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Needs Assessment

For

Chesterfield County Coordinating Council

Presented By

Tidwell and Associates, Inc.

January 2005

Summary Findings:

Population

Chesterfield County is culturally diverse with African Americans accounting for one-third of the population, making it the county's largest minority population
The nonwhite population is growing at a faster rate than the white population, largely due to natural changes, which are birth and death rates, rather than people electing to move into the county.
Population projections demonstrate continued and sustained positive growth through 2025, albeit nominal

Income and Poverty

Chesterfield County residents, on average, make $8400 less, per year, than the average South Carolinian.
There are prominent income disparities along racial lines among Chesterfield County wage earners.
Approximately 1,400 Chesterfield County families make less than $10,000 per year, the largest number of families in any income group for the county.
Twenty (20%) of all Chesterfield County residents have incomes at or below poverty.
Poverty levels for minority populations are 2 to 3 times greater than for whites.
One third of the total population fell into the Safety Net. Children comprised a large portion of the population with almost 54% (53.94%) of children ages 1 to 14 years eligible for safety net benefits. For non-white children ages 1 to 14 years, 80.42% were eligible for the safety net services; almost 56% of those 15 to 17 years were eligible.

Employment

The unemployment rate for Chesterfield County is higher than the South Carolina average.

Housing

There is an approximate 50% gap between whites and African Americans for home ownership.
One third of Chesterfield County residents live in mobile homes, compared to one fifth of South Carolinians.

Education

Chesterfield County is the 9^th worst county for the percent of its adult population with less than a ninth grade education.
African American residents are less likely to be ready for the first grade than white residents.

Health (includes Mental Health and Alcohol and Drug Abuse)

Infant mortality is greater for African American infants in Chesterfield County than white infants.
More African American mothers receive less than adequate prenatal care than white mothers.
One third of all children live in single, female-headed households in Chesterfield County
There are low rates of drug and alcohol dependence in 18 to 24 year olds, but a sharp growth in those rates occur in the 25 to 34 year old cohort.
The SC Department of Vocational Rehabilitation caseload is on the decline in Chesterfield County. (changing in 2005 per Dena Jordan, SCVR)
The majority of DAODAS clients from Chesterfield County are enrolled in DUI Offender Programs
The majority of DAODAS clients are white and male.
Intakes at DAODAS are on the rise for youth.
The rate of ER use for mental health and drug/alcohol use is higher for Chesterfield County residents than South Carolinians.
More than half of the Chesterfield County residents presenting in the ER for attempting suicide had a mental health diagnosis.
The overwhelming majority of inpatient hospitalization charges for mental health diagnoses are for Medicaid and Medicare.
The majority of persons on Medicaid with the conditions of interest are diagnosed with mental illness, followed by drug and alcohol problems. Very few are diagnosed with co-occurring disorders.
Majority of Medicaid services for the conditions of interest occur in non-hospital settings.
Some African Americans seek mental health services from different sources than whites.
The top providers of mental health services, paid for by Medicaid, are nonprofit organizations, Department of Mental Health, DDSN, and private offices.
The top providers of drug and alcohol services, paid for by Medicaid, are public but non-state government providers and Department of Mental Health
The majority of persons served at the county’s mental health center are adults (89%) with mental health disorders (52%).
More than 1,000 Chesterfield County residents eligible for Medicaid seek non-hospital services outside of their county.
There are no private psychiatrists practicing in Chesterfield County.

Public Safety

There is a relatively low crime rate in Chesterfield County.
Approximately 20% of all arrests in Chesterfield County were due to drug laws (11%) and DUIs (20%).

