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COMMUNITY PROFILE 2010 EARLY CHILDHOOD INDICATORS OF POTTAWATOMIE COUNTY Commissioned by……. Prepared by the Community Service Council May 2010 POTTAWATOMIE COUNTY Demographic Trends Economics and Employment Child Indicators Demographics DEMOGRAPHIC TRENDS DEMOGRAPHIC TRENDS Population change--migration to suburban areas of Tulsa and Oklahoma City MSA with an overall decrease in new births Age--aging population Race and ethnicity--more culturally diverse Living arrangements--transitional for family living arrangement Demographics Population Trends for Total Population and Under Age 5 Pottawatomie County, 1980 through 2020 100,000 Demographics 80,000 60,000 40,000 20,000 0 Total Population Under age 5 1980 1990 2000 2008 (est.) 2010 (proj.) 2020 (proj.) 2030 (proj.) 55,239 4,010 58,760 3,950 65,521 4,454 69,616 4,673 70,038 4,761 74,848 4,915 79,251 4,964 Source: US Census Bureau, 1980, 1990 & 2000 Censuses; Population Estimates Program. Prepared by the Community Service Council of Greater Tulsa Race Comparison for Total Population and Children under Oklahoma and Pottawatomie County, 2000 Oklahoma Pottawatomie County 7.7% 0.7% 12.5% 65.7% 15.6% Under 5 Demographics 1.3% 72.7% 11.0% Hispanic 9.7% 3.4% 9.5% N = 236,353 N = 4,454 4.4% 0.6% 7.0% 76.2% Hispanic 4.8% 1.4% Total Population 7.9% 80.8% 11.3% 2.9% 7.6% Hispanic 5.2% N = 3,450,654 White Black N = 65,521 American Indian Asian Other/2+ races Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Hispanic 2.4% Race Comparison for Total Population and Children under Oklahoma and Pottawatomie County, 2008 Estimates Pottawatomie County Oklahoma 9.3% 0.4% 7.8% 1.6% 71.2% Under 5 Demographics 9.8% 16.7% 69.4% 4.1% 9.7% Hispanic 14.9% Hispanic 7.2% N = 266,547 N = 4,673 5.0% 0.8% 4.2% 1.7% 78.1% Total Population 8.0% 11.8% 78.9% 3.5% 8.0% Hispanic 7.6% White N = 3,642,361 Black American Indian Hispanic 3.4% Asian N = 69,616 Other/2+ races Source: US Census Bureau, 2000 Census; US Census Bureau, Population Estimates Program, 2008. Prepared by the Community Service Council of Greater Tulsa Types of Families with Ow n Children Under 6, by Race & Hispanic Origin Pottawatomie County, 2000 Total White Demographics 74.5% Black 54.3% 77.3% 5.5% 5.8% 17.2% 19.7% 60.9% 5.6% 10.5% 35.2% 71.7% 85.7% 4.0% 9.5% 33.4% American Indian Married couple 4.8% 24.2% Asian Female-headed Hispanic Male-headed Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa ECONOMICS AND EMPLOYMENT THE ROOTS OF THE CHALLENGE Economics & Employment 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 The Overall Dominant Trend... The Shrinking Middle Class Economics & Employment 100% 80% Rich - 5% Rich - 10% Middle - 20% Rich - 20% Middle - 60% 60% Middle - 80% 40% Poor - 75% 20% 0% 1900 - 1940 (Pre-War) Poor - 10% Poor - 20% 1940 - 1990 (Post WWII) 1990 - ? (New Millenia) The trend: housing patterns and income mirror the job structure, with more rich, more poor, and f ewer in the middle -- the "hourglass ef f ect" Source: Hodgkinson, Harold, "The Client," Education Demographer, 1988. Prepared by the Community Service Council of Greater Tulsa Economics & Employment 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 Self-Sufficiency Wage to Poverty Guidelines, by Size of Family Economics & Employment Pottawatomie County, 2010* One person Two persons Three persons Four persons SelfSufficiency Wage (annual) Poverty Guidelines (annual) Dollar Difference SelfSufficiency Percent of Poverty $17,610 $10,830 $6,780 163% ($8.34 per hour) ($5.13 per hour) $26,254 $14,570 $11,684 180% ($12.43 per hour) ($6.90 per hour) $30,508 $18,310 $12,198 167% ($14.45 per hour) ($8.67 per hour) $37,779 $22,050 $15,729 171% ($8.94 per hour per adult) ($5.22 per hour per adult) 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. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least March 1, 2010. Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200. Comparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of Poverty, and Median Family Income Family of Three, Pottawatomie County, 2010* Annual Wage Economics & Employment ($19.93/hr) Married-couple families w/ children <18 $35,935 All families w/ children <18 $42,092 $40,000 $33,874 $30,000 ($17.01/hr) Self-Sufficiency Wage = $30,508 $24,507 ($14.45/hr) $20,000 ($11.60/hr) $18,310 $16,375 $15,312 $10,000 $0 ($7.75/hr) Male-headed families w/ children <18 Female-headed families w/ children <18 $10,309 ($4.88/hr) ($7.25/hr) ($8.67/hr) ($16.04/hr) Welfare Wage Minimum Wage Poverty Wage 185% Poverty Wage Median Family Income (2000 Census) Notes: For the self-sufficiency wage, family of three consists of one adult, one preschooler and one schoolage child. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least March 1, 2010. Welfare wage is the combined value of TANF, SNAP, & WIC. Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200; Oklahoma State Dept. of Human Services; U.S. Census Bureau, 2000 Census. Monthly Budget Distribution for Typical Family of Three Earning Self-Sufficiency Wage Economics & Employment Pottawatomie County, 2010 Housing $618 Child Care $656 23% 24% Self -suf f iciency wage = $2,542 per month. 3% 9% 18% 9% Miscellaneous $240 15% Food $483 Transportation $252 Taxes $70 Health Care $394 Notes: Family of three in this example consists of one adult, one preschooler and one schoolage child. Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009. Income Eligibility for Public Assistance Programs (part 1) Maximum Income Levels as Percentage of Poverty 185% Economics & Employment Medicaid (children & preg. women) 185% WIC 185% Child care subsidy 185% School reduced lunch 130% School free lunch 130% Food Stamps 100% Medicaid (aged, blind & disabled) 50% TANF 0% 50% 100% 150% Approximately 65% of women giving birth in Oklahoma qualify for Medicaid. 200% Income as a Percent of Pov erty Source: Oklahoma Department of Human Services and U.S. Department of Agriculture Prepared by the Community Service Council of Greater Tulsa 250% Income Eligibility for Public Assistance Programs (part 2) Economics & Employment Maximum Income Levels as Percentage of Median Family Income 80% Public housing 50% Section 8 rental assistance 0% 20% 40% 60% 80% Income as a Percent of Median Family Income Source: Tulsa Housing Authority Prepared by the Community Service Council of Greater Tulsa 100% Participation in Public Assistance Programs Number of Participants and Percentage of Population Participating Pottawatomie County, January 2010 Economics & Employment Medicaid Total (185%/100%) 21.5% 14,971 68.6% 3,208 Medicaid <5 (185%) 55.7% 9,459 Medicaid <18 (185%) WIC Infants (185%) (Feb. 2010) 52.3% 489 WIC age 1-5 (185%) (Feb. 2010) 16.9% 948 12.1% 567 Child Care Subsidy <5 (185%) Food Stamps Total (130%) 12.9% 1,272 Medicaid 65+ (100%) 21.5% 14,949 2.4% 411 TANF <18 (50%) Elem. School Free Lunch (130%) (2009-10) 51.6% 2,915 Elem. School Reduced Lunch (185%) (2009-10) 9.8% 552 20,000 15,000 10,000 5,000 Number of Participants 0% 0 20% 40% 60% 80% Percent of Population Source: Oklahoma Dept. of Human Services, Statistical Bulletin, January 2010; Oklahoma State Dept. of Education, Low Income Report for 2009-10; US Census Bureau, Pop. Estimates Division, 2008 Estimates; Oklahoma State Department of Health-WIC Service, Caseload Report, Feb. 2010. Prepared by the Community Service Council of Greater Tulsa Ratio of Income to Poverty Level Percentage of Total Population and Children Oklahoma, 1999 Economics & Employment Percentage of population Below 100% 60% Below 130% Below 185% 50% 40% 30% 20% 10% 0% Below 100% Below 130% Below 185% Total population 14.7% 21.2% 33.8% Under 18 19.6% 27.8% 43% Under 5 23% 32.2% 48.6% Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa 5-17 18.4% 26.2% 41% Ratio of Income to Poverty Level Percentage of Total Population and Children Pottawatomie County, 1999 Economics & Employment Percentage of population Below 100% 60% Below 130% Below 185% 50% 40% 30% 20% 10% 0% Below 100% Below 130% Below 185% Total population 14.6% 22.5% 35.4% Under 18 19.3% 29.3% 44.8% Under 5 22.1% 32.3% 48.9% Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa 5-17 18.3% 28.1% 43.3% Ratio of Income to Poverty Level Economics & Employment Number of Persons: Total Population and Children Oklahoma, 1999 All Income Levels 100% of poverty level 130% of poverty level 185% of poverty level