SAN AUGUSTINE COUNTY, TEXAS COMMUNITY NEEDS ASSESSMENT Stephen F. Austin State University School of Social Work Center for Rural Social Work Research and Development 2013 CONTRIBUTORS TO THE PROJECT Project Team Judge Samye Johnson, Brittney Johnson, Sandy Jenkins, Brandi Kolander-Neeb Emmerentie Oliphant, Becky Price-Mayo, Steve Cooper, Darrel McDonald and Charles Ashton San Augustine County, Texas Community Needs Assessment Report Compiled by Dr. Emmerentie Oliphant in collaboration with Judge Samye Johnson and Ms. Becky Price-Mayo San Augustine County, Texas Social Services Needs and Community Profile Report Compiled by Dr. Steve Cooper San Augustine County, Texas Maps Compiled by Dr. Darrel McDonald and Charles Ashton Consultants on Rural Issues Dr. Kathleen Belanger (Stephen F. Austin State University, School of Social Work) Ms. Kathleen Spencer (Rural Assistance Center) San Augustine County Social Services Needs and Community Profile conducted by BSW Students (SWK 450). Supervised by Dr. Cooper Adejunoko Adedinsewo, Rachel Berry. Sasha Cruz, Dixie Daniels, Sylvia Dominey, Ava Dueboay, Marleen Elkins, Dasha Evans, Tracy Fletcher, Teresa Foster, Linda Gonzalez, Alicia Manning,Christie Mays, Brandi McCrary, Sarah Nerren, Melanie Penland, Kaila Samford, Shanice Talley, Ranajee Thomas, Lee Ann Willis Community Needs Assessment Questionnaires, Research Cafés, Populations at Risk Focus Groups and Interviews conducted by MSW Students (SWK 520 and SWK 530) and Faculty. Supervised by Dr. Oliphant and Ms. Becky Price-Mayo Nicole Bordelon, Melissa Burrus, Riana Baley, Rachel Ellis, Timothy Floyd, Donatta Ibe, Bradley Jackson, Alba Villegas, Shaina Pierson, and Shaina Wareing (MSW Students) Data Entry and Editing support Jeremy Fields, Linda Gonzalez, Tyra Holmes, Ricka Mammah, Josephina Mwoleka, Destiny Peters, Kim Thompson (Data Entry Project Leader) – Graduate Assistants School of Social Work, SFA Donna Shelton – Administrative Assistant, School of Social Work, SFA San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 ii ACKNOWLEDGEMENTS The San Augustine County Needs Assessment Project is made possible through the commitment and generosity of Stephen F. Austin State University’s School of Social Work; directed by Dr. Freddie Avant; Professor of Social Work, Associate Dean and Director. Our deepest thanks and admiration goes to the San Augustine County Needs Assessment Project Team, led by Dr. Emmerentie Oliphant; MSW Director and Professor. Dr. Oliphant’s team includes Becky Price-Mayo; Child Welfare, Professional Development Director & Lecturer, Dr. Darrel McDonald; Professor of Geospatial Sciences & Geography, and Dr. Steve Cooper; Associate Professor of Social Work; Associate Dean, College of Liberal and Applied Arts. Also, our special thanks go to Dr. Cooper’s undergraduate students (SWK 450), Dr. Oliphant’s School of Social Work graduate students ( SWK 520 and SWK 530) and the School’s graduate assistants. We also extend our thanks and gratitude to the regional, state and federal representatives and agencies that provide social services to our county. Our associates of caring and committed partners include; including Derek Lee; Aging Services Program Specialist, ACL/ORO/RSC6, Elma Goodwin; Management & Program Analyst, Immediate Office of the Regional Administrator, ACF, Hernan Reyes, M.D., Capt.; US Public Health Service Deputy Regional Administrator, Health Resources and Services Administration, Jonathan Sanchez Leos; Public Health Advisor, Presidential Management Fellow, SAMHSA, Michael Duffy; Regional Administrator-Region VI, SAMHSA, Leon McCowan; Regional Administrator-Region VI, Administration for Children and Families (ACF), Philander Moore; Unit Manager, Mental Health and Substance Abuse Services, Texas Department of State Health Services, Walter Diggles; Executive Director of Deep East Texas Council of Governments, George Simon; Executive Director of Tri-County Community Action, Gary Ashcraft; Executive Director of United Way, The Burke Center, Alcohol and Drug Abuse Council, and Judge Paul White’s Angelina Drug Court Team. We would be remiss if we did not make special mention of Ms. Brandi Kolander-Neeb, Department Family Protective Services and the San Augustine County Child Protective Board, and to the dozens of county volunteers, businesses, and local clergy who generously distributed, gathered and completed questionnaires throughout this project. Our County team; Brittney Johnson County Project Champion, Sandy Jenkins, County Project Manager and I will be forever grateful for the gift of working with the remarkable Stephen F. Austin School of Social Work team. This project, above all else, has given us the tools we need to help the people we serve. Dr. Oliphant, your caring and passionate heart has made all the difference. Samye Johnson San Augustine County Judge San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 iii EXECUTIVE SUMMARY San Augustine County in Texas has limited social services and resources to address the needs in the county. A county needs assessment was conducted to develop a deeper understanding of social problems, strengths and challenges in the county. San Augustine County partnered with Stephen F. Austin State University, School of Social Work to plan and implement the comprehensive needs assessment. A participatory action model was developed to collect multisource data. The model enabled county residents to participate in the planning and implementation of the project. Decisions about the project were made in collaboration with county residents and leaders. Several interventions resulted from the participatory action. The comprehensive needs assessment was initiated by the development of a community profile and assessment of social services needs. The information provided results which were used to develop and administer a questionnaire on perceptions related to social service needs, social problems and community challenges and strengths. Several focus groups and interviews were conducted to collect in-depth information. The results of the county needs assessment clearly indicated strengths in San Augustine County. A strong sense of community, active residents, a volunteer network and leaders who care about the community were identified as some of the strengths. Social problems including substance abuse, unemployment and problems related to poverty impact the well-being of county residents. The need for social services located in the county was highlighted by the study. Several recommendations were made, based on the results. The recommendations mainly focused on developing and establishing social services in the county. These services should be based on a one-stop model and a partnership between agencies. An important recommendation is to ensure that funded agencies are tasked to deliver established services. These social services should address the needs identified in the study, including substance abuse, mental health, child and adult protection services. It is also recommended that the strong volunteer network should be strengthened through ongoing initiatives. The participatory action model provides strategies for ongoing research and development of programs. It is anticipated that further needs for research will be identified and social service program initiatives will be developed. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 iv TABLE OF CONTENTS INTRODUCTION…………………………………………………………….….......................1 RATIONALE FOR THE COMMUNITY NEEDS ASSESSMENT…….….………….……....2 OVERVIEW OF SAN AUGUSTINE COUNTY……………………….…….………….….....3 INFORMATION ON THE PARTICAPATORY ACTION MODEL….………….…….……..6 KEY FINDINGS…………………………………………………………………………..........9 COMMUNITY NEEDS ASSESSMENT………………………………...………………...….12 POPULATIONS AT RISK……………………………..………………...……………….…...49 CONCLUSION………...……………………………………..………………………………..62 RECOMMENDATIONS……………………………………..………………………………..62 REFERENCES…………………………………………………………………………….…...66 APPENDIXES ………………………………………………………………………...……….68 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 v LIST OF TABLES TABLE PAGE(S) 1. SUMMARY OF CENSUS DATA: PROFILE OF GENERAL POPULATION AND HOUSING CHARACTERISTIC 2010: GENDER AND AGE .…………………………4 2. SUMMARY OF CENSUS DATA: PROFILE OF GENERAL POPULATION AND HOUSING CHARACTERISTIC 2010: RACE ……………………..…………………...5 3. SUMMARY OF CENSUS DATA: PROFILE OF GENERAL POPULATION AND HOUSING CHARACTERISTIC 2010: HOUSEHOLDS …………………….…………5 4. INFORMATION ON THE PARTICIPATORY ACTION MODEL…………………..... 8 5. DREAMS FOR SAN AUGUSTINE COUNTY …………………………...……………17 6. HOW SAFE DO YOU FEEL WHERE YOU LIVE? DAY…………………...…….......18 7. HOW SAFE DO YOU FEEL WHERE YOU LIVE? NIGHT……………………..……19 8. INTERNET AT HOME.………………………………………........................................20 9. INTERNET AT WORK ………………………………………………………………....20 10. INTERNET AT THE LIBRARY ………………………………………………………..21 11. ACCESS TO PHONE SERVICES………………………………………………..……..21 12. ACCESS TO CELL PHONE………………...…………………………………………..22 13. DEPENDABLE VEHICLE ……………………….....................................................…..22 14. SAMPLE RESPONSES: EMPLOYMENT IN SAN AUGUSTINE COUNTY ………..23 15. SAMPLE OF SERVICES IN SAN AUGUSTINE COUNTY ……………………..........25 16. PERCEPTION OF LAW ENFORCEMENT SERVICES………………………...……..27 17. EMERGENCY 911 SERVICES…………………………...........................…………….28 18. FIRE PROTECTION………………………………… …..……………………………..29 19. ANIMAL CONTROL……………………………………………..………………….….29 20. GARBAGE COLLECTION……………………………..………………………………30 21. STORM DRAINAGE……………………………………………………….…………...30 22. LIBRARY SERVICES………………………............................................……………..31 23. AMBULANCE SERVICES ……………………………………………………………..32 24. MEDICAL AND DENTAL SERVICES……………………………..……………….…33 25. MENTAL HEALTH SERVICES…………………………………………………….….34 26. PUBLIC TRANSPORTATION ………………………………………...……………….34 27. ROADS AND HIGHWAYS …………………...………………………………………..35 28. EDUCATION AND PUBLIC SCHOOLS………………………………………………36 29. SUBSTANCE ABUSE SERVICES……………………………………………………..37 30. CHILD CARE SERVICES………………………………………………………………38 31. YOUTH PROGRAMS AND RECREATION …………………………………………..39 32. SERVICES TO THE ELDERLY ………………….…………………………………40 33. GOVERNMENT ASSISTANCE…………………………………………………….….40 34. COUNSELING…………………………………………………………………….…….41 35. FOOD PANTRIES ………………………………………………………………………42 36. CONDITION OF HOUSES ……………………………………………………………..43 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 vi 37. COST OF HOUSING……………………………….…………………………………...44 38. VANDALISM ……………………………………………………………………….......44 39. BURGLARIES ………………………………..……………………………………...….45 40. FAMILY VIOLENCE …………………………………………………………..……….45 41. ELDER ABUSE, NEGLECT AND EXPLOITATION……………………..…………...46 42. PHYSICAL ASSAULT ………………………………………………………………….46 43. DRUG AND ALCOHOL ABUSE …………………………………………….…..…….47 44. DRUG MANUFACTURING ………………………………………………..…………..48 45. DRUG DEALING …………………………………………………………………….....48 46. GANGS.………………………………………………………………………………….49 47. CONFIRMED CPS VICTIMS AND INVESTIGATIONS .………….............................50 48. CHILD ABUSE AND NEGLECT IN SAN AUGUSTINE COUNTY..………………...51 49. CPS DATA COMPARISONS BETWEEN SAN AUGUSTINE COUNTY AND TEXAS.…..........................................................................................................................52 50. SAMPLE DEMOGRAPHICS …………………………….…..........................................57 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 vii LIST OF FIGURES FIGURES PAGE 1. FLOWCHART - SAN AUGUSTINE COMMUNITY NEEDS ASSESSMENT MODEL..............................................................................................................................7 2. PIE CHART 1 - AGE DISTRIBUTION OF PARTICIPANTS…………………………13 3. PIE CHART 2 -NUMBER OF YEARS LIVING IN SAN AUGUSTINE COUNTY ….14 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 viii 1. INTRODUCTION San Augustine County is experiencing the challenges of rural East Texas. Macro-level community issues such as poverty, unemployment and lack of services severely impact the quality of life and well-being of the county residents. Under the direction of County Judge Samye Johnson, a comprehensive county needs assessment was designed and implemented to explore these realities. A project team including county officials, the School of Social Work and Center for Rural Social Work Research Development, Stephen F. Austin State University, county residents and service providers planned and implemented the comprehensive community needs assessment from January 2012 to November 2013. The purpose was to conduct a community needs assessment in San Augustine County to explore the needs for services in the county. It is envisioned that the results from the project will provide specific information which will enable county officials and other role-players to facilitate grant writing efforts in order to provide services and resources to the county residents. In addition, the results will be used to develop programs specific to the needs of the county. For this purpose it was important to listen to the voices of the community. The project team ensured that the voices were heard through inclusion of county residents in the initial design, planning and implementation of the project. A participatory action model was designed and implemented to ensure that the process and results reflect the perceptions of the community members. The overall objectives of the community needs assessment were: 1. To conduct a needs assessment focusing on social services, community dynamics, social issues and a health and human services profile 2. To collect data from county residents and service providers on their perceptions of the county including social services, problems, community dynamics, strengths and challenges 3. To analyze existing census data in order to describe demographics, strengths, challenges and at risk populations 4. To provide recommendations towards interventions and further research. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 1 This report provides an overview of the community needs assessment, a description of the participatory action model which was used to conduct the comprehensive needs assessment, a discussion of the findings and recommendations. 2. RATIONALE FOR THE COMMUNITY NEEDS ASSESSMENT San Augustine County has limited resources and social services referrals have to be made to other counties. According to Judge Johnson federal and/or state social services agencies operating in the county are extremely limited. Due to the lack of presence in the county, residents are not aware of the availability of services. Poverty and unemployment impact the quality of life of county residents. Social problems such as substance abuse, elderly abuse/neglect, domestic violence and mental health problems result in increased risk of county residents. Although county residents and leaders are aware of the problems, it has become increasingly important to provide evidence. There is limited knowledge available regarding existing resources. It is assumed that there are resources available through churches and volunteer agencies. These resources are not well known and this limits referrals to the few existing services. As part of the initial design of the county needs assessment the project team formulated several questions. These questions were addressed in the comprehensive needs assessment: What matters to the county residents? In other words what is important to county residents? How do county residents perceive the current strengths, challenges and problems in the county? What are the most important problems and needs county residents think should be addressed? What services exist and what is the quality of those services? The needs assessment enables the county to identify specific needs for the development of San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 2 programs. A comprehensive community profile provides an overview on existing strengths and challenges, while the community needs assessment questionnaire (CNAQ) provides additional in-depth information on needs. The data will be used to apply for grants that will serve the county. 