1. Community Profile 2008 Tulsa County Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa December, 2007

2. Adults and Families at Risk…

3. Top Risk Factors for Adults and Families Single-parent households Low educational attainment Illiteracy Childhood abuse and other adverse childhood experiences Substance abuse/addiction Lack of health insurance/poor health care Poor diet & lack of exercise Tobacco use & excessive alcohol use Adults & Families at Risk

9. Lapolla, Health Policy Analysis of the Tulsa Metropolitan Area, OU Center for Health Policy, 2005;. THD – Patel/Woodruff 9/05 Major Health Concern: Uninsured – Tulsa to Comparable Cities Adults & Families at Risk

11. Risk Factors Increase Likelihood of Adverse Health and Social Outcomes ~ Adverse Outcomes for Adults and Families: Lower earnings/lack of economic self- sufficiency Domestic violence Crime/gang violence/incarceration Effects of adverse childhood experiences Disease or disability Suicide Premature death Adults & Families at Risk

14. Adult Literacy Levels and Income Over 20% of American adults read at or below a 5th grade level - far below the level needed to earn a living wage. 43% of people with the lowest literacy skills live in poverty. Workers who lack a high school diploma earned an average hourly wage of $9.50 in 2001, compared to $12.81 for high school graduates and $22.58 for those with a college degree. Adults & Families at Risk Source: Oklahoma Literacy Resource Office; Economic Policy Institute.

15. Adults & Families at Risk

17. Oklahoma’s prison population was relatively stable until 1980 when laws passed to curb illegal drug use came into effect Oklahoma’s Prison Population 1950-2005 Source: Oklahoma State Department of Corrections, Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa. 1980 Note: Number of inmates in Oklahoma prisons, data as of June 30 of each year Adults & Families at Risk

18. DOC Receptions Drug Crimes and Other Crimes FY1995 – FY 2005 Source: Oklahoma State Department of Corrections Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa. Adults & Families at Risk

21. Department of Corrections Receptions from Tulsa County by Gender 1998-2002 Source: Oklahoma State Department of Corrections Prepared by the Community Service Council of Greater Tulsa for the Metropolitan Human Services Commission in Tulsa. Adults & Families at Risk

22. The Adverse Childhood Experiences (ACE) Study 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 Adverse childhood experiences are surprisingly common ACE’s happen even in “the best of families” ACE’s happen even in “the best of families” ACE’s have long-term, damaging consequences 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.” Adults & Families at Risk

23. The Adverse Childhood Experiences (ACE) Study Pyramid Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.” Adults & Families at Risk

24. Adverse Childhood Experiences… Recurrent physical abuse Recurrent emotional abuse Sexual abuse An alcohol or drug abuser An incarcerated household member Growing up in a household with: 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).” Adults & Families at Risk

25. …Lead to Health-Risk Behaviors… SmokingOvereating Physical inactivity Heavy alcohol use Drug use Promiscuity Source: The Adverse Childhood Experiences Study website: www.acestudy.org Adults & Families at Risk

26. …Which Cause Disease, Disability and Social Problems in Adulthood Heart disease Cancer Chronic lung and liver disease StrokeDiabetes Sexually transmitted diseases Nicotine addiction Alcoholism Drug addiction ObesityDepressionSuicideInjuries 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.” Adults & Families at Risk

41.  Good:  Tulsa Co death rates parallel those of OK  Tulsa rates below the OK rate for most years;  2002 Tulsa rate lower than some metro areas of similar size and scope, including Oklahoma City.  Bad: By 2002 Tulsa County rate was 14.5% higher than the nation. THD – Patel/Woodruff 9/05 Major Health Concern: Tulsa’s high age-adjusted death rate compared to other areas Age-Adjusted Deaths Rates for Tulsa and Comparable Areas, 2002 Adults & Families at Risk

42. Community Profile 2008 …is available on our website: www.csctulsa.org Prepared for the Tulsa Area United Way Community Investments Process By the Community Service Council of Greater Tulsa December, 2007