Head Start Needs Assessment

8/8/2019 Head Start Needs Assessment

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Douglass Com m unity Services,

Inc.

Head Start/Early-Head Start/Healthy Marriage Initiative

2009

Comm unity Assessm ent


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DCS Community Needs Assessment 2

TABLE OF CONTENTS

I. EXECUTIVE SUMMARY 3a. Overview of Grantee Service Areab. Overview of DCS Head Start Program

c. Major Issues, Trends, and Concernsd. Head Start Center Informatione. Recommendations and Prioritiesf. Short and Long Term Goalsg. State of the Granteeh. Summary of the Community Assessment Process

II. SERVICE AREA TRENDS 17a. General Demographic Trendsb. General Economic Trendsc. General Health Trends

d. General Disabilities Trendse. General Nutrition Trendsf. General Transportation Trendsg. General Education Trendsh. Types and Locations of Child Care Programs

III. STRENGTHS AND NEEDS OF HEAD START ELIGIBLECHILDREN AND FAMILIES 39

IV. ACCESS AND AVAILABILITY OF COMMUNITY RESOURCES 41

V. COLLABORATIVE ARRANGEMENTS, PARTNERSHIPS, AND FORMAL AGREEMENTS

VI. SERVICE AREA COUNTY LEVEL DATAa. Lewis County 45 b. Macon County 48c. Marion County 52d. Monroe County 55e. Pike County 59f. Ralls County 63g. Randolph County 67

h. Shelby County 71


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Major Issues, Trends, and Concerns

General population changes for the overall eight-county service area from 2003-2006show a .8% increase with the population of Head Start and Early Head Start age-eligiblechildren (under age five) increased in six of the eight counties. However, significant loss

of Head Start eligible children was noted in Lewis County (8.8%) and Monroe County(16.2%) and moderate loss in Marion County (1.5%).

The racial and ethnic composition of DCS service area is: White (94%), AfricanAmerican (4%), and Hispanic (1%). DCS Head Start children represent 75% White, 12%African American, .3% American Indian, .3% Hispanic, and 11% Biracial. While theHispanic population may appear insignificant, the number of children representeddoubled over last year in Head Start enrollment and is expected to continue to increase.An ever-increasing population is the Bi-racial population that creates different minorityissues for the Head Start program to address.

Poverty rates among children in the eight-county DCS service area (22%) are higherthan that of the state (19.5%). While the number of single parent families can oftenpredict the poverty rate among children, this does not prove to be the case. Althoughsingle parent families in the eight-county area make up 7.5% of all families, and is fewerthan Missouri 9.1%, the poverty rate is above state rates, in part due to low wagesexperienced in the area. Income is additionally affected by the seasonal nature ofagriculture and tourism jobs that residents rely on.

Low educational levels and employment skills further hinder income levels of HeadStart eligible families. Of families enrolled in the 2007-2008 program year 65% weresingle parent households. The highest level of education obtained for 34% of parents isless than high school graduate and less than 2% with some college or a college degree.

As a result, the employment areas typical of Head Start families pay an averagewage/hour such as retail - $8.31/hr or accommodations and food services - $4.87/hr.

Among the greatest stressors reported by Head Start families, 33% report financialstressors, 16% report employment stressors, and 14% report marital/personal stressors.Employment stressors are further explained by the knowledge that 35.4% of workerstravel outside of the county of residence for employment and commute an average of28.8 minutes to work. Within the past year, five counties are or will be experiencingbusiness closings with permanent jobs lost. Those counties include Macon with a loss of17 jobs, Marion with a loss of 17 jobs, Monroe with a loss of 38 jobs, Ralls with a loss of269 jobs and Randolph with a loss of 64 jobs.

Other vulnerability factors affecting families include increases of 24%-41% in domesticviolence incident reports and child abuse cases 24.6 52.3 per 1,000 as compared to32.7/1,000 statewide. Increases are also present in incidents and severity of incidents ofjuvenile crimes, increase in substance abuse arrests and incarceration rates, and 20.9%of residents report their health was fair or poor compared with 16.9% statewide.Participation in local food pantry/banks, utility assistance, and housing assistance arealso on the rise.


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Disability categories Emotional Disturbance, Visual Impairment, Multiple Disabilities,and Autism are significantly lower in the eight-county DCS service area than stateincidence rates. The DCS service area does show lower rates of incidence in MentalRetardation, Orthopedic Impairment, and Young Child with Developmental Delays with

higher rates of incidence than state rates in the categories of Speech/LanguageImpairment, Hearing Impairment, Specific Learning Disability, Other healthImpairment, and Traumatic Brain Injury. This is consistent with Head Start 2007-2008enrolled children with 50% of children with diagnosed disability under a speech orlanguage impairment category, 48% developmental delay, and 2% with multipledisabilities.

Public schools are facing increased enrollment of special needs children stretchingalready tight budgets. Both lack of space within the school district and lack of therapistsand other staff vital to providing support for special needs have been a challenge forschools, and therefore, challenges for the Head Start Program.

Because the expense of transporting children has become impossible within the currentbudget, DCS Head Start will consider discontinuation of transportation services forchildren. To prepare for such a decision each parent enrolling a child in fall 2008 wassurveyed to determine if they would be able to get their child to school if transportationwas not provided by Head Start with the results showing that 91% of families couldprovide transportation if the classroom hours supported the parents hours of work. Thisinformation is additionally supported with a survey facilitated through the Child CareResource and Referral agency of parents utilizing any childcare throughout the DCSservice area with 93% reporting a vehicle was always available.

While DCS Head Start and Early Head Start have been successful in meeting 89% of

teaching staff with degrees, this success has also presented challenges in retainingqualified teachers who move on to better paying jobs once obtaining their degree. Eightof the nine teaching staff turnover was a result of teachers leaving for highercompensation/benefits package in the same field. A survey conducted among DCS staffreports that 53% of employees currently hold second jobs to supplement their HeadStart, Early Head Start or Healthy Marriages Initiative salaries.


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DCS/HEAD START C ENTER INFORMATION 2008-2009

Center Name Physical Address Phone Number Fax NumberDCS Central Office 711 Grand Ave

Hannibal MO 63401573-221-3890 573-221-6196

Bowling GreenLisa Thomas

1903 W Locust

Bowling Green MO 63334

573-324-0167 573-324-0165

EHS ClinicCindy Combs

661 Clinic RoadHannibal MO 63401

573-221-1540 573-221-4912

EHS JohnsonElisabeth Kerr

2161 JohnsonHannibal MO 63401

573-406-5574 573-406-5578

HannibalKathy Newlon

2181 JohnsonHannibal MO 63401

573-231-0754 573-231-0954

Lewis CountyStacia Cherny

114 N MainLaGrange MO 63448

573-655-0550 573-655-0551

LouisianaJune Cleeton

130 Memorial DriveLouisiana MO 63353

573-754-5471 573-754-6059

MaconDana Kirks

1307 MaffryMacon MO 63552

660-385-5318 660-385-5319

MoberlyTammy McNeely

707 SinnockMoberly MO 65270

660-263-7421 660-263-2031

MonroeKellie Rich

309 Third StreetMonroe City MO 63456

573-735-3495 573-735-3445

PalmyraKatie Austin

700 W SuterPalmyra MO 63461

573-769-2305 573-769-6167

RallsMaria Cafer

209 Carstarphen PlaceNew London MO 63459

573-985-3500 573-985-3500

ShelbinaAlane Wilson

116 W. MillShelbina MO 63468

573-588-2120 573-588-2120

Giggles & GrinsLisa Eisenberg

403 OakLewistown, Mo 63452

573-215-4090 573-215-4091

Hannibal ChildrensCenter (HCC)Meredith Andrews

HWY 36 WestHannibal, MO 63401

5730406-5700 5730406-5722

Learning CenterRebecca Millan

Bus. HWY 61Bowling Green, MO 63334

573-324-6041 573-324-2872

Macon LiteracyCenterSandy Sunderland

204 Crescent DriveMacon, MO 63552

660-385-2061 660-385-5893

To be eligible for Head Start Services, a child must be at least three years old by the dateused to determine eligibility for public school in the community in which the Head Startprogram is located, and under the age of Kindergarten eligibility. The exception is Early

Head Start, located in Hannibal only, which serves income eligible pregnant womenwith children enrolling in EHS at birth. 410 children will be served in Head Start and 60infants, toddlers and pregnant women in EHS.

Income eligibility is determined on Federal poverty guidelines with eligible participantsfalling at or below the 100% poverty guidelines. Early Head Start children determined tobe income eligible will remain so until the age of three regardless of changes in family


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income. Head Start children can remain eligible for two consecutive years and mustrecertify if enrolled a third year.

At least 90 percent of the children who are enrolled in the Head Start and Early HeadStart programs must be from low-income families. Historically, DCS Head Start and

EHS have served fewer than 5% of children, of total enrollment, who are over incomeguidelines. Those children are typically children with diagnosed disabilities. At least 10percent of total enrollment must be children with diagnosed disabilities. DCS Head Startand EHS average from 12% to 15% children with disabilities each program year.

Each spring a committee of the DCS Parent Policy Council reviews selection prioritycriteria and makes recommendations to Policy Council as a whole to approve criteria forthe upcoming year. These recommendations are based on information gathered throughself-assessment process and responds to directions provided from the Office of HeadStart.

