© 2019. Chamberlain University LLC. All rights reserved. 1 3/10/21 Direct Care Project Part 1 Substance Use Assessment and Diagnosis Template Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided.

There are two parts - online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name: Laquana Brown Date: May 15, 2021 Online Data Collection 1. Community Information Your Community Data Name of city or town and state Brooklyn, New York Population 2,559,903 Nature of this community (rural, suburban, urban) Urban Describe your community in 2-3 sentences Brooklyn, also called Kings County, is one of the best places to live in New York City as it provides the urban feel with many restaurants, bars, parks and coffee shops. It is the home of about 200 languages, and about 40% of its 2,559,903 population are foreign, making the community one of the most culturally diverse and as a shining example of multi-culturalism in the US. 2. Community Demographics a.

Go to i. The US data should automatically populate ii. Input your zip code or county/township name iii. Then input your state for comparison data iv. Enter the data into the table below v.

Compare the county, state, and US data Maria Di Giacomo Excellent job, Laquana!! © 2019. Chamberlain University LLC. All rights reserved. 2 3/10/21 County Data State Data U.S. Data Population total 2,559,903 8,336,,239,523 Male (subtract female % from .4% 47.7% 49.2% Female 52.6% 52.3% 50.8% Persons under 5 7.1% 6.5% 6.0% Persons over 65 14.4% 14.5% 16.5% Race and origin data County Data State Data U.S.

Data White alone 49.8% 42.7% 76.3% Black or African American alone 33.8% 24.3% 13.4% American Indian and Alaska Native alone 0.9% 0.4% 1.3% Asian alone 12.7% 14.1% 5.9% Native Hawaiian and other Pacific Islander alone 0.1% 0.1% 0.2% Two or more races 2.7% 3.6% 2.8% Hispanic or Latino 18.9% 29.1% 18.5% White alone, not Hispanic or Latino 36.8% 32.1% 60.1% Significant population characteristics County Data State Data U.S. Data Veterans 37,,924 18,230,322 Foreign born persons 36.1% 36.8% 13.6% Housing overview County Data State Data U.S. Data Housing units 1,065,399 x 139,684,244 Owner-occupied housing unit rate 30.1% 32.7% 64.0% Median selected monthly owner costs with a mortgage

2019 Chamberlain University Llc All Rights Reserved131021direc

© 2019. Chamberlain University LLC. All rights reserved. 1 3/10/21 Direct Care Project Part 1 Substance Use Assessment and Diagnosis Template Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided.

There are two parts - online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name: Laquana Brown Date: May 15, 2021 Online Data Collection 1. Community Information Your Community Data Name of city or town and state Brooklyn, New York Population 2,559,903 Nature of this community (rural, suburban, urban) Urban Describe your community in 2-3 sentences Brooklyn, also called Kings County, is one of the best places to live in New York City as it provides the urban feel with many restaurants, bars, parks and coffee shops. It is the home of about 200 languages, and about 40% of its 2,559,903 population are foreign, making the community one of the most culturally diverse and as a shining example of multi-culturalism in the US. 2. Community Demographics a.

Go to i. The US data should automatically populate ii. Input your zip code or county/township name iii. Then input your state for comparison data iv. Enter the data into the table below v.

Compare the county, state, and US data Maria Di Giacomo Excellent job, Laquana!! © 2019. Chamberlain University LLC. All rights reserved. 2 3/10/21 County Data State Data U.S. Data Population total 2,559,903 8,336,,239,523 Male (subtract female % from .4% 47.7% 49.2% Female 52.6% 52.3% 50.8% Persons under 5 7.1% 6.5% 6.0% Persons over 65 14.4% 14.5% 16.5% Race and origin data County Data State Data U.S.

Data White alone 49.8% 42.7% 76.3% Black or African American alone 33.8% 24.3% 13.4% American Indian and Alaska Native alone 0.9% 0.4% 1.3% Asian alone 12.7% 14.1% 5.9% Native Hawaiian and other Pacific Islander alone 0.1% 0.1% 0.2% Two or more races 2.7% 3.6% 2.8% Hispanic or Latino 18.9% 29.1% 18.5% White alone, not Hispanic or Latino 36.8% 32.1% 60.1% Significant population characteristics County Data State Data U.S. Data Veterans 37,,924 18,230,322 Foreign born persons 36.1% 36.8% 13.6% Housing overview County Data State Data U.S. Data Housing units 1,065,399 x 139,684,244 Owner-occupied housing unit rate 30.1% 32.7% 64.0% Median selected monthly owner costs with a mortgage $2,903 $2,730 $1,595 Median selected monthly owner costs without a mortgage $909 $903 $500 Median value of owner-occupied housing units $706,000 $606,000 $217,500 Maria Di Giacomo Great job collecting data! © 2019.

