Choctaw Nation Head Start Prepared by the Community Service Council July 2011

WHO ARE THE CHILDREN?Choctaw Nation Head Start

Prepared by the Community Service CouncilJuly 2011

TO TELL THE STORY…

Demographic Trends Economics and Employment Child Indicators

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DEMOGRAPHIC TRENDS

DEMOGRAPHIC TRENDS

Population change--migration to suburban areas of Tulsa and Oklahoma City MSA with an overall decrease in new births

Age--aging population Race and ethnicity--more culturally

diverse Living arrangements--transitional for

family living arrangement

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Population Trends for Total Population and Under Age 5Bryan County, 1980 through 2030

Source: US Census Bureau, 1980, 1990, 2000 & 2010 Censuses; Population Estimates Program.

1980 1990 2000 2010 2020(proj.)

2030(proj.)

0

10,000

20,000

30,000

40,000

50,000

60,000

Under age 5 2,080 2,143 2,369 2,830 2,952 3,163

Total Population 30,535 32,089 36,534 42,416 44,930 49,172

Prepared by the Community Service Council of Greater Tulsa

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sRace Comparison for Total Population and Children under 5

State of Oklahoma and Bryan County, 2010

Source: US Census Bureau, 2010 Census.

59.3%

8.2%

11.0%

1.6%

19.8%

63.5%

1.3%

18.1%

0.5%

16.6%

72.2%

7.4%

8.6%

1.7%

10.1%

76.2%

1.5%

12.9%

0.5%

8.8%

White Black American Indian Asian Other/2+ races

Oklahoma Bryan County

Under 5

Total Population

N = 264,126

N = 3,751,351

Hispanic16.8%

Hispanic8.9%

N = 2,830

N = 42,416

Hispanic11.0%

Hispanic5.0%


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sTypes of Families with Own Children Under 6,

by Race & Hispanic OriginBryan County, 2000


75.2%

18.1%

6.7%

76.3%

17.8%

5.9%

48.1%

29.6%

22.2%

72.9%

18.2%

8.9%80.0%

10.0%

10.0%

65.9%

25.0%

9.1%

Married couple Female-headed Male-headed

Total White Black

American Indian Asian Hispanic

ECONOMICS AND EMPLOYMENT

THE ROOTS OF THE CHALLENGETHIRTY YEAR 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 & young families

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Source: Hodgkinson, Harold, "The Client," Education Demographer, 1988.

1900 - 1940(Pre-War)

1940 - 1990(Post WWII)

1990 - ?(New Millenia)

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

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THE SELF-SUFFICIENCY STANDARD

Customized by specific family composition Customized by geographic location Based on all expense categories Updated annually using consumer price

index

…The level of income required for a family to meet its own needs

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Self-Sufficiency

Wage(annual)

Poverty Guidelines

(annual)

Dollar Difference

Self-SufficiencyPercent of

Poverty

One person

$16,151 $10,830 $5,321 149%

Two persons

$27,290 $14,570 $12,720 187%

Three persons

$31,442 $18,310 $13,132 172%

Four persons

$38,962 $22,050 $16,912 177%

Comparison of Self-Sufficiency Wage to Poverty Guidelines, by Size of Family

Bryan County, 2010*

Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200.

($7.65 per hour)

($12.92 per hour)

($14.89 per hour)

($9.22 per hour per adult)

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. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least May 31, 2010.

($5.13 per hour)

($6.90 per hour)

($8.67 per hour)

($5.22 per hour per adult)

Family of Three, Bryan County, 2010*

Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009; 2009 HHS Poverty Guidelines, Federal Register, Vol. 74, No. 14, January 23, 2009, p. 4200; Oklahoma State Dept. of Human Services; U.S. Census Bureau, 2000 Census.

$40,683

$33,207

$21,019

$10,309

$15,312$18,310

$33,874

$14,159

WelfareWage

MinimumWage

PovertyWage

185% PovertyWage

Median FamilyIncome

(2000 census)

$0

$10,000

$20,000

$30,000

$40,000

$50,000Annual Wage

Self-Sufficiency Wage = $31,442 ($14.89/hr)

Comparison of Wages: Self-Sufficiency, Welfare, Minimum, Poverty, 185% of Poverty, and Median Family Income

($4.88/hr) ($7.25/hr) ($8.67/hr) ($16.04/hr)

Notes: For the self-sufficiency wage, family of three consists of one adult, one preschooler and one schoolage child. Hourly wages given assume full-time, year-round employment. The 2009 poverty guidelines are being used until at least May 31, 2010. Welfare wage is the combined value of TANF, SNAP, & WIC.

