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Community Profile 2007 Human Development Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa January, 2007 Community Profile 2007 Demographic Trends Human Development Demographic Trends in Tulsa County Population growth in Tulsa County twice the pace of the City of Tulsa between 1990 and 2000; the city has actually lost population since 2000 Bixby was fastest growing place in Oklahoma between 2000 and 2005 with an increase of 39% to 18,600 Growing cultural diversity, particularly among the population <25 Hispanic population continues to expand; since 1991, number of births to Hispanic women have increased 400% to 1,486 in 2005 Population 65+ projected to make up 20% of population by 2030 (up from 12% in 2000) Demographic Trends in Tulsa County (cont.) Population <18 projected to account for 23% of population by 2030 (down from 26% in 2000) As working age population’s share declines, the 2030 projected dependency ratio climbs to 75 per 100, up from 62 per 100 in 2000 Living arrangements are changing significantly with more children living with a single parent, especially the mother, and living with other relatives, especially grandparents Larger number of people over 65 years of age are living alone, especially women Median family income varies by race Large population of mobile renters Tulsa’s Human Development Industry What is it? Independent and collective action of efforts to address the education, health, housing, family support, emergency financial, and transportation needs of families and individuals in Tulsa County. Increasingly these efforts seek to prevent needs through promoting increased self-sufficiency among Tulsa's people while still intervening to respond to crises and other concerns The Roots of the Challenge Thirty Year of Economic and Social Changes Emergence of new persistent poor in late 1960's and early 1970's Massive loss of low skill/high pay jobs Sharp rise in working poor Decline in young male workers' wages Increase in female headed families Impact of substance abuse All trends disproportionately affected: ~African-Americans ~young children & young families Human Development: Key Points Middle class is disappearing Many households lack adequate income Stress of inadequate income and related conditions is widespread Starting life in Tulsa for many is risky business Human Development: Key Points…continued Populations of aging and persons with disabilities are large and growing Health challenges are critical to individual and community well-being Poor human conditions impact crime and growing incarcerations Overall progress in human development is tied to educational success The Middle Class is Disappearing ~Lower income groups greatly expand, middle shrinks, highest income group increases dramatically The Ove rall Dominant Tre nd... The Shrinking Middle Class 100% 80% Rich - 5% Rich - 10% Middle - 20% Rich - 20% Middle - 60% 60% Middle - 80% 40% Poor - 75% 20% Poor - 20% Poor - 10% 0% 1900 - 1940 1940 - 1990 1990 - ? The trend: housing patterns and income mirror the job structure, with more rich, more poor, and fewer in the middle -- the "hourglass effect" Source: Hodgkinson, Harold, "The Client," Education Demographer, 1988. Prepared by the Community Service Council of Greater Tulsa Distribution of We alth: House hold Income U.S., Oklahoma, Tulsa MSA and Tulsa County, 2005 Estimates 100% 16.3% 9.4% 12% 12.7% 80% 37.5% 60% 38.6% 40.1% 38.5% 1% of U.S. households have 39.3% of the assets, making the U.S. the #1 country in the world in inequality of income. 40% 20% 43.5% 53.1% 49.4% 48.8% Oklahoma TAUW Tulsa Co. 0% U.S. $100,000+/year $40,000-$99,999 /year <$40,000/year Source: US Census Bureau, American Community Survey 2005. Prepared by the Community Service Council of Greater Tulsa Income disparity be twe e n rich and poor grows wide r be yond 1993 Mean Family Income by Quintile and Top 5% (2003 dollars) United States, 1966-2003 Real hourly wage (2003 dollars) $300,000 $250,000 $200,000 $150,000 $100,000 $50,000 $0 6 19 6 6 19 8 7 19 0 7 19 2 7 19 4 7 19 Lowest 6 7 19 8 8 19 0 Second 8 19 2 8 19 4 8 19 Middle 6 8 19 8 9 19 Fourth 0 9 19 2 9 19 4 Highest Source: Economic Policy Institute website. Prepared by the Community Service Council of Greater Tulsa 9 19 6 9 19 8 0 20 Top 5% 0 0 20 2 Many Households Lack Adequate Income ~More and more households lack