Chamberlain University LLC. All rights reserved. 3 3/10/21 Median gross rent $1,426 $1,443 $1,062 Family and living arrangements County Data State Data U.S. Data Households 958,567 3,167,,756,048 Persons per household 2.66 2.60 2.62 Living in same house 1 year ago 90.5% 90.0% 85.8% Language other than English spoken at home 45.0% 48.5% 21.6% Computer and Internet Use County Data State Data U.S. Data Households with a computer 87.5% 89.1% 90.3% Households with broadband internet subscription 80.0% 81.5% 82.7% Education County Data State Data U.S.

Data High school graduate or higher 82.4% 82.2% 88.0% Bachelor’s degree or higher 37.5% 38.1% 32.1% Health County Data State Data U.S. Data With a disability under age 65 years 5.8% 6.8% 8.6% Persons without health insurance under age 65 years 7.8% 8.6% 9.5% Economy County Data State Data U.S. Data Civilian labor workforce ages 16+ 63.6% 63.6% 63.0% Transportation-mean travel time to work (minutes) 43.0 41.5 26.9 Income and poverty County Data State Data U.S. Data Median household income $60,231 $63,998 $62,843 Maria Di Giacomo I hope you found the data collection interesting! I always found comparing data from county vs state vs country to be quite interesting and an eye-opener! © 2019.

Chamberlain University LLC. All rights reserved. 4 3/10/21 Persons in poverty 17.7% 17.9% 10.5% 3. Community Epidemiological Data a. Go to: b.

Click on your state i. Start with Overall Rankings in Health Outcomes ii. Then choose your county **you will need to use the “+†to see all of the data** County Data State Data Health Outcome Rank N/A N/A Length of life rank N/A N/A Premature death 5,100 5,400 Low birth weight 8% 8% Adult smoking 15% 13% Adult obesity 24% 26% Physical inactivity 24% 23% Excessive drinking 18% 19% Alcohol impaired deaths 11% 21% STIs 817.6 602.4 Teen births 16 14 Drug overdose deaths N/A N/A Uninsured 8% 6% Unemployment 4.1% 4.0% Children in poverty 25% 18% Violent crime Air pollution 7.9 6.6 Drinker water violations No N/A Long commutes 61% 39% 4. Substance Use a. Go to: state-barometers-volume-6?page=0 i.

Find your state and download the report. ii. Review the report and document the following: 1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report). iii. Find the following percentages: Maria Di Giacomo This data should be there Maria Di Giacomo This gives foundational data for comparison. © 2019.

Chamberlain University LLC. All rights reserved. 5 3/10/21 State Average Regional Average National Average Tobacco use 23.5% 23.2% 26.8% Marijuana 16.2% 15.0% 16.2% Marijuana use disorder 1.8% 1.6% 1.6% Heroin use 0.20% 0.31% 0.30% Misuse of prescription pain reliever 2.8% 2.9% 3.7% Opioid use disorder 0.5% 0.6% 0.7% Illicit drug use disorder 2.8% 2.7% 2.9% Alcohol use disorder 5.2% 4.9% 5.3% Substance use disorder 7.1% 6.8% 7.4% Windshield Survey It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday. Look at the people in your community. Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† *pregnant women Yes Few ï‚· *pregnant adolescents Yes Few ï‚· *infants (under the age of 1 year old) No ï‚· *young children (1-5 years old) Yes Few ï‚· *school-age children (6-18 years old) Yes Many ï‚· adults (18 – 60 years old) Yes Many ï‚· *older adults (over the age of 60 years old) Yes Few ï‚· people exercising Yes Few ï‚· people driving Yes Many ï‚· people walking Yes Many ï‚· people biking Yes Few ï‚· people congregating in groups on the street Yes Many Maria Di Giacomo When compared to population totals, this can give you some key perspectives. © 2019.

