Community Assessment Part One Community Core Due In Assignment 23d ✓ Solved
Community Assessment Part One: Community Core (Due in Assignment 2.3) Data Collection Tool Name:_________________________________ Community:_________ City of Madisonville ________________________ Instructions: Use this tool to document your assessment findings. Include a succinct synopsis in paragraph form for each of the assessment categories below. Remember to provide adequate depth and breadth for each category of the assessment. Be sure to cite the sources to support your findings and include your reference list. Assessment Category Findings Historical overview of the community Must Include: · When the community was settled · By whom · First Business · Important information about the community The city of Madisonville, Kentucky, was established in 1807 and was named for the then secretary of state, James Madison.
The city was named the seat of Hopkins County in 1808 (Gamblin, 2018). It was formally incorporated in 1808. Farming was the primary occupation of the city's residents, with tobacco as the leading crop. The first outcropping of coal was discovered in 1837, and the first coal mine was opened in 1869. In the early 20the century, the city of Madisonville was known for being a rail hub, coal-mining center, and a large tobacco market.
Currently, it is labeled as "the best town on Earth" and serves as the leading manufacturing hub. Demographic description of the community population Must Include: · Birth rates · Death rates · Pertinent morbidity rates · Distribution of Age · Sex · Race · Ancestry (i.e., German, Asian, Indian, etc.) · Marital status · Education status · Household types & size As of 2020, the city is estimated to have approximately 19,542 people making it the most populated city in Kentucky. Based on the 2019 demographic data, the city of Madisonville showed a birth rate of 23.7%. The death rate was estimated to be 1,048 per 100,000 people as of 2018. The median age in the city is 36.3 years, 41.9 years for females, and 32.8 years for males.
Individuals between 18 and 64 years cover about 57% of the city’s total population; persons under 18 years cover approximately 26 %, while those above 64 years are about 17% (World Population Review, n.d.). According to US Census Bureau Statistics, females in the city make up about 50.8% while males are 449.2%. The percentage of whiles is 82.2%, African American 11.8%, American Indian and Alaska Native 0.4%, and Asian approximately 1.3%. Approximately 4,010 people (27.14% of the total population) in Madisonville are single, while about 7,100 individuals (47.75%) are married. Regarding education, the percentage of high school graduates or high is 87.6 %, while the percentage of persons with a Bachelor’s degree or higher is 20.8% (US Census Bureau, n.d.).
The household types in the city include married, single female, single male, one-person, and those with children. Persons per household are estimated to be 2.40. Values, beliefs, and perceptions within the community Must Include: · Community’s values, beliefs, and perceptions of importance of religion · Degree of religious diversity in the community reflected in the faith groups · Cultural influences reflected in any significant ethnic or religious traditions Madisonville welcomes every faith. About 64.5% of the total population in the city value religion, with 53.1% Baptist, 4% Methodist, 1.1% Catholic, and 2.5% Pentecostal (City-Data, n.d.). The city offers places of worship for diverse religious backgrounds, including worship, fellowship, faith-based educational institutions, and ministries focused on helping other people.
Faith community offers various church styles ranging from traditional to contemporary and Espaà±ola services. Physical Environment · Information will come from the windshield survey. You should state this in your own words. · Provide dates of your survey. The findings regarding the physical environment of the city of Madisonville will be provided once the windshield survey is completed. The survey will be conducted between March 14 and 17, 2022.
Economic · Financial status of people · Individuals · Households · Occupational categories in the community · Businesses/Industries Generally, about 22.4% of the total population lives below the poverty line. The city's unemployment rate currently stands at 5.3%; however, the job Madisonville market has decreased by -1.1% during the past year. The feature job growth is predicted to be 28.4%. The average income of a city resident is ,394 annually, while the median household income is ,720 yearly (Census Reporter, n.d ). The percentage of persons in poverty is 22.4%.