3. OVERVIEW OF SAN AUGUSTINE COUNTY Section written by Dr. Kathleen Belanger San Augustine County has a population of 8,865 (US Department of Commerce, 2012a). Residents of San Augustine County commute to larger cities such as Nacogdoches, which is located 35 miles west in Nacogdoches County, for employment, recreation and services. Its county seat, the city of San Augustine, is located on the 300 year old Camino Real (King’s Highway) trading route that connected Natchitoches, Louisiana with Mexico by way of Nacogdoches and San Antonio, Texas. The county is considered rural by all definitions, considered non-core, with a rural urban commuting area code of 10, rural urban continuum code of 9, and urban influence code of 10, with 16.7 persons per square mile compared with 96.3 in Texas and 87.4 for the US (Rural Assistance Center, 2012). In terms of population demographics, the county has a lower percentage of white non-Hispanic persons compared with Texas and the US (69% vs. 45% for Texas and 63% for the US), a lower percentage of Hispanic/Latinos (7% vs. 38% for Texas and 17% for the US), and a higher percentage of African Americans (23% vs. 12% for Texas and 13% for the US) (US Department of Commerce, 2012a, b). The population also tends to be older, with 23% 65 years or older, compared with 11% for Texas and 13% for the US. The county has approximately twice the poverty rate and half the median income compared with both Texas and the US. The median household income for 2006 – 2010 was $25,974, compared with $49,646 for Texas and $51,914 for the US, and the percentage of persons living below poverty for 2006-2010 was 27% compared with 17% for Texas and 14% for the US. Residents tend to own their own homes, with homeownership rates for 2006 – 2010 of 79% compared with 65% for Texas and 67% for the US (US Department of Commerce, 2012a, b). San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 3 According to City-County Data Book (2012), most residents (58% compared with 50% for the US) are affiliated with a religious congregation. Of those affiliated with a religious congregation, most are Baptist: 40% affiliated with the Southern Baptist Convention and 15% affiliated with the Baptist Missionary Association of America. Twelve percent are affiliated with the Catholic Church, 11% with Independent Associations, and Unaffiliated Churches Landmark Missionary Baptist, and 22% “other”. There is one grocery store, five convenience stores that sell gas, and one that does not. Most of the agricultural market value in the county is from livestock, poultry and their products (96%), with 95% of the farms operated by a family or individual (City-County Data Book, 2012). As indicated in the introduction, services in the county are limited and community members have to travel to Center (20.05 miles), Lufkin (53 miles) and Nacogdoches (35 miles) and Many, Louisiana (45 miles) for social services. According to some service providers (for example Burke Center and the Alcohol and Drug Abuse Council (ADAC), they come to San Augustine when they receive referrals. According to U.S. Census Bureau (2010) the following are demographic profile data for San Augustine County, Texas. Table 1: Summary of Census Data: Profile of General Population and Housing Characteristic 2010: Gender and Age Residents Number Percentage Total Population (males) = 4,360, (females) 4,505 8,865 100.0% Population Median Age 47.1 Male Median Age 45.9 Female Median Age 48.1 85 years and over (smallest age group) 273 3.1% 50 to 54 years (largest age group) 680 7.7% Males (largest age group) 50 to 54 years 350 3.9% Females (largest age group) 45 to 49 years 345 3.9% San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 4 Table 2: Summary of Census Data: Profile of General Population and Housing Characteristic 2010: Race Residents Number Percent One Race 8,742 98.6% Black or African American 2,016 22.7% White 6,375 71.9% Asian 35 0.4% Hispanic or Latino (of any race) 532 6.0% Table 3: Summary of Census Data: Profile of General Population and Housing Characteristic 2010: Households Residents Number Percent 223 84 139 2.5% 0.9% 1.6% In Households 8,642 97.5% Head of Household 3,625 40.9% Total Households 3,625 100% Family Households - with own children under 18 years - husband and wife family 2,477 797 1,808 68.3% 22.0% 49.9% Householder Living Alone - male - 65 and over - female - 65 and over 1,040 496 171 544 367 28.7% 13.7% 4.7% 15.0% 10.1% Institutionalized Population - Male - Female San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 5 4. INFORMATION ON THE PARTICIPATORY ACTION MODEL A Participatory Action Model (PAR) was designed to conduct the needs assessment. PAR implies that county members have ownership of the needs assessment and results. PAR is a structured process that allows for flexibility based on the input of the community. Their input was of utmost importance for the success of the project. The principles of PAR formed the basis of the needs assessment. The participatory action implies that the participants (residents and service providers) are not researched, but are partners in the project. Project implementation is based on cooperative actions and collaboration with county residents. Residents participated in the planning of the project, design and development of the CNAQ, focus groups and protocol development for interviews. Data collection started in March 2012 and ended in November 2013. The project team conducted data verification of the data collected by including the county residents and key informants from June to November 2013. The participatory action model also focused on empowerment, sustainability and capacity building – the needs assessment empowered county residents to become involved in developing services and resources. Transparency of the process was ensured through involving county residents in decision-making processes and recommendations for services. County residents were included in discussions and validation of the data. The purpose of participatory action is to empower communities. The cyclic nature of the model implies that research and intervention are parallel processes. Residents were empowered to bring about change in the county. The PAR model was used to collect multisource and multi-level data, using the following methods: Roundtable Discussions Research Cafés Community Needs Assessment Questionnaire (CNAQ) Focus Groups Interviews Census Data and Web-based information Published Data San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 6 Reflection of the process and validation of data took place on an ongoing basis during the project implementation. The following flowchart provides information about the process of the community needs assessment as well as the different sources of data. Figure 1 : Flowchart - San Augustine Community Needs Assessment Model Multi-source data was important as it provided the opportunity to triangulate information. More than one source of data verified the importance of the responses. Multi-level sources were significant as it ensured that all county residents had an opportunity to participate in the needs assessment. Qualitative and quantitative methods were used to collect and analyze data. This included interviews, questionnaires, focus groups and research cafés. The PAR model is cyclic in nature and interventions developed as data was generated. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 7 New research initiatives also developed as part of various phases of the needs assessment. Sources of data include county residents, service providers, maps, census data, Internet sources and the CNAQ. Table 4: Information on the Participatory Action Model Method Population Sample Focus Community Profile Key Informants N = 200 Social Services Needs Social Services Needs Assessment Community Strengths Leaders Barriers Service Providers Demographic Information Roundtable Discussions Interviews Research Cafés Volunteers N=80 Strengths Community 5 Cafés Challenges members Community Needs Assessment Questionnaire (CNAQ) Community Dreams for the county N=504 members Services Problems Demographic information Focus groups Community N=30 Quality of life members 5 Focus Experiences living in San Augustine County groups Elderly Youth Interviews Residents Community N = 10 Quality of life N=34 Type of services members Interviews Service Providers Service providers Frequency and percentage of time in San Augustine County Barriers to care A community profile was developed by Dr. Cooper and a group of undergraduate social work students. This research provided the information for the development of the community needs assessment questionnaire (CNAQ). The preliminary data was used to develop initial themes to be San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 8 addressed in the questionnaire. The community profile provides comprehensive information on the needs as well as the available services. The community profile focuses on demographic information, values, strengths and limitations. It includes a social issues and health and human services profile. The social issues include information on poverty, child abuse, health care and behavioral health care, and the health and human services profile focuses on existing resources and access to these resources. The CNAQ focuses on the perceptions of county residents regarding services, infrastructure and problems in the county. In addition, this section of the research provides information about the strengths, dreams, challenges, and quality of life issues perceived by the residents. While collecting information, specific populations at risk were identified. In order to develop a better understanding of these populations, focus groups and interviews were conducted in order to gain a better understanding of the quality of life of these residents. 5. KEY FINDINGS 1. At the time when the needs assessment was initiated, San Augustine County was experiencing a lack of social services. The community profile and the CNAQ both indicate that services vital to the quality of life in the county are not available. Health and human services are limited and are located within other counties such as Angelina and Nacogdoches. Cities in these counties where services are located are a minimum of a 40 minute drive away; 2. Existing services such as the County Sheriff’s Office and the San Augustine County Court often have to deal with emergencies which should be referred to social services; 3. Specific populations in San Augustine County are at risk. Due to the lack of services, inaccessibility to services outside of the county and the limited resources, elderly county members experience difficulties and challenges in accessing important services. Elderly county residents living in the assisted living facilities have access to services and experience positive quality of life. However, elderly residents who live on their own are isolated and do not have easy access to resources. Elderly individuals living in remote areas find it impossible to access basic resources such as medical services and food; San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 9 4. Specific problems are prioritized as urgent. These problems need attention through comprehensive social services. Substance abuse is perceived by county residents as the problem with the highest priority. The problem is not only limited to substance abuse, but extends to drug manufacturing and dealing. County officials, service providers outside of the county, volunteers and county leaders validated the importance of addressing substance abuse in the county; 5. San Augustine County residents are experiencing different levels of poverty. Residents identified unemployment as one of the barriers to quality of life. Underemployment implies that residents are working, but that the income is not adequate to make a living. Local work opportunities are limited and residents have to travel outside of the county for work. This impacts the financial stability of households as well as the quality of life of families and individuals. Residents have to drive to towns in other counties (Center, Lufkin and Nacogdoches) for employment. It adds additional stress on families and individuals in terms of financial and time resources; 6. From the published data on child welfare issues it is evident that San Augustine County children are not receiving resources and services at a level that is consistent with state averages. While the number of completed investigations and confirmed victims of child abuse and neglect are comparable to the state rate, children in San Augustine County receive less family preservation and out of home services (see Table 59 for complete data). When considering characteristics of families and children, as well as the rural setting, it is very likely that there is a considerably higher incidence of abuse and neglect than what is reported. Focus groups of community leaders and service providers also voiced concerns that child neglect and abuse are not being reported and that children of all ages need better protection. In addition, social workers and investigators are not located in the county and must travel to investigate the cases. It is important to have social workers and child protection workers with offices in the county to raise awareness of child abuse and to address the need for increased investigations and services. The cyclic nature of poverty, substance abuse, unemployment, and isolation can impact the quality of life and the level of safety of children; 7. A public transportation system does not exist at the time of this study. Although many county residents report they have their own vehicles, it is also evident that many residents do not have access to any form of transportation. These residents have to depend on their San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 10 family, significant others and volunteers for transportation. Residents in rural areas and specifically the elderly and children are more vulnerable because of inaccessibility to transportation. County members identified a bus system as a solution to the current transportation problems; 8. Social problems in San Augustine County are complex and many variables impact the severity of the problems. Poverty, unemployment, lack of services, isolation of individual residents and the existence of social problems such as substance abuse, impact quality of life in the community. Individual factors such as language is a barrier to care; 9. County residents voice a need for improvement in addition to the need to develop a structure for social services where community members can come together. A recreational center for youth, community center or a central place where support services can be delivered; 10. Child care is considered a priority need. This will enable parents to work. From the data collected on family structure it is evident that 56.6% of families are single parents. Child care will enable parents to work outside of the county if needed; 11. Infrastructure in the county is in need of improvement. Garbage collection is problematic as is typical across East Texas. In some places there is no formal garbage collection. It is assumed that residents burn garbage which is a hazard for the environment. There is limited animal control in the county and animals are often found on the roads; 12. Roads are in a good condition, providing accessibility to the cities of San Augustine and Broaddus as well as surrounding counties; 13. Young adults in San Augustine County are in need of jobs and training. County residents want training opportunities to be available within the county; 14. San Augustine County is strong in terms of social capital. County officials and residents are positive about bringing about change. Leadership is willing and committed to bring about change. Although services are located outside of the county, several support groups and informal services exist through the volunteering efforts of residents. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 11 6. COMMUNITY NEEDS ASSESSMENT The community needs assessment provides evidence of strengths, limitations and barriers related to services. Key findings highlight the realities specific to macro-, mezzo- and micro-level problems, services, barriers to change, challenges and strengths in the community. From the study it is evident that San Augustine County does not have enough resources to address the problems and lack of services in the community. The Community Needs Assessments Questionnaire (CNAQ) was completed by 504 residents from San Augustine County. In addition, the research cafés including 80 participants were conducted. The information provided in this section includes all information obtained from the CNAQ and the research cafés with volunteers and community members. These sources of data provided in-depth information on the specific problems experiences by residents and the reality of lack of services. The following demographic information is specific to the CNAQ. It provides information on the age, gender, income, number of years living in San Augustine County, education, status of employment and major wage earner type of employment. 6.1 Demographic Information: Community Needs Assessment Questionnaire (CNAQ) Age Participants 18 years and older completed the CNAQ. The included pie chart provides information on the age distribution. 11.7% is in the age group 18-29, 25.7% between 30 and 49, 25.9% is between 50 and 64, and 32.5% are 64 and older. 3.9% of the participants did not answer the question on age. It is important to note that 58.4% of the participants are 50 and older. Younger adults over 18 were included in the study through focus groups and interviews to ensure representation. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 12 Pie Chart 1: Age Distribution of Participants Pie Chart 1: Age Distribution of Participants Gender In terms of gender the majority of participants were female (59.5%) and 31.9% were males. 8.5% of the responses were either unclear or missing. Income The income distribution varied amongst participants. 14.2% of the participants earn less than $10,000 per year, 26.2% between $10,000 and $19,999; 16.07% between $20,000 and $29,999 12.1% earn $30,000 - $39,999, 3.1% earn $40,000 - $49,999, 5.5% $50, 000 - $59,999, 14.2% earn $60,000 and more. 13.2% of the participants did not answer the question. From this it is evident that most of the participants earn less than $20,000 or above $60,000. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 13 Number of Years Living in San Augustine County The following pie chart provides information about how long participants have lived in San Augustine County. Of the 504 participants, 70.6% lived in the county more than 10 years, 7.7% between 5 and 10 years and 7.7% less than 5 years. 13.8% did not answer the question. Pie Chart 2: Number of Years Living in San Augustine County Number of Years Living in San Augustine County Education In terms of education there were a range of responses. 7.4% has a graduate degree, 14.6% is a college graduate, 27.1% has some college level education but did not complete a college degree, and 34.5% has a high school certificate. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 14 Status of Employment A majority of the participants indicated they are employed (38.6%), 8.1% are self-employed 30.7% are unemployed, and 22.4% did not provide an answer. 24.6% of the participants are retired. Major Wage Earner Type of Employment The majority (24.6%) of the participants are retired, 9.1% works in finance, insurance and public utilities, 6.9% in oil and gas companies, 7.9% in education, 4.3% in government/state, 4.1% in logging and timber, 3.3% in retail and wholesale, 3.1% in construction. 16.2% did not answer the question. 6.2 Quality of Life in San Augustine County Data from the CNAQ and research cafés indicate that San Augustine County residents have positive experiences about their community and county. During the information gathering the residents reflected on the strengths of the community and how the strengths bring them together. These positive experiences and perception of strengths clearly influence their perceptions about the problems the community is facing. Residents provided feedback that they experience a sense of collectiveness and collaboration in the county. This impacts the resident’s drive to enhance and change the community. The quality of life that the residents are experiencing allows for opportunities to raise families in a peaceful and quiet environment. It is evident that county residents feel that there is a need to improve and that the strengths of the county will enable them to bring about effective change. The following themes support the statement that the residents experience quality of life: Churches provide support to community members. Churches reach out to their members who are in need by providing resources such as transportation and food services to elderly residents. The churches provide stability and a sense of community to residents. Several residents mentioned that their families have been living in San Augustine County for generations and they have been members of a specific church for many years. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 15 It is evident that churches are committed to invest in the community and to participate in change. Recreational activities such as hunting and fishing provide opportunities for residents. Several retired residents indicated that they moved to San Augustine County because of the opportunity to be close to nature. Participants of the focus groups for young adults indicated that they experience these recreational activities as positive and would like to see more of these activities specifically for children and young adults. The peaceful and quiet environment of the county draws families and individuals to move to and stay in the county. Even though some family members have to drive to towns in other counties, they prefer living in a peaceful environment. County and city leadership is considered positive and county residents mentioned that they feel leaders are acting in the county’s best interest. Residents from Broaddus and San Augustine were of the opinion that the city leadership is effective. A strong volunteer base exists in the county. The volunteers are passionate about bringing services to the county and ensuring that the needs of populations at risk are met. Volunteers voiced their concerns about residents who live in isolated areas. They also shared that they are passionate about volunteering. One of the comments was “we have diverse, talented and resourceful volunteers” A desire for community improvement exists amongst residents of the county. Although some focus group members identified resistance to change, overall there is a positive attitude towards improvement and specifically about addressing the barriers towards service delivery. During the research cafés, participants were asked about their dreams for San Augustine County. A discussion about dreams enabled county residents to focus on the positive issues they experience. The dreams for the county also emphasized the fact that the county residents are willing to work towards making changes in the community. Table 5 gives a list of the priority issues identified when the dreams for the county were shared. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 16 Table 5: Dreams for San Augustine County Responses Research Cafés Summary What are your dreams for San Augustine County? Recreational family park Community garden Economic and business growth Drug free community Rise in educational levels Improved infrastructure Increase in job opportunities Opportunities for youth to stay in county Tourism development A dependable transportation system Better resources for those in need of care Mental health services Enhancement of quality of medical services Improvement of educational facilities The list is not in priority order. Quality of life is impacted by many factors including how safe community residents feel in the community, accessibility to resources such as cell phones, landlines and dependable vehicles. These resources can minimize risk and allow them to contact service providers in an emergency situation. Accessibility to services is important, because residents need to be able to reach services in order to make the best use of it. Why do people live in San Augustine County? Overall responses in the CNAQ as well as the interviews and focus groups, indicated that they live in San Augustine County because it is beneficial to their quality of life. It is evident that the small town atmosphere in San Augustine and Broaddus is appealing to residents. San Augustine county residents are considered as friendly and they have strong values. The environment is quiet and residents feel that they live in a relaxed community. In terms of benefits to living in San San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 17 Augustine County the rural atmosphere plays an important role. The climate provides multiple opportunities for recreational activities. Many of the residents indicated that they are able to hunt and fish in a quiet environment. In addition, being able to know their neighbors is an important part of building connections with the community. Rural country living and good relationships with neighbors are the most important social factors. Even though resources are not always available, county residents consider themselves fortunate. As part of the CNAQ, participants were asked what three things do they like most about living in San Augustine County. According to the responses the three most identified were churches, rural small town atmosphere and strong relationships between the people. Participants were also asked what the three issues they are struggling with most. The responses were financial issues, services and resources. Safety: Day It is evident that San Augustine County is considered as safe. 33.1% of the participants perceive the county as very safe during the day, while 47.4% consider it as safe. It accounts for 80.5% of the participants. Only 3.4% indicated they consider it unsafe, 2% very unsafe and 7.5% were undecided. Table 6: How safe do you feel where you live? Day Cumulative Frequency Valid Percent Valid Percent Percent Very Safe 167 33.1 33.1 33.1 Safe 239 47.4 47.4 80.6 Undecided 38 7.5 7.5 88.1 Unsafe 17 3.4 3.4 91.5 Very Unsafe 10 2.0 2.0 93.5 Missing 33 6.5 6.5 100.0 Total 504 100.0 100.0 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 18 Safety: Night 44.8% of the participants indicated they perceive it as safe and 30% as very safe. This accounts for 74.8% of the community needs assessment participants. 5.4% indicated they feel it is unsafe and 2.8% it is very unsafe. 9.7% were undecided. Table 7: How safe do you feel where you live? Night Cumulative Frequency Valid Percent Valid Percent Percent Very safe 151 30.0 30.0 30.0 Safe 226 44.8 44.8 74.8 Undecided 49 9.7 9.7 84.5 Unsafe 27 5.4 5.4 89.9 Very Unsafe 14 2.8 2.8 92.7 Missing 37 7.3 7.3 100.0 504 100.0 100.0 Total Focus groups and interviews validated that the safety within the county is one of the reasons why residents move back to the county. Accessibility Accessibility to certain resources is an important part of quality of life. Information on access to Internet services, library services, cell phone, landline and a dependable vehicle was collected. Residents who live in wooded areas are isolated because of inaccessibility to Internet. Some residents live in isolated houses that are not in livable conditions. Numbers reflected in the tables specific to the internet may be misleading. This is due to the high number of retirees who completed the survey. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 19 Internet at Home A high number of participants have Internet at home – 61.5%, while 36.1 % do not have it at home. Table 8: Internet at Home Frequency Valid Percent Valid Percent Cumulative Percent Yes 310 61.5 61.5 61.5 No 182 36.1 36.1 97.6 12 2.4 2.4 100.0 504 100.0 100.0 Missing Total Internet at Work According to the participants, most of them do not have Internet access at work (39.5%). Of the participants, 38.1% do have access to Internet at work. However, 22.4% did not answer the question. Since 24.6% of the CNAQ participants are retired it is assumed that this is the reason for the high number of missing answers. Table 9: Internet at Work Valid Yes No Missing Total Frequency 192 199 113 504 Percent Valid Percent 38.1 38.1 39.5 39.5 22.4 22.4 100.0 100.0 Cumulative Percent 38.1 77.6 100.0 Internet at the Library 73% of participants have access to Internet at the library. 13.7% said they did not have access and a high number of participants did not respond (13.3%). During research cafés, some of the participants explained that it is not a problem if they do not have Internet at home, because it is available at the library. However, these reports may not take into account the southern part of the county since Broaddus does not have a public library. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 20 This area also is reported to have a large elderly population due to popular lakeshore lots for retirees. Table 10: Internet at the Library Valid Yes No Missing Total Frequency 368 69 67 504 Percent Valid Percent 73.0 73.0 13.7 13.7 13.3 13.3 100.0 100.0 Cumulative Percent 73.0 86.7 100.0 Access to Phone Services Phone services are important in case of an emergency. A high number of participants (71.4%) have access to a landline. 24.6% do not have access to a landline and 20 participants (4.0%) did not provide a response. Even though county residents have a landline, it does not mean service is connected. It is important for services to be connected, especially for elderly residents living in isolated areas. Table 11: Access to Phone Services Valid Yes No Missing Total Frequency 360 124 20 504 Percent Valid Percent 71.4 71.4 24.6 24.6 4.0 4.0 100.0 100.0 Cumulative Percent 71.4 96.0 100.0 Access to Cell Phone Most San Augustine county residents have access to cell phone services. 85.3% of the participants indicated they have access to cell phones and 12.9% indicated they do not have access. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 21 Table 12: Access to Cell Phone Valid Yes No Missing Total Frequency 430 65 9 504 Percent Valid Percent 85.3 85.3 12.9 12.9 1.8 1.8 100.0 100.0 Cumulative Percent 85.3 98.2 100.0 It is important to note that accessibility to cell phones or a landline does not necessary constitutes availability. For example a person may have a landline or cell phone but due to financial constraints they do not have service. Dependable Vehicle A high percentage (77.6%) indicated they have access to a dependable vehicle, while 11.7% indicated they do not have access. 