1

A coordinated comprehensive plan

For children and families in

Marion County

Creating a wellness system for children and families . . .

2

Planning Process

Phase I - 2000 Client interviewsProvider surveyEarly Childhood Plan Phase II - 200119 High Level OutcomesStakeholder Discussions Community Forums

Phase II - 2002Measurement Plan Plan Update -

2004Changes in

community conditions

Progress on implementation

3

Planning Principles

1. Create a community-based, holistic approach

2. Assure family-centered practices3. Establish/maintain effective partnerships4. Utilize a balanced (SWOT) approach5. Include data6. Implement research-based accountability7. Promote innovation8. Reflect and incorporate diversity

4

Marion County’s Additional Planning Principles

1. Build on the Phase I plan2. Organize planning around the goal

areas in Building Results3. Engage education4. Emphasize analysis, priorities,

strategies

5

Three Goals for Marion County’s Children & Families Strong, nurturing families/

Caring communities and systems

Healthy, thriving children (Ages 0-8)

Healthy, thriving youth (Ages 9-18+)

6

Phase II Plan Organization

Executive Summary Narrative:

Overview and Goals 1-3

- SWOT (Strengths, Weaknesses, Opportunities, Threats)

- Priorities and Strategies- Rationale

Data Portraits- Trends/Statistics/Analysis

1. FAMILIES/ COMMUNITIES

2. YOUNG CHILDREN (0-8)

3. YOUTH (9-18+)

Appendices- Phase I Portions- Service Summaries- List of References- Inclusion Matrix

7

VISION STATEMENT

A community where …Everyone is committed to the well-being of

childrenFamilies are nurturedAll community members are healthyDiversity is honoredPeople live and work together, encouraging

and supporting one another

8

An Overview of Marion County Families

Population increase: 24.7% since 1990

75% urban, 3.1% on farms Families with children: 34.5% of

population Hispanic population accounts for

17.1% of total population More Oregonians over age 70 than

teenagers 7 state correctional institutions +

State Hospital

9

Overview: Race/Ethnicity

  %

Change1990-1998

TOTAL 284,834 275,692 228,483 204,692 20.60%White 232,469 242,889 201,218 188,766 20.70%Black 2,539 2,447 2,039 1,412 20.00%Native American 4,111 3,562 2,970 2,176 19.90%Asian/Pacific Islanders 6,019 4,648 3,874 2,371 20.00%Hispanic 48,714 21,824 18,225 9,750 19.70%All Non-White *** *** 27,265 15,906

2000 1998* 1990** 1980**

10

Overview: Communities1-Apr-00 1-Apr-90 Change

% Change

Marion County 284,834 228,483 56,351 24.70%Aumsville 3,003 1,650 1,353 82.00%Aurora 655 567 88 15.50%Detroit 262 331 -69 -20.80%Donald 608 316 292 92.40%Gates* 471 499 -28 -5.60%Gervais 2,009 992 1,017 102.50%Hubbard 2,483 1,881 602 32.00%Idanha* 232 289 -57 -19.70%J efferson 2,487 1,805 682 37.80%Keizer 32,203 21,884 10,319 47.20%Mt. Angel 3,121 2,778 343 12.30%St. Paul 354 322 32 9.90%Salem* 136,924 107,793 29,131 27.00%Scotts Mills 312 283 29 10.20%Silverton 7,414 5,635 1,779 31.60%Stayton 6,816 5,011 1,805 36.00%Sublimity 2,148 1,491 657 44.10%Turner 1,199 1,281 -82 -6.40%Woodburn 20,100 13,404 6,696 50.00%Unincorporated 62,033 72,919 -10,886 -14.90%

11

GOAL 1: Strong, Nurturing Families

HIGH LEVEL OUTCOMES #1 - Reduce adult substance

abuse #2 - Reduce domestic violence #3 - Reduce poverty #4 - Child maltreatment #19 - Community engagement

12

Adult Substance Use

Oregon Marion

15.28%

16.04%

14.00%

14.50%

15.00%

15.50%

16.00%

16.50%

17.00%

Adults Who Abuse or Depend on AlcoholSource: Oregon Household Treatment Need Survey, 1999

13

Domestic ViolenceHigh Level Outcome #2: Domestic Violence

Arrests of Partners: Rate Per 1,000 adults

0

2

4

6

8

10

12

14

Oregon 0.78 6.03 8.01 5.65 5.49 4.59 7.4

Marion 0.88 5.51 13.34 7.21 6.78 4.31 7.2

94 95 96 97 98 99 2000

14

% With Incomes Below Federal Poverty Level

12.112.513.4

14.9

12.8

14

11.6

12.9

11

14.1

11

13.5

0

2

4

6

8

10

12

14

16

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Poverty

Oregon

Marion

15

Child Maltreatment

Measure #4: Unduplicated rate of children who are reported to SCF for maltreatment per 1,000 children (0-17)

05

1015202530354045

Ra

te p

er

1,0

00

ch

ild

ren

Oregon

Marion

Oregon 11.5 11.0 10.1 10.0 10.2 11.8 12.3 13.5 12.2 9.6 9.7

Marion 9.8 9.0 9.3 9.2 9.1 12.2 13.1 14.0 13.2 10.0 12.4

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

16

Client InterviewsSummer 2000 - Phase I

What services have been most helpful to you?

