United Way of Butler County Butler Collaborative for Families Butler Memorial Hospital

1. United Way of Butler CountyButler Collaborative for Families Butler Memorial Hospital August 2006 Community Solutions Assessment Project

2. Community Solutions Assessment Process

3. Process • In December 2005, The United Way of Butler County, Butler Collaborative for Families, and Butler Memorial Hospital along with Tripp Umbach kicked off the Butler County Community Solutions Assessment process. • Community Leader Interviews were conducted with 40 active leaders in Butler County to obtain their input on the community survey, the asset inventory survey, identifying potential focus groups, and obtaining secondary data. • The outcome of the interviews along with input and discussions with other community players produced the community household survey and the focus group audiences

4. Process • Two focus groups were conducted (to date). The senior focus group was held on 7/19/06 and the adolescent focus group was held on 8/2/06. The northern low income residents focus group will be held in September. • Asset Inventory surveys were mailed to businesses, faith-based organizations, labor groups, and educational institutions. • Secondary data was collected by Tripp Umbach to provide a profile of Butler County including data from the BRFSS, CDC, HRSA, etc.

5. Process • The community planning retreat allows the Collaborative to identify specific plans for program implementation in key areas of priority. These prioritized areas will ultimately effect Butler County and its citizens. • Third focus group with low-income working adults to be conducted in early September 2006. • A September 2006 final community presentation will be conducted to encourage participation and community involvement in the implementation process.

6. Key Findings Community Leader Interviews

7. Community Leader’s Interview Summary • A community that works together to resolve issues and problems. It encourages cohesion and is actively involved with its citizens to address its future needs. • Due to the geographic locations of certain towns in Butler County (pockets of the county) some social and health services are unobtainable, thus the perception is that these towns are unhealthy. However, Butler county overall is perceived to be healthy. Strong services, programs, and positive economic development boosts the county’s image. • The future vision of Butler county entails more economic development in other less populated areas of the county. Maintaining the county’s youth and professionals by providing additional job opportunities and job security to those who otherwise would seek it in other locations. A stronger sense of community.

8. Community Leader’s Interview Summary Top 3 Pressing Problems/Issues facing residents of Butler County • 1. Transportation • Insufficient services, routes/lines • Limited county funding • Poor infrastructure because county is so large & rural in some areas • 2. Drugs/Alcohol • Need more services to address and combat drug/alcohol usage countywide • Universal issue that affects everyone of all backgrounds • Drug/alcohol usage is also linked to crime • 3. Health Insurance/Healthcare (Uninsured/Underinsured) • Need affordable and obtainable healthcare for everyone • Addressing the lack of accessible healthcare

9. Household Survey

10. Overview • Collaborative survey design process between Community Solutions Board members and Tripp Umbach • 6,000 surveys were mailed to residents throughout Butler County • In total, 862 surveys were collected through the mail • 136 surveys were collected through hand distribution • Data was compared to the 2004 Butler Hospital needs assessment (where applicable) • 14% response rate was achieved (via mail surveys)

11. Topics • Mental Health • Physician Specialist • Preventive Health • Primary Health Care • Safety Issues • Social Services • Tobacco Use • Transportation • Abuse • Access to Care • Alcohol & Drug Use • Cancer Services • Children Issues • Diet & Exercise • Disability • Health Status

12. Primary Health Care &Preventive Health Care

13. Health Status: Overall General Health

14. Primary Health Care Reasons why Respondents do not have a Health Care Provider • 97% of mailed respondents have a health care provider where they go to most often for health care (95.7% for 2004 and 95.5% for hand distributed)

15. Health Clinic Use *Yes, responses reported only

16. Health Status - Adults Respondents who have a Medical Condition *Yes, respondents reported only

17. Health Status - Adults Family History *Yes, respondents reported only

18. Preventive Health Care Length of Time Respondents were Tested for Colon/Rectal Cancer *Filtered for respondents ages 49+

19. Preventive Health Care Length of time Respondents had their Cholesterol Checked

20. Preventive Health Care Length of time Respondents had their Blood Pressure Checked

21. Preventive Health Care: Women Women who Examine their Breasts each Month for Lumps *filtered for women only

22. Preventive Health Care: Women Length of time Female Respondents had a Mammogram *filtered for women ages 39 and older