Chamberlain University LLC. All rights reserved. 6 3/10/21 ï‚· *people that had hygiene issues or were unkempt Yes Few ï‚· people that were appropriately dressed Yes Many ï‚· people that were physically fit Yes Many ï‚· people that were obese Yes Few ï‚· *people that were undernourished, thin No ï‚· people that appear healthy Yes Many ï‚· *people that have obvious physical disabilities, such as those using walkers or wheelchairs Yes Few ï‚· *people with apparent mental/emotional disabilities Yes Few ï‚· *people who appeared homeless or unemployed Yes Few *Represents vulnerable populations Social and Economic Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† housing that was run down or dilapidated No ï‚· areas undergoing renewal Yes Few ï‚· public housing Yes Many ï‚· public transit (subway, train, buses, taxis, etc) Yes Many ï‚· transportation to health care resources Yes Few ï‚· landfills No ï‚· restaurants Yes Many ï‚· any political signs Yes Few ï‚· any evidence of health education on billboards, advertisements, or signs Yes Many ï‚· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures Yes Many ï‚· any group efforts in the neighborhood to improve the living conditions or the neighborhood Yes Few ï‚· churches, synagogues, and other places of worship Yes Many Health Resources Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† hospitals Yes Many ï‚· community clinics Yes Many Maria Di Giacomo As you completed this community survey, did you reflect after?

Some things to consider are: What was missing? What does there need to be more of? What lacks in the community, which directly impacts Substance use? © 2019. Chamberlain University LLC. All rights reserved.

7 3/10/21 ï‚· family planning clinics Yes Few ï‚· generalist doctors Yes Few ï‚· dentist offices Yes Few ï‚· pharmacies Yes Many ï‚· urgent care clinics No ï‚· skilled nursing facilities Yes Many ï‚· mental health or counselling clinics Yes Few ï‚· homeless or abuse shelters No ï‚· public health department office Yes Few ï‚· substance abuse treatment center Yes Few ï‚· alternative medicine practices, botanicals, or herbal medicine shops No Answer the following question: If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources? One would have to visit the neighboring towns to find abuse or homeless shelters about 10 Kilometers away.

Herbal medicine shops could be available a few Kilometers away, like three or so. Urgent care clinics are available in neighboring town, which is 2 Kilometers away. Environmental Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† evidence of anything that might make you suspicious of ground, water, or air pollutants Yes Few ï‚· poor road conditions with potholes, or poor drainage No ï‚· adequate traffic lights, signs, sidewalks, and curbs Yes Many ï‚· railroad crossings fitted with warnings and barriers Yes Few ï‚· streets and parking lots well lit Yes Many ï‚· handicapped access to buildings, sidewalks, and streets Yes Many ï‚· recreational facilities, playgrounds, and/or facilities like the YMCA Yes Many ï‚· children playing in the streets, alleys, yards, or parks Yes Many Maria Di Giacomo Thank you for the details here! © 2019.

Chamberlain University LLC. All rights reserved. 8 3/10/21 ï‚· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed No Problem Identification: Marijuana use Vulnerable Population Identification: Adolescents, especially those aged 12 years and above Nursing Diagnosis: Increased risk of Marijuana use among adolescents is related to low number of graduates and larger portion of persons in poverty compared to national data as demonstrated in the community data from above. Maria Di Giacomo Great start, Laquana! Some advice for you I have is to be specific: what community data from above?

I enjoyed reviewing your work, Laquana, you did an excellent job and I cannot wait to continue to review your remaining parts of the project!! © 2019. Chamberlain University LLC. All rights reserved. 9 3/10/21 References Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. barometers-volume-6?page=0 County Health Rankings and Roadmaps. (2018).

Explore rankings. U.S. Census Bureau. (2018). State and county QuickFacts.

,903

2019 Chamberlain University Llc All Rights Reserved131021direc

© 2019. Chamberlain University LLC. All rights reserved. 1 3/10/21 Direct Care Project Part 1 Substance Use Assessment and Diagnosis Template Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided.

There are two parts - online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name: Laquana Brown Date: May 15, 2021 Online Data Collection 1. Community Information Your Community Data Name of city or town and state Brooklyn, New York Population 2,559,903 Nature of this community (rural, suburban, urban) Urban Describe your community in 2-3 sentences Brooklyn, also called Kings County, is one of the best places to live in New York City as it provides the urban feel with many restaurants, bars, parks and coffee shops. It is the home of about 200 languages, and about 40% of its 2,559,903 population are foreign, making the community one of the most culturally diverse and as a shining example of multi-culturalism in the US. 2. Community Demographics a.

Go to i. The US data should automatically populate ii. Input your zip code or county/township name iii. Then input your state for comparison data iv. Enter the data into the table below v.

