Community As Partner Project Milla Vasquez

Community as Partner Project
Amira Soto, Bella Rodriguez, Wyatt Ute, & Milla Vasqeu
NURS 473: Population Health & Community Nursing
University of Arizona
Professor Acosta
November 9, 2023
Abstract
The main objective of this project was to assess community needs located within Pima
County Census Tract 000100. Using the Community As a Partner Model, the group identified the
most significant stressors in the area included the unhoused population and substance use among
this population. We used online resources for data collection, including the Census Tract
Reporter, PimaMaps, and Google Maps. A windshield survey was conducted to gather remaining
information about the physical environment. Key Informant Interviews were conducted to collect
subjective data from community members to gain insight into the strengths and weaknesses of
the community. Based on the data, we developed a Health Education Project focused on
enhancing the knowledge about substance use, opioid overdose signs and symptoms, Narcan
administration, and the use of Fentanyl testing kits among the unhoused community. Evaluation
of the project determined all goals were met after the event.
Keywords: unhoused, substance, opioids, homeless

NURS 473 Population and Community Health Nursing
Community Survey
Pima County Census Tract (CT) # 000100
Pima County
Closest PCHD office name Located in: Abrams Public Health Census Tract #: 000100
Census Tract #
and address Center Zip Codes: 85701
and Zip Code(s)
Color Key:
Blue highlight = Census Reporter
Green highlight = Pima Maps
Gray = Other Internet Based Source (e.g. FBI)
White = Observations during Windshield Survey
Last Updated: 08/22/23 nem

Community Survey
Address: 3950 S Country Club Rd
#100, Tucson, AZ 85714
Dates of
Assigned PHN Geneve ____ & Adela Gonzales windshield October 5, 2023
survey
PHYSICAL ENVIRONMENT
CT boundaries
North West Franklin Street East E Toole Avenue
South W Cushing Street West South Granada Avenue
Housing (Units and Occupancy) Environment
Units in Approx. #
County* County* CT Approx. #
CT % Structure Make comments
% % % Make comments below
(Census)* below
Vacant/ 2
boarded up Homeless
Occupied units 89% 87% Single unit 67% 6% 19
structures or encampments
vacant lots?
Owner Abandoned 0
64% 2% Multi-unit 22% 94% Trash/rubble? 10
Occupied units cars?
Median value of
New
owner-occupied $217,700 N/A Mobile home 10% 0% 1 Graffiti? 3
construction?
unit ($)
CT Size People per 2,684.3
Boat, RV, Van 0% 0% 0.3
(sq. miles) sq. mile
Census Reporter. (ACS 2021- 5 year) Profile for Census Tract 1
* County= Pima County Pima, AZ.
(https://censusreporter.org/profiles/14000US04019000100-census-
tract-1-pima-az/)
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ENVIRONMENTAL HEALTH ASSESSMENT
(Resources: Web site links for assessment items identified)
In Your CT
Possible Assessment Items
(Web site links and brief description)
Pollen count in this region is medium 4.9-
7.2 (mainly ragweed), with none to low
amount of tree/bush density along the
- Commercial activity; sidewalks. Weather is dry and hot, with a
industrialization lack of shrubbery the temperature feels
- Motor vehicles; traffic congestion hotter than it is. This census tract has
Outdoor
- Topography; climate moderate traffic conditions via many
(community,
regional, city-
- “Point Sources” of emissions. businesses within a small area. Electrical
- Coal-power generation and gas-powered homes/businesses are
wide)
- Poor regulations and/or lack of run here.
enforcement
- Pollen, dust https://www.pollen.com/map
Air Quality https://weather.com/forecast/allergy/l/bd279
11693283968b7e8f34cd2d4d55645cfc85d0
52428b87e8c225de15713c1
- Poor ventilation
Estimated 16% of adults in Pima county
- Smoking and passive smoking
are cigarette smokers. This census tract is
- Lead dust and paint
within a high-risk lead poisoning zip code,
Indoor - Radon
and within an indoor radon level of 2-4
(household or - Animals
pCi/L. Which is in safe levels, according to
workplace) - Pesticides
the Environmental Protection Agency
- Poorly operated heating systems
(EPA). In 2020, Tucson's tap water quality
- Carbon monoxide
tested positive for low levels of the
- Poor housing quality
herbicide atrazine. High density of
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apartments and condos for housing, with
many abandoned buildings surrounding
other businesses.
https://www.countyhealthrankings.org/ex
plore-health-rankings/county-health-
rankings-model/health-factors/health-
behaviors/tobacco-use/adult-
smoking?year=2023&county=04019
https://www.azdhs.gov/documents/prepa
redness/epidemiology-disease-
control/lead-poisoning/2020-annual-
blood-lead-report.pdf
https://radonresources.com/directory/az/
city/tucson/#:~:text=Tucson%2C%20AZ
%20and%20the%2085701,levels%20as
signed%20by%20the%20EPA.
https://www.hydroviv.com/blogs/water-
quality-report/tucson
Trichlorethylene (TCE) has been unsafely
- Municipal and industrial wastewater
dumped into Tucson’s water supply. “The
disposal practices
Access to clean boundary of the area contaminated by TCE
Water - Urban runoff
drinking water is roughly south of 22nd street, north of Los
- Combined sewer overflows
Reales Road, east of Interstate 19 and west
- Agricultural practices
of Del Moral Boulevard.” With cancers
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- Source of drinking water (long term resulting from consumption of this water.
sustainability?) Urban runoff is managed in this area with
- PFAS + pollution/contamination streets with storm drains that allow water to
flow into sewers. Car oil is pollutant of storm
drains with residue building in water disposal
ways. No sewage overflows, and lack of
distinct trash smells within the area. Lack of
community gardens and farmers markets in
the area. Water in this area comes from the
Colorado River. Clean water can be sourced
from sinks inside residential and business
areas. Certain water fountains in this area
are turned off for sanitary reasons.
https://www.library.pima.gov/content/polluti
on-in-tucson-
water/#:~:text=The%20Tucsonans%20who
%20lived%20in,west%20of%20Del%20Mor
al%20Boulevard.
Low number of houses in this area, as the

