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An Independent Assessment of the Health, Human Services, Cultural and Educational Needs of Montgomery County

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An Independent Assessment of the Health, Human Services, Cultural and Educational Needs of Montgomery County An Independent Assessment of the Health, Human Services, Cultural and Educational Needs of Montgomery County October 2006 David Barton Smith, PhD with the assistance of Janet Davidson, MBA, David Ford, MA, Christopher Hopson, MA and David Laufe, MBA Fox School of Business and Management, Temple University In an effort to enhance ease in communications and use among various constituencies, while conserving philanthropic resources, this report was produced in electronic format that is available on the website of each of the report’s funding partners. Independence Foundation www.independencefoundation.org Merck and Company, Inc. http://www.merck.com/about/cr/ Montgomery County Foundation, Inc. www.mcfoundationinc.org Montgomery County Human Services Administration www.montcopa.org North Penn Community Health Foundation www.npchf.org North Penn United Way www.npuw.org The Philadelphia Foundation www.philafound.org Phoenixville Community Health Foundation www.pchf1.org United Way of Southeastern Pennsylvania www.uwsepa.org United Way of Western Montgomery County www.unitedwaywmc.org All of the project’s reports and supplemental materials are available on the Temple University Fox School of Business Cochran Research Center Web site at: http://www.sbm.temple.edu/crc/health-mont.html Editing and production management by Sage Communications Partners, www.sage-communications.com Design by Iris Creative Group, Inc, www.iriscreative.com 2 TABLETABLE OF CONTENTS OF CONTENTS Preface ................................................................4 Eastern Region ......................................58 Central Region......................................61 Introduction........................................................5 Southeast Region ..................................73 Review ................................................................7 Key Informant Summary ............................83 What is different about Focus Groups with Users of the System ......83 Montgomery County? ......................................7 Asian Residents ....................................86 What can we learn from previous assessments? ......................................10 African American Residents ..................87 What approaches to the county’s problems Mexican Residents ................................90 might be considered?....................................12 Homeless Families ................................91 Following the money ..................................13 Homeless Individuals ............................95 At-Risk Young Adults............................97 Quantitative Assessment....................................15 Environmental System ................................15 Conclusions ....................................................101 Physical Environment ..........................15 Recommendations ..........................................104 Demographics ......................................17 Arts, Cultural, and Recreational ............20 Appendices (Supplied in a Separate Healthcare System ......................................21 Supplement) Resources ..............................................21 I. Review and Distilled Summary of Previous Access....................................................23 Assessments of Montgomery County Health Behavior ....................................24 II. Review and Distilled Summary of Birth and Death Outcomes ..................26 Innovative Approaches Taken Elsewhere Educational System ....................................28 III. Demographics Criminal Justice System ..............................31 IV. Regional Arts and Cultural Organizations Social Service System ..................................33 V. Health Statistics VI. School Statistics Qualitative Assessment......................................36 VII. Criminal Justice Statistics Regional Key Informants ............................37 VIII. Methodology Western Region ....................................37 North Penn Region ..............................45 Sources 3 PREFACEPREFACE The 10 organizations supporting the Montgomery listing them by name and organization, we are equally County Needs Assessment care deeply about the indebted to those who assisted in hosting the focus health and social services needs of Montgomery group sessions for the homeless families and individuals, County residents and fund efforts to address them. African Americans, Hispanics, and at-risk young We hope that others in the private, nonprofit, and adults. We would like to also express our appreciation public sectors will join us in using this report as a to Joseph Roynan, Montgomery County Human resource and in addressing the priorities it identifies. Services Director and Stacey L. DeWaelsche in the Department of Health’s Division of Statistical Support This report is an independent assessment, authored by for their assistance. a research team from Temple University under the direction of David Barton Smith, professor in the The project also makes use of information supplied by Department of Risk, Insurance and Healthcare Pennsylvania Department of Health’s Bureau of Management in the Fox School of Business. It provides Health Statistics and Research, the Governor’s Office an opportunity to see ourselves as outsiders see us, both of Health Care Reform and the Metropolitan in terms of our strengths and our challenges. We hope Indicators Project, jointly supported by Temple that it will help to stimulate productive conversations University and the William Penn Foundation, and we among county residents and the organizations that serve greatly appreciate their assistance with this effort. them. Significant improvements will come only The production of this report has been, in its broadest through the combined efforts and resources of many sense, a community affair. Thanks to all those in that individuals and organizations that share a commitment community who assisted. We look forward to and special affection for Montgomery County and its continuing this effort together to improve the health communities. and quality of life in Montgomery County, its regions, We are most appreciative of the help provided by and its communities. many people and organizations in the completion of Independence Foundation this project. More than 300 individuals took time out of their busy schedules to participate in key informant Merck and Company, Inc. sessions and focus groups, and they provided much Montgomery County Foundation, Inc. insightful input. While many of the participants in the regional collaboratives assisted, we would like to Montgomery County Human Services Administration especially express our appreciation to Linda Bean, North Penn United Way ICN Coordinator (Central Regional Collaborative); Virginia Coombs, VNA Community Services, Inc. North Penn Community Health Foundation (Eastern Collaborative); Mary Miller, Performance The Philadelphia Foundation Essentials (Western Regional Collaborative); Ella Roush, Roush Associates (North Penn Regional The Phoenixville Community Health Foundation Collaborative); and Gail Wright, Main Line Health United Way of Southeastern Pennsylvania (Southeastern Regional Collaborative). United Way of Western Montgomery County In addition, while concerns about protecting the confidentiality of the participants prevents us from 4 Preface INTRODUCTIONINTRODUCTION The coalition of philanthropic organizations funding Voice. The voices of community members and this project wished to conduct a comprehensive health service providers were incorporated into this and social service needs assessment of Montgomery product. We used their personal stories to add a County. The goals of the project were to provide an vividness and sense of urgency to the analysis and independent assessment that could (1) assist the recommendations. Those stories also connect the funders in establishing priorities, (2) provide statistical analysis to the concerns of those needing information to others concerned about the health and help and those attempting to provide it. quality of life issues in Montgomery County, and (3) stimulate more effective strategies for achieving quality Ownership. We involved those individuals and of life and health improvement goals for Montgomery groups who will be responsible for implementing County and its five regions (West, North Penn, East, the project’s recommendations in these activities. Central, and Southeast). We hoped this would help create a sense of ownership in the recommendations, make them In completing this assignment, we took advantage of more realistic and harder to dismiss, and build a the wealth of existing data sources; made use of the constituency for their implementation. many previous studies and reports that have been completed by various groups that address the health, In conducting the assessment, in addition to social service, educational, and arts and cultural needs addressing concern about the general health and social in the county; incorporated the experiences and service needs of Montgomery County residents, we insights of health and social service providers and considered three special areas of concern to the those seeking their services; used the Healthy People funders: (1) the unmet educational needs of the pre- 2010 framework of goals and objectives to guide the K–12 school-aged population, (2) the arts and cultural assessment; and took advantage of the existing needs of the K-12 school-aged population, and (3) the research evidence on the relative effectiveness of special needs
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