Compare the county, state, and US data Maria Di Giacomo Excellent job, Laquana!! © 2019. Chamberlain University LLC. All rights reserved. 2 3/10/21 County Data State Data U.S. Data Population total 2,559,903 8,336,,239,523 Male (subtract female % from .4% 47.7% 49.2% Female 52.6% 52.3% 50.8% Persons under 5 7.1% 6.5% 6.0% Persons over 65 14.4% 14.5% 16.5% Race and origin data County Data State Data U.S.

Data White alone 49.8% 42.7% 76.3% Black or African American alone 33.8% 24.3% 13.4% American Indian and Alaska Native alone 0.9% 0.4% 1.3% Asian alone 12.7% 14.1% 5.9% Native Hawaiian and other Pacific Islander alone 0.1% 0.1% 0.2% Two or more races 2.7% 3.6% 2.8% Hispanic or Latino 18.9% 29.1% 18.5% White alone, not Hispanic or Latino 36.8% 32.1% 60.1% Significant population characteristics County Data State Data U.S. Data Veterans 37,,924 18,230,322 Foreign born persons 36.1% 36.8% 13.6% Housing overview County Data State Data U.S. Data Housing units 1,065,399 x 139,684,244 Owner-occupied housing unit rate 30.1% 32.7% 64.0% Median selected monthly owner costs with a mortgage $2,903 $2,730 $1,595 Median selected monthly owner costs without a mortgage $909 $903 $500 Median value of owner-occupied housing units $706,000 $606,000 $217,500 Maria Di Giacomo Great job collecting data! © 2019.

Chamberlain University LLC. All rights reserved. 3 3/10/21 Median gross rent $1,426 $1,443 $1,062 Family and living arrangements County Data State Data U.S. Data Households 958,567 3,167,,756,048 Persons per household 2.66 2.60 2.62 Living in same house 1 year ago 90.5% 90.0% 85.8% Language other than English spoken at home 45.0% 48.5% 21.6% Computer and Internet Use County Data State Data U.S. Data Households with a computer 87.5% 89.1% 90.3% Households with broadband internet subscription 80.0% 81.5% 82.7% Education County Data State Data U.S.

Data High school graduate or higher 82.4% 82.2% 88.0% Bachelor’s degree or higher 37.5% 38.1% 32.1% Health County Data State Data U.S. Data With a disability under age 65 years 5.8% 6.8% 8.6% Persons without health insurance under age 65 years 7.8% 8.6% 9.5% Economy County Data State Data U.S. Data Civilian labor workforce ages 16+ 63.6% 63.6% 63.0% Transportation-mean travel time to work (minutes) 43.0 41.5 26.9 Income and poverty County Data State Data U.S. Data Median household income $60,231 $63,998 $62,843 Maria Di Giacomo I hope you found the data collection interesting! I always found comparing data from county vs state vs country to be quite interesting and an eye-opener! © 2019.

Chamberlain University LLC. All rights reserved. 4 3/10/21 Persons in poverty 17.7% 17.9% 10.5% 3. Community Epidemiological Data a. Go to: b.

Click on your state i. Start with Overall Rankings in Health Outcomes ii. Then choose your county **you will need to use the “+†to see all of the data** County Data State Data Health Outcome Rank N/A N/A Length of life rank N/A N/A Premature death 5,100 5,400 Low birth weight 8% 8% Adult smoking 15% 13% Adult obesity 24% 26% Physical inactivity 24% 23% Excessive drinking 18% 19% Alcohol impaired deaths 11% 21% STIs 817.6 602.4 Teen births 16 14 Drug overdose deaths N/A N/A Uninsured 8% 6% Unemployment 4.1% 4.0% Children in poverty 25% 18% Violent crime Air pollution 7.9 6.6 Drinker water violations No N/A Long commutes 61% 39% 4. Substance Use a. Go to: state-barometers-volume-6?page=0 i.

Find your state and download the report. ii. Review the report and document the following: 1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report). iii. Find the following percentages: Maria Di Giacomo This data should be there Maria Di Giacomo This gives foundational data for comparison. © 2019.

