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HomeMy WebLinkAbout1978-01-31 Info PacketP1ILRUi`ILMLU BY JURM MICROLAB LLDAR RAflu�) AND 9 City of Iowa CF4 f® MkOIL DATE: January 27, 1978 TO: City Council FROM: City Manager RE: Material in Friday's Packet Memoranda from the City Manager: a. Cable Television a 2 1 b. Meeting with 1DOT on Freeway 5182-'X3 c. Strategies for Effective Management 22•`1 Memoranda from the Department of Public Works: a. Land acquisition for Ralston Creek for the north branch detention structure ;?25- b. ?2Sb. Consolidation of Transit System with Coralville and/or University of Iowa Transit Systems 'Z A 6 c. Evening ridership statistics 2 2 7 Memorandum from Roger Tinklenberg regarding energy use data and potential savings. . Memorandum from City Treasurer regarding notification by landlord of tenant move. 9 Memorandum from Director of Finance regarding changes in FY 79 budget. .23o Information from Johnson County Council on Aging regarding grant from Heritage Agency on Aging. 2 31 Letter to Mayor Vevera from Johnson County Juvenile Diversion Program in support of United Action for Youth. A 3 2 Invitation from County Zoning Department to attend quarterly meeting of Eastern Iowa Planning and Zoning Officials Association. :13 3 Senate File 2057. 231! Soo" S4tw�c6e—'Baxls�Itd WOW%vw Letter from Director of JCRPC regarding the work of the Coovnission's Human Services Division. R -IS' Letter to Senator Doderer from City Atorney regarding Senate File 2030. 2 3 6 Copy of remarks of Tom Dowden before. the City Council on January 24, 1978. 237 December monthly reports for the Departments of Community Development, Public Works, and Parks and Recreation. 2.3 8 Public Library's calendar of programs for children. 23 9 Copy of Iowa City Plan, Citizen Participation Report. 2'%O Iowa City Human Rights Commission Newsletter; January, 1978. y / ✓ Human Services Studies Reports prepared by JCRPC. 2 `77, MEMO FROM COUNCILWOMAN DE PROSSE RE 9% TAX LID FOR BUDGET ;Z42 A �,•. _- — � imcnunuiEo By JORM MICR4�LAB ffMR nprin; •�rq Fmltir5 I 14iwiUi iLi-ILU BY JUkM 1•IICRULAB • CLUAH kANIJ� AND uL� w.:rL C14y of Iowa City �' Tn. r.t` :���. .'mak _•� s fit. � b '�� � o DATE: January 27, 1978 TO: City Council FROM: CitylMalneger, City At�orngb RE: Cable Television tl Last week the City Council received the proposal for services from the Cable Television Information Center. It is recommended that: 1. The City enter into an agreement for services with the Center. 2. The procedures detailed in the proposal be followed. 3. The cost of the services be passed on to the applicants. 4. The City Council establish an election date no earlier than the end of August. 5. A City Council -staff -institutional task force be created. The Center has assisted approximately 1,400 communities with cable TV issues. Because the Center only serves communities there is no possible question of conflict of interest as there might be with other consultants who may represent other parties, such as cable TV companies, equipment manufacturers, and in- vestors in other communications media. At least one of the applicants already has stated a preference for the development of the ordinance and the initiation of negotiations after the election. It is stronqly advised that the ordinance be well developed, and proposals be received and evaluated before the election. In an atmosphere of competition, before the election, the City will be better able to maximize service benefits to the entire community and ensure the com- mitment of the companies to their proposals. The City is in a much weaker negotiatinq position after the election. Also, there have been occasions in other communities where maqnanimous service proposals prior to the election tended to be reduced in scope after the election. Because of election conflicts next fall (School Board election on September 12 and the general election on November 7), the i :11CR01ILIU) 9V JORM MICR+LAB rrnAP enrinr; • �,,rS Vr,e, 22 I.1iw i ILi-lLu BY JORM 141CROLAB • CLUAR k0iu5 Ai'IU uL� •- City Council January 27, 1978 Page 2 latest possible date for holding an independent cable TV election will be toward the end of August. Of course, the cable TV election could be held on the same date as the general election in November. At least one company has ex- pressed a preference for an election date separate from other elections. The Center has recommended a fall election. Representation of the City Council on the task force will ensure continuity in policy development and execution. Because of the importance of cable TV to the educational institutions, it is recommended that President Boyd and the Iowa City School Board each recommend an institutional representative for appointment by the City Council to the task force. The other recommended members are the City Attorney and the City Manager. Because of the technical nature of the process and possible time constraints, it is recommended that citizen involvement consist of public hearings by probably both the task force and the City Council, the election process and possibly a citizen regulatory commission, if cable TV should be implemented. —ionuarU By DORM MICRd)LAB MAP I?:1P17? - nf6 P10!NrS Niul(Ui IL;'1Lu by JURM 11100LA6 WFUt RAVW'j AND city of Iowa City MEMORANDUM DATE: January 27, 1978 TO: City Council FROM: City Manager[ RE: Meeting with the Iowa Department of Transportation on Freeway 518 A meeting was held on January 20, 1978, with Iowa Department of Transportation (IDOT) personnel from the Central Office in Ames, the District Office in Cedar Rapids, and the Johnson County Office. Specific items discussed included: (1) the possible realignment of the segment of 518 west of Iowa City; 2 the question of a four -lane versus two-lane cross-section for this route; 3 the relationship of IDOT to the University of Iowa as it influences the possible realignment of Melrose Avenue around University Heights; (4) the status of the Highway 1 improvements from the intersection with Riverside Drive westward to the western edge of Iowa City, and the entire question of timing of improve- ments on both Freeway 518 and Highway 1; and (5) the status of the revised En- vironmental Impact Statement for Freeway 518. (1) Freeway 518 realignment Mr. Robert Henley, the IDOT district engineer in Cedar Rapids, indicated that DOT would seriously consider and review the possible westward realignment of Freeway 518 as it bypasses Iowa City. Mr. Henley stated that while consider- able effort has been expended on the proposed alignment for Freeway 518, the desire of Iowa City to have all of the land in the Willow Creek Watershed be east of the proposed freeway and the issues voiced in the "Victor" proposal all appear to be reasonable. If the Iowa City Council should decide that it wants to pursue a more westerly alignment for Freeway 518, its strong endorsement on this issue would be re- quired. Furthermore, Mr. Henley indicated that it would be desirable if Coralville, Johnson County and the Johnson County Regional Planning Commission also went on record supporting a revised 518 alignment. The alignment ques- tion would be worked on extensively after the resolution of the Environmental Impact Statement questions with the Court. (2) Two -Lane versus Four -Lane Cross Section for Freeway 518 The City staff raised the question of the four -lane configuration from Inter- state 80 all the way south to Iowa 22, even though the average daily traffic uADT) volumes nder 5,000 forrnthe yearsof 2 00. IDOTroad staffsouth indicatedOthatwawere volumeeofed to be 5,000 ADT is essentially an unwritten policy which they utilize in determining whether a road is to be a two-lane or a four -lane divided configuration (IDOT will not consider the construction of four -lane undivided highways in rural areas). However, they did indicate that the volume of truck traffic is projected to be appreciably greater than the average two-lane road. Therefore a four -lane 223 ~1-- :41CRU(IL1,10 By i JORM MICR+LAEI ff!lAN I'���'I P`- • '�f5 410!VCS FI1�<Oi iLMLU by JURM MICROLAB Memo to City Council January 27, 1978 Page 2 LLUAk kAP1uj AND UL configuration becomes a significant safety factor. Topography also affects the four -lane issue. IDOT will furnish additional justification and information to the City on this issue. (3) Realignment of Melrose Avenue North of University. Heights The relationship of IDOT with the University of Iowa is through the State Board of Regents. The State Board of Regents is allocated funding on an annual basis for institutional roads. The Board of Regents determines its own improvements and priorities, and IDOT handles fundinq for this purpose. If the proposed realign- ment of Melrose Avenue were to be considered, it would be necessary for the Board of Regents to request that this improvement be included in the five-year IDOT construction program. The advantage of this realignment is that it would alleviate the traffic on Melrose to be of ue toe ethe University, this9route hwould have etombe conty nected to thehts. In west v oes st campus by- pass. Subsequent discussion with University officials indicates that in the foreseeable future the University would not be interested in funding either the west campus bypass or the realignment of Melrose Avenue. If the City does not view these projects as a high priority, the City may wish to further consider the connection of 518 with Melrose. (4) Highway 1 Improvements Mr. Henley indicated that, contrary to the statement he made at the Regional Plan- ning Commission's Transportation Committee meeting on January 9, the intersection of Riverside Drive and Highway 6-218-1 will be improved as a part of the Highway 1 project. In further reviewing the Hiqhway 1 improvements (this will involve the four -lane reconstruction from the intersection with Riverside Drive westward past the proposed connection with Freeway 518) another subject discussed was that of the location of the interchange with proposed Freeway 518. The City's Comprehen- sive Plan tentatively shows the interchanges between 2180 518, and 518 -Highway 1 to be closer than the initial IDOT locations. The consensus was that the IDOT alignment did appear to be more feasible based on distances which must be main- tained between interchanges for traffic safety purposes. IDOT was told that at the tions,eandtthat theelocations shhas a ownionothe ComprehensiveoPlanlwereesubject loca- tions, planning development. The City Manager then questioned whether the Highway 1 project could be accelerated, specifically because of the traffic problems the City is presently experiencing at the 6-1-218 intersection. Mr. Henley indicated that he thought it is possible that the scheduling of this project could be accelerated if timely decisions could be made on Freeway 518 and if redesiqn could be completed and rights-of-way purchased in a timely manner. Apparently, close cooperation between City Council and IDOT on Freeway 518 could definitely result in an acceleration of activities for the improvement of Highway 1. 141001 WILD BY DORM MICROLAB MAP verlm . 'lrs W)1!11" MlLRW ILMrU BY JORM MICROLAB Memo to City Council January 27, 1978 Page 3 LEDAk RAP IO� AND UL'', >1u,:,L-. (5) Environmental Impact Statement (EIS) Comment The next subject to be discussed was that of the City Council's comments on the amended EIS for Freeway 518. The deadline for comment has been moved back to February 1, 1978. IDOT emphasized that there is no direct linkage between comments on the EIS and the realignment of Freeway 518. It was also mentioned that if the City Council so chooses they do not have to make any comment what- soever on the revised EIS. The City Manaqer then questioned what the position of IDOT would be if the City Council once again submitted a letter to them in- dicating that they are not opposed to a bypass around the west side of Iowa City but they would be opposed to the initial alignment as shown by IDOT. The re- sponse received from IDOT on this was that they could see no major problem with a response such as this. (This is essentially the position taken by the Iowa City Council on Freeway 518 in January, 1976 [attached]). A draft response is attached. cc: Public Works Community Development qa I 'AICROf MED BY t JORM MICR#LAB fFOAR VAI'19S • PFS MOINES NiLRUFILi•ILU BY JORM I.11OkOLAB LEOAR k0in AND us, '�, January 70, 1976 Mr. Robert L. Ilumphrey project planning Engineer Department of Transportation highway Division 626 Lincoln May Ames, Iowa 50010 Dear Mr. Humphrey: In response to your request for comments on the Environmental Impact Statement prepared for the proposed Freeway 518 route in Johnson County, the City Council of the City of Iowa City elected by a vote of 5 to 2 to register its opposition to the construction of this expressway as follows, ,,The City Council of Iowa City records its opposition to the construction of the proposed Freeway 518 and further moves that the Departments of Transportation at both the State and Federal levels be officially requested to reevaluate this proposed freeway construction. The City Council further moves that the Departments of Transportation be requested to give greater consideration to modes of transportation other than four -lane freeway construction in planning alternatives to the proposed Freeway 510." The City Council in of the opinion that the proposed freeway route will not sufficiently alleviate future traffic congestion which is projected for Riverside Drive (Highways 6-218) area of Iowa City. The Council is also concerned about the impact the proposed freeway would have on other streets in Iowa City, and specifically the intact on Melrose Avenue. Opposition by the City Council to this project should not be construed as opposition to the construction of a bypass road around the westerly side of the Iowa City urban area. The Council does recognize that it is undemirablo for through truck traffic using Ilighwaye 6 and 218 to go through a highly congested part of Iowa City and to traverse the Univer- sity of Iowa tempus. The Council specifically requests that both the State and Federal Depart - menta of Transportation reevaluate this proposed freeway construction, and that they give greater consideration to other modes of transportation. y ��I :41CR0110F.1) By i JORM MICROLAB rrON! Ibv°IPS • 91S 41019rS t,iIukUrlLNLU BY JORM MICROLAB Mr. sobart L. gu?phrey January 70, 1976 Page 2 • UL)AR RAP IU:� AND ULA %U. , - specific alternatives which sight be worthy of investigation includes 1. the construction of a two-lane facility in place of the proposed four -land facility, 2, The construction of a bypass route which should be located further west of Iowa City and which would also not go through the Indian Lookout area and the nearby lilhome and The construction of a facility which would not result in the 3. generation of an appreciably greater volume of traffic on Melrose Avenue. If you would like additional infOrsr tion On any of these Points, or if you would like assistants by the staff of the City of Iowa City, please do not hesitate to contact M. sincerely yours, Mary C. n auhauser Mayor is I wtcnDnuau, By JORM MICR�LA6 CFDAR HAND' . IFS MOWN[ P!LkUFILMED BY JURM MICRULAB LEDAR RARID�) AND uL, !u,:,L.,, DRAFT Mr. Robert L. Humphrey Project Planning Engineer Department of Transportation Highway Division 826 Lincoln Way Ames, Iowa 50010 Dear Mr. Humphrey: The position of the City of Iowa City em the—firtei—Envrronment--al—Impact— R,Item ntris as discussed in the City Council's previous letter of January 30, 1976. The City of Iowa City desires to continue to discuss with the Department of Transportation questions relating to the alignment and other matters concerning the proposed Freeway 518 with the hope that changes satisfactory to the City may be implemented. sincerely yours, Robert A. Vevera Mayor Id ICROr ILKI) 0Y JORM MICR+LAO rrMR PAOIM • Ors MOVIES h'11Li<Ui IL;'ILJ 6Y DORM 141CROLA6 CEDAR RAPIUJ AND LiL', ' fov TRA, IOWA District 6 Office 430 16 Avenue SW Cedar Rapids, IA (319) 364-0235 RCCCIVCD JAN 2 7 1979 52404 HIGHWAY DIVISION January 26, 1978 REF. NO. Freeway 518 Johnson County Neil Berlin City Manager Civic Center Iowa City, IA 52240 Dear Mr. Berlin: Attached is a copy of a memo from George Forsyth to Bob Humphrey of January 25, 1978 stating the Iowa Department of Transportation reasons for the construction of a four lane divided highway on 518 southwest of Iowa City. We sincerely hope this information will assist you and your staff in the discussion of this matter with the Iowa City Council. Very truly yours, zW Robert C. Henely District Engineer RCH:pk Attachment cc: Robert Humphrey Project Planning Anes - IDOT COMMISSIONERS IIAMIARA DUNN DDNM.D K.GARONEN SICPIENOADST WILLIAM F. M(GRATN ROBERT R. RIGLCR L. STANLEY SCIIOLLE RMAN ALLAN TNOMS Iles Malnm Cedar R,pINI Cnnn RIRIUI M,Irme Now IIIMPIM Spence, Dubnnue 1 CROFILMID 13Y 1 JORM MICR#LAB U PAP PAI'IDS - nF5 MOINF. t•�.,,,i,JI ,L.•lIU by i00 t.1ICkULAO I.LJ < r.Hr2 n +w J". 20.000:2 IC DEPARTMENT OF TRANSPORTA" I !H•19 T1 ' January 25, 1976 Project Planning Arterial Highway 518 Bob Humphrey Johnsoa-Nashington Cos. George A. Forsyth Project Planning Pour -lanes versus two -lanes south of Iowa City As a result of the meeting with Iowa City staff last Friday at which ing questions were raised concerning the 5000 be of i m help tofor sltr- Henely four -lane coast a°iia City the Staff- �y in responding The estimated average daily traffic figures shown in the Final Envi- ronmental Impact S itStatement with thheestimatedhyear own i2000 ADTabe- Environmental Ispat 4600 vehicles per day. This sen Iowa 22 and County Road F-62 being Particular stretch of the Project seems to be the area where the Iowa City City Council has there major concerns. The Highway Division Staff evaluated the traffic changes from the Draft to the Final and Q determined that in the Final EIS, 518 south of Iowa 22 Would be con- L—�trncted as two lanes on four -lane sight -of -way and north of Zova 22 t would be constructed as four lanes. Items which the staff considered in reaching this decision, in addi- on to the traffic volumes, were as follows. This particular stretch O the project crosses the divide between two major drainagA Of I of the English River, and the Old lean Creek, because of this, is particular section of the project traverses the most rugged ter- rain. in terms of length and severity of grade. in the entire project length. Nhlle this area was not analysed specifically for the ecpresented in theinEnvirosnmentallImpactareas S egnt tthe entirethis area is most kelt' to require thoa if two -1 : binh ccimb- entagerOfion wee utrucks Iare llikely ng lanes are not ooastructed, 9 Pes own on the long 9radss.. to cansa significant delays as trunks slow d Additionally, it is long been established that four -lane, fully access controlled highways have a lower accident rate than do two-lane high- ways. Using the traffic figures as given in the Final EIS and apply- ing the statewide accident rates for rural primary roads and rural interstate highways, the total number of accidents would increase by 88% or 120 accidents over a 20 Year period if 518 were constructed2as a two-lane highway rather than a four -lane highway from love to the area of Hills. Related to both the question of climbing lanes and accident experience is the area of truck volumes associated with A particular stretch of highway. Concerning truck traffic in the Iowa City area, while few firla conclusions can be drawn and various 'intarpretatione may be placed upon the data, the following can be said► truck volumes on Interstate SOCurrent truckIowa Cvolumesarea onsU.S11218 from Ioowastatewide, 22 toathe sout of ADT- south corporate iguSCB of oCtoythe areae in tcloser.to Iowa City (this 1010 with the lower figures .. .. "1 >nceo( 1i.11P) By JORM MICR46LAB L .on.....w. 101. . DEPARTMENT OF TRANSPORTAT. .4 .n. r.�... Bob Humphrey January 25, 1971 reflects more an increase in automobile traffic closer to Iowa City rather than any substantial decrease in actual truck volume). Finally, the estimated traffic figures in the Final US show 1S% trucks for Arterial Highway 515 from Iowa 22H o the .sogth corporate oth poste limits of Iowa.City. In comparing rterial H Interstate highways)e four -lane highways in the state (par and considering a fairly long segment of 515 (I-380)open to traffic, say from Iowa 92 or Iowa 22 to Waterloo, it is my opinion that the track volumes Showa in the Final zra may be truck percenntag� shown ien what n y be experienced. For example, campar the the Final EIs with the actual experience of lour -lane U.s. 20 is Buchanan and Delaware Counties where 201 to 251 truck volumes are common. This compares to the 85 to 151 truck volumes on segments either side of the four -lane portion. Finally, there is the area of continuity. This most certainly applies to the section of Arterial Highway 515 between the U.B. 218 and Iowa 1 interchanges. This 1.9 mile section Of freeway has year 2000 esti- ted ADT below 5000 vehicles per day while volumes on either side are or 5000 ADT. Because of the necessary length Of the ramps and the associated woacceleration acceleration lanes and oaY uld be poor �gemnt to construct thishortsectino! the highit way to different standards on the basis of the traffic dilfernnce. Q I hope this will provide Mr. Henely the information he needs for his ntacta with the Iowa City staff. GAF/Pas O c� Ian MacGillivray George Calvert Robert Sanely ok 'JT 141CN011L1410 6Y DORM MICR(�LAS "I'Ap. unrin' . IF 140!9(, City of Iowa CRY MEMORANDUM DAM, January 27 , 1918 10: City Council/ FROM: City Manager If: Strategies for Effective Management Beginning Tuesday of next week I will be attending a seminar entitled "Strategies for Effective Management." The seminar, sponsored for senior executives in municipal, county and state government by the National Train- ing and Development Service, will be held at Sea Island, Georgia. The seminar will focus on interpersonal skills (the capacity to lead, communi- cate and motivate), decision making (the capacity to plan, analyze data, and make results -oriented decisions), and systems management (the skills to define strategies for improvement based on an analysis of the organization and its environment). I will return to Iowa City Sunday evening. During my absence, Linda Schreiber will serve as acting city manager. .22q ' MICROFILId[n or i JORM MICR+_AB rrnAR PATIMS • PFS MOVIF5 City of Iowa city MEMORANDUM DATE: January 23, 1978 TO: Neal Berlin and City Council FROM: Dick Plastino, Director of Public Works RE: Land acquisition for Ralston Creek for the north branch detention structure Attached is a cover letter and a copy of the salient facts relative to an appraisal recently done on land owned by Regia High School. on January 30, at 1:30 p.m. the City's Engineer on this project (Ed Brinton of Shoemaker Engineering and Bill Lindley of Lindley Engineering) will make a slide th presentation andresent Council effectiveness oflthe Hickory1on Hillabout she storm water detention structure. Don Johnson, the appraiser for this property, will also be at the meeting and will make a brief presentation and be available to answer questions. This particular structure is considered essential to any meaningful control of Ralston Creek flooding and this will be a very important meeting. The full appraisal report is available from Public Works if anyone wishes to read the entire report. After this meeting it is suggested that the City Council and the City oHsthis matter lerdate tat meeting be set with thRegi aighSchool Boa dfor aat cc: John Hayek Dave Lundquist Dennis Showalter Rosemary Vitosh File 019 Ed Brinton, Shoemaker 2 2.S ^_OF ILMED By JORM MIC R4�LAB rrmp env!- . Tv� Ido sr, 14 I Ll I I I I•I1 WWI I L9LU PI OUM-1 ra�.v� u Jowa Anrraijal & Me:search Corporation 119 SAVINGS L LOAN ULDIDINn SIXTH AND MULRFRRY C) DES MOINES, IOWA 50109 C) A.IA Capt SIS 203-0146 Mr. Dick Plastino Director of Public Works City of Iowa City Civic Center Iowa City, Iowa Dear Mr. Plastino: orFICE", P,11mIw, W A 111 1, I . 011.. ,'O„• J. M J I 5 I1 f A V.” P.111111M11n 00..1,0 L J. . Oo JA..II T 14116. Je SICILL,u1, S. C V.111 December 20, 1077 RECE;','•1 _• _ ..... I „ .,J/3 Re: Regina Iligh School Iowa City, Iowa Pursuant to your request, I have on November 27, 1977, inspected the Regina IIigh School property located in Iowa City, Iowa. This property is legally described on the accompanying deeds in this report. The purpose of this inspection was to estimate the market value of the fee simple interest in this property before and after the acquisition of two sepa- rate takings. The first taking consists of a fee acquisition of 40 acres plus a floodway easement over 13 acres. The second taking consists of the ac- quisition in fee of 23 acres plus a borrow easement over a portion of the property and also the taking of the floodway easement over the rear 13 acres. }■ Market Value is defined as: "The highest price in terms of money which a 1� property will bring in a competitive and open market under all conditions requisite to a fair sale; the buyer and seller acting prudently, knowledgeably and without undue stimulus". After carefully analyzing all of the data presented in this report, it is the appraiser's opinion that the market value conclusions are as follows: fl Fee Acquisition of 40 Acres & Flowage Easement; Market Value Before the Taking $2,372,000. Market Value After the Taking 2, 173, 000. Difference $ 100,000. Fee Acquisition of 23 Acres, Flowage Easement & Borrow Easement: Market Value Before the Taking $2,372,000. Market Value After the Taking 2, 204, 000. Difference $ 83,000, ;11CROF I LMED BY JORM MICR+LAB CFDAP PAPIM • :SFS MOINFB h;11 WFILi•1L0 BY JORM 1.11CROLAB Mr. Dick Plastino Page Two - Cont'd. The loss in value is to the land only as I did not consider any severance dam- ages in the improvements. The breakdown between the land and building is included in the Summary of Salient Data section of this report. This has been an interesting assignment and I would be pleased to answer any questions that you might have. Respectfully submitted, Donald L. Johnson, MAI SRPA Vice President Iowa Appraisal & Research Corporation DLJ:ls IOWA APPRAISAL AND RESEARCH CORPORATION Y ,{ MICROFILMCO OY JORM MICR+LAB rrPATN IIAPIM • OPG MO NF[ MiLii0FILHLU BY JORM 1.11CROLAB • LLUAK KAIIUZ) AIU ULA , L_, :; 1. SUMMARY OF SAL1CsNT DATA identification Subject property is known ns Regina Iligh School located at 1st Avenue roxi- and Rochester Avenue in Iooved with a City, la`a. The land area Catholic high schoolsandpconvent. mately 105 acres and imp Legal Description ]n the Addendum or this report is a copy of a contract dated December 27, 1954 and a Warranty Deed dated August 6, 1957 conveying the fee title to Iowa City Catholic high School Inc. IAssessed Valuation & Taxes The property is tax exempt. Land Area !105 acres I Ruildi�rea 74, 359 square feet purpose of the Appraisal n this estimate the market value ofhland for flood control e simle interest 1purposes Property before and after the acquisition The appraiser was asked to estimate the before and after values based upon two takings. he northwest 40 acres and 1. Before and after a floodway nt o ver the rear sition of tl3 acresnorth of the school. 2. Before and after the acquisitionof the of norththe west 23 acres with a borrow easement taken on a portion of the taking and a floodway easement over the rear 13 acres north of the school. Persons Contacted ck plastino with Father Madsen and embers of theappraise l school board on November 28` 19 7. Don Gannon and Father IOWA APPRAISAL AND RESEARCH CORPORATION T ~i I41CRUILME0 BY I JORM MICR+LAB CEaAR RAPInS • IIf.S MOWS MILiWHLiILU 8Y JORM 1,I1Ck0LAb • CLUAR RAPIU�) Nrw uL'' IU Benda accompanied me on the inspection on november 28 and November 29, 1977. I met with Larry Waters and discussed the taking on November 29, 1977 and he showed me St. Pat's Elementary School. I met with Father Madsen on November 30, 1977. Valuation Estimate Fee Acquisition of 40 Acres & Flowage Easement Over 13 Acres: Before the Taking After the Taking Difference Land $ 472,000. $ 273,000. $199,000. Improvements 1,900,000. 1,900,000. -0- Total $ 2, 372, 000. $2,173,000. $199, 000. Fee Acquisition of 23 Acres & Flowage Easement Over 13 Acres &. Barrow Easement: Before the Taking After the Taking Difference Land $ 472,000. $ 384,000. $ 88,000. Improvements 1, 900, 000. 1, 900, 000. -0- Total $ 2, 372, 000. $ 2,284 , 000. S 88,000. Date of Valuation Estimate November 29, 1977 IOWA APPRAISAL AND R F` PARCH rn .fit ;41CROFILM[D BY JORM MICR+LA6 CFBAP yAf`M - DF5 MOP1E5 2. MIu<Ui'ILMLO BY JURM MICROLAB CLOAK RAPJOt A4U A, City of Iowa Citi MEMORANDUM DATE: January 20, 1978 TO: Neal Berlin and City Council (� FROM: Richard J. Plastino, Director of public Works 11 RE: Consolidation of Transit System with Coralvill / University of Iowa Transit Systems In 1976, a comprehensive study was done on equipment maintenance needs by Barton—Aschman Associates of Evanston, Illinois. The full report and a summary report is available in Public Works. Sections of the summary report and the detailed report are attached. cc: Hugh Mose T �-' fROFILIIED By I JORM MICR#1_AB rp)Ap pApinS • DFt MMI116 '.112b MiLK<W ILML0 by JORM MILROLAB LEDAR RAPLuS Alu uL� �, L Chapter 3 THE ISSUE OF TRANSIT EQUIPMENT MAINTENANCE Currently, the Equipment Division has responsibility for the scheduled and unscheduled maintenance of the city's buses. Normally, the light servicing and preventive maintenance is done by Equipment Division mechanics at the bus garage, with heavy repairs done at the Equipment Division shops. Buses receive priority attentlon—after fire and police vehicles. In addition to the Iowa City transit operation, the University of Iowa operates a 12 -bus system called CAMBUS. CAMBUS is oriented to the students' needs and operates primarily in and around the campus area. The City of Coralville also operates a transit system with four buses in street service. Consolidation Issues The existence of three relatively small bus systems within an urban area of approximately 60,000 people frequently raises the question of unification. There are several major consolidation Issues which require attention early in the consideration of Iowa City's total maintenance facility needs: 1. Should any two, or all three, transit systems be consolidated in terms of storage and maintenance—not to mention management and administration (jurisdictional consolidation)? 11 q. - -- FILMED 6V DORM MICR�)LAB fFMii PAPInq • nt5 110111f5 1i MIL,dUi ILMEL) BY JORM I.IILROLAB LLDAR RAPIUS AND 0Lj w. 2. Should the maintenance and storage of the buses be combined (consolidated) with the rest of Iowa City's public vehicle fleel (corporate consolidation)? Evaluation of Consolidation of Transit system Facilities A series of quantitative analyses were performed to measure the "economy -of - scale" effect that several consolidation strategies would bring about. The analytical evaluation of the three bus systems suggests that there is some merit in consolidation. In addition to the tangible savings in land and building area as well as personnel -related costs, there are certain intangible benefits that might be gained, Including: — Ability to attract more highly qualified supervisory personnel as well as mechanics due to the more modern operation. - Higher quality maintenance due to more specialized equipment and tools— including a bus washer and cyclone cleaner. There is no doubt that a community of 6o,000 people which needs about 45 to 50 buses for transit service would build a single bus maintenance and storage facility. However, the Iowa City -University of Iowa-Coralville situation is quite different from that of a single unified community. Hence, the Issue of consolidation must also be examined from institutional, administrative/ management, fiscal (local), and political perspectives. Jurisdictional Considerations Regarding Consolidalion (� Thero area number of practical reasons for the universily to resist the consolida- tion of its CAMBUS operation with the Iowa City transit system (both from a maintenance/ storage standpoint and operationally): r P 12 Y ��! I•IIcrOFILnLD OY DORM MICR4fLAB CFON? k•1190` - nr5 rinlllr5 rili,i(UFILFIEU By JORM MICROLAB CEDAR RAYIUS AND Or_ 1. The operating hours are substantially different. The city service operates between 6:00 A.M. and 6:30 P.M., six days a week, while CAMBUS operates five days a week from 6:00 A.M. to midnight. 2. The size of the university's current bus maintenance and storage facility Is adequate for the planned future operation of about 20 buses. 3. The university and CAMBUS officials believe the current maintenance staff Is competent. 4. The current organizational arrangement is not complex and insures that when a CAMBUS vehicle Is In need of repair it will receive top priority; i.e., a positive maintenance response now exists. 5. A portion of the maintenance and servicing operation is done by work-study students and 80 percent of their salaries is paid by federal funds. This results in considerable economy for CAMBUS. In addition to these tangible considerations, it must be understood that a portion of the CAMBUS budget is supported through student fees. A legitimate concern of university officials is that the students would probably be less enthusiastic about paying this fee if the "student run" flavor of the university's bus system were diluted (or eliminated) through some form of consolidation. In summary, It does not appear there is any compelling reason, financially or otherwise, for the university to seek consolidation of Its bus operation with that of the city. In fact, current institutional and management conditions argue for separate operations—at least until the work-study program phases out (this seems 0 very remote at the present time). 13 ,• �~! I1ILM IL14CB BY JORM MICR(�LA6 U00 OAPIT. • ars. uolnrs I I I I I 9 9 I a L'J I P EJ E 11 hiiowt iLMLU BY JORM FIICROLAB • I.LUAr( RAP LUS ANU JLC The question of combining the Coralville and Iowa City fleets is somewhat more straightforward. This is due primarily to the fact that Coralville has recently completed constructing a new bus storage and maintenance garage. The abandon- ment of this facility in the next few years could well be a difficult political problem—not to mention potential financial loss. Also, as in the case of the CAMBUS, the Coralville system has a different operating day than Iowa City (6:00 A.M. to midnight versus 6:00 A.M. to 6:30 P.M.). Finally, Coralville has as much interest In "priority maintenance response" as either the university or Iowa City. The situation of one jurisdiction owning and operating a maintenance facility and contracting maintenance service to other jurisdictions is an open invitation to intergovernmental friction. Accordingly, it is recommended that the concept of consolidating either the Coralville or university bus storage and maintenance operations with that of Iowa City be dropped at this time. Iowa City should proceed on a course of action that provides for the best possible maintenance and operations of its fleet. However, C such actions should not preclude eventual consolidation of all three operations. ,C N � Recommendations for Managing Bus Maintenance Because of the production nature of transit operations and the critical relation- ship between the quality of the physical and mechanical condition of the vehicles and the atilludes of the riders, a high level maintenance ef!ort is absolutely essential. In addition, today's (and particularly tomorrow's) $70,000 transit bus is a highly sophisticated piece of equipment. The proper maintenance of such equipment requires specialized training and continued experience. 14 AICROI WILD 6y JOSM MICR6LA6 rrOM f,APIOr MOR1r5 MiLitlh iOLL) BY JORM MICROLAB • LLDAI< RAFIuS ANO JLC ' Evaluation of Consolidation of Transit System Facilities A series of quantitative analyses were performed to measure the "economy -of - scale" effect that several consolidation strategies would bring about. These results are shown on Tables 9, 10, 11, and 12 and Figure 5. In summary, the basic findings are: 1. There would be very little, if any, economy in combining the city and university bus storage and maintenance operations in terms of building space needs. 2. Similarly, the total site area would not be appreciably reduced by combining only the two larger operations. A 12 percent savings in total site is possible by consolidating all three operations. 0. Considerable savings (up to 18 percent) are possible if all transit functions could becombined (maintenance, storage, transportation, administration, etc.) 4. As the bus fleet grows in size, the scale -of -economy relative to major equip- ment and spare components becomes fairly significant. For example, two 20 -bus systems would each require one service vehicle, whereas, a 40 -bus system could function with only one vehicle. 5. The total number of maintenance personnel per bus is reduced as the bus fleet increases in size. For example, two 20 -bus systems would each require four mechanics and one serviceman for a total of 10 people (4.0 buses/person). A single 4O -bus system would require seven mechanics and a serviceman one- half time (supported by a cyclone cleaner and an automatic washer); for a total of eight people (5.0 buses/person). The analytical evaluation of the three bus systems suggests that there is some merit in consolidation. Beyond the tangible savings in land and building area, as well as personnel -related costs, there are certain intangible benefits that might be gained, including: -- Attraction of more highly qualified supervisory personnel as well as mechanics, due to the larger size, more impressive operation. -- Higher quality maintenance due to more specialized equipment and tools— including bus washer and cyclone cleaner. There Is no doubt that a community of 60,000 people which needs, say, 45 to 50 buses for transit service would build a single bus maintenance and storage facility. However, the Iowa City -University of Iowa-Coralville situation is quite different from that of a single unified community. Hence, the Issue of consolidation must also be examined from institutional, administrative/ management, fiscal (local), and political perspectives. These are addressed on the following pages. 41 MICROI MID By - i JORM MICRf LA9 A N NiciWi ILMLU BY JORM 14ICkOLA15 CLUAR RAPIUS ANTI UL �. Table 9 SPACE REQUIREMENTS FOR VARIOUS SIZE BUS OPERATIONS 120 240 120 360 120 Maintenance and Servicing (Square Feet) 750 Single Two Single Two 20 -Bus Single Single 20 -Bus 20 -Bus 5 -Bus One 5 -Bus 40 -Bus 45 -Bus Location Locations Location Locations Location Location Maintenance Building Shop Office 120 240 120 360 120 120 Repair Bays 1,500 3,000 750 3,750 2,250 3,000 Machine and Electrical Area 900 1,800 2,000(1) 450 1,000(1) 2,250 3,000(1) 1,800 3,200(2) 2,000 3,200(2) Fueling and Cleaning 1,000(1) Tire and Stockroom 290 580 120 700 580 650 Boiler Room 500 1,000 350 1,350 700 750 Locker Room 40 80 25 105 60 65 Male Rest Room 40 80 20 100 40 40 Female Rest Room Subtotal: 20 4,410 40 5,13Y0 20 2-,M 60 11,677 20 T770 20 9 Contingency 441 882 285 1,168 877 985 Total: 4;M TIM I2Im 9-1W Ib 1 Stora eBuildiny Bus Pawing 8,400 16,800 2,100 18,900 16,800 18,900 Service Equipment 400 800 400 1,200 400 400 Subtotal : -T8w 1T,3 -FO X660�5 1T, 30 19,303 Circulation Total: 1,320 10 0 2 640 'Om 375 8%5 3,015 43,115 2,580 19 �7ao 2 °35 Maintenance and Storage 14,971 29,942 6,015 35,957 29,427 33,Cc5 Outside Area: Employee Parking 1,600 3,200 400 3,600 3,200 Walkways 580 1,16^ 280 1,440 1,110 Landscaping 1,580 -3,776 3,160 1,280 4,440 -9 316 2,110 b-dT+S Subtotal : 7 52U I w ' Contingency 376 752 195 943 _ 642. 6y5 Outside Total: 4,1?6 6,Zle ,156 1-2d 7,0 K 7,0: Total Site Area (sq. ft.) 19,107 38,214 8,171 46,385 35,489 40,6-. Total Site Area (acres) 0.44 0.88 0.19 1.06 0.84 0.93 (1) Based on hand cleaning. (2) Based on bus washer and cyclor-2 cleaner. Source: 1. 9:,c ...z+._... 1. Transit '13nagerent Handbook; I!.:7A, :loveroer, 1975. 2. N.C. Gilman F, Co., t.h., •,n v t ouerat!'ns diri ion of Bar•.en-:•scnran Associates, :nc. q.. ' 141CROFILIILD BY , JORM MICR+LA6 frDAP RAPIM • nfS MOPIFS Table 10 01CR0F1LMLO BY JORM MICROLAB FOR Transportation Building Dispatcher Operators Day Room Male Locker Room Female Locker Room Male Rest Room Female Rest Room Subtotal: Interior Circulation Total: Outside Area: Employee Parking Walkways Landscaping Subtotal: Contingency Total: Total Site Area (sq. ft.) Total Site Area (acres) Maintenance TO -a' —Site Area (sq. ft.) Total Site Area (acres) Transportation and Maintenance Total Si to Area (sq. ft. ) Total Site Area (acres) Source: SIZE BUS OPERATIOus CEDAR RAPIDS ANO uLj saw ja a IT•ans ortation Division S uare Feet ing a wo ing a wo - us Ing a Ing e 20 -Bus 20 -Bus 5 -Bus One 5 -Bus 40 -Bus 45 -Bus Location Locations Location Locations Location Inratinn 120 200 240 400 120 200 360 120 120 60 120 40 600 160 600 180 650 210 30 60 60 120 20 20 80 140 90 105 40 80 20 100 120 80 135 90 510 1,036 42-0 17TO 1,190 51 T -I 02 42 144 119 ITFO 131 10,650 21,300 2,700 24,000 16,050 17,=00 20 40 20 60 20 20 20 10,6901 40 380 20 2;M 60 FI -,12b5 70 040 70 1 069 111 2,138 274 2,412 17,�-;0 24 —7 23, 518 3, 0 1 11 �=r 12,320 24,640 3,476 28,116 19,008 2^,c 2- 0.28 0.57 0.03 0.65 0.44 0,42 19,107 38,214 8,171 46,385 36,439 -01681 0.44 0.38 0.19 1.06 0.84 0.93 31,427 61,732 11,647 74,501 55,497 61,306 0.72 1.42 0.27 1.71 1.27 1.41 MICROFILMED BY I JORM MICROLA13 CCPAp PPPHIS OCS MOIIIrS MlUr(UliL& U BY JORM MICROLAB CLUAK RAPlu� AND A' Table 11 MAJOR EQUIPMENT AND PARTS REQUIREMENTS Number of Units Single Two Single Two -Bus Single Single 20 -Bus 20 -Bus 5 -Bus One 5 -Bus 40 -Bus 45 -Bus Item Cost per Unit Location Locations Location Locations Location Location Bus Washer 520,000-525,000 - - 1 1 Cyclone Cleaner 12,000- 15,000 - - - - 1 1 Hydraulic Lifts 8,000- 9,000 2 4 1 5 3 3 Fuel Tanks and Pumps 7,500- 8,500 1 2 1 3 1 1 Spare Engines 7,000- 8,000 1 2 1 3 2 2 Spare Transmissions 4,000- 5,000 1 2 1 3 2 2 Service Vehicle 5,000- 6,000 1 2 1 3 1 1 0 ?lean Capital Requirements Bus Washer 5 - S - S - S 522,500 522,500 Cyclone Cleaner - 13,500 13,500 Hydraulic Lifts 17,000 34,000 4,500 42,500 25,500 25,500 Fuel Tanks and Pumps 8,000 16,000 8,000 24,000 8,000 B4OCG Spare Engines 7,500 15,000 7,500 22,500 15,000 15,000 Spare Transmissions 4,500 9,000 4,500 13,500 9,000 9,000 Service Vehicle 5,500 11,000 5,500 16,500 5,500 5,500 542,500 585,000 534,000 5119,000 599,000 599,000 i Source: .... ~C^I•IICROFIL1410 By JORM MICR+LAB MAP RMIns • ors IdOINCS Nig., l'.U�!Li feu BY DORM MICROLAii • LEUAR i2APIU] ANU JL: 11 :,L , , Table 12 MAINTENANCE PERSONNEL RE UIREMENTS _-- Personnel Required - - - - Combined -- Mechanics; Fleet Mechanics Servicemen Servicemen^ Total 7.5 Year Average Age 'm 0 Single 5 -Bus Location(1) .5 - 1.0 1.5 Single 20 -Bus Locatigqn(1) 4,0 1.0 - 5.0 Two 20 -Bus Locations`l) 8.0 2.0 - 10.0 Single 5 -Bus; Two 20 -Bus Locations(1) 8.0 2.0 1.0 11.0 Single 40 -Bus Location(2) 7.5 .5 - 8.0 Single 45 -Bus Location(2) 8.5 .5 .5 9.5 (1 )Based on hand cleaning. (2 )Based on bus washer and cyclone cleaner. _U 2 Q S U W 0 O cc W m f 7 Z ME 'm 0 W1 -- -'s No I� 0 10 20 30 40 50 NUMBER OF BUSES NUMBER OF MECHANICS BY AGE OF BUS AND SIZE OF FLEET (BASED ON 40,000 MILES PER YEAR PER BUS) Figure 5 45 1 I•IICR0IILI4CD BY JORM MICR+LA6 FFDAR PAPP`. - DFS MOINES SOURCE 1. Boitdabfromeft ds of eiStaw Tcamll Sm.m, St. Louis, Mo. 2. W.C. Gilman & Co., Tunfit O Wtations D.M.Dll al Battom AW,t ,, Amciafm, Inc. i ra l_,np II_LL i BY MiRM MILkULA6 LtUAk kAPIJJ AiW O�,, _ Jurisdictional Considerations Regarding Consolidation There are a number of practical reasons for the university to resist the consolida- tion of its CAMBUS operation with the Iowa City transit system (both from a maintenance/ storage standpoint and operationally). These are: 1. The operating hours are substantially different. The city service operates between 6:00 A.M. and 6:30 P.M., six days a week, while CAMBUS operates five days a week from 6:00 A.M. to midnight. 2. The university's present bus maintenance and storage facility is of adequate size for the planned future operation of about 20 buses. 3. The university's physical plant and CAMBUS officials believe the present maintenance staff is competent. 4. The current organizational arrangement is not complex and insures that when a CAMBUS vehicle Is In need of repair It will receive top priority; i.e., a positive maintenance response now exists. 5. A portion of the maintenance and servicing operation is done by work-study students and 80 percent of their salaries is paid by federal funds. This results In considerable economy for CAMBUS. In addition to these tangible considerations, it must be understood that a portion of the CAMBUS budget is supported through student fees. A legitimate concern of university officials is that the students would probably be less enthusiastic about paying this fee If the "student run" flavor of the university's bus system were diluted (or eliminated) through some form of consolidation. In summary, it does not appear there is any compelling reason, financially or otherwise, for the university to seek consolidation of its bus operation with that of the city. In fact, current Institutional and management pconditions rguee ue for program separate operations—at least until the work-study very remote at the present lime). The question of combining the Coralville and Iowa City fleets is somewhat more straightforward. This Is due primarily to the fact that Coralville is currently in the process of constructing a new bus storage and maintenance garage. The abandon- ment of this facility in the next few years could well be a difficult political problem—not to mention potential financial loss. Also, as in the case of the CAMBUS, the Coralville system has a different operating day than Iowa City (6:00 A.M. to midnight versus 6:00 A.M. to 6:30 P.M.). Finally, Coralville has as much Interest in "priority maintenance response" as either the university or Iowa City. The situation of one jurisdiction owning and operating a maintenance facility and contracting maintenance service to other jurisdictions Is an open invitation to intergovernmental friction. 46 i I116RO1 ILMLD BY JORM MICR46LAB ❑'DAP PAFII` • 9rC MO PIIF bit �.KW ,L;"Lo by JORM MlCkOLAb • LED"'k kArij'i Ai1U uL- Jurisdictional Consolidation Conclusions The Iowa City-Coralville transit development program report published by the Johnson County Regional Planning Commission (December, 1974) dealt at some length with the problems and opportunities attendant to the coordination and consolidation of the area's three transit systems. This report identified a number of ways in which coordination of these three autonomous services are being effected at the present time. Additionally, recommendations were made to strengthen cooperative ties. Considerable discussion was devoted to the specific subject of jurisdictional consolidation versus continued separateness (for a complete discussion of the major advantages and disadvantages of either course of action, Section VII of the transit development program report should be reviewed). Two basic conclusions were reached in the Johnson County report regarding consolidation: 1. The concept of closer coordination of the three transit systems was embraced— even to the extent of some form of unification or consolidation. However, no firm recommendation was made along this line. The issues of consolidation are primarily of a legal, labor, institutional, and last, but most certainly not least, political nature, Finally, the transit development program indicated that when the pros and cons are tallied, there is no clear -cul answer. 2. Notwithstanding the fact that formal, regional transit -authority type unifica- tion might not happen soon, it ever, the program proposed "that a control maintenance and storage facility be constructed in Iowa City, and that it function as a joint facility for servicing the transit vehicles of all three systems." During the past year, since the completion of the transit development program, the City of Coralville has constructed a new bus maintenance facility. This was not contemplated In the program. In addition, the institutional and management issues which relate to unification of CAMBUS with the maintenanceand storage of the IowaCily bus fleet, seems, to this consultant, to strongly restrain consolida- tion at this time. Accordingly, it is recommended that the concept of consolidating either the Coralville or university bus storage and maintenance operations with that of Iowa City be dropped at this time. Iowa City should proceed on a course of action that provides for the best possible maintenance and operations of Its fleet. However, such actions should not further preclude eventual future consolidation of all three operations. Ehd Corporate Considerations Regarding Consolidation The second major consolidation question deals with the separation of the transit maintenance operation from the maintenance operation for the other city 47 1d1 CROr IL14ED BY DORM MICR¢LA9 rrnp .'1r51101%f� ra I(�,J,a BY JOHM 141CROLAb • CLUAft RAPI )S ANU L)L City of Iowa City MEMORANDUM DAflI January 25, 1978 TO: City Council and City Manager FROM: Hugh A. Mose, Transit Manager �6kml RE: Evening ridership statistics Evening bus service ridership averages for the routes oper- ated are as follows: West Benton - Lakeside - North Dubuque* 91 55 Rochester - Mall 44 North Dodge - Towncrest 39 Manville Heights - East College 18 Wardway - Goodwill Total 247 * Two buses These figures represent all passengers boarding Iowa City Transit buses after 6:30 pm on the first 42 operating days of evening bus service. There may have been some error in the fig- ures for the first several days, but the remainder of the counts have a high level of confidence. Please refer to the attached tally sheet for more detailed information. You will note that total ridership rose quickly during the first two weeks of operation, topping 500 trips on December 8th. After the end of classes for the fall semester ridership slowly dropped off, and patronage during the Christmas holidays was very low. The first week of January showed small ridership gains, but patronage did not really come back to its earlier level until Iowa City began gearing up for the start of the spring semester. To date transit marketing efforts have been minimal, but it is expected that a promotion campaign to be conducted in the first part of February will serve to increase public awareness of the evening service and thereby build ridership. 227 I4ICROF IX0 BY JORM MICR+LA6 nnn 1"ANn, nts WIRffS a J, 1L.11i k) BY JORM MICHOLAu ROUTE • 1,L Ml< SCHEDULE SHEET IY �0 �i8 7D so /L 9 a GA 2 7y s4 /s 30 ¢l BS . s 4 i' t 7 S3 e.A 7 s4 36- 37 is a ; 3 _'4 ,an /n l77 Z. 63 if701 la 1 s4 4 7 //0 �L U 3a is 7c 5` 3 7` C, 33 41,/S J � �( .. %� gyp• rA yY 47 ' G� �/ iii �l ,/ �a 'Y• �� 97 -V. 1 2/ � /f •i6 3�. _an :: C /� z 7/ d6 54 15- .