adequate income to meet living needs The Self-Sufficiency Standard …The level of income required for a family to meet its own needs Customized by specific family composition Customized by geographic location Based on all expense categories Updated annually using consumer price index Comparison of Se lf-Sufficie ncy Wage to Pove rty Guide line s, by Size of Family Tulsa County, 2006 One person Two persons Three persons Four persons SelfSufficiency Wage (annual) Poverty Guidelines (annual) Dollar Difference SelfSufficiency Percent of Poverty $18,219 $9,800 $8,419 186% ($8.76 per hour) ($4.71 per hour) $32,470 $13,200 $19,270 246% ($15.61 per hour) ($6.35 per hour) $37,762 $16,600 $21,162 227% ($18.15 per hour) ($7.98 per hour) $45,840 $20,000 $25,840 229% ($22.04 per hour) ($9.62 per hour) Notes: For the self-sufficiency wages shown in table, family of two consists of one adult and one preschooler; family of three consists of one adult, one preschooler and one schoolage child; family of four consists of two adults, one preschooler and one schoolage child. Per hour wages given assume pay for 40 hours per week for 52 weeks. Source: Wider Opportunities for Women, with Community Action Project of Tulsa County, "The Self-Sufficiency Standard for Oklahoma;" 2006 HHS Poverty Guidelines, Federal Register, Vol. 71, No. 15, January 24, 2006, pp. 3848-3849; Bureau of Labor Statistics, Consumer Price Index, November 2006. Prepared by the Community Service Council of Greater Tulsa Comparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of Poverty, and Median Family Income Family of Three, Tulsa County, 2006 Annual Wage $60,000 $50,000 Self-Sufficiency Wage = $37,762 ($18.15/hr.) All families with children <18 $40,000 $30,710 $30,000 ($21.76/hr.) ($14.76/hr.) $16,600 $20,000 $10,000 $45,268 $8,400 ($4.04/hr.) $10,712 ($7.98/hr.) ($5.15/hr.) $0 Welfare Wage Minimum Wage Poverty Wage 185% Poverty Wage Median Family Income (2005 est.) Note: For the self-sufficiency wage, family of three consists of one adult, one preschooler and one schoolage child. The hourly wages given assume employment at 40 hours per week and 52 weeks per year. Source: Wider Opportunities for Women, with Community Action Project of Tulsa County, "The Self-Sufficiency Standard for Oklahoma;" 2006 HHS Poverty Guidelines, Federal Register, Vol. 71, No. 15, January 24, 2006, pp. 3848-3849; Bureau of Labor Statistics, Consumer Price Index, November 2006. Oklahoma State Dept. of Human Services; U.S. Census Bureau, American Community Survey, 2005. Prepared by the Community Service Council of Greater Tulsa Monthly Budge t Distribution for Typical Family of Thre e Earning Se lf-Sufficie ncy Wage Tulsa County, 2006 Taxes $441 Housing $724 Self -suf f iciency wage = $3,147 per month. 23% Miscellaneous $252 14% 8% 9% 24% 8% Health Care $283 14% Child Care $755 Transportation $252 Food $441 Notes: Family of three in this example consists of one adult, one preschooler and one schoolage child. Source: Wider Opportunities for Women, with Community Action Project of Tulsa County, "The Self-Sufficiency Standard for Oklahoma;" Bureau of Labor Statistics, Consumer Price Index, November 2006. Prepared by the Community Service Council of Greater Tulsa Ratio of Income to Pove rty Le ve l Percentage of Total Population and Selected Age Groups Tulsa County, 1999 Percentage of population Below 100% 50% Below 130% Below 185% 40% 30% 20% 10% 0% Total Under 5 population Below 100% Below 130% Below 185% 11.6% 16.8% 27.7% 18.9% 26.3% 40.5% 5-17 Under 18 18-64 65 & older 15% 21.3% 34.4% 16.1% 22.7% 36.1% 10.3% 14.9% 24.5% 8.3% 13.8% 25.7% Source: U.S. Census Bureau, Census 2000. Prepared by the Community Service Council of Greater Tulsa Many familie s e xpe rie nce lack of ade quate income Ratio of Income to Poverty for Families by Family Type and Age of Children Tulsa County, 1999 Pov erty rate 100% % below 100% %below 185% 80% 79.9% 64% 60% 50.6% 40% 49.5% 41.6% 34.5% 26.7% 20% 23.6% 19.9% 17.8% 0% # below 100% # below 185% 8.2% 5.6% Marriedcouple Maleheaded Femaleheaded Marriedcouple Maleheaded Femaleheaded 3,033 10,828 996 2,325 6,537 12,123 1,935 6,317 476 1,021 3,322 5,358 Families with children <18 Families with children <5 Source: U.S. Census Bureau, Census 2000. Prepared by the Community Service Council of Greater Tulsa Labor Force Participation among Adults, Age 20-64 Tulsa County, 2005 Estimates 