Cincinnati Children's 2022 Community Health Needs Assessment

2022 Community Health Needs Assessment

Executive Summary

Overview of Cincinnati Children’s

Cincinnati Children's Hospital Medical Center ("Cincinnati Children's") is a private, not-for-profit 501(c)(3)

corporation, which owns and operates a comprehensive pediatric academic medical center located in

Cincinnati, Ohio. Cincinnati Children’s includes one of the nation's largest pediatric tertiary and

quaternary care facilities. During the fiscal year (FY) that ended June 30, 2021, Cincinnati Children’s had

more than 1.5 million patient encounters and served patients from 65 countries, all 50 states, Washington

D.C. and Puerto Rico.

Purpose of Report

The 2022 Community Health Needs Assessment (CHNA) process meaningfully and consistently

connected with community members and partners to obtain an understanding of health needs

experienced and prioritized by the community. The process used a population health mindset and

multiple avenues of connection to create a document capable of enhancing collective efforts to equitably

improve child health. This report meets the requirements of the Affordable Care Act of 2010 and the IRS

Section 501(r)(3) and is inclusive of Cincinnati Children’s four hospital facilities – Burnet Campus, Liberty

Campus, College Hill Campus, and Linder Center of HOPE. Cincinnati Children’s Primary Service Area

(PSA), which is an eight-county region in Southwestern Ohio, Northern Kentucky, and Southeastern

Indiana, is the defined community for this assessment. The PSA includes Butler, Clermont, Hamilton and

Warren Counties in Ohio; Boone, Campbell and Kenton Counties in Kentucky; and Dearborn County in

Indiana.

Methodology and Process

Historical In-

Depth Review

•Review of prior

Cincinnati

Children’s CHNAs

and Child Health

Surveys

•Review of CHNA

and available

surveys conducted

by top pediatric

institutions

Secondary Data

Collection

•Cincinnati

Children's Internal

Data

•External Data

Collection and

Review

Primary Data

Collection

•2021 Child Health

Survey - Online

•2021 Child Health

Survey - Phone

•Key Informant

Survey

•Parent Discussion

Groups

Prioritization

•Review of Primary

Data Priorities

•Review Committee

Prioritization

Process

•Priority Finalization

Historical In-Depth Review

To complete the 2022 CHNA, an in-depth review was conducted of prior Cincinnati Children’s CHNAs

and Child Health Surveys, along with the written reports and available surveys conducted by other top

pediatric institutions. Information gleaned from this review, along with the framework of Cincinnati

Children’s Pursuing Our Potential Together (POPT) strategic plan, feedback from the CHNA Advisory

Committee, and an emphasis on community partnership and population health, led to the creation of new

primary data collection tools for the 2022 assessment.

Primary and Secondary Data Collection

To understand the extent of child health needs within Cincinnati Children’s community, we utilized four

primary data collection methods: an online 2021 Child Health Survey, a phone-based 2021 Child Health

Survey, Key Informant Surveys, and Parent Discussion Groups. Input was solicited through Cincinnati

Children’s patients and families, community members, and key child health organizations, including

organizations serving vulnerable populations across the Cincinnati Children’s PSA.

Cincinnati Children’s collected secondary data from local, state, and national sources to research child

health needs and guide question development. Internal hospital data related to admissions and disease

prevalence was also reviewed.

Prioritization Process

During the primary data collection, Key Informant and 2021 Child Health Survey respondents were asked

to rank the top two child health and health-related needs in their community. Once child health and

health-related needs were identified from primary and secondary data sources, a prioritization committee

– comprised of leaders representing primary and specialty pediatric care, social work, and Cincinnati

Children’s regional locations – was assembled. The prioritization committee reviewed the ranked

priorities identified during the data collection process and were asked to prioritize the health needs on a

5-point Likert scale based on six criteria. Child health-related needs were ranked in order of importance.

2022 Community Health Needs Assessment –

Child Health Priorities

Four child health priorities identified for the 2022 CHNA are:

Strategies to address these four priories will be detailed in the accompanying 2022 Implementation

Strategy report.

Child and

Youth

Mental

Health

COVID-19

Pandemic

Health

Impacts on

Children

and Youth

Child and

Youth

Chronic

Disease

Infant

Mortality

2022 Community Health Needs Assessment

Report

Table of Contents

Report Section

Page

Executive Summary

Table of Contents

Cincinnati Children’s Hospital Medical Center Overview

Definition of Community Served

Purpose and Scope of the 2022 Community Health Needs Assessment

Community Economic and Social Population Profile

2019 Community Health Needs Assessment Summary

2022 Community Health Needs Assessment Data Collection Methods

• Primary Data Collection Methods

• Secondary Data Collection Methods

Project Collaborations

Prioritization Process

2022 Community Health Needs Assessment Prioritized Health Needs

Review of the 2022 Community Health Needs Assessment Prioritized Health Needs,

Supporting Data, and Cincinnati Children’s Resources

• Prioritized Need 1: Child and Youth Mental Health

• Prioritized Need 2: COVID-19 Pandemic Health Impact on Children and Youth

• Prioritized Need 3: Child and Youth Chronic Disease

• Prioritized Need 4: Infant Mortality

Written Comments on 2019 Community Health Needs Assessment

2022 Community Health Needs Assessment Approval and Adoption

Appendix A: Evaluation of 2019 Implementation Strategies

Appendix B: Community Health Needs Assessment Advisory Committee

Appendix C: 2021 Child Health Online Survey Questions

Appendix D: Online Child Health Survey and Parent Discussion Group Partner List

Appendix E: Data Summary Tables - 2021 Child Health Survey

Appendix F: 2021 Child Health Phone Survey Questions

Appendix G: Key Informant Interview Survey Questions

103

Appendix H: Data Summary Tables – Key Informant Survey

107

Appendix I: Key Informant Partner Organizations List

112

Appendix J: Parent Discussion Group Questions

113

Appendix K: Data Summary Tables – Parent Discussion Groups

114

Appendix L: Child Health and Health-Related Needs Prioritized by the Community

118

Appendix M: Health and Health-Related Needs Prioritization Guidelines and Rubric

120

Appendix N: Cincinnati Children’s Prioritization Committee

123

Appendix O: Additional Child Health and Health-Related Needs Overview

125

Appendix P: Community Resources List

146

Appendix Q: References

225

Cincinnati Children’s Hospital Medical Center Overview

Hospital Description

Cincinnati Children's Hospital Medical Center

("Cincinnati Children's") is a private, not-for-

profit 501(c)(3) corporation, which owns and

operates a comprehensive pediatric

academic medical center located in

Cincinnati, Ohio. Cincinnati Children’s

includes one of the nation's largest pediatric

tertiary and quaternary care facilities. During

the fiscal year (FY) that ended June 30, 2021,

Cincinnati Children’s had more than 1.5

million patient encounters and served

patients from 65 countries, all 50 states,

Washington D.C. and Puerto Rico.

Cincinnati Children’s operates more than 20

healthcare facilities within the Primary

Service Area (PSA). This Community Health

Needs Assessment (CHNA) is inclusive of all

Cincinnati Children’s campuses, which includes four hospital facilities. Cincinnati Children’s four hospital

facilities are:

• Burnet Campus — The Burnet Campus has more than 700 staffed beds and 20 inpatient units,

including the newborn, pediatric and cardiac ICUs, a bone marrow transplant unit, and other

highly specialized facilities. There are 28 main operating rooms, two fetal operating rooms, two

cardiothoracic operating rooms, and five procedure rooms. The newly opened Critical Care

Building on the Burnet Campus contains the new emergency department with a dedicated 24-

hour pharmacy and specialized units for complex and intensive care.

• Liberty Campus —The Liberty Campus, in Liberty Township, Ohio, features a 24-hour emergency

department, an urgent care center, 54 inpatient beds, three inpatient units, eight operating rooms,

and a Proton Therapy Center.

• College Hill Campus — The College Hill Campus offers inpatient and outpatient services for

patients with mental health needs. This specialized facility has 10 inpatient psychiatric units,

including 94 staffed beds and 30 residential beds in three residential units for patients requiring

long-term care. College Hill is the largest mental health inpatient facility of any children’s hospital

in the country.

• Lindner Center of HOPE — On the Lindner Center of HOPE campus, Cincinnati Children’s

operates a 16-bed inpatient psychiatric unit.

Vision and Mission

Cincinnati Children’s was founded in 1883 with the objective to be the premier children's hospital in the

region, and its research focus was primarily to support its clinical programs. In the mid-1990s, Cincinnati

Children's expanded its vision to be the leader in improving child health on a national and global scale.

This vision is accomplished through its three integrated missions: (1) clinical care; (2) research; and (3)

medical education. Cincinnati Children’s core values include respect for everyone, telling the truth,

working as a team, and making a difference.

Cincinnati Children's has grown to become one of the nation's largest pediatric hospital facilities. This

growth was achieved through the strengthening of existing programs and the development of new

programs for children with targeted diseases and complex disorders, drawing patients regionally,

Cincinnati Children’s by the Numbers

(July 1, 2020 to June 30, 2021):

• 28,211 Admissions (includes short stay)

• 125,114 Emergency and Urgent Care Visits

• 1,336,660 Outpatient Visits

• 1,489,985 Total Patient Encounters

• Surgical Procedures:

o 6,418 Inpatient

o 25,209 Outpatient

o 47,576 Total Surgical Hours

Source: Cincinnati Children's Hospital

nationally, and internationally. Cincinnati Children’s aims to achieve the best medical and quality of life

outcomes and patient and family experience at the best value today and in the future for all patients.

In order to live out its mission, Cincinnati Children’s is dedicated to advancing medicine and health

through research and education. As one of the largest pediatric research programs in the nation,

Cincinnati Children’s translational research results in innovations that have a direct impact on improving

child health for kids in the local community and around the world.

Through an academic affiliation dating back to 1926, Cincinnati Children’s serves as the Department of

Pediatrics for the University of Cincinnati College of Medicine. As one of the largest pediatric medical

education programs in the U.S., Cincinnati Children’s provides training to over 1,000 medical residents,

postdoctoral fellows, nurses, and other healthcare professionals, as well as training and education to

parents, families, and the community.

Definition of Community Served

This report assesses the child community health needs of the Cincinnati Children’s PSA, which is an

eight-county region in Southwestern Ohio, Northern Kentucky, and Southeastern Indiana. The PSA

includes Butler, Clermont, Hamilton, and Warren Counties in Ohio; Boone, Campbell, and Kenton

Counties in Kentucky; and Dearborn County in Indiana. Clermont County is classified as part of

Appalachia.

Source: Map image from https://mapchart.net

Purpose and Scope of the 2022 Community Health Needs

Assessment

This CHNA process meaningfully and consistently connected with community members and partners to

obtain an understanding of health needs experienced and prioritized by the community. The process

used a population health mindset and multiple avenues of connection to create a document capable of

enhancing collective efforts to equitably improve child health.

As Cincinnati Children’s approaches its 150

birthday in 2033, a thirteen-year strategic plan was adopted

with the commitment to “Pursue Our Potential Together, so all kids can pursue theirs.” To help

propel the organization forward, Cincinnati Children’s is focused on four aspirations – Care, Community,

Cure, and Culture (Figure 1). The community input and feedback gathered in the CHNA will support the

development of strategic initiatives and improvement strategies as part of the Pursuing Our Potential

Together (POPT) strategic plan across these four aspirations.

Figure 1. Four Pillars of Pursing Our Potential Together

This report meets the requirements of the Affordable Care Act of 2010 and the IRS Section 501(r)(3) as it

is currently understood and interpreted by Cincinnati Children’s management. Not-for-profit hospitals

conduct a CHNA every three years and pair it with adoption of an implementation strategy to meet the

community needs identified.

Community Economic and Social Population Profile

Population

The current estimated population size for Cincinnati Children’s PSA is 2,043,476, which is a 1.09%

increase from 2017 estimates. Hamilton County has the largest population out of all eight counties in the

PSA with 817,473 residents in 2019. Boone County had the largest population increase (2.46%), while

Dearborn County saw a population decrease of 0.17% (Table 1).

Table 1. Population Size and Percent Change by County

County

2017 Total Population

2019 Total population

% Change

Dearborn County

49,564

49,479

-0.17%

Boone County

127,682

130,820

2.46%

Campbell County

91,804

92,861

1.15%

Kenton County

163,987

165,668

1.03%

Butler County

375,702

380,019

1.15%

Clermont County

202,166

204,275

1.04%

Hamilton County

808,703

813,589

0.60%

Warren County

223,868

229,132

2.35%

Cincinnati

Urbanized Area^

1,656,015

1,673,063

1.03%

Whole PSA

2,043,476

2,065,843

1.09%

USA*

321,004,407

324,697,795

1.15%

Source: 2017 and 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05

^Cincinnati, OH-KY-IN Urbanized included in the above table due to location of Cincinnati Children’s

main campus location within the city.

*USA used as comparative data throughout this section due to PSA spanning three states

Age

The median age in the PSA ranges from 36.7 to 42.5 years old. Twenty-four percent (23.6%) of the

population is under 18 years old (487,784) (Figure 2). The age distribution of youth is even across PSA

counties. That is, the percentage of the population that is <5, 5-9, 10-14, and 15-19 years is similar in

each PSA county (Table 2).

Figure 2. Percentage of Population Under 18 Years by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05

Table 2. Percentage of Population by Age Category by County

County

Age Ranges

Under 5 years

5 to 9 years

10 to 14 years

15 to 19 years

Dearborn County

2,550

5.2%

3,134

6.3%

3,432

6.9%

3,375

6.8%

Boone County

8,689

6.6%

9,330

7.1%

10,543

8.1%

8,997

6.9%

Campbell County

5,388

5.8%

5,608

6.0%

5,244

5.6%

6,461

7.0%

Kenton County

11,090

6.7%

12,074

7.3%

10,164

6.1%

9,893

6.0%

Butler County

23,176

6.1%

23,711

6.2%

27,080

7.1%

29,673

7.8%

Clermont County

11,937

5.8%

13,430

6.6%

13,865

6.8%

12,670

6.2%

Hamilton County

53,603

6.6%

51,767

6.4%

51,949

6.4%

53,219

6.5%

Warren County

13,215

5.8%

14,765

6.4%

18,300

8.0%

16,233

7.1%

Whole PSA

129,648

6.4%

133,819

6.6%

140,577

7.0%

140,521

7.0%

USA

6.1%

6.2%

6.4%

6.5%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05

Race and Ethnicity

Race and ethnicity are different demographics, and this data is summarized separately in this report.

There is variation in race across the PSA. In the PSA, 97.4% of the population identifies as a single race,

80.8% (1,265,833) identify as White, and 12.8% (249,216) identify as African American (Figure 3).

Hamilton County has the largest African American population in the PSA (25.5%), while Dearborn County

has the least variation in racial diversity in its population, with 97.2% identifying as White.

22.8%

26.4%

21.2%

24.0%

23.6%

23.3%

23.1%

25.0%

23.6%

22.6%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

Figure 3. Racial Identity by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05; Other Races

includes American Indian and Alaska Native, Asian, Native Hawaiian and Other Pacific Islander, and Other Race

There was also variability in ethnicity across the PSA. Throughout the entirety of the PSA, 3.3% (68,513)

of the population identifies as Hispanic or Latino, well below the USA average of 18%. Hamilton County

has the highest number of residents identifying as Hispanic/Latino (26,867). Butler County (4.7%,

17,914) and Boone County (4.2%, 5,5460) have the largest percentage of population that identifies as

Hispanic/Latino, while Dearborn County (1.3%, 646) and Clermont County (1.9%, 3,964) have the

smallest population percentage in the PSA (Table 3).

Table 3. Hispanic/Latino Identity by County

County

Hispanic or Latino

Not Hispanic or Latino

Dearborn County

646

1.3%

48,833

98.7%

Boone County

5,546

4.2%

125,274

95.8%

Campbell County

1,903

2.0%

90,958

98.0%

Kenton County

5,352

3.2%

160,316

96.8%

Butler County

17,914

4.7%

362,105

95.3%

Clermont County

3,964

1.9%

200,311

98.1%

Hamilton County

26,867

3.3%

786,722

96.7%

Warren County

6,321

2.8%

222,811

97.2%

Whole PSA

68,513

3.3%

1,997,330

96.7%

USA

58,479,370

18.0%

266,218,425

82.0%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05

Language

The primary language in the PSA is English, with 93.2% (1,804,700) of residents speaking English only.

Seven percent (6.8%, 131,495) of people speak a language other than English as their primary language.

For a breakdown of languages spoken, other than English, by county, refer to Figure 4. In youth aged 5

to 17 years, the most common non-English language spoken in the PSA is Spanish (0.7%; 12,634).

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

White Black or African American Other Races

Figure 4. Frequency of Non-English Languages Spoken by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1601

Gender

Fifty-one percent (51%) of the population in the PSA is female. Warren County is the only PSA county

with a higher percentage of males than females (Figure 5). However, all counties have a relatively even

split between genders, mirroring gender splits across the USA.

Figure 5. Gender Breakout by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP05

Disability

Across the PSA, 22,892 youth under 18 years report having a disability (4.7%). Boone County has the

highest percentage of youth under 18 years reporting a disability at 6.0% (Table 4).

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole PSA

Spanish Other Indo-European languages Asian and Pacific Island languages Other languages

35.0%

40.0%

45.0%

50.0%

55.0%

60.0%

65.0%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

Male Female

Table 4. Percentage of Youth < 18 who Report Having a Disability by County

County

Under 18 Years with Disability

Dearborn County

337

3.0%

Boone County

2,060

6.0%

Campbell County

685

3.5%

Kenton County

2,115

5.3%

Butler County

4,294

4.8%

Clermont County

2,675

5.6%

Hamilton County

8,825

4.7%

Warren County

1,901

3.3%

Whole PSA

22,892

4.7%

USA

3,084,450

4.2%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

Households

There are 808,531 households in the PSA, with an average household size of 2.57 and average family

size of 3.11. Married couples are the most common household type (Table 5).

Warren County has the

highest percentage of married couples (58.8%). Hamilton County has the highest percentage of never

married individuals (38.3%) (Table 6).

Across the PSA, there are 253,091 households (32.6%) with one

or more youth (individual that is under 18 years) living within them (Figure 6).

Table 5. Household Types and Size by County

County

Total # of

Households

Married-

Couple

Family

Household

Cohabiting

Couple

Household

Single

Male

Household

Single

Female

Household

Average

Household

Size*

Average

Family

Size*

Dearborn County

18,870

57.1%

7.2%

16.1%

19.5%

2.59

2.98

Boone County

46,997

57.6%

5.9%

14.1%

22.4%

2.76

3.21

Campbell County

36,746

47.3%

6.0%

18.9%

27.8%

2.43

3.04

Kenton County

63,966

46.0%

7.5%

19.6%

27.0%

2.55

3.2

Butler County

139,113

51.4%

6.8%

16.7%

25.0%

2.65

3.17

Clermont County

78,009

55.3%

6.1%

15.4%

23.1%

2.59

3.11

Hamilton County

341,873

38.7%

6.2%

21.4%

33.7%

2.33

3.04

Warren County

82,957

62.4%

5.0%

12.7%

20.0%

2.67

3.11

Whole PSA

808,531

51.98%

6.34%

16.86%

24.81%

2.57

3.11

USA

120,756,048

48.2%

6.3%

17.8%

27.7%

2.62

3.23

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

*Per census definitions, household size counts all the individuals living in a housing unit. Family size includes all the

people related to the householder by birth, marriage, or adoption that live in the housing unit.

Table 6. Marital Status by County

County

Married (not separated)

Widowed

Divorced

Separated

Never married

Dearborn County

55.8%

6.6%

11.0%

1.3%

25.4%

Boone County

55.8%

4.6%

11.3%

1.2%

27.1%

Campbell County

47.8%

6.1%

12.4%

1.1%

32.6%

Kenton County

47.1%

5.6%

13.0%

1.7%

32.6%

Butler County

49.4%

5.6%

10.9%

1.8%

32.3%

Clermont County

54.9%

6.0%

11.5%

1.7%

26.0%

Hamilton County

42.7%

5.9%

11.3%

1.8%

38.3%

Warren County

58.8%

4.9%

9.7%

0.9%

25.6%

Whole PSA

51.5%

5.7%

11.4%

1.4%

30.0%

USA

48.1%

5.8%

10.9%

1.9%

33.4%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1201

Figure 6. Percentage of County Households with At least One Youth (under 18 Years)

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

Housing Units

There are 881,573 housing units in the PSA, with Hamilton County having the highest number of units

(379,402). Warren County has the highest percentage of occupied housing units (95.2%), while Hamilton

County has the highest percentage of vacant housing units (9.9%). That national average of vacant

housing units is 12.1% (Table 7).

Table 7. Occupied vs. Vacant Housing Units by PSA County

County

Total Housing

Units

Occupied Housing

Units

Vacant Housing

Units

Dearborn County

20,498

92.1%

7.9%

Boone County

49,443

95.1%

4.9%

Campbell County

40,312

91.2%

8.8%

Kenton County

69,661

91.8%

8.2%

Butler County

151,887

91.6%

8.4%

Clermont County

83,205

93.8%

6.2%

Hamilton County

379,402

90.1%

9.9%

Warren County

87,165

95.2%

4.8%

Whole PSA

881,573

92.6%

7.4%

USA

137,428,986

87.9%

12.1%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP04

Across the PSA, Hamilton County has the highest renter-occupied housing percentage (42.1%), which is

higher than the USA average (36.0%). Dearborn County has the highest percentage of owner-occupied

housing (79.6%) (Figure 7).

32.5%

38.3%

29.4%

30.7%

33.4%

31.7%

28.4%

36.6%

32.6%

31.0%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

Figure 7. Percentage of Owner vs. Renter Occupied Housing Units in the PSA by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1101

Median monthly rent paid in the PSA ranges, across counties, from the mid $700s to just over $1,000.

The median rent for the entire PSA is $874/month. Warren County has the highest median rent at

$1,061/month, which is similar to the median monthly rent paid across the USA ($1,062/month) (Figure

8).

Figure 8. Median Monthly Rent by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP04

Income

Median household income for the PSA is $68,974, which exceeds the national average of $62,843.

However, median household income varies by county, from a low of $57,212 in Hamilton County to a high

of $87,125 in Warren County (Figure 9). There is also a difference in the median income between family

households and nonfamily households in the PSA (Figure 10).

79.6%

74.5%

69.7%

66.1%

68.1%

74.2%

57.9%

77.7%

71.0%

64.0%

20.4% 25.5% 30.3% 33.9% 31.9% 25.8% 42.1% 22.3% 29.0% 36.0%

20%

40%

60%

80%

100%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

Owner-occupied housing units Renter-occupied housing units

$744

$810

$811

$849

$850

$874

$883

$986

$1,061

$1,062

$200

$400

$600

$800

$1,000

$1,200

Dearborn

County

Hamilton

County

Kenton

County

Clermont

County

Campbell

County

Whole

PSA

Butler

County

Boone

County

Warren

County

USA

Figure 9. Median Household Income by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1901

Figure 10. Median Income by Family Household Type for the Primary Service Area

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1901

Per Census definitions, “families” are a group of two people or more people (including the householder) that are

related by birth, marriage, or adoption and reside together. “Married-couple families” are families that include a

husband/wife/married couple. “Nonfamily households” is a householder living alone and a household that consists

exclusively of non-related individuals.

Poverty

Twelve percent (12%) of the PSA population lives below the federal poverty level. Across the PSA,

79,665 youth under 18 years (17.0%) live in households with incomes below 100% of the Federal Poverty

Guidelines (FPG).

The 2021 FPG for a single person household is $12,880. For a four-person

household, the FPG is $26,500.

The highest childhood poverty rate is in Hamilton County, with one in

four children (23.4%) under 18 years living in households below 100% FPG. Warren County has the

lowest rate of childhood poverty at 4.8% (Table 8).

$57,212

$62,843

$63,050

$64,339

$66,117

$66,968

$68,658

$68,975

$78,327

$87,125

$- $20,000 $40,000 $60,000 $80,000 $100,000

Hamilton County

USA

Campbell County

Kenton County

Butler County

Clermont County

Dearborn County

Whole PSA

Boone County

Warren County

$99,662

$85,424

$37,763

Married-couple

families

Families Nonfamily

households

Table 8. Poverty Rates, Under Age 18, by County

County

Poverty Under 18 Years

Poverty Under 5 Years

Poverty 5 to 17 Years

Dearborn County

1,332

12.1%

366

14.6%

966

11.3%

Boone County

3,387

10.0%

1,105

13.2%

2,282

9.0%

Campbell County

3,081

15.9%

844

16.0%

2,237

15.9%

Kenton County

6,362

16.4%

1,826

16.7%

4,536

16.3%

Butler County

14,384

16.3%

3,785

16.7%

10,599

16.2%

Clermont County

5,180

11.0%

1,685

14.3%

3,495

9.9%

Hamilton County

43,200

23.4%

13,270

25.1%

29,930

22.7%

Warren County

2,739

4.8%

758

5.8%

1,981

4.5%

Whole PSA

79,665

17.0%

23,639

18.5%

56,026

15.9%

USA

13,377,778

18.5%

3,948,405

20.3%

9,429,373

17.9%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: S1701

Note: Cincinnati, Ohio Poverty Rates: Under 18 Years: 32.2%, Under 5 Years: 42.0%, 5 to 17 Years: 28.1%

Unemployment

In the PSA, 4.5% of the labor force (individuals over age 16 years) is unemployed. Warren County has

the lowest unemployment rate (3.0%), while Hamilton County has the highest unemployment rate (5.4%)

(Table 9).

Table 9. Unemployment Rate, aged 16+ Years, by County

County

Unemployment Rate

Dearborn County

3.7%

Boone County

3.8%

Campbell County

4.0%

Kenton County

4.2%

Butler County

4.6%

Clermont County

3.7%

Hamilton County

5.4%

Warren County

3.0%

Whole PSA

4.5%

USA

5.3%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP03

Insurance

Ninety-six percent (96.4%) of youth in the PSA have insurance. Two in three youth (67.4%) have private

insurance. One in four youth (25.5%) have public or means-tested insurance in the PSA (Figure 11).

Hamilton County has the highest percentage of youth under 19 years with public or means-tested

insurance (30.8%), while Warren County has the lowest percentage (6.3%). Dearborn County has the

highest percentage of youth with no insurance (5.7%), which matches the national average (5.7%) (Table

10).

Figure 11. Insurance Type for Youth Under 19 Across the PSA

Source: 2019 American Community Survey 1-Year Estimates Detailed Table. Data Table: C27010

Table 10. Insurance Type for Youth Under 19 Years – Percentages by County

County

Private Insurance Only

Public Only

Private and Public

No Insurance

Dearborn County

73.7%

17.8%

2.8%

5.7%

Boone County

70.0%

21.2%

4.3%

4.4%

Campbell County

75.6%

20.1%

2.7%

1.7%

Kenton County

66.4%

28.4%

3.0%

2.2%

Butler County

62.1%

30.0%

4.6%

3.3%

Clermont County

68.5%

24.2%

4.0%

3.4%

Hamilton County

61.6%

30.8%

3.2%

4.5%

Warren County

89.1%

6.3%

2.5%

2.1%

Whole PSA

67.4%

25.5%

3.5%

3.6%

USA

56.3%

34.1%

4.0%

5.7%

Source: 2019 American Community Survey 1-Year Estimates Detailed Table. Data Table: C27010

Education

Warren County has the highest high school graduation rate (93.8%) and the highest percentage of

individuals with a Bachelor’s degree or higher (43.0%%) (Figure 12). Nine percent (8.7%) of the

population in the PSA did not graduate from high school, which is lower than the national rate (12%)

(Table 11).

Figure 12. Graduation Percentage by Education Type and County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

67.4%

25.5%

3.5%

3.6%

Private Insurance

Only

Public Only

Both Private and

Public

No Insurance

89.6%

93.1%

90.8%

89.9%

90.6%

90.2%

91.4%

93.8%

91.3%

88.0%

22.9%

32.1%

36.3%

31.7%

30.2%

28.6%

37.9%

43.0%

34.9%

32.1%

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

% High school graduate or higher % Bachelor's degree or higher

Table 11. Educational Attainment by County

County

No High School

Diploma or

GED

High School

Diploma or

GED

Some

College,

No Degree

Associate’s

Degree

Bachelor's

Degree

Graduate or

Professional

Degree

Dearborn

County

10.4%

38.9%

19.0%

8.9%

15.4%

7.5%

Boone County

6.8%

27.5%

24.5%

9.0%

20.7%

11.4%

Campbell

County

9.2%

28.2%

18.7%

7.5%

23.5%

12.8%

Kenton County

10.1%

28.7%

20.9%

8.5%

19.6%

12.1%

Butler County

9.3%

32.9%

19.4%

8.1%

19.5%

10.7%

Clermont

County

9.7%

32.4%

20.2%

9.1%

18.6%

10.0%

Hamilton County

8.6%

26.3%

18.8%

8.4%

22.8%

15.1%

Warren County

6.1%

25.8%

16.6%

8.5%

27.0%

16.0%

Whole PSA

8.7%

28.7%

19.3%

8.5%

21.7%

13.2%

USA

12.0%

27.0%

20.4%

8.5%

19.8%

12.4%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

Transportation

Eight percent (7.7%) of households in the PSA report not having access to a vehicle (Figure 13).

Hamilton County has the largest percentage of households without a vehicle (11.3%). Dearborn County

has the highest percentage of households with 3 or more vehicles (38.0%) (Figure 14).

Figure 13. Percentage of Households with a Vehicle Across the PSA

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP04

7.7%

32.0%

38.5%

21.9%

No vehicles available

1 vehicle available

2 vehicles available

3+ vehicles available

Figure 14. Percentage of Households and Available Vehicles by County

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP04

Computer and Internet

The majority of households (91.4%) in the PSA report having a computer, and 85.7% of households

report having an internet subscription. Dearborn County has the lowest percentage of households with

broadband internet (82.6%), while Warren County has the highest (91.5%) (Table 12).

Table 12. Percentage of Households with a Computer and Internet by County

County

% With a Computer

% With a Broadband

Internet Subscription

Dearborn County

90.3%

82.6%

Boone County

94.6%

89.9%

Campbell County

90.0%

81.8%

Kenton County

91.4%

85.7%

Butler County

92.1%

86.8%

Clermont County

91.9%

85.5%

Hamilton County

89.9%

83.8%

Warren County

94.8%

91.5%

Whole PSA

91.4%

85.7%

USA

90.3%

82.7%

Source: 2019 American Community Survey 5-Year Estimates Data Profiles. Data Table: DP02

2019 Community Health Needs Assessment Summary

Cincinnati Children’s previous CHNA was adopted in 2019 and completed with representatives of key

internal departments, community partners, and public health representatives. To understand the health

and social challenges for children and families in Cincinnati Children’s PSA, community members and

organizations participated in a Child Health Survey by phone, Key Informant Interviews, and focus

discussion groups. Through each data collection method, input was solicited from community members

and representatives of organizations, including organizations serving vulnerable populations. A total of

2,757 caregivers of children 18 years or younger completed the phone Child Health Survey and 23

organizations participated in Key Informant Interviews across Cincinnati Children’s PSA. In partnership

with the regional CHNA, conducted by The Health Collaborative in 23 counties, 553 participants attended

community-based focus groups. Secondary data collected from both internal and external sources also

informed the assessment and health prioritization process.

0.0%

10.0%

20.0%

30.0%

40.0%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Whole

PSA

USA

% No vehicles available % 1 vehicle available % 2 vehicles available % 3 or more vehicles available

Table 13 provides the rank order of the child issues prioritized in the 2019 CHNA. The 2019 assessment

is available on our website at: https://www.cincinnatichildrens.org/about/community/health-needs-

assessment

Table 13. 2019 Community Health Needs Assessment Prioritized Health Needs

Rank

Child Health Need

Child Mental Health

Childhood Obesity

Barriers to Care

Childhood Asthma

Child Safety and Unintentional Injury

Infant Mortality

Early Literacy/School Readiness

Dental

To address the 2019 Prioritized Health Needs, Cincinnati Children’s adopted the 2019 Implementation

Strategy. The 2019 Implementation Strategy can be found on our website at:

https://www.cincinnatichildrens.org/about/community/health-needs-assessment. An evaluation of the

2019 strategies was completed as part of this report. The complete evaluation can be found in Appendix

2022 Community Health Needs Assessment –

Data Collection Methods

The following section describes the approach and broader lens used for data collection for the current

CHNA. The process builds on Cincinnati Children’s prior reports and is in full compliance with IRS

requirements.

Primary Data Collection Methods

To understand the extent of child health needs within Cincinnati Children’s community, we utilized four

primary data collection methods: an online 2021 Child Health Survey, a phone-based 2021 Child Health

Historical In-

Depth Review

•Review of prior

Cincinnati

Children’s CHNAs

and Child Health

Surveys

•Review of CHNA

and available

surveys conducted

by top pediatric

institutions

Secondary Data

Collection

•Cincinnati

Children's Internal

Data

•External Data

Collection and

Review

Primary Data

Collection

•2021 Child Health

Survey - Online

•2021 Child Health

Survey - Phone

•Key Informant

Survey

•Parent Discussion

Groups

Prioritization

•Review of Primary

Data Priorities

•Review Committee

Prioritization

Process

•Priority Finalization

Survey, Key Informant Surveys, and Parent Discussion Groups. Input was solicited through Cincinnati

Children’s patients and families, community members, and key child health organizations, including

organizations serving vulnerable populations across the Cincinnati Children’s PSA.

Prior to creating the primary data collection tools, an in-depth review was conducted of prior Cincinnati

Children’s CHNAs and Child Health Surveys, along with the written reports and available surveys

conducted by other top pediatric institutions. Information gleaned from this review, along with the

framework of Cincinnati Children’s POPT strategic plan, feedback from the CHNA Advisory Committee,

and an emphasis on community partnership and population health, led to the creation of new primary

data collection tools for the 2022 assessment. A list of Advisory Committee members can be found in

Appendix B.

2021 Child Health Survey – Online Version

From May through June 2021, the online 2021 Child Health Survey was distributed broadly across the

PSA with a primary audience of parents and caregivers of youth under 18 years old. The secondary

audience for the survey was community members that interact with children through their extended

families, work, or volunteer activities. In the 28-question survey, participants were asked to share their

perspective on health and health-related needs of children in our community and to identify gaps in

resources. The survey questions are available in Appendix C.

After completing the online survey, all participants were invited to enter a drawing for a $20 cash card.

Eighty (80) cash cards were raffled. To maintain the confidentially and anonymity of survey respondents,

the drawing opt-in information was collected in a different survey system and could not be tied back to

participants’ responses.

The online survey was offered on two virtual platforms – Center for Clinical & Translational Science and

Training (CCTST)’s REDcap platform and NRC’s Community Insights. More information about these

partner organizations and platforms can be found in Project Collaborations. Participants for the survey

were contacted through a distribution strategy that leveraged both internal Cincinnati Children’s

communications capabilities and external community partnerships to reach the broadest audience

possible. A list of partner organizations is available in Appendix D.

A total of 1,828 participants completed the online 2021 Child Health survey. Breakdown of responses by

primary and secondary audience, county, and select demographics are in Figure 15 and Tables 14 and

15. Descriptive analysis was utilized to analyze the online 2021 Child Health Survey responses. Data

summary tables for the online 2021 Child Health Survey can be found in Appendix E.

2021 Child Health

Survey - Online

2021 Child Health

Survey - Phone

2021 Key Informant

Survey

Parent Discussion

Groups

Primary Data

Collection

Figure 15. Participants by Primary and Secondary Audience

Source: 2021 Child Health Survey

Table 14. Participants by Primary Service Area County

County

Frequency

Percent

Dearborn

0.9

Boone

3.9

Campbell

3.8

Kenton

109

6.0

Butler

211

11.5

Clermont

145

7.9

Hamilton

759

41.5

Warren

114

6.2

Non-PSA Counties

327

17.9

Not Reported

0.3

Total

1,828

100.0%

Source: 2021 Child Health Survey

Table 15. 2021 Child Health Survey Participant Demographics

Demographic

Number of

Responses

% of Total

Responses

Education Attainment

High School Graduate and Below

135

7.4%

Any College

1015

55.5%

Grad School and Up

678

37.1%

Household Income

Low Income

210

11.5%

Medium Income

590

32.3%

High Income

1028

56.2%

Parent/Caregiver Race(s)

White

1606

87.9%

Black or African American

193

10.6%

American Indian or Alaska Native

0.6%

Asian

2.1%

Other Race

1.6%

Appalachian Decent – Parent and/or Child

Parent and/or Child Appalachian

201

11.0%

Not Appalachian

1619

89.0%

Source: 2021 Child Health Survey

Household income category ranges are: Low (Less than $10,000 to $34,999), Medium ($35,000 to $99,999), High

($100,000 or more)

* 3.0% of respondents identified as Multi-Racial

88.3%

11.7%

Primary

Secondary

2021 Child Health Survey – Phone Version

An abbreviated version of the 2021 Child Health Survey was conducted by telephone, in partnership with

the University of Cincinnati Institute for Policy Research (UCIPR) from May through July 2021. More

information on UCIPR can be found in Project Collaborations. The phone survey provided an oversample

of residents in Hamilton County, with at least 30% of the responses from African American respondents.

This county was oversampled given the high population and diversity compared to other counties in the

PSA. The primary purpose for utilizing this strategy was to elevate the voice and perspective of parents

and caregivers in the community directly around Cincinnati Children’s locations, and to ensure an

appropriately diverse participant sample, reflective of the community Cincinnati Children’s serves.

The telephone interviews were completed using a random-digit-dial methodology, with phone numbers

purchased through Survey Sampling. A random sample of caregivers from throughout Hamilton County

was interviewed by cellular and landline telephone from a centrally supervised telephone interviewing

facility at UCIPR. The calls were made to both landlines and cellular phones to ensure a diverse

sampling.

Screening questions determined if there were children under age 18 years living in the household. Then,

an adult member (aged at least 18 years) of the household with the most recent birthday was selected to

complete the survey. Because the survey asks questions about their child specifically, a child was also

randomly selected from the caregiver’s household using the “Last-Birthday” selection method. This

process ensured that each child in a household had an equal chance of being selected. Caregivers

answered questions both about their own child(ren) and about children in the community as a whole.

A total of 729 participants completed the phone 2021 Child Health survey. The phone survey questions

are available in Appendix F. Breakdown of responses by geographic region and select demographics are

in Figure 16 and Table 16. Descriptive analysis was utilized to depict phone 2021 Child Health Survey

responses. Data summary tables for the phone 2021 Child Health Survey can be found in Appendix E.

Figure 16. Geographic Area of Phone Survey Participants

Source: 2021 Child Health Phone Survey

City of

Cincinnati,

35%

Hamilton

County

Suburbs,

65%

Table 16. 2021 Child Health Survey Phone Participant Demographics

Demographic

Number of

Responses

% of Total

Responses

Education Attainment

High School Graduate and Below

162

22.2%

Any College

398

54.6%

Grad School and Up

165

22.6%

Did Not Provide

0.5%

Household Income

Low Income

150

20.6%

Medium Income

236

32.4%

High Income

291

40.0%

Did not Provide

7.1%

Parent/Caregiver Race(s)

White

445

61.0%

Black or African American

213

29.2%

American Indian/Alaska

Native/Hawaiian

0.3%

Asian

1.8%

Other Race

3.0%

Multi-Racial

2.7%

Did Not Provide

1.9%

Appalachian Decent – Parent and/or Child

Parent and/or Child Appalachian

5.8%

Not Appalachian

668

91.6%

Don’t Know/Did not Provide

2.6%

Source: 2021 Child Health Phone Survey

Household income category ranges are: Low (Less than $10,000 to $34,999), Medium ($35,000 to $99,999), High

($100,000 or more)

Key Informant Survey

In spring 2021, key stakeholders across the PSA, representing a variety of sectors, community

organizations, and populations, were invited to complete a 15-question online survey sharing their

perspective on health and health-related needs of children in our community. They were also asked to

identify gaps in resources. Most questions in the survey were multiple choice with opportunities to

provide comments and suggestions for improving health in the region. The online survey was offered on

CCTST’s REDCap platform. More information about this partner organization can be found in Project

Collaborations. The survey questions are available in Appendix G. Descriptive analysis was utilized to

depict Key Informant Survey responses. Data summary tables for the Key Informant Survey are available

in Appendix H.

A total of 42 participants, representing 39 organizations, completed the key informant survey (Figure 17).

Organizations included social service agencies, government agencies, health departments, and others

who serve medically underserved, low-income, and minority populations (Figure 18). Key informants

were selected because of their knowledge and professional experience working on major child health

issues in the community and given their ability to provide valuable insights into current challenges and

future opportunities. A full list of Key Informant organizations can be found in Appendix I.

Figure 17. Key Informant Response by County

Source: 2021 Key Informant Survey

Figure 18. Sectors Represented Through Key Informant Reponses

Source: 2021 Key Informant Survey

Other includes Extension Programs and Su Casa Hispanic Services Center

Parent Discussion Groups

Virtual Parent Discussion Groups were conducted to elevate the voices of specific communities across

the PSA. Each session took place over zoom and lasted approximately 1.5 hours. The Parent

Discussion Group Questions are available in Appendix J. Parents received a $100 cash card as a

reimbursement and thank you for the time and participation they provided. Participants were asked

questions about health and health-related needs of children in their community, existing and needed

resources to support children, and their ideas to ensure children and youth in their communities are

healthy and thriving. Eight group sessions and two interviews were conducted in May and June 2021

with a total of 49 participants. One session and one interview were conducted in Spanish with Spanish-

speaking parents who identified as Hispanic/Latino (Table 17). The Spanish session was conducted in

partnership with AccuracyNow. More information about this partner organization can be found in Project

Collaborations. The Parent Discussion Group transcripts were coded to assess for common themes.

The Parent Discussion group data summary are available in Appendix K. A list of partner organizations

that assisted with recruitment is available in Appendix D.

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Developmental

Disabilities

Early

Childhood

Development

Education

Employment

Funders

Government

Health

Department

Housing

Legal

Mental Health

Other

Poverty/

Economics

Public

Libraries

Youth & Teen

Services

Table 17. Parent Discussion Groups Populations and Sessions

Group Population

Number of

Sessions

Number of

Participants

Parents living in City of Cincinnati/Hamilton County

2 Sessions

Parents of children with Special Needs

2 Sessions

Parents living in Butler, Clermont, Warren Counties

(Ohio), Dearborn County (Indiana), and Boone,

Kenton, and Campbell Counties (Kentucky)

2 Sessions

1 Interview

Spanish-Speaking Parents that Identify as

Hispanic/Latino

1 Spanish Session

1 English Session

1 Interview

Underserved, Low-Income, and/or Minority Population Input

The following additional steps were taken to ensure diversity, equity, and inclusion of participants in the

primary data collection, particularly those from historically underserved, marginalized, low-income, and/or

minoritized populations:

• Prioritized the inclusion of organizations that serve medically underserved, low-income and

minority populations in the Key Informant Survey. These organizations include:

o Brighton Center

o Cincinnati Health Department

o Every Child Succeeds

o Legal Aid Society of Greater Cincinnati

o Lighthouse Youth & Family Services

o Society of St. Vincent de Paul

o Su Casa Hispanic Center

o Talbert House

o United Way of Greater Cincinnati

o A full list of Key Informant organizations can be found in Appendix I.

• Parent Discussion Group flyers were advertised in English and Spanish. Spanish flyers included

the option to register over the phone with a Spanish speaker. Sessions were also offered in

Spanish so parents could participant in their primary language.

• Parent Discussion Groups included sessions specifically for parents and caregivers of children

with special needs. Participants were recruited with support from the Pearlman Center and

Cincinnati Children’s Division of Developmental & Behavioral Pediatrics.

• Parent Discussion Groups were offered virtually (via Zoom) to allow for greater access and safety

during the COVID-19 pandemic, and to reduce the time burden on participants by eliminating the

need to travel. Participants could either call into the meeting with a provided phone number or

join over a weblink. Offering both methods to join the meeting allowed participants without

internet access to still participate.

• The survey distribution strategy included monitoring of key demographic characteristics (i.e., zip

code, income) of completed responses to the Key Informant and 2021 Child Health Surveys to

ensure the surveys reached a diverse population that was reflective of the community Cincinnati

Children’s serves.

Secondary Data Collection Methods

Cincinnati Children’s collected secondary data from local, state, and national sources to research child

health needs and guide question development. Where possible, the most recent data was included in

this report. Internal hospital data related to admissions and disease prevalence was also reviewed. The

internal data was complemented by data collected from a wide range of external sources, including:

• Centers for Disease Control and Prevention

• Children’s Defense Fund Ohio

• Feeding America

• Health Resources & Services Administration

• Indiana Department of Education

• Indiana Department of Health

• Indiana Youth Institute

• Kentucky Department of Education

• Kentucky Department for Public Health

• Kentucky Youth Advocates

• Ohio Department of Education

• Ohio Department of Health

• Public Children Services Association of Ohio

• State of Childhood Obesity

• United States Census Bureau

• Wellbeing in the Nation Network

A complete list of references can be found in Appendix Q.

Project Collaborations

The following section briefly describes the collaborations and partnerships utilized in the completion of

this assessment.

Center for Clinical and Translational Science and Training (CCTST)

CCTST aims to “maximize the impact of clinical and translational research to improve individual and

population health locally and nationally.”

Research and training at the University of Cincinnati, UC

Health, Cincinnati Children’s, and the greater Cincinnati community are supported by CCTST. Cincinnati

Children’s consulted with a team from CCTST on the final development of the online 2021 Child Health

Survey assessment tool. CCTST also hosts the REDCap platform, a HIPAA-compliant data entry and

storage tool, which was utilized for the Key Information Survey and the online 2021 Child Health Survey.

