COMMUNITY REPORT - Health Services Agency

2y ago
128 Views
2 Downloads
1.46 MB
24 Pages
Last View : 1m ago
Last Download : 2m ago
Upload by : Averie Goad
Transcription

Community HealthAssessment - 2013/2014COMMUNITYREPORT

Community Health Assessment - 2013/2014community reportThe health of our community matters greatly.By health, we mean the broad componentsof our region’s quality of life: Access to HealthInformation and Care; Basic Needs; Education;and the Built Environment.The 2013 Stanislaus County Community HealthAssessment (CHA) is the result of thousands ofhours of work on the part of multiple agenciesin our community, including governmentdepartments, local hospitals, family resourcecenters and community-based organizations.The CHA provides a comprehensive view ofour community’s health and well-being whileserving as a reference tool and call to actionto improve our region’s vitality. The CHA is a‘report card’ that utilizes primary and secondarydata. Primary data was gathered from surveys.Secondary data was gathered from reportsincluding, but not limited to, the U.S. Census,health facilities, law enforcement, publicrecords, state and local government agenciesand computerized sources.We recognize that beyond good data, it’s reallythe coordinated efforts of multiple partnersthat will ‘move the needle’ on the many aspectsthat comprise a healthy community. Since 2009,the Health Services Agency has coordinatedThe Framework for a Thriving Stanislaus: Healthy.Educated. Prosperous. Vibrant. Sustainable – acollaborative of more than 50 local agenciesand partners. The Framework is designed tofocus attention and inspire action in key areasto improve health and well-being in StanislausCounty by 2020. The Framework utilizes theCommunity Health Assessment as a launchingpad for working together on various initiativeswhile sharing information and resources.The agency partners within The Frameworkbegin with the strategic questions: “How‘healthy’ is the population of Stanislaus County?What are we doing well and what can we dobetter?”We hope you consider these questions aswell, as you read this community report. Eachsection of this report gives information andreferences to services and programs that areavailable for all Stanislaus County residents. Weinvite you to get involved with our communitypartners who are working toward a healthy,educated, prosperous, vibrant, and sustainableStanislaus County. To read the full CommunityHealth Assessment, please visit www.HSAHealth.org/data/2013CHA.Sincerely,John Walker, MDPublic Health OfficerStanislaus County Health Services AgencyFor more information on Stanislaus County, please visitwww.HSAHealth.org/data/2013CHAFor more information on The Framework for a Thriving Stanislaus, please nPartnerships/framework.html2

Table of contentsHow ‘healthy’ isthe population ofStanislaus County?What are we doingwell and what canwe do better?410Communityat a Glance14focus on BasicNeeds andEconomy18focus onAccess toHealth Careandinformation22Focus on BuiltEnvironmentfocus onEDUCATION3

communityat a glancedemographics41%Overall Population 11518,336of the population speak a languageother than English at home.(31.4% speak Spanish)6.8%1166,948Householdsof residents 18 years orolder are veterans.74.6%Foreign-BornPopulationPercentage of Householdsthat are FamiliesDefinition of Family 2The Census Bureau uses the term family to refer to“those related to each other by birth, marriage oradoption.”77.2%Population by Race 120.4%67.7% are from Latin America22.6% from Asia6.2% from Europe2.3% from Pacific Island Nations1.0% each from Africa and North AmericaPopulation byEthnicity 157.5% 42.5%8.6%White45.9%Other Race Asian ericanAmericanIndian orAlaskaNativeNon-LatinoLatinoDefinition of Race/Ethnicity 3The U.S. Census Bureau defines race basedon skin color and geographic origin, andethnicity based on language and culture.

Age Breakdown1StanislausMedian age (percentage of residents)20.6%19.1% 19.9%17.9%13.6%15.7%14. 3%12.8%16.9%13.7%10.6% 10.6%7.7%AgeYEARSCaliforniaMedian age 6.7%0-433.05-1718-2425-3435-4445-5960 3 5 .4YEARSMedian Household Income1California 59,368Stanislaus County 46,87921% Lower than California medianU.S. Census Bureau (2013). 2012 American Community Survey (three-year estimates).U.S. Census Bureau (2012). Families and living arrangements.3Humes, K.R., Jones, N.A., & Ramirez, R. (2011). Overview of race and Hispanic origin: 2010. 2010 Census Briefs, CB201BR-02. Washington D.C., U.S. Census Bureau.125