Married-couple families w/ children <18($19.26/hr)

All families w/ children <18

Male-headed families w/ children <18

Female-headed families w/ children <18

($9.95/hr)

($15.72/hr)

($6.70/hr)

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Monthly Budget Distribution for Typical Family of Three Earning Self-Sufficiency Wage

Bryan County, 2010

Source: Oklahoma Association of Community Action Agencies and the Oklahoma Asset Building Coalition, December 2009, The Self-Sufficiency Standard for Oklahoma 2009.

Housing$563

Child Care$744

Food$483

Transportation$263

Health Care$394

Miscellaneous$245

21%

28%

18%

10%

15%

9%

Notes: Family of three in this example consists of one adult, one preschooler and one schoolage child.

Self-sufficiency wage = $2,620 per month.

Tax credit$71

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Participation in Public Assistance ProgramsNumber of Participants and Percentage of Population Participating

Bryan County, 2011

Source: Oklahoma Dept. of Human Services, Statistical Bulletin, March 2011; Oklahoma State Dept. of Education, Low Income Report for 2010-11; US Census Bureau, 2010 Census; Oklahoma State Department of Health-WIC Service, Caseload Report, May 2011.

9,775

5,870

304

501

214

6,837

96

3,012

465

23%

55.4%

51%

18.1%

7.6%

16.1%

1%

64.1%

9.9%

Soonercare Total (185%/100%) (6/11)

Soonercare <19 (185%) (6/11)

WIC Infants (185%) (5/11)

WIC age 1-5 (185%) (5/11)

Child Care Subsidy <5 (185%) (3/11)

SNAP Total (130%) (3/11)

TANF <18 (50%) (3/11)

Elem. School Free Lunch (130%)(SY 2010-11)

Elem. School Reduced Lunch (185%)(SY 2010-11)

03,0006,0009,00012,000

Number of Participants

0% 20% 40% 60% 80%

Percent of Population

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Ratio of Income to Poverty Level for Total PopulationBryan, Carter, Coal, Love & Pontotoc Counties, 1989 & 1999

Source: US Census Bureau, 1990 & 2000 Censuses.

Bryan Carter Coal Love Pontotoc Bryan Carter Coal Love Pontotoc0%

10%

20%

30%

40%

50%

60%

Percentage of population

Below 100% Below 185% Below 200%

Below 100% 24.5% 19.7% 27.4% 15.9% 21.7% 18.4% 16.6% 23.1% 11.8% 16.5%

Below 185% 48.2% 39.5% 53.9% 39.2% 45.8% 41.7% 38.9% 47.6% 34.6% 40.5%

Below 200% 51.2% 41.8% 56.7% 42.6% 49.1% 44.7% 41.8% 52.7% 37.8% 43%

1989 1999

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Median Family IncomeBy Family Type and Presence of Children under 18

State of Oklahoma, Bryan & Carter Counties, 1999

Source: U.S. Census Bureau, 2000 Census.

$48,369

$63,779

$19,611

$32,857

$33,207

$40,683

$14,159

$21,019

$35,133

$43,499

$13,491

$21,034

$56,592

$61,881

$35,886

$41,811

$34,494

$36,263

$22,155

$33,125

$37,473

$41,171

$25,280

$27,500

Oklahoma

All families

Married-couple

Female-headed

Male-headed

Bryan Co.

All families

Married-couple

Female-headed

Male-headed

Carter Co.

All families

Married-couple

Female-headed

Male-headed

$0$25,000$50,000$75,000

Families WITH children

$0 $25,000 $50,000 $75,000

Families WITHOUT children

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Educational Attainment for Persons Age 25 & OlderBryan, Carter & Coal Counties, 2000


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+

Bryan Co. Carter Co. Coal Co. Love Co. Pontotoc Co.