� .4/ 1�1` �n 3 36 _3i /,7 l 3/ 34 �V�Z 3 D 17 4 I "'9 56 zz 31 1 iz 1Lf''LL' BY JOP.M M1r,ROLA13 LLUAR nA'tUl� AND JL, >�U.:iL�� City of Iowa Cl" , MEMORANDW DATE: January 24, 1978 TO:City Council FROM:Roger Tinklenberg 1V`, RE:Energy use data and potential savings. Attached you will find the annual gas and electric consumption and costs for the Civic Center graphed out and a case study prepared by John Houck using his home. The Civic Center's electrical consumption has risen steadily, but unspect- acularly in the last four years. The costs of electricity, however, have almost doubled from just under $7,000 to just under $14,000 per year. Natural gas consumption, on the other hand, has increased from about 45,000 ccf, in 1973, to about 57,000 ccf, in 1977, and gas costs have more than doubled from about $4,500 to almost $10,000 per year. For these reasons there is a potential for considerable savings in the Civc Center alone. A 20 percent reduction in the natural gas consumption (which would bring consumption back down to the 1973 level and is the average energy savings which results from an energy audit and building corrections) would save the City approximately $2,000 per year. The Resources Conservation Commission intended to submit more material to you for your consideration, however, Charles Oenniger received an eye injury and was unable to assemble the materials. Therefore, although this material is not as comprehensive as hoped, I believe it does provide you with an indication of what can be done. i MICROFILMED BY JORM MICROLA9 rrnAP pAPin; • flrS %inlllr5 ML1 BY JORM MIGROLAB LEOAk RAPIuS MID uL ;��! ��. •� /owe Girt', /A '. �'�'.cvG1'r/i�� ; GlivUo GRAr�ED -� /�•ec'6D �t,� \ �• /V�rue�� v�� �ONSUn�/�l/U/J v�El-�/r6 i'1UD/�/C/JT/ai/� ,-14 /✓ 1977 /73o r ret& PAYS ?3s ccF g-6 1977 /o ss /S/7 CCG ill/1 i' /977 4, �/✓�;r<Gv �'oN�r�'✓;�J� �/%rJD/G r=/1 //J�/�" l���r' - d���7/ — /I vol rl,% I//r c;/r��✓moo: ':; /if/j LE /II /i i'/ • =�/5U 41 Igo — /✓/w`c° �'ilai,��✓6 d l�/l��/;'��,CST,�'��Tir.�L', ' i/&;g/ /f/o/- /1t/CLdGLJ HICROFILI4ED BY I DORM MICR+LAB FFOAP PAPI'I' • nrF MOIH($ i[ :U, ILALU BY JURM MICRULAB LLUAR RAPjjS An JL _ 1 _ S NiJ/Uy-�G (;;h 5 OlfT /I / h�l�r�—ri_Iv/IYJ ��300'f� Nall I -5P77 79Z GB ccs �, B.�r FiT�� �UiIT7ati5 C'C6 -- 0. /2-%G (Do%tirv) 7 - /9.7 edEG = 0, ev/q (�?D /.Na,drd t- J 9, 7 /� J;..". r GJI�iOL Z.O• r !fy! l !%/i"e !//1L r/E `,il/✓ l� 5� I �Z /OZ X20, c,{ {6 /cY9 o 56 16 $/6, So 123� x[3.4 Z ip' ''1ZL-) Y`�il %S 417 k,72- ,7ZMy My /!3 �� � l �a • �`� J,) / /• 7 11,7 �O c)r/GY //•7 1s-7 `?0 q�� /a7 /�V do ��,�� 90 3l 1s' ��•�� dL✓ �l G/ Z/() ��5• a � (cunt I WED BY JORM MICR¢LAB rFDN+ BAPIIIS nFS 40INFS 0 MILRUFILMLO 4Y JORM MICROLAB CEDAR RAPIO5 AND L)L, .'IL,lIL_„ ._ a A Cosy OF 8, /fNTiG!'r�72-D 6srr /111o.p/J'1-11'e-e e, P,ee)J,5c7- L //c�E ,2o X15 p. jo/Mpz-C 1,4 yr�.��,� ��T y �,o s yPs �. ��7�rJ/?/✓ Def/ /i1/t�Csr�G��% '� "o wo e /NI -MI -10 r'✓ /y/✓OA1�D q7- . 1 MICROMMr.D DY i JORM MICR#LA6 crDAP ItAPIP4 • ors }IOUIrs ml KuriLNLu BY JURM MICkOLAb LLUAH OP7U, ANO u ti I I it .I I . .: It ' J Fe/l •• I �. I �7-L. .::I iiiU MqA ''.711 G X 5!,KP? Ic7 I � _ Y I- f r II i �- ,� it tI' I� Ii I�•I ISI T�-t} �IT ' i � �• I t i; Mno��rrNr I (( r•f � }- f' I .. i I I L i I i I I• /'' I t r I Fill i 110 v Mil r .. —. .:YG • :. / UU : I ' U'J. I z.JDO I : 1.r C1 � i I ; . ~I 141CROI-ILMED BY 1 JORM MICRI�LAB ffMP p,npl n'; nfS M019fC 16 co a a 014 0 I.i U) 0 V)12 0 0 5 E z 1C bllGt(UFlLMLU BY JORM 14ICROLAU CLUAk RAPIu� AND kL ANNUAL ELECTRICAL CONSUP4PTION FOR THE CIVIC CENTER z 3 a 0 0 V) 0 a 4( N D O H 3( CALENDAR YEAR �i IdICRO(I LHCO BY JORM MICR+LAS MAR PAPM - M I40111P5 179 14 ❑ a a a12 0 Im w 0 .' MIOWFILMLO BY JORM MICROLAB • GEUAk RAP1U5 AND UL: 7w:; A E z 0 H F G 4 a z f 0 u Ln a u a e, 0 F a z M N W 06( 0 u. U U v u U uS( w c En ❑ z a m 04( x F i. M:: io i-iI -ICU BY JORM MICRULAB LEUAK RAP IuS A;10 uL. 'i�•�i', City of Iowa Cl MEMORANDUM DATir January 24, 1978 10: City Council FROM: Nancy Heaton, City Treasurer i. 1,' RE: Notification by Landlord of Tenant Move PROBLEM: Many tenants fail to realize their responsibility for water/sewer service. Others just do not take the time to make the contact. This results in billing errors, time consuming adjustments and unnecessary shutoffs. Landlords hesitate to take the initiative and have the service in their name during the period the unit was not rented due to the $5.00 connection fee. If it was not in someone's name, the Service Department had to gain entrance to remove the meter. The number of apartment tenant moves resulted in an impasse many times because the service person could not get to the meter. Continuous changes also result in wear and tear on the meter. SOLUTION: The Utility Department provided a self-addressed card and asked the landlord/managers to use the card to notify us on each tenant move. We would process a final bill on this account and set up the new account if the unit was rented. If a unit was vacant, service would continue, but no charge would be made up to 30 days, at which time the meter would be removed or the account listed in the landlord/manager's name. ADVANTAGES: 1. Dollar savings for apartment landlords 2. Increased accuracy due to timely information on utility billings. 3. Decreased number of service calls. 4. Alleviating amount of time consumed in making arrangements to find someone home so meter can be removed. 5. Decreasing chance of damaging meter. '� ,11CR01 W110 By _ JORM MICR(�LAB rrMP PANT - "F3. I-0WNF, X29 mi; i•ktjv1LM, Li BY JURM 141CROLAB CLDAR RAP IU�) ANU t)L: City of Iowa City MEMORANDUM DATE: January 27, 1978 TO: City Council FROM: Rosemary Vitosh, Director of Finance (� RE: Changes in FY79 Budget Attached is a listing of the changes to the FY79 Budget which were agreed upon by the Council at the budget session on January 25, 1978. As was discussed, the increase in property taxes to the 9% level fell short of the total additions to the budget by approximately $11,000. The City Manager is recommending funding this $11,000 out of the General Fund balance. If you have any questions, please contact me. 230 4•' i IdICRUf ILMC" By DORM MICR+LA6 rrnnr• rnrlo'.. rns•mni%rs "t:u:UhiLPI.0 BY JORM MICROLAB LtDAk RANIJ� AN0 Oce CHANGES IN FY79 BUDGET RECEIPTS Increase Property Taxes to 9% Lid: General Fund Property Tax Levy at 9%, $3,665,893 3,621,708 Tax Levy Per Proposed Budget (at 7%) 44,185 Reduction in Fund Balance at 6-30-79 11,119 TOTAL $ 55,304 DISBURSEMENTS Additional Items to be Funded: $ 30,000 Library Parks & Recreation, Temporary & Overtime 5,500 Cemetery, Temporary & Overtime 1,500 $ 37,000 Aid to Agencies: Approved Funding on 1-25-78 (see attached) $171,838 GRS Funding Per Proposed Budget 153,534 $ 18,304 / GRANT TOTAL $ 55,304 OTHER 1) Move T -Hangar Project to FY80 in the CIP 2) Find funding in FY78 for ventilators in Bus Barn 3) Fund Street Sealing Project with $37,517 of R.U.T. 4) Fund Asphalt Resurfacing with $205,000 in G.O. Bonds ITEMS TO REVIEW 1) Eliminate one unmarked police car and replace van for Animal Control 2) Review subdivision fees for possible increase '41CROFILMED By � JORM MICR(�LA9 CFDAP RAPin' • nfs,MDIRFS raI1,RUIiLALU BY JURM MICROLAB AID TO AGENCIES: , LEUAil( RAPIDS AND LJLJ i'IU,IL„ AID TO AGENCIES JCRPC $ 65,897 Mayor's Youth 21,271 Youth Homes 8,000 UAY 27,327 PALS 11,893 Rape Victim Advocacy 5,300 Johnson County Council on Aging 18,550 Crisis Intervention 3,000 Fund With: GRS $153,534 Property Tax 7,704 Mark IV 5'000) Friends of Children's Museum 2,000 Budget under Parks & Rec. I.C. Babe Ruth 1,200 ; & Fund with Property Taxes I.C. Boys Baseball 1,200 Girl's Softball 1,200 171,838 141CROFILMED DY JORM MICR(�LAEI CFO(,R POPM`-, . I1FS. h10111ES Fii �<Ui iL;-4� 8Y JURM MICROLAB•- C JOHNSON COUNTY COUNCIL ON AGING 538 SOUTH GILBERT STREET/ IOWA CITY, IOWA 52240 The Johnson County Council on Aging has received a grant in the amount of $3,550.00 from Heritage Agency on Aging (Area X) to provide financial assistance to Johnson County elderly who areineligible for health care assistance through Medicaid or Title XX and e in Eligible persons can now receive assistance hearithe tarea of dental repairs, eye examinations, eye glasses, hearing aids, and some assistance with purchase of drugs for the period of October 1, 1977 through August 31, 1978. The guide- lines are in accordance with Iowa State Commission on Aging, policy manual, part B. 1. "These guidelines shall provide older persons receiving such services the opportunity to contribute to all or part of the cost of the social service provide." 2. Each individual recipient shall determine for himself what he is able to contribute toward the cost of the social service. No older person shall be denied a social service because failure part of the costof such services to all or 3. Methods of receiving contributions from individuals shall be handled in such a manner so as not to differentiate among individuals contributions pdbli:cly." Special attention will be given to the needs of low-income and minority elderly, and to the extent feasible, and with respect toresources individualsewillibeble servedeattleastain,proportion and minorityy to their relative numbers in the planning and service area. Council on Aging feels that the program is certainly one that is needed and will benefit elderly. We encourage and urge persons over sixty, to take advantage and make use of this assistance. ted personssshouldngetlll in touchnate on with Counciltonl, 1978, interested possible, by either calling 338-8018 or 338-9298, Aging as soon as p or by stopping in at Close Mansion, 538 South Gilbert Street. X31 .�I MICROFILMED By JORM MICH¢LAB rrnnr i+VT)'. • �,rt. Mnrirs riIt-,wU 11MtU OY JURM Ih1ICRU LAB LLUHd RAP10U) AtW JL: .4v..IL_, 'RF('.rNE.O •1114 ? 51978 JOHNSON COUNTY JUVENILE DIVERSION PROGRAM 104 East Jefferson Iowa city, Iowa 52240 Phone: 338.1343 January 24, 197-0 Mayor Robert Vevera Iowa City Civic Center Iowa City, Iowa, 52240 Dear Mayor Vevera: United Action for Youth Director, Mr. Jim Swaim, has indicated that his agency is seeking funds from the city's Aid to Agency funds. Mr. Swaim has also advised me that his request includes an increase over last year's request. Since United Action for Youth will act as a referral site for many of the juveniles diverted by the recently developed Johnson County Juvenile Diversion Program, I felt it would be appropriate to write to you regarding the agency's request. The Diversion Program anticipates referring thirty to forty juveniles per year to United Action for Youth in addition to the juveniles currently served by the agency. These referrals will not only increase U.A.Y.'s work load, but the accountability and feedback required by the Diversion Program will be an additional burden on U.A.Y. In other words, our referrals are at least part of the cause for U.A.Y.'s reqqested increase. I am writing to bring this to your attention because I value United Action for Youth as a referral site. Thank you very much for your time. If you have any qqestions, please feel free to contact the Diversion Office. Very truly yours, e, �, 0. oQ.f,IIQ.zl Rodger 0. Darnell Director MICROMMCD BY _ JORM MICR#LAEI rroAP anP!m • nrS,Mnwrs X32 hILAi:U BY JORM 1•IICROLAB IOMi..JN C' IOWA COUNTY ZONING DEPARTMENT P.O. Box 126 Iowa City, Iowa 52240 January 24, 1978 Honorable mayor Robert Ververa Iowa City, Iowa 52240 CEDAR RANIL)� Alio JL RECEIVED IAN 2 6 1978 BEN D. IOHNSON Zoning Administrator Area Code 319 Phone 338.2421 The elected officials of your city are cordially invited to attend the next quarterly meeting of the Easten Iowa Planning and Zoning Officials Association to be held Wednesday, February 8, 1978, in the Little Amana Holiday Inn, I-80 Exit #55. The meeting will begin at 10:00 a.m. with coffee and rolls at 9:30 a.m. A Plate luncheon will be served at noon. Approximate cost is $4.50. One of the most knowledgeable people in Iowa on land use and zoning law is the featured speaker for the Winter meeting of EIPZOA. Attorney William L. Meardon, of Meardon, Suppel, Downer & Hayes, will speak on trends in land use law, with particular emphasis on recent Iowa cases. Mr. Meardon has recently been involved in several lawsuits involving the City of Iowa City, one of which ended up in the Iowa Supreme Court. He has attended several national seminars and meetings on land use and zoning. Please make your reservations by February 1st, by calling Kayleen Shims at 319-338-2421. Bt u Ben D.4 Phnson ✓\J hnson Johnson County Zoning Administrator 1. MICROFILM ICY JORNA MICR40LAEI CMAP PnrIM • firs, 140816 233 1.111, iii iLM4 U BY JORM MICROLAB LLUAk RAPIus AIIU 01— ; ', RLL;EIVED JAN 2 G 1978 lif Cooperative Extension Service Iowa State Universi1� of Sucnct and Technology Johnson County uk Box "26 January 25, 1978 �V' • Iowa Ciiy, luwa 52240 Phone 319.337.2145 TO: Mayors and City Council Members RE: February 2 Orientation Meeting To help you with your job as an elected city official, we have planned an orientation for mayors and city council members on Thursday, Feb. 2. The program will begin at 3:30 p.m. at the Area Extension Office in the Grant Wood Area Education Building, 4401 Sixth St., S.W., cedar Rapids (on Hwy 218 6 30 across from Hawkeye Downs). Dinner will be brought in and the program will end at 9:00 p.m. Iowa State University specialists Jack Whitmer and Paul Coates from Ames and David Hammond from Cedar Rapids will present the program on the following topica. Your job as an elected official opportunities for managing your city Program budgeting as a decision matting tool Parliamentary procedures Questions and answers on topics you want to discuss. Although designed specifically for newly elected mayors and city council members, those of you who are experienced will be welcome also. The only cost will be dinner. Hope you can make this orientation session. Sincerrellyyw, Dale Shires County Extenpion Director DS/ar AND lUV= loll ALL Mjawr stwratwrr,.w aw a�*Raw so No anon" 110mM CNO #VO Ww P *1d, low lin. URIMSUV &W U. t. DO,wu of Arbobwe wwmru 141CROIILMCD 6V ! JORM MICR+LAB rrPAP PAPIP'- lf5.,VnCS M r-ijutwi ILArD BY JORM MICROLAB CLOAR RAPlu� AND oL ' . SENATE FI LE��2 By MILLER of Marshall Passed Senate, Date Passed House, Date Vote: Ayes_ Nays Vote: Ayes Nays Approved_ A BILL FOR I. An Act requiring the commissioner of social services to fund 2 pilot programs to provide emergency shelter services and 3 support services to battered women and to fund education 4 programs to promote awareness of the problems of battered 5 women. 6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 I•IICROFILMED BY JORM MICROLAB crow RAPID; • PES,MOIIIFS C.o.,,,,,2172 Y hie wtUr 1 G•ILU BY JORM 1-11CkOLA6 S.F. aDSZ H. F. IEUAt( kAP105 AIIU uL. 1 Section 1. NEW SECTION. DEFINITIONS. 2 Act, unless the context otherwise requires; 3 1. "Battered woman" means a woman who : 4 been assaulted as defined in section seven 5 one (708.1) of the Code Supplement by her 6 related to her by blood or marriage, or by 7 she is residing or has resided in the past, 8 2. "Commissioner" means the commissiono 9 services. 10 3. "Emergency shelter services" include 11 to secure crisis shelters for battered woml 12 networks for battered women. 13 4. "Support services include but are I 14 services, counseling services, transportat. 15 care services, and twenty-four hour inform 16 services. 17 Sec. 2. NEW SECTION. APPLICATION FOR 18 FUNDING AS A PILOT PROGRAM. A public or p. 19 group may apply to the commissioner for de 20 as a pilot program to provide emergency sh 21 support services to battered women. The a 22 be submitted on a form prescribed by the c 23 shall include: 24 1. A proposal for the provision of eme 25 services and support services for battered 26 2. A proposed budget; 27 3. Evidence of the integration of the 28 data collection and program evaluation est 29 commissioner pursuant to subsection five 30 (4) of this Act; and 31 4. Any other information the commissio 32 A public or private nonprofit group whi 33 nation as a pilot program and a grant to p 34 shelter services and support services to b 35 comply with all applicable department rule -1- � sv� WICROP ILME D BY I JORM MICR(/L rl'PAf! [Win' nl c. Mn OR •;: :!LU BY JURbl MICkULAB UDAk kNPILJ'j AIIU OLS S.F. dE H.F. Sec. 3. NEW SECTION. EDUCATION PROGRAMS. A public or 1 1 to the commissioner for 2 private nonprofit group may apply Y 3 a grant to develop and implement an education program designed essional awareness of the problems 4 to promote public and prof 5 of battered women and of the availability of services for be submitted on a form battered women. The application shall 6 6prescribed by the commissior.er. A public or private group 7 which receives a grant to develop and implement an education comply with all applicable department rules - 9 program shall Sec. 4. NEW SECTION. DUTIES OF COMMISSIONER. The commis - 10 11 sioner shall: pilot programs 1. Designate and award grants for four p' 12 ort services 13 to Provide emergency shelter services and Supp to battered women as provided in section two 14 (2) of thisro°yams 15 2. Award grants to develop and implement education p 9 Pursuant to section three (3) of this Act; 1 5 17 3, Appoint the members of the advisory board authorized provide staff and other 1s under section five (5) of this Act and 19 administrative services to the advisory board; 20 4. Appoint a project coordinator to perform the duties 21 set forth in section seven (7) of this Act; 22 5. Design and implement a uniform method ng 23 data on battered women and of evaluating funded programs. Y4 The method and form of data collection shall be designed to 25 document the incidence of assault on women be, heir by males 26 by males related .to them by orood haverresided9in the past; 27 with whom they are residing 28 6. Provide technical aid to applicants in the development 29 and implementation of the pilot and education P g provisions 30 7. Promulgate rules necessary to implement the 31 of this Act. NEW SECTION. ADVISORY BOARD--MEMBERSiiIP. 32 Sec. 5. 33 1. Within sixty days after the effective date of this 34 Act, the commissioner shall appoint a nine -member advisory 35 board. Persons appointed to the advisory board shall be -2- .,.I VIICRDf ILMED By 1 JoRM MICROLA9 rrpgv . OfS. MN'IFS CPA-34944 1/1 ,:', BY JORM MICROLAb CLUAK RAPWS AiID JL S.F. s H.F. —— law enforcement, social sable in the fields m hers of the advisory board 1 knowledgeable members services, or the law. Five organizations which 2 representatives of community than five members 3 shall be rep women. No more battered The board shall 4 provide services to political party* Five members shall constitute 5 shall be from the same p chairperson* of the 6 select its own chaiehall serve at the pleasure 7 a quorum. Members commissioner. call of the commissioner, 8 shall meet at the members. 9 2. The board or of any three board of the board chairperson, entitled to 10 11 nonlegislative board member shall be 11 Each nonleg expenses incurred in official duties from funds aperoPriated 12 reimbursement for actual and necessary legislative member 13 the performance of Each department of social services.Each two point ten 14 to the pursuantnses to 15 shall receive eXpe oint twelve (2.12) of the Code. The 16 (2.10) and two P Sec. 6. NEW s DUTIES OF THE ADVISORY DO 17 persons advisory board shall: 18 the commissioner the n�erovided for in 19 1. Recommend to 20 to fill the position of project coordinator p section seven (7) of this Act; in the performance of 21 ect in 2. Advise the proJ 22 duties ion and coordination Of 2in the administrat 3 his or her cti 24 programs funded under this A and co,mnent on applications rec 25 eived by rohram 3, Review nation and funding as a Pilot p 9 26 commissioner for designation rants; for education 9 promulgated 27 and app lications commissioner on rules to be 28 4• Advise the Y9 to implement this Act; and 30 5. Perform other dutiePRo ECT OORDIt°7ATORassThe scoimRis- Sec. 7. NEWNEW Sl appointing appoint a project coordinator. in 31 give due 32 sinner shall app the commissioner shall g the project the advisory 33 ro ect coordinators 34 consideration to the list of names submitted by ro riated 35 board. The project coordinator shall administer appropriated c n.....47 I/ll • • I I41CROf ILIILD OV I ioRM MIC R4�LAB r I I A P Nnrh� . OFS, Mo! !IF" J J '•".. Ut!Li•?��� 8Y JORM h11Ck01.A8 UUAR RANiu�) NiD uL S.F. -,?,467 H.F. 1 funds, coordinate funded programs, and perform other duties 2 the commi.ssi.oner may assign to him or her. The project 3 coordinator shall serve at the pleasure of Lhe commissioner. 4 Sec. 8. 1JL•'W SECTION. MANDATORY DATA COLLECTION. Every 5 licensed hospital, every physician licensed to practice in 6 this state, every public health nurse, and every local law 7 enforcement agency shall collect data related to battered 8 women in the form required by the commissioner. The data 9 shall be collected and transmitted to the commissioner at 10 such times as the commissioner shall require. 11 Sec. 9. NEW SECTION. RESIDENTS OF SHELTER FACILITIES. 12 General assistance payments may be made to individuals 13 receiving aid to families with dependent children who are 14 residing in a facility which provides shelter services to 15 battered women. 16 Sec. 10. APPROPRIATION. There is appropriate, 17 general fund of the state for the fiscal year beg. 18 1, 1978 and ending June 30, 1979 to the departmen 19 services five hundred thousand (500,000) dollars, 20 thereof as may be necessary, to implement this Ac 21 sum, fifty thousand (50,000) dollars shall be spe 22 education program grants. The commissioner shall 23 more than fifteen percent of the appropriated fun 24 administration purposes. 25 EXPLANATION 26 The bill provides that the commissioner of soc 27 will award grants to fund four pilot programs to 28 gency shelter services and support services to ba 29 The commissioner will also award education grants 30 public and professional awareness of the problems 31 women and of the availability of services for bat 32 The commissioner will appoint an advisory board t 33 him or her and a project coordinator to administe 34 and coordinate funded programs. An appropriation 35 is provided. -4- s. h11CNOfILI4f.0 OY i DORM MICR¢LA6 frPAP only nc . pf5 '•101'7CS I7liwi61 iL;'iw BY JOR14 111CROLAB CGUAII k0ioU AND UL, johnson county regional planning commission Ve •1/2 South oubuque street, iowo city. iowo 64�I�35( January 19, 1978 Iowa City City Council Civic Center Iowa City, IA 52240 ATTN: Mr. Neal Berlin Dear Council Members: _CEIVED IAN ? 0 1978 Isabel Turner cro,ww. Emil L Brordl bxw,.v D,,," v The Regional Planning Commission's Human Services Division is beginning to identify and prioritize work areas for the second year of its project. To assist us, we would appreciate receiv- ing suggestions concerning the areas you feel should receive special attention during this period. As you know, three of our subcommittees - Public Protection and Justice, Mental Health/Chemical Dependency, and Emergency Assistance - investigated eight service areas during 1977. The information gathered has been analyzed, our program recommenda- tions have been made available to you, and we expect the final reports from the printer momentarily. Our fourth subcommittee, Family and Individual Life Services, is continuing its work and plans to have service recommendations available by late Spring of 1978. The Human Services Steering Committee is in the process of gather- ing together its recommendations for the project's second year and will present these to the full committee on Wednesday, February 1, 1978. A list of these tentative suggestions is enclosed for your information. Since priorities A and B (see attached) will require a great deal of work, we would appreciate receiving only those suggestions regarding new service areas that you feel are essential. It would be helpful it we could receive your response to this request by January 27th in order to include it in a report to the Human Services Committee at its meeting on February let. Thanks for your help. If I can be of any assistance in this matter, please let me know. Si rely, 0 v1.I�t E '1 Brandt Executive Director Attachment EB/db F... -.i b11CROEILIAE0 BY JORM MICROLAB frnAB BA017 • ')F5.N`1115 236 Mist<UF iLALU BY JURM i•11LkOLAB CLUAR RAFIo') ANU UL., %w.: -t.. SECOND YEAR WORK PROGRAM Listed below are the Human Service Steering Committee's recommendations concerning work plan priorities for the second year of the Human Services Project (listed in priority order). A. Development of Optimal Service Delivery System 1. Develop a common data collection and retrieval system for agencies to use. 2. Foster communication/coordination among agencies. 3. Assist agencies to develop a self-evaluation process. 4. Assist funding bodies in utilizing information gathered in the first year. -Form S. Develop a formalized budgettfor use by funding bodies. 6. Help develop a unified information/referral process for the community. 7. Develop and recommend a mechanism and framework for an ongoing human services planning process after thin project ends. 8. Continuing responsibilities: A-95 reviews and Human Services Index Update. B. Follow -u on Committee Work Areas from the First Year 1. Work on solutions to recommendations. 2. Consider new or extended areae within subject. 3. Finish work on Individual and Family Life Services C. Consider new topics not covered in the first year. (Open for suggestions from funding bodies and committee.) Steering Committee feels new topics come, if possible, after priorities A and B are completed. 1/19/78 db I4ICROFILI-IID By i JORM MICR+LA6 crohr, VArI P` Df S. IdovlrS P;uUI(UI iU�!Lu BY MN MICkULAb WILL J. HAYEK JOHN W. HAYEK C, PETER HAYEK C. JOSEPH HOLLAND (,tl)AR MPiu� ANN .a.. ...,. HAYEK, HAYEK & HAYEK ATTORNEYS AT LAW 00 EAST WARNINOTON STRUT IOWA CITY, IOWA 72240 January 24, 1978 Senator Minnette State Capitol Doderer Des Moines, Iowa 50319 Re: Senate File 2030 - Open Meetings Bill Dear Minnette: AREA CODE ]IE 337.9608 ly IS PU) JAN2 51978 %BBIE STOLFUS CITY CLERK I am writing this letter to you to express my concerns about the proposed open meetings bill, which I understand is now pending before the Senate, As you know, I have served as special counsel for the City of Iowa City for Urban Renewal and currently as City Attorney for a number of years. During that period of time we have attempted to follow both the spirit and the letter of the present Chapter 28A of the Code of Iowa. In looking at Senate File 2030, I must say that I have some very real reservations about the bill, It is my understanding that the bill would not prohibit executive sessions to discuss strategy and bargaining positions in connection with public employee collective bargaining. However, the bill would prohibit executive sessions of a public body such as a city council, school board, board of supervisors, and the like to discuss strategy and bar- gaining positions in connection with other negotiations and bargaining situations. Unfortunately in Iowa City we have had considerable experience in negotiating Urban Renewal contracts. I think it would be difficult for the city council to develop a negotiating strategy and instructions to its negotiators concerning the various and sundry terms and conditions of such a contract if all of its in- structions and deliberations were public. No doubt many public agencies abuse the law and go into executive session to discuss what in reality could only be called policy matters under the guise of discussing contract terms or negotia- tions. However, I believe that the present bill is too restrictive and would hamper the ability of public agencies to do the public business which, in this day and age, often times involves difficult and complex negotiations. As I read the bill it would prohibit executive sessions to discuss the price of land being sold by a municipality. Communities involved in Urban Re- newal and redevelopment projects will particularly be involved with land sales transactions. However, almost all public agencies holding title to land will at one time or another be involved in that type of transaction. Although not always Vi 141CRnnuam By J0F7M MICR+LA13 rrpAp Dd^�n� ^f 5, 'd01!If� i1.idIU BY DORM MICkOLAb Senator Minnette Doderer January 24, 1978 Page 2 necessary, it is often times imporeanefandtte mslof saleagency negot negotiations able instruct its negotiator insofar as p party le, the instruction, "try to get us X -dollars, concerned without the other art to the proposed transaction being away of those instructions. For example, impossible if that inatruc- but we'll settle for Y -dollars if necessary" becomes imp tion is given in public. The bill also makes actions taken, illegally, at a closed session void - action y provision is able. Although there is a fairly stringent statute of limitations upon an invite litigation and may have the effect of requiring taken to void such an illegal action. I believe that the voidabilit p ill advised. It will, I fear, s on matters of importance where an present public agencies to wait at least 90 day provisions of Chapter 28A. It was taken at a closed session before going ahead with that action. e law contains criminal penalties for violating the p seems to me that there are sufficient sanctions for a violation of the law without adding the sanction of making the action voidable. The views I Minnette, are my own and am expressing in this letter, the liberty of sending a copy of this letter to do not necessarily represent the views of the City Council of Iowa City or the City Staff. However, I am taking Representative Small, Representative Hargrave, and also Senator Redmond, to the City Council of Iowa City for their information. Very trulyyyyJours# l" U 4W Hayek JWH:mm Cc. Senator James Redmond Representative Arthur Small Representative William Hargrave City Council of Iowa City MICROFILM RY i JORM MICR�LAB rr[wN vnrin'. of 5, !d01'IfS h1ii, <lil ILA,L) BY JURM MILRULAB LLUAR RAPIJJ AIIU JLC Remarks Before Iowa City, Iowa, City Council January 24, 1978 My name is Tom'Dowden. I represent Cox Cable Communications of Atlanta, Georgia, and Eastern Iowa Cablevision, Inc., one of the two known applicants for a cable television franchise in Iowa City. I was the coordinator for the Cedar Rapids cable television effort which resulted in a two -to -one victory in the special elec- tion held there on December 6, 1978, and I'm also the coordinator for the Marion cable television special election that took place today in Marion and which I hope to be able to report sometime after the polls close at 8:00 tonight that we also won. The results of the Marion election are of course important to the people there and to our company but the future of cable tele- vision in Iowa City and the role that Eastern Iowa Cablevision will play in the development of cable in this community is equally important. And that is why I am here tonight. As you know, Iowa is unique among the 50 states in its approach to cable television franchising. In 1968 the attorney general removed the discretionary aspects of cable franchising by requiring a vote of the people in establishing this business in communities in Iowa. Over 60 Iowa communities have cable television and they've been established through the referendum process. We felt we were following the mandates of the Iowa statutes and the legal parameters offered us when we appeared before this council in late December requesting a special election on the subject of cable television. These were the very same procedures 237 ~� Id100FILMf.D 6Y JORM MICR(�LAB CFPAP PAVIP', • h15 CI01!4I P1loWr lU4L.0 BY JOW4 141CROLAb CLUAR RAf'iul) ANO JL our company followed in Cedar Rapids and Marion and other locations in Iowa. They were: 1. Petitions representing 108 of the voters from the last scheduled election; 2. The calling of the election which we have assumed all along was nondiscretionary on the part of the city council; 3. Clearing of an election date with the auditor; 4. Depositing a check to cover cost of the election; and 5. Submission of all necessary legal papers, resolutions, etc., to implement the calling of the election. Unless we have misinterpretted how this whole process works, we are concerned that both of us are ignoring the wishes of approximately 1,300 citizens of this community who signed the company�s Petitions some weeks ago and who are in our opinion entitled to a prompt election on this question of cable television. We are not seeking a blank check here. We are simply asking for an opportunity to take our CATV proposal before the voters. We may or may not win their approval;if we win the vote then the specific regulatory framework for supervising the company and its operations will be decided by this Council and any special committee it may wish to establish. Following that process, the company still must get the approval of the Federal Communications Commission and there are certain guidelines that must be followed there. Frankly there is not much incentive on the part of our company,at least, to spend a lot of time and effort developing a definitive regulatory ordinance until we get a positive response from the people at the :11CROFILMED BY DORM MICR+L-A6 CrOAR RANnt . ,nit.MUIFS t•LlutUl iLI•ILU 8Y JURM MICRULAB polls. LLUAk kAViUL AIIU �G w.:�_•'. We can assure you that the detailed regulatory provisions that we submitted to this Council on January 10, 1978, will provide an excellent beginning point for joint cooperation between the city and Eastern Iowa Cablevision, Inc. Our proposal, modified, as it surely will be, will withstand the analysis of any special committee that may be formed and certainly will accomodate any concerns that Cable Television Information Bureau in Washington may have if it is the choice of the city to work with that parti-. cular agency. What we would like to avoid is a dong debate on the merits of cable television in council sessions and with the CTIC and before special committees, etc., before the voters have approved our application. Finally we feel it is in the public's interest to move this issue along and not let it lie dormant as it did in 1972 and again in 1974-75. The people in Iowa City can benefit greatly in the developing technology of cable communications - the tie in with Eastern Iowa Cablevision with its operations in Cedar Rapids and Davenport and other cable communication systems in the state, in the form of a closed-circuit network, can be an important development in this community. It would be to no ones interest to thwart that development because of inaction or lack of interest in gettin§ the election process underway. I therefore respectfully ask you, Mr. Mayor, and members of this Council to grant Eastern Iowa Cablevision, Inc. the date of April 25th to take its cable proposal before the people. During MICRVILMID By JORM MICR+LA9 MAP VAPIO° . ?I'S., I10 I'llS MILkUiiLi4LU BY JORM hIICROLAB LLUAR RAP IuS AND uta the course of the campaign, it would be the policy of our company to work closely with any special CATV committee that you may form; to work with the Cable Television Information Center if that is your wish, certainly to work with Mr. Hayek and Mr. Berlin .. in the drafting of the final regulatory ordinance to be presented to this Council; and to work generally with all concerned in the community to develop a modern and comprehensive franchise document under which the company and this city can live for years to come. Thank you very much. I-IICIZOFIL14EO BY JORM MICROLA13 rrnnu eAvm,' . nrs. xol!lrs �-, Mlk.itUF1Li4LU BY JORM 111CROLAB • CEDAR RAP1J5 AND uL'� City of Iowa City MEMORANDUM DATE: January 20, 1978 TO: Neal Berlin, City Manager �% FROM: Dennis R. Kraft, Director of Community Development RE: December Monthly Report 4i! �bJrIU'frU BY JORM MICRUL.Ab MONTHLY REPORT CDBG DIVISION DECEMBER 1977 LLUAR RAVLJ� ANU GOALS : I. Program Administration: To continue the establishment of CDBG project administration procedures -- environmental review processing, financial monitoring, compliance procedures, and sound record keeping. II. Project Development: To monitor the development of CDBG funded projects to better insure CCN, City Council, and HUD satisfaction with program goals, objectives, and progress. III. Program Coordination: To coordinate all CDBG projects to accentuate their success and effectiveness and to minimize duplicated research. DECEMBER ACTIVITIES: I. City Council hosted a Public Hearing to provide citizens of Iowa City with the opportunity to comment on the proposed FY '79 CDBG budget. Federally funded Community Development projects for FY 179 were established by the City Council. 11. A schedule of activities to be completed each month, January -June 178, for each CDBG project, was established and prepared for presentation to CCN on January 4. III. A contract was drafted with the Ebenezer Society establishing the scope of services they will provide in the development of the Senior Center. IV. A schedule of activities was developed for the Neighborhood Site Improvement Program, so that the current year program will be completed prior to June 30, 1978, Projects will begin in 3 additional neighborhoods. V. The CDBG Division Goals and Objectives and detailed budget classification were drafted and submitted to the Director of Community Development and City Manager. VI. All CDBG project directors reviewed the activities that they said they would complete between July and December and submitted written reports of their performance and problems encountered. This information will be incorporated into the Performance Report to be submitted to HUD and will provide the City Council and City Manager with a better indication of programs' progress during FY '78, VII. Agencies providing services to the elderly were surveyed and information com- piled into a report to be used as programming decisions for the senior center are completed. VIII, Architects were invited to submit proposals for services for the joint project: senior center/elderly housing. Eleven proposals were received. The Screening Committee selected three firms to be interviewed. 5' •~I MICROFILI.1CB BY JDRM MICROLAB CVDAP P.APIPt • '�fS, Idnmrf r ^'utUV!U4cU BY JORM MlCkOLAb PROPOSED .JANUARY ACTIVI'rics: CLDAR kAP1Jj tiilU UL� .1G, I. The application for $1,352,000 CDBG funds will be developed and presented to the City Council. Reprogrammed Urban Renewal land proceeds will also be included in budget proposals. Two and a half million dollars of federally funded Community Development projects will be planned for FY 179. II. The Performance Report of the first 3 years of CDBG activities in Iowa City will be written and presented to the City Council. III. The Housing Assistance Plan portion of both the 4th year CDBG application and past three years' Performance Report will be completed, reviewed by the Housing Commission and presented to the City Council. IV. The 3rd year Housing Assistance Plan amendments will be formally approved by HUD. Plans to carry out a survey to document market absorption will be completed. V. The Senior Center architect will be selected. A contract for services will be prepared. The Ebenezer proposal of programs to be carried out in either the senior center or housing complex will be released. The Council on Aging and City staff will hold an evening and afternoon workshop to gather input and explain the project's progress. VI. The neighborhood site improvements activities will continue. Flyers for next project neighborhood will be developed. The Environmental Review Record up- date will be drafted. VII. The City line item FY 179 CDBG budget will be drafted and presented to the City Council for approval. MICROF10119 By DORM MICR<�LAB rrOAR PATTY, . 7S, 1101.•1[5 iLi4i.ii BY JURM MICRULAB LEL)Ait RAVIU3 AND u'I. REDEVELOPMENT DIVISION MONTHLY REPORT December 1977 GOALS: I. Carry out project management procedures and prepare management documents and records consistent with City Council policies and HUD requirements. IT. Carry out a program of land marketing consistent with City Council decisions and HUD requirements. III. Carry out financial settlement and project closeout as soon as possible, consistent with sound program management. 'i DECEMBER ACTIVITIES: I. Planning: a. Began staff review of final plans and specifications for the construction of City Plaza. b. Continued work on the draft of the City Plaza Use Regulations. Ii. Marketing: a. Met with representatives of Old Capitol Associates regarding the disposition of Parcels 83-84 and 103-3. b. Continued discussion with the City Attorney regarding bond financing of construction on Parcel 103-3. c. Completed execution of the contract for the disposition of Parcel 102-2. III. Management: a. Completed and forwarded Project Iowa R-14 closeout documents to HUD for their approval. IV. Administration: a. Conferred with the City Attorney and the claimants) attorney regarding one residential relocation case. b. Began processing one commercial relocation case. c. Completed a line item budget for FY 179 activities. d. Began preparation of materials for inclusion in the annual CDBG performance report and 4th program year application. '141CRorlua1D BY JORM MIC R+L A B rrDAp PAPlnt . DfS.MOINFS !•Iiui4)i IL4iU BY JORM 141CROLA13 CLDAk RAPIuS AND L)t: -2- PROJECTED ACTIVITIES: I. Complete the disposition of additional parcels of land. II. Complete design reviews for all redevelopment parcels. III. Complete the Urban Renewal closeout with HUD. IV. Complete City Plaza Use Regulations and Design Standards. y a+i FntROn LMFD By JORM MICR+LAE MAA N.1^IDS • DCSIMOINF5 h!i_i<Ui-IL"1ci1 BY JORM MICROLAB CLUAI( RAPIJ�) HFIU JLC DECEMBER REPORT ADVANCE PLANNING DIVISION GOALS: I. COMPREHENSIVE PLAN -- to proceed with planning work so that the two main areas can be developed according to schedule: (1) a City Plan, and (2) a Zoning Ordinance. II. RIVERFRONT COMMISSION -- to continue staff assistance. III. RESOURCES CONSERVATION COMMISSION -- to continue staff assistance with Public Works. IV. URBAN RENEWAL -- to provide assistance as needed. V. CDBG ADMINISTRATION -- to provide assistance as needed. VI. CITY ADMINISTRATION -- to provide assistance as needed. VII. NORTHSIDE NEIGHBORHOOD PROJECT -- to provide coordination with City activities and to monitor this project. DECEMBER ACTIVITY: I. Work in Comprehensive Planning continued as follows: A. City Plan -- Four alternative plan maps were prepared. CPCC recommended that staff forward one alternative for CPCC review in January. A plan adoption schedule was established and distributed to boards, commissions, and other governmental agencies in the area. B. Zoning Ordinance -- Draft Agricultural and Residential Zones were finalized and distributed to staff for review. Following initial review, changes were made. A new PUD section was written and work continued in the develop- ment of streamlined administrative procedures and new commercial and industrial zones. II. Staff assistance to the Riverfront Commission continued with development of budget proposals. III. Staff assistance to the Resource Conservation Commission continued with preparation to purchase thermotrace. IV. Staff assistance to urban renewal included attendance at meetings and assistance in the development of a revised parking policy document. V. Staff assistance to CDBG administration continued with assistance to CCN and development of budget alternatives for fourth year CDBG activities. VI. Staff assistance to City Administration and other departments continued with assistance to Transit and Finance. V1I. Involvement in the Northside Neighborhood Project continued with finalization of reports, and additional preliminary reports were issued. 14ICROFILMED BY JORM WCR�LAB CrPAR PAPI^'. '�f t, V101af5 I•li,.IWt iLricU by JURM I.1ICRULAb PROJECTED ACTIVITY: I. Comprehensive Planning activities will accelerate in order to achieve the tight time schedule needed for "beating" the moratorium deadline. Extensive citizen participation will be a central element to the process, as will involvement of all City staff, boards and commissions. II. Staff assistance to the Riverfront Commission will continue. III. Staff assistance to the Resource Conservation Commission will continue. IV. Staff assistance to Urban Renewal will continue at decreasing levels. V. CDBG assistance will continue with increased involvement. VI. Assistance to City administration and other departments will continue as requested, but at a reduced level due to Comprehensive Plan activities. VII. Involvement in the Northside Neighborhood Project will continue. DETAILED REPORT OF COMPREHENSIVE PLANNING ACTIVITIES: Clerk Typist -- The Clerk Typist position is being filled by temporary employees until a decision on the typing pool is completed. Planning Technicians -- During December the Planning Technicians provided graphics for the Planning and Zoning Commission, City Administration, and planning projects. They assisted in office duties, and prepared final copy for printers as well as updating base maps and providing base maps to other departments. Assistant Planners -- During December the Assistant Planners worked in several areas as project leaders for planning tasks. The Assistant Planners performed zoning research and data processing duties. They completed work on Issues and Alternatives impact evaluation. Additionally, extensive assistance in CDBG projects continued. Senior Planner -- The Senior Planner directed planning activities, and continued research of the new Zoning Ordinance, worked on the Issue Questions and Policy Alternatives, assisted in urban renewal activities, supervised preparation of alterna- tive plans and new zoning text. Iditaunuaro BY JORM MICR¢LAB (II7elf, Unl'I9'. • of S. .In! 'I f5 Nlu,Wr ILHLU BY JURN NICRULAB TO: FROM: RE: LLUAR kAVlu�) AUu JL City of Iowa City MEMORANDUM DATE: January 9, 1978 Dennis R. Kraft, Director of Community Development Bill Keating, Assistant Planner ale - Northside Neighborhood Preservation Study - Monthly Status Report The last of the preliminary NNPS reports will be presented to the Council on Monday, February 13, 1978, The Land Use Regulation and Administration Report, prepared by Jerry Thompson, deals with the land use problems and conflicts arising out of the administration of the existing zoning ordinance. Major recommendations include the establishment of an impact assessment ordinance to supplement the existing zoning ordinance, more neighborhood input in zoning and land use decisions, and the adoption of additional controls such as site plan review and residential performance standards. It is anticipated that all the preliminary reports will be presented to neighbor- hood residents, for their comment, in block meetings during the latter part of winter and early spring. Final versions of the report will then be prepared for submittal in May. Additionally, several reports of a non -policy nature are in various stages of completion, These reports are essentially technical in nature and deal with topics such as impact measurement (e.g., excessive noise), methods of reducing negative impacts (e.g., buffering) as well as documentation of existing land use conditions in the North Side area. BK/ssw i MI[AOI"104[0 BY JORM MICR#LAB rrpAP unPVI' • l(S, M)INFS f4iwtUV-ILILO BY DORM 141CROLAB DECEMBER ACTIVITY: LEDAR RAPIDS AND CURRENT PLANNING MONTHLY REPORT December 1977 Staff reports prepared by the Current Planning Division during the month of December included review and analysis for a preliminary Large Scale Residential Development plan, two preliminary Planned Area Development plans, three preliminary plats, a final Large Scale Residential Development plan, a final Planned Area Development plan, three final plats, two variance requests, and it zoning interpretation. Other work activities during the month of December included the preparation of a revised draft of an ordinance to amend the Tree Regulations and the preparation of a proposed ordinance for elderly housing in the CB zone. PROJECTED ACTIVITY: No specific numeric objectives for subdivision reviews, rezoning application reviews, etc. are established due to the impossibility of predicting the number of submissions that will be filed. Additional work activities for the month of January will include: (1) preparation of a final draft of the Tree Regulations for submission to the Planning and Zoning Commission and the public, (2) final draft of the elderly housing ordinance for submission to the Planning and Zoning Commission and the public, and (3) review and analysis of the proposed Comprehensive Plan and zoning ordinance. IIICROFIL14ED BY DORM MIC R+L A B CI'OAt PAPMIS . DF' MOINH, MiL<(Ut iLAEU BY JURM MICROLAB LLUhk RAP iu:, AAU City of Iowa Cit, MEMORANDUM DATE: January 19, 1978 TO: Neal Berlin and City CouuIcil FROM: Richard J. Plastino, Director of Public Works RE: Monthly Report for December ENGINEERING DIVISION Muscatine Avenue - This project is complete. Tennis Court Li_ghtin Pro ect - The missing pole has been received, however, Me e contractor iscovere t t it had the wrong bolt pattern and another extended delivery time is anticipated. Selaer System Evaluation Survey - This project is a few months behind sc a e, owever, ecause of the funding situation with the United States Congress this may not be critical. We have stated to the Consultant that an expeditious completion time is important. Corridor Sewer Project - The final plans and specifications should be delivered tote City by February 1, 1978. A meeting will be held with EPA and the Iowa Dept. of Environmental Quality on January 19 to discuss funding possibilities for the River Corridor Sewer Project. Alley Project H1 (Bank) - Council has had the hearing on the proposed plans an Spec ificationsand-bids should be received towards the end of January. Alley Project N2 (Bmaery) - The contractor has agreed to remove and replace t iT—damageasecttonof tFe alley. As Council finalizes the FY79 Budget activity will pick up on design work for the coming summer. STREET DIVISIGN See attached memo from Duane Carpenter to Craig Minter. SOLID WASTE DIVISIGN Solid Waste Division picked up 695 tons of solid waste. Manhours per ton averaged 2.08. The newspaper recycling program is proceeding, however, tonnages are fairly low. City Carton has started a three times a week advertising campaign and they anticipate tonnages increasing. The aluminum can and steel can recycling program in the Normandy Drive area of the community is doing reasonably well. Participation and the pounds of material seem to fluctuate quite rapidly from week to week but this should stabilize. i RICRef ILVILD BY i JoRM MICR4�LAO M iL.i<Ui ILMLU BY JURM MIGROLAB 2- GWAR RAP!u� AIIU OL 'IRANSI_ I Dl See attached memo to Dick Plastino from Hugh Dhose. EQUIP EU DIVISION See attached memo to Dick Plastino from Terry Reynolds. WATER There were a total of six water main breaks during the month which is fairly low. 'llienty now meters were installed. Fifty-four outside readers were installed. Repairs were done to the fluoride machine. The Water Division aided the Street Division with snow removal. TRAFFIC ENGINEERING DIVISION The Traffic Engineer held various meetings. These included meetings on budget, Gilbert Street, Scott Boulevard, meetings with Legal on the Linn and Iowa Traffic Illinois Gas1andcElectric onlstreettlightshgate on Pepperwood, The budget was prepared and completed at the division level. Interviews were held for the Senior Engineering Technician from applicants within City government. The controllers for the Market/Jefferson signal system were set up and put in operation on the shop bench. Negotiations are continuing with the consultant on the Gilbert/Bowery-Prentiss traffic design. 110 traffic signs were replaced during the month. Normal preventive and corrective maintenance was done on traffic signal, street lights and general work duties. POLLUTION CONTROL DIVISION 115 manhours were spent working on lift stations. There were nine complaints Tim were City responsibility. 340 feet of sewer was on sewer stoppages. interviewed for the Lab Technician position. cleaned. Five applicants were Several valves oil sludge lines iner ngewasgrebuiltuilding were rebuilt. The sludge pump in ~� MICROf RMED BY DORM MICR#LAB f!"nAP PAP!n' . IFS,'IOPJFS 14iuN; iLi'I U SY JORM MICROLAB LLUAR kAP LU5 ANU UL City of Iowa Cll, MEMORANDUM DMI( January 12, 1978 To: Craig Minter I FROM; Duane Carpenter RE: Monthly Report The following is the December monthly report showing accomplishments. WORK UNIT 1431.1 Annual Leave Man Hours Man Hours 1431.2 1431.3 Clerical Holiday/Personal Leave Man Hours 1431.4 Inspection/Investi- Man Hours Parking Division gation Man Hours 1431.6 Sick Leave Supervision plan Hours 1431.7 1431.8 Yard Maintenance/ Man Hours CUBIC YARDS Improvement Man Hours 1431.9 Miscellaneous/ 3596 1438.4 General Expense IONS - 0 1432.1 Alley Repairs 4 Cold Mix TONS - 15 1432.2 Cold Mix Patching Asphalt 1435.4 Leaf Removal LANE MILES - 8 CUBIC YDS 44 1436.1 Cleaning Catch EACH - 42 CUBIC YDS - 10 1437.1 Basins & Inlets Airport Maintenance Man Hours MAN HOURS 1437.2 Special Ubrk for Man Hours Hours ' 1437.4 Engineering Special Work for Man flours (lours TOTAL MAN HOURS EXPENDED Parking Division Man hours 1437.6 Special Work for plan hours hours TOTAL PAYROLL HRS EXPENDED Refuse Division CUBIC YARDS - 5629 1438.2 Loading of Snow PASS MILES - 3596 1438.4 Plowing of Snow 1438,6 Spreading of Salt LBS, CALCIUM TONS SAND - - 8800 98.5 or Sand TONS SALT - 1067 1/8 1438.9 Cleaning of Bridges EACH - 17 98 197 343 226 88.5 160 619 310 0. T. 84 1 0. T. 16.5 104 34 30 6 3.5 0.'f, 57 85 2 0.T, 15 319,75 OT 597.5 276.75 OT 286.75 478 O.T. 67 TOTAL MAN HOURS 3114.25 Man Hours TOTAL OVERTIME MAN HOURS 1082 Man (lours TOTAL MAN HOURS EXPENDED 4196.25 Man hours TOTAL PAYROLL OVERTIME HOURS 1623 Man hours TOTAL PAYROLL HRS EXPENDED 4737.25 Man Hours i o -u CR0f1LMID By JORM MICROLAB rl'DAP VMIr' •')r S,Mn!'ft Mlukth ILMLO BY JURM MICROLAb CEDAR RAVIUS AND )L, '1U, 1L_, Clty of Iowa Chi MEMOR ANDD -r - ""I TO: Dick Plastino, Director of Public Works FRW: Hugh Mose, Transit Manager x/19" If: Monthly Report for December January 17, 1978 During the month of December ridership was up substantially, increasing from 124,506 in December1976to institu,592tion lastof month. This increase was due apparently to the ening service and the unusually severe weather during the first part of the month. During the month one driver resigned, but no drivers were hired. One temporary Maintenance Worker I also resigned. Service destoresthe werenopen thos New Years Day,, because was very law on both days. On December 28th a bus was driven into I door at the bus barn. Damage was so severe i have to be replaced at a cost of $1135.00. 5 ��! MICROF ILMLO By JORM MICR6L f(O�R i�Anl n`. f1[5. FI01 ILN,.J LY JURM FIICHULAB CLUAt< IZANIU�, AU City of Iowa CID MEMORANDUM DATEI Jan. 6, 1978 10: Dick Plastino FROM: Terry Reynolds RE: Monthly report for December: The following work was done for these departments in December: STREET Replaced differential gear assembly in #202A, GM dump truck. Tuned up engine, replaced throttle linkage, replace#2car- bruetor and replaced differential gear assembly GMC dump truck. Replaced spreader fan and repaired and straightened housing on #2045? Fox spreader.truck. Replaced differential gear assembly in #208A, GMC dump Tuned up engine in #210, IHC dump truck. steering Removed and replaced wing blade for repair, repaired valve and repaired motor mounts on #212, Huber motor grader. Replaced fuel filters on #220, IHC truck and on #220A, Snow - Go snow blaaer.stem Rebuilt engine and transmission and repaired charging system on #227, Trojan end loader. Replaced differential gear assembly in # plow, GMC dump truck. Replaced snow plow lift pump forengine Replaced battery, replaced motor mounts, and tuned up on #236, IHC dump Rebuilt starter on #247, John Deere end loader. Repair ploy trip on #904P, snow plow. Tuned up engine on #9055, Hiway spreader. Repaired sander control wiring and replaced exhaust manifold on #9065, Hiway spreader. ment. Inspected and repaired light on nsall snow now removaemoval equip provided maintenance backup for TRANSIT Replaced brake lines on #600, Nova car. Repaired dome Lights on #602, GMC coach. Replaced rear air bags on #606, GMC coach. Rebuilt engine on #607, GMC coach. Replaced front stabalizer links, replaced starter and repaired transmission shift cable on #609,GMCGMC coachh Replaced air compressor on 11610, Adjusted steering gear and repaired transmission shift cable on #611, GMC coach. MI CIV ILI-01171{Y Jo RM MICR46LA13 ,rnpP Vni'I"` 'ttS I401'il'S IU4LJ BY JORM [11CROLAb GLUAk RAPJUu) A;JD JL City of Iowa City MEMORANDUM DATlr TO: Q p:uE RE: Monthly report cont.: TRANSIT CONT. Rebuilt and replaced transmission and tuned up engine on #612, GMC coach. Repaired rear door interlock on #615, Flxble coach. REFUSE Repaired power steering mounting bracket on #797, Ford truck. Replaced universal joints in rear drive shaft and repaired linkage on fuel injector pump on #800, Ford truck. Replaced water pump on #802, Ford truck. Rebuilt starter on #803, IHC truck. Replaced packer control switch on #803P, Heil packer. Repaired fuel leak on #807, Cat. compactor. EQUIPMENT POOL Replaced clutch assembly, tuned up engine, replaced oil filter assembly and removed plow frame to rebuild on #743, Dodge dump truck. Replaced windshield wiper motor and replaced front springs on #904, IHC flatbed truck. Replaced alternator and repaired front brakes on #905, IHC dump truck. Replaced alternator and power steering hose on #906, IHC dump truck. FIRE DEPT. Adjusted brakes and air governor on #354, Ward LaFrance pumper. Replaced rear axle seal on #361, American LaFrance pumper. Replaced speedometer cable and brake air valve on #362, Ward- LaFrance pumper. MIS C. Replace steering arm on #121, Ambassador car for Parks and Re- creation. e- creation Replaced parking brake cable and universal joints on #732, Dodge pick up for Pollution Control. Replaced power brake booster on #375, Dodge truck for Traffic Eng. Completed 35 P.M.'s. I ;aicaor[[.ram AY JORM MICR+t_AB CrPAn Vnr h�. 9(S, Idfll'IC$ BY JORM MICRULAb L,JAK km`PiJ: AIJU IL parks & recreation�1M O departmentM .1 t 0• • Dennis Showalter, Director from: Bob Lee, Superintendent of Recreation re: December Monthly Report date: January 9, 1978 I. Administration and Maintenance A. Interviews were held for the position of ASERP Supervisor left vacant by the resignation of Jean Spector. Mary Jo Weyhrauch was hired to begin work on January 3 for the winter session. B. Marilyn Levin, Jan Lown, and myself met with Kathy Eide of the Ebenezer Society of Minneapolis regarding the plans for the post office remodeling as a center for senior citizens. C. Debra Wyjack, custodian, returned to work following a two month leave of absence. D. Work on the FY 79 budget was finalized after a budget review with the City Manager and the Finance Department on December 5. E. Work continues in the Center on remodeling for the removal of barriers to the handicapped. The elevator progress has slowed in order to decide how to relocate the storm sewer which is in the way of the shaft. The items stored in the room to be converted to showers and toilets were moved and the contractors knocked out the walls and floor. A passageway in the men's locker room was closed off temporarily. F. A new shower column with a new style of easily activated valves was installed on the men's side. G. Advertising posters have been placed in City buses. II. Physical and Aquatics Programs A. Center hours were altered to accomodate the youth and extra crowds over the Thanksgiving and Christmas holidays. Play Day was held every morning and pool hours were lengthened to a 3:00 p.m. afternoon closing. B. Two bus loads of teenagers went on a ski trip to Sundown near Dubuque on December 22. C. Plans have been made to open seven grade school gyms on Saturdays and Southeast Junior High on Sundays beginning in mid-January. D. Plans have been made to open five grade school gyms one evening a week beginning in mid-January. III. Special Programs A. A holiday decorations workshop for handicapped individuals was held on December 1. B. A holiday party for children with special needs was held on December 16. C. The Goodtimers adult club had a holiday dance on December 21. IV. Cultural and Social Programs A. Our Santa suits were loaned a total of 98 times; they were loaned 79 times in 1976. B. A bus load of people attended the Holiday on Ice show in Rock Island on December 3. 238 MIC W ILMED By ' JORM MICR(�LAB IMAI' 1,11,jrj, &vS, Vin!'q 4, 1•iiutw iLML.0 by JURM HICRULAu Recreation Division December Monthly Report Page 2 LLUA;t RAFIw AHU vL C. The Kiwanis Club/Golden Age annual Christmas dinner was attended by about 250 people on December 17. D. A junior high school -aged dance was attended by about 150 people on December 23. E wasestartedaandfover1ls from 90 calls5were madeeonythe Decemberr17eanndtClub 18. V. Status of FY 78 Goals (half -way through the fiscal year) A. Water meter readers are now distributing a program flier to all Iowa City homes, This is about 20% completed. B. A summer Leisure Needs Survey was completed and one will be conducted this winter. C. Construction has started on the Center elevator and at this writing is about 5% completed. 600 people per month in the S.P.I.program D. The provision for serving is 100% completed. E. Senior citizen activities have increased and this goal is now 50% completed. F Tennis instruction Mercer availability 3 bility has been increased with the installation of ts at G. Opportunity for softball league expansion - no progress, but a survey H. Tand rain finternsn-t30% completed;his direction wtwo will ill take begin Inlace rJanuary, the winter. 1. Employ youth for Play Day - 50% completed with one person working. J. Alternation of the Mercer Park pool re -circulation system for adequate water turnover is 50% completed, _ K testingaindicatedupoints ofcleakagefand%of repairs arePark to be water and madeinloss the spring. L. Coordination with University of Iowa Director of Recreation Services - 50% completed with satisfactory discussion meeting and tentative plans for tennis tournament in the summer. /ef ._I MICROF ILMLO BY I JORM MICR6LAB Ni �i<UI iU•ILIJ by JURM MICRULA6 LEUAri J1Ai'iLjJ Hi IU ,IL parks & recreation MEMO department to : Dennis Showalter, Director from: Bob Howell, Park Superintendent re: December Monthly Report date: January 3, 1978 #/�Q 1. Work Projects (park areas) A. Snow removal and sanding performed on eleven (11.) days during the B. month. Continued cleanup of Sand Road park property. C. Repaired and painted park benches. D. Cleaned, sanded, and stained picnic tables. E. Repaired and replaced stack on Mercer pool building. F. Hauled curb blocks to Rec Center lot for Parking Systems. G. Cut up large, dead oak tree in Lower City Park. H. Wrapped lower trunks of newly planted trees. on Dubuque Street and Park Road. I. J. Pruned euonymus shrubs Prepared ing; opened skating on December t pregular onds rpark tmaintenance K. Performed ofrvehicles and equipmen II. Work Projects (other areas) A. Downtown cleanup - 15 hours. B. Urban Renewal snow removal -124 hours. C. Recreation Center projects - 20B hours. III. Administration, Miscellaneous A. B. FY 79 budget review - December 5. Employee Assistance Program at Rec Center - December 8. C. Met with architect to review Plaza plans - December 13. in Clinton, Iowa, with Horticulturist - D. Toured Bickelhaupt Arboretum E. December 14. Parks and Recreation Commission meeting - December 14. F. G. MECCA meeting for City employees - December 15. Meeting with Director and Horticulturist regarding Plaza plans - H. December 16. Meeting with Director, Project GREEN, and City Council regarding Washington Street plantings - December 19. Shelters for Willow Creek and Wetherby Parks delivered to City I. J. Park - December 20. Meeting with Director regarding budget changes - December 28. IV. Status of FY 78 Goals and Objectives A 0 C. ory Hillr rPark off nConklin iStreet nary lhas ibeen ng ttentatively selectedage - north sie of Haskthe site for plantings. toeanup Sand Road; construction erations have 9of two un on tsoftball he new 7fields acre pwill ark lbe be priority for development. Handicapped facilities at Mercer Park - no action. III CROP I UIEO BY DORM MICRIEPLAS rrpgn V.arl'n-. . 1r5, 410114(; r :j Pti(,h(Ui 1LMLU by JDkM MICRDLAb Park Division December Monthly Report Page 2 /ef LEDAR kAP1U5 AJJD JLS D. Ground covers to be established on four (4) designated areas in the spring. Crown vetch has been planted at Black Springs Circle Park.arks - E. Program of landscaping and turf renovation in existing p on-going. Tree and shrub planting project in City and Villa Parks has been completed. F. In-service training sessions to be held during the slack period of January through March. Areas to be covered include equipment repair and maintenance, tree and shrub care, and pesticides. G. Vandalism - record being maintained of all instances of vandalism to park property - on-going. H. Sites for mass plantings at Glendale, Terrill Mill, Court Hill, and Sturgis Ferry parks are being selected with plantings to be done this spring. I V 0 J -1 I';,�.uf;L,t, b JUkM 141LkULAb INTRODUCTION This report is part of a series prepared to assist Iowa City in the development of a new City Plan and presents informa- tion received through citizen participation to date. The cit- izen participation process has been designed to assure that almost everyone will have had an opportunity to contribute to the new plan, and that this plan will be a fair representa- tion of the diverse views, needs, and interests of Iowa City residents. Good communication between citizens, City government and City staff is the basic element vital to a representative new City Plan. Such communication involves the use of the media, printed reports, and meetings to provide back- ground information on the city and to explain the purpose of a comprehensive plan. In addition, surveys, neighbor- hood meetings, slide shows and public hearings provide the opportunity for citizen input during the total planning process. Because Iowa City was attempting to reach all its residents in such an exhaustive and unprecedented manner, a con- sultant was hired to assist in setting up the citizen partici- pation program and in formulating the surveys. (The con- sultant was Sasaki Associates, Watertown, Massachu- setts, who worked with Attic fi Cellar Studios, Washing- ton, D.C.) This report deals with four main elements of the citizen participation program: Initial meetings with members of Iowa City organizations and concerned citizens, a soecial sample survey, the People's Guide and Survey, and neigh- borhood meetings. These activities took place between November, 1976, and May, 1977. However, citizen participation is a continuing process. As the new City Plan is formulated and then implemented, citizens will have numerous opportunities to express their opinions and concerns at all stages. The plan will not be a static document; regular evaluation and updating will also involve citizen participation. LL0A1< all OL.. ... . INITIAL CITIZEN MEETINGS In November, 1976, some 400 members of Iowa City or- ganizations, the Iowa City School Board and School Ad- ministration, the University of Iowa and the Johnson County Regional Planning Commission were invited to meet with the Comprehensive Plan Coordinating Commit- tee (CPCC), the City staff and the consultants. The pur- pose of these meetings was to ascertain citizens' primary concerns about the future of Iowa City, and to provide in- formation on the work program for the comprehensive City Plan. During a two-day period, about eighty citizens attended the meetings, talked, and listened. These people repre- sented numerous citizen groups, service clubs, the Univer- sity of Iowa, the schools, neighborhoods, religious organi- zations, the elderly, social service groups, developers, stu- dents—a great variety of interests and ages. Prepared for the Comprehensive Plan Coordinating Committee: Richard Blum (Chairman). Pett Coin, Carol doProsse, Jane Jakobsen, Mary Noulmusor, Robert ogoson, David Perrot, Juanila Voilm. Bythe il Kraft, Director, llag Marianne oMilkman, Planner (Proj- ect Prol ectPlaner); Rick G shw er. Senior Planner; ChKemp, Planing Technician; Joanne Somsky, Planning echnic(Gphies/Layout/Ecltor) Special thanks to Richard alum for providing audio/visual equipment, slides and photographs, and to Jane Jakobson for invaluable help with the, core' puter programming of the surveys. Printed on 100% recycled paper. December, 1577. ood gs tire able lit the ent of unity e. voloPmont, Civic OTE: Detailed rCenter. 410 East Washingtoesults of the surveys and rn Strom, Copies os of tire f hetNopms Guide de and Survley are available for rte ding at the Public Lt. lately. 307 East College Street. VII CR01 ILit l) a1' DORM MICROLA13 Concerns ranged fro to specific problems lems of various for man needs (such as of concern were em mentioned most fre der in which they art importance or emph The problems and i levels was one issue need for an ongoing communication bet the citizens was con quate interchange the Chamber of Co the county was also low and lower-middl tact with City govern! The high cost of ho the lack of afforda income persons war terioration was clos There was emphasis of neighborhoods a larly in areas close parking problems w The need for co city and county creased facilities availability were I Environmental 1 ricultural land, 1 issues included transportation Is People were am could be heard f in meetings and with the other is vided the first g staff for formula surveys. EETINGS 400 members of Iowa City or - School Board and School Ad- ly Iowa and the Johnson Commission were invited to live Plan Coordinating Commit - land the consultants. The pur- s to ascertain citizens' primary f Iowa City, and to provide in - pram for the comprehensive eighty citizens attended ed. These people repre- service clubs, the Univer- 3rhoods, religious organi- I groups, developers, stu- I and ages. ( espresso, Jane Jakobsen, Mary �Milkman, Assistant Planner IProl- nn(Graphics ILayout/ Editor). hn for invaluable help with the corn. Department of community Do. able for reading at the Public LI - ualr ;L)hu by JURM MILkULAo Concerns ranged from general approaches to city growth to specific problems on a single street, and from the prob- lems of various forms of City government to specific hu- man needs (such as housing for the elderly). Several areas of concern were emphasized by a number of people; those mentioned most frequently are discussed below. The or- der in which they are listed in no way reflects any order of importance or emphasis. The problems and inadequacies of communication at all levels was one issue raised which clearly underscored the need for an ongoing citizen participation program. Lack of communication between City government, City staff, and the citizens was considered part of the problem, but inade- quate interchange with the University, the School Board, the Chamber of Commerce, and governmental bodies in the county was also cited. In addition, citizens stated that low and lower -middle income groups have almost no con- tact with City government and staff. The high cost of housing both for buyers and renters and the lack of affordable housing for the elderly and low income persons were major concerns. Neighborhood de- terioration was closely linked to housing types and cost>. There was emphasis on the need to maintain the character of neighborhoods and to rehabilitate older homes, particu- larly in areas close to downtown. Traffic patterns and parking problems were also issues raised in this context. The need for coordination of human services within the city and county was a concern of several groups. In- creased facilities and services, and information about their availability were considered primary needs. Environmental concerns included the {.reservation of ag- ricultural land, natural areas, riverbanks and parks. Other issues included bikeways, mass transit and the general transportation system. People were anxious to ensure that all interested citizens could be heard from, not only those regularly participating in meetings and public hearings. This concern, together with the other issues raised at these initial meetings, pro- vided the first guidelines to the City Council, CPCC and staff for formulating questions for the special and general surveys. ;Aries ;66 SPECIAL SURVEY The Iowa City Special Survey was begun in January, 1977, to obtain information from the residents about their con- cerns, priorities and ideas for the future development of Iowa City. The results of this survey were used in prepar- ing the Iowa City People's Guide and Survey which was distributed to every Iowa City household. (The Special Survey was prepared by Attic & Cellar Studios, Washing. ton, D.C.) SPECIAL SURVEY SAMPLE Initially, letters were sent to 350 residents Informing them that they had been randomly selected for this survey and requesting their cooperation in completing it. The random sample was stratified to represent the population of eight areas of the city (the same areas used in the Iowa City Re- port on Population). This stratification assured propor- tional representation of all areas of the city. (See Figure 1 on the following page.) A total of 606 people were represented in the returned sur- veys (1.3% of Iowa City's population). Of these, 169 were children (17 years old or younger). As shown In Figure 2, only two areas were not proportionally represented. Both these areas house a large number of students. Area VI in- cludes all the dormitories on both the east and west side of the river. Area I is characterized by very rapid turnover in renter -occupied housing. • 141C1?0111AD) BY JORM MICR6LAB rrnN, , nr • nl 'In`•ifS I;,U1WI iL�'iw by JUliM MICkULAb FIGURE2 IOWA CITY SPECIAL SURVEY: DISTRIBUTION OF RESPONDENTS JANUARY, 1977 Area Number Neodadfor 0.6% Sample (a) Number of Respondents lb) b a 1 43 38 88% II 33 33 100 III 42 40 95% IV 17 16 94% V 15 15 100% VI 43 34 79% VII 16 16 100% VIII 26 26 100% CHARACTERISTICS OF THE RESPONDENTS AGE. Nearly half the respondents (46%) were in the 25-44 year age group. This age group was overrepresented whereas the college age group (20-24 years) was some- what underrepresented. LENGTH OF RESIDENCE. 40% of the respondents had lived in Iowa City for 11 years or more while another 41 % had lived here for only one to five years. LLU{vI< kAriilo A:iO ,/lam EDUCATION Al'_'' OCCUPATION. 51 % had a B.A. or higher degree, with another 22% having completed some years of college. As might be expected, the largest num- ber (28%) listed their major occupation as "student," with 15% in health and medical jobs and 13% in education. TYPE OF RESIDENCE. 89% of all those answering the questionnaire lived in single-family houses (62%) and apartments (27%). 56% of the people owned the homes they lived in; the rest rented. MOTOR VEHICLES. 37% of the households had one motor vehicle (car or motorcycle), 38% had two, 11 % had three, and 4% had four or more. The large number of ve- hicles belonged to households where four or five adults were living together. Households with one or two bed- rooms averaged one motor vehicle, whereas households with three or four bedrooms averaged two motor vehicles per household. Of all these households, 13% regularly had one vehicle parked in the street and 6% had two or more parked in the street. HOUSEHOLDS. The total number of households in the survey averaged 2.78 persons per household, but the area averages varied substantially across the city. (See Figure 3.) 60% of the respondents reported no children (17 years or younger) in their household. Another 30% of the households included one or two children. _ I41CR01 I1-141.0 0y JORM MICR6LA6 IOW HOUSEH Average Num Persons / Hou 4 3.e 3- 2.3 :::>:::< 2 IY: ?:I ::i::: I BRIEF S SURVEY HOUSING RE would improve t 74% said "yes"; ments Ipaint, ins dents (62%) said satisfactory resid not move to a sm The location a ping, public to about their hor ment houses, trees, and hou the complaints fence of comm Washington Sti mall. Parking I were other con and restaurants PROBLEMS ( dents felt that t were: Urban ri ing (13%), and taled 13%.) COMM A number of I answer to q These issues, ILIPATION. 51 % had a B.A. or r 22% having completed some t be expected, the largest num- r occupation as "student," with lobs and 13% in education. % of all those answering the le -family houses (62%) and the people owned the homes %of the households had one rcycle), 38%had two, 11 %had more. The large number of ve- olds where four or five adults useholds with one or two bed - 'vehicle, whereas households s averaged two motor vehicles 13% regularly had [households, treet and 6% had two or more al number of households in the ns per household, but the area Ily across the city. (See Figure is reported no children (17 years Behold. Another 30% of the r two children. r'iL,Wi;CIL L, by JU01141CkULAb FIGURE 3 IOWA CITY SPECIAL SURVEY: HOUSEHOLD SIZE OF RESPONDEI JANUARY, 1977 Average Number of Persons / Household 0 LLU{II< kA'Pi'.)] 11;JD ,iL� XPi. II III IV V VI V11 VIII Area BRIEF SUMMARY OF SURVEY RESULTS HOUSING REQUIREMENTS. When asked if they would improve their residence if money were available, 74% said "yes"; most wanted to make general improve- ments (paint, insulate, repair) or add space. Most respon- dents (62%) said they would be unwilling to pay more for a satisfactory residence. Most respondents (68%) would not move to a smaller home or one with a smaller yard. The location and amenities (proximity to schools, shop- ping, public transportation) were what people liked most about their homes and yards. Lack of privacy, new apart- ment houses, inadequate storm sewers, dogs, lack of trees, and houses built too close together were some of the complaints about the neighborhoods. COMMERCIAL AREAS. Some people liked the conven- ience of commercial areas, the small shops, plantings on Washington Street, mini -parks, and the free parking at the mall. Parking and traffic were the major dislikes. There were other complaints about the lack of variety of stores and restaurants and about urban renewal. PROBLEMS OF PRIORITY IN IOWA CITY. Respon- dents felt that the problems of greatest priority in Iowa City were: Urban renewal (46%), housing (21%), traffic rout- ing (13%), and environmental (7%). (Other problems to- taled 13%.) COMMENTS A number of issues were identified by the respondents in answer to questions throughout the Special Survey. These issues, combined with others raised by additional comments on the Special Survey, were used as a basis for the general questionnaire sent out to all residents. The fol- lowing are some typical comments; those taken directly from the surveys are printed in italics. GENERAL Keep the small town atmosphere; preserve the heritage of Iowa City, in particular its old buildings. — Preserve and protect natural areas; keep up the good work accom- plished in the parks; plant trees. Beautifying the river is nice, but not a high priority. — Encourage clean industry to come to Iowa City. — Develop an energy conservation program. — More restaurants are needed, of improved quality and of greater diversity. — Libraries are used a great deal; keep up the quality. — Zoning is important. RESOURCES There was general understanding that more resources would be needed to implement the improvement wanted. Significant suggestions were made for increasing taxes and bus fares as a means of raising revenues. Most im- pressive, though, was the number of people who said they would volunteer their services, both at the neighborhood and the city lev: ls. URBAN RENEWAL/DOWNTOWN Complete as soon as possible/ — Parking is poor. — Shop- ping quality and diversity poor. — Preserve Iowa City heritage. TRANSPORTATION Combus is excellent. — The City bus is good but service hours should be extended into the evenings. — Routes should provide bettercoverage. — Bikeways should be im- proved. Pedestrian walkwaysalso. UNIVERSITY OF IOWA Should pay its fair share for services rendered from the City. — Hancher is much used and appreciated. — Coop- erative mechanism should be set up for reciprocal Univer- sity/City services. RALSTON CREEK Pollution is offensive. — Flooding is a major concern. HOUSING Rents too high/ — Costs too highl — Preserve privacy, quiet, low-key atmosphere. — Therearehousingneedsfor special groups: students, the elderly, the poor. NEIGHBORHOODS Good social interaction, friendly. — Small parks wanted. — Improve street lights. — Small shopping areas needed. —Sidewalks wanted. —Area identification needed. HUMAN NEEDS AND SERVICES There was great Interest in the elderly, the poor, the han- dicapped, and youth. OUTSIDE IOWA CITY Parks and recreation areas were greatly appreciated, but some people (such as the elderly) were not able to use them, primarily because they lacked transportation. MICllarlLnte BY JORM MIC R+L AB rrMp PAT,! n, ,-IF".'Mn!7t% 3.6 3.5 3.0 1.9 2.7 2.6 2.3 2.0 II III IV V VI V11 VIII Area BRIEF SUMMARY OF SURVEY RESULTS HOUSING REQUIREMENTS. When asked if they would improve their residence if money were available, 74% said "yes"; most wanted to make general improve- ments (paint, insulate, repair) or add space. Most respon- dents (62%) said they would be unwilling to pay more for a satisfactory residence. Most respondents (68%) would not move to a smaller home or one with a smaller yard. The location and amenities (proximity to schools, shop- ping, public transportation) were what people liked most about their homes and yards. Lack of privacy, new apart- ment houses, inadequate storm sewers, dogs, lack of trees, and houses built too close together were some of the complaints about the neighborhoods. COMMERCIAL AREAS. Some people liked the conven- ience of commercial areas, the small shops, plantings on Washington Street, mini -parks, and the free parking at the mall. Parking and traffic were the major dislikes. There were other complaints about the lack of variety of stores and restaurants and about urban renewal. PROBLEMS OF PRIORITY IN IOWA CITY. Respon- dents felt that the problems of greatest priority in Iowa City were: Urban renewal (46%), housing (21%), traffic rout- ing (13%), and environmental (7%). (Other problems to- taled 13%.) COMMENTS A number of issues were identified by the respondents in answer to questions throughout the Special Survey. These issues, combined with others raised by additional comments on the Special Survey, were used as a basis for the general questionnaire sent out to all residents. The fol- lowing are some typical comments; those taken directly from the surveys are printed in italics. GENERAL Keep the small town atmosphere; preserve the heritage of Iowa City, in particular its old buildings. — Preserve and protect natural areas; keep up the good work accom- plished in the parks; plant trees. Beautifying the river is nice, but not a high priority. — Encourage clean industry to come to Iowa City. — Develop an energy conservation program. — More restaurants are needed, of improved quality and of greater diversity. — Libraries are used a great deal; keep up the quality. — Zoning is important. RESOURCES There was general understanding that more resources would be needed to implement the improvement wanted. Significant suggestions were made for increasing taxes and bus fares as a means of raising revenues. Most im- pressive, though, was the number of people who said they would volunteer their services, both at the neighborhood and the city lev: ls. URBAN RENEWAL/DOWNTOWN Complete as soon as possible/ — Parking is poor. — Shop- ping quality and diversity poor. — Preserve Iowa City heritage. TRANSPORTATION Combus is excellent. — The City bus is good but service hours should be extended into the evenings. — Routes should provide bettercoverage. — Bikeways should be im- proved. Pedestrian walkwaysalso. UNIVERSITY OF IOWA Should pay its fair share for services rendered from the City. — Hancher is much used and appreciated. — Coop- erative mechanism should be set up for reciprocal Univer- sity/City services. RALSTON CREEK Pollution is offensive. — Flooding is a major concern. HOUSING Rents too high/ — Costs too highl — Preserve privacy, quiet, low-key atmosphere. — Therearehousingneedsfor special groups: students, the elderly, the poor. NEIGHBORHOODS Good social interaction, friendly. — Small parks wanted. — Improve street lights. — Small shopping areas needed. —Sidewalks wanted. —Area identification needed. HUMAN NEEDS AND SERVICES There was great Interest in the elderly, the poor, the han- dicapped, and youth. OUTSIDE IOWA CITY Parks and recreation areas were greatly appreciated, but some people (such as the elderly) were not able to use them, primarily because they lacked transportation. MICllarlLnte BY JORM MIC R+L AB rrMp PAT,! n, ,-IF".'Mn!7t% 14: �4w ILALu by J01M 141CkULAb PEOPLE'S GUIDE AND SURVEY The People's Guide and Survey to Iowa City was intended to provide background information about the city, and to describe some of the alternatives and choices which have to be made in planning for the future of Iowa City. Sec- tions of the Guide on Iowa City history, city government and the planning process described the ongoing process of operating, maintaining, and improving the city. A section on "What we have learned about Iowa City" dealt with population, human services, current land use, trafficways, citizen participation, environment, economics, community facilities, utilities and housing. In each of these areas some of the current problems were identified. The final section of the Guide presented some of the City's choices with regard to growth and annexation, transportation, housing, energy, human services, neighborhoods, and patterns of future development. This People's Guide and Survey was distributed to almost every household in Iowa City as well as to the student dor- mitories; total distribution was over 20,000. Included with the Guide was a questionnaire (General Survey) which all residents were asked to complete. Many of the questions were based on concerns and issues voiced by citizens at the initial meetings and in the Special Survey. In some cases (e.g., housing), some additional facts were pre- sented to permit a more informed answer. LLJAI< kNr i j ;6U JL. .• GENERAL *URVEY SAMPLE Over 2,000 questionnaires were returned, 75% by mail (postage prepaid). The remainder of the questionnaires were collected in lieu of payment for one bus ride (250) or for 250 worth of free parking in a City -operated lot. The questionnaires represented over 5,200 people, well over 10% of the total population. FIGURE4 IOWA CITY GENERAL SURVEY: DISTRIBUTION OF RESPONDENTS APRIL, 1977 . Area % of Survey Respondents % of 1970 Population I 21.2 18.1 II 21.4 14.2 III 7.1 18.0 IV 6.5 7.3 V 4.2 6.2 VI 5.9 18.4 VII 4.0 6.9 VIII 15.5 11.0 did not 14.2 - specify As indicated in Figure 4, the student age group (20-24) was underrepresented, with very few responses from Area VI where all the dormitories are located. Area III was also un- derrepresented, while Areas II and VII were overrepresented. CHARACTERISTICS OF THE RESPONDENTS AGE. In comparison with the 1974 Census, the survey re- spondents constituted a reasonable, cross-section of the community. Age groups overrepresented were 25-44 and 45-64; the 20-24 age group was underrepresented. (See Figure 5.) FIGURE 5 IOWA CITY GENERAL SURVEY: AGE CHARACTERISTICS OF RESPONDENTS APRIL, 1977 Age (years) % of Survey Respondents eye of 1974 Population 0-4 6.0 6.4 5.19 21.3 26.8 20.24 17.0 24.5 25-44 35.9 25.2 45-64 14.0 10.7 65 Et + 5.8 6.3 LENGTH OF RESIDENCE. Over 55% of the residents answering the survey had lived in Iowa City six or more years, with 21 % living here over 20 years. 36% were one - to five-year residents. �. :41 Citai l L1410 By .)ORM MICRbLAO rr)A9 Vlr,in� . 'R I.. '4n 1"r`, EDUCATION AND respondents had at I listing their occupati ployed in education o TYPE OF RESIDEN single-family homes a MOTOR VEHICLES motor vehicle, 33% four or more motor v regularly had one car two cars parked on t that this distribution v with housing types. apartments in Area I street. INCOME. The the 1970 Census ies making over represented, wh $24,999 per year ■ Come to the meeting ideas and concerns your neighborhood. The Comprehensive I to hear from you. Babysitting w111 be p 354-1800 Est, 335, FOR FURTHER IN OEPARTNIEUr OF C IOWA CITY, 354.15 rq;,, lcur iu'k.0 by JUNM I.1lLkOLAb EY SAMPLE EDUCATION AND OCCUPATION. Over 65% of the respondents had at least four years of college, with 21 % listing their occupation as student and 32% being em - returned, 75% by mail ployed in education or health and medical services. ier of the questionnaires i for one bus ride (250) or a City -operated lot. The TYPE OF RESIDENCE. 62% of the respondents lived in 5,200 people, well over single-family homes and 23% in apartments. AL SURVEY: ESPONDENTS y %oflatio197I is Popun 18.1 14.2 18.0 7.3 6.2 18.4 6.9 11.0 Int age group (20-24) was responses from Area VI ied. Area III was also un - VII were overrepresented. If 1974 Census, the survey re- onable.cross-sectlon of the rrepresented were 25-44 and Ives underrepresented. (See E5 �SOFRESPONDENTS 1977 ey % o11974 ata Population 6.4 26.B 24.5 25.2 10.7 6.3 IOver 55% of the residents ed in Iowa City six or more ver 20 years. 36% were ona- MOTOR VEHICLES. 45% of the households had one motor vehicle, 33% had two, 7% had three, and 4% had four or more motor vehicles. Of all these households, 14% regularly had one car parked on the street, with 4% having two cars parked on the street. Cross tabulation showed that this distribution varied in different areas of the city and with housing types. For instance, 28% of one -bedroom apartments in Area I had one or two cars parked in the street. INCOME. The total household income, compared with the 1970 Census income information, indicated that famil- ies making over $25,000 per year were somewhat over- represented, whereas families making between $7,500 and $24,999 per year were somewhat underrepresented. PUBLIC NOTICE FWEIGHBORHOOO N MEETINGS Mendq,APH25te Noaeerethnl TWeden APrli! th Ibon M..necheel WMneWav,Am127th laws Cdy aetnetln,Center 7huredry,Arn12eth neuthenn JuWrH,hft h1d.,Ap112%b Allnxeurpeebn et 7:30 p.m, Come to the meeting closest to your home and express your Ideon and concerns about the future of Iowa City and your neighborhood. The Comprehensive Plan Coordinating Committee wants to hear from you. Babysitting will be provided. If Voll need a ride, toll 3541800 Ext. 335, FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF COMMUNITY DEVELOPMENT IOWA CITY, 354.1000 EXT. 335, LLJAIf kAr IJ., hill, OL NEI6-1-1130RHOOD MEETINGS During the week after the People's Guide and Survey was distributed, five neighborhood meetings were held. (See Figure 6.) Advance publicity for these meetings included listing in the People's Guide and Survey, posters in churches, stores, laundromats and so on, as well as radio announcements and newspaper articles urging citizens to attend the meetings. None of the meetings had a large turnout, but there was active discussion at all. FIGURES IOWA CITY NEIGHBORHOOD MEETINGS APRIL, 1977 Date 11977) Location Parona Attending April 25 Hoover Elementary School 24 April 26 Horace Mann Elementary School 21 April 27 Iowa City Recreation Center 31 April 28 Southeast Junior High School 20 April 29 Horn Elementary School 22 FORMAT OF MEETINGS 7:30 p.m. Introduction by Richard Blum or Robert Ogesen (chairman and vice-chairman of Comprehensive Plan Coordinating Committee) as to the pur- pose of the meeting. (This purpose was to pro- vide some background information on the plan- ning process and some of the basic choices fac- ing the City Council. However, both committee members and City staff were there mainly to listen and take note of citizens' comments on theissues.) 7:45 p.m. Slide show with tape by Bob Shellady (KXIC), presenting Iowa City today and some of the comprehensive planning issues. 8:00p.m. General discussion on basic issues raised in the People's Guide and Survey. The issues most frequently mentioned were: Iowa City growth. Housing, multi- and single-family. Lowcost housing, student and elderly. Traffic routes. Parking, transportation. Neighborhood shopping centers. Community facilities, library. Human needsand services. 9:00- Informal discussion with individuals; this often 9:30 p.m. centered on the display maps, charts and graphs of Iowa City's current status and future devel- opment. The City's reports on population, housing, vegetation, and other topics were available at each meeting for people to read and take home. People were encouraged to com- ment on the meetings or issues in written as well as verbal form. !41001 IL1410 By JORM MICR6LAB rMAP PAI i;u "Fr !'!;L(WI ILAI_u by UURM tlICkULAd SUMMARY OF CITIZEN CONCERNS The concerns expressed by citizens at the neighborhood meetings and in the surveys (both as direct answers and as comments) fell into a number of distinct categories. These areas of concern were mentioned repeatedly with little ap- parent distinction between different neighborhoods, in- comes, age or occupation. On the last page of the General Survey, citizens were asked to state what they thought were the most important issues facing Iowa City today and to make additional com- ments. Over 80% of those answering the questionnaire commented on numerous issues and concerns which were tabulated in 14 categories as shown in Figure 7. FIGURE 7 IOWA CITY GENERAL SURVEY: MOST IMPORTANT ISSUES APRIL, 1977 Concern leauo or Conco Respondents Commenting' Downtown Development and Urban Renewal 45 Transportation and Trafficways 41 Housing 39 Environment and Energy 38 City Government and Services 37 Human Needs and services 16 Neighborhoods and Zoning 16 Community Facilities 14 Taxes and Cost of Utilities 8 Parking Problems 7 Commercial Development (Other than Downtown) 6 Economic Base 5 1 Flood Control 4 'ComrrrenLt /rem 4Q7 surveys were tabulated to obtain these perrem loges. Allollrcr surveys were readand the information summarized. I,LUKif tff h'iJ WSW �[.� .• �� � � " A brief summary and preferred solutions to problems in the various categories listed in Figure 7 fol- lows. (From neighborhood meetings and survey re- sponses, it was also apparent that the nature of Iowa City's growth and development were important issues; a summary of these issues is included.) 1- 1 43 - 1!I 41 - DOWNTOWN DEVELOPMENT AND URBAN RENEWAL "Complete Urban Renewal" was the single most frequent comment made. People felt strongly that the mini -parks should be preserved, and there were a variety of sugges- tions about appropriate stores, including a department store and restaurants. In order to maintain downtown vi- tality after 5:00 p.m., many people indicated that they would like to see some high-density housing in the central business district. HOUSING On the topic of housing, the cost of all types of housing was the number one issue in the Special Survey. For this reason, the General Survey placed emphasis on questions related to cost, type and location of housing. For renters, buyers and owners responding to the ques- tions, cost was again ranked as the most important issue, with privacy and freedom from noise ranked second, and type of neighborhood and neighbors third. However, the majority (over 65%) were not willing to make do with a smaller house, poorer location or fewer amenities at less cost. Residents were asked whether they would find lower cost garden homes, townhouses or condominiums acceptable. Although 67% of the respondents felt that neighborhoods should include garden homes and 48% would consider purchasing such a home, cross -tabulations showed that that for both buyers and renters the percentage willing to buy such a home was strongly correlated with income lev- els. The higher the income group, the fewer the people wanting to live in a garden home. (This was also true for townhouses and condominiums, although the overall posi- tive response to these types of housing was much less.) More City -owned, low-cost housing for the elderly and low income families was considered a necessity by many. In addition, some form of rent control and a landlord/tenant ordinance were suggested to alleviate some problems. •�' 1-11 CROI ILVR!1 By 1 JORM MICR6LA13 rrnAr „ri�,.'u r, )10(915 and preferred solutions to Dries listed in Figure 7 fol - meetings and survey re - that the nature of Iowa t were important issues; a r_T,Es Pas the single most frequent 1,Fon 11 that the mini•parks e were a variety of sugges- s, including a department Pr to maintain downtown vi - people indicated that they nsity housing in the central it of all types of housing Special Survey. For this �d emphasis on questions of housing. rs responding to the ques- s the most important issue, noise ranked second, and ghbors third. However, the t willing to make do with a n or fewer amenities at less rthey would find lower cost r condominiums acceptable. ents felt that neighborhoods s and 48% would consider ss -tabulations showed that ers the percentage willing to correlated with income lov- roup, the fewer the people "Ie.(This was also true for s, although the overall post_ housing was much less. ) ng for the elderly and low a necessity by many. In rol and a landlord/tenant nate some problems. W;�ilul il_;'kL) IiY Jt1Rhl I.1ICRULAd LLlllUf kAriL); n;iJ ILS , rrr rrpr 7pwr NEIGHBORHOODS AND ZONING In some neighborhoods, particularly on the near north side, people had indicated that they did not want multi- family buildings scattered throughout single-family neigh- borhoods because this altered the character of the area and created parking and traffic problems. However, in the General Survey, the majority of respondents felt that small multifamily complexes should be scattered throughout the city, including single-family residential areas. Deterioration of absentee landlord housing was cited as a problem and suggestions were made for some "reward" system which would encourage rehabilitation and mainte- nance. Stricter zoning and design standards were advo- cated, as well as "less strict zoning." Most people (71 %) responding to the General Survey ap- proved the presence of small convenience stores and of- fices in their neighborhoods, but the majority did not want large shopping malls. 85% of the respondents wanted to live within 1-4 blocks of a city bus stop and 52% would like to be within the same distance of a park or playground. Industry, highways and mobile home courts should be a minimum of 10 blocks from their neighborhoods, in the opinion of most residents. IOWA CITY GROWTH AND DEVELOPMENT In the General Survey, most people thought that Iowa City should continue to grow at a moderate rate; they favored multi -core and natural growth over sprawl or core develop- ment. In the neighborhood meetings in particular, how- ever, there was considerable emphasis on the need to maintain a strong core to maximize bus use and reduce the expense to the City of providing services to outlying subdivisions. Over 80% of the respondents to the General Survey wanted to see University or medically oriented industry in Iowa City, and over 70% would like to see other light in- dustry. Heavy industry should be discouraged according to 65% of the respondents, although the need for an ex- panded city tax base was considered vital to a healthy city economy. •�! 111 CROSLI,CO JoRM MICROLAB ,'I )AA PAP!"', . 'Tr 10"IF' ENERGY AND THE ENVIRONMENT Energy conservation and ecological responsibility received strong support from all citizens. People were willing to pursue a number of energy conservation measures them- selves. In fact, the largest single "yes" response to any question on the General Survey was 91 % willing to partici- pate in sorting of waste materials for recycling (with home pickup). A number of energy conservation measures to be sup- ported by the City received a high percentage of approval by the citizens, as detailed in Figure 8. 