Community at a glance:measures of well-beingLife and deathLife Expectancy at Birth4Where you live matters! On average, residentsin East Central Modesto (Airport/La Lomaneighborhoods) can expect to live 5 yearsless, than those who reside in the Southeast side(e.g. Waterford and Hughson) of the County.OakdaleRiverbankSalidaModestoLife Expectancy at Birth WithinStanislaus County 0.27East CentralCentralSouthwest CentralSouth CentralNorth SideNortheast SideWest SideSouth SideSoutheast est SideSouth SidePattersonNewmanInfantMortality 5, 631.0% Diseases of the HeartInfant mortalityimproved 28.6%in the last decade.24.2% Cancer7.4%Chronic Lower Respiratory Disease6.6%Stroke6.4%Unintentional Injury5.5%Alzheimer’s Disease3.1%Diabetes0%10%CeresTurlockMajor Causes of Death inStanislaus County (2010-2012)46Northeast SideBut.Stanislaus Countystill ranks in thebottom halfof state healthjurisdictions.20%30%40%

SAFETYCrime7Gangs 9, 10Violent Crime Rate2008-2012% Change(per 1,000 residents)5.45.05.25.55.14.7Stanislaus4.74.3 0.8%4.24.1275,000Gangs are active inStanislaus CountyCalifornia2008200920102011Property Crime Rate40.940.139.1200827.126.32009-8 .1%Child Abuse8Children withone or moresubstantiatedreferrals.14.110.02008California Department of PublicHealth, Office of Health Informationand Research (2006-2010). Deathstatistical master files. Provided toand analyzed by Stanislaus CountyHealth Services Agency.California Department of HealthServices (2005). California healthstatus profiles 2005.5 2011California-5.5%201220099.6California Department ofPublic Health (2013b). Countyhealth status profiles 2013.U.S. Department ofJustice, Federal Bureau ofInvestigation, Criminal JusticeInformation Services Division(2012). Crime in the UnitedStates 2012.7 9.520106 2,07420111,6502011-121,770Stanislaus 6.3%9.32012Needell, B., Webster, D., Armijo, M., Lee,S., Dawson, W., Magruder, J., Exel, M.,Cuccaro-Alamin, S., Putnam-Hornstein,E., Williams, D., Yee, H., Hightower, L.,Mason, F., Lou, C., Peng, C., King, B., &Lawson, J. (2013). Child welfare servicesreports for California. Berkeley CA:University of California at Center forSocial Services Research.8 2010-112008-2012% Change(Incidence rates per 1,000 children 6-17 years old)15.815.014.413.110.24 27.725.92010Adult ProtectiveServices allegedreports2012-13Stanislaus35.129.3Elder Abuse112008-2012% Change(per 1,000 residents)43.7-16.0%2012Approximatenumber ofgang membersin Stanislaus CountyCalifornia-8.8%Armendariz, R.P. (2013). Gang awareness:A parent’s guide. Modesto, CA: The CentralValley Gang Impact Taskforce.9 Tracy, E. (2013, May 15). 27 arrested inStanislaus County gang sweep. TheModesto Bee.10 Alameda County Social Services Agency(2013). Elders and disabled adults.11 7

Community at a glance:measures of well-beingbehavioral healthBehavioral Health121 17inof Stanislaus County residents werein need of mental health servicesfor a severe mental illness orserious emotional disturbance.Anxiety/Depression13Residents told by their healthprovider that they have.AnxietyDepression1 in 6 1 in 6Substance AbuseStanislaus County7th Graders15Have Used1 in 41 in 51 in 81 in 8AlcoholTobaccoMarijuanaInhalentsAverage number ofemergency roomvisits per year due tosubstance abuse 16545Social Connections1375.4%Suicide1430.2%increase since 20058Neighbors thatsay they knoweach other4.5%People who feelthey have NOONE to turn to ifthey experiencea seriouspersonal crisis

physicalHealthWeight 172 in 3than California average28% Higherthan California average17.0%13.9%2001/2003–2009/2012% ChangeStanislausCalifornia1 in 6children areoverweightfor their ageAsthma Prevalence(2009-2012)17Stanislaus18% Higheradults areoverweightor obese 26.9%California 10.3%California Department of Health Care Services (2009). CPES estimates ofneed for mental health services for California, Stanislaus County (099), 2007.12 TOP 51.2.3.4.5.University of California at Berkeley, Family Health Outcomes Project. (2013).Stanislaus County 2013 community survey.13 CommunityConcerns13CrimeNeighborhood SafetyAlcohol & DrugsQuality of SchoolsHomelessnessCalifornia Department of Public Health, Office of Health Information andResearch (2006-2010). Death statistical master files. Analyzed by StanislausCounty Health Services Agency.14 California Healthy Kids Survey (2009-2011). Stanislaus County secondary2009-2011: Main report. San Francisco: WestEd Health and HumanDevelopment Program for the California Department of Education.15 Office of Statewide Health Planning and Development (2006-2010).Emergency department and ambulatory surgery model dataset. Analyzedby Stanislaus County Health Services Agency.16 UCLA (multiple years). California Health Interview Survey.17 9

