CC MOSS ELEMENTARY - Tarrant Countyaccess.tarrantcounty.com/content/dam/main/public...Charla Staten...
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CC MOSS ELEMENTARY TCU PUBLIC HEALTH NURSING SPRING 2016
CC MOSS ELEMENTARY - Tarrant Countyaccess.tarrantcounty.com/content/dam/main/public...Charla Staten - Assistant Principal for CC Moss Sam Adamie - TCPH Yvette Wingate -Health Equity
Tanner Harris Kim Owen Lana Dove Maggie Gross Team Scribe Plan Coordinator Time Keeper
Caitlyn Anderson
External Relations Written Report Coordinator Supply Manager Safety Manager
Katie Lanier Lindsay Hall Andrea Rosas
Team Leader
MINALO COMPANY PAGE 3 Our specific mission is to prepare professional nurses to identify and respond with competence to multiple, complex human health-care needs
Budget Manager Katie Abshire
Evaluation Manager Media Manager
MEET OUR TEAM
Charlotte Caffrey Marcelino Hernandez Sharon Canclini
RN, MS, APHN(BC), CNE, FCN Assistant Professor
1988
51.7% 2010
11.4% 1988
43.2% 2010
% of Adults Reporting No Leisure-Time Physical Activity
STATS
80% 2008
% of Children That Fail To Meet Daily Physical Activity Guidelines
19.1%
Women Men
Vehicle Impact Speed Chance of Fatality
1 out of 10 pedestrians survive
5 out of 10 pedestrians survive
9 out of 10 pedestrians survive
80%
40%
5%
Pedestrian Survival
PUBLIC HEALTH NURSING OVERVIEW
Principles • Client as population • Greatest good for greatest number of people • Client as partner • Primary prevention • Create conditions for population to thrive • Identify and reach out to all who will benefit • Optimal use of resources and evidence based practice • Collaboration
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Presentation Notes
Tell the audience why they should listen: this is the framework from which we based our public health project and the principles that guided our process Change Theory
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Presentation Notes
Regular physical activity can Improve cardiovascular risk factors & metabolic health biomarkers Improves bone health Associated with academic achievement and readiness to learn Opportunity for socialization Benefits mental health
STRENGTHS -Pilot school -Receptive & positive school employees -Ideal school setting in the community -Long-time, dedicated crossing guards -Willing community members -Free or reduced-lunch program
THREATS TO IMPLEMENTATION
-Limited space for traffic calming measures -Low socioeconomic urban population -Potential language barriers -History of criminal activity in surrounding neighborhood -History of low participation in SRTS initiative
WEAKNESSES -Barriers to a safe community environment -Inadequate pedestrian/ driver safety education programs -Lack of resources and safety personnel -Hazardous drop off and pick up procedure once students step outside the guidance of the teachers
OPPORTUNITIES FOR IMPROVEMENT
-Encourage walking, biking, and carpooling -Improve street signage, markings, traffic calming measures -Provide adequate personnel to help students exit & enter vehicles -Institute comprehensive pedestrian & driver education program
SWOT ANALYSIS
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Presentation Notes
Weaknesses- Unsafe community environment and neighborhood AEB incomplete and cracked sidewalks, poorly marked crosswalks & pedestrian safety measures, inadequate street signage, poor traffic control & enforcement, inadequate education programs, insufficient number of safety personnel, supervisors, and resources; proximity to county parole division office Encouraging walking, biking and carpooling- easy strategy to increase students’ daily level of physical activity & instills healthy behaviors at an early age, & reduces traffic congestion, & improves air quality
SPRING 2014 SAFE ROUTES TO SCHOOL
INTERVENTIONS
● Tiesa Leggett- Healthways, BlueZones Project
● Sam Adamie- Tarrant County Public Health (TCPH)
● Yvette Wingate- Health Equity Coordinator, TCPH; Coordinator, Tarrant County Voices for Health (TCVFH)
PARTNERSHIPS EVALUATION
● Walked through the neighborhood & completed community asset mapping
● Information booth at PTO event at CC Moss
● Surveys to teachers and parents to evaluate school transport
● Established a relationship with the CC Moss community
● Take-home surveys proved to be an ineffective method of data collection
● Suggested next cohort reach out to leaders in the CC Moss community and the TCPH in order to continue and strengthen community partnerships
Presenter
Presentation Notes