54 (10.7%) did not answer the question. Table 13: Dependable Vehicle Valid Yes No Missing Total Frequency 391 59 54 504 Percent Valid Percent 77.6 77.6 11.7 10.7 100.0 11.7 10.7 100.0 Cumulative Percent 77.6 89.3 100.0 The focus of the question was on a dependable vehicle, in trying to assess if they have accessibility to a means of transportation. A dependable vehicle must be maintained and participants voiced their concerns about the cost of gas, insurance and new/renewed licenses. The County Sheriff is concerned about the high number of unlicensed drivers. This is due in part to the fact that there is not a Texas Department of Public Safety office in the County. Service providers and county residents were also of the opinion that the lack of driver’s education classes contributes to the problem. In an interview with a service provider it San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 22 was mentioned that one of the medical centers provide transport for dialysis patients to the center, but not back home. The residents experienced this service as helpful. 6.3 Employment in San Augustine County The research cafés and focus groups allowed county residents to voice the need for job creation and retention in the county. The CNAQ provides specific information related to jobs in terms of resources to support jobs, retention, underemployment and unemployment. County residents voiced their frustration with barriers to retain their jobs. Though some of the barriers are on an individual level, macro-level issues also contribute to employment problems. For example, inaccessibility to jobs (opportunities are in bordering counties), the lack of public transport, limited support systems such as child care and the lack of training in the county impacts job retention of individuals. County residents feel that the creation of jobs is not enough but that there needs to be a support system to mentor and motivate individuals to retain their jobs. Table 14: Sample Responses Employment in San Augustine County Sample Responses: Employment “ I have a job but it doesn’t have much of a future” CNAQ, female age 42 “ And then if you do find it, then pretty much it’s going to take over your entire salary because the pay is so low” Focus group – youth between ages 18 – 30, Broaddus “Jobs….So, I think that’s a big problem for our young families.” Focus group – youth between ages 18 – 30, Broaddus “Training for jobs. There’s no training at all.” Focus group – youth between ages 18 – 30, San Augustine “There are not enough opportunities for young people to find work…” CNAQ, female age 57 “ More jobs for young people” Research cafés - volunteer San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 23 6.4 Services State agencies are located in other counties, which creates transportation problems for residents, limits accessibility of services and impacts reporting of cases such as abuse of children, mental disabilities and exploitation of the elderly. The fact that there is limited reporting on specific social problems does not imply that the problems do not exists. It rather suggests that because of the inaccessibility of services and lack of knowledge thereof, the county residents are hesitant to report problems. It is also important to note that social service or mental health issues are often referred to the County Judge’s office and the County Sheriff’s office. Lack of accessibility to services impacts quality of life. County residents’ perceptions on accessibility and quality of life provide important information on the lack of services in all areas of the county. Some community residents live in isolation and may in addition experience transportation problems. The inaccessibility and lack of transportation puts isolated community residents at risk for issues such as substance abuse, child or elder abuse, mental health and health care. Specific barriers in the community impact the accessibility to services. Even though agencies outside the county are available to deliver services, it is evident that there is a lack of available services in the county. The mere existence of services in a bordering county does not imply that services are available to county residents. For example, a resident who needs immediate care in terms of mental health has to contact an agency in Lufkin for help. Since Lufkin is 53 miles from San Augustine and 34 miles from Broaddus, it means that immediate follow-up to a crisissituation is not always possible. Some services are available for limited times during the week. Service providers were interviewed in order to obtain information on the target population they serve; the percentage or frequency of time the service is available in the county; and the barriers to care. The following table provides a sample of services and the barriers to implementing the services. The San Augustine County Resource Guide (2013) was developed by the County Judge’s office to provide information on all services available to the county. These services are not necessarily located within the county. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 24 The following table provides a sample overview of services availability to county residents. Most of the services are located in bordering counties. Table 15: Sample of Services in San Augustine County Percentage Agency Services Target Provided Population or Time Spent in San Referral Barriers to Service Information in San Augustine Receives referrals from Adult Protection Services, hospitals, and individuals who are in need of care. Receives referrals from schools, law enforcement, CPS, parents, and courts Walk-in’s Schools Not enough local contractors to provide full time services in San Augustine County Augustine Deep East Texas Council of Governments (DETCOG) Area Agency on Aging Serves 12 counties. Provides in home support services. Advocates for clients. Serves individuals 60 years and older. In San Augustine on an as needed basis. DETCOG Services to Youth at Risk (STAR) Program Project HOPE Provides crisis intervention. Training in parenting skills. Ages 0-17 GED Prep Classes Adult Driver's Education Financial Aid Scholarship assistance ESL (English as a Second Language) Parent Awareness Seminars PSAT/SAT/ACT /THEA/TAKS/S TAAR tutoring JOB Corps Workforce seminars Motivational Speakers Career training College/job fairs Recreational tournaments Health fair Business services Adults In San Augustine once a week and as needed. Located in San Augustine Access to parents Funding, transportation, substance abuse, lack of job opportunities in San Augustine. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 25 Women’s Shelter of East Texas Assists women who need protection from domestic violent situations Victims of domestic violence In San Augustine once a week. Lone Star Legal Aid Privacy due to not having an office, transportation, employment in San Augustine County Department of Family and Protective Services Child protective services Adult protective services Child care licensing Adoption and foster care Children and adults In San Augustine as needed, no office located in San Augustine Schools, Citizens, Doctors, Police Transportation Burke Center Mental Health Adults and children MondayFriday as needed in San Augustine County. Emergency services Located in San Augustine County Law enforcement, hospitals, doctor’s offices, schools Walk-ins Rural challenges, transportation, substance abuse problems, funding and accessibility in San Augustine County Walk-ins Appointments Funding Walk-ins Transportation funding Development Disabilities Early Childhood Intervention Care and Share Heartbeat Pregnancy Food and clothing Testing, ultrasounds, baby items, parenting classes, adoption referrals. Individual and families with physical, spiritual, emotional, material, social and educational needs. Food pantry East Texas Food Bank Pregnant women No Health and Human Services offices. Tuesday, Wednesday, Thursday mornings Not present in San Augustine From the information provided by service providers it is evident that services in San Augustine are irregular, not frequent enough to address the needs and in some situations not accessible to the county residents. The table shows that services are mostly available as needed. It is important to note that during the interviews the service providers indicated that they understand the need to expand services in San Augustine County, but that specific barriers such as transportation, funding and resources to support services are barriers. Funding was identified as the most important factor impacting service delivery. The San Augustine County Resource Guide (2013) San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 26 provides extensive information on available resources in the county. The following section focuses on county residents’ perceptions of services. Law Enforcement Law enforcement in San Augustine County is perceived as good. According to the CNAQ, 35.7% of the county residents consider the law enforcement as good and 13.3 % rated it as excellent. 29.6% rated it as fair, while 15.9% perceived is as poor. In addition, during research cafés with community residents they indicated that the law enforcement was dependable and that they were satisfied with it. Service providers also indicated that the County Sheriff’s office has to deal with problems related to mental health and social problems. Emergency situations are often referred to the County Sheriff’s Office. Table 16: Perception of Law Enforcement Services Frequency Percent Valid Valid Cumulative Percent Percent Excellent 67 13.3 13.3 13.3 Good 180 35.7 35.7 49.0 Fair 149 29.6 29.6 78.6 Poor 80 15.9 15.9 94.4 16 3.2 3.2 97.6 Missing 12 2.4 2.4 100.0 Total 504 100.0 100.0 Do Not Know San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 27 Emergency 911 Service Emergency services in San Augustine county is mostly rated as good to fair. 29.6% of the participants rated services as good, while 23.6% rated it as fair. 12.1% rated it as excellent and 16.7% rated it as poor. 14.7% indicated that they did not know. Table 17 : Emergency 911 Services Valid Frequency Percent Valid Percent Cumulative Percent Excellent 61 12.1 12.1 12.1 Good 149 29.6 29.6 41.7 Fair 119 23.6 23.6 65.3 Poor 84 16.7 16.7 81.9 Do Not Know 74 14.7 14.7 96.6 Missing 17 3.4 3.4 100.0 Total 504 100.0 100.0 Fire Protection FFire protection in the county was rated as good (31.9%) , excellent (19.8%) and fair ((19%). 16.1 % of the participants rated it as poor and 10.3% did not know. San Augustine County volunteers operate the Fire Department. Both San Augustine and Broaddus have volunteer fire departments. Fire protection is an important service in San Augustine County as in any other rural county. Participants in the focus groups as well as service providers voiced their concerns about the manufacturing of methamphetamine. It can create a hazardous environment for adults and children and can lead to fires. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 28 Table 18: Fire Protection Cumulative Frequency Valid Percent Valid Percent Percent Excellent 100 19.8 19.8 19.8 Good 161 31.9 31.9 51.8 Fair 96 19.0 19.0 70.8 Poor 81 16.1 16.1 86.9 Do Not Know 52 10.3 10.3 97.2 Missing 14 2.8 2.8 100.0 504 100.0 100.0 Total Animal Control Animal control in San Augustine county is perceived as poor. Of the participants, 40.9% indicated they perceive it as poor and 26% did not know. 12.1% were of the opinion that it is fair, while 11.3% perceive it as good. Only 6% are of the opinion that it is good. Animals are not kept in closed areas. This creates dangerous situations in the county. It is not cost-effective to round-up animals and take them to a shelter. Table 19: Animal Control Frequency Valid Percent Valid Percent Cumulative Percent Excellent 30 6.0 6.0 6.0 Good 57 11.3 11.3 17.3 Fair 61 12.1 12.1 29.4 Poor 206 40.9 40.9 70.2 131 26.0 26.0 96.2 19 3.8 3.8 100.0 504 100.0 100.0 Do Not Know Missing Total San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 29 Garbage Collection 29.2 % of the participants rated garbage collection as good and 16.9% as excellent. 15.9% rated it as fair, while 14.7% were of the opinion that it is poor. 19.2% did not know. As in most small rural counties garbage collection is a problem. Table 20: Garbage Collection Cumulative Frequency Valid Excellent Percent Valid Percent Percent 85 16.9 16.9 16.9 147 29.2 29.2 46.0 Fair 80 15.9 15.9 61.9 Poor 74 14.7 14.7 76.6 Do Not Know 97 19.2 19.2 95.8 Missing 21 4.2 4.2 100.0 504 100.0 100.0 Good Total Storm Drainage Storm drainage is mostly perceived as fair or poor (38.4%). Of this 19.4% are of the opinion that is fair, while 19% believe it is poor. 8.3% are of the opinion that it is excellent and 16.9% indicated that it is good. 30.6% did not know. Table 21: Storm Drainage Frequency Valid Excellent Percent Valid Percent Cumulative Percent 42 8.3 8.3 8.3 Good 85 16.9 16.9 25.2 Fair 98 19.4 19.4 44.6 Poor 96 19.0 19.0 63.7 154 30.6 30.6 94.2 29 5.8 5.8 100.0 504 100.0 100.0 Do Not Know Missing Total San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 30 Library Services The library resources and services in San Augustine Country are perceived as excellent. The San Augustine Garden Club has a facility in the library “Pink Lady” where English lessons are provided to residents. According to the CNAQ, 34.9% of the county residents rated it as excellent, 26 % rated it as good, 10.1 % as fair and 9.3 % as poor. Of importance is that 16.3 % indicated that they did not know. It is not clear if the 16.3% do not make use of the library services or if they do not know of its existence. Young adults who participated in the focus groups also indicated that the library is a valuable resource in the county and that the service is good. Table 22: Library Services Cumulative Frequency Valid Percent Valid Percent Percent Excellent 176 34.9 34.9 34.9 Good 131 26.0 26.0 60.9 Fair 51 10.1 10.1 71.0 Poor 47 9.3 9.3 80.4 Do Not Know 82 16.3 16.3 96.6 Missing 17 3.4 3.4 100.0 504 100.0 100.0 Total Ambulance Services Most of the participants rated ambulance services as fair (24.8%) and 21.8% as poor. However when the CNAQ, and initial research cafés were conducted in 2012, there were no ambulance services in Broadus or San Augustine. Since then the county has obtained two ambulances. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 31 Table 23: Ambulance Services Cumulative Frequency Valid Excellent Percent Valid Percent Percent 63 12.5 12.5 12.5 Good 127 25.2 25.2 37.7 Fair 125 24.8 24.8 62.5 Poor 110 21.8 21.8 84.3 Do Not Know 65 12.9 12.9 97.2 Missing 14 2.8 2.8 100.0 504 100.0 100.0 Total Medical and Dental Services 32.5% of the participants indicated that they perceive the medical and dental services as excellent or good. (25.2% rated services as good and 12.5% as excellent). In addition to their perceptions about medical and dental services, county residents also shared their perceptions during the research cafés. Transportation for elderly and persons with disabilities for medical appointments as well as the improvement of the quality of the local services in the cities of San Augustine and Broaddus are considered as priority issues. The perceptions about poor services may be specific to the southern areas of the county, where services are more limited. Memorial Medical Center, San Augustine provides the following services: Emergency rooms Dialysis Hospital beds Breast exam room X- Ray equipment Physical therapy San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 32 Table 24: Medical and Dental Services Cumulative Frequency Valid Excellent Percent Valid Percent Percent 43 8.5 8.5 8.5 Good 121 24.0 24.0 32.5 Fair 133 26.4 26.4 58.9 Poor 162 32.1 32.1 91.1 Do Not Know 34 6.7 6.7 97.8 missing 11 2.2 2.2 100.0 504 100.0 100.0 Total Mental Health Services Perceptions about services are impacted by the fact that there is a lack of mental health and related social services in the county. 