FOCUS onEducationThird Grade Reading Level18, 19Research shows that proficiency in reading by the end of third grade enablesstudents to shift from learning to read to reading to learn, and to master themore complex subject matter they encounter in the fourth grade curriculum.Most students who fail to reach this critical milestone falter in the latergrades and often drop out before earning a high school diploma.In 2012, 42% of Stanislaus County 3rd gradestudents scored proficient or higher in reading.High School Graduation Rate20High SchoolDropouts aremore likely to: 21, 22lBe unemployedlReceive welfarel Contributeto highhealth costs and haveless healthy childrenl Perpetrate crimes andend up in jailGraduation Rate19StanislausCalifornia78.4%78.5%Dropout gory78.4%PercentDrop OutsAll Students14.6%English Learners25.8%Migrant 7.1%White11.5%63.6%76.5%82.6%75.3%California1 3.2%82.5%

Educational Attainmentand Income23Less than HS diploma or GEDHS diploma or GEDSome college / Associate’s degreeBachelor’s degreeGraduate or Professional degreeEducational AttainmentMedian SalaryStanislausCalifornia 19,240 27,147 32,869 49,570 65,52823.4%28.8%3 1.6%10.9%5.3%18.9%20.8%29.8%19.4%11.1%Teenage Birth Rate 24, 25, 26Why Teen Pregnancy Matters Children of teen mothers perform worse on manymeasures of school readiness, are 50% more likely to repeat a grade, and are morelikely than children born to older mothers to drop out of high school.Teen PregnancyBut. In the last 10 years, theStanislaus County teen birthrate has decreased by 39.2%. Stanislaus County ranks43 worst out of 61health jurisdictions.Fiester, L. (2010). Early warning!Why reading by the end of thirdgrade matters. Baltimore, MD:Annie E. Casey Foundation.18 California Department ofEducation (2013a). STAR Testresults.19 California Department of Educatio(n.d.) California Longitudinal PupilAchievement Data System.20 Alliance for Excellent Education(2011). The high cost of highschool dropouts: What the nationpays for inadequate high schools.21 Amos, J. (2008). Dropouts,diplomas and dollars: U.S. highschools and the nation’s economy.Washington, D.C.: Alliance forExcellent Education.22 U.S. Census Bureau (2013). 2012American Community Survey(three-year estimates).23 California Department of Health Services(2005). California health status profiles 2005.24 California Department of Public Health(2013b). County health status profiles 2013.25 National Council of State Legislatures(2014). Postcard: Teen pregnancy affectsgraduation rates.26 11

FOCUS onEducationcommunity initiativesCome Back KidsStanislaus County Office of Education proudly offers a high school programfor young adults (ages 16-23) who want to come back to complete a diplomaor a GED.Come Back KidsCome Back Kids offers:l Individualizedlearning plans with a mix of online course work, classroominstruction, and career readiness seminars and presentationsl Amodified independent study format with flexible hours to accommodatework and day care responsibilitiesl Referralto appropriate support servicesl Opportunitiesl Programfor internships, apprenticeship programs, and job placementoffered at various locations throughout the county209.238.6500Ceres Project YESProject YES (Youth Employment Services) is a federally funded programunder the Workforce Investment Act (WIA) designed to help economicallydisadvantaged youth overcome barriers to achieving academic and personalsuccess, as well as to find employment.The Ceres Unified School District (CUSD), in partnership with the AllianceWorknet (formerly Department of Education and Training), offerseducational support and employability training for local youth residing inStanislaus County. Project YES services are coordinated and managed locallythrough CUSD’s Educational Options Department.209.556.1558 ttp://www.ceres.k12.ca.us/student support/hspecialized programs/project y e s12

