp

Centers for disease control and prevention. (2010). Data and statistics. Centers for Disease

Control and Prevention. Retrieved from http://www.cdc.gov

CLRChoice, Inc. (2012). Milwaukee, WI 53212 crime rate indexes. Retrieved from

http://www.clrsearch.com/53212-Demographics/Crime-Rate

Edelman, C. L., & Mandle, C. L. (2010). Health promotion throughout the life span (7th ed.). St.

Louis, MO: Mosby Elsevier.

Egede, L. E., & Zheng, D. (2003). Racial/ethnic differences in adult vaccination among

individuals with diabetes. American Journal of Public Health, 93(2), 324-329. Retrieved

from http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.93.2.324
COMMUNITY CARE PLAN 17

Eves, D. G., Lave, J. R., Traven, N. D., & Kuller, L. H. (1994). Impact of Medicare

reimbursement on influenza vaccination rates in the elderly. Preventative Medicine,

23(2), 134-141. Retrieved from

http://www.sciencedirect.com/science/article/pii/S009174358471019X

Howden, L. (2011). U.S. Census Bureau. Retrieved from

http://www.census.gov/prod/cen2010/briefs/c2010br-03.pdf

Jepson, R. G., Harris, F. M., Platt, S., & Tannahill, C. (2010). The effectiveness of interventions

to change six health behaviors: A review of reviews. BMC Public Health, 10(538), doi:

10.1186/1471-2458-10-538

Klassen, T. P., MacKay, J. M., Moher, D., Walker, A., & Jones, A. L. (2000). Community-based

injury prevention interventions. The Future of Children,10(1), 83-110.

Nies, M., & McEwen, M. (2011). Community/public health nursing (5th ed.). St. Louis, MO:

Elsevier.

Minnesota Department of Health. (2001). Public health nursing section: Public health

interventions–applications for public health nursing practice. St. Paul, MN: Department

of Health.

Minnesota Department of Health, Office of Public Health Practice. (2006). Wheel of public

health interventions: A collection of “getting behind the wheel” stories 2000-2006. St.

Paul, MN: Department of Health.

Opel, D. J., Diekema, D. S., Lee, N. R., & Marcuse, E. K. (2009). Social marketing as a strategy

to increase immunization rates (2009). Archives of Pediatrics & Adolescent Medicine.

Retrieved from

http://archpedi.jamanetwork.com/article.aspx?articleid=381438#AuthorInformation
COMMUNITY CARE PLAN 18

Racial and ethnic disparities in immunization initiative community plan for Milwaukee,

Wisconsin. (2004). Retrieved from

http://www.docstoc.com/docs/52395547/Racial-and-Ethnic-Disparities-in-

Immunization- Initiative

Sperling, B. (2010). Religion in Milwaukee (zip 53212), Wisconsin. Sperling's best places.

Retrieved from http://www.bestplaces.net

United States Census Bureau. (2010). In American fact finder. Retrieved from

http://factfinder2.census.gov

Welschen, L. M. C., Bloemendal, E., & Nijpels, G. et al. (2005). Self-monitoring of blood

glucose in patients with type 2 diabetes mellitus who are not using insulin. Cochrane

Database System Review (2), CD005060.

Wood, C. (2003). The importance of good record-keeping for nursing. Nursing Times, 99(02),

26.

World Health Organization. (2010). A framework for community health nursing education. New

Delhi, India: World Health Organization, Regional Office for South-East Asia.

World Media Group, LLC. (2012). 53212 Zip code population and races

Retrieved from http://www.usa.com/53212-wi.htm

Zedler, B. K., Kakad, P., Colilla, S., Murrelle, L., & Shah, N. R. (2011). Does packaging with a

calendar feature improve adherence to self-administered medication for long-term use:

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http://zipatlas.com/us/wi/milwaukee/zip-53212.htm
 COMMUNITY CARE PLAN 19

Appendix A
Windshield Survey

Zip Code: 53212

TYPE Description
a. Boundaries We surveyed the 53212 community. This zip code has a few names. They include
Riverwest, Riverworks center, and Brewers Hill. The Milwaukee River borders the East
of 53212 and Highway 43 borders the West of 53212. Hampton Avenue borders the north
and Juneau borders the south end of the 53212 zone.