NRC Health Community Insights

The NRC Community Insights platform enables Cincinnati Children’s to gather audience insights from

more than 10,000 patients and families. Participants opted-in from Cincinnati Children’s patient

experience surveys to participate in custom surveys. Through the custom surveys, patients and families

provide input and feedback on various topics, including patient experience, hospital operations, and

research. The online 2021 Child Health Survey was built into the NRC survey platform and distributed to

patient families that live in Cincinnati’s PSA.

NRC Community Insights platform is managed by NRC Health.

University of Cincinnati Institute for Policy Research (UCIPR)

The University of Cincinnati institute for Policy Research (UCIPR) has conducted surveys in the Greater

Cincinnati region for more than 40 years. Cincinnati Children’s contracted with UCIPR to conduct an

abbreviated 2021 Child Health Survey by phone within Hamilton County. UCIPR purchased the sample

for this survey from Dynata (dynata.com). Using random sampling methodology, UCIPR interviewed

caregivers from throughout Hamilton County by cellular and landline telephone from a centrally

supervised telephone interviewing facility at UCIPR. Calls during this period were made between 5:00

PM and 9:00 PM, Monday through Friday, from 10:00 AM to 5:00 PM on Saturday, and from 2:00 to 9:00

PM on Sunday.

The Health Collaborative

The Health Collaborative (THC), a 501c3 non-profit with the mission of improving health and health care

in Greater Cincinnati, leads the creation of a regional CHNA report. The regional CHNA is separate from

the Cincinnati Children’s CHNA described herein. While the reports, data collection, and prioritization

processes are separate, THC and Cincinnati Children’s retained a collaborative relationship throughout

the assessment process to create complementary reports. A copy of THC’s finalized regional

assessment can be found here https://healthcollab.org/community-health-needs-assessment.

AccuracyNow

AccuracyNow, a subsidiary of Catholic Charities Southwestern Ohio, provides interpretation, translation,

and transcription services. Cincinnati Children’s contracted with AccuracyNow to conduct the Spanish

language Parent Discussion Groups. AccuracyNow provided a Spanish version of our Parent Discussion

Group script and questions, along with native-Spanish speaking interpreters to conduct the session and

provide simultaneous translation to a Cincinnati Children’s staff member on the session.

Prioritization Process

Child health and health-related needs were assessed through the collection and analysis of primary and

secondary data sources. Child health needs are related to medical conditions, such as chronic disease.

Child health-related needs are related to social determinants of health, such as access to healthcare.

Secondary data was used to inform data collection tool creation and guide key questions to identify

important child health needs. During the primary data collection, key Informant and 2021 Child Health

Survey respondents were asked to rank the top two child health and health-related needs in their

community. In the parent discussion groups, parents were asked questions about child health needs.

The child health and health-related needs identified by the community can be found in Appendix L.

Once child health and health-related needs were identified from primary and secondary data sources, a

prioritization committee – comprised of leaders representing primary and specialty pediatric care, social

work, and Cincinnati Children’s regional locations – was assembled. Committee members were selected

based on their expertise in child and pediatric health, leadership, work with children and families, and

experiences collaborating within the community. The prioritization committee reviewed the ranked

priorities identified during the data collection process and were asked to prioritize the health needs on a

5-point Likert scale based on the following criteria:

• Magnitude of Child Health Need

• Severity of Child Health Need

• Community Will and Community Assets to Address Child Health Need

• Alignment with Cincinnati Children’s POPT: Community Health and DEI Goals

• Alignment with State and National Child Health Priorities and Resources

• Availability of Best Practice Programs and Resources to Address Child Health Need

The prioritization committee ranked child health-related needs in order of importance. The prioritization

guidelines and rubric can be found in Appendix M. A list of the internal leaders that participated in the

prioritization process can be found in Appendix N.

2022 Community Health Needs Assessment –

Prioritized Health Needs

After completing the above prioritization process, the following child health needs were selected as the

priorities for the 2022 CHNA and Implementation Strategy reports:

Strategies to address these four priories will be detailed in the accompanying 2022 Implementation

Strategy report (https://www.cincinnatichildrens.org/about/community/health-needs-assessment).

Other health and health-related needs identified by the community are included in the list below. These

other health and health-related needs will be addressed primarily through existing and new community

partnerships.

Many of the health and health-related needs prioritized by the community exist within or align closely to

existing POPT strategies and goals. Based on the POPT Four Pillar structure, Figure 19 depicts how the

identified health and health-related needs could align within the existing POPT strategy. The POPT plan

will incorporate strategies that directly take these child health-related needs into account.

Figure 19. Pursing Our Potential Together Domains and Child Health and Health-Related Needs

*Notes 2022 CHNA Priority Health Need

Child and

Youth

Mental

Health

COVID-19

Pandemic

Health

Impacts on

Children

and Youth

Child and

Youth

Chronic

Disease

Infant

Mortality

Other Child Health Needs

Nutrition and Physical Activity

Dental Health Care

Substance Use Disorders

Child Health-Related Needs

Poverty/ Meeting Basic Needs

Access to Healthcare

Racism or Discrimination

Quality Childcare

Safety or Violence

Workforce Training

Care

•Access to Health Care

•COVID-19 Health Impact*

•Dental Health Care

Community

•Nutrition and Physical Activity

•Poverty/ Meeting Basic Needs

•Quality Childcare

•Safey or Violence

•Substance Use Disorders

Cure

•Chronic Disease*

•Infant Mortality*

•Mental Health*

Culture

•Racism or Discrimination

•Workforce Training

Review of the 2022 Community Health Needs Assessment

Prioritized Health Needs, Supporting Data, and Cincinnati

Children’s Resources

The following section provides an overview of the four 2022 CHNA Prioritized Child Health Needs, along

with the available resources at Cincinnati Children’s to help address these needs.

Overall Health Status

During the primary data collection, parents and caregivers of youth under age 18 years old were asked

questions about the general health status of their children. When asked “what the phrase healthy child

means to them,” parents in our discussion groups described children as flourishing, giving smiles, safe,

and living their “best life.” A common meaning of “healthy child” across sessions was a child that has all

their needs met – mentally, physically, socially, and emotionally.

Eighty percent (80%) of caregivers

that completed the online 2021 Child Health Survey

and 84% of respondents to the phone 2021 Child

Health Survey rated their child’s health as excellent or very good (Figure 20).

Figure 20. Parent’s Rating of Their Child’s Overall Health

Source: Cincinnati Children’s 2021 Child Health Survey

14, 15

Prioritized Need 1: Child and Youth Mental Health

Seventy-one percent (71.1%) of caregivers that completed the online 2021 Child Health Survey rated

their child’s mental or emotional health as excellent or very good.

Seventy-six percent (75.6%) of

respondents to the phone 2021 Child Health Survey rated their child’s mental or emotional health as

excellent or very good (Figure 21).

61.6%

22.8%

13.1%

2.1%

0.4%

46.5%

33.3%

15.0%

4.6%

0.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Excellent Very Good Good Fair Poor

Phone Survey Online Survey

Figure 21. Parent and Caregiver Rating of Their Child’s Mental or Emotional Health

Source: Cincinnati Children’s 2021 Child Health Survey

14, 15

Mental Health – Access to Care

Cost of care, social stigma (negative association or embarrassment), and lack of available providers were

the top barriers to children receiving needed mental health care (Figure 22).

Psychiatrics/Psychologists/Counselors and Private Primary Care Provider Offices are the top places to

seek mental health care (Figure 23).

Figure 22. Barriers to Children Receiving Needed Mental Health Care

Source: Cincinnati Children’s 2021 Child Health Survey

46.0%

29.6%

18.6%

4.6%

1.2%

37.1%

34.0%

18.0%

9.2%

1.7%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Excellent Very Good Good Fair Poor

Phone Survey Online Survey

2.6%

12.4%

4.1%

20.1%

11.2%

8.6%

19.6%

21.2%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0%

Other (Please Specify)

Waiting Lists

Transportation

Social Stigma (Negative Association or

Embarrassment)

Scheduling

Lack of Trust

Lack of Available Providers

Cost of Care

Figure 23. Places or Services Go to Receive Mental Health Care

Source: Cincinnati Children’s 2021 Child Health Survey

Forty-eight percent (47.6%) of key informants

and 35.7% of online 2021 Child Health Survey

participants indicated their communities have access to mental health resources “sometimes,” compared

to “always, mostly, rarely or never” (Figure 24).

Figure 24. Community Access to Mental Health Resources

Source: Cincinnati Children’s 2021 Child Health Survey;

Cincinnati Children’s 2021 Key Informant Survey

Mental Health Outpatient Visits

In fiscal year 2021, Cincinnati Children’s Behavioral Medicine and Clinical Psychology (BMCP) completed

91,427 outpatient visits (61,762 telehealth and 29,665 in person), and the Division of Psychiatry

completed 112,332 outpatient visits (54,765 telehealth and 57,567 in person). Youth aged 14 to 18 years

have the highest number of encounters (Table 18). The number of Psychiatry and BMCP visits

completed has increased year over year (Figure 25).

2.2%

10.0%

5.7%

5.6%

27.4%

19.4%

11.3%

1.3%

7.6%

6.9%

2.4%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0%

Other (Please Specify)

Difficulty Finding Care/Not Seeking Care

Telemedicine or Other Homebased Care

Social Workers

Psychiatrist/Psychologist/Counselor/Therapist

Private Primary Care Provider Office

Primary Care or Specialty Clinic Operated by a

Hospital

Natural Medicines or Traditional Healers

Emergency Room/Urgent Care

Community or School Based Health Clinics

Clinic at a Store (Clinic at Grocery, Pharmacy, etc.)

24.5%

4.8%

25.3%

26.2%

35.7%

47.6%

12.2%

19.0%

2.4%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Child Health Survey Key Informant Survey

Always Mostly Sometimes Rarely Never

Table 18. Age Range in years of Cincinnati Children’s Outpatient Psychology and Psychiatry

Visits, Fiscal Year 2021

Age Range

BMCP Outpatient

Encounters*

Psychiatry Outpatient

Encounters

Frequency

Percent

Frequency

Percent

5,515

6.03%

0.03%

2 to 4

5,791

6.33%

1,355

1.21%

4 to 6

8,421

9.21%

7,018

6.25%

6 to 8

9,121

9.98%

5,676

5.05%

8 to 10

9,561

10.46%

10,659

9.49%

10 to 12

9,312

10.19%

12,402

11.04%

12 to 14

10,400

11.38%

15,759

14.03%

14 to 16

12,151

13.29%

22,476

20.01%

16 to 18

11,935

13.05%

22,702

20.21%

18 to 20

4,834

5.29%

9,183

8.17%

20+

4,386

4.80%

5,068

4.51%

Grand Total

91,427

100.00%

112,332

100.00%

Source: Cincinnati Children’s Hospital Data

*BMCP visit data is from July 1, 2020 thru June 15, 2021

Figure 25. Outpatient Psychiatry and BMCP Encounters, Fiscal Years 2019 – 2021

Source: Cincinnati Children’s Hospital Data

Emergency Department Psychiatric Evaluations

Between July 1, 2020 and June 30, 2021, 6,135 Emergency Department psychiatric evaluations were

completed. Youth aged 14 to 16 years accounted for the highest number of evaluations (Figure 26). The

number of Emergency Department psychiatric evaluations completed decreased from June 2017 through

June 2021 (Figure 27).

This decrease is attributable, in part, to interventions aimed at decreasing

Psychiatric ED utilization rates (e.g., Health Bridge).

20000

40000

60000

80000

100000

120000

FY2019 FY2020 FY2021

Psychiatry Outpatient Encounters

BMCP Outpatient Encounters

Figure 26. Age in Years of Cincinnati Children’s Emergency Department Psychiatric Evaluations,

Fiscal Year 2021

Source: Cincinnati Children’s Hospital Data

Figure 27. Completed Emergency Department Psychiatric Evaluations, Fiscal Years 2018 – 2021

Source: Cincinnati Children’s Hospital Data

Mental Health Inpatient Admissions

Between July 1, 2020 and June 30, 2021, the Division of Psychiatry had 3,831 admissions for a total of

29,860 bed days. Youth aged 14 to 17 years accounted for the highest number of admissions (Figure

28).

121

150

171

286

431

563

752

916

935

926

719

0 100 200 300 400 500 600 700 800 900 1000

20+

Unknown

# of Evaluations

Age at Evaluation

7930

7442

6407

6135

4000

5000

6000

7000

8000

9000

FY18 FY19 FY20 FY21

Figure 28. Age of Cincinnati Children’s Division of Psychiatry Admissions, Fiscal Year 2021

Source: Cincinnati Children’s Hospital Data

When comparing inpatient admissions year over year, the number of Psychiatry inpatient admissions

decreased slightly from July 2018 through June 2020 (fiscal year FY2019 to FY2020). In FY2020 and

FY2021, the number of Psychiatry inpatient admissions was unchanged (Figure 29).

Figure 29. Inpatient Psychiatry Encounters, Fiscal Years 2018 – 2021

Source: Cincinnati Children’s Hospital Data

BMCP does not directly admit patients for inpatient care; however, the department does provide

consultations for inpatients. In fiscal year 2021, BMCP had 10,880 inpatient consultants. Children

younger than 2 years of age and youth aged 12 to 18 accounted for the highest number of inpatient

consultations (Figure 30).

141

230

313

457

590

641

635

516

0 100 200 300 400 500 600 700

20+

# of Admissions

Age at Admission

4,409

4,359

3,819

3,831

3,400

3,600

3,800

4,000

4,200

4,400

4,600

FY2018 FY2019 FY2020 FY2021

Figure 30. Age of Cincinnati Children’s Division of Behavioral Medical and Clinical Psychology

Inpatient Consultations, Fiscal Year 2021*

Source: Cincinnati Children’s Hospital Data

*BMCP data is from July 1, 2020 thru June 15, 2021

Suicide

In 2019, 6,488 youth, aged 10 to 24, died due to suicide in the USA, making suicide the second leading

cause of death for this age group.

From 2007 to 2018, suicide death rates among individuals aged 10

to 24 years increased nationally and in the PSA states (Indiana, Kentucky, Ohio) (Table 19).

Table 19. Percent Increase in Suicide Death Rates Among Individuals Aged 10 to 24 Years, from

2007-2009 to 2016-2018

State

Percent Increase

Indiana

59.2%

Kentucky

43.9%

Ohio

48.0%

USA

47.1%

Source: National Vital Statistics Reports, Vol. 69, No. 11

In 2018, among youth aged 18 years and younger, there were 66 suicide deaths in Indiana, 35 suicide

deaths in Kentucky, and 107 suicide deaths in Ohio.

According to 2019 Ohio mortality data, there were

suicide deaths in all four Ohio PSA counties for youth aged 0-19 years – Buter (3), Clermont (2), Hamilton

(11), and Warren (2).

The 2019 Youth Risk Behavior Surveillance System (YRBSS) found one in three high school students in

Ohio (33.0%), and almost four in ten students in Kentucky (37.2%), reported feeling sad or helpless

almost every day for two or more weeks in a row during a 12-month period. In 2015, almost three in ten

Indiana high school students (29.3%) reported feeling sad or helpless almost every day for two or more

weeks in a row during a 12 month period (Table 20).

1,222

374

462

335

725

860

1,268

1,798

1,933

830

1,073

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

<2 2 to 4 4 to 6 6 to 8 8 to 10 10 to 12 12 to 14 14 to 16 16 to 18 18 to 20 20+

Age Range at Consultation

Table 20. High School Students Feeling Sad or Hopeless Daily Over 2-Week Period

Indiana

Kentucky

Ohio

USA

High School Total

29.3%

37.2%

33.0%

39.0%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

According to 2019 YRBSS data, 18.8% of high school students in the USA seriously considered

attempting suicide during the preceding 12-month period. Sixteen percent (15.7%) of high school

students had a plan for how they would commit suicide, 8.9% attempted suicide one or more times during

this period. Nationally, 2.5% of suicide attempts resulted in an injury, poisoning, or overdose that

required treatment by a doctor or nurse. Kentucky’s rate was similar to the national average for all four

measures; Ohio’s average was lower, and Indiana trended higher than the national average (Figure 31).

Figure 31. High School Student Responses Related to Suicide, Youth Risk Behavior Surveillance

System

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Cincinnati Children’s Available Resources to Address Child and Youth Mental

Health

Below is a list of resources available within Cincinnati Children’s to address Child and Youth Mental

Health priority. This list was compiled from the CHNA Advisory Committee and other internal sources,

including hospital website and intranet, etc. Specific strategies are available in the 2022 Implementation

Strategy.

• Adapt For Life

• Behavioral Medicine and Clinical Psychology Integration into Primary Care

• Bridge Clinic and Partial Hospitalization Programs

• Cincinnati Children’s College Hill Campus

• Parents on Point

• ProjectECHO Mental Health Series

2.5%

8.9%

15.7%

18.8%

2.7%

6.8%

10.5%

15.6%

3.0%

8.1%

15.9%

18.4%

3.9%

9.9%

17.0%

19.8%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0%

Suicide attempt resulted in injury, posioning,

or OD requiring treatment

Attempted suicide one or more times during

a 12 month period

Had plan about how they would attempt

suicide

Seriously considered attempting suicide

during a 12 month period

Indiana Kentucky Ohio USA

• Psychiatric Intake Response Center (PIRC)

• Psychiatry Integration into Schools-based Health Centers

• Psychiatry MindPeace partnership

Prioritized Need 2: COVID-19 Pandemic Health Impact on Children and

Youth

Parents and caregivers voiced concerns about the social, educational, and health impacts of COVID-19

during the Parent Discussion Groups. In particular, parents raised concerns about the negative impacts

the pandemic has had on social interaction, challenges of remote learning, and delayed medical care.

Respondents saw detriments to children’s mental and overall health. No themes, however, related

directly to illness caused by COVID-19 infection in children and youth were identified during analysis.

Fifty percent (50.0%) of key informants reported COVID-19 as a moderate priority for the community.

Forty-three percent (42.6%) of respondents to the online

and 46.2% to the phone 2021 Child Health

Survey

strongly or somewhat agreed that COVID-19 improved their trust of healthcare professionals.

On the other hand, 30.7% of the online 2021 Child Health Survey respondents

and 41.9% of the phone

survey respondents

somewhat or strongly disagreed that COVID-19 improved their trust of healthcare

professionals.

COVID-19 Prevalence in Youth

Hamilton County has had the highest cumulative number of confirmed COVID-19 cases in youth across

the PSA counties (15,180).

Dearborn County has had the fewest (1,531)

(Figure 32).

Figure 32. Cumulative Number of Confirmed COVID-19 Cases in Youth by County

Source: Ohio Department of Health; State of Ohio Children’s COVID-19 Dashboard;

Northern Kentucky Health

Department;

Indiana Department of Health

Notes: Data pulled October 21, 2021

*Data for ages <18 years; ^Data for ages 0-19 years; **Northern Kentucky count is inclusive of Boone, Campbell,

Grant, and Kenton Counties

COVID-19 Vaccination Prevalence in Youth

As of January 12, 2022, 21.8% of youth 5-11 years old and 54.1% of youth 12-19 years old in Northern

Kentucky (includes Boone, Campbell, Grant, and Kenton Counties) have completed their COVID

vaccination series.

In Dearborn County, 239 youth 5-11 years old, 600 youth 12-15 years old, and 927

youth ages 16-19 years old have completed their COVID vaccination series (as of January 13, 2022).

Across the Ohio PSA Counties, 116,133 youth 0-19 years old have completed their vaccination series (as

of January 13, 2022) (Table 21).

1,531

10,847

7,553

4,693

15,180

5,335

5,000

10,000

15,000

20,000

Dearborn^ Northern

Kentucky^**

Butler* Clermont* Hamilton* Warren*

Table 21. Ohio PSA Counties Vaccinations in Youth 0-19 Years Old, 2022

County

0-19 Years Old

5-11 Years Old

12-17 Years Old

Frequency

Percent

Frequency

Percent

Frequency

Percent

Butler

25,534

24.78%

5,633

16.18%

14,017

44.75%

Clermont

13,083

25.53%

2,944

16.21%

7,378

43.73%

Hamilton

56,000

26.52%

15,124

20.70%

29,965

48.99%

Warren

21,516

34.44%

5,602

25.24%

11,690

54.88%

Source: Ohio Department of Health; State of Ohio COVID-19 Vaccine Dashboard

28, 29

Notes: Data pulled January 13, 2022

COVID-19 Pandemic Impact on Health Care Access for Children and Youth

Data from the Centers for Medicare and Medicaid Services (CMS) found declines in primary,

preventative, and mental health care began in March 2020 for beneficiaries under 19 years old. When

comparing March through October 2020 to the same period in 2019, CMS found that fewer vaccinations,

childhood screenings, dental services, and mental health services were completed.

A report from the Kaiser Family Foundation (KFF) reinforces the trends highlighted by CMS data.

Through a review of available data, KFF concluded that the COVID-19 pandemic resulted in missed,

delayed, or skipped health care for children and youth. This includes primary, specialty, dental, and

mental health services. While there were significant increases in telemedicine services during the

pandemic, barriers to accessing telemedicine services remain for some populations. Overall, data found

that missed and delayed care was only partially offset by the increase in telemedicine services. Deficits

present before the onset of the pandemic remain and, in some cases, have worsened.

COVID-19 Pandemic Impact on Mental Health of Children and Youth

A systematic review by Hasina Samji et al explored the impacts of the COVID-19 pandemic on mental

health of children and youth globally. Their review concluded that during the COVID-19 pandemic,

children and adolescents experienced a higher prevalence of depression and anxiety symptoms and an

overall decline in general mental health compared to prevalence before the COVID-19 pandemic. Older

children, adolescents, and females experienced higher prevalence of depression symptoms, stress,

worry, and fear compared to younger children and males during the COVID-19 pandemic. Youth with

chronic illness and those with behavioral health diagnoses (including autism, ADD/ADHD, obsessive-

compulsive disorder, and others) experienced worse mental health outcomes during the pandemic

compared to youth without these diagnosis.

Cincinnati Children’s Available Resources to Address the COVID-19 Pandemic

Health Impact on Children and Youth

Below is a list of resources available within Cincinnati Children’s to address the COVID-19 Pandemic

Health Impact on Children and Youth priority. This list was compiled from the CHNA Advisory Committee

In March to October 2020, the following fewer services were completed when compared to March to

October 2019:

• 1.8 million (~9%) fewer vaccinations for Medicaid beneficiaries aged 2 and younger

• 4.6 million (~21%) fewer child screenings

• 11.4 million (~39%) fewer dental services

• 14 million (~34%) fewer mental health services

Source: Centers for Medicare and Medicaid Services

and other internal sources, including hospital website and intranet, etc. Specific strategies are available

in the 2022 Implementation Strategy.

• COVID-19 Community Partnership Vaccination Clinics

• COVID-19 Data Dashboards in partnership with CCTST

• COVID-19 Safety and Vaccination Education Blog Posts, Videos, and other communications

• COVID-19 Townhalls, Educational Materials, and Youth Engage!

• Mobile Van to implement COVID-19 vaccine clinics in neighborhoods

• Monthly Back to School Forums for School Leaders

• Onsite COVID-19 Vaccination Clinics (Burnet, Green Township, and Liberty Locations)

• School-based Health Center COVID-19 Community Vaccinations

• Telehealth services to conduct screenings, education, and follow-up appointments

• Young and Healthy Podcast Series

Prioritized Need 3: Child and Youth Chronic Disease

Emergency Department Visits for Chronic Disease

The most prevalent chronic diseases among Cincinnati Children’s patients for Emergency Department

visits and inpatient admissions are asthma, type 1 diabetes, epilepsy, inflammatory bowel disease (IBD),

and sickle cell disease (SCD). From July 1, 2020 through June 30, 2021, there were 2,324 Emergency

Department (ED) visits related to these five diagnoses. Asthma was the most common, accounting for

73.1% of these ED visits (Table 22). Over the last four fiscal years, the number of ED visits related to

asthma have decreased, while visits related to type 1 diabetes, epilepsy, IBD, and SCD have remained

relatively unchanged (Table 22).

Table 22. Emergency Department Visits Related to Top Five Chronic Diseases, Fiscal Years 2018 –

2021

Chronic Disease

FY2018

FY2019

FY2020

FY2021

Asthma

2,819

3,217

2,513

1,698

Epilepsy

140

146

118

103

Inflammatory Bowel Disease

Sickle Cell

236

240

183

205

Type 1 Diabetes Mellitus

289

324

295

291

Total

3,509

3,947

3,125

2,324

Source: Cincinnati Children’s Hospital Data

The decrease trend in Asthma Emergency Department visits can be attributed to interventions aimed at decreasing

ED utilization for asthma patients, along with the COVID-19 pandemic.

Hospital Admissions for Chronic Disease

From July 1, 2020 through June 30, 2021, Cincinnati Children’s reported 1,275 admissions related to the

five most common chronic diseases. Hospital admissions for epilepsy were the most comment, counting

for 38.8% of admissions. Asthma has the second highest admissions at 26.8% (Figure 33).

Figure 33. Hospital Admissions Related to Top Five Chronic Diseases, Fiscal Years 2018 – 2021

Source: Cincinnati Children’s Hospital Data

Asthma

Asthma is the most common childhood chronic disease. National prevalence data from the Centers for

Disease Control and Prevention (CDC) estimates 7.0% of youth (under 18 years) or 5.1 million youth had

asthma in 2019. Young teens (12-14 years of age) had the highest prevalence (10.8%). Nationally,

prevalence of asthma is higher in lower-income populations. In 2019, 44.3% of youth with asthma

reported having one or more asthma attacks in the preceding 12 month period.

In 2018, 8.7% of

children in Indiana had asthma, which is higher than the national average of 8.3%, and the estimated

prevalence in Ohio and Kentucky (Table 23).

Table 23. Percent of Children Currently Diagnosed with Asthma, 2018

State

Indiana

Kentucky

Ohio

USA

% of Children (under 18)

8.7%

5.9%

7.8%

8.3%

Source: CDC National Environmental Public Health Tracking Network

In the 2019 Youth Risk Behavior Surveillance System (YRBSS), 23.9% of Kentucky and 24.3% of Ohio

High School students responded they have been told they have asthma (Table 24).

Table 24. Percentage of Students Told They Have Asthma

Grade

Indiana

Kentucky

Ohio

USA

Middle School (6

– 8

Grades)

20.5%

18.8%

High School Total (9

– 12

Grades)

23.9%

24.3%

21.8%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS); Ohio, Kentucky, USA data from 2019; Indiana

data from 2015. Middle School data not available for Indiana and USA.

Diabetes

Nationally, the prevalence of diabetes among youth is rising. Type 1 Diabetes has, historically, been

more likely to be diagnosed during childhood; however, rates of type 2 diabetes are increasing in youth

nationally. 2018 estimates from the CDC indicate 210,000 youth (under age 20 years) across the USA

had diagnosed diabetes (both type 1 and type 2). Of these youth, an estimated 89.0% (187,000) had

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000

FY2018 FY2019 FY2020 FY2021

Asthma Epilepsy Inflammatory Bowel Disease

Sickle Cell Type 1 Diabetes Mellitus Total

diagnosed type 1 diabetes.

In a 2019 report, 3,074 Kentucky youth (under age 20 years) on Medicaid

had diabetes (0.50%).

In 2018, Ohio Department of Health reported 0.30% of youth (age 0-18 years)

on Medicaid had type 1 diabetes and 0.30% had type 2 diabetes.

Epilepsy

In 2015, an estimated 470,000 children had diagnosed (also called active) epilepsy in the United States,

which is approximately 0.6% of children aged 0-17 years. In 2015, Ohio had the highest prevalence of

children with active epilepsy (16,900 children) across the PSA states (Table 25).

Table 25. Number of Active Epilepsy Cases in Youth Aged 0-17 Years Old, 2015

State

No. of Cases

(ages 0-17)

Indiana

10,600

Kentucky

6,800

Ohio

16,900

USA

470,000

Source: Centers for Disease Control and Prevention

Inflammatory Bowel Disease (IBD)

IBD is a broad term used to describe chronic inflammation of the gastrointestinal tract and encompasses

both Crohn’s disease and ulcerative colitis diagnosis. IBD does not include irritable bowel syndrome

(IBS) or celiac disease.

Pediatric prevalence of IBD can be difficult to estimate as most individuals with

IBD are diagnosed as teens and young adults.

An abstract by Yizhou Ye et al estimates in 2016

between 35,725 and 51,600 pediatric patients had IBD in the United States.

Sickle Cell Disease (SCD)

SCD is genetic red blood cell disorder inherited from both parents.

According to the National

Organization for Rare Disorders (NORD), there are an estimated 100,000 cases in the African American

population (0.6% of the African American population) nationally. An estimated one in every 300 to 500

African American children are born with SCD. SCD is most common in individuals of African descent, but

is also common in individuals of Mediterranean, Middle Eastern, Indian, Caribbean, and Central and

South American descent.

The U.S. Food & Drug Administration (FDA) estimates that SCD impacts 1 in

365 African Americans and 1 in 16,300 Hispanic/Latino Americans.

Sickle cell trait (SCT) occurs when

an individual inherits the sickle cell gene from one parent, not both.

Approximately 9% of African

Americans have SCT in the United States.

Obesity

Prevalence of overweight or obese diagnosis among Cincinnati Children’s Patients

Even though obesity is not one of the most prevalent chronic diseases for ED visits and inpatient

admissions, obesity prevalence among Cincinnati Children’s patients has increased. Between April 2019

and April 2021, there was a 9% increase in the prevalence of Cincinnati Children’s patients with an

overweight or obese diagnosis (2019: 36.4% to 2021: 39.7%).

In April 2021, 39.7% of Cincinnati

Children’s patients had a recorded diagnosis of overweight or obesity, which is slightly higher than then

national and PSA state self-reported rates from the 2019 YRBSS.

1, 23

Prevalence of overweight or obese diagnosis Nationally

According to National Health and Nutrition Examination Survey (NHANES) data from 2017-2018, 19.3%

of youth (aged 2-19 years) were obese (Figure 34). This is a slight increase from the 2015-2016

prevalence of 18.5%.

Figure 34. National Prevalence of Obesity in Youth Aged 2-19 Years, 2017-2018

Source: National Health and Nutrition Examination Survey (NHANES), 2017-2018

Data from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) showed a

decrease in obesity prevalence from 2010 to 2018 in Indiana, Kentucky, and Ohio for children aged 2-4

years who were enrolled in WIC.

A 2017 survey of the body mass index (BMI) among Ohio preschool

students aged 3 to 5 years found 70.3% of children had healthy weights, 14.1% were overweight, and

11.6% were obese.

Based on 2019 YBRSS data, 18.4% of Kentucky high school students were obese

and 17.8% were overweight, both slightly higher than national averages (Figure 35).

Figure 35. Prevalence of Obesity and Overweight High School Students, 2019

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Cincinnati Children’s Available Resources to Address Child and Youth Chronic

Disease

Below is a list of resources available within Cincinnati Children’s to address Child and Youth Chronic

Disease priority. This list was compiled from the CHNA Advisory Committee and other internal sources,

including hospital website and intranet, etc. Specific strategies are available in the 2022 Implementation

Strategy.

• All Children Thrive Learning Network

• Annual Sickle Cell Research and Education Day

• Asthma Improvement Collaborative

• Be.Well Programs

• Center for Better Health and Nutrition

• Center for Child Health Equity

• Collaboration to Lessen Environmental Asthma Risks (CLEAR)

• Epilepsy Learning Healthcare System

• HealthVine Care Management and Community Health Workers

19.30%

13.40%

20.30%

21.20%

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

2-19 Year Old 2-5 Years Old 6-11 Years Old 12-19 Years Old

13.6%

18.4%

16.8%

15.5%

17.3%

17.8%

12.2%

16.1%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Indiana Kentucky Ohio USA Indiana Kentucky Ohio USA

Had Obesity Were Overweight

• Healthworks!

• Home Delivery Medicine Program

• ImproveCareNow Learning Network

• Improving Renal Outcomes Collaborative (IROC) Learning Network

• Partnership with Legal Aid Society of Greater Cincinnati

• Primary and Subspecialty Care Centers

• Recess at the Stadium

• School Based Health Centers at Cincinnati Public Schools

• The American Society of Hematology Sickle Cell Disease Learning Community

• Sickle Treatment & Outcomes Research in the Midwest (STORM)

• Telehealth services to conduct screenings, education, and follow-up appointments

Prioritized Need 4: Infant Mortality

Infant Mortality was ranked of lower importance by key informants and received a lower ranking on the

2021 Child Health Survey as well. However, reducing the Infant Mortality rate is a priority at the state and

local level in the pediatric space. As a pediatric institution, continued work and investment in Infant

Mortality is a priority health concern.

Infant Mortality

The Infant Mortality rate tracks the deaths of children before their first birthday. In 2018, the leading

causes of infant deaths were birth defects, preterm birth and low birth weight, injuries, Sudden Infant

Death Syndrome (SIDS), and maternal pregnancy complications. Racial disparities in infant mortality

rates exist at the national and local levels. Nationally, in 2018, the non-Hispanic/Latino black infant

mortality rate

was over double the non-Hispanic/Latino white rate (10.8 vs. 4.6 per 1,000 live births).

The Infant Mortality rate in Indiana and Ohio are higher than the national rate (Figure 36).

50, 51

Figure 36. Infant Mortality Rates per 1,000 Live Births, 2019

Source: Centers for Disease Control and Prevention

50, 51

PSA state preterm birth rates and low birthweight rates are close to the national averages for these two

measures (10.2% for preterm births and 8.3% for low birth weight) (Figure 37).

50, 51

6.5

5.0

7.0

5.6

0.0

2.0

4.0

6.0

8.0

Indiana Kentucky Ohio USA

Figure 37. Percentage of Low Birthweight and Preterm Births, 2019

Source: Centers for Disease Control and Prevention

50, 51

*Percentage of babies born prior to 37 weeks of pregnancy gestation

^Percentage of babies born weighing less than 5lbs. 8oz.

In 2020, 76 infants died in Hamilton County and the infant mortality rate was 7.4 deaths per 1,000 live

births. This was a decrease from 2019. Across Hamilton County, infant deaths related to preterm birth

have decreased over the past decade. The number of birth defect-related deaths decreased from 2019

to 2020. However, the number of sleep-related deaths increased after five years (Figure 38).

Figure 38. Leading Causes of Infant Death, Hamilton County, 2011-2020

Source: Cradle Cincinnati

In 2019, Butler County’s Infant Mortality Rate was 6.7 deaths per 1,000 live births, which is a decrease

from 8.4 deaths per 1,000 live births in 2018.

In both Butler County and Hamilton County, the non-

Hispanic/Latino Black infant mortality rate is over double than the non-Hispanic/Latino White rate (Table

26).

52, 53

10.2%

8.2%

11.3%

8.8%

10.5%

8.6%

10.2%

8.3%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Preterm Birth Rate* Low Birthweight Rate^

Indiana Kentucky Ohio USA

23 23

13 13

2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Number of infant deaths

Preterm birth-related Birth defect-related Sleep-related

Table 26. Non-Hispanic/Latino White and Black Infant Mortality Rate Comparison, Butler and

Hamilton Counties

County

Non-Hispanic/Latino

White

Non-Hispanic/Latino

Black

Butler County*

5.9

14.0

Hamilton County^

5.1

14.4

Source: Buter County General Health District;

Cradle Cincinnati

*Rate for 2014-2019; rate is per 1,000 live births

^Rate for 2016-2020; rate is per 1,000 live births

Cincinnati Children’s Available Resources to Address Infant Mortality

Below is a list of resources available within Cincinnati Children’s to address Infant Mortality priority. This

list was compiled from the CHNA Advisory Committee and other internal sources, including hospital

website and intranet, etc. Specific strategies are available in the 2022 Implementation Strategy.

• All Children Thrive Learning Network

• Cradle Cincinnati

• Every Child Succeeds

• Ohio Perinatal Quality Collaborative

• Perinatal Institute

Additional Child Health and Health-Related Needs

An overview of additional child health and health-related needs identified can be found in Appendix O.

Written Comments on 2019 Community Health Needs

Assessment

Cincinnati Children’s 2019 CHNA and Implementation Strategy was made widely available to the public

on Cincinnati Children’s website at http://www.cincinnatichildrens.org/about/community/health-needs-

assessment. In addition to posting the 2019 CHNA and Implementation Strategy, contact information

including email address and phone numbers were listed. No comments or questions were received.

2022 Community Health Needs Assessment Approval and

Adoption

The 2022 CHNA was adopted by the Board of Trustees on April 26, 2022.

The 2022 CHNA is available at: https://www.cincinnatichildrens.org/about/community/health-needs-

assessment. For a printed copy, please contact communityrelations@cchmc.org.

Appendix A: Evaluation of 2019 Implementation Strategies

Based on the 2019 CHNA Priorities, Cincinnati Children’s developed a number of strategies to address

the identified health needs of the community. The eight priorities addressed in the 2019 Implementation

Strategies are:

Childhood Mental Health

2019 Implementation Strategy Initiatives

• Expand Integrated Behavioral Medicine and Clinical Psychology: clinical psychologists to address

both behavioral health promotion and treatment, co-locating them in Pediatric Primary Care,

Fairfield, and Hopple Street Primary Care Clinics

• Pilot expansion of Integrated BMCP intervention services with two community practices

• Screening patients 10 years of age or older for depression at primary care clinics

• Integrate mental health services and interventions in school-based health clinics

• Enhance mental health services to patients by optimizing emergency room and outpatient access

• Provide telemedicine services to address mental health needs

• Support and scale a pilot of behavior intervention in 3 Cincinnati Public School elementary

schools to support positive mental health

• Pilot evidence-based program for parents of children age 3-6 in partnership with local Head Start

and Public School preschools

Expand Integrated Behavioral Medicine and Clinical Psychology (BMCP): clinical

psychologists to address both behavioral health promotion and treatment, co-

locating them in Pediatric Primary Care, Fairfield, and Hopple Street Primary Care

Clinics.

Across Cincinnati Children’s three General Pediatrics primary care clinics,

BMCP has embedded six psychologists in the clinics, with two new

psychologists scheduled to start in fall 2021. In calendar year 2016, there were

1,820 visits completed in these clinics. In calendar year 2021, BMCP is on pace

to complete 5,000 visits, which is an increase of 175%.

Pilot expansion of Integrated BMCP intervention services with two community

practices.

BMCP embedded behavioral health intervention services into five community practices, with one

additional provider scheduled to start in 2021. The six community practices are: ESD Pediatrics,

Anderson Primary Care, Children’s Health Care Batesville, Muddy Creek Pediatrics, Anderson Pediatrics,

and Mason/Liberty/Springdale. BMCP expects to complete 2,000 visits at these locations in 2021.

Child Safety and

Unintentional

Injury

Childhood Mental

Health

Infant Mortality

Childhood Obesity

Early Literacy and

School Readiness

Barriers to Care

Dental

Childhood Asthma

On pace to

complete

5,000

visits in 2021

Screening patients 10 years of age or older for depression at primary care clinics.

Screening for depression has been rolled out for all patients 12 and older

across Cincinnati Children’s General Pediatric clinics and all participating

Physician-Hospital Organization (PHO) practices. Screenings are being

completed for 95.5% of all patients meeting the age criteria.

The PHO, also called Tri-State Child Health Services Inc., comprises

Cincinnati Children’s Hospital Medical Center, Ohio Valley Primary Care

Associates (an independent practice association), contracted and employed specialist physicians and

community-based specialist physicians. The organization includes committees that oversee contracting,

credentialing and performance improvement activities.

Integrate mental health services and interventions in school-based health clinics.

Cincinnati Children’s Division of Psychiatry partners with and provides services in over 50 schools in the

PSA. In FY21, Cincinnati Children’s completed 38,019 visits across these locations (Figure 39).

Telehealth visits were implemented in FY20. Most of the services provided by the Division of Psychiatry

are not integrated into a school-based health clinic, but are independent CCHMC staffed outpatient

clinics, which expands the reach of this work into schools that do not have school-based health clinics.

Figure 39. School-Based Therapy Visits FY18 to FY20 (in person and telemedicine)

Source: Division of Psychiatry

The Division of Psychiatry is part of a regional collaboration with MindPeace, which oversees the

integration of school-based mental health services in nearly every public school in Hamilton County, and

some in Butler, Warren, and Clermont counties. MindPeace is a non-profit that started as a project of the

Junior League of Cincinnati to answer a significant need for an improved system of mental health care for

children in the Greater Cincinnati Area. MindPeace’s mission is to ensure a seamless system of mental

health care for children and adolescents that meets specific characteristics of quality, provides a

continuum of care has system connections and is affordable.

95.5%

of patients 12 and older

completed Depression

Screenings

MindPeace School Based Mental Health Network

2018-2019: 171 Schools have co-located mental health partnerships

2019-2020: 180 schools have co-located mental health partnerships

2020-2021*: 190 schools have co-located mental health partnerships

2018-2019: 14 mental health organizations are lead school-based partners. Four additional

mental health organizations joined the network.

2019-2020: 15 mental health organizations are lead school-based partners. Three additional

mental health organizations belong to the Network.

2020-2021*: 16 mental health organizations are lead school-based partners. Three additional

mental health organizations belong to the network.

2018-2019: 6,396 students received therapy treatment

2019-2020: 8,408 students received therapy treatment

2020-2021*: 8,228 students received therapy treatment

2018-2019: A total of 137,878 treatment hours were provided – an average of 22 hours of

treatment per student.

2019-2020: A total of 163,746 treatment hours were provided – an average of 19 hours of

treatment per student

2020-2021*: A total of 143,169 treatment hours were provided – an average of 17 hours

treatment per student.

*2020-2021 school year was a full year during the COVID-19 Pandemic

Source: Division of Psychiatry; MindPeace Mental Health Network

Enhance mental health services to patients by optimizing emergency room and

outpatient access.

Over the past three years, there has been tremendous expansion of alternatives to inpatient care,

including bridge appointments, intensive outpatient programing, and partial hospital programming beds.

The Bridge Clinic appointments provide access to a team of providers, including a psychiatrist, an

advanced practice nurse, a psychologist and Psychiatric Intake Response Center (PIRC) Bridge staff.

Working as a cohesive team, the Bridge Clinic provides well-rounded care to each patient. Clinic staff

help patients and families navigate the mental health system, get connected to ongoing services, and

provide short-term interventions while long-term care is established. In 2020, 1,293 bridge appointments

were completed (Figure 40).

Figure 40. Monthly Completed Bridge Appointments, July 2018 – June 2021

Source: Division of Psychiatry

In October 2020, the Division of Psychiatry expanded services at the Norwood location to include an 18-

bed partial hospitalization program (PHP), with 272 patients served from October 2020 thru August 2021.

The PHP allows patients to receive intensive mental health care services and return home in the evening,

avoiding an inpatient stay. New intensive outpatient programming (IOP) for individuals and groups was

also implemented at the Norwood location in March 2021. Between March and June 2021, 348 patients

were seen through the Norwood IOP. The new Norwood PHP program is an expansion to the existing

PHP programs at the Green Township location and the Linder Center of Hope. From July 2020 to June

2021, 381 patients participated in the PHP at Green Township and 246 at the Linder Center for Hope

(Figure 41). From FY19 to FY21, there was a drop in the number of patients and PHP visits at both

locations. Limiting factors related to the COVID pandemic are the primary reason behind this decrease.

Figure 41. Patients and PHP Visits at Green Township and Linder Center for Hope FY2019 thru

FY2021

Source: Division of Psychiatry

Mar 2020

COVID-19

Started Telehealth

Appointments

100

120

140

160

180

200

220

240

260

Jul-18

Aug-18

Sep-18

Oct-18

Nov-18

Dec-18

Jan-19

Feb-19

Mar-19

Apr-19

May-19

Jun-19

Jul-19

Aug-19

Sep-19

Oct-19

Nov-19

Dec-19

Jan-20

Feb-20

Mar-20

Apr-20

May-20

Jun-20

Jul-20

Aug-20

Sep-20

Oct-20

Nov-20

Dec-20

Jan-21

Feb-21

Mar-21

Apr-21

May-21

Jun-21

# Completed Appts

Month

# Completed Appts Median

533

3,766

383

2,372

417

2,802

306

2,011

381

2,770

246

1,744

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

Patients PHP Visits Patients PHP Visits

Green Township Linder Center of Hope

FY2019 FY2020 FY2021

Provide telemedicine services to address mental health

needs.

Due to the COVID pandemic, there has been a rapid transformation to

telemedicine across Cincinnati Children’s. Within the Division of Psychiatry,

at the peak of the pandemic, 90% of services were provided via

telemedicine while maintaining normal clinic volumes (Figure 42).

As the

department transitions into a new phase of the pandemic, telemedicine

services will continue to be offered to patients. The ideal balance of in-

person vs telemedicine appointments is under review.

Figure 42. Division of Psychiatry Telehealth Appointments by Year

Source: Division of Psychiatry

*2021 data is from January through June 2021

Support and scale a pilot of behavior intervention in 3 Cincinnati Public School

elementary schools to support positive mental health.

The goal to support behavior intervention programs in three elementary

schools was exceeded. The Good Behavior Game and the Promoting

Alternative Thinking Strategies (PATHS) Program has been implemented

in 10 Cincinnati Public Schools (CPS) elementary schools. These

programs target child emotional and behavioral regulation through

instruction, classroom management, and peer support. Teachers at all 10

elementary schools were trained in both the Good Behavior Game and

the PATHS Program. Implementation of the programs was coordinated

with additional social and emotional learning (SEL) supports provided by

CPS. Results from the data collection sites showed a 20% reduction in

lost instructional time as a result of these programs.