Program Options offered by Head Start

Center Name FundedEnrollme

nt

ClassID

Class Description

Bowling Green 14 4020A Full Day/Full Year3 4020B AM Part Day/Part Year17 4020C AM Part Day/Part Year

Hannibal 18 2502A Full Day/Full Year (20 in summer)18 2502B Full Day/Part Year

17 2502C AM Part Day/Part Year17 2502D PM Part Day/Part Year No TR17 2502E AM Part Day/Part Year No TR15 2502F Full Day/Part Year

HCC 5 2504A Full Day/Full YearLewis County 11 1010A Full Day/Part Year

8 1010B AM Part Day/Part YearGiggles & Grins 5 1011A Part Day/Part Year No TR

Louisiana 18 4009A Full Day/Full Year18 4009B AM Part Day/Part Year

Learning Center 5 4010A Part Day/Part Year

Macon 18 2010A Full Day/Full Year17 2010B AM Part Day/Part Year No TR17 2010C PM Part Day/Part Year

Literacy Center 10 2011A Full Day/Part YearMoberly 20 5012A Full Day/Full Year

20 5012B Full Day/Full Year16 5012C AM Part Day/Part Year16 5012D PM Part Day/Part Year

Head Start


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Monroe 17 3013A AM Part Day/Part YearPalmyra 6 2515A Full Day/Part Year

12 2515B AM Part Day/Part YearRalls 8 4517A Full Day/Part Year

7 4517B AM Part Day/Part Year

Shelbina 20 5519A AM Part Day/Part Year

EHS-Johnson 4 2525A Prenatal8 2525B Full Day/Full Year8 2525C Full Day/Full Year7 2525D Combination-AM-M/W7 2525E Combination-AM-T/TR6 2525F Combination-PM-M/W8 2525G Transition Full Day/Full Year

EHS-Clinic 6 2526A Full Day/Part YearEHS-Clinic 6 2526B Full Day/Part Year

Recomm endations and Priorities1) Eliminate transportation services in fall of 2009 to free up budget for coverage of

essential services.2) Monitor Monroe County population changes and shifts to ensure services are

provided where children are located. Look within other parts of the county for

partnerships in which to place children.3)Address Head Start families education and job skills utilizing community

resources where available and working to establish resources when not alreadyavailable in the community.

4)Address community domestic violence and child abuse issues through staffawareness training, participation in community organizations and in one-on-onecontacts with families.

5)Work with LEAs to develop ways of meeting the needs of all students with specialneeds.

6) Review all options available for providing competitive wages and for recruitmentand retention of highly qualified staff.

7) Develop a systematic approach to increase public relations opportunities in theeight-county area to develop a new base of support for Head Start and other DCSprograms.

Early Head Start


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Short- & Long- Term Goals2009 - 2013

Annually

100% enrollment 85% attendance 95% children receive dental exams [HS only] 80% children receive follow up dental treatment [HS only]90% children up to date on EPSDT schedule [EHS only]80% participation of parent representative and center manager at Policy CouncilmeetingsMeet inkind goalsIMIL practiced in all classroomsImprove PR & community outreach

Improve transition activities with public schoolImprove access to health and dental care providers

2009

NAEYC accreditation complete for HannibalRevised, competitive wage scale introducedVehicle upgrades as obtainableIncrease PR opportunities (correct phone book listings, community meetings, web pagefor each center) and recruitment activitiesRepair or replacement of decks and steps (front & back) EHS clinicTrain staff and implement IMIL in all Centers

Continue to improve new staff orientationContinue to provide tools and incentives to promote professionalismTown meetings in various parts of county to determine location of Monroe HS center(move in fall if need is shown)Create a tech support modelImprove conditions of center parking lotsImprove playgroundsTwo CO staff to attend leadership trainingDevelopment of a training center/classroomIncreased parent participation in inkind activitiesImprove access to health and dental care providers

Relationship building for center teamsMonthly education trainingsAdditional full time sub positionsMeet inkind goalsHealthy Families Project in Hannibal, Palmyra, Ralls, Macon and Moberly


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2010

NAEYC accreditation complete for Monroe and MoberlyAgency Wide Succession Plan startedWellness program with health coaches in-place for all staff.

Additional space for Moberly and Macon classroomsImprove/ upgrade classroom materialsMoberly EHS possibilitiesMacon EHS possibilitiesContinue PR OutreachNew building for Ralls centerNo HS/EHS staff receiving wages below federal poverty guidelines for a family of three($6.75 in 2008)Upgrade all computers to VistaHave full access to confidential meeting rooms in central officeHave facilities/maintenance as an agency positionPartnership with 1 school district for a classroom with shared childrenTwo CO staff to attend leadership trainingMonthly education trainingsMeet inkind goalsHealthy Families Project in all Head Start served counties

2011

Improved facility for Bowling GreenNAEYC accreditation complete for Macon and Bowling GreenAgency Wide Succession Plan completedMoberly Head Start as possible GED site

Continue PR OutreachEHS Johnson & Clinic NAEYC re-accreditationHave vehicles for centers useAddition of 2nd playground at Hannibal-JohnsonHave tech support available as an agency positionPartnership with 1 school district for a classroom with shared childrenTwo CO staff to attend leadership trainingMonthly education trainingsMeet inkind goalsFamily health insurance available to employeesHealthy Families Project in all Head Start served counties

2012

Have all HS/EHS centers accreditedContinue PR OutreachUpgrade playground equipment at all centerHave vehicles for central office usePartnership with 5 school districts for a classroom with shared children


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STATE OF THE GRANTEE

Two CO staff to attend leadership trainingMonthly education trainingsProvide more training opportunities for teachers and family resource advocatesMeet inkind goalsHealthy Families Project in all Head Start served counties

2013

Provide full-working day/full-year services through wrap-around DFS & partner sitesContinue PR OutreachPartnership with 10 school districts for a classroom with shared childrenTwo Center Managers to attend leadership trainingEHS in all countiesMonthly education trainingsMeet inkind goalsHealthy Families Project in all Head Start served counties


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Douglass Community Services, Inc. (DCS) is a private, not for profit human servicesagency based in Hannibal, Missouri that sponsors programs such as Head Start, Retiredand Senior Volunteer Program (RSVP), Court Appointed Special Advocates (CASA),Kids in Motion (KIM), monthly distribution of commodity foods, emergency rent,mortgage and utility assistance and a clothing store. Currently DCS carries

approximately 130 employees on its payroll.

A grassroots organization, DCS began through efforts by the Second Christian Churchwhen the congregation saw a need to bring people of different races, religions, and walksof life together to form an organization that would address problems associated withprejudice and poverty in the community. DCS has expanded its service area to includeeight counties in Northeast Missouri. Those counties are Lewis, Macon, Marion,Monroe, Pike, Ralls, Randolph, and Shelby.

In 1977, DCS began sponsoring Project Head Start, which now includes 10 centers andfour partner sites in eight counties serving 410 preschool children from low incomefamilies. In 2001, Early Head Start was added providing services to 60 infants, toddlers,and prenatal women in Marion County from two centers. The Healthy MarriageInitiative, added in 2007, is housed in DCS Central Office in Hannibal and providesmarriage and relationship strengthening activities to couples, single parents, andadolescent siblings of Head Start eligible children in four counties.

RSVP was acquired over 25 years ago and serves six counties with approximately 550active senior volunteers serving in 50 volunteer stations. The CASA program serves thethree counties of the Tenth Judicial Circuit. Kids In Motion, a pre-employment lifesuccess program for at risk youth ages 12 to 15 came under the DCS umbrella in 2001.

DCS uses a broad approach to solving problems that divide people along racial and

economic lines. This is reflected in the different programs sponsored by the agency,which range from services to children to those for senior citizens. Often problem solvingstrategies utilize a variety of community resources. One example of such is the localmatch requirement of Federal grants that fund two programs sponsored by the agency.Head Start and RSVP are required to match federal dollars with local support. In thisway the Federal government is assured that communities are supportive of theprograms in their area.


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METHODOLOGY

Comm unity Assessment process

Douglass Community Services, Inc. Head Start and Early Head Start conducted a year-long assessment of community strengths and needs in 2007-2008. The communityassessment process is ongoing; however, the formal process has included the followingactivities:

Fall 2007:Plan and organize the Community Assessment processCollection of census and geographic data available in electronic formCollection of Early Language and Literacy Classroom Observation (ELLCO) scales

W inter 2007 - 2008:Collection of information from Missouri Department of Elementary and SecondaryEducation (DESE)Collection of child progress information such as Outcomes Measures and NRSCollection of 2008 program self-assessment informationCollection of community information from databases and program partners

HS/EHS

Center

locations

DCS Service Area

Randol h

Monroe

Pike

Ralls

Marion

Lewis

Lewis CountyLaGrange: 10 Part day

9 Full dayLewistown: 5 Full day

Marion County

Palmyra: 12 Part day

6 Full dayHannibal 51 Part day

51 Full day

5 Full day @ HCC partnership

EHS: 36 Full day20 Combo option

4 Prenatal

Pike County

Bowling Green: 3 Part day

14 Full day

5 Full day @ LCpartnership

Louisiana: 18 Part day

Ralls County

New London: 5 Part day

10 Full day

Monroe County

Monroe City: 17 Part dayRandolph CountyMoberly: 32 Part day

40 Full day

Macon County

Macon: 35 Part day

18 Full day10 Full day @ FL

partnership

Shelby County

Shelbina: 19 Part day

ShelbMacon


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Spring 2008:Collection of Head Start family informationEarly Language and Literacy Classroom Observation (ELLCO) scalesSumm er 2008:Review and analyze data

Fall 2008:Writing of Community Assessment reportApproval by DCS Board and Head Start Policy Council

This process included input of families of Head Start and Early Head Start children,DCS Head Start, and Early Head Start staff, Head Start Parent Policy Council, and DCSBoard of Directors. Community partners participating in information collectionincluded Hannibal Childrens Center, The Literacy Center, The Learning Center, Gigglesand Grins Childcare and Clarence Child Care Center. Information was also receivedfrom community agencies including, Mark Twain Area United Way, Marion and RallsCounty Health Departments, and Parents As Teachers Program.