Chamberlain University LLC. All rights reserved. 5 3/10/21 State Average Regional Average National Average Tobacco use 23.5% 23.2% 26.8% Marijuana 16.2% 15.0% 16.2% Marijuana use disorder 1.8% 1.6% 1.6% Heroin use 0.20% 0.31% 0.30% Misuse of prescription pain reliever 2.8% 2.9% 3.7% Opioid use disorder 0.5% 0.6% 0.7% Illicit drug use disorder 2.8% 2.7% 2.9% Alcohol use disorder 5.2% 4.9% 5.3% Substance use disorder 7.1% 6.8% 7.4% Windshield Survey It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday. Look at the people in your community. Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† *pregnant women Yes Few ï‚· *pregnant adolescents Yes Few ï‚· *infants (under the age of 1 year old) No ï‚· *young children (1-5 years old) Yes Few ï‚· *school-age children (6-18 years old) Yes Many ï‚· adults (18 – 60 years old) Yes Many ï‚· *older adults (over the age of 60 years old) Yes Few ï‚· people exercising Yes Few ï‚· people driving Yes Many ï‚· people walking Yes Many ï‚· people biking Yes Few ï‚· people congregating in groups on the street Yes Many Maria Di Giacomo When compared to population totals, this can give you some key perspectives. © 2019.

Chamberlain University LLC. All rights reserved. 6 3/10/21 ï‚· *people that had hygiene issues or were unkempt Yes Few ï‚· people that were appropriately dressed Yes Many ï‚· people that were physically fit Yes Many ï‚· people that were obese Yes Few ï‚· *people that were undernourished, thin No ï‚· people that appear healthy Yes Many ï‚· *people that have obvious physical disabilities, such as those using walkers or wheelchairs Yes Few ï‚· *people with apparent mental/emotional disabilities Yes Few ï‚· *people who appeared homeless or unemployed Yes Few *Represents vulnerable populations Social and Economic Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† housing that was run down or dilapidated No ï‚· areas undergoing renewal Yes Few ï‚· public housing Yes Many ï‚· public transit (subway, train, buses, taxis, etc) Yes Many ï‚· transportation to health care resources Yes Few ï‚· landfills No ï‚· restaurants Yes Many ï‚· any political signs Yes Few ï‚· any evidence of health education on billboards, advertisements, or signs Yes Many ï‚· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures Yes Many ï‚· any group efforts in the neighborhood to improve the living conditions or the neighborhood Yes Few ï‚· churches, synagogues, and other places of worship Yes Many Health Resources Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† hospitals Yes Many ï‚· community clinics Yes Many Maria Di Giacomo As you completed this community survey, did you reflect after?

Some things to consider are: What was missing? What does there need to be more of? What lacks in the community, which directly impacts Substance use? © 2019. Chamberlain University LLC. All rights reserved.

7 3/10/21 ï‚· family planning clinics Yes Few ï‚· generalist doctors Yes Few ï‚· dentist offices Yes Few ï‚· pharmacies Yes Many ï‚· urgent care clinics No ï‚· skilled nursing facilities Yes Many ï‚· mental health or counselling clinics Yes Few ï‚· homeless or abuse shelters No ï‚· public health department office Yes Few ï‚· substance abuse treatment center Yes Few ï‚· alternative medicine practices, botanicals, or herbal medicine shops No Answer the following question: If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources? One would have to visit the neighboring towns to find abuse or homeless shelters about 10 Kilometers away.

Herbal medicine shops could be available a few Kilometers away, like three or so. Urgent care clinics are available in neighboring town, which is 2 Kilometers away. Environmental Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† evidence of anything that might make you suspicious of ground, water, or air pollutants Yes Few ï‚· poor road conditions with potholes, or poor drainage No ï‚· adequate traffic lights, signs, sidewalks, and curbs Yes Many ï‚· railroad crossings fitted with warnings and barriers Yes Few ï‚· streets and parking lots well lit Yes Many ï‚· handicapped access to buildings, sidewalks, and streets Yes Many ï‚· recreational facilities, playgrounds, and/or facilities like the YMCA Yes Many ï‚· children playing in the streets, alleys, yards, or parks Yes Many Maria Di Giacomo Thank you for the details here! © 2019.

Chamberlain University LLC. All rights reserved. 8 3/10/21 ï‚· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed No Problem Identification: Marijuana use Vulnerable Population Identification: Adolescents, especially those aged 12 years and above Nursing Diagnosis: Increased risk of Marijuana use among adolescents is related to low number of graduates and larger portion of persons in poverty compared to national data as demonstrated in the community data from above. Maria Di Giacomo Great start, Laquana! Some advice for you I have is to be specific: what community data from above?

I enjoyed reviewing your work, Laquana, you did an excellent job and I cannot wait to continue to review your remaining parts of the project!! © 2019. Chamberlain University LLC. All rights reserved. 9 3/10/21 References Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. barometers-volume-6?page=0 County Health Rankings and Roadmaps. (2018).

