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Home My WebLink AboutBOARD STANDING COMMITTEES - 04122012 - FHS Cte Agenda Pkt FAMILY AND HUMAN SERVICES COMMITTEE April 2, 2011 1:30 P.M. 651 Pine Street, Room 101, Martinez Supervisor Federal D. Glover, District V, Chair Supervisor Gayle B. Uilkema, District II, Vice Chair Agenda Items: Items may be taken out of order based on the business of the day and preference of the Committee 1. Introductions 2. Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be limited to three minutes). APPOINTMENTS 3. Work Plan for Conducting Interviews (Presenter: Dorothy Sansoe) 4. Approve recommendations for appointments to the Managed Care Commission 5. Interview applicants to the IHSS Public Authority Advisory Committee DISCUSSION 6. Referral #20 – Public Service Portion of the CDBG (Presenter: Bob Calkins, DCD) 7. Referral #5 – Continuum of Care Plan for the Homeless/Healthcare for the Homeless (Presenters: Lavonna Martin, Rachael Birch) 8. Referral #100 – Child Poverty (Presenter: Joe Valentine, EHSD Director) The next meeting of the Family and Human Services Committee is scheduled for May 7, 2012 at 1:30 p.m. ☺ The Family and Human Services Committee will provide reasonable accommodations for persons with disabilities planning to attend Committee meetings. Contact the staff person listed below at least 72 hours before the meeting. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to a majority of members of the Family and Human Services Committee less than 96 hours prior to that meeting are available for public inspection at 651 Pine Street, 10th floor, during normal business hours. Public comment may be submitted via electronic mail on agenda items at least one full work day prior to the published meeting time. For Additional Information Contact: Dorothy Sansoe, Committee Staff Phone (925) 335-1009, Fax (925) 646-1353 dsans@cao.cccounty.us Glossary of Acronyms, Abbreviations, and other Terms (in alphabetical order): Contra Costa County has a policy of making limited use of acronyms, abbreviations, and industry-specific language in its Board of Supervisors meetings and written materials. Following is a list of commonly used language that may appear in oral presentations and written materials associated with Board meetings: AB Assembly Bill ABAG Association of Bay Area Governments ACA Assembly Constitutional Amendment ADA Americans with Disabilities Act of 1990 AFSCME American Federation of State County and Municipal Employees AICP American Institute of Certified Planners AIDS Acquired Immunodeficiency Syndrome ALUC Airport Land Use Commission AOD Alcohol and Other Drugs BAAQMD Bay Area Air Quality Management District BART Bay Area Rapid Transit District BCDC Bay Conservation & Development Commission BGO Better Government Ordinance BOS Board of Supervisors CALTRANS California Department of Transportation CalWIN California Works Information Network CalWORKS California Work Opportunity and Responsibility to Kids CAER Community Awareness Emergency Response CAO County Administrative Officer or Office CCHP Contra Costa Health Plan CCTA Contra Costa Transportation Authority CDBG Community Development Block Grant CEQA California Environmental Quality Act CIO Chief Information Officer COLA Cost of living adjustment ConFire Contra Costa Consolidated Fire District CPA Certified Public Accountant CPI Consumer Price Index CSA County Service Area CSAC California State Association of Counties CTC California Transportation Commission dba doing business as EBMUD East Bay Municipal Utility District EIR Environmental Impact Report EIS Environmental Impact Statement EMCC Emergency Medical Care Committee EMS Emergency Medical Services EPSDT State Early Periodic Screening, Diagnosis and treatment Program (Mental Health) et al. et ali (and others) FAA Federal Aviation Administration FEMA Federal Emergency Management Agency F&HS Family and Human Services Committee First 5 First Five Children and Families Commission (Proposition 10) FTE Full Time Equivalent FY Fiscal Year GHAD Geologic Hazard Abatement District GIS Geographic Information System HCD (State Dept of) Housing & Community Development HHS Department of Health and Human Services HIPAA Health Insurance Portability and Accountability Act HIV Human Immunodeficiency Syndrome HOV High Occupancy Vehicle HR Human Resources HUD United States Department of Housing and Urban Development Inc. Incorporated IOC Internal Operations Committee ISO Industrial Safety Ordinance JPA Joint (exercise of) Powers Authority or Agreement Lamorinda Lafayette-Moraga-Orinda Area LAFCo Local Agency Formation Commission LLC Limited Liability Company LLP Limited Liability Partnership Local 1 Public Employees Union Local 1 LVN Licensed Vocational Nurse MAC Municipal Advisory Council MBE Minority Business Enterprise M.D. Medical Doctor M.F.T. Marriage and Family Therapist MIS Management Information System MOE Maintenance of Effort MOU Memorandum of Understanding MTC Metropolitan Transportation Commission NACo National Association of Counties OB-GYN Obstetrics and Gynecology O.D. Doctor of Optometry OES-EOC Office of Emergency Services-Emergency Operations Center OSHA Occupational Safety and Health Administration Psy.D. Doctor of Psychology RDA Redevelopment Agency RFI Request For Information RFP Request For Proposal RFQ Request For Qualifications RN Registered Nurse SB Senate Bill SBE Small Business Enterprise SWAT Southwest Area Transportation Committee TRANSPAC Transportation Partnership & Cooperation (Central) TRANSPLAN Transportation Planning Committee (East County) TRE or TTE Trustee TWIC Transportation, Water and Infrastructure Committee VA Department of Veterans Affairs vs. versus (against) WAN Wide Area Network WBE Women Business Enterprise WCCTAC West Contra Costa Transportation Advisory Committee __________________________________________________________________________________________________________________ Schedule of Upcoming BOS Meetings Oct 11 Oct 25 Nov 1 WORK PLAN FOR CONDUCTING INTERVIEWS OF APPLICANTS TO CERTAIN APPOINTIVE BODIES PURSUANT TO RESOLUTION NOS. 2011/497 and 2011/498 On December 13, 2011, the Board of Supervisors adopted Resolution Nos. 2011/498 and 2011/497, which expanded the interview responsibilities of Board Standing Committees to include At Large/Countywide seats of certain Advisory and Independent bodies, of which the Board of Supervisors makes appointments. Prior to adopting both resolutions, the Internal Operations Committee (IOC) and Family and Human Services (FHS) were the only Board Standing Committees that conducted interviews of applicants seeking appointment to Advisory or Independent bodies. FHS and IOC Committee staff have been working together to develop a work plan for conducting interviews of applications. At the March 12, 2012 meeting of the Internal Operations Committee, a proposal was considered. Although the work plan was acceptable to the IOC, the Committee decided to wait until the FHS had a chance to review the plan before going forward. Should FHS accept this plan, staff will submit a Board Order for approval by the Board of Supervisors. The following is recommended for approval: 1. ACKNOWLEDGE that the Board of Supervisors tasked their sub-committees with interviewing At-Large/Countywide positions for 19 advisory/independent bodies; 2. CONSIDER delegating interview and review of advisory body appointment recommendations responsibility between the