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Broome County Community Foundation for South Central New York Needs Assessment Broome County A report summarizing the primary needs and gaps in service in Broome County including recommendations for funding priorities. Lisa Horn, President Horn Research LLC October 29, 2015 1 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com ACKNOWLEDGEMENTS Horn Research would like to express our deep gratitude to all of the individuals who took time to share their expertise and information with us. We also appreciate the opportunity to work with the Community Foundation for South Central New York and to assist in their important work providing funding for vital resources to the region. Disclaimer: Although care has been taken to ensure the accuracy, completeness and reliability of the information provided, Horn Research LLC assumes no responsibility or liability for any direct, indirect, special or incidental damage resulting from, arising out of or in connection with the use of the information. Horn Research LLC assumes no responsibility for the consequences of use of such information nor for any infringement of third party intellectual property rights which may result from its use. 2 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com TABLE OF CONTENTS Demographics ................................................................................................ 4 Community Health......................................................................................... 6 Housing ........................................................................................................ 18 Child Care/Early Education/K-12 ................................................................. 23 Public Safety ................................................................................................ 29 Transportation ............................................................................................. 33 Arts, Recreation & Culture .......................................................................... 37 Economic Development .............................................................................. 40 3 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com DEMOGRAPHICS Funding Recommendation: Programming supporting the nutritional and health needs of children in poverty Population Shift1 The population in Broome County has been decreasing by small, but steady amounts over the past several years. Between 2000 and 2013, the total population decreased by 1,238 people. In addition to an overall loss in population, the age demographics of Broome County have shifted significantly. The percentage of children under age 18 has decreased by 14% with an increase in the number of people age 60 and over by 8.5%. Table 1 Population Change by Township Figure 1 Population Change 2000 to 2013 Percent 18-59: 1.5% Township 2000 2010 2013 Change 60 and over: 8.5% Broome County 200,536 200,084 199,298 -.6% Barker 2,738 2,727 2,708 -1.1% Binghamton (city) 47,380 47,391 46,975 -0.9% Under 18: -14.0% Binghamton (town) 4,969 4,941 4,914 -1.1% Chenango 11,454 11,277 11,175 -2.4% Colesville 5,441 5,257 5,197 -4.5% Conklin 5,940 5,528 5,392 -9.2% Dickinson 5,335 5,317 5,262 -1.4% Figure 2 Population by Age Group (2014) Fenton 6,909 6,715 6,611 -4.3% < 18 Kirkwood 5,651 5,822 5,814 2.9% 60+ 20% Lisle 2,707 2,742 2,727 0.7% 23% Maine 5,459 5,390 5,338 -2.2% Nanticoke 1,790 1,630 1,474 -17.7% Sanford 2,477 2,475 2,573 3.9% Triangle 3,032 2,954 2,926 -3.5% Union 56,298 56,311 55,965 -0.6% Vestal 26,535 28,023 28,021 5.6% Windsor 6,421 6,304 6,226 -3.0% 18-59 57% 1 Decennial Census 2000 (DP-1) & ACS 5-year estimates, 2013 (S0101) 4 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com Poverty Figure 3 Childhood Poverty Rates 2000 to 2013 The percent of the population with incomes below the federal poverty level has increased in Broome County from 12.8% in City of 2000 to 17.4% in 2013. The percent of children in poverty has Binghamton increased dramatically from 16.5% to 25.3%. The City of 29.1% to 47.3% Binghamton has the highest childhood poverty rate at 47.3% and Conklin’s childhood poverty rate has more than doubled since 2000 to reach 38.5%. The poverty rate among seniors has stayed Conklin relatively stable across time and is substantially lower than the overall poverty rate. Lisle and Sanford have seen decreases in 14.7% to 38.5% childhood poverty rates, but Lisle has seen a substantial increase in senior poverty rates. Single female led households make up 30% of the families in Broome County and more than half have incomes below the poverty rate. Table 2 Percent below Poverty by Township and Year2 All Individuals Under 18 65 and older Township 2000 2013 2000 2013 2000 2013 Binghamton (city) 23.7% 33.3% 29.1% 47.3% 10.3% 14.9% Binghamton (town) 5.3% 5.8% 7.5% 10.0% 3.5% 1.0% Chenango 6.2% 8.3% 6.2% 8.6% 7.2% 4.2% Colesville 10.3% 18.1% 13.6% 31.8% 9.5% 1.5% Conklin 