Total population 3,336,224 491,235 707,739 1,126,400 Under 18 years 875,348 171,929 242,919 376,574 Under 5 years 231,191 53,201 74,463 112,396 5-17 years 644,157 118,728 168,456 264,178 Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Ratio of Income to Poverty Level Economics & Employment Number of Persons: Total Population and Children Pottawatomie County, 1999 All Income Levels 100% of poverty level 130% of poverty level 185% of poverty level Total population 62,429 9,121 14,063 22,124 Under 18 years 16,567 3,200 4,846 7,418 Under 5 years 4,452 982 1,437 2,175 5-17 years 12,115 2,215 3,409 5,243 Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Ratio of Income to Poverty Level for Total Population Pottawatomie County, 1989 & 1999 Percentage of population Economics & Employment 50% Below 100% Below 185% Below 200% 40% 30% 20% 10% 0% Below 100% Below 185% Below 200% 1989 1999 17.3% 37.9% 41.4% 14.6% 35.4% 39% Source: US Census Bureau, 1990 & 2000 Censuses. Prepared by the Community Service Council of Greater Tulsa Ratio of Income to Poverty Level for Total Population Economics & Employment Pottawatomie County, 1989 & 1999 All Income Levels 100% of poverty level 185% of poverty level 200% of poverty level Year: 1989 56,499 9,759 21,430 23,409 Year: 1999 62,429 9,121 22,124 24,318 Source: US Census Bureau, 1990 & 2000 Censuses. Prepared by the Community Service Council of Greater Tulsa Median Family Income By Family Type and Presence of Children under 18 Pottawatomie County and Oklahoma, 1999 Economics & Employment Pottawatomie Co. $35,935 All families $40,803 $42,092 Married-couple $42,927 $16,375 Female-headed $26,841 $24,507 Male-headed $30,000 Oklahoma $38,579 All families Married-couple $42,414 $47,652 $45,647 $16,657 Female-headed Male-headed $50,000 $28,069 $24,745 $25,000 Families WITH children $32,731 $0 $25,000 $50,000 Families WITHOUT children Source: U.S. Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa Poverty Status by Family Type & Age of Related Children Pottawatomie County, 1999 Family Ty pe Married-couple Economics & Employment Total 7.2% 9.3% with children <18 9.9% with children <5 only 12% with children <5 & 5-17 8.2% with children 5-17 only Female-headed 33.5% Total 41.8% with children <18 60.4% with children <5 only 57.8% with children <5 & 5-17 33.1% with children 5-17 only Male-headed 12.1% Total 16.9% with children <18 20.4% with children <5 only 13.3% with children <5 & 5-17 15.9% with children 5-17 only 0% 10% 20% 30% 40% 50% Percent below Poverty Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa 60% 70% Educational Attainment for Persons Age 25 & Older Pottawatomie County, 2000 20.7% Economics & Employment Less than high school 35.6% High school graduate 23.1% Some college 5% Associate degree 9.9% Bachelor's degree 3.9% Master's degree Professional school degree 0.9% Doctorate degree 0.8% 0% 10% 20% Percent of persons 25+ Source: US Census Bureau, 2000 Census. Prepared by the Community Service Council of Greater Tulsa 30% 40% Real Hourly Wage by Educational Attainment United States, 1973-2007 Real hourly wage (2007 dollars) Economics & Employment $40 $30 $20 $10 $0 3 7 19 75 977 979 981 983 985 987 989 991 993 995 997 999 001 003 005 007 9 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 Less than high school College degree High school Advanced degree Some college Source: The State of Working America 2008-10, table 3.15. Prepared by the Community Service Council of Greater Tulsa Real Hourly Wage by Educational Attainment for Men United States, 1973-2007 Real hourly wage (2007 dollars) Economics & Employment $40 $30 $20 $10 $0 3 7 19 75 977 979 981 983 985 987 989 991 993 995 997 999 001 003 005 007 9 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 Less than high school College degree High school Advanced degree Some college Source: The State of Working America 2008-10, table 3.16. Prepared by the Community Service Council of Greater Tulsa Real Hourly Wage by Educational Attainment for Women United States, 1973-2007 Real hourly wage (2007 dollars) Economics & Employment $40 $30 $20 $10 $0 3 7 19 75 977 979 981 983 985 987 989 991 993 995 997 999 001 003 005 007 9 