71 % of the respon- dents would also participate in improving home insulation and 61 % in installing solar energy systems if low-interest loans were available. Responses to the funding of additional City projects, in- cluding some concerned with conservation, were positive, as shown in Figure 9 on the following page. Conserving natural areas was viewed as the highest priori- ty item by all age groups, with 92% of those 20-24 years old in favor of such conservation and 85% of the 25-64 year age group in favor. Cross -tabulations also showed that 73% of all those who said conservation of natural ar- eas should "definitely" be funded were willing to pay more for existing services in order to provide money for this proj- ect; 60% of those who said "probably" were also willing to pay more. In general, 63% of the respondents would be willing to pay more to get some of these additional services and improve- ments. This willingness to pay more decreased with age, so that 73% of those aged 20.24 years were willing to pay more as compared with 67% aged 25-44, 60% aged 45-64, and 43% of those 65 and over. FIGURES IOWA CITY GENERAL SURVEY: ENERGY CONSERVATION MEASURES APRIL, 1877 "Should the City undertake or support the following onwgY 'h of Respondents yes No No conservation measures]" Opinion Recycling of waste materials 82.1 8.3 6.2 Home insulation Improvement 69.3 19.4 7.5 programs Energy efficient construction 85,7 6.5 4.0 requirements Solar heating programs 64.4 17.3 13.4 Tax on automobile use 25.4 58.1 10.0 Tax on large can only 39.7 43.5 10.2 Incentives for multi•famlly or cluster 43.6 29.3 21.3 developments 61' Pii LiWI ;L;-Itu by JURI'I f•11 CkOLAb FIGURE9 IOWA CITY GENERAL SURVEY: ADDITIONAL PROJECTS FUNDED BY THE CITY APRIL, 1977 "Which of these additional prof- %of Respondents Oeanitoly/ Deaniteiy Not/ sets should be funded by the City if money is available?" Probably Probably Not Purchasing housing for the elderly 67.1 17.6 Improving Iowa River and riverbank' 62.0 18.8 Conserving natural areas' 85.1 6.1 Cultural activities (other than 42.8 36.7 University -sponsored) Recycling programs' 77.5 10.1 Historic preservation 60.3 20.0 Low-interest loans for housing 65.0 18.9 rehabilitation Low-interest loans for home insulation' 64.8 21.3 Ralston Creek flood control- 62.7 13.0 Additional recreation facilities 59.6 20.5 Expanded library services 62.4 16.5 'Conservation projects. In addition, there was concern about air, noise and water pollution and suggestions that energy conservation re- quirements be included in the building code. Mass transit, bikeways and a pedestrian -oriented campus and down- town area were also cited as energy conservation meas- ures to be implemented. TRANSPORTATION AND TRAFFICWAYS Although the General Survey gave only a few opportuni- ties for responses with regard to mass transit and transpor- tation in general, many people made additional comments on the surveys and at neighborhood meetings. A variety of suggestions for improving the bus service included night service, route extension, bus shelters, children's fares, minibuses for nonpeak periods, satellite parking and so on. 67% of the survey respondents wanted more bikeways to encourage bicycle use, particularly for transportation. Bi- cycle facilities such as racks were also needed. Some people felt that the downtown area needed a good traffic circulation system. Others wanted no through-traf- fie on campus or downtown. Similarly, there were mixed views on N -S and E -W corridors and the building of U.S. 518 and Scott Boulevard. Residential street widening was generally viewed as an undesirable alternative. �tUNA kAi'iw AiuU ✓L , PARKING For downtown parking, 53% of the survey respondents favored the "Park Et Shop" method of payment. Many commented that efforts should be made to keep cars out of downtown with high parking fees and little available parking; this would encourage bus use. Despite numerous complaints at neighborhood meetings, the majority of survey respondents felt that residential parking should stay as it is now. A number of residents stated that they would like to see other alternatives such as more required parking spaces or a combination of the two alternatives given in the survey (residential parking "should be restricted at all times to parking for residents only" or "should be increased by converting side streets into small landscaped parking bays'). In Areas I, IV, and V in particular, respondents felt that parking problems were caused by 20% of the residences having at least one motor vehicle regularly parked in the street. CITY GOVERNMENT AND SERVICES City government and staff were the subject of numerous comments ranging from "excellent performance" to "total incompetence" at all levels. Comments on services were mainly concerned with snow removal, garbage pickup, cleaning up the city, and fixing roads and sidewalks. Many people felt there should be better City/ University re- lationships, and that the University of Iowa and University Heights should pay their fair share for city services. Many taxpayers felt that their taxes were too high and that they were paying for students and for University land which is tax exempt. COMMUNITY FACILITIES In general, community facilities received much positive comment. The majority of respondents to the General Survey (62%) felt that library services should be expanded M1 T MICRO[ IL14f0 8Y DORM MICROL-AB rr-No by providing either brary. Better planni facilities by neighbo Recreational faciliti many but 60% of should be addition ming pool and ska There was also ne ground and "eider) Cable television, a meeting places for important additions HUMAN NEEDS 4 Most survey re. expansion or in were a number business" or "I IOWA 1 -uo you tnmrs met following services need Improvement special problems Job location for youth other special groups Emergency financial o material help for peon crisis situation Delinquency prevent) Rehabilitation progra Day care for children Day care for elderly or disabled Relief substitute earn families with momb.,r needing constant uu Counseling Homemakerservice•; E nrvicos to elderly hvi alone (shopping, visit etc.) Foster care Group home caro If of children, for former n patients; half -way ho Information Incl essis in getting services of the survey respondents ethod of payment. Many be made to keep cars out ng fees and little available bus use. at neighborhood meetings, ndents felt that residential w. A number of residents e other alternatives such as or a combination of the two urvey (residential parking Ines to parking for residents by converting side streets ays"). In Areas I, IV, and V that parking problems were es having at least one motor re the subject of numerous (lent performance" to "total Comments on services were removal, garbage pickup, roads and sidewalks. be better City/University re- ersity of Iowa and University hare for city services. `taxes were too high and that nts and for University land Ides received much positive respondents to the General services should be expanded blllAUt IL,'ILU by JOkhl fI1CkOLAb by providing either branch libraries or an enlarged main li- brary. Better planning for schools and better use of school facilities by neighborhoods was advocated. Recreational facilities were considered "excellent" by many but 60% of questionnaire respondents felt there should be additional facilities, with tennis courts, swim- ming pool and skating rink mentioned most frequently. There was also need for a supervised downtown play- ground and "elderly" recreation. Cable television, an art center, community gardens, and meeting places for community groups were suggested as important additional community facilities. CtUAII RAPIw ANU JLJ .';U.,,L In all applicable questions and at meetings, the elderly were the number one concern. Services for the chronical- ly ill, services for the prevention of delinquency, and job services for youths were also strongly supported. A great need for more information and assistance in obtaining services was expressed. Preschool and grade school chil- dren and transients received the highest "no answer" re- sponse (42%). 48% of respondents to the Genera/ Survey were willing to help pay for services by donations to the agencies provid- ing the services, and 45% felt fees would be appropriate. Others felt there was "too much welfare" and "the City should not spend money on this." Irlj6A t t Most survey respondents felt that human services needed expansion or improvement, as shown in Figure 10. There were a number of comments such as "This is not the City's business" or "I know nothing about these." FIGURE 10 IOWA CITY GENERAL SURVEY: HUMAN SERVICES APRIL, 1977 "Do you think that the following services need improvement or %of Respondents Definitely/ Probably No Opinion Definitely Not/ Probably Not expansion)" 14.9 14.9 Job training for people with 58.2 21.2 15.1 special problems r67. Job location for youth or 5114 19.2 16,1 other special groups Emergency financial or material help for people in 61.5 19.1 12.3 crisis situation 23.0 21.6 Delinquency prevention 66.3 16,4 10.6 and treatment measures Rehabilitation programs 54.6 22.0 16.2 Day care for children 50.6 16.6 25.7 Day care for elderly or 69.7 14,6 9.2 disabled Relief substitute caro for 21.0 9.9 families with members 61.5 needing constant care Counseling 48.7 23.5 19.9 Homemaker services 37.7 31.6 23.0 Servicas to elderly living 75.6 11.8 6.6 alone (shopping, visiting, etc.) Foster tarn 50.5 28.2 12.4 Group home care (for children, for former mental 51.4 23.9 172 patients; halfway houses) Information and assistance 68.1 13.9 10.7 in getting services CITIZEN PARTICIPATION In the General Survey, citizens were asked whether they felt that their participation was necessary in the areas listed in Figure 11. In the Special Survey and at neighborhood meetings, the majority made it clear that they wanted to volunteer their services and to have a part in decision making. FIGURE 11 IOWA CITY GENERAL SURVEY: CITIZEN PARTICIPATION APRIL, 1977 "Do you foal that yaurporticipation In the following areas is necessary?" %of Respondents No undecided Determining long-range goals for Iowa City 14.9 14.9 Responding to proposals from the city 7.2 8.4 government for significant actions r67. Participating In a nelghborhood improve- 12.2 12.1 ment group onactions affecting your neighborhood Establishing a neighborhood improvement 23.0 21.6 group Some people felt there was still insufficient communica- tion between "City Hall" and the citizens, and that resi- dents were presented with plans to discuss only when the City Council had already made up its mind. The ongoing citizen participation program will provide opportunities for all citizens to view and comment on preliminary City Plan proposals before the Comprehensive Plan Coordinating Committee makes recommendations to the City Council on a final plan. In addition, citizens will continue to be in- formed about all stages of the City Plan and its implemen. tation, with opportunities for response. ~=I MICRO( nra(.n 8y 1 JORM MICROLAE1 r IlAf l,n 1.1 n' . 'trS Idn!Hfs b1 I(tUDi L) ,CJni; .rir'.a_ I�iL. IRIJA C11Y HJrWJ RIGIM CQtiiMISSIGI NNSLEITER •FEDERAL NEWS!! The EEOC, Civil Service Commission and Depart- ments of Labor and Justice, in a joint effort, have drafted new guidelines on employee selection procedures. Following review, the proposed guidelines will be published in the Federal Register for comment. These proposed guidelines specify requirements for conducting predictive, conduct and construct validation tests. # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # Passed or FaiZed?? Take this quiz to test your knowledge of Iowa City's non- discrimination ordinance. True or False? 1. It is unlawful to deny housing on the basis of a BFOQ. 2. It is discriminatory to advertise for a baby sitter and specify a race. 3. If i voluntarily quit my job because -of discrim- ination, I cannot file a complaint. 4. A private club cannot deny membership because of the person's religion. 5. A creditor may impose stricter finance changes for a female applicant than'a male applicant. The answers to all five state- ments are "false." 1. A BFOQ refers to employment situations. 2. The sitter must work in the employer's home or provide a personal service. 3. A vol- untary quit because of discrim- ination is seen as a construc- tive discharge. 4. A bona fide private club may restrict !membership on any basis. 5. A creditor may not impose stricter finance charges for one sex solely because of the person's sex. If you would like a copy of the ordinance or additional information, contact one of the Commissioners or staff member. Public !Hearings The Iowa City human Rights Commission receives notices of public hearings in complaints alleging discrimination. The public hearing is scheduled by the Iowa State Civil Rights Commission in complaints of discrimination when conciliation efforts have failed. All public hearings are open sessions. If you are interested in attending a public hearing, the Commission will notify you if requested. I± ± ± ± t t ± ± ± ± ± ± ± ± ± ± ± ± i ± r ± ± ± Next Commission Meeting January 23, 1978 7:00 P.M. 410 Fast Washington Street :IICRIII ILMC:) RY DORM MICROLAB , b ,i UkN !d ILKUUAU A . ,;A Nebw to Take. Note Ofl! Currently under construction in the Iowa City area are housing units designed to assist low and moderate income elderly and non - elderly handicapped or disabled families with their monthly hous- ing rental and utility payments. For more information call 354- 1800, extension 302. Did You Know? Nell Facer The Commission and staff would like to welcome Agnes Kuhn and Steve Munzenmaier to the Com- mission. Ms. Kuhn and Mr. Munzenmaier are newly appointed Commissioners. Mr. Chuck McComas, who served on the Commission for most of 1977, was also reappointed Congratulations! Many thanks to Barry Matsumoto and Tom Scott whose terms as Commissioners ex- pired on January 1, 1978. Under the Iowa City non-discrimination ordinance, you have 120 days to file a complaint after the occurence of the discriminatory act. Under the State non-discrimination statute, a complaint must also be filed within 120 days, and within 180 days with the EEOC and Department of Housing and Urban Development. The Iowa City Human Rights Commission can help you contact the Iowa State Civil Rights Commission, EEOC or HUD. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Need Information??? For information regarding your civil rights or to file a complaint, contact the following Commissioners: Barbara'Woodard 337-9633 Mori Constantino 338-1001 Mace Braverman 337-4195 Patricia Gilroy 353-6754 Susan Davison 354-4376 OR Ethel Madison 351-9487 Chuck McComas 338-7878 Agnes Kuhn 337-2298 Steve Munaenmaier 351-0175 Sophia Zukromski, Staff person, 354-1800, extension 302 The Iowa City Human Rights Commission and staff want to wish each member of the Iowa City Community a happy new year ! Please Circulate and Post. SSI 'oN I!wlad tlMOI 'Allo VM01 O:Itld 30V1SOd 'S '8 iLtl1i A'111H ,IORM MICRmLAB r-111A,W iLi•1L0 BY JOkM MICkOLAB CEUAk RAP Ws AI1U JL To: Glenn, Vavid' Malpy, 104, J•hit, atems.ns ;ROM: Gar cl DATE'. 1.7.L1• I S A s of phis EMIL , hem �e� w•y suirstiaOns CDC deat„nj wekk +kc rvy '119 bvdqtt : Cao tc, 917o b.l's lnold:�ny a . secor A °pvb%ic, will m% t, A. TatQamc 56na�e .'PALS v 1OU Y: NEPA 0 ►,���9 S• 11�lar W. 1 S, 00 Ia. IDAVC UAI) a S. 100 :41CROf IL14CO BY DORM MICR6LAB f l'pAP P�f1n' XS,VPIFt 2y2 A MiL:Wi!LMLU BY JURM MICRULAB LLUAri RAI'iU� A110 oL '.. •.- 1 9. total o 4 I �. a 1e�`I e. Z1'►A. o over Fy�a -total in 'po�rlc. Rct. �uda��t ;����� Z • C�f'1,1� lhtECVll1t•lom m- C,. VT in %�m. ave' about �ha� -��' o9p a w� • Ta c, • 'dud +t A. Tat stoce *o s,560 F®c over t` Af- ®V@�A ime �ln Asmrromt ~~I ;IICROI WILD BY i JORM MICROLAB f�PA�r Pnrinc oft +IDI qf`, b1l Lj(Ui ILALU by JOkM MICkOLAb CLUAk RAP Iou AND IL -3- Air poQ C®hoe �� o ►� s A. Elo"�� Y\fzl tov,000 �rovv% %VAC CIP &SRMgs G) Aksos O'P.A.VISI °' pt. ator s — 1 i, 000 op std ;v% V'L 40L i t% ��n. Fund 0 UA 1&4 •• ti. �d Vc'Qt * i S O ff,�e a K&m 6 r\C-CCMSC AO (bCM-FUV\C( :46q,jol C o;q sa'k e0 M ov- 141061 ILITO or DORM MICR+LAB rliLA r MILL) by JONM MICROL.Ab pt'ston w,P% Seem to 104- �Qr Ott CLUM RAPIDS ANU JL+ wo touCLe�t�e Also, 1 140SO& ?ot;* a.bouat 1S Q S°0�` ore, . %rhay sh o u %of �O-C h �h, tin , whert�cr '�� is ar�ll�.able,, �Mpc)aIDNi I i4CQ cou�'D I AAA -VE F0R6blT2N ?I AI^SD 1 V 130'D6eT 0L)7- 0�- fie, Z,00D 46LT- Tl"k' ,+A& 0� fie_ Wku"n ha.v-L d.u— "L iz,000 -�D l0y1Z0� _ (o iZO- P PSS I Y ;d]CROP ILPICU 01' JORM MICR+LA9 ffllAP p.w1nq of 4, 510I9f5 v e 2 7 s Miuwi iLALU BY JURM 1.11CRULAb 9 10 CLUAR ROM WILT LjL r01'L•� M, "o IN per`Po C.n x13031IB��°ll laultncc. poC�.F`7Y i,. 1"PR�c Qf C,. C CNC ItV 4 -1 CMP. ' 0, i. I I SOCA LI OOpt i 7 „ pp $O� (� 7 I i 141CROFILI-ILD 0Y JORM MICR+LAB MAP PAPIM`, • 91`5 MOIHFS i Soot I SI30 u v I j I TOO() a.l a*1.1 �•I600 PJ �; bv�ce,11 1 r IN per`Po C.n x13031IB��°ll laultncc. poC�.F`7Y i,. 1"PR�c Qf C,. C CNC ItV 4 -1 CMP. ' 0, i. I I SOCA LI OOpt i 7 „ pp $O� (� 7 I i 141CROFILI-ILD 0Y JORM MICR+LAB MAP PAPIM`, • 91`5 MOIHFS MILWi IU U BY JORM MICROLAB LEDAk RAPIDS AND uL, :4v.:r_ O INFOIKAL CMINCII. DISCUSSION JANUARY 25, 11,78 INFOR+L11. COUNCIL DISCUSSION: .lmuciry .'S, 197`., 7:011 P.M. in cite Confcrcncc Room at the Civic Center. M:q'or Vevera presiding. COUNCIUDIBERS PRESENT: Balmer, 1'cccra, ItubcrtS, LIC Prossc, Neuhauser, Lrdahl. Absent: Perret.(Perret advised !layor Vcrera that he would vote with deProssc.) STAFFNIDIIIERS PRESENT: Bc'I'llo, Stolfus, Vi tush, Jolles, Diet::, Kraft, Clave::, Eggers, Plastino, Showalter, Schreiber, Tinklenberg. TAI'ERECORUliO on Reel a'S-•I, Side I, '!ill to end, 1; 5idh• 2, 1-2o6. BUDGET DISCUSSION Preliminary Remarks- hin:mce Dir. Vitush Attorneys could he that ullucations a. Airport, possibly clic for the Airport could be changed, as it is part or the, General Fund levy. b. Memo re deProssc allocations. c. 9% tax lid -'78 levy short $22,000, will be subtracted if we go to 9`, so it would add only $45,01M, approximntel)•. Raise of SuhdiViSiun Foes a. Additional staff work added bcceusc of ocw crdin:ulccs 1; Council referrals back for alternatives. if. Erdahl, Neuhauser, Vevct'a f, deProssc favored raising fees. Lease of rental radio ctLui,mi ent, Police Ilchl. it. Vitosh-cannot be prepaid. G.O. Bonding to repair streets. a. $37,517 out of Road Ilse Tax will be left in Street Scaling. b. $205,000 will be added for Asphalt Overlay, add to C.O. Bond issues. Neuhausca', tioProsse, Vevera f, Erdahl in favor. c. Increase possihlc in Rtl1' funds by Legislature, for use in PY'F0. Additional Funding; lin• Library_ it. Consideration of deletion of Sunday and Thursday how's. 1. Eggers -Sunday hours nre most luxurious service, only 7 lot,a libraries provide it. h. Need for managerial support. c. Add $.10,000 to Library, let the lionrd review possihlc uses, butnot adding :in Assistant Director, but keeping upon .,if Sundays, ;is 4 Councilmembel.!; I';n'ore,l gain); past Level 2 of the prupo•,J budp.et. Raise to A Lid_ a. Neuhauser, deProssc, Erdahl and Verret favored adding certain programs, I.ibrary, I'n'ks ti Ree. f, Aid lu Agencies, Willi various shifting of funds, which Would ueccesita e going to the 91. lid. h. Roberts -use for ventilators for the hos ben'u. c. Extra public hearing will be nect.asary. Alit TO AGENCIES Visiting Nurses, Balmer & Rubens would lilt. Io fund. 141 EIt011 L14E11 BY JORM MICR+LAB rFDAP PAPIDf • 91`$.:d01nt'S MiLkUFILMLU BY JORM MICROLAB Page 2 AID TO A4BNCIGS, CONT. LLDAk RAPIu'3 AND UL: ;I,::u ,. Transient Services a. Nouhauser-as noted in Human Needs Study. Informal Council January 25, 1979 Mark IV a. Should not fund an independent recreation program, but service thru the Recreation Center. b. Dir. Showalter outlined present recreation programs ;it Nark IV. (2700) c. No objections from majority to fund $5,000, thru PIIR program. (2727-2479-2810) Spouse Abuse Program a. Fund as match for I.HAA Grant, or seed money for it grunt. (2050) b. Human Needs Study recommendation. c. Use of IICDA funding for planning. d. Berlin -need to develop as community -wide effort program. e. Neuhauser, deProsse, Perret, Brdahl, agree to fund $9,500. Baall/Softball Programs seb a. 3600, add to Parks L Rec. budget to be funded with Itev, Sharing, and use this Aid to Agencies allotment for Crisis Intervention Center. (2515) Garbage Fee a. Iowa City does not charge it g;u•bage fee, only the 39cent landfill fee. Rape Victim Advocacy Program a. If funding is cut, 'twill cul the time of the courdinalur from 1/2. b. The other 1/2 is funded by County. c. A mistake in last ycarl s allotment was explained. HHRA it. Recommendation of Ihmmn Needs Study discussed. h. Use as match. c. Other sources of funding discussed. d. Not it majority of Councilmembers were willing to add $1,500. (21551 Parks and Recreation a. Whenever extra work h;ls been planned, it is shoved Off on this division. h. Add $5,500. (1815) Cemetery a. A11 departments noed part - time aril overtime also. b. Add $1,500. (18 15) Crisis hitervention Center a. As replacement for baseball programs deleted. 1). Add $3,000. (1754) Children's Museum it. Berlin -No support from Community. h. Function of Parks ;led Recreation c. Fund $2,000. (1151) Y. �% IdICRUCILnCU BY DORM MICR+LAB MAP rArin', DfS, ;4nlq[S MILi(OiILi•ItO BY JORM 141CROLAB LEOAR itAl'1US AND ,L. :'i •: Page 3 $ 9,500 List of Finding At this Point for Aid to Agrncii_•. JCRPC 565,891 Mayors Youth 21,271. Youth Homes 8,00(). UAY 27,327. Library 11 801 111 fn lama t I:U UIIC 11 January 25, 1973 1 315) 69, increase for existing agencies PALS IPundin){ 'P1"78 RVAP 5,300. JCC on Aging 18,550. $ 161,838. SIS,i,531 5R ,11(lU, Others Added Spouse Abuse $ 9,500 Parks G Rec. 5,500 Cemetery 1,500 Crisis Int. 3,000 Museum 2,000 Mark IV 5,000 Library 30,000 Baseball (to Pf,li) 3,600 AIRPORT a. Concensus 'r -hangar project deferred to 198". b. Airport a benefit to whole community -development. c. Will discuss user fees. COMPREHENSIVE PLAN a. Not require extra -width Paving. b, Funding for implementation and refinement of Comprehensive Plan. c. Public Ilearing on allocation of $238,243 Illock Grant Funds, 1/31/78. d. Employees terminate July 1, unless certain elements of Comp. Plan carried on, (microanalyses 6 neighborhood plans) e. Funding discussed coming out of contingencies in Blnck Grant fund. CITY CLERK'S OFFICE a. No extra funding provided, heavy workload. b. Reduce workload as discussed with City Manager, but retaining important legal functions. ANIMAL SHELTER a. Van needed, possible exchange for replacement of one of the new unmarked Police cars. CAPITAL IMPR0VEMENTS PROJECTS 17OR FY' 79. a. Scott Boulevard —^ 1. Acquisition of right-of-way, trade for 30% paving assessments. 2. Not assess Project, Staff to provide figures concerning trade-offs. h. Gilbert Intersection Project T. Will be using 3 years of FAUS funding in advance. SALARIES a. Berlin noted, salaries not sett ted, still in negotiations. BONDS a. Vitosh pointed out that we will be selling 7 Mill i,.n in G. 0. Botu.l:: and 2 Million in Revenue Bands in F1" "). CITY',tL1NAGIiR and Staff will decide whore the new I)Iugt;unS a:; :;uggeSled sl II he funded. Meeting adjourned, 9:30 1'.M. .. i IdICRUEl L14ED BY JORM MICR+LAB rrOAR ItArIOS aE5,M01aES MILkUF ILMLU BY JURM MICROLAB CLUAR RAP1uS Apt )L., !�-: L-. ... INFOlOtAl. COUNCIL DISCUSSION JANUARY .itl, 1975 0 INFORMAL COUNCIL DISCUSSION: January 30, 1978, I:OU V.M. ill the Cunference Room at the Civic Center. Mayor 1'evern presiding. COUNCILMEMBERS PRESENT: Verera, Roberts, Balmer, lirdahl, I'crreL, dePr0SSC (1:20 PM), Absent: Neuhauser. STAFFDIEMBERS PRESENT: Berlin, Stolfus, Schmeiser, noothroy, ;c1ireibcr. 'TAPE-RECORDEU on Reel 078-4, Side 2, 205-1111d, f, urcr Side 1, 1-•110. ZONING APPLICATIONS Side 2, 205-822 Bryn Mawr Eleven F New configuration presented. b. State const. of ilwy. I will include pacing of Sunset over (lane property. c. Written agreement from Earl Yoder requested re plans and timeframe. d. City will have to pay for portion of widening on Sunset where it is two lane now. Barker's Second a. Approve subject to agreement in writing that developer will annex when he can. f- Councilwoman deProsse arrived, 1:20 PM. Oaks Mcadow Addn. Hayek, Viet: fi Showalter present. a, flan for temporary access across yioose Lodge entrance fur second:r.y access, explained by Atty. Neely F, Dev. Oakes. b. Statement that Waters docs not want a street thru to Carver, and Oakes prefers a cul-de-sac. c. Assessment of costs of street discussed. d. Dev. Attorney responded to legal opinion given. Hayek stated that the Legal Dept. stood by their opinion. e. Maintenance of street, write into agreement. f. Concensus by Council, to connect to Carver St. g. hInjority of Councilmembers favoring condemnation of Water's'property. h. Majority of founcilmembers will approve Prel. plat. Plamor Lancs, Pre1.11 final LSNRD a. Docs not need to comply with stormwater management b. Hayek's memo of b/29/77 noted. C. The 'loophole' is being corrected and I, rovi•:ed srt d. Iles, on next wcok's agenda. County Subdivision Regulations it. Memo presented -Staff Report of 9/1/77. K...�I 411CRUPIVICII BY JORM MIC R#LAB M)AP VANDD • DFS. na1.'Ir'. ord. or tree ord. nti rerul ut ions draped. Mll,kUi ILMLu by JORM WICROLAB Page 2 LLOAR RAPIOS AND OLS >'�•:I( Informal Council .lauuay 20, 1978 RALSTON CREEP: PROJECT t, HICKORY HIM. I.11ND ACttIllSITION 822-2068 a. Plastino gave a short prescntatiun re tlu• project, noting that even if Hickory Hill land is acquired by G.O. Bund process, city would need an Environmental Impact Statemcut if IlCDA fending were used to build. b. Consultant Bill Lindley gave a slide presentation on detention basins. 1. Discussion of sediment, debris collection at intakes, f, erosion. 2. Public 14urks I)cpt, would remove debris from intnkcs. c. Regina arca would be functional 99% of the time. d. Proposed dam location ideal for control. 1. Would decrease flow from 85% at Rochester to 3500 downstream. 2. Other alternatives would be more expensive. c. Ilam would be 36 foot high , but 30 foot lower than surrounding topography. 4. Facilitnt Scott would have a significant effect also. e. Appraiser �)on .lohnson explained his ;tpproach for appraisal of .10 acres and 23 acres. f. City Mgr, has scheduled it meeting with the School Board for Regina. g. Showalter outlined on the map th(•;n•ea which could buffer the park. It. G.O. bonds caul lie used for flood conu-01 purposes. 1. The detention area will flood the s;tmc number of times as Iowa City has flooded in the past. (ICDA PROGRMI GOALS ti OBJECTIVES Side 2, 2008-1ind. Side 1, 1-128 a• Vann explained funding fur the Scniur (:iti:ens Center b. Council discussed funding for Rcsuurces Fnergy Comm, f, hiring of 1/2 empl. c. Need to analy-c utility figures presented for public buildings. d. Decision on hiring of planner for nlicronnnlyscs to he decided in 30-00 days. e. $41,000, 0.k. for Resources, no questions nn other budgets. 1'. (lousing Assistance flan 1. Inconsistencies not resolved between F.C.I.A.R.P.0 (lousing OPPorttnlities Plan and City (lousing Assistance Pl;m. 2. Staff to draft City's position in writing, ;Ifter Council review, send to IILID. 3. Public (lousing, funding dcpcndrnt ('I'- 4. Additional informntion will he sought by staff, in reference to inspectiu❑ of owner occupied hnusiug. FRI'•EWA1' 518 Side I, 128-250 a. Draft letter he changed in the first sentence by deleting reference to substituting Treew•ny fits", :111d scut to Ill)'('. b. Possible moving of alignment to the hist. CABLE TELEVISION 250-390 a. Pussible scheduling of cloctiuns di•:russcd. b. Council concensus, approval ul Kirin}; cunsult,utt :IV rocunnuendod by City Mgr. c. Connie 'Tiffany from Librar)• lu help cunnnittee coordin;lnto action. AGI:\DA 390-4111 a. Application for Iteer License far Gr:uuIJaJJy's deferred, treed to comply With Sign Ord. b. Appl ical i0n1 for 'I'acu (louse Jel'crreJ, Icg:l l papers not read} . C. Resolution on hearing for sidewalk installation, defer two weeks. d. little League vont r;lcLs. Slotcmrnt ahnul Iluncul Right -., required by Fvd. Lovl. City r,lold climinntr it ill prc•;rnt or,lin:mcc. Mcct iltg Adikill ruc,l to Laity Cunfcrencr lt(,:Il',I nn•rt Ing. 4: 1'. I'. Ni 5 ~ } 141 CROP IUIEO RY JORM MICR+LAB rrnAR CAPIn° • nr5. moiw5 This Is the eighth In a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la. Z-14 wILRUFILilEU BY JORM MICROLAB LEDAR RAPIDS AND LJLS HUMAN SERVICES STUDY Report on PROTHCTION 01: THE ELDERLY PROM ABUSk, NEGLECT, AND EXPLOITATION November, 1977 Justice Sub -committer Rex Honey - Chai Doris Bridgeman Mary Boland Mardi. C...,per Roger Darnell Carol Spaziani Staff: Connie Hchternal Mary McCue Naomi Miller Larry Allen Prepared by ti Johnson County Regional Plan: 22r South Dubuque S Iowa City, Iowa 5 . i IdICROFILMEI JORM MIC rMAR RAPIDS 1 T Mll,kUF I64L0 BY JURM MICRULAB • LLUAk RAPIuS MU JLC TABLIi OP CONTENTS Preface - Methodology - - - - ------- --- ----- --- ------- ------ i - viii GOAL---------------------------------------------------- I SERVICE AREA DUSCRIPTION-------------------------- - - - - -- I PROBLEM DESCRIPTION - - - - - - - - -- ---- -- --- -------- --- ----- -- I POPULATION SERVED - - - - - - - - -- -------- --- ----- -- ----- - - - - -- 3 SERVICES PROVIDED --------------------------------------- S Advocacy for the Protection of the Aged --------------- S Health Standards Monitoring --------------------------- 5 Legal Aid and Counseling ------------------------------ 11 UNMET NEEDS --------------------------------------------- 13 GENERAL RECOMENDATIONS ------------------------------ 16 RECOMMENDATIONS ----------------------------------------- 19 APPENDIX Services Provided ------------------------------------- 25 r, ! 141CROFILI•IED 6Y JORM MICR#LAB EEDAR RAN DS • DfS.MOINES f41w(W ILMLU BY JURM MICROLAB CLUAR RAVIU'l AIIU uL JOHNSON COUNTY REGIONAL PLANNING COMMISSION MEMBER GOVP.RNMUNTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - lixecutive Director Johnson County: City of Iowa City: City of Coralville City of Solon: City of Shueyville: City of. .North Libert City of University heights University of Iowa: Citizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts Times Stehbens Richard Gibson Isabel Turner IIUMAN SERVICES COMINITTEE Chairperson: Carol Spaziani Rex Honey Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Benson Paul Huston Roald Rolfson Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin ,Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter 141CRUI ILIdra BY JORM MICR+LA9 rrUAR Ib.jPInS, • DFS. 61UI1lrS mltAOFILALU BY JORM MICROLAB LEDAk RAPljS ANO uL� ACKNOWLF1)Glii IENTS The preparation of this report would not have been possible without the involvement and support of the subcommittee members. Their contributions of talent and energy was in- valuable to the success of the project. Appreciation i.s also due to the human service ogenci.es in Johnson County who cooperated fully with the project and supported us in our planning effort. Finally, our thanks to the Regional Planning; staff for exerting the extra effort necessary to complete the project on time. Staff Participants Emil Brandt Constance T•cliternach Pamcla Ramser Lawrence Allen Mary McCue Naomi Miller Donald Mulholland Frances Blommors Dianne. Bunto Judith Platcrmmn Executive Director Project Director Planning Assistant Social Work 1'r11ctiCIIIII Student Research Assistant Urban Regional Planning Practicum Student Research Assistant Secretary Secretary Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was fundod in part through a contract with Towa City from the City's Community Block Grant allocation. MICROFILMED BY JORM MOCR46LAB trove PAVIO5 • IF".MOINIS W Wi�,Wt 101LU by JORM hI1CROLAi PREFACE LLDAIt RANi0� AND JCS METHODOLOGY -i- y_7 I-IICROFIL14ED BY JORM MIGR+LA6 frpAP UAi`I �` �f S, CIOItlfS I. BACKGROUND OF THE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commissio- A Steering Committee was appointed by the Commission in early L., September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations k" to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Nay of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and - Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland. -i- y_7 I-IICROFIL14ED BY JORM MIGR+LA6 frpAP UAi`I �` �f S, CIOItlfS NiuidOh iLMLL) BY JURM 141CROLAB I.LUAR RAVIO�) AND OL' At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services,. economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. .—I MICROFILMED BY JORM MICR+I—A6 frDM upr l^`. of S, MOI9�` (41L,tWi IL4u: BY JURM MICROLAB • CLUP.k kAViL)� AMD UL's Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas II under study. Following is an organizational chart outlining responsibilities and relationships. i ii MICROFILMM By 1 JORM MICR�LA6 fFfNV VAI,lnc . nFt.mo rf Mi1,tWi IL&U BY JORM id'ILROLAb Executive Director (3) Human Services Planning Staff (Family F, Individual Life Services (6a) ORGANIZATIONAL CHART Regional Planning Commission (2) Human Services Committee (4) Mental health Chemical Dependency (6b) Iowa City (1) Steering Committee (5) Emergency Assistance (6c) Public Protection F, Justice (6d) 1) Iowa City: Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and recommendations and can act or not act upon them. 2) Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RPC delegates responsibility for carrying out the plan to the Human Service staff and comm ittce. 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. iv - !T~ I41CROFILME0 BY , JORM MICR46LA9 ffnRR HA�'i nS PFS, ROINFt NIU: Jri01i.0 BY JORM MICROLAb UDAk RAI'Iw AkU uL, , ~ 4) Human Services Committee: Hos overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. 5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: ^; Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri- ate ways of collecting data; identifying existing resources, providing information on ]low the service delivery system works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor- tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, _. and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- ; IdILR011LIdCD BY DORM MICR+LA6 rrDAR DAPIn< . ^r�."IOIIIrC 191LI<Of1_i U BY JOkM MICkOLAB LLUAk MP lug AND OL, il.' ., II. DATA COLLECTION Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; Previously conducted studies: and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The following agencies submitted written information to the sub -committees: Emer cn� Assistance Committee Birthright of Iowa City Emma Goldman Clinic for women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -vi- i I41CROTILMED BY JORM MICR+LA6 frnAp o.1 ne n<, . prS. PJnpfr5 MiUW1 iO4Lu 6y JOW-1 b11CHOLAb • LEDAk kAl'ij, d.A) Or_:,�:- University of Iowa Special Support Services University of Iowa Financial Aid University of Iowa Student Health Service Veterans Administration Hospital Social Services University Hospitals and Clinics Social Services HACAP (Hawkeye Area Community Action Program) Wesley Foundation Free Clothing Store _. Johnson County Commission of Veteran Affairs Married Student Housing ,Iowa• -Illinois Gas and Electric Company Stone Soup Restaurant (Mental Health/Chemical Dependency) Alcohol and Family Counseling Center (MECCA) Abuse (Cedar Rapids) Citizens Committee on Alcohol and Drug Community Pastoral Counseling Service HERA - Psychotherapy Collective Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Mid -eastern Iowa Community Mental Health Center Orchard Place Reality X Recovery, Inc. University of Iowa Counseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric Hospital Veterans Administration Hospital Alcohol Treatment and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging vii - Abuse Registry wuaorafam By DORM MICROLAB I�ilLitUi ILMLU BY JOk19 14ICkOLAB LEUAk i2Ai'iU" AU L)L Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center Personal interviews and Group Meetings Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc. Ior;a Cite Cri.is Center Wesley Ilouso Job Service of Iowa Johnson County Attorney's Office Oakdale Alcohol isin llnit HACAP (Ilawkeyc Area Community Action Program) (Mental flea]th/Chemical Dependenc,v) Bi1J Ilartley - Lakesi.de Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Fninily Counseling Center (MECCA) Sediacek Treatment Center, Piercy Ilospital - Cedar Rapids .Johnson County Attorney's Office Catherine Wombacker, Patient Advocate 141CRnr ItMED By JORM MICRALAB rr PAP PAI'1n'. 'eft 1011FS !1iL,Wr iL;-1 U BY JOHM 11100LAB LLUAII HA'rijS AND uL Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate Justice Sub -committee) Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's.Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information $ Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Assocint.inn Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment & Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Throueh Churches and Camnus Ministries All (Go) churches in Johnson County were asked to respond _. to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and ,Johnson County residents. Id1001ILMED BY ' JORM MICR+LAB rr MF 11d1'ln' . !)FS MOTIFS MiLk Or!LML.0 BY JORM MICROLAB LLOAIt RAP Iw AND uL. Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system .personnel have good information on the workings of the social service delivery system in Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x- IdICBOr ILMED BY JORM MICR(OLAB CI W1 VnrI" If Nlui<0f iL;ILu 8Y JOHM MiLkULAii I,E oiF f kArIUJ AND The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Association�be- cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however, completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. •~I MICROFILMED BY 1 JOFiM MICROLAB CIOAP • lft MOMFr NfuiNriLMLD 8Y JOkM MICkOLAB UDAtf kq''Wo klk) Data Collected from Social Workers, Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of .improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of.other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. i MICROFILM[[) BY JORM MICR+LAE3 rf-OAP parity•. . ?FS Mnivs h11i,RUi ILMLU BY JURM MICkOLAB III. DATA ANALYSIS LLUAI< RAP Wu ANU The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain Community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. 5^ a f i•ncrsoruweo By JORM MICR+LAB rrnrm pnrrPS • nrS 1101IFS 1-1ik,KU:1LALL) BY JURM MICROLAB LLUAR RAFIJJ AIU UL c0A1• The goal of this sorvice area is the promotion :urd proservation of conditions that enable cldcrly individuals to live in an environment where they fool S:Ife, :Ire pr-o- tected from physical ahuse, neglucL and exploil:Iliun and can manage their daily lives with assist:Ince as needed. Sl:RV1Cli AREA DESCRIPTION -- The programs in this service area are designed to pro- tect, by legal intervention and provision of social services, individuals whose physical and/or mental capabilities are so limited as to endanger them and/or allow them to become easy victims of exploitation by relatives and others. Service Elements: Advocacy lot' the protection of the agod, health standards monitoring, legal aid and counseling. I .1 PROBLEM DESCRIPTION In our discussions with personnel of agencies which serve the elderly population, it was difficult to define abuse and neglect. DePiniti.ons ranged fro,n the formal Department of Social Services definition to the absence of corrective action by agencies or individuals. The Department of Social Services defines adults in need of protection ;is "those adults who are unable to protect their own interests or who are harmed or threatened with har"I through ac•tinn or inaction of another in- dividual. or through their own actions clue to ignorance or poor health; resulting in physical or mental injury, neglect or maltreatment, failure to receive ndequato food, shelter or clothing, deprivations of entitlements due them ur diminution Or. resources." Other definitions of abuse, neglect or exploitation 141CRori LlIED BY JORM MICR+I.AB MAP PAPI�°. • X5 MOINES Mii.i<ur ILMLU BY JORM MICROLAB LLUAR kAPiU`.; ANU )L I . included: 1) Neglect - placement in improper level of care 2) Abuse - taking away of dignity 3) Exploitation by families 4) Lack of discharge planning 5) Emotional abuse 6/ `ogntive attitudes among legislators c providers 7) Failure of agencies to seek out elder] in need of but who are not receiving c of their lack of awareness of communi.t their reluctance to ask for aid, or ti ingness to admit to having a need. Few of these definitions connote offenses legal. prosecution would result. However, the ell offenses upon a dependent population could be vial indeed. The over -65 population of Johnson County t• 7.07 percent of the total population in 1970. TI to about 13 percent of the Iowa state population percentage of the population in Iowa City which i (6.6 percent) is lower than that in rural Johnsol percent). In 1970, 3.7 percent of: Coralvil.le res 13.2 percent of University Heights residents were In Johnson County, 13.1 percent of the tol in 1970 had incomrs under the poverty level. Of percent were elderly (8,548 poor; 1,034 elderly I total population over 65, 22.S percent was below level; this is almost twice the percentage of poc oldorIy population. I t is osI iultlted that in Iowa, 01 gilt perces over o5 are in ilist ifill ions.I 'I'hc numher of Johl Illealth Services Agency Stene Plan T• I•IIC201'ILI•ICO BY ' JORM MICR�LAS rrilt,ir nANPC • PFS MOMFS W .t 1-11l,(Ui 1CILU by JORM MlCROLAb 3- LLUAk i1APIo's AND OLS '��•'� elderly in nursing homes is riot available, however, there ;ire approximately 700 intermediate and residential beds in .Johnson County. Bight percent of those over 05 in Iowa ;ire totally house- bound; 25 percent of those over, 65 live alone or- with non - relatives. In addition to the 11Oa3ehOand :Ind institutionalized olderly in Iowa (IG percent), many elderly living in f;uniIics or alone could he considered dependent (unable to manage theiI- da ily daily living) as well. 'I'hore is a great range of difforent levels of dependency and therefore a variety of protective ser- vices are needed. POPULATION SERVED The Department of Social Services Protective Service Unit has 28 cases currently (August, 1977). Ten are elderly persons. Spouse abuse (long -terns si.t•.lations continued from earlier years) is the most frequent form of victimization of the elderly found by the Department. The second most frequent form of victimiza- tion is abuse by family members. The Department has no logal authority for the provision of services to abused or neglected elderly, as with abuse and neglect of childron cases; the abuser may be the legal guardian of the elderly person. The Department cannot enter the home where the abusive person is housing the elderly client without consent of the auult responsible for the client. The third most frequent form of victimization is nursing home abuse. The Department has not had a substantiated nursing home complaint in the last four years; nursing home complaints must be turned over to the State Department of Public Health. The Department of Social Servicos has received nn elderly rape cases in the last few years. Many elderly do not favor "protective" services because they do not want to be declared "Incompetent". The di.l.enuna of providing protective services is found in making them available whet. needed while ensuring that the indi.vidual's dignity and rights are. preserved. MICHI ILITI) BY JoRM MICR4�LAB MAQ . pry VVIIr biIL(UFILMLU 8Y JOkt4 1,11GkULAb -a- LLUAif kAVIUS AIIU JL MFCCA has dealt with some spouse abuse cases involving elderly couples. The annual report for their aging project stated that alcohol contributed to spouse abuse in some of the cases in the four -county area which the agency serves. The State Health Department records for the last year show that five nursing home patient -care complaints were re- ported in ,fuhnson County during this time. One of these com- plaints was substantiated, one is currently pending investiga- tion, and three were unsubstantiated. The Council on Aging reported that many of the nursing home problems of which it is made aware are so subtle that it is difficult to substantiate them as bona fide complaints, (e.g., a blind person not getting the same food as others) The Town City Police Department lists one attempted rape (age 80) and one rape (age 55) case with older victims out of six reported rapes and five reported attempted rapes in the first seven months of 1977 (some of the ages of the victims, however, were not given). Financial fraud against the elderly was identified by the police as a major concern. The Council on Aging reported one rape and one attempted rape (which were not reported to the police) of women over age 60 during the first seven months of 1977. The Council on Aging director feels that the official record is an underestimation of the actual occurrence or rape of elderly persons. Heritage Agency on Aging Legal Services has served about eight .Johnson County cnscs involving exploitation during the period from October, 1976 through August, 1977. Four of the 20 attorneys responding to a survey in .June, 1977 said that they had seen cases of abuse or neglect, as "broadly defined", in the past year. Two attorneys said that they refer such cases to the Department of Social Services. ? MICROFIL14ED BY I DORM MICR+LAB rrPAP PAPP, . IirS r•liuttJF ILMLU BY JORM MICROLAB LiUAR RAi' W� AND JL'� SERVICYS PROVIDl: D Protection of the elderly from abuse, neglect and ex- ploitation are provided through throe services: Advocacy for the Protection of the Aged, Health Standards Monitoring, and Legal Aid and Counseling. -• Advocacy for the Protection of the Aged Advocacy for the protection of the aged is designed to plead, argue, or urge the case for the provision of special protective measures for the aged, the infirm and the handicapped person who is in danger of neglect, abuse, exploitation or some other harm. Program elements include development of materials and communication of arguments to select parties or the public - at -large. The Council on Aging, thrnugh their friendly visiting pro - grain, shoppers' aid, and Senior Center activities, comes in contact with elderly who al,., ue abused, neglected, or exploited. Thirty-three individuals were visited in their homes by volun- teers last year. The shoppers' aid program helped 45 elderly by running errands or escorting them to shopping facilities. In both of these situations the volunteer develops a personal relationship with -he elderly in their homes, if volunteers detect abuse or neglect, the Center's staff is notified and Follows up on the problem. The start eves elderly persons an opportunity to discuss problems at Center activities. 'I'hev also provide guidance ;uul advocacy through the Information and Re- ferral program and the Advocacy program. The Information and Referral program served 1.,747 individuals during fiscal 1977 (.July 1, 1976 - .June 3O, 1977) . Health Standards Monitoring Health standards monitoring is designed to protect con- sumers of health services from health hazards and less than professional service. Program elements include investigation Of complaints, inspection or cancellation of licenses a• accre- dit:` ion where such authority exists, and penerill monitoring of compliance with strnnlnrcls. —! I-0ICRUII U•ICO By i JORM MICR¢LAB MDAR PAPP11 • DrS I,iorifs I:IiLQ, ILALU 8Y JURM MICRULAB • LLUAR RAPL1�) AFIU Li. 'I,,.,�� , M Three organizations are charged with reviewing the care which individuals receive in nursing homest The Iowa Department of Health, the Department of Social Services, and Care Review Committees at each facility. Information on these organizations is taken from the Care Review Committee Manual published by the Iowa Commission on Aging. Department of Ilealth Annual unannounced .licensure inspections of health care facilities are to be carried out by the nurse consultants of the Consultation and Licensing Divi- sion of the Department of Ilealth.. During such inspec- tions, all records (dietary, personnel, etc.) are open to the nurse consultants. Attempts are also made to tall; with some of the residents to gain their input as to the facility's condition. Upon inspection, if a nurse consultant finds a facility to he in violation of the state law and/or regulations, a conditional license cony he issued. Along with this a grace period of thirty days, sixty days or one year depending on the severity or extent of the violation is extended to the licensee to remedy the conditions. On-site follow-ups are then done to see if violations have been corrected. While consultation and education are viable and impor- tant ways to help firing health care facilities into compliance with state rules and regulations, they are not always sufficient to enforce compliance. In 1975 the Towa General Assembly passed legislation, effective January 1, 1976 implementing a fining and citation system for health care facilities. The system classifies vio- Irtinns of nenartm�n! rules and regulations into three clnsc,!. (-pending nn soverity, duration, intent and rocurrenco al' the, condition. pacilities ore fined accordingly. I:m•iIiIies have the right to judicial re- view (i I* any cit.,Iioil ;n ti fine levied lot, I. which They I'ool Ihere m;is not lust Cnnsc. The nlnail:wnl Iime ullowod for th•• correction of violations is uno year; a healLII care facility may operate under a conditional license fnr no more than one yoar. If, nt the end of time, tho violation still exists, the in- spoctor is to recommend revocation of the, license. In some inst:inces waivors nlny. hr issued to a home failing to Inv(.1 ;I nnrti alar standard provided that it does not r:. ,1•-�—T.— IdlcnoFILMto BY ._ . JORM MICR4�LA6 fr NO PAP 11, - IFS Mel'Ir5 Niuturi-;-UJ BY JORM [-IICkOLAB CLUAIv RAVIU, A;10 UL. w.._ hamper patient care or the CIO] ivel yot services. Re- vocation of a license may he recommended upon an inspection i( conditions in the home arc so poor that the phvsical Plant and/or patient care jeopardize the health and safety of the residents. The nurse consultant. is in the Pus ition to recommend rather thall act on the revocation of : license; the ultimate power to revolve a license lies with the Com- missioner of Public llealth. If this process is c;lrried out, the, Commissioner of the lotaa hcpartmunt of Social Services becomes involved and must Iailildraw ledicaid- Title XIX funding from that 1101110- i F 101110. iF the recommendation for revocation of a license is made, a notice of same is sent to the licensee, listing the deficiencies in the Iome. Tt notifies the licensee of the right to appeal the action and allows thirty days For a hearing at which time evidence may be presented on both sides, as to why the license should or should not - be revoked. The hearing officer who presides over the appeal is appointed by the Commissioner of Health. 11 the licensee chooses not to appeal the decision, the license is revoked on the date stated on the revocation notice and Medicaid funds are withdrawn. However, if an appeal is requested, the favi!:, remains open unless the appeal results in a decisiul, ;or closure. If an appeal is sought, all. reasons for which revocation has been recommend ed are subject to public disclosure. However, Tf the Commissioner believes that conditions in a home present a danger to its residents, he may ask that the local Care Review Committee go into the home and survey the situa- tion, and if the committee recommends, he may close the Facility prior to the appeal process. Ile aleo has the power to close a home of his own accord it he is of the opinion that such expedient action nest he taken to pro- tect the residents. In addition tothe annual inspection, special investigations and inspections regarding specific complaints received hythe Division of Health Facilities are carried out by the Consulation and Licensing Division. The Division investigates all complaints received. 'The identity of the party issueing the complaint, is not to be disclosed to the facility's administrator unless the complainant wishes to be acknowledged. The department prefers that complaints be submitted in written form %-Jth ns Till lcln documentation as possible. The pepartment of llealth has a contract with the Department — of Social Services to perform the latter's ICP (Tntermedi.ate Care Facility) surveys required for home to be certified to accept Title XIX -Medicaid patients. The ICF program _ is federally funded, limiting its inspection to nursing homes and hospitals. State TCF rules were written in accordance with federal guidelines. ~I—V wlcROI neem or 1 JORM MICR4(1LAB rrnAR V1r!r1( 0 NI "MplrS �1;u!ur iL;-11J by JORM MICROLAb M LLUArt kANiJi AIIU JLC " Iler(rtment of Social Services Annual review of 'Title XIX (Medicaid) patients is carried out, according to federal guidelines, by the State Depart- ment of Social Services. The Division of Long -Term Care in the Department of Social Services has review teams that were sent into operation in April of 1973. The func- tion of these teams is to visit every skilled and inter - as care facility in Iowa that has Title XIX patients, and to interview all residents receiving Title XIX medical assistance. As a result of their findings, the review teams make recommendations to the nursing home licensee on improving conditions for a specific patient:. Each of the review teams consists of a registered nurse and social worker. Bach has available a consulting physi- cian. The team's training consists Ofanoentation during nes which they study hasic regulations, procedural b for conducting it survey, social work theories and atti- tudes in aging. The survey of a nursing home involves a separate interview with each resident Of the home who is receiving public assistance. The interview is geared toward whether or not the human needs of these people are being met; a review of the medical records is made and the residents' situation is discussed with the administrator. A review of the home's physical condition and its programs is made. An attempt is made to determine whether an individual is appropriately placed in that facility. The team helps the home find and use community resources for the improvement of the home. from the findings, the team makes recommendations to the administrator in terms of what can be done to improve the situation of a parti.