16,251 (6.1% ) 70,396 20.8% NOT in labor force In labor force 268,213 79.2% 251,470 (93.8% ) 492 (0.2% ) Unemployed Employed In armed forces Unemployment rate (all ages) for October 2006 = 3.5%. Source: US Census Bureau, American Community Survey 2005.; Oklahoma Employment Security Commission. Prepared by the Community Service Council of Greater Tulsa Une mployme nt Rate s Tulsa MSA, 1991 - 2006 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Oct. 2006 Rate 5.9 5.3 6.3 5.8 4.2 3.3 3.5 3.5 3.2 2.8 3.4 4.9 Source: U.S. Department of Labor, Bureau of Labor Statistics. Prepared by the Community Service Council of Greater Tulsa 6.5 5.0 4.4 3.5 Many familie s in pove rty have e mploye d worke r(s) Families in Poverty by Family Type and Employment Status Tulsa County, 1999 Percent of impov erished f amilies 100% 31.6 26.2 33.4 34.7 51.1 48.8 15.5 16.4 Male-headed families in poverty Female-headed families in poverty 80% 46.8 60% 48.3 40% 20% 27 20.1 0% All families in poverty Married-couple families in poverty Employment Status of Householder or Spouse Full-time Part-time Did not work Source: U.S. Census Bureau, Census 2000. Prepared by the Community Service Council of Greater Tulsa Population Living in Pove rty, by Age Tulsa County, 1969, 1979, 1989, 1999 & 2005 Estimates Percentage of population Total 30% <18 18-64 65+ 25% <18 20% Total 18-64 15% 65+ 10% 5% 0% Total <18 18-64 65+ 1969 1979 1989 1999 2005 (est.) 11.6% 13.8% 8.2% 25.5% 9.9% 12.8% 8.1% 13.1% 13.2% 18.2% 11.2% 12.8% 11.6% 16.1% 10.3% 8.3% 14.5% 22.2% 12.7% 7.8% Source: US Census Bureau, 1970, 1980, 1990, & 2000 Censuses; US Census Bureau, American Community Survey 2005. Prepared by the Community Service Council of Greater Tulsa Pove rty Rate s by Race and Hispanic Origin Total Population and Under Age 5, Tulsa County, 1999 Percentage of population Total population 50% Under 5 40% 30% 20% 10% 0% Total population Under 5 Total White Black American Indian Asian Hispanic 11.6% 18.9% 8% 11.6% 30.2% 48.2% 15.1% 18.6% 12.2% 19% 22.5% 27.4% Source: U.S. Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Re al Hourly Wage by Educational Attainme nt United States, 1973-2005 Real hourly wage (2005 dollars) $35 $30 $25 $20 $15 $10 $5 $0 3 7 19 75 977 979 981 983 985 987 989 991 993 995 997 999 001 003 005 9 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 Less than high school High school College degree Advanced degree Source: Economic Policy Institute website. Prepared Community Service Council of Greater Prepared by by thethe Community Service Council of Greater Tulsa Tulsa Re al Hourly Wage by Educational Attainme nt, by Se x United States, 2005 Real hourly wage (2005 dollars) $40 Both sexes Men Women $36 $30 $31 $28 $27 $25 $20 $21 $16 $14 $10 $12 $11 $11 $9 $0 Less than high school High school College degree Source: Economic Policy Institute website. Prepared by the Community Service Council of Greater Tulsa Advanced degree Stress of Inadequate Income and Related Conditions is Widespread ~Based on following key indicators: Poverty Families with children headed by women Youth 16-19 not in school or high school graduates Men 16-64 not employed or in labor force Additional Indicators of Economic Distress Public assistance programs Free & reduced school lunch program Homeless shelters Helpline and Babyline referrals Participation in Public Assistance Programs Number of Participants and Percentage of Population Participating Tulsa County, August, 2006 Medicaid Total 13.7% 78,641 Medicaid <18 36.5% 52,892 8% 5,530 Medicaid 65+ 51.4% 4,606 WIC Infants 19.9% 8,647 WIC age 1-5 11.5% 5,146 Child Care Subsidy <5 Food Stamps Total 47.4% 21,228 Medicaid <5 10.5% 60,205 1.7% 2,468 TANF <18 Elem. School Free Lunch (2005-06) Elem. School Reduced Lunch (2005-06) 44.5% 24,755 10% 5,538 100,000 75,000 50,000 25,000 Number of Participants 0% 0 10% 20% 30% 40% 50% 60% Percent of Population Source: Oklahoma Dept. of Human Services, County Profiles August, 2006; Oklahoma State Dept. of Education, Low Income Report for 2005-2006; US Census Bureau, Pop. Estimates Division, 2005 Estimates; Oklahoma State Department of Health-WIC Service, Caseload Report, August, 2006. Prepared by the Community Service Council of Greater Tulsa Public Support for Families Tulsa County, December, 1996-2005 Recipients 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Child Care Subsidies (<5) TANF (persons) Medicaid (<5) Food Stamps (persons) 3,539 4,014 4,263 13,742 11,174 42,265 36,848 7,439 7,877 32,733 4,774 12,002 29,276 3,828 14,097 27,563 4,794 5,087 5,101 5,231 5,169 4,014 15,273 34,295 4,539 15,963 49,226 5,444 16,724 56,316 4,593 16,946 58,748 3,467 18,442 60,438 Source: Oklahoma Department of Human Services. Prepared by the Community Service Council of Greater Tulsa Ele me ntary School Stude nts Eligible for Fre e and Re duce d Lunch Program By School District, Tulsa County, 2005-2006 School Year Tulsa County Total Tulsa Sand Springs Leonard Keystone Glenpool Liberty Skiatook Sperry Union Broken Arrow Collinsville Bixby Jenks Berryhill Owasso 0% 44.5% 10% 70.7% 11.7% 52.1% 15.2% 52.9% 13.2% 47.3% 11.4% 34.8% 13.2% 39.6% 6.1% 34.8% 31.6% 12.1% 30.8% 7.8% 23.5% 10.3% 22.1% 10% 16.8% 7.3% 17.9% 6% 17.2% 6.3% 14.7% Reduced Free lunch eligibility requirement: annual household income below 130% of poverty, which currently is $21,580 for a family of three. Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $30,710 for a family of three. 6.2% 20% Free 8.8% 40% 60% Percent of Students Eligible Source: Oklahoma State Dept. of Education, Low Income Report for 2005-2006. Prepared by the Community Service Council of Greater Tulsa 80% 100% Total Units of Se rvice Provide d by Tulsa She lte rs By Age and Se x of Clie nt January - December, 2006 Units of serv ice 200,000 183,489 Shelters: Day Center for the Homeless DaySpring Villa DVIS John 3:16 Mission Salvation Army Tulsa County Shelter Youth Services (100%) 150,000 101,346 100,000 (55%) 46,680 50,000 17,414 (25%) (10%) (9%) 0 Total Male Adults Male Children 18,049 Female Adults Female Children Note: One "unit of service" represents one person staying at a shelter one day. The numbers shown do not represent an unduplicated count of clients served. Source: Helpline/Community Service Council of Greater Tulsa. Prepared by the Community Service Council of Greater Tulsa Se le cte d He lpline Se rvice Re que sts, by Type of Se rvice 2001 through 2005 Number of Serv ice Requests Total incoming calls to Helpline rose to 49,952 in 2005, up from 28,741 in 2004 (74% increase); while assessments of caller needs and referrals rose to 101,180 in 2005, up from 50,784 in 2004 (99% increase). 20,000 Food Health & Medical Services Financial Assistance 15,000 10,000 5,000 0 Food Health & Medical Services Financial Assistance 2001 2002 2003 2004 2005 1,945 2,688 12,376 1,913 2,852 12,173 2,152 3,404 13,269 2,019 4,074 12,035 3,339 7,720 17,847 Source: Community Service Council of Greater Tulsa. Prepared by the Community Service Council of Greater Tulsa Babyline and Planline Appointme nts Sche dule d Tulsa MSA and Surrounding Counties, 1990 through 2006 5,000 Number of Appointments Scheduled 4,604 4,692 4,795 4,423 4,000 4,355 4,219 3,998 3,525 3,000 3,004 2,212 2,000 1,997 2,107 2,605 2,369 2,342 2,767 2,662 1,409 1,000 872 1,789 1,432 1,345 1,193 1,704 1,500 1,333 858 909 631 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Prenatal Appointments Family Planning Appointments Source: Community Service Council of Greater Tulsa. Prepared by the Community Service Council of Greater Tulsa Starting Life in Tulsa for Many is Risky Business ~Combination of many risk factors takes heavy toll and early screening for risk level is inadequate Summary of Risk Factors for Infants Tulsa County and Oklahoma, 2005 11.6% 12.9% Teen mother (age 15-19) 41% 39.1% Unmarried mother 7% 5.6% Poor prenatal care (3rd trimester/no care) 24.6% 22.4% Mother w/ <12th grade education Tulsa Co. Oklahoma 6.3% 6.6% Low birthweight (1500-2499 grams) 1.6% 1.4% Very low birthweight (<1500 grams) 33.5% 32.8% Short birth spacing (<24 mos. apart) 19.2% 19.1% Very short birth spacing (<18 mos. apart) 11% 10.6% Premature (<37 weeks gest.) 0% 10% 20% Tulsa County births: 9,297 Oklahoma births: 51,775 30% Percent of Births Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa 40% 50% Childre n unde r thre e incre asingly live with one pare nt or othe r re lative s Living Arrangements of Children Under Age 3 Tulsa County, 1990 & 2000 Percent of children liv ing in each f amily ty pe 100% 1990 2000 80% 60% 40% 20% 0% 1990 2000 Married Couple Male-headed Female-headed Other relativ es 77.6% 67.4% 2.9% 4.6% 11.4% 17.8% 8.1% 10.2% Source: US Census Bureau, 1990 & 2000 Censuses. Prepared by the Community Service Council of Greater Tulsa Adequate Early Screening