Bellevue Human Services NEEDS UPDATE 2017-2018 www.bellevuewa.gov ACKNOWLEDGEMENTS Human Services Commission John Bruels (term ended May 2017) Michelle Kline, Vice-Chair 2018 Timothy Ma Judith Mercer, Chair 2018 James McEachran Ann Oxrieder Olga Perelman Benjamin Piper Carla Villar (term ended October 2017) Parks & Community Services Department Patrick Foran, Director Shelley McVein, Deputy Director Shelley Brittingham, Assistant Director Terry Smith, Assistant Director Alex O’Reilly, Human Services Manager Christy Stangland, Human Services Planner Dee Dee Catalano, Human Services Grant Coordinator Sam Ezadean, Home Repair Loan Specialist Teri Ekstrom, Administrative Assistant Sonoko Paulson, Administrative Assistant Cynthia Moreno, Human Services Intern Lead Project Staff Alex O’Reilly, Project Manager Kayla Valy, Human Services Intern Megan Farwell, Human Services Intern Teri Ekstrom, Project Support Gwen Rousseau, Associate Planner/Demographer, Planning & Community Development Department Solvita Upenieks, Graphic Designer Special thanks to all of the human services agencies that provided photos for this document. TABLE OF CONTENT Overview .......................................................................................................................................................................... 3 Methodology..................................................................................................................................................................29 Community Profile ........................................................................................................................................................35 Well-Being and Quality of Life in Bellevue .......................................................................................................... 101 This section describes Bellevue residents’ perceptions about the community, including both assets and problems. Special Focus Area: Homelessness ...................................................................................................................................................... 117 Heroin & Prescription Opioid Use .................................................................................................................. 131 Goal Areas: The Human Services Needs Update is organized using five community goal areas initially developed by United Way of King County. Each section summarizes data collected from a variety of sources, including examples of what’s already working to improve conditions in that area, prevalence, service trends, commu- nity perceptions, and implications for future planning and action. Goal #1: Food to Eat and Roof Overhead ..................................................................................................... 141 Goal #2: Supportive Relationships Within .................................................................................................... 161 Goal #3: A Safe Haven from All Forms of Violence and Abuse ................................................................ 175 Goal #4: Health Care to Be as Physically and Mentally Fit as Possible .................................................. 191 Goal #5: Education and Job Skills to Help Individuals Reach Their Full Potential ............................... 207 Specific Populations: Six specific populations are included here that merit a separate section due to the amount of information available and their impact in the community. Older Adults ......................................................................................................................................................... 227 People with Disabilities .................................................................................................................................... 251 Refugees and Immigrants .................................................................................................................................. 267 School-Aged Children and Youth .................................................................................................................... 285 Veterans ................................................................................................................................................................ 301 Bellevue Adult Misdemeanant Probation ..................................................................................................... 317 Appendices: Appendix A: Tables of Phone and Online Survey Results .......................................................................... 327 Appendix B: Demographic Profiles/Telephone Survey Summary ........................................................... 331 Appendix C: Phone/Online Changes from 2015-2017 ............................................................................. 334 Appendix D: Phone Survey — Address-Based Sampling ........................................................................... 335 Appendix E: Community Conversations ........................................................................................................ 337 Appendix F: Key Informant Interviews & Faith Community Interviews................................................. 338 Appendix G: Health Care Glossary ................................................................................................................. 339 Appendix H: Federal Poverty Level — 2015, 2016, 2017 ......................................................................... 340 Overview • Over 30 Community Conversations with OVERVIEW over 200 Bellevue residents and providers of human services. The Bellevue Human • Reports, studies and online databases covering a wide range of service areas Services Needs Update and issues and offering a broad national, for 2017-2018 statewide, and regional perspective. The City of Bellevue publishes the Human Services Bellevue: Community Profile Needs Update at the beginning of each two-year • In 2017, Bellevue’s population was human services funding cycle. Since 1989, this estimated to be 140,700, making Bellevue report has offered a summary of trends within the fifth largest city in Washington. This Bellevue, East King County, the Puget Sound is compared to a population of 109,569 in region, Washington State and the nation. Through 2000, and 86,874 in 1990. this report, we hope to provide a broad vision and context for understanding human service • Average household size has continued to needs, and for inspiring actions that will ameliorate increase since 2000 after a decreasing barriers to achieving a high quality of life for all trend. In 1970 there was an average of 3.4 Bellevue residents. persons per household, dropping to 2.4 in 1990, and 2.37 in 2000 then increased to Methodology 2.41 in 2010. In 2016, Bellevue’s average household size is estimated to be 2.49. Some of the multiple sources of information that support the conclusions of the Needs • Over the decades the proportion of people Update include: who are under 20 and ages 20 to 44 has declined, while the proportion of 45 to 65 • A phone/online survey of 484 Bellevue year old and 65 and older has increased. In residents (123 by phone, 361 online). 2016, about 41% of Bellevue residents were • All outreach materials (letters and emails) ages 18 to 44 and another 26% were 45 to contained information in four additional 64 years old. languages: Chinese, Russian, Korean, • Bellevue’s continues to become a more and Spanish. diverse community. For the first time in • A written survey of about 30 consumers of 2015, non-Hispanic whites no longer human services in Bellevue translated into represented the majority of Bellevue five languages in addition to English. residents. Since 1990, the proportion of People of Color in Bellevue has more than • Online surveys completed by 39 human tripled growing from 15% in 1990, to 28% services providers. in 2000 to 41% in 2010 and more recently • Key informant interviews with 7 to just over 50% in 2016. administrators or community representatives, • In 2016, about 37% of Bellevue’s residents including providers or member of groups were born in a foreign country up from such as older adults, immigrants and 33% in 2010, 25% in 2000 and 13% in refugees, people with disabilities, low- 1990. Over 70% of Bellevue’s foreign-born income consumers of human services, and population were born in Asia, followed by health care professionals. 11% from Europe, and 10% from Latin • Meetings with City of Bellevue staff, such as American. India and China were the country Neighborhood Outreach, Police, Fire, Civic from which most of the foreign-born Services and Development Services. population were born. A little over a third Human Services | Bellevue, Washington 3 were recent immigrants to the United States, or “moderate” rating from at least three out of ten having entered the country in 2010 or later. (30%) respondents including: About 42% of Bellevue residents (age 5 and over) spoke a language other than English Lack of affordable housing (77%) Lack of affordable medical insurance (45%) at home in 2016, up from 27% in 2000 and • 14% in 1990. • Lack of affordable child care (44%) • In 2016, Bellevue’s median household • Having jobs that do not pay for the income was estimated to be 113,877 up basics (44%) from $99,892 in 2015. Between 2015, • Lack of affordable medical care (42%) and 2016, the percentage of households in • Groups of residents who perceive more Bellevue with incomes between $15,000 problems in the community included women, and $24,00