Destination GraduationStanislaus County Office of Education (SCOE) launched a new initiativeentitled Destination Graduation in July 2013. The goal of the initiative is toincrease the high school graduation rate in the county.5 Pillars of the Initiative1. Best Practicesl Summitsfor sharing best practicesspeakers from successful districtsl Expansion of Positive Behavior Support programsl New SCOE Program: Come Back Kidsl Guest2.Mentoring Programsl Developmentof mentor recruitment materialswith community mentor effortsl Mentor trainingl Recruitment of interested schools, businesses, service groups, etc.l Graduation Coaches (focus of the United Way)l Partnering3. Summer Campsl Supportfor at risk 6th graders transitioning to 7th gradeon the value of a high school diplomal Career Awarenessl Field trips to receiving schoolsl Education4.Parent Campaignlll5.Creation of parent awareness materialsCommunity CampaignAssistance to schools/districts with social media toolsGrade-Level Readingl JoinNational Campaign for Grade-Level Reading to coordinate andengage local community action around school readiness, chronicabsences, and summer learning -grad13

Focus onBasic Needs& EconomyEmployment Outlook 27, 28, 29Annual Unemployment Rate, 2013United StatesStanislaus CountyCalifornia6.7%8.3%13.0%Unemployment RateUnemployment Rate Over Time (Stanislaus 2008201020122013Housing Outlook 30, 31Between November 2012and November 2013, theforeclosure rate improved by20%14But. the majority(54.7%) of residentsspend more thanthey can afford onhousing*.*Economists recommend that housingcosts should not exceed 30% of income. 32

poverty IndicatorS:What is Poverty? 33The Federal Government sets the Federal PovertyLevel (FPL) each year–a threshold in income a personor household of a certain size can earn and still beconsidered poor.What is Food Security? 37The USDA defines this as people having access toenough food to have an active healthy life.46.8%of Stanislaus low-incomeworking age adults (1864) are food insecure.38 odesto has the 5th highest suburban poverty rateMin the nation.34Percent of County Residents Living in Poverty 351 31 in 5 adults1 in 10 seniorsinkidsChild Care39High-quality child care can provide a good learningfoundation preparing children for kindergarten,primary school, and beyond. Licensed child careproviders are approved by the State and must meetminimum qualifications.Between 2008 and 2011,Stanislaus had alL icensed child care slotsare only available for 18%of Stanislaus childrenwhose parents are in theworkforce.2010l The number of licensed201237.0%increase in thoseliving in poverty. 35, 36child care slots in Stanislausdecreased by 9.5% between2010 and 2012.California Employment DevelopmentDepartment (2014). Historical data forunemployment rate and labor force (notseasonally adjusted) in Stanislaus County.27 U.S. Department of Labor, Bureau ofLabor Statistics (2014). Regional and stateunemployment—2013 annual averages.28 U.S. Department of Labor, Bureau of LaborStatistics (2014). Databases, tables &calculators by subject. Labor force statisticsfrom the Current Population Survey.29 RealtyTrac (2013a). StanislausCount real estate statistics& foreclosure trends summary.30 University of California atBerkeley. Family HealthOutcomes Project (2013).Stanislaus County 2013community survey.31 U.S. Department of Housingand Urban Development(2014). Affordable Housing.32 U.S. Census Bureau (2013b).Poverty: Poverty thresholds.33 Kneebone, E. & Berube,A. (2013). Confrontingsuburban poverty in America.Washington, DC: BrookingsInstitution Press.34 U.S. Census Bureau (2013).2012 American CommunitySurvey (three-year estimates).Table S1701.35 -9.5%U.S. Census Bureau (2013). 2009American Community Survey(three-year estimates). Table S1701.36 U.S. Department of Agriculture,Economic Research Service (2014).Food security in the U.S.37 UCLA (multiple years). CaliforniaHealth Interview Survey38 California Child Care Resource &Referral Network (2013). 2013 Californiachild care portfolio: Stanislaus County.39 15

basic needs:community resourcesFood ResourcesFarmers MarketsFood Assistance and ClassesWIC and the Area Agency on Aging bothprovide coupons that can be used to getfree produce at farmers markets for WICparticipants and seniors.Throughout StanislausCounty, you can findFamily Resource Centersand other communitybased organizationsthat provide information on and assist with theenrollment process for the CalFresh Program(nutrition assistance). 877.652.0734.Stanislaus County Farmers Markets 2014TuesdaysAirport Neighborhood Market2150 Yosemite BoulevardModesto-Sciabica’s Parking LotWednesdaysPatterson Farmers Market1040 W. Las Palmas AvenueTrue Value Parking LotRiverbank Farmers Market,Community Center on Santa Febetween 6th and 7thOakdale Farmers Market3rd Ave between E and F StreetsThursdaysModesto Farmers Market16th Street, between H and I StreetsWest Modesto Farmers Market,601 N. Martin Luther King Drive16FridaysTurlock Farmers MarketBroadway and Main StreetsSaturdaysModesto Farmers Market16th Street, between H and I StreetsSundaysVintage Fair Mall Farmers MarketParking Lot near Buffalo Wild WingsMultiple DaysCeres Farmers Markets, School SitesFor more details, contact Lourdes at theCeres Partnership at 209-541-0303