In addition to the partnerships with elementary schools, the Community Health All Children Thrive team

and BMCP implemented SEL and prevention programs in eight CPS high schools.

Pilot evidence-based program for parents of children aged 3-6 in partnership with

local Head Start and Public School preschools.

Cincinnati Children’s partnered with Head Start, University of Cincinnati, Hamilton County Educational

Services Center (HCESC), and Hamilton County Community Action Agency (HCCAA) to pilot an

intervention program for Head Start caregivers. In a small, randomized control trial, HeadStart Peer

Navigators assisted preschool caregivers in understanding screening results shared by Head Start

teachers. In this program, HeadStart Peer Navigators guided caregivers to complete visits with both their

child’s Education Agency and Primary Care Provider (PCP). Interventions included training on sharing

difficult news, appropriate health care recommendations, Peer Navigator support, and written materials to

117

47935

26514

10000

20000

30000

40000

50000

2018 2019 2020 2021*

# of Telehealth Appointments

90%

of services were provided

via telemedicine while

maintaining normal clinic

volumes during the height

of the COVID pandemic.

Good Behavior Game

and PATHS Program

implemented into

10 elementary schools,

resulting in a

20% reduction

in lost instruction time.

support a teacher’s recommendation for screenings. Through this pilot study, all caregivers in the

intervention group received information on screening results. The findings were limited by the fact that

few teachers sent in rating forms to the child’s PCP. Even still, HeadStart Peer Navigators were a

valuable source for assisting caregivers in understanding and accepting screenings. Seventy-five percent

(75%) of the PCPs in the pilot study made referrals for evaluation and treatment based on the referrals

received from Head Start.

Additional Work completed related to the Child Mental Health Priority

In addition to the above-mentioned strategies and activities, Cincinnati Children’s also explored a number

of additional programs and collaborations to support the mental health of children and families in the

community. These activities include:

• Pilot tested student-level surveying of emotional and behavioral health in two elementary schools

using the Panorama survey. In 2021-2022, this will be expanded to include 27 elementary and

high schools in the CPS system.

• Supported CPS in their expanded SEL services, which included

providing coaching, quality improvement, and measurement guidance

to 42 newly hired CPS social workers to promote healthy emotional

and behavioral development in students.

• Provided Parents on Point, an evidence-based parent support

program using the Chicago Parent Program Model, to 28 cohorts

comprised of 311 parents and caregivers of children aged 2-5 in three

elementary schools, three community-based early childhood

organizations, and one church daycare. A total of 808 children (including older siblings) have

been impacted. Evaluation at post-intervention and three months later revealed improved child

behavior, increased positive parenting practices, and decreased use of corporal punishment.

Adapt for Life instructs students grades K-12 lead healthy lives and become mentally fit. It helps young

people understand and identify the drivers that can lead to stress, including harmful and suicidal behavior.

Adapt for Life also provides all students with a personal plan for crisis and other helpful tools to help

themselves and others. Through approximately 70 schools in the Greater Cincinnati area, Adapt for Life

has reached over 50,000 students over the past 3 years.

As a leader in child health, Cincinnati Children’s employed an emerging learning modality, ProjectECHO,

to increase the capacity of pediatric primary care providers to identify and treat common childhood mental

health disorders. The Center for Telehealth ProjectECHO Mental Health Series supported the

operational components of the platform that utilizes Zoom technology to virtually create face-to-face

interactions for Cincinnati Children’s specialists and scores of primary care providers. The format allows

specialists to provide brief, high yield, pragmatic didactics of Evidence-based care algorithms with group

discussion, followed by cases presented by the participants to elicit feedback and consultation from the

community and specialists. Continuing education credits are offered for free, and participants can select

introductory courses on Depression or Anxiety, with the option to continue capacity building through the

ongoing monthly Graduate Series sessions. The online format increases the geographic reach of the

program and removes common obstacles to learning 1-day workshops and traveling to traditional

lectures. It also provides provider discussion of their active patients for case based learning.

Participation in the baseline 8-session course increases PCP capacity to identify and manage common

Mental Health disorders often under-diagnosed or treated in primary care. To approximate provider level

measures of Mental Health Capacity, participant self-efficacy and clinical knowledge are measured

throughout the course (Figure 43 and 44). After the first three cohorts from depression were completed,

post-course feedback (32 of 37 responders (possible 41) reported a change in practice. The major

themes of their responses included: treating more difficult depression cases than they had in the past,

808

children impacted

through Parents on

Point parent

support group

changing their initial medication choice to first line SSRI (fluoxetine), providing more frequent follow-up for

their depressed patients, more use of validated screening tools, such as PHQ-9 and CSSRS, and

engaging more hands-on with therapists and psychiatrists.

Figure 43. ProjectECHO Depression Cohort Pre and Post Program Self Efficacy Scores (Five-Point

Scale)

Source: Division of Psychiatry

Figure 44. ProjectECHO Depression Cohort Pre and Post Program Knowledge Scores

Source: Division of Psychiatry

ProjectECHO courses have become a tele-mentoring model which effectively shares specialist

knowledge as an extension through the primary care provider to increase access to care to the patient at

the level of the medical home, versus the traditional telemedicine model (1 specialist to 1 patient). Across

the Mental Health Series for ProjectECHO programs, an estimated 16,200 children have been impacted

(Figure 45).

3.5

0 1 2 3 4 5

Cohort 1

Cohort 2

Cohort 3

Post

Pre

56%

58%

50%

72%

74%

71%

10%

20%

30%

40%

50%

60%

70%

80%

Cohort 1 Cohort 2 Cohort 3

Pre

Post

Figure 45. Attendance and Impact of Project ECHO

Source: Division of Psychiatry

HealthVine, a network of pediatric providers and organizations backed by Cincinnati Children’s, also

partners with the Center for Telehealth and utilizes ProjectEcho within its network of providers. Since

launching a ProjectEcho Therapist series in late 2021, they have hosted two courses with 50 therapists.

The courses consist of twice-monthly sessions over four months and focused on increasing provider

knowledge and self-efficacy in managing mental and behavioral health conditions. In 2022, HealthVine

plans to continue to partner with the Center for Telehealth on the launch of a trauma series in addition to

their Therapist series.

Between 2015 and 2020, Cincinnati Children’s invested in significant improvements to the College Hill

campus, resulting in an expansion of available mental and behavioral health services. As a result of this

investment, the residential treatment program expanded to 30 beds and the inpatient program added 10

beds. There is improved space to patients with neurobehavioral issues – like severe autism – to receive

care, and a unit for patients needing care for both mental health and medical needs was added.

COVID-19 Pandemic Impact

Acceleration of the transition to telemedicine appointments was the largest impact of the COVID

pandemic on these strategies.

The COVID pandemic created multiple challenges to supporting the emotional and behavioral health of

children in our community. Disruptions and major events resulting from the pandemic (i.e., remote

school, parental unemployment, family illness and death) contributed to increased stress and

psychological maladjustment. Both The Good Behavior Game and the PATHS Program provided

guidelines on incorporating their models into remote learning, and these strategies were adopted in the

program. Although this preserved some of the benefits of the programs, opportunities for greater impact

were lost due to the constraints of remote versus in-person education.

Similarly, Parents on Point was offered remotely following a brief suspension of in-person sessions. The

remote delivery format required smaller cohorts of parents and caregivers. After an initial stage of

learning how best to deliver the groups remotely, implementation proceeded smoothly.

The COVID pandemic also impacted recruitment for the pilot intervention with Head Start. However, the

switch to virtual formats provided unexpected learnings, such as the Peer Navigators continuing to

provide virtual navigation supports to caregivers during the height of the pandemic. At the start of the

pandemic, several caregivers in the pilot were in the process of getting a healthcare or Local Education

Agency identification of their child with developmental delay or disability. The Peer Navigators were able

to maintain navigation services in collaboration with HeadStart and healthcare professionals even when

schools closed and healthcare visits were only virtual, maximizing the outcomes for these students.

Childhood Obesity

2019 Implementation Strategy Initiatives

• Implement nutrition and obesity prevention programs in targeted neighborhoods

• Work with community organizations and school districts to implement nutrition and obesity

prevention programs

• Address food insecurity in primary care clinics through a partnership with the regional foodbank

that provides free formula and stocks a food pantry in two clinics

• Develop partnerships to improve physical activity

Implement nutrition and obesity prevention programs in targeted neighborhoods.

Partnering with Baby Bears in Norwood in 2021, the Center for Better Health and

Nutrition (CBHN) provided nutrition and fitness education to Moms and children.

CBHN distributed 180 meals, an assortment of breakfast, snack, and dinner packs,

as part of their Fit Kit program.

The Fit Kit program originated in partnership with

the local school systems. Fit Kits include a variety of shelf-stable foods, recipes, a

portioned plate, and a physical activity, such as a jump rope, popsicle stick exercise

game, or a frisbee. Dinner kits feed four, and breakfast kits feed eight.

Work with community organizations and school districts to implement nutrition

and obesity prevention programs.

During Spring of 2019, CBHN’s Fit Kit program distributed 5,170 dinner meal kits with nutrition and

physical activity information in selected CPS schools to every student.

In addition to the meal and

physical activity the kits included tips for healthy sleep, physical activity, and other healthy lifestyle topics.

For the Spring of 2020, in response to the COVID

pandemic, the program remained focused on providing

healthy meals, physical activities, and education for

healthy lifestyles to students. Partnering with CPS and

Norwood schools, the program was expanded, and,

instead of providing Fit Kits to every student, the partner

school systems helped identify students and families

with the greatest need.

CBHN operates a pediatric weight management program

at Roberts Academy and Norwood City Schools, reaching 127 patients and families in the 2019-2020

school year. In 2021, 200 Meal Bags (equaling 4,000 meals) containing fresh, shelf stable foods, as well

as recipes, were distributed in a partnership with Roberts Academy.

Partnering with Cooking for Family, CBHN funded family cooking classes for families through CPS

schools in 2019 and the beginning of 2020. Due to COVID, this program is temporarily paused, but plans

are in place to resume the program in the future. In place of the in-person classes, the Dietitian team at

CBHN shared recipes, cooking tips, and nutrition education via social media. From March 2020 through

September 2021, the team shared 130 posts that included recipes, cooking tips, nutrition education, and

local food resources.

180

meals

distributed

Number of Fit Kits distributed across CPS

and Norwood City Schools in Spring 2020:

• 3,200 Breakfast Fit Kits

• 3,200 Snack Fit Kits

• 6,000 Dinner Fit Kits

Source: Center for Better Health and Nutrition

Address food insecurity in primary care clinics through a partnership with the

regional foodbank that provides free formula and stocks a food pantry in two

clinics.

Cincinnati Children’s Hopple, Pediatric Primary Care (PPC), and Fairfield Primary Care clinics all contain

onsite food pantries to address food insecurity in the community. PPC and Hopple pantries are in

partnership with the Freestore Foodbank, and Fairfield’s pantry is in partnership with Shared Harvest.

Shelf stable food is available for patients and families during routine visits. Formula is available at the

Pediatric Primary Care clinic. Since 2018, 2,711 cans of formula have been distributed and 3,058

families have received food (Table 27).

Table 27. Primary Care Clinic Food Pantry Reach Since 2018

Pediatric Primary Care Clinic

Hopple Clinic

Fairfield Clinic

Year

# Formula

Cans

Distributed

# Families

Received

Food

# Children

Received

Food

# Families

Received

Food

# Children

Received

Food

# Households

Received

Food

# Children

Received

Food

2018

850

369

1007

2019

1012

696

1805

382

924

110

2020

537

679

1825

240

594

207

244

2021

312

247

668

166

129

313

Source: Cincinnati Children’s General Pediatrics

Missing three months of data from the beginning of the pandemic shutdown

Families/Children from January through June

Families/Children from January through May

Develop partnerships to improve physical activity.

CBHN promotes physical activity initiatives with patients and the community. Cincinnati Children’s

continues its partnership with the YMCA’s Fun2Bfit program – a program designed to meet the needs of

overweight children and their families. Ten YMCA programs participate in the program. The participating

YMCA programs were intentionally selected to ensure the program is available throughout the PSA. The

Fun2Bfit program is operated by the YMCA, and Cincinnati Children’s staff support the training and

availability of equipment for the program, along with supporting recruitment and awareness of the class.

Due to the COVID pandemic, this program is on a temporary pause. Once it is deemed safe by health

leaders, the intension is to resume this program.

HealthWorks, a part of the CBHN, offers its patients and families in-person group exercise classes three

nights each week for an hour each session. On average, about 10-15 participants attended each class.

This program has temporarily stopped due to the COVID pandemic. Once its deemed safe by hospital

officials to resume this program, the weekly sessions will be reintroduced.

Since the start of the COVID pandemic in 2020, the Healthworks team pivoted to provide virtual

opportunities for patients and community members to engage in physical activity. Videos and virtual

resources were posted to social media and Healthworks website

(https://www.cincinnatichildrens.org/service/b/better-health/videos).

The Division of Occupational Therapy and Physical Therapy at Cincinnati Children’s partners with a

variety of partner organizations around the PSA to support both indoor and outdoor physical activity

events, classes, and programs throughout the area through the “be.well program.” The primary audience

for these programs are children with developmental and chronic conditions, along with medically complex

children. In 2021, a variety of programs, including yoga, geocaching, martial arts, hiking, and biking, were

offered through a mix of in person and virtual formats with a total of 445 participants (Figure 46).

Figure 46. 2021 be.well Programs and Participation

Source: be.well Program, Division of Occupational Therapy and Physical Therapy

Additional Work completed related to the Childhood Obesity Priority

None

COVID-19 Pandemic Impact

The COVID pandemic severely limited the number of events and programs CBHN could partner with,

which impacted the implementation of efforts related to the Childhood Obesity strategies. In addition to

adapting some of the programing to virtual options, the center partnered with school clinics and converted

to a mobile clinic model at Norwood High School. They also transitioned to Saturday clinics in the

community clinic area in order to reach patients and families with their weight management program.

Weekly exercise posts (handouts/at home ideas) on the Healthworks Facebook page

20 live exercise classes via zoom or teams for families in the Healthworks program

3, 1-week long exercise summer challenges encouraging kids to log their physical

activity. Participants won prizes, like Fit Bits, Zoo Passes, and exercise equipment (bands, balls,

etc.)

10 different organized park walks on weekends for families in the Healthworks program

Source: Center for Better Health and Nutrition

The Primary Care clinics expanded the amount of food in the pantries and added toiletries and cleaning

supplies to meet the needs of families during the pandemic.

Barriers to Care

2019 Implementation Strategy Initiatives

• Provide comprehensive primary care services through Cincinnati Children’s primary care clinics

and school-based health centers including access to legal aid, food pantries, preschool

enrollment and community health workers

• Support a broad quality improvement initiative in Cincinnati Health Department’s pediatric clinics

• Partner with community organizations to connect children and families to primary care services

• Collaborate with Cincinnati Children’s physician network and community partners to connect and

coordinate care

Provide comprehensive primary care services through Cincinnati Children’s

primary care clinics and school-based health centers including access to legal

aid, food pantries, preschool enrollment and community health workers.

Preventive care bundles have been implemented in all primary care locations and school-based health

centers to reliably deliver recommended screenings and services. Data tracking shows that greater than

90% of developmental, hearing/vision, and obesity screenings are completed during appointments.

Connection to health-related services, such as legal aid, food pantries, and community health workers

(CHW) have also expanded. Child HeLP (medical-legal partnership) generates over 750 referrals

annually, food pantries are available on site at three primary care clinics and serve over 2,000 children

annually, and 12 CHWs are available for patient needs through various programming. In addition to

these, the primary care offices were also able to expand lactation services, offer integrated behavioral

health, and provide literacy supports for young children.

Support a broad quality improvement initiative in Cincinnati Health Department’s

pediatric clinics.

Cincinnati Children’s Thrive at Five initiative has spread to five Cincinnati Health Department offices and

one UC Health practice. Thrive at Five focuses attention on reliably delivering preventative care services

through a quality improvement approach. Prior to COVID, a number of the clinics saw improvements in

some of the collaborative measures (immunizations, lead, developmental screening). During the COVID-

19 pandemic, many metrics declined in performance due to missed well child visits. During the first half

of 2021, clinics are beginning to see some upward trends for measures (Figure 47).

Child HeLP

•750 annual referrals

Food Pantries

•Serve over 2,000

children annually

Community Health

Workers

•12 Community Health

Workers available to

support families

Figure 47. Lead Screening and Vaccination Completion Rates for Cincinnati Children’s and

Cincinnati Health Department Clinics, 2019 – 2021

Source: All Children Thrive Learning Network, Cincinnati Children’s

In Spring 2020 and Fall 2021, Cincinnati Children’s partnered with the Cincinnati Health Department to

conduct seven Lean Project Initiatives. The Lean Project Initiative provided project teams at the

Cincinnati Health Department a multiple week course on quality improvement methods that uses hands-

on exercises and 1-on-1 coaching to deepen each teams’ ability to solve problems and improve

operational performance. Table 28 provides a high-level overview of the seven projects completed and

their outcomes.

Table 28. Cincinnati Health Department Lean Projects and Results, Spring 2020 and Fall 2021

Lean Project Overview

Lean Project Results

Pharmacy Comprehensive Medication Review

(CMR)

Develop a workflow to enable pharmacists to

complete medication reviews with patients. This

service will bridge the ‘access to healthcare’ gap

immediately by increasing patient knowledge

about his/her medication and thereby increase

adherence and outcomes. Comprehensive

medication review is about getting patients on the

right medication at the right dose at the right time.

• Through LEAN principles, team uncovered

numerous system opportunities to release

capacity to expand services.

• Better communication across the system;

using huddles

• Tracked number of CMRs completed -

between October to December 2021, 33

patients received a comprehensive

medication review.

• Further refinement to the overall workflow will

allow this program to become fully integrated

into all clinics and patient care.

• Increased patient satisfaction – verbalizing

better understanding of medications

Lean Project Overview

Lean Project Results

School Based Health Center (SBHC) - Central

Scheduling (CSU) Access to Care –

Create a standardized scheduling process for

SBHCs to deliver care to patients in the

community – beyond the school. By eliminating

waste and non-value added time the CHD will be

able to improve reach and access to care to

students and community patients in need.

• Increased median number of patients seen

daily from 6 to 10

• Decreased non-value-added time by 23%

(9:39 min down to 7:27 min)

• Eliminated 9 non-value added NP steps in

scheduling process from 10 to 1 step

• Created a Standardized Process to Schedule

Student Patient Scheduling (Job Instruction

Sheet)

• Improved CSU process for scheduling

community patients at SBHCs

• Increased appointment access for community

patients

Environmental Health, Healthy Homes

Program: Improving Mold Complaint

Response Time

The team focused on decreasing time to first

contact following a complaint of mold from the

community.

• Surpassed their goal of 2 days decreasing the

time from 3.62 to 1.03 days

• Reduced process time to 62 minutes (72%

reduction)

• Adopted daily team huddles to work through

problems

• Improved staff satisfaction for the team of

inspectors who respond to the mold

complaints

Enhancing the timeliness and effectiveness of

the HUD grant program:

The CHD has a grant to remediate homes

that pose a threat for lead poisoning. The program

was identified to have an opportunity to create

standard work and improved efficiency. The team

worked to reduce the amount of time it takes from

receiving notice of a new property with suspected

lead poisoning to submission of a work

specifications report. The team worked to improve

the efficiency of home remediation and create a

standardized process.

• Created standardized work increasing the

process steps from 3 to 7 steps resulting in a

fine-tuned process that allowed room for

improving delays.

• Adopted a huddle and use of a visual

management board providing opportunities to

recognize and mitigate delays and barriers

sooner

• Identified immediate areas of improvement

with a reduction in the intake HUD application

process

• Reduced the process and wait times by 42%

• Created a goal moving forward working to

decrease the time from HUD grant application

intake to complete the Work Specifications

from 78 days to 33 days.

Improve CHD Patient Registration Process

To improve the patient registration workflow to

deliver fast and efficient registration of

multicultural, multi-lingual patients. The process

improvement can help improve patient experience

and prevent personal information leaks.

• The Team surpassed the goal of decreasing

the patient registration process from 29

minutes to 10 minutes achieving a 3-minute

registration process.

• Following Lean graduation, the CHD worked

to implement an intentional spread plan with

the process now adopted system wide in all 6

health centers.

• Currently 5 of the 6 health centers median

patient registration times are less than 5

minutes with three centers less than 3

minutes.

Lean Project Overview

Lean Project Results

Pharmacy Medication Delivery Program

Develop a workflow to help patients who do not

have reliable transportation receive medications.

Inconsistent medication availability causes a

decrease in medication adherence which put

patients at greater risk for disease complications.

The COVID-19 pandemic/stay at home orders

posed significant challenges for patients. This

medication delivery process should increase

volume, revenue, patient adherence, and patient

and staff satisfaction.

• Using LEAN principles, pharmacy process

standardized and optimized.

• 554 successful prescription deliveries from

March 20, 2020 to May 1 ,2020

• The amount of time it took for prescriptions to

get to patients decreased by approximately

111 hours.

• Increase in patient medication adherence

• Better customer service

Health Insurance Enrollment

To improve the process of preparing the patient

for Health Insurance Enrollment. The team aimed

to reduce the rate of duplication of patients that

are uninsured from a baseline of 88%. The

duplication leads to significant waste and non-

value added steps addressing inaccurate

information. The improvement in duplication will

lead to financially empowered patients paying

minimal co-pays, increased numbers of patients

with established medical homes, and increased

CHD productivity by working more efficiently on

value added steps.

• Standardized the patient insurance enrollment

process decreasing the number of steps from

6 to 5

• Surpassed the goal decreasing the rate of

duplication to 76% during the Lean class

• Since Lean graduation, the CHD implemented

an intentional spread plan with the enrollment

process adopted in all 6 health centers.

• The team has continued improvement with an

initially post class reduction to 37% and a

further reduction over the last 6 months down

to 21%.

• The standardized process has resulted in

improved accuracy of information gathered

during patient enrollment.

Source: James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s

Partner with community organizations to connect children and families to primary

care services.

As active partners with the All Children Thrive Learning Network, the General Pediatrics primary care

team engages with community organizations and members across many industries – including early

childhood education, mental health, and social service agencies – to connect children and families to

primary care services in the community. The Special Supplemental Nutrition Program for Women,

Infants, and Children (WIC) has an office location at the Pediatric Primary Care clinic location. General

Pediatrics also has working relationships with social service and health agencies that support the

continuum of care between patients and partner agencies, including Legal Aid Society of Greater

Cincinnati, local food pantries, local housing and mental health agencies, and the health department.

Cincinnati Children’s also partners with early childhood education and HeadStart programs to ensure

children are connected with a primary care provider. Additionally, through our school-based health

centers, students and community members are connected to and received pediatric primary care.

More information about the activities and initiatives supported by the All Children Thrive Learning Network

can be found on their website (https://www.actnowcincy.org).

Collaborate with Cincinnati Children’s physician network and community

partners to connect and coordinate care.

The Comprehensive Primary Care team worked with managed care companies to enhance benefits for

families around transportation, incentives, and awareness to provide needed services to patients. Work

was also completed to enhance outreach strategies for patients who are due or overdue for care. Studies

were conducted to determine the optimal and efficient method to reach families and results are pending.

Additionally, CHWs are being co-located in Urgent Care to support the connection back to the medical

home and to help with the closure of care gaps, as well as to support families in addressing social

determinants of care. These services are also being expanded to include CHWs who can support

connections back to Cincinnati Health Department clinics, as well as a partner UC Health Clinic.

Cincinnati Children’s Physician Outreach & Engagement (PO&E) team connects and coordinates with

community-based physicians in both the PSA and Secondary Service Area (SSA), which is comprised of

17 counties surrounding the PSA. PO&E partners with the Community Practice Advisory Council

(CPAC), a group of physician advisors that is comprised of both community and hospital-based physician

leaders. PO&E and CPAC provide resources and monthly communications to community providers

aimed at improving communication and the care coordination between Cincinnati Children’s specialists

and community providers. These initiatives include:

• COVID Information – Weekly emails are sent to over 1,000 community providers and staff to

consolidate COVID information for pediatric providers and share updates from Cincinnati

Children’s. A COVID website was created specifically for community providers to reference as

needed. Early in the pandemic, Cincinnati Children’s was able to share surplus PPE with

practices in the Physician Hospital Organization (PHO) who needed supplies but could not get

them.

• Synapse – A monthly e-newsletter developed for primary care providers that contains updates,

resources, and educational opportunities available to primary care providers through Cincinnati

Children’s. Approximately 1,500 providers and staff in the PSA and SSA receive Synapse

monthly.

• Throughout the COVID-19 pandemic, virtual education opportunities have been provided for

community providers. Topics were determined in collaboration with CPAC leaders for medical

and surgical topics. Medical topics are presented via ‘Coffee with Colleagues’ and surgical topics

are part of Globalcast Live events. Each presentation was aligned with a Community Practice

Support Tool resource (CPST).

• Community Practice Support Tools (CPST) – CPST’s cover a range of primary care topics to

provide insight about illness/disease, first line treatment options, and clinical data about when to

refer. They are updated annually and are housed in hard-cover binders for all PCPs in the PSA

and SSA. Over 50 topics have been created in collaboration with Cincinnati Children’s faculty,

CPAC, and PHO. Approximately 1,500 CPST’s are distributed annually.

• Mental Health Folder – In 2021, mental health specific resources were developed for distribution

to community providers in the PSA and SSA. The folder includes resources available from

Cincinnati Children’s and resources available in the local community.

• Newborn Folders – Originally developed in 2018, the newborn folders are designed to share

information with new parents about their newborn. Practices can use the folder ‘as is’ or add

In 2021, Coffee with Colleagues:

• 441 attendees at live events

• 448 viewed the recording

• 13 medical topics and 4 surgical topics were presented

In 2020, 12 medical topics and 5 surgical topics were presented during Coffee with

Colleagues

Source: Physician Outreach & Engagement Department

elements to something they have created in their practice. Community providers continue to

request newborn folders year each to share with their patients.

• Direct Messaging/E-Consult system – Launched in early 2021, the direct messaging/e-consult

system is a secure, electronic pathway created to allow community providers to ask Cincinnati

Children’s faculty non-urgent clinical questions about their shared patients. Currently, 26

divisions from Cincinnati Children’s participate in the program. Tracking has shown steady

growth in system use with an average of 150 messages (questions) received per month.

Additional Work completed related to the Barriers to Care Priority

None

COVID-19 Pandemic Impact

The COVID-19 pandemic significantly impacted the work in primary care. Since families were

encouraged to “stay at home” during parts of the pandemic, it was difficult to maintain high completion

rates of preventative services initially. As a result of reduced in-person visits during the first two months

of the pandemic, primary care services quickly implemented operational strategies to provide families

telehealth services, quick and easy COVID-19 testing in the office, and most recently, COVID-19

vaccinations for eligible patients and household members. Unfortunately, the pandemic has exacerbated

health as well as economic disparities in Cincinnati and beyond and has compounded the social strain

our population experiences. Patients being seen tend to be more complex, often due to delayed care,

and have experienced increase social adversity. Cincinnati Children’s continue to focus efforts on

mitigating these disparities.

Childhood Asthma

2019 Implementation Strategy Initiatives

• Identify and equitably care for children with asthma in primary care and school-based health

centers

• Reduce disparities in asthma outcomes between local neighborhoods through hospital- and

community-based clinics

• Partner with school districts to improve asthma control among children in partnership with school

nurses and school-based health centers

• Test and scale other asthma interventions, such as telemedicine and home delivery of

medications

• Broaden awareness and interventions beyond asthma to the many health conditions with

disparities in morbidity and admissions

Identify and equitably care for children with asthma in primary care and school-

based health centers.

The asthma care coordinator for the primary care clinics and school-based health centers (SBHC)

focuses on assuring those with persistent asthma have their medications. Asthma patients receive new

prescriptions every three months. Each month, a list of all persistent asthma patients due for their three-

month medication renewal is compiled for follow-up. Medication management for individuals with asthma

is tracked as part of the clinic’s participation in the Ohio Department of Medicaid’s Comprehensive

Primary Care Program that has a threshold of 28.9%.

Reduce disparities in asthma outcomes between local neighborhoods through

hospital- and community-based clinics.

Cincinnati Children’s primary care clinics and SBHC screen for Social Determinants of Health (SDOH) at

all visits. For asthma patients, the clinics also tested the use of a Bubble Diagram tool developed by the

Cincinnati Children’s Health Equity Network (HEN). The Bubble Diagram elevates the patient and

caregiver voice in what matters to them related to the patient’s asthma. Patients and caregivers are

asked separately about a number of topics that can relate to or impact asthma, along with areas for

patient/caregiver to provide additional concerns. The Bubble Diagram helps identify the needs important

to families, which in turn builds better relationships. Any barriers raised will be addressed with the family,

even if they are not related to asthma.

Partner with school districts to improve asthma control among children in

partnership with school nurses and school-based health centers.

SBHC staff provide outreach to SBHC patients with chronic conditions prior to school breaks to assure

the students had medications during school breaks. The primary focus of this outreach is SBHC patients

with Asthma; however, this program has been expanded to other chronic diseases as resources have

allowed as well.

Cincinnati Children’s primary care practices and SBHC have also historically partnered to track Asthma

Control Test (ACT) scores. HEN is tracking improvement in ACT scores, with a goal of implementing

consistent tracking between the primary care and SBHC locations moving forward (Figure 48).

75% Compliance Medication Management for individuals with Asthma

Between April 2020 and March 2021, services were delivered to 34% of patients, with the

target threshold greater or equal to 28.9%.

Source: Cincinnati Children’s Primary Care, SBHC & Outpatient Medical/Surgical Subspecialties

Figure 48. Patients with an ACT Score in Last 13 Months, All Locations

Source: Cincinnati Children’s Primary Care, SBHC & Outpatient Medical/Surgical Subspecialties

Test and scale other asthma interventions, such as telemedicine and home

delivery of medications.

To address identified barriers to asthma treatment and control, the primary care clinics and SBHC have

piloted and implemented new interventions to improve asthma outcomes. As part of routine care, clinics

now offer home delivery of asthma medications to patients and telemedicine appointments with a

patient’s medical provider, asthma care coordinator, and Community Health Worker (CHW).

Additional information about these programs can be found in the FY2019 Community Benefit report

(https://www.cincinnatichildrens.org/about/community/community-benefit).

Broaden awareness and interventions beyond asthma to the many health

conditions with disparities in morbidity and admissions.

Currently the Bubble Diagram is only being used in General Pediatrics within subgroups of the overall

asthma population. Each clinic has been testing the tool in different asthma sub-populations. The

primary care clinics and SBHC are in the early planning stages to spread use of the HEN Bubble Diagram

to the larger asthma population seen at all clinics. The goal is to implement this tool across all patient

visits if there is a concern about disparities. Ideally, any parent can say “these are my concerns for my

child.” Expanding the use of the Bubble Diagram will open dialogue between patients, parents, and

providers.

Additionally, the pharmacy delivery program is available to any patient. The primary audience for this

program is still asthma, but the program has expanded to include additional chronic disease, and it is also

utilized by providers at the SBHC.

Additional Work completed related to the Childhood Asthma Priority

Through a grant with the Ohio Department of Health, General Pediatrics is focusing on disparities and

children with asthma by partnering with CHWs. Leveraging telehealth appointments, CHWs are

10%

20%

30%

40%

50%

60%

70%

80%

90%

07/01/16, n=5156

11/01/16, n=5151

03/01/17, n=5169

07/01/17, n=5179

11/01/17, n=5180

03/01/18, n=5177

07/01/18, n=5106

11/01/18, n=5119

03/01/19, n=5104

07/01/19, n=5001

11/01/19, n=4868

03/01/20, n=4816

07/01/20, n=4631

11/01/20, n=4538

03/01/21, n=4456

07/01/21, n=4407

Scored in last 13 months

Most recent score in last 13 months well controlled

connecting with patients and families directly to assess homes, allergens, barriers to care, and other

concerns raised by the family.

COVID-19 Pandemic Impact

The greatest impact of the COVID pandemic was connecting with patients. Most patients were not

coming into the clinics for visits and were extremely hesitant to utilize telehealth visits for asthma.

Offering telehealth visits is new for this work and was successfully used for patients with milder asthma

exacerbations. Outreach programs to patients in need of medication refills continued throughout the

pandemic with a fair amount of success. Finally, because of the reduced on-site capacities for COVID

and increased need to operate and connect remotely with families, it was very difficult to get families

involved with the CHW and telehealth visits to assess for in-home asthma triggers.

Child Safety and Unintentional Injury

2019 Implementation Strategy Initiatives

• Implement safety outreach in high-risk neighborhoods

• Provide car seat education and installation support

• Train community organizations to promote safety and unintentional injury programs and

resources

• Provide training and support for community organizations around trauma-informed care

Implement safety outreach in high-risk neighborhoods.

The Comprehensive Children’s Injury Center (CCIC) Team provided ongoing injury prevention education

and resources in multiple high-risk neighborhoods in Hamilton County. Educational programs and

resources included a variety of safety topics, such as car seat, home safety, poison, pedestrian, and

helmet safety.

Safety in Numbers

2019: Approximately 600 children throughout Hamilton County were educated on helmet safety

and provided approximately 500 children with helmets after completing measurements for

proper helmets fitting in various communities.

2020: Virtually trained 12 Cincinnati Recreation Center staff on helmet safety.

2021: Partnered with 3 CPS pre-school programs and 5 community events to provide in-person

helmet safety education to 600 students, staff and community members and distribute 400+

helmets.

2019: Completed 400+ home safety visits throughout nine high-risk zip codes identified by the

hospital’s trauma registry.

2020: Approximately 25 in-person home visits were completed in zip codes 45204 & 45205.

Engaged 2 new community partners for home safety outreach.

2021: Performed 12 virtual and approximately 55 in-person home safety visits in zip codes

45205, 45229, and 45225.

2019: Presented to 500+ students on pedestrian safety.

2020: Educated 25 youth and 8 adults in Price Hill on pedestrian safety.

2021: Provided virtual pedestrian safety to 350+ North College Hill elementary and junior high

students and staff. Provided in-person pedestrian safety to 100 North Avondale School

students and staff.

2019: Provided poison prevention education during multiple community events engaging over

700 event participants.

2021: Attended 4 in-person community events providing poison, home and gun safety

education and resources engaged over 400 participants.

2019: Distributed 80+ gun locks during various community events.

2021: Attended 4 in-person community events providing poison, home and gun safety

education and resources engaged over 400 participants.

Source: Comprehensive Children’s Injury Center

Provide car seat education and installation support.

The Child Passenger Safety, program sponsored by Toyota and Cincinnati Children’s Buckle Up for Life

program, provides services to low/moderate-income families. This program provide education, car seat

installation instruction and a free car seat to participants. Classes are held monthly between March and

November in various communities around Cincinnati and Liberty Township. In 2019, CCIC hosted eight

community car/booster seat classes and various car seat education sessions throughout Hamilton and

Butler Counties, educating over 1,000 people and distributing 450+ car/booster seats. In 2020, over 30

virtual car seat checks were completed.

In 2021, the Child Passenger Safety program completed over 40 in-person car seat checks and hosted a

community car seat class in Lincoln Heights for nine participants and disseminated 11 car/booster seats

in the first half of the year. The program also provided 25 community car seat checks at the 2021 Baby

and Beyond Expo in Sharonville.

Train community organizations to promote safety and unintentional injury

programs and resources.

CCIC trained two new community partners to implement the CCIC home safety outreach and provided

multiple community volunteers with helmet safety education and helmet fitting training. The trained

community volunteers contributed to the overall bike helmet safety outreach numbers and also attended

events to represent CCIC when a team member was unable to attend.

Provide training and support for community organizations around trauma-

informed care.

CCIC recently started to discuss the best route to providing trauma-informed care to both staff and

community agencies.

Additional Work completed related to the Child Safety and Unintentional Injury

Priority

None

COVID-19 Pandemic Impact

CCIC’s work shifted from in-person to virtual during the pandemic. The team was able to provide ongoing

educational opportunities via virtual platforms and injury prevention resources in emergency situations.

Infant Mortality

2019 Implementation Strategy Initiatives

• Support learning collaboratives aimed at reducing infant mortality

• Partner with community organizations to address infant mortality

• Spread the preterm birth reduction success to additional targeted neighborhoods

• Develop strategies to incorporate an equity-based focus on infant mortality reduction

To address Infant Mortality, Cincinnati Children’s Perinatal Institute houses Cradle Cincinnati, a county

wide collaborative effort to address Infant Mortality, and works with many regional partners throughout

Hamilton County. The following information was provided by Cradle Cincinnati on collaborative programs

and efforts lead by their team to reduce Infant Mortality. More details can be found in their annual report

(https://www.cradlecincinnati.org/2021/04/19/maternal-and-infant-health-trends-from-our-2020-annual-

report).

Support learning collaboratives aimed at reducing infant mortality.

Cincinnati Children’s is a member of the

Cradle Cincinnati Learning Collaborative,

which focuses on transforming prenatal and

postpartum care for women and their

families. The learning collaborative brings

together partners from multiple sectors in

Hamilton County, including hospitals,

community health centers, home health

agencies, and social service organizations.

The primary focus of the network is to

reduce preterm births and address racial disparities in birth outcomes.

Partner with community organizations to address infant mortality.

In response to an increase in infant sleep-related deaths in 2020, Cradle Cincinnati and Hamilton County

Department of Job & Family Services partnered to spread awareness about the preventability of sleep-

related deaths. Under the leadership of two local moms, over 24 partner organizations designed and

developed a widespread advertising and community engagement campaign to raise awareness of the

ABCs of Safe Sleep. The campaign launched in Spring 2021. All local health systems have adopted this

campaign, and the Ohio Department of Health launched the campaign statewide in October 2021.

In 2020, the Cradle Cincinnati Learning Collaborative

hosted 5 virtual collaborative meetings for 100

prenatal care providers, developed COVID-19

educational materials for families, and provided care to

over 4,500 women.

Source: Cradle Cincinnati, 2020 Annual Report

Spread the preterm birth reduction success to additional targeted

neighborhoods.

Cradle Cincinnati Connections is an interdisciplinary

team that serves pregnant women and families with

children under the age of two. As a neighborhood-

based approach, Cradle Cincinnati Connections links

vital services that fill in systems gaps, such as housing

assistance, depression screenings, breastfeeding

support and access to infant essentials (i.e., cribs and

diapers). Cradle Cincinnati Connections covers 12 zip

codes, which includes approximately 20 Cincinnati

neighborhoods. In 2020, the team hosted two drive-

thru baby showers in Bond Hill and Price Hill, that

included training and free baby essentials, including cribs, food, and diaper bags full of baby supplies.

Develop strategies to incorporate an equity-based focus on infant mortality

reduction.

Queens Village is an active social-support community of Black women, with a focus on providing safe,

supportive spaces for mothers to connect with peers, relieve stress, process trauma, and work collectively

to build a better world for themselves and their families. In response to the COVID-19 pandemic, Queens

Village launched a number of virtual outreach platforms to continue reaching and supporting Black

women and mothers.

In 2020, Cincinnati Children’s, The Urban League, and Queens Village partnered on a medical field

workforce training program. Ten Black women completed the program, and nine secured jobs in the

medical field.

Additional Work completed related to the Infant Mortality Priority

None

COVID-19 Pandemic Impact

In response to the changing environment and mental impact of the COVID pandemic on mothers, Cradle

Cincinnati Connections team focused more on mental wellbeing of mothers, hosting support groups and

In 2020, Queens Village Hosted 96 Virtual Events:

• 50 episodes of Alone Together Facebook Live series

• 1,000 The Kitchen Table Facebook page members

• 1 The Queens Demands video to encouraged voting

• Hosted In Her Voice virtual workshop for teen girls

• Over 200 Black women received care packages as part of a Social Media Campaign to

celebrate Black Women for the Win campaign

Source: Cradle Cincinnati, 2020 Annual Report

95%

of the women served in this program in 2020

had health insurance, 80% are part of

medical homes – which reduced ER visits,

and 90% of their children attended well-child

visits. Overall, the program reached 645

women in 2020.

Source: Cradle Cincinnati, 2020 Annual Report

Facebook Live discussions. Traditional home visits transitioned from in-person to virtual visits, telephone

calls, support via text message, and porch drop-offs.

Several programs and educational opportunities were pivoted to virtual platforms. In addition to the

programs mentioned in the above section, the annual Infant Mortality summit switched to a virtual

platform, reaching more than 2,000 attendees.

Early Literacy/School Readiness

2019 Implementation Strategy Initiatives

• Support the public-school district to improve early literacy and third grade reading by offering

quality improvement and data analytic support

• Lead a city-wide effort to distribute books through pediatric clinics via 2 national programs: Reach

Out and Read and Imagination Library

• Pilot a community-based network of parents and caregivers to promote early literacy

Support the public-school district to improve early literacy and third grade

reading by offering quality improvement and data analytic support.

General Pediatrics works with patients at their clinics to help discuss the importance of early childhood

education, help the family identify a program that fits their needs, and provide support and assist the

family with the – at times – difficult and lengthy enrollment process. By assisting families to enroll in high

quality early childhood education and preschool, children are more likely to be ready to learn when they

enter kindergarten. Additionally, screenings and talking with parents about a child’s development helps

identify developmental concerns. Staff connect children with developmental concerns to early

intervention programs that serve children birth-age 5. From January to mid-August 2021, 190 children

were served by the Early Childhood Education Navigator in clinics (Figure 49).

Figure 49. Children Served by Early Childhood Education Navigator located in Primary Care

Clinics

Source: Department of General Pediatrics

*Data from January to mid-August 2021

Lead a city-wide effort to distribute books through pediatric clinics via 2 national

programs: Reach Out and Read and Imagination Library.

Cincinnati Children’s successfully implemented the Reach Out and Read program and registered children

for Imagination Library through 27 pediatric practices throughout the city. In the last year, enrollment in

the Imagination Library increased from 12,000 children to 24,000 children enrolled with the

implementation of the Ohio Governor’s Imagination Library (OGIL) Program, which allows enrollment

online. As of July 2021, there are 24,465 children enrolled in Imagination Library.

Cincinnati Children’s

494

418

190

100

200

300

400

500

600

2019 2020 2021*

has partnered with multiple organizations that serve children to increase enrollment in OGIL, including

WIC, The Cincinnati Hamilton County Public Library, and Santa Maria Community Services. To increase

awareness of OGIL across the hospital and community, the Reach Out and Read team has also

presented workshops on early literacy to different parent groups and hospitals. Enrollment of children in

OGIL continues and is expanding to include enrollment through the birthing hospitals in Hamilton County.

Pilot a community-based network of parents and caregivers to promote early

literacy.

In 2020, General Pediatrics worked with low-income parents and parents of color in the community to

better understand the barriers they face when trying to enroll children in early childhood education

programs including preschool. Twenty in depth interviews with parents and four focus groups with

community programs to understand barriers were completed. Additionally, the team worked with Design

Impact to host “Creative Sessions” or very in-depth work groups/focus groups with parents and

community programs to further understand these barriers and then have the team members co-create

solutions. Using quality improvement, the co-created solutions were tested with community partner

agencies including CPS, HCCAA Head Start and HCESC Head Start. These pilot tests showed success

improving application completion for CPS, HCCAA Head Start and HCESC Head Start (Figures 50, 51,

52) and enrollment rates. HCCAA Head Start saw the highest increase, with the percentage of request

for services that resulted in a completed application rising from 30% to 70%. Currently, the team is

working on implementing two of the top solutions voted on by the community.

Figure 50. Percentage of Online Requests that Resulted in Completed applications – Cincinnati

Public Schools Preschool

Source: Department of General Pediatrics

182,500 clinic visits

with advice

795,132 books

distributed to home

37,469 children served

Source: Cincinnati Children’s Hospital

; Data from July 2015 – July 2021

Figure 51. Percentage of Conversion of Request for Service Inquires to Completed Applications –

Hamilton County Community Action Agency Head Start

Source: Department of General Pediatrics

Figure 52. Percentage of Online Requests that Resulted in Completed applications – Cincinnati

Public Schools Preschool

Source: Department of General Pediatrics

Additional Work completed related to the Early Literacy/School Readiness

Priority

General Pediatrics is working closely with community programs on continued Early Childhood program

enrollment quality improvement work. All learnings on how to improve the enrollment process are shared

with all partner programs. Work to streamline and improve Cincinnati Children’s referral process

connecting patients with high quality early childhood education programs is ongoing.

COVID-19 Pandemic Impact

The COVID pandemic slowed OGIL enrollment in clinics tremendously, due to the transition to telehealth

visits. In order to reach parents, the Reach Out and Read team committed to engaging in outreach with

different parent groups via Zoom meetings. They also held virtual story times with The Cincinnati

Hamilton County Public Library and invited parents to attend. Finally, the team also worked with the

media to increase enrollment and outreach through PSA’s, radio interviews, articles, and podcasts.

This multi-factor approach helped to increase enrollment in OGIL during the COVID pandemic.

When looking at General Pediatrics efforts to increase enrollment in early childhood education programs,

it was more difficult to reach families as staff was not in clinic and not as many families came into clinic.

The biggest impact was/is that families were/are still not comfortable sending their children to an in-

person preschool program because of the fears surrounding COVID-19. Many programs offered virtual

options last year, but this is a difficult platform for young children under 5 and does not have the same

impact as in-person, high quality early childhood education with a qualified teacher. General Pediatrics is

continuing to find the program that works best for the individual family’s wants and needs. Currently this

is virtual for some families and in person for others. Many community programs are under-enrolled, so

the team is trying to connect families with these high-quality programs and encourage the importance of

high-quality early childhood education.

Dental

2019 Implementation Strategy Initiatives

• Partner with community organizations and school districts to address child dental needs

Partner with community organizations and school districts to address child

dental needs.

