9-1-1. 4-1-1 2-1-1 2-1-1 calls per day, selected markets houston, tx1,000 atlanta, ga 900...
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9-1-1
4-1-1
2-1-1
2-1-1 calls per day, selected markets
Houston, TX 1,000
Atlanta, GA 900
Connecticut 900
Virginia 500
Indiana 500
Denver, CO 350
Detroit, MI 300
Missouri 300
Financial assistance (rent, utilities) 71%
Material resources (clothes, furniture) 9%
Housing (shelter, home repair) 5%
Food (pantries) 3%
Health 1%
Why do people call?
Women 73-90%
Unemployed 54-59%
Household income < $15,000 45-64%
Disproportionately minorities
Who calls 2-1-1?
Pilot studyNovember, 2007 – February, 2008
• Aim 1: Estimate cancer control needs of callers
• Aim 2: Determine feasibility of cancer referrals
Mammography
Pap testing
Colonoscopy
HPV vaccine
Smoking
Smoke-free home policies
Assessing six cancer control actions
Mammograms
Pap smears
Colonoscopies
HPV vaccination
Smoking cessation
Smoke free home policy
Need at least one 85%
Need two or more 54%
Need three or more 30%
Current cancer control needs of 2-1-1 callers
26
1315
0
10
20
30
40
2-1-1 callers Missouri U.S.
percent
No health insurance2-1-1 callers (n=297) vs. Missouri vs. U.S.
33
2320
0
10
20
30
40
2-1-1 callers Missouri U.S.
percent
Current cigarette smoker2-1-1 callers (n=297) vs. Missouri vs. U.S.
52
64
72
0
10
20
30
40
50
60
70
80
2-1-1 callers Missouri U.S.
percent
Has a smoke-free home policy2-1-1 callers (n=297) vs. Missouri vs. U.S.
5058 57
0
10
20
30
40
50
60
70
80
2-1-1 callers Missouri U.S.
percent
Ever had a colonoscopy (ages ≥ 50)2-1-1 callers (n=107) vs. Missouri vs. U.S.
Reactions to pilot intervention
Tailored GenericOutcome (n=20) (n=19)
Recall getting referral 95%89%Recall getting mailing 60%47%Read all of mailing 50% 33%Liked mailing a lot 67% 56%Very easy to understand 75% 56%Called referral agency 30%21%Made an appointment 20% 5%
Opportunity for CPCRNDevelop a network wide 2-1-1 project
• Explore different strategies to enhance use
of cancer control referrals
• Possible integration into renewal applications
Proposed next stepsWashington University in St. Louis
• Share funded R01 proposal
• Lead working group of interested Centers
Proposed next stepsOther centers
• If interested, meet with your local 2-1-1 system and assess interest and willingness to collaborate
• By Dec. 1, indicate “in” or “out” to Kurt Ribisl