1. Demographic and Economic Trends in Muskogee and Cherokee Counties Prepared by the Community Service Council May 2011

2. Prepared by the Community Service Council of Greater Tulsa  Demographic Trends  Economic and Employment Trends  Other Indicators

4. Prepared by the Community Service Council of Greater Tulsa  Slow or negative population growth  Age--aging population  Race and ethnicity--more culturally diverse  Living arrangements--transitional for family living arrangement

5. Prepared by the Community Service Council of Greater Tulsa

6. Demographics

7. Prepared by the Community Service Council of Greater Tulsa Demographics

8. Prepared by the Community Service Council of Greater Tulsa Demographics

9. Prepared by the Community Service Council of Greater Tulsa Demographics

10. Prepared by the Community Service Council of Greater Tulsa

11. Demographics

12. Prepared by the Community Service Council of Greater Tulsa Demographics

13. Prepared by the Community Service Council of Greater Tulsa Demographics

15. Prepared by the Community Service Council of Greater Tulsa  Emergence of new persistent poor in late 1960's and early 1970's  Massive loss of low skill/high pay jobs  Sharp rise in working poor  Decline in young male workers' wages  Increase in female headed families  Impact of substance abuse All trends disproportionately affected: ~African-Americans ~young children & young families

16. Prepared by the Community Service Council of Greater Tulsa

17. Disappearing Middle Class

18. Prepared by the Community Service Council of Greater Tulsa  Customized by specific family composition  Customized by geographic location  Based on all expense categories  Updated annually using consumer price index …The level of income required for a family to meet its own needs

19. Prepared by the Community Service Council of Greater Tulsa

32.  Lack of health insurance  Limited access to preventative services  Living in high risk families  Living in a state with a high level of premature death

33. Prepared by the Community Service Council of Greater Tulsa  Major American research project that poses the question of whether and how childhood experiences affect adult health decades later  Provides compelling evidence that:  Adverse childhood experiences are surprisingly common  ACE’s happen even in “the best of families”  ACE’s have long-term, damaging consequences  Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

34. Prepared by the Community Service Council of Greater Tulsa Conception Death Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

35. Prepared by the Community Service Council of Greater Tulsa  Recurrent physical abuse  Recurrent emotional abuse  Sexual abuse  An alcohol or drug abuser  An incarcerated household member  Someone who is chronically depressed, suicidal, institutionalized or mentally ill  Mother being treated violently  One or no parents  Emotional or physical neglect Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

36. Prepared by the Community Service Council of Greater Tulsa  Smoking  Overeating  Physical inactivity  Heavy alcohol use  Drug use  Promiscuity Source: The Adverse Childhood Experiences Study website: www.acestudy.org

37. Prepared by the Community Service Council of Greater Tulsa  Heart disease  Cancer  Chronic lung and liver disease  Stroke  Diabetes  Sexually transmitted diseases  Nicotine addiction  Alcoholism  Drug addiction  Obesity  Depression  Suicide  Injuries  Unintentional pregnancy Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

38. Prepared by the Community Service Council of Greater Tulsa Rankings: 1 = best, 77 = worst *Indicates a tie with at least one other county Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy Parental separation or divorce28 Incarcerated household member46 Mentally ill household member67* Substance abusing household member1* Violence against mother75 Psychological, physical & sexual abuse43 Emotional & physical neglect65 Overall ranking64

39. Prepared by the Community Service Council of Greater Tulsa Rankings: 1 = best, 77 = worst *Indicates a tie with at least one other county Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy Parental separation or divorce28 Incarcerated household member46 Mentally ill household member67* Substance abusing household member1* Violence against mother75 Psychological, physical & sexual abuse43 Emotional & physical neglect65 Overall ranking64

41. Prepared by the Community Service Council of Greater Tulsa May 2011 …is available on our website:www.csctulsa.org