G4- The Rural Connection

							                     PRESENTED BY
          Travis Stickler , RN CHPN
After school Director/Vice President
                     Kids Count Too!

                  Michelle Arroway
                     Group Leader
                   Kids Count Too!
            The Objectives
 IDENTIFY THE DIFFERENCES IN RURAL GRIEF VS
 URBAN GRIEF

 DISCUSS FACTORS THAT LIMIT GRIEF SUPPORT IN
 RURAL AREAS

 INDENTIFY WAYS TO PROVIDE GRIEF SUPPORT
 FOR CHILDREN IN RURAL AREAS
JUST THE FACTS:
 ABOUT IDAHO
        11TH LARGEST STATE IN
           THE NATION

           89,000 SQ MILES


           EQUAL TO THE ENTIRE
           NEW ENGLAND STATES
  JUST THE FACTS:
ABOUT MAGIC VALLEY
          10,509 SQUARE MILES


          SAME SQUARE MILES
          MASSACHUETTS

          175, 000 PEOPLE LIVE
          IN THE AREA

          18 COMMINUTIES
           JUST THE FACTS:
           RURAL AMERICA
 CDC USES THESE FACTORS TO DETERMINE
  RURAL, URBAN AND METRO :
 POPULATION
 SOCIAL
 ECONIMICS
 EDUCATION
 HEALTH
             JUST THE FACTS:
             RURAL AMERICA
 POPULATIONS
    LARGE METRO AREAS 1 MILLION PEOPLE OR GREATER

    MEDIUM METRO AREAS 250,000 TO 999,999

    SMALL METRO AREAS 50,000 TO 250,000


 NON METRO AREAS LESS THAN 10,000
     MIRCOPOLITAN 2,500 TO 10,000
     NONCORE LESS THAN 2,5000
            JUST THE FACTS:
            RURAL AMERICA
 SOCIAL
     CULTURE DIVERSITY

     LARGE THE POPULATIONS GREATER THE
      DIVERSTITY

   AGES:
      MORTALITY RATES
              JUST THE FACTS:
              RURAL AMERICA
 Economics

   NATIONAL AVERAGE WAGE IS $41,673


   IDAHO STATE AVERAGE WAGE IS $32,000


   MAGIC VALLEY AVERAGE WAGE IS $29,000
              JUST THE FACTS:
              RURAL AMERICA
 HEALTH
   Rural Americans health status is usually 2 times worse
     than urban Americans

     50% of Rural Americans do not have health insurance

     Increase death rates across all areas of age (i.e..
      Infant, Children, Teens, and Adults

     Rural America has an overall lack of access to health
      care
         JUST THE FACTS:
         RURAL AMERICA
                   EDUCATION
 RURAL AREAS HAVE LOWER LEVELS OF HIGH
  EDUCATION GRADUATES (I.E. BACHELOR,
  MASTERS, OR PhD)
 RURAL AREA GRADE SCHOOL HAVE LOWER
  LEVEL OF FUNDING DUE TO THE AREAS
  ECONIMICAL LEVEL
 RURAL AREA HIGH SCHOOL GRADUATE HAVE
  LOWER OPPORTUNIES FOR COURSE SELECTIONS
  (I.E. LANGAUGES, HUMANTIES, SCIENCES)
        JUST ABOUT THE GRIEF:
         RURAL/METRO AREA
     RURAL LEADING CAUSES OF        URBAN LEADING CAUSES OF
              DEATH                          DEATH
   CANCER                        HEART DISEASE
   ACCIDENTS                     CANCER
   HEART DISEASE                 RESPIRATORY DISEASE
   SUICIDES                      STROKE
   PRENATAL DEATH                INFLUEZNA/PUEMONIA
   GENETIC MALFORMATION          ACCIDENTS
   RESPIRATORY DISEASE           ALZHEIMER’S DISEASE
   DIABETES                      DIABETES
   LIVER                         HYPERTENSION
   STROKES                       HIV/AIDS
     JUST ABOUT THE GRIEF
        RURAL AMERICA
 A LOOK AT MAGIC VALLEY AREA
    LONG PERIOD OF ILLNESS 27%
    CANCER                 20%
    SUICIDE                18%
    VEHICLE ACCIDENTS      12%
    SUDDEN DEATHS          12%
    OTHER ACCIDENTS        11%
    HEART DISEASE           8%
    SHORT ILLNESS           4%
    STILLBORN               2%
     JUST ABOUT THE GRIEF:
        RURAL AMERICA
 FAMILY MEMBERS LOST TO DEATH

   FATHER          46%
   GRANDPARENTS    31%
   SIBLINGS        15%
   MOTHER          14%
   AUNT/UNCLE       7%
   OTHER            6%
   CLOSE FRIENDS    3%
  JUST ABOUT THE PROBLEM
        RURAL IDAHO
             LACK OF RESOURCES
 PROFESSIONAL RESOURCES
   Psychiatrists--6 of which 1 is exclusively a child
    psychiatrist
   Psychologists—6
   Counselors
       LPC—23
       LCPC--34
   JUST ABOUT THE PROBLEM
         RURAL IDAHO
            LACK OF RESOURCES
 According to Health & Welfare of Idaho, there are no
 individuals or clinics that are exclusively grief
 counselors in the Magic Valley.