b. Housing & Zoning Many of the houses in the area are very old and run down. Some homes are even vacant
c. Signs of Decay and boarded up. Most of the houses that are occupied are disheveled. The yards are not
kept up and the driveways and sidewalks are cracked and full of weeds. The houses have
very small yards. There are many play grounds in the area; however these are also old and
not well kept. Many of the homes are single family homes. However, there are
multifamily homes as well. In addition there are apartment buildings scattered throughout
the zip code area. There is very little new development of houses or businesses. So little,
development in this area that it seems out of place in such a run-down neighborhood.
There was one commercial zone that was very small.
d. Parks, recreation There are many parks in 53212. They include Kilbourn, which is located on North
areas Avenue at Bremen Street; Estabrook, where the north end of the park is on East Hampton
e. Common or shared Avenues. The east side of the park runs along the Milwaukee River and the west side of
space the park runs along Wilson Drive. The south end of the park ends at Capitol Drive. Finally
another park includes Lincoln park, which is located at 1301 West Hampton Avenue.
Also there are many small basketball courts and play areas. The parks we observed were
all open to the public. We observed many people using the park system. African
American, Hispanics, Caucasians and Asians were all seen enjoying the parks. Estabrook
Park seemed to attract the most diverse group of people. This park had Frisbee golf,
soccer fields, hiking and walking paths, a baseball diamond, dog park and picnic areas.
Lincoln park was especially noteworthy because of the waterpark, swimming pool and
golf course.
f. Stores In the 53212 area we observed a few grocery store. These included Pick’n’Save, Piggly
Wiggly, Aldi and OutPost. Pick’n’Save is located at 1100 East Garfield Avenue. Piggly
Wiggly is located at 709 East Capitol Drive. Aldi is located at 9700 West Capitol Drive
and OutPost is located at 100 East Capitol Drive. These grocers all contain meat and
produce. However, they are far away from each other. There are MANY corner liquor and
convenience stores. Almost one on every street corner. Some stores looked open others
appeared deserted. Residents in 53212 appear to travel to stores by walking or taking the
bus and a select few use automobiles. We saw three laundry mats which were relatively
close to the entire area. We also observed a few Walgreens and pharmacy stores. In
addition we saw an ethnic store called Pueblo Foods – Grocery Mart.
g. Transportation People in this neighborhood mainly take the Milwaukee County Bus System. The streets
are run down, filled with cracks and bumps. Highway 43 borders the West side of the
neighborhood which could be dangerous to pedestrians walking. There are many public
transportation bus routes available. We observed many pedestrians using the bus system.
The public transportation takes you almost anywhere you want in the city of Milwaukee
 COMMUNITY CARE PLAN 20