- Municipal and industrial wastewater area becomes more residential, more one
disposal practices story houses appear. Gates in the side yard,
Recreation safety - Urban runoff but not around front. “Tucson freshwater has
(lakes, pools, - Agricultural practices removed drinking water production wells
streams) - Gates/fencing around pools from service due to PFAS found at levels
- Fresh water contamination higher than EPA's HAL in the regional
- Green stormwater infrastructure groundwater aquifer near Davis Monthan Air
Force Base.”
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https://www.azdeq.gov/protecting-tucsons-
drinking-water-supply-pfas-
resources#:~:text=Tucson%20Water%20ha
s%20removed%20drinking,are%20at%20ri
sk%20from%20PFAS.
Since the Tucson Convention Center (TCC)
is such a big landmark of this region, it has
contributed lots to the surrounding
community. Ever since the start of
construction of the center, it has rebuilt the
historic Tucson Music Hall and Leo Rich
- Uncontrolled urban sprawl Theatre, while also building 2 parking
- Land disposal of municipal and garages to expand attendance ability. It has
Degradation of
industrial waste; hazardous waste brought more business and encouraged the
Land,
sites surrounding residents to dine, play games,
- Illegal dumping of municipal and attend movies/play, and gather together
Loss of Green
Land Use industrial waste more often. It also has allowed further
Space and
- Abandoned/vacant former outreach to those physically unable to go to
Cultural and
commercial/industrial sites attends by having virtual options via
Historical
(brownfields) internet-based communication (e.g., Zoom).
Property
- Uncontrolled erosion With expanded reach, more diverse
- Tree canopy populations are being discovered and
welcomed into the community. However,
down sides are that it has removed
available space for wildlife and green
spaces, such as parks or trails. The nearest
hazardous waste disposal area is the Los
Reales Landfill, in which they host a Los
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Reales Sustainability Campus HHW Drop-
Off, free to all residents of Tucson. Streets
do not have garbage (household or
industrial) sitting on curbs or on the street.
Not many trees for shade, some streets
have such little trees/shrubbery that the
concrete and asphalt increase
temperatures. Numerous abandoned
buildings and “For lease” business spaces
available, with many empty lots. No reports
of abandoned vehicles in parking lots. No
reports of uncontrolled erosion.
https://www.sundt.com/2022/04/26/rebuildin
g-a-cultural-hub-and-economic-engine/
https://www.tucsonaz.gov/Departments/Env
ironmental-and-General-
Services/Household-Hazardous-Waste
Tucson has a monsoon season that starts
in June to the end of September, with winds
reaching around 30 miles per hour. Once
- Heat Index winds reach 50 mph, it then increases
- Natural disaster susceptibility chances for power outages and property
Climate and
- Climate change resiliency damage. Monsoon season is around the
Disasters
- Signs of potential/actual flooding same time and causes similar damages to
the impacted areas. These storms
additionally cause flash floods that can
harm any population that may be living
outside or animals in the area. Flooding is
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reduced through storm drainage
implementation in this area, but flash
flooding still occurs. Pedestrian activity
during these times is reduced due to some
streets being completely flooded. Potential
fires occur when lightning strikes
businesses, during a monsoon. Drought
and extreme heat are reported in this area
due to low green spaces and flora.
https://www.premiertucsonhomes.com/arizo
na-haboob/
COMMUNITY CORE
Demographic U.S. Census data (%)
Total population of Pima County 1,052,030 Total Population of CT 806
Age
Count CT County CT Languages County CT
Race & Ethnicity groups
y% % % % spoken at home % %
(years)*
White English only
50% 55% 0-9 11% 2% 75% 100%
(non-Hispanic) (5-17)
African American or Black 3% 2% 10-19 13% 3% English only (18+) 72% 89%
Native 2% 3% 60-69 13% 7% 0%
Spanish (5-17) 21%
70+ Spanish (18+) 23% 7%
Asian 3% 6% 14% 13%
(add)
Hispanic Median Foreign Born (total
38% 32% 38.9% 35 12.2% 7.2%
(of any race) Age %)
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Include source of data:
Census Reporter. (ACS 2021- 5 year) Profile for Census Tract 1 Pima, AZ.
Census document title and
(https://censusreporter.org/profiles/14000US04019000100-census-tract-1-pima-az/)
data year(s).
Culture and Ethnicity
Ethnic food stores 0
1. The Little One – Mexican food
Ethnic restaurants 2. La Chingada – Mexican food
3. Miss Saigon – Vietnamese food
Signage in other languages 4 signs
Places of worship (formal St. Augustine Cathedral
name, address, 192-2 S. Stone Ave.
denomination, and any Tucson, AZ, 85701
services provided to the Denomination: Catholic
community) Services: Confessions, Baptisms, Young adult group, Breakfast, Spanish baptism, Men’s group
Art/sculpture Beautiful art murals all around the side walls of buildings, Ben’s Bells flower mural
Cultural dress Nothing seen
HEALTH AND SOCIAL SERVICES
Resources (formal name, location, brief list of services and source website link)
Nearest hospital St. Mary’s Hospital. 1601 W St Mary’s Rd, Tucson, AZ 85745. Source
open to the public weblink:https://www.carondelet.org/locations/detail/st-marys-hospital
· Comprehensive Breast Health Services
· Catheterization labs
· Primary Stroke Center
· Designated Cardiac Arrest Center
· ADA certified Diabetes Care Center
· Emergency Center
· Wound Healing Center
· Dedicated inpatient care for complex wounds
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· Specialized Orthopedic Surgery
· Surgical weight loss
· Diabetes care & community education
· Dialysis (inpatient)
· Rehabilitation (inpatient)
· Gastroenterology Lab (GI lab)
• Sleep Center
Long-term Care and Rehab None
Facilities (SNF, Assisted
Living, Independent Living)
Homeless shelters None
Half-way houses None
(drug treatment or post-
prison or jail)
Urgent Care Formal name: HealthOn Broadway
Location: 1 W Broadway Blvd
Services: Primary medical, behavioral health, health education, patient navigation, translation,
women’s health, radiology, laboratory, referral services and wellness classes
Source website link: https://healthontucson.org/
Pharmacies (note if there is 0
a clinic)
Dispose-A-Med site(s) 0
Medical/Dental offices/clinics
Perfect Teeth
• https://www.perfectteeth.com/office/az/tucson/85701/abc?utm_source=GMB&utm_me
dium=organic&cr=4121
• 123 S Stone Ave, Tucson, AZ 85701
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• Braces, adolescent cleanings, gum disease prevention, tooth replacements, wisdom
teeth removal, teeth whitening and cleaning, and veneers
CSL Plasma
• https://www.cslplasma.com/center/624
• 135 S 4th Ave, Tucson, AZ 85701
• Plasma donation center
Integrative care modalities Take Flight Yoga and Movement

(yoga, energy therapies,
massage etc.) • http://takeflightyoga.com/
• 37 E Pennington St, Tucson, AZ 85701
• Yoga studio
FIT Boutique Studio
• https://www.fitstudiotucson.com/
• 245 E Congress St, Tucson, AZ 85701
• Cardio, yoga, Barre
Legendary Massage
• http://www.legendarymassage.com/
• 300 N Main Ave #103, Tucson, AZ 85701
• Thai Massage, Deep tissue, Athletic massage, and Pure Swedish
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Mental health Agencies La Frontera, Hope Center
• http://www.lafronteraaz.org/
• 260 S Scott Ave, Tucson, AZ 85701
• Crisis and mental health services, substance uses, and counseling
Our place Clubhouse
• https://www.ourplaceclubhouse.org/
• 66 E Pennington St, Tucson, AZ 85701
• Behavioral health counseling
Social Service Agencies

Pima County Public Works, 201 N Stone Ave, Tucson, AZ 85701.
• 201 N Stone Ave, Tucson, AZ 85701

• https://www.pima.gov/2623/Public-Works
• Community: Improvements, free wifi, housing and resource assistance.
• Development: Building and site development, code enforcement, Floodplain, land
planning and regulation, transportation
• Educational outreach
• Employment outreach: job listing, employment training services, homeless resources,
Veterans employment services One-stop job assistance
• Environment: Air, waste, water health, recycling, Vector (cockroach), odor control
• Health: Clinic, consumer health and food safety, mental health and substance abuse
resources, preventative health.
• Recreational: classes, outdoor activities opportunities.
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City of Tucson
• https://www.tucsonaz.gov
• 255 W Alameda St Tucson, AZ 85701
• Affordable housing programs, home repair, city jobs, business licensure
Tucson Indian Center
• 25 E Alameda 25 E Alameda S
• Career and Job Counseling, Supportive Services for Employment, Work Experience,
Resume Writing, and Interviewing Skills.
Pima County Court Administration

• 110 W Congress St, Tucson, AZ 85701
• https://www.sc.pima.gov/contact/
• Adult Probation, Case Management Services, Conciliation Court, Court Interpreters,
Court Reporters, Law Library, Pretrial Services, Procurement / Finance, and Public and
Media Relations
Tucson Federal building
• 300 W Congress St, Tucson, AZ 85701
• https://www.gsa.gov/about-us/
• Department of labor, executive office of immigration, federal protective services,
department of state office, department of security office.
Large meeting places or Tucson Convention Center (TCC)

possible shelters for disaster • 260 S Church Ave Tucson, AZ 85701
response • 233,000 square feet of meeting and event space to accommodate for meetings,
conventions, trade shows, banquets, etc. Also has 3 associated performance facilities
for sporting events, ice shows, theatrical performances and concerts. These are the
Tucson Arena, Linda Ronstadt Music Hall and Leo Rich Theater.
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• https://tucsonconventioncenter.com/
Nearest Covid-19 testing HealthOn Broadway
sites 1 W Broadway Blvd
https://healthontucson.org/
Food bank/pantry
Armory Parks & Recreation Center - Food Distribution Center

• Food bank, wellness education, socialization activities, senior services activities
• https://azfoodbanks.org/maps/armory-parks-and-rec-center/
Other health/social service Big Brothers Big Sisters of Southern Arizona