How did you learn about services you’ve participated in?

Have you experienced any problems getting services?

Are there services you need that aren’t available to you?

How do people treat you? Two wishes: what would you change?

17

Strengths (Client Surveys)

Information WIC Healthy Start Oregon Health Plan AFS Energy Assistance One-on-one

assistance with workers (Family Building Blocks & Healthy Start)

Bilingual staff Home visits - “Coming

to the home is a huge deal because your life can go on.” (EI mom)

Staff don’t make you feel stupid, they use common vocabulary

“I was in an abusive situation and you guys helped me with that.”

18

Phase II Strengths - Themes:

System Cooperation Common Grant

Application Lifespan Warmline Project Bond

Transportation CARTS- More access for rural

areas Information Sharing/

Data Collection CHIP Common Outcomes

Community Building Efforts

Community Progress Teams

19

Provider/Agency Survey(Summer 2000) Are there services that you identify

are needed by your clients that are not available locally?

What are the most common client needs identified by your staff?

Does your agency have a waiting list? How quickly can people get services

in your program(s)? In which communities can people

access your agency’s services?

20

Provider/Agency Survey: Most Frequently Mentioned “Missing Services” (Summer 2000)

Child Care (odd hours, weekends) (4) Transportation, Senior Transportation

(4) Respite (emergency, day) (4) Shelter (family, childless couples,

emergency) and crisis placements (5)

21

More... Primary care

physicians Dental care Housing vouchers Detox Prenatal care for

undocumented women

Emergency assistance

Placement, services for DD/dually diagnosed

Mental health services for preschoolers

Career/life planning for Spanish speakers

Housing for pregnant women, age 20+

22

Gaps and Barriers (Client Interviews):

“They don’t smile.” “I didn’t know who to call.” “I have a hard time being understood.” “I was told I didn’t qualify.” “Sometimes I miss appointments because

nobody can take me.” “I guess if I had two wishes I would wish I

wouldn’t have to come in here and ask you for help. That’s what I would want to change.”

“They need to offer more courage.”

23

Phase II Challenges - Themes:

Weak economy & unemployment

System Capacity

Meeting basic needs (highest level of hunger in the nation)

Integrated planning and service delivery

24

SWOT: Families & Communities Examples

Dynamic Life organizes faith community programs

Today’s Choices Livability Project

Lifespan Respite CARTS

Transportation System

Parks and recreation programs

Impact of incarcerated parents on school and community services

Limited mentor broker or coordination

Library hours limited by municipal budgets

25

Priority Areas:

Increase volunteerism and community engagement in the formal and informal service delivery system

Assure that services and informal supports are appropriate to diverse populations and cultures

Increase quality of, access to, and availability of, services and informal supports for all families

Increase the connections among economic development, workforce development, and social service delivery systems

Assess the impacts of community mobilization and service integration efforts

26

Strategy Examples: Engage communities in recognizing, accepting,

and helping to resolve their own problems Engage the faith community in a dialogue at

their tables around community issues related to families and children and common opportunities

Develop pools of volunteers to mentor people through systems

Encourage the development of community learning centers and family resource centers

Assure that families have access to information

27

GOAL 2: Healthy, Thriving Children (ages 0-8)

HIGH LEVEL OUTCOMES #5 - Improve prenatal care #6 - Increase immunizations #7 - Reduce alcohol, tobacco and

other drug use during pregnancy #8 - Increase child care availability #9 - Improve readiness to learn

28

Early Prenatal Care

Measure #5: Percent of babies whosemothers received early prenatal care

0%

20%

40%

60%

80%

100%

Oregon

Marion

Oregon 78.7%79.3% 79.0%78.5% 79.7%81.0% 80.2%80.9% 81.3%81.5% 81.6%

Marion 77.0%76.4% 76.9%76.4% 76.3%78.0% 75.0%74.1% 74.3%73.0% 73.7%

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

29

Immunizations

Oregon

73%

76%

73%72%

74%

67%

60%

62%

64%

66%

68%

70%

72%

74%

76%

1994 1995 1996 1997 1998 1999

Percentage of adequately immunized two-year oldsSource: Oregon Health Division

30

Tobacco Use During Pregnancy

Measure #7a: Rate of infants (per 1,000) whose mothers used alcohol during pregnancy

0

20

40

60

80

100

120

Rat

e p

er 1

,000

bir

ths

Oregon

Marion

Oregon 30 30 30 20 20 16 19 14 10 13

Marion 30 40 40 20 30 12 26 17 9 9

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

31

Alcohol Use During Pregnancy

Measure #7a: Rate of infants (per 1,000) whose mothers used alcohol during pregnancy