Spring 2014: Safe Routes to School at Christene C. Moss Elementary (Spring 2014) The goal of the Spring 2014 cohort was to initiate a relationship with the CC Moss community. At the start of the semester, the TCU students surveyed teachers and parents to form an idea of how many students were driven versus walking to school. They found that the majority of students were driven to school. Using this information, the cohort created informative flyers and posters to educate the faculty, students, and parents about Safe Routes to School. The CC Moss faculty and staff was supportive of the educational measures implemented by TCU students. OBJECTIVE: To complete a thorough assessment of the community. Create and distribute information regarding Safe Routes to School and TCU’s involvement /partnership. To effectively communicate and partner with stakeholders. PURPOSE: To improve the health of the children attending CC Moss elementary by implementing the SRTS initiative while establishing trusting relationships with community stakeholders. To educate and encourage the community about SRTS to establish a foundation for future public community health cohorts to continue to implement the SRTS initiative for CC Moss elementary. RATIONALE: Students of Texas Christian University sought out to establish a relationship with the CC Moss community and collect data. INTERVENTIONS: Developed a relationship with Kelly Campbell, principal of Carol Holt elementary, linking him with CC Moss leadership (Focal point for safe routes to school because he had experienced work of TCU Nursing in getting repairs at their school). Partnered with Sam Adamie at Tarrant County Public Health (TCPH). Set up an information booth at PTO event at CC Moss Elementary. Sent out surveys to teachers and parents to evaluate school transport. **Conducted baseline asset mapping to assess environmental determinants of physical inactivity in the a neighborhood with limited resource; community assessment focused on streets’ safety, walkability of the neighborhood, condition of the streets and sidewalks, bike lanes & paths, adherence to traffic laws, and public transportation EVALUATION: The Spring 2014 cohort established a relationship with the CC Moss community. They discovered that take-home surveys were an ineffective method to collect data. They suggested reaching out to leaders in the CC Moss community and the TCPH in order to continue the relationship and make moves toward a safe environment.
FALL 2014 INTERNATIONAL WALK TO SCHOOL DAY
● Yvette Wingate- Health Equity Coordinator, TCPH; Coordinator, TCVFH
● Tiesa Leggett and Brandy O’Quinn - Healthways, BlueZones Project
● Sam Adamie - TCPH ● Faith-based community
members & local churches
INTERVENTIONS PARTNERSHIPS EVALUATION
● Organized and carried out the International Walk to School Day
● Attended by Mayor Betsy Price, FWISD school superintendent, city council member Gyna Bivens, and the press
● The event was a success with 93% of students participating in addition to 75% of their parents.
● Sustainability was not established as evidenced by lack of walking to school on following days.
Presenter
Presentation Notes
Fall 2014: Cohort researched the Fort Worth school district and identified CC Moss as an at risk community that would benefit from safe routes to school initiative, walking to school is a primary prevention technique that promotes an active lifestyle, went to Tarrant County Community Health and met with Evette Wingate, the Health Equity Coordinator, who agreed that CC Moss was a perfect candidate for an international walk to school day. The Cohort then organized the event set for October 8. They recruited volunteers to participate. Public officials were contacted by email to join the event. The mayor, the school superintendent, and city council member Gyna Bivens were all in attendance. A press release was sent to all major media outlets in DFW to raise public awareness. There was a 93% student participation and 75% of parents attended the event; it was a huge success. In the fall of 2014, a TCU cohort organized a National Walk to School Event on October 8. The event was a huge success with 93% of students participating in addition to 75% of their parents. The mayor, school superintendent, city council member Gyna Bivens, and other public officials were all in attendance. A press release was sent to all major media outlets in DFW to raise public awareness. Fall 2014: International Walk to School Day for Christene C. Moss Elementary Objective: 90% student participation in walk to school day, verbalized satisfaction with event, at least 20 parents participating and sustainability of plan Rationale: Expose community to the flaws in the infrastructure and barriers to walking to school Interventions: Went to Tarrant County Community Health and met with Yvette Wingate, the Health Equity Coordinator, who agreed that CC Moss was a perfect candidate for an international walk to school day and organized and carried out the walk to school. Caught the attention of the mayor, the school superintendent, city council member Gyna Bivens, and the press. (enforcement and encouragement) Evaluation: The event was a huge success with 93% of students participating in addition to 75% of their parents. However the sustainability was not established as evidenced by lack of walking to school on following days.