IOC and FHS for the following advisory and independent bodies: Interviews to be Conducted by FHS o IHSS Public Authority Advisory Committee o Family & Children’s Trust Committee o Local Child Care & Development Planning Council Review of Advisory/Independent Body Appointment Recommendations o Alcohol and Other Drugs Advisory Committee o Advisory Council on Aging o Inter-jurisdictional Council on Homelessness o Developmental Disabilities Advisory Committee o Managed Care Commission o Local Child Care and Development Council o Workforce Development Board; Attachments: 1. Resolution No. 2011/498 2. Resolution No. 2011/497 Date: March 19, 2012 To: Family and Human Service Committee From: Deboran Everist, Staff, Managed Care Commission RE: Managed Care Commission Appointments The Managed Care Commission and the Health Services Director is requesting the Family and Human Services approve following recommendations for appointments and re‐appointments and that they be forwarded to the Board of Supervisors for approval: Reappointments 1) Michael Garcia, Member‐at‐Large Seat #2 2) Joan Lautenberger, Other Provider Seat 3) Richard Steinfeld, Medicare Subscriber Seat New Appointments 1) Henry F. Tyson to Member‐at‐Large Seat #6 2) Frances Trant to CCHP Commercial Subscriber Seat The applications for these appointments are attached. In addition, one individual, Erwin Cho, applicant for the Member‐at‐Large #3 seat, has obtained employment with Kaiser Permanente. This employment would be a conflict of interest to the MCC and he has respectfully requested that his application be withdrawn. Appointment Date Term Expiration Resignation Date Status Seat Title Medi-Cal Subscriber Representatives Thayer David Seat Title Medicare Subscriber Representatives Steinfeld Richard Seat Title Commercial Subscriber Representatives Kayser-Stange Roberta Seat Title Medical Indigent Needs Representatives Madrigal Eleanor M Seat Title Physician Representatives Seat Title Other Provider Representatives Lautenberger, R.N. Joan Seat Title At-Large 1 Representatives Sherman Mary Seat Title At-Large 2 Representatives Garcia Michael 9/20/2011 8/31/2013 8/19/2008 8/31/2011 Vacant Seat - proposed for re-appointment 8/31/2011 Vacant Seat 8/19/2008 8/31/2011 Vacant Seat - proposed for re-appointment 8/25/2009 8/31/2012 Resigned 3/15/2011 8/31/2013 Managed Care Commission 8/25/2009 8/31/2012 8/19/2008 8/31/2011 Vacant Seat - proposed for re-appointment Appointment Date Term Expiration Resignation Date Status Managed Care Commission Seat Title At-Large 3 Representatives Seat Title At-Large 4 Representatives Harris Michael Seat Title At-Large 5 Representatives Kalin Jeffrey Seat Title At-Large 6 Representatives Ptaszynski Andre Seat Title At-Large 7 Representatives Shorter-Jones Debra Seat Title At-Large 8 Representatives Corvetto-Avancena Blanca Seat Title At-Large 9 Representatives Brannon-Bazile Lucinda 8/25/2009 8/31/2012 Resigned 8/25/2009 8/31/2012 3/15/2011 8/31/2013 8/25/2009 8/31/2012 11/18/2008 8/31/2011 Vacant Seat 8/31/2011 Vacant Seat 3/15/2011 8/31/2013 WILLIAM B. WALKER, M.D. HEALTH SERVICES DIRECTOR CYNTHIA BELON, LCSW BEHAVIORAL HEALTH DIRECTOR CONTRA COSTA BEHAVIORAL HEALTH HOMELESS PROGRAM 597 Center Avenue, Suite 325 Martinez, California 94553-4675 PH 925 313-6124 FAX 925 313-6761 TO: Family and Human Services Committee FROM: Lavonna Martin, MPH, MPA, Acting Director, Homeless Program RE: Annual Report on Homeless Continuum of Care Cc: Cynthia Belon, LCSW, Director, Behavioral Health DATE: April 2, 2012 RECOMMENDATIONS 1. Accept this report from the Health Services Department; and 2. Forward this report to the Board of Supervisors for acceptance; and, 3. Direct Staff to continue to report on an annual basis to the FHS Committee regarding progress of the Ten Year Plan to End Homelessness and the Contra Costa Inter-Jurisdictional Council on Homelessness. BACKGROUND Preparation for our Ten year Plan began in 2002 with the West Contra Costa County Homeless Summit. Hosted by Supervisor John Gioia and (then) Richmond Mayor Irma Anderson, strategies that emerged from the Summit, along with information collected from 22 focus groups with homeless consumers, resulted in the draft of the Ten Year Plan in early 2003. In Spring 2004, the Board approved "Ending Homeless in Ten Years," a county-wide plan for the communities of Contra Costa County. The Advisory Board, along with the Homeless program, began with three main tasks: creation of a blueprint to detail the actions for carrying out the Plan's five main goals; creation of a Homeless Management Information System, for purposes of data collection on outcomes and program effectiveness throughout the continuum; and the development of public education designed to enhance the understanding of homelessness. In early 2008, the Homeless Continuum of Care Advisory Board, established in 1997, merged with the Homeless Inter-jurisdictional Interdepartmental Workgroup, the initial group responsible for overseeing the implementation of the Ten Year Plan, to become, with Board approval, the Contra Costa Inter-Jurisdictional Council on Homelessness. A Consumer Board was also created to provide valuable information to the Council on the effectiveness of programs and the gaps in services. The Homeless Program continues to work with and support the Homeless Inter-Jurisdictional Council and community based homeless service providers to ensure an integrated system of care from prevention through intervention for homeless adults, youth and families within our community with the overall goal of ending homelessness. To accomplish this, the Homeless Program has been a provider of comprehensive services, interim housing and permanent supportive housing as well as contracting with community agencies to provide additional homeless services and housing. Attached are a presentation and several reports providing a comprehensive description of the scope of homelessness in Contra Costa, including demographic information and outcomes for the homeless continuum of care service delivery system for the period July – December 2011. With the exception of the Homeless Count, data is collected through our Homeless Management Information System (HMIS), which gathers unduplicated continuum-wide information from several (but NOT all) homeless service providers. HOMELESS PROGRAMS KEY ACTIVITIES, ACCOMPLISHMENTS, PLANS Activities and Accomplishments To Date (July 2011 – March 2012): 1. Housing • Planning is on-going for the development of permanent housing units with supportive services for homeless individuals and families through the homeless conveyance process for the Concord Naval Weapons Station. A revised set of legal binding agreements for land transfer are currently being reviewed by the Local Reuse Authority (City of Concord). • Construction is underway on a 12-bed transitional housing program (Synergy House) for homeless men in recovery from addiction to substances. Construction is expected to be completed June 2012. 2. Services • AB109 services – we are working with County Probation, in response to the State of CA Public Safety re-alignment efforts, to support re-entry of formerly incarcerated individuals with shelter and benefits assistance/enrollment. To date eight (8) individuals have received shelter and six (6) have been assisted with completion of SSI applications through Project AACT. • Supportive Services for Veteran Families (SSVF) is a new program that began October 2011 whose purpose is to connect Contra Costa homeless veterans and their families to housing and support services. To date, 34 veterans from the shelters have been enrolled in the program. • Behavioral Health Court – is the first collaborative project between Homeless Programs, Mental Health and Alcohol and Other Drugs, as a Behavioral Health Division to coordinate efforts of the Contra Costa County Behavioral, Drug, Domestic Violence, and Homeless Courts. The Behavioral Health Adult Court Collaborative will serve persons with mental illness, substance use, and co-occurring disorders charged with a criminal offense, with a special focus on transition-aged youth, Veterans, homeless and domestic violence offenders. Planning is underway and services are anticipated to begin April 2012. 3. Outreach • Project Homeless Connect 7 was held in Richmond June 15, 2011 and hosted Clean Slate Court proceedings and services. Clean Slate provides remedies to persons with criminal records that posed barriers to housing and employment. Over 840 adults, youth, and families with children were served at PHC 7. 4. Continuum of Care Advisory Board (Contra Costa Inter-jurisdictional Council on Homelessness) • Successfully competed for HUD McKinney-Vento Homeless Assistance funds which brought $9M to Contra Costa homeless service providers including two new programs. One will add 12 new units of permanent supportive housing to chronically homeless individuals; the other will support and enhance the mandatory Homeless Management Information System that is managed by the County. Homeless Programs Plans for the remainder of FY 2011-2012: 1. Housing • Begin planning for 12 new supportive housing units awarded under HUD McKinney-Vento Homeless Assistance program. • Begin planning for the enhancements to the HMIS (software updates, staff training, etc.) • Continue to plan for the development of permanent housing units with supportive services for homeless individuals and families through the homeless conveyance process for the Concord Naval Weapons Station. • Open and operate Synergy House, a 12-bed transitional housing program for homeless men in recovery from addiction to substances. 2. Services • Continue to provide housing and benefits services to persons identified by County Probation (AB109). • Continue to increase the number of individuals served through the Supportive Services for Veteran Families program. • Begin serving individuals through the new Behavioral Health Adult Treatment Court program. 3. Outreach • Planning efforts are currently underway for the eighth Project Homeless Connect (PHC) event. PHC8 is scheduled to be held June 14, 2012 at the Willow Pass Center in Concord. • Continue to engage in efforts with various Contra Costa jurisdictions to educate persons in encampment areas with high health and safety risks. 1 The purpose of this report is to highlight the demographic profile of homeless adults, youth, and families being served in Contra Costa County’s Homeless Continuum of Care. This report was prepared by the HMIS Policy Group under the direction of the Contra Costa Inter- Jurisdictional Council on Homelessness (CCICH). HMIS or the Homeless Management Information System gathers unduplicated, continuum-wide statistics from several participating homeless providers. A list of these participating agencies can be found on page 6 of this report. Key Points 1. A total of 5,592 people used homeless services from July 2011 to December 2011. 2. Of these, 1,281 people were considered newly identified homeless, or clients that have never before entered our system of services. 3. When individuals were asked, "What city did you come from," a significant percentage said they came from cities in West Contra Costa County. 4. Nearly 39% of Contra Costa's homeless population is children and youth, and 15% are over the age of 55. 0 500 1000 1500 2000 2500 3000 Total ServedChildren (0-13)Youth (14-24)Adult (25-54)Senior (55+) Client Age Ranges Male Female Contra Costa County’s Homeless Continuum of Care Homeless Demographics Report For Period: 07/01/2011 – 12/31/2011 Report Run Date: 2/20/2012 What city are you from? East County 14% Central County 26% West County 55% South County 0% Outside Contra Costa 5% 2 General Assumptions a. This report provides unduplicated continuum-wide statistics, using the last day of the report period as the effective point-in-time date. This means that if a client entered several programs (or the same program several times) within the period, this client is counted only once and the report displays only the latest answer to each question as of the last day of the report period. For example, using a time period of Jan – Jun „08, if Jane Doe entered 3 distinct programs within the period, and her answer to Prior Living Situation was different on all three occasions, this report will de-duplicate her answer to her latest answer as of June 30th, 2008. Although this report is regarded as a continuum-wide report, there are several agencies that are not currently participating in the HMIS project and therefore are not represented on this report. These agencies include but are not limited to the Bay Area Rescue Mission, STAND Against Domestic Violence, and the Crisis Center. A list of programs, which ARE currently participating in HMIS, is available on page 6. b. There are several questions where no answers are provided, which are represented by the category “Not Stated”. A high occurrence of “Not Stated” may be seen for q uestions that are not required for certain subpopulations (e.g. homeless youth, children, etc.). c. In this report, a household without children may represent either a couple with no children or represents a relationship where one adult provides care for the other (e.g. A father and his adult son). d. Quality assurance. Several data quality procedures have been instituted to make sure this report represents the best information we have at the current time. All agencies that contribute data are required to abide by our continuum‟s HMIS Policies and Procedures and have entry and exit protocols in place to ensure admission information is accurately reflected. Questions and Further Assistance For questions, please email the County Homeless Program at homelessprogram@hsd.cccounty.us. 3 I. How many homeless persons were served during the period of July 1, 2011 – December 31, 2011? 5,592 individuals. II. Of those served, how many were newly identified homeless (clients that have never before entered our system of services)? 1,281 individuals. III. What is the demographic profile of all homeless clients served during period? 1. Where participants presented themselves as homeless: Note: Several questions are asked about each participant’s geographic origin, including whe re they spent the previous night, what is their current address, and where they last resided for at least 90 days. Acknowledging that no single response offers an accurate picture of where each person found himself or herself homeless, we report where participants spent the previous night (before entering continuum services) wherever possible. Where this is unavailable, we report where they last resided fo r at least 90 days. 2. Gender: Gender Total Percentage Newly Homeless Female 2,554 45.67% 623 Male 3,032 54.22% 656 Transgender 4 0.07% 1 Not Stated 2 0.04% 1 Total: 5,592 100.00% 1,281 City Slept In Last Night Total Percentage Newly Homeless Antioch 401 7.17% 56 Concord 839 15.00% 94 Pittsburg 141 2.52% 31 Martinez 207 3.70% 47 Richmond 1,816 32.47% 337 San Pablo 355 6.35% 47 Walnut Creek 41 0.73% 15 Other Central County 84 1.50% 9 Other East County 106 1.90% 18 Other West County 306 5.47% 39 Other South County 13 0.23% 5 Outside Contra Costa County 207 3.70% 82 Unspecified Contra Costa 13 0.23% 0 Invalid or Not Stated 1,063 19.01% 501 Total: 5,592 100.00% 1,281 Total Homeless Persons Served in Contra Costa 4 3. Household configuration: Household Configuration Total Newly Homeless Households without children 511 49 Households with children 1,307 1,188 Households of one (single individuals) 2,714 461 4. Age (as of report end date) Age Range Total Percentage Newly Homeless 0-5 405 7.24% 190 6-13 909 16.26% 239 14-17 396 7.08% 118 18-24 482 8.62% 144 25-34 727 13.00% 191 35-44 759 13.57% 139 45-54 1,102 19.71% 162 55-61 583 10.43% 67 62+ 228 4.08% 30 Not Stated 1 0.02% 1 Total: 5,592 100.00% 1,281 5. Employment status: Employed? Total Percentage Newly Homeless No 4,031 72.09% 836 Yes 493 8.82% 88 Don‟t Know 16 0.29% 2 Refused 1 0.02% 0 Not Stated 1,051 18.79% 355 Total: 5,592 100.00% 1,281 6. Chronic homeless status of total served participants: Is the client chronically homeless? Total Percentage Newly Homeless No 3,411 61.00% 767 Yes 1,254 22.42% 145 Not Stated 927 16.58% 369 Total: 5,592 100.00% 1,281 Note: Chronically homeless persons are defined as unaccompanied individuals who have a disability and have been continuously homeless for a year or longer, or 4 times in the past 3 years. 7. Veteran status of total served participants: Ever served in the US Military? Total Percentage Newly Homeless No 4,399 78.67% 842 Yes 313 5.60% 68 Don‟t Know 14 0.25% 2 Refused 6 0.11% 1 Not Stated 860 15.38% 368 Total: 5,592 100.00% 1,281 5 8. Race and Ethnicity of total served participants: Race and Ethnicity Total Hispanics Percentage Newly Homeless White 1,766 207 31.58% 259 Black/African American 2,604 45 46.57% 730 Asian 146 1 2.61% 27 American Indian/Alaskan Native 666 591 11.91% 104 Native Hawaiian/Other Pacific Islander 90 14 1.61% 16 Asian & White 3 0 0.05% 0 Am. Indian/Alaskan Native & Black African Am. 16 3 0.29% 4 American Indian/Alaskan Native & White 83 40 1.48% 15 Black/African American & White 59 3 1.06% 21 Other Multi-Racial 158 100 2.83% 104 Race Not Stated 1 0 0.02% 1 Total: 5,592 1,004 100.00% 1,281 Note: We follow HUD conventions for describing race and ethnicity. Persons are separately asked which racial category (-ies) they identify themselves as, and whether or not they identify as Hispanic. 9. Monthly income level of total served participants: Monthly Income Level Total Percentage Newly Homeless $0 3,327 59.50% 858 $1-500 543 9.71% 125 $501-$1k 1,270 22.71% 221 $1001-$3k 437 7.81% 73 $3001-$5k 11 0.20% 2 over $5k 4 0.20% 2 Total: 5,592 100.00% 1,281 Note: Income includes all sources of income, from employment income to government income 10. Clients with Disabilities Disabling Condition Total Percentage Newly Homeless No (HUD) 2,818 50.39% 867 Yes (HUD) 2,560 45.78% 402 Don't Know (HUD) 55 0.98% 6 Refused (HUD) 157 2.81% 5 Not Stated 2 0.04% 1 Total: 5,592 100.00% 1,281 6 11. Types of Disabilities reported by clients who reported to have a disabling condition: Disability Type Total Percentage Newly Homeless Alcohol Abuse (HUD 40118) 1,123 20.08% 90 Chronic Health Condition 341 6.10% 74 Developmental (HUD 40118) 151 2.70% 32 Drug Abuse (HUD 40118) 1,223 21.87% 108 HIV/AIDS (HUD 40118) 82 1.47% 3 Mental Health Problem (HUD 40118) 1,317 23.55% 170 Physical/Medical (HUD 40118) 971 17.36% 145 Other 62 1.11% 1 Total: 5,270 100.00% 623 Note: Unlike all other sections of this report, these categories are not mutually exclusive. Many participants reported multiple disabilities, while some participants reported no disabilities. 7 IV. How many homeless or formerly homeless persons utilized each project type between July 1, 2011 and December 31, 2011? Permanent Supportive Housing: 820 Projects reporting: Garden Park Apartments (Contra Costa Interfaith Housing), West Richmond Apartments (Rubicon Programs), Shelter Plus Care (County Program), Permanent Connections (County Youth Program), Giant Road Apartments (Rubicon Programs), Permanent Housing for People With Disabilities (Greater Richmond Interfaith Programs), Idaho Apartments (Rubicon Programs), Mary McGovern (SHELTER, Inc.), Next Step (SHELTER, Inc.), Rapid Re-housing (SHELTER, Inc.), Transitional Housing Partnership Program (SHELTER, Inc.), Sunset (SHELTER, Inc.), GRIP-PHPWD, HHISN Programs – ACCESS, Access Plus, SIPS-AAA, Project Choice, Project Step, Lakeside Apartments SHP. S+C Programs – CHI2, Chronic Grant, Consolidated Grant, Lakeside, PCH Grant, Villa Vasconcellos. Transitional Housing: 442 Projects reporting: Project Independence (Rubicon Programs), Appian House (County Youth Program), Bissell Cottages (County Youth Program), Transitional Housing for Families (GRIP), Lyle Morris Family Center (SHELTER, Inc.), Pittsburg Family Center (SHELTER, Inc.), REACH Plus (SHELTER, Inc.), San Joaquin (SHELTER, Inc.), Casa Verde (Anka Behavioral Health), Family Rapid Rehousing. Emergency Shelters: 955 Projects reporting: Brookside Shelter (County Program), Concord Shelter (County Program), Calli House, Don Brown Shelter, GRIP Emergency Shelter (Greater Richmond Interfaith Program), Mountain View House (SHELTER, Inc.), Philip Dorn Respite Center, Winter Nights Shelter (Interfaith Council of Contra Costa County). Support Services Only (Case Management/Life Skills/Housing Assistance) Programs: 4,074 Projects reporting: Money Management (Rubicon), FERST Program (Anka Behavioral Health), Anka Multi-service Centers, Resource Center (GRIP), Project Independence (Rubicon Programs), Calli House SSO (County Homeless Program), West Contra Costa Unified School District, GRIP Vocational Education, CCC Office of Education, HHISN Support Services for Project Coming Home and Lakeside Apartments S+C. *Note: These categories are not mutually exclusive. Clients may have participated in more than one project type within the reporting period, and may also be involved in two project types at the same time. Contra Costa County’s Homeless Continuum of Care Outcomes Report by Homeless Program Type For Period: 7/1/2011 – 12/31/2011 Report Run Date: 02/20/2012 The purpose of this report is to highlight some of the outcomes of various programs that serve homeless adults, youth, and families being served in Contra Costa County’s Homeless Continuum of Care. This report summarizes data collected in Contra Costa’s Homeless Management Information System. HMIS or the Homeless Management Information System gathers unduplicated, continuum-wide statistics from several participating homeless providers. A list of these participating agencies can be found on page 5 of this report. Key Points 1. 786 persons from emergency shelter, transitional housing, and support-service programs have moved to more stable housing. - 66.89% of the 752 total clients exiting Emergency Shelters exited to transitional or permanent housing. - 56.10% of the 164 total clients exiting Transitional Housing exited to permanent housing. - 43.61% of the 438 total clients exiting Support Service Only (SSO) programs exited to transitional or permanent housing. 