United Way of Butler County Butler Collaborative for Families Butler Memorial Hospital

United Way of Butler County

Butler Collaborative for Families

Butler Memorial Hospital

August 2006

Community Solutions Assessment Project

Community Solutions Assessment Process

Process

• In December 2005, The United Way of Butler County, Butler Collaborative for Families, and Butler Memorial Hospital along with Tripp Umbach kicked off the Butler County Community Solutions Assessment process.

• Community Leader Interviews were conducted with 40 active leaders in Butler County to obtain their input on the community survey, the asset inventory survey, identifying potential focus groups, and obtaining secondary data.

• The outcome of the interviews along with input and discussions with other community players produced the community household survey and the focus group audiences

Process

• Two focus groups were conducted (to date). The senior focus group was held on 7/19/06 and the adolescent focus group was held on 8/2/06. The northern low income residents focus group will be held in September.

• Asset Inventory surveys were mailed to businesses, faith-based organizations, labor groups, and educational institutions.

• Secondary data was collected by Tripp Umbach to provide a profile of Butler County including data from the BRFSS, CDC, HRSA, etc.

Process

• The community planning retreat allows the Collaborative to identify specific plans for program implementation in key areas of priority. These prioritized areas will ultimately effect Butler County and its citizens.

• Third focus group with low-income working adults to be conducted in early September 2006.

• A September 2006 final community presentation will be conducted to encourage participation and community involvement in the implementation process.

Key Findings Community Leader

Interviews

• A community that works together to resolve issues and problems. It encourages cohesion and is actively involved with its citizens to address its future needs.

• Due to the geographic locations of certain towns in Butler County (pockets of the county) some social and health services are unobtainable, thus the perception is that these towns are unhealthy. However, Butler county overall is perceived to be healthy. Strong services, programs, and positive economic development boosts the county’s image. • The future vision of Butler county entails more economic development in other less populated areas of the county. Maintaining the county’s youth and professionals by providing additional job opportunities and job security to those who otherwise would seek it in other locations. A stronger sense of community.

Community Leader’s Interview Summary

1. Transportation• Insufficient services, routes/lines• Limited county funding• Poor infrastructure because county is so large & rural in some areas

2. Drugs/Alcohol• Need more services to address and combat drug/alcohol usage countywide• Universal issue that affects everyone of all backgrounds• Drug/alcohol usage is also linked to crime

3. Health Insurance/Healthcare (Uninsured/Underinsured)• Need affordable and obtainable healthcare for everyone• Addressing the lack of accessible healthcare

Community Leader’s Interview Summary

Top 3 Pressing Problems/Issues facing residents of Butler County

Household Survey

Overview

• Collaborative survey design process between Community Solutions Board members and Tripp Umbach

• 6,000 surveys were mailed to residents throughout Butler County– In total, 862 surveys were collected through the mail

– 136 surveys were collected through hand distribution

• Data was compared to the 2004 Butler Hospital needs assessment (where applicable)

• 14% response rate was achieved (via mail surveys)

Topics

• Abuse

• Access to Care

• Alcohol & Drug Use

• Cancer Services

• Children Issues

• Diet & Exercise

• Disability

• Health Status

• Mental Health

• Physician Specialist

• Preventive Health

• Primary Health Care

• Safety Issues

• Social Services

• Tobacco Use

• Transportation

Primary Health Care &

Preventive Health Care

11.0

36.0

36.0

14.0

3.0

13.5

33.4

37.5

12.8

2.8

11.8

33.8

40.4

11.0

2.9

0% 20% 40% 60% 80% 100%

Excellent

Very Good

Good

Fair

Poor

2004

2006

Hand Distributed

Health Status: Overall General Health

Reasons why Respondents do not have a Health Care Provider

Mailed %

(n=24)

Hand Distributed % (n=6)

Can't pay for a health care provider visit 37.5 83.3

Don't need a health care provider 33.3 16.7

Can't find one I like or trust 8.3 0.0

Transportation issues 8.3 0.0

Other 12.5 0.0

• 97% of mailed respondents have a health care provider where they go to most often for health care (95.7% for 2004 and 95.5% for hand distributed)

Primary Health Care

48.5

91.8

69.8

97.7

0%

20%

40%

60%

80%

100%

120%

Would use a health clinic if one was madeavailable to those w/o health insurance?

Do you think there is a need for a healthclinic for those w/o health insurance?