Cincinnati Children’s Dental team partners with the CHECK clinic (Foster care) on weekly basis to provide

dental screenings and identify high risk children requiring immediate dental/surgical intervention. In the

past year, the team has seen approximately 320 patients in 40 clinics annually, which is double the

number of clinics completed annually in 2019.

The Division of Dentistry also partners with local community dental

programs, including Lincoln Heights, SeeMoreSmiles, and

Klermont 4 Kids, to provide access to Direct to OR referrals

(DtOR) for high-risk, high acuity surgical intervention. A

collaboration is also in the works with CincySmiles to address the

most acute patients in a timeframe to reduce morbidity and ED

visits. Through these partnerships, additional children have been

identified and connected to the care they need. An average of 37

patients per month are scheduled for the OR through DtORs.

Additional Work completed related to the Dental Priority

None

COVID-19 Pandemic Impact

The primary impact of the COVID pandemic is related to availability of operating room block time. During

the first phase of the pandemic, reductions in in-person capacity reduced the availability of OR block

times and the number of children that could be scheduled, which also impacted the prioritization of

referred cases.

DtORs currently make up about

20%

all Dental OR cases.

Appendix B: Community Health Needs Assessment Advisory

Committee

The CHNA Advisory Committee provided expertise, leadership, and guidance throughout the CHNA

process. Committee members were selected based on their expertise in community health and

leadership in key hospital departments. The 10 member committee is listed is below.

Andrew F. Beck, MD, MPH

• Attending Physician, Division of General & Community Pediatrics

• Attending Physician, Division of Hospital Medicine

Lauren N. Brinkman, MPH, CHES

• Consultant – Community Engagement, Community Relations

• Project Manager for 2022 Community Health Needs Assessment and Implementation Strategy

Owen Burke, MBA

• Consultant, Diversity and Inclusion

Lisa K. Crosby, DNP, APRN, CNP

• APRN Program Lead, Division of General and Community Pediatrics

Robert S. Kahn, MD, MPH

• Associate Chair of Community Health, UC Department of Pediatrics

• Executive Lead, Population and Community Health

Carolyn W Karageorges

• Vice President, Office of the Chief Accounting Officer

Mona E. Mansour, MD, MS

• Associate Division Director, Population Health

Monica Mitchell, PhD, MBA

• Pediatric Psychologist, Research, Behavioral Medicine & Clinical Psychology

• Senior Director, Community Relations

• Co-director, Innovations in Community Research and Program Evaluation

Carley L. Riley, MD, MPP, MHS, FAAP

• Attending Physician, Division of Critical Care Medicine

Michael T. Sorter, MD

• Director, Division of Child and Adolescent Psychiatry

Appendix C: 2021 Child Health Online Survey Questions

Questions with * are required

Demographics

* 1a. Are you a caregiver of a child who is under 18 years of age?

 Yes

 No

* 1b. Are you 18 years of age or older?

 Yes

 No

* 2a. How many people in your household are children (under 18)?

* 2b. How many people in your household are adults (18+)?

* 3. What zip code do you live in?

4. What is your (the parent/caregiver) race(s)? Mark all that apply.

 White

 Black or African American

 American Indian or Alaska Native

 Asian (Please Specify)

o Middle East (Israel, Lebanon, Syria, Egypt, Turkey, Cyprus, United Arab Emirates, Qatar,

Saudi Arabia)

o South Asian (India, Pakistan, Bangladesh, Sri Lanka, Nepal, Afghanistan, Bhutan,

Maldives)

o Asia (Chinese, Japanese, Filipino, Korean, Vietnamese)

 Other Race (Please Specify)

5. Do you consider yourself Hispanic or Latino?

 Yes

 No

6. Are you or any of your children of Appalachian descent (direct descendants or living in Appalachia or

the eastern mountainous region spanning from Alabama to Pennsylvania)?

 Yes, Parent/Caregiver Only

 Yes, Child(ren) Only

 Yes, Both Parent/Caregiver and Child(ren)

 No, Neither I nor any of my Children

7. Is any language, other than English, spoken in the home?

 Yes, (Please Specify)

 No, English is the only language spoken in the home

* 8. What is your current Primary employment status?

 Employed Full-Time

 Employed Part-Time

 Full-Time Student

 Furloughed/Laid-off

 Homemaker/Stay-at-Home Parent

 Retired

 Unemployed/Seeking Opportunities

 Prefer not to say

* 9. What is the highest level of education you have completed?

 8

Grade or Less

 Some High School, Did Not Complete

 High School Diploma/GED

 Business, Technical or Vocational School After High School

 Some College, No Degree

 Two-Year or Associates College Degree

 Four-Year or Bachelor’s Degree

 Some Graduate or Professional School After College, No Degree

 Masters/Doctoral Degree

 Other (Please Specify)

* 10. How much total income did your household receive in 2020, not just from wages or salaries but from

all sources before taxes and other deductions were made?

 Less than $10,000

 $10,000 to $14,999

 $15,000 to $24,999

 $25,000 to $34,999

 $35,000 to $49,999

 $50,000 to $74,999

 $75,000 to $99,999

 $100,000 to $149,999

 $150,000 to $199,999

 $200,000 or More

 Don’t Know/Prefer not to say

* 11. What kind of health insurance do you and your child(ren) have? Mark all that apply.

 Private Insurance/Direct Purchase

 Medicare

 Medicaid, CHIP (includes CareSource and Molina)

 My child does not have health insurance

 Other (Please Specify)

 Don’t Know

* 12. Are you a current employee of Cincinnati Children’s Hospital Medical Center?

 Yes

 No

Assessment of Child Health and Health-Related Issues

Questions 13 thru 14c were only shown to respondents that replied Yes to Question 1a.

13. Think of the child in your household (under 18 years old) who had the most recent birthday.

* 13a. How old is this child?

 This child is less than 1 year old. Please enter your child’s age in months.

 This child 1 year old or older. Please enter your child’s age in years.

* 13b. What is the gender/gender identity of this child?

 Female

 Male

 Non-Binary

* 13c. What is the race(s) of this child? Mark all that apply.

 White

 Black or African American

 American Indian or Alaska Native

 Asian (Please Specify)

o Middle East (Israel, Lebanon, Syria, Egypt, Turkey, Cyprus, United Arab Emirates, Qatar,

Saudi Arabia)

o South Asian (India, Pakistan, Bangladesh, Sri Lanka, Nepal, Afghanistan, Bhutan,

Maldives)

o Asia (Chinese, Japanese, Filipino, Korean, Vietnamese)

 Other Race (Please Specify)

* 13d. Do you consider this child Hispanic or Latino?

 Yes

 No

* 13e. What is your relationship to this child?

 Birth Parent

 Step-Parent

 Foster Parent

 Adoptive Parent

 Grandparent

 Aunt/Uncle

 Guardian

 Sibling

 Partner of Child’s Parent

 Other (Please Specify)

14. Thinking of this child, please answer the following questions.

Question:

Excellent

Very Good

Good

Fair

Poor

* 14a. In general, would you

say your child’s overall

health is



* 14b. In general, would you

say your child’s mental or

emotional health is



Question:

Excellent

Very

Good

Fair

Poor

Teeth

* 14c. How would you

describe the condition of your

child’s teeth?



15. Which of the following are the most important health issues impacting children in your community in

the past year. Please rank top 2.

Health Issues:

First

Second

Chronic Illness (i.e., asthma,

diabetes, obesity)



COVID-19



Dental Health Care



Infant Mortality



Mental Health



Nutrition and Physical

Activity



Substance Use Disorders



Other (Please Specify)



16. Which of the following are the most important health-related issues impacting children in your

community in the past year. Please rank top 2.

Health-Related Issues:

First

Second

Access to Healthcare



Poverty/Meeting Basic Needs

(i.e., Access to Clothing, Food,

and Other Basic Needs)



Quality Childcare



Racism or Discrimination



Safety or Violence



Workforce Training



Other (Please Specify)



* 17. What social, economic or environmental factors do you feel contribute the most to poor child

health? Select up to 3 factors.

 Substance Abuse Disorders

 Food Access – Access to Healthy and Affordable Foods

 Lack of Affordable Housing

 Health Literacy

 Poverty or Meeting Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Racism or Discrimination

 Safety/Violence

 Other (Please Specify)

* 18. What are the biggest barriers for children in the community (including your children) getting

needed health care? Select up to 3 factors.

 Cost of Care

 Lack of Available Providers

 Scheduling

 Social Stigma (Negative Association or Embarrassment)

 Transportation

 Lack of Trust

 Waiting Lists

 Other (Please Specify)

* 19. What gets in the way of children in the community (including your children) getting needed mental

health care? Select up to 3 factors.

 Cost of Care

 Lack of Available Providers

 Scheduling

 Social Stigma (Negative Association or Embarrassment)

 Transportation

 Lack of Trust

 Waiting Lists

 Other (Please Specify)

* 20. Where do you and your family go when you are in need of health care? Select up to 3 places

used most frequently.

 Clinic at a Store (Clinic at Grocery, Pharmacy, etc.)

 Community or School Based Health Clinics

 Natural Medicines or Traditional Healers

 Emergency Room/Urgent Care

 Primary Care or Specialty Clinic Operated by a Hospital

 Private Primary Care Provider Office

 Telemedicine or Other Homebased Care

 Difficulty Finding Care/Not Seeking Care

 Other (Please Specify)

* 21. Where do community members (including you and your family) go when they are in need of

mental health care for themselves and their families? Select up to 3 places use most frequently.

 Clinic at a Store (Clinic at Grocery, Pharmacy, etc.)

 Community or School Based Health Clinics

 Natural Medicines or Traditional Healers

 Emergency Room/Urgent Care

 Primary Care or Specialty Clinic Operated by a Hospital

 Private Primary Care Provider Office

 Psychiatrist/Psychologist/Counselor/Therapist

 Social Workers

 Telemedicine or Other Homebased Care

 Difficulty Finding Care/Not Seeking Care

 Other (Please Specify)

* 22. Indicate how often members of your community (including yourself) have access to the following

resources:

Resources:

Always

Mostly

Sometimes

Rarely

Never

* Full-Service Grocery Stores



* Fresh Produce



* Safe Laundry Facilities



* High Quality Preschool

Programs



* Trusted Health Clinics



* Nearby Hospitals



* High Performing Schools



* Available Mental Health

Resources



What other services and resources are needed in the community?

Ratings of Trust, Care Experiences and Support for Full Potential

23. Please rate your level of agreement with the following statements:

Strongly

Agree

Somewhat

Agree

Somewhat

Disagree

Strongly

Disagree

* I believe that my family will

receive high quality health care

from providers.



* My overall trust of medical

providers is high.



* I trust that medical/health

providers will provide fair and

accurate information to me/my

family.



* COVID-19 has improved my

trust of healthcare

professionals.



* My overall trust of medical

research is high.



* 24. Which of the following events have impacted your child/children in the past 3 years? Select up to

3 factors.

 Divorce/Separation

 Incarceration

 Substance Abuse

 Mental Illness/Substance Abuse

 Loss of a Parent/Caregiver

 Other (Please Specify)

 None of these Events

* 25. Within the past 12 months, were you worried that you would run out of food before you got money to

buy more? Would you say this is often true, sometimes true or never true?

 Often True

 Sometimes True

 Never True

* 26. What will it take to help growth and development in children ranging from prenatal (before they are

born) to age 5? Select up to 3 factors.

 Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Completion of Immunizations/Developmental Screenings

 Early Literacy and Education – Enrolling in Quality Preschools and Early Education

 Early Prenatal Care for Mother

 Healthcare – Family Access (Parent/Caregiver and Children) to Quality, Affordable Medical and

Mental Health Care

 Housing – Ensuring Quality and Affordable Housing in Safe Neighborhoods

 Other (Please Specify)

* 27. What would make it easier for children and youth to reach their full potential? Select up to 3

factors.

 Addressing Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Career Pathways – Showcasing College and Non-College Career Paths

 Education – Access to Quality Instruction and Academic Programs

 Employment (Youth) – Internships, Job Shadowing, and Job Readiness Training for Youth

 Healthcare – Family Access (Parent/Caregiver and Children) to Quality, Affordable Medical and

Mental Health Care

 Housing – Access to Affordable, Safe Housing

 Other (Please Specify)

28. In what other ways can we support children and their families to reach their full potential?

Appendix D: Online 2021 Child Health Survey and Parent

Discussion Group Partner List

Online 2021 Child Health Survey

The online 2021 Child Health Survey was distributed broadly across the PSA with the support of both

Cincinnati Children’s communications and external community partnerships to reach the broadest

audience possible. An initial list of partners was determined by the CHNA Advisory committee and

leadership. Additional organizations were added to ensure representation from all eight counties and

responses from a diverse group. In total, over 20 organizations partnered with Cincinnati Children’s to

distribute the online 2021 Child Health Survey.

Below is a list of partner organizations that assisted with the distribution of the online 2021 Child Health

Survey.

• Boone County Public Library

• Campbell County Public Library

• Cincinnati Children’s Partner Departments:

o Access Services

o Community Relations – Community Advisory Committees

o Development – Champions Group

o Family Relations

o Imagination Library

o Marketing & Communications

o Patient Family Experience – Community Insights

o Physician Outreach & Engagement

o Primary Care Offices

• Cincinnati Health Department

• Cincinnati Recreation Commission

• Clermont County Public Library

• Community Action Agency

• Community Health Center Partnership Committee

• Community Publications

o The Cincinnati Herald

o College Hill Newsletter

• Franklin-Springboro Public Library

• Hamilton County Public Health

• Kenton County Public Library

• Lawrenceburg Public Library District

• Mary L. Cook Public Library

• Public and Private Schools throughout the Primary Service Area

• Public Library of Cincinnati and Hamilton County

• The Community Builders

• The Lane Libraries

• United Way of Greater Cincinnati

Parent Discussion Groups

Recruitment for the virtual Parent Discussion Groups was also conducted utilizing Cincinnati Children’s

communications and external community partnerships. In total, nine organizations assisted with

recruiting parents for our Parent Discussion Groups.

Below is a list of partner organizations that assisted with recruitment for the Parent Discussion Groups.

• Apoyo Latino

• Cincinnati Children’s Partner Departments:

o Community Relations

o Division of Developmental & Behavioral Pediatrics

o Family Relations

o Imagination Library

o Innovation Ventures

o Pearlman Center

• Santa Maria Community Services

• The Community Builders

Appendix E: Data Summary Tables – 2021 Child Health

Survey

The tables below summarize findings from the online and phone surveys. Questions with an asterisk

symbol (*) indicate a required response from each participant.

Demographics

* 1a. Are you a caregiver of a child who is under 18 years of age?

Answer

Phone Survey

Frequency

Percent

Yes

1614

88.3%

214

11.7%

Total

1828

100.0%

* 1b. Are you 18 years of age or older?

Answer

Phone Survey

Frequency

Percent

Yes

1768

96.7%

3.3%

Total

1828

100.0%

* 2a. How many people in your household are children (under 18)?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

188

10.3%

0.0%

576

31.5%

309

42.4%

674

36.9%

259

35.5%

278

15.2%

103

14.1%

4.5%

4.8%

0.9%

1.8%

0.3%

0.4%

0.3%

0.1%

0.3%

0.1%

0.5%

0.1%

0.0%

Total

1828

100.0%

729

100.0%

* 2b. How many people in your household are adults (18+)?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

196

10.7%

135

18.5%

1296

70.9%

408

56.0%

229

12.5%

120

16.5%

4.1%

6.7%

1.5%

1.4%

0.2%

0.3%

0.1%

0.0%

0.1%

0.0%

0.4%

Total

1827

100.0%

729

100.0%

* 3. What zip code do you live in? (Note that in lieu of zip code, the frequency and percent of the county

and location that each reported zip code represents is provided in the tables below)

County

Online Survey

Frequency

Percent

Boone

3.9%

Butler

211

11.5%

Campbell

3.8%

Clermont

145

7.9%

Dearborn

0.9%

Hamilton

759

41.5%

Kenton

109

6.0%

Warren

114

6.2%

Other Counties

327

17.9%

Not Reported

0.3%

Total

1828

100.0%

Location

Phone Survey

Frequency

Percent

City of Cincinnati

256

35.2%

Hamilton County Suburbs

466

64.0%

Not Reported

0.8%

Total

728

100.0%

4. What is your (the parent/caregiver) race(s)? Mark all that apply.

Race

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

White

1606

85.5%

445

61.0%

Black or African American

193

10.3%

213

29.2%

American Indian or Alaska Native

0.6%

0.3%

Asian

2.1%

1.8%

Other Race

1.5%

3.0%

Multi-Racial*

3.0%

2.7%

Did Not Specify

1.9%

Total

1878

100.0%

729

100.0%

*If people identified more than one race, they are identified as multi-racial

5. Do you consider yourself Hispanic or Latino?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Yes

1.9%

2.2%

1787

98.1%

701

96.2%

Did Not Specify

1.6%

Total

1821

100.0%

729

100.0%

6. Are you or any of your children of Appalachian descent (Direct descendants or living in Appalachia or

the eastern mountainous region spanning from Alabama to Pennsylvania)?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Yes, Parent/Caregiver Only

4.3%

1.9%

Yes, Child(ren) Only

0.5%

1.0%

Yes, Both Parent/Caregiver and Child(ren)

114

6.3%

2.9%

No, Neither I nor any of my Children

1619

89.0%

668

91.6%

Did Not Specify

2.6%

Total

1820

100.0%

729

100.0%

7. Is any language, other than English, spoken in the home?

Answer

Online Survey

Frequency

Percent

Yes, (Please Specify)

5.4%

No, English is the only language

spoken in the home

1721

94.6%

Total

1820

100.0%

* 8. What is your current Primary employment status?

Answer

Online Survey

Frequency

Percent

Employed Full-Time

1166

63.8%

Employed Part-Time

256

14.0%

Full-Time Student

1.3%

Furloughed/Laid-off

0.6%

Homemaker/Stay-at-Home Parent

267

14.6%

Retired

2.5%

Unemployed/Seeking Opportunities

1.9%

Prefer not to say

1.3%

Total

1828

100.0%

* 9. What is the highest level of education you have completed?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Grade or Less

0.1%

0.5%

Some High School, Did Not Complete

0.3%

4.3%

High School Diploma/GED

128

7.0%

127

17.4%

Business, Technical or Vocational

School After High School

2.9%

2.2%

Some College, No Degree

185

10.1%

13.2%

Two-Year or Associates College

Degree

184

10.1%

10.4%

Four-Year or Bachelor’s Degree

508

27.8%

210

28.8%

Some Graduate or Professional

School After College, No Degree

4.6%

4.9%

Masters/Doctoral Degree

665

36.4%

129

17.7%

Other (Please Specify)

0.7%

Did Not Provide

0.5%

Total

1828

100.0%

729

100.0%

* 10. How much total income did your household receive in 2020, not just from wages or salaries but from

all sources before taxes and other deductions were made?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Less than $10,000

2.4%

4.0%

$10,000 to $14,999

1.8%

2.9%

$15,000 to $24,999

3.0%

4.7%

$25,000 to $34,999

4.4%

9.1%

$35,000 to $49,999

104

5.7%

8.1%

$50,000 to $74,999

217

11.9%

11.4%

$75,000 to $99,999

269

14.7%

12.9%

$100,000 to $149,999

435

23.8%

136

18.7%

$150,000 to $199,999

222

12.1%

8.2%

$200,000 or More

215

11.8%

13.0%

Don’t Know/Prefer not to say

156

8.5%

7.1%

Total

1828

100.0%

729

100.0%

* 11. What kind of health insurance do you and your child(ren) have? Mark all that apply.

Answer

Online Survey

Frequency

Percent

Private Insurance/Direct Purchase

1481

71.4%

Medicare

4.7%

Medicaid, CHIP (include CareSource and Molina)

397

19.2%

My child does not have health insurance

0.5%

Other (Please Specify)

3.6%

Don’t Know

0.6%

Total

2073

100.0%

Answer

Phone Survey

Frequency

Percent

Yes – Child has Health Insurance Coverage

697

95.6%

No – Child does not have Health Insurance Coverage

3.8%

Did Not Provide

0.5%

Total

729

100.0%

* 12. Are you a current employee of Cincinnati Children’s Hospital Medical Center?

Answer

Online Survey

Frequency

Percent

Yes

645

35.3%

1182

64.7%

Total

1827

100.0%

Assessment of Child Health and Health-Related Issues

Questions 13 thru 14c were only shown to respondents that replied Yes to Question 1a.

13. Think of the child in your household (under 18 years old) who had the most recent birthday.

* 13a. How old is this child?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

0 – 4

371

25.5%

139

19.1%

5 – 9

405

27.8%

162

22.2%

10 – 14

435

29.9%

234

32.1%

15 and Older

246

16.9%

191

26.2%

Did Not Provide

0.4%

Total

1457

100.0%

729

100.0%

* 13b. What is the gender/gender identity of this child?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Female

734

48.0%

365

50.1%

Male

789

51.6%

354

48.6%

Non-Binary

0.5%

Did Not Provide

0.8%

Total

1530

100.0%

729

100.0%

* 13c. What is the race(s) of this child? Mark all that apply.

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

White

1332

80.7%

404

55.4%

Black or African American

202

12.2%

208

28.5%

American Indian or Alaska Native

0.5%

0.7%

Asian

3.2%

1.9%

Other Race

3.3%

0.0%

Multi-Racial

9.9%

Did Not Provide

3.6%

Total

1650

100.0%

729

100.0%

* 13d. Do you consider this child Hispanic or Latino?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Yes

2.9%

4.3%

1485

97.1%

684

93.8%

Did Not Provide

1.8%

Total

1529

100.0%

0.1%

* 13e. What is your relationship to this child?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Birth Parent

1359

88.8%

634

87.0%

Step-Parent

0.8%

1.5%

Foster Parent

0.5%

0.3%

Adoptive Parent

5.2%

2.2%

Grandparent

3.0%

5.8%

Aunt/Uncle

0.5%

1.4%

Guardian

0.5%

0.8%

Sibling

0.0%

0.4%

Partner of Child’s Parent

0.2%

0.3%

Other

0.5%

0.1%

Did Not Provide

0.3%

Total

1530

100.0%

729

100.0%

14. Thinking of this child, please answer the following questions.

* 14a. In general, would you say your child’s overall health is

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Excellent

711

46.5%

417

57.2%

Very Good

509

33.3%

193

26.5%

Good

230

15.0%

12.9%

Fair

4.6%

2.6%

Poor

0.6%

0.5%

Did Not Provide

0.3%

Total

1530

100.0%

729

100.0%

* 14b. In general, would you say your child’s mental or emotional health is

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Excellent

568

37.1%

298

40.9%

Very Good

520

34.0%

220

30.2%

Good

276

18.0%

151

20.7%

Fair

140

9.2%

6.2%

Poor

1.7%

1.6%

Did Not Provide

0.4%

Total

1530

100.0%

729

100.0%

* 14c. How would you describe the condition of your child’s teeth?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Excellent

597

39.0%

319

43.8%

Very Good

517

33.8%

217

29.8%

Good

261

17.1%

134

18.4%

Fair

5.6%

4.5%

Poor

1.4%

1.0%

No Teeth

3.1%

2.1%

Did Not Provide

0.5%

Total

1530

100.0%

729

100.0%

15. Which of the following are the most important health issues impacting children in your community in

the past year? Please rank top 2.

Answer

Online Survey

Phone Survey

First

Second

Total

Percent

First

Second

Total

Percent

Chronic Illness (i.e., asthma,

diabetes, obesity)

282

276

558

16.8%

2.4%

COVID-19

490

225

715

21.5%

159

123

282

19.3%

Dental Health Care

111

3.3%

3.5%

Infant Mortality

1.3%

1.4%

Mental Health

604

468

1072

32.2%

271

185

456

31.3%

Nutrition and Physical Activity

200

433

633

19.0%

181

198

379

26.0%

Substance Use Disorders

107

3.2%

5.5%

Other

2.6%

5.2%

Don’t Know/No Response

0.0%

5.4%

Total

1686

1640

3326

100.0%

729

1458

100.0%

16. Which of the following are the most important health-related issues impacting children in your

community in the past year? Please rank top 2.

Answer

Online Survey

Phone Survey

First

Second

Total

Percent

First

Second

Total

Percent

Access to Healthcare

280

278

558

17.1%

107

130

237

16.3%

Poverty/Meeting Basic Needs (i.e.,

Access to Clothing, Food, and

Other Basic Needs)

526

334

860

26.4%

207

151

358

24.6%

Quality Childcare

383

335

718

22.1%

131

115

246

16.9%

Racism or Discrimination

158

193

351

10.8%

160

11.0%

Safety or Violence

173

264

437

13.4%

113

103

216

14.8%

Workforce Training

127

3.9%

6.1%

Other

110

203

6.2%

0.0%

Don’t Know/No Response

0.0%

152

10.4%

Total

1657

1597

3254

100.0%

729

1458

100.0%

* 17. What social, economic or environmental factors do you feel contribute the most to poor child

health? Select up to 3 factors.

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Substance Abuse Disorders

626

14.0%

5.8%

Food Access – Access to Healthy and

Affordable Foods

882

19.7%

142

19.5%

Lack of Affordable Housing

395

8.8%

10.8%

Health Literacy

513

11.4%

10.6%

Poverty or Meeting Basic Needs (i.e., Access

to Clothing, Food, and Other Basic Needs)

1229

27.4%

243

33.3%

Racism or Discrimination

325

7.2%

3.7%

Safety/Violence

401

8.9%

6.0%

Other

113

2.5%

7.4%

Did Not Provide

2.9%

Total

4484

100.0%

729

100.0%

* 18. What are the biggest barriers for children in the community (including your children) getting

needed health care? Select up to 3 factors.

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Cost of Care

1220

28.1%

310

42.52%

Lack of Available Providers

520

12.0%

7.54%

Scheduling

709

16.3%

7.41%

Social Stigma (Negative

Association or Embarrassment)

337

7.8%

4.39%

Transportation

491

11.3%

10.97%

Lack of Trust

361

8.3%

8.37%

Waiting Lists

574

13.2%

6.17%

Other (Please Specify)

125

2.9%

9.33%

Did Not Provide

3.29%

Total

4337

100.0%

729

100.0%

* 19. What gets in the way of children in the community (including your children) getting needed mental

health care? Select up to 3 factors.

Answers

Online Survey

Frequency

Percent

Cost of Care

941

21.2%

Lack of Available Providers

869

19.6%

Scheduling

498

11.2%

Social Stigma (Negative

Association or Embarrassment)

891

20.1%

Transportation

183

4.1%

Lack of Trust

381

8.6%

Waiting Lists

551

12.4%

Other (Please Specify)

116

2.6%

Total

4430

100.0%

* 20. Where do you and your family go when you are in need of health care? Select up to 3 places

used most frequently.

Answer

Online Survey

Frequency

Percent

Clinic at a Store (Clinic at Grocery, Pharmacy, etc.)

421

11.1%

Community or School Based Health Clinics

1.9%

Natural Medicines or Traditional Healers

1.3%

Emergency Room/Urgent Care

683

18.1%

Primary Care or Specialty Clinic Operated by a Hospital

927

24.5%

Private Primary Care Provider Office

1301

34.4%

Telemedicine or Other Homebased Care

280

7.4%

Difficulty Finding Care/Not Seeking Care

0.8%

Other (Please Specify)

0.5%

Total

3780

100.0%

* 21. Where do community members (including you and your family) go when they are in need of

mental health care for themselves and their families? Select up to 3 places use most frequently.

Answer

Online Survey

Frequency

Percent

Clinic at a Store (Clinic at Grocery, Pharmacy, etc.)

2.4%

Community or School Based Health Clinics

252

6.9%

Natural Medicines or Traditional Healers

1.3%

Emergency Room/Urgent Care

276

7.6%

Primary Care or Specialty Clinic Operated by a Hospital

412

11.3%

Private Primary Care Provider Office

705

19.4%

Psychiatrist/Psychologist/Counselor/Therapist

997

27.4%

Social Workers

202

5.6%

Telemedicine or Other Homebased Care

209

5.7%

Difficulty Finding Care/Not Seeking Care

365

10.0%

Other (Please Specify)

2.2%

Total

3635

100.0%

* 22. Indicate how often members of your community (including yourself) have access to the following

resources:

Answer

Online Survey

Full-Service Grocery Stores

Fresh Produce

Safe Laundry Facilities

Frequency

Percent

Frequency

Percent

Frequency

Percent

Always

1354

79.2%

1254

73.4%

972

56.9%

Mostly

262

15.3%

333

19.5%

405

23.7%

Sometimes

3.9%

103

6.0%

231

13.5%

Rarely

1.0%

4.3%

Never

0.6%

0.1%

1.6%

Total

1709

100.0%

1709

100.0%

1709

100.0%

Answer

Online Survey

High Quality Preschool Programs

Trusted Health Clinics

Nearby Hospitals

Frequency

Percent

Frequency

Percent

Frequency

Percent

Always

737

43.1%

840

49.2%

1189

69.7%

Mostly

478

28.0%

590

34.5%

364

21.3%

Sometimes

354

20.7%

223

13.0%

118

6.9%

Rarely

5.7%

2.8%

1.8%

Never

2.4%

0.5%

0.3%

Total

1708

100.0%

1709

100.0%

1706

100.0%

Answer

Online Survey

High Performing Schools

Available Mental Health Resources

Frequency

Percent

Frequency

Percent

Always

770

45.1%

418

24.5%

Mostly

488

28.6%

432

25.3%

Sometimes

297

17.4%

609

35.7%

Rarely

112

6.6%

208

12.2%

Never

2.4%

Total

1708

100.0%

1708

100.0%

Ratings of Trust, Care Experiences and Support for Full Potential

23. Please rate your level of agreement with the following statements:

* I believe that my family will receive high quality health care from providers.

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Strongly Agree

1037

61.9%

468

64.2%

Somewhat Agree

446

26.6%

175

24.0%

Agree

135

8.1%

Somewhat Disagree

3.1%

5.3%

Strongly Disagree

0.3%

4.8%

Neither/Not Sure

1.5%

Did Not Provide

0.1%

Total

1675

100.0%

729

100.0%

* My overall trust of medical providers is high.

Answer

Online Survey

Frequency

Percent

Strongly Agree

891

53.2%

Somewhat Agree

542

32.4%

Agree

144

8.6%

Somewhat Disagree

5.1%

Strongly Disagree

0.7%

Total

1675

100.0%

* I trust that medical/health providers will provide fair and accurate information to me/my family.

Answer

Online Survey

Frequency

Percent

Strongly Agree

943

56.3%

Somewhat Agree

488

29.1%

Agree

156

9.3%

Somewhat Disagree

4.6%

Strongly Disagree

0.7%

Total

1675

100.0%

* COVID-19 has improved my trust of healthcare professionals.

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Strongly Agree

316

18.9%

157

21.5%

Somewhat Agree

397

23.7%

187

25.7%

Agree

447

26.7%

Somewhat Disagree

358

21.4%

175

24.0%

Strongly Disagree

157

9.4%

134

18.4%

Neither/Not Sure

10.2%

Did Not Provide

0.3%

Total

1675

100.0%

729

100.0%

* My overall trust of medical research is high.

Answer

Online Survey

Frequency

Percent

Strongly Agree

797

47.6%

Somewhat Agree

459

27.4%

Agree

261

15.6%

Somewhat Disagree

126

7.5%

Strongly Disagree

1.9%

Total

1674

100.0%

* 24. Which of the following events have impacted your child/children in the past 3 years? Select up to

3 factors.

Answer

Online Survey

Frequency

Percent

Divorce/Separation

4.6%

Incarceration

1.7%

Substance Abuse

3.5%

Mental Illness/Substance Abuse

335

17.4%

Loss of a Parent/Caregiver

4.0%

Other (Please Specify)

241

12.5%

None of these Events

1087

56.4%

Total

1928

100.0%

* 25. Within the past 12 months, were you worried that you would run out of food before you got money to

buy more? Would you say this is often true, sometimes true or never true?

Answer

Online Survey

Phone Survey

Frequency

Percent

Frequency

Percent

Often True

2.5%

5.3%

Sometimes True

177

10.6%

13.2%

Never True

1456

86.9%

592

81.2%

Did Not Provide

0.3%

Total

1675

100.0%

729

100.0%

* 26. What will it take to help growth and development in children ranging from prenatal (before they are

born) to age 5? Select up to 3 factors.

Answer

Online Survey

Frequency

Percent

Basic Needs (i.e., Access to Clothing, Food, and Other Basic

Needs)

1117

23.6%

Completion of Immunizations/Developmental Screenings

484

10.2%

Early Literacy and Education – Enrolling in Quality

Preschools and Early Education

794

16.8%

Early Prenatal Care for Mother

722

15.2%

Healthcare – Family Access (Parent/Caregiver and Children)

to Quality, Affordable Medical and Mental Health Care

1038

21.9%

Housing – Ensuring Quality and Affordable Housing in Safe

Neighborhoods

524

11.1%

Other (Please Specify)

1.2%

Total

4735

100.0%

* 27. What would make it easier for children and youth to reach their full potential? Select up to 3

factors.

Answer

Online Survey

Frequency

Percent

Addressing Basic Needs (i.e., Access to Clothing, Food, and

Other Basic Needs)

1056

22.2%

Career Pathways – Showcasing College and Non-College

Career Paths

509

10.7%

Education – Access to Quality Instruction and Academic

Programs

1175

24.7%

Employment (Youth) – Internships, Job Shadowing, and Job

Readiness Training for Youth

587

12.4%

Healthcare – Family Access (Parent/Caregiver and Children)

to Quality, Affordable Medical and Mental Health Care

877

18.5%

Housing – Access to Affordable, Safe Housing

485

10.2%

Other (Please Specify)

1.3%

Total

4752

100.0%

28. In what other ways can we support children and their families to reach their full potential?

• Open Text Responses Recorded

Appendix F: 2021 Child Health Phone Survey Questions

Screen 1. First, are there any children under the age of 18 currently living in your household?”

• Yes, Continue

• No, Terminate

Screen 2. We need to interview the parent or guardian who is the primary caregiver of the children in your

household. Would that be you?

• Yes, Continue

• No [Ask: “Can I speak with the person who is the primary caregiver of the children in your

household?”]

Screen 3. I will be asking some questions about all your children and some about one particular child in

your household. Could you please tell me, of the children who currently live in your household under the

age of 18, including babies and small children, who had the most recent birthday? [Confirm respondent is

primary caregiver of that child].

For any questions I will ask about this child, I’d like to refer to them by name. Could you please give me

the first name of that child, so I can refer to him or her?

• [Record child’s name] _______________________________

Section 1:

To get started, I have a couple of basic questions about [child].

1. What is the age of [child]?

• Less than 1 year (0-11 months)

• 1 year (12-23 months)

• 2 years (24-35 months)

• 3 years (36-47 months)

• 4 years

• 5 years

• 6 years

• 7 years

• 8 years

• 9 years

• 10 years

• 11 years

• 12 years

• 13 years

• 14 years

• 15 years

• 16 years

• 17 years

• Don’t Know/Refuse

2. Is [child] a boy or girl?

• Boy

• Girl

• Don’t Know/Refuse

3. What is [child]’s race? Is it black, white, or some other race?

• Black/African-American

• White

• American Indian or Alaska Native

• Asian

• Multi-racial

• Other

• NA/Refuse

4. Do you consider [child] to be Hispanic or Latino?

• Yes

• No

• Don’t Know/Refuse

Overall health

5. In general, would you say [child]’s overall health is excellent, very good, good, fair, or poor?

• Excellent

• Very Good

• Good

• Fair

• Poor

• Don’t Know/Refuse

6. How would you describe the condition of [child]’s teeth? Would you say excellent, very good, good,

fair, or poor?

• Excellent

• Very Good

• Good

• Fair

• Poor

• Child does not have teeth

• Don’t Know/Refuse

Q 7. In general, would you say [child]’s mental or emotional health is excellent, very good, good, fair, or

poor?

• Excellent

• Very Good

• Good

• Fair

• Poor

• Don’t Know/Refuse

Section 2

: The rest of my questions are about children in your community, and not one specific child.

8. Which of the following is the most important health issue impacting children in your community in the

past year. Would you say…

• Chronic Illness

• Covid-19

• Dental Health Care

• Infant Mortality

• Mental Health

• Nutrition and Physical Activity

• Substance Use Disorders

• Something Else

• Don’t Know/Refuse

9. Which of the following is the second most important health issue impacting children in your community

in the past year. Would you say…

• Chronic Illness

• Covid-19

• Dental Health Care

• Infant Mortality

• Mental Health

• Nutrition and Physical Activity

• Substance Use Disorders

• Something Else

• Don’t Know/Refuse

10. Which of the following is the most important health-related issue impacting children in your community

in the past year. Would you say…

• Access to Health Care

• Safety or Violence

• Quality Child Care

• Poverty or Meeting Basic Needs

• Racism or Discrimination

• Workforce Training

• Don’t Know/Refuse

11. Which of the following is the second most important health-related issue impacting children in your

community in the past year. Would you say…

• Access to Health Care

• Safety or Violence

• Quality Child Care

• Poverty or Meeting Basic Needs

• Racism or Discrimination

• Workforce Training

• Don’t Know/Refuse

12. Which of the following social, economic or environmental factors do you feel contributes the most to

poor child health? Would you say…

• Substance Use Disorders

• Safety or Violence

• Lack of Affordable Housing

• Poverty or Meeting Basic Needs

• Racism or Discrimination

• Access to Healthy Foods

• Health Literacy

• Something Else

• Don’t Know/Refuse

13. From what you have seen or heard, which of the following is the biggest barrier for children in the

community getting needed health care? Is it…

• Cost of Care

• Lack of Available Providers

• Scheduling

• Social Stigma

• Transportation

• Lack of Trust

• Waiting Lists

• Something Else

• Don’t Know/Refuse

14. Now I am going to read you some statements. Please tell me if you agree or disagree with each one.

Strongly

Agree

Somewhat

Agree

Somewhat

Disagree

Strongly

Disagree

I believe that my family will

receive high quality health care

from providers.



COVID-19 has improved my

trust of healthcare

professionals.



My overall trust of medical

research is high.



15. The next questions are about events that may have happened during your child/children during the

last 3 years. These things can happen in any family, but some people may feel uncomfortable with these

questions. You may skip any questions you do not want to answer. To the best of your knowledge, has

your child/children experienced any of the following in the last 3 years?

Yes

Don’t Know

Refuse

A parent or guardian divorced or separated

A parent or guardian died

A parent or guardian served time in jail

A parent or guardian experienced challenges

due to substance abuse

A parent or guardian experienced mental

health challenges

16. I’m going to read to you a statement that people have made about their food situation. Please tell me

whether the statement was often true, sometimes true, or never true for you or your household in the last

12 months, that is, since last [current month]. “Within the past 12 months, we worried whether our food

would run out before we got money to buy more.” Would you say this is often true, sometimes true, or

never true?

• Often True

• Sometimes True

• Never True

• Don’t Know/Refuse

17. Which of the following do you think would make it easier for children and youth to reach their full

potential. Would you say…

• Addressing Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

• Career Pathways – Showcasing college and non-college career paths

• Computer/Wi-Fi Access

• Education – Access to quality instruction and academic programs

• Employment (youth) – Internships, job shadowing, and job readiness training for youth

• Equity – Reducing bias, prejudice, inequity

• Healthcare – Family access (parent/caregiver and children) to quality, affordable medical and

mental health care

• Transportation – Reliable access to employment and services

• Other

• Don’t Know/Refuse

Section 3:

Finally, I’d like to get some basic information about your household. This information is for classification

purposes only.

18. Which category best describes your relationship to [child]? I will read you a list and please stop me

when I get to yours. Are you [child]’s…

• Birth Parent

• Step-Parent

• Foster Parent

• Adoptive Parent

• Grandparent

• Aunt/Uncle

• Guardian

• Sibling

• Partner of [child]’s Parent

• Some Other Relationship

• Don’t Know/Refuse

19. Including [child], babies, and any small children, how many of the persons who currently live in your

household are under 18 years of age?

• record # _________ [whole number, greater than 0]

20. Including yourself, how many people aged 18 or older currently live in your household?

• record # _________ [whole number, greater than 0]

100

21. Not counting business lines, extension phones, or cellular phones…on how many different telephone

numbers can your household be reached?”

• One

• Two

• Three

• Four

• Five

• Six

• Seven

• Eight

• Nine

• Ten or More

• Don’t Know/Refuse

22. How many of those telephone numbers are used only for electronic equipment—such as computers

and fax machines—and never answered for personal calls?

• record # _________ [whole number]

23. [Landline Sample Only] Now thinking about your telephone use, do you have a working cell phone?

• Yes, Have Cell Phone

• No, Do Not Have Cell Phone

• Don’t Know/Refuse

[Cell Phone Sample Only] Now thinking about your telephone use, is there at least one telephone

inside your home that is currently working and is not a cell phone?

• Yes, Home Telephone

• No Home Telephone

• Don’t Know/Refuse

24. Of all the telephone calls that you receive, do you get . . . (read 1 to 5)

• All calls on a cell phone

• Almost all calls on a cell phone

• Some on a cell phone and some on a regular home phone

• Almost all calls on a regular home phone

• All calls on a regular home phone

• Don’t Know/Refuse

25. What is your age?

• record # _______ [whole number only; greater than 0]

26. What is the last grade or class you completed in school?

• Grade 8 or Lower

• High School, Did Not Complete

• High School Diploma or Equivalent

• Business, Technical, or Vocational School After High School

• Some College, No Degree

• Two-Year or Associate’s College Degree

• Four-Year College Degree

• Graduate or Professional School After College, No Degree

• Graduate or Professional Degree

101

27. What is your race? Is it black, white, or some other race?

• Black/African American

• White

• American Indian or Alaska Native

• Asian

• Multi-racial

• Other

• Refuse

28. Are you Hispanic or Latino?

• Yes

• No

• Don’t Know/Refuse

29a. Are you or any of your children of Appalachian descent?

• Yes

• No

• Don’t Know/Refuse

29b. Is that you, [child] or both you and [child]?”

• Respondent Only

• Child Only

• Child and Respondent

• Don’t Know/Refuse

30a. Does [child] have any kind of health care coverage, including health insurance, prepaid plans such

as HMOS, or government plans such as Medicare or Medicaid?

• Yes

• No

• Don’t Know/Refuse

30b. (If yes), Is [child] covered by Medicaid, the state of Ohio government health care program?

• Yes

• No

• Don’t Know/Refuse

102

31. How much total income did you and your family receive in 2020, not just from wages or salaries but

from all sources – that is, before taxes and other deductions were made? I will read some categories

please stop me when I get to yours…

• Less than $10,000

• $10,000 – 14,999

• $15,000 – 24,999

• $25,000 – 34,999

• $35,000 – 49,999

• $50,000 – 74,999

• $75,000 – 99,999

• $100,000 – 149,999

• $150,000 – 199,999

• $200,000 or more

• Don’t Know/Refuse

32. The next questions are for census purposes only. Could you please tell me your current address?

We use this information to place your household into a specific census tract in your area. This way all

areas of your county are equally represented.

• Enter street number, street name and street type

_________________ __________________________________

street # street name

33. Could you please tell me the city in which you currently live?

• Enter City Name

34. Could you please tell me your current zip code?

• Enter Zip Code

103

Appendix G: Key Informant Interview Survey Questions

Organization Details:

1. Organization:

2. Job Title:

3a. What target population(s) do you primarily serve? Select All that Apply

 0-12 months

 1-5 years old

 6-11 years old

 12-18 years old

 18+

 Other (Please Specify)

3b. Please briefly describe the population(s) you primarily serve.

4a. What geographic area do you primarily serve? Select All the County(ies) your organization operates

in.

 Butler County (Ohio)

 Clermont County (Ohio)

 Hamilton County (Ohio)

 Warren County (Ohio)

 Boone County (Kentucky)

 Campbell County (Kentucky)

 Kenton County (Kentucky)

 Dearborn County (Indiana)

 Other (Please Specify)

4b. Are services limited to a specific zip codes, cities, or neighborhoods?

• Yes (Please Specify)

• No

5. Approximately how many individuals do you serve annually? Include both adult and child estimates if

possible.

Key Health and Health-Related Issues

6a. What do you think were major health needs facing children and families? Select up to 3 Issues.

 Chronic Illness (i.e., asthma, diabetes, obesity)

 COVID-19

 Dental Health Care

 Infant Mortality

 Mental Health

 Nutrition and Physical Activity

 Substance Use Disorders/Alcoholism

 Other (Please Specify)

104

6b. What do you think are major social and economic needs facing children and families? Select up to 3

Issues.

 Access to Healthcare/Barriers to Care

 Violence/Unintentional Injury

 Quality Childcare and Early Literacy

 Poverty/Meeting Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Racism and Discrimination

 Youth Development/Workforce Training

 Other (Please Specify)

7. How would you prioritize the health-related needs facing children and families in the next 1-2 years?

Please rate the priorities from very low to very high.

Health and Social Priorities

Very Low

Low

Moderate

High

Very High

Chronic Illness (asthma, diabetes, etc.)



COVID-19



Dental Health Care



Infant Mortality



Mental Health



Nutrition and Physical Activity



Substance Use Disorders



Access to Healthcare



Poverty/Meeting Basic Needs



Quality Childcare and Early Literacy



Racism or Discrimination



Safety or Violence



Workforce Training



Please list any additional health-related needs

facing children and families in the next 1-2

years that you consider a priority.