35.5% of the participants rated the services as poor, 11.5% rated it as fair, 8.1 % indicated that it is good and 3.4 % as excellent. A high percentage of 33.9% indicated they do not know. This high percentage makes sense in light of the fact that there are no services available. The research cafés and focus groups indicated that accessibility to services in bordering counties is an issue. Participants mentioned that they were specifically worried about residents who are living in isolated areas. These residents do not have immediate access to mental health services in case of an emergency. If they do not have the resources to make use of services in a bordering county, the mental illness goes untreated. Participants indicated that the development of resources for mental health patients in the cities of San Augustine and Broaddus should be a priority. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 33 Table 25: Mental Health Services Cumulative Frequency Valid Percent Valid Percent Percent Excellent 17 3.4 3.4 3.4 Good 41 8.1 8.1 11.5 Fair 58 11.5 11.5 23.0 Poor 179 35.5 35.5 58.5 Do Not Know 181 35.9 35.9 94.4 28 5.6 5.6 100.0 504 100.0 100.0 missing Total Public Transportation There is no public transportation in San Augustine County. It is evident that public transportation is one of the serious problems facing the county. Almost half of the participants (48.6%) are of the opinion that public transportation is poor, while 29% did not know. Table 26: Public Transportation Cumulative Frequency Valid Percent Valid Percent Percent Excellent 24 4.8 4.8 4.8 Good 25 5.0 5.0 9.7 Fair 29 5.8 5.8 15.5 Poor 245 48.6 48.6 64.1 Do Not Know 146 29.0 29.0 93.1 35 6.9 6.9 100.0 504 100.0 100.0 Missing Total San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 34 The need for public transportation was the one theme that repeated in the roundtable discussions, focus groups, and research cafés. Mention was made of a public transportation system that worked well several years ago and how the termination of this service impacted accessibility. Roads and Highways It was important to explore residents’ perception of county roads. Conditions of these roads ensure or limit accessibility to services in cities of San Augustine and Broaddus as well as remote areas in the county. Roads in San Augustine County are considered as either poor (30.6%) or fair (33.7%). According to the CNAQ, 5% believe the roads are excellent, 24.2% reported that they are good and 4.4% do not know. Table 27: Roads and Highways Cumulative Frequency Valid Excellent Percent Valid Percent Percent 25 5.0 5.0 5.0 Good 122 24.2 24.2 29.2 Fair 170 33.7 33.7 62.9 Poor 154 30.6 30.6 93.5 Do Not Know 22 4.4 4.4 97.8 Missing 11 2.2 2.2 100.0 504 100.0 100.0 Total Education and Public Schools 57.1 % of participants experience public education in San Augustine County as excellent, good and fair. The school system is experiencing challenges as in other rural communities. The schools are considered as important resources in the county. It is evident that public education is mostly considered as fair or poor. The community profile developed by Cooper (2013) refers to county resident’s overall concern for children and a belief that children should receive a positive education in a constructive learning environment (p11) San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 35 Participants in focus groups with young adults indicated that they are positive about the schools in San Augustine County. Table 28: Education and Public Schools Cumulative Frequency Valid Percent Valid Percent Percent Excellent 36 7.1 7.1 7.1 Good 99 19.6 19.6 26.8 Fair 153 30.4 30.4 57.1 Poor 126 25.0 25.0 82.1 Do Not Know 73 14.5 14.5 96.6 Missing 17 3.4 3.4 100.0 504 100.0 100.0 Total Substance Abuse Services As with other services, substance abuse services are located outside the county. In order for county residents to receive counseling and treatment, they need to travel to Center, Nacogdoches or Lufkin. The highest percentage of respondents indicated that they did not know about the services – 42.5%, while 34.5 % perceive it as poor. The fact that most participants did not know about services emphasizes the issues related to accessibility and the lack of community-based services in the county. 3.5% perceive it as excellent, 5.8 % as good and 9.3% as fair. Substance abuse was identified as a problem by residents in San Augustine County and this highlights the need for substance abuse services (education, prevention, treatment, after-care and community re-integration). The community profile, research cafés and interviews provide evidence that there is a need for services. Support services are available through different support groups such as AA. San Augustine County also instated a Drug Court in April 2013. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 36 Table 29: Substance Abuse Services Cumulative Frequency Valid Excellent Percent Valid Percent Percent 18 3.6 3.6 3.6 Good 29 5.8 5.8 9.3 Fair 47 9.3 9.3 18.7 Poor 174 34.5 34.5 53.2 Do Not Know 214 42.5 42.5 95.6 21 4.2 4.2 99.8 1 .2 .2 100.0 504 100.0 100.0 Missing 34 Total Child Care Services Child care services in San Augustine County is mostly considered as poor (25.2%) and 33.9% did not know. 5.8% perceive it as excellent, 11.3% as good and 11.5% as fair. Several focus groups participants indicated that the need for child care services should be considered as a priority. Child care services will enable mothers to work and can contribute to financial stability. Adults in the focus groups in Broaddus and San Augustine voiced their concern about child care. They felt that the availability of child care service will enable them to make use of employment opportunities even outside of the county. Research café participants also mentioned the importance of making child care training available to county residents. By having child care training located within the county it will create employment opportunities for child care providers. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 37 Y Table 30: Child Care Services o Cumulative u Frequency nV Excellent gaGood Percent Valid Percent Percent 29 5.8 5.8 5.8 57 11.3 11.3 17.1 lFair iPoor 58 11.5 11.5 28.6 127 25.2 25.2 53.8 d Do Not Know 171 33.9 33.9 87.7 62 12.3 12.3 100.0 504 100.0 100.0 Missing Total Youth Programs and Recreation Participants perceive youth programs and recreation in San Augustine as a resource to the community. 27.4% perceive the programs as excellent, good and fair. Residents who participated in the focus groups indicated that the lack of recreational activities in the county is considered as a problem. Although there is ample opportunity for fishing and hunting, structured activities for youth are limited. A roundtable participant (community profile, personal communication, March 2, 2012) indicated that separation among the races impacts the youth of the community. It stresses the importance of using youth programs to educate youth and to build bridges in the community. There are currently several clubs in the county including Boys and Girls Clubs, 4-H clubs, Boy Scouts and Girls Scouts. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 38 Table 31: Youth Programs and Recreation Cumulative Frequency Valid Percent Valid Percent Percent Excellent 26 5.2 5.2 5.2 Good 48 9.5 9.5 14.7 Fair 64 12.7 12.7 27.4 Poor 217 43.1 43.1 70.4 Do not know 126 25.0 25.0 95.4 23 4.6 4.6 100.0 504 100.0 100.0 missing Total Services to the Elderly A high number of participants are of the opinion that services for the elderly are poor (27.4%) while 17.3% believe that services are fair. Only 7.3% believe that it is excellent and 13.3% indicated that it is good. 22.8% of the participants indicated that they do not know. According to the U.S. Department of Commerce and the U.S. Census Bureau (2010), 10.1% of residents over the age of 65 live on their own. Living alone increases isolation and the need for care. Specific focus groups with elderly residents in facilities are positive and have hope for the future. These facilities provide excellent care for the elderly. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 39 Table 32: Services to the Elderly Cumulative Frequency Valid Percent Valid Percent Percent Excellent 37 7.3 7.3 7.3 Good 67 13.3 13.3 20.6 Fair 87 17.3 17.3 37.9 Poor 138 27.4 27.4 65.3 Do Not Know 115 22.8 22.8 88.1 60 11.9 11.9 100.0 504 100.0 100.0 Missing Total Government Assistance Responses to this question varied. A high number of participants do not know (22%) while 21.2% perceived the assistance as good. 11.1% perceive it as excellent; while 19.2% perceive it as fair and 19.4% as poor. Table 33: Government Assistance Cumulative Frequency Valid Excellent Percent Valid Percent Percent 56 11.1 11.1 11.1 107 21.2 21.2 32.3 Fair 97 19.2 19.2 51.6 Poor 98 19.4 19.4 71.0 111 22.0 22.0 93.1 35 6.9 6.9 100.0 504 100.0 100.0 Good Do Not Know Missing Total San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 40 Counseling Participants perceive counseling services in San Augustine County as poor (29.6%). A high number of 45.2% indicated that they did not know. Only 4.2% perceive it as excellent, 6.2% as good and 9.7% as fair. Counseling refers to services such as crisis intervention and family counseling as identified on the CNAQ. Counseling services are referred to professionals and agencies outside of the county. Elderly residents in residential facilities receive counseling; however residents living in the community only have access to counseling services outside of the county. Nacogdoches, Lufkin and Center have services available but there is no public transport to these cities. In terms of crisis intervention, service providers outside the county (such as the Burke Center) are definitely available to county residents. However, crisis intervention services are not available on a 24/7 basis, resulting in referrals to professionals who are not counselors. Table 34: Counseling Cumulative Frequency Valid Percent Valid Percent Percent Excellent 21 4.2 4.2 4.2 Good 31 6.2 6.2 10.3 Fair 49 9.7 9.7 20.0 Poor 149 29.6 29.6 49.6 Do Not Know 228 45.2 45.2 94.8 26 5.2 5.2 100.0 504 100.0 100.0 Missing Total Food Pantries There are food pantries in the county but information on food pantries is not readily available. 31.3% indicated they do not know about food pantries. 19.6% of the respondents indicated they perceive it as poor and 16.9% perceived it as fair. 16.7% were of the opinion that it is good. 10.7% of the participants indicated that it is excellent. Although it was not widely known at the time of the survey, there were San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 41 food pantries. Most churches in the county have food pantries. Tri-county partners with Care and Share to distribute food boxes in the county. Volunteers are actively involved in the distribution. Through this service even residents in isolated areas are reached. Table 35: Food Pantries Cumulative Frequency Valid Percent Valid Percent Percent Excellent 54 10.7 10.7 10.7 Good 84 16.7 16.7 27.4 Fair 85 16.9 16.9 44.2 Poor 99 19.6 19.6 63.9 158 31.3 31.3 95.2 24 4.8 4.8 100.0 504 100.0 100.0 Do Not Know Missing Total 6.5 Perception of Problems in the County The community needs assessment CNAQ, community profile, research cafés, focus groups and interviews identified specific problems in the community. Information was gathered from county residents, service providers and community leaders. It is important to understand that the data collected addressed perceptions of problems. Reports provided information on reported incidents. The problems rated as highest in the CNAQ were related to substance abuse and conditions of housing. The category of social problems is divided into questions on family violence, elder abuse, neglect and exploitation, physical assault, drug/alcohol abuse, drug manufacturing, drug dealers, and gangs. The questionnaire information specific to social problems is supported by interviews, focus groups, and the community profile. Condition of Houses Participants experience the conditions of houses in San Augustine County as a problem. This is evident from the community needs assessment questionnaire whereby 40.5% of the participants indicated that they perceive it as a problem. 39.9% are of the opinion that it is San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 42 not a problem and 13.7% do not know. In addition, observations of houses in the county show several structures that possibly create a danger for the community. Table 36: Condition of Houses Cumulative Frequency Valid Percent Valid Percent Percent Yes 204 40.5 40.5 40.5 No 201 39.9 39.9 80.4 Do Not Know 69 13.7 13.7 94.0 Missing 30 6.0 6.0 100.0 504 100.0 100.0 Total Cost of Housing 39% of the participants indicated they do not perceive it as a problem. However 28% indicated that they perceive it as a problem. While 25.4% did not know if it is a problem. Data from the focus groups and the community profile indicated that it is considered as a serious problem. Young adults who participated in the focus groups in San Augustine and Broaddus were of the opinion that housing is preventing young people from living in the county. Rent is high and residents who are underemployed are not able to afford the rent. One of the community residents summed up the reality of housing - “due to underemployment and many being unemployable many are living in substandard conditions” The community profile by Cooper (2013) gives an example how a resource is available but is problematic: “In terms of housing, the San Augustine Housing Authority operates an apartment complex with 72 units, including 1, 2, 3, and 4 bedroom apartments. Interestingly, their complex has approximately 20 units open and no waiting list. The staff attributed this to the county’s economic situation (San Augustine County Housing Authority staff, personal communication, January 9, 2013). Specifically, many of the San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 43 families who need housing assistance are unable to afford their portion of the rent. The county also has an assisted living facility and a privately owned and operated housing facility for senior citizens. Section 8 housing is available through the Deep East Texas Council of Governments (DETCOG)” (p. 23). Table 37: Cost of Housing Cumulative Frequency Valid Percent Valid Percent Percent Yes 141 28.0 28.0 28.0 No 201 39.9 39.9 67.9 Do Not Know 128 25.4 25.4 93.3 34 6.7 6.7 100.0 504 100.0 100.0 Missing Total Vandalism According to the CNAQ, perceptions about vandalism differs 47.4% indicated they do not perceive it as a problem and 26.6% do not know. 19.8% indicated they perceive it as problem. Table 38: Vandalism Cumulative Frequency Valid Percent Valid Percent Percent Yes 100 19.8 19.8 19.8 No 239 47.4 47.4 67.3 Do Not Know 134 26.6 26.6 93.8 31 6.2 6.2 100.0 504 100.0 100.0 Missing Total San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 44 Burglaries As with vandalism the responses differ. 