ComprehensiveResources: 2-1-1 CenterIn October of 2007, the United Way 2-1-1 call centerbecame a fully functional 24 hours, 7 days a week,365 days a year call center. It’s an easy number forresidents to remember and allows them access tocommunity referrals any time. Trained, professionalcall specialists quickly provide referrals and accessto services that callers need. 2-1-1 puts individualsin contact with the appropriate agencies andorganizations that are best suited to assist them.Housing & Utility Servicesl Community Housing and Shelter Servicesprovides temporary shelter, housing counseling,and rental assistance for families in emergencysituations. 209.527.0444.l he Central Valley Opportunity Center offersTrental and energy assistance, emergency shelter,and food vouchers. 209.577.3210.l TheRedwood Living Center provides transitionalhousing for women recovering from substanceabuse and their children (ages 12 and younger).It also provides GED assistance for moms.209.550.7352.l Through the California Telephone Access Program(CTAP), the California Public Utilities Commissionprovides free assistive telephones for seniors andpersons with disabilities. 800.806.1191.Services for SeniorsChildcare Resourcesl Recognizing the need for resource

12California Department of Health Care Services (2009). CPES estimates of need for mental health services for California, Stanislaus County (099), 2007. 13 University of California at Berkeley, Family Health Outcomes Project. (2013). Stanislaus County 2013 community survey. 14California Department of Public Health

Related Documents:

Defense Advanced Research Projects Agency. Defense Commissary Agency. Defense Contract Audit Agency. Defense Contract Management Agency * Defense Finance and Accounting Service. Defense Health Agency * Defense Information Systems Agency * Defense Intelligence Agency * Defense Legal Services Agency. Defense Logistics Agency * Defense POW/MIA .

Overview Home Health Agency Home Nursing Agency Home Services Agency Statutory Definition A public agency or private organization that provides skilled nursing service and at least one other home health service. 210 ILCS 55/2.04 An agency that provides services directly, or acts as a placement agency, to deliver skilled nursing and home health aide

Introduction: Under the Affordable Care Act, nonprofit hospitals are required to conduct a Community Health Needs Assessment (CHNA) every three years. The steps to conducting a community health needs assessment include: define community, collect secondary data on community health, gather community input and collect primary data, prioritize community health needs, and implement strategies to address community health needs.

East Texas Border Health Clinic East Texas Community Clinic, Inc. East Texas Community Health Services, Inc. Gulf Coast Health Center, Inc. Health Opportunities for the People of East Texas Legacy Community Health Services Lone Star Community Health Center Longview Wellness Center Mt. Enterprise Community Health Clinic Special Health Resources .

Foy Insurance of MA, LLC 198 Frank Consolati Insurance Agency, Inc. 198 County Insurance Agency, Inc. 198 Woodrow W Cross Agency 214 Woodland Insurance Agency, Inc. 214 Tegeler Insurance Services of CT, Inc. 214 Pantano/VonKahle Insurance Agency, Inc. 214 . Hanson Insurance Agency, Inc. 287 J.H. Slattery Insurance Agency, Inc. 287

Community health workers serve as a link between people in the community and local health services to improve the quality and effectiveness of those services. A community health worker may also be called a community health advisor, outreach worker, community health representative, promotora/ promotores de salud (health promoter/promoters .

Atchison County (KS) Community Agency Directory. Agency Listings (Alphabetical) . CFCC & Associates @ First Christian Church Clubs for Kids Foundation 6 Atchison County (KS) Community Agency Directory . dental, and behavioral health services Serves the uninsu

5 Agency Trading Desks Leverage the current working relationship with your agency and its institutional knowledge of your business and ask for a report on insights gleaned from your data. Ask if there are mandates, real or implied, for your agency to use its holding company’s agency trading desk. An alternative would be for your agency or you to work directly with a DSP.