Essential for All Children to Assess Impact of Risk Factors Some evidence indicates only small portion of children receive needed screening Sufficient data do not exist to clearly indicate extent and nature of problem What is early intervention? Early intervention applies to children of school age or younger who are discovered to have or be at risk of developing a handicapping condition or other special need that may effect their development. Early intervention consists of the provision of services such children and their families need for the purpose of lessening the effects of the condition. Early intervention can be remedial or preventive in nature – premeditating existing developmental problems or preventing their occurrence. Small proportion of spe cial e ducation stude nts re ce ive d e arly inte rve ntion Special Education Students and Students who Received Early Intervention Oklahoma Public Schools, 2003-04 Early interv ention 2.2% Special education 15% Not special education 85% Total Oklahoma Public School Students No early interv ention 97.8% Total Oklahoma Public School Students Source: Oklahoma State Department of Education. Prepared by the Community Service Council of Greater Tulsa Populations of Aging and Persons with Disabilities are Large and Growing ~These populations will significantly test the capacity of resources needed to enable them to be most self-sufficient Population Tre nds and Proje ctions by Age Group Projections Tulsa County, 1970 - 2030 2030 6.3 16.6 2020 6.6 17.1 9.7 2010 6.8 18.2 10.1 2000 7.4 18.9 10 1990 7.7 18.4 10.1 1980 7.7 19.8 1970 8.5 0% 9.2 47.8 17.5 50.5 14.1 52.5 1.9 51.9 10.4 1.4 52.2 10.4 1.2 9 .9 8.1 .6 49.1 10.7 20% 40% 46.2 60% 80% Percent of population 0-4 5-17 18-24 2.1 10.6 13.5 25.9 2.5 25-64 65-84 85+ Source: US Census Bureau, 1970, 1980, 1990, & 2000 Censuses; US Census Bureau, Population Estimates Division, Population Projections, 2000 - 2030. Prepared by the Community Service Council of Greater Tulsa 100% Living Arrange me nts of Pe rsons Age 65 & Olde r Tulsa County, 2000 15,846 women age 65 and older live alone in Tulsa County, acounting for 78% of the total 65+ population living alone. Liv e alone 20,205 (30.3%) Other 1,152 (1.7%) Group quarters 4,223 (6.3%) Family households 41,155 (61.7%) Source: U. S. Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Disability Pre vale nce by Age and Le ve l of Disability Oklahoma, 1997 Age Group 2% 0 to 2 Level of disability Any Severe 3.4% 3 to 5 11.2% 6 to 14 4.8% 10.7% 5.3% 13.4% 8.1% 15-24 25-44 22.6% 45-54 13.9% 35.7% 55-64 24.2% 49% 65-79 31.8% 73.6% 80+ 57.6% 0% 20% 40% 60% 80% 100% Percent with Specif ied Lev el of Disability Source: U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 (Aug.-Nov. 1997 data from Survey of Income and Program Participation). Prepared by the Community Service Council of Greater Tulsa Health Challenges are Critical to Individual and Community Well-being ~Inadequate income, high risks of starting life and poor lifestyle choices contribute to major health concerns Age -Adjuste d De ath Rate s Tulsa County, Oklahoma and US, 1980 - 2002 Death rates 1,200 1,100 1,000 900 Tulsa Co OK US 800 8 19 0 2 8 19 4 8 19 8 19 6 8 19 8 0 9 19 2 9 19 4 9 19 6 9 19 Source: CDC Wonder. Prepared by the Community Service Council of Greater Tulsa 98 9 1 0 0 20 02 0 2 Pe rce ntage of the Population that is Obe se Oklahoma and US, 1990 - 2002 Percent obese 25% 20% 15% 10% 5% Oklahoma US 0% 9 9 1 0 1 9 9 1 2 9 9 1 9 9 1 3 9 9 1 4 5 9 9 1 6 9 9 1 7 9 9 1 9 9 1 8 9 9 9 1 0 0 0 2 1 0 0 2 2 0 0 2 Source: Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, Center for Health Policy Research and Development, OUCPH, 2005; NCHS, CDC; THD; Prepared by the Community Service Council of Greater Tulsa Pe rce ntage of Adults who Smoke Tulsa County, Oklahoma and US, 2003 Percent adult smokers 30% 25% 20% 25.1% 22.7% 22% 15% 10% 5% 0% Tulsa Co. Oklahoma Source: NCHS, CDC; THD;Tulsa County Health Profile; NIH; BRFSS, CDC Prepared by the Community Service Council of Greater Tulsa US He alth Insurance Status, by Age Oklahoma, 2004-2005 Total Population Under Age 19 130,780 (14.5%) 23,450 (2.6%) 659,370 (19.2%) 424,880 (47.2%) 1,648,530 (47.9%) 553,150 (16.1%) 283,680 (31.5%) 444,630 (12.9%) 137,050 (4.0%) 524,320 (25.4%) 36,520 (4.1%) 439,280 (91.0%) 90,420 (4.4%) 1,222,600 (59.3%) 123,040 (6.0%) 100,090 (4.9%) Age 19-64 Employer Individual