0

20

40

60

80

100

120

Rate

per

1,0

00 b

irth

s

Oregon

Marion

Oregon 30 30 30 20 20 16 19 14 10 13

Marion 30 40 40 20 30 12 26 17 9 9

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

32

Child Care Capacity

0

10

20

30

40

50

Oregon 14.0 15.2 15.7 16.3 19.2 19.6 21.1 20.7 20.4 18.5 18.0

Marion 18.0 18.2 17.7 23.6 18.1 19.7 23.0 19.0 23.2 19.6 20.6

1990 1992 1993 1995 1996 1997 1998* 1999 2000 2001 2002

Number of childcare slots available for every 100 children under age 13

Source: Oregon Progress Board, 2003

33

Children Ready to Learn

58.1%60.7% 66.5%62.7%76.2%77.7%

0%

20%

40%

60%

80%

100%

Percentageof children entering

school ready to learn

1997 2000 2002

Year

Children Ready to Learn

Oregon Marion

Source: Department of Education

34

SWOT: Young Children and their Families (Examples)

Readiness to learn is a community priority

62.7% of young children meet all six “readiness” to learn areas (state ave. is 66.5%)

Few services for undocumented families

Lack of alcohol & drug treatment programs

Strong network of early childhood programs

- Healthy Start- Head Start- Early Intervention- Screenings and Immunizations - Prenatal Access Task Force- Child care provider training- Community Safety Net- Project BOND- Chemeketa Community College- Family Building Blocks

35

Priority Areas: Healthy growth

and development of young children

Supportive parenting

Childhood care and education

36

Strategy Examples: Integration of mental health services and

childhood care and education Universal access to prenatal care, especially

for diverse and hard-to-reach populations Implement 2-1-1 services Seek funding and implement Early Head

Start Implement child care provider education

reimbursement Assure protections and stable placements

for children at risk of abuse and neglect

37

Healthy, Thriving Youth

HIGH LEVEL OUTCOMES #10, 11, 12 - Decrease teen alcohol,

drug & tobacco use #13, 14, 15 - Decrease juvenile

arrests, maintain Youth Authority bed use, reduce recidivism

#16 - Reduce teen pregnancy #17 - Decrease youth suicide #18 - Reduce high school dropout rate

38

High School Dropout Rates

0%

5%

10%

15%

20%

25%

Oregon

Marion

Oregon 5.8% 5.7% 6.6% 7.4% 7.2% 6.7% 6.9% 6.6% 6.3% 5.3% 4.9%

Marion 5.3% 7.8% 9.2% 9.7% 9.5% 9.1% 8.7% 7.9% 8.3% 6.9% 6.5%

1992 1993 1994 1995 19961997

*1998 1999 2000 2001 2002

39

Teen Alcohol Use

2002 2000 1998

25.4%

28.4%

26.4%

25.3%26.0%

27.7%

22.0%

23.0%

24.0%

25.0%

26.0%

27.0%

28.0%

29.0%

30.0%

Oregon Marion

Measure #10: 8th graders who reported using alcohol in the past 30 days

Source: Oregon Progress Board

40

Juvenile Crimes Against Property

Measure #13b: Juvenile arrest per 1,000 juveniles for crimes against property

0102030405060708090

100

Ra

te p

er

1,0

00

ju

ve

nil

es

Oregon

Marion

Oregon 23 23 24 22 21 20 17 15 14 13 11

Marion 26 24 21 20 21 18 17 14 14 13 14

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

41

Teen Pregnancy

Measure #16: Pregnancy rate per 1,000 females 10-17

0

10

20

30

40

50

60

Ra

te p

er

1,0

00

fe

ma

les

Oregon

Marion

Oregon 17.9 18.2 18.9 19.2 18.8 18.0 17.2 15.9 14.0 12.6 10.9

Marion 23.5 22.6 22.6 25.3 23.9 26.6 21.0 21 17.6 16.5 15.6

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

42

SWOT: Youth Examples Asset movement:

Take the Time Youth Opportunity

System in development

Peer Courts in Woodburn, Silverton/Mt. Angel, Jefferson, Stayton, Salem, Keizer

24J “Making After School Count”

Skate Parks in Aumsville, Stayton, Jefferson, Hubbard, Salem

Marion County Suicide Prevention Program

Reductions in Youth Shelter Options

Transitional services are gap

43

Priority Areas: Increase support for youth: family, peers,

other caring adults Increase youth empowerment: leadership,

service, safety Increase boundaries and expectations for

youth Increase youth constructive use of time Increase youth commitment to learning and

school success Integrate the positive youth development

system

44

Strategy Examples: Form a countywide Youth Development

Consortium Implement early identification and

support for high risk behaviors, including parent support and training

Secure sustainable funding for core family-youth supports: mental health, primary health care, substance abuse services, homeless support/ shelter

45

Next Steps

Review and recommendations from community partners

Online Survey Compile Plan Update Commission on Children

and Families review Board of Commissioners

approval State due date: June

30th