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HomeMy WebLinkAbout1-10th 1% Eval Data 2012_Report_Jefferson County Mental Health and Substance Abuse Advisory Committee Community Level Outcomes Data - Monitoring the Impact of the 1/10th of 1% Investments The following pages offer a snapshot of key community-level outcomes that are related to the intended goals of the one tenth of one percent sales tax for mental health and chemical dependency. For each outcome measure, current status and trend over time are presented. These measures are by no means the only measures related to the goals of this sales tax, but they represent available and reliable data. The intention of the investment of the sales tax fund is to contribute to the positive impact of prevention and treatment services in order to improve the community outcomes included in this report and others. Prepared by: Jefferson County Public Health August 28, 2012 Community Level Outcomes Data - Monitoring the Impact of the 1/10th of 1% Investments Goals of the WA State 1/10th of 1% Legislation1: 1. Reduce negative impacts of mental health and substance abuse on children and families Adverse Childhood Experiences (ACEs) Domestic Violence, Child Abuse/Neglect Suicide 2. Avoid building more jails and prisons and prevent crime victims Youth Bullying Alcohol and Drug Arrests Crime Index 3. Reduce public assistance expenditures and unemployment Public Asssitance - food Public Assistance - treatment Unemployment rate 4. Reduce homelessness Homelessness Homelessness among Students 5. Reduce physical-health care and emergency room costs Alcohol/Drug Deaths Alcohol/Drug Hospitalizations Emergency Room Visits 6. Improve recovery and quality of life for those with substance abuse and mental health disorders Jefferson County Ordinance Program Elements1 Treatment for individuals with co-occurring disorders Therapeutic court and case management staff to coordinate Drug & Mental Health court referrals and dependency needs of families in courts Expanded MH/SA treatment for populations not served by other public funds SA assessment and MH assessment, counseling, and medication management in the jail Treatment in some schools providing MH services to students SA interventions in the schools Ongoing treatment home visits to families by Infant MH & PHN for young families or NFP visitation Other licensed treatment providers and addiction specialists who are successful with county population and may need to bill for services The program services and areas included in the model above could include the following components: Family Dependency Court Juvenile Drug Court Crisis Services including: Eval and Treatment Unit, Sub-acute and Acute Detox, Residential Treatment (inpt) Expanded Outpatient Treatment providing services to Adults and Adolescents who have Addiction and Psychiatric Disorders (COD) Program and Project Evaluation - This component of the model would provide outcomes, planning, efficiency, effectiveness and cost offsets SA & MH assessments within three working days for referrals from the Juvenile Justice, Public Health, and Jefferson General Hospital ER 1 Jefferson County Board of County Commissioners, Agenda Request, July 3, 2006. "Program for the Administration of the Expanded Mental Health & Substance Abuse Treatment & Therapeutic Courts Fund Established by Ordinance No. 08-1003-05." Contracts shall establish/or provide access to programs for the following services based on the priorities of the Law & Justice subcommittee and other standing committees: Additional funds could be available to contract with other vendors providing family, child counseling or SA treatment. Services could be provided by additional vendors to provide care to family members coping with MI or SA in a spouse, parent, or child: Case Expediters/Facilitators; these positions would be designed to assist patients with access to services, law enforcement, courts, jail, DCFS, CSO, Shelters, VA, alcohol and drug services, hospitals, emergency services, corrections, public health and other to be determined Selected outcomes to measure progress on each goal: If we can address goals 1-5, we should be addressing goal 6. August 28, 2012 A12. Adverse Childhood Experiences Index Source: Behavioral Risk Factor Surveillance System and Jefferson County Public Health Sum of ACE question responses: Low ACE= score 0-3; High ACE= score 4+ 2009 Low ACE 0- 3 High ACE 4+ Averag e ACE ACE=0 Jefferson County 74%26%1.8 28% Washington State 72%28%1.7 34% Jefferson County Public Health Family Support Program Clients 72%28%3 15% Jefferson County, Washington State, 2009; Jefferson County Public Health Family Support Program Clients (Sept 2009 - June 2010) The Adverse Childhood Experiences (ACE) questions assess emotional experiences as children - exposure to violence, drug and alcohol abuse, mental illness, and detachment. ACE studies have documented that ACEs are related to adult emotional health and physical health. ACE studies have found adult health conditions related to what happened in childhood: smoking, chronic obstructive pulmonary disease, depression, drug use, hepatitis, heart disease, fractures, diabetes, obesity, alcoholism, occupational health, job performance.* The ACE score groups (0-3 and 4+) are about the same among adults in Jefferson County, Washington State and Family Support Clients. On average, Jefferson County and WA State adults reported just under 2 ACEs while Family Support Program clients reported on average 3 ACEs. *Felitti, V.J. (2002) The Relation Between Adverse Childhood Experiences and Adult Health: Turning Gold into Lead. The Permanente Journal, 6, 44-47. 