providers 160 E Alameda St, Tucson, AZ 85701
https://www.soazbigs.org/donate/
Services: “Big Brothers Big Sisters of Southern Arizona helps children achieve success in
school, helps them avoid risky behaviors such as getting into fights and trying drugs and
alcohol, and helps them improve their self-confidence. One-to-one mentoring, in which a child is
carefully matched with a caring adult mentor in a relationship supported by professional Big
Brothers Big Sisters staff. Enrollment age is 6 to 14, and children can stay in the program to
age 21”
EDUCATION
Educational Attainment
County CT County CT
High school graduate % % Bachelor’s degree % %
or higher or higher
89.4% 94% 34.4% 41.9%
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Census Reporter. (ACS 2021- 5 year) Profile for Census Tract 1 Pima, AZ.
Educational Resources (Formal name, location, brief description of services, source website link)
YMCA Holsclaw Family Child Care Center
https://tucsonymca.org/program/earlylearning/
Childcare/ preschool centers 222 N Church Ave, Tucson, AZ 85701
Services: Sports, group exercises, family camps, family events, personal training, swimming,
and child care.
Public School District(s) for Tucson Unified School, 1010 E 10th St Tucson, Tucson, AZ 85719. https://www.tusd1.org/
CT · Educational Enrollment from K-12.
· Transportation to school.
· Advanced Learning Experiences
· Curricular and student support services
· Educational options for children whose primary language is not English (ELL)
· Management of children with special health needs
· Individualized Education Plan (IEP): Health consultation and health needs planning with
IEP team
· Emergency Health plans for: Asthma, Diabetes, Life-threatening allergic reactions,
Seizures
other behavioral and medical health conditions as needed, and other physical injuries.
· Immunizations
· Disease outbreak management
· Flu surveillance
· Management of medications: Prescription, over the counter
Nursing assessment, referral and resources for acute and chronic medical conditions
Schools inside CT. Identify City High School, Charter school, 47 E Pennington St, Tucson, AZ 85701.
as public, private, or charter. https://www.cityhighschool.org/
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• Education enrollment 8th grade-12th grade.
• Speech and communication counseling
• Occupational and physical therapy.
• School psychological support programs
Paulo Freire Freedom School, Charter school, 47 E Pennington St, Tucson, AZ 85701
https://www.pffsd.org/
• Education enrollment 6th grade-8th grade.
• Speech and communication counseling
• Occupational and physical therapy.
• School psychological support programs
Imago Dei Middle School, Private school, 55 N 6th Ave, Tucson, AZ 85701.
https://www.imagodeischool.org/
• Education enrollment 4th- 8th grade.
• Tuition-free private school for low-income families.
• Academic, physical, social, and spiritual education
• Extend school days (10 years), weeks (5 and a half), and year (11 months)
The public school district Tucson Unified School District, 1010 E 10th St Tucson, Tucson, AZ 85719.
elementary, middle, and high https://www.tusd1.org/
schools where children in a
particular census tract are
assigned to attend (called
attendance zones by many
school districts)
Public Library in or nearest Joel D. Valdez Main library, 101 N Stone Avenue, Tucson AZ 85701.
to CT https://www.library.pima.gov/locations/mai/
· Access to library loans books, e-books, audio books, videotapes, CDs, and DVDs.
· Services include story time for children.
· Offers public computers, printer, Wi-Fi wireless access, and copy machine.
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Meeting rooms available for community groups.
Other (including any
educational resources that
remain closed or out of
business)
RECREATION
Formal name, location, brief description of services, source website link.
Neighborhood centers and
hours Lohse Family YMCA
• 60 W Alameda St, Tucson, AZ 85701

• Hours: Monday-Friday 5:30AM-8PM. Saturday 8AM-12PM, closed Sunday
• Gym, swimming pool, boxing, yoga, cycling, child care, community rooms, fitness
classes for adults and children, camps, early childhood, and exercise classes
• http://tucsonymca.org/lohse
Children’s Museum Tucson

• Hours: 9AM-5PM Tuesday-Sunday, 9AM-7PM Thursday
• Variety of child friendly art/learning programs, interactive art museum, field trips, and
camps
• https://www.childrensmuseumtucson.org/
Southern Arizona Transportation Museum
• 414 N Toole Ave, Tucson, AZ 85705

• Hours: Tuesday-Thursday 11AM-3PM, Friday-Saturday 10AM-4PM, Sunday 1AM-3PM
• History museum, tours, educational programs, and gift shop
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• http://tucsonhistoricdepot.org/
Tucson Music Hall
• 260 S Church Ave, Tucson, AZ 85701

• Hours: Monday-Friday 10AM-4PM
• COncerts and plays
• https://tucsonmusichall.org/
Tucson Convention Center

• Sport games, host a variety of events, concerts, catering, and host exhibits
• https://tucsonconventioncenter.com/
Sosa-Carrillo-Frémont House
• 151 S Granada Ave, Tucson, AZ 85701

• History Museum and tours
• https://localwiki.org/tucson/The_Sosa-Carrillo-Fr%C3%A9mont_House
Tucson Musicians Museum

• Music museum, music events
• http://tucsonmusiciansmuseum.org/
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Museum of Contemporary Art Tucson

• Hours: Thursday-Saturday 11AM-6PM, Sunday 11AM-4PM
• Contemporary art museum, art programs/events, field trips, art education sessions
• http://www.moca-tucson.org/
Armory Park Center
• 255 W. Alameda St. Tucson, Arizona 85701

• Hours: Monday-Friday 9AM-4:30PM, Saturday 9AM-4PM, Closed Sunday
• weight room, ballroom, meeting room, public wifi, outdoor restroom, picnic tables, club
activities, gift shop, shuffleboard, horseshoe pits, and dining room
• https://www.tucsonaz.gov/Departments/Parks-and-Recreation/Recreation-
Centers/Armory-Park-Center
The University of Arizona Alfie Norville Gem & Mineral Museum
• 115 N Church Ave Ste 121, Tucson, AZ 85701

• Hours: Tuesday-Saturday 10AM-4PM
• Gem & Mineral Museum, field trips, and tours
• https://gemandmineralmuseum.arizona.edu/
Recreation centers/gyms
and hours FIT Boutique Studio
• https://www.fitstudiotucson.com/
• Hours: Monday-Tuesday 6:30AM-7:30PM, Friday 7:30AM-10:30AM, Saturday 8:30AM-
10:30AM, Sunday 1:30PM-2:15PM
• 245 E Congress St, Tucson, AZ 85701
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• Yoga classes, Barre classes, and cardio classes
Ruckus Room
• http://ruckusrooms.com/
• Hours: Monday-Saturday 5AM-10AM and 4PM-8PM
• Crossfit gym, class, and personal training
MOVE Cycle
• http://movecyclestudio.com/
• Hours: Monday-Friday 5:30AM-7PM, Saturday 8AM-12PM, Sunday 9AM-11AM
• Cycling gym, classes
T Town Boxing and Fitness
• http://boxingtucson.com/
• Hours: Monday/Wednesday/Friday 8AM-7PM, Tuesday/Thursday 7AM-8PM, Saturday
9 AM-12 PM then 3:30PM-5:30PM, closed Sunday
• 130 E Congress St Suite 200-109, Tucson, AZ 85701
• Boxing gym, classes, and personal training
Armory Park
Parks/trails/green spaces
(include amenities) • 220 S 5th Ave Tucson AZ 85701
• Drinking Fountain, restrooms, monuments, picnic tables, stage, and plaza
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• https://www.tucsonaz.gov/Departments/Parks-and-Recreation/Parks/Armory-Park
Veinte de Agosto Park
• Broadway Blvd. and Church Ave. Tucson, AZ 85701

• Benches and monuments
• https://www.visittucson.org/listing/veinte-de-agosto-park/23121/
Plaza de la Mesilla
• 123 W Broadway Blvd, Tucson, AZ 85701

• Gazebo and Turf
• https://www.tucsonaz.gov/Departments/Parks-and-Recreation/Parks/Plaza-de-la-
Mesilla
El Presidio Plaza
• 165 W Alameda St, Tucson, AZ 85701

• Drinking fountain, benches, fountain, monuments
• https://www.tucsonaz.gov/Departments/Parks-and-Recreation/Parks/El-Presidio-Plaza
Jácome Plaza
• 101 N Stone Ave, Tucson, AZ 85701

• Benches, public art, and turf
• https://www.tucsonaz.gov/Departments/Parks-and-Recreation/Parks/J%C3%A1come-
Plaza
Other (including closed

resources)
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SAFETY AND TRANSPORTATION
Police Stations/Departments:
- City of Tucson Police Headquarters  270 S STONE AVE
Public Safety: city police - US Alcohol Tobacco and Firearms; ATF Tucson Office  300 W CONGRESS ST
department, tribal police, - US Federal Bureau of Investigation; FBI Tucson Office  1 S CHURCH AVE
and/or county sheriff
Pima County Sherrif patrol zone: San Xavier District Beat 1
Fire District: Tucson Fire

Fire District(s) and Station
Station #1
#(s) covering CT
Distance from middle of CT 2,546.99 ft
to fire station
Security guards One security guard at the Aveda Institute by the Children’s Center
One police officer parked near the transit station
Neighborhood Watch? None noted
Evidence of Posters for anti-drug use and how to administer Narcan, seen in multiple locations such as near
gang/criminal the park and bus station
activity/drug use
Reported Crime Incidents 2023 Count (Ward 1):
• Homicide - 4
• Sexual Assault - 24
Significant crime statistics if
• Robbery – 71
available
• Assault, aggravated – 201
(include # and time frame,
• Burglary – 175
source(s) of data, i.e. web
• Larceny – 756
sites)
• Grand Theft Auto – 251
• Arson – 12
Report Crime Incident 2023 Count (Ward 6)
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• Homicide - 5
• Sexual Assault - 54
• Robbery – 120
• Assault, aggravated – 304
• Burglary – 412
• Larceny – 1214
• Grand Theft Auto – 282
• Arson – 27
There are 5 registered sex offenders in Census Tract 1 as of 10/5/2023