26.6% were of the opinion that burglaries are a problem, 41.5% indicated that they do not perceive it as a problem, and 26.4% did not know. Table 39: Burglaries Valid Yes Frequency 134 No Do Not Know Missing Total Percent Valid Percent 26.6 26.6 209 133 28 504 41.5 26.4 5.6 100.0 Cumulative Percent 26.6 41.5 26.4 5.6 100.0 68.1 94.4 100.0 Family Violence During interviews, service providers and county residents verbalized that family violence is a problem. However, 38.9% of the CNAQ, participants indicated that they do not know if it is a problem, 22.8% consider it as problem, and 32.3% do not perceive it as a problem. Limited information is available about family violence and there was no reference to it in focus groups. According to the community profile roundtable participants mentioned that domestic violence among other contributing factors were observed as part of a generational history of poverty and child abuse/neglect. Table 40: Family Violence Frequency Valid Yes No Do Not Know Missing Total Percent 115 163 196 30 504 22.8 32.3 38.9 6.0 100.0 Valid Percent Cumulative Percent 22.8 32.3 38.9 6.0 100.0 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 45 22.8 55.2 94.0 100.0 Elder Abuse, Neglect and Exploitation A high number of participants (43.5%) indicated that they do not know if elder abuse is a problem. 35.7 % do not perceive that it is a problem, and 13.9% indicated that they perceive it as a problem. 6.9% of the participants did not give a response. Service providers and volunteers identified isolation of elderly and inaccessibility of services as problems. Service providers at two facilities identified the importance of creating more support groups for elderly residents, a broader volunteer base to transport elderly residents to medical services (such as dialysis) and community-based services. Service providers at these facilities also informed the team that staff-turnover is a barrier to care. In addition, churches provide a range of support services to their elderly residents. Table 41: Elder Abuse, Neglect and Exploitation Valid Yes No Do not know Frequency 70 180 219 missing Total Percent Valid Percent 13.9 13.9 35.7 35.7 43.5 43.5 35 504 6.9 100.0 Cumulative Percent 13.9 49.6 93.1 6.9 100.0 100.0 Physical Assault Again as with other problems, the highest response was that 38.5% do not know, 34.3% do not perceive it as a problem, and 20.4% perceive it as a problem. Table 42: Physical Assault Valid Yes No Do Not Know Missing Total Frequency 103 173 194 34 504 Percent Valid Percent 20.4 20.4 34.3 34.3 38.5 38.5 6.7 6.7 100.0 100.0 Cumulative Percent 20.4 54.8 93.3 100.0 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 46 Substance Abuse Questions specific to substance abuse included perceptions about drug and alcohol abuse, drug manufacturing and drug dealing. During the research cafés, and initial interviews with service providers it became evident that problems related to drug abuse exist. Drug and Alcohol Abuse 45% of the participants indicated that drug/alcohol abuse is a problem in their specific area. 26.6% indicated they do not know if it is a problem, and 21.2% do not perceive it as a problem. Table 43: Drug and Alcohol Abuse Valid Yes No Do not know missing Total Frequency 227 107 139 31 504 Percent Valid Percent 45.0 45.0 21.2 21.2 27.6 27.6 6.2 6.2 100.0 100.0 Cumulative Percent 45.0 66.3 93.8 100.0 Drug Manufacturing It is evident that drug manufacturing exists in San Augustine County. Several major roads connect San Augustine County with larger cities in the area and it enhances opportunity for drug manufacturing and dealing. Services providers and volunteers identified problems related to drug manufacturing. Abuse and neglect of children and the elderly, neglect of houses and property, financial problems are some of the problems related to drug manufacturing. Dangerous living conditions (for example fire hazards) create a danger to county residents. 38.7 % of the participants indicated that the manufacturing of drugs in the area where they live is a problem. 32.5% did not know if it is a problem and 23.5% did not consider it as a problem. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 47 Table 44: Drug Manufacturing Valid Yes No Do Not Know Missing Total Frequency 195 117 164 28 504 Percent Valid Percent 38.7 38.7 23.2 23.2 32.5 32.5 5.6 5.6 100.0 100.0 Cumulative Percent 38.7 61.9 94.4 100.0 Drug Dealing 40.7 % indicated that the existence of drug dealers is a problem in the area where they live. 30.6% indicated it is not a problem and 30.6% indicated they did not know. There are limited services related to drug abuse in San Augustine County and this is an important issue to be addressed. Table 45: Drug Dealing Valid Yes No Do Not Know Missing Total Frequency 205 Percent 40.7 116 154 29 504 23.0 30.6 5.8 100.0 Valid Percent 40.7 Cumulative Percent 40.7 23.0 30.6 5.8 100.0 San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 48 63.7 94.2 100.0 Gangs Most of the participants in the CNAQ do not know if there are gangs in the county (46%). 37.3% are of the opinion that there are no gangs and only 8.5% indicate that it is a problem. 8.1 % of participants (8.1%) did not answer the question. According to research café participants and service providers they are not aware of gangs. Table 46: Gangs Valid Yes No Do Not Know Missing Total Frequency 43 188 232 41 504 Percent Valid Percent 8.5 8.5 37.3 37.3 46.0 46.0 8.1 8.1 100.0 100.0 Cumulative Percent 8.5 45.8 91.9 100.0 Other Problems Participants were asked to identify if there were other problems. 30.6% of participants indicated that they do not know if there were other problems in the county. A high number (45.8%) did not answer the question. Specific problems as identified by participants were related to condition of streets, recreational activities by trespassers, gangs and environmental concerns. 7. POPULATIONS AT RISK In all counties there are certain populations considered at risk. The Center for Disease Control and Prevention identify certain at risk populations including but not limited to people with disabilities, children, aged persons, immigrants and young adults. For the purpose of this discussion at risk populations include abused and neglected children, elderly residents, young adults and Hispanic residents. Research café participants identified specific problems experienced by these populations. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 49 Abused and neglected children - children living in dangerous situations for example where drug manufacturing occurs, possible underreporting of abuse/neglect and limited awareness of what constitutes abuse; Elderly residents – living in isolated areas, no family or support to access resources and neglect due to lack of care; Young adults – limited employment for youth, lack of resources such as child care for families with young children; Hispanic residents – living in isolated areas and barriers in terms of language. 7.1 Child Abuse and Neglect According to DFPS 2012 Data Book (Texas Department of Family and Protective Services), San Augustine County has 1,840 children. In several conversations it became evident that county volunteers believe child abuse and neglect is a problem in the county. The project team determined that there might be a strong reluctance to respond to a questionnaire that included questions about child abuse and to prevent an overall low response rate this issue was not included. Data from other sources were collected to develop a better understanding of child abuse and neglect. According to the DFPS 2012 Data Book (Texas Department of Family and Protective Services), the following was reported for San Augustine County by CPS: Table 47: Confirmed CPS Victims and Investigations Confirmed Victims of Child Abuse/Neglect 15 Total CPS Completed Investigations 49 Confirmed CPS Investigations 12 Table developed based on data DFPS 2012 Data Book (TDFPS) In addition, 7 children were in substitute care, 6 children entered care (removals) and 4 children were in foster care (P. 160). San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 50 Table 48: Child Abuse and Neglect in San Augustine County Initial Intakes 69 Child Abuse/Neglect Reports Assigned for Investigation 61 CPS Workers Responsible for Intake or Investigation by Office 0 Location Investigation Initiation Response Time in Completed Investigations Priority 1: Within 24 hours Over 24 hours 10 0 Investigation Initiation Response Time in Completed Investigations Priority 2: Within 72 hours Over 24 hours 38 1 Alleged Victims of Child Abuse/ Neglect 68 Alleged Victims in Unconfirmed Investigations 49 Alleged Victims in Ruled Out Investigations 30 Alleged Victims Provided Services * 16 *Subcategory of unconfirmed investigations DFPS 2012 Data Book (TDFPS) Alleged Victims not Provided Services ** 52 **Only includes children who received post-investigation services DFPS 2012 Data Book (TDFPS) Children Removed from Home *** 3 ***Children removed from homes as a result of a completed investigation without regards to concurrent open family stages, a subset of total children entering substitute care DFPS 2012 Data Book (TDFPS) Table developed based on data DFPS 2012 Data Book (TDFPS) A review of CPS data from 2010-2012 show that completed investigations, in home services and substitute care are received at a lower rate in San Augustine County (DFPS, 2010, 2011, 2012, see Table 49 for complete data). In home services are used to preserve families to avoid removal of children but maintain their safety, while substitute care are placements outside the home such as, kinship care, foster homes, residential treatment facilities, foster group homes, juvenile facilities and independent living facilities for older youth. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 51 Table 49: CPS Data Comparisons between San Augustine County and Texas CPS Fiscal Year 2010 2011 2012 Average CPS Fiscal Year 2010 2011 2012 Average CPS Fiscal Year 2010 2011 2012 Average CPS Fiscal Year 2010 2011 2012 Average CPS Fiscal Year 2010 2011 2012 Average Children in Substitute Care per 1,000 Children State SA County 6.0 1.8 6.7 1.3 6.4 3.8 6.36 2.3 CPS Completed Investigations per 1,000 children State SA County 25.7 24.1 26.3 27.6 23.5 26.6 25.16 26.1 Confirmed Victims of Child Abuse/Neglect per 1,000 Children State SA County 10.1 7.8 9.8 11.5 9.1 8.1 9.7 8.8 Number of Removals per 1,000 children State SA County 2.4 4.6 2.5 0.4 2.4 3.2 2.43 2.73 Children Receiving In-Home Services per 1,000 Children State SA County 14.9 7.4 13.9 9.6 11.9 13.0 13.56 10 Table developed based on data from DFPS 2010, 2011, 2012 Annual Report and Data Books San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 52 According to the roundtable discussions, and research cafés, service providers, community leaders and volunteers believe that there is a low intake of child abuse cases partly due to a lack of CPS presence in the county. When asked for their opinions, the child welfare and law enforcement professionals agreed that child abuse/neglect is underreported (Roundtable Participants, Personal Communications, March 2, 2012 in Cooper (2013)). Additionally, San Augustine County demographics include characteristics of children and families that indicate a higher incidence of child abuse/neglect than what is being reported. These characteristics relate to unemployment, lower socioeconomic status, single parent family structure and county metropolitan status, as well as the child’s race/ethnicity (Sedlak, Mettenburg, Basena, Petta, McPherson, Greene, and Li, 2010). According to the Fourth National Incidence Study of Child Abuse and Neglect (NIS–4), “rates of maltreatment for Black children were significantly higher than those for White and Hispanic children” (Sedlak et al., 2010, p.10). The following are comparisons between San Augustine County and Texas for the above mentioned characteristics (Annie E. Casey Foundation, 2013): Unemployment - SA 12.4%; Texas 7.9% Socioeconomic status o Poverty (ages 0-17) - SA 37.9%; Texas 26.6% o Children living in areas of concentrated poverty - SA 39.1%; Texas 17% o Free/reduced-price lunch recipients – SA 94.7%; Texas 62.4% o Supplemental Nutrition Assistance (SNAP) – SA 38.8%; Texas 26.4% o WIC recipients (ages 0-4) – SA 60.1%; Texas 43.6% o Medicaid enrollment (ages 0-18) – SA 57%; Texas 33.6% o SSI recipients (ages 0-17) – SA 38.1%; Texas 19.8% Family Structure o Children in single parent families – SA 56.6%; Texas 29.9% o Births to single teens (ages 13-19) – SA 18.8%; Texas 11.2% Finally, levels of child abuse and neglect are twice as high for rural counties compared to urban counties (Sedlak et al., 2010), which indicates an even greater risk for San Augustine County children. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 53 Clearly, community leaders and professionals have cause for concern when it comes to protecting the county’s children from abuse and neglect. The number of reports is likely to be considerably lower than actual maltreatment occurrence, and when there are confirmed victims of abuse, the level of services are provided at a lower rate than for Texas children as a whole (DFPS, 2010, 2011, 2012, see table 59 for complete data). In addition to the residents’ reluctance to call in suspected child abuse, there are no CPS workers responsible for intake or investigation by office location for San Augustine County (DFPS, 2012). This data emphasizes the importance of educating not only professionals that come in contact with children but all county residents about child abuse and neglect and the need to report. Because of the rural nature of the population, it is also critical to have a CPS office location in the county with child protection workers to develop relationships with rural community members and enhance accessibility to CPS investigations and services. 