The DCS Head Start and Early Head Start Community Assessment process involved thecollection of various forms of statistical and survey data from a variety of sources (seemethodology). Information learned from the 2009 community assessment and theinformation regarding specific programmatic strengths and concerns gathered from theDCS Head Start and Early Head Start 2007-2008 Self-Assessment, will be used to assistthe management, policy and governing bodies of DCS Head Start make informeddecisions for the program including:

Long-range and short-term objectives Plans for implementing services in each program area Program options that will be implemented Center, and home-based locations Location of recruitment areas within the eight county service area Criteria that define the types of children and families who will be given

priority for recruitment and selection

The systematic collection of recent and reliable data about strengths, needs andcharacteristics of the DCS Head Start eligible population living within the eight countyservice area, and of resources available to them, provides a basis for decision-making asto how the needs of Head Start families can best be met given the limits of existingresources. In particular, the DCS Head Start management team was interested inobtaining data regarding communities that would help the program set priorities in thefollowing areas:

Determining the training needs for all DCS Head Start teammembers

Determining the competencies and needs of the Head Startparents/family members

Determining the accessibility and facility needs necessary toprovide safe and accessible educational facilities for our center-based and combination programs.


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Determining the demographic makeup and programmatic needs ofHead Start eligible children within the region and assuring that allchildren eligible have access to the Head Start program.

Methods of data collection

The 2009 COMMUNITY ASSESSMENT process began in the summer of 2007 andformalized in the fall of 2008. This document uses updated information and the datafrom 2006, when appropriate, with the synthesis of information and aggregation of datainto this document.

The community assessment process is ongoing; however, the formal process hasincluded the following activities:

o Survey of parents of DCS Head Start children 2007 and 2008 Health Priorities Survey (34% returned) Family Transportation Survey (44% returned)

Family Focus Group Survey (34% returned)o Survey of parents of DCS Head Start and Early Head Start

children with disabilities (48% returned)o Survey of DCS Head Start and Early Head Start staff (85%

returned)o Community Health Providerso DCS Health, Education and Disabilities Advisory Groupso Child Care Resource and Referral Networkso Kids Counto Office of Social and Economic Development Analysis (OSEDA)o Survey of local medical and dental care providerso Survey of eight county area County Health Departmentso The United Way of the Mark Twain Area Needs Assessment

Survey (2005) for the counties of Lewis, Marion, Monroe, Rallsand Shelbina. Four hundred and sixty six people were surveyedthrough phone interviews.

o Douglass Community Services, Inc. Strategic Planning process

Sour ces for the CA information

Internal Data Sources

Family Demographic data DCS Head Start ChildPlus reports 2007 & 2008 DCS Head Start & Early Head Start PIR

Staff Demographic data DCS Head Start ChildPlus reports 2007 & 2008 PIR report

DCS Human Resources Department

Program Identified Family Needs data 2006-2007 & 2007-2008 Family Partnership Agreements 2007 & 2008 DCS Head Start & Early Head Start PIR 2007 & 2008 Parent survey:

Health Priorities Survey; Family Transportation Survey;Family Focus Group Survey; Parent of Child with DisabilitiesSurvey

DCS Program information/records: KIM, CASA, RSVP, HMIP &Community Support Services Programs


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DCS Head Start ChildPlus reports

Weekly staff reports

Program Identified Child Needs data 2006-2007 & 2007-2008 Head Start Child Outcomes 2007 & 2008 DCS Head Start & Early Head Start PIR 2006-2007 NRS reports 2007-2008 child screening and assessment reports

Self Identified Program Needs Data 2007 & 2008 Program Self-assessment 2007 Survey of HS and EHS staff Early Language and Literacy Classroom Observation (ELLCO) scales

Program monitoring observations

Personnel performance evaluations Weekly staff reports

Underserved populations DCS Strategic Planning process Weekly staff reports DCS Board and Policy Council members

External Data Sources

General Census data 2000 US Census Demographic data 2007 by Experian/Applied Geographic

Solutions

General Population Demographic data Office of Social and Economic Development Analysis (OSEDA) MO Department of Health and Human Services (DHHS)

MO Department of Health and Senior Services (DHSS)

Mo Department of Mental Health

Other population figures Missouri Department of Elementary and Secondary Education(DESE) Planning Profiles

MO Highway Patrol Uniform Crime Reporting Database

Underserved Populations Local LEAs Local Churches Salvation Army

Avenues Domestic Abuse Shelter

DHHS

Family Needs data DCS Health, Education and Disabilities Advisory Groups Child Care Resource and Referral Network United Way of the Mark Twain Area needs assessment survey MO State Patrol

MO Department of Economic Development

MO Economic Research Center Northeast MO Workforce Investment

County Health Departments

Hannibal Free Clinic participant data Parents As Teachers Even Start

MO Highway Patrol Uniform Crime Reporting Database

Child Needs data Community Health Providers Survey DCS Health, Education and Disabilities Advisory Groups

Missouri Kids Count Parents As Teachers Missouri Department of Elementary and Secondary Education

(DESE) Part B & Part C services

County Health Departments

Available Community Resources Community Health Providers Survey Pediatricians & Dentists United Way of the Mark Twain Area needs assessment survey

Child Care Resource and Referral Network DCS Health, Education and Disabilities Advisory Groups Hannibal Area Tourism Guides Electronic Community Bulletin Boards Local News Media

Partnership staff Moberly Area Community College ECE Advisory Council Hannibal LaGrange College


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DATA COLLECTED AND FINDINGS

Service Area Trends

General Demographic Trends

Population trends by age

Lewis Macon Marion Monroe

2003 2006 inc/dec

2003 2006 inc/dec

2003 2006 inc/dec

2003 2006 inc/dec

Under5 584 537 -47 942 958 16 1945 1917 -28 616 530 -865 to17 1855 1849 -6 2695 2571 -124 5075 5062 -13 1721 1595 -12618 to24 1361 1229

-132 1422 1267 -155 2806 2735 -71 851 839 -12

25 to34 1047 1146 99 1632 1846 214 3230 3576 346 966 1167 20135 to54 2623 2552 -71 4183 4144 -39 7860 7677 -183 2554 2528 -2655 to64 1075 1132 57 1821 1924 103 2561 3042 481 1068 1123 5565 to84 1372 1387 15 2399 2382 -17 3764 3551 -213 1266 1313 4785andolder 309 320 11 483 559 76 838 865 27 304 301 -3

Total 10226 10152 -74 15577 15651 74 28079 28425 346 9346 9396 50

Pike Ralls Randolph Shelby

2003 2006 inc/dec

2003 2006 inc/dec

2003 2006 inc/dec

2003 2006 inc/dec

Under5 1005 1161 156 444 523 79 1642 1741 99 394 410 165 to17 3107 2835

-272 1744 1560 -184 4278 4215 -63 1232 1106 -126

18 to24 1961 1855

-106 883 906 23 2562 2377 185 618 593 -25

25 to34 2437 2792 355 972 1224 252 3317 3659 342 618 734 11635 to54 5313 5226 -87 2969 2947 -22 7255 7212 -43 1846 1765 -81

55 to64 1936 1998 62 1204 1260 56 2366 2652 286 732 784 5265 to84 2309 2239 -70 1260 1287 27 3069 3002 -67 1032 978 -54

85andolder 451 460 9 177 218 41 556 580 24 230 175 -55

Total 18519 18566 47 9653 9925 272 25045 25438 393 6702 6545 -157www.dhhs.mo.gov/communitydataprofiles


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Population changes for the overall eight-countyservice area from 2003-2006 show a .8%increase. As shown in the chart above, increasesrange from .3% to 2.7% for Macon, Marion,Monroe, Pike, Ralls, and Randolph Counties.

Lewis and Shelby Counties total populationdecreased by .7% and 2.4% respectively.

Head Start and Early Head Start age-eligiblechildren (under age 5) increased in six of theeight counties. Significant losses of Head Starteligible children, however, are shown in LewisCounty (8.8%), and Monroe County (16.2%) andmoderate loss in Marion County (1.5%).

Components of Population Change from 2000 -2006Natural increase is defined as births minus deaths. Net migration is the differencebetween the number of people who moved into an area and the number of people whomoved out. Between 2000 and 2006, Randolph County experienced the greatestpositive change in population with Lewis County and Shelby County, sparsely populatedcounties, experiencing 3.4% decrease and a 2.4% decrease in total populationrespectively. While Lewis County has seen continuous decline since 2000, ShelbyCounty has been on the increase since 2003 but, as of yet, has not reached the level ofpopulation of 2000.

Race an d Ethnicity

The racial and ethnic composition ofDCS service area is White (94%),African American (4%), and Hispanic(1%). DCS Head Start childrenrepresent 75% White, 12% AfricanAmerican, .3% American Indian, .3%Hispanic, and 11% Biracial. While theHispanic population may appearinsignificant, the number of children

represented has doubled over last yearin Head Start enrollment and isexpected to continue to increase. Anever-increasing population is theBiracial population that createsdifferent minority and cultural issuesfor the Head Start program to address.

Under age 5population

Lewis 584 537 -47Macon 942 958 16Marion 1945 1917 -28Monroe 616 530 -86Pike 1005 1161 156

Ralls 444 523 79

Randolph 1642 1741 99Shelby 394 410 16Tota l 7572 7777 205

2.6%www.dhhs.mo.gov/communitydataprofiles

*MO Department ofHealth & SeniorServices

NaturalIncrease

NetMigration

Lewis County -3 -339

Macon County -122 11

Marion County 254 -118

Monroe County 9 76

Pike County 106 109

Ralls County 37 262

Randolph County 438 337

Shelby County -50 -104


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Language and Cultural Base

Language other than English spoken at home, by percent of five-year-olds and over, in

2000 showed greatest occurrence in Pike County and least in Ralls County. A Hispanicpopulation, drawn to Pike County to work in Starks Nursery, has remained somewhatisolated, and retains Spanish as primary language spoken at home. Similarly, Lewis andMonroe Counties attract Hispanic populations for agricultural employment. As seen in2000 Census, these appear to be 1st generation immigrant families.

Lewis Macon Marion Monroe Pike Ralls Randolph Shelby Missouri

4.1% 3.4% 2.3% 3.0% 6.2% 1.5% 3.7% 2.4% 5.1%

Foreign Born Persons in 2000 Census

Lewis Macon Marion Monroe Pike Ralls Randolph Shelby Missouri

.6% .3% .8% .5% 1.6% .3% 1.3% .8% 2.7%

Househo ld Type

In families with children, families comprised of married couples decreased from 73% in2000 to 52% in 2007. Predictions for 2012 are for no significant changes expectedduring this five-year period.

Family Households WithChildren

2000 2007 20012

Couples MHhldr FHhldr Couples MHhldr FHhldr Couples MHhldr FHhldr

Lewis 74% 7% 18% 53% 1% 46% 54% 1% 45%

Macon 72% 7% 19% 50% 1% 48% 52% 1% 46%

Marion 69% 6% 24% 44% 1% 54% 46% 7% 53%

Monroe 78% 6% 15% 0.591 1% 39% 60% 1% 38%Pike 70% 8% 20% 49% 1% 49% 50% 1% 48%

Ralls 78% 8% 13% 62% 1% 35% 63% 2% 35%

Randolph 66% 8% 24% 43% 8% 55% 44% 9% 53%

Shelby 77% 6% 16% 57% 1% 42% 58% 1% 41%

73% 7% 19% 52% 2% 46% 53% 3% 45%

MHhldr = Male Head of Household FHhldr=Female Head of Household


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Children in single parent households are 96% more likely to live in a household with asingle mother as head of household. Head Start families have also experienced adecreasing trend in households headed by married couples.

Head Start Families 2005-2006 Head Start Families 2005-2006 Head Start Families 2006-2007 Head Start Famili

TotalFamilies Couples

OneparentFamilies


OneparentFamilies


OneparentFamilies

TotalFamilies Coup

605 268 337 502 217 355 548 179 369 551 1

44% 56% 43% 70% 33% 67% 35

Crime Statistics

Violent and Property Crime Trends

2005 through curr ent data listed by county and crime category(Missouri State Highway Patrol Uniform Crime Reporting)

Violent Crimes Forcible Rape

2005 2006 2007 2008Jan-Sept

2005 2006 2007 2008Jan-Sept

Lewis 31 34 21 10 Lewis 1 1 1 0

Macon 37 43 34 25 Macon 2 3 1 0

Marion 137 112 115 80 Marion 18 13 20 8

Monroe 9 12 16 18 Monroe 0 1 2 2Pike 51 34 22 13 Pike 2 1 1 1

Ralls 20 42 36 18 Ralls 0 0 2 3

Randolph 44 45 37 33 Randolph 3 3 1 0

Shelby 2 12 2 0 Shelby 0 0 2 0

331 334 283 197 26 22 30 14


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Property Crimes Aggravated Assault

2005 2006 2007 2008Jan-Sept

2005 2006 2007 2008Jan-Sept

Lewis 135 146 179 71 Lewis 30 33 20 10

Macon 283 260 233 144 Macon 33 38 30 25

Marion 1416 1477 1566 1012 Marion 93 84 78 63

Monroe 102 151 144 58 Monroe 9 11 14 15

Pike 256 224 295 176 Pike 49 32 20 12

Ralls 115 134 148 80 Ralls 20 41 34 15

Randolph 791 882 776 437 Randolph 33 39 24 26

Shelby 67 94 97 37 Shelby 2 11 0 0

3165 3368 3438 2015 269 289 220 166

Arson 2005 2006 2007 2008

Jan-

Sept

2005 2006 2007 2008Jan-

SeptLewis 2 4 3 1 Lewis 99 90 1136 48Macon 6 12 5 5 Macon 189 180 172 96Marion 6 11 8 1 Marion 1169 1232 1307 868Monroe 2 2 1 0 Monroe 73 93 96 30Pike 51 34 22 13 Pike 146 146 196 122Ralls 0 7 3 1 Ralls 53 64 89 48Randolph 3 4 9 3 Randolph 546 716 585 344Shelby 0 1 3 0 Shelby 39 40 56 13

70 75 54 24 2314 2561 3637 1569

Burglary Robbery2005 2006 2007 2008

Jan-Sept

2005 2006 2007 2008Jan-Sept

Lewis 27 48 29 21 Lewis 0 0 0 0Macon 69 58 45 33 Macon 2 2 3 0Marion 203 183 205 115 Marion 26 15 17 9Monroe 23 49 35 23 Monroe 0 0 0 1Pike 88 67 91 39 Pike 0 0 1 0Ralls 46 49 39 26 Ralls 0 1 0 0Randolph 204 141 147 69 Randolph 8 3 11 7Shelby 26 51 27 22 Shelby 0 0 0 0

686 646 618 348 36 21 32 17

Juvenile Court Referrals

The number of juvenile law violations referrals, as seen below, has decreased from 2002through 2004 in Lewis, Pike, and Ralls Counties and increased in the remaining fivecounties served by DCS Head Start. Both Marion and Pike Counties experienced almost


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doubling of violent crimes committed by juveniles during this two-year period. Of totaloffenses, the majority in every county relate to violent offenses, an alarming socialindicator that has many residents concerned about how to reach these young offenders.

Juvenile Court Referrals to MO Dept of Mental Health

Total Law Violation Offences

County/Year Lewis Macon Marion Monroe Pike Ralls Randolph Shelby

2002 49 27 140 61 97 485 382 112 1353

2003 48 32 154 54 149 477 419 122 1455

2004 41 41 181 73 73 161 505 127 1202

46 33.33 158.3 62.67 106 374.3 435.33 120ViolentOffences


2002 12 3 45 5 28 77 101 41 31 2

2003 14 5 62 12 42 101 128 56 420

2004 7 6 81 8 40 94 109 53 39 811.00 4.67 62.67 8.333 36.7 90.67 112.67 50

AlcoholOffences


2002 1 1 9 1 9 33 13 12 79

2003 1 0 14 0 4 24 18 1 62

2004 5 0 6 9 9 20 10 2 61

2.33 0.33 9.67 3.33 7.33 25.67 13.67 5

Drug Offences


2002 1 1 14 7 4 30 25 5 872003 3 1 6 3 5 24 15 2 59

2004 1 0 8 2 4 26 26 2 69

1.67 0.67 9.33 4 4.33 26.67 22 3

Total Offences Violent Alcohol Drug

2002 1353 312 79 87

2003 1455 420 62 59

2004 1202 398 61 69


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According to the MO Department of Mental Health Services, alcohol is the primary drugproblem noted in referrals they receive from the court system. Marijuana was listed in33% of referrals followed by Methamphetamines (12%) and cocaine/crack (10%). Whilealcohol and marijuana are the first and second drug of choice, the rural nature andagricultural base make the DCS service area the perfect setting for the manufacture of

meth.

Although law enforcement actively works to identify and destroy meth labs, the resultsoften are that when one countys total incidents go down you will see another countystotal go up as those manufacturing meth travel from one county to another to avoiddetection.

The Department of Mental Health also surveys those clients referred to them throughthe court system as to the average age of first use of drug. While their data show that ageto be approximately at 16.5, law enforcement, localschools, and social services agencies are very awarethat the age of first drug use is typically muchyounger. Community awareness was recently

heightened with the death of a local 12 year oldcaused from the use of inhalants. While the actualnumbers are unknown, drug use among youngadolescents is a concern across all eight countieswhere DCS provides services.

Meth Lab Incident TotalsLewis 200 3 ** 200 4 ** 200 5 ** 200 6 **Macon 21 6 4 10Marion 15 37 15 3Monroe 31 21 15 20Pike 3 7 3 3Ralls 4 5 10 2Randolph 9 15 31 17Shelby 12 16 28

99 110 108 60

AverageAge atFirst Use

of Drug: 2003 2004 2005Lewis 16.4 15.1 16Macon 18.2 16.4 17.6

Marion 16 16.5 16.4

Monroe 15.6 16.4 15.2

Pike 16 15.7 17.1

Ralls 17.1 16.6 17

Randolph 16.1 16.7 17.5

Shelby 15.9 16.7 16.4

16.4 16.3 16.7


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According to the Department of Economic Development and Missouri EconomicResearch Center, county exposure to economic change is low for Randolph County,medium for Lewis, Macon, Marion, Monroe, and Pike Counties, and medium -high forRalls and Shelby Counties.

The Northeast Missouri Workforce Investment office reports that within the past

year five counties are, or will be, experiencing business closings with permanent jobslost. Counties in the DCS services area involved include: Macon County (3 businessesclosed resulting in loss of 17 jobs); Marion County (1 business closing resulting in loss of17 jobs); Monroe County (2 businesses closing resulting in the loss of 38 jobs); RallsCounty (4 businesses closing resulting in the loss of 269 jobs); and Randolph County (4businesses closing resulting in the loss of 64 jobs).

