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Template: Community Profile Inventory      


Template: Community Profile Inventory
 

  

 

Names_________________________________________________________       Date_____ 

Community 35205 Birmingham AL south 5 point area  

  


Category


Health Implications 

 


PTS


III. Health information – 80 points
 

  

A. Psychological climate 

1. Self-concept (community perception of mental health) 

2. Attitude/support r/t mental health 

3. Suicide rates 

  


/10
 

B. Nutritional status 

1. Sources of food 

2. Culture(perception) related to food/health 

3. Statistics related to nutritional status 

  


/10
 

C. Physical fitness status 

1. Facilities 

2. Attitudes/culture r/t physical fitness 

  


/5
 

D. Private/public services (If not local, are there services available & assessable elsewhere?  How far?) 

1. Primary care providers (how many?) 

2. Specialists 

3. Public health 

4. Hospitals 

5. Long-term care 

6. Mental health 

7. Substance abuse 

8. Home health 

9. Services for under or uninsured 

10. Complementary/integrative services (chiropractor, acupuncture, etc.) 

  


/15
 

E. Other healthcare or related resources 

1. Occupational health/physical therapy 

2. School nurses 

3. Volunteer & welfare agencies 

4. Homeless shelters 

5. Disaster preparedness services 

6. Other? 

  


/15
 

F. Resources for specific health needs (older adults, teen parents, disabled, HIV) 

  


/5
 

G. Overlapping or absent services 

1. Provider shortages? 

2. Too many services? (ie MRIs?) 

  


/5
 

H. Health disparities in this community: look this up in HP 2030 and online and be very specific; this should relate to your specific community’s health needs.
    


  

  


/15
 

Informant Interviews

·
Referred to the following data collection:

· The B’ham Mayor’s Office (


)… you can get a response from the Mayor.

· Organizational chart for the Jefferson County Dept. of Public Health to reach out to potential informants (


· Community Stakeholders for potential interviews (


)

– APA reference with dates and not older than 7 year

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