Age 65 & Medicaid Medicare/Other Public Source: Kaiser Family Foundation. Prepared by the Community Service Council of Greater Tulsa 37,910 (7.8%) 440 (0.1%) (0.2%) over 1,050 4,270 (0.9%) Uninsured Poor health conditions create huge inefficient demand on resources - Misuse of Hospitals and Emergency Rooms Tulsa’s uninsured and Medicaid beneficiaries seek primary care in Tulsa hospital ERs. ER visits by Medicaid recipients actually exceeded uninsured visits by 25%. Tulsa hospital ER patient survey found that 73% were not true emergencies: 30% treated for non-emergency conditions – another 43% could have been treated in non-emergency facilities within 48 hours. Using hospital ERs for non-emergency care is a costly and inefficient. Non-emergency ER use is a major contributor to overload and frequent divert status of Tulsa hospital ERs — especially in the last 2 years. Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, Center for Health Policy Research and Development, OUCPH, 2005; THD CAP THD – Patel/Woodruff 9/05 Poor Human Conditions Impact Crime and Growing Incarcerations ~Trends greatly affected by substance abuse Oklahoma’s prison population was relatively stable until 1980 when laws passed to curb illegal drug use came into effect Oklahoma’s Prison Population 1950-2005 25,000 22,500 20,000 17,500 15,000 12,500 10,000 7,500 5,000 2,500 '04 '02 '00 '98 '96 '94 '92 '90 '88 '86 '84 '82 '80 '78 '76 '74 '72 '70 '68 '66 '64 '62 '60 '58 '56 '54 '52 '50 0 Note: Number of inmates in Oklahoma prisons, data as of June 30 of each year Source: Oklahoma State Department of Corrections, Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa. Me thamphe tamine Labs Se ize d by Authoritie s Oklahoma and City of Tulsa, 1994 - 2005 Number of labs discov ered Oklahoma Tulsa 1,400 1,200 1,000 800 600 400 200 0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Oklahoma Tulsa 10 0 34 0 125 6 241 13 275 47 781 132 946 150 1,193 1,254 1,235 124 178 214 812 131 Source: Oklahoma State Bureau of Narcotics and Dangerous Drugs Website, Tulsa Police Department Website. Prepared by the Community Service Council of Greater Tulsa 274 51 Overall Progress in Human Development is Tied to Educational Success ~From preschool through post secondary education Educational Attainme nt for Pe rsons Age 25 & Olde r Tulsa County, 2000 & 2005 Estimates Less than high school High school graduate Some college Associate's degree Bachelor's degree Master's degree Professional school degree 2000 2005 (est.) Doctorate degree 0% 5% 10% 15% 20% 25% 30% Percent of persons 25+ Less than high school 2000 14.9% 2005 (est.) 12.5% High school graduate 26.5% 25.7% Some college 24.7% 23% Associate's degree 6.9% 8.8% Bachelor's degree 18.5% 21.2% Master's degree 5.4% 5.9% Source: US Census Bureau, 2000 Census; US Census Bureau, American Community Survey 2005. Prepared by the Community Service Council of Greater Tulsa Professional Doctorate school degree degree 2.2% 0.8% 2.1% 0.8% Education Success: Preschool Childre n Unde r Age 5 in Working Pare nt House holds Re lying on Care Outside of Pare nts, by Age Tulsa County, 2005 (est.) Of the 26,863 children <5 living in working parent households..... Under 1 Year Olds 2,858 (14.0%) 1 Year Olds 4,083 (20.0%) 6,447 (24.0%) Do NOT rely on care outside of parents 20,416 (76.0%) Rely on care outside of parents 2 Year Olds 4,492 (22.0%) 3 Year Olds 4,492 (22.0%) 4 Year Olds 4,492 (22.0%) Notes: "Working parent household:" all parents in family in labor force. Percent distribution by age is an estimate based on that of children receiving DHS child care subsidies. Sources: National Survey of American Families, Urban Institute, 1997; US Census Bureau, American Community Survey 2005; US Census Bureau, Population Estimates Division. Prepared by the Community Service Council of Greater Tulsa Many young childre n care d for in unknown arrange me nts Estimated Number of Children Under Age 5 in Working Parent Households Relying on Care Outside of Parents, Using Licensed vs. Unlicensed Care Tulsa County, October 2006 Of the 26,863 children <5 living in working parent households..... Unlicensed 8,333 (40.8% ) 6,447 (24.0%) Do NOT rely on care outside of parents 20,416 (76.0%) Rely on care outside of parents Licensed 12,084 (59.2% ) Notes: "Working parent household:" all parents in family in labor force. The estimate for children in licensed care is based on