74% 26% 1.8 72% 28% 1.7 72% 28% 3 Low ACE 0-3 High ACE 4+ Average ACE Jefferson County Washington State JCPH FSP clients Jefferson County Public Health October 2010 While you were growing up, during your first 18 years of life: 1. Did a parent or other adult in the household often or very often… Swear at you, insult you, put you down, or humiliate you?Yes / No Act in a way that made you afraid that you might be physically hurt?Yes / No 2. Did a parent or other adult in the household often or very often… Push, grab, slap, or throw something at you?Yes / No Ever hit you so hard that you had marks or were injured?Yes / No 3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way?Yes / No Attempt or actually have oral, anal, or vaginal intercourse with you?Yes / No 4. Did you often or very often feel that … No one in your family loved you or thought you were important or special?Yes / No Your family didn’t look out for each other, feel close to each other, or support each other?Yes / No 5. Did you often or very often feel that … You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you?Yes / No Your parents were too drunk or high to take care of you or take you to the doctor if you needed it? Yes / No 6. Were your parents ever separated or divorced? Yes / No 7. Was your mother or stepmother: Often or very often pushed, grabbed, slapped, or had something thrown at her?Yes / No Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard?Yes / No Ever repeatedly hit at least a few minutes or threatened with a gun or knife? Yes / No 8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs? Yes / No 9. Was a household member depressed or mentally ill, or did a household member attempt suicide? Yes / No 10. Did a household member go to prison? Yes / No Jefferson County Public Health October 2010 Offenses, Domestic Violence Rate per 1,000 Go to Indicator Comparison Profile 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 State 7 7 7 7 7 6 6 6 6 5 6 6 Counties Like Us*8 8 8 7 7 7 7 6 6 6 6 6 Jefferson County 7 6 6 6 6 6 7 6 5 6 6 7 Offenses 186 158 150 145 156 149 185 157 151 173 175 201 Persons 25,462 26,013 26,151 26,294 26,396 26,700 27,304 27,902 28,305 28,504 28,701 29,564 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum The Jefferson County rate of domestic violence-related offences is relatively unchanged since 1999. The trend for WA State and counties like us has been slightly improved. 0 5 10 Jefferson County State Counties Like Us Note: The domestic violence-related offenses, per 1,000 persons. Domestic violence includes any violence of one family member against another family member. Family can include spouses, former spouses, parents who have children in common regardless of marital status, adults who live in the same household, as well as parents and their children. Offenses differ from arrests. While funding and grants are associated with participation, reporting is not mandatory. Offenses are incidence reporting. When more than one victim is involved an offence is filed for each victim. Multiple property violations performed at the same incident are counted as one offence. However when both types of events happen, only the victim incidents are reported as offenses. Offenses focus on the nature of the crime, while arrests focus on the apprehended accused perpetrator. Many offenses occur without arresting perpetrators. Denominators are adjusted by subtracting the population of police agencies that did not report offenses. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted and the agencies not reporting, see the appendix on Non-Reporting Agencies and Population. Suppression code definitions for yearly rates are explained in Technical Notes. State Source: Washington Association of Sheriffs and Police Chiefs, UCR Division. Population Estimates: Washington State Department of Health Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 B8. Child Abuse and Neglect Accepted Referrals Jefferson County by School District and Washington State Source: DSHS Risk and Protective Profile for Substance Abuse Prevention in Washington State, updated 5/8/2012 2000-02*2003-05 2006-08*2009-11*2000-02 2003-05 2006-08 2009-11 accepted referrals 790 575 652 712 178741 174052 156477 children age 0-17 15336 15032 15243 13914 4557522 4573495 4693051 rate per 100 5.2 3.8 4.3 5.1 3.9 3.8 3.3 3.4 *Jefferson rate statistically higher (worse) than Washington JEFFERSON COUNTY WASHINGTON STATE not available The rate of accepted referrals for abuse and neglect was up to 5 per 100 children age 0 to 17 in Jefferson County; staying at 3 per 100 in Washington State. Except for 2003-05, the Jefferson rate has been statistically higher (worse) than Washington State. 5.1 3.4 2.0 3.0 4.0 5.0 6.0 2000-02* 2003-05 2006-08* 2009-11* ac c e p t e d r e f e r r a l r a t e p e r 10 0 c h i l d r e n a g e 0 -17 JEFFERSON COUNTY WASHINGTON STATE *Jefferson rate statistically worse than Washington Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Accepted Child Abuse and Neglect Referrals by Jefferson County School District 2009 and 2010 are available, need 2011 for 3-year period 2000-02 2003-05 2006-08 PT TOWNSEND accepted referrals 409 264 323 children age 0-17 7511 7428 7596 rate per 100 5.4 3.6 4.3 QUILCENE accepted referrals 57 48 26 children age 0-17 1057 1005 999 rate per 100 5.4 4.8 2.6 BRINNON accepted referrals 27 33 6 children age 0-17 547 512 510 rate per 100 4.9 6.4 1.2 CHIMACUM accepted referrals 266 193 263 children age 0-17 5628 5491 5554 rate per 100 4.7 3.5 4.7 QUEETS-CLEARWATER accepted referrals 16 21 18 children age 0-17 306 309 306 rate per 100 5.2 6.8 5.9 Rates of accepted child abuse and neglect referrals were similar in all Jefferson school districts in 2000-2002 but diverged in 2003-05 with 2 districts increasing sharply; 1 decreasing slightly and 2 decreasing sharply. In 2006-08, the only district to hold a directional trend was Quilcene (down); Brinnon dropped to the lowest rate, Queets-Clearwater continued to have the highest rate. 4.3 2.6 1.2 4.7 5.9 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 2000-02 2003-05 2006-08 ac c e p t e d r e f e r r a l r a t e p e r 10 0 c h i l d r e n a g e 0 -17 PT TOWNSEND QUILCENE BRINNON CHIMACUM QUEETS-CLEARWATER Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Victims of Child Abuse and Neglect in Accepted Referrals Rate per 1,000 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 National 42 43 44 46 48 48 48 47 49 48 State 41 39 38 41 38 35 34 34 32 32 32 34 Counties Like Us*63 59 52 63 55 53 45 44 39 41 45 45 Jefferson County 66 42 46 45 38 32 31 44 57 54 59 40 Accepted Victims 339 215 236 224 190 161 158 225 290 271 262 179 Persons, birth-17 5,138 5,122 5,076 5,010 