2. Ninety percent (90%) of individuals and families in Permanent Supportive Housing have retained their housing for 1 year or more. For the remaining 10%, 9% were newly housed and have not yet reached their 1-year. 3. Number of newly housed clients in Permanent Supportive Housing: 27 persons 4. Forty-two percent (42%) of all clients who exit from Emergency shelters, Transitional housing and Supportive Services Programs had some type of cash income at program exit. Of all those who exited, 29.23% exited with Employment Income 22.54% exited with TANF 3.87% exited with VA disability/pension 39.08% exited with SSI/SSDI 39.08% 22.54% 3.87% 29.23% Total Clients Employment Income VA Disability/Pension TANF SSI/SSDI 1 2 Definitions and General Assumptions a. Transitional housing is defined as a temporary living situation where an individual or family may stay up to 2 years and receive support services during their tenure. Permanent housing is defined as independent housing or residing with family or friends that is intended to be a permanent living situation. b. Although this report is regarded as a continuum-wide report, there are several agencies that are not currently participating in the HMIS project and therefore are not represented on this report. These agencies include but are not limited to the Bay Area Rescue Mission, STAND Against Domestic Violence, and the Crisis Center. A list of programs, which ARE currently participating in HMIS, is available on page 5. c. Quality assurance. Several data quality procedures have been instituted to make sure this report represents the best information we have at the current time. All agencies that contribute data are required to abide by our continuum’s HMIS Policies and Procedures and have entry and exit protocols in place to ensure admission information is accurately reflected. Questions and Further Assistance For questions, please email the County Homeless Program at homelessprogram@hsd.cccounty.us. 3 Continuum-wide Outcomes Report I. How many homeless persons were served during the period of July 1, 2011 – December 31, 2011? __5,592__ II. How many individuals and families exited from Emergency Shelter, Transitional Housing and Support Service programs during the period? _1,354_____ Of those, how many individuals left for more stable housing? __786__ Reporting Program Discharge destination Emergency Shelters (ES) Transitional Housing (TH) Support Service-Only Programs (SSO) Place not meant for habitation (e.g. a vehicle or anywhere outside)0 7 2 Emergency Shelter, including hotel or motel stay paid for with shelter voucher 100 22 17 Safe Haven 0 0 0 *Foster care home or foster care group home 2 0 0 Hospital (non-psychiatric) 25 0 1 Hotel or motel paid for without emergency shelter voucher 4 1 0 Jail, prison, or juvenile detention facility 8 0 1 *Owned by client, no housing subsidy 0 0 8 *Owned by client, with housing subsidy 0 0 4 *Permanent Supportive housing for formerly homeless persons 33 1 17 Psychiatric hospital or other psychiatric facility 6 1 0 *Rental by client, no housing subsidy 38 56 17 *Rental by client, VASH subsidy 9 3 0 *Rental by client, other (non-VASH) housing subsidy 13 18 56 *Staying or living with family, permanent tenure 92 9 40 *Staying or living with family, temporary tenure 49 6 30 *Staying or living with friends, permanent tenure 42 5 12 *Staying or living with friends, temporary tenure 106 5 5 Substance abuse treatment facility or detox center 36 4 2 *Transitional housing for homeless persons 119 7 2 Deceased 2 1 4 Other 2 0 5 Don’t Know 66 18 210 Refused 0 0 5 Total:752 164 438 Stable housing Total:503 92 191 Note: All asterisked options are considered to be ‘more stable housing’ for those exiting ES or SSO programs. Transitional housing and temporary tenures are not considered ‘more stable housing’ for clients exiting TH programs. 4 III. How long have clients in Permanent Supportive Housing programs retained their housing? Length of Stay Total Percentage Less than 1 month 5 0.58% 1-2 months 7 0.81% 3-6 months 18 2.09% 7-12 months 53 6.15% 12-24 months 97 11.25% 25 months to 3 years 166 19.26% 4-5 years 118 13.69% Over 5 years 398 46.17% Total (duplicated):862 100.00% IV. Of those who exited ES, TH, and SSO programs, what were their sources of income at exit? Income Source ES TH SSO Alimony or Other Spousal Support 1 0 0 Child Support 4 0 3 Earned Income 57 50 59 General Assistance 75 8 18 Pension from a former job 5 0 0 Private Disability Insurance 0 0 0 Retirement Income from Social Security 6 0 3 SSDI 25 4 6 SSI 112 13 62 TANF 47 24 57 Unemployment Insurance 25 6 15 Workers Compensation 2 0 0 Veteran’s Disability Payment 7 2 3 Veteran’s Pension 7 1 2 Other 14 11 7 Total (duplicated):387 119 235 *Note: These income categories are not mutually exclusive. Clients may have reported zero or multiple income sources at time of exit. 5 V. How many unduplicated homeless or formerly homeless persons utilized each project type between July 2011 and December 2011? Permanent Supportive Housing: 820 Projects reporting: Garden Park Apartments (Contra Costa Interfaith Housing), West Richmond Apartments (Rubicon Programs), Shelter Plus Care (County Program), Permanent Connections (County Youth Program), Giant Road Apartments (Rubicon Programs), Permanent Housing for People With Disabilities (Greater Richmond Interfaith Programs), Idaho Apartments (Rubicon Programs), Mary McGovern (SHELTER, Inc.), Next Step (SHELTER, Inc.), Rapid Re-housing (SHELTER, Inc.), Transitional Housing Partnership Program (SHELTER, Inc.), Sunset (SHELTER, Inc.), GRIP-PHPWD, HHISN Programs – ACCESS, Access Plus, SIPS-AAA, Project Choice, Project Step, Lakeside Apartments SHP. S+C Programs – CHI2, Chronic Grant, Consolidated Grant, Lakeside, PCH Grant, Villa Vasconcellos. Transitional Housing: 442 Projects reporting: Project Independence (Rubicon Programs), Appian House (County Youth Program), Bissell Cottages (County Youth Program), Transitional Housing for Families (GRIP), Lyle Morris Family Center (SHELTER, Inc.), Pittsburg Family Center (SHELTER, Inc.), REACH Plus (SHELTER, Inc.), San Joaquin (SHELTER, Inc.), Casa Verde (Anka Behavioral Health), Family Rapid Rehousing. Emergency Shelters: 955 Projects reporting: Brookside Shelter (County Program), Concord Shelter (County Program), Calli House, Don Brown Shelter, GRIP Emergency Shelter (Greater Richmond Interfaith Program), Mountain View House (SHELTER, Inc.), Philip Dorn Respite Center, Winter Nights Shelter (Interfaith Council of Contra Costa County). Support Services Only (Case Management/Life Skills/Housing Assistance) Programs: 4,074 Projects reporting: Money Management (Rubicon), FERST Program (Anka Behavioral Health), Anka Multi-service Centers, Resource Center (GRIP), Project Independence (Rubicon Programs), Calli House SSO (County Homeless Program), West Contra Costa Unified School District, GRIP Vocational Education, CCC Office of Education, HHISN Support Services for Project Coming Home and Lakeside Apartments S+C. *Note: These categories are not mutually exclusive. Clients may have participated in more than one project type within the reporting period, and may also be involved in two project types at the same time. distribution of “unsheltered” homeless by supervisorial district and city district 1El Cerrito ......................................57El Sobrante .................................52North Richmond .......................41Richmond ..................................235San Pablo ....................................113Total ............................................499 district 2Crockett .......................................16Hercules .......................................20Lafayette ........................................9Martinez ....................................130Moraga ............................................3Orinda ..............................................1Pacheco* .........................................5Pinole ............................................25Port Costa ......................................3Rodeo .............................................18Total ............................................230 district 3Alamo..............................................0Brentwood .....................................5Byron ...............................................0Danville ..........................................9Knightsen .....................................0San Ramon ...................................0Walnut Creek ............................77Total .............................................91 district 4Clayton .........................................20Concord ......................................301Pacheco ..........................................6Pleasant Hill ..............................116Total ............................................443 district 5Antioch ........................................173Bay Point ......................................17Bethel Island ................................0Oakley .............................................9Pittsburg ......................................28Total .............................................227 number of “unsheltered” homeless identified = 1,490 *Note as of January 26, 2011 Pacheco count was split and included in the District Totals for both District 2 and 4 Contra CostaHomelessCountUnsheltered 2011 On January 26, 2011, the Contra Costa Homeless Program, the staff of various homeless service programs and more than 100 volunteers conducted its biannual homeless census of sheltered and unsheltered people experiencing homelessness in Contra Costa County. The count is conducted on one day and as such, the data collected is a “point-in-time count and is not meant to represent the number of homeless clients over the course of a year. Overall, the count will aid in the implementation of the 10 year plan to end homelessness (www.cchealth/org/groups/homeless) which will assess our progress in accomplishing the goals of the plan towards ending homelessness in our community. This summary provides key findings from the count: notable findings:• The 2011 count found a 20% decrease in homeless persons living outside in Contra Costa County. • 69% of unsheltered homeless persons live in encampments. • The number of families with children accessing services has increased by approximately 32%. 2011 Sheltered Count:Type of Service Couples Families with Children Individuals in Families Children in Families Individuals w/o Children Unaccompanied Minors Alcohol/drug Treatment 0 0 0 0 140 0 Emergency Housing 0 65 189 99 391 1 Food Program/Soup Kitchen 0 4 14 10 202 0 Medical Providers (including hospitals) 0 0 0 0 68 0 Multiservice Center 18 55 164 103 436 0 Outreach/Engagement 0 0 0 0 45 0 Transitional Housing * 0 59 208 116 63 0 Total in each category 18 183 575 318 1345 1 *Permanent supportive housing not reported.NUMBER OF “SHELTERED” HOMELESS IDENTIFIED = 2,7842011 Unsheltered Count: DISTRIBUTION OF “UNSHELTERED” HOMELESS BY SUPERVISORIAL DISTRICT AND CITYDISTRICT 1 DISTRICT 2 DISTRICT 3 DISTRICT 4 DISTRICT 5 El Cerrito El Sobrante North Richmond Richmond San Pablo Total 57 53 41 235 113 499 Crockett Hercules Lafayette Martinez Moraga Orinda Pacheco* Pinole Port Costa Rodeo Total 1620913031525318230 Alamo Brentwood Byron Danville Knightsen San Ramon Walnut Creek Total 0 5 0 9 0 0 77 91 Clayton Concord Pacheco* Pleasant Hill Total 203016116443 Antioch Bay Point Bethel Island Oakley Pittsburg Total 173170928227 Note: Pacheco count was split and included in the District Totals for both District 2 and 4. NUMBER OF “UNSHELTERED” HOMELESS IDENTIFIED = 1,490number of “sheltered” homeless identified = 2,784 1 CONTRA COSTA HEALTH SERVICES DEPARTMENT CONTRA COSTA COUNTY TO: Family and Human Services DATE: April 2nd, 2012 Committee Members Board of Supervisors FROM: Rachael Birch, Project Director, Health Care for the Homeless SUBJECT: Health Care for the Homeless Annual Report Recommendations 1. Accept this report from the Health Services Department; and 2. Forward this report to the Board of Supervisors for acceptance; and 3. Direct staff to continue to report on an annual basis to the FHS Committee regarding progress and status of the Health Care for the Homeless Program and to submit an additional written report to the Board of Supervisors, at six-month intervals. Background Since 1990, the Health Care for the Homeless (HCH) Project has provided health care services to the homeless population through mobile clinics, as well as through the CCHS integrated ambulatory system of care, and the Departments of Mental Health and Alcohol and Other Drugs. Primary health care services provided by the HCH Mobile Team include routine physical assessments, basic treatment of primary health problems such as minor wounds and skin conditions, respiratory problems, TB screening, acute communicable disease screening, and coordination and referrals for follow up treatment of identified health care needs. A significant portion of the homeless patients seen in the mobile clinics have chronic diseases, including asthma, hypertension, diabetes, and mental health/substance abuse issues. The mobile team is comprised of a Medical Director, Family Nurse Practitioners, Registered Nurses, Community Health Workers, Financial Counselor, Mental Health Specialist, and a Substance Abuse Counselor. Homeless patients who receive care on one of the mobile clinics are referred into one of the CCHS ambulatory care health centers for primary and specialty care, into County mental health and substance abuse services and to Contra Costa Regional Medical Center for emergency, inpatient hospital, outpatient surgeries, laboratory and radiology. There are currently four ambulatory care clinics, 2 located throughout the County, designated specifically for homeless patients to help them transition from the mobile clinic setting into the ambulatory care system. HCH staff members are present at each of these clinics. The HCH project also provides Public Health Nurses at each of the County shelters, providing comprehensive Targeted Case Management for homeless patients. During 2011, CCHS treated 16,487 homeless patients who generated 104,910 visits. This is an increase from 2010, when CCHS saw 16,055 homeless patients who generated 102,367 visits. The increase is likely due in part to the economic recession, which has placed further demand on the safety-net system, including CCHS. Table 1 (below) indicates the Board of Supervisor’s District where homeless patients reside. If no residential zip code data are available, the zip code where a patient received care is used. Table 1: Percent of Homeless Patients by Supervisorial District, 2011 District 1- Supervisor Gioia 24.5% District 2- Supervisor Uilkema 2.7% District 3- Supervisor Piepho 19.6% District 4- Supervisor Mitchoff 19.2% District 5- Supervisor Glover 25% Unknown 9% The attached presentation contains additional demographic information on our HCH population. New Actions The following activities and updates have occurred since the last briefing to the Board of Supervisors on HCH