1. Choctaw Nation Head Start Prepared by the Community Service Council July 2011

2.  Demographic Trends  Economics and Employment  Child Indicators Demographics

4.  Population change--migration to suburban areas of Tulsa and Oklahoma City MSA with an overall decrease in new births  Age--aging population  Race and ethnicity--more culturally diverse  Living arrangements--transitional for family living arrangement Demographics

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

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

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

11.  Customized by specific family composition  Customized by geographic location  Based on all expense categories  Updated annually using consumer price index …The level of income required for a family to meet its own needs Economics & Employment

25.  Lack of health insurance  Limited access to preventative services  Living in high risk families  Living in a state with a high level of premature death Prepared by the Community Service Council of Greater Tulsa Child Indicators

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

27. Conception Death Mechanisms by which Adverse Childhood Experiences Influence Health and Well-being throughout the Lifespan Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

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

29.  Smoking  Overeating  Physical inactivity  Heavy alcohol use  Drug use  Promiscuity Source: The Adverse Childhood Experiences Study website: www.acestudy.org Child Indicators

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

35. Prepared by the Community Service Council of Greater Tulsa Child Indicators

37. Prepared by the Community Service Council of Greater Tulsa Child Indicators

38. Prepared by the Community Service Council of Greater Tulsa Child Indicators

41.  Bryan County  In Bryan County in FY 2009, there were 518 reports of child abuse and/or neglect accepted for investigation or assessment. 1,010 children were involved in these reports (duplicated count).  161 children were confirmed victims of child abuse and/or neglect. 21 were abused, 128 were neglected, 12 were victims of both abuse and neglect.  17 of every 1,000 children in Bryan County are victims of abuse and/or neglect. Prepared by the Community Service Council of Greater Tulsa Child Indicators  Carter County  In Carter County in FY 2009, there were 477 reports of child abuse and/or neglect accepted for investigation or assessment. 825 children were involved in these reports (duplicated count).  106 children were confirmed victims of child abuse and/or neglect. 9 were abused, 86 were neglected, 11 were victims of both abuse and neglect.  9 of every 1,000 children in Carter County are victims of abuse and/or neglect.

42. Child Indicators

55. Rankings: 1 = best, 77 = worst *Indicates a tie with at least one other county Source: Oklahoma KIDS COUNT Factbook, 2006-2007, Oklahoma Institute for Child Advocacy Child Indicators BryanCarterCoalLovePontotoc Parental separation or divorce7125744838 Incarcerated household member7074372758 Mentally ill household member43* Substance abusing household member11* Violence against mother51172531 Psychological, physical & sexual abuse6254775242 Emotional & physical neglect6663774956 Overall ranking7259774755

57.  Outcome performance measures  Community coalitions  Collaborative, public-private partnerships  Consumer/client investments  Successful outreach and recruitment  Case management/Care coordination  Strong social marketing  Risk reduction education  Access to services and care  Child care  Transportation  Translation Summary

61. WHO ARE THE CHILDREN? Prepared by the Community Service Council of Greater Tulsa July 2011 …is available on our website:www.csctulsa.org