4,989 5,033 5,084 5,097 5,062 5,022 4,446 4,446 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 10 20 30 40 50 60 70 Jefferson County National State Counties Like Us Note: The children (age birth-17) identified as victims in reports to Child Protective Services that were accepted for further action, per 1,000 children (age birth-17). Children are counted more than once if they are reported as a victim more than once during the year. A "referral" is a report of suspected child abuse. Numbers may differ due to corrections or changes in location definition made in the database extraction process. Child location is derived from the residence at the time of referral. Suppression code definitions for yearly rates are explained in Technical Notes. State Source: Department of Social and Health Services, Children's Administration FamLink Data Warehouse. Population Estimates: Washington State Department of Health National Source: US Department of Health and Human Services Administration for Children and Families, Voluntary Cooperative Information System(VCIS), and estimates from Adoption, Foster Care Analysis Reporting System(AFCARS) Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Students reporting seriously considering suicide Source: Healthy Youth Survey Rates by grade and gender for Jefferson County and Washington State, 2010: Jefferson Washington 6th Grade Jefferson WA male 18.4%13.9% female 14.8%14.4% total 16.5%14.1% 8th Grade Jefferson WA* male 16.4%11.3% female 20.7%17.3% total 18.9%14.4% *WA female rate statistically higher than male 10th Grade Jefferson WA* male 21.7%14.5% female 16.5%19.6% total 18.6%17.2% *WA female rate statistically higher than male 6th grade: Have you ever seriously thought about killing yourself? Response = yes 8th and 10th grade: During the past 12 months, did you ever seriously consider attempting suicide? Response = yes Compared to those who have not seriously considered suicide, those who have, have statistically HIGHER rates of: Not having adults when sad, being bullied, physical fight Being sad, drinking alcohol, binge drinking, smoking cigarettes & marijuana, being bullied, rare dinner with family, lower grades, physical fight, not enjoying school Being sad, drinking alcohol, not enjoying school Being sad, drinking alcohol, bringe drinking, smoking cigarettes & marijuana, being bullied, physical inactivity, rare dinner with family, lower grades, physical fight, not enjoying school Being sad, being bullied Being sad, drinking alcohol, bringe drinking, smoking cigarettes & marijuana, being bullied, rare dinner with family, lower grades, physical fight, not enjoying school Note: Detecting statistical differences is extremely difficult with small numbers of respondents due to wide margins of error. Any statistical differences that are detected demonstrate considerable differences in reported behaviors. 0% 20% male female Jefferson WA 0% 20% male female Jefferson WA* 0% 20% male female Jefferson WA* Jefferson County Public Health Source: Washington State Healthy Youth Survey suicide ideation HY May 2011 Students reporting seriously considering suicide Source: Healthy Youth Survey 6th grade: Have you ever seriously thought about killing yourself? Response = yes 8th and 10th grade: During the past 12 months, did you ever seriously consider attempting suicide? Response = yes Rates by grade and survey year for Jefferson County and Washington State: Simple linear trend over time (not a statistical trend calculation): flat flat downward flat flat flat Jefferson 2002 2004 2006 2008 2010 6th grade 18%18%13%17%17% 8th grade 17%18%11%14%19% 10th grade 26%21%19%14%19% WA State 2002 2004 2006 2008 2010 6th grade 18%19%16%16%14% 8th grade 15%14%11%14%14% 10th grade 18%18%15%17%17% Jefferson trend by grade: WA trend by grade: 0% 20% 2002 2004 2006 2008 2010 6th Grade Jefferson WA State 0% 20% 2002 2004 2006 2008 2010 8th Grade Jefferson WA State 0% 20% 2002 2004 2006 2008 2010 10th Grade Jefferson WA State Jefferson County Public Health Source: Washington State Healthy Youth Survey suicide ideation HY May 2011 A10. Suicide Death Rate Jefferson County and Washington State, 1990-92 to 2008-10 Age-Adjusted Suicide Death Rate per 100,000 Population number in 3 years average per year Jefferson County Washington State 1990-92 7 2 12.3 14.0 1993-95 10 3 11.4 14.2 1996-98 11 4 11.8 13.1 1999-01 8 3 12.0 12.8 2002-04 14 5 16.6 13.2 2005-07 17 6 14.4 12.5 2008-10 13 4 10.2 13.4 Source: Washington State Dept. of Health, Center for Health Statistics, Death Certificate Database. Accessed in: Community Health Assessment Tool (CHAT). About 4 Jefferson County residents committed suicide each year between 2008 and 2010; up from the 1990's but down compared to the previous six years. Except for 2002-04 and 2005-07, the Jefferson rate has been below the WA State rate. 13.4 10.2 0.0 5.0 10.0 15.0 20.0 1990-92 1993-95 1996-98 1999-01 2002-04 2005-07 2008-10 ag e -ad j u s t e d r a t e p e r 10 0 , 0 0 0 p o p u l a t i o n Jefferson County Washington State Jefferson County Public Health October 2010, updated August 2012 Students reporting being bullied at least once in the past 30 days Source: Healthy Youth Survey Rates by grade and gender for Jefferson County and Washington State, 2010:LOWER rates of: Jefferson Washington Jefferson 6th Grade Jefferson WA male 32.5%30.2% female 31.5%30.3% total 31.9%30.2% 8th Grade Jefferson WA** male*42.9%28.8% female 35.2%30.9% total*38.3%29.9% *Jefferson rate statistically higher than WA **WA female rate statistically higher than male 10th Grade Jefferson WA* male 20.3%21.9% female 23.8%26.2% total 22.4%24.2% *WA female rate statistically higher than male Note: Detecting statistical differences is extremely difficult with small numbers of respondents due to wide margins of error. Any statistical differences that are detected demonstrate considerable differences in reported behaviors. Being sad, suicide ideation, drinking alcohol, bringe drinking, smoking cigarettes & marijuana, physical inactivity, rare dinner with family, lower grades, physical fight Being sad Physical inactivity Being sad, suicide ideation, drinking alcohol, bringe drinking, smoking cigarettes & marijuana, rare dinner with family, lower grades, physical fight Being sad, suicide ideation, binge drinking, physical fight A student is being bullied when another student, or group of students, say or do nasty or unpleasant things to him or her. It is also bullying when a student is teased repeatedly in a way he or she doesn’t like. It is NOT bullying when two students of about the same strength argue or fight. In the last 30 days, how often have you been bullied? Response = at least once in past 30 days Compared to those not bullied in the past month, those bullied have statistically… HIGHER rates of: Being sad, suicide ideation, drinking alcohol, binge drinking, smoking cigarettes, rare dinner with family, lower grades, physical fight Suicide ideation, lower grades 15% 35% male female Jefferson WA 15% 35% male* female Jefferson WA** 15% 35% male female Jefferson WA* Jefferson County Public Health Source: Washington State Healthy Youth Survey bullied HY May 2011 Students reporting being bullied at least once in the past 30 days Source: Healthy Youth Survey Rates by grade and survey year for Jefferson County and Washington State: Simple linear trend over time (not a statistical trend calculation): flat slightly up flat flat flat flat Jefferson 2002 2004 2006 2008 2010 6th grade 36%33%36%36%32% 8th grade 29%35%31%29%38% 10th grade 26%26%28%26%22% WA State 2002 2004 2006 2008 2010 6th grade 31%30%32%30%30% 8th grade 30%29%27%29%30% 10th grade 22%22%23%23%24% Jefferson trend: WA trend: A student is being bullied when another student, or group of students, say or do nasty or unpleasant things to him or her. It is also bullying when a student is teased repeatedly in a way he or she doesn’t like. It is NOT bullying when two students of about the same strength argue or fight. In the last 30 days, how often have you been bullied? Response = at least once in past 30 days 20% 40% 2002 2004 2006 2008 2010 6th Grade Jefferson WA State 20% 40% 2002 2004 2006 2008 2010 8th Grade Jefferson WA State 20% 40% 2002 2004 2006 2008 2010 10th Grade Jefferson WA State Jefferson County Public Health Source: Washington State Healthy Youth Survey bullied HY May 2011 Total Arrests of Adolescents (Age 10-14) Rate Per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 39 35 38 37 32 33 33 31 30 28 25 State 38 37 32 28 28 27 23 22 21 20 18 18 Counties Like Us*48 51 44 40 39 36 28 30 29 28 25 22 Jefferson County 66 79 36 31 32 36 43 28 28 23 28 28 Arrests, 10-14 105 126 58 49 51 57 67 44 43 34 42 37 Adjusted Pop 10-14 1,596 1,602 1,601 1,602 1,588 1,576 1,568 1,558 1,537 1,510 1,495 1,337 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Total arrests of youth age 10-14 and arrests for alcohol/drugs or vandalism are down compared to 1999 and 2000. 0 10 20 30 40 50 60 70 80 90 Jefferson County National State Counties Like Us* Note: The arrests of adolescents (age 10-14) for any crime, per 1,000 adolescents (age 10-14). Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August, 2012 Arrests (Age 10-14), Alcohol- or Drug-Related Rate Per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 3 3 3 3 2 2 2 2 2 2 2 State 4 4 3 3 3 3 3 3 3 2 2 3 Counties Like Us*6 6 6 5 6 5 4 5 5 4 4 4 Jefferson County 15 9 4 5 3 8 6 6 5 3 5 7 Arrests, 10-14 24 15 7 8 5 13 10 10 8 5 7 9 Adjusted Pop 10-14 1,596 1,602 1,601 1,602 1,588 1,576 1,568 1,558 1,537 1,510 1,495 1,337 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 2 4 6 8 10 12 14 16 Jefferson County National State Counties Like Us* Note: The arrests of younger adolescents (age 10-14) for alcohol and drug law violations, per 1,000 adolescents (age 10- 14). Alcohol violations include all crimes involving driving under the influence, liquor law violations, and drunkenness. For children, arrests for liquor law violations are usually arrests for minor in possession. Drug law violations include all crimes involving sale, manufacturing, and possession of drugs. 1) Denominators are adjusted by subtracting the population of police agencies that did not report arrests to Uniform Crime Report (UCR). In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. 2) The DUI portion of this measure is likely understated, because arrests made by the State Patrol are not attributable to counties. State Patrol arrests are included in the state rates. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August, 2012 Arrests (Age 10-14), Vandalism Rate Per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 2 2 3 2 2 2 2 2 2 2 2 State 3 3 2 2 2 2 2 2 2 2 2 2 Counties Like Us*3 3 3 3 3 3 3 3 3 3 2 2 Jefferson County 11 8 8 1 3 2 4 1 3 4 3 5 Arrests, 10-14 17 13 12 2 4 3 6 2 4 6 5 7 Adjusted Pop 10-14 1,596 1,602 1,601 1,602 1,588 1,576 1,568 1,558 1,537 1,510 1,495 1,337 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 2 4 6 8 10 12 Jefferson County National State Counties Like Us* Note: The arrests of younger adolescents (age 10-14) for vandalism (including residence, non-residence, vehicles, venerated objects, police cars, or other) per 1,000 adolescents (age 10-14). Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non- Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August, 2012 Arrests (Age 10-17), Alcohol Violation Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 7 6 6 6 5 5 5 5 5 5 4 State 10 9 8 8 8 7 6 7 8 7 6 5 Counties Like Us*16 18 17 14 15 13 10 10 12 12 8 7 Jefferson County 29 26 30 14 15 13 15 13 23 16 11 11 Arrests, 10-17 76 68 80 37 39 34 38 34 61 41 28 24 Adjusted Pop 10-17 2,605 2,615 2,634 2,629 2,607 2,594 2,615 2,629 2,620 2,577 2,537 2,198 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Arrests of youth age 10-17 for alcohol are down compared to 1999-2001. Arrests for drug law violation were up in 2006 and 2010 Note: The rate is the annual number of arrests of adolescents (age 10-17) for alcohol violations, per 1,000 adolescents (age 10-17). Alcohol violations include all crimes involving driving under the influence, liquor law violations, and drunkenness. For children, arrests for liquor law violations are usually arrests for minor in possession. 1) Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. 