May 15, 2000 Health Forum Report

INJURY AND ABUSE ROOT CAUSE ANALYSIS

Key Concerns
Biological Factors
Economic Factors
Healthcare System Factors
Lifestyle Choice Factors

Physical Environment Factors
Psycho-Social Factors
Spiritual Factors
Other Factors
Causes of Root Causes

Key Concerns

How the community collaborates

People with disabilities

Abuse

Shaken baby syndrome

Leading cause of loss of productive life through unintentional injury

Reduce abuse and injury

Teenage moms- education, parenting

Preventable

Tie- in resources- short time-line to have an impact

BIOLOGICAL	Number
Mental Disorder Alcoholism Sleep Deprivation Predisposed to illness	3
Age	1

ECONOMIC	Number
Money Poverty Frustration due to poverty Financial Stress Un & under employment Lack of financial resources	6
Dangerous Work/ Workplace safety Lack of adequate Supervision	0

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HEALTHCARE SYSTEM	Number
Health Plan no insurance = no interface with healthcare system/no treatment lack of insurance lack of access to mental health counseling limited access to resources	5
Lack of empathy Lack of comprehension Fear of the unknown	4
High costs/need cost-effective care Not Affordable Money Driver care	1
Providers don't recognize symptoms of abuse No diagnosis of abuse	0

LIFESTYLE CHOICE	Number
No fear of accountability Not wearing or using preventable measure to ensure safety Sense of invicibility Risk-taking Lack of fear	3
Not prioritizing family/children Drug & Alcohol	0

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PHYSICAL ENVIRONMENT	Number
Inconsistent Life Safety Standard Homelessness Substandard housing Unsafe housing Inadequate housing	5
Lack of enforcement (red lights) Traffic Unsafe Cars	3
Limited Access/transportation to health care	0
Overcrowding	0
Lack of safe rest areas (parks)	0

PSYCHO - SOCIAL	Number
Education Lack of Education	6
Poor role models in their lives Lack of supervision Poor parenting skills Single parents	3
Stress Hopelessness Too stressed to concern with self or health care Depression	2

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SPIRITUAL	Number
Lack of emotional support apathy/isolation oppression Lack of connections and support	6
Lack of meaning in life feeling of inadequacy - not worthy Hopelessness Lack of self-confidence	1
Religious Beliefs Belief that punishment is effective	0

OTHER	Number
Environment Age group culture Family/surroundings - Don't value health	7
Gun safety and access to guns	0
Access to Quality child care	0

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Causes of Root Causes:

Education: (Jerry, Yvette) Lack of expectation to further one's education, no value placed on education, lack of access to information, poorly funded schools, age-related development or inhibited knowledge, no role models, funding, isolation, cultural

Insurance: (Travis, Roseanne) Not all employers offer insurance, high cost of health care, minimal government support, under-employment, undocumented residents

Poverty: (Simone, Blanca) Education/literacy/job and life skills, physical and mental health status, drug and alcoholism, disability, discrimination, the system-eligibility, prior offenses/ criminal history

Homelessness, Sub-Standard Housing: (Jo, Katherine) Poverty, Lack of affordable housing, mental illness, can't afford maintenance of home, welfare reform

Apathy, Lack of connections and support : (Sally, Emily) Mobile society (families not near by), Poverty, Lack of knowledge of different options for healthier choices, Feeling the meaningless of life, Alcohol and drug abuse

Common threads:

Public policy issues (undocumented residents, education, government support

Family and cultural values (no value placed on education, health-related concerns, etc.)

Poverty

Community Values

Discrimination

Lack of education

Mental Health- Substance Abuse, Spiritual Health

Access

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Health Forum Report Home Page

INJURY AND ABUSE ROOT CAUSE ANALYSIS

Key Concerns

BIOLOGICAL

ECONOMIC

HEALTHCARE SYSTEM

LIFESTYLE CHOICE

PHYSICAL ENVIRONMENT

PSYCHO - SOCIAL

SPIRITUAL

OTHER

Causes of Root Causes:

Common threads: