2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services

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1 2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services April 5, Intracoastal Pointe Drive, Suite 212 Jupiter, FL Fax:

2 Community funding partners United Way of St. Lucie County Children s Services Council of St. Lucie County Boys & Girls Clubs of St. Lucie County Allegany Franciscan Ministries, Inc. St. Lucie County Health Department Indian River State College Florida Atlantic University St. Lucie West Martin Health System Florida Power & Light Big Brothers/Big Sisters of St. Lucie County St. Lucie County Community Services St. Lucie County Sheriff s Office Tropicana Council on Aging of St. Lucie County Ft. Pierce Police Department Early Learning Coalition of St. Lucie County, Inc. St. Lucie County Fire District St. Lucie County Chamber Foundation Kids Connected by Design Healthy Kids Treasure Coast Food Bank New Horizons St. Lucie County School District Ft. Pierce Housing Authority 2

3 Outline Background and objectives Methodology Environmental scan Family life Child health and education Adult health and functioning Elderly and disabled adults Safety and security 3

4 Background and objective SRA and PEI partnered with a task force led by the United Way to develop a progress report on the state of social, health, and public safety services in St. Lucie County This follows and updates the original needs assessment prepared in 2007 The objective was to identify needs so that effective services can be delivered in the future by individual agencies and users 4

5 Methodology Secondary data on 100+ indicators Compared to peer counties Lake, Manatee, and Marion Selected for similarity in population and economic characteristics Compared to state Compared to 2007 (where appropriate) Grouped as follows: Family life Child health and education Adult health and functioning Elderly and disabled adults Safety and security 5

6 Methodology (continued) Primary research including: 400 interview telephone survey (+/-5%) Two focus groups Community leaders Service providers Both groups included representation from the Hispanic and Haitian communities 6

7 Environmental Scan

8 Environmental Scan Population 277,789 residents in 2010 Up from 192,695 in 2000 Expected to be 431,147 in census breakdown: Population Age group 16,418 0 to 4 52,377 5 to , to 64 48, to 84 6, Source: US Census 2010, County Quick Facts 8

9 Environmental Scan Education (grades K-12) 41 schools B rated B rated B rated B rated 78.7% high school graduation rate in IRSC continues to grow and expand. Source: Florida Department of Education 9

10 Environmental Scan Employment 13% unemployed in % unemployed in % unemployed in 2002 Source: Florida Department of Economic Opportunity 10

11 Environmental Scan Income $29,670 per capita income in 2010 $38,210 in the state 39% classified as low income More than 48,000 (17.6%) live below the poverty threshold Source: U.S. Department of Commerce, Bureau of Economic Analysis, April 2012; Regional Economic Information System; US Census

12 Environmental Scan Housing 78.3% own residences in 2009 Median home price - $104,000 $234,000 in 2005 Median condo price - $115,000 $212,000 in % live in cost burdened housing 30%+ income for housing Source: Shimberg Center for Affordable Housing, Florida Housing Data Clearinghouse 12

13 Hispanic and Haitian residents Both groups have become better acclimated Hispanic residents, in particular, have become more integrated More Hispanic cultural celebrations Need better communications in native language regarding services available to improve their lives Issues still remain with Haitian and Hispanic residents being unable to access health care and other services Lack of adequate transportation remains an issue for many Haitian residents in particular Source: Focus groups

14 Family Life

15 Family Life Economic status 14 indicators Compared to peer counties: 10 3 Compared to the state: 9 2 Compared to 2007: 7 6 Retirees live on investments 25% of families are at high financial risk, while 16% are at medium risk (telephone survey) Service providers reported that many people are new users of service Progress has been made in attracting companies for higher wages, but more work is needed Poverty levels are higher Hunger is a problem, with one in five families food insecure Source: US Census Bureau, Small Area Estimates Branch, 2010 Poverty and Median Income Estimates; Map the Meal Gap 2012; Telephone survey and focus groups

16 Family Life Family stability 8 indicators Compared to peer counties: 6 1 Compared to the state: 2 5 Compared to 2007: 3 2 Divorce rate is lower than the state rate Female-headed households is higher than all peer counties 29% are living below poverty level 54% of these households have children under 5 Issues with housing Foreclosures and short sales continue to be an issue Housing cost burden is 27% 683 are homeless (100 are children) Source: US Census 2010; Florida Department of Health; US Census American Community Survey; Shimberg Center for Affordable Housing, Florida Housing Clearinghouse; Department of Children and Families, Council on Homelessness June