- cular patient. These written recommendations to the administrator are also given to the county department of social services. Reviews noting cleficienci.es re- quire rcrncn.se by the administrator to the review team. If a particular home is found to be providing inadequate care and is in gross violation of health care standards, _ the Director of bong 'Perm Care may contact the Depart- ment of Ilcolth ahout that home and request a survey to determine if Me(licaid ('Title XIX) funding should he withdrawn. Medicaid funding must he withdrawn viluen- over a facility's license is revoi;(nd by the Department of Health. Federal law requires at least one yearly review of each hledicald resident and facility by 11 review te;,m. No advance notice is required for team visits. In some cases, an unannounced foloW-up visit is made in order to see if the recommendations made upon the first visit have been acted upon. Any changes in the facility, its progra s, or numhers of staff aro al::o noted at that time I(:are Review Committee Manual, Iowa Commission on Aging, I nICROI ILnEO n11Y ' JORM MICRgLAO frOAR yarIm . nE, 110111(, t•li�i<Ui ILMLL) BY JURM MICRULAB LLUAR RAPIJ�, Care Review Committees (CRC) Each health-care facility i.s required Lo have a CRC to periodically review the needs or each resident of the facility. Members of the CR(:'s arc appointed by the Commissioner of the State Department of Ilcalth• If the Commissioner fails to act within thirty days after noti fication of a vacancy by the administrator of' a facility, the fucility administrator may make the appointment. A - CRC found to be functioning tursatisl actori ly by the St;l to Department of Healthmay be required to place such muRl- bership by new :ippointnlents. The Care Review COMMi.ttees (CRC) should act as consumer advocates for the resident and make recommendations for the improvement of care and services on his behalf. They should be a liaison between the residents of a health-care facility, the facility admini-strator, and the community. Any person, provided no conflict of in- terest exists, with an interest in health-care services and the protection of dependent persons may be appointed to serve. The members of the CPC chaLl not have ownership in the - facility, be employed by or related to an employee Or the licensee, nor a public employee involved with the sponsoring of placement or residents, or who inspects or otherwise ev:lluntes the health-care facility or residents.3 All residents of the Facility are to he reviewed annually by members of the CRC. An evaluation form shall be filed with the administrator of the 1'1'cility. The conauittee is to be con- corned with the physical, spiritual, person:ll, and social needs of the individual resident and to determine whether the facility is fulfilling the contract for services and programs for care as agreed upon in the resume of care. -lbe CRC members may recom- mcnd that a resident be transferred due to innbility or failure of the facilit.v to provide services needed by the resident."d �Tbid., p. 7 41bid., P. 9 q.. ori Id (CROP IWED By I JORM MICR+LAB CHAP PU'!n%. . nf`, !DINF6 m o,itlh ILMLO by JORM MIGROLAb cLOAn RAi 12:' AND uc 10 - 'file follnwinp, responsibiIites of the CRC with regard to complaints are outlined below: 1. When a complaint is received by the Department of Health, the department or Care Review Committee shall make pre- li.nrinary review of the complaint. If the department wishes the CRC to do a preliminary review of a complaint the co,nnittee chairman shall be informed by phone and Follow-up letter. 2. The Department of Health may� refer to the CRC of a faci- lity any complaint receivcd�y the department regarding that Facility for initial evaluation and appropriate action by the committee. In any case, the complainant shall he promptly informed of the result of any action taken by the department or committee. :. All complaints received by the committee regarding nurs- ing care and dietary (other than, I don't like the food) should he forwarded to the department. Discretion should he exercised by the committee as to when professional judgment is necessary and what constitutes a, formal complaint. A. If upon an inspection of a facility by its care review committee, the committee advises the department of any circumstances believed to constitute a violation the committee shall simil, advise the facility. S. The committee may request that the complainant or his/her representative or both be allowed the privilege of accom- panying the inspector during an on-site inspection. 6. Advice and consent of the CRC is required for the Com- missioner of the Department of Ilealth to remove all residents when he finds that the health or safety of residents of the health-care facility requires such action on an emergency basis. 5 Sutmna ry The mon itoring• orl;rmizations should provide adequate opportunity int complaints to he voiced and rectified. Sov- eral problems czisI, however, with this system. ibid., p. 9 "( PIICRnf ILMCD RY JORM MICR6LA9 rrDlP DAVIn, • Pf`, M0MrS f.ilww!-ILALIj BY JORM MICROLAB CLUAit RArioj AND L)c� ;1,, IL_, 1, There is no provision made for rcloeati1W an indi• victual who is not receiving proper c:lrc. The av:lil:l- hility of beds for Title XIX recipients in nursinlf Homes is limited. Oisrnption of the life of :In elderly person is also a factor which anl:;l. I)e c"n- sidercd. Z 'Phe care Review Committee operates prinnrily 1)1 the discretion of the facility administrator and is dependent upon his/her guidance. few Care ltovicw Committees are actively working; to y.ctard the int0 rests of the patients in facilities of �n in :11, on-going basis. On -going, contact with elder lY I required if the CRC member is to gain the trust and confidence of the patient. 3. The linkage of: these three monitoring orl;:ulizations is unclear, as is the willingness of the Health _ department to take the recommendations of the CRC's and Care Review Teams. Legal Aid and Counselingo Legal Aid and Coums. '..,, programs assist cligihlc Low- income or elderly persons by providing information, Counsel- ing, and defense in civil matters. '!'hose who cannot meet the reprecost of retaining a Private attorney may receive legal —sentation hefore some administrative, gUasl-judicial of- judicial tribunal. The Heritage Agency on &i ng_Lelal Services for Che M- Elderly provides legalservices to elderlY Persons who cannot afford or do not have access to 109,11 help through it till- oe- pronged program which involves assistance by the agency's attor- ney, paralegals, and referral to private attorneys. The agency's attorney gives legal advice and umswel-S questions regarding wills, probate, income and property faxes, social security and -ST, housing and landlord -tenant relations, insurance, guarclianshlPs and conservatorships. The staff of Heritage Agency advises the cldcrly of their legal rights and handles administrative (SST, Social Securitv, food stamps, iPERS) appeals. For those cases which are fee- gener;lting (c. g., nail.ls, coils ervato rships, Icg;,1l suits inv0ly- ing claims for damages) the individual, 11' low-incoane, is i NICROI 11-4111) DY JORM MICR¢LAB rrl)AP PAnlna, . 1)(S Mol9rS mILI(W ILMLU BY JORM MICkOLAB LEUAk kAPIUS AIIU OL, ;L. L, •� -12- rererred to Legal Aid or to an attorney who has agreed to work for a reduced fee. The program director has seen about eight Johnson County cases involving exploitation since October, 1976. These cases generally involved exploitation by families or nursing homes. A total of 475 Johnson County clients were served through the Legal Services for the Elderly program in 1976. Ilawkeye Legal Aid Services provides legal counseling advocacy and representation to low -.income people through a staff attorney system. Approximately 5 percent of the ,Johnson County elderly population (about 25 individuals) was served during 1976. The Legal Aid Services can deal only with civil matters and cannot become involved in criminal prosecution. ' •~I IdlcRorILidro BY _ DORM MICR+LAB MAR PMIM • Or5 momrS Mli,j Ui iLMLU by JORM MILkOLAB -13- UNWT NERDS LLUAk kAPiU� AND ULA 11.-1� potential service population - ]n the 1977 Iowa City Citizen's Survey section on hmnan services, the most clearly identified priority was increased attention to services for the elderly. Of the respondents, 61.7 percent saw the elderly as first in importance in planning for new or improved ser- vices in the community. Services to the elderly living alone was seen as "Definitely" needed by 34.3 percent of the res- pondents. It was ranked second in importance after information and referral. The next highest was Day Care for the Elderly were 29.9 percent said "Definitely" and 39.8 percent said it was "Probably" needed. Examples were given by individuals working with the elderly of abuse, neglect and exploitation. Those examples centered around four mnir -.-is: families, medical profes- sionals, nursing homes, and traud or "bunco artists." Abuse, neglect and exploitation by families was one of the more common situations cited. An individual spoke of families who took over the elderly person's hone or expected an elderly person to do chores in exchange for it domicile. physical abuse or neglect were also mentioned. The Council on Aging stated that children "dump" their parents at the Close Mansion, dolepating responsibility for their care to the agency. SEATS personnel. cited 4 or 5 cases of children placing their parents prematurely or unnecessarily in insti- tutions. MECCA also found spouse abuse among elderly couples with a history of alcohol involvement. Abuse or neglect in the home cannot always be followed tip. The family can refuse admittance to an investigation under these circtunstancos, unlike child abuse cases. Abused elderly know the possibility Of retribution and will not disclose acts of neglect they suffer at the hands of their children. 'nodical personnel may not be its sensitive and respon- sive to the special needs of the older person as is necessary. ! MICROFILMED By JORM MICR-OLA6 rrnM VAf!IV . !)rt inlmr,, r -111A01 fLMLu BY JORM 14ICROLAB CLOAK RAPIU:l AND JLd .��,:I . , d, -14- An example of this is in the medication given and in the in- struction on how to take the medication. The llcalth Service Agency Plan reports that "drugs are given far too readily with inadequate consideration for the changing physiology of the aged." Individuals contacted as part OL our study were concerned that proper and patient instruction he given on how to take medication. Some elderly are afraid of taking an overdose and as a result do not take enough, while others overdose because they are confused about the proper amount or cannot remember if they have taken it already. The Health Services Agency Plan recommends that "careful periodic review of all drugs prescribed for each patient is critical." Patient awareness of common error in self-medication must be heightened. It was also felt that impatience on the part of medical personnel and the long wait required prior to being seen by the physician, particularly at the University Ilospital, may put the health of the elderly in jeopardy. Fraud - A police officer felt that the elderly were a prime target of crime in the community. Burglary, mugging and fraud committed against the elderly are serious problems. lie stressed the need for preventive and crime awareness pro- grams. Nursing - A great deal of discussion centered ;,round :Ihu;e :uul neglect or resident:; in nursing homes. Bxamples were given of slapping, forcing food too quickly for the patient to swallow, cold food being; served incl people being dropped into chairs. I'lacemcnt or the individual in the proper level. of ;:Ire w;ls also of concern. Three separate mechanisms have been established to monitor the care of patients: The Care Review 'team from the Department of Social Services, Dept. of llcalth Consultation an licensing Division, and the Care Review Committee at each facility. .tel 141CROFILKE0 6Y ' JORM MICR+LA6 CFDAR PM'1i '; SFS 1101t:FS M iLlWr IL&O by JORM 141CROLAB CLOAK RAflu�) ANJ Violations may result in revocation or tilelicwise by the Health Dept. few cases of abuse or neglect have been reported or verified, however. The elderly arc, however, often too afraid of these "advocates" to report abuse or ne- glect. The relationship between the Care Iteview 'ream and nursing home staff is often viewed as antagonistic, thus cooperation may be less than ideal. In order to keep costs down - which administrators must do if they Lire to be able to afford accepting medicaid patients - staff may be poorly paid or understaffed and ill - trained in working with the elderly. Legal rights to services - Several questions were also raised in regard to the legal rights of the elderly. They may not be aware of their rights in guardianships and conservator - ships or their options in Iursing home placement. They may also be confused as to bureaucrdtic procedures associated with assistance programs resulting in benefits being terminated to their detriment. Elderly individuals oftentimes have other difficulties in locating and securing the services they need. Although two sources exist for legal assistance (Hawkeye Legal Aid and Heritage Agency on Aging Legal Assistance Programs) these were not felt to be adequate. Ileritage cannot do exten- sive investigation nor can they handle a criminal prosecution. The subcommittee felt that there was an absence of legal remedies for many of the abuse, neglect and exploitation problems of the elderly. Data collection - In discussions with personnel of agencies serving the elderly, i.t was difficult to document cases of abuse, neglect and exploitation, partially because the victim is reluctant to disclose such instances. Yet there is general agreement that there is a serious problem in this area. More extensive data dol.l.ection is needed if specific problems are to be pimpointed, and action taken to alleviate them. Id1cR0riuil:D 6Y JORM MICR6LA9 CMAP 110PIF, I i MiLduiIL4iU BY JORM MICROLAb Priority Problem • CLUAR RAPIUS AND j'i', iu.:,L_, GENERAL RECO? ENVATIONS Recommendation Possible Agencies Funding Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first yea- of the Human Services planning project. Because they relate to all areas, they will not be repee,zed in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. • - - - - - - - - - - - - - - - - - - - - - - - Communication, Coordination Information Inade:;-_ate communication an! caar,liaaticn among ages cies providing service results in inconsistencies, particularly in the why clients with multiple prob- lems are h:utdled. Dc lays in the nro:•ision of service and misunderstandings or disagreements regarding service provision may occur whet; two or more agencies are involved with the same client. Regular meetings among agencies have been at'temnted but have been less than successful. Organizing and convening such meetings requires staff time and effort not available from any one agency. Agency directors and staff providing sinilar programs or services to similar client groups should meet together on a regular basis to: 1) share information about programs, 2) explore solutions to common problems, 3) acquaint then with the staff of other agencies to facilitate the refer- ral process and increase trust levels, and 4) share information on clients within the con- fines- of confidentiality. MICROFILI.1Ea By JORNI MMR�LAB MIAI? IAAF`, • KF !1011115 All public and Johnson private provi- County Re- ders serving gionul Johnson County Planning clients Commission 141l, k(Ji ILMLU By JORM FIICRULAB Priority Problem LEUAR RAHUS AND uL� blu.:.t_ GENERAL RECOMMENDATIONS (Continued) Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene fit from service by another agency, or cli- ents geeting lost in the system without Getting the service provision is also often done without consultation with agen- cies affected by such programs. The result 1 is that services are delivered with less than optimal efficiency and effectiveness. Recommendation Human Service planning staff may be assigned the responsi- bility for calling and organi- sing such programs in order for them to succeed. Dato on client character- Assessment of data Ics strequire- 1— stics (e.g., ,go, i:�c e, mems is needed M;,Gen- sex, income, residence and tics to assess existing pro - problems presented) are grams, and ?) funding bodies not :n'.:i1a1.11e at the pre- to make allocation decisions sent time through many based on cummunity need. A agencies. As a conse- common data collection and quence, it is difficult to retrieval system should be assess portions of the pop- developed which would place ulation which may be inade- minimum demands on agency quately served, and for staff time and be economical. which programs should be Funding agencies should make developed. inquiries into systems of .-..1 111CROFILMED BY I JORM MICR+LAB rrnAP pPpinS • nTs I101NES Agencies Affected All public and private not-for- profit agencies providing ser- vice to Johnson County, Cities Johnson County, United Way Possible Funding Sources Johnson County Re- giocal Planning Commission, City, County, United Way Rm �I MICROMMED OY 1 JORM MICR+LAB ❑'DAP RAPTY. . ?ES 1401NE5 Priority Id1u(Ur iLM U BY JORM 141CROLAB Problem Family Abuse Some elderly people are abused, neglected or exploited by spouses or other family mem- bers. The spouse abuse is often a carryover from earlier years. Abuse by other family members is often the result of tensions in the home created by 1) family support members being absent from home be- cause of work, 2) homes not providing adequate space for the senior citizen in addi- tion to other members of the household, 3) economic hard- ships created by the addi- tion of a family member with special needs, 4) lack of preparation in coping with the aging process, 5) inadequate support services, and G) lack of privacy. No hard statistical data is currently available which docu- ments the number of elderly who are abused, neglected, or ex- ploited by family members. The elderly may be reluctant to re- port such instances because of embarrassment, shame, or fear of retribution. LEUAk RAP IU�) AND ut RECO?PIENDATIO\S Recommendation Several specific recommen-' dations are made to iden- tify, prevent and correct abuse, neglect, and exploi- tation of the elderly by family members: 1) There is a need for a Senior Companion program to further develop out- reach efforts and friend- .ly visiting. This would provide for better consis- tency of personnel work- ing wit'.t tLe elderly who irould socnu more time frith them an,l listen to their needs. 2) Education, coi.nseling, and social service assistance programs should be deve- loped for relatives and caretakers of the elderly, concerning proper care and the aging process 3) Training programs should be developed for those who work with and/or have con- tact with the elderly (e.g., the clergy, police, and agency personnel) in order for them to recognize abuse and neglect and to know what steps to take to intervene. MICROFILMED BY i DORM MICR4�LAO CrOAR PAPIn' . flr5 IIOInFS Possible Agencies Funding Affected Sources Council on Heritage Aging, Dept. Agency, of Social County, Services, United Way, Police Depts., Dept. of Heritage Agen- Social cy on Aging, Services Clergy, WRAC, MECCA, Willow Creek Neighbor- hood Center I h11L,Wt ILMLO BY JORM 141CROLAB LEUAR RAFIuS AND uL' :'w .:I : , +•'` Agencies Priority Problem Recommendation Affected Possible Funding Sources There are currently no laws J) A state -mandated process for somilar to those protecting collection of case data by. children from abuse which agencies on abuse or neglect address abuse, neglect, or of the elderly is needed. exploitation of the elderly. State laws dealing with the There is no legal basis for abuse of the elderly, the social workers to intervene role of guardians or tempo - and mediate in homes with rary placements, and Stan - elderly persons present. A dards for determining "elder - dilemma also exists in that ly in need of assistance" the rights of the elderly as should be developed. Social - adults, capable of function- service agencies and officials ing independently, may be should study the "Model Adult jeopardized by the passage Protective Services Act" pro- of such protective legisla- posed by the U.S. Senate Com - tion. mittee on Aging (July, 1977). Its goal is: "a program of services to the elderly to assist them to avoid institu- tionalization and a spectrum of alternative forms of legal- ly authorized intervention in the elderly person's life cali- brated to provide only the spe- cific services necessary to meet immediate needs and avoid more drastic interference." (p. 57) 5) Alternative health care, living arrangements, and other support services need to be expanded or created. (The report from the Family and Individual Life Ser- vices Subcommittee will deal with this area in more detail.) �141CROFILMEO By ' JORM MICR4�LAB CfOAR gArIn' • OFS MOVIF5 Mlt,ituF ILMLD BY JURM h11CROLAb LEIIAH RAPWd AND JLC ��•aL Possible Agencies Funding Priority Problem Recommendation Affected Sources •2, Crime The elderly are a prime tar- get of crime. Burglary, mugging, and fraud com- mitted against the elderly were considered severe prob- lems by the police. •2, Legal Rights to Services The elderly are often not aware of their rights in guardianships and conser- vatorships or of their op- tions in nursing home place- ments. They also may be confused as to bureaucra- tic procedures associated with assistance programs, resulting in benefits being terminated or not granted. *The thesesubcommittee inranked priorbityof priority - 6) The elderly alcoholic needs continued special attention to prevent possible involve- ment in spouse abuse. Alco- hol and Family Counseling men's Center (MECCA)and the Resource and Action Center (WRAC) should work together to insure that the needs of this popula- tion are met. Crime intervention and assis- tance by police and agency per- sonnel trained Ct work with the elderly sh,u:d be provided to elderly victims of crimes. Continued educational efforts along the lines of the 1976 Crime Awareness Program Proposal by the Iowa City Police Dept. should be made to prevent fi- nancial expolitation or fraud and physical abuse. The outreach and legal advo- cacy services of heritage Agency on Aging should be in- creased. An advocacy program, airied at assuring that the el- derly (and other groups ns jaell) receive the services that they need, should be con- sidered. An advocate would be available to direct the client to the needed service and to ofchecyietipeeesaryalf tnnecessary. 1 ��( MICRorlu410 6Y I JORM MICROLA9 rrnnc earls< • nrs Mnnirs City Police Depts., John- son County Sheriff, Heri- tage Agency on Aging, Johnson County Council on Aging Council on Ag ing, Heritage Agency on Ag- ing, Hawkeye Legal Aid LEAA, City, County City, Coun- ty, United Way, Heri- tage Agen- cy on Aging h!lulllrlLMLij BY JORM MICROLAB Priority Problem 3 Legnl cutreach and advo- cacy services are not adequate at the present time to assist all elderly needing such services. Because of staff lir.itations, intensive assista^.ce to clients may not be available. No estimate documenting the number of individuals requiring assis- tance is available. Nursing Homes The review mechanisms which have been established to monitor the care of the el- derly in nursing homes are not alwnys effective in en- suring that proper care is given to the patients. Three separate mechaniF^s have been established to monitor the care of patients: the Care Review Team from the Dept. of Social Services, Dept. of Health Consulta- tion and Licensing Division, and the Care Review Commi- ttees at each facility. Few cases of abuse or ne- glect have been reported as verified. The elderly are often too afraid of these "advocates" to report abuse or neglect. LEUAR RANIUJ ANU ALJ /'•v.�IL:. Recommendation Increased geriatric training of individuals working with the elderly,particularly the staff of nursing homes, should be encouraged. The Care Review Teams and State Dept. of Health Consultation and Licensing Divisions should be more thorough and perti- nent in identifying and report- ing abuse and neglect. A pool of volunteers willing to serve in an active capacity on local Care Review Committees should be developed by local agencies on aging. These volun- teers would then be referred to nursing home administrators when vacancies on these committees must be filled w+ IdICRDEILnED DY JORM MICR#1-A9 ff MR UAPI!lt n(5 6101RFS Possible Agencies Funding Affected Sources State Dept. of State of Health, Dept. Iowa, Heri- of Social Ser- tage Agency vices, Heritage on Aging, Agency on Aging, Johnson Johnson County County, Council on Ag- United {gay ing, Johnson County Nursing Homes Priority hllutWi ILi•1LD BY JORM MICROLAB Problem Four factors contribute to the difficulty in identify- ing, correcting, and prevent- ing abuse and neglect of nursing home patients: 1) There is no provision made for relocating an indi- vidual who is not receiv- ing proper care; 2) Care Review Committees are not trained properly or encouraged to develop on- going contacts with pa- tients; 3) Cooperation among the three monitoring bodies is lack- ing and the willingness of the State Health Dept. to act on the complaints of Care Review Teams and Committees is unclear; 4) Nursing home administrators must keep costs down i! they are to be able to accept Medicaid patients. As a result, staff may be insuf- ficient in number, poorly paid, or ill -trained. 4. Medical problems Medical personnel may not be as sensitive and responsive to the needs of older persons as is necessary. Directions on CLDAR RAPIDS AND uL, Recommendation Local agencies on aging should develop programs to train mem- bers of Care Review Committees as to their role and responsi- bilities. The general public should be made aware of legislation and State 11calth Dept. guidelines concerning nursing home licens- ing, conditions for fines and revocation, patients' rights, and legal specifications for patient contrasts. Special attention to elderly outpatients is needed: clear and slow instruction on pro- per dosages of medication with .=1 141 CROP ILRCO BY I JORM MICR#LAB rrDAP I'M 10C • 0(5 I401Vf .....�. r•—. ...... rr4 rr.l ......-� Possible Agencies Funding Affected Sources Johnson County Johnson Medical rlss'n., County, Univ. Hospitals United itiay, and Clinics, Hospitals M!Li(OiILMLU BY JURM MICRULAB Priority Problem medication and ot'.^r health care procedures may be given too rapidly for ober people to understand and with inadequate consideration for the chang- ing physiology of the aged. It was also felt that the elderly may need periodic checking to ensure that their health status does not deteri- orate unnecessarily. Medical personnel sometimes recommend placement of the elderly out of the home when a less drastic arrangement could be made. S, Data It is nearly impossible to ob- tain hard statistical evidence which indicates the extent of abuse, neglect and expoloita- tion, in part because the vic- tim is reluctant to disclose such instances and in part because such cases are hard to recognize and document. There is, however, general agreement that there is a service problem in this area. More extensive data collec- tion is needed if specific problems are to be pinpointed and action taken to alleviate them. CEDAR RAPlub AND L)L, Recommendation Possible Agencies Funding Affected Sources visual aids and follow-up Mercy Hospital, checking by the doctor's office Visiting Nurse would prevent improper medica- Ass'n., Free tion of elderly, at home. It is Medical Clinic also recommended that physicians and nurses refer elderly clients to the Visiting Nurse Associa- tion for follow-up and in-home care. Increased distribution of referral information to physicians and nurses may be necessary. At the point of hospital dis- charge, professional information services should be provided to inform the elderly and their families of their options, in- cluding in-home health care ser- vices as well as nursing homes and alternative living situations. Agencies should become more Iowa Multi - aware of how to recognize disciplinary abuse, neglect and expolita- Gerontology tion.. These cases should be Center, Heri- recorded by nature of the tage Agency on problem. The Iowa Multi- Aging, Johnson Council disciplinary Gerontology County on Aging, Dept. Center should consider the problems identified in this of Social Ser - report for possible inclu- vices, Police sion in future research Depts. efforts. 141CROFILMED BY 1 JORM MICR#LA6 MAA R•APln', • ^f5 b1DIIIES Univ. of Iowa, Heri- tage Agency on Aging I•IiLlWi ILMLO BY JURM MICROLAB LLUAk 4APIJJ ALIO JL i t•IICROEILMED DY DORM MICR+LAB rIPAR :)APPIS - DfS .OWNS -2s- SERVICES PIZOVIUIiU SERVICE PLUS NIIPIBI'.R AGENCY FINANCED BY 01: C1, L1:NTS J.C. Department USS then Title XX Protective Sur•vices of Social. after 90 days resUlvU abuse, neglect Services complaints. Clients: _. 28 this past year, 700 hours service. Homemaker Services 147 households 17.1% over 60. Council on Iowa City, United 2,000 clients, all. Aging Way, Heritage, over 65. Outreach, space from county advocacy with other _. agencies, Friendly Visiting etc., Chore — services. IIACAP Federal. funding Outreach services Winterization (no questionnaire returned) Heritage Federal, State Legal information and referral.; legal ser- vices. 475 clients, all elderly Information and Referral V Hawkeye Legal Federal Should serve low-income Aid elderly with legal services; 50 of 500 clients over 60 (25) MECCA County, State Outpatient and resi- denti.al services to alcoholics; about 30 cli.onts over 60 or 1004 of total number. i t•IICROEILMED DY DORM MICR+LAB rIPAR :)APPIS - DfS .OWNS GLUAx kAPIU�) ANU -26- SERVICE PLUS NUMBER :D BY OF CLIENTS Way Advocacy. Clients: about 14 over 60. Emergency services Clients: about 14 over age of 60. Friendly visiting/ telephone reassur- ance (service in- formation). About 60 clients. Informal counseling. 50% of 70 clients. (35) *Receive complaints concerning nursing homes and report to the State public ing Health Department. *Do yearly or bi- annual check-ups of all patients. Licensure and inspec- tion of facilities, investigation of com- plaints against care facilities. )y both the Department of Social and the Care Review Committee. elderly with support servicos - see Family and Tndividual Life 5 �+ MICROFILMED BY - 1 JORM MICR6LA6 ujmp w i1 ir5 adult corrections This is the seventh In a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la, 'MH l MIl 14,11 nil ;2q2- 'M 2y2 NILROr IL&D BY JORM h11CROLAB CEUAI< KAPluS AND ui TABLE OF CONTENTS Preface - Methodology ---------------------------------- i - xiii GOAL--------------------------------------------------- 1 SERVICE AREA. DESCRIPTION ------------------------------- I PROBLEM DESCRIPTION ------------------------------------ I SERVICE POPULATION ------------------------------------- 3 SERVICES PROVIDED -------------------------------------- 5 Pre -Trial Release ------------------------------------ 5 Probation -------------------------------------------- 6 Parole----------------------------------------------- 7 Transitional Care of Ex -Offenders -------------------- 8 Detention-------------------------------------------- 9' UNMET NEEDS/PROBLEMS IN THE SERVICE DELIVERY SYSTEM --------------------------------------10 GENERAL RECOMMENDATIONS -------------------------------- is RECOMMENDATIONS ---------------------------------------- 18 APPENDIX Adult Corrections Agencies --------------------------- 21 141CROFIVIED BY I DORM MICR+LAB frPAP • 0F5 110174CS P:ILkOi I0LU BY JORM MICROLAB LEUAR RAVIJ'� ANO ULA >iU,�iL- JOHNSON COUNTY REGIONAL PLANNING COMMISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director Johnson City of Iowa City: City of Coralville: City of Solon: City of Shueyville: City of North Liberty:. City of University Heights: University of Iowa: Citizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES COMMITTEE Chairperson: Carol Spaziani Rex Honey Gladys Benz Carol Fracassini Jea Rus Doris Bridgeman Margaret Cooper David Schutt Ben Roger Darnell Katherine Kruse Spaine Fai Tim Mary Boland Florence Lorada Cilek Pat L. Graham Dameron r Verne Kelley James Harris Bet David Henson William Eckhardt Mar Dav Paul Huston Kathleen Kelly Paul Sandin Jea Roald Rolfson 141CROf IL1419 DY JORM MICR#LAB CIPAP pnrin . n15 MOClfS t11i,(WFILHLU BY JURM MICRULAB CEUAR RAP WS AND OL ACKNOWLEDGEMENTS The preparation of this report would not have been possible without the involvement and support of the subcommittee members. Their contributions of talent and energy was in- valuable to the success of the project. Appreciation'is also due to the human service agencies in Johnson County who cooperated fully with the project and supported us in our planning effort. Finally, our thanks to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. _ Staff Participants Emil Brandt Constance Echternach Pamela Ramser Lawrence Allen Mary McCue Naomi Miller Donald Mulholland Frances Blommers Dianne Bunte Judith Waterman Executive Director Project Director Planning Assistant Social Work Practicum Student, Research Assistant Urban Regional Planning Practicum Student Research Assistant Secretary Secretary Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Coin- prehonsive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. UR FILMED BY 1 JORM MICR+LA6 MAR NAPin'.. I)FC MOTIFS w N!iAoi ILi'ILU BY JORM 14ICRUL AB LLUAtf RAPWU ANO PREFACE METHODOLOGY I. BACKGROUND OF THE STUDY The Johnson County .Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commission. A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, rbpresenting Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramsey as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland. -i- I 141CROfILI4ED BY JORM MICROLAB CFDAn 11,117, . 'WS 140I'Ir� IY;LIWI iLALU BY JORM t•11GRULAB LLUHR kAPIJo AIIU L)L., ;1 , .-,,., At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. a III CIIOF I LI -ILD BY ' JORM MICR6LA9 Mlu<Oi ILMLU BY JORM MICkOLAB CLUAit RAPIL), ANL) �A Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas under study. Following is an organizational chart outlining responsibilities and relationships. ..r MICROFILMED BY i JORM MICR¢LAB MAR 10VI^` • 'IF, MOINF$ Mi�,i<W iL•1Lu BY JORM 411CROLAb LLOAi< RAI, Ailu OL %i_.; .. •• ORGANIZATIONAL CHART Regional Planning Iowa ~, Commission (2) City (1) Executive Director (3) c., Human Service] Staff R-0 .i Human Services Committee (4) �•, a , Steering Committee (5) Family $ Individual Emergen7(6c) Life Services (6a) Fsistanc Mental Health I Public Protection Chemical Dependency (6b) & Justice (6d) 1) Iowa City: Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and recommendations and can act or not act upon them. 2) Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RPC delegates responsibility for carrying out the plan to the Human Service staff and committee. r•r 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. I41CRO[ILMCO BY DORM MICR#LAB I'rDAP PUI.1P'. . ',["•'101'1[[5 MiwUWr iLALu BY JUHM MICRULAB w LLUAIt kAPIJi AND JL " MG i MICIMf I LMID IIY DORM MICR4�LAB 4) Human Services Committee: - Has overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. .5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri- ate ways'of collecting data; identifying existing resources, providing information on how the service delivery system works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor- tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee tlsed to develop the Human Services Project initially. MG i MICIMf I LMID IIY DORM MICR4�LAB h1;w:ur:Lldw BY JORM (41CkOLAl II. DATA COLLECTION LLOAR kAPi0, ANO 1-� -- --- , Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously conducted studies; and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The following agencies submitted written information to the sub -committees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -vi- MUM 1UM ILMED 6Y JORM MICR6LAB rrpAI, pIv nr iJ IM lyiw<UriU,I�O BY JORM LIICROLAb LLDAid RAVWb AND University of Iowa Special Support Services University of Iowa Financial Aid University of Iowa Student Health Service Veterans Administration Hospital Social Services University Hospitals and Clinics Social Services HACAP (Hawkeye Area Community Action Program) Wesley Foundation Free Clothing Store Johnson County Commission of Veteran Affairs Married Student Housing Iowa• -Illinois Gas and Electric Company Stone Soup Restaurant (Mental Health/Chemical Dependency) Alcohol and Family Counseling Center (MECCA) Citizens Committee on Alcohol and Drug Abuse (Cedar Rapids) Community Pastoral Counseling Service HERA - Psychotherapy Collective Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Mid -eastern Iowa Community Mental Health Center orchard Place Reality X Recovery, Inc. University of Iowa Counseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric Hospital Veterans Administration Hospital Alcohol Treatment and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes I Inc. Johnson County Council on Aging -vii- MICRUILMED BY I JORM MICROLA13 CI I)AR PANS ' • ')E` b NF" Abuse Registry Miu<UiILMLU BY JUkM MICkOLAB • LEJAr kAViw ANN UL.. �1.• �... _r. Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center Personal Interviews and Group Meetings Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc'. Iowa City Crisis Center Wesley House Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit HACAP (Hawkeye Area Community Action Program) (Mental Health/Chemical Dependency) Bill Bartley - Lakeside Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Family Counseling Center (MECCA) SedTacek Treatment Center, Mercy Hospital - Cedar Rapids Johnson County Attorney's Office Catherine Wombacker, Patient Advocate Idl CROI ILMED DY JORM MICRQLAB CfnAP V.1PI�, • '`F� "InINI M,iLtWr1LLLi BY JURM MICROLAB LLUA9 RAP Iji) ANu ot- IL-. Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate Justice Sub -committee Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information F, Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment $ Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Through Churches and Campus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and Johnson County residents. ��� IdICROHLldCO By JORM MICR4�LAB CrDAP DAVIn' . •Kc MOINF'S N[UtIUi iLXLO BY JORM 1.11CROLAB CLUArf RAPiu�) iiND JL.. , Twenty (331) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social service delivery system in Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools S from all grades -school nurses 5 from all grades -small town schools -x- ^� MICROFILI-ILD BY JORM MICR6LAB .. M;wKUI IL1ILU by JORM MIGROLAb LLUA,� RAPIJo i+hb UL The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Associationjbe- cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however, completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. .-.I AILAOI WILD DY I JORM MICR(�LAB MloWr !LAL) BY JURM MICkULAu Data Collected from Social Workers Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. ~� MICRO[ WILD BY i DORM MICR4�LAB miiutwI iLiALU BY JORM MICRULAB LLUAK RAP iJS AND OLS III. DATA ANALYSIS The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. S_ •�1 Id ICROf ILMC9 6y JORM MICM�LAB MAP UAI'In` • pf5 MOnrI MILkUrILMLU BY JORM MICROLAB CtUAR RAPT U� AMU JL GOAL The promotion and preservation of conditions that en- able individuals to live in an environment where they feel safe and are protected from anti -social or criminal elements, and where they can expect to receive legal justice and equal protection of the law and to resolve disputes without recourse to force. SERVICE AREA DESCRIPTION Adult corrections is to designed to protect society and to treat and rehabilitate or contain violators and alleged law violators so that they are reasonably prepared for return at the end of a specificied period of restriction to their normal free status in the community. Adult corrections consists of three areas: 1) detention of law violators and alleged law _ violators, 2) pre-trial intervention, and 3) treatment designed to rehabilitate law violators and to reintegrate them into society after conviction and/or detention. _. Service Elements: Pre-trial release, probation, parole and transitional care of ex -offenders. PROBLEM DESCRIPTION Community-based corrections is being looked to an an alternative to failing correctional institutions in Iowa as well as in other parts of the county. Recidivism* rates are alarm- ing and prisons have developed the reputation of ensuring that inmates become hardened criminals rather than rehabilitated citizens. "Overloaded, antiquated, underfunded correctional institutions have created problems of near desperation for the ------------ *Recidivism refers to those individuals released from institu- tions who commit additional crimes. r .�I MICROFILMED BY I JORM MICR#LAE1 rrp.1V pv Inc, . nrS 1101NF5 M!l,kUFiL O BY JURN M1CkULAb -2- (kUAk RAPIu� AIIU uLI 'w•:�L- administration and personnel who run them. The degree of this desperationn has been intensified by the recent wave of r disturbances and inmate rebellions across the country."1 "...The conditions within many prisons achieve nothing but an increase in recidivism. Eighty percent of all felonies are committed by repeaters. These conditions may result also in the loss of self respect and human dignity and lead to increas- ed sophistication in criminal behavior through contact with hardened criminals. .,2 Not only are correctional facilities failing to rehabili- tate, but it is projected that few individuals require the high security which prisons provide. "Experts agree that only 20 to 30 percent of present inmates represent a danger to society 3 and must be securely confined." Holding offenders in prison is expensive in terms of both direct and indirect costs to society. "The cost of keeping an adult offender in a state institution is about six times as great as that to keep him under parole supervision, and fourteen times as great as that required to supervise him on probation." - It was also estimated that based on 1972 per capita costs "... it takes $11,000 per year to keep a married man in prison. This figure includes the inmate's loss of earnings, the cost to tax- payers if his family has to go on relief, and the loss of taxes he would pay."5 The provision of services necessary to encourage resump- tion of normal life activities cannot be achieved by isolated and punitive facilities. Job development and location are con- .-, Marshalling Citizen Power to Modernize Corrections, U.S. Chamber o. Commerce, 1972, p. 2. 2Ibid, p. S. 3Ibid, p. 7. �I 4Ibid, p. S. SIbid, p. 8. MICROFILMED 6Y i JORM MICR6LAB ifpAP ft ��'I n� pft 'd01 tIfS NiuUhlL:ILu by JORM III CROLAb CLOAR RAP W', ANO �L 3- sidered keys to success in rehabilitation both by professionals working in the corrections field and by offenders themselves. "When ex -offenders are placed in appropriate jobs, their rate of recidivism is two to three times less than that of ex -of- fenders who do not receive job assistance."6 Two additional factors which increase the likelihood that an individual will not return to prison are the placement in a higher paying job and his/her ability to keep a job for more than six months. Probation and parole services are used as alternatives to confinement. Their aim is to assist the offender in rehabi- litation while not removing him/her from the community. While two-thirds of all offenders are under one of these two programs, budgets for probation and parole are often inadequate to ef- fectively provide the necessary supervision and assistance toward reintegration into society. SERVICE POPULATION Both the service population and potential service popula- tion are contained in the information furnished.by the agencies providing community-based correctional services. The Johnson County Jail has provided data spanning the 12 years from 1964 to 1976 on the number of individuals held in the jail Adult Males Adult Females Juvenile Males Juvenile Females TOTAL eIbid, p. 13. 1964 1966 1968 1970 1972 1974 1976 190 249 393 382 489 540 731 10 15 42 26 44 25 51 16 23 55 88 93 95 57 2 7 17 23 29 30 12 218 294 507 519 655 690 851 IdICROIILMCD BY i JORM MICR+LAB ffIMP PAPJi1' • "ft!.MTNF5 tiiutt)i iL;'ILU BY JORM MICULAB 4 - LLJArt RAP Iui A:k) OL, Although the number continues to increase each year, no expla- nation was given for the large increase (22.6 percent) between 1974 and 1976. No data on age, income level, or place of residence is available. The Sixth Judicial District Department of Correctional Services (Pre-trial Release and Probation Services) served 200 clients in fiscal year 1977 (July 1, 1976 to June 30, 1977). The client population had the following characteristics: AGE SEX RACE. 13-18 1% Male 95% White 90% 19-24 65% Female 5% Non-white 10% 25-35 30% 36-59 4% INCOME RESIDENCE Below $5,000 25% Iowa City 64% $5,000-$9,999 50% Coralville 16% $10,000-$24,999 25% Small Cities in Johnson County 15% Rural Johnson County 5% The Bureau of Community Correctional Services (Parole) estimated that their 35 clients in fiscal year 1977 (July 1, 1976 to June 30, 1977) had the following characteristics: AGE INCOME RESIDENCE 19-35 years 84% Below $5,000 15% Iowa City 90% 36-59 years 15% $5,000 to $9,999 85% Coralville 10% 60 and over 1% The agencies reported that the vast majority of their clients fell between the ages of 19 and 35, were male, lived in Iowa City and had incomes between $5,000 and $10,000. About 75 per- cent of the clients served in fiscal year 1977 were carried over from the previous year. Project HOPE, a halfway house for ex -offenders, also furnished client information. Because of the nature of the service pro- „ vided by this ngency, their clients nro most likely included in the counts provided by the agencies previously mentinaod. M c.. i MICROFILMED BY JORM MICR40LAB rrnn� F.,��;r�. • ars r�Drirz M4 u, ul iLhiLU BY JORM MICRULAb 5 - CLUAI< kAPiu. A;iD UL c.. L Approximately 70 clients were served by Project HOPE in fiscal year 1976 through the residential (60 clients) and job placement (10 clients) programs. It was estimated that they have the following characteristics: AGE SEX INCOME 17-18 years 2% Male 73% Below $5,000 20% 19-24 years 60% Female 27% $5,000 to $9,999 75% 25-35 years 36% $10,000 to $25,000 5% 60 and over 2% All clients were residents of Iowa City. Project HOPE statistics are similar to those provided by other correctional agencies. SERVICES PROVIDED Correctional services provided locally are pre-trial re- lease, probation, parole and transitional care of ex -offenders. Pre-trial Release is a program designed to provide a speedy rehabilitation response for offenders as soon as possible after their arrest but before trial, conviction and sentencing. Of- fenders are placed into a program which provides supervision, counseling, training and employment assistance. The Department of Correctional Services serves the counties of the Sixth Judicial District. The program is administered through a board of directors composed of the County Boards of Supervisors in the Sixth Judicial District. Funding for the program comes through a grant from the pre -institutional arm of the Department of Social Services. A point system based on indicators of stability and the likelihood of appearance for trial is used to determine whether pre-trial release will be granted. The point requirements are as follows: 1=2 points No release on own recognizance. 2-5 points Release under supervision of the Department of Correctional Services. 5-13 points Release on own recognizance. '41CROFIL1410 By i JoRM MIc R(JLAB C' DAV IMI" . 7 4f0I9f5 Mi�,rtUr ILMLU by JURM MICRULAb LEUAi< RAP ii US ANU JL >l .' The points are assigned on the following bases: RESIDENCE 3 - Lived at present residence one year or more. 2 - Lived at present residence six months, or present and prior one year. 1 - Lived at present residence four months, or present and prior six months. +1 - For resident of Johnson County for ten years or more. FAMILY TIES 3 - Lives with spouse* and has contact** with other family members. 2 - Lives with spouse or parents. 1 - Lives with family person whom he gives as reference. *If common-law, must have been living together for two years to qualify as "spouse." **Must see the person at least once a week. EMPLOYMENT 4*- Present job one year or more. 3*- Present job four months, or present job and prior job six months. 2*- Present job one month 1 - Current job or unemployed three months or less with nine months or more on prior job or receiving unemployment compensation or welfare os supported by family (full-time housewife con- sidered employed) *Deduct one point from first three categories if job is is not steady, or if not salaried, i.e., if defendant has no investment in it. CRIMINAL RECORD 2 - No convictions. 