2) The DUI portion of this measure is likely understated, because arrests made by the State Patrol are not attributable to counties. State Patrol arrests are included in the state rates. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: WA Deptof Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online 0 5 10 15 20 25 30 35 Jefferson County National State Counties Like Us Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Arrests (Age 10-17), Drug Law Violation Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 6 6 7 6 6 6 6 6 6 6 5 State 5 5 5 5 5 4 4 5 5 4 4 5 Counties Like Us*5 5 5 4 5 4 4 5 4 4 4 5 Jefferson County 8 7 9 3 5 5 4 10 6 4 3 10 Arrests, 10-17 21 19 24 7 12 12 10 26 16 10 7 21 Adjusted Pop 10-17 2,605 2,615 2,634 2,629 2,607 2,594 2,615 2,629 2,620 2,577 2,537 2,198 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 2 4 6 8 10 12 Jefferson County National State Counties Like Us Note: The arrests of adolescents (age 10-17) for drug law violations, per 1,000 adolescents (age 10-17). Drug law violations include all crimes involving sale, manufacturing, and possession of drugs. Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Arrests (Age 18+), Alcohol-Related Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 13 12 13 13 11 11 11 11 11 11 11 State 11 10 10 11 12 12 11 11 10 10 10 9 Counties Like Us*11 12 10 10 10 8 7 7 7 7 7 5 Jefferson County 15 11 10 8 8 9 7 7 7 6 5 5 Arrests, 18+309 230 207 174 177 196 148 164 160 147 126 119 Adjusted Pop 18+20,271 20,992 21,148 21,341 21,507 21,830 22,388 22,939 23,326 23,563 23,800 25,230 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Arrests of adults for alcohol are down compared to 1999-2001, arrests for drug law violation are relatively unchanged and arrests for violent crime are down slightly. 0 2 4 6 8 10 12 14 16 18 Jefferson County National State Counties Like Us Note: The alcohol violations (age 18+), per 1,000 adults (age 18+). Alcohol violations include all crimes involving driving under the influence, liquor law violations, and drunkenness. DUI arrests by the Washington State Patrol are included in the state trend analysis. However, they are not included in the county rankings since WSP arrests are not assigned to counties. Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Arrests (Age 18+), Drug Law Violation Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 7 7 7 7 7 7 7 8 7 7 6 State 5 6 6 5 6 5 5 6 6 5 5 4 Counties Like Us*5 5 5 5 6 5 5 5 6 5 4 4 Jefferson County 5 6 5 4 3 3 5 6 6 5 4 4 Arrests, 18+104 133 104 75 70 73 103 139 131 127 103 106 Adjusted Pop 18+20,271 20,992 21,148 21,341 21,507 21,830 22,388 22,939 23,326 23,563 23,800 25,230 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 5 10 15 Jefferson County National State Counties Like Us Note: The arrests of adults (age 18+) for drug law violations, per 1,000 adults (age 18+). Drug law violations include all crimes involving sale, manufacturing, and possession of drugs. Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non- Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Note: The rates are the annual number of alcohol-related traffic fatalities, per 100 traffic fatalities. "Alcohol-related" means that Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Arrests (Age 18+), Violent Crime Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 3 3 3 3 2 2 2 2 2 2 2 State 2 2 2 2 2 2 2 2 2 1 2 2 Counties Like Us*2 2 2 2 2 2 2 2 2 2 2 2 Jefferson County 3 2 1 2 1 1 2 1 2 1 1 1 Arrests, 18+53 39 31 50 27 29 36 32 36 28 26 24 Adjusted Pop 18+20,271 20,992 21,148 21,341 21,507 21,830 22,388 22,939 23,326 23,563 23,800 25,230 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Note: The rates are the annual number of alcohol-related traffic fatalities, per 100 traffic fatalities. "Alcohol-related" means that 0 2 4 6 Jefferson County National State Counties Like Us Note: The arrests of adults (age 18+) for violent crime per 1,000 adults (age 18+). Violent crimes include all crimes involving criminal homicide, forcible rape, robbery, and aggravated assault. Simple assault is not defined as a violent crime. Denominators are adjusted by subtracting the population of police agencies that did not report arrests to UCR. In spite of this population adjustment, when the non-reporting police jurisdiction is where much of the crime occurs, the rate for the county will be lower than it would be if that jurisdiction was included. For percent subtracted, suppression code definitions and the agencies not reporting, see the Technical Notes and the appendix on Non-Reporting Agencies and Population. State Source: Washington Association of Sheriffs and Police Chiefs, Uniform Crime Report (UCR), Tables 40 and 50. Population Estimates: Washington State Department of Health National Source: US Department of Justice, Bureau of Justice Statistics Sourcebook of Criminal Justice Statistics Online Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 B17. Total Crime Index Jefferson County Sheriff, Port Townsend Police and Washington State Total Source: Washington State Association of Sheriffs and Police Chiefs, Crime in Washington Report Washington State Year Population # Index Crimes RATE per 1000 Population # Index Crimes RATE per 1000 RATE per 1000 1988 11,760 445 38 6840 376 55 71 1989 12,260 453 37 6940 331 48 67 1990 13,000 439 34 7000 301 43 64 1991 14,370 536 37 7230 418 58 63 1992 14,970 438 29 7530 463 61 63 1993 15,760 492 31 7740 378 49 59 1994 16,360 603 37 7940 430 54 60 1995 16,935 642 38 8165 502 61 62 1996 17,425 502 29 8275 406 49 60 1997 17,970 589 33 8330 313 38 59 1998 18,155 570 31 8345 288 35 57 1999 18,200 604 33 8400 428 51 52 2000 18,350 572 31 8450 346 41 52 2001 18,016 491 27 8430 300 36 51 2002 18,145 453 25 8455 304 36 51 2003 18,270 394 22 8430 416 49 52 2004 18,465 570 31 8535 447 52 53 2005 18,855 680 36 8745 513 59 53 2006 19,380 587 30 8820 532 60 48 2007 19,735 572 29 8865 413 47 43 2008 19,875 466 23 8925 400 45 41 2009 20,105 368 18 8895 342 38 40 2010 20,355 425 21 8945 351 39 40 2011 20,870 384 18 9180 294 32 38 Jefferson County Sheriff Port Townsend Police Crime Index includes all violent crime (murder, rape, robbery, aggravated assault) and property crime (arson, burglary, larceny, motor vehicle theft) The total crime rates for Jefferson County Sheriff, Port Townsend Police and Washington State (total for all reporting agencies) are all decreasing since 1988. The Jefferson County Sheriff rate has been consistently lower than the Port Townsend and Washington State rates. 