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Healthy Safe Supported HEALTHY SAFE SUPPORTED Philadelphia’s Agenda for HEALTH & WELL-BEING 2019 HEALTHY PEOPLE Healthy individuals are the Together We Thrive is led by foundation for strong communities. the Managing Director’s Office, Ensuring that every Philadelphian lives in a Health & Human Services Cabinet (HHS) healthy environment with access to high quality physical and behavioral health care Deputy Managing Director for Health & Human Services Eva Gladstein SAFE PEOPLE Behavioral Health & Intellectual disAbility Services (DBHIDS) Every individual deserves to feel safe David T. Jones in their home and neighborhood. Keeping people safe in their homes and communities Community Empowerment & Opportunity (CEO) Mitchell Little Homeless Services (OHS) Liz Hersh SUPPORTED PEOPLE Human Services (DHS) Address people’s basic needs. Cynthia Figueroa Developing pathways for the most vulnerable Philadelphians to gain access to the basic Public Health (PDPH) Thomas Farley necessities for a prosperous life WE THRIVE WE The HHS cabinet members have fostered cross collaborative work to meet the needs of the most vulnerable Philadelphians. The Youth Residential Task Force was established to focus on improving the safety of youth in congregate care settings. The Task Force consists of HHS members, City and non- City partners. The Managing Director’s Office established a shared responsibility coalition, The Roadmap to Safer Communities, to develop and implement The ‘Thrive’ framework was created in In 2018, we saw improvement on 25 violence prevention and reduction strategies. 2016 to guide the HHS cabinet’s plans of 39 metrics — the result of exciting, While HHS cabinet members are deeply for the health and well-being of the cross-cutting work. involved with the work, our city partners will most vulnerable Philadelphians. Accomplishments include taking bold track the initiative’s progress. We are dedicated to: steps to stem the tide of the opioid The Office of Workforce Development (OWD) crisis, establishing the Youth Residential 1) addressing the risks that shape the was established, building in part from the efforts Placement Task Force, and expanding health and safety of individuals and of the Office of Community Empowerment inclusive housing opportunities. communities (CEO). OWD will carry on the work to develop and provide the education, training, and support 2) transforming the way we assess need services for job seekers across Philadelphia. and match people to resources 3) building infrastructure to ensure agencies are ready to act when new challenges appear. TOGETHER... 1 STATE DRUG OVERDOSES NALOXONE: Number of doses OF THE CITY distributed (July 2017–Dec. 2018) Providers & Community Since July 2017, the Public Health Organizations11,558 department has worked with other City 52,412 11,558 6,488 agencies and non-profit partners to FAMILY STABILITY & CHILD WELFARE distribute over 70,000 doses of CHILDREN DISCHARGED Each year, more youth in the child Naloxone to individuals and Criminal First TO PERMANENCY welfare system have moved into organizations across Philadelphia. Justice Responders Organizations By Permanency Type permanency, with the greatest Naloxone has likely contributed to the City of Philadelphia. Deartment of Public Health. Opioid Misuse and proportion representing reunifications decrease in fatal drug overdoses. Overdose Report. 29 Nov 2018. Retrieved from https://www.phila.gov/ media/20181129123743/Substance-Abuse-Data-Report-11.29.18.pdf with their family. Unintentional drug overdose deaths are starting to decline as the City 2,500 REUNIFICATION continues to combat the opioid crisis. Approximately 1,125 overdose ADOPTION deaths are projected for 2018, down from 1,217 in 2017. PERMANENT LEGAL CUSTODIANSHIP 1,216 2,000 1,250 DRUG OVERDOSE DEATHS 1,252 1,400 1,125* 1,500 1,200 887 950 1,000 1,000 840 800 636 600 482 500 379 378 400 121 88 118 138 155 0 200 FY14 FY15 FY16 FY17 FY18 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 City of Philadelphia. Department of Public Health. Opioid Program Tableau Data Dashboard, Unintentional Drug Related Deaths per Year. City of Philadelphia. Department of Human Services. 20 Nov 2018. Quarterly Indicators Report, Fiscal Year 2019, Quarter 1. 20 Nov 2018. Retrieved from https://public.tableau.com/profile/pdph#!/vizhome/UnintentionalDrugRelatedDeaths/ Retrieved from https://www.phila.gov/media/20181210113534/Quarterly-Indicators-Report-FY2019Q1.pdf 2 UnintentionalDrugRelatedDeaths *Note: 2018 drug overdose death number is a projected value. Final number is still being finalized. CONGREGATE CARE LIFE EXPECTANCY The percentage of children in congregate care continues to decline Higher values (lighter colors) and is still below the national average of 12%. The number of youth indicate greater life expectancy in placement decreased almost a quarter since September 2016. 