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 Less than high school College degree High school Advanced degree Some college Source: The State of Working America 2008-10, table 3.17. Prepared by the Community Service Council of Greater Tulsa Real Hourly Wage by Educational Attainment, by Sex United States, 2007 Real hourly wage (2007 dollars) Economics & Employment $40.00 Both sexes Men Women $30.00 $20.00 $10.00 $0.00 Less than high school Both sexes $11.38 Men $12.32 Women $9.43 High school $15.01 $16.68 $13.10 College degree $26.51 $30.36 $22.63 Source: The State of Working America 2008-10, tables 3.15 through 3.17. Prepared by the Community Service Council of Greater Tulsa Advanced degree $33.57 $38.10 $28.77 Unemployment Rates Pottawatomie County, 1990 - 2010 Economics & Employment 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Tulsa Co. '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 6.2 7.0 6.4 5.7 5.5 4.4 4.9 4.8 5.2 3.8 3.2 4.4 5.0 5.9 5.6 5.3 4.5 4.1 3.8 Source: U.S. Department of Labor, Bureau of Labor Statistics. Prepared by the Community Service Council of Greater Tulsa '09 Feb. '10 6.3 6.8 CHILD INDICATORS WHY ARE CHILDREN AT RISK? Lack of health insurance Limited access to preventative services Living in high risk families Living in a state with a high level of premature death Child Indicators Prepared by the Community Service Council of Greater Tulsa Child Indicators THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY Major American research project that poses the question of whether and how childhood experiences affect adult health decades later Provides compelling evidence that: Adverse childhood experiences are surprisingly common ACE’s happen even in “the best of families” ACE’s have long-term, damaging consequences Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.” THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY PYRAMID Death Early Death Child Indicators Disease, Disability and Social Problems Adoption of Health-risk Behaviors Social, Emotional and Cognitive Impairment Disrupted Neurodevelopment Adverse Childhood Experiences Conception Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.” ADVERSE CHILDHOOD EXPERIENCES… Child Indicators …GROWING UP IN A HOUSEHOLD WITH: Recurrent physical abuse Recurrent emotional abuse Sexual abuse An alcohol or drug abuser An incarcerated household member Someone who is chronically depressed, suicidal, institutionalized or mentally ill Mother being treated violently One or no parents Emotional or physical neglect Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).” Child Indicators …LEAD TO HEALTH-RISK BEHAVIORS… Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity Source: The Adverse Childhood Experiences Study website: www.acestudy.org …WHICH CAUSE DISEASE, DISABILITY AND SOCIAL PROBLEMS IN ADULTHOOD Child Indicators Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional pregnancy Heart disease Cancer Chronic lung and liver disease Stroke Diabetes Sexually transmitted diseases Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.” Summary of Risk Factors for Infants Pottawatomie County and Oklahoma, 2007 15.5% 13.7% Teen mother (age 15-19) 43.1% 41.3% Unmarried mother 3.7% 5.3% Child Indicators Poor prenatal care (3rd trimester/no care) 21.3% 22.2% Mother w/ <12th grade education Pottawatomie Oklahoma 4.8% 6.7% Low birthweight (1500-2499 grams) 1.6% 1.5% Very low birthweight (<1500 grams) 38% Short birth spacing (<24 mos. apart) 34.1% 24.4% Very short birth spacing (<18 mos. apart) 20.3% 8.3% 10.6% Premature (<37 weeks gest.) 0% 10% 20% Pottawatomie County births: 987 Oklahoma births: 54,946 30% Percent of Births Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa 40% 50% Characteristics of Births to Teen Mothers (Age 15-19) Pottawatomie County and Oklahoma, 2007 76.5% 79.6% Unmarried 5.1% 7% Poor prenatal care (3rd trimester/no care) 55.8% 54.8% Child Indicators Mother w/ <12th grade education 3.9% 7.8% Low birthweight (1500-2499 grams) Pottawatomie County Oklahoma 1.3% 1.4% Very low birthweight (<1500 grams) 71.4% 65.6% Short birth spacing (<24 mos. apart) 63.3% Very short birth spacing (<18 mos. apart) 44.6% 7.2% 10.5% Premature (<37 weeks