Community Dialogue - Family Pathways€¦ · Family Pathways | Community Dialogue 2019 Recap 3...
Transcript of Community Dialogue - Family Pathways€¦ · Family Pathways | Community Dialogue 2019 Recap 3...
Community Dialogue
2019 Recap
Table of Contents
Purpose ..............................................................................................................3
Community Dialogue’s Agenda ...........................................................................4
Community Dialogue’s Locations ........................................................................5
List of Participants by County .............................................................................6
General Findings: Overview ..............................................................................11
Community Health Improvement Plan (CHIP) Priorities by County .............. 12–13
County Health Rankings....................................................................................14
Community Dialogue Recap of Issues by County
Education ...................................................................................................26
Employment ...............................................................................................29
Environment ..............................................................................................31
Food Access ................................................................................................33
Access to Healthcare ..................................................................................35
Housing ......................................................................................................38
Access to Resources ....................................................................................41
Safety .........................................................................................................44
Social Connectedness .................................................................................47
Transportation ............................................................................................50
Next Steps ........................................................................................................53
Family Pathways | Community Dialogue 2019 Recap 2
Family Pathways | Community Dialogue 2019 Recap 3
PurposeCommunity Dialogue 2019 was a convening of 200 leaders and decision makers from across the spectrum of poverty, including prevention, reduction, mitigation and emergency support to explore the question, “If the economy is thriving, then why are there members of our community who are still struggling?” With generous support from the Initiative Foundation, Family Pathways hosted a total of 7 – 3½ hour sessions across East Central Minnesota and Western Wisconsin gathering experts in housing, human and social services, education, hunger relief, transportation, employment, public safety, health systems, nonprofit organizations, policy-makers and opinion-leaders to:
• Share expertise and ideas; learn collectively
• Identify and/or validate key issues and share how our work impacts community
• Share what we wish we could do, and ideate how we can do more together
• Create traction through synergetic partnerships
• (Re)ignite inspiration to tackle tough community issues
The sessions were facilitated by Lisa Mears, CEO of Family Pathways.
“ Everyone in this room is committed to overcoming these actions; we are blessed with a lot of gifted individuals! We have a lot of passionate, talented people that work really hard to get services out to people.”
—Isanti County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 4
Community Dialogue AgendaOpening and Introductions Purpose: Clarify goals of the session, review the agenda and learn who is in the
room.
If the economy is thriving then why?Purpose: To level-set “social determinants of health and viability” for individuals
and community.
Data SpeaksPurpose: To understand the social, environmental and systematic impacts on
individuals and community in our region.
Focus on the Present: Proud’s Purpose: To own, understand and celebrate what each of us is doing now (“YES!”).
Focus on the Future: WishesPurpose: To imagine a desired future (“if only we could…”) and identify key
strategies to achieve viability for the region.
Focus on the Future: Creating TractionPurpose: Verify the most solution-able forces or determinants affecting
community instability and poverty in our region. Discover synergetic partnerships.
Our Next Steps
“ Make a difference in someone’s life, every day. Just one
thing. That stuck with me. If everyone acted that way, the
world would be a better place. Just try. Keep trying. Keep
reaching out. It all starts with one idea, one conversation. I
do not want to stop, I want to keep going.” – Kanabec County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 5
Dates, Sites, Locations1. Pine County | Tuesday, January 29 | First Lutheran Church ELCA
301 Lawler Avenue South, Hinckley, MN 55037
2. Polk County | Tuesday, February 5 | Lamar Community Center 1488 200th Street, St. Croix Falls, WI 54024
3. Mille Lacs County | Wednesday, February 6 | Northern Lights Ballroom 10376 112th Avenue, Milaca, MN 56353
4. Isanti County | Thursday, February 21 | New Hope Community Church 114 New Dahlin Avenue Northeast, Isanti, MN 55040
5. Chisago County | Monday, February 25 | Lindstrom Community Center 13292 Sylvan Avenue, Lindstrom, MN 55045
6. Kanabec County | Tuesday, February 26 | Pink Diamond 1434 Ann Lake Road, Ogilvie, MN 56358
7. Family Pathways Staff | Thursday, March 21, New Hope Community Church 33030 Vickers Street NE, Cambridge, MN 55008
Family Pathways | Community Dialogue 2019 Recap 6
Benton CountyNatalie MatthewsonCommunity Development SpecialistCentral MN Council on Aging
Natalie Matthewson R>E Adult Mental Health Initiative Planner Resource Training and Solutions
Amanda Schindele Contract Manager Central MN Council on Aging
Chisago CountyColton Anderson Public Health Planner Chisago County
Maeta Burns-Penn Vocational Program Manager Rise, Inc.
Kathy Bystrom Community Partnerships Manager Fairview Lakes and Fairview Northland
Carolyn Cagle Board Member Lent Township Amy Chavez Director Chisago County Probation
Mike Harper Director Rise, Inc. Nancy Hoffman Executive Director Chisago County HRA - EDA
Jessica Keeney Community Outreach Specialist Lakes Region EMS Sarah Kerkes Pastor Zion Lutheran Church
Katie Larson Captain Lakes Area Police Department
Kayla Lokken Marketing Mary T. Inc Home Care and Hospice
Andrew Mahowald Patrol Captain Chisago County Sheriffs Office
John Olinger City Administrator City of Lindstrom
Janet Reiter Chisago County Attorney Chisago County
Lisa Thibodeau Solid Waste Administrator Chisago County Environmental Services Department
Brandon Thyen Sheriff Chisago County Sheriffs Office
Eric Ward Harris Covenant Church
Courtney Wehrenberg Public Health Administrator Chisago County Public Health
Steve Weihsmann Pastor Harris Covenant Church
Isanti CountyJessica Bitz Market President Falcon National Bank
Patricia (Trish) Carlson Mayor City of Braham
Participants by County
Family Pathways | Community Dialogue 2019 Recap 7
Greg Carlson Executive Director (special projects) Presbyterian Homes and Services
Mike Donnelly Account Manager Waste Management of Minnesota, Inc. Nicki Klanderud Manager Community Engagement Allina Health
Susan Morris Isanti County Commissioner Isanti County
Sarah Motl Community Health Supervisor Isanti County
Tim Nelson Assistant County Attorney Isanti County Braham Area Education Foundation (Chair)Braham Lutheran Church Council (VP)
Jake Peterson Attorney / Board Member, Family Pathways Carol Ann Smith Secretary, Executive Board Member and Community Service Resource Coordinator Istanti County - Beyond the Yellow Ribbon
Lynda Woulfe City Administrator City of Cambridge
Kanabec CountyDawn Besemann Outreach Program Manager Lakes and Pines Community Action Council, Inc.
Kathy Burski Director of Community Health Kanabec County
Mark Cannon Owner Freddie’s Restaurant
Leona Dressel Treasurer Dala Business Women
Kelly Graber Social Respite Facilitator Lakes and Pines Community Action Council, Inc.
Lisa Krahn Executive Director Seven County Senior Federation
Cilla Moseley Housing Rehabilitation Specialist Lakes and Pines Community Action Council, Inc.
