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Monitoring The Human Condition Study - 2009

Monitoring The Human Condition Study - 2009. Presented By: Warren Smith, Data Analyst Barnstable County Dept. of Human Services June 25, 2009. ** TRENDS **. Background. Monitoring The Human Condition on Cape Cod Study: Health & Human Services Needs Assessment

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Monitoring The Human Condition Study - 2009

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  1. Monitoring The Human Condition Study - 2009 Presented By: Warren Smith, Data Analyst Barnstable County Dept. of Human Services June 25, 2009 ** TRENDS **

  2. Background • Monitoring The Human Condition on Cape Cod Study: • Health & Human Services Needs Assessment • Annual • Cape Cod Community Survey Findings • Five Years of Data (2004-2008) • Latest US Census Statistics • Findings Report in April • Findings Presented at May HHSAC Meeting • TRENDS Report in June

  3. Today’s Presentation • Demographic Trends • Affordability Trends: • Trade-Offs • Central Issues • Trends in Eleven Key Areas: • Statistically-significant changes

  4. Trends in Eleven Key Areas • Food/Nutrition • Housing • Leisure Time/Recreation • Medical/Dental • Mental Health • Overweight/Obesity • Childcare • Legal Assistance • Transportation • Discrimination • Work/Employment

  5. Key Demographic Trends ** Changes in the Population **

  6. Population Changes • Births • Public School Enrollment • Child Poverty • Median Income • Age Distributions • Median Age • Future Projections (Seniors/Elders)

  7. Notes:

  8. Trends in Human Needon Cape Cod

  9. Maslow's Hierarchy of Needs

  10. 2nd and 1st Levels of Need 2. Health and Well-Being 1. Air, Water, Food, Sleep, Clothing, Shelter

  11. AffordabilityKey to Overcoming Unmet Health and Human Services Needs

  12. Affordability Trends(2nd and 1st Level Items) • Healthcare Affordability: (2nd level) • Health and Well-Being • Basic Needs Affordability: (1st level) • Food • Clothing • Shelter

  13. Notes:

  14. (“The” Central Issue!)

  15. “The” Central Issue • “Paying insurance deductible/co-payment” • Strongly related to key affordability problems • Correlated with “Could not afford fees or costs for services” (combined with it?) • 58% of Most Needy households report this as a barrier to accessing needed services • Statistical analysis (correlation) confirms strong links to affordability of nutritious food, dental care, and leisure time/recreation.

  16. Trade-Offs ** Affordability **

  17. Historical Trade-Offs(Time Period: 2004-2007) • Historically Inter-Related Affordability Cluster: • “Not able to afford nutritious food” • “Not always having enough money for food” • “Not being able to afford recreational activities” • “Not having enough money to pay for housing” • “Paying for a mental health counselor” • “Paying for or getting dental [insurance] care” • “Could not afford fees or costs for services” • “Paying insurance deductible/co-payments”

  18. Today’s Trade-Offs(Latest 3-Years: 2006-2007-2008) • Current Affordability Cluster: • “Not able to afford nutritious food” • “Not being able to afford recreational activities” • “Paying for or getting dental [insurance] care” • “Could not afford fees or costs for services” • “Paying insurance deductible/co-payments”

  19. To Afford Food: Trading Off Telephone service Clothing store items (all) Rent or lease payments Car/truck insurance Transit services To Afford Nutritious Food: Trading Off Telephone service Out-of-home fun activities Clothing store items In-home fun activities Transit services Trade-Offs Shown By Survey Cost of Living Responses(Most Needy Households in 2008)

  20. To Afford Housing: Trading Off Telephone service Electric service Clothing store items (school cloths) To Afford Medical/Dental Care: Trading Off Telephone service Clothing store items (casual cloths) Trade-Offs (continued)

  21. To Afford Leisure Time and Recreation: Trading Off Nutritious foods Clothing store items (casual and dress cloths) To Afford Mental Health Care: Trading Off House or condo payments Trade-Offs (continued)

