1. CHESAPEAKE THRIVES
Updates on the Health and
Early Childhood Priority Areas
Presentation to the
Commission on Health and Well-being
August 17, 2023
2. Social Determinants of Health
• The Social Determinants/Drivers of
Health (SDOH) are the backbones to
make our city a better place to live,
visit, learn, work, play and farm.
• SDOH have a major impact on
people’s health, well being, quality
of life, and a wide range of health
outcomes and risks.
4. Health Priority Area
• Strengthen, expand and diversify prevention-oriented
– Increase utilization of pre and postnatal care – to be discussed
under Early Childhood.
– Promote the availability and access to prevention and wellness
• Strengthen, expand, and diversify intervention strategies.
– Increase health screening opportunities
• Strengthen, expand, and diversify treatment services
– Mobile Medical Clinic – Rotary Club of Chesapeake & CRH
• Adopt and support a holistic approach to integrate
somatic care with behavioral health.
5. • Health literacy is one of the biggest predictors of long-term health outcomes. It
impacts a person’s ability to act on health information and engage in self care.
It also impacts the ability to prevent, understand and manage health problems
• Chesapeake Health Literacy Coalition – a partnership with Chesapeake Public
Libraries, Chesapeake Regional Healthcare, Chesapeake Redevelopment
and Housing Authority, City Planning, Human Services, Health Department,
Chesapeake Integrated Behavioral Health, Chesapeake Juvenile Services,
and Healthier757 – is working to increase participation in and improve
knowledge through the free Rewards for Healthy Living Platform.
6. Health Literacy
Working with Literacy for Life and Chesapeake
Public Schools Adult and Community Education
Program to bring The HEAL Program to
• An 8-week course that increases the participants knowledge of
health topics, basic medical terminology, and standard
practices (such as how to describe one’s symptoms to a doctor
or when to use an Urgent Care vs. an Emergency department).
• Involves 3 tiers – beginner, intermediate, advanced for both
those who have no/very limited English skills as well as English
speakers with literacy challenges.
• The graduation gift is a first aid kit and a field trip to a
8. Screening and Access
• Chesapeake Regional Healthcare’s Lifestyle Health and Fitness Center
has increased screening (including A1C testing, the gold standard in
diabetes prevention and care) and educational opportunities across
• Healthy Chesapeake’s HUB Program, an educational and social
support program for underserved patients with diabetes and
hypertension, provides quarterly A1C testing for the participants.
• Rotary Club of Chesapeake, Chesapeake Regional Healthcare, and
Healthy Chesapeake have submitted a grant to Rotary International
to bring a mobile medical clinic to serve the underserved
communities in the city. The outcome should be known by the end of
2023. Preliminary planning has already begun.
9. Early Childhood Priority Area
• Support the success of prenatal and parenting families.
– Increase referrals to home visiting programs via universal screening
at Chesapeake Regional Medical Center and referrals to home
visitation programs serving Chesapeake.
– Provide prenatal and parenting education
– Creation of Sankofa Family Center in South Norfolk
• Improve early care and educational supports.
– Information about changing landscape in childcare
• Increase knowledge about and access to early childhood
– Incorporate developmentally appropriate behavioral health practices
in all childcare settings
– Increase resources and partners to provide behavioral health
supports in childcare settings
– Expand capacity for administering consistent universal screenings
(ASQ) for all 0-6 settings
10. Why is Prenatal to 5 years of age
The first 1,000 days of a baby’s life are a critical and important period of
The brain is the only organ not fully developed at birth. 90% of critical brain
development happens in the first 5 years of life.
• At birth, the average baby brain is about a ¼ of the size of an adult brain.
• In the first year, the brain doubles in size.
• By the age of 3, it is 80% of the adult size.
• By the age of 5, it is 90% of the adult size.
• At birth, the brain has billions of neurons. But, for the most part, they are not
connected. From birth to age 3 there are more than 1 million neural
connections every second. These connections between the neurons is what
makes the brain work. These connections grow in the first 5 years more than
any other time in life.
11. The Brain on Trauma – Prenatal to 5
• Like muscles, neuron connections that are used
frequently become stronger and more efficient with
time. “Neurons that fire together, wire together.”