Income and Poverty:

It has been noted that the employment problems stem from lack of skills or educations,especially in the areas of computer and/or technology literacy; the lack of full-timeemployment opportunities with benefits for employees; and the lack of affordable,quality child care. The issue of employment is a significant factor because of the lack ofavailable employment opportunities that exist for non-skilled laborers within the area.Many DCS Head Start families have been forced into working in part-time positionswithin the fast food, healthcare, and childcare industries. In addition to the lack ofavailable positions, the low wage scale, little or no benefits, and the lack of affordablechild care prohibit the caregivers of children from working because of the loss ofbenefits available through the Division of Family Services. The income of the DCSservice area families is affected by the seasonal nature of agriculture and tourism thatmany area residents rely on. The following chart provides the average wage per hour ofarea employment.

Average wage/hr in employm ent areas:

state &localgovernment Manufacturing retail

accommodations& food serv.

Lewis $11.63 $13.28 $7.95 $7.78

Macon $13.58 $14.48 $8.50 $5.00

Marion $13.94 $20.80 $7.93 $4.83

Monroe $13.08 $10.08 $6.83 $4.25

Pike $19.34 $20.95 $8.95 $4.55

Ralls $11.61 $15.73 $8.75 $5.10

Randolph $12.74 $14.10 $10.33 $4.55

Shelby $10.94 $16.58 $7.25 $2.90

$13.36 $15.75 $8 .31 $4 .87

*Missouri Department of Economic Development


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Based on 2008 federal poverty guidelines, a family of four must have an incomeabove $22,200 to be considered above the level of poverty. Records of incomeeligibility for enrolled 2007-2008 Head Start Families show the following breakdown inannual income:$0

To$2,999

$3,000

To$5,999

$6,000

To$8,999

$9,000

To$11,999

$12,000

To$14,999

$15,000

Andover19.1% 20.1% 15.1% 10.0% 12.4% 23.3%

The over-arching characteristics of the population in poverty in the DCS Head Start8county area are those of rural, working poor families.

Housing:

Housing stability is measured as families who have lived in same home for 5+ years.This number has been steadily declining each decade since the 1970s, but took asignificant dive in the seven-year period from 2000 to 2007.

Home ownership:Within the general population, 75% of families own their ownhome as compared to 30% home ownership in the Head Startpopulation.

Missouri is above the national average of pre-1950 housing with 23.6% of housing unitsbeing built before 1950 according to the Missouri Department of Health and SeniorServices.

Homelessness:

The growing shortage of affordable housing, the worsening economy, deterioratingsocial service funding, and federal welfare reform have all conspired to aggravatehomelessness. Families with children are the fastest growing segments of the homelesspopulation. A growing percent of those facing homelessness are families withemployment.

General Health Trends

General Health and Preventative Practices

The Missouri Department of Health and Senior Services list six of the eight countiesserved by DCS head Start as having an adult population whose health status is fair orpoor. Reported rates are based on a series of behavioral risk factors including physicalinactivity, currently smoking, and overweight or obese. These are significant factors forHead Start families to be aware of as the home environment and health habits modeledfor children will likely be repeated in their own adult life. These factors are also beingseen in diseases and conditions that are on the rise in Head Start children includingasthma and childhood obesity.

Housing stability1990 60.75%

2000 53.75%2007 28.75%


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In the DCS service area, health care consumers can expect health care expenditures as apercentage of household income at 7.3% as reported by Demographic data 2007 byExperian/Applied Geographic Solutions. For a Head Start family, whose median familyincome was $8,890 in 2007, health care expenditures become 31.5% of their household

income.

$0

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

$40,000 GeneralPopulationMedianIncome

HealthCareConsumerExpenditures

HeadStartFamilyMedianIncome

Barriers to accessing health care include geographic and financial obstacles as well as alack of providers, transportation, and culturally and linguistically appropriate services.The largest impediment to accessing appropriate medical care is the lack of healthinsurance. In the period between 2000 and 2007, the cost of health insurance hasincreased dramatically, both for individuals and for employers. As a result, morebusinesses are opting out of providing health insurance as a benefit for their workers.

The 2000 census shows the following figures for uninsured:Percent of uninsured 2000 census = 12% for MOLewis 12.3%Macon 12.8%Marion 10.5%Monroe 11.2%Pike 14.3%Ralls 9.5%Randolph 13.1%Shelby 14.3%

In 2002, it is estimated that 24% of Missourians had no health insurance for someperiod. While a breakdown for the individual counties that DCS serve is not available, itcan be expected that the 2000 rates followed similar gains. Of Head Start and EarlyHead Start children served in 2007-2008, 89% were enrolled in Medicaid or State CHIPprogram with only 3.9% with no insurance coverage. From the 12 pregnant womenserved by EHS, only one did not have insurance coverage. Adult family members ofHead Start children, however, do not fair so well with the majority uninsured and as aresult seeking minimal medical or dental care.


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Counties all show decreasing incidents, with Shelby experiencing a large decrease inincidents.

Domestic Violence Incident Reports3 year averages comparison

3 year average (2003-2005) 3 year average (2005-2007) Increase

Lewis 50 54 7.41%

Macon 56 74 24.32%

Marion 281 236 -19.07%

Monroe 23 26 11.54%

Pike 70 120 41.67%

Ralls 19 32 40.63%

Randolph 240 205 -17.07%

Shelby 21 12 -75.00%

Birth and Fertility Rates

The largest fertility increases occurring in Northeast Missouri was 16.7% increase from

1998-2002. Ralls County is one of five counties in Missouri with the lowest fertility rates(1.6%). Other counties reflect Lewis (1.47%-1.98%), Macon (1.99-2.16%), Marion,Randolph and Shelby (2.17%-2.28%), Pike and Monroe (2.29%-2.64%). The higher ratesin Pike and Monroe counties reflect a higher Hispanic population, which studies showtend to have higher fertility rates.

Teen fertility rates in Randolph County are significantly higher than state rates withShelby, and Lewis County showing rates significantly lower than state rates. Othercounties within the DCS service area are in line with state rates.

Teen pregnancy rates under age 18 when compared to state rates are significantly higherin Randolph County (39.7/1000), and significantly lower in Shelby (12.8/1000), Ralls(16.6/1000), Monroe (16.1/1000), and Lewis ((4.7/1000) Counties.

Repeat births for mothers under the age of 20 per 1,000 are significantly lower thanstate rates in Lewis County (.5) and Shelby County (.7).

Mothers Education and Martial Status

Several studies have examined the risk of adverse pregnancy outcomes such as low birth weightand infant mortality in relation to maternal socioeconomic factors. Maternal socioeconomiccharacteristics know to affect the risk of adverse pregnancy outcomes include occupation, lowincome, and low educational level. Younger age parity and being unmarried are also know risk

factors.


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Births by Age of Mother

< 15 15-17 18-19 20-24 25-29

MothersEduca tion < 12

years

Lewis 0 4 37 159 182 number rate/1000

Macon 2 43 91 309 254 86 16.0Marion 2 62 193 680 524 199 20.9

Monroe 0 20 37 190 164 464 24.0

Pike 1 50 110 377 301 113 20.2

Ralls 1 15 40 158 146 353 31.5

Randolph 3 77 175 643 469 91 18.6

Shelby 0 8 26 149 143 430 25.0

75 17.7

Births by mother in the 15- to 17 year old age group are significantly higher than staterates in Randolph County and lower in Lewis County. Other counties in the DCS servicearea are not significantly different from state rates. Mothers with education less than 12years are significantly higher than state rates in Randolph, Pike, and Marion counties.The remaining five counties are not significantly different from state rates.

Out of wedlock births are significantly higher than state rates in Marion and RandolphCounties and significantly lower in Shelby, Monroe, and Lewis Counties.

Child and Maternal hea lth

Maternal Obesity Rates for 1999-2003 24.2% - 29..4% in Monroe, Randolph and Shelbycounties; 22.1% - 24.1% In Ralls county; 20.6% - 22.0% in Marion County; and 125.9% -

20.5% in Lewis and Macon counties as reported by Mo. Department of Health andSenior Services.

Non-hospital Live Births per 1000 are significantly higher than state rates in Lewis,Macon, Monroe, and Pike Counties, which can be explained by an Amish populationwithin those counties. It is significantly lower than state rates in Marion County. Ralls,Randolph and Shelby Counties cannot be stated with confidence the difference betweencounty and state rates. Numbers of cesarean section as compared to state rates weresignificantly higher in Macon County, lower in Marion, Pike, and Ralls County.


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*If children do not reside in a school district that provides ECSE services, children aretransported to the nearest school district providing those services. For classroom-basedservices, the home district provides transportation, for itinerant services familiesprovide transportation, or a therapist travels onsite to the childcare setting.

Total incidents and ra te of students with disabilities by disability categor y:

Disability categories Emotional Disturbance, Visual Impairment, Multiple Disabilities,and Autism are significantly lower in the eight-county DCS service area than stateincidence rates. The DCS service area does show lower rates of incidence in MentalRetardation, Orthopedic Impairment, and Young Child with Developmental Delays withhigher rates of incidence than state rates in the categories of Speech/LanguageImpairment, Hearing Impairment, Specific Learning Disability, Other healthImpairment, and Traumatic Brain Injury.

Disability Category:

Total

Incidents

IncidenceRate

2006-07

State2006-

07Mental Retardation 282 1.22% 1.29%

EmotionalDisturbance 105 0.42% 0.91%

Speech/LangImpairment 902 4.24% 3.90%Orthopedic

Impairment 6 0.04% 0.06%

Visual Impairment 7 0.02% 0.05%

Hearing Impairment 37 0.20% 0.15%Specific Learning

Disability 1202 6.67% 5.27%Other Heath

Impairment 393 1.85% 1.71%Deaf/Blindness 0 0.00% 0.00%

Multiple Disabilities 11 0.07% 0.16%

Autism 54 0.34% 0.50%Traumatic Brain

Injury 19 0.08% 0.05%Young Child w/ Dev.

