1. Triennial Community Needs Assessment A Project of the Valley Care Community Consortium

2. Overview of the Process Primary and secondary data analyzed. Primary and secondary data analyzed. Surveys sent to 200 organizations. Surveys sent to 200 organizations. Twenty one agencies (public and private) provided data. Twenty one agencies (public and private) provided data. Asset mapping completed for SPA-2. Asset mapping completed for SPA-2. Data collected around four target groups: Data collected around four target groups: Children (age 0 to 17) Children (age 0 to 17) Adults (age 18 to 64) Adults (age 18 to 64) Seniors (age 65+) Seniors (age 65+) Low Income and Uninsured Low Income and Uninsured

3. Profile of SPA-2 Service Planning Area 2 is the largest of the eight SPAs in L.A. County. Service Planning Area 2 is the largest of the eight SPAs in L.A. County. SPA-2 includes the San Fernando and Santa Clarita Valleys. SPA-2 includes the San Fernando and Santa Clarita Valleys. The area encompasses 36 communities and 65 zip codes. The area encompasses 36 communities and 65 zip codes. SPA-2 includes 999.24 square miles. SPA-2 includes 999.24 square miles. Four health districts are part of SPA-2 Four health districts are part of SPA-2 The area includes a population of over 2.1 million people. The area includes a population of over 2.1 million people.

4. Demographics SFV – over 1.8 million people SFV – over 1.8 million people SCV – over 243K people SCV – over 243K people SFV is very diverse: SFV is very diverse: 42% Caucasian 42% Caucasian 41% Latino 41% Latino 10% Asian 10% Asian 3% African American 3% African American SCV is less diverse: SCV is less diverse: 65% Caucasian 65% Caucasian 23% Latino 23% Latino 6% Asian 6% Asian 3% African American 3% African American

5. Demographics Children (0-17 years) represent 28.7% of the population in the SCV. Children (0-17 years) represent 28.7% of the population in the SCV. In the SFV children represent 25.6% of the total population. In the SFV children represent 25.6% of the total population. Seniors (65+) represent 6.9% of the SCV population. Seniors (65+) represent 6.9% of the SCV population. For the SFV seniors represent 11% of the total population. For the SFV seniors represent 11% of the total population. The largest population increase over the next 5 years is projected for: The largest population increase over the next 5 years is projected for: SFV – Population (85+ years) 19% SFV – Population (85+ years) 19% SCV – Population (65-84 years) 37% SCV – Population (65-84 years) 37% Both the SFV and SCV project declines in the population 35-44 years over the next five years. Both the SFV and SCV project declines in the population 35-44 years over the next five years.

6. Demographics In the SFV there are 647,423 households. In the SFV there are 647,423 households. The SCV includes 76,552 households. The SCV includes 76,552 households. Lower income households in SPA-2 (earning below $15,000/yr) comprise: Lower income households in SPA-2 (earning below $15,000/yr) comprise: 12.4% of households in the SFV 12.4% of households in the SFV 5.8% of households in the SCV 5.8% of households in the SCV Higher income households in SPA-2 (earning above $150,000/yr) comprise: Higher income households in SPA-2 (earning above $150,000/yr) comprise: 9% of households in the SFV 9% of households in the SFV 14% of households in the SCV 14% of households in the SCV Households earning less then $25,000/yr have risen in both the SFV (17.4% to 23.2%) and SCV (8.7% to 10.8%) since the 2004 community needs assessment. Households earning less then $25,000/yr have risen in both the SFV (17.4% to 23.2%) and SCV (8.7% to 10.8%) since the 2004 community needs assessment.

7. Demographics In the SFV 50.8% of the occupied housing units are owned and 49.2% are rented. In the SFV 50.8% of the occupied housing units are owned and 49.2% are rented. In the SCV 74.9% of the occupied housing units are owned and 25.1% are rented. In the SCV 74.9% of the occupied housing units are owned and 25.1% are rented. Level of educational attainment in SPA-2: Level of educational attainment in SPA-2: SFV there are 26% of the population 25 years and above who did not graduate from H.S. SFV there are 26% of the population 25 years and above who did not graduate from H.S. In the SCV there are 13% of the population 25 years and above who did not graduate from H.S. In the SCV there are 13% of the population 25 years and above who did not graduate from H.S. Approximately 35% of the population 25 years and above in SPA-2 has a college degree at the associate level or higher. Approximately 35% of the population 25 years and above in SPA-2 has a college degree at the associate level or higher.