gest.) Pottawatomie County births to teens: 153 Pottawatomie County teen birth rate: 62.5 26.8% 22.1% 1+ previous births (per 100,000 females age 15-19) Oklahoma births to teens: Oklahoma teen birth rate: 3.9% 3.8% 2+ previous births 0% 7,523 61.3 (per 100,000 females age 15-19) 20% 40% 60% Percent of Teen Births Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa 80% 100% Resident Births, by Trimester of Entry into Prenatal Care Pottawatomie County, 1980, 1990, 2000 and 2007 1980 1990 63.9% 9.3% 0.7% 68.4% Child Indicators 1.7% 2.3% 7.6% 4.7% 16.8% 24.5% 14.1% 75.3% 68.8% 7.0% 0.6% 2.8% 0.5% 2.1% 14.5% 14.3% 2000 1st trimester 2007 2nd trimester 3rd trimester No care Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa Unknown Resident Births by Marital Status of Mother Pottawatomie County, 1980, 1990, 2000 and 2007 Number of births 1,000 Child Indicators 800 778 625 600 540 560 425 371 400 220 200 146 Single Married 0 % Married % Single 1980 1990 2000 2007 84.2 15.8 74 26 59.3 40.7 56.9 43.1 Source: Oklahoma State Department of Health. Prepared by the Community Service Council of Greater Tulsa Resident Births to Teens Age 15-17 and 18-19 Pottawatomie County, 1980, 1990, 2000 and 2007 Number of births Specif ic birth rate 150 Child Indicators 150 100 100 50 50 0 0 Births 15-17 Births 18-19 Birth rate 15-17 Birth rate 18-19 1980 1990 2000 2007 77 118 53.5 91.3 49 91 33.7 81 52 139 35.2 124.1 38 115 26.4 113.7 Note: Specific birth rate is the number of births to females in specified age group per 1,000 females in age group. Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa Resident Births to Teens Pottawatomie County, 1980, 1990, 2000 and 2007 Number of births 160 1980 1990 2000 2007 139 118 115 Child Indicators 120 91 77 80 49 52 38 40 2 0 1 4 0 % 1980 % 1990 % 2000 % 2007 10-14 15-17 18-19 0.2% 0% 0.1% 0.4% 8.3% 5.9% 5.7% 3.9% 12.8% 10.9% 15.3% 11.7% Source: Oklahoma State Department of Health, Vital Statistics. Prepared by the Community Service Council of Greater Tulsa Infant Mortality Rates (5-year averages) Pottawatomie County and Oklahoma, 1980 through 2006 15 Number of inf ant deaths per 1,000 liv e births Oklahoma 10 5 Source: Oklahoma State Department of Health Prepared by the Community Service Council of Greater Tulsa 2000-04 2001-05 2002-06 8.3 8.2 8 8.1 1999-2003 1998-2002 7.8 8.3 1997-2001 1996-2000 7.7 8.2 1993-97 8.9 10.2 10.3 8.4 8.6 8.4 8.2 8.2 1992-96 1995-99 8.6 10.1 9.9 8.7 8.7 8.7 1991-95 1990-94 1989-93 “Healthy People 2010” goal = 5 per 1,000 1994-98 Pottawatomie County 9.9 9.4 10.6 11.6 10.8 10.6 10.7 9.6 Oklahoma 11.2 10.9 10.6 10.1 9.8 9.3 9 8.9 1988-92 1987-91 1986-90 1985-89 1984-88 1983-87 1982-86 0 1981-85 From 2002 through 2006, there was an average of 7 infant deaths per year in Pottawatomie County, for a rate of 7.3 per 1,000 live births. In Oklahoma, the average was 412 infant deaths, for a rate of 8.0. 1980-84 Child Indicators Pottawatomie County 9.3 9.6 8 7.9 9.1 7.8 7.3 8 DHS Licensed Child Care Services Provided to Children Under Age 5, by Age Pottawatomie County, October 2001 - October, 2009 200 Child Indicators 150 100 50 0 October October October October October October October October October 2001 2002 2003 2004 2005 2006 2007 2008 2009 Age <1 Age 1 Age 2 Age 3 Age 4 85 143 132 134 127 73 161 165 154 133 79 136 167 136 135 78 125 142 149 117 112 136 143 121 125 84 136 143 125 102 Source: Oklahoma Department of Human Services, Monthly Statistical Bulletins. Prepared by the Community Service Council of Greater Tulsa 100 131 161 126 108 75 131 143 162 109 87 118 134 140 115 DHS Child Care Licensed Facilities and Subsidized Care by Stars Pottawatomie County, October 2009 Child Indicators 1 Star 6 16 1+ Star 33 8 2 Star 743 38 3 Star 25 2 50 40 30 20 10 Facilities 0 200 400 600 Subsidized Care Source: Oklahoma Department of Human Services, Monthly Statistical Bulletin. Prepared by the Community Service Council of Greater Tulsa 800 DHS Child Care Licensed Facilities and Capacity, by Type Pottawatomie County, October 2009 Total DHS Contract Total Child Indicators 2,217 64 1,905 55 Total Centers 1,929 35 DHS Contract Centers 1,652 31 Total Homes 288 29 DHS Contract Homes 253 24 80 60 40 20 Facilities 0 