 No counselor, social worker, clinic or agency in the
 Magic Valley are exclusively child/teen centered
 JUST ABOUT THE PROBLEM
       RURAL IDAHO
            GEOGRAPHIC ISOLATIONS
 TOWNS ARE 10-15 MILES APART.

 ONLY 3 MAJOR CITIES IN THE MAGIC VALLEY OF
 POPULATIONS OF GREATER THAN 20,000

 WEATHER RESTRICTIONS TO ROADS CAN PREVENT
 ACCESS TO SOME TOWNS.
  JUST ABOUT THE PROBLEM
        RURAL IDAHO
          COMMUNITY INVOLVEMENT
 LACK OF EDUCATION ABOUT GRIEF

  SMALL COMMUNITIES TEND TO LOOK THE OTHER
   WAY DUE TO KNOWING THAT THE CHILD IS
   EXPERIENCING A LOST

  NO DIRECT ACCESS TO RESOURCES


  NOT ALL SCHOOL COUNSLORS ARE LICENSED
 JUST ABOUT THE PROBLEM
       RURAL IDAHO
               LACK OF MONEY
 KIDS COUNT TOO! OPERATING BUDGET FOR 2010
  WAS $ 6,000 TOTAL
 RURAL VOLUNTEER SERVICES DO NOT QUALIFY FOR
  NATIONAL OR CORPORATE GRANTS
   USUALLY NO FULL TIMES EMPLOYEES
   NO FIVE YEAR FINCINAL PLANS
       JUST THE SOLUTION
          RURAL IDAHO
       LOCATION, LOCATION, LOCATION

 LOCAL HOSPITAL CONFERENCE ROOMS


 FUNERAL HOME COMMUNITY ROOMS


 GRANGE HALLS/CHURCHES


 BOYS AND GIRLS CLUB
        JUST THE SOLUTION
           RURAL IDAHO
                 THE LOCALS
 LOCAL BUSINESS USUALLY PROVIDE DONATIONS
  EASIER THAN FRANSCHISE OR CHAINS
   FRED MEYER/COSTCO REQUIRE 5 YEARS PLANS,
    501(c) 3 status paperwork.
   LOCAL PRINTERS PROVIDE DISCOUNTS FOR
    PRINTING, T-SHIRTS DESIGNS.
   LOCAL CHURCHS PROVIDE CAMPS AT DISCOUNT
    AT THE END OR BEGINNING OF THE SEASON
       JUST THE SOLUTION
          RURAL IDAHO
        IT’S ALL ABOUT THE COUNCILS

 NATIONAL AND STATE SERVICE COUNCILS
   DAIRY COUNCIL
   BEEF COUNCIL


 COLLEGE/UNIVERSITY GROUP
    NURSING SOCIETY
    CULINARY CLASSES
       JUST THE SOLUTION
          RURAL IDAHO
             GETTING THE MONEY
 HOSPITAL FOUNDATIONS
   HEALTH INCENTIVE GRANTS


 COUNTY HEALTH INCENTIVE GRANTS


 FAMILY MEMORIAL FOUNDATION GRANTS
            JUST THE RESULTS
          CURRENT KIDS COUNT TOO!
               PROGRAMMING
 1 DAY CAMP
 1 OVERNIGHT CAMP
   4   4 WEEK AFTERSCHOOL PROGRAMS


 WITH OVER 40 VOLUNTEERS
         JUST THE RESULTS
           FUTURE KIDS COUNT TOO!
               PROGRAMMING
 2 ADDITIONAL AFTERSCHOOL PROGRAM


 1 ADDITIONAL SUMMER DAY CAMP


 ONLINE RESOURCE PAGE FOR THE MAGIC VALLEY
JUST THE RESULTS
JUST THE RESULTS
JUST THE RESULTS
JUST THE RESULTS
         THE CONNECTION
                   SUMMARY
 SEVERAL FACTORS DETERMINE THE RURAL
  AREA(I.E POPULATION, EDUCATION, HEALTH)
 THESE FACTORS PLAY VITAL PART OF THE GRIEF
  OF THE RURAL CHILD
 THE PROBLEM WITH PROVIDING RURAL GREIF
  SUPPORT IS NOT LIMITED TO JUST FUNDING
  ISSUES
 WHEN ALL FACTORS ARE OVERCOME GRIEF
  SUPPORT IS POSSIBLE IN A SMALL TOWN
QUESTIONS
                REFERENCES
Ingram DD, Franco SJ. NCHS urban-rural classification
  scheme for counties. National Center for Health
  Statistics. Vital Health Stat 2(154). 2012
National Average Wage Index. Social Security Online.
  Retrieved from http://ssa.gov/OACT/COLA/AWI.html
County Employment and Wages in Idaho 2011. Bureau of
  Labor. Retrieved from
  http://www.bls.gov/ro9/qcewid.htm
                 REFERENCES
 State of California, Department of Public Health,
  Death Records. Retrieved from
  http://www.cdph.ca.gov
 Vital Statistics System, Bureau of Vital Statistics, NYC
  DOHMH.
  http://www.nyc.gov/html/doh/html/vs/vs.shtml
 State of Idaho, Vital Statistics; Retrieved from
http://healthandwelfare.idaho.gov/Health/VitalRecords
  andHealthStatistics/HealthStatistics/VitalStatistics/ta
  bid/914/Default.aspx