10 20 30 40 50 60 70 80 1 9 8 8 1 9 8 9 1 9 9 0 1 9 9 1 1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 9 6 1 9 9 7 1 9 9 8 1 9 9 9 2 0 0 0 2 0 0 1 2 0 0 2 2 0 0 3 2 0 0 4 2 0 0 5 2 0 0 6 2 0 0 7 2 0 0 8 2 0 0 9 2 0 1 0 2 0 1 1 ra t e p e r 1 , 0 0 0 r e s i d e n t s Jefferson County Sheriff Port Townsend Police Washington State August 2012 Supplemental Nutritional Assistance Program (SNAP) Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 65 61 61 66 74 81 87 89 88 94 State 98 88 87 95 103 112 120 122 121 126 151 180 Counties Like Us*122 110 109 118 128 138 148 150 150 189 187 218 Jefferson County 112 90 81 82 98 104 105 108 117 122 148 164 Recipients 2,884 2,368 2,147 2,192 2,605 2,798 2,895 3,059 3,351 3,518 4,300 4,901 All Persons 25,664 26,299 26,446 26,599 26,700 27,000 27,600 28,202 28,600 28,801 29,000 29,872 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Participation in the SNAP (public assistance nutrition program) has increased while children participating in TANF have been relatively unchanged since 1999-2000. 0 50 100 150 200 250 Jefferson County National State Counties Like Us Note: The persons (all ages) receiving food stamps in the fiscal year, per 1,000 persons (all ages). The population used is for the calendar year which ends the fiscal period. National rates use counts of all yearly recipients. Suppression code definitions for yearly rates are explained in Technical Notes. State Source: Department of Social and Health Services, Research and Data Analysis, Automated Client Eligibility System and Warrant Roll. Population Estimates: Washington State Department of Health National Source: US Census Bureau, Statistical Abstract of the US; Federal Food Stamp Programs by State Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 28, 2012 Temporary Assistance to Needy Families (TANF), Child Recipients Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 74 61 56 53 51 49 47 44 41 39 42 State 122 114 108 106 103 104 102 98 90 88 97 103 Counties Like Us*153 141 135 128 127 131 126 121 111 109 123 134 Jefferson County 143 121 102 94 95 94 91 91 88 86 92 98 TANF Children 749 624 523 476 476 471 459 463 448 433 461 437 Children, birth-17 5,225 5,138 5,122 5,076 5,010 4,989 5,033 5,084 5,097 5,062 5,022 4,446 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum 0 20 40 60 80 100 120 140 160 180 Jefferson County National State Counties Like Us Note: The children (age birth-17) participating in Aid to Families (AFDC/TANF) programs in the fiscal year, per 1,000 children (age birth-17). The population used is for the calendar year which ends the fiscal period. National TANF child recipients are defined as children 0-19 with almost no children of age 19, therefore national denominators are for children 0-18. Suppression code definitions for yearly rates are explained in Technical Notes. State Source: Department of Social and Health Services, Research and Data Analysis, Automated Client Eligibility System and Warrant Roll. Population Estimates: Washington State Department of Health National Source: U.S. Department of Health & Human Services, Administration for Children and Families, Office of Planning Research and Evaluation: Characteristics and Financial Circumstances of TANF Recipients Table I-29 Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 28, 2012 Youth clients of state funded chemical dependency programs are down compared to 1999-2005. Clients of State-Funded Alcohol or Drug Services (Age 10-17) Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 4 4 5 5 5 5 4 4 4 5 State 13 12 12 11 11 11 11 10 11 11 11 11 Counties Like Us*16 17 16 16 17 16 16 16 16 17 16 16 Jefferson County 20 22 22 14 17 17 16 12 11 11 10 12 Admits, 10-17 53 58 60 38 44 44 44 33 30 30 27 27 Persons, 10-17 2,661 2,670 2,690 2,686 2,664 2,650 2,670 2,685 2,674 2,632 2,591 2,251 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Note: The rate is the annual number of adolescents (age 10-17) receiving state-funded alcohol or drug services, per 1,000 adolescents 10-17. Counts of clients are unduplicated so that those receiving services more than once during the year are only counted once for that year. State-funded services include treatment, assessment, and detox. Persons in Department of Corrections treatment programs are not included. State Source: Department of Social and Health Services, Division of Behavioral Health and Recovery, Treatment and Assessment Report Generation Tool (TARGET). Population Estimates: Washington State Department of Health National Source: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS) 0 5 10 15 20 25 Jefferson County National State Counties Like Us Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Adult clients of state funded chemical dependency programs were lowest in 2008-2010 and 2000-2004. Clients of State-Funded Alcohol or Drug Services (Age 18+) Rate per 1,000 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 National 7 8 8 8 8 8 8 8 8 8 State 11 12 11 12 12 13 13 14 14 14 14 13 Counties Like Us*13 14 13 15 16 16 17 18 18 19 20 19 Jefferson County 15 12 11 10 11 12 13 14 15 13 13 12 Admits, 18+312 254 229 220 237 269 284 320 343 308 303 302 Persons, 18+20,439 21,161 21,324 21,523 21,690 22,011 22,567 23,118 23,503 23,739 23,978 25,426 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Note: The rate is the annual number of adults (age 18 and over) receiving state-funded alcohol or drug services, per 1,000 adults. Counts of adults are unduplicated so that those receiving services more than once during the year are only counted once for that year. State-funded services include treatment, assessment, and detox. Persons in Department of Corrections treatment programs are not included. State Source: Department of Social and Health Services, Division of Behavioral Health and Recovery, Treatment and Assessment Report Generation Tool (TARGET). Population Estimates: Washington State