23. Preventive Health Care: Women Length of time Female Respondents had a Pap Smear *filtered for women only

24. Preventive Health Care: Men Male Respondents who Examine their Testicles every Month for Lumps *filtered for men only

25. Preventive Health Care: Men Length of time Male Respondents had been Checked for Prostate Cancer *filtered for men 40 +

26. Insurance

27. Health Insurance • 21.8% of respondents know where to send someone to get medical help for themselves or their child if they do not have health insurance (44% for hand distribution)

28. Health Insurance Reasons Why Respondents Do Not Have Health Insurance * Multiple response

29. Dental Insurance Reasons why Respondents DoNot have Dental Insurance • 56.9% have dental insurance (67.4% for hand distributed) *multiple response

30. Eye/Vision Insurance Reasons why Respondents DoNot have Eye/Vision Insurance • 60.7% have eye/vision insurance (67.9% for hand distributed) *multiple response

31. Employment

32. Employment

33. Employment Reasons why Respondents had been Unemployed for more than 6 months in the last 5 yrs. *multiple response

34. Safety

35. Safety Issues Rating the Safety of their Neighborhood/Community

36. Abuse & Violence

37. 2.6% indicated that they or someone in their household was abused by someone else in the home (4.7% for the 2004 assessment and 8.3% for Hand Distributed) • 0.4% indicated that in the past 2 years, they or someone in their household was forced to take part in sexual activities against their will (2.3% for Hand Distribution) • Of those who responded, 66.6% reported that it was someone they knew (66.7% for Hand Distribution) • 33.3% indicated that it was someone living in the household (33.3% for Hand Distribution) Domestic Violence • 2.9% of respondents reported that in the past 2 years, either they or someone in their household was pushed, slapped, hit, punched, shaken, kicked, choked etc. (7.5% for Hand Distributed) • Of those who responded, 47.8% indicated that it was someone they knew (33.3% for Hand Distributed) • 30.4% indicated that it was a stranger (11.1% for Hand Distributed) • 21.7% reported that it was someone in the household (55.6% for Hand Distributed)

38. 6.6% reported in the past year that they have you been afraid for the safety of themselves due to the anger or threats of someone (13.3% for Hand Distribution) • 9.4% of respondents believe that there are children in their neighborhood who are in unsafe situations (20.1% for Hand Distribution) • Of those who responded, 60.8% reported that it was someone they knew (55.6% for Hand Distribution) • 31.4% reported that it was a stranger (16.7% for Hand Distribution) • 7.8% reported that it was someone in the household (27.8% for Hand Distribution) • Of those who responded, 72.4% reported they were concerned due to lack of supervision (61.5% for Hand Distribution) • 15.8% cited “other” reasons (23.1% for Hand Distribution) • 7.9% reported drug/alcohol use (15.4% for Hand Distribution) Abuse and Violence • 56.8% reported knowing where to send someone for help if they were being hurt (70.5% for Hand Distribution) • 9.1% reported being or knowing someone in the household being affected by drug abuse (14.2% for Hand Distribution)

39. Drug Abuse Types of Drugs that were Abused *multiple responses

40. Drug Abuse Consequences of having been Affected by Drug Abuse *Multiple response

41. Drugs & Alcohol Use

42. Children Issues

43. Children Issues Number of children under the age of 18 living in the household • 10.7% are single parents (mailed surveys) • 19.8% are single parents (hand distributed)

44. Children Issues Insurance Coverage for Children

45. Children Issues How Child’s Health Insurance is Paid for… * * *multiple response ** Two choices for this question were not reported in 2006 because they were asked only in 2004

46. Children Issues

47. Children Issues Rating how well the School Supports Children with Special Needs

48. Children Issues • 14.1% of respondents reported that their child had problems in school in the past year. (25.9% for hand distributed) *multiple response

49. Children Issues Do you think you have a Need for Parent Education Seminars Regarding… *multiple response

50. Children Issues