2006 Hand Distributed

Health Clinic Use

*Yes, responses reported only

35.0

35.0

17.0

13.0

8.0

4.0

42.8

39.1

15.6

15.6

7.8

5.0

27.1

18.5

12.0

9.0

9.0

3.3

0% 20% 40% 60% 80% 100%

High cholesterol

High blood pressure

Heart problems

Diabetes

Asthma

Cancer

2004

2006

Hand Distributed

Respondents who have a Medical Condition

*Yes, respondents reported only

Health Status - Adults

71.0

68.0

66.0

62.0

56.0

50.0

40.0

23.0

22.0

4.0

70.2

65.1

64.9

62.4

55.2

51.4

38.9

24.9

21.8

6.6

78.0

66.1

62.9

71.8

59.8

57.0

43.8

33.1

37.8

16.7

0% 20% 40% 60% 80% 100%

High blood pressure

Arthritis

Heart disease

Cancer

Diabetes

Being overweight

Stroke

Alcohol problems

Mental/Emotional Problems

Drug problems

2004

2006

Hand Distributed

Family History

*Yes, respondents reported only

Health Status - Adults

37.1

19.8

12.1

9.5

21.5

27.2

19.7

18.0

8.0

27.1

31.4

5.7

11.4

2.9

48.6

0% 20% 40% 60% 80% 100%

Within past year

Within past 2 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed

Length of Time Respondents were Tested for Colon/Rectal Cancer

*Filtered for respondents ages 49+


Length of time Respondents had their Cholesterol Checked

62.0

14.8

7.6

4.6

11.1

66.2

14.3

7.6

4.2

7.7

48.1

14.8

7.4

4.4

25.2

0% 20% 40% 60% 80% 100%

Within past year

Within past 2 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed


81.0

12.3

4.3

1.6

0.6

0.2

79.4

13.5

3.8

1.5

1.4

0.3

70.1

18.7

5.2

3.7

0.7

1.5

0% 20% 40% 60% 80% 100%

Within past 6 months

Within past year

Within past 2 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed

Length of time Respondents had their Blood Pressure Checked


58.2

41.8

56.5

43.5

55.9

44.1

0%

20%

40%

60%

80%

100%

Yes No

2004 2006 Hand Distributed

Women who Examine their Breasts each Month for Lumps

*filtered for women only

Preventive Health Care: Women

Length of time Female Respondents had a Mammogram

63.2

18.4

4.4

4.7

3.5

5.8

67.4

11.8

5.3

3.6

4.3

7.7

50.0

14.0

8.0

10.0

0.0

18.0

0% 20% 40% 60% 80% 100%

Within past year

Within past 2 years

Within past 3 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed

*filtered for women ages 39 and older


63.6

17.1

5.7

3.3

8.8

1.5

62.2

16.0

5.1

4.0

10.7

2.0

61.5

14.7

11.9

5.5

4.6

1.8

0% 20% 40% 60% 80% 100%

Within past year

Within past 2 years

Within past 3 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed

Length of time Female Respondents had a Pap Smear

*filtered for women only


38.2

61.8

44.6

55.4

16.7

83.3

0%

20%

40%

60%

80%

100%

Yes No


Male Respondents who Examine their Testicles every Month for Lumps

*filtered for men only

Preventive Health Care: Men

60.5

14.3

8

4.2

12.9

59.7

19.7

6.1

3.4

11.2

75.0

12.5

0.0

0.0

12.5

0% 20% 40% 60% 80% 100%

Within past year

Within past 2 years

Within past 5 years

5+ years ago

Never been tested

2004

2006

Hand Distributed

Length of time Male Respondents had been Checked for Prostate Cancer

*filtered for men 40 +

Preventive Health Care: Men

Insurance

94.6 94.990.3

0%

20%

40%

60%

80%

100%

120%

Do you have health insurance?


Health Insurance

• 21.8% of respondents know where to send someone to get medical help for themselves or their child if they do not have health insurance (44% for hand distribution)

42.7

22.5

19.1

4.5

1.1

0.0

0.0

10.1

51.3

15.4

20.5

1.3

6.4

0.0

1.3

3.8

42.3

23.1

19.2

3.8

0.0

0.0

0.0

11.5

0% 20% 40% 60% 80% 100%

Can't afford it

Not qualified for MA

Not offered at work

Lost qualification for MA

Not qualified for plan at work

Confused/fear applying for MA

Don't need it

Other

2004

2006

Hand Distributed

* Multiple response

Reasons Why Respondents Do Not Have Health Insurance

Health Insurance

40.0

20.0

3.5

16.0

20.5

48.1

30.8

7.7

1.9

11.5

0% 20% 40% 60% 80% 100%

Can't afford it

Not offered at work

Not qualified

Don't need it

Other

2006

Hand Distributed

Reasons why Respondents Do Not have Dental Insurance

*multiple response

Dental Insurance

• 56.9% have dental insurance (67.4% for hand distributed)

35.2

29.9

5.0

13.5

16.4

40.4

36.2

6.4

4.3

12.8

0% 20% 40% 60% 80% 100%

Can't afford it

Not offered at work

Not qualified

Don't need it

Other

2006

Hand Distributed

Reasons why Respondents Do Not have Eye/Vision Insurance

*multiple response

Eye/Vision Insurance

• 60.7% have eye/vision insurance (67.9% for hand distributed)

Employment


Do you work in Butler County? 40.6 55.2

Are you looking for a new job at this time? 9.9 17.9

Do you know where to go or call to get help getting a job or getting a better job?

58.9 70.8

Have you or someone in your household been unemployed for more than 6 months in the last 5 years?

32.1 44.7

Employment

Reasons why Respondents had been Unemployed for more than 6 months in the last 5 yrs.

36.8

14.2

13.9

12.5

11.1

6.9

4.5

9.5

17.5

15.9

7.9

33.3

7.9

7.9

0% 20% 40% 60% 80% 100%

Retired

Physical heathproblems

Downsizing

Plant/business closing

Chose to leave

Mental healthproblems

Termination

2006

Hand Distributed

*multiple response

Employment

Safety

17.2

64.6

13.8

1.5

2.9

13.4

64.0

15.3

2.0

5.3

19.9

55.1

16.2

4.4

4.4

0% 20% 40% 60% 80% 100%

Extremely safe

Quite safe

Slightly safe

Not at all safe

Not sure

2004

2006

Hand Distributed

Rating the Safety of their Neighborhood/Community

Safety Issues

Abuse & Violence

• 2.9% of respondents reported that in the past 2 years, either they or someone in their household was pushed, slapped, hit, punched, shaken, kicked, choked etc. (7.5% for Hand Distributed)

Of those who responded, 47.8% indicated that it was someone they knew (33.3% for Hand Distributed)

30.4% indicated that it was a stranger (11.1% for Hand Distributed)

21.7% reported that it was someone in the household (55.6% for Hand Distributed)

• 2.6% indicated that they or someone in their household was abused by someone else in the home (4.7% for the 2004 assessment and 8.3% for Hand Distributed)

• 0.4% indicated that in the past 2 years, they or someone in their household was forced to take part in sexual activities against their will (2.3% for Hand Distribution)

Of those who responded, 66.6% reported that it was someone they knew (66.7% for Hand Distribution)

33.3% indicated that it was someone living in the household (33.3% for Hand Distribution)

Domestic Violence

• 6.6% reported in the past year that they have you been afraid for the safety of themselves due to the anger or threats of someone (13.3% for Hand Distribution)

Of those who responded, 60.8% reported that it was someone they knew (55.6% for Hand Distribution) 31.4% reported that it was a stranger (16.7% for Hand Distribution) 7.8% reported that it was someone in the household (27.8% for Hand Distribution)

• 9.4% of respondents believe that there are children in their neighborhood who are in unsafe situations (20.1% for Hand Distribution)

Of those who responded, 72.4% reported they were concerned due to lack of supervision (61.5% for Hand Distribution) 15.8% cited “other” reasons (23.1% for Hand Distribution) 7.9% reported drug/alcohol use (15.4% for Hand Distribution)

• 56.8% reported knowing where to send someone for help if they were being hurt (70.5% for Hand Distribution)

• 9.1% reported being or knowing someone in the household being affected by drug abuse (14.2% for Hand Distribution)

Abuse and Violence

28.7

19.7

14.6

11.2

10.7

3.4

2.8

9.0

22.8

24.6

14.0

10.5

8.8

8.8

3.5

7.0

0% 20% 40% 60% 80% 100%

Alcohol

Marijuana

Cocaine

Heroin

Prescription drugs

Methamphetamines

Inhalents

Other drugs

2006

Hand Distributed

Types of Drugs that were Abused

*multiple responses

Drug Abuse

22.7

17.6

12.6

8.4

7.6

4.2

2.5

24.4

20.4

16.3

10.2

10.2

8.2

10.2

12.2

12.2

0% 20% 40% 60% 80% 100%

Arrested

Seperated from family

Loss job

Divorce

School drop out

Domestic violence

Loss parental rights

Other

2006

Hand Distributed

Consequences of having been Affected by Drug Abuse

*Multiple response

Drug Abuse


Do you think the use of illegal drugs is a problem in your neighborhood?

33.9 31.3

Do you think alcohol abuse or underage drinking is a problem in your neighborhood?

36.7 32.8

Do you know where to go or where to send someone for help with a drug or alcohol problem?

54.7 67.4

Are there any drug prevention programs in your community?

32.7 43.3

Drugs & Alcohol Use

Children Issues

39.8

41.2

14.8

2.8

0.9

0.5

38.3

39.5

12.3

6.2

1.2

2.5

0% 20% 40% 60% 80% 100%

1 child

2 children

3 children

4 children

5 children

6+ children

2006

Hand Distributed

Number of children under the age of 18 living in the household

• 10.7% are single parents (mailed surveys)

• 19.8% are single parents (hand distributed)

Children Issues

Insurance Coverage for Children

96.8 98.1 100.0

0%

20%

40%

60%

80%

100%

120%

Yes


Children Issues

*

35.4

26.5

6.2

5.2

4.6

37.4

36.5

6.1

8.7

11.3

28.3

19.6

15.2

34.8

2.2

0% 20% 40% 60% 80% 100%

Spouse's employer

Your employer

State run insur.program

Medicaid/MedicalAssistance

Other

2004

2006

Hand Distributed

How Child’s Health Insurance is Paid for…

*multiple response

** Two choices for this question were not reported in 2006 because they were asked only in 2004

*

Children Issues


Has your child had a physical check up in the past year?

90.7 95.3 96.3

Has you child had a dental check-up in the past year?

83.7 82.7 77.5

Has your child been tested for behavioral problems?

N/A 13.0 33.8

Do you or a household member have a child with special, physical, mental or emotional needs?

N/A 14.0 38.3

Children Issues

Rating how well the School Supports Children with Special Needs

16.4

24.4

10.9

9.0

5.5

33.8

24.1

24.1

8.9

7.6

8.9

26.6

0% 20% 40% 60% 80% 100%

Excellent

Good

Satisfactory

Fair

Poor

Don't know

2006

Hand Distributed

Children Issues

55.3

44.750.0 50.0

0%

20%

40%

60%

80%

100%

Was the problem with school work? Was the problem a behavioral problem?


*multiple response

Children Issues

• 14.1% of respondents reported that their child had problems in school in the past year. (25.9% for hand distributed)

22.4

19.2

16.8

16.8

13.6

11.2

33.3

13.9

18.1

9.7

13.9

11.1

0% 20% 40% 60% 80% 100%

Behavior management

Teen behavior

Internet training

Drug/alcohol abuse

Child development

Imp. of early learning

2006

Hand Distributed

Do you think you have a Need for Parent Education Seminars Regarding…

Children Issues

*multiple response


Are you concerned with your child's rise of technology? 28.8 18.8

Do you feel equipped or knowledgeable enough to deal with or monitor your child's use of technology?

81.5 73.4

Does your child have access to children's reading materials at home?

98.1 97.5

Are you encouraging your children to read and or are you reading to them?

98.1 96.3

Are you raising children other than your own? 7.0 12.5

Children Issues

35.6

32.5

8.8

5.6

5.0

4.4

8.1

38.1

23.8

22.2

3.2

6.3

4.8

1.6

0% 20% 40% 60% 80% 100%

Grandparent/relative

No need for childcare

Day care

Older child

Friend

Home based childcare

Other

2006

Hand Distributed

Individual Caring for the Children while Respondents are Working, Going to School or are Away

Children Issues

Important Factors when Selecting Childcare

56.1

30.6

7.0

1.9

1.3

3.2

45.1

40.8

7.0

2.8

1.4

2.8

0% 20% 40% 60% 80% 100%

Trust in caregiver

Quality of care

Cost

Location

Hours

Other

2006

Hand Distributed

Children Issues

64.9

28.8

5.4

0.9

0.0

55.9

40.7

3.4

0.0

0.0

0% 20% 40% 60% 80% 100%

Excellent

Good

Satisfactory

Fair

Poor

2006

Hand Distributed

Rating the Quality of Respondent's Childcare

Children Issues


Do you often need short term child care (1-4 hours)? 27.4 41.7

Do you have a need for child care when your child is sick? 14.4 30.3

Do you know where to go or send someone to find out about available, high quality, affordable, licenses child care?

42.9 49.4

Are you aware of PA’s quality improvement program for childcare, known as Keystone STARS?

18.0 39.3

Do you feel it is important that children attend early learning programs outside of the home?

74.4 86.8

Has your child had a developmental screening? 54.8 83.3

Has your child had to deal with a separation/divorce in the family in the past 5 years?