and many surrounding cities. Traffic in the area is busy. The streets are loud due to high
frequent traffic. The vehicles that are on the road are old and noisy. They also look rusty
and worn out.
h. Service Areas There are many service and recreation services in the 53212 zip code. There is the
Riverworks Center located at 526 East Concordia Avenue. Creative Care Wellness Center
is located at 534 East Burleigh Street. Holton Youth and Family Center is located at 510
Eat Burleigh Street. Greater Philadelphia COGIC Resource Center is located at 2449
North Dr. Martin Luther King Drive. Safe and Sound – Reducing Crime Center is located
at 801 West Michigan Street. Heart Love Place and Head Start – Center for Children is
located at 3229 North Dr. Martin Luther King Drive.
i. Activities on the There are many neighborhood residents walking around on the streets. People cross the
streets streets even while not at cross walks. Many people hang out in groups at corners of
streets. The streets are busy with cars but also busy with pedestrians. Almost every block
has at least five individuals. People are dressed appropriate for the weather. Many people
were wearing tennis shoes, baggy clothes and baseball hats. We saw no animals other than
people’s dogs they were walking.
j. Protective Services We did not observe any fire departments. However, there was a Milwaukee Police
– Fire & Police department and a Women’s Correctional Institute. The Milwaukee Police Department is
District 5 and is located at 920 North 4th Street. The women’s correctional institute named
Milwaukee Women’s Correction Center, is located at 615 West Keefe Avenue.
k. Cultural The ethnicity mainly observed was African Americans. We also observed a few Hispanics
Characteristics / and Caucasians. In this neighborhood towards Highway 43 and Water Street is where the
Ethnicity / African Americans live. Toward the Milwaukee River and North toward Estabrook Park
Religion is where the Caucasians live. Near Center Street there seems to be mixing of African
Americans and Caucasians. We observed a Methodist church, True Love Baptist church
Providence Church and Greater Bethlehem Temple. There were many other places that
looked like churches but we could not find a name and/or they looked closed and
abandoned.
l. Class We would characterize the residents as part of the working class and lower class. This
judgment is based upon the appearance of the neighborhood. Most people drive old cars,
and live in old, run down houses. In addition the schools and churches also look worn
down and old. No one in the neighborhood appears to have an excess amount of money to
clean up their homes and neighborhood.
m. Health & There were many people on the streets smoking cigarettes. Many old automobiles were
Morbidity giving off exhaust and fumes. Also, houses and corner stores appeared dusty and probably
filled with asbestos due to the age of the buildings and homes. The residents of 53212
drink city water. They also use the Milwaukee sewage system. There are no hospitals in
the area. However, there is a dentist and a dialysis clinic. The Community Dental Clinic –
Marquette University is located at 210 West Capitol Drive and Columbia St. Mary’s
Dialysis Center is located at 400 West Estabrook Boulevard. There is also a Planned
Parenthood and a Heritage Health Center. Planned Parenthood is located at 801 East
Capitol Drive and Heritage Health Center is located at 2555 North Dr. Martin Luther
King Drive. We also observed two community gardens.
n. Politics We saw very little political posters and campaigns. The two signs we did see were for
Malohne Mitchell. We were unsure what his position of status is.
 COMMUNITY CARE PLAN 21

o. Employment There are not many large businesses to provide work. There were many corner stores to
work at. A few larger businesses for employment for the resident includes: Home Depot,
Wal-Mart, Goodwill and small stores throughout the neighborhood. One business that
looked large and would need employment was Compo Steel Products located at 3637
North Holton Street.
p. Schools There are elementary, middle and high schools in the area. A few schools would include
Messmer high school, Milwaukee Math and Science Academy and Peace Elementary
School. Messmer is located at 742 West Capitol Drive. Milwaukee Math and Science is
located at 110 West Burleigh Street. Most are large old brick buildings. Very few have
play grounds or grassy areas. The ones that do have outside space, they are run down and
look deserted. The schools appear to be old. We saw one baseball diamond at a school but
all the others barely had a playground and if anything a basketball court.
q. Other Community In the neighborhood there was the Milwaukee Public Library, TMJ4 News station, and a
Resources Post office.
COMMUNITY CARE PLAN 22

Appendix B
Epidemiological Data

53212 City State National

Population (2010) 32,948 597,867 5,686,986 281,421,906
Gender
Male 46.1% 48.2% 49.7% 49.2%
Female 53.9% 51.8% 50.3% 50.8%
(Advameg, Inc.,
2012)
Race
White 35.9% 37.0% 86.2% 72.4%
Black 55.0% 39.2% 6.3% 12.6%
Hispanic 9.3% 17.3% 5.9% 16.3%
Asian 0.9% 3.5% 2.3% 4.8%
Native 0.7% 0.03% 1.0% 1.1%
One race, other 3.7% 0.1% 2.4% 6.2%
Two or more 3.8% 2.2% 1.8% 2.9%
(Advameg, Inc.,
2012)
Education
Less than high
school 39.6% 25.2% 10.2% 12.1%
High school/GED 15.7% 30.2% 33.7% 85.3%
< 1 year of college 3.7% 6.6% 6.9% -
>1 year of college 10.8% 14.1% 14.3% -
Associates Degree 4.3% 5.7% 9.1% 6.32%
Bachelors Degree 14.3% 12.3% 17.2% 24.2%
Advanced Degree 5.82 - 7.16% 8.86%
(Zip Atlas, 2012)
Employment
Employed 52.32% 60.7% 64.4% 59.4%
Unemployed 9.85% 6.2% 4.6% 5.1%
Private Workers 80.92% 84.92% 81.6% 78.5%
Government 14.55% 11.8% 12.4% 14.8%
Workers
Self- Employed 4.12% 3.9% 5.8% 6.5%
(U.S. Census
Bureau, 2010)
Transportation
Car 60.5% - 79.5% 76%
Carpool 14.6 - 9.9% 12.2%
Bus 15% - 1.8% 4.9%
Bike 1.4% - 1.7% 1.7%
Walk 3.5% - 3.7% 2.8%
(U.S. Census
Bureau, 2010)
Household
Median Age 30.8 years 30.3 years 44.3 years 35.3 years
COMMUNITY CARE PLAN 23