SPRING 2015 PEDESTRIAN SAFETY
● Charla Staten- Assistant Principal for CC Moss
● Sam Adamie - TCPH ● Yvette Wingate - Health
Equity Coordinator, TCPH; Coordinator, TCVFH
● Tiesa Leggett and Brandy O’Quinn - Healthways, BlueZones Project
INTERVENTIONS PARTNERSHIPS EVALUATION
● Distributed flyers regarding pedestrian safety to parents
● Created a video, song, and game to teach all grade levels pedestrian safety
● Decorated a bulletin board in the school hallway about safe walking practices
● Contacted representative about repainting the crosswalks on Miller Avenue
● Education for the students about pedestrian safety
● Identified that the city of Fort Worth already had C.C. Moss on the list for improving the crosswalk on Miller
● Requested traffic signs on Miller from Fort Worth Transportation and Public Works Department
Presenter
Presentation Notes
Pedestrian Safety and Crosswalk Implementation at C.C. Moss Elementary (Spring 2015) Goal: Educate and promote C.C. Moss students, parents, and staff about pedestrian safety by evaluation day. Expected Outcomes: parents will comply with proper safety behaviors by stopping and looking both ways before crossing the street and utilizing crosswalks; parents will properly park vehicles before proceeding to pick up children from school Objective: 100 percent of students will demonstrate proper pedestrian safety crossing technique by using the crosswalk effectively and showing knowledge of safety guidelines by March 16th. Rationale: Promote an environment of safety in the community through education of parents, students, and staff with pedestrian safety. Interventions: Flyers: distribution of flyers regarding pedestrian safety and the TCU student’s presence at C.C. Moss sent home with the students to give to parents Video, song, and game: The TCU students began each P.E. class with the “Pedestrian Safer Journey” video. Then, each grade level was taught the “traffic light song”. Lastly, the TCU students taught and played the two pedestrian safety games with all of the grade levels Morning announcements: fun fact regarding pedestrian safety was announced over the intercom every morning for 3 weeks Bulletin board: info board regarding safe walking practices was created by the TCU nursing students and placed in a show case in the hallway Crosswalk created on Miller: TCU students contacted representative from Fort Worth Transportation and Public Works Dept. advocating for repainting the crosswalks on Miller Ave. Goodspeed responded that work for the crosswalk maintenance is already in effect Overall, the project for the Spring 2015 focused on education for the students with pedestrian safety education, and working to improve the crosswalk on Miller. The students worked with stakeholders at the Tarrant County Health Dept: Yvette Wingate, and Sam Adamie. Also worked with Charla Staten, Asst. Principal for CC Moss
SPRING 2015 WALKING TO SCHOOL
● Stephanie Johnson - parent liaison at C.C Moss
● Tiesa Leggett, Brandy O’Quinn, Adjoa Brown - Healthways, BlueZones Project
● Charla Staten - Assistant Principal for CC Moss
● Sam Adamie - TCPH ● Yvette Wingate -Health Equity
Coordinator, TCPH; Coordinator, TCVFH
INTERVENTIONS PARTNERSHIPS EVALUATION
● Two parent and community partner information/education meetings about the walk to school program and pedestrian safety
● Recruited parents for a parent volunteer committee
● Provided pedestrian safety toolkits for volunteers: traffic cones, stop signs, reflective vests, backpack reflectors, and umbrellas
● 12 of 325 RSVPs were returned for the first parent meeting
● First community meeting: 5 parents and 5 community members
● Second community meeting: 2 parents, 1 parent liaison, and 1 community partner
● 0 teacher and 0 parent volunteers signed up
● The goals were not met due to minimal participation from the community
Presenter
Presentation Notes