64.3 87.08 20% CONGREGATE CARE NATIONAL AVERAGE CONGREGATE CARE 15% 12.2% 10.6% 10% FY14 FY15 FY16 FY17 FY18 City of Philadelphia. Department of Human Services. Quarterly Indicators Report, Fiscal Year 2019, Quarter 1. 19 Oct 2018. Retrieved from https://www.phila.gov/media/20181210113534/Quarterly-Indicators-Report-FY2019Q1.pdf. Oce of the Administration for Children & Families, Children's Bureau. AFCARS Report #25. 8 Nov 2018. Retrieved from https://www.acf.hhs.gov/cb/resource/afcars-report-25 Note: Congregate Care national average was calculated by aggregating national institution and group home totals reported in AFCARS Reports. HOUSING STABILITY Eviction filings have decreased 14% from 2014 to 2017. 25,000 20,000 In Philadelphia, life expectancy has worsened for blacks and hispanics. Life expectancy was lowest in areas with high rates of poverty, violence, 18,584 substance use, and other social and economic challenges. EVICTION FILINGS 15,000 2010 2011 2012 2013 2014 2015 2016 2017 2018 U.S. Department of Health & Human Services. 28 Aug 2018. U.S. Small-area Life Expectancy Estimates Project (USALEEP) Retrieved from https://www.cdc.gov/nchs/nvss/usaleep/usaleep.html Reinvestment Fund. Philadelphia 2010 - 2018 Eviction Filings. Internal Communication. Accessed 26 Mar 2018. 3 Creating a healthy environment is key to ensuring individual health is promoted and protected from a young age. Life expectancy, however, has started to decline for some of our most vulnerable residents. The HHS cabinet is working to remove the barriers and to develop the infrastructure necessary to create the healthy homes, schools, and neighborhoods necessary for a stable life. IMPROVING HEALTH OUTCOMES FOR BLACK MALES REMOVING BARRIERS TO COMBAT THE OPIOID CRISIS Compared to other demographic groups, black male health trails behind Although Philadelphia is projected to experience a decrease in drug in critical areas. In 2017, non-Hispanic black male life expectancy was overdose deaths, the opioid crisis continues to afflict communities 69.1 years, compared to white males at 73.1 years. Despite historical across the City. In late 2018, the Philadelphia Resilience Project was highs for health insurance coverage, 23% of black men are living in created to address the many impacts of the crisis on the hardest poverty. Healthy outcomes are dependent on improving and supporting hit neighborhoods using emergency management tools. Under this the complex network of social, economic, and behavioral conditions in umbrella, city agencies and other stakeholders are removing barriers to an environment. access treatment and housing, and improving the health of individuals and communities. PDPH and Department of License & Inspections worked with City 2018 Council to develop legislation to improve protections for children DBHIDS removed multiple barriers to accessing treatment, including from the harms of lead exposure and poisoning. Chain restaurants are 2018 ID requirements. OHS increased its low barrier housing capacity to now required to label dishes with more than a day’s worth of sodium. encourage individuals to come off the street and ease their way into The State pre-empted a City Council bill banning the sale of candy- MAT. PDPH and DBHIDS distributed over 45,000 doses of naloxone flavored tobacco, allowing for the dangers of smoking to continue to to providers, first responders, and community organizations. disproportionately affect low-income communities and people HHS will launch and manage an opioid fatality review process to hold of color. 2019 city services accountable and provide recommendations to improve Under the Roadmap to Safer Communities umbrella, The School city services. OHS will work with employment partners to develop 2019 District of Philadelphia (SDP) and DHS will partner on initiatives to more pathways for employment. PDPH and DBHIDS will work with increase attendance, reduce truancy, and increase graduation rates providers to further decrease opioid prescribing and increase the among high risk youth. PDPH will work with other City agencies and number of providers offering MAT. community organizations to develop media and communication approaches to reduce gun violence. The number of individuals receiving Buprenorphine (MAT) has continuously increased since 2015. 3,000 2,500 2,000 1,500 BUPRENORPHINE TREATMENT 1,000 500 HEALTHY PEOPLE 0 4 2015 2016 2017 2018 Note: Data is only updated to 2018 quarter 3. Strategy Highlights from 2018 Key Activities for 2019 Key Measures of Success FY16 FY17 FY18 Prevent developmental Focused distribution of PHL Establish central referral hub for Increase the number of children 389 239 247 100% delays in at-risk Pre-K
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