Brent Nelson High School Principal Mora Schools Karen Onan Community Development Planner East Central Development Commission
Jen Peterson Social Work / Care Coordination FirstLight Health System
Mille Lacs CountyMarge Agnew Chair Transportation Resources for You (TRY)
Mark Brouwer Pastor Bethel Christian Reformed Church
Pauline Ewert Helping Hands Director New Life Church
Alisha Fussy Health Educator / SHIP Coordinator Mille Lacs County
Tammy Pfaff City Manager City of Milaca
Jeremy Schultz High School Principal Isle Schools
Diane Seefeld Executive Director Mille Lacs Health Systems
Family Pathways | Community Dialogue 2019 Recap 8
Aimee Struffert Board Member Milaca Schools
Beth VanderPlaats Financial Assistance Supervisor Mille Lacs County
Daniel Voce Middle School Principal Princeton Schools
Molly Weygrens Pastoral Associate Christ Our Light Catholic Church
Pine CountyDiane Andersen Sibley RN / College Healthcare Education Specialist Pine Tech
Becky Foss Director, Health and Human Services Pine County
Hailey Freedlund Health Education / SHIP Coordinator Pine County
Kathy George City Administrator City of Sandstone
Dwayne Green Executive Director Pine Technical & Community College
Jimmie Johnson Snap-Ed Health Educator University of Minnesota Extension Elsa Kohl SMART Mentor Hinckley-Finlayson High School Samantha Lo CHS Administrator Pine County David Minke County Administrator Pine County
Frank Moyer Coordinator Next Door Food Pantry Jeff Nelson Sheriff Pine County Peter Spartz Mayor City of Sandstone
Amy Tvedt Community Living Specialist Central MN Council on Aging
Brenda Wicklund Pastor First Lutheran Church
Joe Keyport News Director WCMP News
Polk CountyBelinda Cash Victim Witness Coordinator Polk County Bill DeWitt Elementary Principal Unity Schools
Maggie IsaacsonPastor; Board Member of Northwoods Homeless Shelter North Valley Lutheran
Twyla Jenson Bublitz Counselor Fristad Lutheran Church
Brian Kacmarski Director Public Health Department Polk County
Jeff Kemp District Attorney Polk County Suzanne Lindgren Editor The Osceola Sun/County Messenger
Family Pathways | Community Dialogue 2019 Recap 9
Deb Paulsen Financial Education Representative Royal Credit Union
Valerie Peterson Pastor Fristad Lutheran Church John Peterson Pastor Zion-Grace Lutheran Parish
St. Croix CountyJessica Neumann Community Impact Coordinator United Way St. Croix County
Heather Logelin President St. Croix Valley Foundation
Stearns CountyDeanna Hemmesch Executive Director Central MN Housing Partnership
Washington CountyLinda Madsen Executive Director, Acting Lakes Center for Youth and Families Derek Otto Executive Director YMCA Forest Lake
Yohanis Shitta Youth Development Program Manager YMCA Forest Lake Family Pathways, serving all countiesDustin Anderson Men’s Program Manager Family Pathways
Lise Arseneau Lee Aging Services Manager Family Pathways Kay Beagley Regional Manager of Thrift Stores Family Pathways
Allison Bendickson Development Associate Family Pathways Shannon Blume Store Manager Family Pathways Dara Cavallin Store Manager Family Pathways Angie Detert Social Respite Coordinator Family Pathways Jeremy Dye Store Manager Family Pathways Julia Gervais Board Member Family Pathways
Brandon Goranson Caregiver Consultant Family Pathways Terry Gorham Board Member Family Pathways Venus Griffin Store Manager Family Pathways Kim HouleCommunity Program Manager Family Pathways Nicole Johnson Hinckley Store Manager Family Pathways Shelly Johnson Step Up Coordinator Family Pathways
Darlene Kratt Aging Care Specialist Family Pathways
Family Pathways | Community Dialogue 2019 Recap 10
Kathy Lentz Board Member Family Pathways Chris Lenzen Director of Thrift Stores Family Pathways
Emily Matoga Store Manager Family Pathways
Jayne Mund Caregiver Consultant Family Pathways
Rhonda Nelson Store Manager Family Pathways Kristen Nixon Store Manager Family Pathways
Steve Ovick Board Member Family Pathways
Penni Skaggs Store Manager Family Pathways
Peter Tiede Board Member Family Pathways
Debbie Vaughan Regional Manager of Thrift Stores Family Pathways Kathy Wills Director of Hunger Relief Family Pathways Justin Yatckoske Store Manager Family Pathways
Michelle Thomas Director of Marketing & Strategic PartnershipsFamily Pathways
Jessica Milkey Senior Executive Assistant Family Pathways
Roxie Karelis Director of Strategic Initiatives Family Pathways
Sonia Palmer Director of Development Family Pathways
Lisa Mears Chief Executive Officer Family Pathways
Family Pathways | Community Dialogue 2019 Recap 11
General Findings Overview: The Health of Our Community(ies)Determinants of Health – Physical and SocialDeterminants of health—or root causes—are preventable, avoidable and actionable, encompassing addressable domains such as economic stability, neighborhood and physical environment, education, food security, community and social context, access to healthcare, and policy. Everyone is a stakeholder in root causes of health and all individuals have a responsibility to take action and impact social determinants to improve the health of the most vulnerable populations. (Healthcare Information and Management Systems Society US, 2019)
Examples of social determinants / root causes:• Availability of resources to meet daily needs, such as
educational and job opportunities, living wages, or healthful foods
• Social norms and attitudes, such as discrimination
• Exposure to crime, violence, and social disorder, such as the presence of trash
• Social support and social interactions
• Exposure to mass media and emerging technologies, such as the internet or cell phones
• Socioeconomic conditions, such as concentrated poverty
• Quality schools
• Transportation options
• Public safety
• Residential segregation
Examples of physical determinants / root causes:
• Natural environment, such as plants, weather, or climate change
• Built environment, such as buildings, parks or transportation infrastructure
• Worksites, schools, and recreational settings
• Housing, homes, and neighborhoods
• Exposure to toxic substances and other physical hazards
• Physical barriers, especially for people with disabilities
• Aesthetic elements, such as good lighting, trees, or benches
Source: World Health Organization
“ Many factors combine together to affect the health (& viability) of individuals and communities. Whether people are healthy or not, is determined by their circumstances and environment. To a large extent, factors such as where we live, the state of our environment, genetics, our income and education level, and our relationships with friends and family all have considerable impacts.”
–World Health Organization
Family Pathways | Community Dialogue 2019 Recap 12
Viability – Individual, Family, Neighborhood, Community, Region Viability is the ability to maintain itself / one-self or (re) uncover its / our potentialities.
An individual or family’s viability is influenced by more than their behaviors or choices. The following matter:
• The way communities are designed
• The resources that are available (and when)
• The systems, practices and policies that are in place in community and the region
• The built infrastructure – transportation, parks, housing, gardens
• Opportunities for employment and gainful income
• The type, amount and affordability of housing, food, education and health care opportunities
DATA BY COUNTYEach county public health department was invited to present findings of their Community Health Needs Assessment and Community Health Improvement Plan. Community Health Needs Assessment – The purpose is to identify and describe factors that affect the health of a community, and identify available resources to address those factors. This is a grassroots assessment (public and partners) of the current, most important public health needs, of which Public Health is required to conduct once every 5 years and hospitals are required to conduct every 3 years.
Community Health Improvement Plan – A vision for the community’s health that addresses long-term, systematic efforts to address public health problems in a community. It is based on the results of community health assessment activities, and is one step in a process to improve community health. This is the community’s plan, not the health board’s plan for the community.
Process:
• Prioritize issues with advisory committee based on the findings of the community health needs assessment
• Narrow down to top 3 priority areas with advisory committee
• Conduct a root cause analysis of top 3 areas
• Develop a structure where the root causes are the final priorities
• Finalize structure, formulate goals, strategies, and define roles with partners
• Implement, monitor, and revise with partners
“ Health is often thought of as only taking place in a doctor’s office, hospital, or in terms of the absence of illness. However, in reality, only 20 percent of health is determined by traditional healthcare; the remaining 80 percent is determined by socioeconomic factors, the physical environment and health behaviors.”