11.5 22.7

Children Issues

How far Respondents travel for Childcare

72.6

19.7

7.7

56.6

30.2

13.2

0% 20% 40% 60% 80% 100%

0-5 miles

5-10 miles

10-20 miles

2006

Hand Distributed

Children Issues

Respondents who Breastfeed their Baby

53.8

37.7

8.5

53.8

35.6

10.6

47.2

47.2

5.7

0% 20% 40% 60% 80% 100%

Yes

No

Did not have baby yet

2004

2006

Hand Distributed

Children Issues

Children Issues

Length of Time Breastfeeding

5.2

3.4

6.9

25.9

25.9

20.7

12.1

0.0

5.4

12.5

12.5

21.4

16.1

26.8

1.8

3.6

4.2

16.7

25.0

16.7

16.7

16.7

4.2

0.0

0% 20% 40% 60% 80% 100%

1-2 weeks

3-4 weeks

1-2 months

3-6 months

7-11 months

12 months-23 months

2-3 years

over 3 years

2004

2006

Hand Distributed

Reasons why Child was not Breastfeed

25.9

19.0

15.5

10.3

8.6

8.6

3.4

0.0

0.0

0.0

8.6

9.1

9.1

9.1

0.0

18.2

18.2

9.1

9.1

0.0

0.0

18.2

0% 20% 40% 60% 80% 100%

Did not want to

More convenient to bottle feed

Too painful

Want others to feed the baby

Returning back to work

Did not have enough milk

Health reasons

Lack of encouragement

Cultural/religious reasons

Do not know enough about it

Other

2006

Hand Distributed

Children Issues

* multiple responses

Tobacco Use

13.6

2.4

1.3

4.3

10.2

2.7

0.8

3.2

29.5

4.2

0.8

2.5

0% 20% 40% 60% 80% 100%

Cigarettes

Cigars

Pipe

Smokeless Tobacco

2004

2006

Hand Distributed

Tobacco Use

• 40.5% of respondents tried to smoke cigarettes (59.5% for Hand Distribution)

• 32.6% of respondents have tried to quit smoke cigarettes (2004 Data)

• 8.5% of current smokers would like to quit smoking cigarettes (23.8% for the 2004 Assessment and 26.6% for Hand Distribution)

Respondents who Smoke

Diet & Exercise

• 81.8% take part in physical activity (74.4% for both 2004 and Hand Distribution)

• Respondents participated in physical activity 4.35 times per week (4.08 times for Hand Distribution)

• 2 hours and 29 minutes was the average time spent taking part in physical activities or exercise. This would include running, walking, gardening, lifting heavy objects, or playing in active sports. (1 hour and 23 minutes was the average time from hand distributed surveys)

Diet & Exercise

61.3

36.3

2.5

63.2

35.5

1.3

70.6

27.8

1.6

0% 20% 40% 60% 80% 100%

Lose Weight

Stay at Same Weight

Gain Weight

2004

2006

Hand Distribution

Diet & Exercise

2.0

34.0

37.0

28.0

1.7

32.8

38.6

26.9

3.3

26.4

34.7

35.5

0% 20% 40% 60% 80% 100%

Underweight

Normal

Overweight

Obese

2004

2006

Hand Distributed

Body Mass Index (BMI)

Social Services & Issues

89.6

85.1

78.1

76.3

73.4

73.7

71.9

63.6

49.6

94.2

95.5

86.4

88.2

89.9

82.1

83.8

70.6

58

0% 20% 40% 60% 80% 100%

Parents involved in school

Afford college/technical school

Quality, affordable day care

Care & services for kids < 5

School readiness & Pre-K programs

Parent skills training/parent classes

After school tutoring & education programs

Adult continue education programs

Cultural enrichment programs for older adults


Important & Needed Services in the Community – Top 2 boxes(Very High Need & High Need)


37.4

33.3

32.7

28.8

27.0

24.4

22.2

20.8

20.4

19.3

18.7

19.6

31.1

26.5

20.7

13.0

13.3

17.2

10.7

13.8

12.3

10.7

0% 20% 40% 60%

Ability of people to read & write

Access to facilities

School system

Available quality care providers

End of life/hospice services

Relationship w/ law enforcement

Early intervention for kids w/ disabilities

Mental health services

Adequate services for kids w/ disabilities

Parks/pools/low cost exercise options

Counseling services

2006

Hand Distributed


Rating the Neighborhood/Community – Top 2 boxes (Excellent & Very Good) (cont.)

Rating the Neighborhood/Community – Top 2 boxes (Excellent & Very Good) (cont.)

18.2

15.8

13.6

13.5

13.4

13.0

12.8

12.7

12.4

12.2

12.2

11.1

9.7

25.5

15.2

8.9

5.7

25.5

15.7

2.3

23.1

4.2

0% 20% 40% 60%

Quality arts & cultural events

Responsive local govern.

Services addressing domestic violence

Services to address drug & alcohol abuse

Wellness ed. prog.

Available child care

Services addressing sexual assault

Birth control

Emer. food & shelter

Address child abuse

Support for older adults living alone



11.7

10.5

10.4

10.0

10.0

9.9

9.2

8.3

7.3

6.8

4.8

8.9

2.1

4.8

7.5

5.9

4.1

7.5

4.5

6.5

3.0

3.9

0% 20% 40% 60%

Affordable home health care

Affordable adult day care

Free/low cost activities for kids

Affordable child care

Available jobs

Available adult day care

Transportation

Quality jobs

STD/HIV/AIDS prevention

HIV/AIDS patient health care

Addressing homelessness


Rating the Neighborhood/Community – Top 2 boxes (Excellent & Very Good)


Rating Important services to the community – Top 2 boxes(Very Important & Important)

89.6

86.9

85.3

93.2

94.5

91.9

0% 20% 40% 60% 80% 100%


Job training/employment services

Mental health services

Counseling services


9.0

11.5

13.0

27.0

39.5

10.7

13.0

14.5

30.5

31.3

0% 20% 40% 60% 80% 100%

Once a week

Once a month

Every few months

Once or twice a year

Never

2006

Hand Distributed

Frequency in which Members visit their Community Library

• 70.8% of respondents have a computer at home with internet access (mailed surveys)

• 69.5% of respondents have a computer at home with internet access (hand distributed surveys)


50.2

13.5

6.2

4.2

11.1

4.6

10.2

41.9

11.7

8.4

7.8

11.7

7.3

11.2

0% 20% 40% 60% 80% 100%

Check out books

Check outmovies/music

Use a computer

Get on Internet

Do research for school

Meet others

Read quietly

2006

Hand Distributed

What Respondents usually do at the Library



Do you have a disability? 13.8 25.6

Due to any disability or health problems, do you need help with daily chores?