• From 0 to age 3, trauma (an event that is perceived as
a threat or danger) can impact the developing and
vulnerable mind. The body reacts protectively with the
“fight, flight, or freeze” response.
• If the baby experiences too many traumatic events,
the brain becomes primed for fear and rewires the
neural pathways functioning from the limbic system.
This makes it more difficult to access the cerebral
cortex, or the thinking brain.
• These changes have a lifelong impact on the child.
12. Prenatal Care in Chesapeake
2016 2017 2018 2019 2020
Percent of women seeing a healthcare provider during the
first 13 weeks of pregnancy.
20. Social Determinants of Health
Team members from Chesapeake Regional Healthcare, CHIP-SHR, Chesapeake
Health Department’s BabyCare, and Healthy Chesapeake designed a tool to
assess Social Determinants of Health (SDOH) for prenatal patients. The pilot,
using the SDOH tool, began in the OB ED on May 1, 2023.
May and June Respondents –
Completed forms 124
Unduplicated patients 113
May and June - Number of
Negative Screens 164
Positive Screens 123
Total responses to questions 1-19 327
"Chose not to answer" selected in questions 1-19 (included in previous count) 28
• The highest responses include
– Question 9: Do you need a doctor for your baby? (73)
– Question 6: Do you need supplies to take care of your baby or family at home? (47)
– Question 10: Do you need a medical doctor for yourself (other than your OB)? (39)
– Question 3: Are you having trouble paying your rent, heating, water, electricity, or other
bills right now? (25)
– Question 2: Within the past 12 months, were you worried your food would run out
before you got money to buy more? (20)
– Question 14: Do you experience stress that makes it hard to care for yourself or work?
23. Questions by Referral Category
1. Within the last 12 months has lack of transportation kept you from medical appointments,
meetings, work, or getting medications or other things for your home and family?
2. Within the past 12 months, were you worried your food would run out before you got money to
3. Are you having trouble paying your rent, heating, water, electricity, or other bills right now? 25 0
4. In the past 12 months, has the electric, gas, oil, or water company threatened to shut services off
in your home?
5. Do you worry about being able to provide care for your baby or having the skills to do so? 14 3
6. Do you need supplies to take care of your baby or family at home? 47 1
7. Do you have trouble with childcare or the care of a family member? 7 2
8. Do you have trouble paying for medicines that you need? 6 1
9. Do you need a doctor for your baby? 73 1
10. Do you need a medical doctor for yourself (other than your OB)? 39 0
11. Do you need someone to help with day-to-day activities? 6 2
24. Questions by Referral Category
12. What is your housing situation today?
13. Are you worried in the next 2 months you may not have your own housing to live in or have a safe
and reliable place to sleep?
14. Do you experience stress that makes it hard to care for yourself or work? 20 3
15. Does anyone, including family or friend, verbally or physically hurt you? 2 2
16. Does anyone, including family or friend, threaten to harm you? 0 2
17. Does your partner/family have problems with alcohol or drug use? 2 2
18. Before you were pregnant, did you have problems with alcohol or drug use? 2 2
19. In the past month, did you drink beer, wine, or liquor or use any drugs? 6 2
25. Outcomes to Date
• Information packages to provide to women who
are 20 weeks pregnant and beyond have been
developed and distributed to participating OB
• 14 women have been enrolled into home visitation
• 18 women have received information and
assistance from the HOPE Program (Healing
Opportunities Providing Empowerment).
• One woman was in an abusive situation (physical,
emotional, fiscal) has gotten out and into a safe,
26. The Sankofa Family Center
The African symbol of the Sankofa Bird, with its feet firmly pointing
toward the future while looking to the past, reminds us that we can honor
our past and our heritage while moving forward, planting a seed for future
generations, symbolized by the egg.
27. What does a healthy
neighborhood look like?