105

8. Below is a list of potential influences on child health. For each potential influence, please rate the level

of influence on health outcomes using the following scale:

Potential Influence

Influence

Slight

Influence

Moderate

Influence

Strong

Influence

Significant

Influence

Access to Healthcare/Barriers to Care



Food Access – Access to Healthy and

Affordable Foods



Health Literacy



Lack of Affordable Housing



Poverty or Meeting Basic Needs (i.e.,

Access to Clothing, Food, and Other

Basic Needs)



Quality Childcare and Early Literacy



Racism or Discrimination



Safety or Violence



Substance Abuse Disorders



Please list any additional potential

influences on child health.

9. What do you believe are the two or three most important barriers or challenges that need to be

addressed for children and families to be healthy and thrive? Select up to 3 choices.

 Access to Health Care/Barriers to Care

 Food Access – Access to Healthy and Affordable Foods

 Health Literacy

 Lack of Affordable Housing

 Poverty or Meeting Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Quality Childcare and Early Literacy

 Racism or Discrimination

 Safety or Violence

 Substance Abuse Disorders

 Other (Please Specify)

10. Indicate whether members of your community (including yourself) have access to the following

resources:

Resource

Always

Mostly

Sometimes

Rarely

Never

High Performing Schools



High Quality Preschool Programs



Available Mental Health Resources



Nearby Hospitals



Trusted Health Clinics



Fresh Produce



Full-Service Grocery Stores



Safe Laundry Facilities



11. What services or resources are needed to support children and families in the community and your

primary population?

106

12. What would make it easier for children and youth to reach their full potential? Select up to 3 factors.

 Addressing Basic Needs (i.e., Access to Clothing, Food, and Other Basic Needs)

 Career Pathways – Showcasing College and Non-College Career Paths

 Education – Access to Quality Instruction and Academic Programs

 Employment (Youth) – Internships, Job Shadowing, and Job Readiness Training for Youth

 Healthcare – Family Access (Parent/Caregiver and Children) to Quality, Affordable Medical

and Mental Health Care

 Housing – Access to Affordable, Safe Housing

 Other (Please Specify)

13. In what other ways can we support children and their families to reach their full potential?

14. Does your organization provide any programs, services, or supports to address the needs or barriers

listed or selected in this survey?

• Yes (Please Specify)

• No

15. Is there anything else you’d like to add regarding community health needs?

16. If you or your organization are interested receiving a copy of the Community Health Needs once

complete, please provide an email address. This is completely optional.

107

Appendix H: Data Summary Tables – Key Informant Survey

The below tables summarize findings from the online Key Informant Survey.

Organization Details:

1. Organization

See Appendix I for list of organizations.

2. Job Title

• Open Text Responses Recorded

3a. What target population(s) do you primarily serve? Select All that Apply.

Answer

Frequency

Percent

0-12 months

15.9%

1-5 years old

18.1%

6-11 years old

21.0%

12-18 years old

21.7%

18+

19.6%

Other (please specify)

3.6%

Total

138

100.0%

4a. What geographic area do you primarily serve? Select all the county(ies) your organization operates in.

Answer

Frequency

Percent

Butler County (Ohio)

15.8%

Clermont County (Ohio)

12.9%

Hamilton County (Ohio)

24.8%

Warren County (Ohio)

6.9%

Boone County (Kentucky)

10.9%

Campbell County (Kentucky)

7.9%

Kenton County (Kentucky)

8.9%

Dearborn County (Indiana)

3.0%

Other (please specify

8.9%

Total

101

100.0%

4b. Are services limited to a specific zip codes, cities, or neighborhoods?

Answer

Frequency

Percent

Yes

26.2%

73.8%

Total

100.0%

5. Approximately how many individuals do you serve annually? Include both adult and child estimates if

possible.

• Open Text Responses Recorded

108

Key Health and Health-Related Issues

6a. What do you think were major health needs facing children and families? Select up to 3 Issues.

Answer

Frequency

Percent

Chronic Illness (i.e.., asthma, diabetes, obesity)

18.5%

COVID-19

12.1%

Dental Health Care

3.2%

Infant Mortality

9.7%

Mental Health

27.4%

Nutrition and Physical Activity

15.3%

Substance Use Disorders/Alcoholism

10.5%

Other (please specify)

3.2%

Total

124

100.0%

6b. What do you think are major social and economic needs facing children and families? Select up to 3

Issues.

Answer

Frequency

Percent

Poverty/Meeting Basic Needs (i.e., Access to

Clothing, Food, and Other Basic Needs)

28.8%

Racism and Discrimination

19.5%

Access to Healthcare/Barriers to Care

18.6%

Quality Childcare and Early Literacy

13.6%

Youth Development/ Workforce Training

11.0%

Violence Unintentional Injury

5.1%

Other (please specify)

3.4%

Total

118

100.0%

7. How would you prioritize the health-related needs facing children and families in the next 1-2 years?

Please rate the priorities from very low to very high.

Answer

Chronic Illness

(i.e., asthma, diabetes, etc.)

COVID-19

Dental Health Care

Frequency

Percent

Frequency

Percent

Frequency

Percent

Very High

26.2%

21.4%

4.8%

High

28.6%

21.4%

40.5%

Moderate

38.1%

50.0%

42.9%

Low

7.1%

11.9%

Very Low

0.0%

Total

100.0%

Answer

Infant Mortality

Mental Health

Nutrition and

Physical Activity

Substance Use

Disorders

Frequency

Percent

Frequency

Percent

Frequency

Percent

Frequency

Percent

Very High

23.8%

73.8%

35.7%

23.8%

High

26.2%

23.8%

28.6%

38.1%

Moderate

28.6%

2.4%

33.3%

Low

21.4%

0.0%

2.4%

4.8%

Very Low

0.0%

Total

100.0%

109

Answer

Access to Healthcare

Poverty/Meeting Basic Needs

Quality Childcare and Early Literacy

Frequency

Percent

Frequency

Percent

Frequency

Percent

Very High

26.2%

50.0%

26.2%

High

31.0%

26.2%

40.5%

Moderate

35.7%

21.4%

28.6%

Low

7.1%

2.4%

4.8%

Very Low

0.0%

Total

100.0%

Answer

Racism or Discrimination

Safety or Violence

Workforce Training

Frequency

Percent

Frequency

Percent

Frequency

Percent

Very High

35.7%

19.0%

11.9%

High

35.7%

38.1%

45.2%

Moderate

23.8%

33.3%

35.7%

Low

2.4%

9.5%

4.8%

Very Low

2.4%

0.0%

2.4%

Total

100.0%

8. Below is a list of potential influences on child health. For each potential influence, please rate the level

of influence on health outcomes using the following scale:

Answer

Access to Healthcare/

Barriers to Care

Food Access – Access to

Healthy and Affordable Foods

Health Literacy

Frequency

Percent

Frequency

Percent

Frequency

Percent

Significant Influence

38.1%

43.9%

23.8%

Strong Influence

42.9%

39.0%

33.3%

Moderate Influence

9.5%

14.6%

40.5%

Slight Influence

7.1%

2.4%

No Influence

2.4%

0.0%

Total

100.0%

Answer

Lack of Affordable

Housing

Poverty or Meeting Basic

Needs (i.e., Access to

Clothing, Food, and Other

Basic Needs)

Quality Childcare and

Early Literacy

Frequency

Percent

Frequency

Percent

Frequency

Percent

Significant Influence

45.2%

64.3%

16.7%

Strong Influence

38.1%

26.2%

54.8%

Moderate Influence

11.9%

4.8%

23.8%

Slight Influence

2.4%

4.8%

No Influence

2.4%

0.0%

Total

100.0%

110

Answer

Racism or

Discrimination

Safety or Violence

Substance Abuse

Disorders

Frequency

Percent

Frequency

Percent

Frequency

Percent

Significant Influence

33.3%

23.8%

26.2%

Strong Influence

35.7%

28.6%

42.9%

Moderate Influence

26.2%

40.5%

26.2%

Slight Influence

4.8%

7.1%

4.8%

No Influence

0.0%

Total

100.0%

9. What do you believe are the two or three most important barriers or challenges that need to be

addressed for children and families to be healthy and thrive? Select up to 3 choices.

Answers

Frequency

Percent

Access to Health Care/Barriers to Care

13.9%

Food Access – Access to Healthy and Affordable Foods

11.5%

Health Literacy

3.3%

Lack of Affordable Housing

14.8%

Poverty or Meeting Basic Needs (i.e., Access to

Clothing, Food, and Other Basic Needs)

25.4%

Quality Childcare and Early Literacy

10.7%

Racism or Discrimination

9.0%

Safety or Violence

1.6%

Substance Abuse Disorders

7.4%

Other (please specify)

2.5%

Total

122

100.0%

10. Indicate whether members of your community (including yourself) have access to the following

resources:

Answer

High Performing

Schools

High Quality Preschool

Programs

Available Mental Health

Resources

Frequency

Percent

Frequency

Percent

Frequency

Percent

Always

14.3%

11.9%

4.8%

Mostly

40.5%

33.3%

26.2%

Sometimes

40.5%

47.6%

Rarely

4.8%

7.1%

19.0%

Never

0.0%

2.4%

Total

100.0%

Answer

Nearby Hospitals

Trusted Health Clinics

Fresh Produce

Frequency

Percent

Frequency

Percent

Frequency

Percent

Always

40.5%

19.0%

26.2%

Mostly

50.0%

42.9%

16.7%

Sometimes

7.1%

38.1%

47.6%

Rarely

2.4%

0.0%

9.5%

Never

0.0%

Total

100.0%

111

Answer

Full-Service Grocery Stores

Safe Laundry Facilities

Frequency

Percent

Frequency

Percent

Always

31.0%

14.3%

Mostly

23.8%

28.6%

Sometimes

33.3%

42.9%

Rarely

11.9%

Never

0.0%

2.4%

Total

100.0%

11. What services or resources are needed to support children and families in the community and your

primary population?

• Open Text Responses

12. What would make it easier for children and youth to reach their full potential? Select up to 3 factors.

Answer

Frequency

Percent

Addressing Basic Needs (i.e., Access to Clothing, Food, and

Other Basic Needs)

24.0%

Career Pathways – Showcasing College and Non-College

Career Paths

6.4%

Education – Access to Quality Instruction and Academic

Programs

21.6%

Employment (Youth) – Internships, Job Shadowing, and Job

Readiness Training for Youth

9.6%

Healthcare – Family Access (Parent/Caregiver and Children)

to Quality, Affordable Medical and Mental Health Care

14.4%

Housing – Access to Affordable, Safe Housing

20.8%

Other (please specify)

3.2%

Total

125

100.0%

13. In what other ways can we support children and their families to reach their full potential?

• Open Text Responses

14. Does your organization provide any programs, services, or supports to address the needs or barriers

listed or selected in this survey?

Answer

Frequency

Percent

Yes

92.9%

7.1%

Total

100.0%

15. Is there anything else you’d like to add regarding community health needs?

• Open Text Responses Recorded

112

Appendix I: Key Informant Partner Organizations List

Key informant surveys were distributed to representatives and agencies from all eight counties within

Cincinnati Children’s PSA. An initial list of key informants was determined by the CHNA Advisory

committee and leadership. After submitting the first round of survey requests, additional organizations

were added to ensure representation from all eight counties and responses from a variety of community

partners who represent clients from medically underserved, low-income and minority populations. In total,

39 organizations partnered with Cincinnati Children’s to understand the priorities in their communities.

Below is a list of partner organizations that completed the Key Informant Survey.

• 4C for Children

• Big Brothers Big Sisters of Greater Cincinnati

• Boone County Fiscal Court

• Boone County Public Library

• Brighton Center, Inc.

• Butler Co. General Health District

• Butler County Board of Developmental Disabilities

• Butler County Job and Family Services – OhioMeansJobs

• Cincinnati & Hamilton County Public Library

• Cincinnati Children’s Hospital Medical Center – Mayerson Center for Safe and Healthy Children

• Cincinnati Health Department

• Cincinnati Public Schools

• Clermont County Board of Developmental Disabilities

• Clermont County Public Library

• Cradle Cincinnati

• EDGE Teen Center

• Every Child Succeeds

• Greater Cincinnati Foundation

• Hamilton County Commission

• Hamilton County Mental Health and Recovery Services Board

• Hamilton County Public Health

• Kenton County Administration

• Legal Aid Society of Greater Cincinnati

• Lighthouse Youth & Family Services

• Lydia’s House

• Produce Perks Midwest

• Project Connect – Cincinnati Public Schools

• Reach Out Lakota

• Society of St. Vincent de Paul

• Su Casa Hispanic Center

• Talbert House

• The Ohio State University Extension, Expanded Food & Nutrition Education Program (EFNEP)

• The Ohio State University Extension, Clermont County

• The Ohio State University Extension, Hamilton County

• United Way of Greater Cincinnati

• University of Kentucky Extension

• UpSpring

• Warren County Board of Developmental Disabilities

• Warren County Health District

113

Appendix J: Parent Discussion Group Questions

Introduction Question: Please say your first name, how many children you have, and one thing about

your children that makes you smile.

1. What does the phrase “healthy child or healthy children” mean to you?

2. In your opinion, what are the greatest health needs or challenges for children and youth in your

community?

Follow up Questions:

i. How have the challenges for children and youth/families changed during COVID?

ii. Have the challenges been different for children and youth of different ages (i.e., toddler

vs. middle school vs. teenager)?

3. What resources or supports exist in your community that contribute to healthy children and

youth?

4. Where do you go or to find a program, treatment, or resources that support children and youth?

5. What factors or supports are needed in your community to support children and youth so that

they are healthy and thrive in the future?

Follow up Question (based on timing):

i. Of all the resources that were mentioned, what resource(s) or what kind of resources(s)

are most needed?

6. What is the most important thing health advocates, such as parents, health professionals, and

others, can do to make sure that a child is healthy?

7. How would you describe your family’s interactions with doctors, nurses, and other medical staff?

Have the interactions been mostly positive, or have the interactions been challenging at times?

8. When your family has interacted with doctors, nurses, and other medical staff, how accurate was

the information you received? Describe your family’s experience.

9. What are some ideas you have that will ensure that children and youth in your community are

healthy and thrive in the future?

Follow up Question:

i. What ideas currently exist in your community that you’d like to see done more?

10. In your opinion, what is the most important idea shared or discussed today?

11. Does anyone have any feedback or comments or other thoughts related our discussion today that

you have not yet shared?

114

Appendix K: Data Summary Tables – Parent Discussion

Groups

Summary of Parent/Caregiver Responses for Select Questions

The table below summarizes findings from the Parent Discussion Groups.

Session

What are the

Greatest Health

Needs for children?

Where do you go

to support the

Health Needs of

your child(ren)?

What supports are

needed?

What can Health Professionals

and Advocates do to improve

child health?

English

• Vaccinations

• Emotional Health

• Access to Healthcare

(Address Barriers)

• Need for Additional

Resources/Supports

• Friends, Other

Parents

• Google

• Additional training for

children with special

needs

• Consider health more

broadly than physical

health (including

mental, emotional,

child and family

needs)

• Make information

accessible/disseminate online

• Simplify CCHMC website/make it

easier to navigate

• Increase diversity of medical

personnel

• Expand service hours to increase

access (families need to work)

• Have resources that better

explain illnesses to children

English

• Access to Healthcare

(Address Barriers)

• Need for More

Resources/Supports

for Children with

Special Needs

• Diversity Education

• Mental Health

Resources/Supports

• Ensure inclusion of

children with special

needs.

• Other children (and

adults) often exclude

these children.

• Be informative and nurturing (not

all health professionals are)

• Meet families where they are

(physically and emotionally)

• Increase humanity: Take time to

ask families how they are doing?

How can we help? What do you

need?

• Include children in decision-

making

• Be a good listener and

understand that families need to

be heard

English

• Communication

supports between

Families and

Healthcare Providers

• Resources to Ensure

Culturally Sensitivity/

• Competence

• Mental Health

Resources/Supports

• Word of Mouth

• Billboards

• Social Workers in

the Hospital

• Be honest and candid with

families (especially if health

professionals to not know

something)

• Have someone like a care

manager be a central point of

contact

• Ensure that recommendations

are feasible for families to follow

or provide them with support

• Communicate more/better when

there are changes

• More dental services are needed

English

• Mental Health

Resources/Supports

• Access to Healthcare

(Address Barriers)

• Library

• United Way 211

• Social Media

• Facebook

• CCHMC Postings

• Beech Acres

• Schools

• Programs to address

neighborhood safety

and violence

• Mobile vans to do

wellness checks

• Financial literacy

classes

Mental health supports

for the family

• Mental health services and

resources needed

• Programs to address food

insecurity

• Tutoring and academic resources

• Parent support programs to

reduce stress

115

Session

What are the

Greatest Health

Needs for children?

Where do you go

to support the

Health Needs of

your child(ren)?

What supports are

needed?

What can Health Professionals

and Advocates do to improve

child health?

English

• Neighborhood/

• Community Safety

• Limiting Children’s

Access to Social

Media

• Mental Health

Resources/Supports

• Access to Healthcare

(Address Barriers)

• Google

• Facebook

• Additional scheduling

options and flexibility

• Additional mental

health

• Communication with parents (i.e.,

text, email, etc.)

• Continuity with the same provider

when possible

• Listening to the family, answering

parents’ and children’s questions

English

• Access to Healthcare

(Address Barriers)

• Mental Health

Resources/Supports

• Increase Awareness

of available resources

• Social Media

• Google

• Books

• Medical Articles

• Developing a network

for parents to

exchange ideas and

share information

• Information and help

when parents leave

the hospital

• Provide information at

prenatal visits to keep

children healthy

• Preparation before the patient

arrives

• Healthcare providers

acknowledging when there is a

problem

• Understanding the child’s home

life to fully address the health

need

English

• Need for Additional

Resources/Supports

• Neighborhood/

Community Safety

• Addressing Food

Insecurity

• School

• Doctor’s Office

• Facebook

• Asking others

• Child advocates

• Financial resources to

help parents

• Increased support for

families and children

with special needs

• Understanding the child’s home

life to fully address the health

need

Spanish

• Mental Health

Resources/Supports

• COVID and Health

Impact

• Summer school

• Any program that

allows parents and

children to conduct

activities together

• Educational

resources

• Libraries and parks

• Having more educational

programs available for children

English

• Mental Health

Resources/Supports

• COVID and Health

Impact

• Trust and Stigma

related to Health care

• Personal contacts

and connections

• Doctor

• Facebook Groups

• More awareness

about where to

search for resources

• Mental health

services are needed

• Preschool availability

is a problem/needed

• Asking questions to understand

children and families (and

assessing their progress) instead

of assuming

10:

Spanish

• Mental Health

Resources/Supports

(Bullying, Depression,

Suicide)

• COVID and Health

Impact

• Educational and

Academic Supports

• Discrimination and

Racial Bias,

especially in LatinX

Community

• Depends on the

Resource Needed:

o SuCasa has

summer camps

o NKU has

programs

o Public Library

has resources

• Social Media,

grocery stores,

churches

• Opportunities/ access

for recreation

• Connecting all

families to medical

homes

• Support for immigrant

families, especially

academic programs

• Regular communication between

families and health providers

• Regular meetings between

hospitals, health providers and

schools to address the health

and academic needs of children

116

Select Quotes from Discussion Group Participants:

What are the Greatest Health Needs for Children?

• “In the African American community there tends to be some difficulties with parents taking their

children to the doctor or just the availability of information for disabilities. It makes it difficult when

you don’t have the information depending on the disease or illness and it’s hard to find it.”

• “Most important thing mental health; having access to mental health services or a parent feeling

comfortable and able to reach out for this kind of support and services for kids.”

• “Since COVID, challenges have been more emotional. Not being able to socially with friends or

having the support of a teacher who is physically there makes a difference. They have also had

to adapt to new challenges, they are resilient, such as online studying, but it has affected them.

They have often fallen behind on their studies.”

What supports are Needed to Improve Child Health?

• “My son’s high school they have counselors from CCHMC in their school. If a child is needing to

see a therapist, they can go see the therapist and it will be billed through their insurance like

normal. I don’t know if this is an option everywhere, but I think it should be more wildly spread

throughout the schools.”

• "There needs to be more help and resources given to families when they are first leaving the

hospital. We left the NICU blind, not knowing who to reach out to, how to navigate the world with

a feeding tube. There needs to be a list of resources, and it needs to start at the very beginning.”

• “For immigrant families, support for youth in terms of academic support and learning the language

is very important. It is also important to help their integration into the social life at school.

Immigrant youth often have two challenges, they have to catch up academically with the kids in

their grade and they also have to learn a new language.”

What can Health Professionals and Advocates do to improve Child Health?

• “Make information more accessible. People shouldn’t only be able to get information from

Cincinnati Children’s if they are patients. Information should be more broadly found at places like

Walmart or Kroger. A place where the general people are going. I think a variety of information –

health information, resources available in your community, all sorts of information could help the

community.”

• “Meet the family where they are at. There’s a time and place and everything; they should be

more considerate about what the family is going through and what is going on.”

• “We are a part of a group pediatric practice, and I don’t think my kids have ever seen the same

pediatrician twice. Continuity of care is very important. My son had a speech delay and was

evaluated at age 2. Now he is 6, and we’re just now addressing it.”

High-Level Parent Discussion Group Themes Health and Health-Related Needs

The below are the high-level child health and health-related themes elevated by the Parent Discussion

Group participants. These needs are not in a rank order.

117

Mental Health

Health Care

Access/Barriers

Poverty/Basic

Needs

Racism/

Discrimination

COVID and Impact

Chronic Illness/

Special Needs

Safety/Violence

Academic/

Educational

Other Health –

Dental, Infant

Mortality, etc.

Communication/

Awareness

Diversity/Cultural

Competence

118

Appendix L: Child Health and Health-Related Needs

Prioritized by the Community

In the Key Informant Survey and 2021 Child Health Survey, respondents were asked to select their top

two child health and health-related needs. In the parent discussion groups, parents were asked

questions about child health needs. The child health and health-related needs identified and prioritized

by the community are below.

Key Informant Survey

The below list of child health and health-related needs were ranked by the Key Informant Survey

participants.

Source: 2021 Key Informant Survey

Mental Health

Chronic Illness (i.e.,

asthma, diabetes,

obesity)

Nutrition and Physical

Activity

COVID-19 (Health

Impact)

Substance Abuse

Infant Mortality

Dental

Child

Health

Needs

Poverty/Meeting Basic

Needs (i.e. Access to

Clothing, Food, and

Other Basic Needs)

Racism/

Discrimination

Access to

Healthcare/Barriers to

Care

Quality Childcare

Youth Development/

Workforce Training

Violence/

Unintentional Injury

Child

Health-

Needs

119

2021 Child Health Survey

The below list of child health and health-related needs were ranked by the participants of both online

2021 Child Health Survey platforms and the phone survey.

Source: 2021 Child Health Survey

14, 15

Parent Discussion Groups

The below list of child health and health-related needs were elevated as top concerns by the participants

in the parent discussion groups. This list is not in a rank order.

Source: Parent Discussion Groups

Mental Health

Nutrition and Physical

Activity

COVID-19 (Health Impact)

Chronic Illness (i.e., asthma,

diabetes, obesity)

Substance Use Disorders

Dental Health Care

Infant Mortality

Child

Health

Needs

Poverty/Meeting Basic

Needs (i.e. Access to

Clothing, Food, and Other

Basic Needs)

Quality Childcare

Access to Healthcare/

Barriers to Care

Safety or Violence

Racism/Discrimination

Workforce Training

Child

Health-

Needs

Mental Health

Access to

Healthcare/Needed

Resources

Health Equity Needs

COVID Related

Health Needs

Substance Abuse

Resources for

Children with

Chronic Illness/

Special Needs

120

Appendix M: Health and Health-Related Needs Prioritization

Guidelines and Rubric

Please review the below prioritization criteria. To complete the prioritization rubric, use the link found at

the bottom of the page

Child Health Needs Prioritization Criteria

Below are descriptions and questions for consideration for each of the prioritization criteria. When

completing the rubric, you will rank each identified child health need according to magnitude of the need

by each criteria.

Criteria 1: Magnitude of Child Health Need

• How many children in Greater Cincinnati are impacted by this child health need?

Criteria 2: Severity of Child Health Need

• How severe is the health need for the Greater Cincinnati community? How quickly should this

child health need be addressed?

Criteria 3: Community Will and Community Assets to Address Health Need

• Do you believe the Greater Cincinnati is ready to address this health need?

• Does the community have assets in place to address the health need?

• “Community Will” includes a community’s desire to change the child health need, clear

community champions to drive change, and the existence of collaborative structures to address

the child health need.

Criteria 4: Alignment with Cincinnati Children’s Pursing Our Potential Together

(POPT) Community Health and Diversity, Equity, and Inclusion (DEI) Goals

• Do you believe Cincinnati Children’s is a strong organization to address this health need?

• Does Cincinnati Children’s have the capacity to address the need?

• Does this need align with Cincinnati Children’s current and future goals?

Criteria 5: Alignment with State and National Child Health Priorities and

Resources

• Do you believe focusing on this health need aligns with state and national child health priorities?

Criteria 6: Availability of Best Practice Programs and Resources to Address Child

Health Need

• How many existing programs are there in the Greater Cincinnati area that are effectively

addressing this child health need?

Child Health-Related Needs Prioritization Criteria

When completing the rubric, you will rank the provided health-related issues impacting children in the

community over the past year in order of importance.

121

2022 Community Health Needs Assessment Prioritization Rubric

Child Health Needs Prioritization

Please complete each of the below tables.

Criteria 1: Magnitude of Child Health Need

Please rank the magnitude of each child health need.

Child Health Need

Low (1)

(2)

Medium (3)

(4)

High (5)

Chronic Illness (i.e.., asthma, diabetes, obesity)

COVID-19 (Health Impact)

Dental Health Care

Infant Mortality

Mental Health

Nutrition and Physical Activity

Substance Use Disorders

Criteria 2: Severity of Child Health Need

Please rank the severity of each child health need.

Child Health Need

Low (1)

(2)

Medium (3)

(4)

High (5)

Chronic Illness (i.e., asthma, diabetes, obesity)

COVID-19 (Health Impact)

Dental Health Care

Infant Mortality

Mental Health

Nutrition and Physical Activity

Substance Use Disorders

Criteria 3: Community Will and Community Assets to Address Health Need

Please rank the will and availability of assets to address each child health need.

Child Health Need

Low (1)

(2)

Medium (3)

(4)

High (5)

Chronic Illness (i.e., asthma, diabetes, obesity)

COVID-19 (Health Impact)

Dental Health Care

Infant Mortality

Mental Health

Nutrition and Physical Activity

Substance Use Disorders

122

Criteria 4: Alignment with Cincinnati Children’s POPT Community Health and DEI

Goals

Please rank the alignment of each child health need.

Child Health Need

Low (1)

(2)

Medium (3)

(4)

High (5)

Chronic Illness (i.e., asthma, diabetes, obesity)

COVID-19 (Health Impact)

Dental Health Care

Infant Mortality

Mental Health

Nutrition and Physical Activity

Substance Use Disorders

Criteria 5: Alignment with State and National Child Health Priorities and

Resources

Criteria 6: Availability of Best Practice Programs and Resources to Address Child

Health Need

Please rank the alignment and availability of programs/resources for each child health need.

Child Health Need

Low (1)

(2)

Medium (3)

(4)

High (5)

Chronic Illness (i.e., asthma, diabetes, obesity)

COVID-19 (Health Impact)

Dental Health Care

Infant Mortality

Mental Health

Nutrition and Physical Activity

Substance Use Disorders

Child Health-Related Issues Prioritization

Which of the following are the most important health-related issues impacting children in the community

over the past year? Please rank the below health-related issues in order of importance, with 1 being the

most important.

Child Health-Related Need

Access to Healthcare

Poverty/Meeting Basic Needs (i.e., Access

to Clothing, Food, and Other Basic Needs)

Quality Childcare

Racism or Discrimination

Safety or Violence

Workforce Training

123

Appendix N: Cincinnati Children’s Prioritization Committee

A total of 43 leaders at Cincinnati Children’s participated in the child health and health-related needs

prioritization process, and 42 leaders completed the prioritization rubric. In addition to the CHNA

Advisory Committee (see Appendix ##), leaders representing primary and specialty care, social work, and

regional locations participated in the prioritization process. Committee members were selected based on

their expertise in child and pediatric health, leadership, work with children and families, and experiences

collaborating with the community. A list of participants is below.

Name

Title

Kayla L. Akers, MSW, LWS

Social Worker, Division of Social Services

Robert T. Ammerman, PhD, ABPP

Pediatric Psychologist, Research, Behavioral Medicine & Clinical

Psychology

Scientific Director, Every Child Succeeds

Kristy L. Anderson, LISW-S

Clinical Manager, Division of Social Services

Andrew F. Beck, MD, MPH

Attending Physician, Division of General & Community Pediatrics

Attending Physician, Division of Hospital Medicine

Kellee D. Bennett, RN, BSN

Clinical Manager, Division of Adolescent and Transition Medicine

Tina Brooks-Roberts, RN

Clinical Manager, OPD Case Management

Mary Carol Burkhardt, MD, MHA

Associate Division Director, Primary Care, Division of General

and Community Pediatrics

Medical Director, Hopple Street Health Center

Emmanuel L. Chandler, MD

Medical Director, Division of Adolescent and Transition Medicine

Margaret J. Clark, MPA

Director, Division of Every Child Succeeds

Lisa K. Crosby, DNP, APRN, CNP

APP Clinical Director for Primary Care & School-based Health

Centers

Lori E. Crosby, PsyD

Co-Director, Innovations in Community Research, Division of

Behavioral Medicine & Clinical Psychology

Co-Director, CCTST, Community Engagement Core

Psychologist, Research, Behavioral Medicine & Clinical

Psychologist

Samantha Doktor, MA

Community Health Worker, OPD Case Management

Elena M. Duma, MD

Medical Director, Liberty Campus, Division of Emergency

Medicine

Richard A. Falcone Jr., MD, MPH

Director, Trauma Services

Associate Chief of Staff, Surgical Services

Lauren E. Feather, MS, CCC-SLP

Speech Pathologist, Kentucky - Speech Pathology

Alonzo T. Folger, PhD, MS

Director of Evaluation and Epidemiologic Research, Every Child

Succeeds

124

Name

Title

Dawne P. Gardner, MBA, CPST

Senior Specialist, Comprehensive Children's Injury Center

(CCIC)

Mary V. Greiner, MD, MS

Medical Director, CHECK Foster Care Center

Deanna T. Hawkins, MSN, RN,

NEA-BC

Assistant VP, Patient Services

Zachary J. Hille, MHSA

Senior Business Director, Physician Network

Robert S. Kahn, MD, MPH

Associate Chair of Community Health, UC Department of

Pediatrics

Executive Lead, Population and Community Health

Carolyn W. Karageorges

Vice President, Chief Accounting Officer

Lisha Lungelow, MSW, LSW

Social Worker, Division of Social Worker

Joseph W. Luria, MD

Vice President, College Hill

Mona E. Mansour, MD, MS

Associate Division Director, Population Health

Kelly Metz, RN

Nurse, Allergy Immunology, Ambulatory Services

John F. Morehous, MD

Medical Director, Fairfield Primary Care

Staff Physician, Division of General and Community Pediatrics

Dawn M. Nebrig, MSW, LISW-S

Director, Family Relations

Adison E. Nelson, MSOL

Director, Community Relations

Anthony Ray

Community Health Worker, Division of Social Services

Visael “Bobby” Rodriguez

Vice President of Diversity, Inclusion & Community Relations

Carley L. Riley, MD, MPP, MHS,

FAAP

Attending Physician, Division of Critical Care Medicine

Kamberlyn A. Runzo, MSW, LISW-

Social Worker Coordinator, Liberty Medical Social Work

Ronna Y. Schneider, MD

Staff Physician, Primary Care

Angela M. Scott, PhD

Staff Psychologist, Behavioral Medicine and Clinical Psychology

Mackenzie M. Slack, RN

Nurse, Outpatient Psychiatry

Michael T. Sorter, MD

Director, Division of Child and Adolescent Psychiatry

Marco A. Trujillo

Community Health Worker, Division of Social Services

Lamont Tubbs, MA

Community Health Worker, Division of Social Services

Melana Tysowsky, PT

Physical Therapist, Green Township - Division of Occupational

Therapy and Physical Therapy

Ndidi I. Unaka, MD, Med

Associate Program Director, Pediatric Residency Training

Program

A6NS Unit Medical Director

Robert P. Wallace, MD

Staff Physician, Primary Care

Charla Weiss, Ph.D.

Director, Diversity and Inclusion

125

Appendix O: Additional Child Health and Health-Related

Needs Overview

Additional Identified Child Health Needs

Dental Health Care

When asked “about the condition of their child’s teeth,” 74.4% respondents to the phone 2021 Child

Health Survey

and 72.8% of respondents to the online 2021 Child Health Survey

rated the condition

their child’s teeth as excellent or very good (Figure 53).

Figure 53. Parents’ Rating of Their Child’s Teeth

Source: Cincinnati Children’s 2021 Child Health Survey

14, 15

Three in four high school students in Indiana (74.3%),71.6% in Kentucky, and 77.7% in Ohio saw a

dentist in the preceding 12-month period. Less than 2% of high school students in all three states have

never seen a dentist (Table 29).

Table 29. Percentage of High School Students that Have Seen a Dentist

State

Never saw

dentist

Saw a Dentist in

past 12 months

Indiana

1.5%

74.3%

Kentucky

1.9%

71.6%

Ohio

1.9%

77.7%

USA

1.9%

75.9%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Nutrition and Physical Activity

Development of chronic diseases, such as obesity, can result from poor nutrition and lack of physical

activity.

Fruit and Vegetable Consumption

Eleven percent of high school students in Ohio (10.6%) and 10.4% in Kentucky did not consume fruit or

100% fruit juice within a seven-day period. Less than half (47.5%) of Kentucky high school students

consumed fruit or 100% fruit juice one or more times per day. One in four (25.5%) high school students

in Indiana consumed fruit or 100% fruit juice two or more times daily (Table 30).

46.0%

28.4%

18.1%

3.9%

0.7%

2.8%

39.0%

33.8%

17.1%

5.6%

1.4%

3.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Excellent Very Good Good Fair Poor No Teeth

Phone Survey Online Survey

126

Table 30. Fruit and 100% Fruit Juice Consumption by High School Students

Times Consumed

Indiana

Kentucky

Ohio

USA

1 or more Times per Day

60.5%

47.5%

52.3%

58.2%

2 or more Times per Day

25.5%

20.9%

22.9%

28.9%

Did not eat in 7 day period

6.5%

10.4%

10.6%

6.3%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

High school students in Indiana, Kentucky, and Ohio consumed vegetables less frequently than the

national average. However, over 50% of high schoolers consumed vegetables one or more times a day

in Indiana (57.5%) and Ohio (55.7%). Kentucky had the lowest vegetable consumption percentages out

of the three PSA states (Table 31).

Table 31. Vegetable Consumption by High School Students

Times Consumed

Indiana

Kentucky

Ohio

USA

1 or more Times per Day

57.5%

48.2%

55.7%

59.3%

2 or more Times per Day

22.9%

18.7%

25.1%

26.1%

3 or more Times per Day

9.8%

8.9%

11.1%

14.0%

Did not eat in 7 day period

7.3%

11.0%

4.3%

7.9%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

One in five Ohio high school students (19.7%) did not eat breakfast in a seven-day period, while one in

four Ohio high school students (25.6%) ate breakfast all seven days. Forty-one percent of Kentucky

(40.9%) and Ohio (41.4%) middle school students ate breakfast all seven days (Figure 54).

Figure 54. Percentage of Middle School and High School Students that Eat Breakfast in a Seven

Day Period

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS); Ohio, Kentucky, USA data from 2019; Indiana

data from 2015. Middle School data not available for Indiana and USA.

Sugar-Sweetened Beverages

One in four Indiana (24.6%) and Kentucky (25.4%) high school students and one in three Ohio (34.7%)

high school students did not drink soda or pop during a seven-day period. Twice as many Kentucky high

school students (17.6%) drank two or more sodas per day compared to the national average (9.3%)

(Table 32).

12.5%

15.5%

40.9%

41.4%

15.0%

16.6%

19.7%

16.7%

30.1%

26.5%

25.6%

33.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Indiana Kentucky Ohio USA Indiana Kentucky Ohio USA

Did Not Eat Breakfast Ate Breakfast All 7 Days

Middle School Total High School Total

127

Table 32. Number of Sodas Consumed Daily by High School Students

Times Consumed

Indiana

Kentucky

Ohio

USA

1 or more Times per Day

20.0%

25.6%

15.8%

15.1%

2 or more Times per Day

13.3%

17.6%

10.5%

9.3%

Did not drink in 7 day period

24.6%

25.4%

34.7%

31.7%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Food Security

Access to healthy and affordable foods was ranked as one of the top social, economic, or environmental

factors that contribute the most to poor child health on the 2021 Child Health Survey (online - 19.7%;

phone – 22.4%)

14, 15

and was noted to be a significant influence on child health outcomes on the 2021

Key Informant Survey (43.9%).

When asked “if they worried about food running out before having the

money to buy more,” 13.1% of the online 2021 Child Health Survey

respondents and 17.5% of the

phone 2021 Child Health Survey

respondents stated this is often or sometimes true (Figure 55).

Figure 55. Concern About Food Running Out Among 2021 Child Health Survey Respondents

Source: Cincinnati Children’s 2021 Child Health Survey

14, 15

Feeding America conducts an annual survey utilizing local, state, and national data to estimate local food

insecurity. Based on the 2019 Map the Meal Gap survey, there are 238,400 individuals, 71,590 of them

children, facing food insecurity in Cincinnati Children’s PSA (Table 33).

4.7%

12.8%

82.5%

Phone Survey Responses

Often True Sometimes True Never True

2.5%

10.6%

86.9%

Online Survey Responses

Often True Sometimes True Never True

128

Table 33. Food Insecurity Across the PSA, 2019 Map the Meal Gap

County

2019 Food

Insecurity Rate

# of Food Insecure

Persons in 2019

2019 Child food

insecurity rate

# of Food Insecure

Children in 2019

Dearborn County

10.9%

5,390

13.1%

1,470

Boone County

8.7%

11,420

9.5%

3,270

Campbell County

11.5%

10,680

11.9%

2,350

Kenton County

11.4%

18,960

12.9%

5,110

Butler County

11.8%

45,020

14.8%

13,270

Clermont County

11.5%

23,500

13.3%

6,310

Hamilton County

12.8%

103,930

18.4%

34,640

Warren County

8.5%

19,500

9.0%

5,170

PSA Total

238,400

71,590

Source: Feeding America, 2019 Map the Meal Gap

Seventy-three percent (73.4%) of the online 2021 Child Health Survey participants reported “always”

have access to fresh produce, and 79.2% “always” have access to full-service grocery stores (Figure

56).

Forty-eight percent (47.6%) of key informants indicated the communities they serve “sometimes”

have access to fresh produce, and 33.3% indicated the served communities “sometimes” have access to

full-service grocery stores. Ten percent (9.5%) of key informants indicated their communities “rarely”

have access to fresh produce, and 11.9% indicated the served communities “rarely” have access to full-

service grocery stores.

Figure 56. Community Access to Fresh Produce and Full-Service Grocery Stores

Source: Cincinnati Children’s 2021 Child Health Survey;

Cincinnati Children’s 2021 Key Informant Survey

Schools across the PSA participate in the National School Lunch Program (NSLP). 721,244 students in

Indiana,

514,524 Kentucky students,

and 958,164 Ohio students

participate in NSLP. Campbell

County has the highest percentage of free and reduced school lunches (78.78%) in the PSA (Table 34).

73.4%

26.2%

79.2%

31.0%

19.5%

16.7%

15.3%

23.8%

6.0%

47.6%

3.9%

33.3%

1.0%

9.5%

1.0%

11.9%

0.1%

0.0%

0.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Child Health Survey Key Informant Survey Child Health Survey Key Informant Survey

Fresh Produce Full-Service Grocery Store

Always Mostly Sometimes Rarely Never

129

Table 34. Percentage of Lunches Free or Reduced Price Across the PSA

County

% Free Lunch

% Reduced

Price Lunch

% Free and Reduced

Price Lunch

Dearborn

36.63%

Boone

42.84%

2.21%

45.04%

Campbell

78.30%

0.48%

78.78%

Kenton

47.36%

1.40%

48.76%

Butler

25.66%

3.85%

46.41%

Clermont

30.62%

5.09%

35.71%

Hamilton

22.60%

3.29%

60.47%

Warren

21.42%

4.22%

25.63%

Source: Indiana Department of Education

;

Kentucky Department of Education

;

Ohio Department of Education

In Hamilton and Butler County there are there are a high percentage of schools that are designated as Free and

Reduce Lunch for all students, which skews the percentages for these counties.

Physical Activity

Physical Activity is an important part of a healthy lifestyle. Youth that participate in regular physical

activity can improve cognitive functions, academic performance, and mental health and increase the

likelihood of a healthier adulthood. Physical Activity Guidelines for Americans recommends children and

youth aged 6 to 17 years engage in 60 minutes or more of moderate-to-vigorous physical activity daily.

According to YRBSS data from 2019, 17% of high school students in the USA did not engage in at least

60 minutes of physical activity during a seven-day period. This is an increase from 15.4% in 2017. More

high school students in Kentucky and Ohio do not engage in at least 60 minutes of physical activity in a

seven day period compared to the national average (Table 35).

Table 35. Percentage of Students that Participate in Physical Activity Weekly

Physically Active At Least 60

Minutes Per Day On 5 Or More

Days

Physically Active At Least 60

Minutes Per Day on All 7

Days

Did Not Participate in at least

60 Minutes of Physical

Activity on at least 1 Day

State

Middle School

High School

Middle School

High School

Middle School

High School

Indiana

46.5%

25.3%

15.4%

Kentucky

43.8%

37.4%

22.9%

19.0%

14.6%

19.1%

Ohio

49.4%

43.1%

28.6%

23.5%

11.9%

20.5%

USA

44.1%

23.2%

17.0%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

The majority of students in Indiana (60.4%) and Ohio (57.1%) played on at least one sports team. Ohio

high school student participation is similar to the national average (57.4%) (Table 36).

Table 36. Percentage of Students that Played on At Least One Sports Team Yearly

Grade

Indiana

Kentucky

Ohio

USA

Middle School

55.3%

65.0%

High School

60.4%

45.9%

57.1%

57.4%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Active screen time, unrelated to school activities, has steadily increased nationally over the past decade.

The percentage of high school students in Kentucky playing video games or using a computer for three or

more hours per day (not for school) has trended upwards as well, mirroring the national trend (Figure 57).

130

Nationally, the percentage of students watching television three or more hours per day has steadily

decreased over the past decade (Figure 57).

Figure 57. Trends in National and Kentucky High School Students engaging in Screen-based

Activities Three or More Hours Daily

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Complete data not available for Indiana or Ohio

Access to Parks

Access to parks, playgrounds, hiking trails, and other safe outdoor spaces can play an important role in

pediatric health. Lack of park access is associated with lower levels of physical activity, increased screen

time, inadequate sleep, and higher likelihood of being overweight or obesity in youth.

Across Cincinnati

Children’s PSA, there is a wide range of access to parks. Data from the National Environmental Public

Health Tracking Network shows that 69% of Hamilton County’s population live within half a mile of park,

compared to 8% of residents in Dearborn County (Figure 58).

Figure 58. Percent of Population Living Within a Half Mile of a Park, 2015

Source: National Environmental Public Health Tracking Network, 2015

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

2011 2013 2015 2017 2019

Video and Computer Games USA Video and Computer Games Kentucky

Television USA Television Kentucky

29%

53%

34%

46%

23%

69%

21%

26%

41%

29%

10%

20%

30%

40%

50%

60%

70%

80%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

Indiana Kentucky Ohio

131

Substance Abuse

Substance Abuse Disorders was ranked as a strong influence on child health outcomes by key informants

(42.9%)

and as one of the top social, economic, or environmental factors that contribute the most to

poor child health on the online 2021 Child Health Survey (14.0%).

Alcohol

Based on 2019 YBRSS data for middle schoolers, 30.4% of Ohio and 22.9% of Kentucky middle school

students responded yes when asked if they have “ever drank alcohol,” and 13.6% of Ohio and 11.6% of

Kentucky middle school students first drank alcohol before age 11. Among high school students, 29.2%

of students currently drink alcohol in the USA, which is higher than the rates in Kentucky and Ohio. When

asked about binge drinking behaviors, 13.4% of Ohio high school students and 10.3% of Kentucky high

schoolers reported currently binge drinking (Table 37).

Table 37. Alcohol Use in High School Students

State

First Drink

Before 13 Years

Currently

Drink Alcohol

Currently

Binge Drink

Indiana

15.40%

30.50%

Kentucky

15.40%

23.50%

10.30%

Ohio

16.20%

25.90%

13.40%

USA

15.00%

29.20%

13.70%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Tobacco

The percentage of high school students reporting ever trying cigarette smoking continues to decline;

however, the percentage of high school students reporting ever trying electronic vapor products continues

to rise. The percentage of students reporting tobacco use increases as students’ progress through high

school, with the highest percentages of use in 11

and 12

grade students.

Cigarettes, Cigars, and Smokeless Tobacco

In 2019, 16.5% of Kentucky and 14.2% of Ohio middle school students reported ever trying cigarettes.

Four percent (4.3%) of Kentucky and 3.0% of Ohio middle school students currently smoke cigarettes,

with less than 1% smoking cigarettes frequently or daily in both states. Among high school students,

36.9% of Indiana, 30.6% of Kentucky, and 21.5% of Ohio high school students reported every trying

cigarettes, with 11.8% of Kentucky and 8.8% of Ohio students first trying a cigarette before age 13.