Needs Assessment

For

Chesterfield County Coordinating Council

Table of Contents

			Page
I.	Notes About the Data Sources………………………………………..…		9
II.	Population Data…………………...……………………….……………		11
	i. Overview…………………………………………………….……...		11
	ii. Race and Hispanic Origin……………………………………………		11
	iii. Race and Gender………………...………………………………......		12
	iv. Age of Population……………………………………………………		13
	v. Changes in Population………..……………………………..………		13
III..	Income and Poverty……………...………………………………...……		14
	i. Per Capita Income……………………………………………...…...		14
	ii. Household Income………………………………………………..…		14
	iii. Family Income………………...…………………………….……...		16
	iv. Poverty……………………………………………………………..		16
IV.	Employment…………………...………………………………………		19
V.	Housing………………………………………………………………...		21
VI.	Education…………………………………………………………….…		23
	i. Adults 25 Years and Older…………...……………………………...		23
	ii. Children in Chesterfield County……………………………..………		24
VII.	Health (Also see Addendum A)…………………………………….…		28
	i. Vital Statistics……………………………………………..………...		28
	ii. Personal Behaviors………………………………………………..…		30
	iii. State Agency Service Utilization…...………………………..……...		31
	iv. Emergency Room……………………………………………………		36
	v. Inpatient Hospitalizations…..…………………………………….…		37
	vi. Medicaid Population Services.……………………………..………		40
	vii. Health Professions Information……………………………………		53
VIII.	Public Safety and Criminal Justice...……………………………………		58
	i. Criminal Activities…………………………………………..……...		58
	ii. Driving Under the Influence……………………………………..…		58
IX.	Contact Information for Data Sources..………………………………...		61
XI	Index of Tables..…………………………………………………..…...
	Table 1	Population of Chesterfield County, 1940 - 2000 Censuses...	11
	Table 2	Population Projections for Chesterfield County……………	11
	Table 3	Chesterfield County Population by Race and Hispanic …… Origin, 2000	12
	Table 4	Percent Distribution of Population by Race and Hispanic … Origin, 2000	12
	Table 5	Distribution of Languages Spoken in Chesterfield ………... County and South Carolina, 2000	12
	Table 6	Chesterfield County Population by Sex and Race, 2000…..	12
	Table 7	Population and Percent of Population by Age for 2000……	13
	Table 8	Components of Population Change, 1990 – 2000………….	13
	Table 9	Components of Population Change by Race for…………… Chesterfield County, 1990 - 2000	13
	Table 10	Per Capita Income for Persons in 1999 by Race and ……… Hispanic Origin	14
	Table 11	Employed Persons 16 Years and Over by Sex and Median .. Earnings, 2000	14
	Table 12	Mean Income in 1999 by Income Type for Households……	15
	Table 13	Distribution of Chesterfield County Households by …….… Income Group, 2000	15
	Table 14	Distribution of Chesterfield County Households Income …. Type, 1999	15
	Table 15	Median Family Income, 1979-2002………………………..	16
	Table 16	Percent Distribution and Rank of Key Income Indicators….	17
	Table 17	Persons and Percent of Persons Below Poverty Level …….. by Race and Hispanic Origin, 1999	17
	Table 18	Average Monthly Participation in Temporary …………….. Assistance for Needy Families and Food Stamp Programs, Fiscal Year 2000	17
	Table 19	Rank Order of Percent of Population Participating in …..… Temporary Assistance for Needy Families	18
	Table 20	Average Monthly Food Stamp Participation and …………. Benefits (in thousands), Fiscal Years 1997-2000	18
	Table 21	Percent of Persons 16 Years and Over in the Labor ………. Force by Sex, 1990 and 2000	19
	Table 22	Travel Time to Work from Place of Residence for ……...… Workers 16 Years and Over in South Carolina	20
	Table 23	Establishments, Employees, and Annual Payroll, 1998 …… and 2000	20
	Table 24	Net Taxable Sales in South Carolina (in thousands), ……… 1996 – 2000	20
	Table 25	Total Number of Housing Units, 1980, 1990, and 2000……	21
	Table 26	Percent Owner and Renter Occupied Housing Units by ...… Race and County, 2000	21
	Table 27	Units in Structure for Total Housing Units, 2000…………..	22
	Table 28	Mobile Homes in Chesterfield County, 1960-2000………...	22
	Table 29	Selected Housing Characteristics for Occupied Housing….. Units, 2000	22
	Table 30	Percent Distribution and Rank Order of Chesterfield …..…. County Residents Education Level	23
	Table 31	Number and Percent of Persons with Higher Education……	23
	Table 32	Percentage of Persons 25 Years and Over with Less ……… Than a Ninth Grade Education, with a High School Diploma, or with Four or More Years of College, 1980, 1990, and 2000	24