There offenses include levels 1, 2, and 3
Registered sex offenders (#
as m/d/y, include source(s) Sources of data:
of data, i.e. web sites https://www.icrimewatch.net/results.php?AgencyID=55662&whichaddr=home_addr|temp_addr&
SubmitAddrSearch=1&AddrStreet=211+S+Church+Ave&AddrCity=Tucson&AddrState=3&Addr
Zip=85701&AddrZipPlus=&excludeIncarcerated=
3 seen along Toole Ave
1 on Broadway/Stone
Bus stops (approx. # and
1 on Broadway/Church
general location in CT; no
1 on Broadway/Granada
need to list them all)
1 located near the TCC
1 main hub/Sun Tran station located next to Downtown Ronstadt Center
No bike lanes among residential streets
Designated bicycle paths
Main streets (Broadway, Congress) has designated bike lanes
Parking (availability) 1 parking lot and 2 parking garages, bot requiring paid parking
Past Broadway towards residential area, there were significantly less street lights or street
lamps
Sidewalks
Walkable sidewalks all around the hub of downtown and many crosswalks. Everyone has
access to sidewalks on both sides of the street
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Community Survey
Street conditions include
No speedbumps or roundabouts seen, but all streets were two lane traffic lanes traveling in
speed bumps, roundabouts,
opposite direction with intersections every 300 feet or so
etc.
Road hazards No construction on the streets, no road blockages
Light posts noted all along the main streets of downtown to keep adequate light for the folks
Night lighting (optional)
going out to events/restaurants/bars at night in the downtown hub area
ECONOMICS
Businesses inside Census Tract (enter approx. #)
Bars 15 Convenience 0 Laundry/dry cleaners 0 Neighborhood market 2
Restaurants 11 Discount store 0 Liquor stores 3 Post office/UPS 2
Check cashing 0 Fast food 2 Malls (describe): 0 Supermarket 0
Banks 2 Gas station 0 Thrift/resale store 2
Farmer's market 0 Community Garden 0 Health1/organic food 0
stores
Other businesses. Use Clothing stores: 2
generic name only Tattoo shops: 3
Entertainment theaters: 2
Music stores: 2
Economic Development Neighborhood Vulnerability: “More vulnerable neighborhood”
(From Pima Maps)
• Neighborhood
Vulnerability
• Stress Index Stress Index: “High Stress with a little bit of Medium High stress”
• Climate Change Not climate change disadvantaged
Disadvantaged
• Health Not health burden disadvantaged
Disadvantaged
U. S. Census Data (% or $) County (% or $) NeCT (% or $)
Color Key:

Community Survey
Per Capita Income ($) $33,016 $30,804
Median Household Income ($) $59,215 $25,765
Persons below poverty line 15.1% 38.8%
Children (under 18) (%) below poverty line 20% 0%
Seniors (65 and over) (%) below poverty line 9% 62%
Moved since previous year (%) 18.2% 43.8%
*Include source of data: Census Census Reporter. (ACS 2021- 5 year) Profile for Census Tract 1 Pima, AZ.
document title and data year(s).
POLITICS AND GOVERNMENT

Names of neighborhoods or Armory Park
subdivisions Downtown
El Presidio
How are neighborhood names
displayed? Downtown
• Labeled banners through the main streets of the downtown area.
Armory Park
• Name is displayed on signs that border the edge of the neighborhood
El Presidio
• Name is displayed on signs that border the edge of the neighborhood.
Geopolitical Boundaries and Government Elected Officials (include sources of data)
Color Key:

Community Survey
Use Pima Maps for Geopolitical Boundaries only. Do not use Pima Maps for Elected Officials.
Is CT inside or outside city/town Inside city/town limits
limits?
Source:
https://pimamaps.pima.gov/HtmlPubViewer/index.html?configBase=https://pimamaps.
pima.gov/Geocortex/Essentials/PublicPM/REST/sites/mainsite/viewers/mainmap/virtu
aldirectory/Resources/Config/Default
CT City ward(s) and council City Wards:
member(s) with political party Lane Santa Cruz - 1
designation Steve C. Kozachik - 6
CT County district(s) and County district: 2
supervisor(s) with political party Matt Heinz- Democratic
designation
County District: 5
Adelita S. Grijalva - Democratic
CT state legislative district(s) and State legislative district: 20
legislators (1 senator and 2 State Senator: Sally Ann Gonzales- Democratic
representatives) with political party State House of Representatives: Betty Villegas- Democratic
designation State House of Representatives: Alma Hernandez- Democratic
CT US Congressional District(s) and Congressional District: 7
representative(s) with political party Representative: Raul Grijalva - Democratic
designation
Signs of political activity Proposition # signs
Voter registration advocates on the sidewalk asking to sign people up to vote
COMMUNICATION
Color Key:

Community Survey
Flyers for local bands-/music events, News papers in stores. Station maps, trash cans
Newspapers/Newsletters/Flyers with QR codes for a variety of advertisements.
Payphones No payphones observed.

No Billboards but bulletin boards placed outside some restaurants and bars showing
events occurring in Tucson.
Bulletin board placed in the main hub/Sun Tran station located next to Downtown
Ronstadt Center provindg information on the following Community Resources:
• 24/7 City of Tucson Resource Info Hotline
• TPD
• Home shelters
Billboards/bulletin boards (include • Cooling stations
main purpose/message) • Employment
• Food banks
• Mental Health
• AZ Veterans Home
• Water and Supplies
• Substance Use help
• Domestic Abuse Center
• Street Outreach (El Rio Health Center, OPCS, Community Bridges Inc.)
CaffeLuce, Pima County Public Works, Amory park, Joel D. Valdez Main library,
Free Internet/Wi-Fi access/locations
various establishments like restaurants
ADDITIONAL INFORMATION
(Any additional information not listed in the assessment)
Thank you to Becka Eckert, BSN, RN for her assistance in the area of Environmental Assessment.
Color Key:

Community Survey
Thank you to Lynna Sagara, MPH, RN for he assistance in the area of Disaster Preparedness.
Color Key:

Key Informant Interview Record

Student: Amira Soto Clinical Faculty: Professor Acosta
Team: F2 CT: 000100 Date: 10/13/2023
Instructions:
(1) Reflect on the interviews that you led and select two of these interviews to document below.
(2) Include the interviewee’s generic title and the sub-system(s) that the interviewee addressed.
(3) Document two of the most important questions you asked this interviewee.
(4) Document three of the most important comments/insights that the interviewee expressed
during their interview.
(5) Include key informant responses to Red Cross questions.
Interviewee #1 Interviewee #2
Generic Title: United Sates Field Probation Generic Title: United Sates Presentence
Officer Probation
Sub-system(s) Addressed: politics and Sub-system(s) Addressed: Health and Social

government Services
Interview Questions: Interview Questions:
1) Have you noticed if the political climate of 1) What kind of health services are you aware
area has affected the population in this area? of that are in this area?
2) How has the government in this area 2) Is there a lot of social services offered in
worked to help this community with their the downtown area?
concerns?
Key Informant Comments/Insights: Key Informant Comments/Insights:
1) “It’s very noticeable that the change in the 1) “A few health facilities that are in the area La
political climate affected the community. Back in Frontera, CBI, and CODAC. These facilities are really
the day, there was no tolerance for the unhoused great for treating people with serious mental illnesses
living in the downtown parks and if you were or substances use disorder. They offer a lot of
caught using drugs you would go to jail, but now programs to get the unhoused off the streets and
there’s been a big shift from criminalizing drug provide cheaper medical treatment for these
use to sending them to treatment. This has disorders.”
caused an increase in open drug use around the
area, and it seems that the government has
2) “For social services available to the
become complicate with the unhoused setting up
community, it is hard to reach the people who
camps around the downtown area. Also, with the
need it. A lot of homeless people also have
legalization of Marijuana, the types of drugs
mental health issues. With both of those issues
being used has changed. We are seeing a lot
combined, the chances of them actually
more Fentanyl because it’s cheaper.”
engaging in treatment and medication
compliance is not very high if they are homeless.
Revised 8 18 23 nem