10.5% 20.1% 14.7% 38.5% 13.9% 9.8% Dickinson 7.2% 17.1% 9.7% 15.4% 5.0% 6.5% Fenton 6.8% 10.9% 6.5% 20.0% 5.7% 6.7% Kirkwood 5.9% 12.3% 8.8% 25.0% 5.2% 3.8% Lisle 15.0% 10.6% 24.9% 16.5% 2.4% 8.7% Maine 5.9% 11.9% 8.3% 18.7% 5.6% 4.1% Nanticoke 11.2% 15.3% 14.9% 30.8% 6.7% 4.3% Sanford 15.6% 12.5% 23.7% 19.3% 9.0% 8.8% Triangle 11.4% 11.7% 15.4% 25.0% 5.5% 3.2% Union 11.3% 14.6% 16.9% 22.2% 6.0% 8.5% Vestal 7.1% 6.8% 8.3% 6.5% 5.1% 3.4% Windsor 10.4% 9.4% 13.9% 14.4% 5.8% 4.3% Table 3 Poverty Rates by Family Type3 Incomes Below Poverty Family Type N Percent Married 23,934 12.4% Male HOH/no female 3,719 24.4% Female HOH/no male 11,632 51.7% 2 ACS 2013 5-year averages, Table DP03; CENSUS2000, Table QT-P34 3 ACS 2013 5-year averages, Table B17006 5 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com COMMUNITY HEALTH Funding Recommendations: Support and treatment services for mental health and chemical dependencies, particularly for youth and adolescents Day habilitation, community habilitation, and supported employment for adults with developmental disabilities Support for wrap-around and preventative services to keep families intact in midst of mental health and chemical dependency issues Support for programming that ensure early identification of youth/adolescents health issues Support for access to no/low-cost mental health medications Support for anti-obesity programming for youth Access to Care An important aspect of access to care is the availability of health care providers. According to the Broome County Community Health Assessment (CHA), Broome County has 602 active patient care physicians, 230 of which are primary care physicians and 372 are specialty care. The ratio of population to providers places Broome County in the top half of counties in NYS (Table 4). Despite this, Broome County has been designated as a Health Professional Shortage Area for primary care, mental health, and dental health and a Medically Underserved Area for 8 census tracts in the City of Binghamton. 4 Active Patient Care Table 4 Ratio of Population to Number of Providers Physicians Provider Type Broome County New York State 602 Primary Care Physicians 1,254:1 1210:1 Dentists 1,305:1 1,580:1 Primary Care Specialty Care Mental Health Providers 443:1 552:1 230 372 Designated Health • Primary care (Deposit/Greater Bing.) Professional • Mental Health (Broome) Shortage Areas • Dental Health (Broome) 4 University of Wisconsin Population Health Institute, County Health Rankings & Roadmaps, http://www.countyhealthrankings.org/ 6 CFSCNY Needs Assessment - Broome County Horn Research LLC www.hornresearch.com Table 5 Number of Mental Health Programs by Type5 Nine organizations provide mental Program Type Number health services in Broome County Care Coordination 13 through a total of 66 programs. The Self-Help 11 most frequently available programs are General Support 10 care coordination, self-help, and general Vocational 7 support programs. Qualitative Clinic Treatment 5 information from stakeholders suggest Treatment Program 5 that wait times for accessing mental Crisis 3 health counseling and support are very Education 3 long and represent a need for more Unlicensed Housing 3 providers. In particular, stakeholders Day Treatment 2 noted a high need for psychiatrists, Assertive Community Treatment 1 psychiatric nurse practitioners and child Comprehensive Psychiatric Emergency Program 1 psychiatrists and therapists. General Hospital Psychiatric IP Unit 1 Stakeholders also remarked on the State Psychiatric Hospital 1 reduction of services resulting from the closure of the Broome County Mental Health clinic and the shift from institutional care to community based care for people with mental health disabilities through the reduction of inpatient services at the Greater Binghamton Health Center. The reduction plan included maintaining 16 beds for children and adolescents and 60 adult beds with the addition of 60 community-based treatment beds, however, stakeholders suggested the replacement community-based beds were insufficient for current needs. Table 6 Number of Chemical Dependency Programs by Type6 Three organizations provide treatment services for Program type Number chemical addiction and dependency through a total of Outpatient clinic 2 nine programs. Stakeholders remarked on the Community residential 2 challenges created by the closure of the medical Outpatient rehabilitation 1 inpatient detoxification program in Binghamton which Supportive living 1 has resulted in the need for chemically dependent Medically monitored withdrawal 1 individuals to travel to receive treatment. In addition, Inpatient rehabilitation 1 stakeholders said the shortage of physicians who Methadone clinic 1 provide opiate replacement therapy (Suboxone) and the waiting time to access the medically monitored withdrawal program constrains the ability of individuals to effectively heal their addictions.
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