“It’s Cool to Walk to School” at C.C. Moss Elementary (Spring 2015) Purpose To encourage parents and older members of the school district to invest in the Walk to School Wednesday initiative. To motivate children of C.C. Moss to walk to school and develop lifelong healthy behaviors. To encourage the increased involvement of faith communities near C.C Moss and the walk to school Wednesday Initiative. To improve the health of the children attending C.C Moss Elementary by implementing the Safe Routes to School Initiative. Rationale To continue the previous semester’s work by keeping the Walk to School Wednesday initiative progressing through parent and community involvement Interventions Developed partnerships with: Charla Staten, Vice Principal at C.C Moss Sam Adamie at Tarrant County Public Health. Stephanie Johnson, parent liaison at C.C Moss Tiesa Leggett and Adjoa Brown from Blue Zones of Fort Worth Held two parent and community partner meetings to provide information about the walk to school program and educate about pedestrian safety Recruited parents for a parent volunteer committee Created pedestrian safety toolkits for volunteers. Kits included traffic cones, stop signs, reflective vests, backpack reflectors, and umbrellas. Evaluation/Outcome 12 of 325 RSVPs were returned for the first parent meeting 5 parents and 5 community members attended the first community meeting 2 parents, 1 parent liaison, and 1 community partner attended the second community meeting 0 teacher and 0 parent volunteers signed up The goals were not met due to lack of participation from the community.
FALL 2015 WALK TO SCHOOL WEDNESDAYS
● Tiesa Leggett, Brandy O’Quinn, Adjoa Brown - Blue Zones of Fort Worth
● Charla Staten - Assistant Principal for CC Moss
● Yvette Wingate - Health Equity Coordinator at Tarrant County Voices for Health Coordinator
● CC Moss Library Staff
INTERVENTIONS PARTNERSHIPS EVALUATION
● Held a health literacy night to educate parents on Walking Wednesday and the benefits of walking to school.
● Established a parent leadership team to continue Walking Wednesdays
● 18 parents signed up to participate in Walking Wednesdays
● 10 parents signed up to be a parent volunteers, 3 parents signed up to be a part of the Leadership team
● Parent leaders set a first Walking Wednesday date
● Two parent leaders and 5 children from C.C. Moss participated in walking to school
Presenter
Presentation Notes
“Walking to School Program” at C.C. Moss Elementary (Fall 2015) Objectives/Purpose To educate family members on background of Walking Wednesdays and benefits of their children participating in the program Rationale: Gain parental/community support and leadership to provide a safer walking environment. Interventions: Established goal for the implementation of a community leadership team Education at literacy night Gain leadership at parent leadership meeting Provided pick-up suggestions Evaluation: Health literacy night was a success overall. 18 parents signed up to participate in Walking Wednesdays 10 parents signed up to be a parent volunteers 3 parents signed up to be a part of the Leadership team Parents voiced why they valued the program Parent leaders set a first Walking Wednesday date Two parent leaders and 5 children from C.C. Moss participated in walking to school
PREVIOUS PROJECTS TIMELINE
Spring 2014 Fall
2014
Spring 2015
Fall 2015
#1. Initiated relationship with C.C. Moss community & conducted community mapping
#2. Partnered with Tarrant County Public Health Department to begin the Safe Routes to School initiative
#3. Educated C.C. Moss students, parents, and staff about pedestrian safety
#3. Improved the health of students by encouraging participation in Walk to School Wednesdays
#4. Educated family members on background of Walking Wednesdays and benefits of their children participating in the program
1
#5. Surveyed drop off & pick up process & presented engineering recommendations to community stakeholders
Spring 2016
3
Presenter
Presentation Notes
-Although all these efforts individually have been successful, we have not observed a significant change in the number of children who actively commute to and from school throughout the community. -Looking at the evaluations from each event and discussing with parents and stakeholders, parents still don’t feel safe about their children walking to school and we feel its because the built environment has not changed. -A growing body of evidence suggests that environmental features, including sidewalks and proximity to parks, influences behavioral changes and improves residents’ degree of walkability throughout the community -This is why we feel it’s important to approach the engineering side of this problem and motivate leaders in the community to change the community’s structure
ADVOCACY
Assess the nature and source of the issue to be addressed. Decreased walking to school related to unsafe routes, drop-off, and pick-up, as evidenced by lack of sidewalks, insufficient signage, stray dogs, lack of crossing guards/volunteers, and rapid cross-times on a major street.