8. Children (0-17) Approximately 44,000 children in SPA-2 are uninsured. Approximately 44,000 children in SPA-2 are uninsured. 29% of children had difficulty accessing medical care. 29% of children had difficulty accessing medical care. 17.9% of children had special health needs in SPA-2. 17.9% of children had special health needs in SPA-2. 20.8% of children in grades 5, 7 and 9 were overweight. 20.8% of children in grades 5, 7 and 9 were overweight. 40.2% of children ages 0-5 had difficulty obtaining child care. 40.2% of children ages 0-5 had difficulty obtaining child care. The prevalence of asthma among children in SPA-2 was 7.9% in 2005. The prevalence of asthma among children in SPA-2 was 7.9% in 2005.

9. Adults (18-64) In SPA-2 approximately 19.8% of adults are uninsured. In SPA-2 approximately 19.8% of adults are uninsured. 20% of adults in SPA-2 reported no regular source of medical care. 20% of adults in SPA-2 reported no regular source of medical care. 12.8% of adults are diagnosed with depression. 12.8% of adults are diagnosed with depression. 21.4% of adults have been diagnosed with hypertension. 21.4% of adults have been diagnosed with hypertension. 95,000 adults have been diagnosed with diabetes in SPA-2. 95,000 adults have been diagnosed with diabetes in SPA-2. 20.8% of adults are overweight. 20.8% of adults are overweight. 24% of adults reported not getting dental care in the past year because they could not afford it. 24% of adults reported not getting dental care in the past year because they could not afford it.

10. Seniors (65+) Affordable and accessible mental health services is identified as a need for seniors. Affordable and accessible mental health services is identified as a need for seniors. Chronic disease management continues to be a priority need for seniors. Chronic disease management continues to be a priority need for seniors. By 2030 the number of seniors will triple and it is estimated that more than 6 out of 10 will be managing more then one chronic disease. By 2030 the number of seniors will triple and it is estimated that more than 6 out of 10 will be managing more then one chronic disease. The most common reason seniors were admitted to the hospital in SPA-2 included heart failure and pneumonia. The most common reason seniors were admitted to the hospital in SPA-2 included heart failure and pneumonia. Urinary tract disorders and open wound of the head were the most common diagnoses for seniors seeking care in the emergency departments in SPA-2. Urinary tract disorders and open wound of the head were the most common diagnoses for seniors seeking care in the emergency departments in SPA-2. Approximately 62% of older adults over were vaccinated for influenza according to 2005 data. Approximately 62% of older adults over were vaccinated for influenza according to 2005 data.

11. Poor and Uninsured Based on 2005 data it is estimated that there are 53,700 families living below the poverty level in SPA-2. Based on 2005 data it is estimated that there are 53,700 families living below the poverty level in SPA-2. Affordable and accessible mental health services are identified as a priority need for this group. Affordable and accessible mental health services are identified as a priority need for this group. Affordable and portable health insurance and affordable dental care are priority needs for the poor. Affordable and portable health insurance and affordable dental care are priority needs for the poor. Approximately 19.5% of the population in SPA-2 relied on some form of public assistance according to 2005 data. Approximately 19.5% of the population in SPA-2 relied on some form of public assistance according to 2005 data. There are 19.8% of adults (age 18 to 64 years) and 8.2% of children (under 18) who are uninsured in SPA-2. There are 19.8% of adults (age 18 to 64 years) and 8.2% of children (under 18) who are uninsured in SPA-2.

