Demographic Trends in Okmulgee County

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Demographic Trends in Okmulgee County

• Population growth in Okmulgee County has been
  slow.
• Greater cultural diversity particularly among the
  population under 25 years of age
• Living arrangements are changing significantly
  with more children in single headed households
  and other relative households
• Larger number of people over 65 years of age are
  living alone especially women
• Median family income varies by race
• Large population of mobile renters

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Human Development Key Points

• Middle class is disappearing
• Many households lack adequate income
• Stress of inadequate income and related
  conditions is widespread
• Starting life in Okmulgee County for many is
  risky business

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Human Development Key Pointscontinued

• Populations of aging and persons with
  disabilities are large and growing
• Health challenges are critical to individual and
  community well-being
• Poor human conditions impact crime and growing
  incarcerations
• Overall progress in human development is tied to
  educational success

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The Middle Class is Disappearing
Lower income groups greatly expand, middle
shrinks, highest income group increases
dramatically
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Many Households Lack Adequate Income
More and more households lack adequate income to
meet living needs
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Prepared by the Community Service Council of
Greater Tulsa
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Prepared by the Community Service Council of
Greater Tulsa
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Prepared by the Community Service Council of
Greater Tulsa
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Starting Life in Okmulgee County for Many is
Risky Business
Combination of many risk factors takes heavy
toll and early screening for risk level is
inadequate
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Adequate Early Screening Essential for All
Children to Assess Impact of Risk Factors

• Some evidence indicates only small portion of
  children receive needed screening
• Sufficient data do not exist to clearly indicate
  extent and nature of problem

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What is early intervention?

• Early intervention applies to children of school
  age or younger who are discovered to have or be
  at risk of developing a handicapping condition or
  other special need that may effect their
  development.

• Early intervention consists of the provision of
  services such children and their families need
  for the purpose of lessening the effects of the
  condition. Early intervention can be remedial or
  preventive in nature premeditating existing
  developmental problems or preventing their
  occurrence.

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Populations of Aging and Persons with
Disabilities are Large and Growing These
populations will significantly test the capacity
of resources needed to enable them to be most
self-sufficient
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Health Challenges are Critical to Individual and
Community Well-being

• Inadequate income, high risks of starting life
  and poor lifestyle choices contribute to major
  health concerns

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Oklahoma and Tulsa County faring poorly compared
to US in age-adjusted death ratesAge-Adjusted
Death Rates, 1980 to 2002
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Major Health Concern Poor Lifestyle Choices --
Obesity

• OBESITY
• Trend Americas weight gain epidemic 25 of
  Americans are obese more than doubled in 15
  years.
• Benchmark We must reverse this trend.
• Bad Consequences
• high healthcare costs.
• Increased heart disease, type II diabetes,
  osteoarthritis, hypertension, gallbladder
  disease, breast cancer, endometrial cancer and
  colon cancer.
• Bad OK and Tulsa Co heart disease rates are
  higher than the rest of the nation only one
  state ranks worse than OK.

OK
US
Lapolla, Health Policy Analysis of the Tulsa
Metropolitan Area, Center for Health Policy
Research and Development, OUCPH, 2005 NCHS, CDC
THD Tulsa County Health Profile NIH United
Health Foundation BRFSS, CDC St. Francis Health
System FY 2004 Community Needs Assessment.
THD Patel/Woodruff 9/05
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Major Health Concern Poor Lifestyle Choices --
Smoking

• Trend Percent of adult smokers (2003)
  22.7(Tulsa Co), 25.1(OK), 22.0(US), state
  rank36.
• Benchmark Smoking bans in public venues, smoking
  cessation programs, and increasing cigarette
  taxes curtailed adult smoking and youth take-up
  rate.
• Good OK youth smoking percent is below the
  national average 26.5(OK) and 27.5(US) adult
  smokers declining locally, statewide and
  nationally (2003).
• Bad Smoking is a major cause of premature death,
  cardiovascular and pulmonary system disease
  including heart attack, stroke and cancer.

NCHS, CDC THDTulsa County Health Profile NIH
BRFSS, CDC
THD Patel/Woodruff 9/05
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Poor health conditions leave safety net severely
challenged - Growing Uninsured Population
Suburban Counties of Tulsa MSA, 2003
NCHS, CDC THDTulsa County Health Profile NIH
BRFSS, CDC
THD Patel/Woodruff 9/05
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Poor health conditions create huge inefficient
demand on resources - Misuse of Hospitals and
Emergency Rooms

• Tulsas uninsured and Medicaid beneficiaries seek
  primary care in Tulsa hospital ERs. ER visits by
  Medicaid recipients actually exceeded uninsured
  visits by 25.
• Tulsa hospital ER patient survey found that 73
  were not true emergencies 30 treated for
  non-emergency conditions another 43 could have
  been treated in non-emergency facilities within
  48 hours.
• Using hospital ERs for non-emergency care is a
  costly and inefficient.
• Non-emergency ER use is a major contributor to
  overload and frequent divert status of Tulsa
  hospital ERs especially in the last 2 years.