• Affordable and adequate housing
• Affordable cost of living
• Jobs/Workforce development
• Living wages
• Working families – low/no
• Low crime rates
• People buying homes
• Green spaces
• Clean, no litter
• Community gardens
• Places to play
• Recreational centers/venues
Healthcare & other necessary resources
Affordable high-quality childcare
Mental health programs
• Happy kids
• Students who are supported and have access to
resources (example – tutoring, mentoring)
• Safe, inviting schools and safe passage to schools
• Opportunities for youth, funding for programs
Neighbors helping neighbors – Networking
Sense of belonging – Non-judgmental
• Internet access
• Good political representation
• Individuals who are emotionally stable
• Programs for the elderly
• Diversity and Inclusion
• Variety of religions
28. Programming for the
Family Protective Factors
• Family Protective Factors
– Increase family stability
– Enhance child development
– Reduce child abuse and neglect
• Goals of the Sankofa Family Center
– Provide programming and services to support all five of the Family Protective Factors.
– Expand needed services throughout Chesapeake
• The goals will be accomplished through collaboration
with CHIP and wonderful community partners
• The following slides indicate requested programming
by all participants and are color-coded to reflect what
is already offered and currently being planned. Other
listed requests will be added to the action plan for
29. Positive relationships that provide
instrumental, and spiritual support.
Hispanic Support Group
Create Learned Experience Leaders Advisory Board
Circle of Parents
“A Great Start to a Positive Day” – refreshments and conversation at the
school bus stop or at schools
Opportunities to connect with neighbors (movie nights, game nights) and
other family activities
Bold – Offered
Bold – Planned
30. Managing stress and functioning well when
faced with challenges, adversity, and trauma.
o Aspire Mobility Program
o Strive Mobility Program
Safe Passage to School
Violence Interrupters Education
Job interview training (resume writing, interview techniques) – clothes for
Mental Health Support/Classes (relationship with CIBH, telehealth, etc.)
Classes on how to recognize predatory vendors
Bold – Offered
Bold – Planned
31. Understanding child development and
parenting strategies that support
physical, cognitive, language, social, and
Home Visitation Program
LENA Start/LENA Grow
Gentle Parenting Classes
CHKD’s “Parenting on the Sidelines” and/or newest classes for coaches
parenting and child
Bold – Offered
Bold – Planned
32. Access to concrete support and services that
address a family’s needs and help minimize
stress caused by challenges.
Connection to resources – care coordination
Distribution site for the Foodbank of Southeastern Virginia and the Eastern Shore – explore
increase in that presence, increase distribution capacity to meet immediate needs?
Winter coat drive – distribution site for WAVY-TV 10
Partner with healthcare partners to hold/increase involvement in health fairs
Financial Literacy Classes, to include budgeting
Food literacy – nutrition, cooking classes
Assistance with finding childcare
Assistance with finding medical care
Kids Café (summers)
Concrete support in
times of need
Bold – Offered
Bold – Planned
33. Family and child interactions that help children
develop the ability to communicate clearly, recognize
and regulate their emotions, and establish and
Tutoring Programs/Homework Assistance
Botvin Life Skills Training Program (Kids Kin ‘Kids Caregivers)
Summer learning programs and/or other extra-curricular activities
Social and emotional
Bold – Offered
Bold – Planned
36. Early Childhood
• Increase resources and partners to
provide behavioral health supports in
– Additional Infant Toddler Specialist
• Expand capacity for administering
consistent universal screenings (ASQ)
for all 0-6 settings
– United Way South Hampton Roads
38. Chesapeake Childcare Subsidy
Fiscal Year # of Families
2024 884 1346*
2023 1211 1899
2022 966 1575
2021 697 1156
*June/July to date
Fiscal Year Budget
2024 $15, 199, 756.93
Phyllis Stoneburner, MBA, BSN, RN
Office: (757) 690-8973
Cell: (757) 641-9569
667 Kingsborough Square, Suite 102
Chesapeake, VA 23320
Healthy citizens are the greatest
asset any country can have.
Early Childhood Program Coordinator
Department of Human Services
Office: (757) 382-2322
Cell: (757) 799-6153
Notas del editor
Social determinants of health (SDOH) have a major impact on people’s health, well-being, and quality of life. Examples of SDOH include:
Safe housing, transportation, and neighborhoods
Racism, discrimination, and violence
Education, job opportunities, and income
Access to nutritious foods and physical activity opportunities
Polluted air and water
Language and literacy skills