the assumptions that the number of children receiving DHS subsidy is 40% of total number in licensed care for children under 1, and 38% for 1 & 2 year olds, and that 90% of children <3 in licensed care live in working parent households. Given recent local research study on “non-parental care,“ many children in licensed care also regularly spend time in unlicensed care. Sources: National Survey of American Families, Urban Institute, 1997; US Census Bureau, American Community Survey 2005; DHS Statistical Bulletin, October 2006. Prepared by the Community Service Council of Greater Tulsa Almost two-thirds of all Tulsa County four-year olds are enrolled in public pre-K, as emphasis increasingly turns to assuring quality Enrollment in Public Pre-K Programs, by Full and Half Day Tulsa County, October 2005 Full-day 26% Tulsa Co. 0% Half-day Not enrolled 36% 20% 40% Total four year olds = 8,954 38% 60% 80% 100% Percent of all four year olds Tulsa Public Schools had 2,795 children enrolled in pre-K programs in October 2005. Of these, 2,132 were in f ull-day and 663 were in half -day pre-K. Source: Oklahoma State Department of Education; US Census Bureau, Population Estimates Division, 2005 Estimates. Prepared by the Community Service Council of Greater Tulsa Education Success: th Kindergarten – 12 Grade ADM in Tulsa County public schools has grown about 1% annually be twe e n 1997 and 2004 Average Daily Membership (ADM), Tulsa County, 1997-2005 100,000 80,000 60,000 40,000 20,000 0 Tulsa Co. 1997 1998 1999 2000 2001 2002 2003 2004 2005 99,957 101,216 103,950 105,693 106,126 105,518 106,112 106,141 106,070 Note: Average daily membership is the average number of students enrolled on any given day during the school year. Source: Oklahoma State Department of Education, Data Services; Education Oversight Board, Office of Accountability: Profiles State Reports Prepared by the Community Service Council of Greater Tulsa Public School Ave rage Daily Me mbe rship Tulsa County School Districts, 2005 1,140 Berryhill 4,009 Bixby 14,899 Broken Arrow Collinsville 2,094 Glenpool 2,170 9,162 Jenks 481 Keystone 75 Leonard 588 Liberty 7,882 Owasso 5,112 Sand Springs 2,322 Skiatook 1,258 Sperry 41,091 Tulsa 13,789 Union 0 10,000 20,000 30,000 40,000 50,000 Source: Oklahoma State Department of Education, Data Services; Education Oversight Board, Office of Accountability: Profiles State Reports Prepared by the Community Service Council of Greater Tulsa Percent growth in area school districts varies greatly Percent Change in Average Daily Membership Tulsa County School Districts, 1997-2005 12.5% Berryhill 30.5% Bixby 2.9% Broken Arrow 33.9% Collinsville 2.5% 4.2% 7.7% Glenpool Jenks Keystone -19.2% Leonard 7.7% Liberty 33% Owasso -3.6% Sand Springs 16.8% 12.8% Skiatook Sperry 0.2% Tulsa 16.3% Union 6.8% Tulsa County -40% -30% -20% -10% 0% 10% 20% 30% Source: Oklahoma State Department of Education, Data Services; Education Oversight Board, Office of Accountability: Profiles State Reports Prepared by the Community Service Council of Greater Tulsa 40% Growth in Hispanic students greatly contributes to changes in enrollment Percent Change in Enrollment of Students of Hispanic Origin from 1998 to 2004 Tulsa County School Districts Hispanic enrollment 60% 44.6% Berryhill Bixby 570 -25% 15 43.5% Glenpool 99 138.5% Jenks Keystone 162 151.1% Broken Arrow Collinsville 2004: 24 570 -57.1% 6 0 0% Leonard 133.3% 80.9% 57.5% 27.3% Liberty Owasso Sand Springs Skiatook 21 284 137 42 450% 55 Sperry 149.9% 146.1% 137% Tulsa Union Tulsa County -200% -100% 0% 100% 200% 6,023 1,506 9,514 300% 400% 500% Source: Oklahoma State Department of Education, Data Services; Education Oversight Board, Office of Accountability: Profiles State Reports Prepared by the Community Service Council of Greater Tulsa Enrollme nt in full-day kinde rgarte n growing Public School Full and Half Day Kindergarten Enrollment Tulsa County School Districts, 2005-06 Berryhill Half day 39 28 Full day Bixby 0 287 Broken Arrow 1,166 10 Collinsville 44 143 Glenpool 176 1 Jenks 556 55 Keystone 0 32 Leonard 7 0 Liberty 37 0 Owasso 0 512 Sand Springs 0 Skiatook 0 Sperry 0 Tulsa 0 Union 373 184 109 3,888 77 796 4,000 3,000 2,000 1,000 0 1,000 Source: Oklahoma State Department of Education, Data Services; Prepared by the Community Service Council of Greater Tulsa 2,000 3,000 4,000 Many 9th grade rs do not make it to graduation