Lapolla, Health Policy Analysis of the Tulsa
Metropolitan Area, Center for Health Policy
Research and Development, OUCPH, 2005 THD CAP
THD Patel/Woodruff 9/05
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Overall lack of health care resources for
indigent careNo Local Traditional Safety Net

• Of the 80 largest US metro areas, only Tulsa and
  Wichita lack ALL the components of a traditional
  public healthcare safety net infrastructure for
  indigent care.
• No public or university hospital.
• No comprehensive sponsorship of
  specialties/sub-specialties at medical schools.
• No hospital receiving Medicaid Disproportionate
  Share Hospital (DSH) funds for indigent care
  served.
• No hospital specifically organized and tasked to
  provide indigent care.
• No statewide support of Federally Qualified
  Health Centers (FQHCs) only one fully functional
  FQHC in Tulsa.

Lapolla, Health Policy Analysis of the Tulsa
Metropolitan Area, OU Center for Health Policy,
2005
THD Patel/Woodruff 9/05
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The Influence of Poverty on Health Rankings

• Higher poverty correlates closely with higher
  percentages of uninsured and Medicaid recipients.
• Oklahoma ranks 40th in the United Health
  Foundations state index rankings, but we are
  right on the average for states with similar
  levels of poverty.
• Poverty may be the greatest single determining
  factor in a states health rank accounting for
  almost 55 of the variance explanation.
• Generally, states with low poverty levels can
  expect to achieve higher health ranking without
  regard to other public health measures.

OK
THD, 2005 United Health Foundation State Health
Rankings, 2004
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Poor Human Conditions Impact Crime and Growing
Incarcerations Trends greatly affected by
substance abuse
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Oklahomas prison population was relatively
stable until 1980 when laws passed to curb
illegal drug use came into effect
Oklahomas Prison Population 1950-2005
1980
Note Number of inmates in Oklahoma prisons, data
as of June 30 of each year
Source Oklahoma State Department of Corrections,
Prepared by the Community Service Council of
Greater Tulsa for the Metropolitan Human Services
Commission in Tulsa.
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Overall Progress in Human Development is Tied to
Educational Success From preschool through
post secondary education
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Education Success Post-Secondary-Higher
Education
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Growing importance of coordination among higher
education institutions to promote system
efficiencySystem Overview

• The State Regents prescribe academic standards of
  higher education, determine functions and courses
  of study at state colleges and universities,
  grant degrees, recommend to the state Legislature
  budget allocations for each college and
  university, and recommend proposed fees within
  limits set by the Legislature.
• A primary goal for the State Regents is System
  Efficiency especially focused on reduced program
  duplication.
• Tulsa Community College provides the lower level
  (Freshman Sophomore) courses in Tulsa County
  and articulates agreements with all state
  supported four-year colleges and universities in
  Oklahoma for students wishing to pursue a
  bachelors degree.
• Tulsa Community College provides educational
  opportunities that can lead to Associate Degrees
  in Arts, Science, or Applied Science and to
  Certificates of Achievement.

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Tulsa Community College serves as primary source
of higher education enrollmentPercent
Distribution of Tulsa Area Higher Education
EnrollmentTulsa Area Public Colleges, Fall 2003
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Public College Remediation Rates Among HS
GraduatesTulsa County and Oklahoma, 1999-2003
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Human Development Key Points

• Middle class is disappearing
• Many households lack adequate income
• Stress of inadequate income and related
  conditions is widespread
• Starting life in Okmulgee County for many is
  risky business

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Human Development Key Pointscontinued

• Populations of aging and persons with
  disabilities are large and growing
• Health challenges are critical to individual and
  community well-being
• Poor human conditions impact crime and growing
  incarcerations
• Overall progress in human development is tied to
  educational success

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Infants and Young Children at Risk

• Child Abuse Neglect

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Adolescents at Risk

• Disconnected youth

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Adolescents at Risk

• Teen Mothers

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Adolescents at Risk

• Youth Risk Behavior Survey

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Adolescents at Risk

• Juvenile Crime

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Adolescents at Risk

• Youth Suicide

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Families at Risk

• Literacy

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Families at Risk

• Domestic Violence

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