Household Size 2.2 people 2.5 people 2.4 people 2.5 people
Median income $31,217/year $34,868/year $50,814/year $38,844/year
Income below 41.4% 27.0% 12.1% -
poverty level
House or condo $183,700 $139,100 $171,000 $119,6000
value
(Advameg, Inc.,
2012)
Household
Income

Less than $10,000 21.8% - 7.1% 9.9%

$10,000-$14,999 9.8% - 5.8% 6.4%

$15,000-$24,999 21.0% 12.9% 8.7% 9.2%

$25,000-$34,999 15.0% 13.0% 10.2% 9.9%

$35,000-$49,999 15.3% 16.8% 15.3% 14.4%

$50,000-$74,999 10.4% 18.3% 21.3% 18.9%

$75,000-$99,999 3.7% 11.1% 15.6% 14.1%

$100,000- 2.0% 5.4% 8.8% 8.5%

$149,999

$150,000- 0.3% 1.2% 2.6% 3.6%

$199,999

$200,000 or more 0.6% 1.2% 2.7% 4.3%

(Zip Atlas, 2010)

Religion

Catholic 24.1% 18% 13.1% 25.0%

Lutheran 8.8% 9.1% 4.9% 4.6%

Jewish 1.6% 3.2% 0.3% 1.8%

Baptist 1.8% 5.4% 13.7% 16.3%

(Sperling, 2010)

Crime (risk
index:100
national average)
COMMUNITY CARE PLAN 24

Total crime risk 329 85 100

Murder risk 283 58 100

Rape risk 238 71 100

Robbery risk 485 59 100

Assault risk 165 54 100

Burglary risk 161 73 100

Larceny risk 188 96 100

Motor vehicle theft 382 60 100

risk

(CLRChoice, Inc.,
2012)

Pollution (risk
index:100
national average)

Pollution - 84 80 100

Ozone index - 83 80 100

Lead index - 57 56 100

Carbon Monoxide - 81 90 100

index

Nitrogen Dioxide - 106 88 100

index

Particulate Matter - 84 78 100

index

(CLRChoice, Inc.,
2012)

Morbity and
Mortality

Morbity 15% 12% 10%

Mortality 8.6% 6.1% 7.2%

COMMUNITY CARE PLAN 25

Obesity(per 1,000) 30.7 22.1 35

CVD (per 1,000) 209 198.7 35

STD (per 100,000) 3,164 483 426

Smoking (per 34 22.7 19.3

1,000)

Cancer (per 1,000) 169 190.9 172.8

Diabetes (per 19 14.3 20.8

1,000)

Alcoholism (per 16 16.6 9.4

1,000)

Lead poisoning 6.1 3.9 2.2

(per 1,000)

(CDC, 2010)

Influenza vaccination rates among African Americans (Medicare Part B Beneficiaries 65 yrs and
older) 2001, MetaStar Data

Zip Total number Total African African Total Non-

Code of population American American number of African
beneficiaries vaccination beneficiaries vaccination non- American
rate rate African beneficiary
American vaccination
rate

53205 199 29% 535 29% 64 27%

53206 2,036 27% 1,980 27% 56 25%

53209 4,275 49% 1,466 34% 2,809 56%

53210 1,173 40% 514 25% 659 52%

53212 1,625 31% 1,064 28% 561 37%

Area 9,708 39% 5,559 29% 4,149 52%

total

(Opel, Diekema, Lee, Marcuse, 2009)

