Highlights
School Health
• Human Growth & Development knowledge  assessment from pre to 60-day post-test for boys and girls both had a statistically significant increase.
• Dental Health knowledge assessment - difference between the pre- and 60 day post-test scores for the group overall increased 12.2 points, from 50.0 to 62.2 which was statistically significant
• The THD School Health Program presented a webinar for the American School Health Association (ASHA) on the topic WSCC Model Implementation in Elementary Schools Through A County Health Department.
• The THD School Health Program presented during a breakout session at the Virtual Massachusetts Association for Health, Physical Education, Recreation and Dance (MA-HPERD) International School Health Education Conference. The presentation title was No Need to Do It Alone! Implementing the WSCC Model Through Community Partnerships.
• It’s All About Kids was the spotlight story for the OKHealth & P.E. February 2022 Newsletter
Data Team
• Through grant funding from the George Kaiser Family Foundation, (GKFF), Birth through Eight Strategy for Tulsa (BEST) program, the THD data team supports initiatives serving families with young children. The THD Family Advocate team, which navigates families through the supporting programs, is a key internal client. In FY 22, the data team expanded the scope of dashboard reports used by the Family Advocate team to manage operations. Among the most important, reporting was added to closely track the referrals being received from Medicaid enrollment activity for pregnant women, allowing for close tracking of usable referrals, overall volume trends, and prioritization of calls to be made based on gestational period.  Two other improvement were dashboarding of clients segmented by being prenatal vs. postnatal, and beginning the early stages of phone call tracking using RingCentral data. 
Epidemiology
• The Epidemiology team provides education and outreach to limit the spread of disease in Tulsa County. The maternal and child health epidemiologist in connection with the Oklahoma State Department of Health’s Perinatal Hepatitis B Program and the THD lab staff provided a perinatal Hepatitis B disease investigation as well as testing and vaccine outreach for a foreign-born pregnant woman with a family. THD and OSDH staff provided translation services, test results, prevention education, and available next steps for family members
• To provide access to updated and timely information to the public and community partners, as well as boost program membership, the maternal and child health epidemiologist updated the THD TFIMR website to renew website links, update resources and clarify the TFIMR process.

Personal Responsibility Education Program (PREP) 
To understand whether grant objectives are being met and to contribute to lessons learned, the PREP educators provide students with an entry and exit survey created by the Family and Youth Services Bureau. Students report their perceptions on the program’s affect in helping them make important decisions related to personal relationships, goals/finances, and conflict management.
• Students were asked about different personal relationships and how they may have improved through the program. 81% of middle school students and 76% of high school reported that they were more likely to understand what makes a relationship healthy. 69% of middle school and 70% of high school students reported that they were more likely to resist or say no to a dating partner that was pressuring them.
• Students were asked if their goals may have improved through the program. 76% of middle school students and 70% of high school students reported they were more likely to make plans to reach their goals after participating in the program. Encouraging youth to focus on goal setting promotes responsible behaviors that can reduce unintended pregnancies, STIs and HIV.
• Students were asked if their conflict management skills improved through the program. 58% of middle students and 66% of high school students reported they were more likely to resist or say no to peer pressure.  60% of middle school students and 71% of high school students reported they were more likely to think about consequences before making a decision.
• Program feedback was gathered from students on the exit survey. When it came to content on abstaining from sex, 75% of middle school students and 83% of high school students expressed satisfaction. When it came to content on birth control and condoms, 82% of middle school and 84% of high school students expressed satisfaction.
Maternal and Child Health Outreach
• In October of 2021 THD received additional funding for 4 community engagement specialists plus a supervisor through the George Kaiser Family Foundation. It is part of a GKFF/BEST initiative to further community connections and take services to include SoonerCare enrollment to the clients in the community.
• Community Engagement Specialist team (GKFF funded) has been working on creating strategic partnerships to bring Soonercare expansion coverage to vulnerable Tulsans. These partnerships include on-site visits at the following organizations: Oasis Fresh Market, St. Andrews Christian Church, Youth Services of Tulsa and others
​​​Children First
• Children First hosted its 2nd Drive Through Graduation event on Nov 6. Approx. 50 graduates participated in the outdoor event. 
• A virtual  Community Agency Tour was held Nov 16-18, 2021, providing information about 22 different community partner agencies.
• In Jan 2022, the entire team of C-1 Nurses and Supervisors participated in the MEICHV CQI learning session which launched the 2022 PDSA cycles in Jan 2022. 
Healthy Start
• Among Healthy Start participants, 91.0% of women were able to report a usual source of care versus emergency room usage; along with 96% of children in the program. 