2) “Regina Romero is very vocal about her You see pretty frequently that a lot of unhoused
positions about making public transportation free, people will be talking to themselves or screaming
more lacks about legality of some issues going out so mental health issues appear to be at play.
on too. Verses 10 years ago when it tended to be Mental health and drug use tend to be co-
more conservative. This has greatly affected the occurring disorders among the homeless
environment of the downtown area because population, but I cannot say for sure if that is true
somethings that were considered criminal before for everyone because I no longer deal with those
are now normalized.” kinds of cases anymore.”
3) “We haven’t seen a big push from the 3) “I think Tucson does a really good job of
government to figure out what to do with the offering resources, especially compared to most
unhoused issue in the downtown area. It seems other cities. The issue is not a lack of resources
that they have been putting it off or ignoring the for the people who need it. The homeless
issue all together. It frustrating because it feels population now living here downtown is just
like it’s become the responsibility of the different, because instead of accepting help, they
community to figure out what to do.” just reject the help. We do have a lot of really
good resources. There is the Salvation army, the
hospitality house, the gospel rescue mission, etc.
The problem is that you have to be sober to go
into these homeless shelters and if you do not
want to be sober, then they choose to grab a tent
rather than go to a shelter to get out of the
elements. At these homes, they do urine tests
and breathalyzer tests for liability and protection
reasons. So that is the issue with the resources
that are offered because they can’t be utilized by
these homeless populations who can’t get
sober.”
Key Informant Comments about Disaster Key informant Comments about Disaster
Preparedness Preparedness
1) “If there was a disaster I most likely go to 1) “Well I’m not sure where I would go since
the closest relative’s house, especially if it all my family is out of state, so the best thing I
was safe.” could do is find a shelter in my area.”
2) “In my house I keep extra supplies for my 2) “I don’t have an exact plan for any
family and myself in case there is flooding or disasters, but I’m sure I could figure it out
a wildfire, and my children know what to do if when the time comes.”
there is an emergency.”
3) “I know in my house I have fire alarms, and
3) “The safety devices I have in my home are carbon monoxide alarms, and a security
multiple fire/carbon monoxide alarms, and a alarm in my house, and I know they all work.”
fire extinguisher. Its been a while since I
checked them to see if they work, but I’m sure
they are fine.”
Revised 8 18 23 nem

Student: Milla Vasquez Clinical Faculty: Professor Larson, Professor Acosta
Team: F CT: 000100 Date: 10/13/2023
Instructions:
Generic Title:Community Outreach Generic Title:Community Outreach

Fireworker Fireworker
Sub-system(s) Addressed: Communications Sub-system(s) Addressed: Economics
1) What are the main routes of 1) What population costs the most amount of
communication used in the FD? funding for services and resources provided,
otherwise, the most cost-inducing?
2) Does the FD partner with any other

organizations to better reach more people 2) Which economic/financial problem is see in
and offer their resources? the population within the CT and people
using FD resources?
1) The FD greatly relies on phone calls and in-person 1) The population that uses the most amount of
visits from Firefighters on a call to communicate funding, for resources and services, are the elderly.
about issues they are experiencing. FOr in-person
visits, the firefighters regularly look around the place 2) One of the biggest concerns for the public is
of residence for long-term signs of distress. Including the elderly unable to pay for assistance that they
hoarding,unsanitary practices, lack of food or access need. As quoted by the interviewee, “mostly
to clean drinking water and more. THe firefighters aging populations are our biggest one”. Many
will often refer these people to TC3 for proper times older people will call the FD for help to get
resources and help. Calling is such a huge mode of out of their bed, for a ride to the hospital, or for
any reason. This places a strain on FD
communication because many times, the issue can be
resources, they will sometimes help, knowing the
solved without going to the clients place of residence.
elderly have no other options. But “we don’t like
Revised 8 18 23 nem

to do it often”. they “live off of $900/month”. “That
2) The FD partners with Tucson Medical Center with may be hard to live when rent is $700 minimum.”
half the staff being TMC workers and the other half
FD workers. The TC3 people work with case managers 3) Resources used by the elderly population,
from different hospitals, but little success is seen in from the FD, is a short-term solution. Many times,
this course of action. The other hospitals lack good when an elderly person is in need of food, clean
communication and do not respond to the FD as water, medical care, and at-home assistance, it
timely or appropriately giving right information. So, will go unnoticed. Tucson Fire refers these
people to the TC3 (Tucson Coordinated
when TC3 works with TMC, more patients are
Community Care) and uses their resources to
referred to TC3 for appropriate resources and
help them in the meantime, while the FD will
services. “We try to get them to TMC because the teach them how to access and use the resources
lines of communication are more clear there.” in the long-term. This can set them up to be able
to reach out to resources by themself and be
3) “A lot of what we do to help our clients is just more cost-effective, rather than using the FD as
answer them and walk through their problems. an everyday resource.
They're so lonely and they have no body to answer or
call. That’s enough to get them on the right track. A
lot of what we do is troubleshooting.” Demonstrating
how vital phone calls and open communication with
the population can greatly benefit people, without
costly bills or unnecessary time wasted on driving to
the patient.
1)Interviewee discussed making fire evacuation 1)An evacuation plan for the area is mainly to
routes available to all people in buildings. That evacuate safely from the building. Safely
there are regulations in place for fire evacuations transport using evacuation routes to the
in every building and residential area. evacuation safe place.
2)Disaster plan for evacuation is described 2)Evacuation safe places are designated areas
similarly to that of the other interviewee. that are meant to safely house mass amounts of
people for a period of time. This would include
3)Disaster evacuation plan and advice is arenas, concert halls, and more.
accessible online, using the Pima County Health
Department and City of Tucson website. 3)In this area, there is instruction given on what
However, there is no specific website for a to do next and what the public may experience
specific area’s disaster plan available to the next. This all depends on what the disaster is,
public. each disaster has different ways of reducing
harmful effects.
Revised 8 18 23 nem

Student: Bella Rodriguez Clinical Faculty: Dr. Acosta
Team: F2 CT: 000100 Date: October 12, 2023
Instructions:
Generic Title: Local resident Generic Title: Library Manager
Sub-system(s) Addressed: Recreation, Safety Sub-system(s) Addressed: Education,

& Transportation Recreation
1) “Living in this area where the unhoused 1) “What health education topics might be
population are more densely populated, do most interesting or most helpful to your
you feel safe living in this neighborhood?” community?”
2) “What is one reason that you have stayed 2) “What do you consider to be the most
here and enjoy living in this area?” vulnerable population that you serve, and
what resources are available for them
through the library?”
1) “My feeling of safety depends. Some of the 1) “Here it is our houseless folks for sure at this
homeless people are very nice, but some others location. We have a program called Our Space
you go around, and you do feel a little that happens twice a month and that is
uncomfortable. It is not really their fault that you specifically for homeless folks in need. We have
feel uncomfortable, and it is not really your fault food, games, a sense of community, music, and
either, but it’s still a little scary to know that there people come to table at this event. Even the
are people outside my home because there are health department came here this morning for
homeless people always out here walking that. We also have recreational activities like
around. I know that security is always out here origami and board games that we had today. We
and gets on them, but I feel really bad because I get the word out about these fun activities
Revised 8 18 23 nem

wonder where else are they supposed to go, through our events calendar which is found
since they have nowhere to go. In the buildings online at our website. There are events catered
nearby our apartments, there are a lot of to all ages, like we host story times for children.
homeless people because there is a lot of During COVID, it messed up a lot of our
shaded areas so that is where they all tend to attendance, but now folks are starting to come
congregate.” back and families are bringing their children.
Those children are in need just as much as their
2) “It is really hard to say whether there is much parents are in need.”
to do around here when it comes to going to the
parks and stuff like that because normally the 2) “In terms of education, we need more
parks is where families and friends go to hang education on access to resources for them.
out and play, but that is where most of the We have list of resources that we develop, but
homeless people go to congregate. So that they need education on specific things that local
makes most of the families around here agencies can do for them. Especially things that
uncomfortable, but these homeless people have are medically related, housing related, and food
nowhere else to go, so it is very complicated.” related. We do have a lot of houseless folks that
come in here looking for employment resources.
3) “I love all the shopping here! I love thrifting and We need more help getting them resources to
there is all of these little shops around here, and get what they need. Health is a big thing here
a lot of little restaurants. It is easy and accessible because these folks don’t have access to
for me to take my dog out around the healthcare, so the fact that we have the nurses
apartments. It is also close to my brother who here, it is pretty heavily utilized. Usually the
attends school at the University of Arizona, so he nurses come on Mondays, but we would love it if
gets to come visit me on the weekends which is we had more. There is a big show out when they
nice. However, it is far from my school because I do come. We used to have a community health
go to school at CDO. Still, I love that there is a lot nurse pre-covid and it was a nurse program, and
to do down here since it is near the TCC which is it was one of the only programs like that in the
where all of our school dances are, so I never country in public libraries. She used to be in the
have to worry about parking for our school events lobby and TONS of people would come to see
and neither do my friends.” her, so it is starting to build back up. We are
trying to coordinate the nurses coming now with
our “Our space program” since that is so popular
here.”
3)”For our younger population, we just recently