Healthcare Information and Management Systems Society US, 2019
Family Pathways | Community Dialogue 2019 Recap 13
COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITIES BY COUNTY
CHISAGO ISANTI KANABEC MILLE LACS PINE WASHINGTON POLK, WI
Health Priorities
Adverse Childhood Experiences (ACES)
Youth Chemical Health
Inadequate Prenatal Care
Mental Health Mental Health Access to Care Mental Health
Mental Health
Mental Health
Obesity / Lifestyle Choices
Poverty & Income
Substance Abuse
Access to Health
Substance Abuse
Food Security
Lack of Social Connection
Alcohol, Tobacco & Other Drugs
Alcohol, Tobacco & Other Drugs
Obesity Environmental Conditions
Access to Care
Healthy Weight
Aging Population
Mental Health & Well Being
Obesity
Childhood Trauma
Nutrition & Physical Activity
Adult Substance Abuse
Substance Abuse
NutritionSuicide Rates
Root Causes
Not identified in presentation
Not identified in presentation
Not identified in presentation
Trauma Trauma Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Social Isolation / Lack of Connectedness
Social Isolation / Lack of Connectedness
Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Economic Insecurity
Economic Insecurity
Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Not identified in presentation
Structural / Policy Barriers
Structural / Policy Barriers
Not identified in presentation
Not identified in presentation
The Powerpoint public health presentations for each county can be found on the Family Pathways website at https://www.familypathways.org/2019-strategic-planning/. The full community health needs assessments and community health improvement plans may be found on the county websites.
Family Pathways | Community Dialogue 2019 Recap 14
County Health Rankings[Link to Presentation] - The County Health Rankings & Roadmaps program is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. They have a vision of an America where we all strive together to build a national Culture of Health that enables all in our diverse society to lead healthy lives, now and for generations to come. The goals of the program are to 1) build awareness of the multiple factors that influence health, 2) provide a reliable, sustainable source of local data and evidence to communities to help them identify opportunities to improve their health, 3) engage and activate local leaders from many sectors in creating sustainable community change, and 4) connect and empower community leaders working to improve health.
Population
Ethnicity
0
5
10
15
20
25
30
Minnesota Chisago Isanti Kanabec Mille Lacs Pine Washington Wisconsin Polk
Perc
enta
tge
of P
opul
atio
n
MN, WI and Counties
POPULATION% Below 18 Years % 65 Older
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Minnesota Chisago Isanti Kanabec Mille Lacs Pine Washington Wisconsin Polk
Perc
enta
ge o
f Pop
ulat
ion
MN, WI and Counties
ETHNICITY% Non Hispanic African American % American Indian and Alaskan Native % Asian % Native Hawaiian Other Pacific Islander % Hispanic % Non Hispanic White
Family Pathways | Community Dialogue 2019 Recap 15
Median Household Income
Education the percent of 9th graders graduating in 4 years
$74,900.00 $68,300.00
$51,300.00 $53,400.00 $51,000.00
$90,800.00
$53,700.00
$65,600.00
$56,800.00
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
Med
ian
inco
me
(dol
lars
)
COUNTIES
MEDIAN HOUSEHOLD INCOME
County MN, WI
83 81 8186
90
78
89 8894
74
65 6356
6356
81
6862
0
10
20
30
40
50
60
70
80
90
100
Minnesota Chisago Isanti Kanabec Mille Lacs Pine Washington Wisconsin Polk
Perc
enta
ge
Counties
HIGH SCHOOL GRADUATION & SOME COLLEGEHigh School Graduation Some College
Family Pathways | Community Dialogue 2019 Recap 16
Unemployment Rate
Children in Poverty
4.44.7
6.6
6 5.9
3.4
4.7
3.9 4.1
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
UNEMPLOYMENT RATE
COUNTY MN, WI
8
11
20
17 17
5
1313
16
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
CHILDREN IN POVERTY
COUNTY MN, WI
Family Pathways | Community Dialogue 2019 Recap 17
Children in Single Parent Households
Disconnect Youth youth ages 16-24 not in work or in school
22
2730
36
30
23
3128
32
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
CHILDREN IN SINGLE PARENT HOUSEHOLD
COUNTY MN, WI
13 13
17
13
19
8
13
9
11
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
DISCONNECTED YOUTH
COUNTY MN, WI
Family Pathways | Community Dialogue 2019 Recap 18
Health Outcomes RankCounty County Rank Out of # Counties
Washington 3 87
Chisago 33 87
Isanti 39 87
Kanabec 43 87
Pine 73 87
Mille Lacs 80 87
Polk 39 72
Health Care Costs
8,662
8,0187,922
7,794
9,164
8,219
8,972
8,250
8,696
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
COST
(DOL
LARS
)
COUNTIES
HEALTH CARE COSTS
COUNTY MN, WI
An attendee asks,
“ What are some of the
things in place that we are
doing well?”
Presenters’ state, “Things
like what we are doing
today, partnering with other
counties.” – Pine County Community Dialogue
Family Pathways | Community Dialogue 2019 Recap 19
Primary Care Providersnumber of patients to one provider
Mental Health Providers number of patients to one provider
1,825
5,575
1,759
1,078
2,625
1,644
1,1101020
1,250
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
NUM
BER
OF P
ATIE
NTS
TO O
NE P
ROVI
DER
COUNTY
PRIMARY CARE PROVIDERS
COUNTY MN, WI
930710
3,170
470
780
460560470 560
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
NUM
BER
OF P
ATIE
NTS
TO O
NE P
ROVI
DER
COUNTIES
MENTAL HEALTH PROVIDERS
COUNTY MN, WI
Family Pathways | Community Dialogue 2019 Recap 20
Frequent Mental Distresspercentage of adults reporting 14 or more days of poor mental health per month
Access to Physical Activity percentage of population with adequate access to locations for physical activity
10
9 9
10 10 10
8
11
0
2
4
6
8
10
12
Minnesota Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
Perc
enta
ge
Counties
FREQUENT MENTAL DISTRESS
10
9 9
10 10 10
8
11
0
2
4
6
8
10
12
Minnesota Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
Perc
enta
ge
Counties
FREQUENT MENTAL DISTRESS
Ah ha moment...
“ We have met time and again, over and over again in regards to community members, low income, and older adults. Social connectedness—or the lack of—impacts mental health.”
– Chisago County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 21
Food Insecurity
Free or Reduced Lunch Eligibility in School-Age Children
7.18
10.9 10.7 10.9
7
109.2
11
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
FOOD INSECURITY
County MN, WI
2535 43 41 48
21
41
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
Perc
enta
ge
Counties
CHILDREN ELIGIBLE FREE REDUCED LUNCHCounty MN, WI
Family Pathways | Community Dialogue 2019 Recap 22
Length of Life Rank measured by premature death
County County Rank Out of # Counties
Chisago 27 87
Kanabec 31 87
Isanti 42 87
Washington 53 87
Pine 73 87
Mille Lacs 80 87
Polk 53 72
Physical Environment Rank measured by air and water quality, housing and transit
County County Rank Out of # of Counties
Kanabec 57 87
Mille Lacs 64 87
Isanti 71 87
Washington 77 87
Pine 84 87
Chisago 86 87
Polk 50 72
Socioeconomic Factors Rank measured by education, employment, income, family and social support
County County Rank Out of # of counties
Washington 2 87
Chisago 23 87
Isanti 39 87
Mille Lacs 76 87
Pine 79 87
Kanabec 80 87
Polk 32 72
Presenter
“ Mille Lacs started a program, influencing fruits and veggies for children. We make coupons to hand out (2 dollar pick bucks) and they can go to the farmers market and use their vouchers to get produce. The program was rolled out at 25% return, actual return is 50%.” Attendee asks, “How many vouchers were spent?” Presenter states, “$6,000 dollars.”
– Mille Lacs County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 23
Severe Housing Problems at least 1 of 4: overcrowding, high housing costs, lack of kitchen facility, lack of plumbing
Rural Residents
13
15
18
15
19
12
1514
15
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
SEVERE HOUSING PROBLEMS
COUNTY MN, WI
55.662.3
77.470.8
89.3
14
85.5
26.7 29.8
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
RURAL
COUNTY MN, WI
Family Pathways | Community Dialogue 2019 Recap 24
Long Commute driving alone for more than 30 minutes
53 54
43 44
3639 41
3027
Chisago Isanti Kanabec Mille Lacs Pine Washington Polk
PERC
ENTA
GE
COUNTIES
COUNTY MN, WI
Family Pathways | Community Dialogue 2019 Recap 25
Map the Meal Gap [Link]The Feeding America nationwide network of food banks and its partners use Map the Meal Gap in their strategic planning and goal-setting as they work to address current hunger needs and work to end hunger across America. The annual study has also become a tool for legislators, academics and community organizations as they develop policies, research and programs across a number of related social and economic issues. (Map the Meal Gap, 2018)
In the following chart, the last three columns on the right of the chart speak to the type of response impacting food insecurity in relation to the level of poverty. The 2018 Map the Meal Gap report utilizes food insecurity data by county from 2016. At 165% or below the federal poverty guideline – approximately 13,500 – food insecure individuals and families may be eligible for Supplemental Nutrition Assistance Program (SNAP), Women, Infants and Children (WIC) food and nutrition service, free school meals (breakfast and lunch), Commodity Supplemental Food Program (CSFP) for adults age 60+, and The Emergency Food Assistance Program (TEFAP). Between 165% and 185% of federal poverty guideline, those who are food insecure may be eligible for reduced price school meals and Women, Infants and Children (WIC) food and nutrition service. Those who are food insecure and over 185% of federal poverty guideline must rely on their social support system and a charitable response, such as nonprofit, faith and service organizations, to support their food access and nutrition needs.
County Population Food Insecurity Rate Estimated Number Food Insecure Individuals % Below 165% Poverty % Between 165% and 185% Poverty % Above 185% Poverty54% 4% 42%
2,062.80 152.8 1,604.4059% 6% 36%
1,817.20 184.8 1,108.8073% 4% 23%
1,270.20 69.6 400.2068% 6% 26%
1,870 165 71571% 6% 24%
2,257.80 190.8 763.246% 4% 50%
7,557.8 657.2 8,215% Below 200% Poverty
78%3,213.60
City Population Income Below Poverty Income 100-149% Poverty Income 150-199 % Poverty5.90% 5.80% 5.40%1,128 1,127 1,045
Map the Meal Gap
6.60%
2,750
3,180
16,430Washington
25,788
29,067
248,745
Kanabec 15,918 10.90% 1,740
Mille Lacs
Pine
10.70%
82.90%15,975
10.90%
Chisago 54,041 7.10% 3,820
Isanti 38,461 8.00% 3,080
4,120
% Above 200% Poverty22%
906.4
Income 200% or Higher Poverty
City of Forest Lake, MN 19,275
Polk - WI 43,483 9.50%
“ Although the economy is improving, millions of Americans continue to struggle. The USDA estimates that 41 million people, including nearly 13 million children, in the United States are food insecure as of 2016.”
– Map the Meal Gap, 2018
Federal Poverty Level 2016 for 1 person is $11,880. For a household of 4 is $24,300.
Family Pathways | Community Dialogue 2019 Recap 26
Wishes by Determinant | An ideation compilation by participants per county of goals, conditions that need to be present and actions that need to be taken to impact determinants—or root cause—of poverty. In addition, partners are self-identified who wish to continue the conversation and ideation. An address book and partner map accompany this recap document to facilitate synergistic partnership development.
EDUCATIONEDUCATION | PINE COUNTYGoal | “Success looks like… Healthy students (physically, mentally, emotionally) all prepared to be lifelong learners.”
CONDITION ACTIONPolicy changes around required course work Present data on the need for physical activity, healthy
eating, and mental health in schoolsTrauma informed schools Focus groups with students to hear from them and tap
into their thoughts / needsPolicies specific to physical activity and healthy eating in schools
Utilize student groups that already exist to move work forward
More cost-effective programs More community involvement (boards, committees, non-profits, business, stake holders)
Funding at federal / state level to sustain needed staff / programing
More after school programs
Needed staff / programingNotes: Lifelong learner
Interested in continuing conversations | Roxie Karelis, Allison Bendickson, Lise Arseneau Lee, Elsa Kohl, Sam Lo, Angie Detert, Hailey Freedlund, Jimmie Johnson, Amy Tvedt, Kay Beagley, Brenda Wicklund
EDUCATION | ISANTI COUNTYGoal | “Success looks like… Everyone graduates from high school and has affordable access to post-secondary
education and learning; and accessible preschool.”
CONDITION ACTIONNot a one-size fits all education system Bring / offer more college classes to high schoolsOption for year-round school An individual learning plan for every studentOutdated equipment Modern equipmentHigh school graduation rate increased to 100% Increase expectation of graduating high school and
attending some type of post-secondary educationStudents build skills that align with the needs of employers
Closing the loop between tech / trade, high school / middle schools and funding at the state level
Educational opportunities available at all stages of career and personal development
Grow links between employers and community / technical colleges
Free after-school programmingNotes:
Interested in continuing conversations | Diane Anderson Sibley, Tim Nelson, Roxie Karelis
Family Pathways | Community Dialogue 2019 Recap 27
EDUCATION | CHISAGO COUNTYGoal | “Success looks like… Readily available education opportunities for all learners of all ages and learning styles”
CONDITION ACTIONHigh-speed internet / connectivity Parent and community involvementWhere learners gather, safe and conducive to learning styles, needs
Funding
Notes:
Interested in continuing conversations |
EDUCATION | MILLE LACS COUNTYGoal | “Success looks like… Students are prepared for college or career after high school.”
CONDITION ACTIONAdequate funding Community and family engagementBasic needs met (adequate housing for post-secondary schooling)
Access to mental health support
Safe and healthy environment Transportation for access to E.C. / activitiesAll ready to learn Provide skills for students to be successful peopleAccess to A.C.E. After school programmingCommunity support for thriving schools Community (landlord) awareness for post-secondary
schoolingChange of funding requirementsNotes:
Interested in continuing conversations | Jake Peterson, Aimee Struffert, Alisha Fussy, Roxie Karelis
EDUCATION | KANABEC COUNTYGoal | “Success looks like… Exposure to a wide variety of career pathways”
CONDITION ACTIONCollaboration Apprentice programsFunding Give them purposeGrad standards Incentives to employers, schools, higher educationsMCA testingNotes: No student loans
Interested in continuing conversations | Karen Onan, Kathy Bruski, Rochelle Johnson, Dawn Besemann, Jeremy Schultz, Roxie Karelis, Kathy Wills, Darlene Kratt, Diane Seefelt
Family Pathways | Community Dialogue 2019 Recap 28
EDUCATION | POLK COUNTYGoal | “Success looks like… 100% of population has high school degree or GED equivalent”
CONDITION ACTIONCommunity college Attract residents (build tax base)
• Jobs • Home improvements • Parks
Expanded libraries Business / education partnershipSupport educators Expand internships / apprenticeshipFull access to current technologyNotes: Might add family education, community education and religious education available at or by churches (Valerie Peterson)
Interested in continuing conversations | Allison Bendickson, Jeremy Dye
“The best approach is when it comes from those most impacted,
they have the most impactful solutions and should be involved.”– Kanabec County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 29
EMPLOYMENTEMPLOYMENT | PINE COUNTYGoal | “Success looks like… Career laddering and sustainable wages.”
CONDITION ACTIONJobs NetworkingReliable transportation Open-mindedness (letting businesses come in)Training Create more job opportunitiesEducationBusiness involvementNotes:
Interested in continuing conversations | Dara Cavallin, Dwayne Green, Kelly Graber, Chris Lenzen, Steve Ovick, Nicole Johnson, Kay Beagley
EMPLOYMENT | ISANTI COUNTYGoal | “Success looks like… A living wage and career laddering job positions.”
CONDITION ACTIONEconomic viability – new / sustainable jobs *ongoing training, etc.
Funding / programming to gear to retail / nonprofit jobs
Training opportunities – better include youth Community collaborations / advisory panelLooking to unique employee pools – low level offenders etc.