4.9 11.7

Do you or a member of your family need adult day care?

2.8 6.3

Do you or a member of your family need home care?

4.5 6.3


Adult day care is… Home care is…


11.9

11.5

76.7

20.9

8.5

70.5

Avail. InCommunity

Not Avail. InCommunity

DK


19.2

10.0

70.7

15.7

9.4

74.8

Avail. InCommunity

Not Avail. InCommunity

DK

19.314.0

66.7

0.0

11.1

88.9

0%

20%

40%

60%

80%

100%

Frequently Often Occasionally


• 8.3% of respondents are the main caregiver for an older relative (8.5% for hand distributed)

Frequency in which Respondent Missed Work/Activities because they care for this Person



Do you know where to get help or send someone for help with caring for an older relative?

35.6 38.8

Are you the main caregiver to someone with a disability or special needs?

6.5 20.8

Those who are the main caregivers to someone with a disability or special needs, have had trouble paying for their care.

22.6 34.6

Those experiencing a problem in the last 12 months that made them consider counseling.

18.3 34.9

Those not going to counseling when they needed it. 18.8 28.7

Having to stop counseling because of cost. 10.9 15.9

Do you know where to go or send someone for mental health or crisis counseling?

48.7 67.2

Are you a member of the labor union? 12.5 8.8



Know someone who has an STD 4.3 12.6

Have you or someone you know been tested positive for HIV/AIDS?

3.5 5.2

Do you know where to go for testing or treatment for a STD?

34.2 47.4

Do you know where to go to get testing or treatment for HIV?

31.7 37.8

Sexually Transmitted Diseases: Services

35.3

17.6

15.9

10.6

4.7

15.9

34.0

17.9

15.4

21.0

8.0

3.7

0% 20% 40% 60% 80% 100%

Medical Assistance

Food stamps

Fuel Assistance

WIC

Cash Assistance

Other

2006

Hand Distributed

Services used in the last 2 years

*multiple response

Government Assistance

Expenses Household Respondents have fallen behind or not been able to pay for…

27.1

15.6

9.5

7.0

2.5

1.5

1.5

35.2

26.5

13.7

5.9

12.7

5.9

2.9

2.9

29.4

0.0 20.0 40.0 60.0 80.0 100.0

Utility bills

Food bills

Mortgage

Rent

Hygiene products

Child care

Child support

Other monthly bills

2006

Hand Distributed

*multiple response

Household Expenses


Do you know where to go or send someone to get emergency help with food, shelter or paying bills?

40.2 61.8

In the past 2 years, was there a time you had trouble finding a place to live that was affordable?

3.3 17.8

Do you know where to go for help if you can’t pay for your rent or mortgage, or if you are facing eviction?

22.4 35.7

Have you or someone in your household ever been incarcerated?

4.3 13.5

Services/Incarceration

*multiple response

Belief respondent was treated unfairly because… 2006 Hand Distributed

Age 19.3 13.1

How you look 13.5 9.0

Sex/gender 12.8 7.4

Income level 12.0 17.2

Education level 8.0 3.3

Beliefs 5.3 4.9

Other 5.0 6.6

Marital status 3.8 5.7

Disability 3.5 10.7

Religion 3.5 3.3

Color 2.5 1.6

Political affiliation 2.5 1.6

Ethnic/Social group 1.8 2.5

Race 1.5 0.8

Sexual orientation 1.3 2.5

Mental illness 1.3 7.4

National origin 1.0 0.0

Substance abuse 0.5 0.8

Other traits 1.3 1.6

Discrimination Issues

89.6

10.4

66.7

33.3

0%

20%

40%

60%

80%

100%

Do you own? Do you rent?


Home Ownership vs. Renting

4.16

4.06

3.91

3.28

3.51

3.25

3.16

4.11

4.11

4.12

3.37

3.60

3.45

3.72

Recreation activities

Relief for family/caregiver

Jobs skills training/placement

Wheelchair accessible

Transportation (wheelchair accessible)

Access to restrooms

Access to building

Mean

2006

Hand Distributed

Rate how the community provides for people with disabilities or special needsWhat is the most important service to provide?

(On a scale of 1-7, where 1=Most Important and 7=Least Important)


Transportation

95.3

1.2

0.5

2.4

0.6

86.0

4.4

0.7

7.4

1.5

0% 20% 40% 60% 80% 100% 120%

Own car

Bus

Walking

Someone else's car

Other

2006

Hand Distributed

Primary Method of Transportation

Q. If commuter bus services were added to Cranberry from central Butler, how often

would you use this service?

0.6

2.4

10.4

21.6

65.0

0.8

4.6

16.0

17.6

61.1

0% 20% 40% 60% 80% 100%

Always

Often

Sometimes

Rarely

Never


Q. If commuter bus services were added to Cranberry or central Butler to Pittsburgh,

would you use the service?

0.5

3.2

17.7

26.7

51.9

1.5

4.6

19.8

22.9

51.1

0% 20% 40% 60% 80% 100%


Miscellaneous

25.6

22.7

19.8

17.8

6.8

6.1

0.9

0.1

25.4

21.1

19.9

15.9

9.6

6.5

1.6

0.1

23.2

22.7

22.7

13.6

7.2

7.7

2.9

0.0

0% 20% 40% 60% 80% 100%

Newspaper

TV

Word of mouth

Radio

Religious comm.

Internet

Other

None

2004

2006

Hand Distributed

How do you find out about news or events in your community?

