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TRENDS in The Human Condition on Cape Cod (2005–to-2007). Presented By: Warren Smith, Data Analyst Steve Brown, Community Coordinator Barnstable County Dept. of Human Services June 26, 2008. Outline. 1. Research Questions (a review) 2. Top Household Problems/Challenges (a review) - PowerPoint PPT Presentation
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1
TRENDSin
The Human Condition on Cape Cod
(2005–to-2007)Presented By:
Warren Smith, Data AnalystSteve Brown, Community Coordinator
Barnstable County Dept. of Human Services
June 26, 2008
2
Outline1. Research Questions (a review)
2. Top Household Problems/Challenges (a review)
3. Top Barriers to Service Access (a review)
4. The “Most Needy” Defined (a review)– Most Needy’s Top Household Problems & Service Barriers (a review)
5. Trends Among Most Needy Households: (new!)
– Changes in Reports of Problems & Barriers (prevalence)• Positive Changes• Negative Changes
– Changes in Seriousness of Problems & Barriers• Positive Changes• Negative Changes
3
Research Questions
1. What Are The Human Needs?2. How Serious Are The Human Needs?3. Who Are The Needy?
4
Survey History (a review)
• 1995: Original The Human Condition
• 2001: The Human Condition – 2001• Cape Cod Community Survey: (4-Years)
– 2004: Monitoring The Human Condition– 2005: Monitoring The Human Condition– 2006: Monitoring The Human Condition– 2007: Monitoring The Human Condition
5
Household Problems: Overall
Figure 5.3.1 Top Household Issues
11%
12%
13%
14%
18%
22%
23%
23%
25%
26%
30%
33%
0% 5% 10% 15% 20% 25% 30% 35%
Experiencing an Alcohol and/or Drug Problem
Seriously Overweight Person(s) in Household
Inadequate Opportunities To Learn New Skills or For Work Advancement
Not Able To Afford Nutritious Food
Not Being Able To Afford Legal Help
Not Always Having Enough Money For Food
Not Enough Money To Pay For Housing
Paying For or Getting Dental Insurance
Inadequate Money To Pay Doctor, Dentist, or Buy Prescriptions
Unable To Afford Recreational Activities
A Lot of Depression in Household
A Lot of Anxiety or Stress in Household
Percent of Households Reporting Issue as Minor-to-Major Problem
6
Service Barriers: Overall Figure 5.3.2 Top Barriers To Service Access
28%
29%
30%
31%
32%
36%
43%
46%
48%
49%
20% 25% 30% 35% 40% 45% 50%
Insurance Not Accepted For Services
Hours of Services Were NotConvenient
Lack of Information On Where To GoFor Services
Lack of Transportation
Unable To Take Time Away FromWork To Go To Services
Services Located Too Far Away
Paying Insurance Deductible/Co-Payment
Cost of Taking Time Away FromWork
Service(s) Not Accepting NewPatients/Clients
Could Not Afford Fees or Costs ForServices
Percent of Households Viewing Service Access Barrier as Moderately-to-Extremely Serious*(* Percent of Those Households Where Any Help Was Sought)
7
Cape Cod’s “Most Needy”
Includes:
19% of Households26% of Adults (18+)
30% of Young People (0-17)
8
Who Are “Most Needy”
• Compared to Overall Cape Cod Sample:– Problems and Service Barriers:
• 2.5x to 3x Times More Households Report Problems/Barriers
also,• 2.5x to 3x Times More Seriousness Reported
• Thumbnail Sketch:– Very low income, mostly “working poor,” young
families, renters, single parents, minorities, in poorer health, receive financial assistance, live in Hyannis, Yarmouth, Harwich, or Falmouth.
9
Household Problems of The “Most Needy” (a review)
Figure 5.3.3 Top Household Issues- Most Needy Households -
26%
45%
47%
56%
62%
65%
74%
75%
76%
81%
83%
86%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Adult Substance Abuse (alcohol, drugs, etc.)