500 1,000 1,500 2,000 2,500 Capacity Source: Oklahoma Department of Human Services, Monthly Statistical Bulletin. Prepared by the Community Service Council of Greater Tulsa Early Childhood (Pre-K) Enrollment, by School District Pottawatomie County, October 2003 4 year old half day 18 0 Asher Pottawatomie County total 4 year old half day pre-K = 301; full day = 202. Bethel Dale Child Indicators 4 year old full day 40 32 0 40 Earlsboro 0 Macomb 0 Maud 0 McLoud 0 North Rock Creek 0 Pleasant Grove 0 9 19 25 9 44 33 0 120 Shawnee 0 109 Tecumseh 5 0 Wanette 300 250 200 150 100 50 0 50 100 150 Source: Oklahoma State Department of Education, Accreditation and Data Processing/Research Services. Prepared by the Community Service Council of Greater Tulsa 200 250 300 Early Childhood (Pre-K) Enrollment, by School District Pottawatomie County, October 2008 4 year old half day 3 year old half day 14 0 Asher Pottawatomie County total 4 year old half day pre-K = 520; full day = 158; 3 year old half day pre-K = 17; full day = 5. Bethel Child Indicators 4 year old full day 3 year old full day Dale 40 32 0 39 10 Earlsboro 0 Macomb 0 19 Maud 0 20 0 87 McLoud 44 0 North Rock Creek 1 37 Pleasant Grove 0 228 Shawnee 0 114 Tecumseh 15 0 Wanette 300 250 200 150 100 50 0 50 100 150 Source: Oklahoma State Department of Education, Accreditation and Data Processing/Research Services. Prepared by the Community Service Council of Greater Tulsa 200 250 300 Early Childhood (Pre-K) Enrollment, by School District Pottawatomie County, October 2009 4 year old half day 3 year old half day 2 0 Asher Pottawatomie County total 4 year old half day pre-K = 503; full day = 253; 3 year old half day pre-K = 27; full day = 1. Bethel Child Indicators 4 year old full day 3 year old full day Dale Earlsboro 59 21 0 40 11 0 38 Grove 1 Macomb 0 16 Maud 1 16 0 104 McLoud North Rock Creek 0 Pleasant Grove 0 41 34 0 249 Shawnee 20 1 South Rock Creek 0 111 Tecumseh 17 2 Wanette 300 250 200 150 100 50 0 50 100 150 Source: Oklahoma State Department of Education, Accreditation and Data Processing/Research Services. Prepared by the Community Service Council of Greater Tulsa 200 250 300 Child Deaths Due to Abuse Oklahoma, Fiscal Years 1978 - 2007 60 51 50 45 47 48 38 40 31 31 24 21 18 20 16 16 23 25 39 35 34 30 40 38 32 29 27 23 18 20 12 13 10 0 7 5 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Child Indicators 42 Source: Oklahoma Dept. of Human Services, Children & Family Services Division. Prepared by the Community Service Council of Greater Tulsa Child Indicators CHILD ABUSE & NEGLECT In Pottawatomie County in FY 2009, there were 639 reports of child abuse and/or neglect accepted for investigation or assessment. 1,152 children were involved in these reports. 183 children were confirmed victims of child abuse and/or neglect. 22 were abused, 114 were neglected, 47 were victims of both abuse and neglect. 11 of every 1,000 children in Pottawatomie County are victims of abuse and/or neglect. In Oklahoma, the rate is 10 of every 1,000 children. Oklahoma ranks #35 in the nation in the rate of children who are victims of abuse and/or neglect. Parents make up 73.7% of all perpetrators, followed by “no relation” at 6.9%, step-parents at 5.9%, and grandparents at 3.5%. Substance abuse is a major contributing factor to child neglect. Prepared by the Community Service Council of Greater Tulsa Age of Children of Confirmed Abuse and Neglect Oklahoma, FY 2009 1-2 1,480 (17.2%) Child Indicators Under 1 1,492 (17.3%) 3-6 2,351 (27.3%) 12 & older 1,399 (16.3%) 7-11 1,883 (21.9%) Source: Oklahoma Dept. of Human Services, Children & Family Services Division. Prepared by the Community Service Council of Greater Tulsa Elementary School Students Eligible for Free and Reduced Lunch Program By School District, Pottawatomie County, 2009-2010 School Year Pottawatomie Co. total 51.6% Wanette 78.3% 7.6% Maud 78.6% 6.2% Earlsboro Child Indicators 9.8% 60.3% Macomb 22% 67.3% Shawnee 12.9% 71.2% Pleasant Grove 67.6% Asher 11.4% 60.5% Tecumseh 15.9% 64.1% McLoud 9.4% 46.5% North Rock Creek 10.7% 43.8% Dale 12.1% 37.5% South Rock Creek 28.6% Grove 17.3% 0% Free lunch eligibility requirement: annual household income below 130% of poverty, which currently is $23,803 for a family of three. 