COMMUNITY CARE PLAN 26

Pneumococcal vaccination rates among African Americans (Medicare Part B Beneficiaries 65 yrs
and older) 2001, MetaStar Data

Zip Code Total Total African African Total Non-

number of population American American number of African
beneficiaries vaccination beneficiaries vaccination non- American
rate rate African beneficiary
American vaccination
rate

53205 667 23% 457 23% 210 22%

53206 2,080 23% 1,614 23% 466 22%

53209 4,325 41% 1,178 28% 3,147 45%

53210 1,256 34% 394 24% 862 38%

53212 1,703 27% 859 22% 844 32%

Area total 10,031 33% 4,502 24% 5,529 39%

(Racial and ethnic disparities in immunization initiative community plan for Milwaukee,
Wisconsin, 2004)
COMMUNITY CARE PLAN 27

Appendix C
Key Informant Interview

Interviewing key informants in a community is an easy way to obtain important

information about the community. It’s a great way to hear from the people who interact in the

community and listen to their viewpoints. It also allows us to compare community strengths and

weaknesses. By studying the windshield survey and statistics of the 53212 community compared

to local, state, and national levels, we were able to come up with important topics that need to be

addressed within this community.

Some of the major issues that need to be addressed in the 53212 community include

crime and lack of higher education. The statistics show that the crime rate in this area code is

immensely larger when compared to the state and national levels. Also, this area code shows a

lack of higher education and a much greater high school drop-out rate when compared to the

state and national levels. Another pertinent issue to address is the high rate of morbidity found

here. As a result of this, we found it crucial to interview two key informants of the community.

The first interview we held was with the Community Liaison Officer, who works at the

Milwaukee Police Department District 5 to address crime in the 53212 area code. The second

interview we held was with an administrator from a high school on Martin Luther King Drive

(requested to remain anonymous).

The interview with the Community Liaison Officer focused on obtaining further

information regarding crime in the community. The officer stated that District 5 is the “busiest

district in all Milwaukee”. The types of crime vary, but the most frequently seen in the 53212

area code are burglaries, shootings, and armed robberies. Crime is caused by all age groups, but

the officer stated that it commonly deals with people in their late teens and mid-twenties. When

asked about safety, the officer stated that for the most part the community members feel safe, but
COMMUNITY CARE PLAN 28

it just depends on the location. Calling the police when a crime is committed is often the biggest

problem the community members lack to do, which makes it harder for the Milwaukee police

department to help maintain safety. The community members and the Milwaukee police

department set in place block watches within the community to help reduce and prevent crime.

The police and community members in that specific area meet from time to time and talk about

ways to help protect themselves and their neighbors. They set in place protocols that the

community members should do when a crime is being committed. Community members also

adopt household security measures to prevent crime. The officer stated that many community

members use lights, motion sensitive lights, alarm systems, and keep doors and windows locked.

Some even have their own security cameras! Overall, the officer believes that the Milwaukee

police department does a good job at keeping the community members as safe as they can be (R.

Robakowski, personal communication, November 19, 2012).

The second interview with the administrator of the private high school was very

beneficial at addressing many different issues of concern in the 53212 area code. The student

body from this school is 100% African American. According to the administrator, the reason

why morbidity is higher in this area code is due to many health problems in the community. One

of the major health problems is the increased obesity in students due to the availability of poor

food choices. The students eat a lot of fast food and snacks from corner stores, which offer

mainly processed food products. Home life is difficult for many; therefore, it is often difficult for

their mothers to cook meals. There is a lack of grocery stores in certain areas of the community,

which prohibits families to prepare healthy food meals as well. The poverty level in this

community is much higher when compared to the state and national levels. As a result, most low-

income families can’t afford to purchase healthier food, which is normally more expensive.
COMMUNITY CARE PLAN 29

Although home life and putting food on the table every day is tough for many families in this

community, there are nutritional programs available. This high school offers free or reduced

lunch for those who qualify, which is 98% of the student population. Along with that, Heart

Love Place has a free summer lunch program and St. Vincent De Paul has a soup kitchen that

offers free meals for those who qualify.