Department of Health National Source: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Treatment Episode Data Set (TEDS) 0 5 10 15 20 25 Jefferson County National State Counties Like Us Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 In SFY 2009, 72.4% of Jefferson adults (66.3% of WA adults) in households who qualified for and were in need of Department of Behavioral Health and Recovery (DBHR) funded chemical dependency treatment did NOT receive it. Overtime, the "treatment gap" in Jefferson County has worsened (see chart on the next page). Source: Tobacco, Alcohol and Other Drug Abuse Trends of Washington State August 28, 2012 Treatment Gap: Percent of county residents qualifying for and requiring DBHR-treatment but not receiving it Jefferson County Washingto n State Counties like us* 2003 70%76%60% 2005 66%72%52% 2006 67%69%61% 2009 72%66%55% *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Estimates exclude adults who have private, WA Basic Health Plan, or military health insurance. An additional adjustment was made to include individuals estimated to be eligible for DBHR-funded treatment at some time during the 12-month period. The Jefferson County treatment gap is worse than it was in 2003 while in WA, the rate has been steadily improving (decreasing) and in counties like us*, the gap has been consistently much lower. Note: Reports for 2004, 2007, and 2008 were not accessible at the DBHR website. 40% 60% 80% 2003 2005 2006 2009 Jefferson County Washington State Counties like us* Source: Tobacco, Alcohol and Other Drug Abuse Trends of Washington State August 28, 2012 C.1. Unemployment Rate Jefferson County and Washington State: 2000 to 2011 Annual; 2008 - June 2012 by month 2008 Jan 5.3 4.6 Source: Bureau of Labor Statistics, Local Area Unemployment Statistics. Not seasonally adjusted.Feb 5.7 4.6 Mar 5.8 4.7 Apr 5 4.8 May 5.4 5.0 Jun 5.4 5.2 Jul 5.2 5.4 Aug 5.4 5.6 Sep 5.2 5.8 Oct 5.5 6.1 Nov 6.2 6.5 Jefferson Co.WA State Dec 6.9 7.1 2000 5.4 5.0 2009 Jan 9.2 7.7 2001 6.4 6.2 Feb 9.6 8.3 2002 7.8 7.3 Mar 9.8 8.8 2003 7.4 7.4 Apr 8.9 9.2 2004 6.2 6.2 May 8.9 9.4 2005 5.6 5.5 Jun 8.8 9.6 2006 5.0 4.9 Jul 8 9.7 2007 4.7 4.6 Aug 8.4 9.7 2008 5.5 5.5 Sep 8.2 9.8 2009 8.9 9.4 Oct 8.4 9.9 2010 9.9 9.9 Nov 8.7 10 2011 9.9 9.2 Dec 9.8 10.2 2010 Jan 11.5 10.2 Feb 11.5 10.2 Mar 11.3 10.2 Apr 9.7 10.1 May 9.4 9.9 Jun 9.1 9.8 July 8.9 9.8 Aug 9.5 9.8 Sep 9.4 9.8 Oct 9 9.8 Nov 9.7 9.7 Dec 9.9 9.7 2011 Jan 11.2 9.6 Feb 11.2 9.5 Mar 10.9 9.4 Apr 9.8 9.3 May 9.8 9.3 Jun 9.8 9.3 July 9.2 9.3 Aug 9.6 9.2 Sep 9.1 9.0 Oct 9.0 8.9 Nov 9.0 8.7 Dec 10.0 8.6 2012 Jan 10.4 8.4 Feb 10.6 8.3 Mar 10.4 8.3 In 2011, the Jefferson unemployment rate has been above the WA rate. The Jefferson rate peaked in early 2010 at 11.5%. Since July 2011, each month approximately 1,100 Jefferson residents are unemployed. 4.0 6.0 8.0 10.0 12.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 % Unemployment Rate by Year: 2000-2011 Jefferson Co. WA State 9.5 8.3 4.0 6.0 8.0 10.0 12.0 20 0 8 J a n Fe b Ma r Ap r Ma y Ju n Ju l Au g Se p Oc t No v De c 20 0 9 J a n Fe b Ma r Ap r Ma y Ju n Ju l Au g Se p Oc t No v De c 20 1 0 J a n Fe b Ma r Ap r Ma y Ju n Ju l y Au g Se p Oc t No v De c 20 1 1 J a n Fe b Ma r Ap r Ma y Ju n Ju l y Au g Se p Oc t No v De c 20 1 2 J a n Fe b Ma r Ap r Ma y Ju n e % Unemployment Rate by Month: Jan 2008-June 2012 Jefferson Co. WA State August 2012 F.7. Homeless Jefferson County: 2005 - 2011 January Point in Time DSHS Basic Food 2005 170 98 2006 141 162 2007 192 217 2008 225 1852009141214 2010 133 300 2011 108 2012 82 Source: Point in Time Count of Homeless Persons, WA State Dept. of Commerce; Department of Social and Health Services (DSHS), Community Services Division, Economic Services Administration In January 2010, at least 300 Jefferson County residents were homeless. Until 2008, the Point in Time Count identified more homeless persons than the Department of Social and Health Services (DSHS) Basic Food (food stamps) applications however, in 2010, DSHS food stamps recipients reporting being homeless were nearly twice as high. Number of Homeless Persons 0 100 200 300 400 2005 2006 2007 2008 2009 2010 2011 Point in Time DSHS Basic Food 9% 0% 5% 10% 15% 20% Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jefferson County DSHS Basic Food Clients by Self-Reported Homeless Status, January 2005 -June 2010 % homeless 96 152 0 50 100 150 200 Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jefferson County Homeless DSHS Basic Food Clients by Gender, January 2005 -June 2010 female male 202 34 - 100 200 300 400 Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jefferson County Homeless DSHS Basic Food Adult and Child Clients, January 2005 -June 2010 adults children 100 136 - 100 200 300 400 Jan-05 Jul-05 Jan-06 Jul-06 Jan-07 Jul-07 Jan-08 Jul-08 Jan-09 Jul-09 Jan-10 Jefferson County Homeless DSHS Basic Food Clients by With or Without Housing, January 2005 -June 2010 with housing without housing With housing = shelter or emegency shelter August 2012 Public School Students who Experience Homelessness (Grades: pre-kindergarten to 12) Source: WA State Office of the Superintendent of Public Instruction Brinnon # # enrolled %Shelters Doubled Up Un-sheltered Hotels/Motels 2006-7 1 47 2%0 0 1 0 2007-8 2 45 4%0 1 1 0 2008-9 0 41 0%0 0 0 0 2009-10 0 31 0%0 0 0 0 2010-11 0 40 0%0 0 0 0 Chimacum # Shelters Doubled Up Un-sheltered Hotels/Motels 2006-7 4 1181 0%0 3 1 0 2007-8 3 1170 0%0 3 0 0 2008-9 19 1135 2%4 11 4 0 2009-10 36 1143 3%3 33 0 0 2010-11 51 1133 5%11 39 1 0 Port Townsend # Shelters Doubled Up Un-sheltered Hotels/Motels 2006-7 16 1557 1%3 4 8 1 2007-8 12 1508 1%1 11 0 0 2008-9 17 1556 1%0 16 1 0 2009-10 19 1430 1%6 13 0 0 2010-11 25 1317 2%3 20 0 2 Queets-Clearwater # Shelters Doubled Up Un-sheltered Hotels/Motels 2006-7 14 32 44%0 14 0 0 2007-8 13 26 50%0 13 0 0 2008-9 0 30 0%0 0 0 0 2009-10 0 24 0%0 0 0 0 2010-11 0 24 0%0 0 0 0 Quilcene # Shelters Doubled Up Un-sheltered Hotels/Motels 2006-7 4 269 1%0 4 0 0 2007-8 5 258 2%0 3 0 2 2008-9 6 239 3%0 6 0 0 2009-10 0 227 0%0 0 0 0 2010-11 0 271 0%0 0 0 0 The number of homeless students reported might be underestimated as reporting homelessness to the school