*Multiple responses

Community Information

Top Responses (Multiple Responses) 2006

%

Top Responses (Multiple Responses)

Hand

Distributed

%

Primary Care 10.4 Primary Care 15.3

Rheumatologist 9.3 Ophthalmologist 10.5

Ophthalmologist 8.7 Pediatrician 7.3

Allergist 6.9 ENT 6.5

OB/GYN 6.2 OB/GYN 6.5

Cardiologist 5.3 Gastroenterologist 6.5

ENT 5.0 Psychiatrist 5.6

Other 4.3 Allergist 4.8

Orthopedist 4.0 Neurologist 4.8

Oncologist 3.9 Proctologist 3.2

Endocrinologist 3.9 Endocrinologist 3.2

Neurologist 3.9 Geriatrician 3.2

Specialty Physicians

• 10.5% of respondents are looking for a certain doctor not available locally (14.0% for 2004 and 16.7% for hand distribution)

Demographics

Demographics

63.0

37.0

61.2

38.8

83.6

16.4

0%

20%

40%

60%

80%

100%

Female Male

2004

2006

Hand Distributed

Gender

14.0

18.0

21.0

19.0

16.0

6.0

3.4

12.1

18.6

22.9

20.2

14.8

8.0

27.5

26.3

16.3

23.8

2.5

1.3

2.5

5.0

0% 20% 40% 60%

18-29

29-30

40-49

50-59

60-69

70-79

80+

2004

2006

Hand Distributed

Age

*Respondents had to be 18 years of age or older to receive a survey

Demographics

Demographics: Height & Weight

Average height of female respondents is 4.9 feet and 4.4 inches (5.0 feet and 4.5 inches for Hand Distribution)

Average weight of female respondents is 159 pounds (166 pounds for Hand Distribution)

Average height of male respondents is 5.2 feet and 6.4 inches (5.2 feet and 6.3 inches for Hand Distribution)

Average weight of male respondents is 197 pounds (202 pounds for Hand Distribution)

Females

Males

Demographics

Mailed:

Average number of people living in the household is 2.5

Hand Distributed:

Average number of people living in the household is 3.3

The Highest Education Level Finished

3.0

4.0

33.0

9.0

17.0

25.0

10.0

1.9

3.5

33.3

8.5

16.1

24.7

11.9

2.2

5.1

33.8

7.4

9.6

33.8

8.1

0% 20% 40% 60% 80% 100%

Grade school

Some High School

High School diploma

Vocational/trade school

Some college/no degree

College degree

Graduate degree

2004

2006

Hand Distributed

Demographics

44.8

5.0

4.7

5.5

13.2

11.4

11.9

3.6

59.3

3.7

3.0

7.4

5.2

5.9

9.6

5.9

0% 20% 40% 60% 80% 100%

Butler Area

Karns City Area

Mars Area

Moniteau Area

Seneca Valley Area

Slippery Rock Area

South Butler Area

Other

2006

Hand Distributed

School District Where Respondents Live

Demographics

27.4

4.4

2.9

3.0

4.3

4.5

4.8

44.8

3.8

31.6

1.5

3.7

6.6

4.4

4.4

9.6

33.1

5.1

0% 20% 40% 60% 80% 100%

Butler Area

Karns City Area

Mars Area

Moniteau Area

Seneca Valley Area

Slippery Rock Area

South Butler Area

Other

Did not graduate

2006

Hand Distributed

School District Respondents Graduated From

Demographics

7.94.9

35.8

51.4

7.9

15.9

31.0

45.2

0%

20%

40%

60%

80%

100%

Butler Comm.College

SRU Other Did not graduate


College or University Respondents Graduated from…

Demographics

0

1.2

4.6

6.9

41.5

45.9

0

0.8

4.5

15.8

30.8

48.1

0% 20% 40% 60% 80% 100%

< 6 months

6 months - 1 year

1 - 3 years

3 - 6 years

10 +

Entire life

2006

Hand Distributed

Length of Time Respondents Lived in Butler County

Demographics

Household Income

1.0

3.0

8.0

15.0

22.0

14.0

19.0

19.0

0.9

3.4

7.4

13.3

16.7

11.1

23.1

24.1

5.5

9.4

6.3

15.0

16.5

11.8

18.9

16.5

0% 20% 40% 60% 80% 100%

<$5,000 a yr.

$5,000 - $9,999

$10,000 - $14,999

$15,000 - $24,999

$25,000 - $39,999

$40,000 - $49,999

$50,000 - $74,999

$75,000+

2004

2006

Hand Distributed

Demographics

37.0

15.0

22.0

6.0

35.0

2.0

1.0

35.1

9.1

16.3

3.9

32.6

1.7

1.2

33.8

15.3

26.1

10.2

5.7

4.5

4.5

0% 20% 40% 60% 80% 100%

Full time

Part time

Homemaker

Unable to work

Retired

Unemployed

Student

2004

2006

Hand Distributed

Employment Position

*multiple response

Demographics

97.6

0.1

0.7

0

0

0.3

0

1.8

97.2

0.7

0.5

0

0.1

0.7

0

0.8

97.1

0

0.7

0

0

0.7

0

1.5

0% 20% 40% 60% 80% 100% 120%


Caucasian

African American

American Indian/Alaska Native

Asian

Asian Indian

Hispanic/Latino

Hawaiian/Pacific Islander

Other

**

Race

*Multiple responses

** In the 2004 data, this category also included Spanish as a race selection

Demographics

Focus Group Key Findings

Senior Focus Group

• The focus group was conducted on Wednesday, July 19, 2006 at the Butler Tanglewood Senior Center

• 17 participants ranging in age from 64 to 88

• Group included 5 males and 12 females

• All were Caucasians

• 1 senior was single, 8 were married, 1 was divorced/separated, and 7 are widowed

• 2 seniors had some high school education, 6 had a high school diploma/GED, 3 had vocational/trade school education, 3 had some college education (no degree), 2 had their college degree, and 1 senior had their graduate degree

Senior Focus Group Priority Issues

1.) Transportation

• Current transportation is inadequate in the area. The current system needs additional routes/lines, more flexible hours, and better utilization of the bus itself.

• One common problem with public transportation is the lack of drop off and pick up points (routes).

• The transportation program needs to be run more efficiently especially with rising gas prices. Use smaller buses or use van shuttles. With this notion you can add additional routes for its citizens.


2.) Access to Healthcare

• Prescription medication is too costly for most seniors to afford. Especially those on a fixed/limited income.

• Obtaining health services is difficult due to health insurance restrictions. There needs to be universal acceptance of healthcare coverage at all medical facilities.

• Medicare is inadequate. There are too many restrictions.

• Dissemination of healthcare information and the rules to use healthcare coverage is also difficult for many seniors to understand. The language is complicated and confusing.


3.) Preventive Care

• Preventive care information is lacking in the public. Ways to address health problems and issues are to promote healthy living lifestyles.

• Unhealthy living habits leads to poor health.