1 - No conviction within the past year. 0 - No felony convictions, or misdemeanor conviction(s) within the past year. -1 - Two or more felony convictions. Probation is defined as a program designed to treat and rehabi- litate law violators so that they are reasonably prepared for return, at the end of a specified period of restriction, to their normal free status in the community. The Sixth Judicial District Department of Correctional Services also adminsters MICR01'ILMED BY ' JORM MICR LAB rrnAP pN,in,, . ni'S 1.1014[5 wuh ILMU by JOW1 MICRULAi uEDAk RAPiu�) AND -7- the probation program. It is aimed at rehabilitation of selected offenders and involves conditional suspension of sen- tence, provision of supervision and treatment in the community, and the abandonment of punitive action if the conditions (pri- marily good behavior) are conditions are met. A probation of- ficer is legally charged with administering the controlled status and specific or general conditions of probation con- cerning his client's mobility, employment, social relationships _ and the like. The objective is to effect the restoration of the offender to normal community living so that controls may no longer be necessary. In addition, probation sustains the offender's ability to continue working and to protect his family's welfare while avoiding the stigma and possible damaging effects of im- prisonment. The Sixth Judicial District Department of Correctional Ser vices conducts a pre -sentence investigation. Recommendations based upon the information brough forth are given to the court. The active caseload is about 35 clients per month. Referrals are made to Reality X, Oakdale Detoxification Unit, Psychiatric Hospital, Mount Pleasant Mental Health Institute and Voss Re- covery House for supportive services. A program for specialized services in job development and alcoholism counseling, funded by Johnson County, has recently been added. The courts, County Attorney, and defense attorneys influence the nature of the ser- oint meet vice provided by the Department. The Department has j ings regarding overall treatment with Voss House weekly, Psychi- atric Hospital monthly, and the Oakdale Detoxification Unit bi- monthly. The budget for fiscal year 1977 was $950,000 which was provided by state and federal funds. The program will be totally state -funded in fiscal year 1978. Parole is a program designed to provide for conditional release of a selected convicted person before completion of the term of imprisonment to which he/she has been sentenced. The parolee, though released from detention, continues to remain the legal custody of the state or its agency and may be reincarcerated 14ICROFILI.110 by ' JORM MICROLAB ( F DAH QAf l m . '!r C 11019£5 N1 U;Wf iLML.L) bf JORM MICROLAb LrDArt kAVid'i ;uw ,,L. -8- in the event of legal misbehavior. Parole is a measure designed to facilitate the transition of the offender from controlled institutional living to the freedom of community living. Parole refers to treatment after release from a penal institution, where- as probation is used in lieu of confinement. The Bureau of Community Correctional Services, the insti- tutional arm of the Department of Social Services, adminsters parole services. Funding for parole comes entirely through this source. Clients are referred to the program from the Iowa State Penitentiary, the Men's Reformatory, the Women's Reformatory and by out-of-state transfers to Iowa. Clients of the parole office are referred to Psychiatric Hospital and the Mid -Eastern Community Mental Health Center for counseling, to MECCA for alcoholism counseling and to Job Service of Iowa for employment counseling. They are also referred to the Johnson County Department of Social Services for financial assis- tance and to the Oakdale Hospital Alcoholism Unit for detoxifi- cation. The Department of Social Services and the Bureau of Community Corrections influence the nature of the services de- livered. Transitional Care of Ex -offenders is a program designed to pro- vide small, homelike residential facilities located in the community to ex -offenders who have come out of institutions and need a gradual readjustment to community life. The program offers supervised living and counseling. Community resources for educa- tion, training, jobs and recreation are used to facilitate the ex -offender's transition to a normal existence. Project HOPE, in addition to providing a structured living environment for ex -offenders, provides counseling and assistance in procuring and maintaining employment. The program is aimed at helping the ex -offender to become a self-supporting indivi- dual who accepts responsibility for his/her own actions. Assis- tance in obtaining jobs is given to nonresident ex -offenders as well. A total of 58 job placements (including 10 for non- residents) were made in the nine and one-half months hetween •� ��� AICROfILVICO 6Y DORM MICROLAB frOA(, n);,!" . , , [ Id0114f`, 11;L,KW iLAW BY JURI4 MICRULAS -9- CLUAk RAPIJ�) AiIJ JL July 16, 1976 and April 29, 1977. Project HOPE has until recently operated two halfway houses in Iowa City for ex -offenders, one for males and one for females. At present, however, due to policy changes made by the Department of Social Services, only one coed facility is in operation.. The halfway house provides housing for indivi- duals on work release or parole. Service to individuals on pre-trial release or probation is being phased out. The coed facility will house a maximum of twelve indi- viduals and will serve more women than men since this is the only facility which accepts women, whereas there are several other options for males. Funding for the project is currently provided through the post -correctional institution arm of the Department of Social Services. Referrals to Project HOPE are made by probation, parole and pre-trial counselors, prison work release pi neys, Reality X, MECCA, Vocational Rehabilitatic tric Hospital. Due to funding limitations, only returning from correctional facilities may be he HOPE. Clients must wait two to four weeks to be of Iowa City before receiving service. The.avei clients on the waiting list is six men and three Iowa Crime Commission and the Department of Soci have influence over the nature of services provi HOPE has a joint planning/advisory relationship of Adult Corrections. Project HOPE refers clients to CETA and Jc Iowa for employment, Vocational Rehabilitation i and job training, Psychiatric Hospital and the N Iowa Community Mental Health Center for psychiat for alcohol problems, and Reality X for drug prc Detention of offenders is provided at the Johnsc The jail is primarily a holding facility, with t periods of detention. Examples of the nature of duration of detention of the 88 persons who onto I.11CROMMED BY JORM MICROLAB Mi�,'Oi ILMLO BY DORM MICROLAb LLUAR RAPiLj�) AFIU LIL� - -10- during June, 1977 are shown below: 2.5 months Falsifying bank checks 1 year Larceny 3 days Criminal trespass 17 days OMVUI* (4th offense) 22 days -- Probation violation 5 days Receiving stolen property 21 days Receiving stolen property 2 days -- Driving under suspension 18 days Failure to appear in court 4 days Embezzlement 4 days -- OMVUI Most arrests (40-50 percent) involve OMVUI. These offenders spend the night in jail and then are released on bail. They cannot be transferred to the Oakdale Detoxification Unit be- cause they have committed an indictable offense and must be held in a secure facility. Chronic alcohol abusers are brought to Oakdale after repeated arrests if they have committed no other indictable offense. Because the length of stay at the jail is usually so short, it is hard to justify adding staff for specialized programming. At the present time, individuals incarcerated in the jail may see a clergyman or lawyer upon request and receive regular weekly reading, information ser- vice, and writing workshops provided by the Iowa City Public Library, but do not have access to human service personnel, such as social workers, through other community agencies. The budget for the 1976-1977 fiscal year was $94,250. Funding was provided entirely by Johnson County. UNMET NEEDS/PROBLEMS IN THE SERVICE DELIVERY SYSTEM The majority of the problems identified in our study can be categorized into four major areas: lack of housing possi- bilities for some individuals, insufficient job placement ser- vices, the need for substance -abuse counseling, and the inade- quacy of the jail facility. Housing A number of distinct housing problems were identified in a - - 141CRnnu4m By JORM MICRO LAB I'f Pqo V.11`7T . 9fC �-tn lllC `. niGF( liLML0 by JURM MICRULAb LEUAR RAPhJ3 AMU JLC 'i1. �; _ , -11- the course of our study. No semi -supervised living arrange- ments, such as those available to parolees through Project HOPE, are available to either men or women on pre-trial re- lease or to discharges (thos- who have completed sentences). The Department of Social Services purchases the halfway house service for individuals under parole, but pre-trial release is funded and administered through the Sixth Judicial District, and no similar services are available for their clients. It is particularly difficult for individuals without funds who have been ordered not to leave the area to find a place to live. Voss Recovery House will only accept problem drinkers; on some occasions, the pre-trial office has used a client's drinking problem to place them at Voss' halfway house. The Cedar Rapids community-based corrections facility can be used only by a court order revoking the pre-trial release. About one client per month presents a housing problem according to the pre-trial office. Five inmates ranked the need for various services to people coming out of prisons or jail. Help in locating a job or housing was most often rated as the first or second most needed ser- vice. The pre-trial release supervisor and Project HOPE house director rated housing provided by an agency as the most needed service. N Employment Job location was also rated highly as a need for people returning to the community from correctional institutions. As stated previously, inmates ranked it first or second with housing. A parole officer with whom we spoke ranked job location first, as did a deputy sheriff. The Project HOPE director rated it second in importance. The kind of job was also found to be important. Inmates — were asked what kind of job they considered to be a good one to get them re-established in the community. Replies were received from prisoners in the Anamosa Men's Reformatory and the Security MICROFILMED BY JORM MICR46LAB MIAP nnnl�� .yrs slnrn hiil.<Ui ILi'IL.0 by JORM MICROI.Ab 12 - Medical facility. One inmate said that any job where an ex - offender would be given a fair chance would be desirable. Another noted that an ex -offender should receive raises for good work so that he/she would continue to take pride in the job. Two others mentioned that skilled labor jobs, particularly those for which on-the-job training is available, would be desirable. One respondent said that any job that paid at least $2.00 per hour would be good. A deputy sheriff emphasized the importance of work oppor- tunities in crime prevention. fie noted that unfortunately only menial jobs are usually available and these cannot divert an offender for any period of time. He also felt that day labor opportunities would prevent criminal activity by transients. The parole office has had difficulty in obtaining job counseling services for ex -offenders. A parole officer does not feel that Job Service of Iowa provides the kind of service needed by parolees. A parole volunteer program for job assis- tance has been conducted at one time but did not prove to be successful for the following reasons: 1) Job Service of Iowa felt that such a program competes with their service. 2) Volunteers became discouraged and left the project after eight months. 3) Even if parolees learn how to seek a job and are quali- fied, they meet with discrimination by Job Service and potential employers. The development of stronger ties with the business community was advocated. The Director of Job Service of Iowa feels that employers are no longer refusing job applicants due to a previous convic- tion record. He thinks that the establishment of a halfway house in the area is a key to this change in attitude. A prisoner cannot be released from a correctional facility until he/she has a job. Since jobs are rarely available when an individual first contacts Job Service, he/she must be able to he reached once a job becomes available. The location of a halfway house MICRO[ ILMED OY JORM MICR(OLAS "MAP "ATT" . "I' ti011Il S MIL"011LMi.0 BY JURI4 MICRULAB -13- CLUAit kANIJS A;W in Iowa City allows the individual to be contacted and to respond quickly to a job opening, while still not having been released from the correctional system. Job Service of Iowa does not have adequate staff to pro- vide follow-up services once a client has been placed in a job. Job Service counselors are usually needed to work with young people who have not yet decided what they want to do. In addition, the work readjustment problems of ex -convicts are more difficult for the Job Service counselors to handle. Vocational Rehabilitation was considered by agencies to be an excellent service. The agencies, however, noted that lengthy time delays are required in the certification process. It was suggested that the certification process be started before an inmate is released from prison in order to expedite certification. It was also found that few persons are eligible for the service due to inadequate funding. Substance Abuse Related Problems It was estimated by parole officers that just over 80 per- cent of their clients had drug or alcohol problems (i.e., the person's life was hampered by the use of a substance). Reality X was thought to be a useful program for parole and pre-trial clients, but parole officers consider MECCA to be an inappro- priate agency for clients' needs. Crisis intervention and immedi- ate counseling were thought to be lacking through this agency. It was also felt that MECCA had a preference for accepting clients with third -party payments. A job development and alcohol counse- lor has been added to the staff of Correctional Services to counter this deficiency. Funding for the first year is being provided by Johnson County but must be covered through funding sources for the Sixth Judicial District in future years. Johnson County Jail Facility The present Johnson County jail is inadequate for housing women, juveniles, and severely disruptive prisoners. The faci- lity does not permit the separation of prisoners necessary for s •�� 141CRe1 ILwf.n 6Y 1 JORM MICR#LA6 MDA11 VUT" • '�fS 140I'7f ` M.iulWi i0l• L) BY JORN MICROLAB -14- CEUAk KAPIJ5 ANU maximum safety. Severely disruptive prisoners cannot be adequately isolated, and the jail is so clearly unsatisfactory for housing women that some who would otherwise be sent to jail are given deferred sentences or probation. The facility is inadequate for long-term juvenile prisoners. There is also insufficient space and supervision available for recreational activities. More space for visiting, as well as programming, is needed. It was also recommended that on-call social workers, psychiatrists, or psychologists from community agencies be made available. Other Needs The following additional needs were mentioned: 1) Money -management assistance for ex -offenders is thought to be necessary to cut down on criminal use of accounts. Such assistance is essential to the ex -offender's successful functioning in daily life. It was recom- mended that individual instruction by personnel from local banks be initiated. 2) There is a need for transportation funds for persons who have been ordered to leave the county. Currently there is no source for such assistance. 3) Specialized efforts by social service agencies in hous- ing, budgeting, and social adjustment assistance for mentally retarded ex -offenders was also mentioned as a need. 4) Data collection efforts do not at the present time pro - vice the community with comparable statistics from agencies in common service areas. Available data is not sufficient to provide community decision-making groups with the data needed to plan for continuing programs or new programming. IucRorwar.o BY JORM MIOR6LAB rrpgo 0:11 n . 'F "01'11 r11LAW ILMLU By JORM MICROLAB Priority Problem LLUAR RAP WS ANL OL :' .:L GENERAL RECUMENDAT IONS Recommendation Agencies Affected Possible Funding Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first year of the Human Services planning project. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. Communication. Coordination Information Inadequate communication Agency directors and staff and coordination among agen- providing similar programs cies providing service or services to similar results in inconsistencies, client groups should meet particularly in the way together on a regular basis clients with multiple prob- to: lems are handled. Delays 1) share information about in the provision of service. programs, and misunderstandings or disagreements regarding 2) explore solutions to service provision may occur common problems, when two or more agencies 3) acquaint them with the are involved with the same client. Regular meetings staff of other agencies among agencies have been to facilitate the refer- attempted but have been ral process and increase less than successful. v l trust lees ' and Organizing and convening 4) share information on such meetings requires clients within the con - staff time and effort not fines of confidentiality. available from any one agency. I MICROFILMED or JORM MICR+LAR rFDAp unPIn' , lr5 '1101NFS All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Priority I iLMLU BY JORM MICROLAIi LEDAk RAP IuS APD uL� iu, , -•�^^ GENERAL RECOPIPIENDATIONS (Continued) Problem Recommendation Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents.geeting lost in the system without getting the service provision is also often done without consultation with agen- cies affected by such programs. The result is that services are delivered with less than optimal efficiency and effectiveness. Data on client character - Ls tics e.g., uge, race, sex, income, residence and problems presented) are not available at the pre- sent time through many agencies. As a conse- quence, it is difficult to assess portions of the pop ulation which may be inade quately served, and for which programs should be developed. Human Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for them to succeed. Assessment of data require- ments is needed by 1) agen- tics to assess existing pro- grams, and 2) funding bodies to make allocation decisions based on cummunity need. A common data collection and retrieval system should be developed which would place minimum demands on agency staff time and be economical. Funding agencies should make inquiries into systems of MICROFILMED BY 7 JORM MICR+LAB CrOAP PAV M' • nr5 1.101Nr5 Agencies Affected Possible Funding Sources All public and Johnson private not -For- County Re - profit agencies gional providing ser- Planning vice to Johnson Commission, County, Cities City, County, Johnson County, United Way United Way Priority MILkOrILMLO BY JORM 111CROLAb LEDAR RAPIDS ANU Lk'_`'w,;iL., •-+ GENERAL RECOMMENDATIONS (Continued Agencies Problem Recommendation Affected evaluation used for services and accountability should be emphasized. The Human Services planning staff should be available to coordinate the development of this effort. Funding General revenue sharing grfunds should dnse considered as a possible funding source f Idl CROFILRED BY I JORM MICR+LAB CFIIAR PAPM • I)FS MOINFS Possible Funding Sources hiluiWi ILi4EU BY JORM MICROLAB CEDAR RAVIJS ANJ jL RECON91ENDATIONS Agencies Priority Problem Recommendation Affected 1. Housing There is a lack of semi- Funding should be made avai- 6th Judicial supervised living arrange- lable for Project HOPE to District Dept. ments for people without accept clients on pre-trial of Correctional funds who are on pre-trial release or probation. This Services, Project release or probation. Es- would necessitate expansion HOPE timates given by the Dept. of the program. Negotia- of Correctional Services tions should take place with are that five or six cli- the Dept. of Social Services ents per month are in need post -institutional arm to of such housing. permit Project HOPE to accept these clients in addition to Under Project HOPE•'s con- those on parole and work re- tract with the Dept. of lease. In the event that a Social Services' post- transient facility is deve- institutional arm, no pre- loped, this could be used to trial release or probation meet this need as well. clients can be accepted. 2. Jail Facility The present jail facility We support the plan for the Johnson County does not allow for adequate proposed new Johnson County separation of men, youth, jail facility which would ac - and women, nor for recrea- commodate the groups and ser - tion, education, visita- vices mentioned. tion, and additional social services. Inmates in the County Jail Local agencies should work with Mental Health do not have access at the the sheriff in developing pro- Center, Psychi- present time to counseling grams to meet the needs of pri- atrie Hospital, professionals. The aver- soners. A specific method of Dept. of Social age daily jail population providing information and refer- Services, John - for 1976 was 2.3 people. ral to inmates through local son County Sher - Sentences ranged from public agencies should be de- iff, MECCA ti...eJ FR1e'{ Y. iatceoFILMEo BY JORM MICR LAB (FDAP rnrio', • nrs 1101nEs Possible Funding Sources State Dept. of Social Services, Johnson County Johnson County Johnson County, LEAA r OD mioNF1LNED BY JURM M1CRULAb LEUAR RAVIU'� AND UL Priority Problem Recommendation Agencies Affected Possible Funding Sources overnight to 1 year with veloped. Time and space most being held for short should be set aside for periods of time. education and recreation supplies and programs. 3. Substance Abuse Staff of correctional agen- Correctional agencies should 6th Judicial 6th Judi - Dis- cies feel that there is in- meet with substance -abuse District Dept. cial adequate substance -abuse agencies to plan or adjust of Correctional trict Dept. crisis intervention and im- programs to meet the needs Services, Bu- Commu- of Correc- tional Ser- mediate counseling, part i- mediate of their clients. reau of Bu - for alcohol, for nity Correc- tional Services, vices, reau of Com - ex -offenders through exis- MECCA, Reality munity Cor- ting agencies. Correc- X rectional tional staff estimates Services, that 809 of clients on MECCA, Re- probation, pre-trial re- ality X, lease, and parole have Johnson substance -abuse problems. County, Uni- ted Way 4, Jobs There is a lack of ade- Staff and clients of the 6th Judicial State of quate job opportunities community-based correc- District Dept. Iowa - Job , of the sort which will tional services should meet of Correctional Service of attract and hold the ex- with Job Service personnel Services (pre- Iowa, Dept. offender (e.g., skilled to 1) examine the counsel- trial and pro- of Social labor, jobs with promo- ing needs of ex -offenders bation), Commu- Services, tion opportunities). and develop programming to nity Correction- City, Coun- United There is also inadequate meet these needs and 2) to al Services (pa- ty, job counseling and follow- develop a plan for the ac- role), Job Ser- Way up once the client is tive solicitation of em- vice of Iowa placed on the job. (A job ployers willing to hire and substance -abuse coun- ex -offenders into jobs which selor has recently been will attract and keep them. MICROF ILKED BY JORM MICR+LAB rFDAP PAPInS nES MITES M!LkOiiLALU 4Y JUAM MICAOLAb CLUAK RAPWS AND ou ti 141CROFILMLD BY JORM MICR6LA6 P.FOAR PAS @`, DFS AOLIFS Possible Agencies Funding Affected Sources Priority Problem Recommendation added to the Dept. of Correctional Services. This is being funded by Johnson County funds for FY 77-78, but will be shifted to the 6th Ju- ub- dicial District for sub- sequent years.) Sequent'years.) Individuals released from Correctional institutions State Correc- Insti- Federal Govern - correctional institutions should begin the certifi- for tional tutions (1•It. ment are hampered in securing by cation process voca- tional rehabilitation 30 Pleasant, Ana - training opportunities delays in the vocational days prior to the release RockwellFort di rehabilitation certifica- of offenders. sonmoso City); Aehabili- N c tion process. Few ex- tation Educa- offenders can be served tional Services by vocational rehabilita- Branch. tion at the present time due to limitations in funds presently available. ti 141CROFILMLD BY JORM MICR6LA6 P.FOAR PAS @`, DFS AOLIFS Vlk,rWt iLiIkU BY JORM MICkOLAB LLUAk kAPIUS AND OLS 21- APPENDIX Adult Corrections Agencies I41CIZOFILMED BY ' JoRM MICR�LAB rrnAR PANM • lrt 1,10I9r5 Agencies People Served FundingN Served in _.1 Year I. Detention of Law Violators Johnson County People arrested for Jo. Co. 851 Jail alleged crimes, Board of people convicted Supervisors for periods of less than 1 year. II. Pre -Trial Release Dept. of Correc- People accused of Dept. Social 200 (both - tional Services crimes with a good 6th Judicial likelihood of court Services pre- institutional pre trial $ District appearance. arm probation) III• Correction --Probation Dept. of Correc- Convicted law vio- Dept. Social 200 (both tional Services lators who have been Services pre pre trial $ —• 6th Judicial placed on probation institutional Probation) District rather than sent to arm a correctional faci- lity. - IV. Corrections --Parole Bureau of COMMu- People who have been from correc- Dept. Social Services pre- 35 (both parole nity Correction- released al Services tional facilities, institutional k re- but have not yet com- arm lease) pleted sentences. V. Transitional Care of Ex -offenders Project HOPE People on parole or Dept. Social Services post- 60 (residential) work release who — are capable of em- institutional 10 ployment. arm; United (job assis- Way tante) I41CIZOFILMED BY ' JoRM MICR�LAB rrnAR PANM • lrt 1,10I9r5 juvenile justice This is the sixth in a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la. .In NM %1ICR0I AB 2tfZ M1Lk0HL MLU BY JORM MICROLAB LLUAR RAV1U5 AND L)L TABLE OF CONTENTS Preface - Methodology ----------------- i xiii GOAL------------------------------------------------- 1 SERVICE AREA DESCRIPTIONS ---------------------------- 1 PROBLEM DESCRIPTION ---------------------------------- 1 National Statistics on Juvenile Offenses ----------- 1 Central Concerns in Juvenile Delinquency ----------- 2 Community Concern for Juvenile Problems ------------ 7 POPULATION SERVED ------------------------------------ 7 Complaints ----------------------------------------- 8 SERVICES PROVIDED ------------------------------------ 9 Complaints Received from Unofficial Sources -------- 9 Law Violations ------------------------------------- 9 Alternative Placement Possibilities ---------------- 10 Types of Service Intervention ---------------------- 11 UNMET NEEDS ------------------------------------------ 14 GENERAL RECO181ENDATIONS------------------------------ 21 RECOWIENDATIONS-------------------------------------- 22 APPENDICES 1. Johnson County Juvenile Probation 31 Office - Annual Report for 1976 ------------- 2. Information on Agencies ------------------------ 34 3. Description of Levels of Care 42 Available for Juveniles -------------------- 4. Process by which Juveniles Pass Through 47 the Juvenile Justice System ---------------- S. Definition of Child in Need of Assistance ------ 48 Y ' 14ICROEILMEU BY ' JORM MICR#LAB C617AR Pejo, . SFS F10C1E$ 9 m iwwrILi•1L0 BY JORM I.IICROLAB JOHNSON COUNTY REGIONAL PLANNING COMMISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director Johnson County: City of Iowa City: City of Coralville: City of Solon: City of Shueyville: City of North Libert City of University Heights: University of Iowa: Citizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES COMMITTFF Chairperson: Carol Spaziani Rex Honey Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Henson Paul Huston Roald Rolfson Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin i '41C.R11'ILMED BY JORM MICR+LAB rFIIAR VAPI" • IF", M !'IFS Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter •t1CKUI ILFk.D BY JORM MICROLAB LLDAR RAHOI AND OL', ACKNOWLEDGEMENTS The preparation of this report would not have been possible without the involvement and support of the subcommittee members. Their contributions of talent and energy was in- valuable to the success of the project. _ Appreciation is also due to the human service agencies in Johnson County who cooperated fully with the project and supported us in our planning effort. 7 Finally, our thanks to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. _i Staff Participants Emil Brandt Executive Director Constance Echternach Project Director Pamela Ramser Planning Assistant Lawrence Allen Social Work Practicum Studcnt Mary McCue Research Assistant Naomi Miller Urban Regional Planning Practicum Student Donald Mulholland Research Assistant Frances Blommers Secretary Dianne Bunte Secretary Judith Waterman Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. r ~�� 141CROMMED BY JORM MICR+LA6 fl'D11p pnpin,. . PES id01YE5 N. 14 Pii Li(W iLi•lcu BY JUkM MICRULAb PREFACE METHODOLOGY I. BACKGROUND OF THE STUDY LLUAi< itAF IJ, AW OL� The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service —trea and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commission. A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work piogram was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland. -i- .' MICRO[ LED OY 1 JORM MICRbLAS rrppv pd t•I n :. t(S F1M'IFS N!;LiWi iLALU by JUk14 MICROLAb LLUAti R< r'1JJ At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic Opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. M ICROF III -F0 11Y JORM MIC R4�LA6 Mtlw<Ur ILML.0 BY JORM MICROLAb LGUAR RAP IU� AND UL .���-. •�•^' Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson county'or nitedaWfeel- thus assuring some local program leverage; 2) there was ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed each assigned to one of the four Human Services Committee were sub -committees established to'deal with the four major areas under study. Following is an organizational chart outlining responsibilities and relationships. -iii- 141 CROF I LMEO iii- 141CROFILMEO BY JORM MIC R40I—AB ffpRg RAPI^` • '1f5 !d01 HFS Miw<Ui iLAli.0 By JORM 141CkULAB Executive Director (3) Human Services Planning Staff Family & Individual Life Services (6a) 1) 2) 3) LLDAk kAN w', AND JLC ORGANIZATIONAL CHART Regional Planning Commission (2) Human Services Committee (4) Iowa City (1) Steering Committee (5) Emergency Assistance '(6c) Mental HealthI I Public Protection Chemical Dependency (6b) $ Justice (6d) Iowa City Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and recommendations and can act or not act upon them. Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RPC delegates responsibility for carrying out the plan to the Human Service staff and committee. Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. - iv - 4ICRUIILM U BY JORM MICR6LAB I'MAP 1.1i l,rtUi ILMLu BY JOR14 141CROLAB LLOAff RAI'1u] A;ib ULA �•,LL 4) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. 5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint offorts between sub- committees when appropriate, and has primary responsibility for A -9S review. 6) Human Service Sub -Committees: Prepares work plans for service areas, provides informmation on data that is available data that is needed, and a p p ri- ate ways of collecting data; identifying existing resources, providing information on how the service delivery system works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: _ Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor- tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees 'and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- I41CROf ILRED 6y DORM MICROLAB Fi;l,i<Ui 1LALJ BY JORM MICROLAB II. DATA COLLECTION LLOAR RAiiJj AND uL Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously conducted studies; and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The following agencies submitted written information to the sub -committees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -vi- ..'�..' :4ICROI WILD By JORM MICR6LAB MiufUr IL;'iLU BY JORM MIGROLAB LEDAK kAViJ] AND University of Iowa Special Support Services University of. Iowa Financial Aid University of Iowa Student Health Service Veterans Administration Hospital Social Services University Hospitals and Clinics Social Services HACAP (Hawkeye Area Community Action Program) Wesley Foundation Free Clothing Store Johnson County Commission of Veteran Affairs Married Student Housing :Iowa• -Illinois Gas and Electric Company Stone Soup Restaurant (Mental Health/Chemical Dependency) (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging MiCnorILMED or JORM MOCR46LAB rrpAt? . "Ii 1101!11': Abuse Registry Alcohol and Family Counseling Center (MECCA) Citizens Committee on Alcohol and Drug Abuse (Cedar Rapids) Community Pastoral Counseling Service HERA - Psychotherapy Collective Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy hospital - Cedar Rapids Mid -eastern Iowa Community Mental Health Center Orchard Place Reality X Recovery, Inc. s University of Iowa Counseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric Hospital Veterans Administration Hospital Alcohol Treatment and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging MiCnorILMED or JORM MOCR46LAB rrpAt? . "Ii 1101!11': Abuse Registry Miu if iLMLu HY JURM MICkOLAB • LLUAk kAViJJ NHU 0c Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center Personal Interviews and Group Meetings Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource'and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc. Iowa City Crisis Center Wesley House Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit HACAP (Hawkeye Area Community Action Program) (Mental Health/Chemical Dependency) Bill Bartley - Lakeside Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Family Counseling Center (MECCA) Sedl'acek Treatment Center, Mercy Hospital - Cedar Rapids Johnson County Attorney's Office Catherine Wombaeker, Patient Advocate :4ICROI W-111) BY ' JORM MICROLAB MiUIWIILMiU BY JURM 141CRULAB LtUAk RAI'luo AIIU JLC . Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, 14agistrate Justice Sub -committee) Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information & Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment F, Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Throu h Churches and Cam us Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and Johnson County residents. MICROFILMED BY JORM MICR+LA9 fr"All VATTV . "U', 1010f !•iiwWrILI'ILU BY JURM 1.11CRULAB LLUArt kAv;Uj AND JL, '!,. L-, . Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting _ Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social service delivery system in Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x- w1 141CROrnMrn or DORM MICR6LAB r[!)AD r,ar,��� �r5 'fn pI rr, MIILrtUI iLMLU BY JORM MICROLAB • LLUA,< RAY: J� ANO JLC �i�•.iL-. .-•• The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Association,be- cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. . Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however, completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. MICROIILMED BY JORM MICR+LA6 "V[),10 DAVIn' . 9rl, IMPIF5 Mi LIWI ILML.0 SY JURM MICRULAb CLUA,t HArfu�) A110 u_ vata Collected from Social Workers, Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed usinga form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. , I4I CROP I L K D RY JORM MIGR6LA13 C,DA4 n.v1n' N01415 Mi1,k Ut!LHU) BY JURM MICRULAb III. DATA ANALYSIS LEUAk RAVIJ� AND Uu :'�c :,L The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the Profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. ! �~ MICROFILMED BY i JORM MICR+LA9 f6 nqo uA�•!�< n(q p101'IFS .�o Mi1,k Ut!LHU) BY JURM MICRULAb III. DATA ANALYSIS LEUAk RAVIJ� AND Uu :'�c :,L The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the Profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. ! �~ MICROFILMED BY i JORM MICR+LA9 f6 nqo uA�•!�< n(q p101'IFS MIwZUrILM U BY JORN NICROLAb LLUAR RAP! � AND uL, ,iw :a.., GuAl. To establish, maintain, and improve the progr;nns and services that reduce juvenile LIC linqucncy i 1 .lolmson County and redirect delinquent activities into more constructive, sell'- -' fulfilling activities. SERVICE AREA OI:SCRIPTlON Juvenile justice prevention programs are designed to develop, organize, and promote all those activities which are designed as deterrents to delinquent behavior among children and adolescents. These embrace special programs conducted by local delinquency prevention commissions, neighborhood centers, and similar groups to work intensively with young people and to keep them occupied with some organized activity. A companion thrust of the program may be to prevent and reduce recidivism by working intensively with known juvenile delinquents. Service Elements: * Recreation programs for problem children outreach; advocacy; education on drugs, alcohol, sex and legal rights; family mediation, education, and support; employment services; education; vocational training; protective services; law enforce- ment (police, sheriff, probation officers, juvenile court, juve- nile diversion and juvenile detention); shelter, alternative living situations; and rehabilitation services. PROBLEM DIISCRIPTION National Statistics on Juvenile Offenses According to the National Advisory Committee on Criminal Justice Standards and Goals published in 1976, the number of: *Regular recreational activities not specifically designed to prevent juvenile delinquency are excluded from this definition. however, additional or special recreation activity having delin- quency prevention as its primary objective is included - MICROFILMED BY JORM MICR+LAB CMAP P,t1111)', . 9FS MT NF° M li."W ILALu BY JURN b11CRULAb • LLUA RAP!j� ANJ uL .I •:��.. ._ -2- offenses committed by youthful offenders has been growing at an alarming rate. From 1960 to 1974, arrests of males and fe- males under the age of 18 increased by more than 140 percent. National polls of citizen concerns have placed crime at or near the top for several years. What is not well known, however, is that a large number of those arrested for felony - type offenses are 17 years of age and under. In 1974, juveniles accounted for almost one-third of felony -type arrests nation- wide. In cities they accounted for almost one-half of such arrests.l Even larger numbers of juvenile are involved with the juvenile justice system as a result of lesser acts of the neglect and abuse of their caretakers. Table 1 is a representation of the 1974 felony -type crimes committed by juveniles aged 17 years and younger. Table 2 is a representation of the juvenile male and fe- male arrest trends and the percent change from 1960 to 1974 for all arrests, violent crimes, and felony -type offenses. Central Concerns in Juvenile Delinquency Prevention The following abbreviated major themes identifed by the Juvenile Justice and Delinquency Prevention Task Force are considered central to any discussion on juvenile delinquency and must be focal points for communities if effective work with juvenile delinquents is to be accomplished: They are:2 1) Family Stability: It is strongly urged that a major concerted effort be made to strengthen the family en- vironments in which children develop if reduction in delinquency is to be achieved. 2) Families with Service Needs: It is urged that the use of vague criteria used to gain jurisdiction over non- criminal juvenile misbehavior be discontinued. Only Juvenile Justice and Delinquency Prevention Report of the Task Force on Juvenile Justice and Delinquency Prevention (1976). 21bid, p. 2. 4 +�' VIICRUILMID BY JORM MICR6LAB ri.oWI ILb1LLi by JURM I-IICkULAb LLUNI< �tA t',J., +IW oL. 'I'ABH: I PERCEM' 01' 1974 AITHS'I'S RIiPRIiSIiVI'f:U BY ,11NI:Nll,l:ti (ACI: 17 mid Ilnder) Index Offenses (Felony -Type (:rime) 1004 Il,u(0; iL>hu by JURM 1.11CRULAb LCL)AIl ;Ar;w A;+0 , L � ., Percent 400 350 300 250 1 1 200 150 100 0 - 4 - TABLE ARREST TRENDS - PERCENT UP CHANGES 1960-1974 0 C) W L' 18 F, Over Under I A11 Part 1 ,r hii ufUr iLFILU BY JURM MICRULAB -S- uLUt,R RAi' WS AND OL conduct that is clearly defined and clearly harmful to the child and family should be subject to family court jurisdiction under the families with service needs concept. 3) Endangered Children: It is recognized that the declared aim of present policies of coercive state intervention on behalf of endangered children is to provide such children with permanent, stable family homes. Al- though this objective is supported, it is believed that current practices of extensive state instrusion in family affairs strongly contradicts the long -held societal values of family autonomy and privacy. By limiting coercive intervention cases where specific harms to a child have been indentified, the state can insure that intervention will take place only when it will be likely to improve the child's situation. 4) Delinquency Prevention: It is believed that no issue is of greater import in the field of juvenile justice than the prevention of delinquency. It seams clear that efforts aimed at the early delivery of services to young people who may be headed for careers of crime have more promise as a method of reducing crime than attempts to control delinquency solely by strengthen- ing various components of what is normally considered J uvenile justice. 5) Diversion: It remains as an underlying principle that juveniles should be subject to no more contact with the system than necessary. Many juveniles who are brought to the attention of the justice system officials are clearly in need of rehabilitation and/or some type of supervision. But, for a substantial portion of this group, the full coercive power of the court is unnecessary to deal with juvenile problems. There are at least three principles that should guide i t41CROFIL1410 BY JORM MICR¢LAB rmnn �nrtn� . nr�. tanCn's Illi Ci(Ui ILI^Lu BY JORM hilCkOLAB JLOAR RAViu; Allu uL, ;,.; the operation of all diversion area practices in the juvenile justice system. First, diversion should not be offered unless there is some effective service for treatment in which the juvenile may participate. Second, expansion of diversionary programs should not increase the total number of juveniles that are under some type of supervision of the juvenile justice system. Finally, candidates for diversion should be guaranteed the same due process rights as juveniles who are pro- cessed formally within the juvenile justice system. 6) Least Coercive Disposition: It is urged that juveniles be institutionalized only as a last resort. There seems to be little doubt that the most coercive and time consuming. Moreover, high levels of coercion may breed contempt and hostility, which fosters anti -legal at- titudes among the youth. 7) The Violent and/or Repeated Delinquent: Evidence in- dicates that a large number of juveniles appear to be chronic law violators. There would seem to be every indication that a small segment of the juvenile popu- lation is responsible for a highly disproportionate number of delinquent acts committed by juveniles. The juvenile justice system is at present not ade- quately equipped to deal with the growing tide of youthful violence or with the violent or repeated offender. 8) Coordination Among Agencies: It has become clear that the institutions that have traditionally been thought to make up the juvenile justice system --the police, courts, and corrections --often work at cross-purposes in that it is difficult to either combine operations as constituting the true system. It is believed that juvenile justice will continue to operate in a frag- mented fashion until some consistent policies are established. i NICROI 10110 BY JORM MICR4�LAB frpgr vm,!p, . fir, '.inlllf5 I.1i LIWI ii -M c.0 BY JUkM MICROLAB LLUAR kAV U� AiIU "r_ 7- 9) Resource Allocation: Although it is recognized that canny states and local communities simply do not pos-sess sufficient resources to elevate their juvenile justice systems to all ideal level of operation, states must begin to provide solutions to the thoroughly neg- lected problems of juvonile justice. system::. lixist l — ing resources must be reallucaled to reflect marc fully the seriousness of the problems of the youth ill this society. j Community Concern for Juvenile I'rublenls The Iowa City "Peoples Guide and Survey" was examined to see how much concern was expressed for juvenile problems by the respondents. To the question of whether more attention needs to be given to delinquency prevention, the following responses were noted: Response Percent Definitely 21,1 Probably 39.2 No Opinion 16.4 i~ Probably Not 7,7 No Response 6.8 The percentage who felt this area should definitely re- ceive more attention was exceeded only by those wanting to give more attention to information and referral, problems of the elderly living alone, and daycare for the elderly. 4t the rank- ing of age groups in Johnson County who need to be given more attention and services, 13.7 percent ranked the junior/senior high group as most important, 18.9 percent ranked them as second in importance, and 32 percent did not rank them at all. POPULATION SERVED _. From 1970 to 1974.the 0-19 year old are group in ,Johnson County had an age-specific decline of four percent. This age group comprised 37 percent of the total Johnson County popula- tion in 1970 and 33 percent of the total population in 1974. •• ��{ MICR0111.1.110 BY I JORM MICR¢LAB rrnnr om mr' ❑r� 'lmnr", I.1k,tWi iLi•1cU SY JURM MICRULAb UL)AR RAVIUS AIIU - 8- - During this same time, however, the 10-19 year old age group in Johnson County had an age-specific increase of seven percent. This age group comprised 29 percent of the total Johnson County population in 1970 and 20 percent of the total population in 1974. This information is presented in 'Cable 3. TABLE 3 0-19 and 10-19 Year Old Populations in Johnson County 1970 and 1974 Age Specifil 1970 1994 Change Age Group Num er of Total um er a o Total #'0 0-19 years 26,399 37 25,367 33 -1,032 -3.,-- 10-19 years 14,078 29 15,105 20 +1,027 +7.3,, Complaints The number of complaints against juveniles in Johnson County which were reported to the juvenile probation office in- creased from 550 in 1971 to 804 in 1976, a 46 percent increase during the five-year period. Of the 804 complaints reported in 1976, 587 (73 percent) were acted upon* by the court. An additional 217 cases were filed without action. Of the 587 acted upon, 461 (78.5 percent) were delinquency cases; the other 126 (21.5 percent) cases were *h _ children in need of assistance (CINA) The list of offenses involved appears in Appendix 1. Eleven cases were dismissed as unsubstantiable. Of the 461 charged as delinquent, 107 males and 10 females had multiple referrals during 1976. A total of 35 males and three females had had five or more previous contacts with probation. The 804 complaints against juveniles in Johnson County do not include those who were warned, taken home, or otherwise diverted without a complaint being recorded. *Definition of "acted upon" is found in Appendix 1. **Definition of "Child in Need of Assistance" is found in Appendix S. 141cla)[ ILD BY JORM MICR¢LA6 rrnnp pAr!m.. nr, !eni,p: 1LMLu BY JORM MICROLAB UUAit RAPiuS AND JL SERVICES PROVIDED A juvenile can enter the juvenile justice system in various ways: through complaints From neighbors, passers-by, or other unofficial sources; through direct complaints from institutions or agencies; through complaints from parents; through the child, himself, requesting assistance; or through actual law violations. The various means by which the child enters the juvenile justice system are discussed below. Complaints Received from Unofficial Sources Complaints received from neighbors, passers-by or other unofficial sources are channeled to various agencies, primarily the Department of Social Services, the Johnson County Sheriff's Office, the Iowa City and Coralville Police Departments, and the Probation Office. School systems normally report children who are truant or who have behavior problems. Recreation agencies may also report seriously disruptive behavior. Their complaints usually go either to the Probation Office or to the Department of Social Services. Complaints from parents normally focus on one of two areas: children who are incorrigible (i.e., staying out too late, not following rules at home, not doing chores, involved in substance abuse) or children who run away. Such complaints may go to the Police, Sheriff, Probation Office, or the Department of Social Services. The child, himself, can file a petition to be removed from his parents' custody or have his home situation examined by officials. The child can describe the situation to social service or probation officials, and they in turn can work with the case outside of court proceedings or, if necessary, bring the case to the attention of the court. Law Violations A child can also enter the juvenile justice system through actual law violations (i.e., delinquent acts). A delinquent child is defined as a child who has violated a state or federal S MICROFILMED BY JORM MICR#LAB ,rpAP P.AI'!n' . `f� 10:'IfS 11 M,!,AUr IL:'1L.0 by JURM 141CROLAB -10- LLUAr� RAPiuj AkU oL ,..,__. . law or a local ordinance. If a child is arrested for violation of a law or ordinance, the Iowa Code requires that he/she be released to his/her parents or to a responsible adult, except when the immediate welfare of the child or the protection of the community necessitates that the child be detained. The ar- resting officer is given the discretion either to refer the matter to the Juvenile Court or to drop it at that point. If the matter is referred to the Juvenile Court, the decision as to the form of adjudication or disposition is left up to the Court. The arresting officer's recommendation is considered in the Court's decision. Alternative Placement Possibilities Children who are chronic offenders and children in whose cases other variables intervene in a contributory manner to breaking the law (i.e., family problems, drugs, etc.) are normally handled in a different manner. The child, after being picked up or having turned himself/herself over to authorities, can be released to his/her parents at which time the police secure a "promise to appear" order from them. In some cases, an emer gency order is given by the juvenile court judge for temporary custody of the child to be transferred to the courts and the child placed in an appropriate alternative living situation. The Juvenile Court is free to place a child in emergency custody with any person or agency which it deems appropriate. The Department of Social Services is often utilized because it has accessibility to state and federal funds for foster care. The Department of Social Services may also become involved without making an out -of -home placement. Whether the child is returned home or placed in an alternative living situation, the Juvenile Probation Office refers the case to the Assistant County Attor- ney (in juvenile matters) for the filing of a petition and the setting of a date for a juvenile court hearing. The juvenile court hearing involves two phases: an adjudi- cation phase in which the judge makes a ruling on the allegations —I MICROFILM[[) OY i JoRM MICR.�LAB frpAP PAi'in'. . 