1
Determine the appropriate “target” for the advocacy intervention CC Moss Elementary and surrounding community 2
3 Establish the objectives with the client
○ Expand knowledge about road safety and effective drop off and pick up techniques. ○ Initiate policies to improve infrastructure around the school ○ Implement interventions to improve the safety and efficiency of school drop off and pick up zones. ○ Evaluate the effectiveness of policies and interventions.
Negotiate the action plan Spoke with community partners and crossing guards about their views of the situation 4
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Presentation Notes
The act of pleading or arguing in favor of a cause or policy on someone’s behalf, with a focus on developing the community, system, individual, or family’s capacity to plead their own cause Expand parents, staff, and students’ knowledge about road safety and effective drop off and pick up techniques. Initiate policies to improve infrastructure around the school that will promote safety and control traffic. Implement interventions to improve the safety and efficiency of school drop off and pick up zones. Evaluate the effectiveness of policies and interventions.
ADVOCACY
Determine resource availability Assess available funding and personnel; matching needs of special purpose grant programs & program general transportation funds for pedestrian & bicycle safety improvements Community partners & Blue Zones connections
5
Assess to what extent the advocacy “target” may be receptive, and adjust the action plan accordingly Moderately receptive
6
7
Evaluate Conducted through direct observation, phone or web-based surveys, &/or written feedback form Conduct annual safe routes review 8
Implement by presenting recommendations to Blue Zones
Presenter
Presentation Notes
Expand parents, staff, and students’ knowledge about road safety and effective drop off and pick up techniques. Initiate policies to improve infrastructure around the school that will promote safety and control traffic. Implement interventions to improve the safety and efficiency of school drop off and pick up zones. Evaluate the effectiveness of policies and interventions.
WALKABILITY MAP
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Presentation Notes
Improvements to the Built Environment: Implement traffic-calming measures Improve pedestrian safety structures Decrease traffic speed and volume to encourage walking and biking for transportation Improve the land use mix to increase the number of walkable and bikeable destinations Partner with transportation and urban planning leaders to consider suitable locations for nonmotorized transportation, traffic calming measures, and walkable destinations Educate policymakers about the association b/w relevant aspects of the built environment and youths’ initiatives Despite these barriers, walking routes were adjusted to ensure student safety involving active transportation
⊡Identified 4 Primary Drop Off & Pick Up Locations ⊡Pre- K, Kindergarten and Grade 1 Release
□Gated Playground on Eastland ⊡Grades 2 & 3
□ Main Door Exit to Eastland ⊡Grades 4 & 5
□Main Door on San Rose ⊡2 Teachers Stationed at Each Exit
DROP OFF & PICK UP ASSESSMENT DATA
LEGEND
Entrance/Exit Points
Crosswalks Areas of Concern Correct Flow of Traffic
Wrong Way Teachers Crossing Guards Bus Loading Zone
Pre-K/ 1st Grades
2nd & 3rd Graders
4th & 5th Graders
DROP OFF & PICK UP ASSESSMENT DATA
CAR COUNT
On San Rose
Drop Off 192
Pick Up 100
Wrong Way 18
On Eastland
Drop Off 86
Pick Up 179
BUS COUNT
Total 9
For CC Moss Students 2
> 20 mph 2
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Presentation Notes