Another issue that the administrator addressed about the community concerned

immunizations and the overall health status of students. Families often lack education on when to

go the doctor for routine check-ups and immunizations. It is hard to know what immunizations

students have or haven’t received because many have not kept a record of what they received and

where they received them. Also, it is noted that students either go to the doctor too often or too

little and for the wrong reasons. Many students are able to access health care, but they need to be

educated on how to better utilize the facilities. There is a lot of misuse of healthcare services. It

has been voiced by many community members that they would like more support, especially

more monetary support, meaning free healthcare opportunities. Community members would like

healthcare to be a one stop shop instead of having to go to multiple places for immunizations,

check-ups, and screenings. They don’t have the time or resources to go to many different

healthcare centers. The administrator noted that overall the students don’t seem well nourished.

For example, many students hair is not healthy, skin is dry, and many are obese. These are the

reasons why the health statuses of many students are poor and morbidity has increased in this

community.

The administrator had many other pieces of valuable information about the community.

The main source of public transportation is the bus, which for many is the only source of

transportation. Some kids have difficulty getting to school and home after school due to lack of
COMMUNITY CARE PLAN 30

bus routes near their neighborhood so many have to walk. The students participate in recreational

activities, but they differ between genders. Boys often like to hang out at parks and play

basketball. On the other hand, girls like to go shopping. There are multiple parks accessible to

the public in this community, but not many hiking paths or bike lanes. Recycling is not a priority

in the community along with the high school. Hazardous waste is not disposed of in the right

way. In the high school, paper is not even recycled.

Overall, this community does not have a large sense of community and “caring for its

residents.” The residents are proud of their families, but not of their community. The students at

the high school talk about how they want to get out of Milwaukee, and refer to where they live as

the “ghetto.” Many of the high school students are scared to go out at night because they are

afraid of being mugged or robbed. Many issues cause stress to the community and the high

school students including poverty, access to good education, living in a household where the

mother has a boyfriend who molests the children, violence, crime on the street, and racial

tension. Lastly, the administrator spoke of how the media shines a bad light on the high school.

The news stations only show up when something bad happens, not when something successful

happens (Administrator, personal communication, November 19, 2012).

These two key informant interviews with the Community Liaison Officer and with the

administrator at a local high school gave a great insight as to what this community is like to live

in on a day-to-day basis. The two people interviewed did a very thorough job at explaining key

issues that cause conflict in the community and the problems that need improvement. All the data

collected will be very beneficial to community health nurses for addressing the key issues in the

community and establishing ways to help improve these issues.

COMMUNITY CARE PLAN 31

Appendix D
Public Policy Letter

Brittany Hilker
1921 East Hartford Avenue
Milwaukee, WI 53211
November 24, 2012

Lena Taylor
Senator
Milwaukee Office
1518 West Capitol Drive
Milwaukee, Wisconsin 53206

Dear Lena Taylor:

My name is Brittany Hilker. I am a senior nursing student attending the University of Wisconsin-
Milwaukee College of Nursing. I am writing to inform you of some health problems in one of the
communities that you serve. These issues are of great concern to me as a future nurse because I
desire to see the community engage in health promoting behaviors. The current condition of this
community does not promote physical, social, and mental well-being. Without action, I fear that
this community will continue in its current state or grow worse.

I have been working with a group of eight other nursing students this semester to complete a
comprehensive community nursing assessment of zip code 53212. We reviewed the zip code’s
demographic data and morbidity and mortality rates, along with making observations of the area
and interviewing two key informants familiar with this community to determine the local health
problems. The three major community health problems we found in this zip code include:
1) Low immunization rate. Community members are at greater risk for acquiring vaccine-
preventable diseases. These diseases can be deadly or cause serious consequences.
Community education is important in raising awareness of vaccine-preventable diseases
as well as providing the community with the information and means of attaining such
treatments.
2) High crime risk. High crime rates affect the community as a whole. Shootings, strong
armed robberies, and break-in’s put members of the community at risk of bodily harm,
financial and material loss, and worst case scenario death. Educating the public on
reporting criminal incidences properly, efficiently, and effectively can help to reduce the
amount of crime within the community. It is also important to inform the community on
ways to minimize the risk of being the victim of a criminal offense such as locking doors,
leaving blinds closed, walking in well-lit areas, and removing valuable items from
vehicles to name a few.
3) High risk for health disparities. Community members may not have access to any care
which puts them at an increases risk for disease. This includes the absence of
preventative care, health screening, and access to health management for chronic
conditions.
COMMUNITY CARE PLAN 32