7.2 Elderly Residents It was important to include the voices of the elderly county residents. This was done by interviewing elderly residents (including residents in senior living facilities). The CNAQ was administered to many elderly residents living in the county. Elderly participants who were included in the focus groups were in a nursing home and in an assisted living facility. Overall the themes are positive and suggest strengths rather than limitations. Nursing Home Environment The physical, social and emotional environment in the nursing homes impacts the elderly resident’s well-being. Cleanliness and the overall neatness of the nursing home facility make an impact on their perspective of their surrounding environment. According to the residents, the absence of odor that is commonly associated with nursing home settings contributes to a positive atmosphere. Staff Perceptions about staff are overall positive. The staff decorates the nursing homes, which creates a positive environment. Residents feel that they can build positive relationships with the staff. The residents enjoy being loved and cared for by the staff at the nursing home. Helping the staff San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 54 in the nursing home gives the residents a sense of purpose. The participants stated that they appreciate being considered as equals by the staff. The staff has a significant influence on the well-being of residents. The participants noted the extra efforts from the staff; such as the staff telling the residents they love them, giving them hugs and “kisses” [Participant Colonial Pines] and making sure they have the things they need on a daily basis adds value to their lives. “It makes all the difference that we have more than a good relationship with the staff of the nursing home” [Participant Colonial Pines]. Community Support The involvement of the church positively impacts the resident’s well-being. The participants stated that the involvement of the churches from the community gives them a connection with the outside community and gives them a sense of socialization with others outside of the nursing home. They feel positive about church members visiting them. The participants stated that they would feel lost if they did not have regular church services within the nursing home. Friendships with staff and other residents positively replace the absence of long distance relationships with family and friends. It gives elderly residents a sense of belonging. The participants also stated that the established relationships and friendships with other residents provide a sense of family. It was noted in the focus groups that one of the areas that need improvement in the nursing home environment is more involvement from the community for the residents who do not have any family or friends. The residents stated that it would benefit those residents with no family to receive visits from county residents and volunteers. Quality of Life Residents in the nursing homes are attuned to and affected by one another. Whenever a fellow resident is in distress or discomfort it hinders the other residents. The focus group participants indicated that the choice to live in nursing home is a difficult decision. All participants stated that they felt a sense of control and independency from being able to make the decision to live in a nursing home. It was a life choice they made that would benefit them by living in an environment that fit their health and physical needs, without burdening their loved ones. The right to make decisions enhances the independency of nursing home residents. One residents said: “Being able to make choices from what I will wear for the day to having a choice San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 55 of what to have for breakfast, lunch and dinner is important” The residents also believe that being in a rural community enriches their lives and connects them with other county residents. Stigma Residents are aware of the fact that there is a stigma about nursing homes. The participants stated that while they made the decision to live in a nursing home on their own there were some apprehensive feelings towards the idea because of the general negative perception of nursing homes. The residents take pride in their nursing home environment. The participants noted the nice furnishings within the nursing home, the decorations during various holidays, and the cleanliness of the nursing home. Being treated with respect is important to residents. The participants stated that their dignity and self-worth surfaced from being respected by the staff at the nursing home. Given the opportunity to retain or improve their physical abilities is an important factor. (For example, the opportunity to improve their walking capabilities) 7.3 Young Adults (County Residents Age 18 -30) Twenty-one county residents participated in the focus groups in the cities of San Augustine and Broaddus. It was important to include the youth to ensure their input since the CNAQ had low representative of residents aged 18 – 30. Many of the young adults interviewed live in San Augustine permanently and have family connections in the county. The main challenges identified by the young adult population of San Augustine County are - adequate employment opportunities, nearby activities and entertainment, and continuing education programs. The following table provides a sample of demographic information of the one focus group. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 56 Table 50: Sample Demographics Gender Race Age Employment Commute Marital to work? Status Children F W 28 Self-employed No S 0 F W 27 Student Yes M 2 M W 26 Funeral Home No S 0 M W 30 Trade Services Yes S 0 F W 27 Stay-at-Home Mom No M 2 M W 22 Unemployed No S 0 F W 27 County Employee No S 0 F W 30 Student/Stay-at-Home No M 2 Mom F B 27 Educator No S 0 F B 27 Educator No S 1 Employment It is evident that it is difficult for young adults to obtain adequate employment and many are forced to settle for what they can find if they want to stay in the county. According to the focus group participants, once a person graduates from high school, there are many obstacles that stand in the way of young adults furthering their education. There are also no continuing education programs located within the county. Availability of jobs is a barrier to their quality of life. There are limited options within the county. One participant stated, “If you stay here in Broaddus you’re mainly going to be a teacher or a truck driver. That’s basically all you’ve got here”. Of the jobs that are available, there is a perception that very few hire outside of the family who owns the business, pay well enough or provide adequate benefits to fulfill the needs of a young adults who are trying to support a family, or themselves. One participant stated, “If I were to go back and get my masters in occupational therapy like I planned to, I would make more in a bigger city then I would here”. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 57 Participants stressed the idea of the need for larger businesses within the county that could provide young adults with more jobs, especially those that would provide lifelong careers. Growth and Progress Focus group participants felt that lack of progress, especially geared towards the younger generation, is one of the main challenges in the county. One participant stated, “I think there’s a lot of really good progress being made, but none that will actually affect the younger group”. In regards to community progress another participant stated, “I just don’t see it. That’s all I’ve got to say about that”. Overall, participants agreed that the amount of effective progress is severely lacking within this county. Poverty Young adults experience financial difficulties and poverty. They are also concerned about the levels of poverty in the county. One participant stated that poverty is, “probably the biggest issue in San Augustine County”. Participants explained that the poverty within the county is often persistent within families, making it challenging for future generations to escape that lifestyle. In regards to poverty, one participant stated, “There’s a saying with the poor people, I can’t buy a car because I don’t have a job and I can’t get a job because I don’t have a car. And that’s where you’re stuck at”. Participants felt the extreme poverty seen within some areas contributes to the county being unappealing to outsiders. One participant stated, “It’s the norm to live in poverty. It’s the norm not to try and do better”. Education Participants were of the opinion that there is a lack of opportunity for higher education and continuing education located within the county. There are however opportunities available in surrounding counties such as Nacogdoches County. Participants are frustrated and discouraged about this. One participant stated, “Let’s say, I want to get a better education…I’m an hour from the nearest spot to get that so, it’s kind of hard to like have to drive all the way out there”. Participants also stated that many young adults do not consider the importance of higher education. One participant stated, “If you have parents that are uneducated then, it’s not influenced in your household for education to be important”. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 58 Safety Participants were clear about how safe they feel living in San Augustine County. They are positive about safety and the overall law enforcement in the county. There was not a single participant that expressed concerns about feeling unsafe while living in this community. Both focus groups had participants who mentioned that they often sleep with their doors unlocked. One participant stated, “I think it’s pretty safe. I’ve been here a year and I mean, I can’t really remember any crime in town”. Participants take great pride of the idea that they do not have to worry about safety within this community. Recreation Activities There is a need for more activities and entertainment directed at young adults and families with children. According to the participants, there is a lack of activities and entertainment geared towards the young adult population. Participants stated that they often have to go outside of the county just to go to the movies, shopping or to dine. The nearest places for entertainment are between forty five minutes to an hour away and participants stated that many people are unable to make that trip for a number of reasons, but mainly due to lack of time, money and transportation. In regards to this issue one participant stated, “…everybody’s so broke now; nobody wants to drive an hour to Lufkin”. Participants also expressed how they struggle with finding activities and entertainment for their children to do within the county. One participant stated, “We have to travel to Center or Nacogdoches for my daughter to do anything. Like get into sports, extracurricular, and stuff”. Availability of Drugs The use of illegal drugs is one of the most prevalent issues and it affects all age groups, particularly the young adult population. Participants mentioned that the use of illegal drugs is a popular activity that many young adults encounter. One participant stated, “Drugs is one of the biggest problems in San Augustine”. An important contributing factor that contributes to this issue is the lack of recreational activities within the county. A participant stated, “…there’s nothing to do but to get in trouble around here”. Participants explained that when education is not a priority and there is so little activities/entertainment for San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 59 people to engage in, people often turn to drugs. It is also believed that if more effective measures were taken to address this issue, the problem would be minimized. Social Support The focus group members consider the friendliness of county residents as a contributing factor to their positive attitude towards the county. Participants explained that everyone knows each other and it enhances support in the community. One participant stated, “I enjoy the fact that a lot of people are friendly. Even if I see somebody five times a day, I’m still going to wave five times that day. And we’re close knit”. Participants stressed the idea that people are always willing to “lend a helping hand” [words of a participant] when they know someone may be in need or going through a difficult time. One participant stated, “I love how everybody is there to help each other and like when somebody loses somebody you know…like, everybody pulls together and like helps them and you know…is there for them”. Participants stated that they feel as though community support is geared towards the elderly population. They are of the opinion that the county is a retirement community that is more concerned with meeting the needs of the older population. One participant stated that the view of San Augustine is “Come here to retire, but don’t stay if you’re young”. There are many young adults who are motivated to be involved or support the community. One participant stated, “I think there would be support, but there are not enough of us”. 7.4 Hispanic/Latino Residents The Hispanic/Latino population was included in the needs assessment through a CNAQ translated in Spanish as well as interviews with key informants. A family based event was organized where the Latino population was to share their thoughts and experiences about living in the county. Personal interviews were also conducted and a group discussion was held for any comments or questions for participants. The information available is limited; however it does provide some insight in how Latino residents experience strengths and barriers in the county. The following questions were asked during the personal interviews: 1. Do you live in San Augustine? Do you commute for work? 2. What services would you like to see here? What services would your family benefit from? San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 60 3. What will keep you here in the future? 4. Why do you want to stay in San Augustine? 5. What can the county change? 6. What strengths and challenges do you face? 7. What major problems do you see in the community? From the interviews with key informants certain barriers were identified: Job Opportunities Limited job opportunities exist for Latino families. They have to travel to Nacogdoches or Center (for example to the Tyson plant) for work. Jobs are considered as strengths even though they have to commute. A county resident commented: “There are no jobs here. I have to commute. My job is my strength – it keeps me going everyday” Family The most important factor keeping Latino families in San Augustine County is the stability of family. Having extended family to help with child care is an important factor in trying to reach financial stability. Barriers to Services Accessibility to medical care is considered as a barrier. Elderly Latino residents specifically are in need of care. However the participants were positive about medical care according to the following responses: The medical care provided by the Government is helpful” and “Even though we travel far for medical attention, they at least charge a low cost”. Language barriers are considered a factor in not seeking services. The participants indicated that education for Latinos such as offering English classes would increase job opportunities, learning new skills and communicating with other people in the community. It seems that Latino residents are hesitant to ask for services.. One of the responses emphasized this: “Even if there were services available to Spanish speaker, many times people do not want to inform us or work with use because they see us as taking all their resources”. There was some San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 61 resistance in participating in the interviews and completion of the CNAQ. Some Latino residents voiced a sense of uncertainty. 