Paying for a Mental Health Counselor
Inadequate Opportunities To Learn New Skills or For Work Advancement
Not Able To Afford Nutritious Food
Paying For or Getting Dental Insurance
Not Being Able To Afford Legal Help
Inadequate Money To Pay Doctor, Dentist, or Buy Prescriptions
A Lot of Depression in Household
Not Always Having Enough Money For Food
Not Enough Money To Pay For Housing
A Lot of Anxiety or Stress in Household
Unable To Afford Recreational Activities
Percent of Most Needy Households Reporting Issue as Minor-to-Major Problem
10
Service Barriers of The “Most Needy” (a review)
Figure 5.3.4 Top Barriers To Service Access - Most Needy Households -
38%
41%
45%
45%
46%
49%
53%
57%
59%
75%
20% 30% 40% 50% 60% 70% 80%
Hours of Services Were Not Convenient
Lacked Information on AvailableServices
Lack of Information On Where To GoFor Services
Lack of Transportation
Unable To Take Time Away From WorkTo Go To Services
Services Located Too Far Away
Service(s) Not Accepting NewPatients/Clients
Paying Insurance Deductible/Co-Payment
Cost of Taking Time Away From Work
Could Not Afford Fees or Costs ForServices
Percent of Most Needy Households Viewing Service Access Barrier asModerately-to-Extremely Serious*
(* Percent of Those Most Needy Households Where Any Help Was Sought)
11
TRENDS (New!)
Over Period 2005-to-2007(Latest 3 Years of MTHC Surveys)
What’s Changed? What’s Changing?
12
“Statistically Significant” Changes
• What Does This Mean?Statistically Significance (p-value)
“One could say that the statistical significance of a result tells us something about the degree to which the result is “true” … For example. A p-value of .05 . . . indicates that there is a 5% probability that [a trend] ….. is a “fluke.” StatSoft. Inc. 1984-2003, Elementary Concepts in Statistics, http://www.scansoft.com/textbook/
There are no absolutes in statistics! (Warren Smith)
We contract significance testing out to an expert;
Dr. Sonia Sheffield, Ph.D. Professional, with over 20 years of public and private sector experience in statistical analysis. Worked with us since 1994.
13
Household Problem TrendsSpecial Figure 5.3.3 Top Household Issues
- Most Needy Households -
26%
45%
47%
56%
62%
65%
74%
75%
76%
81%
83%
86%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Adult Substance Abuse (alcohol, drugs, etc.)
Paying for a Mental Health Counselor
Inadequate Opportunities To Learn New Skills or For Work Advancement
Not Able To Afford Nutritious Food
Paying For or Getting Dental Insurance
Not Being Able To Afford Legal Help
Inadequate Money To Pay Doctor, Dentist, or Buy Prescriptions
A Lot of Depression in Household
Not Always Having Enough Money For Food
Not Enough Money To Pay For Housing
A Lot of Anxiety or Stress in Household
Unable To Afford Recreational Activities
Percent of Most Needy Households Reporting Issue as Minor-to-Major Problem
Red = Stat. Sig. INCREASEGray = No Stat. Sig. ChangeGreen (dots) = Stat. Sig. DECREASE
14
Service Barrier TrendsSpecial Figure 5.3.4 Top Barriers To Service Access
- Most Needy Households -
38%
41%
45%
45%
46%
49%
53%
57%
59%
75%
20% 30% 40% 50% 60% 70% 80%
Hours of Services Were NotConvenient
Lacked Information on AvailableServices
Lack of Information On Where To GoFor Services
Lack of Transportation
Unable To Take Time Away FromWork To Go To Services
Services Located Too Far Away
Service(s) Not Accepting NewPatients/Clients
Paying Insurance Deductible/Co-Payment
Cost of Taking Time Away FromWork
Could Not Afford Fees or Costs ForServices
Percent of Most Needy Households Viewing Service Access Barrier asModerately-to-Extremely Serious*
(* Percent of Those Most Needy Households Where Any Help Was Sought)
Red = Stat. Sig. INCREASEGray = No Stat. Sig. ChangeGreen (dots) = Stat. Sig. DECREASE
15
Among The Most Needy
Prevalence(i.e., Changes in Proportion of Households Reporting Problem or Barrier to Service)
How Widespread is the Problem or Barrier?