Delay 32 0.14% 0.18%

Total 3050 15.29% 14.23%


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Percent of student by race for special education count and disability categories:

Percent of Students byRace for total district

enrollment, specialeducation child count

White Black Hispanic Asian IndianTotal IEP Child Count(3-21)

94.7%7.3%

1.5% .7% 3.7%

Total SchoolEnrollment byRace 94% 3.5% 1% .5% 1%

State of Disabilities Services

DESE also collects survey data from parents of children enrolled in early childhoodspecial education with 2006-2007 the most recent data available. When asked if schools

facilitated parent involvement as a means of improving services and results for childrenwith disabilities 65.68% of families provided an affirmative response.

Parents were additionally asked about their level of involvement with their childrenseducation on the Parent Survey. With 272 responding to the survey, 65.68% reportedagreement/strong agreement.

G en e r a l N u t r i t io n T r e n d s

The tends in the poverty population have shown a decrease in the number of familiesreceiving food stamps over the past five years, however, there are growing numbers

receiving monthly food distributions at local food banks, and there are many morechildren eating high fat, unbalanced meals.

Childhood Obesity

The increase in childhood obesity of the past several decades, together with theassociated health problems and costs, is raising concern among health careprofessionals nationwide and is a trend observed in Northeast Missouri. Obese childrenare more likely to include health concerns including precursors of cardiovasculardisease, type 2 diabetes, and sleep-disordered breathing. There is no one factor, butrather a combination of factors, leading to increased in childrens obesity. Of particularconcern are increasing availability of high-calorie foods, increased demand for foodaway from home and children spending more time viewing television and usingcomputer s as opposed to energy expending activities. Although rates of childhoodobesity among the general population are alarmingly high, they are higher still in ethnicminority and low-income communities.


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*WIC datawww.dhss.mo.gov

2004PopulationEstimate

2004 WICparticipation

2004 WICparticipantsoverweight/BMI

2004 %WICparticipantsoverweight

childrenages 1-4

Ages 12 to59 monthsinclusive Ages 24 to 59 months

Lewis 518 235 16 12.9

Macon 678 329 40 21.1

Marion 1614 603 59 16.8

Monroe 469 207 23 18.1

Pike 769 347 28 15.1

Ralls 332 106 10 18.2

Randolph 1297 793 85 18.2

Shelby 307 179 25 23.1

Childcare settings can be a major force inshaping childrens dietary intake, physicalactivity, and energy balance and Head Start hasthe additional advantage of access to parents forparental education sessions.

Ge n e r a l T r a n s p o r t a t i o n T r e n d s

The average number vehicles available for the eight-county DCS services area, according

to 2000 Census, were 1.6 per household. Census bureau estimates in 2007 show 1.93vehicles per household with 2012 projections at 1.95 vehicles per household.

Head Start parents were surveyed in Fall 2008 to determine if they would be able to gettheir child to school if transportation was not provided by Head Start with the resultsshowing that 91% of families could provide transportation if the classroom hourssupported the parents hours of work. This information is additionally supported with asurvey facilitated through the Child Care Resource and Referral agency of parentsutilizing any childcare throughout the DCS service area with 93% reporting a vehiclewas always available.

A potential explanation for greater than expected resources for personal transportationis the lack of public transportation as well as the rural nature of the service area thatrequires residents to travel outside of their county of residency to work, attend school,and shop.

children ages 2-5overweight or obese 15.4%

general populationoverweight (BMI 25-29.9) 35.2%

general population obese(BMI 30) 26.0%


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District Elementary

building

Achieved

AYP2007

school

accountability

reportcard

HighSchool

Graduation

Rates2007

(MO=85.8

%)

District Elementary

building

Achieved

AYP2007

school

accountability

HighSchool

Graduation

Rates2007

(MO=85.8

%)

Lewis Pike

CantonR-V Canton yes 94.7%

Louisiana R-2 Louisiana no 95.1%

Lewis CoC1 Highland no 94.4% Van Far Van Far no 92.5%

Macon Boncl r-x Boncl yes

Macon R-1 Macon yes 80.6% Pike Co R-3 Clopton no 91.1%

Callao Callao yesBowlingGreen Frankford yes 76.4%

Atlanta Atlanta yes 94.7% B. G. yes

Bucklin Bucklin yes 100% RallsMacon R-

4 Macon co. yes 93.3% Ralls Co.

New

London yes 84%Bevier C-4 Bevier yes 100% Center yes

LaPlata LaPlata yes 94.4% Randolph

Marion Westran R-1 Westran yes 84.2%Hannibal60 Stowell yes 78.9% Moberly S. Park no 82.4%

E. F. no N. Park no

Mark T. yesGratzBrown no

Oakwood no Higbee R-8 Higbee yes 95%

Veterans no Salisbury Salisbury yes 100

Palmyra Palmyra yes 93.1% Renick Renick no

Marion R-2 Marion Co yes 93.1% NE Randolph NE Elem yes 87.5%

Monroe ShelbyMonroeCity

MonroeCity yes 93.1% Shelby R-4 Shelbina no 89.2%

MiddleGrove M. G. yes Clarence yes

Paris Paris yes 75.7% N. Shelby S. Shelby yes 96.8%

Madison Madison yes 95%HollidayC-2 Holliday yes

T y p e s a n d lo ca t i on s o f c h i ld c a r e p r o g r a m s

Quality child care facilities are limited, especially for the care of infants and toddlersthroughout the entire DCS service area with only one other center besides DCS HeadStart being NAEYC accredited. Infants and toddlers in Marion, Macon and RandolphCounties can expect to wait up to 8 months for a child care slot. DCS partners with 4licensed private child care centers to provide services to 25 Head Start children enrolledin Macon, Pike, Lewis and Marion Counties.


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Public funded preschools are those school district preK programs that provide servicesthrough the Missouri Department of Educations Missouri Preschool Projects.Partnering with these classrooms have been difficult because doing so would mean thatthey must provide the additional services and meet the additional requirements that goalong with Head Start federal regulations that are expensive to implement.

County Facility Type Regulatory StatusNumber of Facilities(Number of Children

where known)Lewis Faith Based License exempt 1

Child Care Center Licensable 3Family Home Licensable 6Group Home Licensable 1

Public FundedPreschool

License exempt (291)

Macon Faith BasedLicense exempt

0

Child Care Center Licensable 5

Family Home Licensable 4Group Home Licensable 0



Marion Faith BasedLicense exempt

2




Monroe Faith BasedLicense exempt

2




Pike Faith Based License exempt 0




Ralls Faith BasedLicense exempt

1

Child Care Center Licensable 1Family Home Licensable 4Group Home Licensable


License exempt (48)

Randolph Faith BasedLicense exempt

2




Shelby Faith BasedLicense exempt

1



License exempt (95)


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The Parents As Teachers program is available to all families with children ages 0 5 inthe state of Missouri. This home based programs offers a minimum of two home visitsper year with enrolled families. DCS Head Start has a strong partnership with local PATprograms and they provide referrals to Head Start and Early Head Start as well asprovide developmental, hearing and vision screenings for Head Start and Early Head

Start children.

Dept. of Education Pr ojected 3- & 4-year old s TOTALk-12

Enrollment2007

Preschoolenrollment

2007

Title1school

#Title1children

2007 2008 2009 2010 2011 2012

School District

LEWIS Totals 258 217 268 226 20 1 180Canton R-V 89 77 82 80 71 64 285 8 yes 82

Lewis Co. C1 169 140 186 146 130 116 562 0 yes 201

MACON Totals 364 367 356 350 373 352

Macon Co R1 204 192 184 184 195 184 584 20 yes 160

Callao C-8 9 10 10 9 10 9 48 0 yes 26

Atlanta C-3 33 34 34 33 36 33 118 0 yes 45

Bucklin R2 25 25 25 23 23 23 81 0 yes 0

Macon Co. R-4 16 20 20 19 21 20 73 0 yes 19

Bevier C-4 31 35 34 34 36 34 160 0 yes 26

LaPlata R2 46 51 49 48 52 49 169 0 yes 91

MARION Totals 791 8 16 774 732 716 677

Hannibal 60 562 593 563 532 520 492 1682 152 yes 553Palmyra R-1 190 184 175 165 162 153 434 31 yes 92

Marion Co. R-2 39 39 36 35 34 32 133 0 yes 35MONROETotals 231 23 4 313 229 2 17 194

Monroe City R-1 92 103 108 100 95 85 249 2 yes 40

Middle Grove C-1 15 11 12 11 11 9 40 0 yes 35

Paris R-2 65 65 134 63 60 54 246 31 yes 90

Madison C-3 41 39 42 39 36 33 149 18 yes 55

Holliday C-2 18 16 17 16 15 13 56 0 yes 28

PIKE Totals 43 1 46 7 477 6 71 538 53 7

Louisiana R-2 107 121 124 135 143 129 316 30 yes 140

Van-Far R-1 90 88 89 183 92 87 301 0 yes 0

BONCL R-X 11 11 11 75 12 55 41 2 yes 15

Pike Co. R-3 78 75 77 85 88 80 297 34 no 60

Bowling Green 145 172 176 193 203 186 530 0 yes 248

RALLS Totals 124 111 10 5 121 140 135

Ralls Co. R-2 124 111 105 121 140 135 307 23 yes 25


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RANDOLPHTotals 6 2 2 6 9 5 6 4 9 6 5 9 6 8 1 6 4 2

Westran R-1 92 107 103 104 108 100 293 35 yes 75

Moberly 344 399 365 371 379 355 1092 51 yes 328

Higbee R-8 50 41 40 40 41 39 122 0 yes 40

Salisbury R-4 48 49 45 47 53 56 208 0 yes 0

Renick R-5 31 36 35 35 36 33 152 21 yes 62NE Randolph Co 57 63 61 62 64 59 210 25 yes 48

SHELBY Totals 152 18 3 174 156 175 178

Shelby Co. R-4 106 130 124 111 124 126 333 19 yes 40

North Shelby 46 53 50 45 51 52 166 0 yes 36

Strengths and needs of Head Start eligible children and families as definedby the families them selves and local institutions servin g them

Six hundred and eleven children, from 551 families, were served during the 2007-2008

program year.