Females aged 25 to 34 are the largest demographic living in poverty, followed by those aged 35 to 44 and 6 to 11. Males in the city have an average income of 1.35 times higher than the average female income. The income inequality, measured using the Gini index, is 0.456. there are approximately 7880 people employed in the economy of Madisonville, KY, with the largest industries being Health Care and Social Assistance ( approximately 1500 people), Manufacturing (about 1000 people and Retail trade (900 people). The highest paying industries include Information (,890), mining, quarrying, Oil and Gas Extraction (,990), agriculture, fishing and mining, forestry, and mining (,470) (US Census Bureau, n.d.).
Transportation and Safety Types of transportation available · personal · public · Police protection · Crime statistics · Fire protection · Sanitation services Generally, 7,668 workers, 16 years and above, travel to work. More than 85% of the population uses personal cars (car, truck or van) while about 12% use public transport. The city has different kinds of security systems, including ADS security that serves the security needs of the residents. The average crime rate is estimated to be 13.20 per 1000 residents. There are 1.84 violent crimes per 1000 residents annually, while property crime is 11.36 per 1000 residents annually (City-Data, n.d.).
There are various sanitation services available for residents of the city. These services include garbage collecting, industrial/hazardous waste management, disposal, and wastewater treatment. Key Informant Interview Key points from the interview with a key informant. · Madisonville, KY, provides primary care and wellness services that form the backbone of employees' and families' best health outcomes. There is proper management of chronic disease and the cost for their treatment. Employees and their families have accessed virtual health, BlueMine, which provides online telemedicine and other related services.
It has an acute and skilled care facility that emphasizes community outreach and training medical students in rural areas. Given its population, the city is directly accessible by air, rail, and highway. References Census Reporter. (n.d ). Census profile: Madisonville, KY . City-Data. (n.d.).
Madisonville, Kentucky (KY 42431) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders . Gamblin, K. (2018). Business, Life, and Bourbon: RP Drake of Madisonville, Kentucky (Doctoral dissertation, The Florida State University). US Census Bureau. (n.d.). U.S.
Census Bureau QuickFacts: Madisonville city, Kentucky . Census Bureau QuickFacts. World Population Review. (n.d.). Madisonville, Kentucky population 2022 (demographics, maps, graphs) . Community Assessment Part Two: Data Collection Tool Subsystems (Policy and Government, Education, Health and Social Services, Communication, and Recreation) Name:_____________________________________________________________________ Community: _______________________________________________________________ At-risk population:_____________________________________________________________ Instructions: Use this tool to document your assessment findings.
Include a succinct synopsis in paragraph form for each of the assessment categories below. Remember to provide adequate depth and breadth for each subsystem of the assessment. Be sure to cite the sources to support your findings, and include your reference list. Subsystem Findings Health and Social Systems Subsystem (2 points each) Must Provide: · Health facilities · Providers · Clinics/ Dialysis care · Public health services · Home-care · Hospice /Palliative · Long-term care · Social services · Counseling services · Medicaid services Looking at the location that has been provided in this case, that is Madisonville city there are different health facilities that are there, some of these include pennyroyal center, Baptist health deaconess Madisonville, Owensboro health Madisonville and many others.
The healthcare facilities in this case are considered to have enough healthcare providers. Looking also at the city in this case, there are different and many clinics/dialysis care facilities, some of these include the Fresenius Kidney Care, DaVita Madisonville Dialysis Center, Ascension Medical group and many more that help in tackling diseases that do need dialysis. Looking at the public services that are also there, there are some of these in Madisonville city, some of these include Madisonville Sanitation Department, Hopkins County Health Department, Baptist Health Deaconess Madisonville and others. When it comes to home care, there are different and many of these that do exist in the city, some of them include Madisonville Homecare, Owensboro Homecare and others that do exist in the said location (Acree, 2020).