Percent Change in Average Daily Membership from 9th Grade to 2005 Graduating Class Tulsa County School Districts -2,137 -26% Tulsa County -22 -20.8% Berryhill -10.2% Bixby -29 -9.6% Broken Arrow -109 -8.5% Collinsville -12 -14.7% Glenpool -22 -8.5% Jenks -62 -24.7% Liberty -14 -18.5% Owasso -111 -23.7% Sand Springs -115 -11.9% Skiatook -30 -29% Sperry Tulsa Number change in ADM -29 -43.7% -1,424 -15.9% Union -50% -40% -30% -20% -159 -10% Source: Oklahoma State Department of Education, Data Services Alternative Education. Prepared by the Community Service Council of Greater Tulsa 0% 10% Attrition rate s high for e ve ry race & Hispanic Origin Attrition Rates from 9th Grade to 12th Grade for 2004 Graduating Class, based on October 1 Enrollment Totals, by Race and Hispanic Origin Tulsa County 0% -10% -20% (-1,169) (-177) -21.2% -21.3% -30% (-167) -40% -39.4% (-655) -44.2% -50% White Black Native American Source: Oklahoma State Department of Education, Data Services Alternative Education. Prepared by the Community Service Council of Greater Tulsa Hispanic Origin 12th Grade ACT Participation Rates in Relation to 9th Grade Average Daily M embership for Graduating Class of 2004 Tulsa County School Districts, 2004 Berryhill Bixby B. Arrow Collinsville Glenpool Jenks Liberty Owasso S. Springs Skiatook Sperry Tulsa Union 0 ACT ADM ACT % 500 1,000 1,500 2,000 2,500 3,000 3,500 Berryhill Bixby B. Arrow Collinsville Glenpool Jenks Liberty Owasso S. Springs Skiatook Sperry Tulsa Union 74 107 69% 187 287 65% 725 1,138 64% 81 154 52% 68 174 39% 548 754 73% 27 47 58% 430 617 70% 282 500 56% 94 205 46% 53 103 51% 1,208 3,254 37% 663 1,094 61% Note: Average daily membership is the average number of students enrolled on any given day during the school year. Source: Oklahoma State Department of Education, Data Services. Prepared by the Community Service Council of Greater Tulsa Education Success: Post-Secondary-Higher Education Percent Distribution of Tulsa Area Higher Education Enrollment Tulsa Area Public Colleges, Fall 2003 70% 63.9% 60% 50% 40% 30% 20% 13.1% 9.4% 8% 10% 3.2% 2.4% 0% TCC RSU OSU-Tulsa NSU-BA OU-Tulsa Source: Oklahoma State Regents for Higher Education. Prepared by the Community Service Council of Greater Tulsa LU-Tulsa Public Colle ge He ad Count Enrollme nt of Tulsa County 2002-03 HS Graduate s By School District 1,200 1,000 933 800 600 454 430 343 400 241 162 200 157 44 65 74 44 31 13 0 S TP d an S Sp ri s ng BA xb Bi y ks ok rry ille n o e v t s Je ia Sp k lin l S o C U o ni ll n r Be r i yh Source: Oklahoma State Regents for Higher Education. Prepared by the Community Service Council of Greater Tulsa O s as w l o G le n o po Li rty e b Oklahoma Public Colle ge Going Rate of Tulsa County 2002-03 HS Graduate s By School District 70% 60.1% 59.3% 60% 54.2% 51.4% 56.9% 56.7% 55.6% 52% 48.9% 49.4% 50% 39.7% 40% 35.1% 32.8% 30% 20% 10% 0% S TP d an Sp gs ir n BA y xb Bi ks ok ille n o v t s Je ia lin l Sk o C Sp ry er U o ni n Be i yh rr S Source: Oklahoma State Regents for Higher Education. Prepared by the Community Service Council of Greater Tulsa ll l o s as O w G le n o po ty Li r be Public Colle ge Re me diation Rate s Among HS Graduate s Tulsa County and Oklahoma, 1999-2003 50% 40% Tulsa County 37% 36.5% 32.4% 34.1% 35.1% Oklahoma 36.5% 38.1% 36.2% 33.6% 30% 20% 10% 0% 1999 2000 2001 2002 Source: Oklahoma State Regents for Higher Education. Prepared by the Community Service Council of Greater Tulsa 2003 35% Human Development: Key Points Middle class is disappearing Many households lack adequate income Stress of inadequate income and related conditions is widespread Starting life in Tulsa for many is risky business Human Development: Key Points…continued Populations of aging and persons with disabilities are large and growing Health challenges are critical to individual and community well-being Poor human conditions impact crime and growing incarcerations Overall progress in human development is tied to educational success Community Profile is a product of the Community Service Council of Greater Tulsa. If you have questions or are interested in having the Community Profile presented to your organization, please contact Ginny Utter at the Community Service Council of Greater Tulsa at 918-585-5551 or [email protected]. Please visit our website csctulsa.org for more presentations and reports on a wide array of human services topics.