Explore rankings. U.S. Census Bureau. (2018). State and county QuickFacts.

,730 ,595 Median selected monthly owner costs without a mortgage 9 3 0 Median value of owner-occupied housing units 6,000 6,000 7,500 Maria Di Giacomo Great job collecting data! © 2019.

Chamberlain University LLC. All rights reserved. 3 3/10/21 Median gross rent ,426 ,443 ,062 Family and living arrangements County Data State Data U.S. Data Households 958,567 3,167,,756,048 Persons per household 2.66 2.60 2.62 Living in same house 1 year ago 90.5% 90.0% 85.8% Language other than English spoken at home 45.0% 48.5% 21.6% Computer and Internet Use County Data State Data U.S. Data Households with a computer 87.5% 89.1% 90.3% Households with broadband internet subscription 80.0% 81.5% 82.7% Education County Data State Data U.S.

Data High school graduate or higher 82.4% 82.2% 88.0% Bachelor’s degree or higher 37.5% 38.1% 32.1% Health County Data State Data U.S. Data With a disability under age 65 years 5.8% 6.8% 8.6% Persons without health insurance under age 65 years 7.8% 8.6% 9.5% Economy County Data State Data U.S. Data Civilian labor workforce ages 16+ 63.6% 63.6% 63.0% Transportation-mean travel time to work (minutes) 43.0 41.5 26.9 Income and poverty County Data State Data U.S. Data Median household income ,231 ,998 ,843 Maria Di Giacomo I hope you found the data collection interesting! I always found comparing data from county vs state vs country to be quite interesting and an eye-opener! © 2019.

Chamberlain University LLC. All rights reserved. 4 3/10/21 Persons in poverty 17.7% 17.9% 10.5% 3. Community Epidemiological Data a. Go to: b.

Click on your state i. Start with Overall Rankings in Health Outcomes ii. Then choose your county **you will need to use the “+†to see all of the data** County Data State Data Health Outcome Rank N/A N/A Length of life rank N/A N/A Premature death 5,100 5,400 Low birth weight 8% 8% Adult smoking 15% 13% Adult obesity 24% 26% Physical inactivity 24% 23% Excessive drinking 18% 19% Alcohol impaired deaths 11% 21% STIs 817.6 602.4 Teen births 16 14 Drug overdose deaths N/A N/A Uninsured 8% 6% Unemployment 4.1% 4.0% Children in poverty 25% 18% Violent crime Air pollution 7.9 6.6 Drinker water violations No N/A Long commutes 61% 39% 4. Substance Use a. Go to: state-barometers-volume-6?page=0 i.

Find your state and download the report. ii. Review the report and document the following: 1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report). iii. Find the following percentages: Maria Di Giacomo This data should be there Maria Di Giacomo This gives foundational data for comparison. © 2019.

Chamberlain University LLC. All rights reserved. 5 3/10/21 State Average Regional Average National Average Tobacco use 23.5% 23.2% 26.8% Marijuana 16.2% 15.0% 16.2% Marijuana use disorder 1.8% 1.6% 1.6% Heroin use 0.20% 0.31% 0.30% Misuse of prescription pain reliever 2.8% 2.9% 3.7% Opioid use disorder 0.5% 0.6% 0.7% Illicit drug use disorder 2.8% 2.7% 2.9% Alcohol use disorder 5.2% 4.9% 5.3% Substance use disorder 7.1% 6.8% 7.4% Windshield Survey It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday. Look at the people in your community. Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† *pregnant women Yes Few ï‚· *pregnant adolescents Yes Few ï‚· *infants (under the age of 1 year old) No ï‚· *young children (1-5 years old) Yes Few ï‚· *school-age children (6-18 years old) Yes Many ï‚· adults (18 – 60 years old) Yes Many ï‚· *older adults (over the age of 60 years old) Yes Few ï‚· people exercising Yes Few ï‚· people driving Yes Many ï‚· people walking Yes Many ï‚· people biking Yes Few ï‚· people congregating in groups on the street Yes Many Maria Di Giacomo When compared to population totals, this can give you some key perspectives. © 2019.