Bryan Co. 25.1% 31.8% 21.5% 3.7% 11.2% 4.8% 0.8% 1.1%

Carter Co. 23% 36.8% 21.3% 3.8% 10.4% 3.4% 0.9% 0.5%

Coal Co. 31.4% 37% 17.1% 2.2% 7.2% 3.9% 1.1% 0.3%

Love Co. 26.4% 41.4% 18.6% 2.8% 6.8% 3% 0.9% 0.2%

Pontotoc Co. 21.8% 31.7% 21.9% 2.8% 12.6% 6.7% 1.3% 1.2%

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Real Hourly Wage by Educational AttainmentUnited States, 1973-2007

Source: The State of Working America 2008-10, table 3.15.

1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

$0

$10

$20

$30

$40

Real hourly wage (2007 dollars)

Less than high school High school Some college

College degree Advanced degree

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Real Hourly Wage by Educational Attainment for MenUnited States, 1973-2007


1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

$0

$10

$20

$30

$40




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Real Hourly Wage by Educational Attainment for WomenUnited States, 1973-2007


1973

1975

1977

1979

1981

1983

1985

1987

1989

1991

1993

1995

1997

1999

2001

2003

2005

2007

$0

$10

$20

$30

$40




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Real Hourly Wage by Educational Attainment, by SexUnited States, 2007

Source: The State of Working America 2008-10, tables 3.15 through 3.17.

Less than high school High school College degree Advanced degree$0.00

$10.00

$20.00

$30.00

$40.00Real hourly wage (2007 dollars)

Both sexes Men Women

Both sexes $11.38 $15.01 $26.51 $33.57

Men $12.32 $16.68 $30.36 $38.10

Women $9.43 $13.10 $22.63 $28.77

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Unemployment RatesBryan, Carter, Coal, Love & Pontotoc Counties, 1990 - 2010

Source: U.S. Department of Labor, Bureau of Labor Statistics.

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Apr.'10

0.0

3.0

6.0

9.0

12.0

15.0

Bryan Co. 5.9 7.3 6.4 5.4 5.0 4.1 3.8 3.6 2.9 2.5 3.0 3.4 3.9 4.7 4.1 3.8 3.6 3.4 3.4 5.3 5.0

Love Co. 5.7 5.7 5.5 7.1 6.7 6.4 4.7 4.2 5.0 4.1 3.6 3.9 4.5 5.0 6.2 4.3 3.6 3.0 2.8 5.5 4.5

Pontotoc Co. 6.6 7.9 7.5 6.5 5.6 6.6 5.5 4.9 5.3 3.4 3.3 3.9 4.9 5.1 6.0 4.4 3.7 3.5 3.1 5.5 4.9

Carter Co. 6.2 7.0 6.7 6.2 6.1 6.6 5.5 5.7 6.6 5.2 3.8 3.9 4.9 4.9 4.8 4.4 3.9 3.4 3.2 5.9 5.2

Coal Co. 12.3 13.4 11.6 10.5 9.5 9.1 8.5 9.0 8.8 6.6 4.3 5.4 6.6 12.4 10.6 7.1 5.9 6.1 4.8 8.6 7.2

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CHILD INDICATORS

WHY ARE CHILDREN AT RISK?

Lack of health insurance Limited access to preventative

services Living in high risk families Living in a state with a high level of

premature death


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THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY

Major American research project that poses the question of whether and how childhood experiences affect adult health decades later

Provides compelling evidence that: Adverse childhood experiences are surprisingly common ACE’s happen even in “the best of families” ACE’s have long-term, damaging consequences

Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

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THE ADVERSE CHILDHOOD EXPERIENCES (ACE) STUDY PYRAMID

Early Death

Disease, Disability and Social Problems

Adoption of Health-

risk

Behaviors

Social, Emotional and

Cognitive

Impairment

Disrupted Neurodevelopment

Adverse Childhood Experiences

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Conception

Death

Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

ADVERSE CHILDHOOD EXPERIENCES…

Recurrent physical abuse

Recurrent emotional abuse

Sexual abuse An alcohol or drug

abuser An incarcerated

household member

Someone who is chronically depressed, suicidal, institutionalized or mentally ill

Mother being treated violently

One or no parents Emotional or

physical neglectSource: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

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…GROWING UP IN A HOUSEHOLD WITH:

…LEAD TO HEALTH-RISK BEHAVIORS…

Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity

Source: The Adverse Childhood Experiences Study website: www.acestudy.org

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…WHICH CAUSE DISEASE, DISABILITY AND SOCIAL PROBLEMS IN ADULTHOOD

Heart disease Cancer Chronic lung and

liver disease Stroke Diabetes Sexually transmitted

diseases

Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional

pregnancy

Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

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Summary of Risk Factors for InfantsBryan County and State of Oklahoma, 2008

Source: Oklahoma State Department of Health, Vital Statistics.