Education: For 33.6% of Head Start families the highest level of education obtainedwas less than high school graduate. Currently, less than 4% are enrolled in school or jobtraining. Twenty-four percent of families do have some college, vocational school, or anAA degree, and .5% have completed a bachelors degree. Low levels of education have astrong impact on the employability of Head Start families.

Eight families were enrolled in English as a Second Language training during the 2007-20008 school year.

Stressors as reported by Head Start Families

2% 5%

16%

33%6%

14%

9%

2%

10%

3% Child's Disabilities

Educational/OJT

Employment

Financial

Housing

Marital/Personal

Medical/DentalMental Health

Transportation

Other


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Health and men tal health: By the end of the program year 96.4% of children werecovered with health insurance, as were 92% of EHS pregnant women. This might implythat health services are readily available for children yet that is not always the case due

to several issues. As Missouri Medicaid changes forced families to choose between threeinsurance carriers, families are finding that their choice is not always the carrier thattheir preferred health care provider accepts. Additionally, some providers place a limiton the number of Medicaid children that they will see and parents are also finding that ifthey have an unpaid balance on their account they will not receive services until theaccount is paid.

Ninety percent of all children were determined by a healthcare professional to be up-to-date on all immunizations appropriate for their age. The overall percentage is lower withthe inclusion of EHS children who were at 80%. EHS children entered the program withonly 43 up-to-date with that number increasing to 72 children by the end of the programyear.

Dental health services are difficult to access for low-income families in the DCS servicearea, however, 308 children entered the program year with a dental home with anadditional 151 children having acquired a dental home by the end of the program year.Of the children who received dental exams, 9% were diagnosed as needing dental carewhich is higher than the general population but fewer than Head Start children inprevious years.

Mental health issues in Head Start families continue to grow and additional social andeconomic pressures are experienced. Twenty four percent of DCS families receivedmental health referrals and services. In addition, Parents consulted with DCS contracted

mental health professionals regarding 19 childrens behavior/mental health, 113children were provided an individual mental health assessment, and 2 children werereferred to outside mental health agencies.

Children are more likely, than adult family members, to have access to and receiveongoing medical and dental care, which leaves many adults to deal with long termmedical and dental issues.

Nutrition: Three hundred and thirty-six children (55%) participate in the WICprogram. Although local County Health Department WIC programs offer excellentnutrition education to WIC participants, they believe that the number of participants is

decreasing because of the requirement of nutrition education to receive WIC benefits.

The number of families who are taking advantage of local food distributions andcommunity food pantries are increasing at steady rates across all eight counties.

Social services: Ninety-three percent of Head Start families completed writtenindividualized family partnership agreements that sat goals for families to work towardand provided staff direction when working with families. Crises intervention services,


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including immediate need for food, clothing, or shelter were provided to 2.3% offamilies.

Housing: Thirty four of 551 (8%) of families were in need of housing assistance duringthe 2007-2008 school year and while 75% of the general population own their own

home, only 30% of Head Start families are home owners.

Employment: Only thirty five percent of Head Start families in 2007-2008 wereemployed. Low levels of education and lack of employable job skills hinder familymembers in search of jobs. For many who do find work, the jobs that they are qualifiedfor have low pay and in most cases no family benefits. The income of Head Start familiesis also affected by the seasonal nature of agriculture and tourism that many rely on.Families find that their work income provides just enough to disallow any publicassistance, but not enough to meet the additional costs when they lose housing, food,child care, and health coverage assistance.

Access and a vailability of com mu nity resources: The rural nature of theDCS service area limits access and availability of community resources and familiesmust travel out of the area for many resource opportunities. Children have limitedexperiences with libraries, bookstores, museums, and cultural centers all of whichchildren in many highly populated areas take for granted. Parks and playgrounds areplentiful throughout the area and provides many opportunities for children and familiesto enjoy outdoor time together.Recreational centered with structured activities for children are limited with suchopportunities for youth lacking, which we believe may have a connection to juvenilecrime and drug and alcohol use. Other family support service resources are also limitedas seen in the following chart:

Libraries 8

Book stores 0

Museums (age 0-5) 1

Agencies providing literacy ED for ELLs 3

Parks and/or playgrounds 23

Recreational centers 2

cultural centers (specific) 2

Thrift shops 6

Services that support the inclusion of fathers 4

Marriage promotion programs 1

Family support services 8

Family preservation programs 4

Senior support services 10

Assets for Independence (AFI) - Asset Building Programs 2

Crisis assistant programs 3

Legal services 18

Employment services 4


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Health Education: DCS families can receive Health Education through: Family

Planning, Department of Health (Jefferson City, MO), DECE, Bonz Diabetes, St. Louis,

American Red Cross, Local Hospitals, Clinics and Health Departments throughout theDCS counties served.

Services for fam ilies of incarcera ted individuals: Families can find supportthrough DFS, Family Resource Center, Parents as Teachers outreach program, andMissouri Department of Child Support Enforcement.

Parenting Education: Parents have free access to parenting education within theDCS counties, from Parents as Teachers, Family Planning, WIC office, HealthDepartment, local schools, extension office and local churches and their own Head Startprogram.

Marriage Education Services: Families can receive marriage education serviceswithin the DCS counties through local churches, Mark Twain Area Counseling,Preferred Families, Family Resource Center and YMCA. In 2007, DCS Head Start wasawarded a Healthy Marriage Initiative grant from ACF, Office of Head Start. By yearthree of this five year grant, services will be offered in all eight counties.

Collaborative arran gements, partnerships, and formal agreemen ts

Disabilities servicesEvergreen Behavioral Services First Steps (0-3)Local LEA

Health and me ntal health servicesMarion and Ralls County Health Departments

Social servicesAvenues- Domestic Violence assistance

Head Start has h elped me to be involved with:

L

ew

is

M

acon

M

arion

Ha

nnibal

M

arion

Pa

lmyra

Monroe

Pike

Lou

isiana

P

e

Bo

wling

G

reen

R

alls

Randolph

Shelby

EHS

Johnson

EHSClinic

Mean%

policy council 91% 80% 78% 88% 87% 80% 95% 80% 81% 89% 81% 67% 83.1%Centercommittees 91% 78% 75% 82% 100% 88% 89% 80% 84% 100% 84% 58% 84.1%classroom

volunteering 82% 93% 90% 100% 100% 92% 95% 100% 95% 100% 97% 75%93 . 3%familygatherings 91% 87% 91% 94% 100% 100% 89% 100% 92% 100% 94% 83% 93 . 4%fatherhoodevents 36% 43% 56% 88% 93% 88% 53% 40% 49% 44% 58% 17% 55.4%


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Educational and Transition services

Local LEAs with written MOU in place:

Canton R-VLewis Co. C1Bucklin RIIBevier C4LaPlata RIIHannibal 60Palmyra RIHolliday C2

Louisiana RIIVanFar RIWestran RIMoberlySalisbury R-IVRenick R-VNorth ShelbyShelby Co R-IV

First Chance For Children Early Reading 1st in MoberlyPartnership sites:

Hannibal Childrens Center Marion CountyThe Learning Center Pike CountyThe Literacy Center- Macon CountyGiggles and Grins Lewis County

Parents As Teachers

Professional developmentParents as TeachersHannibal Missouri Preschool ProjectFirst Chance for Children- Moberly


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Summ ary of Social and Economic Indicators for Lewis County

Population and Change. Over the period from 2000 to 2006, Lewis County'spopulation decreased by 342, going from 10,494 in 2000 to 10,152 in 2006. This was achange of -3.3 percent, as compared with Missouri (4.4%).

Change2000-2006

Change2005-2006

Change2000-2007

Change2006-2007

Area nam e

CurrentEstimate, 2006 N

umber

Percent

Number

Percent

CurrentEstimate

, 2007 Number

Percent

Number

Percent

Lewis County 10152-

34 2-

3.3 12 0.1 10,040-

454 -4.3 -52 -0.5

Canton city 2500 -57 -2.2 8 0.3

Ewing city 451 -13 -2.8 0 0.0

La Belle city 663 -20 -2.9 0 0.0

La Grange city 943 -57 -5.7 -1 -0.1Lewistown town 578 -17 -2.9 0 0.0

Monticello village 122 -4 -3.2 0 0.0

Balance of Lewis County 4895 -174 -3.4 5 0.1

Compo nents of Change. Natural Increase is defined as births minus deaths. LewisCounty had three more deaths than births between 2000 and 2006. Net migration is thedifference between the number of people who moved into an area and the number ofpeople who moved out. Therefore, a negative net migration means a net loss of personsdue to migration, while a positive value represents a net gain. Between 2000 and 2006,Lewis County had a net migration of -339.

Age. In 2006, Lewis County reported 16.8 percent of its residents were 65 and oldercompared to 13.3 percent statewide. At the same time, the proportion of young peopleunder 18 in the county was 23.5 percent. Missouri reported 24.1 percent during thesame period.

Racial Diversity. The 2006 vintage estimates from the Census Bureau indicate that95.8 percent of the population in the county was White (9,721 persons); while theestimated black population was 259 (2.6%). The same set of estimates indicated therewere 50 Asians (0.5%) and 26 American Indians (0.3%). Hispanic is not considered arace by the Census Bureau, but rather a separate category. In 2006 there were anestimated 79 Hispanic persons (0.8%) living in the county.