True Green Truck drove wrong way despite being alerted by crossing guard and parents
DROP OFF & PICK UP ASSESSMENT DATA
DROP OFF
Heaviest Traffic Times 7:40am-7:50am San Rose (53) & Eastland (37)
Crosswalkers 47
PICK UP
Heaviest Traffic Times 3:10pm-3:20pm San Rose (50) & Eastland (70)
Crosswalkers 86
Presenter
Presentation Notes
Heaviest Drop-off Traffic Times: Drop-Off 0740-0750 (47) on San Rose & 0740-0750 (37) Eastland Pick-Up: 1510-1520 (50) on San Rose & 1510-1520 (70) Eastland 32 Crosswalkers Drop-off on Eastland/San Rose 55 Cross walkers Pick up on Eastland San Rose 15 Drop-off Church 31 Pick-up church
BLUE ZONES DEPARTURE & ARRIVAL SURVEY
105 WALKERS
193 FAMILY CARS
13 CARPOOLS
16 TEACHERS 278 STUDENTS
2 BUSES
0
2
4
6
8
10
12
14
16
18
20
Avg. Class Size Walkers Family Vehicles Carpools Buses
Kindergarten- 18 students per class, avg. 2 walkers, 19 Family Vehicles, 0 carpools 1st & 2nd Grade- 16 students per class, 5 walkers, 9 Family Vehicles, 3 carpools 3rd Grade- 15 students per class, 5 walkers, 11 Family Vehicles, 0 carpools, 3 students used the bus 4th & 5th Grade- 19 students per class, 8 walkers, 12 Family Vehicles, 1 carpool
COHORT FINDINGS
COMMON PEDESTRIAN BEHAVIORS
• Not looking both directions when crossing street
• Darting between parked cars • Not using crosswalk • Running instead of walking
COHORT FINDINGS COMMON DRIVER BEHAVIORS
• Aggressive • Dropping off students in the middle of the street rather
than curbside • Going >20 mph through residential streets & school
zones • Failing to yield to pedestrians • Passing stopped school buses
Presenter
Presentation Notes
-Talking on phone (5) -Illegal Parking & U-turns -Running/rolling through stop signs -Multiple children in front seat of car -Opening car door on opposite side from school curb into oncoming traffic **Clarify that “driver” includes all motorists & community members, not just parents
THE COMMUNITY’S INPUT Biggest Concerns
Crossing Guards Wrong way drivers Car speed on San Rose Cell phone use Intimidated by drivers’ behavior
Staff
Crossing Guards
Staff
Teachers in support of change, but program is still lacking participation
Incentives are necessary to increase involvement & monitoring
Parents
• Supportive of SRTS, but safety continues to be a primary concern
Parents
Students
PROJECT RECOMMENDATIONS
THE 5Es
EVALUATION
EDUCATION ENCOURAGEMENT
ENFORCEMENT
*ENGINEERING*
SAFE ROUTES TO SCHOOL INITIATIVE
2016 Cohort Focus
1. Place stop sign on San Rose at the Eastland intersection 2. Repaint crosswalks on the intersection of San Rose and Eastland
3. Move the one-way road sign on San Rose so it’s easily visible at multiple angles to all drivers
4. Further encourage faculty participation and involvement in the drop off and pick up process 5. Increase law enforcement personnel during drop off and pick up times
6. Higher wages and more support for crossing guard personnel
TARGET AREAS
Presenter
Presentation Notes
Crossing guards serve an integral role in school zone safety. They help pedestrians and bicycles cross roadways and remind motorists of their presence. And, just as importantly, they serve as excellent role models for the behaviors required to safely cross the street. From a simple pause to look left, right, and left again to reminding drivers of their role in safety, crossing guards model best practices for students and adults alike. Creating reduced speed zones with MUTCDcompliant signage, painted markings and driver feedback signs provides a basic school zone traffic calming solution that is both effective and costefficient.
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