8. CONCLUSION San Augustine County residents participated in a comprehensive county needs assessment. A participatory action model was used to develop a community profile, identify and explore needs related to social services, collect residents’ perceptions related to problems and services in the county, describe at risk populations and identify strengths and challenges. Overall the needs assessment highlighted strengths in the county. Residents are actively involved in the community and are positive about making a difference. The importance of addressing the limited availability of social services was highlighted through this project. Residents are actively volunteering to address the gaps due to the lack of services. The strong will and commitment to take care of residents in need is a strength in the county. Residents perceive several problems as high priority. Substance abuse and problems related to manufacturing drugs impact quality of life of county residents. Specific at risk populations were identified namely elderly county residents, children, young adults and Hispanic/Latino residents. Each of these groups experiences their own challenges and due to the lack of social services, their meets are not being met. 9. RECOMMENDATIONS 1. In order to effectively address the problems in San Augustine County, it is important to provide social services located within the county. Getting funded agencies tasked to deliver established services should be a priority. These social services should address the needs identified in the study – substance abuse, mental health, child and adult protection services (including the elderly). An increase and presence of service providers in the county will raise awareness of the needs of certain at risk populations including the elderly, mental health patients, children who are abused and those affected by substance abuse and addiction. It is anticipated that the number of reports will increase and it will create an atmosphere of support and help to the community; San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 62 2. In order to develop social services, it is important to focus on prevention, treatment and aftercare. It is recommended that services provided in the county focus on a continuum of care rather than one part of the continuum. For example, if county residents have to receive aftercare services in other counties, it may impact the success rate of services; 3. Services should be accessible in terms of language – specifically to the Spanish speaking population. The program to teach English to non - English speaking residents is a valuable resource. It is important to raise awareness on the availability of this important resource; 4. By ensuring services, the need for volunteers will also increase. San Augustine County residents are committed to the enhancement of their quality of life. The strong volunteer support can be used to strengthen social services. It is recommended that an alliance of volunteers is created to strengthen and structure the volunteer base. Information about volunteer services should be readily available to county residents; 5. A one-stop model for social services is recommended. The model enhances accessibility for service delivery. Such a model will enable service providers to effectively refer clients or patients without the need for additional transportation; 6. Addressing the needs of the youth in the county should be a priority. Existing resources for the youth should be strengthened. It is also important to raise awareness about the different resources for youth; 7. It is important for the county to identify sustainable strategies to keep young individuals and families in the county. These strategies should be strengthened by sustainable economic development and an increase in educational opportunities to develop a trade or a profession; 8. It is recommended that a partnership network is developed to strengthen efforts for grant applications and service development. The partnership network should include agencies and institutions with resources. It is important to include county residents who will take ownership of sustainable change; San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 63 9. Information on support groups, food pantries and services should be made available to county residents on a continuous basis. In addition to the resources guide, information should be published and distributed through churches and newspapers; 10. The county should raise awareness of the existing services. The San Augustine County Resource Guide (2013) provides comprehensive information about the services. This information should be distributed to churches, the schools, medical centers and all agencies delivering services; 11. The need for child care service should be a priority. Child care services will enable parents to work and will contribute to financial stability of families. Training in child care should be developed; 12. Adequate infrastructure specific to garbage collection and animal control should be developed and strengthened; 13. Medical services and dental care should be strengthened; 14. A recreation center or a central community center should be developed. It should include a place where activities for children and youth can be presented; 15. Volunteers, teachers and other professionals should be trained to identify risks in the county. Specific training on the identification of child abuse, elderly abuse and substance abuse should be a priority; 16. Educational opportunities should be brought to San Augustine County. This should include the development of a vocational training program; 17. The lack of public transportation creates challenges for many residents. The development of a transportation system with access for all county residents should be a priority; 18. It is recommended that further research on economic development and resources be conducted. Further research on at risk populations including children who have been abused and neglected, elderly, young adults and undocumented persons is necessary. Other groups San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 64 include persons with disabilities and people who have been diagnosed with HIV/AIDS; 19. A follow-up study of the needs assessment is important. It is also recommended that after services have been implemented in the county, an evaluation should be done; 20. The current strategic plan of the county already includes information based on the county needs assessment. It is important to include and update the information as it relates to the strategic plan. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 65 REFERENCES Annie E. Casey Foundation. (2012). Kids Count profile for San Augustine County. Retrieved from http://datacenter.kidscount.org/data/bystate/stateprofile.aspx?state=TX&group=All&loc= 6717&dt=1%2c3%2c2%2c4 Annie E. Casey Foundation. (2013). Selected Kids Count indicators for San Augustine County. Retrieved from http://datacenter.kidscount.org/data/customreports/6717/any Center for Disease Control and Prevention. (2011). Other At Risk Populations. Retrieved from: http://www.cdc.gov/ City County Data Book (2012). Retrieved from http://www.city-data.com/county/San_Augustine County Cooper, H.S. (2013). San Augustine County Social Services Needs Assessment and Community Profile. Nacogdoches, TX: SFA. Rural Assistance Center. (n.d.). What is rural? Retrieved from http://www.raconline.org/topics/what-is-rural/ San Augustine County Resources Guide. (2013). San Augustine County, TX: San Augustine County Judge’s Office. Sedlak, A.J., Mettenburg, J., Basena, M., Petta, I., McPherson, K., Greene, A., and Li, S. (2010). Fourth National Incidence Study of Child Abuse and Neglect (NIS–4): Report to Congress, Executive Summary. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families. Texas Department of Family and Protective Services, DFPS. (2010). 2010 Annual Report and Data Book. Retrieved from http://www.dfps.state.tx.us/About_DFPS/Data_Books_and_Annual_Reports/2010/default .asp Texas Department of Family and Protective Services, DFPS. (2011). 2011 Annual Report and Data Book. Retrieved from http://www.dfps.state.tx.us/About_DFPS/Data_Books_and_Annual_Reports/2011/default .asp San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 66 Texas Department of Family and Protective Services, DFPS. (2012). 2012 Annual Report and Data Book. Retrieved from http://www.dfps.state.tx.us/About_DFPS/Data_Books_and_Annual_Reports/2012/default .asp U.S. Department of Commerce, & United States Census Bureau. (2010).San Augustine County [Data file]. Retrieved from http://quickfacts.census.gov/qfd/states/48/48405.html. U.S. Department of Commerce, & United States Census Bureau. (2012a).San Augustine County [Data file]. Retrieved from http://quickfacts.census.gov/qfd/states/48/48405.html. U.S. Department of Commerce, & United States Census Bureau. (2012b). Table 76. Religious Bodies—Selected Data [Data file]. Retrieved from http://www.census.gov/compendia/statab/2012/tables/12s0076.pdf San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 67 APPENDIXES Appendix 1 San Augustine County Community Needs Assessment Questionnaire Dear community member, Thank you very much for taking the time to help us with the community needs assessment. This questionnaire will help us to determine the specific needs in your area. We anticipate that it will take 30 minutes to complete the questionnaire. Please or encircle your answer. Your feedback is valuable to us. Thank you for your time! Section 1: 1. What 3 things do you like most about living in San Augustine County? 2. What kind of struggles are you facing? 3. Where do you get most of your support in the community 4. Do you feel that there are opportunities for you in this community (For example raising a family, work, education)? Explain. 5. What 3 things would make a better life for you and your family? Section 2: 1. How would you rate the following in your area: Excellent Good Fair Poor Do not know Law enforcement Emergency 911 Fire protection San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 68 Animal control Garbage collection Storm drainage Library service Ambulance service Medical/dental services Mental health services Public transportation Roads/highway/streets Education (public schools) Substance abuse services Child care services Youth programs and recreation Elderly services Government assistance (Medicaid, food stamps, Social Security) Counseling (such as crisis intervention, family counseling) Food pantries 2. How safe do you feel where you live? Day Very Safe Safe Undecided Unsafe Very unsafe Night Very Safe Safe Undecided Unsafe Very unsafe Please explain your answer 3. Which, if any are problems in your area? Yes No Do not know Condition of houses Cost of housing Vandalism Burglaries Family violence Elder abuse, neglect and exploitation Physical assault Drug/alcohol abuse Drug manufacturing Drug dealers Gangs Other San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 69 If other, please explain: 4. Do you have access to the following? Internet - at home? Internet – at work? Internet – at library? Landline (phone) Cell phone Dependable vehicle Yes Yes Yes Yes Yes Yes No No No No No No 5. Background Information The following information is important to assess the needs of San Augustine County for future growth and development. Please do not give your name. Important! 5.1 Age: _____ 5.2 Gender: Male Female Both answered questionnaire 5.3 Address: (nearest two crossroads) 5.4 Employment Employed Unemployed Self employed 5.5 The major wage earner is employed in the following: Agriculture Logging and timber Oil and gas production Services (such as lawn, auto, repair, cleaning) Construction Manufacturing Retail/wholesale Transportation, communications and public utilities Finance, Insurance, real estate Health/Medical care Clergy Government Education Service Retired Homemaker Student San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 70 Other - Please identify _______________________________________________ 5.6 What is your family income? Less than $10,000 $10,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 and more 5.7 What was the last year or grade in school your completed? Grade school Some high school High school graduate /GED Some college/vocational College graduate Graduate degree 5.8 How long have you lived in San Augustine County? _____________years If you have additional comments and/or ideas to assist in assessing San Augustine County needs please feel free to share them. Thank you. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 71 Appendix 2 Condado de San Agustín Cuestionario de Evaluación de Necesidades de la Comunidad San Agustín Estimado miembro de la comunidad: Muchas gracias por darnos su tiempo en ayudarnos con la evaluación de necesidades para su comunidad. Este cuestionario nos ayudara determinar necesidades especificas en su área. Anticipamos 30 minutos de su tiempo para completar el cuestionario. Porfavor o circule su respuesta. Su opinión es valiosa para nosotros. Gracias por su tiempo! Sección 1: 6. Qué 3 cosas le gustan mas de vivir en el condado de San Agustín? 7. Qué tipo de luchas enfrenta usted? 8. De donde recibe usted la mayoría de apoyo en su comunidad? 9. Piensa qué hay oportunidades para usted en la comunidad (Por ejemplo crear una familia, trabajo, educación)? Explique. 10. Qué 3 cosas haría una mejor vida para usted y su familia? Sección 2: 6. Cómo calificaría los siguientes en su área: Excelente Bueno Regular Malo No sabe San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 Aplicación de la ley Emergencia 911 Protección contra incendios Servicio de control de aimales Colección de basura Drenaje de aguas de tormenta Servicio de biblioteca Servicio de ambulancia Servicios medicos/dentales Servicios de salud mental Transporte public Carreteras/autopista/calles Educación (escuelas públicas) Servicios de abuso de sustancias Servicios de cuidado de niños Programas para la juventud y recreación Servicios para los ancianos Asistencia del gobierno (Medicaid, estampillas de comida, Seguridad Social) Apoyo psicológico (como intervención de crisis, asesoramineto familiar) Despensas de alimento 7. Qué seguridad siente donde vive usted? Día Muy Seguro Seguro Sin decisión Inseguro Muy inseguro Noche Muy Seguro Seguro Sin decisión Inseguro Muy inserguro Por favor explique su respuesta. 8. Cuales, si algunos son problemas en su área? Si No No sé San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 Condición de casas Costo de la vivienda Vandalismo Robos Violencia familiar Maltrato al anciano, negligencia, explotación Agresión fisica Abuso de droga/ alcohol Fabricación de drogas Traficantes de drogas Pandillas Otra cosa Si otro, por favor explique: 9. Tiene usted acceso a lo siguiente? Internet – en casa? Internet – en el trabajo? Internet – en la biblioteca? Teléfono de casa Teléfono de cellular Vehículo seguro Si Si Si Si Si Si No No No No No No 10. Información previa La siguiente información es importante para evaluar las necesidades de el Condado de San Agustín para futuro crecimiento y desarollo. Por favor no de su nombre. 5.1 Edad: _____ 5.2 Sexo: Masculino Femenino Ambos respondieron la encuesta Importante! San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 10.3 Dirección: (dos intersecciónes mas cercanas) 5.4 Empleo Con empleo Sin empleo Independiente 5.5 La principal fuente de ingresos es empleado en las siguientes: Agricultura Explotación forestall y productor de madera Producción de petroleo y gas Servicios (como de césped, auto, reparar, limpieza) Contrucción Trabajo de fabricación Venta comercial/venta al por mayor Transportación, communicación, y servicios públicos Finanzas, Seguro, Bienes y raices Asistencia medica y de salud Clero Empleo del gobierno Educación Servicio militar Jubilado Ama de casa Estudiante Otro – Por favor identifique ______________________________________________ 5.6 Cuál es su ingreso familiar? Menos de $10,000 $10,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 o mas 5.7 Cuál fue el último año o grado en la escuela qué completo? Escuela primaria San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115 5.8 Alguna escuela secundaria Graduado de escuela secundaria /GED (diploma de equivalencia general) Algunos estudios universitarios/formación profesional Graduado de la universidad Maestría Cuánto tiempo ha vivido en el condado de San Agustín? _____________años Si usted tiene comentarios adicionales o ideas de asistir en la evaluación de necesidades del condado de San Agustín, por favor de compartir. Gracias. San Augustine County, Texas - Community Needs Assessment IRB # AY2012-1115
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