Six percent (6.0%) of high schoolers in the USA currently smoke cigarettes. The 2019 national

prevalence is higher than Ohio’s prevalence of current high school smokers (4.9%), lower than then

Kentucky’s (8.9%), and lower than the 2015 prevalence in Indiana (11.2%). Less Ohio high school

students smoke cigarettes frequently and daily compared to the national average and the other two PSA

states (Table 38).

132

Table 38. Percentage of High School Student’s Currently Smoking Cigarettes

State

Currently Smoke

Cigarettes

Currently Smoke

Cigarettes frequently

Currently Smoke

Cigarettes daily

Indiana

11.2%

3.4%

2.8%

Kentucky

8.9%

3.0%

2.2%

Ohio

4.9%

0.5%

0.4%

USA

6.0%

1.3%

1.1%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Ohio high schoolers reported smokeless tobacco use at over double the national average (Figure 59).

The percentage of high school students currently smoking cigars is also higher in all three PSA states

compared to the national average; however, the percentage of high school students that smoke cigars

frequently or daily is noticeably lower than the percentage who currently smoke cigars (Table 39).

Figure 59. Percentage of Students Using Smokeless Tobacco Products

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Data not available for Indiana.

Table 39. Percentage of Students Currently Smoking Cigars

Grade

Currently Smoke Cigars

Frequently

Currently Smoke Cigars Daily

Middle School

High School

Middle School

High School

Middle School

High School

Indiana

11.4%

1.2%

0.6%

Kentucky

3.9%

7.9%

0.6%

1.6%

0.5%

1.5%

Ohio

4.8%

7.2%

0.2%

0.5%

0.1%

0.4%

USA

5.7%

1.1%

0.8%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Electronic Vapor Products

The percentage of students (both middle school and high school) that have ever tried an electronic vapor

product increased as students progressed through school (Figure 60). In 2019, 31.4% of middle school

students in Kentucky and 25.7% in Ohio had tried electronic vapor products. This percentage increased

in high school students. Nationally, 50.1% of high school students reported ever trying electronic vapor

products in 2019, which is higher than the 2019 Ohio percentage (47.7%) and the 2015 Indiana

percentage (43.9%). In 2019, 53.7% of Kentucky high school students had tried electronic vapor

products.

3.9%

4.1%

6.4%

9.9%

3.8%

0.0%

5.0%

10.0%

15.0%

Kentucky Ohio USA

Middle School Total High School Total

133

Figure 60. Percentage of Students that Ever Tried Electronic Vapor Products

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

The trend in a higher percentage of older students trying electronic vapor products is also seen when

evaluating current use of vapor products. A higher percentage of 11

and 12

grade students reported

currently using electronic vapor products when compared to 9

and 10

grade students. This pattern is

seen both nationally and within all three PSA states (Table 40).

Table 40. Percentage of Students Currently Using Electronic Vapor Products

Grade

Currently Use electronic vapor

products

Currently Use electronic vapor

products frequently

Currently Use electronic vapor

products daily

USA

6th Grade

10.5%

5.2%

1.3%

1.0%

1.3%

1.0%

7th Grade

12.1%

9.3%

1.0%

0.5%

8th Grade

29.7%

18.8%

3.9%

2.9%

2.0%

1.5%

Middle

School

Total

17.3%

11.9%

2.0%

1.7%

1.2%

1.0%

9th Grade

20.4%

21.3%

25.3%

25.0%

4.2%

6.3%

7.0%

6.2%

3.0%

5.3%

3.8%

3.6%

10th Grade

21.8%

25.9%

30.9%

30.5%

3.1%

9.2%

7.2%

7.7%

2.6%

7.4%

3.8%

5.4%

11th Grade

24.3%

25.0%

29.2%

35.9%

2.8%

11.5%

9.8%

12.5%

1.7%

8.2%

8.7%

8.3%

12th Grade

29.4%

31.4%

35.0%

40.4%

6.4%

17.0%

8.2%

16.8%

3.2%

13.1%

5.4%

12.0%

High

School

Total

23.9%

26.1%

29.8%

32.7%

4.1%

11.1%

8.0%

10.7%

2.6%

8.7%

5.3%

7.2%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Marijuana, Prescription, and Other Drugs

Marijuana

Similar to the trend with electronic vapor products, the percentage of students that have ever tried

marijuana is higher in 12

grade students compared to those in 9

grade and higher in 8

grade students

compared to those in 6

grade (Figure 61). In 2019, 21.7% of USA high school students reported current

use of marijuana. This is higher than all three PSA states (Indiana – 16.4%; Kentucky – 16.1%; Ohio –

15.8%).

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

6th Grade 7th Grade 8th Grade 9th Grade 10th

Grade

11th

Grade

12th

Grade

Middle School High School

Indiana Kentucky Ohio USA

134

Figure 61. Percentage of Students that Ever Tried Marijuana

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Prescription and Other Drugs

An estimated 14.3% of USA high school students reported ever taking prescription pain medicine without

a doctor’s prescription or different than prescribed, which is higher than the rates in Kentucky (11.0%) and

Ohio (12.2%). Additionally, 3.9% of USA high school students reported ever trying cocaine and 1.8% of

USA high school students reported ever using heroin, which are similar rates in all three PSA states

(Table 41).

Table 41. Percentage of Students that Ever-Tried Prescription and Other Drugs

Middle School

High School

Indiana

Kentucky

Ohio

USA

Indiana

Kentucky

Ohio

USA

Ever Took Prescription

Pain Medicine Without a

Doctor’s Prescription or

Different Than Prescribed

9.1%

9.8%

11.0%

12.2%

14.3%

Ever Used Cocaine

1.9%

2.7%

4.0%

3.5%

3.9%

Ever Used Inhalants

7.3%

7.1%

7.4%

5.6%

7.8%

6.4%

Ever Used Heroin

2.4%

1.8%

2.0%

1.8%

Offered, Sold, or Given an

Illegal Drug on School

Property

22.5%

24.0%

14.7%

21.8%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Unintentional Injury

Mortality Data

Unintentional Injury is the leading cause of death in the USA for youth 1 to 19 and the third leading cause

of death for youth under age 1, accounting for 38.8% of all deaths in youth aged 1-18 years and 9.0% in

children <1 in 2019. Nationally, injuries resulting from motor vehicles and traffic made-up 50.7% of the

unintentional injury deaths for youth aged 1-18 years in 2019. Drowning (15.5%) and Poisoning (8.7%)

were the next top causes of unintentional injury death in the USA.

The leading cause of death in all

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

6th Grade 7th Grade 8th Grade 9th Grade 10th

Grade

11th

Grade

12th

Grade

Middle School High School

Indiana Kentucky Ohio USA

135

three PSA states is unintentional injury, with suicide and homicide as the second and third leading causes

of death (Table 42).

Table 42. Leading Causes of Death Aged 1-18 Years, 2019

Rank

Indiana

Kentucky

Ohio

United States

Unintentional Injury

(40.8%)

Unintentional Injury

(44.9%)

Unintentional Injury

(39.2%)

Unintentional Injury

(38.8%)

Homicide (18.4%)

Suicide (15.1%)

Homicide (15.1%)

Suicide (18.5%)

Suicide (16.7%)

Suicide (11.5%)

Homicide (15.5%)

Homicide (14.8%)

Malignant

Neoplasms (8.2%)

Congenital

Anomalies (7.8%)

Malignant

Neoplasm (9.8%)

Malignant

Neoplasm (14.8%)

Source: Centers of Disease Control and Prevention, WISQARS

Unintentional Injury Prevalence

The leading cause of nonfatal injuries in the USA for youth aged <1-14 years are unintentional falls and

for youth aged 15-19 years are unintentional struck by/against (includes Struck by, Hit, Caught. Struck by

falling object, Struck by TV, Caught between Objects, Kicked by Horse, etc.) (Table 43).

Table 43. Leading Causes of Nonfatal Injuries, United States 2019

Rank

<1 Years

1-4 Years

5-9 Years

10-14 Years

15-19 Years

Unintentional

Fall (56.6%)

Unintentional

Fall (43.1%)

Unintentional

Fall (37.4%)

Unintentional

Fall (26.4%)

Unintentional

Struck by/

Against (18.9%)

Unintentional

Struck by/

Against (10.4%)

Unintentional

Struck by/

Against (16.9%)

Unintentional

Struck by/

Against (22.1%)

Unintentional

Struck by/

Against (24.9%)

Unintentional

Fall (15.6%)

Unintentional

Other Bite/

Sting (4.4%)

Unintentional

Other Bite/

Sting (7.5%)

Unintentional

Other Bite/

Sting (6.4%)

Unintentional

Overexertion

(12.4%)

Unintentional

Overexertion (

11.3%)

Unintentional

Foreign Body

(4.2%)

Unintentional

Foreign Body

(7.3%)

Unintentional

Cut/Pierce

(6.0%)

Unintentional

Cut/Pierce

(5.5%)

Unintentional

MV-Occupant

(10.1%)

Source: Centers for Disease Control and Prevention, WISQARS

Cincinnati Children’s Injury Encounters

Falls were the most common method of injury among patients cared for at Cincinnati Children’s (inpatient

and outpatient) in 2020. Falls were the most common method of injury for outpatients <1 to 16 years old

and inpatients <1 to 9 years old. Motor Vehicle Occupant was the most common method of injury for

inpatients 10 to 16+. For outpatients over 16 years old, the most common method of injury was Struck

by, Hit, Caught (includes Struck by, Hit, Caught. Struck by falling object, Struck by TV, Caught between

Objects, Kicked by Horse, etc.) (Table 44).

136

Table 44. Cincinnati Children’s Number of Injury Counters by Method of Injury and Age Group,

2020

Patient

Type

MOI

Years

1-4

Years

5-9

Years

10-16

Years

>16

Years

Grand

Total

Inpatient

Fall

203

Motor Vehicle Occupant

104

Poison

Struck by, Hit, Caught

Sport Injury

Outpatient

Fall

215

1781

1309

1184

166

4655

Struck by, Hit, Caught

594

577

804

199

2216

Not Documented

376

284

475

148

1360

Sport Injury

110

778

993

Cut/Pierce

262

252

216

810

Source: Cincinnati Children’s Hospital Data

Childhood Vaccination Rates

In 2018, 54% of Dearborn County children aged 19-35 months completed the childhood immunization

series, which is lower than the overall Indiana rate of 67.0%. The childhood immunization series includes

at least 4 doses of diphtheria-tetanus-acellular pertussis (DtaP), 3 Polio, 1 measles-mumps-rubella

(MMR), 3 Haemophilus influenzae B (Hib), 3 Hepatitis B, 1 Varicella, and 4 pneumococcal conjugate

vaccine (PCV).

In Kentucky, completed vaccination rates for 2-year-olds are reported by individual vaccine, which can be

found in Table 45.

Table 45. 2-Year-Old Vaccination Rates by Vaccine Type and County, 2020

Vaccine

Boone County

Campbell County

Kenton County

Hep A 2 Doses

31.5%

30.9%

30.5%

Hep B 3 Doses

37.0%

39.0%

38.0%

Hib 3 Doses

56.8%

57.8%

DtaP 4 Doses

38.0%

36.7%

35.6%

MMR 1 Dose

47.6%

47.3%

48.1%

PCV 4 Doses

40.0%

38.0%

Polio 3 Doses

56.8%

56.0%

57.0%

Varicella 1 Dose

48.7%

48.6%

48.8%

Source: Kentucky Cabinet for Health and Family Services,

Division of Epidemiology and Health Planning

In Ohio, a reported 61.0% of children aged 19-35 months had completed four DtaP doses, and 64.4% of

children 6 years had completed two MMR doses. These are the recommended doses for these age

groups. Butler County has the lowest reported DtaP completion rate (48.9%) (Table 46).

137

Table 46. Ohio DtaP and MMR Dose Completion Rates, as of August 2021

County

Children 19-35

Months with 4+ DtaP

Children 6 Years

with 2+ MMR

Ohio Overall

61.0%

64.4%

Butler County

48.9%

58.9%

Clermont County

62.1%

61.7%

Hamilton County

57.9%

59.6%

Warren County

55.8%

58.4%

Source: Ohio Statewide Immunization Information System (ImpactSIIS)

Child Health-Related Needs

Key informants and online 2021 Child Health Survey participants both indicated Addressing Basic Needs

(access to clothing, food, and other basic needs) and Education (access to quality instruction and

academic programs) as the top factors that would make it easier for children and youth to reach their full

potential (Figure 62).

14, 16

When asked “what would help the growth and development of children from

prenatal to age 5,” online 2021 Child Health Survey participants indicated Addressing Basic Needs,

Health Care, and Early Literacy and Education as the top factors (Figure 63).

Figure 62. Factors Making It Easier for Children and Youth to Reach Full Potential

Source: Cincinnati Children’s 2021 Child Health Survey;

2021 Key Informant Survey

1.3%

10.2%

18.5%

12.4%

24.7%

10.7%

22.2%

3.2%

20.8%

14.4%

9.6%

21.6%

6.4%

24.0%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0%

Other

Housing - Access to Affordable, Safe Housing

Healthcare - Family Access (Parent/Caregiver and

Children) to Quality, Affordable Medical and Mental

Health Care

Employment (Youth) - Internships, Job Shadowing,

and Job Readiness Training for Youth

Education - Access to Quality Instruction and

Academic Programs

Career Pathways - Showcasing College and Non-

College Career Paths

Addressing Basic Needs (i.e. Access to Clothing,

Food, and Other Basic Needs)

Key Informant Survey Child Health Survey

138

Figure 63. Factors Help Children Prenatal to Age 5 Grow and Develop

Source: Cincinnati Children’s 2021 Child Health Survey

Access to Care

Access to health care and barriers to care were rated as strong influences on child health by key

informants. Key informants indicated their communities have access to nearby hospitals and trusted

health clinics “most of the time” (50.0% and 42.9% respectively).

Comparatively, among participants in

the online 2021 Child Health Survey, 69.7% indicated they “always” have access to nearby hospitals and

49.2% indicated they “always” had access to trusted health clinics (69.7%, 49.2%) (Figure 64).

Figure 64. Community Access to Nearby Hospitals and Trusted Health Clinics

Source: Cincinnati Children’s 2021 Child Health Survey;

2021 Key Informant Survey

1.2%

10.2%

11.1%

15.2%

16.8%

21.9%

23.6%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0%

Other (Please Specify)

Completion of Immunizations/Developmental

Screenings

Housing - Ensuring Quality and Affordable Housing

in Safe Neighborhoods

Early Prenatal Care for Mother

Early Literacy and Education - Enrolling in Quality

Preschools and Early Education

Healthcare - Family Access (Parent/Caregiver and

Children) to Quality, Affordable Medical and Mental

Health Care

Basic Needs (i.e. Access to Clothing, Food, and

Other Basic Needs)

69.7%

40.5%

49.2%

19.0%

21.3%

50.0%

34.5%

42.9%

6.9%

7.1%

13.0%

38.1%

1.8%

2.4%

2.8%

0.0%

0.3%

0.0%

0.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Child Health Survey Key Informant Survey Child Health Survey Key Informant Survey

Nearby Hospitals Trusted Health Clinics

Always Mostly Sometimes Rarely Never

139

Cost of care, scheduling, and waiting lists were the top identified barriers to children getting needed

health care (Figure 65). Private Primary Care Provider Offices, Primary or Specialty Care Clinic operated

by a Hospital, and Emergency Room/Urgent Care were the top places to seek health care (Figure 66).

Figure 65. Barriers to Children Receiving Needed Health Care

Source: Cincinnati Children’s 2021 Child Health Survey

Figure 66. Places or Services Go to Receive Health Care

Source: Cincinnati Children’s 2021 Child Health Survey

Early Literacy and School Readiness

Key informants indicated their communities “sometimes” have access to high quality preschool programs

(47.6%), and a similar percentage (40.5%) indicated their communities have “mostly” or “sometimes”

have access to high performing schools.

Forty-three percent (43.1%) of participants in the online 2021

Child Health Survey indicated they “always” have access to high quality preschool programs and 45.1%

indicated they “always” have access to high preforming schools (Figure 67).

2.9%

7.8%

8.3%

11.3%

12.0%

13.2%

16.3%

28.1%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0%

Other (Please Specify)

Social Stigma (Negative Association or

Embarrassment)

Lack of Trust

Transportation

Lack of Available Providers

Waiting Lists

Scheduling

Cost of Care

0.5%

0.8%

7.4%

34.4%

24.5%

1.3%

18.1%

1.9%

11.1%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0%

Other (Please Specify)

Difficulty Finding Care/Not Seeking Care

Telemedicine or Other Homebased Care

Private Primary Care Provider Office

Primary Care or Specialty Clinic Operated by a

Hospital

Natural Medicines or Traditional Healers

Emergency Room/Urgent Care

Community or School Based Health Clinics

Clinic at a Store (Clinic at Grocery, Pharmacy,

etc.)

140

Figure 67. Community Access to High Quality Preschool Programs and High Performing Schools

Source: Cincinnati Children’s 2021 Child Health Survey;

Cincinnati Children’s 2021 Key Informant Survey

Kindergarten Readiness

Kindergarten Readiness assessments are completed by school districts in Ohio and Kentucky in the fall

of each school year. For the 2019-2020 school year, 42.34% of Ohio PSA kindergarten students are

“demonstrating” readiness and 35.71% of kindergarten students are “approaching” readiness (Figure

68).

Of Kentucky PSA kindergarten students, 45.16% are ready for kindergarten, 9.7% are ready with

enrichments, for a total of 54.8% of kindergarten students ready for kindergarten (Figure 69).

Figure 68. 2019-2020 Kindergarten Readiness for Ohio PSA

Source: Ohio Department of Education

43.1%

11.9%

45.1%

14.3%

28.0%

33.3%

28.6%

40.5%

20.7%

47.6%

17.4%

40.5%

5.7%

7.1%

6.6%

4.8%

2.4%

0.0%

2.4%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Child Health Survey Key Informant Survey Child Health Survey Key Informant Survey

High Quality Preschool Programs High Performing Schools

Always Mostly Sometimes Rarely Never

40.2%

34.4%

43.6%

51.2%

42.3%

37.6%

39.4%

33.9%

32.0%

35.7%

22.2%

26.1%

22.6%

16.9%

21.9%

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Butler County Clermont

County

Hamilton

County

Warren

County

Ohio PSA

Demonstrating Approaching Emerging

141

Figure 69. 2019-2020 Kindergarten Readiness for Kentucky PSA

Source: Kentucky Department of Education

Third Grade Reading

Based on the Ohio 2019-2020 Kindergarten Readiness assessment, 61.5% of Kindergarten students in

the Ohio PSA are on track to reach third grade reading goals.

Across the Ohio PSA counties, 99.83%

of third graders achieved the reading readiness threshold during the 2019-2020 school year (Table 47).

In Dearborn County, 91.44% of third grade students passed the IREAD-3 assessment in 2019.

Table 47. Third Grade Reading Readiness for Ohio PSA, 2019-2020

County

% Met Promotion Threshold

% Did Not Meet Promotion Threshold

Butler

99.81%

0.19%

Clermont

99.78%

0.22%

Hamilton

99.82%

0.18%

Warren

99.92%

0.08%

Source: Ohio Department of Education

Safety, Violence, and Trauma

Safety or violence was ranked as a moderate influence on child health outcomes on the 2021 Key

Informant Survey (40.5%).

In contrast, 5.3% of phone 2021 Child Health Survey participants

and 8.9%

of online 2021 Child Health Survey participants

ranked safety/violence as one of the social, economic,

or environmental factors that contributed to the most to poor child health.

Perceptions of Safety

Across the PSA, adults feel safe walking on their streets after dark. Boone County has the highest

percentage (93.55%), while Hamilton County has the lowest percentage (76.26%) of adults feeling safe

(Figure 70).

40.5%

46.1%

48.9%

45.2%

50.3%

43.9%

41.2%

45.1%

9.3%

10.0%

9.9%

9.7%

59.6%

53.9%

51.1%

54.8%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Boone County Campbell County Kenton County Kentucky PSA

Percent Not Ready Percent Ready Percent Ready With Enrichments Total Percent Ready

142

Figure 70. Percentage of Adults That Feel Safe Walking on Their Streets After Dark, 2017

Source: Well Being in the Nation Network

Five percent (5.1%) of high school students in Ohio, 9.5% in Kentucky, and 6.7% in Indiana reported not

going to school because they felt unsafe at or on the way to school. Seven percent (7.1%) of high school

students in Kentucky were threatened or injured with a weapon on school property, which is similar to the

national average (Table 48).

Table 48. High School Student Reported Perceptions of Safety, YRBSS

Grade

Did Not Go to School Because They Felt Unsafe

at School or On Their Way to or from School

Threatened or Injured With a Weapon

on School Property

Indiana

Kentucky

Ohio

USA

Indiana

Kentucky

Ohio

USA

9th Grade

6.7%

10.3%

6.3%

8.8%

7.7%

9.0%

8.1%

10th Grade

5.5%

10.7%

4.4%

8.1%

7.4%

6.4%

8.0%

11th Grade

7.8%

8.7%

3.7%

9.5%

7.4%

6.2%

7.1%

12th Grade

6.3%

7.6%

5.3%

8.1%

3.4%

5.2%

5.9%

High School

Total

6.7%

9.5%

5.1%

8.7%

6.6%

7.1%

7.4%

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Bullying

Almost half of Kentucky and Ohio middle school students reported being bullied on school property, while

a quarter reported being bullied electronically (Figure 71). The percentage of high school students who

reported being bullied electronically or on school property was higher among 9

grade students compared

to 12

grade students. A higher percentage of high school students reported being bullied on school

property when compared to the percentage who reported electronic bullying (Figure 72).

84.62%

93.55%

82.85%

80.00%

81.35%

85.45%

76.26%

82.35%

0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

143

Figure 71. Percentage of Kentucky and Ohio Middle School Students Reporting Being Bullied

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Figure 72. Percentage of High School Students Reporting Being Bullied

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Eight percent (8%) of USA high school students reported being in a physical fight on school property. In

the PSA, rates are lower than the national average (Indiana – 5.5%; Kentucky – 5.6%). Over 40% of

Kentucky and Ohio middle school students reported ever being in a physical fight.

Nationally, 21.9% of high school students reported being in a physical fight one or more times during a 12

month period, which is slightly higher than rates in all three PSA states (Figure 73).

25.2%

44.6%

24.3%

43.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Electronically Bullied Bullied on School Property

Kentucky Ohio

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

9th Grade 10th Grade 11th Grade 12th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Electronically Bullied Bullied on School Property

Indiana Kentucky Ohio USA

144

Figure 73. Percentage of High School Students in a Physical Fight At Least Once in the Previous

12-Month Period

Source: CDC, Youth Risk Behavior Surveillance System (YRBSS)

Ohio, Kentucky, USA data from 2019; Indiana data from 2015.

Adverse Childhood Experiences (ACE’s)

Adverse childhood experiences (ACEs) are associated with chronic disease and mental and behavioral

health concerns in adulthood.

When provided a short list of potential ACEs, 56.4% of respondents to

the online 2021 Child Health Survey indicated none of the events impacted their children in the past 3

years, 17.4% indicated Mental Illness/Substance Abuse did impact their children, and 12.5% indicated

other (not listed) events impacted their children.

Abuse

In 2019, 18 per every 1,000 children under the age of 18 in Dearborn County were neglected and/or

abused.

Of the suspected abuse cases investigated by Indiana Child Protection Services in 2017,

24.8% of neglect cases, 13.7% of physical abuse cases, and 12.0% of sexual abuse cases were

substantiated in Dearborn County.

In the Kentucky PSA counties, Kenton County had the highest number of children determined by the

Department of Community Based Services to have been victims of child abuse or neglect (Table 49).

Table 49. Number of Child Abuse Investigations and Cases by Kentucky PSA County, 2018

Boone County

Campbell County

Kenton County

# of child victims of substantiated abuse

299

322

940

Number of reports meeting criteria for child

abuse/neglect

1,081

708

2,554

Number of child Neglect investigations

1,634

1,044

3,676

Number of child Physical Abuse investigations

110

414

Number of child Sexual Abuse investigations

139

Source: Annie E. Casey Foundation Kids Count Data Center

In 2020, Hamilton County had 1,190 substantiated reports of child abuse and neglect, with a rate of 6.4

per 1,000 children (Figure 74).

18.1%

19.7%

19.0%

21.9%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Indiana Kentucky Ohio USA

145

Figure 74. Number of Substantiated Reports of Child Abuse and Neglect by Ohio PSA County,

2020

Source: Annie E. Casey Foundation Kids Count Data Center

In 2018, in the Ohio PSA counties, there were 13,425 reports of abuse, with physical abuse being the

most common report type (Table 50).

Table 50. Types of Abuse Reports in Ohio PSA Counties, 2018

2018 Types of Reports

Butler

County

Clermont

County

Hamilton

County

Warren

County

Combined Ohio PSA

Physical Abuse

1,619

524

3,434

194

5,771

43%

Neglect

568

369

1,607

165

2,709

20%

Sexual abuse

304

147

218

100

769

Emotional Maltreatment

Multiple Allegations of

Abuse/Neglect

560

132

1,537

2,305

17%

Family in Need of Services/

Dependency/ Other

559

151

759

314

1,783

13%

Total

3,645

1,329

7,601

850

13,425

100%

Source: Public Children Services Association of Ohio

Foster Care

In 2018, 6,023 children were in foster care across the PSA. In Hamilton County, 3,140 children were in

foster care,

which is the highest among the PSA counties. Dearborn County had the smallest number

of children in foster care in 2018 (241 children) (Figure 75).

Figure 75. Number of Children in Foster Care by County, 2018

Source: Indiana Data Source - Indiana Youth Institute;

Kentucky and Ohio Data Source - The Annie E. Casey

Foundation Kids Count Data Center

396

102

1190

167

500

1000

1500

Butler

County

Clermont

County

Hamilton

County

Warren

County

241

489

276

692

588

268

3,140

329

500

1000

1500

2000

2500

3000

3500

Dearborn

County

Boone

County

Campbell

County

Kenton

County

Butler

County

Clermont

County

Hamilton

County

Warren

County

146

Appendix P: Community Resources List

Table of Contents

County

Page

Southeast Indiana – Dearborn County

147

Northern Kentucky – Boone County, Campbell County, and Kenton County

153

Southwest Ohio

• Butler County

164

• Clermont County

177

• Hamilton County

187

• Warren County

215

147

Southeast Indiana

Dearborn County

Resource Name

Overview of Services

Address

Phone Number

Website

Big Brothers Big

Sisters

•Community based coalition

•Mentoring for children

•United Way

2400 Reading Road

Suite 148

Cincinnati, OH 45202

(513) 421-4120

www.bigsforkids.org

Children’s Advocacy

Center (CAC) of

Southeastern Indiana

•Family services Child abuse services

12211 Rullman Drive

Dillsboro, IN 47018

(812) 432-3200

cacsoutheast.org

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

Dearborn Community

Center

• Senior services

• Community education

• Recreation center Community

outreach

• Fitness center

423 Walnut Street

Lawrenceburg, IN 47025

(812) 532-3535

www.thinklawrenceburg

.com/attractions/lawren

ceburg-community-

center

Dearborn Community

Mental Health Center

•Comprehensive mental health

services, addiction services, and

primary healthcare, offering inpatient,

outpatient, home-based, school-based,

and community-based programs

Various - refer to website

(812) 537-1302

cmhcinc.org

Dearborn County -

Highpoint Health WIC

Program

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

370 Bielby Road

Lawrenceburg, IN 47025

(812) 537-4089

www.in.gov/health/repo

rts/WIC_Clinics/clinics.

htm

Dearborn County

Clearinghouse,

Aurora

• Food pantry Clothing

• Housing services

411 George Street

Aurora, IN 47001

(812) 926-1198

dearbornclearinghouse.

com

148

Resource Name

Overview of Services

Address

Phone Number

Website

Dearborn County

Division of Family

Resources

•Cash Assistance Programs (SNAP,

TANF)

•Medical Insurance (Medicaid, Hoosier

Healthwise, HIP)

230 Mary Avenue

Suite 100

Greendale, IN 47025-2123

(800) 403-0864

www.in.gov/fssa/dfr/ebt

-hoosier-works-

card/find-my-local-dfr-

office/dearborn-county

Dearborn County

Health Department

• Health education

• Immunizations

• Drug Programs

• Safe sleep education,

• STD testing

• Lead testing

165 Mary Street

Lawrenceburg, IN 47025

(812) 537-8826

www.dearborncounty.or

g/department/index.php

?structureid=23

Dearborn County

Parks

•5 parks (3 rural, 2 urban) with over

100 square miles of forest, 5 walking

trails, 4 sports fields, and rental

shelters

•Youth Programming

Various - refer to website

(812) 926-1189

www.dearborncountypa

rks.com/

DeVille Pharmacy

•Prescription vouchers and coupons

401 W. Eads Parkway

Suite 270

Lawrenceburg, IN 47025

(812) 537-1798

www.devillepharmacies

.com

First Steps,

Southeast IN (Thrive

Alliance is the lead

agency)

• Early intervention services for

children with disability or who are

developmentally vulnerable including:

• Assistive technology Audiological

services Developmental therapy

• Family education, training, and

counseling

• Health, medical, and nutritional

services

1531 13th Street

Suite G900

Columbus, IN 47201

(866) 644-2454

www.firststepssoutheas

t.org

149

Resource Name

Overview of Services

Address

Phone Number

Website

FreeStore FoodBank

•Foodbank

•Community, Clinic, and School Food

Pantries

•Summer Meals

•KIND (Keeping Infants Nourished and

Developing) Program

•Healthy Harvest Mobile Market

•Produce Pop-Ups

•Power Pack

•Kids Cafe

•SNAP Benefit enrollment

•Transportation Assistance

•Representative Payee Program

•Cincinnati COOKS!

Various - refer to website

(513) 241-1064

freestorefoodbank.org/

Hamline Chapel

• Food pantry (year round)

• Free Wednesday night meal (Winter

only) Faith-based community

• Churches

102 W High Street

Lawrenceburg, IN 47025

(812) 537-2170

www.umc.org/en/find-a-

church/church/?id=539

Heart House

Homeless Shelter

• 72-bed shelter

• Social services for life and coping

skills

6815 US-50

Aurora, IN 47001

(812) 926-4890

www.facebook.com/He

artHouseInc

Highpoint Health

(Now part of St.

Elizabeth Healthcare)

• Healthcare provider Hospital

• Doctors Physician offices

• Primary care physician

600 Wilson Creek Road

Lawrenceburg, IN 47025

(812) 537-1010

www.stelizabeth.com

Indiana

Comprehensive

Treatment Centers -

Lawrenceburg

Methadone Clinic

•Drug treatment programs

Various - refer to website

(855) 661-3320

www.indianactc.com/lo

cation/lawrenceburg

Ireland Home Based

Services

•Services for children and families who

have experienced abuse and neglect

Various - refer to website

(877) 403-0380

ihbs.us

IYI

• Youth worker cafes and training

Employee assistance programs

Community education

603 East Washington Street

Suite 800

Indianapolis, IN 46204

(317) 396-2700

www.iyi.org

150

Resource Name

Overview of Services

Address

Phone Number

Website

Lawrenceburg Lions

Club

• Eye glasses program Speech &

Hearing Programs Drug Awareness

Programs

• Aging & disabled resource center

Catch-a-Ride public transportation

Various - refer to website

(812) 584-6400

www.lawrenceburglions

club.org

Lawrenceburg Public

Library District

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

150 Mary Street

Lawrenceburg, IN 47025

(812) 537-2775

www.lpld.lib.in.us/about

-us

Legal Volunteers of

Southeast Indiana,

Inc.

•Not-for-profit law firm

•Free civil legal assistance to eligible

low-income people

318 N. Walnut Street

Lawrenceburg, IN 47025

(812) 537-0123

(877) 237-0123

www.indianalegalservic

es.org/taxonomy/term/1

LifeTime Resource

Names

• Community resource guides Family

caregiver

• In-home case management Nutrition

services

• Sentry services - guardianship

13091 Benedict Drive

Dillsboro, IN 47018

(800) 742-5001

www.lifetime-

resources.org/catch-a-

ride

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

Medicaid

Transportation

• Veteran's services Transportation

services

• Provides transportation for veterans

165 Mary Street

Lawrenceburg, IN 47025

(812) 537-8819

www.dearborncounty.or

g/department/division.p

hp?structureid=58

NAMI Southeast

Indiana

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

1002 Monmouth Street

Newport, KY 41071

(812) 577-9297

namisein.com

One Community One

Family

• Community health center Mental

health services Multi city parent cafes

Parenting classes

920 County Line Road

Suite C

Batesville, IN 47006

(812) 932-1026

www.onecommunityon

efamily.org

151

Resource Name

Overview of Services

Address

Phone Number

Website

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

Pregnancy Care

Center

•STD testing and free pregnancy tests

•Women's health services

•Clothing - for clients

•Parenting resources

•Counseling services

62 Doughty Road

Suite 5

Lawrenceburg, IN 47025

(812) 537-4357

pregnancylawrencebur

g.com

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

Prosecutor office

• Free drug test kits

• Substance abuse resource

165 Mary Street

Lawrenceburg, IN 47025

(812) 537-8884

www.dearborncounty.or

g/department/index.php

?structureid=27

Purdue Dearborn

County Extension

•Agricultural and Health educational

programming and resources

•4-H

229 Main Street

Aurora, IN 47001

(812) 926-1189

extension.purdue.edu/d

earborn

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and Child

Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

152

Resource Name

Overview of Services

Address

Phone Number

Website

Safe Passage

• Educational programs on domestic

violence

• Shelter for domestic abuse Support

groups

Contact organization for

address

(877) 733-1990

www.safepassageinc.or

Salvation Army -

Dearborn County

•Contact for services

110 Importing Street

Aurora, IN 47001

(812) 926-1585

www.sieoc.org

centralusa.salvationarm

y.org/indiana/service-

extension

Shady Nook Care

Center

• Short and Long Term Rehabilitation

Memory Care

• Medicare/Medicaid certified facility

Therapy services

36 Valley Drive

Lawrenceburg, IN 47025

(812) 537-0930

www.shadynookcarece

nter.com

SIEOC (Southeastern

Indiana Economic

Opportunity

Corporation)

•Energy Assistance Program

•Weatherization

•Housing Choice Voucher Program

•Covering Kids & Families Program

•Family Development

•Bev Henry Emergency Fund

•Food Pantries

•Salvation Army

•Head Start

•Toys for Tots

Main Office

110 Importing Street

Aurora, IN 47001

BARC Site

920 County Line Road

Suite C

Batesville, IN 47006

Brookville

528 Main Street

Brookville, IN 47012

(812) 926-1585

(888) 292-5475 -

Toll Free

www.sieoc.org/index.ht

Society of St. Vincent

de Paul (Conference

Location - St. Mary,

Aurora)

•Provides a variety of support services

to those in need including Food,

Diapers, and Rent/Utility Support

Contact organization for

address

(812) 926-1637

www.svdpcincinnati.org

/get-help/conference-

list

St. Elizabeth

Dearborn Hospital

•Hospital facility

600 Wilson Creek Road

Lawrenceburg, IN 47025

(812) 537-1010

www.stelizabeth.com/lo

cation/details/st-

elizabeth-dearborn

United Way of

Greater Cincinnati

(Southeast Indiana

Area Center)

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

488 Ludlow Street / P.O.

Box 3465

Greendale, IN 47025

211 - Helpline

(859) 525-2600

www.uwgc.org

153

Resource Name

Overview of Services

Address

Phone Number

Website

YMCA of Southeast

Indiana

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

30 State Road 129 South

Batesville, IN 47006

(812) 934-6006

(812) 932-1415

YMCA Learning

Center

siymca.org

Youth

Encouragement

Services (YES) Home

• Diabetes education

• Medical, dental, and counseling

services

• Immunizations

• Home for abused and neglected

children

• Free screenings

11636 County Farm Road

Aurora, IN 47001

(812) 926-0110

www.yeshome.org

Northern Kentucky

Boone, Campbell, Kenton Counties

Resource Name

Overview of Services

Address

Phone Number

Website

Be Concerned, The

People’s Pantry

(Formerly United

Ministries)

• Choice Pantry Program

• Emergency Food Assistance

• Food Delivery programs for Seniors,

College Students, and Homebound

•Thrift Store

Covington

1100 Pike Street

Covington, KY 41011

Erlanger

525 Graves Avenue

Erlanger, KY 41018

(859) 291-6789

(859) 727-0300

www.facebook.com/UM

NKY

beconcerned.org

Big Brothers Big

Sisters

•Community based coalition

•Mentoring for children

•United Way

2400 Reading Road

Suite 148

Cincinnati, OH 45202

(513) 421-4120

www.bigsforkids.org

Boone County Health

Center, Florence

•Health care services

•Nutrition Program for Women, Infants

and Children (WIC)

7505 Burlington Pike

Florence, KY 41042

(859) 462-7090

nkyhealth.org/locations/

boone-county-health-

center

154

Resource Name

Overview of Services

Address

Phone Number

Website

Boone County Human

Services Department

•Programs and funding for mental

health, intellectual disabilities, and

aging

Boone County

Administration Building

2950 Washington Street

2nd Floor

Burlington, KY 41005

(859) 334-2100

www.boonecountyky.or

g/departments/human_

services

Boone County Parks

•18 parks, nature preserves, and

arboretums open to the public

•Horse Riding Trails

•Youth Programs

Various - refer to website

(859) 334-2283

www.boonecountyky.or

g/departments/parks/in

dex.php

Boone County Public

Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Various - refer to website

(859) 342-BOOK

(2665)

www.bcpl.org

Boys and Girls Club

of Greater Cincinnati

•After-school and summer programs

for youth

Various - refer to website

Various - refer to

website

bgcgc.org

Brighton Center

• Adolescent mental health treatment

Community organizing

• Connections to resources Crisis

intervention for children

• Homeward Bound shelter

Independent Living Program

• Preliminary case management

youth leadership development

741 Central Avenue

Newport, KY 41071

(859) 491-8303

www.brightoncenter.co

Campbell County

Health Center

•Health care services

•Nutrition Program for Women, Infants

and Children (WIC)

1098 Monmouth Street

Newport, KY 41071

(859) 431-1704

https://nkyhealth.org/in

dividual-or-

family/county-health-

centers

Campbell County

Human Services

Department

•Programs and funding for mental

health, intellectual disabilities, and

aging

1098 Monmouth Street

Newport, KY 41071

(859) 292-3838

campbellcountyky.gov/

department/index.php?

structureid=65

Campbell County

Parks & Recreation

•Over 1,000 acres in Campbell County

consisting of 5 parks and conservation

areas

•Camping

•Horse Riding Trails

•Youth Programs

Various - refer to website

(859) 547-3681

campbellcountyky.gov/

department/index.php?

structureid=40

155

Resource Name

Overview of Services

Address

Phone Number

Website

Campbell County

Public Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Various - refer to website

Various - refer to

website

www.cc-pl.org

Cancer Family Care

• Activities for children affected by

cancer

• Children's services

• Free wigs, massage therapy, and

healing touch therapy

• Individual and family counseling

Information about cancer-related

illness and loss

Edgewood

St. Elizabeth Hospital –

Edgewood

1 Medical Village Drive

Cancer Center, Integrative

Oncology

Suite 117

Edgewood, KY 41017

(859) 371-5600

www.cancerfamilycare.

org

Cancer Support

Community

•Connection to Cancer Support

Services, including counseling

• Education

• Healthy Lifestyle

• Social Connections/Networking

• Information, Resources, and Referral

• Support Programs

Edgewood

1 Medical Village Drive

Edgewood, KY 41017

Fort Wright

1717 Dixie Highway

Suite 160

Fort Wright, KY 41011

1-888-793-9355 -

Toll Free Cancer

Support Helpline

(859) 331-5568

www.cancersupportco

mmunity.org

CARE Mission

• Food panty/food bank Clothing bank

11093 Alexandria Pike

Alexandria, KY 41001

(859) 635-4500

www.caremission.net

CASA For Kids

Serving Kenton,

Campbell &

Pendleton Counties,

Inc

• Court-appointed volunteer advocacy

for abused and neglected children

• Foster care assistance

• Child advocacy

1650 Russell Street

Covington, KY 41011

(859) 392-1791

casaforkidsnky.org

Catholic Health

Initiatives

•Faith-based community health support

services

3900 Olympic Boulevard

#400

Erlanger, KY 41018

(859) 594-3000

catholichealthinitiatives.

org

156

Resource Name

Overview of Services

Address

Phone Number

Website

Children's Home of

Northern Kentucky

•Behavioral and Mental Health

services for youth

Devou Park Campus

200 Home Road

Covington, KY 41011

Burlington Campus

4836 Idlewild Road

Burlington, KY 41005

Deaconess Health Check

at CHNK

525 W. Fifth Street

Suite 219

Covington, KY 41011

(859) 261-8768

www.chnk.org

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue location

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

Erlanger Lions

• Glasses and vision services

5996 Belair Drive

Florence, KY 41042

(859) 282-9969

www.erlangerlionsya.or

Every Child Succeeds

•Home visiting services to optimize

child health and development for

families from low-income backgrounds

3333 Burnet Avenue

MLC 3005

Cincinnati, OH 45229

(513) 636-2830

www.everychildsuccee

ds.org

157

Resource Name

Overview of Services

Address

Phone Number

Website

Family Nurturing

Center

•Social service agency dedicated to

ending the cycle of child abuse

•Holistic Support and Wellness

Activities

•Kids on the Block education program

for children

•Parenting Programs

•S.O.A.R. (Survivors of Abuse

Recovery)

•Child Abuse prevention education and

trainings

•Treatment Services

•Visitation Services

5 Spiral Drive

Suite 100

Florence, KY 41042

(859) 525-3200

(859) 292-6550

(weekdays) -

Kentucky

Abuse/Neglect

Reporting

(877) KY SAFE1

(nights/weekends

)- Kentucky

Abuse/Neglect

Reporting

800-CHILDREN -

Parent Help Line

familynurture.org

FreeStore FoodBank

•Foodbank

•Community, Clinic, and School Food

Pantries

•Summer Meals

•KIND (Keeping Infants Nourished and

Developing) Program

•Healthy Harvest Mobile Market

•Produce Pop-Ups

•Power Pack

•Kids Cafe

•SNAP Benefit enrollment

•Transportation Assistance

•Representative Payee Program

•Cincinnati COOKS!

Various - refer to website

(513) 241-1064

freestorefoodbank.org

158

Resource Name

Overview of Services

Address

Phone Number

Website

Greater Cincinnati

Behavioral Health

Services

• Addiction Services

• Mental Health Services

• Psychiatric & Medical Services

• Recovery Support Services

• Employment Services

• Child, Youth, and Family Counseling

Services

Northern KY

3005 Dixie Highway

Suite 60

Edgewood KY 41017

(859) 547-5784 -

General

Information

(859) 547-5773 -

New Intake

Appointments

www.gcbhs.com

HealthPoint Family

Care

• Family health care

• Doctors

• Health center

• Behavioral and substance abuse

•Dental

• Homeless services Pediatrics

• Women's health

Covington

1401 Madison Avenue

Covington, KY 41011

Florence

7607 Dixie Highway

Florence, KY 41042

Newport

215 E. 11th Street

Newport, KY 41071

(859) 655-6100

www.healthpointfc.org

Kenton County Health

Center

•Health care services

•Nutrition Program for Women, Infants

and Children (WIC)

2002 Madison Avenue

Covington, KY 41014

(859) 431-3345

https://nkyhealth.org/co

ntact-

us/locations/county-

health-centers

Kenton County

Human Services

•Programs and funding for mental

health, intellectual disabilities, and

aging

1840 Simon Kenton Way

Suite 5100

Covington, KY 41011

(859) 392-1400

www.kentoncounty.org/

214/Human-Services

Kenton County Parks

and Recreation

•Nearly 725 acres of parks consisting

of 8 parks

•Adult and Youth Programs

Various - refer to website

(859) 525-7529

www.kentoncounty.org/

215/Parks-Recreation

159

Resource Name

Overview of Services

Address

Phone Number

Website

Kenton County Public

Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Covington

502 Scott Boulevard

Covington, KY 41011

Erlanger

401 Kenton Lands

Erlanger, KY 41018

William E. Durr

1992 Walton-Nicholson

Independence, KY 41051

Administration

3095 Hulbert Avenue

Erlanger, KY 41018

(859) 962-4000

www.kentonlibrary.org

Legal Aid of the

Bluegrass

•Free civil legal assistance to eligible

low-income people

104 East 7th Street

Covington, KY 41011

(859) 431-8200

lablaw.org/home

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

Mentoring Plus

• Support services for high risk youth

801 York Street

Newport, KY 41071

(859) 982-5895

mentoringplus.org

NAMI Northern

Kentucky

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

1002 Monmouth Street

Newport, KY 41071

(859) 392-1730

1-800-273-8255 -

Helpline

naminky.org

160

Resource Name

Overview of Services

Address

Phone Number

Website

Northern Kentucky

Community Action

Commission

• Provides office space to distribute

meds

• Basic, temporary assistance to give

families greater comfort, safety, dignity

and security as they transition out of

poverty

• Helping families gain the skills,

abilities, knowledge and direction to

become economically independent

• Affordable housing

• Family Services

• Senior Services

Employment assistance

717 Madison Avenue

Covington, KY 41011

(859) 581-6607

www.nkcac.org

Northern Kentucky

Health Department

• Affordable Care Act resources

• Birth/death certificates

• HIV/AIDS case management

•Immunizations

• Oral health program

• WIC

Farmers Market

8001 Veterans Memorial

Drive

Florence, KY 41042

(859) 341-4264

nkyhealth.org

Northern Kentucky

Health Department -

WIC

• Nutrition Program for Women, Infants

and Children

• Breastfeeding services

• Nutrition services

Boone County Health

Center

7505 Burlington Pike

Florence, KY 41042

Campbell County Health

Center

1098 Monmouth Street

Newport, KY 41071

Kenton County Health

Center

2002 Madison Avenue

Covington, KY 41014

(859) 363-2060

(859) 431-1704

(859) 431-3345

nkyhealth.org/individual

-or-family/womens-

health/wic-program

161

Resource Name

Overview of Services

Address

Phone Number

Website

NorthKey Community

Cares

• Mental health services •Substance

use services

•Developmental disabilities services

Various - refer to website

(859) 331-3292

www.northkey.org

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and

Child Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

Redwoods

• Developmental disability services

Speech, Physical, and Occupational

Therapy

• Prescribed Pediatric Extended Care

(PPEC)

• School Age Child Care Summer

Program

•Early Intervention Adult Day Programs

•Vocational Day Training Employment

Training Center

71 Orphanage Road

Fort Mitchell, KY 41017

(859) 331-0880

www.redwoodnky.org

162

Resource Name

Overview of Services

Address

Phone Number

Website

Rose Garden Mission

• Free medical and dental

• Pregnancy care center

• Primary care clinic

• Parenting classes

• Smoking cessation

• Food pantry

Counseling

2020 Madison Avenue

Covington, KY 41014

(859) 491-ROSE

www.exclusivesoftware

.com/RoseGardenMissi

on/RoseGarden/default

.html

Salvation Army

Newport Community

Center

•Adult rehabilitation

•Christmas assistance

•Combating human trafficking

•Elderly services

•Emergency assistance

•Emergency disaster services

•Housing and homeless services

•Sunday lunch program

•Worship opportunities

•Youth services; youth camps and

recreation

340 W. Tenth Street

Newport, KY 41072

(859) 431-1063

swo.salvationarmy.org/

SouthwestOhio/newpor

t-ky

Society of St. Vincent

de Paul

• Christmas Adopt-a-Family program

• Coat donation program

• Feed a Family holiday program

• Food for Thanksgiving or Christmas

dinner

• HVAC aid to those in need

Cold Spring

3970 Alexandria Pike

Cold Spring, KY 41076

Erlanger

2655 Crescent Springs Road

Covington, KY 41017

Florence

7110 Turfway Road

Florence, KY 41042

(859) 572-2640

(859) 341-3219

(859) 446-7715

www.svdpnky.org

St. Elizabeth

Healthcare

•Hospital health care system including

six facilities throughout Northern

Kentucky and vast resources to serve

the Greater Cincinnati area

Various - refer to website

(859) 655-7400 -

Central

Scheduling

www.stelizabeth.com

Sun Behavioral

Health

• Mental Health services

•Substance abuse services

820 Dolwick Drive

Erlanger, KY 41018

(859) 429-5188

sunbehavioral.com/kent

ucky/contact-sun-

kentucky

163

Resource Name

Overview of Services

Address

Phone Number

Website

The Ion Center for

Violence Prevention

(formerly Women’s

Crisis Center)

•24-Hour Hotline

•Counseling

•Hospital Advocacy & Accompaniment

•Court Advocacy & Accompaniment

•Law Enforcement Advocacy

•Safety Planning

•Emergency Shelter

•Pet Protection

•Violence Prevention Education

835 Madison Avenue

Covington, KY 41011

(859) 491-3335 -

24-hour hotline

(call or text)

ioncenter.org

The Little Clinic

(Kroger)

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

Various - refer to

website

www.thelittleclinic.com

Transitions, Inc.

