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Prepared by the Community Service Council of Greater Tulsa
Presented to Tulsa Area United WayCommunity Investments Volunteers
Community Profile 2006Creek County
Prepared for The Tulsa Area United WayCommunity Investments Process
By The Community Service Council of Greater Tulsa
Prepared by the Community Service Council of Greater Tulsa
Quiz
1. Which area is growing the most rapidly (percent increase)? a. TAUW service area b. Creek Co. c. Sapulpa
2. During the past 30 years, what has happened to the income gap between rich and poor?
a. increased b. decreased c. stable
3. What percentage of all poor families in Creek County have an employed householder and/or spouse?
a. 20% b. 40% c. 61%
4. What percentage of Creek County residents age 25 & older have only a high school education or less?
a. 27% b. 44% c. 62%
5. How does Oklahoma compare to the nation in age-adjusted deaths rates?
a. better b. worse c. same
Prepared by the Community Service Council of Greater Tulsa
Community Profile 2006
Demographic TrendsHuman DevelopmentPanel TopicsBest Practices
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Prepared by the Community Service Council of Greater Tulsa
Demographic Trends
Population growthAgeRace and Hispanic originLiving arrangementsMedian family incomeResidential mobility
>>>>>>
Demographic Trends in Creek County
• Population growth in Creek County has been steady.
• Greater cultural diversity particularly among the population under 25 years of age
• Living arrangements are changing significantly with more children in single headed households and other relative households
• 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
Osage
Creek
Tulsa
Rogers
Okmulgee
Wagoner
N
EW
S
TAUW Service Area
Prepared by the Community Service Council of Greater Tulsa
Population of TAUW Service Area and Creek County1970, 1980, 1990, 2000 and 2004 (est.)
Source: U. S. Bureau of the Census.
1970 1980 1990 2000 2004(est.)
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
900,000
1,000,000Creek County
TAUW
Creek County 45,532 59,016 60,915 67,367 68,666
TAUW 561,210 696,342 745,444 842,920 864,981
TAUW service area’s population grew 3% between 2000 and 2004, while that of Creek County increased 2%.
Prepared by the Community Service Council of Greater Tulsa
Population of Selected Cities in Creek County1970, 1980, 1990, 2000 and 2004 (est.)
Source: U. S. Bureau of the Census.
Sapulpa
Bristow
Drumright
Mannford
0 5,000 10,000 15,000 20,000 25,000
1970
1980
1990
2000
2004 (est.)
Sapulpa Bristow Drumright Mannford
1970 15,159 4,653 2,740 892
1980 15,853 4,702 3,162 1,610
1990 18,074 4,062 2,799 1,826
2000 19,379 4,325 2,905 2,102
2004 (est.) 19,800 4,320 2,890 2,230
Mannford’s population grew 6% between 2000 and 2004, while that of Sapulpa increased 2%. Both Bristow and Drumright lost population.
Prepared by the Community Service Council of Greater Tulsa
Population of Selected Counties in the Tulsa Metro Area1970, 1980, 1990, 2000 and 2004 (est.)
Source: U. S. Bureau of the Census.
Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0
20,000
40,000
60,000
80,000
100,000 1970 1980 1990 2000 2004 (est.)
1970 45,532 35,358 29,750 28,425 22,163
1980 59,016 39,169 39,327 46,436 41,801
1990 60,915 36,490 41,645 55,170 47,883
2000 67,367 39,685 44,437 70,641 57,491
2004 (est.) 68,666 39,890 45,181 79,042 63,054
Prepared by the Community Service Council of Greater Tulsa
Population by Race and Hispanic OriginCreek County, 2000
Source: U. S. Bureau of the Census.
White(55,425) 82.3%
Asian*(179) 0.3%
American Indian*(6,120) 9.1%
Black(1,724) 2.6%
Some other race(440) 0.7%
Two or more races(3,479) 5.2%
Notes: Persons of Hispanic origin may be of any race, and therefore are not included separately in pie chart. Native Hawaiians and other Pacific Islanders are Included in "Asian" race category Alaska Natives are included in "American Indian" race category.
Hispanic Origin*(N=1,283) 1.9%
Prepared by the Community Service Council of Greater Tulsa
Births by Race of MotherCreek County, 2004
Source: Oklahoma State Department of Health
White778 (85.7%)
Black26 (2.9%)
American Indian98 (10.8%)
Asian/Pacific Islander6 (0.7%)
Total births=908Hispanic origin:
16 (1.8%)
Prepared by the Community Service Council of Greater Tulsa
Age DistributionCreek County, 2000
Source: U. S. Bureau of the Census.
0-4(4,587) 6.8%
5-17(13,845) 20.6%
18-24(5,356) 8.0%
25-64(34,929) 51.8%
65-84(7,685) 11.4%
85+(965) 1.4%
Prepared by the Community Service Council of Greater Tulsa
Living Arrangements of Children Under 18Creek County, 2000
Source: U. S. Bureau of the Census.
68%
5.5%
15.1%
9.1%
Married Couple Male-headed Female-headed Other relatives0%
10%
20%
30%
40%
50%
60%
70%
80%
Prepared by the Community Service Council of Greater Tulsa
Children in Non-Traditional SettingsCreek County, 2000
Source: U. S. Bureau of the Census; Department of Human Services.
Living withgrandparents
Living withother relatives
Foster care(Sept. 2005)
Institutions0
500
1,000
1,500
Number of children
Children 1,423 254 185 32
Percentage ofchildren <18
7.7% 1.4% 1% 0.2%
Prepared by the Community Service Council of Greater Tulsa
Occupied Housing Units by TenureCreek County, 2000
Source: U.S. Census Bureau, 2000 Census.
Owner-occupied78 (78.0%)
Renter-occupied22 (22.0%)
Prepared by the Community Service Council of Greater Tulsa
Housing Units by Householder's Length of Residence and by Tenure
Creek County, 2000
Source: U.S. Bureau of the Census.
10.1%
25.7%
64.2%
35.9%
37.1%
27.0%
15 months or less 16 months to 4 years 5 years or more
Owner-occupied Renter-occupied
Median household income for owner-occupied housing units in Creek County = $37,075
Median household income for renter-occupied housing units in Creek County = $22,132
Prepared by the Community Service Council of Greater Tulsa
Median Family Income, by Race
Creek County, 1999
Source: U.S. Census Bureau, Census 2000.
$38,470 $39,373
$29,524$33,125
$66,250
$25,938
Total White Black American Indian Asian Hispanic$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
Annual Income
Prepared by the Community Service Council of Greater Tulsa
Human Development
Prepared by the Community Service Council of Greater Tulsa
Tulsa Area 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 the Tulsa area.
Increasingly these efforts seek to prevent needs through promoting increased self-sufficiency among people in the Tulsa area while still intervening to respond to crises and other concerns.
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�
Prepared by the Community Service Council of Greater Tulsa
The Roots of the Challenge Thirty Years 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 and 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 Creek County 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
Prepared by the Community Service Council of Greater Tulsa
Source: Hodgkinson, Harold, "The Client," Education Demographer, 1988.
1900 - 1940 1940 - 1990 1990 - ?0%
20%
40%
60%
80%
100%
Poor - 75%
Poor - 20%Poor - 10%
Rich - 20%
Middle - 60%
Rich - 5% Rich - 10%
Middle - 20%
Middle - 80%
The trend: housing patterns and income mirror the job structure, with more rich, more poor, and fewer in the middle -- the "hourglass effect"
The Overall Dominant Trend...The Shrinking Middle Class
Prepared by the Community Service Council of Greater Tulsa
Source: U.S. Census Bureau, 2000 Census.
Distribution of Wealth: Household IncomeU.S., Oklahoma, TAUW Service Area and Creek County, 1999
47.4%58.4% 52.7%
59.8%
40.3%
35%38.6%
35.4%
12.3% 6.6% 8.7% 4.8%
U.S. Oklahoma TAUW Creek Co.0%
20%
40%
60%
80%
100%
<$40,000/year
$40,000-$99,999/year
$100,000+/year
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.
Prepared by the Community Service Council of Greater Tulsa
Income disparity between rich and poor grows wider beyond 1993
Mean Family Income by Quintile and Top 5% (2003 dollars)United States, 1966-2003
Source: Economic Policy Institute website.
1966
1968
1970
1972
1974
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
$0
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
Real hourly wage (2003 dollars)
Lowest Second Middle Fourth Highest Top 5%
Many Households Lack Adequate Income
~More and more households lack adequate income to meet living needs
Prepared by the Community Service Council of Greater Tulsa
The Self-Sufficiency Standard...
...The level of income requiredfor a family to meet its needs on its own.
Source: Wider Opportunities for Women, with Community Action Project of Tulsa County, 2002, "The Self-Sufficiency Standard for Oklahoma."
Customized by specific family compositionCustomized by geographic locationBased on all expense categoriesUpdated annually using consumer price index
>>>>
Prepared by the Community Service Council of Greater Tulsa
Self-Sufficiency
Wage(annual)
Poverty Guidelines
(annual)
Dollar Difference
Self-SufficiencyPercent of
Poverty
One person
$17,893 $9,570 $8,323 187.0%
Two persons
$29,289 $12,830 $16,459 228.3%
Three persons
$33,986 $16,090 $17,896 211.2%
Four persons
$42,558 $19,350 $23,208 219.9%
Comparison of Self-Sufficiency Wage to Poverty Guidelines, by Size of Family
Creek County, 2005
Source: Wider Opportunities for Women, with Community Action Project of Tulsa County, "The Self-Sufficiency Standard for Oklahoma;" Federal Register, February 18, 2005; Bureau of Labor Statistics, Consumer Price Index, November 2005.
($8.60 per hour)
($14.08 per hour)
($16.34 per hour)
($20.46 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.
($4.60 per hour)
($6.17 per hour)
($7.74 per hour)
($9.30 per hour)
Prepared by the Community Service Council of Greater Tulsa
Source: Wider Opportunities for Women, with Community Action Project of Tulsa Tulsa County, "The Self-Sufficiency Standard for Oklahoma;" Federal Register, February 18, 2005; Oklahoma State Dept. of Human Services, Bureau of Labor Statistics; U.S. Census Bureau, 2000 Census; U.S. Census Bureau, American Community Survey, 2004.
$8,292$10,712
$16,090
$29,767
$38,470
WelfareWage
MinimumWage
PovertyWage
185% PovertyWage
Median FamilyIncome(1999)
$0
$10,000
$20,000
$30,000
$40,000
$50,000Annual Wage
Self-Sufficiency Wage = $33,986 ($16.34/hr.)
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.
Married-couple w/ kids: $44,090
Male-headed w/ kids: $26,922
Female-headed w/ kids: $18,408
All families
($3.99/hr.)($5.15/hr.)
($7.74/hr.)
($14.31/hr.)
($22.83/hr.)
Self-sufficiency income requires amount far beyond minimum wageComparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of
Poverty, and Median Family IncomeExample: Family of Three, One Wage Earner, Creek County, 2005
Prepared by the Community Service Council of Greater Tulsa
Budget Distribution for Typical Family of Three Earning Self-Sufficiency Wage
Creek County, 2005
Source: Wider Opportunities for Women, "The Self-Sufficiency Standard for Oklahoma."
Housing$708
Child Care$595
Food$453
Transportation$255
Health Care$283
Miscellaneous$227
Taxes$340
25%
21%
16%
9%
10%
8%
12%
Notes: Family of three in this example consists of one adult, one preschooler and one schoolage child. Self-sufficiency wage for a family of three of this composition is $33,986, or $2,832 per month.
Prepared by the Community Service Council of Greater Tulsa
Ratio of Income to Poverty LevelPercentage of Total Population and Selected Age Groups
Creek County, 1999
Source: U.S. Census Bureau, Census 2000.
Total population
Under 18 Under 5 5-17 18-64 65+0%
10%
20%
30%
40%
50%
60%
Percentage of population
100% 130% 185%
100% 13.5% 17.7% 20.5% 16.7% 11.4% 14.1%
130% 20% 25% 29.5% 23.5% 16.5% 26%
185% 33.8% 42% 49.1% 39.8% 28% 44.8%
Prepared by the Community Service Council of Greater Tulsa
Poverty Rates for Families by Family Type and Age of Children
Creek County, 1999
Source: U.S. Census Bureau, Census 2000.
8.7%12.1%
16.8%
5.2% 5.8%
19.3%21.3% 20.5%
18.8%
10.3%
35%37.7%
62.3%
28.8%
13.8%
w/ children <18w/ children <5 only
w/ children <5 & 5-17w/ children 5-17 only
no children0%
10%
20%
30%
40%
50%
60%
70%Poverty rate
Married-couple
Male-headed
Female-headed
Prepared by the Community Service Council of Greater Tulsa
Labor Force Participation among Adults, Age 20-64Creek County, 1999
Source: U.S. Bureau of the Census; Oklahoma Employment Security Commission.
28,02573.1%
10,31426.9%
In armed forces
Employed
Unemployed
33 (0.1%)
26,815 (95.7%)
1,177 (4.2%)
NOT in labor force
In labor force
Unemployment rate (all ages) for October 2005 = 4.9%.
Prepared by the Community Service Council of Greater Tulsa
Unemployment RatesTulsa MSA, 1991 - 2005
Source: U.S. Department of Labor, Bureau of Labor Statistics.
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Oct.2005
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
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 6.5 5.0 4.0
Prepared by the Community Service Council of Greater Tulsa
Many families in poverty have employed worker(s)Families in Poverty by Family Type and Employment Status
Creek County, 1999
Source: U.S. Census Bureau, Census 2000.
21.625.7
18.8 16.6
39.4 36.1
22.9
47.5
39 38.2 58.2 35.9
All familiesin poverty
Married-couplefamilies in poverty
Male-headedfamilies in poverty
Female-headedfamilies in poverty
0%
20%
40%
60%
80%
100%
Percent of impoverished families
Employment Status of Householder or SpouseFull-time Part-time Did not work
Prepared by the Community Service Council of Greater Tulsa
Education increasingly impacts wagesReal Hourly Wage by Educational Attainment
United States, 1973-2003
Source: Economic Policy Institute website.
1973
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
$0
$5
$10
$15
$20
$25
$30
$35
Real hourly wage (2003 dollars)
Less than high school High school College degree Advanced degree
Prepared by the Community Service Council of Greater Tulsa
Real Hourly Wage by Educational Attainment for MenUnited States, 1973-2003
Source: Economic Policy Institute website.
1973
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
$0
$5
$10
$15
$20
$25
$30
$35
Real hourly wage (2003 dollars)
Less than high school High school College degree Advanced degree
Prepared by the Community Service Council of Greater Tulsa
Real Hourly Wage by Educational Attainment for WomenUnited States, 1973-2003
Source: Economic Policy Institute website.
1973
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
$0
$5
$10
$15
$20
$25
$30
$35
Real hourly wage (2003 dollars)
Less than high school High school College degree Advanced degree
Prepared by the Community Service Council of Greater Tulsa
Additional Indicators of Economic Distress
Public assistance programsFree & reduced school lunch programHomeless sheltersHelpline and Babyline referrals
>>>>
Prepared by the Community Service Council of Greater Tulsa
Participation in Public Assistance ProgramsNumber of Participants and Percentage of Population Participating
Creek County, September 2005
Source: Oklahoma Dept. of Human Services, Statistical Bulletin, Sept. 2005; Oklahoma State Dept. of Education, Low Income Report for 2004-2005; Pop. Estimates Division - U.S. Census Bureau; Oklahoma State Department of Health.
10,794
2,167
6,761
941
451
747
332
8,067
114
3,842
1,045
15.7%
50.7%
40.2%
9.9%
52.7%
17.3%
7.8%
11.7%
0.7%
49.6%
13.5%
Medicaid Total
Medicaid <5
Medicaid <18
Medicaid 65+
WIC Infants (Oct. 05)
WIC age 1-5 (Oct. 05)
Child Care Subsidy <5
Food Stamps Total
TANF <18
Elem. School Free Lunch(2004-05)
Elem. School Reduced Lunch(2004-05)
05,00010,00015,000
Number of Participants
0% 10% 20% 30% 40% 50% 60%
Percent of Population
Prepared by the Community Service Council of Greater Tulsa
Elementary School Students Eligible for Free and Reduced Lunch Program
By School District, Creek County, 2004-2005 School Year
Source: Oklahoma State Dept. of Education, Low Income Report for 2004-2005.
50%
74%
67%
64%
61%
57%
47%
46%
48%
44%
43%
45%
34%
13%
8%
15%
9%
9%
9%
16%
15%
12%
16%
15%
12%
13%
Creek County Total
Oilton
Bristow
Drumright
Depew
Kiefer
Olive
Allen-Bowden
Mounds
Mannford
Kellyville
Sapulpa
Lone Star
0% 20% 40% 60% 80% 100%
Percent of Students Eligible
Free Reduced
Free lunch eligibility requirement: annual household income below 130% of poverty, which currently is $20,917 for a family of three.
Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $29,767 for a family of three.
Prepared by the Community Service Council of Greater Tulsa
Selected Helpline Service Requests, by Type of Service
2001 through 2005
Source: Community Service Council of Greater Tulsa.
2001 2002 2003 2004 20050
5,000
10,000
15,000
20,000
Number of Service Requests
Food
Health & Medical Services
Financial Assistance
Food 1,945 1,913 2,152 2,019 3,339
Health & Medical Services 2,688 2,852 3,404 4,074 7,720
Financial Assistance 12,376 12,173 13,269 12,035 17,847
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).
Prepared by the Community Service Council of Greater Tulsa
Babyline and Planline Appointments ScheduledTulsa MSA and Surrounding Counties, 1990 through 2005
Source: Community Service Council of Greater Tulsa.
1,9972,107 2,212
3,004
2,6052,369 2,342
2,662 2,767
3,525
3,998
4,4234,604
4,795 4,692
4,355
0 0 0 0 0
631
1,409
858 872
1,1931,432 1,345
1,789
1,333
909
1,500
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 20050
1,000
2,000
3,000
4,000
5,000
Number of Appointments Scheduled
Family Planning Appointments Prenatal Appointments
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
Prepared by the Community Service Council of Greater Tulsa
Summary of Risk Factors for InfantsCreek County and Oklahoma, 2004
Source: Oklahoma State Department of Health.
15.5%
37.3%
5.5%
21.3%
6.5%
2.1%
24.1%
11.6%
13%
13.4%
38.5%
4.7%
22.8%
6.7%
1.3%
25.7%
12.7%
10.4%
Teen mother(age 15-19)
Unmarried mother
Poor prenatal care(3rd trimester/no care)
Mother w/ <12th gradeeducation
Low birthweight(1500-2499 grams)
Very low birthweight(<1500 grams)
Short birth spacing(<24 mos. apart)
Very short birth spacing(<18 mos. apart)
Premature(<37 weeks gest.)
0% 10% 20% 30% 40% 50%
Percent of Births
Creek Co.
Oklahoma
Creek County births: 908Oklahoma births: 51,157
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.
Prepared by the Community Service Council of Greater Tulsa
Special Education Students and Students who Received Early Intervention
Oklahoma Public Schools, 2003-04
Source: Oklahoma State Department of Education.
Notspecial
education85%
Specialeducation
15%
Earlyintervention
2.2%
No earlyintervention
97.8%
Small proportion of special education students received early intervention
Total Oklahoma Public School Students
Total Oklahoma Public School Students
Populations of Aging and Populations of Aging and Persons with Disabilities Persons with Disabilities are Large and Growingare Large and Growing
~~These populations will significantly These populations will significantly test the capacity of resources needed test the capacity of resources needed
to enable them to be most self-to enable them to be most self-sufficientsufficient
Prepared by the Community Service Council of Greater Tulsa
Living Arrangements of Persons Age 65 & OlderCreek County, 2000
Source: U. S. Census Bureau, Census 2000.
Live alone2,375 (27.5%)
Family households5,580 (64.5%)
Group quarters558 (6.5%)
Other137 (1.6%)
74% of the 65+ population in Creek County living
alone are female.
Prepared by the Community Service Council of Greater Tulsa
Disabilities affect all agesDisability Prevalence by Age and Level of Disability
Oklahoma, 1997
Source: U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 (Aug.-Nov. 1997 data from Survey of Income and Program Participation).
2%
3.4%
11.2%
10.7%
13.4%
22.6%
35.7%
49%
73.6%
4.8%
5.3%
8.1%
13.9%
24.2%
31.8%
57.6%
0 to 2
3 to 5
6 to 14
15-24
25-44
45-54
55-64
65-79
80+
Age Group
0% 20% 40% 60% 80% 100%
Percent with Specified Level of Disability
Level of disabilityAny Severe
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
800850900950
1,0001,0501,100
1980 1984 1988 1992 1996 2000
Rat
e
Tulsa Co OK US
Oklahoma and Tulsa County Oklahoma and Tulsa County faring poorly faring poorly compared to US in age-adjusted death ratescompared to US in age-adjusted death rates
Age-Adjusted Death Rates, 1980 to 2002Age-Adjusted Death Rates, 1980 to 2002
OBESITYTrend: America’s weight gain epidemic – 25% of
Americans are obese – more than doubled in 15 years.
• Benchmark: We must reverse this trend.
• Bad: Consequences –
– high healthcare costs.
– Increased heart disease, type II diabetes, osteoarthritis, hypertension, gallbladder disease, breast cancer, endometrial cancer and colon cancer.
• Bad: OK and Tulsa Co heart disease rates are higher than the rest of the nation – only one state ranks worse than OK.
Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, Center for Health Policy Research and Development, OUCPH, 2005; NCHS, CDC; THD;Tulsa County Health Profile; NIH; United Health Foundation; BRFSS, CDC; St. Francis Health System FY 2004 Community Needs Assessment.
OK
US
THD – Patel/Woodruff 9/05
Major Health Concern: Poor Lifestyle Choices -- Obesity
Trend: Percent of adult smokers (2003): 22.7(Tulsa Co), 25.1(OK), 22.0(US), state rank=36.
Benchmark: Smoking bans in public venues, smoking cessation programs, and increasing cigarette taxes = curtailed adult smoking and youth take-up rate.
Good: OK youth smoking percent is below the national average— 26.5(OK) and 27.5(US); adult smokers declining locally, statewide and nationally (2003).
Bad: Smoking is a major cause of premature death, cardiovascular and pulmonary system disease including heart attack, stroke and cancer.
THD – Patel/Woodruff 9/05
NCHS, CDC; THD;Tulsa County Health Profile; NIH; BRFSS, CDC
22.7%
25.1%
22%
20030%
5%
10%
15%
20%
25%
30%
Percent adult smokers
Tulsa Co. Oklahoma US
Major Health Concern: Poor Lifestyle Choices -- Smoking
THD – Patel/Woodruff 9/05
NCHS, CDC; THD;Tulsa County Health Profile; NIH; BRFSS, CDC
Poor health conditions leave safety net severely challenged - Growing Uninsured PopulationSuburban Counties of Tulsa MSA, 2003
Medicare11%
Medicaid22%
Insured48%
Uninsured19%
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.
THD – Patel/Woodruff 9/05
Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, Center for Health Policy Research and Development, OUCPH, 2005; THD CAP
Poor health conditions create huge inefficient demand on resources - Misuse of Hospitals
and Emergency Rooms
Poor Human Conditions Poor Human Conditions Impact Crime and Impact Crime and
Growing IncarcerationsGrowing Incarcerations
~Trends greatly affected by substance abuse
0
2,500
5,000
7,500
10,000
12,500
15,000
17,500
20,000
22,500
25,000
'50
'52
'54
'56
'58
'60
'62
'64
'66
'68
'70
'72
'74
'76
'78
'80
'82
'84
'86
'88
'90
'92
'94
'96
'98
'00
'02
'04
Oklahoma’s prison population was relatively stable until 1980 when laws passed to curb
illegal drug use came into effectOklahoma’s Prison Population
1950-2005
Source: Oklahoma State Department of Corrections, Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa.
1980
Note: Number of inmates in Oklahoma prisons, data as of June 30 of each year
Prepared by the Community Service Council of Greater Tulsa
Methamphetamine Labs Seized by AuthoritiesOklahoma and City of Tulsa, 1994 - 2004
Source: Oklahoma State Bureau of Narcotics and Dangerous Drugs Website, Tulsa Police Department Website.
10 34
125
241 275
781
946
1,1931,254 1,235
812
0 0 6 13 47132 150 124
178214
131
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 20040
200
400
600
800
1,000
1,200
1,400
Number of labs discovered
Tulsa
Oklahoma
Overall Progress in Human Overall Progress in Human Development is Tied to Development is Tied to
Educational SuccessEducational Success
~From preschool through post secondary education
Prepared by the Community Service Council of Greater Tulsa
Educational Attainment for Persons Age 25 & OlderCreek County, 2000
Source: U. S. Census Bureau, Census 2000.
22.4%
40%
20.7%
5.2%
7.8%
2.8%
0.9%
0.2%
Less than high school
High school graduate
Some college
Associate degree
Bachelor's degree
Master's degree
Professional school degree
Doctorate degree
0% 10% 20% 30% 40% 50%
Percent of persons 25+
Education Success: Preschool
Prepared by the Community Service Council of Greater Tulsa
Large pre-K enrollment in surrounding counties, as emphasis increasingly turns to assuring high quality
Enrollment in Public Pre-K Programs, by Full and Part Day
Creek, Osage, Rogers and Wagoner Counties, October 2004
Source: Oklahoma State Department of Education; U.S. Census Bureau, Census 2000.
23.5
31.2
16.5
22.1
61
4.3
41.7
14.1
15.5
64.5
41.8
63.8
Creek Co.
Osage Co.
Rogers Co.
Wagoner Co.
0% 20% 40% 60% 80% 100%
Percent of all four year olds
Full-day Part-day Not enrolled
916
Total four year olds:
558
1,081
842
Education Success: Post-Secondary-Higher
Education
Tulsa Community College serves as primary source of higher education enrollment
Percent Distribution of Tulsa Area Higher Education EnrollmentTulsa Area Public Colleges, Fall 2003
Source: Oklahoma State Regents for Higher Education (Fall 2003)
63.9
13.1
9.4
8
3.2
2.4
TCC
RSU
OSU-Tulsa
NSU-BA
OU-Tulsa
LU-Tulsa
0 10 20 30 40 50 60 70 80
Percent of Enrollment
Public College Remediation Rates Among HS Graduates
Tulsa County and Oklahoma, 1999-2003
37
32.435.1
38.1
33.636.5
34.136.5 36.2 35
1999 2000 2001 2002 2003
Academic Year
0
10
20
30
40
50
Per
cent
Req
uiri n
g R
emed
i ati o
n
Tulsa State
Source: Oklahoma State Regents for Higher Education (Fall 2003)
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 Creek County 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
Prepared by the Community Service Council of Greater Tulsa
At-Risk Populations
Infants and Young Children at RiskAdolescents at RiskFamilies at RiskOur Health at Risk
>>>>
Prepared by the Community Service Council of Greater Tulsa
...Infants and Young Children at Risk
Infants and Young Children at Risk…
Infant Risk Factors
Prepared by the Community Service Council of Greater Tulsa
Summary of Risk Factors for InfantsCreek County and Oklahoma, 2004
Source: Oklahoma State Department of Health.
15.5%
37.3%
5.5%
21.3%
6.5%
2.1%
24.1%
11.6%
13%
13.4%
38.5%
4.7%
22.8%
6.7%
1.3%
25.7%
12.7%
10.4%
Teen mother(age 15-19)
Unmarried mother
Poor prenatal care(3rd trimester/no care)
Mother w/ <12th gradeeducation
Low birthweight(1500-2499 grams)
Very low birthweight(<1500 grams)
Short birth spacing(<24 mos. apart)
Very short birth spacing(<18 mos. apart)
Premature(<37 weeks gest.)
0% 10% 20% 30% 40% 50%
Percent of Births
Creek Co.
Oklahoma
Creek County births: 908Oklahoma births: 51,157
Prepared by the Community Service Council of Greater Tulsa
Characteristics of Births to Teen Mothers (Age 15-19)Creek County and Oklahoma, 2004
Source: Oklahoma State Department of Health
70.7%
5.7%
51.5%
9.3%
3.6%
75%
50%
15.7%
18.6%
2.8%
77%
7.2%
57.4%
7.5%
1.6%
61.3%
39.4%
10.5%
21%
3.3%
Unmarried
Poor prenatal care(3rd trimester/no care)
Mother w/ <12th gradeeducation
Low birthweight(1500-2499 grams)
Very low birthweight(<1500 grams)
Short birth spacing(<24 mos. apart)
Very short birth spacing(<18 mos. apart)
Premature(<37 weeks gest.)
1+ previous births
2+ previous births
0% 20% 40% 60% 80% 100%
Percent of Teen Births
Creek Co.
Oklahoma
Creek County births to teens: 140Creek County teen birth rate: 56.3 (per 100,000 females age 15-19)
Oklahoma births to teens: 6,849Oklahoma teen birth rate: 55.5 (per 100,000 females age 15-19)
Prepared by the Community Service Council of Greater Tulsa
Infant Mortality RatesOklahoma, 1980-2004
Source: Oklahoma State Department of Health
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
0
2
4
6
8
10
12
14
Number of infant deaths per 1,000 live births
Oklahoma 13.4 12.4 13.4 10.6 10 10.2 9.3 8.5 8.3 8.1 9.2 9.5 8.7 8.7 8.7 8.6 8.7 7.7 8.9 8.7 8.8 7.5 8.1 7.9 7.9
In 2004, there were 406 infant deaths in Oklahoma, for a rate of 7.9 per 1,000 live births
“Healthy People 2010” goal = 5 per 1,000
Infants and Young Children at Risk…
Young Children Risk Factors
Prepared by the Community Service Council of Greater Tulsa
Top Risk Factors for Young Children Age 0-4
Low-income and poverty
Teen mother, especially those with more than one child
Absent father
Short spacing between births (less than 24 months)
Parent, especially the mother, without a high school education
Lack of positive emotional, physical and intellectual experiences
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Infants and Young Children at Risk…
Early Brain Development
Prepared by the Community Service Council of Greater Tulsa
Importance of Brain Development for Children 0-3
Excerpt from: "The First Years Last Forever: I am Your Child"
80% of brain development occurs by age 3; 90% by age 4.
Early experiences help to determine brain structure, thus shaping the way people learn, think, and behave for the rest of their lives.
The outside world shapes the brain's wiring.
The outside world is experienced through the senses - seeing, hearing, smelling, touching, and tasting - enabling the brain to create or modify connections.
Relationships with consistent caregivers early in life are the major source of development of the emotional and social parts of the brain.
Principles of Brain Development
Prepared by the Community Service Council of Greater Tulsa
Impact of Poverty on Early Brain DevelopmentMultiple Pathways
Source: National Center for Children in Poverty.
Inadequate Nutrition
Substance Abuse
Lack of Mother-ChildConnection due to
Maternal Depression
Exposure toEnvironmental Toxins
Trauma/Abuse
Quality of Daily Care
Inadequate Prenatal Care
Lack of Basic Health Care
Early BrainDevelopment
Poverty
Infants and Young Children at Risk…
Children’s Living Arrangements
Infants and Young Children at Risk…
Child Abuse & Neglect
Prepared by the Community Service Council of Greater Tulsa
Child Abuse and NeglectOklahoma, FY 2004
Source: Oklahoma Department of Human Services.
59,329
36,232
12,347
Reports of abuseor neglect
Reports accepted for investigation or assessment
Children confirmedabused or neglected
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
Of these 12,347 children, 1,414 were abused, 8,953 were neglected, and 1,980 were abused and neglected.
(duplicated count)
Prepared by the Community Service Council of Greater Tulsa
Child Abuse and NeglectCreek County, FY 2004
Source: Oklahoma Department of Human Services.
891
509
172
Reports of abuseor neglect
Reports accepted for investigation or assessment
Children confirmedabused or neglected
0
200
400
600
800
1,000
Of these 172 children, 28 were abused, 122 were neglected, and 22 were abused and neglected.
(duplicated count)
Prepared by the Community Service Council of Greater Tulsa
Age of Children of Confirmed Abuse and NeglectOklahoma, 2004
Source: Oklahoma Dept. of Human Services, Children & Family Services Division.
Under 11,143 (9.3%)
1-22,011 (16.3%)
3-63,341 (27.1%)
7-112,942 (23.8%)
12 & older2,910 (23.6%)
Prepared by the Community Service Council of Greater Tulsa
Perpetrators of Confirmed Abuse and NeglectTop 6, Oklahoma, FY 2004
Source: Oklahoma Department of Human Services.
46.4%
27.9%
7.7% 6.6%3.8%
1.3%
Mother Father Stepparent No relation Grandparent Foster parent0%
10%
20%
30%
40%
50%
60%
Prepared by the Community Service Council of Greater Tulsa
Child Deaths Due to AbuseOklahoma, Fiscal Years 1978 - 2004
Source: Oklahoma Dept. of Human Services, Children & Family Services Division.
75
12 13
1821
16 16
24
31
2325
18
38
2023
3134
29
4245
47 48
3835
27
51
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
0
10
20
30
40
50
60
Prepared by the Community Service Council of Greater Tulsa
Child Deaths Due to Abuse, by Age of ChildOklahoma, 2004
Source: Oklahoma Dept. of Human Services, Children & Family Services Division.
Under 123 (45.1%)
1-214 (27.5%)
3-611 (21.6%)
7-112 (3.9%)
12 & older1 (2.0%)
Prepared by the Community Service Council of Greater Tulsa
...Adolescents at Risk
Adolescents at Risk…
Disconnected youth
Prepared by the Community Service Council of Greater Tulsa
Disconnected Youth: Percent of Youth Age 16-19 Not in School and Not Working
By County, 2000
Source: Oklahoma KIDS COUNT Factbook 2004.
Tulsa Co. Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0%
2%
4%
6%
8%
10%
12%
14%
Rate 9.7% 6.7% 12.1% 7.3% 8.1% 7.7%
Number 3,090 278 325 194 340 274
#65
#46
#24 #27#31 #28
Note: County ranking shown at top of bars (#1=best, #77=worst).
Prepared by the Community Service Council of Greater Tulsa
Labor Force Participation among Youths, Age 16-19Creek County, 2000
Source: U.S. Bureau of the Census.
2,12151.1%
2,03048.9% Employed
Unemployed
1,842 (86.8%)
279 (13.2%)
NOT in labor force
In labor force
Adolescents at Risk…
Teen Mothers
Prepared by the Community Service Council of Greater Tulsa
Births by Age of MotherCreek County, 2004
Source: Oklahoma State Department of Health
384.2%
10411.5%
32936.2%
23626.0% 120
13.2%
727.9%
91.0%
<18 18-19 20-24 25-29 30-34 35-39 40+
Total births=908
Prepared by the Community Service Council of Greater Tulsa
Resident Births to Teens Age 15-17 and 18-19Creek County, 1980, 1990, 2000 and 2004
Source: Oklahoma State Department of Health.
1980 1990 2000 20040
50
100
150
200
Number of births
0
50
100
150
200Birth rate
Births 15-17 70 58 54 36
Births 18-19 142 98 113 104
Birth rate 15-17 43.2 39.4 32.8 23
Birth rate 18-19 161 127.1 131.2 112.7
Note: Teen birth rate is the number of births to females age 15-19 per 1,000 females age 15-19.
Adolescents at Risk…
Youth Risk Behavior Survey
Prepared by the Community Service Council of Greater Tulsa
Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.
64%
27%
13%
34%
58%
22%
10%
28%
Ever triedcigarette smoking
Smoked cigarettesduring past month
Smoked cigarettes on 20+ days during past month
Used any tobacco productsduring past month
0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%
Oklahoma U.S.
Results of 2003 Youth Risk Behavior Survey: Tobacco Use
High School Students, Oklahoma and U.S., 2003
Prepared by the Community Service Council of Greater Tulsa
Results of 2003 Youth Risk Behavior Survey: Alcohol & Other Drug Use
High School Students, Oklahoma and U.S., 2003
Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.
48%
22%
10%
9%
10%
22%
45%
22%
12%
9%
8%
29%
Alcohol
Marijuana
Inhalants
Cocaine
Methamphetamine
Offered/sold/givenillegal drugs at school
0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%
Oklahoma U.S.
Used once or more during
prior 30 days...
Everused...
Prepared by the Community Service Council of Greater Tulsa
Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.
11%
18%
31%
8%
15%
7%
18%
12%
30%
6%
17%
9%
Never or rarely wearseatbelt w/ other driver
Drove after drinkingalcohol in past month
Rode with drinkingdriver in past month
Carried weapon toschool in past month
Seriously consideredsuicide in past year
Attempted suicidein past year
0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%
Oklahoma U.S.
Results of 2003 Youth Risk Behavior Survey: Unintentional Injuries and ViolenceHigh School Students, Oklahoma and U.S., 2003
Prepared by the Community Service Council of Greater Tulsa
Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.
50%
37%
6%
16%
4%
25%
36%
82%
47%
34%
7%
14%
4%
25%
37%
83%
Ever had sexual intercourse
Had sex in past 3 months
Had sex before age 13
Have had 4+ sex partners
Have been or havegotten someone pregnant
Had alcohol or drugsbefore last sexual encounter
Did not usecondom last time
Did not usebirth control pills last time
0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%
Oklahoma U.S.
Results of 2003 Youth Risk Behavior Survey: Sexual Behaviors
High School Students, Oklahoma and U.S., 2003
Prepared by the Community Service Council of Greater Tulsa
Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.
14%
11%
31%
44%
86%
87%
36%
75%
37%
15%
14%
30%
44%
78%
83%
37%
75%
56%
At risk of overweight(according to BMI)
Overweight(according to BMI)
Perceive selfas overweight
Trying to lose weight
Ate < 5 fruits& veggies daily
Drank < 3 glassesmilk daily
Insufficient vigorousphysical activity
Insufficient moderatephysical activity
Attended PE class1+ days/week
0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%
Oklahoma U.S.
Results of 2003 Youth Risk Behavior Survey: Overweight, Dietary Behaviors and Physical Activity
High School Students, Oklahoma and U.S., 2003
Adolescents at Risk…
Juvenile Crime
Prepared by the Community Service Council of Greater Tulsa
Juvenile Arrests, by Type of CrimeCreek County, 2001 through 2003
Source: Oklahoma State Bureau of Investigation.
66
2453
386
80
16
67
358
96
4658
339
Index crimes Drug related Alcohol related Other crimes0
100
200
300
400
500Number of arrests
2001 2002 2003
Includes murder, rape, robbery aggravated assault, burglary,
larceny, and motor vehicle theft.
Includes sale/manufacturing
and possession of drugs.
Includes driving under the influence, liquor law violations, and
drunkenness.
A total of 539 juvenile arrests were made in Creek County in 2003, for a rate of 64.2 per 1,000 juveniles age 10-17, up from 529 arrests and rate
of 60.4 in 2001.
Adolescents at Risk…
Youth Suicide
Prepared by the Community Service Council of Greater Tulsa
Youth Suicide in Oklahoma
Source: Centers for Disease Control.
In 2000, 29 Oklahoma adolescents committed suicide -- 6 were under age 15.
Suicide is the 3rd leading cause of death among 15-24 year olds.
The majority of young Oklahomans who commit suicide use firearms.
The rate of youth suicide is slightly higher in rural Oklahoma than in urban areas of the state.
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Prepared by the Community Service Council of Greater Tulsa
...Families at Risk
Families at Risk…
Literacy
Prepared by the Community Service Council of Greater Tulsa
Rates of Adult Level 1 LiteracyBy County
Source: Oklahoma Literacy Resource Office.
15%16%
25%
19%
13% 13%
Tulsa Co. Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0%
5%
10%
15%
20%
25%
30%Percent of adults at Level 1 Literacy
Level 1 Literacy is the lowest literacy level. Adults at this level display difficulty using certain reading, writing, and computational skills considered necessary for functioning in everyday life.
Oklahoma has a rate of 18%.
Prepared by the Community Service Council of Greater Tulsa
Adult Literacy Levels and Income
Source: Oklahoma Literacy Resource Office; Economic Policy Institute website.
Over 20% of American adults read at or below a 5th grade level - far below the level needed to earn a living wage.
43% of people with the lowest literacy skills live in poverty.
Workers who lack a high school diploma earned an average hourly wage of $9.50 in 2001, compared to $12.81 for high school graduates and $22.58 for those with a college degree.
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Prepared by the Community Service Council of Greater Tulsa
Impact of Adult Literacy & Education Levels on Children
Source: Oklahoma Literacy Resource Office.
As the educational level of adults improves, so does their children's success in school; helping low-literate adults improve their basic skills has a direct and measurable impact on both the education and quality of life of their children.
Children of adults who participate in literacy programs improve their grades and test scores, improve their reading skills and are less likely to drop out.
Children's literacy levels are strongly linked to educational level of their parents, especially their mothers.
Children of parents who are unemployed and have not completed high school are five times more likely to drop out than children of employed parents.
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Prepared by the Community Service Council of Greater Tulsa
Illiteracy Among Children in the U.S.
Source: (1) National Assessment of Educational Progress, 1998; (2) Shaywitz, Yale University Longitudinal Study (National Education Association).
38%75%
38% of 4th grade students cannot read at grade level.
Of children who cannot read at grade level in 4th grade, 75% never become successful readers.
1 2
All 4th Graders4th Graders Not Reading at
Grade Level
Families at Risk…
Domestic Violence
Prepared by the Community Service Council of Greater Tulsa
Domestic Violence Cases Reported toLaw Enforcement Agencies
Oklahoma, 1994 - 2003
Source: Oklahoma State Bureau of Investigation 2003 Uniform Crime Report.
1994 1995 1996 1997 1998 1999 2000 2001 2002 20030
5,000
10,000
15,000
20,000
25,000
30,000
Cases 18,153 18,621 21,683 23,087 21,435 21,211 22,065 23,687 25,157 23,773
Prepared by the Community Service Council of Greater Tulsa
Domestic Violence Cases Reported to Law Enforcement Agencies, by Offense
Oklahoma, 2003
Source: Oklahoma State Bureau of Investigation 2003 Uniform Crime Report.
57 406
5,282
18,028
Homicides Violent sex crimes Felony assaults Felony assaults& battery
0
5,000
10,000
15,000
20,000
A total of 23,773 domestic violence cases were reported to Oklahoma law enforcement agencies in 2003.
Prepared by the Community Service Council of Greater Tulsa
...Our Health at Risk
Our Health at Risk…
Health rankings
Prepared by the Community Service Council of Greater Tulsa
Oklahoma's Rankings in Outcomes Associated with Poor Health, 1990 and 2005
According to United Health Foundation's State Health Rankings
Source: United Health Foundation.
#31
#41
#31
#24
#32
#27
#27
#44
#43
#50
#44
#47
#37
#43
Overall ranking
Limited activity days
Cardiovascular deaths
Cancer deaths
Total mortality
Infant mortality
Premature death
1990 2005
Ranking: 1=best, 50=worst
Prepared by the Community Service Council of Greater Tulsa
Report Card on HealthOklahoma and United States, 2002
Source: Oklahoma State Department of Health, Report Card on Health, 2004.
85.6%
58.7%
22.9%
30.5%
30.6%
16.9%
26.6%
77.4%
59.2%
22.2%
31.2%
24.4%
11%
23%
Eat <5 fruits/vegetables per day
Overweight
Obese
HS students inactive
Adults inactive
Youth smokers
Adult smokers
0%25%50%75%100% 0% 25% 50% 75% 100%
Oklahoma U.S.
F
C
C
F
F
F
B
Our Health at Risk…
Lack of Health Insurance
Prepared by the Community Service Council of Greater Tulsa
Health Insurance Status, by TypeOklahoma, 2003-2004
Source: Kaiser Family Foundation.
1,631,430 (47.9%)
129,260 (3.8%)391,140 (11.5%)
564,150 (16.5%)
693,050 (20.3%)
435,150 (47.8%)
29,920 (3.3%)
256,250 (28.1%)
23,250 (2.6%)
166,090 (18.2%)
1,193,460 (59.5%)
97,700 (4.9%)97,740 (4.9%)
91,990 (4.6%)
525,470 (26.2%)
2,810 (0.6%)1,640 (0.3%)37,150 (7.6%)
448,910 (91.2%)
1,490 (0.3%)
Employer Individual Medicaid Medicare/Other Public Uninsured
Total Population Under Age 19
Age 19-64 Age 65 & over
Our Health at Risk…
Persons with Disabilities
Prepared by the Community Service Council of Greater Tulsa
What is a Disability?
Source: ARC-USA, 2000; Americans with Disabilities Act of 1990 (ADA); Developmental Services Division (DDSD), Oklahoma Department of Human Services (DHS), 2000; National Organization on Disability (NOD), 2000; U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 .
A person is considered to have a disability if he or she has difficulty performing certain functions (e.g., seeing, hearing, talking, walking, climbing stairs, lifting and carrying, etc.), or has difficulty performing activities of daily living, or has difficulty with certain social roles (e.g., doing school work for children, working at a job and around the house for adults, etc.).
– A person who is unable to perform one or more activities, or who uses some type of assistive technology to improve daily participation in all aspects of work, school and community life, or who needs assistance from another person to perform basic activities is considered to have a severe disability.
–
1 in 5 Americans have some level of disability.1 in 8 Americans have a severe disability.1 in 9 children age 6 to 14 have a disability.
*
Prepared by the Community Service Council of Greater Tulsa
Disability Prevalence by Age and Level of DisabilityOklahoma, 1997
Source: U.S. Bureau of the Census, 2001, Americans with Disabilities: 1997 (Aug.-Nov. 1997 data from Survey of Income and Program Participation).
2%
3.4%
11.2%
10.7%
13.4%
22.6%
35.7%
49%
73.6%
4.8%
5.3%
8.1%
13.9%
24.2%
31.8%
57.6%
0 to 2
3 to 5
6 to 14
15-24
25-44
45-54
55-64
65-79
80+
Age Group
0% 20% 40% 60% 80% 100%
Percent with Specified Level of Disability
Level of disabilityAny Severe
Prepared by the Community Service Council of Greater Tulsa
Persons with Disabilities by Age and TypeCivilian Noninstitutionalized Population, Creek County, 2000
Source: U.S. Census Bureau, Census 2000.
21.0%
6.2%
49.7%
2.7%
20.3%
3.9%
8.8%7.4%14.8%
25.1%
40.0%
7.5%
13.9%2.6%
0.2%2.9%
23.0%
49.9%
9.0%
23.2%2.4%0.4%
9.9%
55.1%
Sensory Physical Mental Self-care Go-outside-home Employment 2 or more disabilities
Age 5-15(N=561)
Age 16-20(N=690)
Age 21-64(N=8,995)
Age 65+(N=4,086)
Prepared by the Community Service Council of Greater Tulsa
Labor Force Participation of People with Work DisabilitiesOklahoma, 1999
Source: U.S. Census Bureau, March 1999 Current Population Survey.
9.7%90.3%
69.5%
2.9%
27.6%
An estimated 10% of Oklahoma's population age 16-64 have a work disability.
Of those with a work disability, 31% are in labor
force and 28% are employed.
work disability
30.5% in labor force
Note: A work disability is one which prevents a person from working or limits a person in terms of kind or amount of work he or she can do.
employed
not in labor force
no work disability
unemployed2.9%
Prepared by the Community Service Council of Greater Tulsa
Poverty Rates by Disability Status and AgeCivilian Noninstitutionalized Population, Creek County, 1999
Source: U.S. Census Bureau, Census 2000.
25.6% 25.9%
17.8%15.6%
17.2%
13.8%
8.8%
12.6%
Age 5-15 Age 16-20 Age 21-64 Age 65+0%
5%
10%
15%
20%
25%
30%Percent of population living below poverty
Persons with a disability
Persons with no disability
Prepared by the Community Service Council of Greater Tulsa
A Research Based Approach
Best Practices... Doing What Works
Prepared by the Community Service Council of Greater Tulsa
Best Practices...Doing What WorksStrategies
Outcome performance measuresCommunity coalitions
Collaborative, public-private partnershipsConsumer/client investments
Successful outreach and recruitmentCase management/Care coordinationStrong social marketingRisk reduction educationAccess to services and care
Child careTransportationTranslation
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Prepared by the Community Service Council of Greater Tulsa
Best Practices
Source: Institute of Medicine, Reducing Risk for Mental Disorders, 1994.
Institute of Medicine’s Intervention Spectrum
Prepared by the Community Service Council of Greater Tulsa
Best PracticesSAMHSA’s Strategic Prevention Framework
Source: Substance Abuse and Mental Health Services Administration (SAMHSA.).
Organize community to profile needs, including community readiness
Mobilize community and build capacity to address
needs
Develop the prevention plan (activities,
programs & strategies
Implement prevention plan
Evaluate for results and sustainability
1: Assessment
2: Capacity
3: Planning4: Implementation
5: Evaluation
Sustainability & cultural competence
Prepared by the Community Service Council of Greater Tulsa
Best Practices“Communities that Care” Model of Prevention
Risk and Protective Factor Framework
Source: Hawkins, Catalano, Miller, University of Washington Social Marketing Research Group, 1992, “Communities that Care” model of prevention.
Risk FactorsCharacteristics that
increase the likelihood of
negative outcomes
Protective FactorsCharacteristics that protect or provide a
buffer to moderate the influence of negative characteristics, and reduce potential of negative outcomes
Domains~Community
~Family~School
~Individual/Peer
Prepared by the Community Service Council of Greater Tulsa
...There is hope when United Way
invests in important long-term change and we all work together.
Prepared by the Community Service Council of Greater Tulsa
Quiz
1. Which area is growing the most rapidly (percent increase)? a. TAUW service area b. Creek Co. c. Sapulpa
2. During the past 30 years, what has happened to the income gap between rich and poor?
a. increased b. decreased c. stable
3. What percentage of all poor families in Creek County have an employed householder and/or spouse?
a. 20% b. 40% c. 61%
4. What percentage of Creek County residents age 25 & older have only a high school education or less?
a. 27% b. 44% c. 62%
5. How does Oklahoma compare to the nation in age-adjusted deaths rates?
a. better b. worse c. same
Prepared by the Community Service Council of Greater Tulsa
TAUW Community Investments Strategy Mission Statement
To take a leadership role in community building by investing TAUW's community resourcesin the most efficient and effective delivery systems for health and human services.
Prepared by the Community Service Council of Greater Tulsa
Community Profile 2006
...now available on the website ofThe Community Service Council of Greater Tulsa
www.csctulsa.org