I think that these are important issues that need your attention. I urge you to support legislation
that will help ameliorate these community health problems, such as lobbying to enact the
proposed amendments pertaining to the bills of the state assembly JR1 SB12, JR1 SB11 and SE1
AB6. This pending legislation addresses the issues of increasing the current amount of state aid
for the Medical Assistance Program and increasing tax exemptions to employers who reimburse
their employees for their medical expenses. Please reply to me at the address above. I would
appreciate knowing how you might respond to these problems.

Thank you for your support.

Sincerely,

Brittany Hilker
COMMUNITY CARE PLAN 33

Appendix E
Group Process Evaluation

Throughout the process of completing our community care plan project, our group

encompassed many strengths as well as weaknesses. In a group upwards of ten people, it can

become difficult to reach an easy decision regarding meeting times, or task delegation of the

project guidelines. We managed to stay on top of our responsibilities as a group and completed

designated tasks by their deadlines. We maintained consistent communication to ensure that all

members were aware of any and all information.

To be an effective team, the work needs to be shared by all members, power and control

should be shared, communication must be present, and trust among members. Members must be

willing to cooperate, deal with conflicts, and be committed to the same outcome. There were

certain strengths in our group which enabled a forward working process to prevent any type of

“standstill” in productivity. Any conflicts of interest among group members were addressed

immediately. Evident leadership was displayed by some members which was a driving force to

the rest of the team by initiating decision making and other team processes. When a leader arose

in certain areas, there was no overbearing power and control by that member. This sharing of

control allows for trust among members and also equal responsibilities. Synergy within our

group was created by having a clear purpose of the project objectives, flexibility within the team,

truthfulness, active listening, and a commitment to solving problems.

Although many strengths were present within our team, some weaknesses existed as well.

There were times when group members were unable to meet at designated times due to work

schedules, driving distances, and other reasons. This posed a problem by disabling our group to

come together completely as a whole to discuss in detail, the aspects of the project. This is
COMMUNITY CARE PLAN 34

inevitable with a group so large to arrange for every member to meet at one specific time. We

were able to collaborate and work as effectively as possible to move forward with all members

who were present. Those that were unable to meet were promptly informed about group progress

and any tasks to be completed. This is relative to the importance of flexibility within an effective

team.

There were different decision making styles incorporated within our group process. Some

decisions were made using a delegation procedure process while others were made using a

consensus- decision making process. Most decisions were made on a consensus basis with all

members in the group present after class times, during scheduled group meetings, or over email.

The delegation procedure process was utilized with distributing project responsibilities and tasks

to each member of the team.

At various points in the project development, conflicts arose and each member’s conflict

management style became a key factor in the resolution or prolongation of these conflicts.

Compromising, accommodating, and collaborating styles were evident, but there was a

prominent collaboration style of conflict management among the group. Assertiveness,

collaboration, and affirmation allowed problems to be addressed and resolved collectively in

order to avoid any halts.

While working in a group environment, different personalities were present among the

group which could ultimately affect the working dynamic within the team. The members that

rose as leaders expressed the “eagle”-termed personality by exhibiting bold and decisive

characteristics. This type of personality displayed high motivation to completing tasks and

making decisions on a timely manner without hesitation. The “owl” personality trait was also
COMMUNITY CARE PLAN 35

present among multiple members. These members displayed wise and logical thinking

throughout the project process, giving reasonable insight and suggestions.

Reviewing our group process, organization was an important dynamic to the success of

this project. The most effective time of group work and communication occurred during a

meeting session where everyone could be in the same place, at the same time, to clarify project

objectives. Miscommunication can occur through indirect forms of communication such as

emails or text messaging which is why we valued in-person discussion greatly. Keeping in mind

the large group size as well as personal obligations, flexibility and accommodation was essential

in “maintaining speed” of the process. All team members had an overall understanding of their

responsibilities of delegated tasks and their accompanied deadlines. We learned that trust within

the group had room for improvement because it facilitates an overall healthier work

environment. We experienced cooperation as well as divergence that can exist within a team and

the important steps and characteristics that make an effective team possible.
COMMUNITY CARE PLAN 36

Appendix F
Project Work Plan Log

Partners’ Roles:
Manager: Natalie McGovern Recorders: All City: Milwaukee Zip code
Area: 53212

Community Boundaries: North: Hampton Ave South: Juneau Ave East: The Milwaukee
River West: Highway 43

At your first meeting discussion the following and document your discussion.
1. What method of decision-making will you use?