17 Family Life Child care and youth programs 2 indicators Compared to peer counties: 2 0 Compared to the state: N/A N/A Compared to 2007: 0 2 Child care slots have not increased 28.8 percent of centers are gold seal 40% feel there is not enough affordable child care (telephone survey) 47% agree there is a need for more subsidized care (telephone survey) 30% have difficulty finding care for their children before/after school (telephone survey) Source: Florida Office of Early Learning; St. Lucie County Early Learning Coalition; Telephone survey

18 Child and Health Education

19 Child Health and Education Infant and child health 13 indicators Compared to peer counties: 2 11 Compared to the state: 5 8 Compared to 2007: 2 9 Roughly three in ten women receive inadequate prenatal care Progress has been made since more women receive prenatal care Births to uninsured mothers has been trending down Births to teen mothers has decreased Low birth weight infants are below the state rate and two peer counties Immunization rates are above the state rate and all peer counties Source: Florida Department of Health, Bureau of Vital Statistics, Florida Birth Certificates; Florida Department of Health, Bureau Immunization 19

20 Child Health and Education Teen substance abuse 8 indicators Compared to peer counties: 4 3 Compared to the state: 3 3 Compared to 2007: 2 4 Tobacco use among teens has declined There are above average substance abuse issues for middle school students Above the state rate for tobacco, alcohol, marijuana, and illicit drug use High school students are at or below the state rate for all four measures One in five parents have had an issue with teenage alcohol or drug abuse (telephone survey) Source: 2010 Florida Youth Substance Abuse Survey; Telephone survey

21 Child Health and Education Elementary and secondary education 6 indicators Compared to peer counties: 3 0 Compared to the state: 5 0 Compared to 2007: 2 2 Absentee rates have fallen However, absentee rates are above the state and all peer counties Third and tenth graders are rated slightly lower than the state in reading proficiency Third grade math proficiency is above the state rate, while tenth grade math was below the state rate Graduation and dropout rates are an issue 15% of parents feel public school students are well prepared for college (telephone survey) Source: Florida Department of Education; Telephone survey

22 Child Health and Education Child welfare and mental health 4 indicators Compared to peer counties: 1 3 Compared to the state: 2 1 Compared to 2007: 1 1 Child abuse rates are decreasing 70% are reunited with their families within 12 months This has improved 30% of parents say children with behavioral and emotional problems have been an issue Source: Florida Department of Children and Families, Performance Measures Dashboard, 2012; Telephone survey

23 Adult Health and Functioning

24 Adult Health and Functioning Access to health care 1 indicator Compared to peer counties: 1 0 Compared to the state: 1 0 Compared to 2007: % of adults under age 65 do not have insurance Roughly six in ten households have difficulty affording insurance (telephone survey) Greatest impact among households which earn under $25,000 Many improvements have been made in the health care system (focus groups) HANDS Clinic is an example Source: US Census American Community Survey; Telephone survey and focus groups

25 Adult Health and Functioning Communicable and infectious disease 5 indicators Compared to peer counties: 2 2 Compared to the state: 2 3 Compared to 2007: 3 2 Vaccine preventable illnesses and STDs rate lower than the state and two peer counties Tuberculosis rates have generally decreased St. Lucie County has the highest rate of AIDS cases (38.5 per 100,000) HIV infection rates have been trending down However, HIV infection rates are above the state level and all three peer counties Source: Florida Department of Health, Bureau of Epidemiology; Florida Department of Health, Bureau of STD Prevention & Control; Florida Department of Health, Bureau of HIV/AIDS 25

26 Adult Health and Functioning Chronic diseases 15 indicators Compared to peer counties: 1 7 Compared to the state: 4 10 Compared to 2007: 1 11 Of concern is heart disease, cancer, chronic obstructive pulmonary disease, and stroke St. Lucie compares unfavorably to the state in 7 behavioral risk factors and death rates for skin cancer, hospitalization for heart disease, and stroke Source: Behavior Risk Factor Surveillance System Survey Centers for Disease Control; Florida Department of Health 26