is not required. Differences in data collection by school likely. These data only represent one homeless experience per individual – students who are homeless more than once during the school year are only counted one time. August 28, 2012 C13. Alcohol and Drug Related Deaths as a Proportion of all Deaths Jefferson County and Washington State Trend assessed using Joinpoint Regression Program 3.4.3 - April 2010 # of drug or alc deaths total deaths % # of drug or alc deaths total deaths % 1998-00 57 829 6.9 11451 130273 8.8 2001-03 76 846 9.0 12903 135617 9.5 2004-06 116 889 13.0 15279 136597 11.2 2007-09 135 966 14.0 16827 141756 11.9 2010 Source: Risk and Protection Profile for Substance Abuse Prevention in Washington State, December 2010. Accessed at: http://www.dshs.wa.gov/rda/research/4/47/updated/default.shtm Definition: The proportion is the annual number of deaths, with alcohol- or drug-related causes, per 100 deaths. Evaluation is based on all contributory causes of death for direct and indirect associations with alcohol and drug abuse. Alcohol and drug related deaths includes all contributing causes of death. In 2007-09 each year on average 45 Jefferson County resident deaths were related to drugs or alcohol, that's about 1 in every 7 deaths. The proportion of all Jefferson deaths that were alcohol or drug related was statistically worse than WA in 2007-09. The Jefferson and Washington rates have been statistically worsening since 1998-00. Jefferson County Washington State 14.0 11.9 0 5 10 15 1998-00 2001-03 2004-06 2007-09 % o f a l l d e a t h s Jefferson County Washington State Jefferson rate statistically worsening by 8.3% per year since 1998-00 WA rate statistically worsening by 3.6% per year since 1998-00 Jefferson rate statistically worse than WA in 2007-09 Jefferson County Public Health February 2011 Alcohol and Drug Related Deaths by County, 2005-2009 County % of all deaths Ferry 15.92 Okanogan 13.69 Jefferson 13.37 Grant 13.28 Stevens 12.87 Skamania 12.83 Mason 12.54 Grays Harbor 12.46 Snohomish 12.17 Thurston 12.05 Cowlitz 12.04 Pacific 12.04 Franklin 11.94 Whatcom 11.89 Pierce 11.85 Columbia 11.82 Klickitat 11.77 Clallam 11.66 Spokane 11.57 King 11.49 Clark 11.48 Skagit 11.35 Kitsap 11.33 Walla Walla 11.32 Adams 11.19 Yakima 11.18 Chelan 11.07 Pend Oreille 10.98 San Juan 10.93 Kittitas 10.91 Asotin 10.12 Benton 10.77 Lincoln 9.09 Douglas 10.67 Whitman 9.01 Island 10.64 Wahkiakum 8.85 Lewis 10.48 Garfield 7.32 Jefferson County had the 3rd highest proportion of deaths related to alcohol and drugs in Washington State. Jefferson County Public Health February 2011 Adults dying from alcohol or drug related causes have increased steadily since 1999. Alcohol- or Drug-Related Deaths Percent 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 State 9 9 9 10 10 11 10 12 12 12 12 12 Counties Like Us*8 9 9 10 10 11 11 12 11 12 13 12 Jefferson County 6 6 7 9 10 14 12 12 13 15 15 12 AOD-related 17 17 20 25 31 42 34 36 38 51 47 41 Deaths 285 264 269 268 307 292 291 293 299 341 321 344 *Counties like us: Clallam, Cowlitz, Grays Harbor, Island, Jefferson, Lewis, Mason, Pacific, San Juan, Skagit, Wahkiakum Note: The deaths, with alcohol- or drug-related causes, per 100 deaths. Evaluation is based on all contributory causes of death for direct and indirect associations with alcohol and drug abuse. For a complete explanation of the codes and methods used please see Technical Notes: Counting Alcohol- or Drug-related Deaths. Suppression code definitions for yearly rates are explained in Technical Notes. Rates are not reported when fewer than 100 deaths occurred in an area. State Source: Department of Health, Center for Health Statistics, Death Certificate Data File 0 5 10 15 20 Jefferson County State Counties Like Us Washington State Department of Social and Health Services Research and Data Analysis, Community Outcome and Risk Evaluation Geographic Information System (CORE-GIS). County Reports, July 2012.August 2012 Alcohol and Drug Related Hospitalizations Jefferson County and Washington State Trend assessed using Joinpoint Regression Program 3.4.3 - April 2010 Alcohol and Drug Hospitalizations as a Proportion of All Hospitalizations # of drug or alc hosp total hosp % # of drug or alc hosp total hosp % 1992-94 194 8225 2.4%34891 1548854 2.3% 1995-97 225 8440 2.7%42544 1527625 2.8% 1998-00 258 8841 2.9%46169 1606669 2.9% 2001-03 288 8759 3.3%52527 1693614 3.1% 2004-06 257 8687 3.0%59565 1783185 3.3% 2007-09 335 9671 3.5%70534 1883866 3.7% Jefferson County Alcohol and Drug Hospitalization Rates # drug hosp total hosp rate per 1,000 # alc hosp total hosp rate per 1,000 1992-94 68 65105 1.0 126 65105 1.9 1995-97 92 70067 1.3 133 70067 1.9 1998-00 124 73726 1.7 134 73726 1.8 2001-03 118 75919 1.6 170 75919 2.2 2004-06 99 79033 1.3 158 79033 2.0 2007-09 128 82622 1.5 207 82622 2.5 Jefferson County Washington State Source: WA State Dept. of Health, Center for Health Statistics, Comprehensive Hospital Abstract Reporting System. Accessed in: Community Health Assessment Tool (CHAT) In 2007-09 each year on average there were 112 Jefferson County resident hospitalizations related to drugs or alcohol, up 72% from an average of 65 in 1992-94. The Jefferson and Washington rates have been statistically worsening since 1992-94. Definition: The proportion is the annual number of hospitalizations with alcohol- or drug-related causes, per 100 hospitalizations. The rate is the annual number per 1,000 Jefferson County residents. Data are for inpatient admissions. The same individual with multiple admissions is counted each time. 3.5% 3.7% 0% 2% 4% 1992-94 1995-97 1998-00 2001-03 2004-06 2007-09 % o f a l l h o s p i t a l i z a t i o n s Jefferson County Washington State Jefferson rate statistically worsening by 2.2% per year since 1992-94 WA rate statistically worsening by 3.0% per year since 1992-94 1.5 2.5 0.0 1.0 2.0 3.0 1992-94 1995-97 1998-00 2001-03 2004-06 2007-09 ho s p i t a l i z a t i o n r a t e p e r 1, 0 0 0 r e s i d e n t s drug hospitalizations alcohol hospitalizations Jefferson County Public Health February 2011 Emergency Room Visits by Reason - Jefferson Healthcare Source: Jefferson Healthcare PENDING