12. Key Priorities Affordable and Accessible Mental Health Affordable and Accessible Mental Health Affordable and accessible prevention and counseling programs for low-income, homeless, and undocumented persons. Affordable and accessible prevention and counseling programs for low-income, homeless, and undocumented persons. Services need to be culturally sensitive and language appropriate. Services need to be culturally sensitive and language appropriate. Affordable and Portable Access to Health Care Affordable and Portable Access to Health Care The need for universal health care to cover all populations. The need for universal health care to cover all populations. Additional clinic capacity to serve the uninsured. Additional clinic capacity to serve the uninsured. Less complicated enrollment criteria and more streamlined enrollment process. Less complicated enrollment criteria and more streamlined enrollment process.

13. Key Priorities Chronic Disease Management Chronic Disease Management More prevention and management programs for asthma, diabetes, and obesity. More prevention and management programs for asthma, diabetes, and obesity. Affordable Housing Affordable Housing More financial assistance programs for housing available to low and middle income families and seniors. More financial assistance programs for housing available to low and middle income families and seniors. More transitional/emergency housing for homeless, re-entry, and at risk populations. More transitional/emergency housing for homeless, re-entry, and at risk populations. Oral Health Oral Health More prevention programs geared to early childhood. More prevention programs geared to early childhood. Low cost dental services for the uninsured and disadvantaged. Low cost dental services for the uninsured and disadvantaged.

14. Positive Trends Hospital E.D. diversion rates have dropped since the 2004 assessment. Hospital E.D. diversion rates have dropped since the 2004 assessment. Average incidence of E.D. saturation went from 32.5% in the SFV in 2005 to 16.0% in 2007. Average incidence of E.D. saturation went from 32.5% in the SFV in 2005 to 16.0% in 2007. Percent of uninsured adults in SPA-2 dropped from 23.6% in 2003 to 19.8% in 2005. Percent of uninsured adults in SPA-2 dropped from 23.6% in 2003 to 19.8% in 2005. Percent of uninsured children in SPA-2 dropped from 9.1% in 2003 to 8.2% in 2005. Percent of uninsured children in SPA-2 dropped from 9.1% in 2003 to 8.2% in 2005. Percent of children with asthma in SPA-2 dropped from 8.7% in 2003 to 7.9% in 2005. Percent of children with asthma in SPA-2 dropped from 8.7% in 2003 to 7.9% in 2005.

15. Negative Trends Percent of adults in SPA-2 with no regular source of medical care increased from 18% in 2003 to 19.9% in 2005. Percent of adults in SPA-2 with no regular source of medical care increased from 18% in 2003 to 19.9% in 2005. Mental health conditions continue to be one of the top five diagnoses that adults and children are admitted to the hospital in SPA-2. Mental health conditions continue to be one of the top five diagnoses that adults and children are admitted to the hospital in SPA-2. Percent of youth who are overweight increased from 21.9% in 2003 to 23.3% in 2005. Percent of youth who are overweight increased from 21.9% in 2003 to 23.3% in 2005. Percent of adults who are obese increased from 15.9% in 2003 to 17.0% in 2005. Percent of adults who are obese increased from 15.9% in 2003 to 17.0% in 2005. Households earning less then $25,000/yr. increased from 17.45% in 2003 to 23.18% in 2005 in the SFV and from 8.72% to 10.76% in the SCV. Households earning less then $25,000/yr. increased from 17.45% in 2003 to 23.18% in 2005 in the SFV and from 8.72% to 10.76% in the SCV. The percent of older adults vaccinated for influenza in the past year dropped from 73.0% in 2003 to 62.3% in 2005 in SPA-2. The percent of older adults vaccinated for influenza in the past year dropped from 73.0% in 2003 to 62.3% in 2005 in SPA-2.

16. Thank You Kaiser Permanente Panorama City, Kaiser Permanente Woodland Hills, Northridge Hospital Medical Center, and The California Endowment for providing funding for the project. Kaiser Permanente Panorama City, Kaiser Permanente Woodland Hills, Northridge Hospital Medical Center, and The California Endowment for providing funding for the project. The organizations, individuals, and students who participated in this project by providing data, assisting with the data collection and analysis, and responding to the surveys. The organizations, individuals, and students who participated in this project by providing data, assisting with the data collection and analysis, and responding to the surveys.