• Even with the limitations imposed by the Pandemic, Healthy Start was able to co-sponsor a drive-through ‘Community Baby Sprinkle’ event in October 2021, with 150 participants able to receive a goodie bag of free baby care and clothing items, directed safe sleep education, and the chance to win one of two grand prizes.
WIC
• In June 2021, LBL was approved for funding by GKFF for FFY 2023 to expand services to all THD WIC clinics. This allows us to provide developmental handouts and children’s books to all clients of THD WIC, expanding services from 5 clinics to 10.
ConnectFirst
• The ConnectFirst Emergency Fund was created to provide financial assistance for families receiving services from a ConnectFirst program or related program who are experiencing a financial hardship during the postpartum recovery period. The most meaningful support BEST/GKFF has provided during FY22 is the CF Emergency Fund for our ConnectFIrst clients/mothers. The CF Emergency Fund has assisted so many families in FY22, by reducing financial stressors that arise during a mother’s postpartum period. The CF Emergency Fund assists families who are experiencing a financial hardship 4 weeks prior to delivery up to 12 weeks postpartum. Under the ConnectFirst umbrella of implementing partners and programs, more than 100 families have utilized the assistance, since the implementation of the CF Emergency Fund. 
• Over $100,000 in funds/ assistance has been distributed amongst mothers who have experienced an unexpected financial hardship during postpartum. The THD- Family Advocates assisted 17 mothers and families from 2/16/22-6/30/22. Total financial assistance provided to mothers reached: $17,389.14. The fund continues to assist families, since the implementation of the CF Emergency Fund.
• The Unite Us platform was launched on June 2021 in order to streamline the referral process between implementing partners. On June 2021, Family Advocates (ConnectFirst) had 11 users who had access to the platform. Data reflects referrals and activity sent from June 2021- April 2022. Family Advocates was the top referring program within the agency.
parentPro
• Reached 400 clients in FY22. parentPRO offered free home visitation services to parents/caretakers that have children ages 0-5, in Tulsa county, from 7/21/21-6/17/22.
• Unite Us referrals: parentPRO was the third top referring program at 32 referrals sent, via the Unite Us platform, in FY22. parentPRO gained access to the Unite Us platform in June 2021. parentPRO has seen and increased growth in referrals sent to other community partners, since the implementation of the Unite Us platform.
• Attended 29+ community events in FY22, in order to connect community partners to other community agencies, here in Tulsa county.
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Data
School Health
partnered with 64 elementary schools in 8 Tulsa County School Districts in FY2021-2022. Additionally, we offered Human Growth & Development to Liberty School District and Anderson School District.
• provided health education to 11,569 in-person and 3,689 virtual students (includes health education, dental health, social emotional learning, and physical environment)
• provided professional development to 395 total in-person and 223 total virtual participants on Physical Education and Physical Activity and Social and Emotional Climate
• maintained social media accounts (Facebook & Instagram) reaching 21,118 people
• Held 6 Activity Challenges, 8 Recipe Challenges and 4 Habit Challenges with 453 school staff sign-ups
• gave 45 health service referrals for School Health assistance, community partners, and/or THD services.
Children First
• Active caseload of 202 clients
• Completed 2012 “in person” Home Visits
• Completed 557 phone visits
• Completed 97 telehealth visits
Child Guidance
4230 Client Contacts in the Clinic
212 Group Hours
200 Classroom Consultation Hours
WIC
• Facilitated 48,260 client visits to THD WIC sites this year 
• Issued $15,751,682 in food/formula benefits to THD WIC clients this year
• Tulsa County’s breastfeeding initiation rates have improved since 2021, rising by 3.4 percentage points year to date.  However, Tulsa County is lagging behind the state average by 2.1 percentage points in breastfeeding initiation.
• Tulsa County has at least a three-year history of being higher than the state average for breastfeeding duration.  Year to date in 2022, we are 7.4 percentage points above the state 3- month average, 5.2 percentage points above the state 6-month average and 2.4 percentage points above the 12-month average. 
•From July 1, 2021-June 30, 2022, LBL provided 23,500 books to children and families in Tulsa. LBL served 6,783 individual families while enrolling 5,830 new clients for LBL services.  
Maternal and Child Health Outreach
• enrolled 2,400 individuals in SoonerCare benefit programs, made 1,121 outreach worker contacts and 288 social worker contacts
• hosted an online Baby “Sprinkle” with pick up/delivery of baby items in October 2021 and served over 100 families and provided safe sleep education
Healthy Start
• Served 219 pregnant women, 245 non-pregnant women, 165 infants and 40 men

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