8.7% 50.7% Bethel Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $33,874 for a family of three. 8.7% 4.6% 8% 20% Free Reduced 8.3% 40% 60% 80% Percent of Students Eligible Source: Oklahoma State Dept. of Education, Low Income Report for 2009-2010. Prepared by the Community Service Council of Greater Tulsa 100% Juvenile Arrests, by Type of Crime Pottawatomie County, 2001 through 2008 Number of arrests 400 2001 2002 350 2004 2005 2006 2007 2008 A total of 395 juvenile arrests were made in Pottawatomie County in 2008, for a rate of 51.5 per 1,000 juveniles age 10-17, up from 333 arrests for a rate of 41.4 in 2001. 300 Child Indicators 2003 250 200 150 100 50 0 Index crimes Drug related Includes murder, rape, robbery aggravated assault, burglary, larceny, and motor vehicle theft. Includes sale/ manufacturing and possession of drugs. Alcohol related Includes driving under the influence, liquor law violations, and drunkenness. Source: Oklahoma State Bureau of Investigation, Uniform Crime Reports. Prepared by the Community Service Council of Greater Tulsa Other crimes Includes other assaults, disorderly conduct, curfew & loitering, runaway and all other non-traffic offenses Youth Risk Behavior Survey: Summary of Alcohol, Other Drug & Tobacco Use High School Students, Oklahoma, 2003 through 2009, and U.S., 2007 47.8% 40.5% 43.1% 39% 44.7% Alcohol Child Indicators Used once or more during past 30 days... Ever used... 22% 18.7% 15.9% 17.2% 19.7% Marijuana 9.9% 7.1% 5.5% 4.8% 4.4% Methamphetamine 22.2% 18.4% 19.1% 16.8% 22.3% 26.5% 28.6% 23.2% 22.6% 20% 17.5% 12.3% 13.3% 11% 10.5% 30.6% 25.8% 26.8% 23.1% 29.1% Offered/sold/given illegal drugs at school Smoked cigarettes during past month Drove after drinking alcohol in past month Rode with drinking driver in past month 0% 20% 40% 2003 Oklahoma 2005 Oklahoma 2007 Oklahoma 2009 Oklahoma 2007 US 60% 80% Note: National 2009 YRBSS data have not yet been released. Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE. Prepared by the Community Service Council of Greater Tulsa 100% Youth Risk Behavior Survey: Summary of Sexual Behaviors, Suicide & Physical Health High School Students, Oklahoma, 2003 through 2009, and U.S., 2007 50% 49.3% 50.9% 51.1% 47.8% Ever had sexual intercourse 5.8% 6.5% 5.8% 4.7% 7.1% Child Indicators Had sex before age 13 64.3% 61.7% 59.6% 56.7% 61.5% Used condom last time 17.7% 16.4% 16.7% 22.7% 16% Used birth control pills last time 7% 7.9% 5.9% 7% 6.9% Attempted suicide in past year Overweight (according to BMI) Physical activity for 60 min/day 5 of past 7 days 2003 Oklahoma 2005 Oklahoma 2007 Oklahoma 2009 Oklahoma 2007 US 14.2% 15.9% 15.2% 16.4% 15.8% na 38.2% 34.7% 0% 20% 40% 49.6% 47.4% 60% 80% Note: National 2009 YRBSS data have not yet been released. Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE. Prepared by the Community Service Council of Greater Tulsa 100% Health Status Percent adults reporting fair or poor health 25% 50 Oklahoma Rank US 20% 40 15% 30 10% 20 5% 10 0% 0 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 US 12.9% 12.9% 12.8% 12.6% 13% 13.9% 14% 14.7% 14.7% 14.9% 14.8% 14.7% 14.9% 14.4% Rank 26 32 28 25 42 34 45 41 41 44 42 46 43 42 Oklahoma 13.1% 14% 13.4% 12.6% 17.4% 15.3% 19.6% 17.7% 17.8% 19.7% 18.7% 20.2% 19.2% 18.7% Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa State rank Child Indicators Oklahoma and United States, 1996 - 2009 Prevalence of Obesity Oklahoma and United States, 1990 - 2009 Percent of population estimated to be obese 50 Oklahoma Rank US 30% 40 25% 30 20% 15% 20 10% 10 5% 0% 0 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa State rank Child Indicators 35% Prevalence of Smoking Percent of population over 18 that smoke regularly 60% 60 Oklahoma Rank US 50% 50 40% 40 30% 30 20% 20 10% 10 0% 0 '90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa State rank Child Indicators Oklahoma and United States, 1990 - 2009 Health Insurance Status, by Age Oklahoma, 2007-2008 Total Population Under Age 19 101,000 (10.4%) 38,600 (4.0%) 564,700 (16.0%) Child Indicators 1,714,100 (48.5%) 590,500 (16.7%) 456,300 (47.0%) 337,000 (34.7%) 505,000 (14.3%) 156,600 (4.4%) 457,500 (22.1%) 38,900 (4.0%) 2,900 (0.6%) 21,700 (4.4%) 2,300 (0.5%) 6,200 (1.3%) 96,800 (4.7%) 146,300 (7.1%) 1,255,500 (60.6%) 114,800 (5.5%) Age 19-64 Employer Individual 455,100 (93.2%) Age 65 & ov er Medicaid Medicare/Other Public Source: Kaiser Family Foundation. Prepared by the Community Service Council of Greater Tulsa Uninsured Oklahoma's Rankings in Health Determinants, 2009 (part 1) According to United Health Foundation's State Health Rankings 1990 Personal Behav iors 2009 Prevalence of smoking #46 Child Indicators Prevalence of Binge Drinking #9 Prevalence of obesity #46 Community & Env ironment High school graduation #21 Violent crime #41 Occupational fatalities #43 Infectious disease #26 Children in poverty #41 Air pollution #22 #0 #10 #20 #30 Ranking: 1=best, 50=worst Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa #40 #50 Oklahoma's Rankings in Health Determinants, 2009 (part 2) According to United Health Foundation's State Health Rankings 1990 Public & Health Policies 2009 Lack of health insurance #34 Child Indicators Public health funding (per capita) #13 Immunization coverage #39 Clinical Care Adequacy of prenatal care #38 Primary Care Physicians #49 Preventable Hospitalizations #45 All Determinants #48 #0 #10 #20 #30 Ranking: 1=best, 50=worst Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa #40 #50 Oklahoma's Rankings in Health Outcomes, 2009 According to United Health Foundation's State Health Rankings Oklahoma’s overall health ranking for 2009 is 1990 Poor mental health days # 49 2009 #46 Child Indicators Poor physical health days #46 Geographic disparity #21 Infant mortality #39 Cardiovascular deaths #48 Cancer deaths #38 Premature death #43 All Health Outcomes #44 #0 #10 #20 #30 Ranking: 1=best, 50=worst Source: United Health Foundation, “America’s Health Rankings.“ Prepared by the Community Service Council of Greater Tulsa #40 #50 ADVERSE CHILDHOOD EXPERIENCES POTTAWATOMIE COUNTY RANKINGS Child Indicators Parental separation or divorce Incarcerated household member Mentally ill household member Substance abusing household member Violence against mother Psychological, physical & sexual abuse Emotional & physical neglect Overall ranking Rankings: 1 = best, 77 = worst *Indicates a tie with at least one other county Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy 47 69 43* 11* 67 35 37 53* …IN SUMMARY BEST PRACTICES STRATEGIES Summary Outcome performance measures Community coalitions Collaborative, public-private partnerships Consumer/client investments Successful outreach and recruitment Case management/Care coordination Strong social marketing Risk reduction education Access to services and care Child care Transportation Translation Best Practices Summary Continuum of Intervention Source: Institute of Medicine, Reducing Risk for Mental Disorders, 1994. Prepared by the Community Service Council of Greater Tulsa Best Practices Strategic Prevention Framework 1: Assessment Summary Organize community to profile needs, including community readiness 5: Evaluation 2: Capacity Evaluate for results and sustainability Mobilize community and build capacity to address needs Sustainability & cultural competence 4: Implementation 3: Planning Implement prevention plan Develop the prevention plan (activities, programs & strategies Source: Substance Abuse and Mental Health Services Administration (SAMHSA.). Prepared by the Community Service Council of Greater Tulsa Best Practices Summary Risk and Protective Factor Framework Risk Factors Characteristics that increase the likelihood of negativ e outcomes Domains ~Community ~Family ~School ~Indiv idual/Peer Protective Factors Characteristics that protect or prov ide a buf f er to moderate the inf luence of negativ e characteristics, and reduce potential of negativ e outcomes Source: Hawkins, Catalano, Miller, University of Washington Social Marketing Research Group, 1992, “Communities that Care” model of prevention. Prepared by the Community Service Council of Greater Tulsa COMMUNITY PROFILE 2010 EARLY CHILDHOOD INDICATORS OF POTTAWATOMIE COUNTY Prepared by the Community Service Council of Greater Tulsa May 2010 …is available on our website: www.csctulsa.org