Place of Residence. Estimates for 2006 also show 24.6 percent of the populationlived in places of 2,500 or more in Lewis County. Those living in smaller places accountfor 27.2 percent of the county's population and 48.2 percent lived in unincorporatedareas.

Housing. According to the Census Bureau's estimates, there were 4,776 housing unitsin Lewis County in 2006. The homeownership rate in 2000 was 76.5 percent compared


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to 70.3 percent statewide. The median value of owner-occupied housing units in 2000was $52,400 compared with a statewide median value of $89,900.

Househo lds and Families. There were about 3,965 households in the countyaccording to the 2000 decennial census. Families comprised 68.7 percent of households

(2,723). About 23.0 percent of households were married couples with children under 18,which was less than for the state overall (23.3 percent). Single parent families in LewisCounty (8.7%) were fewer than Missouri (9.1%).

Families and Children. Median family income for Lewis County was $35,740 in2005 compared to $46,044 for Missouri.

The 2005 poverty rate in Lewis County was 16.8 percent which was higher than thatof the state (13.6%). The poverty rate among children (24.3%) was higher than that ofthe state (19.5%). The annual Kids Count reports Lewis County indicators on children were ranked 20out of 114 counties and St. Louis City in the state in 2006. Kids Count indicators showthat low birth weight infants decreased to 6.5 percent and births to teenage motherswere 16.9 per 1,000 girls.

The area also reported child abuse cases at a rate of 24.6 per 1,000 for 2006 comparedto 32.7 per 1,000 statewide.

Domestic Violence Incident Report

PopulationBetweenSpouses

BetweenFormerSpouses

BetweenPersons

who have achild incommonregardlessof whetheror not theyhave beenmarried orresidedtogether inthe past

BetweenPersons(of anyage)RelatedBy Blood

BetweenPersons(of anyage)Related byMarriage(Excludingspouses

BetweenPersonsnotMarriedButPresentlyResidingTogether

BetweenPersonsnotMarried

but WhoHaveResidedTogetherin thePast

totalincidents

Location: Lewis2005 10,152 13 2 2 6 2 11 7 43

2006 10,152 22 1 7 6 0 12 3 51

2007 10,152 23 3 5 13 0 20 3 67

Jobs by Sector . The October 2007 unemployment rate was 4.1 percent compared with5.2 percent statewide. There were 4,653 jobs in Lewis County in 2006. Farmemployment accounts for more than 18.7 percent of the total jobs (870). Localgovernment (578), Retail Trade (448) and Construction (216) are the next highestcategories.


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Summ ary of Social and Economic Indicators for Macon County

Population and Change. Over the period from 2000 to 2006, Macon County'spopulation decreased by 111, going from 15,762 in 2000 to 15,651 in 2006. This was achange of -0.7 percent, as compared with Missouri (4.4%).

Change2000-2006

Change2005-2006

Change2000-2007

Change2006-2007

Areaname

CurrentEstimate,2006 N

umber

Percent

Number

Percent

CurrentEstimate,

2007 Number

Percent

Number

Percent

MaconCoun ty 15651 -111 -0.7 48 0.3 15,576 -186 -1.2 18 0.1

Atlanta city 453 3 0.7 0 0.0

Bevier city 729 6 0.8 0 0.0

Callao city 279 -12 -4.1 0 0.0

Elmer city 98 0 0.0 0 0.0

Ethel town 100 0 0.0 -1 -1.0

La Plata city 1445 -45 -3.0 -1 -0.1

Macon city 5466 -83 -1.5 46 0.8New

Cambriacity 223 1 0.5 0 0.0SouthGifford

village 72 0 0.0 0 0.0Balance ofMaconCounty 6786 19 0.3 4 0.1

Compo nents of Change. Natural Increase is defined as births minus deaths. MaconCounty had 122 more deaths than births between 2000 and 2006. Net migration is thedifference between the number of people who moved into an area and the number of

people who moved out. So a negative net migration means a net loss of persons due tomigration, while a positive value represents a net gain. Between 2000 and 2006, MaconCounty had a net migration of 11.

Age. In 2006, Macon County reported 18.8 percent of its residents were 65 and oldercompared to 13.3 percent statewide. At the same time, the proportion of young peopleunder 18 in the county was 22.6 percent. Missouri reported 24.1 percent during thesame period.


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Racial Diversity. The 2006 vintage estimates from the Census Bureau indicate that95.7 percent of the population in the county was White (14,978 persons); while theestimated black population was 427 (2.7%). The same set of estimates indicated therewere 30 Asians (0.2%) and 66 American Indians (0.4%). Hispanic is not considered arace by the Census Bureau, but rather a separate category. In 2006 there were an

estimated 191 Hispanic persons (1.2%) living in the county.

Place of Residence. Estimates for 2006 also show 34.9 percent of the populationlived in places of 2,500 or more in Macon County. Those living in smaller places accountfor 21.7 percent of the county's population and 43.4 percent lived in unincorporatedareas.

Housing. According to the Census Bureau's estimates, there were 7,692 housing unitsin Macon County in 2006. The homeownership rate in 2000 was 75.9 percent comparedto 70.3 percent statewide. The median value of owner-occupied housing units in 2000was $55,900 compared with a statewide median value of $89,900.

Househo lds and Families. There were about 6,494 households in the countyaccording to the 2000 decennial census. Families comprised 67.1 percent of households(4,356). About 21.6 percent of households were married couples with children under 18,which was less than for the state overall (23.3 percent). Single parent families in MaconCounty (7.5%) were fewer than Missouri (9.1%).

Families and Children. Median family income for Macon County was $36,370 in2005 compared to $46,044 for Missouri.

The 2005 poverty rate in Macon County was 15.3 percent which was higher than thatof the state (13.6%). The poverty rate among children (22.8%) was higher than that ofthe state (19.5%). The annual Kids Count reports Macon County indicators on children were ranked 61out of 114 counties and St. Louis City in the state in 2006. Kids Count indicators showthat low birth weight infants decreased to 6.6 percent and births to teenage motherswere 52.3 per 1,000 girls. The area also reported child abuse cases at a rate of 35.9 per1,000 for 2006 compared to 32.7 per 1,000 statewide.

Domestic Violence Incident Report

PopulationBetweenSpouses

BetweenFormerSpouses

BetweenPersons

who have achild in

commonregardlessof whetheror not theyhave beenmarried orresidedtogether inthe past

BetweenPersons(of anyage)RelatedBy Blood

BetweenPersons (ofany age)Related byMarriage(Excludingspouses

BetweenPersonsnotMarriedButPresentlyResidingTogether

BetweenPersonsnotMarried

but WhoHaveResidedTogetherin the Past

totalincidents


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Location: Macon2005 15,174 22 7 6 12 0 13 0 60

2006 15,174 24 6 13 10 3 27 4 87

2007 15,174 29 3 4 22 0 16 0 76

Jobs by Sector . The October 2007 unemployment rate was 5.0 percent compared with5.2 percent statewide. There were 8,423 jobs in Macon County in 2006. Farmemployment accounts for more than 15.6 percent of the total jobs (1,315). Localgovernment (1,300), Retail Trade (1,020) and Manufacturing (643) are the next highestcategories.

Agriculture . The 2002 Census of Agriculture reported 1351 farms in the county withtotal sales of about $41.143 million and production expenses of $31.856 million. Therewas $9.287 million in net farm income reported in the county with 7.3 percent of allfarms having sales of $100,000 or more and 61.3 percent of farms with less than$10,000 in sales.

County Income Patterns. Macon County generated over $378.071 million of totalpersonal income in 2005. Per capita income was $24,231 compared with $31,231 forMissouri. Significant sources of income were:

Personal current transfer receipts $103.337 million (27.3%); Dividends, interest, and rent: $70.615 million (18.7%); Local government: $39.141 million (10.4%); Manufacturing: $27.396 million (7.2%)

Commuting. In Macon County, 28.0 percent of workers commute outside their home

county to work in 2000. Statewide, 33.4 percent of workers traveled between 30 and 60minutes to work, while in Macon County 17.1 percent traveled as long. At the same time,6.4 percent of workers traveled more than 60 minutes to work compared with 5.4percent statewide.

Educational Attainmen t. In Macon County, about 13.0 percent of residents aged 25years and over (1,397) were college graduates in 2000 compared with 21.6 percentstatewide. An additional 2,137 residents 25 and over in Macon County had some collegeeducation (19.9%) compared with 27.0 percent of all Missourians of that age.

The high school graduation rate in Macon County (90.6%) in 2006 as reported by the

Missouri Dept. of Education and Secondary Education was higher than the state(85.8%).

Disabilities. There were 1,571 persons age 65 and older in the county who reportedhaving a disability in 2000 (57.5%). The corresponding Missouri rate is 55.3 percent.Among the working age population (aged 16 to 64) in Macon County 1,263 reportedsome work disability, a rate of 13.4 percent compared to a state rate of 10.8 percent.


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Health Status Indicators. In 2003, over 19.2 percent of Macon County residentsreport their health was fair or poor compared with 16.9 percent statewide. While .percent of Missourians reported having no health coverage, the percent withoutcoverage in Macon County was estimated to be 12.8 percent. State health data report thetop two prevalence indicators for the county were High Blood Pressure(26.5%) and High

Cholesterol (35 years and older)(50.1%). Missouri reported 28.5 percent and 37.3percent in those same categories.


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Summ ary of Social and Economic Indicators for Marion County

Population and Change. Over the period from 2000 to 20

Documents

Head Start Needs Assessment