• Better dissemination and better communication of information amongst the senior population.


4.) Access to Elected Officials

• The senior population (who tends to be active in the community) is unaware of what happens due to the poor dissemination of information that is produced publicly.

• There needs to be a public forum/platform to discuss and voice concerns and opinions from seniors and others in the community.

• The need of public voting records on how public officials vote.

• Overall lack of trust of public officials.

• Better access to public officials.

Youth Focus Group

• Focus group conducted on Wednesday August 2 at the YMCA

• 6 kids participated ranging in age from 12 to 16 including 1 6th grader, 1 7th grader, 3 8th graders, and 1 Junior

• Group included 5 males and 1 female all white/caucasian

• Kids represented Butler, Mars, and Seneca Valley school districts

Youth Focus Group Priority Issues

1.) Smoking and Drug Use

• Cigarettes are gateway drug starting in 7th and 8th grade, progress to marijuana, and then drugs like heroine and cocaine

•Participants stated that approximately 4 out of every 10 students tries drugs with approx. 50% continuing to use drugs after trying them

•Hot spots for drugs include the “Island” near the Lyndora hotel, Father Marinara skate park, and the “Viadox” (sp?)

• Students do drugs because there is a perception of it being the “cool” thing to do so you can fit in, in various social groups


2.) Kids doing illegal things/Crime

• Fights, bullying, stealing, vandalism, destruction of public property

• Fights/violence seems to be the number one issue. Participants mentioned the Tanglewood parking lot, YMCA, and schools as locations where fights occur and are scheduled

•Mentioned the Easy Stop as a site for theft

• Emily Britton school as a popular location to use paint or pellet guns to shoot cars

• Theft of street signs and destruction of school restrooms


3.) Racism

• Large divide between White and African American kids in schools resulting in violence.

• Participants stated “African American kids are separating themselves through music, saggy clothes, and gangs”.

• White kids who are “trying to fit in with African American kids are acting Black”.

• Racism is occurring in both directions.


4.) Kids aren’t trying hard in school

• It’s not cool to do well and be perceived as a “geek” or “nerd”.

• Participants stated approximately 6 students out of 10 are legitimately putting forth their best efforts in school.

• Participants feel that most kids do not realize the benefits of doing well in school and are more interested in having fun with friends.


5.) Sex

• Perception that it’s not cool to be a virgin.

• Participants stated most kids start experimenting sexually in 7th and 8th grade.

• Participants estimate 7 out of 10 students are experimenting in sexual activity.

• Hot spots include parent’s house when parents aren’t home, and large scale house parties.

Key Informant Asset Inventory Results

Demographics

• 29% Male, 71% Female

• 93% White/Caucasian, and 7% Other

• 35% Executive/Managerial, 35% Administrative Support, 12% Professional, 4% Sales, 4% Service, 4% Industrial

• Board Associations: Chamber of Commerce, Historic Harmony, Rails to Trails, CDC Environmental, Conservation District, City of Butler, Keystone Development Center, PA Economic Development Association

Community Strength Mean Score

Promotes positive relations among people from all races, genders, ages, and cultures.

1.75

Actively supports and strengthens connections between families, neighborhoods, and the whole community

1.91

Actively promotes participation in the political process from all races, genders, ages and cultures

1.96

Exists a great deal of mutual respect among leaders from all sectors of the community

2.00

Leaders from all sectors come together and work productively to address issues 2.04

Leaders from all sectors share common goals and uphold a common vision 2.17

All religious groups come together to address pressing social concerns 2.21

People and organizations from all geographic regions get together to address mutual concerns

2.30

Associations in neighborhoods from various parts of the community share strategies and work together

2.33

Community Strengths

• Rate on a scale of 1 to 4 where 1 is Strongly Agree and 4 is Strongly Disagree

Economic Issues Mean Health Issues Mean

Lack of Jobs 3.00 Alcohol/Drug Abuse 3.04

Unemployment or underemployment 2.77 Affordable Medical Care 2.67

Poverty 2.36 Mental Illness/Emotional Issues 2.36

Educational Issues Mean HIV/AIDS 1.78

Overcrowded classrooms 2.12 Housing Issues Mean

Unsafe school environment 2.08 Shortage of affordable housing 2.04

Illiteracy 2.00 Substandard housing 1.92

Environmental Issues Mean Overcrowded housing 1.67

Water or air pollution 2.00 Social Issues Mean

Noise or other pollution 1.92 Family violence, abuse of children or adults

2.44

Safety Issues Mean Lack of affordable childcare 2.25

Crime 2.36 Teen pregnancy 2.16

Gangs 1.48 Racial or ethnic discrimination 1.88

Community Challenges and Issues

• Rate each issue on a scale of 1 to 4 where 1 is Not an Issue and 4 is a Major Issue

Leisure Activity Issues Mean

Shortage of recreational facilities (swimming pools, etc.)

2.42

Lack of cultural activities (concerts, museums, etc.) 2.35

Transportation Issues Mean

Inadequate public transportation 2.44

Poor road and/or traffic conditions 2.35

Community Challenges and Issues

• Rate each issue on a scale of 1 to 4 where 1 is Not an Issue and 4 is a Major Issue

Most Serious Issue Percentage

Alcohol and/or Drug Abuse 42%

Lack of jobs 16%

Family violence, abuse of children or adults 11%

Inadequate public transportation 11%

Second Most Serious Issue Percentage

Alcohol and/or Drug Abuse 21.1%

Family violence, abuse of children or adults 21.1%

Shortage of recreational facilities 16%

Third Most Serious Issue Percentage

Lack of affordable childcare 19%

Lack of affordable medical care 13%

Mental illness or emotional issues 13%

Community Priority Issues

•Which of the above issues do you believe is the most serious, second most serious, and third most serious issue in our community?

Business Asset Inventory Results

Business Survey

67

135

0

15

0

20

40

60

80

100

Per

cen

tage

0-25 26-50

51-75

76-100

101andUp

Number of Employees

68

147 0

11

0

20

40

60

80

100

Per

cen

tage

0-$5

,000

$5,00

1-20

,000

$20,0

01-5

0,000

$50,0

01-1

00,00

0

$100

,000 a

nd U

p

Charitable Giving

* The average business provided 592 volunteer hours last year.