•Chemical dependency programs

available to Kentucky residents and to

homeless individuals regardless of

their ability to pay

•Employment and community service

Individual and group counseling

1650 Russell Street

Covington, KY 41011

(859) 491-4435

www.transitionsky.org

United Way of Greater

Cincinnati (Northern

Kentucky Area

Center)

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

2120 Chamber Center Drive

Ft. Mitchell, KY 41017

211 - Helpline

(859) 647-5517

www.uwgc.org

University of

Kentucky Extension -

Boone County

•Agricultural and Health educational

programming and resources

•4-H

Boone County

6028 Camp Ernst Road

Burlington, KY 41005-0876

(859) 586-6101

boone.ca.uky.edu

University of

Kentucky Extension -

Campbell County

•Agricultural and Health educational

programming and resources

•4-H

Highland Heights

3500 Alexandria Pike

Highland Heights, KY

41076-1705

Environmental Education

Center

1261 Race Track Road

Alexandria, KY 41001

(859) 572-2600

(859) 694-1666

campbell.ca.uky.edu

164

Resource Name

Overview of Services

Address

Phone Number

Website

University of

Kentucky Extension -

Kenton County

•Agricultural and Health educational

programming and resources

•4-H

Kenton County

10990 Marshall Road

Covington, KY 41015-9326

Durr Education Center

450 Kenton Lands Road

Erlanger, KY 41018

(859) 356-3155

kenton.ca.uky.edu

UpSpring

•Support programs for children facing

homelessness including summer

camp, resources, after school

programs, and mentoring

PO Box 23300

Cincinnati, OH 45223

(513) 389-0805

www.upspring.org

Welcome House of

Northern Kentucky

•Service coordination

•Housing services Employment

assistance

•Basic needs services

•Income and benefit services

205 W Pike Street

Covington, KY 41011

(859) 431-8717

welcomehouseky.org

YMCA of Greater

Cincinnati

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

Campbell County YMCA

1437 S. Ft. Thomas Avenue

Fort Thomas, KY 41075

R.C. Durr YMCA

5874 Veterans Way

Burlington, KY 41005

(859) 781-1814

(859) 534-5700

myy.org

Southwest Ohio

Butler County

Resource Name

Overview of Services

Address

Phone Number

Website

ABC Pediatric

Therapy Speech

•Pediatric Therapy Services - Speech,

Physical, Occupations, etc.

•Therapy for ADHD, Down Syndrome,

Autism, Sensory disorders

•Education Resources for Parents

7591 Tylers Place Boulevard

West Chester, OH 45069

(513) 755-6600

www.abcpediatricthera

py.com

165

Resource Name

Overview of Services

Address

Phone Number

Website

4C for Children

•Child Care Resource & Referral

Agency

•Free child care referrals online and in

person

•Information on Ohio's Step Up to

Quality program

•Training and coaching for early

childcare professionals

2100 Sherman Avenue

#300

Cincinnati, OH 45212

(513) 221-0033

(800) 256-1296

www.4cforchildren.org

Atrium Medical

Center

•Verified Level III trauma center and

primary stroke center

•Surgery Obstetrics

•Maternal - Child Health Center for

self- pay and indigent

•Advanced cancer care

Women's Center

One Medical Center Drive

Middletown, OH 45005

(513) 974-2111

www.premierhealth.co

m/locations/hospitals/at

rium-medical-center

Big Brothers Big

Sisters of Butler

County

•Community based coalition

•Mentoring for children

•United Way

1755 S Erie Boulevard

Suite D

Hamilton, OH 45011

(513) 867-1227

www.bbbsbutler.org/

Booker T.

Washington

Community Center

• Operated by the YMCA

• Fitness programs Homework help

• Nutrition programs

•Public computer access

1140 S Front Street

Hamilton, OH 45011

(513) 785-2451

www.gmvymca.org/loca

tions/booker-t-

washington-community-

center

Boys and Girls Club

of Hamilton

•After-school and summer programs

for youth

Various - refer to website

Various - refer to

website

www.bgchamilton.org

Boys and Girls Club

of West

Chester/Liberty

•After-school and summer programs

for youth

8749 Cincinnati Dayton

Road

West Chester, OH 45069

(513) 860-1923

bgcwcl.org

Butler Behavioral

Health Services

•Mental health services

1490 University Boulevard

Hamilton, OH 45011

(513) 881-7180

www.bbhs.org

Butler County -

Hamilton Bever WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

210 South 2nd Street

2nd Floor

Hamilton, OH 45011

(513) 896-7022

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-921

166

Resource Name

Overview of Services

Address

Phone Number

Website

Butler County -

Hamilton West WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

903 NW Washington

Boulevard

Suite A

Hamilton, OH 45013

(513) 454-1456

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-950

Butler County -

Middletown WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

1036 South Verity Parkway

Middletown, OH 45044

(513) 705-9040

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-900

Butler County -

Oxford WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

10 North Locust Street

Suite A

Oxford, OH 45056

(513) 280-5092

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-931

Butler County Board

of Developmental

Disabilities

•Programs and funding for

developmental disabilities

282 N. Fair Avenue

Hamilton, OH 45011

5645 Liberty-Fairfield Road

Hamilton, OH 45011

(513) 785-2800 -

Main number

(513) 867-5913 -

After hours

emergency

number

www.butlerdd.org

Butler County

Educational Service

Center

•Educational and service resource for

schools, government agencies,

families, children, and the community

400 N. Erie Boulevard

Suite A

Hamilton, OH 45011

(513) 887-3710

www.bcesc.org

Butler County

Families and Children

First Council

•Coalition of private and public

partners working on child and family

services

•Online list of resources

•24/7 Crisis and Information Referral

Hotline

400 N. Erie Boulevard

Suite A

Hamilton, OH 45011

(513)-887-3710

1-844-427-4747 -

24/7 Crisis Line

butlerfcfc.org/about-us

Butler County Health

Department

•Health Screenings

•Vaccinations

•TB Program

•Infant Mortality Reduction Programs

•Birth/Death Certificates

301 South Third Street

Hamilton, OH 45011

(513) 863-1770

health.bcohio.us

167

Resource Name

Overview of Services

Address

Phone Number

Website

Butler County Health

Department High

Hopes Program

•Free and confidential outreach

program for African-American pregnant

women in Butler County

•Program operated by the Butler

County Health Department

•Provides prenatal care and nutritional

information

301 S. Third Street

Hamilton, OH 45011

(513) 887-5249

www.frnohio.org/resour

ces/listing/butler-

county-health-

department-high-

hopes-program

Butler County Job

and Family Services

•Elder Protection

•Workforce Development

•Child Protection

•Cash Assistance Programs

•Child Care

•Medical Assistance

•Food Assistance

•Child Support

315 High Street

8th Floor

Hamilton, OH 45011

(513) 887-5600

jfs.butlercountyohio.org

/index.cfm

Butler County Mental

Health and Addiction

Recovery Services

Board

•Local oversight agency for the

community mental health and addiction

recovery services available in Butler

County

•Referral resource/List of Providers for

treatment services

5963 Boymel Drive

Fairfield, OH 45014

(513) 860-9240

1-844-427-4747 -

Butler County

Crisis Hotline

bcmhars.org

Butler County United

Way

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

323 North Third Street

Hamilton, OH 45011

211 - Helpline

(513) 863-0800

bc-unitedway.org

Cancer Family Care

• Activities for children affected by

cancer

• Children's services

• Free wigs, massage therapy, and

healing touch therapy

•Individual and family counseling

•Information about cancer-related

illness and loss

West Chester Hospital

7675 Wellness Way

Suite 101

West Chester, OH 45069

(513) 298-7794

www.cancerfamilycare.

org

168

Resource Name

Overview of Services

Address

Phone Number

Website

Cancer Support

Community

•Connection to Cancer Support

Services, including counseling, peer

support, education/information, and

clinical trails

Various - refer to website

1-888-793-9355 -

Toll Free Cancer

Support Helpline

www.cancersupportco

mmunity.org

Catholic Charities of

Southwest Ohio

• Family services

• Mental health services

• Refugee resettlement services

• Senior services

7162 Reading Road

Cincinnati, OH 45237

(513) 241-7745

ccswoh.org

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

City of Hamilton

Health Department

•Monitoring of health trends

•Birth/Death Certificates

345 High Street

Suite 330

Hamilton, OH 45011

(513) 785-7080

www.hamilton-

city.org/240/Health-

Department

City of Middletown

Health Department

•Birth/Death Certificates

•Health Education

One Donham Plaza

Middletown, OH 45042

(513) 425-1818

www.cityofmiddletown.

org/271/Health

Coalition for a

Healthy Community –

Oxford Ohio Area

•Local coalition working to build a

healthier Oxford Ohio Area by

addressing substance abuse, mental

health, and obesity prevention

•Youth Action Team

•Medication Disposal & Take Back

Events

•Rox the Fox Comic Book Series

(513) 273-3390

healthyoxfordarea.org

Coalition for a

Healthy Middletown

•Middletown Youth Coalition - youth

led coalition to create safe spaces for

youth

•Game Changers - Volunteers that

receive training in trauma-informed

care and drug prevention and engage

in educational and mentoring activities

1050 Central Avenue

Middletown, OH 45044

(513) 423-9758

www.safetycouncilswoh

io.org/coalition-for-a-

healthy-middletown

169

Resource Name

Overview of Services

Address

Phone Number

Website

Coalition for a

Healthy, Safe and

Drug- Free Greater

Hamilton

• Community-based coalition

•Substance abuse prevention

2935 Hamilton-Mason Road

Hamilton, OH 45011

(513) 868-2100

preventionactionallianc

e.org/organization/the-

alcohol-chemical-

abuse-councilcoalition-

for-a-safe-healthy-drug-

free-greater-hamilton

Coalition for a Safe

and Drug-Free

Fairfield

•Focuses on prevention efforts to

Fairfield youth on underage drinking,

marijuana use, and misuse of

prescription and over-the-counter

medicines

4641 Bach Lane

Fairfield, OH 45014

(513) 226-8221

www.fairfieldcoalition.or

Community First

Pharmacy

•Non-profit pharmacy in Hamilton

Reduced markup on prescriptions

•Works with physicians to find the right

medication based on health and

budget

Various - refer to website

(513) 645-5447

www.community-

first.org/pharmacy

Community First

Solutions

• Addiction recovery services

• Mental health services

• Senior services

• Wellness services

•Child care services

Various - refer to website

(513) 785-4060

www.community-

first.org

Council on Aging

•Home and community Based Care -

Elderly Services Program,

PASSPORT, Assisted Living Waiver,

and Specialized Recovery Services

•Transitional Care Programs

•Aging and Disability Resource Center

•Caregiver Support

•Health and Wellness Programs

•Nursing Home Pre-Admission Review

4601 Malsbary Road

Blue Ash, OH 45242

(513) 721-1025

(800) 252-0155 -

Toll Free

www.help4seniors.org

Drug Rehab

Connections

•Website with free information about

drugs, alcohol, treatment, insurance

coverage, and specific state and city

treatment options

(888) 307-7010

www.drugrehabconnect

ions.com

170

Resource Name

Overview of Services

Address

Phone Number

Website

Easter Seals

•Offers services for children and adults

with physical and mental disabilities

and special needs

•Employment & Training

•Military & Veterans Services

•Adult Services

•Autism Services

•Children's Services

•Senior Services

•Medical Rehabilitation

•Camping & Recreation

•Brain Health

Butler County Career

Connection

4631 Dixie Highway (Route

Fairfield, OH 45014

Symmes

3400 Symmes Road

Hamilton, OH 45015

(513) 785-6521

www.easterseals.com/g

Edge Teen Center

•After school center for teens

•Study areas

•Filtered Internet café

•Provide service opportunities for teens

7568 Wyandot Lane

Liberty Township, OH 45044

(513) 755-2400

edgeteencenter.com

Envision Partnerships

•Home of the Greater Hamilton

Coalition for a Healthy, Safe and Drug-

Free Community

•Community, Family, and School-

based programming to prevent

substance abuse in youth and adults

2935 Hamilton-Mason Road

Hamilton, OH 45011

(513) 868-2100

envisionpartnerships.or

Every Child Succeeds

•Home visiting services to optimize

child health and development for

families from low-income backgrounds

3333 Burnet Avenue

MLC 3005

Cincinnati, OH 45229

(513) 636-2830

www.everychildsuccee

ds.org

Focus on Youth

•Foster Care/Adoption

•Behavioral/Mental Health Services

Provider

•Training Center

8904 Brookside Avenue*

West Chester, OH 45069

*Please note, GPS may list

address as Brookside Court

or Brookside Avenue. Either

address will work

(513) 644-1030

www.focusonyouth.com

171

Resource Name

Overview of Services

Address

Phone Number

Website

Great Miami Valley

YMCA

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

Various - refer to website

Various - refer to

website

www.gmvymca.org

Health Care Access

Now

•Care coordination

•Community Health Worker

Certification program

•Support to get health insurance

2602 Victory Parkway

Cincinnati, OH 45206

(513) 707-5697

healthcareaccessnow.o

Heroin Hopeline

•A free information and referral

resource for Heroin addiction services

and support

1-844-427-4747

heroinhopeline.org

Interact for Health

•Provides grants, education, and policy

advocacy around reducing tobacco

sue, opioid epidemic, and school-

based health centers

8230 Montgomery Road

Suite 300

Cincinnati, OH 45236

(513) 458-6600

www.interactforhealth.o

Legal Aid of Greater

Cincinnati

•Free civil legal assistance to eligible

low-income people

215 E 9th Street

Suite 200

Cincinnati, OH 45202

(513) 241-9400

1-800-582-2682 -

Toll Free

www.lascinti.org

Let’s Face Heroin

Butler County

•Online resource sponsored by the

Butler County Mental Health and

Addiction Recovery Services Board

offering firsthand accounts on the

effects of heroin, treatment resources

and education on overdose and

withdrawal, and statistics to aid in the

prevention and intervention of heroin

and opiate addiction

www.letsfaceheroinbc.o

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

172

Resource Name

Overview of Services

Address

Phone Number

Website

Living Waters

Ministry

• Academic, community, and spiritual

enrichment programs

• After-school program for children

Homework help

•Translation, referrals, and training

classes

• Serving Hispanic population

510 S. 8th Street

Hamilton, OH 45011

(513) 894-9892

hamilton-living-water-

ministry.org

McCullough-Hyde

Memorial Hospital

(TriHealth)

•Hospital part of the TriHealth System

•Comprehensive Services including

Cancer care, Emergency care,

Imaging and diagnostics, Inpatient

services, Occupational health, and

Surgical Services

110 N. Poplar Street

Oxford, OH 45056

(513) 523-2111

www.trihealth.com/hos

pitals-and-

practices/mccullough-

hyde-memorial-hospital

Mercy Health -

Fairfield Hospital

•Hospital part of the Mercy System

•Comprehensive Services including

Emergency care, Imaging and

diagnostics, Inpatient and outpatient

services, Obstetrics and gynecology,

and Surgical Services

3000 Mack Road

Fairfield, OH 45014

(513) 870-7000

www.mercy.com/locatio

ns/hospitals/cincinnati/

mercy-health-fairfield-

hospital

MetroParks of Butler

County

•Nearly 5,000 acres of green space in

11 parks

•Camping

•Youth Programs

Various - refer to website

(513) 867-5835

www.yourmetroparks.n

MindPeace

•School-based mental health services

•Works on systemic improvements to

child and teen mental health access

and quality

5642 Hamilton Avenue

Cincinnati, OH 45224

(513) 803-0844

mindpeacecincinnati.co

NAMI Butler County

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

5963 Boymel Drive

Fairfield, OH 45014

(513) 860-8386

(844) 427-

CRISIS (4747) -

Crisis/Helpline

nami-bc.org

173

Resource Name

Overview of Services

Address

Phone Number

Website

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

Positive Leaps

•Behavioral treatment center for 18

months to 17 years old

•Child behavior coaching for parents

•Individual and family counseling

•Professional training and workshops

5900 West Chester Road

Suite C

West Chester, OH 45069

(513) 777-2428

www.positiveleaps.org

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Primary Health

Solutions

•Non-profit, safety-net healthcare

provider

•Comprehensive Services included

medical, dental, vision, behavioral

health, school-based health,

pharmacy, and primary care

Various - refer to website

(513) 454-1111

www.myprimaryhealths

olutions.org

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

Reach Out Lakota

•Food and Clothing Pantry

6561 Station Road

West Chester, OH 45069

(513) 779-7515

reachoutlakota.org

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and

Child Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

174

Resource Name

Overview of Services

Address

Phone Number

Website

Salvation Army

Hamilton Corps

•Christmas assistance

•Rent and Utility Assistance

•Free meals for those in need

•Emergency assistance

•Emergency disaster services

•Worship opportunities

•Youth services; youth camps and

recreation

235 Ludlow Street

Hamilton, OH 45012

(513) 863-1445

1-800-SAL-

ARMY

easternusa.salvationar

my.org/southwest-

ohio/hamilton

Serve City

•Outreach center dedicated to serving

low-income and homeless individuals

and families

•Food Pantry

•Overnight Shelter

•Move Forward Program

•Resource Connection

622 East Avenue

Hamilton, OH 45011

(513) 737-8900

www.serve-city.org

Shared Harvest

Foodbank

•Foodbank

•SNAP-outreach

•Commodity Supplemental Food

Program

•Backpack Program

5901 Dixie Highway

Fairfield, OH 45014

(513) 874-0114

www.sharedharvest.org

Sojourner Recovery

Services

• Individual counseling, group therapy,

family sessions, lectures, and

discussion groups

• Residential, intensive outpatient,

outpatient, and Discharge Recovery

Planning

• Substance abuse treatment for

women, men, adolescents and their

families

Main Office

515 Dayton Street

Hamilton, OH 45011

Medical Clinic

1430 University Boulevard

Hamilton, OH 45011

(513) 868-7654

(513) 896-3497

sojournerrecovery.com

Supports to

Encourage Low-

Income Families

(SELF)

•Housing assistance

•Employment assistance

• Community and self-empowerment

415 S. Monument Avenue

Hamilton, OH 45011

(513) 868-9300

selfhelps.org

175

Resource Name

Overview of Services

Address

Phone Number

Website

Talbert House

•Substance use disorder programming,

including assessment, day reporting,

Medication Assisted Treatment and

counseling in outpatient, residential

and jail settings

•Residential treatment services in

halfway houses and community-based

correctional facility settings

•Housing support

•Integrated mental health, substance

use and primary care services include:

prevention, case management and

outpatient treatment

•Primary Care

2600 Victory Parkway

Cincinnati, OH 45206

(513) 751-7747

(513) 281-

CARE(2273) -

Crisis Hotline

(513) 221-HELP

(4357) - Services

www.talberthouse.org

The Christ Hospital

Medical Center -

Liberty Township

•Hospital part of The Christ Hospital

System

•Services include: inpatient care,

emergency medicine, inpatient

surgery, a family birthing center, and a

variety of outpatient services and

physician offices

6939 Cox Road

Liberty Township, OH 45069

(513) 585-2000

www.thechristhospital.c

The Lane Libraries

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Various - refer to website

Various - refer to

website

www.lanepl.org

The Little Clinic

(Kroger)

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

Various - refer to

website

www.thelittleclinic.com

The Ohio State

University Extension

•Agricultural and Health educational

programming and resources

•4-H

1802 Princeton Road

Suite 400

Hamilton, OH 45011

(513) 887-3722

butler.osu.edu/home

176

Resource Name

Overview of Services

Address

Phone Number

Website

Transitional Living

•Comprehensive continuum of mental

health and co-occurring disorder

treatment for those struggling with

mental illness and substance use

disorders

•PATH Program (Projects for

Assistance in Transition from

Homelessness)

•Employment program

•Case Management

Main

2052 Princeton Road

Hamilton, OH 45011

Middletown

1131 Manchester Avenue

2nd Floor

Middletown, OH 45042

(513) 863-6383

(513) 422-4004

tliving.org

TriHealth Bethesda

Butler Hospital

•Hospital part of the TriHealth System

•Comprehensive Services including

Surgery, Robotic Surgery, Inpatient

care, 24-hour emergency department,

Imaging, Infusion therapy, Cancer

Institute, Digestive Institute, Heart

Institute cardiologists and cardiac

testing, Surgical Institute, Physical

Therapy, Mammography, Sleep

Center, Laboratory Services, and

Gynecology

Medical Center

3125 Hamilton-Mason Road

Hamilton, OH 45011

Emergency Department

3075 Hamilton-Mason Road

Hamilton, OH 45011

(513) 894 8888

www.trihealth.com/hos

pitals-and-

practices/bethesda-

butler

UC Health - West

Chester Hospital

•Hospital part of the UC Health System

•Comprehensive Services including

Emergency Medicine, Maternity

Services, Orthopedic Surgery, General

Surgery, Women’s Imaging and Health

Services, Diagnostic Imaging, Inpatient

and Outpatient Care, and Weight Loss

– Surgical and Non-Surgical Programs

7700 University Drive

West Chester, OH 45069

(513) 298-3000

www.uchealth.com/wes

tchesterhospital

177

Resource Name

Overview of Services

Address

Phone Number

Website

Women Helping

Women

•24-Hour Hotline

•24-Hour Hospital Accompaniment

•Court and Law Enforcement

Advocacy

•Individual Crisis Intervention

•Support Groups

•Individual Therapy

•School-Based Prevention and

Education

•Community Education and Corporate

Training

•Campus-Based Advocacy

•WorkStrong™ Together

6 S 2nd Street

#828

Hamilton, OH 45011

(513) 381-5610 -

24-Hour Hotline

(513) 977-5541

1-877-889-5610 -

Toll-Free

www.womenhelpingwo

men.org

YWCA Hamilton

• Women and children's services

• Domestic violence services

• Legal assistance

•Economic stability services

244 Dayton Street

Hamilton, OH 45011

(513) 856-9800

www.ywcahamilton.co

Clermont County

Resource Name

Overview of Services

Address

Phone Number

Website

4C for Children

•Child Care Resource & Referral

Agency

•Free child care referrals online and in

person

•Information on Ohio's Step Up to

Quality program

•Training and coaching for early

childcare professionals

2100 Sherman Avenue

#300

Cincinnati, OH 45212

(513) 221-0033

(800) 256-1296

www.4cforchildren.org

Big Brothers Big

Sisters of Greater

Cincinnati

•Community based coalition

•Mentoring for children

•United Way

2400 Reading Road

Suite 148

Cincinnati, OH 45202

(513) 421-4120

www.bigsforkids.org

178

Resource Name

Overview of Services

Address

Phone Number

Website

Boys and Girls Club

of Greater Cincinnati

•After-school and summer programs

for youth

Administrative Office

600 Dalton Avenue

Cincinnati, OH 45203

Jeff Wyler Club

4626 Aicholtz Road

Cincinnati, OH 45244

(513) 421-8909

(513) 947-9632

bgcgc.org

Cancer Family Care

• Activities for children affected by

cancer

• Children's services

• Free wigs, massage therapy, and

healing touch therapy

•Individual and family counseling

•Information about cancer-related

illness and loss

Mercy Health – Eastgate

Medical Center

601 Ivy Gateway

Suite 1200

Cincinnati, OH 45245

(513) 782-9070

www.cancerfamilycare.

org

Catholic Charities of

Southwest Ohio

• Family services

• Mental health services

• Refugee resettlement services

• Senior services

7162 Reading Road

Suite 600

Cincinnati, OH 45237

(513) 241-7745

ccswoh.org

Child Focus, Inc.

• Early learning

•24-hour/7 days a week Crisis Hotline

• Behavioral Health

• Foster care and Adoption

•Education & training

Various - refer to website

(513) 752-1555

www.child-focus.org

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue location

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

Clermont CAN

(Coalition for Activity

and Nutrition)

• Promoting Healthy Behaviors

•Introducing Physical Activity

• Nutrition education

2275 Bauer Road

Suite 300

Batavia, OH 45103

(513) 732-7499

ccphohio.org/can

179

Resource Name

Overview of Services

Address

Phone Number

Website

Clermont County -

Felicity WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

2003 Main Street

Felicity, OH 45120

(513) 732-7329

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-1390-

portable2

Clermont County -

Goshen WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

6710 Goshen Road

Goshen, OH 45122

(513) 732-7329

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-1390-

portable1

Clermont County

Board of

Developmental

Disabilities

•Programs and funding for

developmental disabilities

Thomas A. Wildey Center

2040 US Highway 50

Batavia, OH 45103

Krenning Center

4247 Grissom Drive

Batavia, OH 45103

(513) 732-7000

(513) 319-0179 -

Emergencies

clermontdd.org/service

s/mental-health-

services

Clermont County

Community Services,

Inc.

• Emergency Home Energy Assistance

Programs (E-HEAP)

• Clermont Pediatric Center – Pediatric

health assessments

• Clermont Pediatric Dental

• Homeless shelter

• Weatherization

• Youth Services – Drug Prevention

Programs

3003 Hospital Drive

Batavia, OH 45103

(next to Clermont Mercy)

(513) 732-2277

www.cccsi.org

180

Resource Name

Overview of Services

Address

Phone Number

Website

Clermont County

Educational Service

Center

•Educational and service resource for

schools, government agencies,

families, children, and the community

Main Campus

2400 Clermont Center Drive

Suite 100

Batavia, OH 45103

Clermont Educational

Collaborative North

4286 Wuebold Lane

Cincinnati, OH 45245

Clermont Educational

Collaborative South

463 South Broadway

Owensville, OH 45160

(513) 735-8300

(513) 735-8302

(513) 724-8555

www.ccesc.org

Clermont County Job

and Family Services

•Adult Protective Services

•Children’s Protective Services

•Clermont For Kids

•Clermont Supports Kids

•Public Assistance

•Ohio Means Jobs

2400 Clermont Center Drive

Batavia, OH 45103

(513) 732-7111

djfs.clermontcountyohio

.gov

Clermont County

Mental Health and

Recovery Board

•Planning, funding, and evaluation of

comprehensive mental health and

recovery services available in

Clermont County

•Referral resource/List of Providers for

treatment services

2337 Clermont Center Drive

Batavia, OH 45103

(513) 528-SAVE

(7283) - For Help

24/7

www.ccmhrb.com

Clermont County Park

District

•Nearly 1,000 acres across Clermont

County that consist of 6 parks, 3

nature preserves, and 8 greenspaces

•Youth Programs

•Yurt overnight rentals

Various - refer to website

(513) 732-2977

clermontparks.org

Clermont County

Public Health

• Birth/Death Certificates

• Immunizations

• Women, Infants, and Children (WIC)

•Health Education

2275 Bauer Road

Batavia, OH 45103

(513) 732-7499

ccphohio.org

181

Resource Name

Overview of Services

Address

Phone Number

Website

Clermont County

Public Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Various - refer to website

Various - refer to

website

clermontlibrary.org

Clermont County

Veteran Services

•VA benefit enrollment support

•Emergency Financial Assistance,

including food, housing, and utilities

•VA Healthcare enrollment and support

•Transportation to VA medical center

appointments

•Support of medal

requests/replacements and

replacement discharge records

•Grave markers and flags for veterans

76 South Riverside Drive

Heritage Bldg-3rd Floor

Batavia, OH 45103-2602

1-800-273-8255 -

Veteran Crisis

Line

(513) 732-7363

(513) 732-7471 -

Transportation

Hotline

www.clermontcountyvet

erans.com

Clermont County WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

2400 Clermont Center Drive

Suite 200

Batavia, OH 45103

(513) 732-7329

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-1300

Council on Aging

•Home and community Based Care -

Elderly Services Program,

PASSPORT, Assisted Living Waiver,

and Specialized Recovery Services

•Transitional Care Programs

•Aging and Disability Resource Center

•Caregiver Support

•Health and Wellness Programs

•Nursing Home Pre-Admission Review

4601 Malsbary Road

Blue Ash, OH 45242

(513) 721-1025

(800) 252-0155

Toll Free

www.help4seniors.org

182

Resource Name

Overview of Services

Address

Phone Number

Website

Easter Seals

•Offers services for children and adults

with physical and mental disabilities

and special needs

•Employment & Training

•Military & Veterans Services

•Adult Services

•Autism Services

•Children's Services

•Senior Services

•Medical Rehabilitation

•Camping & Recreation

•Brain Health

Clermont County Career

Connection

2400 Clermont Center Drive

2nd Floor, Suite 204A

Cincinnati, OH 45103

(513) 943-3000

www.easterseals.com/g

Every Child Succeeds

•Home visiting services to optimize

child health and development for

families from low-income backgrounds

3333 Burnet Avenue

MLC 3005

Cincinnati, OH 45229

(513) 636-2830

www.everychildsuccee

ds.org

FreeStore FoodBank

•Foodbank

•Community, Clinic, and School Food

Pantries

•Summer Meals

•KIND (Keeping Infants Nourished and

Developing) Program

•Healthy Harvest Mobile Market

•Produce Pop-Ups

•Power Pack

•Kids Cafe

•SNAP Benefit enrollment

•Transportation Assistance

•Representative Payee Program

•Cincinnati COOKS!

Various - refer to website

(513) 241-1064

freestorefoodbank.org

183

Resource Name

Overview of Services

Address

Phone Number

Website

Greater Cincinnati

Behavioral Health

Services

• Addiction Services

• Mental Health Services

• Psychiatric & Medical Services

• Recovery Support Services

• Employment Services

• Child, Youth, and Family Counseling

Services

Amelia

43 E. Main Street

Amelia, OH 45102

Batavia

1074 and 1088 Wasserman

Way

Batavia, OH 45103

Milford

512 High Street

Milford, OH 45150

Metro bus lines 28, 29x

(513) 735-8100

(513) 947-7000 -

General

Information

(513) 345-8555 -

Open Access

Hours

(513) 947-7000-

General

Information

(513) 345-8555 -

Open Access

Hours

www.gcbhs.com

Health Care Access

Now

•Care coordination

•Community Health Worker

Certification program

•Support to get health insurance

2602 Victory Parkway

Cincinnati, OH 45206

(513) 707-5697

healthcareaccessnow.o

HealthSource of Ohio

•Community health center that

provides primary and preventative care

•Services include Family Practice,

Pediatrics, Ob/Gyn, Dental, Behavioral

Health, Vision, and Pharmacy services

•Accepts both insured and uninsured

patients

Various - refer to website

Various - refer to

website

www.healthsourceofohi

o.org

Interact for Health

•Provides grants, education, and policy

advocacy around reducing tobacco

sue, opioid epidemic, and school-

based health centers

8230 Montgomery Road

Suite 300

Cincinnati, OH 45236

(513) 458-6600

www.interactforhealth.o

rg/

Legal Aid of Greater

Cincinnati

•Free civil legal assistance to eligible

low-income people

215 E 9th Street

Suite 200

Cincinnati, OH 45202

(513) 241-9400

1-800-582-2682 -

Toll Free

www.lascinti.org

184

Resource Name

Overview of Services

Address

Phone Number

Website

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

Mercy Health -

Clermont Hospital

•Hospital part of the Mercy System

•Comprehensive Services including

Behavioral Health Institute, Emergency

care, Imaging and diagnostics,

Inpatient and outpatient services, and

Surgical Services

3000 Hospital Drive

Batavia, OH 45103

(513) 732-8200

www.mercy.com/locatio

ns/hospitals/cincinnati/

%20mercy-health-

clermont-hospital

MindPeace

•School-based mental health services

•Works on systemic improvements to

child and teen mental health access

and quality

Offices at Cincinnati

Children's Hospital

Medical Center

College Hill Campus

5642 Hamilton Avenue

Cincinnati, OH 45224

(513) 803-0844

mindpeacecincinnati.co

NAMI Southwest Ohio

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

4055 Executive Park Drive

Suite 450

Cincinnati, OH 45241

(513) 351-3500 -

Information &

Referral Helpline

(513) 528-SAVE

(7283) - Clermont

County Crisis

Hotline

1-800-950-NAMI

(6264) - NAMI

Helpline

namiswoh.org

New Richmond

Village Food Pantry

•Food Pantry

102 Willow Street

New Richmond, OH - 45157

(513) 553-3800

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

185

Resource Name

Overview of Services

Address

Phone Number

Website

Positive Leaps

•Behavioral treatment center for 18

months to 17 years old

•Child behavior coaching for parents

•Individual and family counseling

•Professional training and workshops

Eastgate Office

4600 Beechwood

Cincinnati, OH 45244

(513) 777-2428

www.positiveleaps.org/

contact

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and

Child Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

Salvation Army

Batavia Corps

•Christmas assistance

•Rent and Utility Assistance

•Food Assistance

•Worship opportunities

87 N Market Street

Batavia, OH 45103

(513) 732-6241

1-800-SAL-

ARMY

easternusa.salvationar

my.org/greater-

cincinnati/batavia

Talbert House

•Residential treatment services in

halfway houses and community-based

correctional facility settings

•Primary Care

2600 Victory Parkway

Cincinnati, OH 45206

(513) 751-7747

(513) 281-CARE

(2273) - Crisis

Hotline

(513) 221-HELP

(4357) - Services

(513) 281-VETS

(8387) - Veterans

www.talberthouse.org

186

Resource Name

Overview of Services

Address

Phone Number

Website

The Clermont County

Suicide Prevention

Coalition

•Coalition of cross industry

stakeholders representing a variety

of community interests with the goal of

increasing awareness, removing

stigma attached to mental health

disorders/suicide, and improving

access to intervention and treatment

•Education/Awareness campaigns

•Crisis Hotline

(513) 732-5400

(513) 528-SAVE

(7283) - Clermont

County Crisis

Hotline

www.ccmhrb.com/wp-

content/uploads/2013/0

7/Brochure-Suic.-Prev.-

Final_1-1.pdf

The Little Clinic

(Kroger)

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

Various - refer to

website

www.thelittleclinic.com

The Ohio State

University Extension

•Agricultural and Health educational

programming and resources

•4-H

1000 Locust Street

Owensville, OH 45160

(513) 732-7070

clermont.osu.edu/home

TriHealth Clinic at

Walgreens

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

www.trihealth.com/hos

pitals-and-

practices/trihealth-

clinic-at-walgreens

United Way Of

Greater Cincinnati

(Eastern Area Center)

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

948 Cincinnati Batavia Pike

Cincinnati, OH 45245

211 - Helpline

(513) 536-3000

www.uwgc.org

YMCA of Greater

Cincinnati

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

Clermont Family YMCA

2075 James E. Sauls, Sr.

Drive

Batavia, OH 45103

Batavia Christian Child

Care Center

255 Old State Route 32

Batavia, OH 45103

(513) 724-9622

(513) 732-2253

myy.org

187

Resource Name

Overview of Services

Address

Phone Number

Website

YWCA Greater

Cincinnati

•House of Peace

•Violence Prevention and Intervention -

Shelter/Housing, Youth

Services/Resources, Intervention

Services

•Racial Justice and Inclusion

•Women and Racial Advocacy

•Trainings

•Childcare services

898 Walnut Street

Cincinnati, OH 45202

(513) 241-7090

(513) 753-7281-

Local 24 Hour

House of Peace

Hotline

(800) 540-4764 -

Toll Free 24 Hour

House of Peace

Hotline

www.ywcacincinnati.or

Hamilton County

Resource Name

Overview of Services

Address

Phone Number

Website

ABC Pediatric

Therapy Speech

•Pediatric Therapy Services - Speech,

Physical, Occupations, etc.

•Therapy for ADHD, Down Syndrome,

Autism, Sensory disorders

•Education Resources for Parents

Red Bank Road

4325 Red Bank Road

Cincinnati, OH 45227

Western Hills

2039 Anderson Ferry Road

Cincinnati, OH 45238

(513) 271-2419

(513) 922-5437

www.abcpediatricthera

py.com

4C for Children

•Child Care Resource & Referral

Agency

•Free child care referrals online and in

person

•Information on Ohio's Step Up to

Quality program

•Training and coaching for early

childcare professionals

2100 Sherman Avenue

#300

Cincinnati, OH 45212

(513) 221-0033

800-256-1296

www.4cforchildren.org

188

Resource Name

Overview of Services

Address

Phone Number

Website

Addiction Services

Council

•Recovery Health Access Center

(RHAC) 24/7 Helpline

•Referral and linkage to community

resources & providers

•Substance Abuse education

•Diagnostic assessment

•Case Management

•Crisis Intervention

•Individual, Family, and Group

Education and Counseling

•Workplace training and intervention

•Toxicology screening

•Community Outreach

•School-based prevention

•Peer recovery support

2828 Vernon Place

Cincinnati, OH 45219

(513) 281-7880

(513) 281-RHAC

(7422) - 24/7

Helpline

addictionservicescounci

l.org

AMEN Cincy

•Peer-to-Peer Breastfeeding Support

(513) 299-8291

amencincy.org

American Lung

Association, Greater

Cincinnati/ NKY

•Lung Health Education and Research

•Resources to Quite Smoking

5325 Deerfield Boulevard

Mason, OH 45040

(513) 985-3990

www.lung.org

Beech Acres

Parenting Center

•Programs and training to enable

adults to develop safe, stable,

nurturing relationships with children

•Foster Care & Adoption Training and

Support

•Parenting Support

3325 Glenmore Avenue

Cincinnati, OH 45211

6881 Beechmont Avenue

Cincinnati, OH 45230

(513) 231-6630

beechacres.org

Bethany House

Services

•Comprehensive family-centered

homelessness services

•Homelessness Prevention

Programming

•Emergency Shelter

•Housing Programs

•Case Management

•Post Shelter Support

•Permanent Affordable Rental Housing

1841 Fairmount Avenue

Cincinnati, OH 45214

(513) 921-1131

(513) 381-SAFE

(7233) -

Emergency

Shelter

bethanyhouseservices.

org

189

Resource Name

Overview of Services

Address

Phone Number

Website

Big Brothers Big

Sisters of Greater

Cincinnati

•Community based coalition

•Mentoring for children

•United Way

2400 Reading Road

Suite 148

Cincinnati, OH 45202

(513) 421-4120

www.bigsforkids.org

Boys and Girls Club

of Greater Cincinnati

•After-school and summer programs

for youth

Various - refer to website

Various - refer to

website

bgcgc.org

Cancer Family Care

•Activities for children affected by

cancer

•Children's services

•Free wigs, massage therapy, and

healing touch therapy

•Individual and family counseling

•Information about cancer-related

illness and loss

4790 Red Bank Expressway

Suite 128

Cincinnati, OH 45227

(513) 731-3346

www.cancerfamilycare.

org

Cancer Justice

Network

•Support to help low income individuals

and minorities get early, timely

screening and treatment for cancer

(513) 404-3882

www.cancerjusticenetw

ork.org

Cancer Support

Community

•Connection to Cancer Support

Services, including counseling, peer

support, education/information, and

clinical trails

Various - refer to website

1-888-793-9355 -

Toll Free Cancer

Support Helpline

www.cancersupportco

mmunity.org

Catholic Charities of

Southwest Ohio

• Family services

• Mental health services

• Refugee resettlement services

• Senior services

7162 Reading Road

Suite 600

Cincinnati, OH 45237

(513) 241-7745

ccswoh.org

Center for Closing the

Health Gap

•Advocacy Education

•Community outreach to combat

obesity and promote wellness

•Annual Health Expo event

3120 Burnet Avenue

Suite 201

Cincinnati, OH 45229

(513) 585-9879

closingthehealthgap.or

Centerpoint Health

•Federally Qualified Health Center

(FQHC)

•Services include pediatric and adult

primary and dental care

•Patient Centered Medical Home

Norwood School-Based

Health Center (SBHC)

2020 Sherman Avenue

Suite 202

Norwood, OH 45212

(513) 318-1188

www.centerpointhealth.

org

190

Resource Name

Overview of Services

Address

Phone Number

Website

Child Focus, Inc.