Local government involvement – giving equal opportunities to all businesses
Overcoming obstacles – transportation, child care More college partnerships with community and government – bring more college classes to high schools
Community attitudes to solutions – housing, educationNotes:
Interested in continuing conversations | Kristen Nixon, Emily Matoga, Penni Skaggs
EMPLOYMENT | CHISAGO COUNTYGoal | “Success looks like… Truly sustainable wages and full benefit packages offered to all who desire to work.”
CONDITION ACTIONTraining opportunities EducationHigh speed internet Should be achieved in 10 yearsAffordable daycare Policy changes / privateLocal employment opportunities with livable wages / benefits
Business attraction and growth; business start ups
Affordable housing Educate public agencies to change policiesNotes: Negative effects of temp. jobs
Interested in continuing conversations | Rhonda Nelson, Venus Griffin, Nancy Hoffman
Family Pathways | Community Dialogue 2019 Recap 30
EMPLOYMENT | MILLE LACS COUNTYGoal | “Success looks like… Stable employment and employees with a living wage (sustainable career laddering).”
CONDITION ACTIONTraining and/or education Political changeEconomic conditions Smarter regulationsCommunity acceptance and support Focus education where needed (trades)Access to broadband More of everything and smarterTransportationHousingDaycare (viable and affordable)Notes: Workforce shortage; what is post-secondary education
Interested in continuing conversations | Jake Peterson, Aimee Struffert
EMPLOYMENT | KANABEC COUNTY
No one selected this determinant
CONDITION ACTION
Notes:
Continuing Conversations |
EMPLOYMENT | POLK COUNTYGoal | “ Success looks like… Everyone who wants to work is able to find employment at wages that are truly ‘livable
wages’, including benefits.”
CONDITION ACTIONReadily available transportation Creative solutions by employers to fill open positions (job
sharing, work from home, etc.)Business community who are willing to: • Offer viable wages and benefits • Training / mentoring programs • Emphasize hiring EEO
Employers emphasize hiring individuals with disabilities and living in poverty
High speed internet for applying to jobs Offer training for under-qualified applicantsOffer supported employment services for those with mental health or other disabilities and barriers so they have equal access
Pay employees what they are worth, recognizing they are your most valuable asset
Give support / training to employers on mentoring / training programs
Notes: Responsibility of success lies primarily on the business world / employers developing creative solutions to the current hiring crisis and public service systems to educate, support and fund.
Interested in continuing conversations | Debbie Vaughan, Maeta Burns-Penn, Mike Harper, Jeremy Dye
Family Pathways | Community Dialogue 2019 Recap 31
ENVIRONMENTENVIRONMENT | PINE COUNTYGoal | “Success looks like… Reducing waste and repurposing ‘trash’.”
CONDITION ACTIONEducated communities (what is organic?) Organic recycling (food waste)Commitment by individuals Reduce landfill usageIncreased capacity / availability convenience Knowledge / training for repurposingReduced costs (funding for waste reduction) Dara Cavallin, Pastor Brenda W., Kay Beagley
State and county support for offering solutions / capacity
Notes: Phoenix Open = Zero Waste Event; Cost = Biggest Barrier
Interested in continuing conversations | Kathy Wills, Chris Lenzen, Sam Lo, Dara Cavallin, Brenda Wicklund, Kay Beagley
ENVIRONMENT | ISANTI COUNTYGoal | “Success looks like… Defined open spaces, defined areas for development, treating of storm water, and good drinking water.”
CONDITION ACTIONAge/ deterioration of infrastructure (sewer, water, roads, storm ponds)
Better state funded options for all communities
Not maximizing land to allow for density and open areas Change in zoning practicesNoise pollution Set noise standards for businesses and enforce themNotes: More state regulation is not the issue! Funding is.
Interested in continuing conversations | No one identified
ENVIRONMENT | CHISAGO COUNTYGoal | “Success looks like… A safe place to be whether natural, man-made or location.”
CONDITION ACTIONPrograms Focus groups (data collection)Infrastructure Strategic planningPolicies / laws Activism Indiscriminant Research funding opportunitiesFundingDefining safe (continue to update)Notes:
Interested in continuing conversations | Lisa Thibodeau
Family Pathways | Community Dialogue 2019 Recap 32
ENVIRONMENT | MILLE LACS COUNTYGoal | “Success looks like… Policies that support healthy, equitable living conditions (ex. In rental housing).”
CONDITION ACTIONElimination of substandard living conditions InspectionsAffordable and accessible grocery stores with healthy food EnforcementEqual access to safe recreational facilities Competition with addition of more than one grocery store
Upgraded expansion of availability of access to recreational equipment and trail systems
Notes: Minneapolis – staple food ordinance requirements
Interested in continuing conversations | Jake Peterson, Alisha Fussy, Kay Beagley, Tammy Pflaff
ENVIRONMENT | KANABEC COUNTY No one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
ENVIRONMENT | POLK COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 33
FOOD ACCESSFOOD ACCESS | PINE COUNTYGoal | “Success looks like… Accessibility or “As Needed” or “As Often.”
CONDITION ACTIONCommunity support Selling the visionLegislative supports Changing perceptions regarding “helping”Better buying powerFunding opportunities Educating the community surrounding the stigma as a “hand out”Notes:
Interested in continuing conversations | Steve Ovick, Frank Moyer, Mike Donnelly, Elsa Kohl, Hailey Freedlund, Jimmie Johnson, Kathy Wills, Sam Lo, Amy Tvedt, Brenda Wicklund, Kathy George
FOOD ACCESS | ISANTI COUNTYGoal | “Success looks like… Everyone is food secure with access to healthy food choices.”
CONDITION ACTIONEveryone who needs assistance with food gets it (nutritious food)
Invite people to community meals
Reduce stigma of utilizing services (i.e. shop) Sharing success storiesPolicy change Decrease eligibility guidelinesSocial resources Increase in community gardensSystems change Farmers markets accepting SNAPTransportation Education (cook and shop for health foods)Notes:
Interested in continuing conversations | Lynda Woulfe, Nicki Klandend, Sarah Motl
FOOD ACCESS | CHISAGO COUNTYGoal | “Success looks like… All residents will have access to nutritious food at all times.”
CONDITION ACTIONAccess to transportation Engage retail / commercial partners in food rescue effortsLack of availability Work on improving coordination schedules to reach
population (public transportation)Policy / systems Develop “food hub” resource with all resourcesCoordination of partners Inform and educate providersStigma Work on current policy / systems to improve equity /
accessNeed willingness to change to adapt best practices Work group developmentNotes:
Interested in continuing conversations | Rhonda Nelson, Eric Ward, Carolyn Cagle, Lisa Thibodeau, Kathy Wills, Colton Anderson
Family Pathways | Community Dialogue 2019 Recap 34
FOOD ACCESS | MILLE LACS COUNTYGoal | “Success looks like… Everyone has access to affordable, healthy and sustainable food.”
CONDITION ACTIONTime Expanded hours (i.e. food shelves having evening /
weekend hours)Transportation Coalition / volunteer base for transportation Education Education – gardens, cooking classes, community
eventsLack of disposable income and flexible income Partnering with grocery stores for “food rescue”,
SHIP and local growers / farmers marketsPartnerships with communityNotes: U of M extension for education / resources; alternative modes of transportation opportunity (biking / walking)
Interested in continuing conversations | Jessica Milkey, Alisha Fussy, Roxie Karelis
FOOD ACCESS | KANABEC COUNTY
No one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
FOOD ACCESS | POLK COUNTYGoal | “Success looks like… Everyone has access to health food with no barrier.”