16
Significant Prevalence Changes
• “Not Enough Money to Pay For Housing”
. +45% since 2005
• “Not Always Having Enough Money for Food”
. +40% since 2005
• “Not Being Able to Afford Recreational Activities”
. +12% since 2005
17
Significant Prevalence Changes
“A Lot of Anxiety or Stress in Household”
. +3% since 2005
. +31% since 2006 (↑↑) - recently
18
Significant Prevalence Changes
• “Not Able to Afford Nutritious Food”
. +46% since 2005
• “Inadequate Opportunities to Learn New Skills or
For Work Advancement”
. +28% since 2005
19
Significant Prevalence Changes• “Not Able to Find or Afford After-School Child Care”
. +85% since 2005
• “Not Able to Find or Afford Child Day Care”. +67% since 2005
• “Immigration Status or Visa Dispute”. +54% since 2005
. - 53% since 2006 (↓↓) - recently
20
Significant Prevalence Changes
• “Not Able to Find Appropriate Senior (65+) Housing”. +33% since 2005
. - 47% since 2006 (↓↓) - recently
• “Seriously Overweight Person(s) in Household”. +7% UP slightly since 2005 . – 30% DOWN since 2006 (↓↓) - recently
21
Significant Prevalence Changes
• “Could Not Afford Fees or Costs for Service” (as Service Barrier)
. +23% since 2005
22
GOOD NEWS!!! Prevalence Decreased
• “Insurance Not Accepted for Services” (as Service Barrier)
. - 18% since 2005
. - 25% since 2006 (↓↓) - recently
23
Among The Most Needy
Seriousness(i.e., Changes in Seriousness Reported)
How Serious is the Problem or Barrier?
24
Significant Seriousness Changes
• “Not Always Having Enough Money for Food”
. +50% since 2005
• “Not Enough Money To Pay For Housing”
. +47% since 2005
• “Not Able to Afford Legal Help”
. +39% since 2005
25
Significant Seriousness Changes
• “Not Being Able to Afford Recreational Activities”
. +37% since 2005
• “A Lot of Anxiety or Stress in Household”
. +2% since 2005
. +33% since 2006 (↑↑) - recently
26
Significant Seriousness Changes
• “Not Able to Afford Nutritious Food” . +62% since 2005
• “Inadequate Opportunities to Learn New Skills or For Work Advancement”
. +45% since 2005
• “Paying For a Mental Health Counselor” . +30% since 2005
27
Significant Seriousness Changes
• “Not Able to Find or Afford After-School Child Care”. +86% since 2005
• “Immigration Status or Visa Issues”. +81% since 2005
. - 50% since 2006 (↓↓) - recently
• “Not Able to Find or Afford Child Day Care”. +80% since 2005
28
Significant Seriousness Changes
• “Not Able to Find Appropriate Senior (65+) Housing” . +44% since 2005 . - 55% since 2006 (↓↓) - recently
29
Significant Seriousness Changes
• “Lack of Transportation” (as Service Barrier)
. +56% since 2005
• “Services Not in Appropriate Place or Part of Town” (as Service Barrier)
. +34% since 2005
• “Could Not Afford Fees or Costs for Service” (as Service Barrier)
. +25% since 2005
30
Significant Seriousness Changes
• “Lack of Information on Where to Go For Services” (as Service Barrier)
. +24% since 2005
• “Cost of Taking Time Away From Work”. +19% since 2005 (as Service Barrier)
• “Services Not Accepting New Patients/Clients” (as Service Barrier)
. +17% since 2005
31
Good News! Seriousness Decreased
• “Seriously Overweight Person(s) in Household”
. - 30% DOWN since 2006 (↓↓) - recently
• “Hours of Services Are Not Convenient”
. - 17% since 2006 (as Service Barrier) (↓↓) recently
32
SUMMARYIncreased: Since 2005
Prevalence Seriousness
“Not Being Able to Find or Afford After-School Child Care” + 85% +86%