did a mental health fair for teens. I think that is
really needed right now. There were different
organizations that came and tabled for that. It
was really good and we really want to do that
again, so if you guys want to come join, we
would definitely welcome you to come help us
with that. For children, we more so provide
resources geared towards the parents such as
healthy child development, things to look out for,
Revised 8 18 23 nem

important milestones, and resources to support
them through parenthood.”
1) “I’m not entirely sure where I would go if I 1) “If there was a disaster, I would probably
had to evacuate because I have never utilize the Pima County office down on
had anyone ask me a question like that. I Church Avenue for more resources, since
think I would look to my parents on what they would be able to know more about
to do because that seems more of their providing the community with more
responsibility.” resources during emergencies.”
2) “In the past my family and I used to 2) “Honestly, I had never really thought of
prepare before monsoon seasons with having to prepare for any emergencies
incase we experienced flood in our like wildfires, so I don’t know that I have
neighborhood, but since we have never any steps in place on what I would do
been so severely affected by floods in my exactly. I do know that Pima county would
neighborhood we lived in growing up, we have a lot resources if I needed to access
stopped doing it after a few years.” them to learn more.”
3) “In our current apartment right now, there 3) “I do have the dual smoke alarm/carbon
are fire extinguishers at the end of every monoxide monitors installed in my
hallway and all of the smoke detectors house.”
are combined with CO2 detectors in every
room. We actually just replaced one a few
weeks ago.”
Revised 8 18 23 nem

Student: ___Wyatt Ute_______________Clinical Faculty: ___Professor Acosta_____________
Team: ____F2_______________ CT: ___001000_________ Date: _____10/12/23__________
Instructions:
Generic Title: Pre-sentence supervisor Generic Title: Field Officer
Sub-system(s) Addressed: Safety & Sub-system(s) Addressed: Physical

Transportation environment, Recreation
1) what do you consider to be major strength 1) Tell me about this area of town?
of the community?
2) Have you noticed a change in the
2) what type of crime do you think is most downtown environment from the past 10
common downtown (in this CT)? years?
1) The key informant thought that the buses and 1) “I have noticed that the downtown area has
sun link provide amazing transportation for all more homeless people since covid is no longer
people but also mobilized crime. It brought more the number one concern. In the middle of the
people to central Tucson and because it is free, a pandemic, the police broke down the homeless
lot of homeless people make their way camps. Now homeless camps are showing up in
downtown. With the bus station terminating here, the armory park, but the police are not required
there is more of a chance of people ending up to chase them away anymore. That makes
here. More transportation and resources for legal people not want to go to the parks around here”
and illegal activity.
2) The key informant thought that in recent years
2) “Crime has increased with the buses being downtown has started opening more tourist
free. I have heard from people who work for the attractions and restaurants increase the diversity
Sun Tran that the drug use happens on the bus of people downtown. It is not just businesspeople
and gives people means to reaching their drug downtown anymore, there are more tourist and
dealers. They had to wear hazmat suits to clean
Revised 8 18 23 nem

the buses which is an additional cost for older adult populations are coming down for
transportation, especially because the buses are reasons other than work.
not earning revenue”
3) “There is no more water in the fountains
3) The key informant thought that there is more downtown anymore because homeless people
open drug use, such as fentanyl. Crimes such as have been using them to bathe. The city had to
property damage is also more common in this shut the water down because it attracts homeless
community compared to the rest of Tucson. people there. That has also been a place where
people go to the bathroom”
1) “If there was a disaster, I would think that 1) “In a disaster situation I would evacuate
we could use the Tucson convention out of the city to my parent’s home in
center.” California”
2) “I live in apartment building right here in 2) “For my family, I have taught my family
downtown. Because I do not feel the need how to evacuate in the case of a fire. I
to prepare for monsoon season typically.” have not done things to prepare for
monsoon seasons though.
3) “In my apartment complex, they have fire
extinguishers in the halls. Also, we also 3) “In this building (United States District
have fire alarms and CO2 detectors in our Court House) we have smoke alarms and
building.” carbon monoxide monitors. Also, we have
fire extinguishers in the building.”
Revised 8 18 23 nem
Community Resource Planning

CT Number & Team Member Names
CT 000100
Wyatt Ute, Bella Rodriguez, Amira Soto, Milla Vasquez
Review the Community Profile and list at least three inferences about your CT based on
Census data
• We inferred that a strength of the community identified by the residents would be
entertainment and recreation due to the high numbers of bars, restaurants, shops,
fitness centers, museums, theaters, and the Tucson Convention Center (TCC).
• Based on the crime data we suspected that individuals may not feel as safe due to the high
levels of crime incidents in the CT.
• It was suspected that this CT has a low socio-economic status due to the high-density
of college students, housing being limited, and high-priced.
Describe your Census Tract, drawing from the Community Profile, Windshield Surveys, Key
Informant Interviews, and Community Immersion:
Based on the information we gathered about Census tract 000100, the typical population that lives in
the central downtown area are young adults in college or college graduates. The physical
environment of our CT includes large buildings with easily accessible and walkable sidewalks.
Government buildings are mainly based in this region, but little of that space is allotted for parks and
natural environments. Analyzing the economic health of the community, we know 62% of older adults
are living below the poverty line. In the windshield survey, we observed a handful of unhoused
individuals throughout the CT, and this became more prominent during key informant interviews.
Community members have noticed a significant increase in the unhoused population over the last
two or three years and a significant change in their behaviors. They mentioned the unhoused
population is more aggressive with their panhandling, more open about drug-use, and uses the free
public transportation, causing an increase in migration of the unhoused into the downtown area.
Furthermore, with the increased ability to travel, property crime and illicit drug use has increased
significantly and caused other citizens to be deterred from using public transportation. With all of
these factors combined, the perception of safety and security in the area has been tarnished.
Transportation in this CT consists of free bus and SunLink rides, with rental bikes and scooters
included. There are many vacant spots in our CT, but these buildings are starting to have more
recreational opportunities as businesses move in. A strength identified by the residents is the
diversity of shops, restaurants, bars, and entertainment centers. During the shoe leather survey, the
health services for the community include La Frontera, CODAC, CBI, and the library. There is only one
urgent care nearby and the closest hospital is St. Mary's. El Rio Health clinic is located outside the
borders of the CT. Tucson Police Department and the Tucson Fire Department are some other service
buildings nearby. Social services in the CT are the Big Brother Big Sister foundation, a food pantry at
the Armory Park center, an extensive list of resources put together by the library, and the local YMCA.
Education is limited within this CT, as there is only 1 private middle school and 2 charter high schools.
The library offers education for all ages of the population, such as health topics, substance use
education, recreation activities, childhood development, and resources for the unhoused population.
Communication on resources through the library and other social services is given through online
platforms and flyers posted on bulletin boards around the area. Politics in the local government have

become more relaxed concerning the substance use issue occurring in this CT. The political trend has
shifted towards a more liberal stance.
List at Least Three Community Strengths List at Least Three Community Stressors
• Dense • High availability of • Substance use • Mental illness
entertainmen community resources • Low • Safety concerns
t and • Clean community utilization
recreational spaces rate of
area resources
• Support for
open
expression of
individuality
Plot your Community Stressors on the Priorities of Care Table (see Appendix), leaving the
blue columns blank. Obtain a preliminary total score and list your top three concerns below.
Concern #1 Concern #2 Concern #3
Substance use Mental illness Low utilization of community
resources
Complete the Community Resource activities in D2L before proceeding.
Community Community Resource(s) for Community Resource(s) for
Resource(s) for Concern #2 Concern #3
Concern #1
Name: CODAC Health, Name: La Frontera Name: Joel D Valdez Main
Recovery & Wellness Library
Mission/purpose: Providing innovative
Mission/purpose: It is the solutions to complex problems, we Mission/purpose: Our Vision is
Mission of CODAC to work with community partners to an educated, connected
provide tools, support and build a safe, strong, and healthy community of readers,
services to individuals, Arizona. learners, doers, and dreamers.
families and communities Funding: The Community Partnership of We transform lives by
so they may live with Southern Arizona, United Way, private educating, inspiring, and
dignity, free from the donations, and other public and connecting people.
harmful effects of mental community sources Funding: Pima County library
illness, substance use Services offered: Crisis and mental is a non-profit organization
disorders and trauma. health services, psychiatric that is a part of the U.S.
Funding: local contracts hospitalization, substance use groups government, it utilizes the
and grants, federal grants, and programs,, and individual/ education budget.
and private donations group/family counseling Services offered: emerge
Services offered: Cost: Found on La Frontera’s website - center for domestic abuse;
outpatient substance “This practice serves all patients blood pressure loan kits and
misuse treatment, regardless of ability to pay. No one will education on blood pressure;
standard outpatient be denied access to services due to health navigators connect
treatment, Medication inability to pay. We have a people to local health
Assisted Treatment (MAT) discounted/sliding fee schedule resources; LGBT+ community
for fentanyl, heroin and available based on family size and resources; older adult