activities: Continued Funding In November 2011, the HCH Project was granted a Service Area Competition Notice of Grant Award, continuing our project funding through 2016. Our current annual funding amount is $958,792. American Recovery and Reinvestment Act Funding In July 2009, the HCH Project received a Capital Improvement Project award to replace the Martinez Family Practice Site (Building 2 on the CCRMC Campus). This project will modernize the clinic and streamline clinic flow for maximum efficiency. The new unit will enhance the effectiveness and efficiency of providing 3 clinical services to patients through reduced waiting times for clinic appointments at the Martinez site and throughout the CCHS system. A homeless-specific clinic will be offered at this site upon its opening. Funding for this project was calculated on a formula basis at $683,000. Construction should begin the first week of August 2012. In December 2009, CCHS received $12 Million in ARRA funds for the construction of a new West County health center, to replace the Richmond Health Center. Construction is well under way on the 50,000 square foot, two story clinic. It will house a comprehensive array of outpatient medical services and support functions. The goal is to have the building achieve LEED certification for environmental quality. The completion date for the West County Health Center is projected to be October 2012. Integrated Primary Care Clinic in Concord The HCH Project will soon be opening an integrated primary care (IPC) clinic at Concord Mental Health. The proposed site will provide primary health care with specialty referral and coordination to adults with serious mental illness (and co- occurring substance abuse) and will be located at 1420 Willow Pass Road, Concord, CA. Referrals will initially come from enrolled consumers within Concord Mental Health, where it is estimated that at least 50% of the actively enrolled consumers do not have regular access to primary care and 70% are homeless. The new clinic is expected to open in the summer of 2012. Homeless Respite Care and Shelter Clinic The HCH Project opened a licensed ambulatory care clinic at the Concord shelter in May 2011. The clinic serves homeless individuals staying at the Concord shelter and Respite, as well as all clients who meet the homeless criteria. Open four days (20 hours) per week, the clinic includes an RN, FNP and Community Health Worker. The clinic has served over 500 homeless patients since opening. The HCH Project continues to provide all medical and nursing care at the Philip Dorn Respite Center. In 2011, the Respite Center had 477 referrals and 175 admitted patients. Pro-Bono Dental Health Services for Homeless Clients The Homeless Consumer Advisory Board and HCH launched a partnership with a small group of private dental providers who provide services free of charge to 4 homeless individuals who do not qualify for dental coverage through other programs. The Advisory Board has been a strong advocate about the need for this free service given a lack of affordable dental services, and we are very pleased that a pilot program will address some of this unmet need. A fourth client will soon begin receiving services from Dr. Michael Tobian. Dental services are essential to regaining employment and exiting homeless. Rentry Program for Individuals Exiting Incarceration The HCH Project continues to provide staff at the PACT (Probation and Community Together) meetings, providing parolees with assistance in entering our health care system. Kate Schwertscharf, HCH Public Health Nurse Program Manager, receives phone calls and referrals from the San Quentin Medical Project, Richmond Parole Office and the West County Detention Facility, assisting clients in accessing health services. Summary This has been an exciting and busy time of growth and planning for the HCH program in CCHS. We expect that our next report will have significant updates on the milestones achieved for these new projects, while we also work hard to sustain the ongoing work of the mobile clinic team and homeless ambulatory care clinics. Health Care for the HomelessContra Costa Health ServicesPresentation to the Family & Human Services Committee Contra Costa County Board of SupervisorsApril 2nd, 2012 Rachael BirchHCH Project DirectorKate Schwertscharf, PHNNurse Program Manager Who qualifies as “Homeless?”zAll homeless people in Contra Costa County•Lacking a fixed, regular, adequate nighttime residence•Primary nighttime residence in a shelter, welfare hotel, transitional housing•“Doubled-up” without name on a lease, couch surfing, etc. Funding for HCH ServiceszSection 330(h) Public Health Services ActHealth Care for the Homeless grant from the Federal Government (BPHC/HRSA) – approx. $1.6M per year. Additional Funding ReceivedzCapital Improvement Funds (2009) - $683K to replace Martinez bldg 2z$12 Million award to rebuild Richmond Health Center (2009) – San Pablo Ave, San PablozNew Access Point funding (2011) - $650K per year (Increasing base funding from $958K to $1.6 million per year) to open new homeless clinic in Concord. Number of Patients in 2011z16,487 unduplicated homeless patientsz104,910 visits: mobile clinics, ambulatory clinics, emergency department, mental health, substance abuse programs. Number of Patients in 2010 z16,055 unduplicated homeless patientsz102,367 visits: mobile clinics, ambulatory clinics, emergency department, mental health, substance abuse programs. How Patient Demand is Growing Over Time:z2009 vs. 2010:•6.4% increase in patients•6% increase in visitsz2010 vs 2011:•2.7% increase in patients•2.5% increase in visits Why the increase?zEconomic situation creating increased demand for services among homeless people and people at risk of becoming homeless. HCH ServiceszMobile Clinic:•routine physical assessments•basic treatment of primary health problems such as minor wounds and skin conditions•treatment for respiratory problems•TB testing•acute communicable disease treatment•referrals for follow up in ambulatory/specialty care•substance abuse and mental health services 2 Mobile Clinic Teams,5 days a weekzAdult Emergency Shelters Concord & RichmondzCalli House (youth), RichmondzBay Area Rescue MissionzGRIP Souper Center & Family Shelter, RichmondzNeighborhood House of North RichmondzMonument Futures, ConcordzMonument CorridorzHome Depot : El CerritozMulti-Service Centers, Richmond, AntiochzAOD Treatment FacilitieszSt. Paul’s, Walnut CreekzAmbrose Community Center, BaypointzLove-A-Child, Baypoint Ambulatory Care ClinicszOperate specialized homeless clinics in the Richmond, Concord and Antioch health centers & at Concord Respite Center. Designated homeless clinics increase access to care by:•Bypassing waiting times for appointments•Bypassing financial counseling process•Making the process more “user friendly” for homeless patients•Helping patients transition to mainstream health care delivery system Mental Health ServiceszMental Health Treatment Specialist provides screenings, assessments, referrals into the Mental Health system for medication and treatment of clients in the shelters and at other mobile clinic sites Alcohol and Other Drug ServiceszSubstance Abuse Treatment Specialist provides screenings, referrals, and coordination of detox and recovery services specifically for homeless patients in shelters and other mobile clinic sites Patient Demographics 2011z49.2% malez50.8% femalez26.2% of homeless patients are