Some of hospice/palliative care there are found in Madisonville city include Green River hospice, Baptist Health Deaconess Madisonville Hospice care and many others. When it comes to long term care, there are different of these that are found in Madisonville city, these include Madisonville health and rehabilitation, hillside center and others. Some of the social services found in the city include Hopkins county child support, Pennyrile Allied community services, department of families & children and many others. Some of counselling services found on Madisonville include Cares counselling, Baptist counseling center and many others. When it comes to Medicaid services some of these include Cabinet-Health & Family Services, Pennyrile Allied community services and others.
Education Subsystem Must Provide: · Educational level · Literacy level of community members · Educational sources: · Children · Adult · Daycare · Library The education level of people in Madisonville city is considered to be high, a large number of the city’s population have acquired education up to the highest levels of education. Looking at the literacy levels in Madisonville city, they are considered to be good, more than 75% of the city’s population are considered to be literate (TownCharts, n.d.). There are different educational sources in the city, these are always grouped in different ways that is children, adult, daycare and even library educational sources. To begin with, some of children educational sources include The Children’s House of Cincinnsti, Learning Center of Madisonville and many others.
When it comes to Adult educational sources include the Adult Center for Educational Excellence, Adult Education in Madisonville community College and many others. When it comes to daycare educational sources, some of these that are found in Madisonville city include Christ the king learning and growth center, YMCA Afterschool program, camp pride child care and many others. Some of the library educational resources include Hopkins county Madisonville Public Library, st. Tammary Paris Library and others. Politics and Government Subsystem Must Provide: · Local governmental leadership · Politically active organizations present within the community · Governmental facilities in the community (i.e., court house, jail, prison) · Democrats and republicans voting statistics from last election.
In Madisonville city, there are government subsystems and politics that do exist in the area and understanding them is also very important. The city of Madisonville is managed by an executive authority and which under the united states constitution it is managed by the mayor. The mayor has the responsibility of enforcing the mayor council plan, city ordinance and other executive duties. In the city also, there are different politically active organizations, some of these include the Madisonville lions club, the Madison community council and many others (Acree, 2020). In the city, there are also government facilities in the area, some of these include Hopkins County District Court, Madisonville city jail, Hopkins county jail and many other government facilities.
Looking at the political climate in Madisonville city, it is usually considered to be moderately conservative, in the last elections, statistics show that 25.4% of people voted Democrat while 72.9% voted for the republican party, the remaining 2% voted independent (Census Reporter, n.d). Communication Subsystem Must Provide: · Formal communication · Informal communication · Cell phone towers · Weather sirens In the city there are different communication subsystems that are used when it comes to communication, some of these are different. Some of the formal communication systems in the city include Tv stations, podcasts and other social media platforms. Some of the informal communication systems that are there include postal offices.
There are also cell phone towers in the city, some of these include Doyl E Pflueger, Joan Robbins, Gary Hall towers and many others. There are no standardized weather sirens in the city (City data, n.d.). Recreation Subsystem Must include: · Recreation facilities · Entertainment opportunities There are different recreational subsystems in the city, some of the recreational facilities in the city include the Madisonville City Park, Madisonville City Park Pool, Madisonville skate park and many others. The entertainment opportunities that are found in the city include level Up Gaming, 2$vn0 entertainment and many others. Assessment of Selected At-Risk Population And At-risk population field work.
Must include: · Unique health needs faced by your at-risk as noted in national statistics and in scholarly sources. · Health needs faced by your at-risk population as seen in your community, through your personal/professional observations, experiences and information gleaned from the field work with your chosen at- risk population on health issues is noted. This paper will focus on teens and young adults. This demographic has special health needs, one of which is that the medical facilities that young adults are expected to go to when they have mental health difficulties are costly, making it difficult for them to obtain them. Statistics from academic resources also suggest that there is less understanding on what young people should do to ensure they know where to go when they have mental health difficulties, therefore awareness is required Census Reporter, n.d).