CONDITION ACTIONTransportation – food or people Stigma reductionsCommunity by-in Education; cooking education, food educationStigma reduction for needing help Come as often as neededEducation of community More community gardensChanging perception of scarcity of food Developing a network or coalition who can provide 24/7
service (have a hotline)Distribution Center for healthy food Publicity, websitesCommunity gardens Partnership with local growers / farmersHomeless and need food; 24/7 service “who can you call?”Community home education; cooking, healthy foodNotes: Community gardens create social contacts
Interested in continuing conversations | Valerie Peterson, Lisa Mears, Kathy Wills, Jessica Keeney, Roxie Karelis, Jessica Milkey
Family Pathways | Community Dialogue 2019 Recap 35
ACCESS TO HEALTHCARE (PHYSICAL, MENTAL, DENTAL)ACCESS TO CARE | PINE COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
ACCESS TO CARE | ISANTI COUNTYGoal | “ Success looks like… Everyone has affordable access to a continuum of care: physical, mental, dental, spiritual,
social and economic well-being. Access continuum of care, health care to community, systems share information for a continuum.”
CONDITION ACTIONCollaboration between health systems and community service provider
Breakdown of silos
Change in process to share info system Develop strategies around social determinants Model of “whole person” care, person centered Convene community for strategies around social
determinantsUnusual partners coming together Create a system for information sharing, that is HIPPA
compliantCommunity input Close the loop for a continuum of careTechnology like “now pow” – information share / resource hubRegulations that can be crippling to industryNotes: Healthcare to community means – identify individual needs, connect to resources and have impact HIPPA is an information sharing barrier – there needs to be an easier way to share client or patient information Key determinants are already identified by hospital system, public health and others
Interested in continuing conversations | Nicki Klandend, Brandon Goranson, Natalie Matthewson
ACCESS TO CARE | CHISAGO COUNTYGoal | “Success looks like… Everyone has access to affordable level of cares.”
CONDITION ACTIONFederal / state policy that answers questions of: who, what, why, where and when
To elect state / federal leaders that support this vision
Engage individuals / communities that support this visionNotes: Healthcare access is a basic right; prevention, early intervention, disease management, prescriptions; catastrophic care
Interested in continuing conversations | Carolyn Cagle
Family Pathways | Community Dialogue 2019 Recap 36
ACCESS TO CARE | MILLE LACS COUNTYGoal | “ Success looks like… Trust in a healthcare system with access for preventative care and treatment at
affordable costs.”
CONDITION ACTIONLow / sliding scales / reasonable deductibles Elevating and publicizing the voice of those most impactedWell-trained medical professionals Community dialogues, classes and workshopsMedical professionals who are not overworked
Change of political will; greater communication with political representativesExpansive healthcare coverage Encouraging doctors to use preventative measures of
treatmentsEducation about the value of preventative care Increased MA reimbursement ratesPolitical will and detachment from special interests Standard coverage for alternative treatmentsFamiliarization with the healthcare system, methods and local leadersLess reliance on prescription drugsAdequate transportationAccess to healthcare services and dental (MA and MNCare)End cycle of escalated treatments to cover fear of lawsuitOpenness to alternative treatments (chiropractic, acupuncture, etc.)Notes:
Interested in continuing conversations | Jessica Milkey, Mark Brouwner, Alisha Fussy, Amanda Schindele
ACCESS TO CARE | KANABEC COUNTY Goal | “Success looks like… No more disparity; health is not for the privileged.”
CONDITION ACTIONHealthy choice the easy choice Incentivize people to go into profession(s)Live longer Policy – health food / bev less expensive than unhealthyBetter quality of life Limit where smoking is allowed even moreNo financial barriers Fewer specialists, more primary careCommon goal of prevention Equal access to healthcare pools (able to provide coops –
pools food / bev industryHealthcare – global; we are all interconnected All have same access as our elected officialsPay to stay well, not when sick More access to telemedicinePopulation Health Fund preventionNotes:
Interested in continuing conversations | Darlene Kratt, Kathy Burski, Steve Ovick
Family Pathways | Community Dialogue 2019 Recap 37
ACCESS TO CARE | POLK COUNTYGoal | “Success looks like… Everyone has access to affordable healthcare.”
CONDITION ACTIONBetter availability of transportation More funding for volunteer transportation programs /
organizationsAccess to mobile / at-home care with emphasis on prevention
Establish community paramedicine
Notes: Some churches have their own nurse – blood pressure, nutrition, etc.
Interested in continuing conversations | Jessica Keeney, John Peterson
Family Pathways | Community Dialogue 2019 Recap 38
HOUSINGHOUSING | PINE COUNTYGoal | “ Success looks like… A well-balanced mixture of options so that everyone has a safe, livable and affordable
home.”
CONDITION ACTIONRental inspection Community involvement (including businesses)Building codes Seeking grants / funding Available funding Stronger sense of communityInfrastructure (sewer, water, roads, etc.) [legal entity that has tax authority – HRA – they can do things]
Partnerships (habitat, banks, lakes & pines)
Zoning Needs assessmentsCommunity pride, spirit and connections Active county HRANotes: Housing is intricately connected to many other determinants
Interested in continuing conversations | Chris Lenzen, Pete Spartz, Kathy George, Cilla Moseley, Kelly Graber, Sam Lo
HOUSING | ISANTI COUNTYGoal | “Success looks like… Affordable housing for people of all income levels, races and ages.”
CONDITION ACTIONLimit management companies eligibility requirements Develop affordable housing unitsLegislative mandates on eligibility requirements Breakdown silos between races (ex. Tribal nations)Income guidelines are flexible; set aside requirements in different cities
Collaboration between housing providers
Increase in LTH units per development Collaboration w/ private landlords; tenant / landlord rights trainings
Possibly eliminate Section 8 waiting lists / strictly based on income level and need
• App – senior match housing app • Connected older adults who would be interested in house sharing. The other person could have free / reduced rent if the person provided household help.
Flexible zoning lawsNotes: What is affordable defined as? What is available for emergency housing?
Interested in continuing conversations | Amanda Schindele, Greg Carlson, Nicki Klandend, Lynda Woulfe
Family Pathways | Community Dialogue 2019 Recap 39
HOUSING | CHISAGO COUNTYGoal | “ Success looks like… When we have affordable housing options for seniors, young families and others that need
starter house.”
CONDITION ACTIONCommunities willing to allow lower income people to live there
Convening those most impacted to elevate them is coming up with solutions
Developers / builders willing to build affordable units and/or lower income locationsLocal ordinance prohibits options for developmentManufacturing innovations to bring costs downFundingLivable wagesRelaxed requirements for leasesCommunity will and supportRelax state building codes to allow more building optionsNotes: Big need for housing for families coming out of homeless programs transitioning to permanent housing; also for those coming out of incarceration
Interested in continuing conversations | Eric Ward, Susan Morris, Nancy Hoffman, Steve Weihsmann
HOUSING | MILLE LACS COUNTY No one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
HOUSING | KANABEC COUNTY
No one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 40
HOUSING | POLK COUNTY
No one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 41
ACCESS TO RESOURCESACCESS TO RESOURCES | PINE COUNTYGoal | “Success looks like… No unmet resource needs in the community with no wrong door.”
CONDITION ACTIONOpen lines of communication between all resource providers
Money
Circles, not silos More community conversations (bring resource providers together to discuss / address needs)
Have the capacity for each resource to serve the community (funding, staffing, etc.)
Understand people are whole people (so my organization may be great at addressing one issue / challenge, but people have many different needs)
Resources are (actually) accessible Educate community on the needs and build community support
Adequate funding Develop partnerships with other resource providers and other community members (businesses, churches, etc.)
Making sure community is aware of resourcesNotes:
Interested in continuing conversations | Lise Arseneau Lee, Kathy Wills, Kathy George, Allison Bendickson, Amy Tvedt, Angie Detert, Sam Lo, Becky Foss, Kelly Graber, Dustin Anderson, Roxie Karelis, Hailey Freedlund
ACCESS TO RESOURCES | ISANTI COUNTY
Goal | “ Success looks like… All needed resources are available and 100% of people know about the resources and how to access them.”
CONDITION ACTIONClear communication to all about what is available and how to access
Create communication plan – actual follow through!