13.7%

42.3%

5.4%

21.4%

6.9%

1.4%

34.8%

20.5%

11%

17.8%

46.1%

6%

22.5%

7.2%

0.2%

36.2%

22%

8.8%

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% 60%

Percent of Births

Bryan Co.

Oklahoma

Bryan County births: 614Oklahoma births: 54,753

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Characteristics of Births to Teen Mothers (Age 15-19)Bryan & Carter Counties and State of Oklahoma, 2008


81.6%

7.1%

54.1%

7.9%

1.8%

67.6%

46.9%

11.6%

20.8%

3.6%

78.9%

8.3%

49.5%

10.1%

58.5%

43.9%

12.8%

26.6%

9.2%

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

Bryan Co.

Oklahoma

Bryan County births to teens: 109Bryan County teen birth rate: 75.6 (per 100,000 females age 15-19)

Oklahoma births to teens: 7,492Oklahoma teen birth rate: 61.6 (per 100,000 females age 15-19)


Percentage of all Births to Teens Age 15-17 and 18-19Bryan, Carter, Coal, Love & Pontotoc Counties, 1980 through 2007


'80 '90 '00 '07 '80 '90 '00 '07 '80 '90 '00 '07 '80 '90 '00 '07 '80 '90 '00 '070

5

10

15

20Percent of births

Births 15-17 7 6.8 5.2 5.5 6.8 8 4.4 4.6 10.1 12.8 7.8 10.1 12.9 5 9.6 6.2 6 4.5 4.5 6.4

Births 18-19 14.6 16 13.8 12.2 18.3 9.5 12.3 9.1 13.9 16 16.9 15.9 12.9 13.4 12.8 6.9 11 11.2 10.8 10.6

Bryan CoalCarter Love Pontotoc

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Infant Mortality Rates (5-year averages)State of Oklahoma, Bryan, Carter, Coal, Love & Pontotoc Counties, 1980 to 2006

Source: Oklahoma State Department of Health

19

80

-84

19

81

-85

19

82

-86

19

83

-87

19

84

-88

19

85

-89

19

86

-90

19

87

-91

19

88

-92

19

89

-93

19

90

-94

19

91

-95

19

92

-96

19

93

-97

19

94

-98

19

95

-99

19

96

-20

00

19

97

-20

01

19

98

-20

02

19

99

-20

03

20

00

-04

20

01

-05

20

02

-06

0

5

10

15

20

25

30Number of infant deaths per 1,000 live births

Oklahoma Bryan Co. Carter Co.

Coal Co. Love Co. Pontotoc Co.

Oklahoma 11.2 10.9 10.6 10.1 9.8 9.3 9 8.9 8.7 8.7 8.7 8.6 8.4 8.2 8.2 8.2 8.3 8 8.1 8 7.9 7.8 8

Bryan Co. 10.4 9.9 9.7 10 9.6 11.1 9.6 8.3 6.9 5.6 4.6 5.1 5.5 7.8 7.6 7 6.3 7 5.3 4.8 7.2 9.5 8.6

Carter Co. 12.9 12.3 12 10.1 8.7 7.9 7.3 5.2 6.5 6.2 7.8 7.9 8.3 6.7 6.9 5.1 4.6 5.6 5.2 4.6 5.2 6.4 6.2

Coal Co. 23 23.8 23.4 27.2 20.2 10.8 7.5 12.8 7.6 9.8 14.4 15.3 10.1 10.1 9.9 5 7.4 7.7 17.3 15.8 21.2 22.3 26.8

Love Co. 12.9 11 9.1 15.8 15.9 11.9 14.8 12.5 5.4 5.4 7.2 3.9 4 4 5.9 5.9 5.7 9.5 9.3 7.6 5.6 5.5 5.2

Pontotoc Co. 10.6 10.2 8.2 8.8 8.6 7.1 6.4 7 5.7 4.9 7 8 8.8 9.5 9.3 9 9.5 8.6 8.2 9.4 8.5 7.7 8.3

“Healthy People 2010” goal = 5

per 1,000

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Average Daily Membership and Percentage of Children Enrolled in Special Education, by School District

Bryan County County, School Year 2008-09

Source: Oklahoma State Department of Education, Education Oversight Board, Office of Accountability, Profiles 2009 Reports.