'vr Ia019fS MiLiwi ILMLL) BY JURM 141CRULAB LLUAR RAI'ioi AliU JL ti -Il- in the petition and a dispositional phase in which the judge decides upon the most appropriate placement for the child. The judge's rulings are based upon the following: social histories and plans submitted to the court by the Probation Office and/or the Department of Social Services, other court -requested records or reports, and testimony by various requested witnesses. The following rulings are possible: diSill iSSnI, c011ti11u- ance (informal probation) with a hearing set for n later date, adjudication of Child in Need of Assistance (C1NA),adjudi- cation of delinquency, and transfer of the case to adult court. In cases where the child is adjudicated CTNA, the dis- positions range from placement and treatment in the natural ]ionic to placement in a residential treatment center. In cases with adjudication of delinquency, possible dispositions range from probation in the community to placement in a state training school. See Appendix 3 for further elaboration on placment. possibilities. Types of Service Intervention When the child's law violations, status offenses, and/or accompanying interpersonal, family, and community problems war- rant the intervention of the Probation Office, the Department of Social Services, and/or the Juvenile Court, efforts are geared toward the mobilization of existing community resources so that the "least coercive" intervention wi.11 be utilized in hopes of alleviating or mitigating the youth's problems so that he/she can function in a more normal and rewarding way within the community. Appendix 4 describes the alternative interventions. Counseling Programs The primary thrust of these efforts is to keep the child in his/her natural home. Doing this may require the use of counseling services provided by individuals or agencies in John- son County such as the Probation Office, Department of Social Services, Families, Inc., Lutheran Social Service, private clinical MICROFILMED BY DORM MICR¢LAB rr%P PAP!?' • ^fP Mn!llrS ('II L I<Ui IL;.0 BY JOR1.1 141CROLAB -12- CLUAR RAI'1J: AIIU JLC psychologists, the Child Development Clinic, the U of I Research and Training Clinic, and Psychiatric Hospital. These agencies help to provide avenues for better family and individual func- tioning within the family unit, neighborhood, and community. They help to clarify potential problem areas by providing indi- vidual, family, group and/or marital counseling. The above mentioned agencies and individuals also use and work with other complementary and supplementary agencies and institutions. School Programs If the child is having problems in school, staffings with school personnel to assess the problems and the best mode of intervention can be arranged. First, efforts to accommodate the child in the existing structure and curriculum (such as changing or dropping classes, changing instructors, coordination between school and parents) are attempted. If this fails, efforts are geared toward a change in the curriculum, school, and/or struc- ture. Possible alternatives include the Resource Action Program (RAP), the Community Experimental Education Center (CEEC), Peoples' School 4 (PS 4). Involvement with the Grant Wood Area Education Agency is encouraged so that the institutions adapt more easily to the child's needs. Forcing the child to fit the expected mold of the institution would in most cases further antagonize the situation. Work/Employment Programs If the child desires to work, possibilities for employ- ment should be explored. Job Service of Iowa (for children 16 and over), Summer CETA, Rehabilitation Education and Services Branch (RESB), and the Governor's Youth Opportunity Program (GYOP) are potential employment possibilities for youth. The Summer CETA program and the GYOP program are many times shackled by strict income.guidelines, which can be impediments to obtain- ing jobs for young people. ,� .—.1 Idl fliBF IEIIED BY ' JORM MICROLA9 I'MAp 1414`. . WF VIBFS .M I;lk,RO ILI'ILD BY JURM MICROLAB Recreation Programs CLUAk RAPIUy AND )L� 7i1,.:.L= 13 - Encouragement of active participation in some form of recreation is normally given. The Iowa City Recreation Center, University of Iowa Fieldhouse, activities offered by United Action for Youth, liawkeye Area Community Action program- sponsored activities, and various other activities aro ,Ivailahle fill- entertainment orentertainment and serve to divert and channel youth activities into other areas of interest. Health Services The physical health of young people is also an area of concern. Youth who have health questions and/or symptoms of injuries or who are seeking preventive measures for various health problems can be served by area doctors, Mercy Hospital, University of Iowa Hospitals and Clinics, the Emma Goldman Clinic for Women, and the Free Medical Clinic. The Free Medical Clinic is particularly successful in reaching youth who, due to circum- stances which they prefer to keep confidential (such as birth control information and devices, check-up and treatment for venereal disease, and pregnancy tests), normally would not seek help. Some of the above mentioned services provided for juve- niles become more accessible if the custody of the child is placed with the court (initially) or the Department of Social Services (after adjudication). Per example, the eligibility guidelines for the Summer CETA and CYOP programs are waived when the custody of a juvenile is with the court or the Department of Social Services. In addition, there is now a more intensified effort to fill the slots in alternative school systems (e.g., PS A, CEEC, and the RAP program) with youth whose custody resides with the court or the Department of Social Services. Funding Juvenile delinquency prevention has received a lot of attention in the community during the past l0 years. Law Enforce - ~~I IdICR01 I LMLD BY I JORM MICR¢LAB I'rDA4 VAPID` . nf5 MnrlrS Ml LiWi-iLi, i.J 8Y JORM 611CROLAB LLUAR kAPIJs -14- ment Assistance Administration (LEAA) funds have been allocated for such projects as juvenile officers for both Coralville and Johnson County, training for juvenile officers, boys' and girls' group homes, United Action for Youth, and a drug film for school use. Currently, LEAA is funding a planning process for a juve- nile diversion project. In addition, funds from Iowa City have been used to support youth services such as the Mayor's Youth Employment Program, the Youth Newsletter, the PALS Program, United Action for Youth, the Police Explorer Post, and a youth services coordinator at the Department of Social Services (this position is now defunct). Currently, for fiscal year 1978, the Mayor's Youth Employment Program, PALS, UAY, and Youth Homes, Inc. have received agency funding amounting to a total of $60,775 The funding breakdown is as follows: Mayor's Youth Employment Program PALS Program United Action for Youth Youth Homes, Inc. --Youth Emergency Shelter TOTAL $20,955 34.5% 7,260 12.0% 24,560. 40.5% 8,000 13.0% $60,775 100.0% United lVay was at one time providing funding for the Mayor's Youth Employment Program and United Action for Youth. Although both are still considered member agencies, United Way's current funding involvement with youth agencies is primarily with the Boy Scouts and Campfire Girls. A number of United Way agencies such as the Free Medical Clinic, Iowa Children's and Family Services, Lutheran Social Service, the Willow Creek Neighborhood Center, and the Iowa City Crisis Center do devote considerable resources to serving youth. UNMET NEEDS The following areas of concern surfaced in our probing of juvenile services: S "V MICHOMMfa RY JORM MICRbLAB ff!14n par�n� piq r.101AfS I'Ii Lkot iUILU BY DORM MICROLAB • LGUAR RAPiJ, AND JLI .'w . �-" -Is- 1) There seems to be considerahle agreement that "out- reach" and contact with trusted adults who can serve as friends and role models are the most import:uit resources in dolin(Iuency prevention. These resnurce�, are in need of expansion. 2) Substance abuse, particularly ahuse of alcohol, :uaong juveniles is of great concern; this is one of the pro- blems reported on the school questionnaire as increas- ing. tetany agency representatives, especially the law enforcement personnel, expressed the need to have a drug and alcohol couselor, trained and effective in working with young people, in the Johnson County community. Both Reality X and MECCA soe this as a need, although they have not been able to fund such a service. MECCA at present is developing a counsel- ing program to deal with alcohol and drug abuse. This program is contingent upon funding allocations, however. Concern was also expressed about inappropriate place- ment in the jail of adolescents with suspected or verified substance abuse problems. Emergency treat- ment is available at Mercy Hospital or University llospitals. Long-term residential care is available at the Oakdale Alcoholism Unit but only seven indivi- duals have been served from July, 1976 to July, 1977. Service providers have informed us of instances in which juveniles have been placed in jail for substance abuse. The Assistant County Attorny for Juvenile Matters stated, however, that no juvenile has been placed in the .Johnson County Jail during 1976 for substance abuse problems. ()ccassionally, the officer confronted with an intoxicated juvenile who cannot be released to his/her parents due to the degree of in- toxication, Under such circumstances the officer may retain protective custody of the juvenile for up to 12 hours. These juveniles are not necessarily placed "t I IdICRUr ILF1Ca BY DORM MIGR61—AB rMAP PAPI'V • 0[5 IdUIa6 19io(W ILiALU BY JORM IAICROLAB -16- LEDAIi RAV W) ANU OL.: U,I- -. . in jail. According to 1976-1977 reports received from the Johnson County Jail, 25 juveniles were placed in deten- tion at the jail for substance abuse problems, particu- larly intoxication and OMVUI. The average period of detention was 3.5 hours These juveniles normally had not violated other laws. The normal procedure in such cases is to contact the parents as soon as possible after arrest and to arrange for arraignment of the child at 8:00 a.m. the next day. Juveniles who have violated other laws are usually held longer so that the Juvenile Probation Office can obtain more information concern= ing the particular law violations. One-fifth of all juveniles handled by the Probation Office have used or are using drugs or alcohol (though this cannot be equated with addiction).' 3) There was concern expressed about the low level of information regarding services as well as proper use of or referral to services such as counseling, birth control, venereal disease screening and its control. 4) Drug and alcohol education in the schools was of con- cern, but education about sex, legal rights, and family life was more often seen as in need of improvement. , 5) Facilities for detaining juveniles who are inappropriate for the youth shelter are inadequate according to sources who provide direct services to juveniles. Iowa City has only a short-term holding facility, the Johnson County Jail, which is in poor condition. Its atmos- phere is felt to be inappropriate for juveniles and, therefore, the Linn County Detention Center is used. The Detention Center is outside Iowa City but does This average does not include two juveniles who were detained for unusually long periods, one for 20 hours and the other for 26 hours. M MICROf ILMED BY JORM MICR6LAB rrnnu p,A r�nc n(S �101tlCS 1lite(UtlLMLJ BY JURM 141CROLAB 6) 7) CLUAR kAPiJ5 AND JLC -17- provide an appropriate setting for juveniles. From July, 1976 to June, 1977, 12 Johnson County residents were assigned to the Linn County facility. The aver- age stay for Linn County residents is four days, but .Johnson County residents have a little longer stay clue to geographic location and court schedules. JUVC- nile Probation is reluctant to send .Johnson County clients requiring short-term stays to Linn County be- cause of the distance involved. The Linn County faci- lity is open to Johnson County on a space -available basis only. At times, Johnson County youth have been turned away because of this. To date, the placement of Johnson County residents has not posed a problem; it is the distance involved that is a problem. However, a need for a more appropriate alternative to the John- son County Jail exists for those youth who have been turned away from the Linn County Detention Center. The level of knowledge, on the part of attorneys, about Juvenile Court procedures and other juvenile affairs was mentioned by virtually all respondents as being in need of improvement. Each year the Juve- nile Court requests local attorneys to identify whether or not they will accept Juvenile Court appointments. A list is prepared from these names. Court appoint- ments are rotated through the list. The Juvenile Court judge is free, however, to appoint any attorney to represent a young person. Through this procedure, the list tends to become comprised of younger, less experienced attorneys. Some dissatisfaction was expressed about the length of time between a juvenile being picked up and resolu- tion of the charge (3-6 weeks), although this dissatis- faction was far from universal. One agency expressed concern about the need for crisis intervention with the family immediately after the offense is committed. MICR01 ILVICD By DORM MICR4�LA9 ffll�n Va, In. �(S S!019F5 NIL,tWi ILMLU BY JORM MICROLAB LLUAn RAPIU'� Ai•IU jLS -18- 8) One of the major concerns expressed by virtually all sources of information was the need for better commu- nication and coordination among agencies. There may be a need to set some community standards, which would conform with the laws of confidentiality, for the kinds of information shared between agencies. 9) A need for a greater variety of alternative super- vised recreation opportunities for the marginal youth population was expressed. The Recreation Center staff stated that these youths participate in behavior which causes problems for other youth (i.e., smoking, swearing). It was felt by the Recreation Center staff that these marginal youths derive little benefit from the Recreation Center's regular programming. Group activities under the leadership of accepted adults were seen as one way to handle this. The marginal youth population, such as pre -delinquents experiencing crises and maturational difficulties, need recreational opportunities such as a place to dance and/or "hang out." The Coralville Reservoir is an area in which trouble occurs during the summer, although young adults as well as juveniles are involved. Additional patrolling of the area was suggested. 10) In the area of education, a lack of sufficient voca- tional training opportunities and a lack of variety in vocational training courses offered were main concerns. 11) A need for more jobs for youth whose parents' income is just above the special job program (i.e., Summer CETA and Mayor's Youth Employment) eligibility guide- lines for youth too young (under 16 years of age) to obtain normal jobs was cited. 12) In the area of work, "training and job -seeking skills" were the greatest concern. This area was marked in need of improvement by 57 percent of agency personnel. —.�.. I4ICRUEILMER BY DORM MICROLA13 frpAp I'ar!ry . "Fl, ")PV I�i2UiILM U BY JURM MICRULAB LEUAR RAPIJ:, AND oL — 19 - It was noted unsatisfactory by 21 percent. One - half of the agency respondents said that available jobs were either in need ol' improvement nr unsati.sfactory, and 36 percent thought this area was satisfactory. "Career planning help" and "help in locating johs" received similar mixed responses from al;ency person- nel. Very few school personnel considered any of these work areas unsatisfactory, but about 40 percent con- sidered all in need of improvement. Concern was also expressed for teenagers who may be exploited in job situations because of the vast number of teens wanting jobs. Employers may not feel obligated to ' give breaks and lunch hours or to set regular work schedules and may feel free to withhold wages in + cases of suspected theft. Many teenagers contact the public library for advice on their legal rights in such circumstances. Jobs were mentioned as being I, the greatest unmet need by the majority of respondents. ,.� One person described this need as "appropriate, gain - It ful and sincere employment." The Mayor's Youth Em- ployment Program and CETA were praised for their effectiveness but a need was seen for more "regular" a jobs and jobs for those not eligible for special pro- grams. 13) Responding to questions about family support on the „ Youth Support Services questionnaire, both agency and school personnel indicated discontent with the way families and youth intereact. when agency person- nel listed the greatest unmet need, none mentioned the need for a program for parents or families, al though one police officer said "better parents" was the greatest need. These responses might be a way of expressing frustration, blaming factors outside of agency or school control. Following are the percent of school and agency personnel who found family sup- port systems either in need of improvement or unsatis- factory (see next page): :41CRGFILIIED BY JORM MICR¢LAB UnnR PANn,, . ars lamins MILRUF ILMED BY JORM I•IICROLAB LLUAR RAV WS AND JL i...i Ion! MW sum MM ""10 r,.... GENERAL RE•COhDIENDATIONS Priority Problem Recommendation Possible Agencies Funding Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first year of the Human Services planning project. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas - - - - - should not be diminished because of their treatment here. - - - - - - - - - - - - - - - - - - - - - - - i Communication Coordination Information Inadequate communication Agency directors and staff All public and Johnson and coordination among agen- providing similar programs private provi- County Re- ties providing service or services to similar ders serving gional results in inconsistencies, client groups should meet Johnson County Planning particularly in the way together on a regular basis clients Commission clients with multiple prob- to: loins are handled. Delays 1) share information about in the provision of service Programs, and misunderstandings or disagreements regarding 2) explore solutions to service provision nay occur common problems, when two or more agencies 3) acquaint them with the are involved with the same staff of other agencies client. Regular meetings to facilitate the refer - among agencies have been ral process and increase atterpted but have been trust levels, and less than successful. Organizing and convening 4) share information on such meetings requires clients within the con - staff tire and effort not fines of confidentiality. available from any one agency. MICROMMED DV JORM MICRI�LA9 CrnAV . nft MMNFff MILi2OFILALD BY JORM MICROLAB LEDAk kAPWU AND LjL' MW "as" GENERAL RECOMMENDATIONS (Continued) possible Agencies Funding Recommendation Affected Sources Priority Problem evaluation used for services and accountability should be emphasized. The Human Services planning staff should be available to coordinate the development of this effort. Funding General revenue sharing funds should be considered as a possible -funding source for many of the recommendations. �• .—I I•IICROFIL14ED BY I JORM MICR+LAB ff04n RW'l n'� SCS MMWS I'IILRUi1LMLU BY JORM MICROLAB Priority Problem 1. Outreach and Recreation Many youth (647 delinquent complaints reported to Juvenile Probation in 1976) are engaging in destructive behavior and are alienated from traditional programm- ing (e.g., group work and recreation). Agencies which are geared toward working specifically with troubled youth have diffi- culty in adequately serv- ing all who need their services. United Action for Youth is currently serving about 60-70 youth per month, 10 intensively. A need for serving 150 youth per month, 40.50 with severe problems, could be justi- fied. The PALS program is cur- rently serving about 60 T LLOAR RAPIUS AND uL� 'w.:,L. RECOpDIENDATIONS Recommendation Additional services should be provided which reach out to kids where they are located and provide adult role models. More challenging and creative recreational opportunities should be made available and traditional recreation agen- cies should make attempts to become more sensitive to the needs of alienated youth. There are several ways to accomplish the above: 1) ex- pand staff capabilities of UAY and PALS, 2) use the staff of 11:11' to work with traditional recreation and group work agen- cies to develop programs which interest alienated youth and to train staff and'volunteers to work effectively with these youth, and 3) utilize the University Recreation Educa- tion program to develop new and creative forms of programm- ing. MICROPILNED BY i JORM MICR+LAB CCI1AA ngplPS • nrE I-0OR16 Agencies Affected UAY, PALS, Boy Scouts, Girl Scouts, Campfire Girls, Recreation Cen- ter, County Attorney -Juve- nile Diversion Program, Univ. Recreation Ser- vices, Willow Creek Neighbor- hood Center. Possible Funding Sources City, County, United Way, LEAA Ham-/ ..-_.- Priority MlutWtiLMLU BY JURM MICROLAb Problem LLUAR RAViUs AND uU MM WIN coo un" C1W 0=4 dra Dom ON" #am WAM RECODPIENDATIONS (Continued) youth. Volunteers are not available to service addi- tional youth. It is esti- mated that 125 children could benefit from the pro- gram if volunteers and staff time were available. One staff person can handle about 75 cases. Employment Youth under age 16, or those who are not eligible for summer 6ETA or Mayor's Youth Employment, do not have access to job coun- seling and assistance in job location. Recommendation Agencies Affected Training programs in job Job Service of (1) hole to find Iowa, Mayor's preparation a job, 2) how to apply, and Youth Employ- s) legal rights) should be ment, Schools, made available. It is also CETA, Summer recommended that job recruit- CETA ment, training and location be available for all adoles- cents in the private as well as the public sector. one way to accomplish this would be to increase the funding available to Mayor's Youth Employment. Dlore job sites for disadvantaged youth should be developed with the private sector and placement of all youth in part-time jobs should be available regardless of income. MICROrIM ID DY 1 DORM MICROLAD CrDAP PANT. . Mq'101.'Irs Possible Funding Sources Iowa City, Job Service of Iowa, Federal Gov- ernment, Schools, CETA, Summer CETA, United Nay I.11i,i<UF ILMEU BY JURM MICROLAB GEDAR RAPIUS AND oL RECOINPIENDATIONS (Continued) Priority Problem Recommendation 3, Substance Abuse The prevalence of substance The placement of at least abuse is increasing among one full-time counselor, young people. it was esti- highly skilled in working mated that 1/5 (161 of 804) with youth and trained in of the Juvenile Probation substance abuse therapy, in clients in 1976 had problems a community agency such as associated with drugs or MECCA is recommended. alcohol. Counselors find it particularly difficult The counselor should be avail to find ways to motivate able to work with the clients young people and to aid in of all agencies and to do the development of coping in-service training with skills necessary to ensure counselors at other agencies. sobriety. This is also a concern of the substance abuse area. 4, Parents Parenting, specifically in Parents in the community regard to the amount of should be made more aware of time parents devote to parenting education opportu- children, Parents' interest nities, and the school dis- in children's activities, tricts should avail them - parents' understanding of selves of Grant Wood Area children's problems, par-, Education specialists and ental discipline of chil- their abilities to work with dren in helpful ways, parents and parent, groups. —I 1•IICROFILHCO BY I JORM MICM�LA9 MDAP PAF I�'• CCS MORIES Agencies Affected DIECCA, Mental Health Center, Lutheran Soc- ial Service, Juvenile Proba- tion, County Attorney, Uni- ted Action for Youth, Oakdale Alcoholism Unit, Dept. of Social Service Mental Health Center, Luther- an Social Ser- vice, Grant Wood area Edu- cation, School Districts Possible Funding Sources Cities, Johnson County, United Way, Dept. of Social Ser- vice, Dept. of Substance Abuse School Dis- tricts, City, County, Uni- ted Way, State Dept. of Social Services MlOWI IL& U BY JORM 141CROLAB Priority Problem 5 CLUAR RADIUS AND OL, RECO'•AIENDATIONS (Continued) Recommendation Possible Agencies Funding Affected Sources availability of family Alternative ways of deliver - counseling, programs to ing parenting eudcation in help parenW�shild seenunder- be shouldnon-stigmatized exploredsettings standing, in need of improvement or unsatisfactory by 50-750 of youth agency staff and school personnel. Parents are not eager to avail themselves of group parent- ing education opportunities. Facilities dTe letenail shouldonly l;benusedno ofor lof aulle�rjailefacilitycwhich Jalil, mental County JohnsoCountyn facility is appropriate. would Provide- 1) continuous Health Center, Facilities in Johnson County supe n is ion as required by Library, Soc are inadequate for detain- state law, 2) separation from Lutheran Soial cial ing violent and/or out adults, 3) adequate recrea- Service, United state youth for which the tional and educational facili- Action for Youth, youth emergency shelter is ties and opportunities, and Dept. of Social ular contact with sPe- Services, others inappropriate. The John- J) reg son County Jail facility cialized personnel of commun- does not permit adequate ity agencies such as substance separation of juveniles. wbuse ocial orkers, and lyouth scounselors. MICR11I'I LRED By JORM MIC M( LAB I'FOAp Bnnin< . Ns MWIFS mI LRUiILMr U BY JURM MICROLAB Priority Problem 6. Attorneys Court-appointed attorneys may have inadequate know- ledge of juvenile proce- dures. 7. Information Some youth do not have ade quate information regard- ing services such as counseling, birth control, venereal disease screening and control, and legal issues. LLUAR ROM) ANU uL RECOMMENDATIONS (Continued) Possible Agencies Funding Recommendation Affected Sources The District Court should re- Johnson County Johnson quire training in juvenile Attorney, John- County procedures as a condition son County Bar for court appointment. The Association, County Attorney's office 6th Judicial could be utilized for such . District Court training for attorneys. Sources of such information should be better publicized and more accessible to youth Crisis Center, Schools, Youthline, Uni- City, County, ted Action for United Way, Youth, School GrantWood District, Grant Area Educa- Wood Area Edu- tion Agency cation Agency, Free Medical Clinic, Emma Goldman Clinic 8. Coordination Becaues of the way in which Youth representation (a mini- Dept, of Social Johnson agencies and services have mum of 4 to S). Directors and Services, Uni- County Re- developed, all agencies may staff of agencies which serve ted Action for gional Plann- not be aware of what is youth should meet regularly Youth, Youth ing Commis - happening in other agencies, to: 1) share information Homes, Inc., sion I MICROFILMED BY I DORM MICR+LA6 CIDN> PAPP • !iiS'4omrs Priority EM MiukOiILMEU BY JORM MICROLAB Problem LEDAii RAPIuS ANO RECOMMENDATIONS (Continued) Efforts at coordinating services and improving com- munication among youth -serv- ing agencies have been at- tempted but have been less than sucessful because of the staff time required of any one agency. Basis of Information Nearly all of the informa- tion which was obtained through the Human Services Study was based on informa- tion from agency and school personnel. Attempts were made to sur- vey youth; however, these were not successful. Con- sequently, information on service effectiveness in meeting the needs of youth is not available from the youth perspective. Recommendation about programs; 2)explore solutions to common problems; and 3) acquaint themselves with the staff of other agencies to facilitate refer- rals and increase trust levels. Human Services staff should be made available for organizing these efforts. A survey of youth should be conducted again. Nechanisms should be established which will improve channels of communication for youth to provide input into agency programming which will affect them. In addition, youth members should be appointed to the Policy_ making boards of directors of youth -serving agencies. Idl CftOFILMCO BY JORM MICR#LAB MIAP PPIY, • nr,, MnRILS Agencies Affected Possible Funding Sources Lutheran Social Service, City Recreation, Mayor's Youth Employment, CEEC, School Dis- tricts, Juvenile Probation, Job Service of Iowa, County Attorney United Action for City, County Youth, Lutheran United Way Social Service, Youth Homes, Inc., Dept, of Social Services, Juve- nile Probation to County Attorney's Juvenile Diversion program, Crisis Center, City Recrea- tion, Boy Scouts, Girl Scouts, PALS. f-)ILkOl ILMLU BY JORM MICROLAB LEDAR RAPIUS AND tl'L� %'uw.:iL,• -• RECOMIENDATIONS (Continued Possible Agencies Funding Priority Problem Recommendation Affected Sources 10. Placement There are indications that We support the continuation District Court, Dept. of the general trend of keep- of placement of youth in the Dept. of Social Social Ser- ine troubled youth in their least restrictive alternative Services, Juve- vices own homes, rather than in (i.e. first remaining in the nile Probation out -of -home placements, home, then placement in foster may be reversing lrcally. care, or community residential unnecessary removal of facilities, and, only as a children from their own last resort, state institu- homes increases the trauma tional care, both for short - in the lives of these term and long-term placements.) children. ,...moi 4...� ...�.+ r+•+-. .�.. ___.. __..a ��.--. .—.-. ._.....a ..,.-... •........ ....... .-.��.� r...,... L.."..i �.�..� .,.w.., 1..... .. q;- IMCROPILMED BY JORM MICR+LA6 rrBAP PM`int . OfS MOINrS MiuiUl-iLM L0 BY JORM AICROLAB CEDAR RAPIDS MU uL� ii,.:� �'• APPENDIX 1 -31- JOHNSON COUNTY JUVENILE PROBATION OFFICE AFIta IAL ItFIJRf FOR 1976 Total Complaints Received During 1976------------------------------------------ lei 1975 Complaints Carried Over to 1976 ------------------------------------------ 30 1976 Complaints Pending 12/31/76 ----------------------------------------------- 27 1 Total Complaints Handled During 1976 ------------------------------------------804 SOURCES OF 1976 DELINQUENT COMPLAINTS Iowa City Police Department Johnson County Sheriff's Office Coraivllle Police Department Iowa Highway Patrol University of Iowa Security Other Courts Dopartment of Social Services Schools Parents Other Totals SOURCES OF 1976 LINA 0014PLAINTS Boys Filed Girls Filed Total Without Without Boys Girls Acted Grand Action Action Handlnd Handled Upon Total 39 12 156 50 206 257. 31 20 99 31 130 181 18 2 31 5 36 56 6 0 14 8 2.2 28 8 2 28 2 30 40 0 0 17 4 21 21 0 0 0 0 0 0 0 0 3 0 3 3 0 0 0 0 0 0 46 2 7 6 13 61 148 38 355 106 461 647 Boys Filed Girls Filed Total Without Without Boys Girls Acted Grand Action" Action a Nuidlod Ilandlod Upon Total Iowa City Police Department 3 5 7 11 IB 26 Johnson County Sheriff's Office 3 4 4 6 10 17 Coralville Police Oppartment 0 1 2 4 6 7 Iowa Highway Patrol 0 0 6 3 9 9 University of Iowa Security 0 0 5 1 6 6 Other Courts 1 0 3 3 6 7 Oapartmont of Social Services 0 0 35 22 57 57 Schools 1 6 4 5 9 16 Parents 0 0 0 2. 2 2 Other 0 7 1 2 3 10 Totals 0 23 67 59 126 157 *Filed Without Action - this category covers reports from police or magistrate's court that had been taken care of by an officer or magis- trate (e.g., possession of beer, a fine for some misdemeanor). Cases handled - this category ranges from intake interview to court action to commitment to a state institution. ! NICROTILREO BY I JORM MICR+LA13 CrPAR VAPMP • PFS 1101111`5 MIL4F ILi•1LD BY JORM MICROLAB -32- 1976 Annual Report Pago 3 CLDAR RAPIJS AND JLC JUDICIAL DISPOSITIONS DOI lnquunl Duli n(lnunl CHIA CINA Tut aI Total Boys Girl•. &+)L. 2LEj_ D, I MIL-nt CINA Dismissed, Not Proved 2 1 5 3 3 8 Warned 2 0 2 8 2 2 Probation Supervision 50 8 0 1 66 '1 ' Referred to Another Agency B 0 0 1 8 i - Runaways Returned to Parents 0 0 0 0 0 0 Held OpenB 1 0 0 9 0 Committed to Boys Training 0 4 i School 4 0. 1 Committed to State Juvenile 0 0 0 Home 0 0 0 Transfer Custody to County 7 2 17 r Department of Social Services 2 0 10 Transfer to Adult Court 31 7 0 0 38 0 Other 3 2 1 3 3 ' Totals 118 17 20 13 135 33 NON JUDICIAL DISPOSITIONS_ Delinquent Delinquent CINA CINA Total Total Boys Girls BOYS Girls Delinquent CINA Dismissed 29 12 4 7 41 11 Warned 119 60 3 2 179 5 Probation Supervision 22 4 1 2 26 3 Referred to Another Agency 49 12 25 18 61 43 Runaways Returned to Parents 0 0 14 17 0 31 • Hold Open 16 1 0 0 17 0 Committed to Boys Training 0 1 0 School 1 0 0 . Committed to State Juvenile 0 0 0 ..— Home 0 0 0 Transfer Custody to County 0 0 0 Doporiment of Social Services 0 0 0 Transfer to Adult Court 0 0 0 0 0 0 1 0 0 0 1 0 Other Totals 237 89 47 46 326 93 ' 1 141CROFILMED By DORM MICR.OLA13 rmnR eAPln� . 91=, alothrs MiLifW ILI-ILL) BY JORM 141CkULAB • (,LDAH RAVI,)S AND I • 'APPENDIX I I ' JOHNSON COUNTY JUVENILE PROSWON OFFICE :.-...... ........ ._. ...._.:... ..... ..__.._.-. _. ,.. --'......TOTACBY SE%/OfFEN$E-- OFFENSE..........•_--...._......:,,._TOTAL._BOYS. 0 ',,. TOTAL. GIRLS - OFFENSEDiOTALr . •-.,-.,- , •" �. 8 NEG. MANSLAUGHTER_•• r 0 0 FORUB4 RAPE PURS; SNATCHING .., .-,..-..,.. -... .. _.. rt 0'.. ..-� - 0 _ 0 ••, _ RUSUtRY.. .-..__...-_ 1 .. ASSAULT,AGGRAVATED_• 1 -0} t 11 ASSAULT - ..__-. BREAKING B. ENTER LNG-. •.. ._ }2 •r - 44-.. _z_ l4 ..^ .' 10 _: `• SN_ _. _ Y'..__ .. :.....�.. _ _. _.. _ _ ... .:.___.. - AUTO THEFT .. :. .. 30-- - -__._ 27 57 SHOPLIFTING 4 24 .. ' LARCENY 0 00 :> .r.•s. I,.;4 .�_...__ �• ;•' CONCEALED WEAPONS._.•..l, ..- �.. •-- .'0 : n7-, 4.26 "- -SEX OFFENSES --��- - 7 NARCOTICS VIOLATIONS ... 14 3 •_ _- INTOXICATION' DISORDERLY. CONDUC.T__.r .•-"-- 9. ^•. 4 12____,_ - - - - '�:'�'•' 3 -- --- _-• __..., -. ..__-VAND AL ISN ..... .. .:•_.- _. OTMtH UELINOUENT _ ., =i 6-,a_�"'•'.� _x.28.__ _ 17.- ,.. _.., u ... - 4...-...___._.. 0 FORGERY. .. ___... ._.... FRAUD I r ...r..; ._ _ .__. .^ —•_ . -----_... __. _._.:. T RESPASS TRESPASS POSSESS/STOLEN PROF- ' 0 _ 3 _ ARSON: .. TA`IPFRING/MTR_VEHICLE 3 .. _ .. _ _ __ _ _ 7 -> 45_-__- ,..•-.,•.-.-,.... .:•:.21._:.__.____._._._.-:26_x:_..-_-""'-'--10..... .�. —�RUNAI'IAY—.c '' - q I _ TRUANCY 0._.. 7:ICONTROLLED "' " 23, BS _ - - - -' w u��.. ,. •,-�C INaU ABUSE. 1612 . - 250 - _ -AL011NATION.__.. -__.. '4 ...:_,.._...._._ .. 22...... 165...._. . _-... :". • _. _ ....._ ..... •. ..'T 1 T7'•iuv_ � _...Li��.Y:LL_ •J��._•____•.r ..__^_._..__�. _. .r 1 ~� MICROFILMED BY JORM MICR+LA13 '[DAP 1F5 MOINFS Miu;UIL;, U BY JORM MICROLAB CEDAR RAPIU5 AND UG iv.:,L y♦y. .�.1 MICR 011 LNCD BY i JORM MICR+LAB rrnan emrm,' . nrs moivs APPENDIX 2 A. COINSELIIX: PROGRAI.6 GOAL, SERVICE ELENE\TS, AND FUNDING AGENCY POPULATION 6 NAJ BER SERVED LENGIM OF TIDE FOR SERVICE p1VM',M Individual Mid -Eastern Iowa 8.31 of the total population (not To serve the mental health needs individuals thou 2)) Cedar Cts9(1 4.51) Group, 4 Family Counseling Community Mental exclusively Johnson County resi- is of families and helping them preserve and improve C(11%)2.St) Health Center dents) served by this agency or Ap- family and community relation- 4) ) Fees 18 years of age younger. proximately 60 youths were served ships. Also to reduce the inti - S) 6) Title XIX (1.51) Rent (1.51) from July 1, 1975 thru June 30, dente and severity of emotional and mental disturbance and to 1976. promote and maintain mental health in the community. Services offered are: individual, group, couple and family psychotherapy and chemotherapy. There is usu- ally a 4.6 week wait for services. Lutheran Social [amil tesocialindi- 2) ited Lutheran Church of Service boned during the lastfiscalwrorkrovide servicen tossional vidunls, couples, and groups re- America year, questing one of several therapies 3) Client fees and educational services offered by the agency. They h:ne a brief baiting period for services. Private Course- Department of The age group served is: 0.4 (30t); To pprotect choking Delimprove )' 1) Title XX lors (e.g., MSW, Social Services years (301); 5.12 years (401). 360 new services involves investigation, Clinical Psyche, Clinical 13.18 years from Johnson County in-home treatment, casework, and Psyche, logists,were clients served from July 1, 1976 referral to other agencies. 24 atrists) thou June 30, 1977. Clients generally wait about is hours for service. There no waiting list. In-home Treatment Department of Unit Social Services ----• y♦y. .�.1 MICR 011 LNCD BY i JORM MICR+LAB rrnan emrm,' . nrs moivs p11LtDFIL1IEU BY PROGRAM AGEtCY In-home Family Treat- Families, Inc. ment Juvenile Probation Juvenile Proba- tion Substance Abuse MECCA Counseling Youth Outreach United Action for Youth h11CKLAB LEUArt WluS AND JL APPENDIX 2 (con't.) AL, SERVICE ELE+�YFS, AND AL POPULATION 6 NMER SERVED OF TIME FOR SERVICE FUNDING Approximately 20 Johnson County To offer communities and families 1) Title XX families (100 people) were served an alternative to an out -of -home during the 1976 fiscal year. The placement. intensive in-home indi- age groups served were: 0-3 years (339); and 13.18 services (family therapy, vidual therapy, group work, and (331); 5.12 years years (349). marriage counseling) are provid- ed. Baiting period is usually about one week and is never more than one month. Serves youth from 0-I8 years of To provide an alternative to in- •---- age. In 1976, this offfae stitutionalication and engage handled 8U4 complaints. the youth in a counseling rela- tionship, or one that is other- wise therapeutic. 21 of the total population served To reduce the incidence of ehemi- 1) Jo. Ct. (68.51) 2) In. Div. on Alco. (189) is 13-18 years of age (6 youths). cal abuse thru identification, 3) Coralville (.59) motivation, counseling and gen- oral rehabilitation of chemically 4) CEFA (1.51) dependent persons and thru educa- 5) Client fees (11.51) tion toward prevention of abuse. There is no wait for services. Servesouth 18 cars of age or To provide assistance to young 1) Ia. City (561) ?) Jo. Ct. (1.5t) younger. From July 1 thru Deeem- from people, especially those w"to are alienated from traditional ap- 3) M" (29.59) ber 31, 1976, 166 youths Johnson County were served. preaches to youth services, by 4) State Bury -in (1.59) 5) CETA (59) identifying their individual needs and providing opportunities to meet 6) United Way (6.51) those needs. Generally, services are provided within a day of request. ... .—( I Ialcrsorntrf0 By JORM MICR4�LAB rrDAR PAPIP` • PrS PROUAv1 Informal Counseling and Support Groups Crisis Intervention (peer counseling for youth) Youth - line Advocacy Child Psychiatry Diagnostic and Rehabilitative I.11l,,fW ILMLO by JORM MICROLAB LLUAR RAFIJ�) AHU A :I�,:��:, •-^ APPENDIX 2 (con't.) CAAL, SERVILE ELECTS, AND 6UL-ma\ 8 NMIBER SERVED LENGDi OF TIME FOR SERVICE AMEN( Y Willow Creek Neigh- 5% of those served by this program To enhance a feeling of "connua borhood Center during 1976 (2 people) were 13-18 and self worth. The prto ogralleviate rears of age. is Both were Johnson geared toward working loneliness, depression and apathy. County residents. There were culls the first To provide an immediate, anonymous, Iowa City Crisis Intervention three months the Youthline was in once innnee�drsonal response o any- Center n -Center operation. 13% of the clientele were under 18 years of age of the 55% of the youth served. Willow Creek 50% of the clients served by this Neighborhood program are 18 years of agweeror Center younger. 15 young people served during the last fiscal year. University of -- Iowa Hospitals and Clinics Child Development ase of 17. 272nchildren were h the Clinic studied from January, 1975 thru December 1975. To provide information and re- sources. To discern and apply j1ppropri- ate and comprehensive methods of therapy for the particular patient. There is w 1 weeks forch sednlen average unit Of 2 d outpatient appointments. To serve as a diagnostic clinic for developmental, learning, or behavioral problems, The Clinic provides comprehensive, multi- disciplinary studies of children with problems in the following areas: development, speech and langtmge, poor school perfonmanco or learning disability, hypernc- tivity and mild behavior problems. There is a 2.3 month waiting period. q...�.1 NICROFILNCD RY 1 JORM MICR¢LAE3 CIPAP PIPM • nr5 MOR715 1F11. EM 1) United Kay (100%) 1) Jo. Ct. Board of Supervisors (65.5%) 2) United way (271) 3) Donations (.5%) 4) Savings (2%) 5) work-study funds (5%) 1) United Way (1001) 1) State of Iowa (1001) 1) State of Iowa (1001) M!l ,AUtlLMLU BY JORPI MICROLAB • LLUAR RAPiu�) AIIU JLC ';0. L:, r w! 14ICROFILI41D BY JORM MICR+LA6 rrhAp PAT'IP°, • nFS F1nIRCS APPENDIX 2 (con't.) FB7 SCHOOL PROGRAMS 004,LSERVICE I..LFbWS, A`4D FUNDING POAIIATION E NMBER SERVED LENGDI OF TIME FOR SERVICE Pl ypl j AGENCY This is astate-supported school ----- Resource Action Pro- Iowa City Comm- ___•_ which provides intensive instruc- programing gram (RAA) nity School District tion and alternative for youths who are difficult to work with through regular programs. high school youth In Johnson County. ive ram is twhichr isrmorerstimus a Community Fxperimantal Iowa City Conmm- nity School Curriculum lating and rewarding for some youths Education Council District who would noum'lly drop out of (CEEC) school. Junior high youth In Johnson County. e an ive settingtwhich istmoreeconductive PS r4 (Peoples'Iowa City Connnr- School to establishing rapport with hard - School •A) nity District to -reach students (e.g., truants). The school offers counseling, peer relationships, individualised in- struction for youths with learning in finding jobs. problems, and aid Wood Area Preschool and school -aged children To Provide a multitude of special ----- educational instruction, eonsulta- Special &locational Grant Education Agency in Johnson County, .tion, and program development for Serviees schools in Johnson County. To provide educational and voca- Kirkwood Learning Youth in Johnson County. tional programs for youth (e.g., Educational and Center CED Program). Vocational Train- ing Delinquent youth in Johnson County. 4 at by getting into the envy '-'" School. Curriculum Department of Social Services >'outhsvbaek school system. Coordinator r w! 14ICROFILI41D BY JORM MICR+LA6 rrhAp PAT'IP°, • nFS F1nIRCS ¢1111,ti t ILM4 U BY JORP1 NICROLAB C. IYORX DIPLOY)IENI' PROGRU6 PROGVTMI Summer CEfA (full- time summer employ - sent) Youth Employment AGENCY Job Service of Iowa LEUAR RANiU�, AND LJL APPENDIX 2 (don't.) 0341., SERVICE ELUAENTS, AND POPULATION E h'It48ER SERVED LENGTH OF TIDE FOR SERVICE FUNDING Adolescents who meet income eligi- To provide jobs and job -seeking skills, ----- bility guidelines. training, and counseling. lbyor's Youth Young people between the ages of Employment Program 14 and 18 who live in Johnson County. A total of 80 clients were served from September, 1976 thru Miy, 1977. D. \'OLU:QBCR ADULT ROLE-6ODEL PRO2Au1S Dig Brother, Dig PALS The hU S program satches volrn- Sister teers with children from single parent families on a one-to-one basis; children from the ages of 6-14 are eligible. 101 children were served during the 1976-1977 fiscal year. All were Johnson County residents. To provide supervised work experiences 1) Governor's Youth and career counseling to disadvantaged Opportunity Pro - young people. Efforts are geared gram (GYOP) toward job development based on interest 2) Iowa City and ability. Emphasis is on attainment 3) Iowa City CoffewIty i of self-sufficiency and continuation School District (301) w and completion of education. Clients UO usually wait about 10 days from time of ' inten•iew before job placement is com- pleted. To provide positive adult role models 1) Iowa City (58l) and experiences for young children 3) Jo. Ct. Extension (391) to give then experiences they might 3) Optinist Club and otherwise miss. rho waiting period other sources (31) is between 2 and 8 months and the average mrnhcr on the waiting list is about 18. E. kLTER.NATI%`E LIVING PRIX; VIS Foster Home Care Department of Children from years of age 0.18 To protect and nurture the child and 1) Title XX for Children Social Services are served by this program. 39 return him/her to a stable home. youths were served by the pro- This program provides foster have grain from June 1, 1976 thru lby care and counseling with the child, 31, 1977, family, and other relevant indivi- duals. The program refers to appro- priate community resources. HICROIILRCD BY i DORM MICR�LA6 �rpmp AdP1n` nl'S Finlnl'S PROGRAM (con't.) Foster tome Care for Children Supervised Indepen- dent Living Youth Emergency Shelter MlLiWt ILM4 U BY JORM MICROLA.B CtUAk RAPM AND JLC APPENDIX 2 (don't.) AGENCY POPULATION 6 WMER SERVED Lutheran Social Any child who seems suitable for Service care. 2 youths from Johnson County were served during the last fiscal year. Department of This program primarily serves Social Services youths aged 16.18 years. 8 youths were served by this pro- gram from July 1, 1976 thru Flay 31, 1977. Youth ]lomes, Inc. Shelter Care and Transition to Independent Living programs. In Shelter Care, youth of both sexes aged 12.17 aro served. From February 1, 1976 thnn Dec emlmr 31, 1976, 100 youths were served (50 Johnson Cowin• resi- dents, 33 non-residents, and the remaining were runaways). Transition to Independent Living is available to both sexes aged 16y-17 years. From February 1, 1977 thru May 1, 1977, 4 clients were served (3 from Johnson County). COAL, SERVICE ELEENTS, AND LENGM OF TIME FOR SERVICE To provide foster home care for a child who is unable to remain in his/her natural home. Provides casework with the child, foster parents, school, and sometimes with the natural parents. To provide older youths with a setting where they can live in a supervised, yet independent, life- style. Counselors interact with youth to facilitate their adjust- ment to the myriad of responsibi- lities necessary to manage one's own 1ife. The goal of the ,Shelter Care pro- gram is to provide housing, counsel- ing, and supervision for youth in crisis and runaways without shelter and/or adequate parenting. The goal is to resolve the crisis so the youth may return home or locate alterna- tive living arrangements. Since April, 1977 there has occasional]) been a wait of a few days for ser- vice. The goal of the Transition to Inde- pendent Living program is to enable youth to live independently, be em- ployed on a regular basis, and support themselves. The program (con't. on following page) I IdICROf MLI-0EU BY JORM MICR+LAO L'rom? Itnrin': • Pr5 'd01nE5 FUNDING 1) All services purchased by the la. Dept. of Social Services thru Title XX. 1) Title XX 1) Jo. Ct. Board of Supervisors 2) Iowa City 3) Ia. B pt. of Social Services (maintenance and service) 4) LEAA grant MlukOFILM D BY JORM MILROLAB LEDAR NAPiuS AND uL���.�� APPENDIX 2 (don't `-- 5.. �V�T MICROFILMED BY DORM MICR¢LAB FFOAR RAPID , 7fS IM01:1FS COAL, SERVICE EI1111INTS, AND PPDGPAI AGENCY POPULATION 6 NIbBER SEINED LENGM OF TBE FOR SERVICE FUNDING (can't.) Youth provides housing (7 beds), counsel - Emergency Shelter Ing aimed at social, personal and occupational skill development, and assistance in finding employ- ment. At present, there is a one month waiting period and a wait- ing list of 1-2 people. Iowa City Girls' Youth fomes, Inc. Adolescent girls in crisis To aid resident youth in developing the necessary living skills to re- 1) Ia. Dept. of Social Services (muintenanee: Group Iow (abused, neglected, delinquent, family conflict). 8 clients turn home, go to an alternative state foster care, o from Johnson County and 7 livinp placement, or move to in- service: Title XX) i from out of the county were dependent living. lousing, counsel - served from February 1, 1976 ing, school, job, social, personal thru December 31, 1976. and occupational skill development are offered. IYait for service can be any time up to one month, depend - Ing on the number of beds available. Iowa City Boys' Youth Homes, Inc. Adolescent boys in crisis. 5 ,Same as above. 1) LEAA grant 2) Jo. Ct. Board of Group Home Johnson County residents and 1 out of county boy were served Supervisors from November 8, 1976 thru my 3) Ia. Dept. of Social 9, 19--. Services Boys' Group Name Lutheran Social 6 youths from Johnson County To provide a group living situation 1) All services purchased (Coffelt Place) Service were served by this program. as an niternative to living at thru Ia. Dept. of hcnne or in a foster home. Social Services (Title XX) Counseling for Lutheran Social 6 unwed parents from Johnson To provide resources and, if 1) Lutheran Church Unwed Parents Servico County were served in the last needed, a living situation for the 2) United Way fiscal year. unwed parent. `-- 5.. �V�T MICROFILMED BY DORM MICR¢LAB FFOAR RAPID , 7fS IM01:1FS M11LIWi104-0 BY JORM M)CROLAB CLOAR RAPM AND uL ;��• � MICROFILMLO BY I DORM MICR+LAB MAR RAI;PS • !VS MOR16 APPENDIX 2 (con't.) OOAJ,, SERVICE ELEhffJM, AND PROGRAM AGENCY POMATIRN AND NUBER SERVED LENGTH OF TIME FOR SERVICE •FUNDING Counseling for Lutheran Social 25 adoptive families from Johnson To provide permanent homes for 1) Client's fees Adoptive Families Service County were served in the last children. fiscal year. F. PMYSIC41 HEALTH PlmCd WS Confidential Ionra City Free From January 1, 1976 thru December To assure high quality outpatient 1) United Way (511) Health Care Medical Clinic 31, 1976, 1,265 youth (0-19 years health care to all Johnson County 2) Jo. Ct. Board of of age) were served. residents. Young people who are Supervisors (37%) served are usimlly those who, be- 3) Private groups and cause of emhar•asement and fears individuals (12%) concerning confidentiality, are ' unable to consult their family physician. Diagnostic and Child Development The clinic studies children thru To serve as a diagnostic clinic for 1) State of Iowa (100%) Rehabilitative Clinic age 17. 272 children were studied developmental, learning or be - from January, 1975 thru December, haviural problems. The Clinic pro - 1975. vices comprehensive, multidiscipli- nary study of children with problems in the following areas: develop- ment, speech and language, poor school performance or learning dis- ability, hyperactivity and mild behavior problems. There is a 2.3 month waiting period. (;. JUVENILE DIVERSION PRCORA.NG Juvenile Diver- Johnson County All juveniles, Program has not The program will be directed at pre- 1) Mt% grant sion Attorney on Juve- started yet. venting the development of delin- 21 Un1sown nile Matters quent tendencies in youth. MICROFILMLO BY I DORM MICR+LAB MAR RAI;PS • !VS MOR16 NiL.itUi ILP1i"U BY JURM MICkULAb LLUAii RAPlu:) AIIU L)L� ".:�._. .... APPIiNDIX 3 Uos_criPtlon of Levels of Care_Avai L•iblo fur .luvcui ICS The decision of what level of placement is most aPPro priate for a youth in the juvenile justice system is complex, involved and somewhat subjective. I,Iic true picture or the process cannot he given in the following description; there Core, what follows is a general overview. As was mentioned previously, the least coercive" level of care is the approach taken in .Johnson County. Ilowcvcr, this does not mean that a juvenile who enters the system for the first time will be placed in Itis/her own home. For instance, he/she may need to be temporarily placed in an alternative liv- ing situation (e.g., foster care or emergency shelter) rather than in his/her own home. After a petition has been filed in .Juvenile Court and the child is adjudicated, the Court orders preparation of a inted by it. he Pro social history by a person or agency appo bation Office generally prepares this report when a child Is adjudicated delinquent. The Johnson County Department of Social Services usually prepares the social history when a child is adjudicated Child in Need of Assistance. servi.ceThe social history assists the Court in identifying a] of the child and his/her family. After receivingadmitting itsocsocii history, hearing the arguments of attorneys, dmit deems evidence, the Court may order care for the child, as appropriate. The following are descriptions of altplcare o Supementalnarra- grams for youth from the UWASIS II Manual. SUPP tive in regard to the general characteristics of juveniles in each level of care is added: 1) Family Foster Care: "Family Poster Care is a pro- gram designed to provide a substitute family life experience in an agency -supervised home to children —. MICIMILIALa 6Y ' JORM MICR( L_AB FT PAO PAP TW, !lft f101Af5 F4 r, MiLiturlL�ILU BY JURM MICRULAB 2) C'tUAIt RAPIJ� AIIU or_ 43- who need care for temporary or extended periods during which the normal Family environment is either nonexistent or greotly hampered because of some social, emotional, or physical reason." 