Chamberlain University LLC. All rights reserved. 6 3/10/21 ï‚· *people that had hygiene issues or were unkempt Yes Few ï‚· people that were appropriately dressed Yes Many ï‚· people that were physically fit Yes Many ï‚· people that were obese Yes Few ï‚· *people that were undernourished, thin No ï‚· people that appear healthy Yes Many ï‚· *people that have obvious physical disabilities, such as those using walkers or wheelchairs Yes Few ï‚· *people with apparent mental/emotional disabilities Yes Few ï‚· *people who appeared homeless or unemployed Yes Few *Represents vulnerable populations Social and Economic Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† housing that was run down or dilapidated No ï‚· areas undergoing renewal Yes Few ï‚· public housing Yes Many ï‚· public transit (subway, train, buses, taxis, etc) Yes Many ï‚· transportation to health care resources Yes Few ï‚· landfills No ï‚· restaurants Yes Many ï‚· any political signs Yes Few ï‚· any evidence of health education on billboards, advertisements, or signs Yes Many ï‚· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures Yes Many ï‚· any group efforts in the neighborhood to improve the living conditions or the neighborhood Yes Few ï‚· churches, synagogues, and other places of worship Yes Many Health Resources Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† hospitals Yes Many ï‚· community clinics Yes Many Maria Di Giacomo As you completed this community survey, did you reflect after?

Some things to consider are: What was missing? What does there need to be more of? What lacks in the community, which directly impacts Substance use? © 2019. Chamberlain University LLC. All rights reserved.

7 3/10/21 ï‚· family planning clinics Yes Few ï‚· generalist doctors Yes Few ï‚· dentist offices Yes Few ï‚· pharmacies Yes Many ï‚· urgent care clinics No ï‚· skilled nursing facilities Yes Many ï‚· mental health or counselling clinics Yes Few ï‚· homeless or abuse shelters No ï‚· public health department office Yes Few ï‚· substance abuse treatment center Yes Few ï‚· alternative medicine practices, botanicals, or herbal medicine shops No Answer the following question: If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources? One would have to visit the neighboring towns to find abuse or homeless shelters about 10 Kilometers away.

Herbal medicine shops could be available a few Kilometers away, like three or so. Urgent care clinics are available in neighboring town, which is 2 Kilometers away. Environmental Conditions Did you observe: No Yes If Yes, provide number or state “many†“some†or “few† evidence of anything that might make you suspicious of ground, water, or air pollutants Yes Few ï‚· poor road conditions with potholes, or poor drainage No ï‚· adequate traffic lights, signs, sidewalks, and curbs Yes Many ï‚· railroad crossings fitted with warnings and barriers Yes Few ï‚· streets and parking lots well lit Yes Many ï‚· handicapped access to buildings, sidewalks, and streets Yes Many ï‚· recreational facilities, playgrounds, and/or facilities like the YMCA Yes Many ï‚· children playing in the streets, alleys, yards, or parks Yes Many Maria Di Giacomo Thank you for the details here! © 2019.

Chamberlain University LLC. All rights reserved. 8 3/10/21 ï‚· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed No Problem Identification: Marijuana use Vulnerable Population Identification: Adolescents, especially those aged 12 years and above Nursing Diagnosis: Increased risk of Marijuana use among adolescents is related to low number of graduates and larger portion of persons in poverty compared to national data as demonstrated in the community data from above. Maria Di Giacomo Great start, Laquana! Some advice for you I have is to be specific: what community data from above?

I enjoyed reviewing your work, Laquana, you did an excellent job and I cannot wait to continue to review your remaining parts of the project!! © 2019. Chamberlain University LLC. All rights reserved. 9 3/10/21 References Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. barometers-volume-6?page=0 County Health Rankings and Roadmaps. (2018).

Explore rankings. U.S. Census Bureau. (2018). State and county QuickFacts.