	Table 33	Literacy Skill Levels, 1992…………………………………	24
	Table 34	South Carolina High School Enrollment, Dropouts, ……… Graduates, and Percent Graduates Entering Postsecondary Education or Gainful Employment, 1999-2000	25
	Table 35	2003 PACT Scores………………………………………….	26
	Table 36	2002 PACT Scores………………………………………….	26
	Table 37	Substance Abuser Rates at Levels of Academic …………... Performance	27
	Table 38	Infant Mortality, 2000………………………………………	28
	Table 39	Low Weight Live Births and Percent of Live Births,……… 1985, 1999, and 2000	28
	Table 40	Adequacy of Prenatal Care…………………………………	29
	Table 41	Number and Percent of Mothers with Less than …………... Adequate Prenatal Care	29
	Table 42	Persons with Disabilities Served and Rehabilitated by …… the SC Vocational Rehabilitation Department	31
	Table 43	Distribution of DAODAS Clients by Substance Problem….	31
	Table 44	DAODAS Unique Clients by Program, Fiscal Year 2001….	32
	Table 45	DAODAS Unique Clients by Race and Gender, ………….. Fiscal Year 2001	33
	Table 46	DAODAS Clients with Dual Diagnoses, Part I…………….	34
	Table 47	DAODAS Clients with Dual Diagnoses, Part II……………	34
	Table 48	SC Department of Mental Health Hospital Services ……… Admissions by Type of Commitment, Fiscal Year 2001	35
	Table 49	Description of Persons Served by Tri-County …………… Community Mental Health Center	36
	Table 50	Emergency Room Utilization for Selected Conditions……..	37
	Table 51	Inpatient Hospital Discharges for All Mental Health …...… Diagnoses	38
	Table 52	Inpatient Hospital Discharges for Alcohol Dependence .…. Syndrome	38
	Table 53	Inpatient Hospital Discharges for Drug Dependence………	38
	Table 54	Inpatient Hospital Discharges for Nondependent Use ……. of Drugs	39
	Table 55	Inpatient Hospital Discharges for All Other Mental ………. Health Disorders	39
	Table 56	Number and Percent Distribution of Chesterfield County ... Medicaid-Eligible Residents, by Age Group and Race, with the Conditions of Interest for 2000 through 2003.	40
	Table 57	Summary of Chesterfield County Residents Having a …..... Condition of Interest by Age Groupings, 2000 through 2003	41
	Table 58	Number of Chesterfield County Residents on Medicaid….. with the Conditions of Interest, by Age Group and Race for 2000 through 2003	43
	Table 59	Summary of Medicaid mental Health Services for ………... Chesterfield County Residents by Service Type Where Mental Health or Alcohol/Drug was Primary Diagnosis	45
	Table 60	Number of People with Medicaid Mental Health………….. Services for Chesterfield County Residents by Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2000	46
	Table 61	Number of Services with Medicaid Mental Health …….…. Services for Chesterfield County Residents by Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2000	47
	Table 62	Number of People with Medicaid Mental Health …………. Services for Chesterfield County Residents by Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2001	48
	Table 63	Number of Services with Medicaid Mental Health ……….. Services for Chesterfield County Residents by Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2001	49
	Table 64	Number of People with Medicaid Mental Health …………. Services for Chesterfield County Residents by Race and Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2002	50
	Table 65	Number of Services with Medicaid Mental Health ……….. Services for Chesterfield County Residents by Race and Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2002	50
	Table 66	Number of People with Medicaid Mental Health ………… Services for Chesterfield County Residents by Race and Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2003	51
	Table 67	Number of Services with Medicaid Mental Health ……….. Services for Chesterfield County Residents by Race and Race and Provider Ownership, Where Mental Health or Alcohol/Drug was Primary Diagnosis in 2003	52
	Table 68	Summary of Medicaid Services for Chesterfield ………… County Residents by Service Type Where Services were Received Outside of County for Conditions of Interest as Primary Diagnosis for 2002 and 2003	53
	Table 69	Index Crime Rate and Inmate Admission for ……………... Chesterfield County, Fiscal Year 2000	56
	Table 70	County Crime Rates per 10,000 Population, 2000………….	56
	Table 71

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Chesterfield County Population by Race and Hispanic …… Origin, 2000

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