Silo Rock Creek Achille Colbert Caddo Bennington Calera Durant0

500

1,000

1,500

2,000

2,500

3,000

3,500ADM

0%

5%

10%

15%

20%

25%

30%

35%Percent in Special Education

ADM % Spec. Ed.

ADM 688 516 403 863 441 259 611 3,294

% Spec. Ed. 23.4% 17.8% 17.4% 17.4% 21.3% 27.8% 18% 14.7%

Bryan County total ADM = 7,075; percentage in special education = 17.4%

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DHS Licensed Child Care Services Provided to Children Under Age 5, by Age

Bryan County, October 2001 - October, 2009

Source: Oklahoma Department of Human Services, Monthly Statistical Bulletins.

October2001

October2002

October2003

October2004

October2005

October2006

October2007

October2008

October2009

0

10

20

30

40

50

60

70

80

Age <1 19 41 35 38 44 32 32 30 35

Age 1 44 53 40 63 67 68 54 44 47

Age 2 44 62 60 60 50 56 59 37 51

Age 3 48 56 45 58 47 51 41 36 38

Age 4 39 62 26 35 33 32 29 28 28

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DHS Child Care Licensed Facilities and Capacity, by TypeBryan County, February 2010

Source: Oklahoma Department of Human Services, Monthly Statistical Bulletin.

37

22

27

16

10

6

1,364

987

1,266

920

98

67

Total

DHS Contract Total

Total Centers

DHS Contract Centers

Total Homes

DHS Contract Homes

01020304050

Facilities

0 500 1,000 1,500

Capacity


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rsEarly Childhood (Pre-K) Enrollment, by School District

Bryan County, Comparison of October 2003 and October 2009

Source: Oklahoma State Department of Education, Accreditation and Data Processing/Research Services.

00

00

40

0

00

00

0

00

23

53

048

199

1920

1933

3938

2020

0

0

4

10

0

0

1

0

32

133

48

260

20

33

38

20

Achille - 20032009

Colbert - 20032009

Silo - 20032009

Durant - 20032009

Bennington - 20032009

Caddo - 20032009

Calera - 20032009

Rock Creek - 20032009

0100200300 0 100 200 300

4 year old half day 4 year old full day

3 year old half day 3 year old full day

Child Deaths Due to AbuseOklahoma, Fiscal Years 1978 - 2008

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

40

32

3941

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

2005

2006

2007

2008

0

10

20

30

40

50

60

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IL

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ND

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OR

S

CHILD ABUSE & NEGLECT Bryan County

In Bryan County in FY 2009, there were 518 reports of child abuse and/or neglect accepted for investigation or assessment. 1,010 children were involved in these reports (duplicated count).

161 children were confirmed victims of child abuse and/or neglect. 21 were abused, 128 were neglected, 12 were victims of both abuse and neglect.

17 of every 1,000 children in Bryan County are victims of abuse and/or neglect.


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Carter County In Carter County in FY

2009, there were 477 reports of child abuse and/or neglect accepted for investigation or assessment. 825 children were involved in these reports (duplicated count).

106 children were confirmed victims of child abuse and/or neglect. 9 were abused, 86 were neglected, 11 were victims of both abuse and neglect.

9 of every 1,000 children in Carter County are victims of abuse and/or neglect.


Age of Children of Confirmed Abuse and NeglectOklahoma, FY 2009

Source: Oklahoma Dept. of Human Services, Children & Family Services Division.

Under 11,492 (17.3%)

1-21,480 (17.2%)

3-62,351 (27.3%)

7-111,883 (21.9%)

12 & older1,399 (16.3%)

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Elementary School Students Eligible for Free and Reduced Lunch Program

By School District, Bryan County, 2009-2010 School Year

Source: Oklahoma State Dept. of Education, Low Income Report for 2009-2010.