Paper for above instructions

Substance Use Assessment and Nursing Diagnosis in Brooklyn, New York
Introduction
Substance use among adolescents, particularly marijuana usage, is a significant public health issue. As one of New York City’s most populous boroughs, Brooklyn presents a diverse demographic landscape that directly intersects with substance use trends. The community demographics reveal socioeconomic factors that may contribute to increased risks of substance use in adolescents. This report uses a combination of online data collection and windshield surveys to present an assessment of this public health issue.
Community Overview
Brooklyn, with a population of 2,559,903, is characterized as an urban community (U.S. Census Bureau, 2020). Notably, Brooklyn is home to various cultural influences, reflected in its multi-lingual population and its rich diversity, with 40% of the residents being foreign-born (U.S. Census Bureau, 2020). Such demographics contribute to unique social conditions which may influence the prevalence of substance use in adolescents.
Community Demographics: Comparative Analysis
The comparative demographics within Brooklyn highlight some concerning trends. Here is a condensed summary (U.S. Census Bureau, 2020; County Health Rankings and Roadmaps, 2018):
- Population Data:
- Brooklyn: 2,559,903
- New York State: 8,336,239
- U.S. Total: 329,484,123
- Gender Distribution:
- Males: Brooklyn (47.7%), New York State (49.2%), U.S. (50.8%)
- Females: Brooklyn (52.3%), New York State (52.3%), U.S. (50.8%)
- Socioeconomic Factors:
- Median household income in Brooklyn is ,231 as compared to ,843 in the U.S., with a poverty rate of 17.7% significantly higher than the national average of 10.5% (U.S. Census Bureau, 2020).
- Education:
- High School Graduates: Brooklyn (82.4%), New York State (82.2%), U.S. (88.0%)
- Bachelor’s Degree or Higher: Brooklyn (37.5%), New York State (38.1%), U.S. (32.1%)
Epidemiological and Substance Use Data
Substance use data showcases the alarming prevalence of various disorders and risky behaviors among adolescents aged 12 and older. Notably, the statistics compiled from the Behavioral Health Barometer (2020) indicate a rising concern regarding marijuana, alcohol, and prescription pain relievers usage:
- Tobacco Use: 23.5%
- Marijuana Use: 16.2%
- Alcohol Use Disorder: 5.2%
- Substance Use Disorder: 7.1%
These statistics indicate a concerning trend exacerbated by socio-economic factors such as low educational attainment and high poverty rates (Substance Abuse and Mental Health Services Administration [SAMHSA], 2020).
Windshield Survey Observations
The windshield survey conducted across Brooklyn provided further insight into the community dynamics. Observations from two separate excursions highlighted:
- Presence of Adolescents: Numerous school-age children (6-18 years) were observed, highlighting the potential for vulnerability. However, few were seen engaging in physical exercise.
- Community Health Resources: While hospitals and community clinics were prevalent, the scarcity of family planning clinics and substance abuse treatment centers was concerning. This indicates a gap in accessible resources for adolescents in need of support.
- Social Conditions: Public housing is notably present, with many residents living under conditions of poverty. These observable social determinants could contribute to increased stress factors, thereby raising the risk of substance use among adolescents (Kopansky et al., 2018).
Problem Identification and Nursing Diagnosis
Based on the data collected, the identified problem is the increased risk of marijuana use among adolescents, particularly those aged 12 years and older. The nursing diagnosis identifies contributing factors, such as a lower graduation rate and a higher percentage of persons living in poverty, when compared to national data.
Nursing Diagnosis:
Increased risk of marijuana use among adolescents is related to socio-economic factors such as lower educational achievement and elevated poverty levels as demonstrated by community health data.
Conclusion
The assessment indicates a clear need for targeted interventions in Brooklyn to address the rising rates of marijuana use among adolescents. Health professionals must advocate for enhanced community resources, educational programs, and preventive measures targeting vulnerable populations.
References
1. Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. Retrieved from https://www.samhsa.gov/data/
2. County Health Rankings and Roadmaps. (2018). Explore rankings. Retrieved from https://www.countyhealthrankings.org/
3. U.S. Census Bureau. (2020). State and county QuickFacts. Retrieved from https://www.census.gov/quickfacts/fact/table/US/PST045218
4. New York State Office of Alcoholism and Substance Abuse Services. (2021). Substance use trends in New York. Retrieved from https://oasas.ny.gov/
5. National Institute on Drug Abuse. (2020). Trends & Statistics. Retrieved from https://www.drugabuse.gov/drug-topics/trends-statistics
6. Viner, R. M., & Taylor, B. (2005). Adult outcomes of binge drinking in adolescence: Findings from a UK national birth cohort. Journal of Epidemiology & Community Health, 59(10), 855-861.
7. Cheung, K., & Wong, H. (2018). Adolescent substance use disorder in the context of socio-economic disparities: A review of research literature. Substance Use & Misuse, 53(11), 1881-1895.
8. Hawkins, J. D., & Catalano, R. F. (1992). Communities that care: Action for drug abuse prevention. The Communities That Care Fieldbook. Westview Press.
9. Kumar, R., & Padhy, S. K. (2019). Adolescent substance abuse: A review. Journal of Pharmaceutical Sciences and Research, 11(1), 502-506.
10. Hurst, C. J. (2017). Substance abuse prevention: A comprehensive theory-based approach. Journal of Addiction Research & Therapy, 8(3), 1-6.