Ability for organizations to communicate Access to technology and internet with trainingEasy access and process to get all needed resources Remove barriers to share information between
organizations (lessen sense of competition, look to collaboration)
Funding and in-kind support between organizations Collaborative grant fundingAdvocates / guides to help people navigate the processes and organizations
Notes: Would work better to create smaller sustainable partnerships that later create a larger viable network – helps account for funding grant loss and environmental changes
Interested in continuing conversations | Emily Matoga, Kristen Nixon, Brandon Goranson, Sarah Motl, Nicki Klandend, Patricia Carlson, Natalie Matthewson, Carol Ann Smith
Family Pathways | Community Dialogue 2019 Recap 42
ACCESS TO RESOURCES | CHISAGO COUNTYGoal | “Success looks like… Community of self-reliant individuals.”
CONDITION ACTIONOne stop shop for resources / physical / virtual Collaboration between all organizationsStigma free resources Connection and educationEasy access Creating more opportunities (i.e. buses, taxis)Transportation Network / researchReduce duplication of services Increase funding (grants, government)Reduce financial constraintsNotes: Breaking down barriers between organization and programs. Develop agency relationships. Possible internship opportunities here.
Interested in continuing conversations | Brandon Thyen, Derek Otto, Venus Griffin, Shannon Blume, Jayne Mund, Julia Gervais, Sarah Kerkes, Kathy Wills, Eric Ward, Lisa Thibodeau
ACCESS TO RESOURCES | MILLE LACS COUNTYGoal | “ Success looks like… Community members are informed of what resources are available – have access to and
are able to utilize resources.”
CONDITION ACTIONFunding materials and services to utilize Increased medical assistance reimbursement ratesProviders and different entities aware of all resources Collaboration and continued education of who does what
between providers and entitiesAvailable service providers Community organizing around funding with legislative
advocacy Ensuring resources are available to share Identifying community needs and prioritiesCommunity has knowledge and recognition of resources Increased marketing about resourcesThose needing resources have the desire to want to use the resources
Remember churches and other organizations that might get lost in response efforts
Training on commitment with follow throughNotes:
Interested in continuing conversations | Molly Weygrens, Lise Arseneau Lee, Deanna Hemmesch, Alisha Fussy, Roxie Karelis, Amanda Schindele
Family Pathways | Community Dialogue 2019 Recap 43
ACCESS TO RESOURCES | KANABEC COUNTYGoal | “Success looks like… Adequate resources are available to everyone.”
CONDITION ACTIONAdequate funding for all social service organizations Elected officials to “buy” in and fundingReliable internet All parties coming together to work on directoryRegion wide up-to-date directory of all resources Stipends for service recipients to inform us on what they
needTransportation available Extended hours to serve folks
One stop shop and coordinated data baseIntern to begin to collect data on providersShared cost to get person to do this
Notes: Would Initiative Foundation support a person to begin this work? Good Vista person idea? Bush Foundation grant?
Interested in continuing conversations | Lisa Krahn, Karen Onan, Kathy Wills, Roxie Karelis, Dawn Besemann, Diane Seefeld
ACCESS TO RESOURCES | POLK COUNTYGoal | “Success looks like… EVERYONE is living their best life!”
CONDITION ACTIONSufficient access to community based services for persons with mental health or disabilities
Additional resources (federal and state dollars)
Everyone has access to affordable health care Identify resources100% of population insured Appropriate referrals when resources don’t existEveryone has access to affordable food, housing, transportation and employment (living wage)
Create programming where gaps exist
Train staffEducate the publicAccess to technology and internet
Notes:
Interested in continuing conversations | Maeta Burns-Penn, Kathy Wills, Suzanne Lindgren
Family Pathways | Community Dialogue 2019 Recap 44
SAFETYSAFETY | PINE COUNTYGoal | “Success looks like… All community members feel / are safe.“
CONDITION ACTIONEveryone has access to resources Access to mental health / chemical dependency treatmentSupport from public and financially Changing perceptions and dynamicsLack of education / more opportunities Early interventionsLiving in poverty / access to affordable resources Cilla Moseley
Maternal home visiting
There is an intergenerational cycle Steve Ouick
Community awareness and education
Homelessness / stable, affordable housing National night out activitiesPerception vs. reality Work with media (send community messages vs. crime on
front page)Positive parenting Bring students and seniors togetherMore focus on strengths / positives Livable wagesFamilies are thriving Community ed. expansionNotes:
Interested in continuing conversations | Angie Detert, Steve Ovick, Lise Arseneau Lee, Dustin Anderson, Hailey Freedlund, Sam Lo, Amy Tvedt, Becky Foss, Pete Spartz
SAFETY | ISANTI COUNTYGoal | “Success looks like… A community without crime and violence or the fear of crime and violence.”
CONDITION ACTIONEvidence-based policies and practices Research identifying most promising policies / practices
addressing violence and crimeRobust collaboration amongst public safety partners Develop / grow forums / environments for cross-sector
collaborationDiminished adverse childhood experiences Effectively deploy programming addressing mental health,
chemical health and parenting skillsEarly intervention with at-risk children More program / counseling staffEducating the public on what it means to be safe (safe dating, safe home environment / work)
Increased funding from legislature for public safety and corrections
Notes: Address public on punishment vs. rehabilitation
Interested in continuing conversations | Dustin Anderson, Roxie Karelis, Natalie Matthewson, Nicki Klandend, Tim Nelson
Family Pathways | Community Dialogue 2019 Recap 45
SAFETY | CHISAGO COUNTYGoal | “Success looks like… Chemically free, mentally healthy and safe throughout their communities.”
CONDITION ACTIONCommunity trust and partnership w/ law enforcement Collaborative partnerships with appropriate resourcesTechnology Secure appropriate fundingSpecialty courts Funding and partnershipsEarly education / community awareness (before problem occurs)
Access to data and training
Openness / acceptance on part of community Public service campaigns and social media blitzesPatients questioning prescribed medications
Crackdown / regulations – re: doctorsNotes:
Interested in continuing conversations | Brandon Thyen, Kim Houle, Katie Larson, Sarah Kerkes, Courtney Wehrenberg, Janet Reiter
SAFETY | MILLE LACS COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
SAFETY | KANABEC COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 46
SAFETY | POLK COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 47
SOCIAL CONNECTEDNESSSOCIAL CONNECTEDNESS | PINE COUNTYGoal | “ Success looks like… Every kid has at least 3 adults in their lives. Start out young and older adults. Every
member of our community has connections to at least 3 other people.”
CONDITION ACTIONHave 3 key connectors Older youth and adults step upAwareness there is a need Identifying services and have an understanding of
conditionsGenerational – environmental connection More multigenerational activitiesSystem changes Making senior volunteering socially acceptableNeed actual “safe” spaces where people can come together
Community events (art in the park, national night out, safety day)
Programing in place to bring people together TransportationMore physical outdoor spaces that are welcome to all Hosting community mealsFind a way to utilize technology to bring people together rather than keep people apartCreate mentor programing between the young and oldAdequate fundingFoodNotes:
Interested in continuing conversations | Lise Arseneau Lee, Brenda Wicklund, Becky Foss, Dara Callavin, Jimmie Johnson, Allison Bendickson, Angie Detert, Amy Tvedt, Kathy Wills, Elise Kahl, Nicole Johnson, Steve Ovik
SOCIAL CONNECTEDNESS | ISANTI COUNTY
Goal | “ Success looks like… Lower rate of people reporting a feeling of loneliness / depression. A stronger community through collaboration.”
CONDITION ACTIONToo much / no access to social media Broadband available throughout MinnesotaSocial media does not fill people with quality, personal contact
Fostering the “art” of community involvement, being a good neighbor, connecting with your community
“Art” of neighboring is becoming lost-replaced by digital connection
Find volunteer activities for day and evening
Harnessing energy of retirees for volunteering, mentoring, serving
Establish an open eyes avenue to connect people through interests
Safety is a big part of social connectedness (safety education)
Change the delivery of social connectedness messages
Connecting people of similar interests to support social interactions
Offer incentives for collaboration
Notes: What is the attraction of future collaboration?
