Emerging Strategies in Addressing Poverty: Discussions of Key Issues, Policies, and Platforms Affecting Poverty and Well-Being in Rural America

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Emerging Strategies in Addressing Poverty: Discussions of Key Issues, Policies, and Platforms Affecting Poverty and Well-Being in Rural America 10:30 am 11:45 am

INTERGENERATIONAL POVERTY IN UTAH

WHAT IS INTERGENERATIONAL POVERTY? Intergenerational Poverty: - Poverty in which two or more successive generations of a family continue in the cycle of poverty. - Measured through utilization of public assistance for at least 12 months as an adult and 12 months as a child.

WHO IS IN INTERGENERATIONAL POVERTY?

UTAH S SIXTH ANNUAL REPORT 2017 Report: - Multi-state agency data - Local county efforts - Positive improvements in four focus areas of child well-being: - Early Childhood Development - Education - Family Economic Stability - Health

UTAH S COUNTY EFFORTS Each county has unique strengths and challenges: - 2016: Local committees formed in 13 counties to address the issue - 2017: Using local data, county plans were created in 13 counties - 2018: Legislature approved $900,000 available to counties through grants to implement a strategic plan. Counties are currently in application process.

THE VALUE OF COUNTY DATA Local data drives local solutions: - Utah created a data dashboard about indicators of intergenerational poverty in each county. - Data helps counties determine what areas of well-being need more attention in their communities.

UTAH SUCCESS - Improved collaboration between local services to avoid duplication of efforts. - Better strategic decisions based off shared data among state agencies. - Families caught in the cycle of poverty are at top of mind in Utah.

FOR MORE INFORMATION Learn about intergenerational poverty, Commission activities, annual report and the Five- and 10-Year Plan: intergenerationalpoverty.utah.gov intergenerationalpoverty

Strategies to Address Poverty in Herkimer County, New York 2018 Rural Impact County Challenge Initiative

Herkimer County, New York Population: 62,250 (2017) Income (2016) $24,670 Per Capita $48,800 Median Income Poverty (2017) 16.3% All Residents 24% Children Education (age 25+) 90% High School Graduates 21.5% Bachelors Degree Unemployment 7% (March 2018) County Health Ranking 54 th of 62 NYS Counties

History of Collaboration Integrated County Planning (ICP) Process Begins in 1998 County Led Initiative Stakeholder Involvement from Across All Sectors Collaborative Identification of Needs and Priorities Development and Implementation of Strategies that Address Needs and Maximize Resources Outcome Based and Results Oriented - Ongoing Measurement of Program and Population Level Outcomes

Committees and Task Forces Human Resource Planning Team (ICP Steering Committee) Comprehensive Assessment Task Force (Risk Profile Development) Human Development Committee (At-risk youth and families) Youth Violence Prevention Committee (Bullying and Youth Violence) Best Start Committee (Birth to Five) Mental Hygiene Services Planning Committees: Developmental Disabilities, Substance Use Disorders, and Mental Health Suicide Prevention Coalition PINS/JD Planning Committees Court Presentment Committee

Organizations Participating in ICP Initiative Adult Career and Continuing Education Services Arc Herkimer Beacon Center Catholic Charities of Herkimer County Catholic Charities Domestic Violence Program Catholic Charities RSVP and Health and Assistance Programs Catholic Charities Runaway & Homeless Youth Program Catholic Charities TREATY Program Center for Family Life & Recovery Central Valley School District Child Care Coordination Council Central New York Health Home Network Community Foundation of Herkimer and Oneida Counties Community Foundation of Western and Central New York Cooperative Extension of Herkimer County Cornell Cooperative Extension of Oneida County Dolgeville Central School District Family Advocacy Center Family Representatives Family Support Services Regional Advisory (OPWDD) Frankfort-Schuyler Central School District Herkimer County Administrator Herkimer Board of Cooperative Education Services (BOCES) Herkimer BOCES Career Connections Program Herkimer BOCES Health & Safety Program Herkimer BOCES Literacy Zone Herkimer BOCES Early Childhood Education Program Herkimer Central School District Herkimer County Chamber of Commerce Herkimer College Herkimer College Child Care Center Herkimer County Coroner Herkimer County District Attorney Herkimer County Department of Social Services (HCDSS) HCDSS - Adult Protective Services HCDSS - Child Protective Services HCDSS - Employment Program HCDSS - Day Care Unit HCDSS - Employment Unit HCDSS - Foster Care Unit HCDSS Preventive Unit Herkimer County Employment & Training (Working Solutions) Herkimer County Family Court