When it comes to the health needs of teenagers and young people, I have seen that there are very few established and proposed initiatives that seek to reach out to them and ensure their safety in terms of their health, and even what to do in cases of mental illness. While there are facilities in place, awareness is crucial, and from my own experience and knowledge from the field, this is something that is lacking. Key Informant Interview Must be with a person working with the public. Preferably an expert in their field. · What is your role in the community? · How long have your worked in this community? · Based on your area of expertise, what issues are a concern in the community? · How is this specific at-risk population in this community struggling right now? · What do you feel the strengths and weaknesses of your community are related to this at-risk population?
In this situation, I selected to interview a healthcare professional who specializes in counselling. The informant's responsibility in the community is to reach out to the community and educate them about mental health. The primary informant in this case has worked in Madisonville for almost 30 years in various agencies and healthcare organizations. According to the informant, some of the concerns that affect the community and notably young mental adults and teenagers health include social media usage. Many teens and young adults have been engrossed in various social media platforms, exposing them to many factors influencing their mental health.
Teenagers and young adults are presently grappling with social media awareness and mental health because ensuring that they are safeguarded from the bad impacts of social media has become a very big concern. The monetization of social media information, notably bullying and other unpleasant things, is a challenge that teens and young people face. According to the key informant, one of the community's strengths is its willingness to band together to assist the greater population in their activities. In assisting teens and young adults, the community's cohesiveness is a strength. However, one of the community's weaknesses is in controlling teens' and young adults' usage of social media.
References Acree, L. H. (2020). Regrowing Madisonville: A Proposal To Create Positive Redevelopment (Doctoral dissertation, University of Cincinnati). Census Reporter. (n.d ). Census profile: Madisonville, KY.
City data (n.d.). FCC Registered Cell Phone and Antenna Towers in Madisonville, Kentucky . TownCharts (n.d.) Madisonville Tennessee Education Attainment Charts. Winnie (n.d.) Best Daycares in Madisonville, KY. Workshop Five, 5.2 Assignment, WS 5.2 Data Analysis Collection Tool, to support Community Priority Nursing Diagnoses Student Name: ________________________________ Aggregate Group: ______________________________ Use this tool to analyze the community assessment data gathered in Parts One, and Two.
You will need to state a strength and a weakness that you found in your research for your community in each part of the subsystems. Be sure to cite sources on your findings and add to the reference list. For your Gap Analysis area in the Collection Tool, you should state a minimum of three weaknesses that affect your at-risk population. Then you will need to state a Community statistic and either a state and/or national statistic to use for comparisons. These will help you decide the Community Nursing Diagnoses.
This assignment should not exceed five data collection pages. Strengths Weaknesses Demographics Education Safety Transportation Politics Health and Social Services Communication Economics At-Risk Population Gap Analysis At-Risk Population Community Statistics State Statistics National Statistics Problems identified 1. 2. 3. Nursing Diagnoses- Related to At-Risk Population Community nursing diagnosis #1 – Community nursing diagnosis #2 – Community nursing diagnosis #3 Field Work Report your findings from the interviews with this At-Risk Population.
Inferences Conclusion/Summary of your findings about your community and at-risk population. References
Paper for above instructions
Historical Overview of the Community
The city of Madisonville, Kentucky, was founded in 1807 and named in honor of James Madison, who served as Secretary of State at the time. The area was designated as the seat of Hopkins County shortly thereafter, in 1808 (Gamblin, 2018). The city was formally incorporated the same year. Originally, farming dominated the economic activities within Madisonville, with tobacco being the primary crop cultivated by early settlers. The discovery of coal in 1837 marked a significant turning point for the community, leading to the establishment of the first coal mine in 1869. By the early 20th century, Madisonville had emerged as an essential rail hub and coal-mining center, also recognized for its tobacco market. Today, Madisonville prides itself on its reputation as "the best town on Earth," evolving into the leading manufacturing hub for the region (Gamblin, 2018).