62%

83.3%

77.5%

72.4%

71.8%

62.2%

62.2%

56%

56.2%

11.1%

7.5%

9.3%

8.8%

7.4%

13.9%

11.3%

12.5%

9.9%

Bryan County Total

Bennington

Caddo

Achille

Rock Creek

Silo

Calera

Durant

Colbert

0% 20% 40% 60% 80% 100%

Percent of Students Eligible

Free

ReducedFree lunch eligibility requirement: annual household income below 130% of poverty, which currently is $23,803 for a family of three.

Reduced lunch eligibility requirement: annual household income below 185% of poverty, which currently is $33,874 for a family of three.

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Juvenile Arrests, by Type of CrimeBryan County, 2001 through 2008

Source: Oklahoma State Bureau of Investigation, Uniform Crime Reports.

Index crimes Drug related Alcohol related Other crimes0

20

40

60

80

100

120

140

160Number of arrests

2001 2002 2003 2004 2005 2006 2007 2008

A total of 160 juvenile arrests were made in Bryan County in 2008, for a rate of 37.2 per 1,000 juveniles age 10-17, down from 240 arrests for a

rate of 57.5 in 2001.

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.

Includes other assaults, disorderly conduct, curfew & loitering, runaway and all other non-traffic offenses

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

47.8%

22%

9.9%

22.2%

26.5%

17.5%

30.6%

40.5%

18.7%

7.1%

18.4%

28.6%

12.3%

25.8%

43.1%

15.9%

5.5%

19.1%

23.2%

13.3%

26.8%

39%

17.2%

4.8%

16.8%

22.6%

11%

23.1%

44.7%

19.7%

4.4%

22.3%

20%

10.5%

29.1%

Alcohol

Marijuana

Methamphetamine

Offered/sold/givenillegal drugs at school

Smoked cigarettesduring past month

Drove after drinkingalcohol in past month

Rode with drinkingdriver in past month

0% 20%40%60%80%100%

2003 Oklahoma

2005 Oklahoma

2007 Oklahoma

2009 Oklahoma

2007 US

Youth Risk Behavior Survey:Summary of Alcohol, Other Drug & Tobacco Use

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Used once or more during past 30 days...

Ever used...

Note: National 2009 YRBSS data have not yet been released.

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Source: Centers for Disease Control, Youth Risk Behavior Surveillance System; Oklahoma State Department of Health, OK2SHARE.

50%

5.8%

64.3%

17.7%

7%

14.2%

49.3%

6.5%

61.7%

16.4%

7.9%

15.9%

38.2%

50.9%

5.8%

59.6%

16.7%

5.9%

15.2%

49.6%

51.1%

4.7%

56.7%

22.7%

7%

16.4%

47.4%

47.8%

7.1%

61.5%

16%

6.9%

15.8%

34.7%

Ever hadsexual intercourse

Had sex before age 13

Used condom last time

Used birth controlpills last time

Attempted suicidein past year

Overweight(according to BMI)

Physical activity for60 min/day 5 of past 7 days

0% 20% 40% 60% 80% 100%

2003 Oklahoma

2005 Oklahoma

2007 Oklahoma

2009 Oklahoma

2007 US

Youth Risk Behavior Survey:Summary of Sexual Behaviors, Suicide & Physical Health

High School Students, Oklahoma, 2003 through 2009, and U.S., 2007

Note: National 2009 YRBSS data have not yet been released.

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Health StatusOklahoma and United States, 1996 - 2009

Source: United Health Foundation, “America’s Health Rankings.“

'96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

Pe

rce

nt a

du

lt s r

ep

ort

ing

f air

or

po

or

he

alt h

0

10

20

30

40

50

Sta

te ra

nk

Oklahoma Rank US

Oklahoma 13.1% 14% 13.4% 12.6% 17.4% 15.3% 19.6% 17.7% 17.8% 19.7% 18.7% 20.2% 19.2% 18.7%

Rank 26 32 28 25 42 34 45 41 41 44 42 46 43 42

US 12.9% 12.9% 12.8% 12.6% 13% 13.9% 14% 14.7% 14.7% 14.9% 14.8% 14.7% 14.9% 14.4%

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Prevalence of ObesityOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