other opioid use; alcohol income. Please enquire at the reception resources; citizenship,
use; and desk to apply” immigration, & refugee
methamphetamine use, Population served: children, assistance; eviction and
groups & classes, adolescents, adults, for substance foreclosure prevention; food
intensive outpatient abuse, co-occurring disorders, and and meals; free and low-cost
program, transitional serious mental illness. mental health services;
living, therapy, primary Potential benefit to CT: Access to shelters & transitional housing
care, lab work, and mental health resources free of resources; free to low-cost
physical exams and payment. Reduction in need to self- internet and computer access;
screenings medicate through substance habits job help and employment
Cost: insurance billed, Partnership potential: pamphlets, assistance.
CODAC’s sliding scale fee- flyers, maps Cost: Free.
for-services Population served: Pima
Population served: Adults County residents
(18+) living with mental Potential benefit to CT:
illness, substance use offers a wide variety of
disorders, and trauma in resources and education
Pima County, Arizona materials to allow options for
Potential benefit to CT: tailored assistance for
Access to substance use population issues, distribution
resources, education, and of Narcan
treatment. Decreasing the Partnership potential: Tabling
rate of substance use in at their “Our Space” event,
this CT. Connection to flyers, pamphlets, and
housing resources, posters.
recreation centers,
primary care resources,
and employment
opportunities
Partnership potential:
Nursing supervisor
offering support to
developing education
about substance use.
Pamphlets, flyers, maps,
treatments, referrals, and
programs.
For each Community Resource include Resource Name, Mission/Purpose, Funding, Services
Offered, Cost for Services, Population Served, Potential Benefit to CT, Partnership Potential.
Now complete the blue columns in the Priorities of Care Table (see Appendix) and determine
your priority (top-ranking) concern.
Priority Concern for Census Tract
Substance use
Target Population within Census Tract that is Impacted by the Priority Concern

Unhoused population within the CT
Four Part Community Nursing Diagnosis for Priority Concern and Target Population
Risk for [substance use] among [the unhoused population within CT 000100] related to [easy access to
substances, ineffective coping skills, and high environmental stressors ] as evidenced by [witnessing
psychomotor dysfunction in the CT, all KI reports of open drug-use within the CT, and high demand for
substance misuse services and education].
Broad Overarching Goal that would help you address your diagnosis with your CT
Enhance the knowledge about substance use, opioid overdose signs and symptoms, Narcan
administration, and use of Fentanyl testing kits among the unhoused community in CT 000100.
List a Healthy People 2030 Objective that Relates to the above Goal
Increase the proportion of people with a substance use disorder who got treatment in the
past year — SU‑01
Brainstorm Potential HEPs for your Target Population and Priority Concern. Locate evidence-
based article that supports the teaching method for each HEP that you consider. List AT
LEAST three potential HEPs with evidence (APA citations required).
Potential HEP Evidence Citation
• Educate individuals • This study found that “...young people • Jacka, Goldman, J. E.,
using the RAPIDS at risk of fentanyl exposure Yedinak, J. L., Bernstein, E.,
intervention method to demonstrated a high willingness to Hadland, S. E., Buxton, J. A.,
teach about substance use fentanyl test strips as a harm Sherman, S. G., Biello, K. B.,
misuse using the reduction tool and the feasibility of a & Marshall, B. D. L. (2020). A
following: fentanyl- brief training module for non-expert randomized clinical trial of a
specific overdose use. Furthermore, positive test strip theory-based fentanyl
education, fentanyl test results were associated with drug risk overdose education and
strips to reduce behavior changes… [the study found fentanyl test strip
overdose risk, fentanyl that their sessions improved] … distribution intervention to
test strip training, and participant self-efficacy in drug risk reduce rates of opioid
distribution of fentanyl behavior reduction alongside fentanyl overdose: Study protocol for
test strips for personal test strip distribution and brief a randomized controlled
use. training in their use” trial. Current Controlled
• Demonstration of • Providing naloxone kits to laypersons Trials in Cardiovascular
Narcan administration reduces overdose deaths, is safe, and Medicine, 21(1), 976–976.
when someone is is cost-effective. U.S. and https://doi.org/10.1186/s13
overdosing on an opioid. international health organizations 063-020-04898-8
• Education on how to recommend providing naloxone kits • Wheeler, E., Jones S.,
use fentanyl test strips to laypersons who might witness an T., Gilbert, M., Davidson, P.
to determine when opioid overdose. (2015). Opioid overdose
reversal agents are • Of the 81 (87%) participants in the prevention programs
necessary. study returned for follow-up, a total providing naloxone to
of 62 participants (77%) reported laypersons. Morbidity and

using at least one test strip and (50%) Mortality Weekly Report,
received at least one positive result. 64(23), 631–635.
• Krieger, M., Goedel W.,
Buxton, J., Lysyshyn, M.,
Bernstein, E., Sherman, S.,
Rich, J., Hadland, S., Green,
T., & Marshall, B. (2018). Use
of rapid fentanyl test strips
among young adults who
use drugs. International
Journal of Drug Policy.
https://doi.org/10.1016/j.
https://doi.org/10.1016/j.dru
gpo.2018.09.009
Consider your budget, assistance that may be available from partnering organizations, time
constraints, and team expertise. Then select an HEP to be implemented. Highlight your
selected intervention in yellow in the “Potential Intervention” column above.
Fill-in the Spaces below to provide an overview of the selected HEP.
Setting Modality Audience
(Location/Time) (E.g. Demonstration, Presentation, Group Discussion, (Specific sub-set of target population and
etc.) special considerations, e.g. health
literacy)
Joel D. Valdez Main 1 hour workshop The unhoused population
Library (Pima County Group teaching: long-term effects of located near the Joel D.
Public Library) fentanyl use, Valdez Library within CT
11 am-12 pm Group demonstration: fentanyl strip 000100 who attend the Our
use training and Narcan use in Space Event.
overdosing users
Visual Aids Incentives Advertising

(E.g. Posters, Hand-outs, Pamphlets, (E.g. Snacks, Free Passes, Coupons, Give (E.g. Word-of-mouth, Social Media, News
Photo Novelas) Aways/Freebies, Raffle) Letters)
Handouts: signs and Free bagged lunch Word-of-Mouth
symptoms of Fentanyl free test strips Flyers at the Library
overdose. How to reverse free Narcan Posters in Library
an opioid free Narcan stickers
overdose/administering
Narcan. Resources for
Fentanyl treatment.
Posters: signs and
symptoms of Fentanyl
overdose. How to reverse
and opioid
overdose/administering
Narcan

Resources Constraints Partnerships
(Resources Available and Resources (Issues that may make your project more challenging, (Community Resources that could
Needed for Implementation) e.g. weather) contribute to, or participate in, the HEP)
Table at event- Our Space Individuals not wanting to engage with The librarian, the nurse
at Pima Library the teaching. executive at CODAC giving us
Demonstration device information on how to teach
(Narcan) about Narcan/opioid
Fentanyl test strips overdoses.
Narcan
Narcan stickers
Process Objectives
Develop a checklist of tasks (i.e., process objectives) you need to complete prior to
implementation and check things off as you go.
☐Email Adella, Lilliana, and Lindie to receive confirmation of table for teaching at Our Space
event, additional Narcan and fentanyl test strips.
☐ Get 50 “How to Identify and Reverse an Opioid Overdose” handout created by the Pima
County Health Department. Also get 25 stickers of the “Naloxone Saves Lives” stickers.
☐Print 50 handouts that list resources related to substance uses.
SMART Short-term Outcome Objectives