27 Adult Health and Functioning Adult mental health 5 indicators Compared to peer counties: 2 3 Compared to the state: 3 1 Compared to 2007: 1 0 Adults with severe and persistent mental illness spend more days in the community compared to the state 22% of households report a major problem with feelings of anxiety, stress, and depression (telephone survey) The county has more issues with mental illness than are diagnosed and treated (focus groups) A large portion of the homeless population suffers from mental illness (focus groups) Source: Florida Department of Children and Families, Mental Health Program Office; Telephone survey and focus groups

28 Elderly and Disabled Adults

29 Elderly and Disabled Adults Elderly 6 indicators Compared to peer counties: 3 0 Compared to the state: 3 3 Compared to 2007: 3 1 One-fourth of those 65+ are medically underserved Fewer elders are considered significantly disabled than the state Alzheimer s cases are below the state rate and two peer counties This rate has declined over the past two years Residents 60+ with the greatest needs are in the city of Ft. Pierce and North Ft. Pierce Source: Florida Department of Elder Affairs; Telephone survey

30 Elderly and Disabled Adults Disabled adults 1 indicator Compared to peer counties: 0 1 Compared to the state: 0 1 Compared to 2007: 0 0 None of the adults with disabilities were place in a nursing home 41% agree it is difficult to find affordable adult day care (telephone survey) Source: Florida Department of Elder Affairs; Telephone survey

31 Elderly and Disabled Adults Financial status Below peer counties and state on 65+ living below poverty level Services providers report many seniors live on very tight budgets and cannot pay for services needed (focus groups) Source: Florida Department of Elder Affairs; Focus groups

32 Elderly and Disabled Adults Living situation One in five elders (60+) live alone, which is slightly above the state rate and peer counties Loneliness is an issue for 54% of residents age 60 or over (telephone survey) 30% worry about remaining in their home if they become sick and need care (telephone survey) This has improved from 46% in % worry that they will not be able to find transportation (telephone survey) This compares to 44% in % have an issue with making their homes handicap accessible (telephone survey) Compared to 30% in 2007 Source: Florida Department of Elder Affairs; Telephone survey

33 Safety and Security

34 Safety and Security Crime rates 5 indicators Compared to peer counties: 2 1 Compared to the state: 1 3 Compared to 2007: 0 5 There has been a downward trend in crime in the last 10 years Jail populations are higher than the state and two peer counties 58% of residents feel safe in their neighborhood (telephone survey) Index crime rate in Ft. Pierce is 2.2 times higher than the county as a whole Source: Florida Department of Law Enforcement,; Telephone survey

35 Safety and Security Juvenile crime 4 indicators Compared to peer counties: 2 1 Compared to the state: 3 0 Compared to 2007: 1 2 Juvenile crime indicators are trending down Gangs were not mentioned as a problem (focus groups) 17% agree gangs are a serious issue (telephone survey) 20% feel criminal activity by teens is an issue Down from 34% in 2007 Source: Florida Department of Juvenile Justice; Telephone survey and focus groups

36 Safety and Security Safety for children and families 4 indicators Compared to peer counties: 1 2 Compared to the state: 3 1 Compared to 2007: 0 3 Death rates due to unintentional injuries are relatively consistent since 2005 Child abuse, neglect, or threatened harm rates are higher than the state level, but lower than two peer counties Crime and violence in schools are more than double the state rate and all three peer counties 60% of parents feel their children are safe in school (telephone survey) 35% indicated their children faced issues with bullying (telephone survey) Source: Florida Department of Law Enforcement; Florida Department of Health; Telephone survey

37 Summary Progress has been made in a number of areas A number of high wage businesses have been attracted HANDS clinic is a huge accomplishment and benefit to the community K 12 education is improving IRSC continues to expand Lower crime rates Fewer issues with gangs 37

38 Summary However there is still work to do in other areas Too many residents don t have enough to eat Too many children and families are homeless Problems with access to healthcare continue to grow Despite the drop in housing prices, affordable housing is an issue Need more quality, affordable childcare Need more jobs 38

39 Questions Contact: Mark Sandler SRA Research Group

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