Business Survey

• 58% of businesses allow time off for volunteer work

• 22% offer employee assistance programs

• 5% offer child care services

• 53% provide meeting space to community groups

• 33% make materials and equipment available such as duplicating machines or computers

• 63% have employees with specific skills available to help community groups

• 50% reach out to purchase goods and services from enterprises in lower income areas.

• 54% reach out to hire people from distressed neighborhoods

Currently Leading or

Participating

Would like to Lead or Participate

inPreparing people for jobs 35% 7%

Increasing availability of and access to jobs 28% 7%

Fostering Entrepreneurship 23% 14%

Promoting economic development in distressed areas 30% 7%

Promoting commercial revitalization in lower income areas 21% 5%

Fostering commercial real estate improvement in lower income neighborhoods

16% 2%

Expanding business and industrial development in distressed areas

21% 0%

Promoting educational reform 21% 12%

Promoting good health 54% 5%

Increasing affordable housing and home ownership 16% 5%

Promoting youth development 49% 7%

Increasing availability of recreation opportunities 33% 7%

Business Survey


Participating


inPromoting Arts and Culture 30% 12%

Increasing neighborhood safety 28% 5%

Fostering racial harmony 23% 7%

Promoting volunteering 58% 7%

Fostering community networks 40% 7%

Connecting neighbors who need help with those who can help 40% 2%

Building neighborhood trust 33% 2%

Improving access to transportation 14% 7%

Beautifying community renewal 30% 5%

Designing a plan for community renewal 14% 7%

Business Survey

Faith Based Asset Inventory Results

Faith Based Survey

1914 14

29

10 14

0

20

40

60

80

100

Per

cen

tage

Region

County

City

Other

Munici

pality

Neighbor

hood

Other

Geographic Area Served

6

56

28

6 60

20

40

60

80

100

Per

cen

tage

0-$5

,000

$5,00

1-20

,000

$20,0

01-5

0,000

$50,0

01-1

00,00

0

$100

,000 a

nd U

p

Charitable Giving

* The average faith based group provided 4,000 volunteer hours last year.

Faith Based Survey

• 100% provide meeting space to community groups

• 35% make materials and equipment available such as duplicating machines or computers

• 30% may provide shelter in a disaster or emergency

• 88% may provide volunteers in a disaster or emergency

• 21% may provide professional services in a disaster or emergency

• 50% may provide supplies in a disaster or emergency– 54% provide food - 29% sanitation/cleaning– 54% water - 25% health/safety supplies– 8% building supplies- 8% furniture/appliances

• 17% may provide equipment in a disaster or emergency

• 46% may provide transportation in a disaster or emergency (21% vans, 4% buses, 38% other)

• 9% reach out to purchase goods and services from enterprises in low income areas


Participating


inPreparing people for jobs 0% 0%

Increasing availability of and access to jobs 4% 0%

Fostering Entrepreneurship 0% 0%

Promoting economic development in distressed areas 0% 0%

Promoting commercial revitalization in lower income areas 4% 0%

Fostering commercial real estate improvement in lower income neighborhoods

0% 0%

Expanding business and industrial development in distressed areas

0% 0%

Promoting educational reform 0% 4%

Promoting good health 13% 4%

Increasing affordable housing and home ownership 4% 0%

Promoting youth development 63% 0%

Increasing availability of recreation opportunities 13% 8%

Faith Based Survey


Participating


inPromoting Arts and Culture 8% 4%

Increasing neighborhood safety 0% 4%

Fostering racial harmony 4% 0%

Promoting volunteering 25% 0%

Fostering community networks 17% 4%

Connecting neighbors who need help with those who can help 25% 4%

Building neighborhood trust 13% 13%

Improving access to transportation 0% 0%

Beautifying community renewal 4% 8%

Designing a plan for community renewal 0% 13%

Faith Based Survey

Faith Based Survey

People Using Services and Programs Last Year Mean Number of People

Children (under 13 years old) 131

Youth (14-19 years old) 41

Adults (20-64) 286

Seniors (Ages 65 and older) 107

Secondary Data Sources and Sample

Sources:

American Heart Association American Lung Association Centers for Disease Control and Prevention Health Resources and Services Administration Healthy People 2010 Pennsylvania Department of Health Pennsylvania Uniform Crime Reporting System Pennsylvania Youth Survey Report 2005 Regional Economic Information System, Bureau of Economic Analysis US Census Bureau

Coronary Heart Disease

256

216

166

0

100

200

300

Butler Co. US Rate 1997 Healthly People2010

Pe

r 1

00

,00

0 P

op

ula

tio

n

Percentage Breakdown of Deaths From Cardiovascular Diseases United States: 2003*

Source: Data obtained from CDC/NCHS and NHLBI. *Preliminary

17.0

6.0

6.0

4.0

0.5

0.4

13.0

53.0

0% 20% 40% 60% 80% 100%

Coronary Heart Disease

Stroke

Heart Failure

High Blood Pressure

Diseasese of the Arteries

Congenital Cardio. Defects

Rheumatic Fever/Rh. Heart Disease

Other

Stroke

51.8

62

48

0

50

100

Butler Co. US Rate 1997 Healthly People2010

Pe

r 1

00

,00

0 P

op

ula

tio

n

Age-Adjusted Death Rates for Coronary Heart Disease, Stroke, Lung & Breast Cancer for White & Black Females

United States: 2003*

Source: Data on chart obtained from CDC/NCHS and NHLBI. * Preliminary

125.1

50.5

42.2

24.6

160.3

69.1

39.3

33.8

0 50 100 150 200

Coronary HeartDisease

Stroke

Lung Cancer

Breast Cancer

White Females

Black Females

2002 Top Cancer Sites

(Death Rates in Both Males and Females)

54.6

28.6

27.7

21.3

10.7

9.2

8.0

7.4

5.1

4.8

0 50 100

Lung & Bronchus

Prostate

Breast

Colon & Rectum

Pancreas

Ovary

Non-Hodgkin Lymphoma

Leukemias

Esophagus

Corpus & Uterus, NOS

Per 100,000 Cases in PA

United Way of Butler County Butler Collaborative for Families Butler Memorial Hospital

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