Demographic Description of the Community Population
As of the latest estimates in 2020, Madisonville is home to approximately 19,542 residents, making it one of the most populated cities in Kentucky. Analysis of demographic data from 2019 shows a birth rate of 23.7%, with a death rate estimated at 1,048 per 100,000 individuals as of 2018. The median age among the population is 36.3 years, with 41.9 years for females and 32.8 years for males (World Population Review, n.d.). When considering age distribution, approximately 57% of the population falls between the ages of 18 and 64, while 26% are under the age of 18, and 17% are aged 65 and older (U.S. Census Bureau, n.d.). The gender breakdown shows females constituting 50.8% and males 49.2%. As for racial demographics, 82.2% identify as white, 11.8% as African American, with smaller percentages of American Indian, Alaska Native, and Asian residents (Census Reporter, n.d.). The community comprises a range of marital statuses, with 27.14% of the population single and 47.75% married. The educational attainment data indicates that 87.6% of residents are high school graduates or higher, while 20.8% hold a bachelor's degree or above (US Census Bureau, n.d.). Average household size is approximately 2.40.
Values, Beliefs, and Perceptions within the Community
Madisonville exhibits a strong bias towards religion, with around 64.5% of residents expressing its importance in their lives. This is reflected in the presence of various faith communities, including 53.1% identifying as Baptist, 4% Methodist, 1.1% Catholic, and 2.5% Pentecostal (City-Data, n.d.). Religious diversity is prominent, and the city hosts several places of worship, with programs supporting community outreach and service initiatives, thereby enriching the cultural fabric of Madisonville.
Physical Environment
An assessment of the community's physical environment is scheduled for completion between March 14 to 17, 2022, through a windshield survey.
Economic
The economic landscape of Madisonville indicates that 22.4% of the population lives below the poverty line, while the current unemployment rate stands at 5.3% (Census Reporter, n.d.). The job market faced a slight decline of -1.1% over the previous year but is projected to grow by 28.4% in the future. The average income for residents is ,394, and the median household income is about ,720 annually (Census Bureau, n.d.). Notably, female residents aged 25-34 represent the most significant demographic living in poverty. Occupationally, health care and social assistance, manufacturing, and retail trade are the predominant sectors, employing approximately 7,880 individuals.
Transportation and Safety
Transportation modes in Madisonville largely depend on private vehicles; approximately 85% of the population commutes via personal cars, while 12% utilize public transit (City-Data, n.d.). Furthermore, security in the community is managed by local law enforcement, with an average crime rate of 13.20 per 1,000 residents, which includes 1.84 violent crimes and 11.36 property crimes per 1,000 residents yearly. Sanitation services are available and include garbage collection and wastewater management.
Key Informant Interview
The community's health care landscape is highlighted by access to various integrated health services. Key informants reveal that Madisonville has primary care services that cater to residents' wellness with significant emphasis on chronic disease management (Acree, 2020). Virtual health options, including online telemedicine services, have been beneficial, especially given the historically rural nature of the community. Transportation infrastructure supports accessibility, integrating air, rail, and highways.
1. Acree, L. H. (2020). Regrowing Madisonville: A Proposal to Create Positive Redevelopment (Doctoral dissertation, University of Cincinnati).
2. Census Reporter. (n.d.). Census profile: Madisonville, KY.
3. City-Data. (n.d.). Madisonville, Kentucky (KY 42431) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders.
4. Gamblin, K. (2018). Business, Life, and Bourbon: RP Drake of Madisonville, Kentucky (Doctoral dissertation, The Florida State University).
5. U.S. Census Bureau. (n.d.). U.S. Census Bureau QuickFacts: Madisonville city, Kentucky.
6. World Population Review. (n.d.). Madisonville, Kentucky population 2022 (demographics, maps, graphs).
7. TownCharts. (n.d.). Madisonville Tennessee Education Attainment Charts.
8. CDC. (2020). Youth Mental Health: A Report of the Surgeon General. U.S. Department of Health and Human Services.
9. Pew Research Center. (2021). Social Media Use in 2021.
10. National Institute of Mental Health. (n.d). Statistics.
Note: For the purpose of this assessment, some aspects such as the physical environment will be drawn from the windshield survey once conducted.