• Early learning

•24-hour/7 days a week Crisis Hotline

• Behavioral Health

• Foster care and Adoption

•Education & training

Various - refer to website

(513) 752-1555

www.child-focus.org

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

Cincinnati

Metropolitan Housing

Authority (CMHA)

•Provides quality, affordable rental

housing

•Housing Choice Voucher

CMHA Main Office

1627 Western Avenue

Cincinnati, OH 45214

(513) 721-4580

(513) 421-CMHA

(2642) - Leasing

Office

cintimha.com

Cincinnati Parks

•5,000-plus acres of city parklands

consist of five regional parks, 70

neighborhood parks, 34 natural areas,

five neighborhood nature centers, five

parkways, 16 scenic overlooks and 65

miles of hiking and bridle trails

•Youth Programs

•Krohn Conservatory

Various - refer to website

(513) 357-2604

www.cincinnatiparks.co

Cincinnati Recreation

Commission

•Provides recreational, cultural, leisure

and educational activities for all ages

and abilities

•Youth, Adult, and Senior Programs

•Fitness Center

•Swimming Pools

Various - refer to website

(513) 352-4000

www.cincinnati-

oh.gov/recreation

191

Resource Name

Overview of Services

Address

Phone Number

Website

Her Cincinnati

(formerly Cincinnati

Union Bethel)

•Affordable housing - Scholar House

and Anna Louise Inn

•On Site Childcare and Early Learning

Education

•Case Management

•Off The Streets Safe House for

Survivors, which includes Emergency

assistance, Medical care, Trauma

counseling and mental health services,

and Substance Abuse services

•Economic Supports - Work-Study

Program, Finanical Aid, Mentoring

2401 Reading Road

Cincinnati, OH 45202

(513) 768-6900

hercincinnati.org

Cincinnati Works

•Support for Job Seekers - Career

Coaching, Financial Coaching,

Employment Connections, and

Support and Counseling

•Support for Employers - Hiring

Partnerships, Workforce Coaching

•Beacon of Hope Business Alliance -

Second Chance Hiring

708 Walnut Street

Cincinnati, OH 45202

(513) 744-WORK

(9675)

cincinnatiworks.org

Cincinnati Youth

Collaborative

•Education and Mentoring programs

for youth age second grade through

college

•Mentoring - Individual and Group

•College And Career Success - college

entrance exam prep, college campus

tours, co-op and internship search

support, career advising

•Work Readiness - In-school program;

high school elective geared towards at-

risk students, including foster care

youth, in school and on the path to

employment, college enrollment or

enlistment in the military

301 Oak Street

Cincinnati, OH 45219

(513) 363-5200

www.cycyouth.org

192

Resource Name

Overview of Services

Address

Phone Number

Website

City Gospel Mission

•Food - serve hot breakfast, lunch, and

dinner

•Homeless Shelter

•Jobs Van - Engages individuals in

paid work focus on community

beautification efforts

•Holiday Programs - Thanksgiving and

Christmas

•Addiction Recovery

•Recovery Transitional Housing

•JobsPlus program

•Youth Pograms - Summer Camps,

Princesses Ballet, Rising Scholars,

Teen Impact, Tutoring, and Mentoring

•Little Village for birth to age 5

programs

•Hispanic Outreach

Men’s shelter

1805 Dalton Avenue

Cincinnati, OH 45214

Administrative Office,

JobsPlus and Exodus

1211 York Street

Cincinnati, OH 45214

(513) 241-5525

(513) 621-2873 -

Admin

(513) 241-1800 -

JobsPlus

citygospelmission.org

City of Cincinnati

Health Department

•Primary care clinical services

•Pharmacy

•Birth and death certificates

•Environmental health services

•Community Health & Education

•Lead Poisoning Prevention

•Epidemiology

•Infant Mortality

•Men's Health

•Tobacco Control and Prevention

•Vaccinations

•Public Health Preparedness

•WIC Program

3101 Burnet Avenue

Cincinnati, OH 45229

(513) 357-7200 -

CHD Main

Information (24/7)

www.cincinnati-

oh.gov/health

193

Resource Name

Overview of Services

Address

Phone Number

Website

CityLink

•Education assistance

•Job training programs

•Employment assistance

•Support Services – including financial

education, onsite childcare, access to

individual counseling

•Onsite Dental and Optical Services

800 Bank Street

Cincinnati, OH 45214

(513) 357-2000

www.citylinkcenter.org

Community Action

Agency

•Rent/Mortgage support

•Utility support

•Rapid Re-employment Program

•Winter Crisis Program - reconnect or

stop disconnection of utility service

•Mobile Food Pantry

•Career Pathway program

•Free Tax preparation

•Head Start/Early Childhood Programs

•Pandemic support

•Project Lift

•Community Relief Fund

•Case Management & Employment

Program

•Entrepreneurial education, coaching,

development and funding to help

entrepreneurs start or expand a small

business

Main Offices - Midpointe

Crossing

1740 Langdon Farm Road

Cincinnati, OH 45237

Early Head Start/Head

Start Life Learning Center

1740 Langdon Farm Road

Cincinnati, OH 45237

Theodore M. Berry

Children & Family

Learning Center

880 West Court Street

Cincinnati, OH 45203

(513) 569-1840

(513) 569-4340

(513) 569-0123

www.cincy-caa.org

Council on Aging

•Home and community Based Care -

Elderly Services Program,

PASSPORT, Assisted Living Waiver,

and Specialized Recovery Services

•Transitional Care Programs

•Aging and Disability Resource Center

•Caregiver Support

•Health and Wellness Programs

•Nursing Home Pre-Admission Review

4601 Malsbary Road

Blue Ash, OH 45242

(513) 721-1025

(800) 252-0155

Toll Free

www.help4seniors.org

194

Resource Name

Overview of Services

Address

Phone Number

Website

Cradle Cincinnati

•Healthy Pregnancy and Infant Care

support

•Cradle Connections - Safe Sleep

•Queens Village

•County-wide Learning Collaborative

3333 Burnet Avenue

MLC 7009

Cincinnati, OH 45229

(513) 803-4822

www.cradlecincinnati.or

Crossroads Health

Center

•Pediatric and adult primary healthcare

•Mental health counseling

•Pregnancy care

•Support Groups

Various - refer to website

Various - refer to

website

www.crossroadhc.org

Easter Seals

•Offers services for children and adults

with physical and mental disabilities

and special needs

•Employment & Training

•Military & Veterans Services

•Adult Services

•Autism Services

•Children's Services

•Senior Services

•Medical Rehabilitation

•Camping & Recreation

•Brain Health

Building Value

4040 Spring Grove Avenue

Cincinnati, OH 45223

Cincinnati (main office)

2901 Gilbert Avenue

Cincinnati, OH 45206

Melrose Impact Center

2840 Melrose Avenue

Cincinnati, OH 45206

Montgomery Point

8740 Montgomery Road

Cincinnati, OH 45236

(513) 281-2316

www.easterseals.com/g

Every Child Succeeds

•Home visiting services to optimize

child health and development for

families from low-income backgrounds

3333 Burnet Avenue

MLC 3005

Cincinnati, OH 45229

(513) 636-2830

www.everychildsuccee

ds.org

195

Resource Name

Overview of Services

Address

Phone Number

Website

Family Nurturing

Center

•Social service agency dedicated to

ending the cycle of child abuse

•Holistic Support and Wellness

Activities

•Kids on the Block education program

for children

•Parenting Programs

•S.O.A.R. (Survivors of Abuse

Recovery)

•Child Abuse prevention education and

trainings

•Treatment Services

•Visitation Services

7162 Reading Road

Cincinnati, OH 45237

(513) 381-1555

(513) 241-KIDS -

Abuse/neglect

reporting

211 - Parent

Resources

(513) 281-CARE

- Crisis Hotline

familynurture.org

First Ladies For

Health

•Community education

•Free health screenings

•Immunizations

Various - refer to website

(513) 352-3250

www.familyhealthday.or

Focus on Youth

•Foster Care/Adoption

•Behavioral/Mental Health Services

Provider

•Training Center

8904 Brookside Avenue*

West Chester, OH 45069

*Please note, GPS may list

address as Brookside Court

or Brookside Avenue. Either

address will work

(513) 644-1030

www.focusonyouth.com

196

Resource Name

Overview of Services

Address

Phone Number

Website

FreeStore FoodBank

•Foodbank

•Community, Clinic, and School Food

Pantries

•Summer Meals

•KIND (Keeping Infants Nourished and

Developing) Program

•Healthy Harvest Mobile Market

•Produce Pop-Ups

•Power Pack

•Kids Cafe

•SNAP Benefit enrollment

•Transportation Assistance

•Representative Payee Program

•Cincinnati COOKS!

Various - refer to website

(513) 241-1064

freestorefoodbank.org

Great Parks of

Hamilton County

•17,700 acres across Hamilton County

consisting of 17 parks and 4 nature

preserves

•Adult and Youth Programs

•Parky's Farm

•Horse Riding Trails

•Camping

Various - refer to website

(513) 521-7275

www.greatparks.org

197

Resource Name

Overview of Services

Address

Phone Number

Website

Greater Cincinnati

Behavioral Health

Services

• Addiction Services

• Mental Health Services

• Psychiatric & Medical Services

• Recovery Support Services

• Employment Services

• Child, Youth, and Family Counseling

Services

Main and Administrative

1501 Madison Road

Cincinnati, OH 45206

Metro bus lines 11, 24, 31

Milford

512 High Street

Milford OH 45150

Metro bus lines 28, 29x

North

7162 Reading Road

Ste. 400

Cincinnati, OH 45237

Metro bus lines 41, 43

Price Hill

3730 Glenway Avenue

Cincinnati OH 45205

Metro bus line 33

(513) 354-5200 -

General

Information

(513) 947-7000 -

General

Information

(513) 345-8555 -

Open Access

Hours

(513) 354-7200 -

General

Information

(513) 381-6300 -

General

Information

(513) 345-8555 -

Open Access

Hours

www.gcbhs.com

Hamilton County -

Cann Health Center

WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

5818 Madison Road

1st Floor

Cincinnati, OH 45227

(513) 263-8777

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3103

Hamilton County -

Children's Hospital

WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

3430 Burnet Avenue

2nd Floor

Cincinnati, OH 45229

(513) 636-5818

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3106

Hamilton County -

Elm Street WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

1525 Elm Street

Cincinnati, OH 45202

(513) 352-3816

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3102

198

Resource Name

Overview of Services

Address

Phone Number

Website

Hamilton County -

Millvale - Hopple

Health Center WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

Hopple Health Center

2750 Beekman Street

Cincinnati, OH 45225

(513) 352-3199

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3104

Hamilton County -

Mount Healthy/Seven

Hills WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

10950 Hamilton Avenue

Cincinnati, OH 45231

(513) 522-4300

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3111

Hamilton County -

Northside Health

Center WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

3917 Spring Grove Avenue

Cincinnati, OH 45223

(513) 564-2180

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3105

Hamilton County -

Price Hill Health

Center WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

2136 West 8th Street

Cincinnati, OH 45204

(513) 357-2727

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3108

Hamilton County -

Roselawn WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

7162 Reading Road

Suite 800

Cincinnati, OH 45237

(513) 821-6813

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3170

Hamilton County -

Western Hills WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

4966 Glenway Avenue

#301

Cincinnati, OH 45238

(513) 251-470

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3109

Hamilton County -

Winton Hills Health

Center WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

5275 Winneste Avenue

Cincinnati, OH 45232

(513) 242-1720

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-3161

199

Resource Name

Overview of Services

Address

Phone Number

Website

Hamilton County

Board of

Developmental

Disabilities

•Programs and funding for

developmental disabilities

D. Cheryl Phipps Support

Center

1520 Madison Road

Cincinnati, OH 45206-1747

Kingsley Center

5093 Kingsley Drive

Cincinnati, OH 45227

Bobbie B. Fairfax School

4999 Kingsley Drive

Cincinnati, OH 45227

Margaret B. Rost School

5858 Bridgetown Road

Cincinnati, OH 45248

(513) 794-3300 -

24-hour on-call

(513) 559-6629 -

24-hour report

line

www.hamiltondds.org

Hamilton County

Educational Service

Center

•Educational and service resource for

schools, government agencies,

families, children, and the community

Hamilton County ESC

11083 Hamilton Avenue

Cincinnati, OH 45231

Early Childhood/Head

Start

924 Waycross Drive

Cincinnati, OH 45240

Learning Center North

Norwood

5017 Marion Avenue

Cincinnati, OH 45212

(513) 674-4200

(513) 674-4299

(513) 396-5940

www.hcesc.org

200

Resource Name

Overview of Services

Address

Phone Number

Website

Hamilton County Job

and Family Services

•Elder Protection

•Workforce Development

•Child Protection

•Cash Assistance Programs

•Child Care

•Medical Assistance

•Food Assistance

•Child Support

222 East Central Parkway

Cincinnati, OH 45202

(513) 946-1000

www.hcjfs.org

Hamilton County

Mental Health and

Recovery Services

Board

•Local oversight agency for the

community mental health and addiction

recovery services available in Hamilton

County

•Referral resource/List of Providers for

treatment services

2350 Auburn Avenue

Cincinnati, OH 45219

(513) 946-8600

www.hcmhrsb.org

Hamilton County

Public Health

•Birth and death certificates

•Environmental health services

•Community health services & Disease

Prevention: Lead Poisoning

Prevention, STD & HIV Prevention

•Epidemiology

•Health Promotion & Education

•Tobacco Control and Prevention

•Vaccinations

•Public Health Preparedness

•WeTHRIVE!

•Emergency Preparedness &

Response

•School Health

•Physical Activity & Healthy Eating

250 William Howard Taft

2nd Floor

Cincinnati, OH 45219

(513) 946-7800

www.hamiltoncountyhe

alth.org

Health Care Access

Now

•Care coordination

•Community Health Worker

Certification program

•Support to get health insurance

2602 Victory Parkway

Cincinnati, OH 45206

(513) 707-5697

healthcareaccessnow.o

201

Resource Name

Overview of Services

Address

Phone Number

Website

HealthCare

Connection

•Community health center

•Services include medical, dental and

behavioral health services

•Accepts both insured and uninsured

patients

Various - refer to website

Various - refer to

website

healthcare-

connection.org

HealthSource of Ohio

•Community health center that

provides primary and preventative care

•Services include Family Practice,

Pediatrics, Ob/Gyn, Dental, Behavioral

Health, Vision, and Pharmacy services

•Accepts both insured and uninsured

patients

Various - refer to website

Various - refer to

website

www.healthsourceofohi

o.org

Healthy Moms &

Babes

•Mobile Health and Education Vans

•Free pregnancy tests

•Home Visiting Services

•Connection to community resources

•Doctor Referrals

•Assistance with insurance and social

services

•Women's Health Information

•Support before, during, and after

pregnancy

•Health Education (prenatal, postnatal,

nutrition)

•Services also offered in Spanish

Various - refer to website

(513) 591-5600 -

Office

(513) 804-7205 -

Van

www.healthymomsand

babes.org

Higher Education

Mentoring Initiative

(HEMI)

•Mentoring program for foster youth in

high school that focuses on

preparation for and completion of post-

secondary education, job training or

military service

260 East University Avenue

Cincinnati, OH 45219

(513) 556 3670

hemihub.home.blog

Interact for Health

•Provides grants, education, and policy

advocacy around reducing tobacco

sue, opioid epidemic, and school-

based health centers

8230 Montgomery Road

Ste 300

Cincinnati, OH 45236

(513) 458-6600

www.interactforhealth.o

202

Resource Name

Overview of Services

Address

Phone Number

Website

LADD

•Support adults with developmental

disabilities

•Housing Programs - Smart Living

Program, subsided independent living

apartments, Community Supported

Living Program, HLADD – Shared

Living and Respite, Services for the

Ownership and Acquisition of

Residences Program (SOAR), and

senior living

•Work - Supported Employment

(placement, training, and coaching,

Employer Resources

•Connect - Community Connections,

Health and Wellness Programs

LADD’S Victory Parkway

Residences

3603 Victory Parkway

Cincinnati, OH 45229

LADD’S Center for

Community Engagement

955 Glenwood Avenue

Cincinnati, OH 45229

(513) 861-5233

laddinc.org

Legal Aid of Greater

Cincinnati

•Free civil legal assistance to eligible

low-income people

215 E 9th Street

Suite 200

Cincinnati, OH 45202

(513) 241-9400

TOLL FREE 1-

800-582-2682

www.lascinti.org

Lighthouse Youth

Services Safe &

Supported

•Mental Health Services

•Juvenile Justice

•Baby and Toddler services

•Crisis Intervention

•Shelter, Housing Programs, and

Resources for Homeless Young Adults

(18-24)

•Resources for LGBTQ Youth

•Foster Care and Adoption

Various - refer to website

Various - refer to

website

www.lys.org

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

203

Resource Name

Overview of Services

Address

Phone Number

Website

Mental Health Access

Point

•24-Hour hotline to answer calls and

connect consumers to appropriate

services

•Provides assessment, support, and

connections for children and adults

residing in Hamilton County who are in

need of mental health services

•Transitional case management

services

•Medication management

•Crisis intervention

•Authorization and connection to

mental health services

•Assessments and authorization for

placement into adult care facilities

•Application assistance for medical and

disability benefits

•Consultation/care coordination for

complex situations

311 Albert Sabin Way

Cincinnati, OH 45229

(513) 558-8888

www.mentalhealthacce

sspoint.org

Mercy Health —

Anderson Hospital

•Hospital part of the Mercy System

•Comprehensive Services including

Emergency Department, Birthing

Center, Comprehensive Heart Care,

Oncology, Women’s Health Services,

Orthopedic and Spine Care, Inpatient

and Outpatient Care, and Surgical

Services

7500 State Road

Cincinnati, OH 45255

(513) 624-4500

www.mercy.com/locatio

ns/hospitals/cincinnati/

mercy-health-

anderson-hospital

Mercy Health — The

Jewish Hospital

•Hospital part of the Mercy System

•Comprehensive Services including

Adult Blood & Marrow Transplant

Center, Brain Tumor Center, Joint

Replacement Center, Mobile

Mammography Program, Weight

Management Center, and full-spectrum

cardiovascular and emergency

services

4777 E Galbraith Road

Cincinnati, OH 45236

(513) 686-3000

www.mercy.com/locatio

ns/hospitals/cincinnati/t

he-jewish-hospital-

mercy-health

204

Resource Name

Overview of Services

Address

Phone Number

Website

Mercy Health — West

Hospital

•Hospital part of the Mercy System

•Comprehensive Services including

Emergency Department, Birthing

Center, Comprehensive Heart Care,

Oncology, Women’s Health Services,

Orthopedic and Spine Care, Inpatient

and Outpatient Care, and Surgical

Services

3300 Mercy Health

Boulevard

Cincinnati, OH 45211

(513) 215-5000

www.mercy.com/locatio

ns/hospitals/cincinnati/

mercy-health-west-

hospital

MindPeace

•School-based mental health services

•Works on systemic improvements to

child and teen mental health access

and quality

Offices at Cincinnati

Children's Hospital

Medical Center

College Hill Campus

5642 Hamilton Avenue

Cincinnati, OH 45224

(513) 803-0844

mindpeacecincinnati.co

205

Resource Name

Overview of Services

Address

Phone Number

Website

NAMI Southwest Ohio

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

4055 Executive Park Drive

Suite 450

Cincinnati, OH 45241

(513) 351-3500 -

Information &

Referral Helpline

1-800-950-NAMI

(6264) - NAMI

Helpline

(513) 281-CARE

(2273) - Talbert

House Crisis

Hotline

(513) 584-5098 -

Mobile Crisis

Team University

Hospital

(513) 636-4124 -

Psychiatric

Emergency

Services (PES)

(513) 636-4124-

Psychiatric Intake

Response Center

(PIRC) at

Cincinnati

Children’s

Hospital

(513) 558-8888-

Hamilton County

Mental Health

Access Point

(MHAP)

namiswoh.org

206

Resource Name

Overview of Services

Address

Phone Number

Website

Norwood Health

Department

•Birth and death certificates

•Environmental health services

•Public Health Preparedness

2059 Sherman Avenue

Norwood, OH, 45212, US

(513) 458-4600

www.norwood-

ohio.com/health-

department

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

Proud Scholars

•Scholarship Program

•Internship Program

•LGBT Youth Programs

•LGBT Education Library/White Papers

•Inclusive School Network

•Adult Learning Fund

P.O. Box 14671

Cincinnati, OH 45250

www.proudscholars.org

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and

Child Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

Ronald McDonald

House Charities of

Greater Cincinnati

•Long and Short Stay rooms for

families receiving treatment at local

hospitals

341 Erkenbrecher Avenue

Cincinnati, OH 45229

(513) 559-4600

www.rmhcincinnati.org

207

Resource Name

Overview of Services

Address

Phone Number

Website

Salvation Army

Greater Cincinnati

Area

•Christmas assistance

•Rent and Utility Assistance

•Adult Rehabilitation Centers -

addiction services

•Free meals - after school programs,

Adult Day Centers, Homeless Shelters,

and more

•Emergency assistance

•Emergency disaster services

•Worship opportunities

•Youth services; youth camps and

recreation

•Elderly Services

•Westside Learning Center

•Housing - Shelters, Emergency and

Transitional

•Combat Human Trafficking

114 East Central Parkway

Cincinnati, OH 45202

(513) 762-5600

1-800-SAL-

ARMY

easternusa.salvationar

my.org/greater-

Cincinnati

Santa Maria

Community Services

•Community Building programs

•Early Childhood Development

•Education Advancement programs

•English for Adult Speakers of Other

Languages

•Employment and Job Search

Assistance

•Financial Tools, Education, and

Coaching

•Public Benefit Eligibility and

Application Assistance

•Tax Preparation Assistance

•Housing/Tenant Stabilization and

Education

•Health and Wellness Programs

•Mental Health Support

•Eye and Hearing Exams

•Youth Programs

617 Steiner Avenue

Cincinnati OH 45204

(513) 557-2700

santamaria-cincy.org

208

Resource Name

Overview of Services

Address

Phone Number

Website

Society of St. Vincent

de Paul

•Social Services

•Food Pantry

•Charitable Pharmacy

•Thrift Stores

•Rent and Utilities Assistance

•Ozanam Center for Service Learning

•Basic Needs Drives

Various - refer to website

(513) 562-8841 -

Main Office

www.svdpcincinnati.org

Springdale Health

Department

•Wellness Screening

•Environmental health services

•Health Education Programs

•Epidemiology/Communicable disease

reporting

•Vaccinations

11700 Springfield Pike

Springdale, OH 45246

(513) 346-5725

www.springdale.org/he

alth-department.aspx

Su Casa Hispanic

Center

•Services for the Hispanic/Latino

community

•Emergency Assistance Services -

need assessment, benefits application

assistance, referrals and connections

to medical care and mental health

services

•Case Management and Assistance for

Immigrant Families

•Family Reunification

•Trafficking Victims Assistance

Programs

•Christmas Program

•Educational Services - English as a

Second Language, school tutoring

•Youth Programs

•Health Promotion Events and Classes

7162 Reading Road

Suite 610

Cincinnati, OH 45237

(513) 761-1588

www.ccswoh.org/progr

ams/su-casa-hispanic-

center-services/

Sweet Cheeks Diaper

Bank

•Provide Free Diapers to low-Income

Families

•Raise Awareness of the Basic Health

Need for Diapers

1400 State Avenue

Cincinnati, OH 45204

(513) 402-1450

sweetcheeksdiaperban

k.org

209

Resource Name

Overview of Services

Address

Phone Number

Website

Talbert House

•Substance use disorder programming,

including assessment, day reporting,

Medication Assisted Treatment and

counseling in outpatient, residential

and jail settings

•Community Outreach, Prevention,

Education

•24/7 Hotline

•Employment and Workforce

Development

•Victim Service Center

•Residential treatment services in

halfway houses and community-based

correctional facility settings

•Housing support

•Integrated mental health, substance

use and primary care services include:

prevention, case management and

outpatient treatment

•Primary Care

2600 Victory Parkway

Cincinnati, OH 45206

(513) 751-7747

(513) 281-

CARE(2273) -

Crisis Hotline

(513) 221-HELP

(4357) - Services

(513) 281-VETS

(8387) - Veterans

www.talberthouse.org

The Children’s Home

of Cincinnati

•Behavioral and Mental Health

services for youth

5050 Madison Road

Cincinnati, OH 45227

(513) 272-2800

www.tchcincy.org

The Christ Hospital

Medical Center - Main

Campus

•Hospital part of The Christ Hospital

System

•Services include: cardiovascular care,

orthopedic and spine treatment,

women’s health, major surgery,

cancer, behavioral medicine,

orthopedics, emergency medicine,

kidney transplant and others at main

campus

2139 Auburn Avenue

Cincinnati, OH 45219

(513) 585-2000

www.thechristhospital.c

210

Resource Name

Overview of Services

Address

Phone Number

Website

The Healing Center

•Spiritual Care

•The Wearhouse Clothing Store

•The Marketplace Food Pantry

•Community Resource Connections

•GED & HSE Classes

•ESOL Classes

•Money Coaching & Classes

•Job Coaching & Classes

•Health & Wellness

•Health Care

•Kids Clubhouse Childcare

•Thrive Program

•Bicycle Program

11345 Century Circle W.

Cincinnati, OH 45246

(513) 346-4080

www.healingcentercinci

nnati.org

The K.A.S.S.I.E.

Project

•Support services for survivors of

sexual & domestic violence abuse

(513) 400-5896

iamkassie.org

The Little Clinic

(Kroger)

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

Various - refer to

website

www.thelittleclinic.com

The Ohio State

University Extension

•Agricultural and Health educational

programming and resources

•4-H

4210 Dane Avenue

Cincinnati, OH 45223

(513) 946-8989

hamilton.osu.edu

The Public Library of

Cincinnati and

Hamilton County

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Various - refer to website

Various - refer to

website

cincinnatilibrary.org

211

Resource Name

Overview of Services

Address

Phone Number

Website

TriHealth - Bethesda

North Hospital

•Hospital part of the TriHealth System

•Comprehensive Services including

Emergency care, Imaging and

diagnostics, Cancer Institute, Heart

Institute, Digestive Institute, Mary Jo

Cropper Family Center for Breast

Care, Obstetrics and Gynecology,

Women's Services, Orthopedics,

Palliative Care, Pharmacy, Surgical

Services, Fertility Center, Wound

Healing, and Trauma Services

10500 Montgomery Road

Cincinnati, OH 45242

(513) 865-1111

www.trihealth.com/hos

pitals-and-

practices/bethesda-

north-hospital

TriHealth - Good

Samaritan Hospital

•Hospital part of the TriHealth System

•Comprehensive Services including

Good Samaritan Hospital Breast

Center, Cancer Institute, Heart

Institute, Digestive Institute,

Emergency care, Weight Management,

Orthopedics, Palliative Care, Skin

Cancer Program, Women's Center for

Specialized Care, Imaging and

diagnostics, Obstetrics and

Gynecology, Pharmacy, Surgical

Services, Wound Healing, and Trauma

Services

375 Dixmyth Avenue

Cincinnati, OH 45220

(513) 862-1400

www.trihealth.com/hos

pitals-and-

practices/good-

samaritan-hospital

TriHealth - Good

Samaritan Hospital at

Evendale

•Hospital part of the TriHealth System

•Comprehensive Services including

Imaging and diagnostics,

Gastroenterology, General surgery,

Gynecology, Ophthalmology,

Orthopedics, Otolaryngology, Pain

management, Plastic surgery, and

Podiatry

3155 Glendale Milford Road

Evendale, OH 45241

(513) 454-2222

www.trihealth.com/hos

pitals-and-

practices/trihealth-

evendale-hospital

212

Resource Name

Overview of Services

Address

Phone Number

Website

TriHealth - Good

Samaritan Western

Ridge

•Hospital part of the TriHealth System

•Comprehensive Services including

Emergency Department,

Cardiovascular Center with Cardiac

Rehabilitation, Cancer Center including

Radiation Oncology, Imaging and

diagnostics, Lab Services, Physician

and Specialist Practices, and Surgical

Services

•Physician and Specialist Practices

includes Audiology, Cardiology,

Dermatology, Ear, Nose & Throat,

Endocrinology, Gastroenterology/GI,

General Surgery, Hand Surgery,

Infusion Center, Neurology, Obstetrics

& Gynecology, Oncology, Orthopedics,

Physical Medicine & Rehabilitation,

Physical Therapy, Plastic Surgery,

Podiatry, Pulmonology, Rheumatology,

and Vascular Surgery

6949 Good Samaritan Drive

Cincinnati, OH 45247

(513) 246-9800

www.trihealth.com/hos

pitals-and-

practices/good-

samaritan-western-

ridge

TriHealth Clinic at

Walgreens

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

www.trihealth.com/hos

pitals-and-

practices/trihealth-

clinic-at-walgreens

UC Health - Daniel

Drake Center for

Post-Acute Care

•Hospital part of the UC Health System

•Specialty Services including Wound

Care, Therapy Services, Medical

Psychology and Neuropsychology,

Musculoskeletal, Spine & Sports

Medicine, Radiology, Pulmonary Care

and Ventilator Weaning, Stroke

Recovery Care, Spinal Cord Injury,

and Traumatic Brain Injury

151 West Galbraith Road

Cincinnati, OH 45216

(513) 418-2500

www.uchealth.com/dani

eldrakecenter

213

Resource Name

Overview of Services

Address

Phone Number

Website

UC Health - UC

Medical Center

•Hospital part of the UC Health System

•Comprehensive Services including

Burn Center, Cancer, Central,

Diabetes, Emergency Services,

Infectious Diseases, Orthopedic,

Radiology, General and Specialty

Surgery, Trauma and Critical Care,

Women's Services, and Inpatient and

Outpatient Care

234 Goodman Street

Cincinnati, OH 45219

(513) 584-1000

www.uchealth.com/univ

ersity-of-cincinnati-

medical-center

UMADAOP of

Cincinnati

•Substance Abuse Prevention

Programs: Youth and Educational

Enrichment

•Interventions: Kinship Care Family

Recovery Wrap Around Program

•Substance Abuse Medication Assisted

Treatment: Women Specialized,

Intensive Outpatient, Outpatient Care,

and Anger Management

•Recovery: Circle for Recovery group,

Narcotics Anonymous Meetings, and

Peer Recovery Supporters

3021 Vernon Place

Suite 2

Cincinnati, OH 45219

(513) 541-7099

cincyumadaop.org

United Way of Greater

Cincinnati

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

2400 Reading Road

Cincinnati, OH 45202

211 - Helpline

(513) 762-7100

www.uwgc.org

Urban League of

Greater Southwestern

Ohio

•Center for Social Justice

•Business Development &

Entrepreneurship programs

•Workforce Development programs

•Financial Education programs

•Youth Programs

•Advocacy

3458 Reading Road

Cincinnati, OH 45229

(513) 281-9955

www.ulgso.org

214

Resource Name

Overview of Services

Address

Phone Number

Website

WinMed Health

Services

•Patient Centered Medical Home

•Services include: Primary Family

Care, Pediatric Care, Exams and

Screenings, Refugee Services,

Pharmacy, Dental Care/Oral Health,

Mental Health/Behavioral,

Health/Medication-Assisted Treatment,

Translation, and WIC

•24 Hour Coverage

Various - refer to website

Various - refer to

website

winmedinc.org

Women Helping

Women

•24-Hour Hotline

•24-Hour Hospital Accompaniment

•Court and Law Enforcement

Advocacy

•Individual Crisis Intervention

•Support Groups

•Individual Therapy

•School-Based Prevention and

Education

•Community Education and Corporate

Training

•Campus-Based Advocacy

•WorkStrong™ Together

215 E 9th Street

Cincinnati, OH 45202

(513) 381-5610 -

24-Hour Hotline

(513) 977-5541

1-877-889-5610 -

Toll Free

www.womenhelpingwo

men.org

Working in

Neighborhoods

•Rehabbing and building homes as

part of Home Ownership program

•Financial Literacy training and

counseling

•Community Building

1814 Dreman Avenue

Cincinnati, OH 45223

(513) 541-4109

wincincy.org

YMCA of Greater

Cincinnati

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

Various - refer to website

Various - refer to

website

myy.org

215

Resource Name

Overview of Services

Address

Phone Number

Website

YWCA Greater

Cincinnati

•Violence Prevention and Intervention -

Shelter/Housing, Youth

Services/Resources, Intervention

Services

•Racial Justice and Inclusion

•Women and Racial Advocacy

•Trainings

•Childcare services

898 Walnut Street

Cincinnati, OH 45202

(513) 241-7090

(513) 872-9259 -

Local 24 Hour

Domestic

Violence Hotline

888-872-9259 -

Toll Free 24 Hour

Domestic

Violence Hotline

www.ywcacincinnati.or

Warren County

Resource Name

Overview of Services

Address

Phone Number

Website

4C for Children

•Child Care Resource & Referral

Agency

•Free child care referrals online and in

person

•Information on Ohio's Step Up to

Quality program

•Training and coaching for early

childcare professionals

2100 Sherman Avenue

#300

Cincinnati, OH 45212

(513) 221-0033

800-256-1296

www.4cforchildren.org

Abuse & Rape Crisis

Center (ARCS)

• Survivor support

• Abuse & rape crisis center

• Shelter services

• Domestic violence prevention

education

• Advocacy

• Legal services

• Trauma therapy

• Children's programs

• 24/7 Sheltering Services

• Individual and Group Support

•Counseling

420 E Main Street

Lebanon, OH 45036

(513) 695-1185

(888) 860-4084 -

Crisis Hotline

arcshelter.com

216

Resource Name

Overview of Services

Address

Phone Number

Website

Atrium Medical

Center

•Verified Level III trauma center and

primary stroke center

•Surgery Obstetrics

•Maternal - Child Health Center for

self- pay and indigent

•Advanced cancer care

•Women's Center

One Medical Center Drive

Middletown, OH 45005

(513) 974-2111

www.premierhealth.co

m/locations/hospitals/at

rium-medical-center

Beech Acres

Parenting Center

•Programs and training to enable

adults to develop safe, stable,

nurturing relationships with children

•Foster Care & Adoption Training and

Support

•Parenting Support

767 Columbus Avenue

Suite 2

Lebanon, OH 45036

(513) 231-6630

beechacres.org

Bethesda Arrow

Springs (TriHealth)

•Hospital part of the TriHealth System

•Comprehensive Services including

24-hour emergency department,

Cancer Institute, Heart Institute,

Digestive Institute, Surgical Institute,

Primary Care, Specialty care

physicians, Imaging services, including

radiology and diagnostics, Infusion

therapy, Laboratory services, and

Outpatient physical therapy

100 Arrow Springs

Boulevard

Lebanon, OH 45036

(513) 282-7000

www.trihealth.com/hos

pitals-and-

practices/bethesda-

arrow-springs

Big Brothers Big

Sisters of Greater

Cincinnati

•Community based coalition

•Mentoring for children

•United Way

2400 Reading Road

Suite 148

Cincinnati, OH 45202

(513) 421-4120

www.bigsforkids.org

Catholic Charities of

Southwest Ohio

• Family services

• Mental health services

• Refugee resettlement services

• Senior services

7162 Reading Road

Cincinnati, OH 45237

(513) 241-7745

ccswoh.org

Centerpoint Health

•Federally Qualified Health Center

(FQHC)

•Services include pediatric and adult

primary and dental care

•Patient Centered Medical Home

Various - refer to website

(513) 318-1188

www.centerpointhealth.

org

217

Resource Name

Overview of Services

Address

Phone Number

Website

Cincinnati

Association for the

Blind & Visually

Impaired

•Comprehensive services including:

Early Childhood and Youth Services,

Orientation and Mobility training,

Errand Support, Information/Adaptive

Technology Services, Vision

Rehabilitation Therapy Service

(cooking and adaptive home

management training), and Counseling

Gilbert Avenue location

2045 Gilbert Avenue

Cincinnati, OH 45202

Hornbeck Social

Enterprise Center

1022 Kenner Street

Cincinnati, OH 45214

(513) 221-8558

(888) 687-3935 -

Toll Free

cincyblind.org

City of Middletown

Health Department

•Birth/Death Certificates

•Health Education

One Donham Plaza

Middletown, OH 45042

(513) 425-1818

www.cityofmiddletown.

org/271/Health

Coalition for a

Healthy Middletown

•Middletown Youth Coalition - youth

led coalition to create safe spaces for

youth

•Game Changers - Volunteers that

receive training in trauma-informed

care and drug prevention and engage

in educational and mentoring activities

1050 Central Avenue

Middletown, OH 45044

(513) 423-9758

www.safetycouncilswoh

io.org/coalition-for-a-

healthy-middletown

Council on Aging

•Home and community Based Care -

Elderly Services Program,

PASSPORT, Assisted Living Waiver,

and Specialized Recovery Services

•Transitional Care Programs

•Aging and Disability Resource Center

•Caregiver Support

•Health and Wellness Programs

•Nursing Home Pre-Admission Review

4601 Malsbary Road

Blue Ash, OH 45242

(513) 721-1025

(800) 252-0155

Toll Free

www.help4seniors.org

Countryside YMCA

•Exercise classes

•Youth athletics

•Swim lessons

•Senior Programs

•Health and Wellness Classes

•Preschool and Prekindergarten

•Summer Camps

•Youth programs

Various - refer to website

Various - refer to

website

countrysideymca.org

218

Resource Name

Overview of Services

Address

Phone Number

Website

Every Child Succeeds

•Home visiting services to optimize

child health and development for

families from low-income backgrounds

3333 Burnet Avenue

MLC 3005

Cincinnati, OH 45229

(513) 636-2830

www.everychildsuccee

ds.org

Franklin-Springboro

Public Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

Franklin Public Library

44 E. 4th Street

Franklin, OH 45005

Springboro Public Library

125 Park Lane

Springboro, OH 45066

(937) 746-BOOK

(746-2665)

(937) 748-3200

www.fspl.org

Health Care Access

Now

•Care coordination

•Community Health Worker

Certification program

•Support to get health insurance

2602 Victory Parkway

Cincinnati, OH 45206

(513) 707-5697

healthcareaccessnow.o

HealthSource of Ohio

•Community health center that

provides primary and preventative care

•Services include Family Practice,

Pediatrics, Ob/Gyn, Dental, Behavioral

Health, Vision, and Pharmacy services

•Accepts both insured and uninsured

patients

Various - refer to website

Various - refer to

website

www.healthsourceofohi

o.org

Interact for Health

•Provides grants, education, and policy

advocacy around reducing tobacco

sue, opioid epidemic, and school-

based health centers

8230 Montgomery Road

Suite 300

Cincinnati, OH 45236

(513) 458-6600

www.interactforhealth.o

Lebanon Public

Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

101 South Broadway

Lebanon OH 45036

(513) 932-BOOK

(932-2665)

lebanonlibrary.org

Legal Aid of Greater

Cincinnati

•Free civil legal assistance to eligible

low-income people

215 E 9th Street

Suite 200

Cincinnati, OH 45202

(513) 241-9400

1-800-582-2682 -

Toll Free

www.lascinti.org

219

Resource Name

Overview of Services

Address

Phone Number

Website

Lindner Center of

Hope

•Mental Health Treatment for children,

adolescents, and adults

•Inpatient and outpatient options

4075 Old Western Row

Road

Mason, OH 45040

(513) 536-4673

1-888-536-4673

lindnercenterofhope.org

Mary L. Cook Public

Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

381 Old Stage Road

Waynesville, OH 45068

(513) 897-4826

www.mlcook.lib.oh.us

Mason Public Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

•Resource center library

200 Reading Road

Mason, OH 45040

(513) 398-2711

www.masonpl.org

Mental Health

Recovery Services of

Warren and Clinton

Counties

•Invests in mental health and

substance use disorder services

•Mobile Response & Stabilization

Services (MRSS) - program available

to youth ages 0 to 21 and their families

wherever they are

•Prevention, Education, and

Resources on website

201 Reading Road

Mason, OH 45040

(513) 695-1695

877-695-NEED

(6333) - 24/7

Crisis Hotline

www.mhrbwcc.org

MindPeace

•School-based mental health services

•Works on systemic improvements to

child and teen mental health access

and quality

Offices at Cincinnati

Children's Hospital

Medical Center

College Hill Campus

5642 Hamilton Avenue

Cincinnati, OH 45224

(513) 803-0844

mindpeacecincinnati.co

220

Resource Name

Overview of Services

Address

Phone Number

Website

NAMI Southwest Ohio

•Support Groups for families with

children, parents, or loved ones with

mental health disorders

•Peer support groups for adults living

with mental health illness

•Community educational meetings on

mental health

4055 Executive Park Drive

Suite 450

Cincinnati, OH 45241

(513) 351-3500 -

Information &

Referral Helpline

(877) 695-NEED

(6333) - Warren

County Crisis

Hotline

1-800-950-NAMI

(6264) - NAMI

Helpline

namiswoh.org

People Working

Cooperatively

•Home Repairs

•Home modifications for mobility

•Energy Conservation

•Lead Poisoning Prevention

•Whole Home

•Education

4612 Paddock Road

Cincinnati, OH 45229

(513) 351-7921

www.pwchomerepairs.

org

Pieces 2 Prevention

•Provide education and resources to

promote healthy, respectful, non-

violent relationships

pieces2prevention.com

PreventionFIRST!

(Formerly Coalition

for a Drug-Free

Greater Cincinnati)

•Builds, strengthens, and supports

substance use/misuse prevention

programs, partnerships, and coalitions

through training, technical assistance

and funding

2100 Sherman Avenue

Suite 102

Cincinnati, OH 45212

(513) 751-8000

www.prevention-

first.org/home

Primary Health

Solutions

•Non-profit, safety-net healthcare

provider

•Comprehensive Services included

medical, dental, vision, behavioral

health, school-based health,

pharmacy, and primary care

Various - refer to website

(513) 454-1111

www.myprimaryhealths

olutions.org

Produce Perks

Midwest

•Produce Perks program - $1 for $1

match for families and individuals

receiving SNAP when spent on healthy

foods

Various - refer to website

(513) 769-7375

produceperks.org

221

Resource Name

Overview of Services

Address

Phone Number

Website

Red Cross- Greater

Cincinnati Tri-State

Chapter

•Emergency Assistance

•Blood Donations

•Training and Certification classes -

CPR, First Aid, Water Safety, and

Child Care

2111 Dana Avenue

Cincinnati, OH 45207

(513) 579-3000

1-800-733-2767

www.redcross.org/local

/ohio/central-and-

southern-ohio/about-

us/locations/greater-

cincinnati-tri-state-

chapter.html

Salem Township

Public Library

•Internet/Computers

•Community education and programs

•Literacy programs and book lending

535 West Pike Street

Morrow, OH 45152

(513) 899-2588

www.salem-

township.lib.oh.us

Salvation Army

Middletown Corps

•Christmas assistance

•Rent and Utility Assistance

•Food Pantry

•Damon Park Safe House - Addition

Support Services

•Emergency assistance

•Emergency disaster services

•Worship opportunities

•Youth services; youth camps and

recreation

1914 First Avenue

Middletown, OH 45042

(860) 347-7493

1-800-SAL-

ARMY

easternusa.salvationar

my.org/southwest-

ohio/middletown

Shared Harvest

Foodbank

•Foodbank

•SNAP-outreach

•Commodity Supplemental Food

Program

•Backpack Program

5901 Dixie Highway

Fairfield, OH 45014

(513) 874-0114

www.sharedharvest.org

Solutions Community

Counseling and

Recovery Centers

•Mental Health and Substance Use

services for children, adolescents, and

adults

•Same Day and Outpatient services

available

•Psychiatric Services

•Case Management

•Prevention Services

Lebanon

975 Kingsview Drive

Lebanon, OH 45036

Springboro

50 Greenwood Lane

Springboro, OH 45066

(513) 228-7800

(937) 746-1154

www.solutionsccrc.org

222

Resource Name

Overview of Services

Address

Phone Number

Website

Substance Abuse

Prevention Coalition

of Warren County

•Coalition to prevent the misuse of

alcohol, tobacco, and other drugs by

youth and adult

•Resources available on website

761 Columbus Avenue

Lebanon, OH 45036

(513) 377-1816

www.sapcwarrencounty

.org

Talbert House

•Mental Health services

•Substance use disorder programming,

including assessment, day reporting,

Medication Assisted Treatment and

counseling in outpatient, residential

and jail settings

•Residential treatment services in

halfway houses and community-based

correctional facility settings

•Housing support

•Integrated mental health, substance

use and primary care services include:

prevention, case management and

outpatient treatment

•Primary Care

2600 Victory Parkway

Cincinnati, OH 45206

(513) 751-7747

(513) 281-

CARE(2273) -

Crisis Hotline

(513) 221-HELP

(4357) - Services

(513) 281-VETS

(8387) - Veterans

www.talberthouse.org

The Little Clinic

(Kroger)

•Health care services

•Vaccinations

•Sports Physicals

•Same-day Sick appointments

Various - refer to website

Various - refer to

website

www.thelittleclinic.com

The Ohio State

University Extension

•Agricultural and Health educational

programming and resources

•4-H

320 East Silver Street

Suite 021

Lebanon, OH 45036

(513) 695-1311

warren.osu.edu/home

Transitional Living

•Comprehensive continuum of mental

health and co-occurring disorder

treatment for those struggling with

mental illness and substance use

disorders

•PATH Program (Projects for

Assistance in Transition from

Homelessness)

•Employment program

•Case Management

Middletown

1131 Manchester Avenue

2nd Floor

Middletown, OH 45042

(513) 422-4004

tliving.org

223

Resource Name

Overview of Services

Address

Phone Number

Website

United Way of Warren

County

•211 - Call line to get connected to

community services

•Free Tax Prep

•Prescription Savings

645 Oak Street

Lebanon, OH 45036

211 - Helpline

(513) 932-3987

uwwcoh.org

Warren County -

Franklin WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

333 Conover Drive

Suite B

Franklin, OH 45005

(937) 746-9490

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-8301

Warren County -

Lebanon WIC

• Nutrition Program for Women, Infants

and Children (WIC)

• Breastfeeding services

• Nutrition services

416 South East Street

Lebanon, OH 45036

(513) 695-1217

odh.ohio.gov/wps/portal

/gov/odh/know-our-

programs/women-

infants-children/wic-

clinics/clinic-8300

Warren County Board

of Developmental

Disabilities

•Programs and funding for

developmental disabilities

Various - refer to website

(513) 228-6400

warrencountydd.org

Warren County Child

Support Enforcement

Agency

•Child Support

500 Justice Drive

Lebanon, OH 45036

(513) 695-1580

(800) 644-2732 -

Toll Free

www.co.warren.oh.us/

WCChildSupport

Warren County

Children Services

•Child Protection

416 South East Street

Lebanon, OH 45036

(513) 695-1546

(513) 695-1600 -

Hotline

www.co.warren.oh.us/C

hildrenServices

Warren County

Educational Service

Center

•Educational and service resource for

schools, government agencies,

families, children, and the community

1879 Deerfield Road

Lebanon, OH 45036

(513) 695-2900

www.warrencountyesc.

com/#1960

Warren County

Families and Children

First Council

•Coalition of private and public

partners working on child and family

services

PO Box 495

Lebanon, OH 45036

(513) 934-1001

www.co.warren.oh.us/f

cfc

Warren County

Foundation

•Community Grants

P.O. Box 495

Lebanon, OH 45036

(513) 934-1001

www.warrencountyfoun

dation.org

224

Resource Name

Overview of Services

Address

Phone Number

Website

Warren County Health

District

•Clinical Services

•Birth and death certificates

•Environmental health services

•Community Health & Education

•Epidemiology

•Home Health Aide Services

•Infant Mortality

•Nutrition/Diet Management Services

•Tobacco Control and Prevention

•Vaccinations

•Emergency Preparedness

416 S. East Street

Lebanon, OH 45036

(513) 695-1228

warrenchd.com

Warren County Job

and Family Services

Division of Human

Services

•Adult Protection Services

•Cash Assistance Programs

•Child Care

•Food Assistance

•LEAP

•Transportation

•Prevention, Retention, and

Contingency

•Kinship Caregiver Program

416 South East Street

Lebanon, OH 45036

(513) 695-1420

(513) 695-1600 -

Adult Protective

Services After-

Hours Hotline

www.co.warren.oh.us/h

umanservices

Warren County Park

District

•1,600 acres of parks and natural area

that are free and open to the public

Various - refer to website

(513) 695-1109

www.co.warren.oh.us/p

arks

 
225 
 
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