  22. Trends in Unmet NeedAmong OurMost Needy Households(2004 – 2007)

  23. Definitions • Prevalence: • How widespread is the problem/barrier? • Proportion of households reporting a problem • Seriousness: • How detrimental is the problem/barrier? • Degree of seriousness on a “scale” (moderate, very serious, so serious did not get needed help)

  24. Prevalence: “Not always having enough money for food” [+41%] “Not able to afford nutritious food” [+58%] Seriousness: “Not always having enough money for food” [+50%] “Not able to afford nutritious food” [+73%] Food/Nutrition(Changes 2004 – 2007)

  25. Prevalence: “Not having enough money to pay for housing” [+52%] Seriousness: “Not having enough money to pay for housing” [+66%] Overcrowding: “Not enough room in your house for all of the people who live there” [+43%] Housing(Changes 2004 – 2007)

  26. Prevalence: “Not being able to afford recreational activities” [+29%] Seriousness: “Not being able to afford recreational activities” [+40%] Leisure Time/Recreation(Changes 2004 – 2007)

  27. Prevalence: Do any of the house-hold insurances “provide for dental care?” [+39%] “Is any adult (age 18+) in Fair-to-Poor health” [+64%] Seriousness: “Paying for or getting dental (insurance) care” [-10%] “Not having enough money to pay the doctor, dentist, or to buy prescription medications” [+21%] Medical/Dental(Changes 2004 – 2007)

  28. Prevalence: “Paying for a mental health counselor” [+49%] Seriousness: “Paying for a mental health counselor” [+56%] “Having a lot of anxiety or stress in the household” [+19%] Mental Health(Changes 2004 – 2007)

  29. Prevalence: “Seriously overweight person(s) in house-hold” [+1,749%] Seriousness: “Seriously overweight person(s) in house-hold” [+3,600%] Overweight/Obesity(Changes 2004 – 2007)

  30. Prevalence: Average number of “children (age 17 or younger) living in your household?” [-22%] Seriousness: “Not being able to find or afford after-school child care” [+39%] Childcare(Changes 2004 – 2007)

  31. Prevalence: “Not being able to afford legal help” [+27%] Seriousness: “Not being able to afford legal help” [+37%] “Immigration or Visa dispute” [+37%] Legal Assistance(Changes 2004 – 2007)

  32. Prevalence: “Lack of transportation” [+76%] Seriousness: “Lack of transportation” [+79%] Transportation(Changes 2004 – 2007)

  33. Prevalence: “Feelings of discrimination” [+47%] Seriousness: “Feelings of discrimination” [+69%] “Discrimination (due to race, age, language, sexual identity/orientation, etc.)” [+142%] Discrimination(Changes 2004 – 2007)

  34. Prevalence: “All adults (age 18+) in your household are employed” [-31%] Seriousness: “Unable to take time away from work to go to services” [+17%] Work/Employment(Changes 2004 – 2007)

  35. Comment on 2008 Most Needy • Due to a much broader-based demographic profile of the 2008 Most Needy households: • Household incomes are higher than usual: • Fewer affordability issues • Education levels are higher • Fewer children and child-related issues: • Fewer problems getting after-school child care • Fewer housing issues and less overcrowding • Fewer employed household members: • Fewer work-related access issues • Fewer leisure time/recreation issues • Fewer job training/skills upgrade issues • More retiree households • More households have a working vehicle: • Fewer transportation issues • Fewer feelings of discrimination • Fewer system capacity complaints ("not accepting new clients”)

  36. Q & A • What surprised you? • What made you happy? • What made you sad? • What is most positive? • What is most negative? • What additional info do you need? • What should be next? . . . . . .

  37. Notes:

  38. The “Most Needy”

  39. 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

  40. Historically “Most Needy” Cape Cod Households (Four Well-Defined Population “Groups”)

  41. Group #5: ALL Retired THEN Group #4: NOT All Retired 80% Working, Middle-Class Families/Individuals—”Doing OK, in General” Group #3: Undefined Most Years 20% “Most Needy” Group #2 “Most Needy” Group #1

  42. What Happened? Where Were These New Arrivals Last Year?

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