“Immigration Status or Visa Dispute” +54% +81%
“Not Being Able to Find or Afford Child Day Care” + 67% +80%
“Not Able To Afford Nutritious Food” + 46% +62%
33
SUMMARYIncreased: Since 2005 Prevalence Seriousness
“Lack of Transportation” (Service Barrier) - + 56%
“Not Always Having Enough Money for Food” + 40% +50%
“Not Having Enough Money to Pay for Housing” + 45% +47%
34
SUMMARYIncreased: Since 2005
Prevalence Seriousness
“Inadequate Opportunities to Learn New
Skills or for Advancement at Work” + 28% + 45%
“Not Able to Find Appropriate
Senior (65+) Housing” +33% +44%
“Not Being Able to Afford Legal Help” - + 39%
“Paying For a Mental Health Counselor” - + 30%
35
SUMMARYIncreased: Since 2005
Prevalence Seriousness“Not Able to Afford Recreational Activities” + 12% + 37%
“Seriously Overweight Person(s) in Household” + 7% - “Having a Lot of Anxiety or Stress in Household” + 3% + 2%
36
SUMMARYIncreased in BOTH Years: Since
2005 and Since 2006
Prevalence Seriousness
“Having a Lot of Anxiety or Stress in
the Household” + 3% + 2% (since 2005)
+31% +33% (since 2006)
37
SUMMARYDecreased: Prevalence Seriousness
“Not Able to Find Appropriate Senior (65+) Housing“ - 47% - 55% (since 2006)
“Immigration Status or Visa Dispute” - 53% - 50% (since 2006)
“Seriously Overweight Person(s) the Household” - 30% -30% (since 2006)
“Insurance Not Accepted For Services” - 25% - (since 2006)
- 18% - (since 2005) “Hours of Service Were Not Convenient” - - 17% (since 2006)
38
Q & AWhat Surprised You?
What Themes Do You See?
What Patterns Emerge?
39
Problems & Service BarriersThat Have NOT Changed Significantly
in PREVALENCEOver The Past 3 Years
(2005-2007)
40
Among The Most Needy
Prevalence(i.e., Changes in Proportion of Households Reporting Problem or Barrier to Service)
How Widespread is the Problem or Barrier?
41
NOT Significant Prevalence Changes
“Discrimination (due to HIV, AIDS, TB, etc.)”
“Lack of Handicap Access” (as Service Barrier)
“Discrimination (due to Race, Age, Sexual Identity/Orientation etc.)”
“Discrimination Toward Mentally Ill Persons”
“Feelings of Discrimination” (as Service Barrier)
42
NOT Significant Prevalence Changes
“Lack of Transportation” (as Service Barrier)
“Lack of Information on Where to Go For Services” (as Service Barrier)
“Household Overcrowding”
“Hours of Services Are Not Convenient:” (as Service Barrier)
“Household Overcrowding”
43
NOT Significant Prevalence Changes
“Hours of Services Are Not Convenient” (as Service Barrier)
“Paying For a Mental Health Counselor”
“Cost of Taking Time Away From Work” (as Service Barrier)
“Inadequate Money to Pay Doctor/Dentist, or to Buy Prescriptions”
44
Problems & Service BarriersThat Have NOT Changed Significantly
in SERIOUSNESSOver The Past 3 Years
(2005-2007)
45
Among The Most Needy
Seriousness(i.e., Changes in Seriousness Reported)
How Serious is the Problem or Barrier?
46
NOT Significant Seriousness Changes
“Discrimination (due to HIV, AIDS, TB, etc.)”
“Discrimination (due to Race, Age, Language, Sexual Orientation/Identity, etc)”
“Lack of Handicap Access” (as Service Barrier)
“Experiencing Physical Conflict in Household”
“Feelings of Discrimination” (as Service Barrier)
“Household Overcrowding”
47
NOT Significant Seriousness Changes
“Paying Insurance Deductibles/Co-Payment” (as Service Barrier)
“Inadequate Money to Pay Doctor, Dentist, or to Buy Prescription Med’s”