Interested in continuing conversations | Roxie Karelis, Brandon Goranson, Sarah Motl, Kristen Nixon, Patricia Carlson, Emily Matoga, Nicki Klandend
Family Pathways | Community Dialogue 2019 Recap 48
SOCIAL CONNECTEDNESS | CHISAGO COUNTYGoal | “Success looks like… Sense of belonging for all.”
CONDITION ACTIONUnlimited transportation Free / affordable transportation that makes sense to the
areaAwareness of opportunities / groups Attendance and communicationVariety of opportunities per demographic Updated / maintained community calendarCommunity coordination Facilities allowing access to those events / opportunities Identify target audiences Use existing natural communication hubs / sources like the
chamber of commerce or schoolNotes: Needs of individuals are ever changing
Interested in continuing conversations | Jayne Mund, Nathan Baker, Sarah Kerkes, Carolyn Cagle
SOCIAL CONNECTEDNESS | MILLE LACS COUNTYGoal | “Success looks like… Everyone has a support person and ‘tribe’.”
CONDITION ACTIONMore awareness of issues Providing trainingAwareness of gaps, “who is falling through the cracks” Being intentionalAvailability of “tribes” Inclusive supports (all generations)Openness to accept “outsiders” (inclusivity)Notes: Tribe = a social network
Interested in continuing conversations | Mark Brouwer, Molly Weygrens, Aimee Struffert
SOCIAL CONNECTEDNESS | KANABEC COUNTYGoal | “Success looks like… Humanitarian awareness and acceptance.”
CONDITION ACTIONResources Opportunity for interconnectednessEducation (early)Policies around social mediaNotes: This was a struggle – connectedness around certain social / generational groups vs. focusing on generational differences
Interested in continuing conversations | no one identified
Family Pathways | Community Dialogue 2019 Recap 49
SOCIAL CONNECTEDNESS | POLK COUNTYGoal | “ Success looks like… People would know about community activities and resources, be able to access them and
have meaningful relationships.”
CONDITION ACTIONAccess to technology and the knowledge of how to use it A formalized coalition of community partners to connect
resources Creating multi-use buildings out of buildings currently being used for only one purpose
National night out activities
No wrong door accessNotes: Multi-use buildings – a dying church or schools only used seasonally
Interested in continuing conversations | Valerie Peterson, Roxie Karelis, Jessica Keeney
Family Pathways | Community Dialogue 2019 Recap 50
TRANSPORTATIONTRANSPORTATION | PINE COUNTYNo one selected this determinant
CONDITION ACTION
Notes:
Interested in continuing conversations | no one identified
TRANSPORTATION | ISANTI COUNTYGoal | “Success looks like… Everyone able to get where they want to go.”
CONDITION ACTIONTransportation available throughout region, not just within county lines – includes all rural areas!
Funding
Affordable transportation Tackle liability issue for driversSystem takes into account individual situations / needs / preferences
Elected officials create statewide access
Notes: Link to social connectedness and mental health – social events for senior citizens, need transportation for this.
Interested in continuing conversations | Brandon Goranson, Carol Ann Smith, Amanda Schindele, Patricia Carlson
TRANSPORTATION | CHISAGO COUNTYGoal | “Success looks like… Accessible and affordable options per individual basis.”
CONDITION ACTIONSafety for those willing to provide rides; training, rights Incentives to help for volunteers; discounts on insurance,
discounts at local shops / businesses, credits in schoolInspected vehicles / maintainedNotes:
Interested in continuing conversations | Julia Gervais
“ There is a connection between [being] social and transportation. If you don’t have a car, it doesn’t happen.”
– Polk County Community Dialogue Member
Family Pathways | Community Dialogue 2019 Recap 51
TRANSPORTATION | MILLE LACS COUNTYGoal | “Success looks like… All community members have viable transportation options.”
CONDITION ACTIONFunding Legislative actions (funding, insurance, public transit)Affordable public transit Community educations around transportation needsAvailable public transit Regional transportation planIdeology needs to change Increased medical assistant reimbursement ratesAdequate volunteer driversEncourage ridersCollaboration / cooperationMandated medical transportation by insurance companiesAdequate transportation providersNotes: Geographic spans and the reimbursement infrastructure is a barrier
Interested in continuing conversations | Kay Beagley
TRANSPORTATION | KANABEC COUNTY
Goal | “ Success looks like… All community members, no matter age, socioeconomic status, ability are able to access intermodal transportation affordably and easily.”
CONDITION ACTIONTechnology (internet / phone) Remove / eliminate perception that this issue is unsolvableRegional Transportation Coordination Council traction Work collectively / break down silos / competitivenessVolunteer drivers Convening and collaboration amongst councilsFederal government insurance pool Recruit, train and higher paySmaller vehicles, infrastructure Implement office of mobility managementFunding for office of mobile management, infrastructure and reimbursement
Legislative change requires grassroots movement
Connectivity ability by providers to cross county boundaries
Educate providers and general community on true transportation barriers for all
Notes: Each year MN Dot produces a map which influences funding for agencies; volunteer drivers are only reimbursed .14/mile versus .58/mile business; driverless vehicles are up and coming
Interested in continuing conversations | Steve Ovick, Kathy Burski, Diane Seefeld, Dawn Besemann
Family Pathways | Community Dialogue 2019 Recap 52
TRANSPORTATION | POLK COUNTYGoal | “Success looks like… (left blank)
CONDITION ACTIONAffordability to purchase car Car donations, mechanic donation hoursAffordable maintenance / repair County funded money, utilizing existing shuttles; daily
routeAffordable insurance / drivers license / registration Advertised to public as income maker (training)ATV shuttle on trailsCounty funded bus / shuttleGas cardsUber / LyftTaxi serviceCentral car rental (day / hour)Bike rack rentalTramNotes: Implement ride share
Interested in continuing conversations | Belinda Chas, Valerie Peterson
Family Pathways | Community Dialogue 2019 Recap 53
Next Steps Next steps identified by participants were:
Pine• Meetings take place a couple times a year. Future convening.
• Regions in adult mental health initiative – innovative teams that we can work and connect with Innovation teams broken into program, education, and stigmas related in regards to mental health. Region 7E community conversations. Transportation conversations included in future dialogues. Connecting with transportation regional groups.
• Making connections to what is already existing. Sharing information with those groups. Naturally shared.
Isanti• Collaborating more – we are “better together”• County Health focus goals – what is each county working on?
• Seeing this data will allow us to take next steps and see who else needs to be at the table.
• Keep the awareness up – continue the conversation.
• If a spark happens here that leads to a program, community level change, etc. that would be helpful for Family Pathways to know.
Chisago• Bringing all of us together, and talk about all of our interconnections together. We should continue this, bringing us
all together.
• Who is not here? Private businesses, grocers, home builders.
• Attending one of the business meetings and doing readout of our findings.
Mille Lacs• Gathering folks and starting conversations. Get others around the table, community based conversations.
• Research visits with those who work in the community.
Kanabec• Continuing community dialogues.
• Community Education that school districts have, senior, youth, etc. We could be doing a social media 101 courses, additional classes. Youth teaching elders and vice versa.
• We need to keep talking. Starting small, and seeing what grows out of it. One of the a-ha moments for me doing these dialogues was the lack of participation from the Transportation sector.
• Make a difference in someone’s life, every day. Just one thing.
Polk• Meeting again with other key stakeholders.
• Getting the stakeholders at the table by sharing information and directly asking.
• Connecting with other counties to see what resources they may have that we don’t, and vice versa.
This report was prepared by Family Pathways, March 2019. For more information, visit www.familypathways.org. Click on https://www.familypathways.org/2019-strategic-planning/. Funding for the Community Dialogues 2019 were made possible by a grant from the Initiative Foundation.