Organizations Participating in ICP Initiative Herkimer County Health Net, Inc. Herkimer County Healthy Families Herkimer County Industrial Development Agency Herkimer County Legislature Herkimer County Mental Health Herkimer County Office for the Aging Herkimer County Persons in Need of Supervision (PINS) Program Herkimer County Prevention Council Herkimer County Probation Herkimer County Public Health Herkimer County Sheriff Herkimer County Veterans Service Agency Herkimer Police Department Herkimer - Oneida Counties Comprehensive Planning Program Herkimer Resource Center for Independent Living Ilion Police Department Kids Herkimer Kids Herkimer-Detention Diversion Program Kids Oneida, Inc. Little Falls Police Department Mobile Crisis Assessment Team (MCAT) Mohawk Valley Community Action Mohawk Valley Perinatal Network Mohawk Valley Psychiatric Center Mount Markham Central School District New York State Department of Labor NYS Office of Alcoholism & Substance Abuse NYS Office of Children and Family Services NYS Office for People With Developmental Disabilities Old Forge/Town of Webb Community Representative Parsons Children's Center Pathways Academy Population Health Improvement Program (PHIP) The Neighborhood Center Town of Webb Union Free School District United Way of the Valley and Greater Utica Area United Way 211 Mid York Upstate Cerebral Palsy Upstate Cerebral Palsy - Mental Health Services Valley Family Health Center

Data -Driven and Results-Focused Comprehensive Needs Assessment : The Herkimer County Risk Assessment Profile is published every three years (6th publication in 2016) Data is organized within six Life Areas : Community, Citizenship, Family, Economic Security, Education, Physical and Emotional Health Used to Assess Scale and Scope of County Needs Risk Assessment Profile Can be Found Online www.herkimercounty.org ICP Steering Committee uses Profile to establish Priority Areas of focus (2017 - Clear Impact Group) Focus Groups meet to Discuss Issues and Identify Strategies to Improve Outcomes (Completed in 2017) Strategies are implemented and progress is measured utilizing Results Based Accountability (RBA) Framework

2017 Priority Areas of Focus Opioid Overdose Rate Percent of Teens Feeling Depressed or Suicidal Number of Youth 16-24 Not in School and Not Working (Disconnected/Idle/Opportunity Youth) Availability of Childcare Kindergarten Readiness Indicated Child Abuse and Neglect Rate Children in Poverty Percent of Teens Feeling Teased, Threatened and Harassed Number of Youth in Foster Care and Days Spent in Care Number of PINS Youth

2018 Rural Impact County Challenge Herkimer County was selected to participate in the 2018 NACo Rural Impact County Challenge Community Coaching and Action Learning Collaborative participation through the County Health Rankings & Roadmaps Program Focus on Social Determinants of Health and Well-Being RICC Project Scope: Increasing the Availability of Quality Affordable Childcare Increasing the Number of Children that are Ready for Kindergarten Decreasing the number/percentage of youth age 16-24 that are not in school and not working

Herkimer County Baseline Data Availability of Quality Affordable Childcare Only One Licensed Day Care Center in Herkimer County No Infant Licensed Child Care Available Need for 314 Regulated Childcare Slots to Meet Demand for Children Under Age 6 Children Ready for Kindergarten 23.4% of Boys and 18% of Girls were Identified as Not Being Ready for Kindergarten Readiness Scores Were Significantly Higher for Those Who Attended Preschool (Boys 80.6% identified as ready w/preschool vs. 53.8% w/o Preschool) Percent of youth age 16-24 that are not in school and not working 16.4 % of youth 16-24 are not in school and not working

Best Start Committee Children from Birth to Age 5 Herkimer County Public Health (Chair) Central Valley School District Childcare Coordinating Council Cornell Cooperative Extension Dolgeville Central School District Healthy Families of Herkimer County Herkimer Board of Cooperative Education Services (BOCES) Herkimer College Herkimer County Department of Social Services Herkimer County Employment and Training Herkimer County Integrated County Planning Herkimer County Mental Health Herkimer County Youth Bureau Mohawk Valley Perinatal Network Mohawk Valley Population Health Improvement Program Neighborhood Center United Way

Strategies Identified by Best Start Increasing the Availability of Quality Affordable Childcare Build a New Childcare Facility Partnership County, Herkimer College, Non-Profit Agency 60 New Slots/Infant-School Age NAEYC Certified Securing Location/Capital Engage Business Community Chamber of Commerce Event October 2018 Childcare a Priority Increasing the Number of Children That Are Ready for Kindergarten Expanding the Availability of School Outreach Coordinators to Serve All School Districts R4K United Way/Schools Outreach at Birth/Support Expanded from Two to Three Herkimer County Districts Expand Parent Education, Training& Support Programs In Schools Jam Sessions Community Education and Supports (Parent U)

Disconnected Youth and Middle Skills Development Leadership Team Forms Steered by Herkimer County Administrator and Director of Employment and Training Herkimer County Chamber of Commerce Herkimer County Department of Social Services Herkimer County Industrial Development Agency Herkimer County Integrated Planning Herkimer County Legislators Herkimer County Mental Health Herkimer County Office for the Aging Herkimer County Public Health Herkimer County Youth Bureau Herkimer BOCES Herkimer College United Way

Disconnected Youth and Middle Skills Development Leadership Team Focus Ensure that youth have the education and skills necessary for self-sufficiency as adults Promote technical jobs and skills development at an early age Develop employment opportunities that incorporate education and skill development Activities Comprehensive Data Review Focus Groups Resource Inventory Skill Building Initiatives Identify best practice programs that combine education and on the job training

Youth and Young Adult Task Force Employment and Life Skills Development for at-risk youth Herkimer County Department of Social Services & Employment and Training (Co-Chairs) Arc Herkimer Catholic Charities Runaway and Homeless Youth Program & Youth Board Herkimer Board of Cooperative Education Services (BOCES): Academic Services, Career Connections, Literacy Zone Herkimer County DSS: Adult Protective, Employment, Fostercare, and Preventive Services Herkimer County Integrated County Planning Herkimer County PINS Diversion Program Herkimer County Probation Herkimer County Mental Health KIDS Herkimer Pathways Academy Resource Center for Independent Living Herkimer County Working Solutions Herkimer County Youth Bureau UCP Mental Health Services

Youth Task Force Strategies Create a Forum for Communication Obtain Youth and Young Adult Input (Focus Group and Youth Board) Create Streamlined Referral Processes to Life Skill and Employment Skill Building Programs that Promote Selfsustainability (youth 14-21) Referral procedures and ongoing communication processes between programs and services will be established. The development of MOUs will be explored. Cross-Training Activities will be Identified and Implemented to Improve Knowledge of Youth Needs and Resources Available

Questions? James W. Wallace Herkimer County Administrator 109 Mary Street Suite 1310 Herkimer, NY 13350 (315) 867-1112 jwwallace@herkimercounty.org Darlene Haman Strategic Planning Coordinator Herkimer County ICP 109 Mary Street Suite 1110 Herkimer, NY 13350 (315) 867-1425 dhaman@herkimercounty.org Thank You!

root causes of Intergenerational Poverty Camara Phyllis Jones, MD, MPH, PhD Emerging Strategies in Addressing Poverty NACo s 83 rd Annual Conference and Exposition National Association of Counties Nashville, Tennessee July 15, 2018

Dual Reality: A restaurant saga

I looked up and noticed a sign... D O O R

Racism structures Open/Closed signs in our society.

D O O R It is difficult to recognize a system of inequity that privileges us. Those on the outside are very aware of the two-sided nature of the sign.

D O O R Is there really a two-sided sign? Hard to know, when only see Open. A privilege not to HAVE to know. Once DO know, can choose to act.

What is racism? A system Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is racism? A system of structuring opportunity and assigning value Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is racism? A system of structuring opportunity and assigning value based on the social interpretation of how one looks (which is what we call race ) Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is racism? A system of structuring opportunity and assigning value based on the social interpretation of how one looks (which is what we call race ), that Unfairly disadvantages some individuals and communities Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is racism? A system of structuring opportunity and assigning value based on the social interpretation of how one looks (which is what we call race ), that Unfairly disadvantages some individuals and communities Unfairly advantages other individuals and communities Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is racism? A system of structuring opportunity and assigning value based on the social interpretation of how one looks (which is what we call race ), that Unfairly disadvantages some individuals and communities Unfairly advantages other individuals and communities Saps the strength of the whole society through the waste of human resources Jones CP. Confronting Institutionalized Racism. Phylon 2003;50(1-2):7-22.

What is [inequity]? A system of structuring opportunity and assigning value based on [fill in the blank]

What is [inequity]? A system of structuring opportunity and assigning value based on [fill in the blank], that Unfairly disadvantages some individuals and communities Unfairly advantages other individuals and communities Saps the strength of the whole society through the waste of human resources

Many axes of inequity Race Gender Ethnicity and indigenous status

Many axes of inequity Race Gender Ethnicity and indigenous status Labor roles and social class markers Nationality, language, and immigration status Sexual orientation and gender identity

Many axes of inequity Race Gender Ethnicity and indigenous status Labor roles and social class markers Nationality, language, and immigration status Sexual orientation and gender identity Disability status Geography Religion

Many axes of inequity Race Gender Ethnicity and indigenous status Labor roles and social class markers Nationality, language, and immigration status Sexual orientation and gender identity Disability status Geography Religion Incarceration history

Many axes of inequity Race Gender Ethnicity and indigenous status Labor roles and social class markers Nationality, language, and immigration status Sexual orientation and gender identity Disability status Geography Religion Incarceration history These are risk MARKERS

Barriers to achieving social equity Narrow focus on the individual Self-interest narrowly defined Limited sense of interdependence Limited sense of collective efficacy Systems and structures as invisible or irrelevant A-historical culture The present as disconnected from the past Current distribution of advantage/disadvantage as happenstance Systems and structures as givens and immutable Myth of meritocracy Role of hard work Denial of racism Two babies: Equal potential or equal opportunity?

Camara Phyllis Jones, MD, MPH, PhD Past President American Public Health Association Senior Fellow Satcher Health Leadership Institute and Cardiovascular Research Institute Adjunct Associate Professor Department of Community Health and Preventive Medicine Morehouse School of Medicine cpjones@msm.edu (404) 756-5216 (404) 374-3198 mobile

Emerging Strategies in Addressing Poverty: Discussions of Key Issues, Policies, and Platforms Affecting Poverty and Well-Being in Rural America 10:30 am 11:45 am