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Counseling
& Education
Clinical
Interventions
Long Lasting Protective
Interventions
Changing the Context to Make
Individuals ‘ Default Decisions
Healthy
Socioeconomic Factors
The Health Impact Pyramid
American Journal of Public Health | April 2010, Vol 100, No. 4
The efforts of UTCO in Nueces County are designed with objectives to make
lasting environmental / socioeconomic changes. In order to reach these goals
tactics representative of all areas of the pyramid are used. We believe that by
using combinations of the pyramid facets, we will be successful in making
well rounded, lasting impressions.
Framework
4. Company
LOGO
Counseling
&
Education
Framework
Lay counseling and education is a
facet of every UTCO program and event
in Nueces County
Every class and client consultation serves a teaching
moment and a door to our community in gaining trust.
This outreach extends a strong psycho-social support system to
the clients. This is often the missing link for a lasting and positive
behavioral change.
5. Company
LOGO Framework
In FY2011, we have formed alliances with Mission of Mercy and
CHRISTUS Spohn Health System in addition to private physicians
to implement a direct referral process.
As the Community Health Workers are linking clients to medical homes
and proactive care, health providers are referring clients back to UTCO
for their diabetes education. Clients have free access to services at the
Healthy Living Center in addition to the added support of the various
programs at Catholic Charities of Corpus Christi.
Clinical
Interventions
In a community-based program
http://utco.org/wp-content/uploads/2010/12/Referral-Form4.pdf
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LOGO Framework
Working with clients to empower them to incorporate
healthy eating and increased physical activity into
their daily routines, diabetic clients are learning to
control their glucose levels. Non-diabetics are
learning that diabetes can be prevented.
For all Nueces County clients enrolled in the self-
management program, UTCO is correlating data on
interventions with diagnostic outcomes at months 1, 3, 6
and 12.
Long Lasting
Protective
Interventions
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LOGO Framework
Promoting and providing access to opportunities to learn, exercise
and share experiences, the UTCO Healthy Living Center has made a
significant change in Nueces County.
Every service is focused around making healthy choices and behavioral
changes for a healthy lifestyle.
There have been 39 class series offered to the community, free of charge,
including nutrition/cooking, exercise and health awareness.
Changing the Context to
Make Individuals’ Default
Decisions Healthy
8. Company
LOGO Framework
UTCO sponsored community garden projects at a local shelter, in the town of
Banquete and at a local Corpus Christi elementary school promote farming, eating
fresh produce and appreciation for the earth.
Working with clients who are currently homeless and/or disabled and teaching and
supporting healthy choices has lead to clients going from homelessness to living
independently, working on GED’s, and becoming gainfully employed.
Assisting clients who are underserved and/or underinsured and linking them to medical
coverage and a medical home AND teaching them disease self-management and/or
prevention results in cost avoidance from decreased
emergency room visits and avoidable hospital admissions.
Socioeconomic Factors
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LOGO
*10,465
= the number of participants assisted by
the Diabetes Intervention & Prevention
Program in Nueces County.
FY2010 = 4318
FY2011 = 6147
Total Outreach
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LOGO Diabetes Education Kiosk
UTCO & Catholic Charities of Corpus Christi was awarded
a learning / education kiosk by the Morris L. Lichtenstein Jr.
Medical Research Foundation.
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LOGO Frontera de Salud
It was another successful year working with the medical and allied health
students from UT Medical Branch. Community Health Worker and students
visited clients’ homes throughout Nueces County, held health living events
and sponsored a street side outreach event at an area badly affected by
the flooding in the Fall of 2010. The interdisciplinary teamwork was amazing!
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LOGO
Diabetes intervention and prevention services continue at the Mother
Teresa Homeless Day Shelter. Services include:
Glucose screenings
Education on self-management skills
Connections to medical homes
Prescription assistance
Backpack Traveling Food
Serving the Homeless
The Journey for Control Conversation Maps will be used to for diabetes
education at the shelter. Questions, answers, peer support and
Lessons applicable to the homeless will offered on a weekly schedule.
Catholic Charities of Corpus Christi was awarded a grant by the Coastal
Bend Diabetes Initiative to continue this innovative work with the homeless
population in Corpus Christi. This project involving intensive case
management is in the implementation phase and will be completed in the
summer of 2012.
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LOGO
47diabetic clients continue to be active in the diabetes prevention and
self-management programming.
In FY2011, clients continued to lower their HbA1c’s. Every quarter
reflected a overall percent decrease in the average HbA1c’s.
Additionally, at the 9 month marker, the clients’ overall average body
mass index decreased by 16%.
Diabetes Self-Management
673 home visits were made by the
Community Health Workers in FY2011.
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Program Metrics*
For Diabetic Clients at 3, 6, 9 & 12 Month Markers
# of Clients
w/ 3 Month
Marker
Baseline
Average
HbA1c
3 Month
Average
HbA1c
Average
Percent +/-
47 8.6 7.8 -9.3%
# of Clients
w/6 Month
Marker
Baseline
Average
HbA1c
6 Month
Average
HbA1c
Average
Percent +/-
33 8.7 8.1 -6.9%
# of Clients
w/9 Month
Marker
Baseline
Average
HbA1c
9 Month
Average
HbA1c
Average
Percent +/-
19 8.7 8.2 -5.8%
# of Clients
w/12 Month
Marker
Baseline
Average
HbA1c
12 Month
Average
HbA1c
Average
Percent +/-
10 9.0 8.4 -6.7%
Diabetes Self-Management
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LOGO Highlights
Nutrition
& Cooking
In FY2011, 1016 clients participated in the
nutrition and cooking classes.
There were 116 cooking demonstrations/nutrition
classes held this past year.
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LOGO Highlights
Nutrition
& Cooking
In FY2011 we joined forces with the local
team from the Department of
Rehabilitation Services [DARS] and
offered diabetes education and
cooking/nutrition classes to clients who are
visually impaired. 75% of the clients had
lost their vision to diabetes.
Clients were deeply engaged in the
classes and thanks to DARS, they were
able to take the recipes home in Braille.
Additionally, they learned how to modify a
kitchen to make it safer and functional.
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LOGO Highlights
Physical
Activity
3008 =
the number of people who attended the exercise classes in FY2011.
168 =
record for attendance at a Zumba class held at the Holy Family
Parish in Corpus Christi. This was a partnership with the
Corpus Christi Independent School District.
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Thank you!
How wonderful it is that nobody need wait a single moment before
starting to improve the world. ~Anne Frank
…and we did not wait!