______X____ Consensus __________ Autocratic

___________ Brainstorming

2. Who will be typing the paper? Work was split between all members. Final product put
together and printed by Natalie.

3. Project Process - Attending to your process is critical. Some things that you may want to
discuss are the expectations that each partner will:
Do his or her fair share of work Attend all meetings
Turn in work in a timely fashion Be a positive problem solver
Value opinions of partner Give constructive feedback to
partner
Exhibit critical thinking

Describe how you will deal with conflict and workload distribution problems that may arise?
We will distribute the work fairly and solve conflicts by popular vote.

4. What other ground rules did you establish?

We will communicate in class, via email, and through phone.
All distributed parts must be completed by the set deadline and emailed to fellow group members
for review.
All members will attend group meetings.
All members will be respectful of others ideas/opinions.
COMMUNITY CARE PLAN 37

This tool will help you determine what your tasks or actions are, who will be responsible and
when it must be done. You need to be detailed in this and review this plan each time you meet,
evaluating what has been done and adding tasks or actions to the list.

Learning Objective Action Steps Staffing Timeline Evaluation

Drive through 53212 Natalie, 9/28/12 Work was
Windshield survey neighborhood. Observe Crystal, and precise, showed
and assess community Casey adequate
characteristics and coverage, and
resources. was completed
on time.
Demographic data Paul, 10/12/12 Work was
Vital statistics categories were Warren, completed on
collection distributed among Mariya, Joe, time and the
(epidemiological members, who compared Brittany, and necessary
data) zip code, county, state, Jessica. revisions were
and/or national data. made.
Members sent
information to Jessica,
who put it in a table.
Table was reviewed and
edited by Brittany.
Compare zip code, Paul, 10/16/12 Work was
Data analysis paper county, state, and/or Warren, completed and
national data. Summarize Brittany necessary
community health revisions were
concerns. Written by Paul made.
and Warren. Reviewed
and edited by Brittany
After assessing Diagnosis 1: 11/2/12 Work was
Nursing diagnoses community data, 3 Jessica and completed and
and outcomes nursing diagnoses were Paul. necessary
created including 2 Diagnosis 2: changes were
outcomes, 3 Mariya made. Final
interventions, levels of Diagnosis 3: product was
prevention and Crystal and emailed to all
intervention, rationales, Natalie members for
and evaluation. further revision.
Group meeting Group met to review and Natalie, 11/19/12 Not all members
organize all information Jessica, attended.
already obtained and Crystal, Completed tasks
distribute the rest of the Brittany, were discussed
project tasks. Casey, and and planning for
Paul. future tasks was
completed.
COMMUNITY CARE PLAN 38

Phone interview with a Natalie and 11/23/12 Interviews were

Key informant community liaison officer Casey completed and
interview from the Milwaukee necessary
Police department and an information was
Administrator from a obtained.
local high school
Write letter to public Brittany, 11/27/12 Completed on
Public Policy Letter official following the Casey and time and
template on D2L Joe reviewed by the
group.
Description of group Crystal 11/27/12 Paper completed
Group process achievements and and discussed
evaluation challenges using with group
terminology from members for
previous courses. further revisions.
Group meeting Group met to finalize all Natalie, 11/27/12 Group worked to
project work! Jessica, organize and put
Crystal, final touches on
Brittany, the paper.
Mariya, and
Paul.
APA reference list Group members All 11/30/12 References were
collaborated to put successfully
individual resources into gathered and put
APA format. Emailed to onto one page.
Natalie, who organized it
into one document.
Updated work plan Filled out and updated Jessica and 11/30/12 Project log was
and project log project plan with accurate Crystal updated and
data. finalized as work
was completed.