5%

10%

15%

20%

25%

30%

35%

Pe

rce

nt o

f po

pu

l ati o

n e

stim

at e

d t o

be

ob

ese

0

10

20

30

40

50

Sta

te ra

nk

Oklahoma Rank US

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Prevalence of SmokingOklahoma and United States, 1990 - 2009


'90 '91 '92 '93 '94 '95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '090%

10%

20%

30%

40%

50%

60%

Pe

rce

nt o

f po

pu

l ati o

n o

ver

18

t ha

t sm

oke

re

gu

lar l

y

0

10

20

30

40

50

60

Sta

te ra

nk

Oklahoma Rank US

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Health Insurance Status, by AgeOklahoma, 2007-2008

Source: Kaiser Family Foundation.

1,714,100 (48.5%)

156,600 (4.4%)

505,000 (14.3%)

590,500 (16.7%)

564,700 (16.0%)

456,300 (47.0%)

38,900 (4.0%)

337,000 (34.7%)

38,600 (4.0%)101,000 (10.4%)

1,255,500 (60.6%)

114,800 (5.5%)

146,300 (7.1%)

96,800 (4.7%)

457,500 (22.1%)

2,300 (0.5%)2,900 (0.6%)21,700 (4.4%)

455,100 (93.2%)

6,200 (1.3%)

Employer Individual Medicaid Medicare/Other Public Uninsured

Total Population Under Age 19

Age 19-64 Age 65 & over

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Oklahoma's Rankings in Health Determinants, 2010 (part 1)According to United Health Foundation's State Health Rankings


#48

#10

#46

#23

#40

#44

#28

#31

#24

Personal Behaviors

Prevalence of smoking

Prevalence of Binge Drinking

Prevalence of obesity

Community & Environment

High school graduation

Violent crime

Occupational fatalities

Infectious disease

Children in poverty

Air pollution

#0 #10 #20 #30 #40 #50

1990 2010

Ranking: 1=best, 50=worst

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Oklahoma's Rankings in Health Determinants, 2010 (part 2)According to United Health Foundation's State Health Rankings


#35

#14

#18

#47

#49

#46

#45

Public & Health Policies

Lack of health insurance

Public health funding (per capita)

Immunization coverage

Clinical Care

Early prenatal care

Primary Care Physicians

Preventable Hospitalizations

All Determinants

#0 #10 #20 #30 #40 #50

1990 2010


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Oklahoma's Rankings in Health Outcomes, 2010According to United Health Foundation's State Health Rankings


#48

#46

#21

#44

#48

#40

#46

#46

Poor mental health days

Poor physical health days

Geographic disparity

Infant mortality

Cardiovascular deaths

Cancer deaths

Premature death

All Health Outcomes

#0 #10 #20 #30 #40 #50

1990 2010


Oklahoma’s overall health ranking for 2010 is # 46

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ADVERSE CHILDHOOD EXPERIENCESCOUNTY RANKINGS

Rankings: 1 = best, 77 = worst*Indicates a tie with at least one other county

Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy

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Bryan

Carter

Coal

Love

Pontotoc

Parental separation or divorce 71 25 74 48 38

Incarcerated household member 70 74 37 27 58

Mentally ill household member 43* 43* 43* 43* 43*

Substance abusing household member

11* 11* 11* 11* 11*

Violence against mother

51 1 72 5 31

Psychological, physical & sexual abuse

62 54 77 52 42

Emotional & physical neglect 66 63 77 49 56

Overall ranking 72 59 77 47 55

…IN SUMMARY

BEST PRACTICES STRATEGIES

Outcome performance measures Community coalitions

Collaborative, public-private partnerships Consumer/client investments

Successful outreach and recruitment Case management/Care coordination Strong social marketing Risk reduction education Access to services and care

Child care Transportation Translation

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Best Practices

Source: Institute of Medicine, Reducing Risk for Mental Disorders, 1994.

Continuum of Intervention

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Best PracticesStrategic 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 competenceS

um

mary


Best PracticesRisk 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

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WHO ARE THE CHILDREN?

Prepared by the Community Service Council of Greater TulsaJuly 2011

…is available on our website:www.csctulsa.org

Documents

Choctaw Nation Head Start Prepared by the Community Service Council July 2011