completely uninsured, on no publicly-funded programz49.6% Medi-Cal; 2% Medi-CarezAll of our patients at 100% of the Federal Poverty Level and below. Race/Ethnicity in 2011RaceHCH CountyWhite37% 58.5%Latino/Hispanic24% 24%Black/African American23% 9%Asian/Pacific Islander10.3% 15%American Indian/Alaskan Native 0.4% 0.58%Unknown5.3% 2% Which Supervisor Districts were Patients from in 2011?I- Supervisor Gioia 24.5%II- Supervisor Uilkema 2.7%III- Supervisor Piepho 19.6%IV- Supervisor Mitchoff 19.2%V- Supervisor Glover 25%Unknown/Other 9% Which Supervisor Districts were Patients from in 2009 & 2010?District2009 2010I- Supervisor31% 33%II- Supervisor15% 20%III- Supervisor2%2%IV- Supervisor20% 23%V- Supervisor31% 22%Other0%0% Strong Consumer InvolvementzActive consumer advisory board•Helped to create pro-bono dental services for homeless clients; fourth patient is receiving services courtesy of Dr. Michael Tobian in Walnut Creek•Consumers are starting a ‘Homies for the Homeless’ project. Previously homeless individuals will lead and arrange mentoring and training services. Changes & Updates – ClinicalzRespite Care program - HCH is pleased to continue our collaboration with the Behavioral Health and Homeless Program to provide higher level of medical care to medically fragile shelter clients. The Respite center received 477 referrals in 2011 with 175 admissions.zTwo public health nurses are providing comprehensive medical case management at each adult shelter in the County.zThe completion date for the West County Health Center is projected to be October 2012. Changes & Updates – ClinicalzThe new Concord Health Center, located at 3024 Willow Pass Rd, is expected to open in Fall, 2012. The HCH program received $650,000 in annual funding to staff a homeless clinic at this location. Child Poverty in Contra Costa CountyFamily and Human Services Committee Annual UpdateJoe ValentineApril 2, 2012 Objectives• Provide new data on child poverty• Identify the impacts on child poverty from the Governor’s FY 12-13 budget proposal• Share new research on the impacts of poverty on children• Discuss national and local initiatives to improve family economic well-being• Discuss barriers to reducing child poverty Child Poverty Continues to IncreaseSource: “Kids Count” Data Center Child Poverty Continues to Increase – Contra CostaSource: U.S. Census Over 14,000 new children receiving CalFRESH and CalWORKS since 2008Children receiving Food and Financial Assistance05000100001500020000250003000035000400004500050000Mar08Jun08Sept08Dec08Mar09Jun09Sept09Dec09Mar10Jun10Sept10Dec10Mar11Jun11Sept11Nov11Source: U.S. Census- CC Times 12/1/2011 Poverty Increased Among School Aged Children• Poverty is one of the most reliable predictors of student success -- poor children tend to perform worse academically. • Almost 1.4 million California schoolchildren lived below the poverty line last year, up 32 percent from 2007. Source: U.S. Census- CC Times 12/1/2011 Poverty Increased Among School Aged ChildrenDistrict2000 2007 2010John Swett6.4% 9.2% 21%Pittsburg Unified 11.5% 18.2% 19.3%West Contra Costa 15.3% 15.4% 15.5%Antioch Unified 9.7% 13.7% 14.8%Mt. Diablo Unified 7.1% 10.4% 11.9%Walnut Creek Elem 3.3% 6.0% 6.9%Source: “Suburbanization of Poverty in the Bay Area”. Matthew Soursourian. Federal Reserve Bank of San Francisco. January 2012 Poverty Has Increased Faster in Suburban Areas• Household poverty rose in the Bay Area in both urban and suburban areas• The population in poverty rose faster in suburban census tracts.• Poverty rose 16% in suburban areas compared to 7% in urban areas.• The share of the poor in suburban areas increased among all racial groups, but the change is highest for Blacks.Source: “Suburbanization of Poverty in the Bay Area”. Matthew Soursourian. Federal Reserve Bank of San Francisco. January 2012 Poverty Has Increased Faster in Suburban Areas Child Poverty May Get WorseImpacts of Governor Brown’s Budget Proposals:Reduced time on aid for CalWORKS parents not working 30 hours/wkOver 1,000 families affected. Average grants cut from $638 down to $471. Over 2,600 children lose child care.Child Only grants cut by 27%Over 10,000 children affected: grants cut from $463 down to $392Reductions in child care subsidies for low-income working parentsOver 200 child care slots lost. Why Child Poverty MattersGrowing body of research documents the devastating impacts of poverty on children:• Lower academic achievement• Higher school drop out rate• Increased health, behavioral, and emotional problems• Higher involvement with criminal justice system• More likely to be poor as adultsSource: Children in Poverty: Trends, Consequences, and Policy Options. Kristin Anderson Moore, Ph.D. et. al. Child Trends Research Brief. April 2009 Academic Outcomes• Early childhood poverty is strongly associated with negative academic outcomes• Poverty linked to a greater likelihood of adolescents dropping out of high school• Children raised by parents who have completed fewer years of education receive less cognitive stimulation at home Academic Outcomes• Children whose families go from being above poverty to dropping into poverty have lower reading scores• Children in poverty are more likely to attend schools that have fewer resources• Poverty affects brain functioning• Chronic stress due to poverty affect’s children’s working memory Social and Emotional Development• Children in poverty have a greater risk of behavioral problems such as disobedience, impulsiveness, and difficulty getting along with others.• Family poverty is associated with higher risk for teen pregnancy, less positive peer relations, and lower self-esteem. Social and Emotional Development•Long Term poverty is associated with inner feelings of anxiety, unhappiness, and dependence.•Short Termpoverty is associated with acting out, disobedience, and aggression. How Poverty Affects the Brain of the Young ChildSource: Washington State Family Policy Council Presentation National Strategies to Reduce PovertyAccording to the Urban Institute, 3 policy reforms would cut poverty by 26%:• Increase the minimum wage• Enhance the Earned Income and Child Care Tax Credits• Enhance Child Care ServicesSource: http://halfinten.org/indicators/publications/2010report Local Efforts to Reduce Poverty• “Earn It, Keep It, Save It” Annual Campaign• “Healthy Richmond”• Contra Costa County Safety Net Task Force• Building Blocks for Kids• East Bay Economic Development Alliance Barriers to Reducing Poverty• Lack of livable wage jobs• Disparities in the quality of available public education• Insufficient level of college and vocational training• Lack of child care support• Transportation problems Barriers to Reducing Poverty• Insufficient level of supportive services for parents and young people with multiple personal barriers• Deeply entrenched biases and negative attitudes about the poor and recipients of public services• Lack of recognition of the long term consequences to society of child poverty What Can We Do?• Actively support local efforts to reduce poverty and improve individual and community economic well-being• Oppose further state budget cuts to safety net supports for families and children• Advocate for increased child care support• Conduct annual impact assessments of how county budget proposals affect children Questions?For More Information:Joe ValentineEmployment and Human Services Department(925) 313-1579jvalentine@ehsd.cccounty.ushttp://www.cccounty.us/ehsd