Develop outcome objective(s). These are SHORT-TERM objectives written using SMART
format that your learners should achieve following HEP attendance. You should be able to
quantify and evaluate these.
Short-term Outcome Objective List Evaluation Plan for Short-term Outcome
Objectives
By the end of the event, 50% of people can At the end of the presentation, 50% of the
report 2 signs and symptoms of an opioid participants could name at least 2 signs and
overdose. symptoms of an opioid overdose.
By the end of the presentation, 75% of At the end of the presentation, 75% of participants
participants will demonstrate how to will show how to give Narcan using the
administer Narcan with the demonstration demonstration device.
device.
At the end of the presentation, 50% of participants
By the end of the presentation, 50% of explained what fentanyl test strips were for and
individuals will explain the use of fentanyl test demonstrated how to use a test strip for an opioid
strips and demonstrate how to use them. overdose.
Long-term Objective
Develop a Long-term Objective. A broad LONG-TERM objective that you would like to see
learners achieve following the HEP. Since this is a long-term objective, you won’t be
evaluating it and it might not be quantifiable.
One year after the presentation, the rate by which Fentanyl test strips are used will increases by 10%,
and the rates of Fentanyl overdose related deaths will decrease by 15%.
Appendix
Priorities of Care Table
Community
Community Identified in Nursing Availability of Severity of Community
Expression of
Health Supporting County’s Students’ Ability Resources for Outcome(s) Total Strengths that can
Interest in
Stressor Data Health Needs to Address Addressing without Effort to Score Help Address
Addressing
Assessment1 Stressor Stressor Address Stressor Stressor
Stressor2
Open drug
use, high
rates of
fentanyl and
High availability of
methampheta
mines, community
evidence of resources, Dense
Substance drug usage,
2 4 2 2 2 10
entertainment and
use high recreational
prevalence of location
Narcan
distribution/e
ducation,
Frequent
emergency
calls
Inadequately High availability of
managed due community
to self- resources, Support
medicating, for open
high trend of expression of
Mental
illness
mental health 2 2 2 2 2 8
issues among individuality, Dense
teens, high entertainment and
rates of recreational
fentanyl location
addiction,
Last Modified: LA 6/14/22

Adapted from “Community Health Diagnosis in Nursing” by M. A. Muecke, 1984, Public Health Nursing, 1, p. 31; and “Community Assessment and Evaluation” by G.F. Shuster,
2010, in M. Stanhope and J. Lancaster (Eds.) Foundations of Nursing in the Community, Community-Oriented Practice, 3rd ed., p. 232. St. Louis: Mosby/Elsevier/Evolve.
Appendix
Priorities of Care Table
Reports of
Low resources
utilization going
unused, High availability of
rate of
hesitancy to 1 4 1 1 1 7 community
resources use resources resources
based on
misunderstan
ding,
High crime
rates, stated
feelings of
usefulness
from
community Clean community
Safety members, 0 4 0 1 1 5
spaces
concerns illicit drug
use, personal
anecdotal
victimization
of residents
General Scoring Key: 0 = low, 1 = moderate, 2 = high

• (1) Score 1 point if consistent with report findings as a concern in the county. Score 2 points if stressor is 1 of the county’s priority areas.
• (2) Community Expression of Interest is double weighted to emphasize its importance.
Last Modified: LA 6/14/22

Adapted from “Community Health Diagnosis in Nursing” by M. A. Muecke, 1984, Public Health Nursing, 1, p. 31; and “Community Assessment and Evaluation” by G.F. Shuster,
2010, in M. Stanhope and J. Lancaster (Eds.) Foundations of Nursing in the Community, Community-Oriented Practice, 3rd ed., p. 232. St. Louis: Mosby/Elsevier/Evolve.
Health Education Project & Evaluation Tool

Health Education Project Picture
Note - this picture may be distributed via CON social media, please inform faculty if you do not want
your picture sent to CON.
Key Project Elements

Target
Project
Project Site Populati Participant # Main Topic
Date
on
Joel D. Valdez October 26, The 30 participants Substance Misuse –
Library 2023 unhouse Education on Fentanyl,
d administration of
populati Narcan, and how to use
on in CT Fentanyl testing kits
000100
Lessons Learned from the Process
Consider how well your team functioned in the planning and implementation of the HEP.
Strengths Areas for Improvement
• Worked well as a team to • Increase effectiveness of communication
collaborate and distribute work in between group members and faculty

order to complete the project in a • Find more ways to engage the population in
short period of time order to increase the use of our
• Made connections with the resources/interest in our HEP
community ahead of time during • If we had more time, discuss the implications of
our Key Informant Interviews day using methamphetamine with fentanyl in order
that allowed us to have an to provide more information on the effects of
abundant amount of resources amphetamines
for this project development
• Selected material that is relevant
and resourceful to the target
population and used plain
language effectively to present
the information
• Extracted good information
during Key Informant Interviews
by using good questions and good
communication skills
Evaluation of Outcome Objective(s)

Evaluation Mechanism Used Evaluation Results
In order to keep record of how many There were a total of 30 people who visited the Our
participants we had approach our table to Space event. At the conclusion of the hour, there were a
utilize the resources, we tallied how many total of 10 participants who approached our table during
total people came the Our Space event, the hour to receive our resources and education. This
VS. how many people approached our means we were able to reach and education 30% of the
table seeking more resources and sought population served at the event.
out more education.
We identified how many participants Objective Met - Of the people who approached our
were able to successfully demonstrate table, 9/10 of the participants showed us using their
Narcan administration. fingers how you administer Narcan into the nasal cavity
by the end of the presentation.
We identified how many participants
could verbalize signs and symptoms of Objective Met – Of the people who approached our
opioid overdose table, 6/10 of participants were able to verbalize at least
one sign/symptom of opioid overdose by the end of the
presentation.
Imagine that you were granted $10,000 in funding over the next year to make your HEP a sustaining
project. Describe how you would use the funding and what changes you might make to your HEP.
If we were granted more funds to make our HEP a sustaining project, we would provide the library
with more resources including the Narcan nasal spray and the Fentanyl testing kits since the librarian
mentioned they are in more need. Then, we would train more of the library staff on how to use the
Fentanyl testing kits, so that they can then pass out and effectively educate the attendees who are
seeking Fentanyl testing kits. We would increase the frequency of the event to provide us with more

exposure to the community and increase the outreach. Currently, the event only takes place twice a
month, but we would like to see this event performed once a week to double the amount of access
the population has to these resources. We would be in communication more frequently with the
librarian manager on other events they may be hosting as well that they would like to see more
educational presentations provided. We noticed that during our presentation, very few people
actually took the handouts we had providing treatment services. If we had more funding and more
time, we would simplify and redesign the resource handouts to make them easier to read, smaller to
carry, and more eye-catching to the public, so that they could utilize these more than they did during
our project. We would use the funding effectively to purchase more Narcan administration, Fentanyl
testing kits, pamphlets, and brochures if we were able to host this event more frequently.
Additionally, we would use the funding to pay for a nurse that works at a treatment center, such as
CODAC, to come down to the event at least twice a month to give a presentation on the services they
provide and how they can access their services for those in need.

Community As Partner Project Milla Vasquez

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Community as Partner Project

Amira Soto, Bella Rodriguez, Wyatt Ute, & Milla Vasqeu

NURS 473: Population Health & Community Nursing

Keywords: unhoused, substance, opioids, homeless

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Low number of houses in this area, as the

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Integrative care modalities Take Flight Yoga and Movement

FIT Boutique Studio

• Thai Massage, Deep tissue, Athletic massage, and Pure Swedish

Last Updated: 08/22/23 nem

Our place Clubhouse

Social Service Agencies

• 201 N Stone Ave, Tucson, AZ 85701

Last Updated: 08/22/23 nem

Tucson Indian Center

Pima County Court Administration

Large meeting places or Tucson Convention Center (TCC)

Last Updated: 08/22/23 nem

• 220 S 5th Ave, Tucson, AZ 85701

Other health/social service Big Brothers Big Sisters of Southern Arizona

Last Updated: 08/22/23 nem

Last Updated: 08/22/23 nem

Last Updated: 08/22/23 nem

• 60 W Alameda St, Tucson, AZ 85701

Children’s Museum Tucson

• 200 S 6th Ave, Tucson, AZ 85701

Southern Arizona Transportation Museum

• 414 N Toole Ave, Tucson, AZ 85705

Last Updated: 08/22/23 nem

Tucson Music Hall

• 260 S Church Ave, Tucson, AZ 85701

Tucson Convention Center

• 260 S Church Ave, Tucson, AZ 85701

• 151 S Granada Ave, Tucson, AZ 85701

Tucson Musicians Museum

• 260 S Church Ave, Tucson, AZ 85701

Last Updated: 08/22/23 nem

• 265 S Church Ave, Tucson, AZ 85701

Armory Park Center

• 255 W. Alameda St. Tucson, Arizona 85701

The University of Arizona Alfie Norville Gem & Mineral Museum

• 115 N Church Ave Ste 121, Tucson, AZ 85701

Last Updated: 08/22/23 nem

T Town Boxing and Fitness

Last Updated: 08/22/23 nem

Veinte de Agosto Park

• Broadway Blvd. and Church Ave. Tucson, AZ 85701

• 123 W Broadway Blvd, Tucson, AZ 85701

• 165 W Alameda St, Tucson, AZ 85701

• 101 N Stone Ave, Tucson, AZ 85701

Other (including closed

Last Updated: 08/22/23 nem

Fire District: Tucson Fire