'I'llis level of care is usually most el'fectivo with children 0-12 years of :ige. After the agc of I'2, children do not adapt as well to family foster homes, at least initially, heCaUse their behavior patterns have solidified. Adolescents who have reached the point where they are in need of an alternative living situation many times exhibit disruptive be- havior that cannot be dealt with in the foster family' home setting. Group Home -Children: "Group llome-Children is a pro- gram designed to provide a comprehensive treatment - oriented living experience in an agency -owned or operated facility for children, who, for some reason, are unable to adjust to their own foster homes and who are not suited for placement in an institutional setting. The program is geared to specific needs of the child into his or her eventual return to his or her own home and community as soon as his or her personal and social.adjustment and development per- mits." Youth who are normally placed in group homes are those who are having problems in their family setting, in their school setting and/or in the commu- nity. Problems which often must be dealt with through placement in a group home setting include the following: compulsive behavior such as truancy, running away from the living situation, staying out late at night, not following home rules, substance abuse, and being irresponsible. Johnson County has three group homes for children: Lutheran Social Service - Coffelt Group home for Boys, Youth liontes, Inc. - Boys' Group home, and ~�> 141CROI ILMCn BY JORM MICR+LAB FMAn PPP n, • flrs NORIrs MLwWl iLbli.0 BY JORM MINOLAB I.LDAR RAriUj X44 UL.. Youth Ilomes, Inc. - Girls' Group IIonic . 'file Luthe- ran Social Service's Group llonle provides a less structured setting than either of the Youth Ilomes', Inc. group homes. The services of all three group homes are available both to Johnson County residcnts and to individuals I'rom outside the county. Ilow- cvcr, residents frum .lohnsnn (:aunty �Irc given prior- ity for placenient in the two Youth 'Ionics,Inc. facili ties. 3) Emergency Shelter Care-Ch_ildren: "limergency Shelter Care -Children is designed to provide temporary care and protection in foster families, subsidized group homes, or group care facilities, until a satisfactory plan can be made, for children whose parents are unable to care for them and must be removed from their homes because of some emergency or crisis in the family, including neglect." in .Johnson County there are foster homes that can be utilized in crisis situations (mainly neglect and abuse). These foster homes are primarily available for children ages 0-12 years. 'rhesc roster homes are not foster homes solely for emergency cases but normally take children in crisis situations. The Youth Emergency Shelter Care program serves youth 12-17 years of age who are in a crisis situation (such as abuse, neglect, delinquent, family conflict, ruanway). The program provides counseling, housing and coordinated casework. (loth Emergency Shelter Care and poster Care theoretically provide temporary settings to allow an in-depth study of an adolescent's circumstances so that the most appropriate intervention can be determined. Efforts have been recently made in the United States to maintain a child in the same foster -care family utilized for emergency cases until the child can �~{ MICROFILI.1ED RY i JORM MICR4�LAB MAP P"T11. . 'YC Id011IES It M;LKO:;L;4c.0 I1Y JURM MILWLNti 45 - return home or needs a higher level of c;1 -e. "Phis is particularly true of children aged II -12 years who benefit the most from remaining in the new family setting to which they have begun to adapt. To move a chiLd from an emergency foster homo sett- ing to a "permanent foster home setting" or a long- term foster home setting would add another trauma in the child's ;I]re;idy disrupted life. 4) Institutional Care -Children: "Institutional Care - Children is a program designed to provide substitute care in an institutional setting to those for whom, for whatever reason, other living arrangements are not suitable. The program provides care and treat- ment to children who have behavior problems and/or who have parents unable to care for them adequately, and who require separation from their homes in a group living experience. 'rhe program is geared to the needs of individuals who are either not suited to a foster home or group home placement or for whom, for whatever reason, no other substitute living arrange- ments are possible." 'rho institutional or residen- tial settings are more structured than group homes in that they are more restrictive in allowing the residents to go "off grounds" into the community; they structure the daily lives much more than do group or foster homes (in such ways as: structuring the attendance of school, requiring vocational training if not attending school, or requiring the residents to be involved in the group miliou which the facility provides). This structuring is particularly emphasized for residents who have not been in the residential setting for a very long period of time. Youth who are placed in these settings have either severe physi- cal, emotional, psychological problems, or a combina- tion of these problems that cannot be resolved in ;1KROFILMED BY JORM MICRO LAB Nii-,Wi iLMLJ by JORM 141CROLAb t,LDAk UrIIJ� Ailu OL, I- " less structured settings or settings which do not have the highly trained professionals that the residential settings have (such as psychiatrists, psychologists, and MSW's who are readily available to the residents of those institutions or residen- tial facilities). Residential care facilities differ Ln their program approaches, structured living ar- rangements, and eligibility criteria for admission. Residential settings range from highly structured such as Ilillcrest family Services in Dubuque, which does not allow much deviance from expected norms, to more tolerable, but still highly structured sett- ings such as the Quad Cities Children's Center in Davenport and Now Dimensions in Cedar Rapids, and finally, to settings which house the most incorrigible, hard-core delinquents in. the state, such as Mitchel- ville and Eldora (these settings arc the "most restric- tive" due to the nature of their residents). To be placed in Eldora (boys) or Mitchelville (girls), the child must be adjudicated by the court as delin- quent or be temporarily placed at one of these insti- tutions for evaluation to see if he/she requires that level of care. Residential facilities differ in their acceptance of youth whose emotional, physical, and psychological problems vary in severity. for example, orchard Place in Des Moines has been known to take the more severe emotionally disturbed children that other residential settings felt were inappropriate for their facility and beyond their capacity to deal with the children's problems. 11 `-1 ;atcaonuaro By JORM MICR+LAB rrpnn i=.vrx . ',r�, MOPV hii6itUi IU•ILU BY JORN MCROLAB • CLUAk kAPWS AND ��..:''�•�'-• a 17 _ A1'PHtT1X 1'✓ PROCESS BY 411CN JUVENILES PASS 111ROUG11 no: JUVENILF .IUSTICI: SYST134 COMPLAIN1:5 BY SCHOOLS, PARENTS: CITIZENS, OR (YIIIERS Ix PROMTION WARNING POLICE OR SHERIFF PROBATION OFFICE COUNTY ATT'ORM JUVENILE COURT ADJUDICATION DISPOSITION DISMISSAL OPIACFCMENT I I PRIVATE I I COUNSL'LING SPATE 1NSTI1U1'ION JOINT TREATTENT, USING ANY COMINATION OF ABOVE I MICROFILMED BY JORM MICR6LAB fl'OAR unrin5 ,115 !1O1NF5 I.11L,(W1 ILMLU BY J014M MICkOLAb 13 i I,LUAk kArlw AND ULA -48- APPENDIX 5 Definition of Child in Nced of A_:;istancv (1977 Code of Iowa, Vollune 1, Section 232.2, pp. 1219-12211) "Child in need of assistance" men ns a child: a. Who is without a parent, guardian, or other custodian. b. Who is in need of special care and treatment required by his physical or mental condition which the parents guardian, or other custodian is unable to provide. c. Whose parents, guardian, or other custodian for good cause desires to be relieved of his care and custody. d. Who is abandoned by his parents, guardian, or other custodian. e. Who for good cause desires to have his parents relieved of: his care and custody. f. Who is without proper parental care because of the emotional, mental, or physical disability, or state of immaturity of his paretns, guardian, or other custodian. g. Who is without proper parental care because of the faults or habits of his parents, guardian, or other custodian. h. Who is living under conditions injurious to his mental or physical health or welfare. i. who is uncontrolled by his parents, guardian, or legal custodian by reason of being wayward or habitually disobedient. j. who habitually deports himself in a manner that is in- jurious to himself or others. VIICRof ILI'IED BY ' JORM MICR( LAB R"DAP PAi'I„ • IIr' MDIDfS I-IiuiW1ILH U BY JURM 1.1ICRULAB LLUAe RAPIJJ AND JL'i 'w• iL. , ^- TABLE OF CONTENTS Preface - Methodology ---------------------------------- i - xiii GOAL--------------------------------------------------- 1 SERVICE AREA DESCRIPTION ------------------------------- 1 PROBLEM DESCRIPTION ------------------------------------ 3 Families/Individuals with Low Incomes ---------------- 3 Victims of Natural Disasters ------------------------- 6 Victims of Spouse Abuse ------------------------------ 6 POPULATION SERVED -------------------------------------- 8 Financial Assistance to Meet Basic Needs ------------- B Direct Assistance to Meet Emergency Needs ------------ 9 SERVICES PROVIDED -------------------------------------- 13 Emergency Financial Assistance Toward Procurement of Basic Necessities ------------------- 13 Direct Assistance to Meet Emergency and Basic Needs ---------------------------------------- 17 Referral to the Appropriate Resources for Emergency Assistance ------------------------------- 20 UNMET NEEDS -------------------------------------------- 22 GENERAL RECOMMENDATIONS -------------------------------- 25 RECOMMENDATIONS ---------------------------------------- 28 APPENDICES 1. Aid to.Dependent Children/General Relief --------- 32 2. HACAP - Income Guidelines for Assistance on Energy Bills -------------------------------- 33 3. Poverty Level Definition by U.S. Bureau of the Census ---------------------------------- 34 4. Agencies which Provide Services to Residents in Crisis ---------------------------- 35 I•IICROM14C0 BY JORM MICRI LAB rrnnR n,nrin� . nrs Iinnirs ta;ujar IL LU By JORM I•IIGROLAB uEDAR RAVIUS AND )L. JOHNSON COUNTY REGIONAL PLANNING COMMISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director Johnson County: City of Iowa City: City of Coralville: City of Solon: City of Shueyville: City of North Liberty: City of University Heights University of Iowa: Citizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,I.ee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES COMMITTEE Chairperson: Carol Spaziani Rex Honey Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Henson Paul Huston Roald Rolfson Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin S R OFILME0 BY 1 JORM MICR¢LAEI rr DAQ Vdrinl . pfS PIOIIIFS Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter Mil,i<Oi ILMLO BY JORM IAICROLAB LLOAR RAFIUS ANO JL ACKNOWLEDGEMENTS The preparation of this report would not have been possible without the involvement and support of the subcommittee members. Their contributions of talent and energy was in- valuable to the success of the project. Appreciation is also due to the human service agencies in Johnson County who cooperated fully with the project and supported us in our planning effort. Finally, our thanks to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. Staff Participants Emil Brandt Constance Echternach Pamela Ramser Lawrence Allen Mary McCue Naomi Miller Donald Mulholland Prances Blommers Dianne Bunte Judith Waterman Executive Director Project Director Planning Assistant Social Work Practicum Student Research Assistant Urban Regional Planning Practicum Student Research Assistant Secretary Secretary Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. MICROF IL1410 OY i JORM MICR+LAB rrOAP. PAT'I^'. • 0F5 `101'115 M;�AO; iLML u BY JORM IAICROLAb UDAX RArioj Ailu OL PREFACE METHODOLOGY I. BACKGROUND OF THE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commission. A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland. -i- MICROFILM By 1 JORM MICR+LAB FrPAP PAT°I^° • iF°. 101'115 r 1,W%0: 1LALU BY JURM MICRULAii CCUAI< kAPiii A;W At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. y 141C801 ILMr.0 0Y 1 JORM MICR6LAB Miu10iiLMLU BY JORM MILROLAB 0 Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas under study. Following is an organizational chart outlining responsibilities and relationships. MICROFILMED BY ' JOF4M MICRl LAS MPAA VA '1' . if Idf1INf5 IL;'iLU BY JORM MICKOLAB LLUA,( 1iA'lu�) AND uL 'L, •'i ORGANIZATIONAL CHART Regional Planning Iowa Commission (2) City (1) Executive Director (3) Human Services Planning Staff Human Services Committee (4) Steering — Committee (5) Family f, Individual Emergency Life Services (6a) Assistance (6c) Mental HealthI I Public Protection Chemical Dependency (6b) & Justice (6d) 1) Iowa City: v Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and recommendations and can act or not act upon them. 2) Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RPC delegates responsibility for carrying out the plan to the Human Service staff and " committee. 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. -iv- Id ICROEILMEO BY ' JORM MICR�LA6 rrnAp ��nry m; eft MOIpfS 61i�,(ui 1L LU 8Y JOkM MICRULAii LLUAi( RAFiJ:, iA;iJ OL ,-. q) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the slancomThetHumannd the assimilation of data ies nto a unified p lan develop - Services Committeeat deleeaareas eo tosubbcommittees � ment in sp 5) Steering Committee: Coordinates the work of the subcommittees, consolidates b sub -committee reports, recommends joint efforts between su committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri ate ways of collecting data; identifying existing resources, vice stem Works, andnformation on how the knowledgeable rpeopleeto be brought works, organized into the study. They recommend how data should be and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection and Justice: ce services, adult community-based lett, Includes juvenile justi corrections, and protection of the elderly from abuse, neg and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- MICROMMID RY ' JORM MICR¢LA9 r10AV PAT !o.. 'r� 'V'Jfr 1't;u<Ui iLALU by JUki4 MICkOLAb II. DATA COLLECTION CGUA�i iiAl'iJ:i iiilU LIQ. Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously conducted studies; and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The following agencies submitted written information to the sub -committees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -vi- IdlCRnr WIED BY ' JORM MICR6LA9 fnM V9 rl'V. '�jS '10MV, I•ii �ifUl iL.?li.0 by JURM MICkULAb LLUAI< RAI•Iw AIID OL - University of Iowa Special Support University of Iowa Financial Aid r University of Iowa Student Health S Veterans Administration Hospital So University Hospitals and Clinics Sc HACAP (Hawkeye Area Community Actic Wesley Foundation Free Clothing Store Johnson County Commission of Vetera Married Student Housing Iowa• -Illinois Gas and Electric Comi Stone Soup Restaurant (Mental Health/Chemical Dependency) Alcohol and Family Counseling Cente Citizens Committee on Alcohol and I Community Pastoral Counseling Servi HERA - Psychotherapy Collective Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy He _.. Mid -eastern Iowa Community Mental I Orchard Place Reality X Recovery, Inc. University of Iowa Counseling Sery University of Iowa Research and Tr University of Iowa Hospitals Alcoh Psychiatric Hospital Veterans Administration Hospital A and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service Justice Sub -committee) Adult Corrections Service Department of Social Services Chi] Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging ' MICRIHILM10 BY i JORM MICR+L rrmN, . 11f5 Mo (•1.i1.kUt ILh1Lu BY JUkM MICRULAB Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center LLUAk kAPlu�) iVib JL Personal Interviews and Group Meetings Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc. Iowa City Crisis Center Wesley house Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit HACAP (liawkeye Area Community Action Program) (Mental Health/Chemical Dependency) Bill Bartley - Lakeside Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Family Counseling Center (MECCA) Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Johnson County Attorney's Office Catherine W'ombacker, Pationt Advocate MICRDFILMCD OY JORM MICR40LAB NiL[Wt i61LU BY JORM MICkOLAB LLUAi( RAi'IU� .k!IU iJL� 'w• -- '• Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center - Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate Justice Sub -committee Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) .Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information $ Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment $ Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Through Churches and Campus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and Johnson County residents. • Id ICROI ILM1.11 0Y JORM MICR16LAB rrnAr '•iiww, iLi•1LJ by JURt•1 111CRULA6 LLtiAi� kAf IJJ Ai1J OL i.. v. . � '•' Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/11illel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Nigher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social service delivery system in Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x- :4ICROf ILMID By 1 JORM MICR4ILAB ("DAD P.tr!n'. 1 11;S'ln191'S I•li�dWr iL4Lu 0Y JOHM MICkULAb I.LUA,t RAFIo.J AIIJ L1L, The following personnel completed the questionnaire 19 School building principals _ 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Association,be- cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. Twenty-two questionnaires were returned for a response rate of 20 percent. Four .attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however,' completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. i MICHef ILMLD By JORIN MICR( LA9 h1i �KUi ;LM1 b by JURM MICkULM Data Collected from Social Workers, Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. MiCROI ILMED OV ' JORM MICR6LA6 n,m onrin. ,r 'V'V, f11t.iW1 ILMLL) BY DORM 141CRO1,Ab III. DATA ANALYSIS LEOAR RAP1U� AND L)L� The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. 5:. �I _ t•11CNOFILIdF.D BY i DORM MICR+LA6 CrOAR ItnNn',, • PF1,,n piF5 hliw(Ut ILALo by JORM MICROLAB - 1- LLOAR RAP iuS AW JL. --, COAL To ensure the provision of minimum basic necessities on a short-term basis during sudden and unexpected dislocation, emergency, or tragedy. SERVICE AREA DESCRIPTION These interventive assistance services use a crisis -oriented delivery system to meet the short-term basic needs of residents who lack sufficient resources to provide for these needs. The intervention provided is usually of short duration and is de- signed to stabilize the immediate problem situation. Emergency assistance is given to meet the immediate need for food, shelter, utilities, clothing, medical care, and transportation. Financial assistance is given and temporary employment provided to assist the family or individual in meeting the cost of basic necessities. Referral to other appropriate resources and sources of more long-term solutions is also made. Client groups include: 1) families and individuals seek- ing to establish residence who lack the necessary means of support; 2) resident low-income families and individuals who are temporarily in a situation of emergency financial need; 3) victims of spouse abuse (almost entirely women) who are seeking shelter from a crisis situation.' Service Elements: 1) Direct provision of basic necessities: food, clothing, shelter, transportation, medical care. 2) Financial assistance: for procurement of food, clothing, shelter, utilities, medical care. 3) Budget counseling: to encourage and instruct low-income families and individuals in wise use of limited funds. 4) Referral to other relevant sources: other services which provide for basic needs, programs which offer longer- term financial assistance and assistance designed to promote self-sufficiency. q MICRO(ILRCD BY ' JORM MICR�LA6 wl,,:01 iC-40 BY JURM MICROLAb I,CUAk RA'riw AND JL. -2- PROBLEM DESCRIPTION Some resident families and individuals in Johnson County may be unable to provide for the basic necessities of life for themselves during times of personal and financial crisis. Resi- dents who experience such crises and find themselves in need of short-term assistance to see them through the crisis period in- clude: 1) families/individuals with severely limited incomes (below or slightly above poverty level) or temporarily without income, 2) victims of natural disaster, and 3) victims of spouse abuse, primarily women, who might be endangered by returning home and are temporarily without personal resources for basic needs. This section will examine factors which contribute to the need for emergency assistance in the above three cases: the approximate number of individuals/families involved, cost of living, level of income and related concerns. The purpose of this section is to explore, insofar as possible, the extent of need for emergency assistance services to residents of Johnson County. Each of the three groups mentioned above will be dis- cussed in terms of need. Families/Individuals with Low Incomes It is hoped that the data presented here will be of some help in identifying the number and percent of low-income Johnson County residents who, because of their financial situation, may encounter emergency financial difficulties in providing for basic needs. Ile have encountered difficulties in obtaining cur- rent figures on income levels of the county population and, correspondingly, on the number of individuals and families below or slightly above poverty level. Most of the data presented in this section is based on the 1970 U.S. Census, the most recent available source of extensive information. Data from the 1970 U.S. Census shows that 1,218 families (7.5 percent of all families in Johnson County) had incomes below bIiCROI ILMED BY ' JORM MICR(�LAB rrPAQ v!in:!4(`. MilutUFILLU BY JORM MICROLAb LEUAR RANio] ANU OG -3- poverty level. An additional 4,581 unrelated individuals* in the county (45.2 percent of all unrelated individuals) had be- low poverty level incomes. A total of 8,548 individuals (13.1 percent of total population) in Johnson County had incomes be- low poverty level in 1970. A breakdown of the poverty commu- nity in the county is shown in Table 1. It should be noted that figures do not include the 6,232 students living in resi- dence halls in 1970. The definition of poverty level which is used here is given in Appendix 3. Figures on per capita income for Johnson County and the State of Iowa for the years 1972-1974 are shown in Table 2. It can be seen'that Johnson County per capita income is some- what lower than for the state as a whole. A study done at Iowa State University in 1976 showed that the consumer price index in Johnson County was the highest in the state (122.73 percent of the average index of Iowa counties). This discrepancy be- tween average income and cost of living levels in Johnson County would seem to make it more difficult for those in the county with lower incomes to meet the cost of basic necessities than else- where in the state. *A person not living with relatives, but living in a household entirely alone or with one or more persons not related to him/her or living in group quarters (except inmates of institutions). Y �I hll f.ROC RVICa OY i JORM MICR#LAO NOV . 'lrS MOMFC r.11L1WV iLMLu B4 JORM MICROLAB -4- TABLE 1 LLOAR RAf' L1J Ailu uL Johnson County Population with Income Below Poverty Level 1970 — *See Appendix 4 for definition of poverty level. who are below **Percent of all persons in said population group poverty level. ***Does not include 6,232 students living in residence halls. ****Although University Heights is commonly considered part of the urban area, its residents are counted (by the U.S. Bureau of of the Census) as rural non-farm residents. y the Sources Iowa Cit DepartmentpoanCommunityoDevelopmenti, IowapCity,bIowa, July, 1976. 1977 Statistical Profile of Iowa, compiled by the Iowa Development Commission, Des Moines, Iowa, 1977. TABLE 2 Per Capita Income 1972-1974 1972 1973 1974 Johnson County $3,959 $5,081 $5,344 State of Iowa $4,297 $5,291 $5,279 Source: levelopmentt1ommissoon1eDo­fes IoWnescoiowaed11n77thc Iowa 141CQUF ILF!CO BY JORM MICRO LA13 rMpli, VN^')`. . 7r� MO!'11. Unrelated Families Individuals I'crsuns _ Population o** H ** H o** H 1 218 7.5 4,581 45.2. 8,548 13.1__ Johnson County � 7.2 3,634 44.6*** 5,725 ]2.2 Iowa City 692 538 49.2 793 13.1 Coralville 94 6.1 302 47.1 ] 136 , . 9.7" Rural Alon-Farm**** 241 7.8 894 12.4`" Rural Farm**** .191 10.6 107 43.0 318,605 11.6 — State of Iowa 63,956 8.9 95,208 41.6 *See Appendix 4 for definition of poverty level. who are below **Percent of all persons in said population group poverty level. ***Does not include 6,232 students living in residence halls. ****Although University Heights is commonly considered part of the urban area, its residents are counted (by the U.S. Bureau of of the Census) as rural non-farm residents. y the Sources Iowa Cit DepartmentpoanCommunityoDevelopmenti, IowapCity,bIowa, July, 1976. 1977 Statistical Profile of Iowa, compiled by the Iowa Development Commission, Des Moines, Iowa, 1977. TABLE 2 Per Capita Income 1972-1974 1972 1973 1974 Johnson County $3,959 $5,081 $5,344 State of Iowa $4,297 $5,291 $5,279 Source: levelopmentt1ommissoon1eDo­fes IoWnescoiowaed11n77thc Iowa 141CQUF ILF!CO BY JORM MICRO LA13 rMpli, VN^')`. . 7r� MO!'11. h11��<u ILMLL) BY JORM MICROLAB L.LUAIZ RAPIDS AIIU UL.. L. . Data from the 1975 edition of Sales Management's Annual Survey of Buying Power gives an updated picture Of the income levels of Johnson County residents. This data is presented in Table 3. In 1975, 21.3 percent of the households in John son County had incomes under $5,000. A total of 44.5 percent of all Johnson County households had incomes under $10,000 in 1975. 'CABLE 3 Annual Household Income in Johnson County 1975 Income Range 0 - 3,000 3,000 - 5,000 5,000 - 8,000 8,000 - 10,000 10,000 - 15,000 15,000 and over COUNTY TOTAL COUNTY MEDIAN Johnson n�Y 11.9% 9.4% 13.5% 9.7% 22.7% 32.8% $333,272,000 $11,170 Source: 1975 Edition, Sales Management's Annual Survey of Buying Power. Additional information compiled for District X1 in March, 1977 provides comparison of Johnson County with surrounding counties on a number of factors. District X covers six counties in Iowa: Benton, Iowa, Johnson, Jones, Linn, and Washington. Johnson County includes 25.5 percent of the population in Dis- trict X. The median income of all Johnson County residents is by far the lotaest of the six counties (Johnson County median is $4,548; average median between counties is $6,899). Although Johnson County has the lowest median income, it ranks fourth among the six counties in the percentage of: its population re General Social, Economic, Demographic, and Statistical (lata on Counties in District X," March, 1977. ' PtI CROP ILIIF.) BY 14 i JORM MICR6LAB f 1p Rnr!'v: np4 !dnl'IfS I.1iL<u� 1LP1Lu BY JORM MILROLAB • LLUAk RAI'I u:, ANU JL.. -6- ceiving public assistance (ADC, SSI, disability benefits, veterans' pension). Johnson County includes only 22.6 percent of the District X population below poverty level. Victims of Natural Disasters Emergency assistance is provided to victims of natural disasters by the Red Cross when five or more families are strick- en by the disaster. There is no guarantee of immediate assis- tance, however, when less than five families are affected. Assis- tance has been provided by the Salvation Army through its local service committee and by Johnson County Social Services during its office hours. However, Salvation Army service committee members cannot always be reached and the Department of Social Services can only assist those individuals who meet income guidelines for general relief. Victims of Spouse Abuse The incidence of spouse abuse in Johnson County is diffi- cult to document due to the nature of the problem. The Problem is a circular one. There are no agencies which provide inter- ventive services to victims of spouse abuse, so that women are reluctant to report abuse and perhaps worsen the situation at home. Thus, there is no real documentation of the problem on which to base assessment of need. Several individuals and agencies in the Iowa City area are concerned about spouse abuse, but at present there are no comprehensive services available to assist victims. Two sources of information which can only hint at the inci- dence of spouse abuse are the number of calls concerning abuse received by the Crisis Center and the number of complaints of offenses against family and children received by the Iowa City Police Department. Police Department records do not distinguish between spouse abuse and other types of family disturbance. Crisis Center records for the period from January 1, 1977 through June 30, 1977 show 33 calls concerning spouse abuse. Thirty of these were made by women. The majority of calls were ...i 1141001 ILMED BY JO RM MIC RmL A O fl'nA�` pPi!'�` '4S 5101 VCS Miu<Ur1LHU BY JURM 141CROLAB • CEDAR KAYiU� AiW JLC -7- received between the hours of 8:00 p.m. and 2:00 a.m Center statistics are presented in Table 4 below. TABLE 4 —. Spouse Abuse Calls Crisis Center January - June, 1977 TOTAL CONTACTS: 33 Call-in 32 Walk-in 1 Crisis Center 31 Information F, Referral 2 Crisis Male 3 Female 30 Under 18 years 8 Student 4 Over 18 years 25 Non -Student 29 Time of Calls Before 11 a.m. 9% 5 p.m. - 8 p.m. 9% 11 a.m. - 2 p.m. 9% 8 p.m. - 11 p.m. 24% 2 p.m. - 5 p.m. 18% 11 p.m. - 2 a.m. 30% Major Problems Mentioned Referrals Family Life 18 persons Police Department 3 Interpersonal 8 persons Womens Resource Alcohol 7 persons and Action Center 3 Marriage Dissolution 6 persons Of the reported information on the abuser, 20 were husbands, 3 were boyfriends or former boyfriends, three were stepfathers, and one was a father. The Iowa City Police Department received 372 complaints of offenses against family and children during the period from June, 1976 through May, 1977. No arrests were made in this category of offenses, although violence was certainly involved in at leas[ some of them. Women are no doubt reluctant to press charges against their husbands for several reasons: loss of financial support, shame and embarassment, fear of possible mozornmin By 1 JORM MICR+LAB MAP VArip Pft 1101'115 I.liu,WF ILML0 by JORM I41CRULAB • LtDAii RAVWS AND -8- violent consequences from the offender. The Department has noted that the incidence of faoily disturbance increases in the spring. Further information on reported incidents of spouse abuse was obtained from Johnson County attorneys. A question- naire was sent to all Johnson County attorneys in ,June, 1977. Of the 22 respondents, 17 addressed the section dealing with spouse abuse. Of these 17 attorneys, 10 felt that the inci- dence of spouse abuse was not increasing. Only three attorneys felt that there has been an increase. A few attorneys commented that they felt the visibility of abuse was increasing. The number of cases of spouse abuse seen by individual attorneys in the last year appears to vary greatly, with some having encountered none and others very frequently seeing cases of spouse abuse. Attorneys who commented felt that the majority of spouse abuse cases occur among couples in the process of dissolution. Attorneys were asked to indicate the percentage of cases of spouse abuse in which they suspected involvement of alcohol problems, drug problems, and mental health problems. Responses included no mention of drug problems. Nine attorneys felt that alcohol problems were involved; six of them suspected alcohol problems in 50 percent of spouse abuse cases. Eight attorneys felt that mental health problems were involved; four suspected mental health problems in 50 percent of abuse cases. POPULATION SERVED Financial Assistance to Meet Basic Needs Eight agencies and some local churches which provide emer- gency assistance to residents with financial need were asked to furnish information on the number of clients served during the past fiscal or calendar year. Data on age, sex, race, level of income, and place of residence was also requested from the agencies. Because of the variety of services offered and dif- ferences in numbers of clients served, this information is pre- sented by individual agency. m nerILME0 By ' JORM MICR6LA6 rrIIAV u.p.i nt nrt '-0 TNFI MiIuWt IL;-1LU by JURM MICRULAB LLUAR kAkiva i6L) uL -9- Johnson County Social Services -- General Relief pro- vides short-term emergency financial assistance to residents of Johnson County. During FY 1977 (July 1, 1976 -June 30, 1977), 1,440 client appointments were provided. Data on the number of clients involved is not available. Most of the clients served (90 percent) reside in the Iowa City metropolitan area. The remaining 10 percent live in the small cities and rural areas of the county. All clients have incomes under $10,000. Data on sex, age, race is not readily available. Johnson County Commission of Veteran Affairs provides short-term emergency financial assistance to honorably dis- charged veterans and their families. Two hundred thirty Johnson County families (482 persons) were served in 1976. Eighty percent of those served reside in the Iowa City metropolitan area. The remaining 20 percent live in other areas of .Johnson County. All families had in- comes under $5,000. Nearly all clients were male (98 percent) and white (95 percent). Most clients (95 percent) were between 25 and 59 years of age. Age ranges were as follows: 25-35 years, 50 percent; 36-59 years, 45 percent; 60 and over, three percent; and 19-24 years, two percent. Direct Assistance to Meet Emergency Needs Iowa City Free Medical Clinic provides health care at no cost to the patient. In 1976, 2,886 individuals were served. A total of 4,223 patient visits were made, 3,763 (88 percent) of these by Johnson County residents. Of the visits made by Johnson County residents, 64 percent were residents of Iowa City, 20 percent were University students, and 16 percent were residents of other areas in the county. The majority of the total population (68 percent) were female. Most patients (82 percent) were between 15 and 34 years of age. About 10 Tier - cent were tinder 15 and about eight percent over 34 years of age. Information on race and income level is not maintained. Birthright of Iowa City provides for emergency needs of 14ICROFIL1110 BY ' JORM MICR¢LA9 r,PAp n.v !n. 4FS NO!4fS MiuWI iLi4LU BY JURN MICRULAB 10 - LLUAR RAI'IUJ ANU JL " women who find themselves in an unplanned pregnancy and who do not have resources to provide for their needs. Assistance is provided on a smaller scale than that given by the previous- ly mentioned agencies. Fifteen women were provided with housing for varying men were housed for lengths of time during 1976. About 10 we three to five months and five women were housed for ane to two weeks. No information has been obtained on the number of women to whom other emergency assistance (clothing, furnishings, etc.) was provided in 1976. About 75 percent of all clients reside in Johnson County. The remaining 25 percent live in the sur- rounding area. Nearly all (95 percent) are female and white (95 percent). Clients, ages range from 13 to35 yeaeaof age, with majority (65 percent) are -between 13 and 18 years an additional 25 percent in the 19 to 24 year age bracket. About 10 percent are from 25 to 35 years of age. information on client income levels is not ascertained by Birthright. The Iowa City Crisis Center sometimes provides emergency transportation locally to residents in emergency situations. A total of 70 individuals were provided with emergency transportation during 1976. No further information on client characteristics is available. The Crisis Center estimates that all its clients have incomes under $10,000. Emergency transportation has been provided to both transients and resi- dents, although the Crisis Center staff feels that most of those served in 1976 were Johnson County residents' rovides Johnson CountChapter American Red Cross p relief and recovery assistance to disaster victims. Expends tures totaling $465 for FY 1976 (July 1, 1975 -June 30, 1976) went toward the purchase of supplies and equipment. No direct assistance was rendered. Some Local Churches provide direct assistance in the form of food, shelter, clothing, and/or financial assistance for food, shelter/rent, clothing, and medical care to residents who need assistance. About 20 to 25 individuals received MICRUf ILMED BY 1 JORM MICR+LA6 rrppu nnv m. . nf`•'AO!'ll'C MiUKUi iLMLU by JUkM MICRULAB ULUAtl i(AYIU� AND JU 11 - assistance from 17 churches in the Iowa City/Coralville area in 1976. Information is based on responses to a survey con- ducted in June, 1977 from 20 or the 51 churches in the Iowa City/Coralville area. No responses were received from churches elsewhere in the county. HACAP provides weatherization and emergency food and medical assistance to residents of Johnson County. Ninety-seven clients (a client is defined as one house- hold or one individual served) were served by the weatheriza- tion program during the fourth quarter of 1976 (the average number of persons served per quarter is 62). Sixty-seven percent of these clients had incomes below poverty guidelines (see Appendix 2 for guidelines). The majority (59 percent) were female. Nearly all clients served during the quarter (98 percent) were white. Clients of all ages were served, with the majority falling into the following ranges: 22-44 years, 44 percent; over 65, 16 percent; and 6-15 years, 15 per- cent. No information is maintained on breakdown of residence within the county. Forty-eight clients were served by the emergency food and medical program during the third and fourth quarters of 1976. Sixty percent of these clients had incomes below poverty guidelines. The majority (55 percent) were female. Most (79 percent) were white. The majority of clients fell into the following age groups: 39 percent of those served were from 22 to 44 years of age and 28 percent were from six to 15 years of age. Only one percent of those served were over 65 years of age. Again, no breakdown of residence is available. The Free Store provides free, usable, second-hand cloth- ing to individuals who need it. Transients, as well as resi- dents, use this service. The Free Store has about 100 regular users of its service. No information on client characteristics is maintained. The Emma Goldman Clinic for Women provides safe, comfor- table vacuum aspirations upon request to women in the first MICRO[ ILMEO BY ' JORM MICR+LAEI ilnp9 Vw'I n�. 9F4 Mi(.ifUr ILMLL) BY JORM MICRULAB • LEDAR RAYluS A(ID OLS - -12- - trimester of pregnancy. Approximately 20 abortions were per- formed per week during 1976. No information on client character- istics was provided. SWRACE Agency Male Female White TABLE 5 5% 9510 954 5, ` Characteristics of Population Served RESIDENCE Veteran Affairs 98% 2% 950, 5, Free Medical Clinic 321 68% Free Store 251, 75% 95: St Small Touns/ 98% Agency Johnson County Iowa City Area Rural ,Areas Out-of Birthright of Iowa City 75% Very little infomation oniincome was provided by agencies. Broad estimates -- by agencies listed below. -- 25% J.C. Commission of Agenty Client Income J.C. Conmission of Veteran Affairs 100% Under $5,000 80% J.C. Soc. Serv.-- 20% _ -- J.C. Soc. Serv.--Gencral General Relief (hider $10,000 Crisis Center Under $10,000 Relief 10010 67% below poverty level/33% above poverty 90% Food/Medical 100. -- Free Medical Clinic 881 7410 14% 124, - AGE Agency 0-4 5-12 1313=18 1919=24 2525=35 36_59 60+ Birthright of Iowa City --- ---- 65% 2510 lOt ----- --- J.C. Crnmnission of Veteran Affairs --- ---- ----- 210 50% 45t 31. These agencies keep their data in a slightly different manner: Agency 0-4 5-14 15_19 20_24 25_34 35_59 60+ Free Medical Clinic 5% 5% 20% 380 24% 6% .o 0-5 6-15 16-21 22-44 45-54 55-64 65. HACAP--Woatherization-- 6% 15% 4% 44% 7t 8% 161. Food/lbdical 16% 28% 10t 3910 6% ----- It SWRACE Agency Male Female White Non-hbite Birthright of; Iona City 5% 9510 954 5, ` J.C. Commission of Veteran Affairs 98% 2% 950, 5, Free Medical Clinic 321 68% Free Store 251, 75% 95: St IIACM--Weatherizetion-- 41% 59% 98% 2% Food/Medical 45t 55% 7910 21% INCOM M Very little infomation oniincome was provided by agencies. Broad estimates were given by agencies listed below. w Agenty Client Income J.C. Conmission of Veteran Affairs Under $5,000 ,,.. J.C. Soc. Serv.-- General Relief (hider $10,000 Crisis Center Under $10,000 IM.AP--Weatherization-- 67% below poverty level/33% above poverty level Food/Medical 60% below poverty level/40% above poverty level i I.110OF ILMEn By JORM MICR6LA9 frnAP PAPM', . nr5 F101nFS MkAUi 1LMLu by JUHM MICHULAb - 13 - LLUAH HAP lui ANU JL SERVICES PROVIDED The services provided to residents of Johnson County with emergency need for basic necessities fall into three major categories: 1) financial assistance toward procurement of basic necessities, 2) direct provision of basic necessities, and 3) referral to resources which assist in provision of basic necessities. The services which presently exist in Johnson County are detailed below. Emergency Financial Assistance Toward Procurement of Basic Necessities The greatest amount of emergency assistance to residents of Johnson County is provided in the form of financial aid. Financial aid for miscellaneous basic necessities is provided by Johnson County Social Services, Johnson County Commission of Veteran Affairs, HACAP, and the University of Iowa Office of Student Financial Aid. Basic necessities for which financial assistance is given include food, shelter and rent, clothing, utilities, and medi- cal care. Occasionally assistance is given for other needs, if essential to the health and well-being of an individual (e.g., a telephone for an elderly or handicapped person who lives alone and is home -bound). Agencies which provide emer- gency financial assistance rely on stated guidelines for finan- cial and circumstantial need in order to determine eligibility for assistance. Assistance is given for a limited period of time on a one-time basis. In cases of extreme emergency, a client may be assisted more than once. Emergency financial assistance, however, is designed to alleviate an acute crisis situation and not to provide assistance to those in chronic financial need. Emer ency financial assistance for food shelter/rent clothing, utilities medical care and miscellaneous needs is provided by Johnson County Social Services and the Johnson County Commission of Veteran Affairs. Many of the clients who 'P '41CRBfILMED By 1 DORM MICR�LAB crnvR PAr111'. , oft 'IcW f`. 61i wfUr iLJ,ILU BY JORM MICROLAb -14- LLUA,i RAVIU'� AI1U uL are in need of assistance are waiting until eligibility for categorical assistance (ADC, SSI, Veterans' Pension) or unemployment can be determined. A number of clients are in search of employment and require assistance during this time. Social Services bases its determination of eligibility on income guidelines (see Appendix 1). The guidelines used for determining the amount of assistance which an individual or family can receive under General Relief are the same as those used for ADC and are set by the Johnson County Board of Supervisors. For example, a one -member household may receive up to $145 for a one-month period; the individual's earnings for that month are subtracted from the $145 and he/she may re- ceive aid not to exceed the resulting amount. Clients are given vouchers for food, utilities, clothing, shelter, etc. Maximum amounts for these specific purposes are determined according to the guidelines. Assistance for shelter cannot be applied toward damage deposits, but landlords are usually willing to work with the client to arrange payment of damage deposits and will give him/her two or three months to pay. Clients of Social Services must be residents of Johnson County but no prior period of residence is required. Families and individuals who are seeking to establish residence in the county receive the same consideration for assistance as do prior residents. Social Services asks only that clients register for work at Job Service of Iowa if unemployed. Johnson County Social Services does not have provisions for budget counseling except on an informal basis by individual caseworkers. They would like to be able to hire a professional budget counselor to talk with people before they receive assis- tance, but this is not possible at the present level of funding. There is also a problem in that clients do not see themselves as managing money poorly and are reluctant to accept help. Another problem in this area is that it is very difficult to find conservators for those in need. No agency in Johnson County provides budget counseling/money management services on MIC.RO[ILMED BY JORM MICROLAB rrMn 11M.711, . 'Ir 4 !MPICG MIU,WI iLMLJ by JORN (AIGROLAb -15- LLUA,< kAf'10� AilU u� a formal basis. The Commission of Veteran Affairs assists honorably dis- charged wartime veterans when they are ill or their income does not suffice to support themselves and/or their family. Determination of eligibility is based on the individual personal situation. Clients must be residents of Johnson County. Financial assistance for basic necessities is available during office hours of the two agencies. No assistance is available from these or other sources on weekends or at night. Emergency financial assistance for food and medical care is provided also by HACAP. Determination of eligibility is based on income guidelines (see Appendix 2) and on emergency need. Because HACAP's income guidelines are somewhat higher than those used by Johnson County Social Services, Social Ser- vices often refers families or individuals whose incomes are slightly above its guidelines to HACAP for food assistance. Clients of HACAP's program must be residents of Johnson County. Emergency financial assistance for food and medical ser- vices is available during regular business hours. Again, no assistance is available after hours or on weekends. Nearly all of the assistance provided is for food, rather than medical services. It would seem that the provisions available through State Papers, County Clinical Papers, and the Free Medical Clinic suffice to meet the medical needs of most individuals in Johnson County. Financial assistance to meet the emergency needs of students at the University of Iowa is provided by the U of I Office of Student Financial Aid. Registered students may receive loans of up to $500 to assist them in meeting unforeseen expenses. A student is required to have maintained a grade point average of 1.8 or above during his/her study at the University of Iowa in order to be eligible for a short-term loan. He/she is also asked to specify the reason for which the loan in needed, al- though the particular reason given, if reasonable, is not a VIILRDI ILMCD BY JORM MIC R41LA9 r!,AV Vpn,�( Sit IID;7f5 M i L1W I iL;1,U I3Y JORM 1.11CkOLAi1 LLUAK kAl'1J� AIiU JL.. -• " -16- criterion for eligibility. Loans of up to $100 are given immediately upon application and must be paid with the next tuition installment, within a period of one month to seven weeks. A student may receive no more than three such loans during any given year. If a loan of more than $100 is needed, the student applying must have someone who is not a student or faculty member cosign the loan. Loans not exceeding $500 may be requested. These larger loans must be repaid within nine months. A student may be granted only one such loan during any given year. Interest is charged on all loans at a rate of three percent. Financial assistance for medical care is provided by the State Papers program and County Clinical Papers, both of which are administered by Johnson County Social Services -- General Relief. Nearly all services provided through County Papers are purchased at the University of Iowa Hospitals and Clinics. Johnson County Social Services also has a $300/month service contract with private physicians at Mercy Hospital through the County Papers program. County Papers are used only for small bills (under $650). If a client's bill exceeds this amount, the account is switched to State Papers, which are provided out of a different fund. Although aid to residents who are veterans of the armed forces must be administered by the Commis- sion of Veteran Affairs, hospital bills exceeding the Commission's quota are also provided for through State Papers. The County is allotted a fixed number of State Papers (as of July 1, 1976). Johnson County was given 20 additional slots for the Oakdale Alcoholism Unit at that time and now has 164 slots per year for State Papers. Eligibility for State Papers is determined by the income and available resources of an individual/family as compared with household expenses and the expense of treatment. ADC/General Relief guidelines are not used in awarding State Papers. Johnson County Social Services makes the final deci- sion in the awarding of State Papers to residents of the County. MICRO[ ILHEU or ' JoRM MIGR6LAB rrpAP 1'dPT" • Nc +I019FF HIL.iWU ILMLL) by JORM 141CRULAB LLUAk RAi IUJ A;l U UL -17- Dental services are not covered by County Clinical Papers or State Papers. Those individuals who are covered by Title XIX or ADC may receive emergency dental care, but the U of I Dental Clinic and local dentists do not make pro- visions for accepting County or State Papers. HACAP had a program in the past for provision of dental care to elderly persons and small children through the U of I Dental Clinic, but this is no longer in existence. It should be noted that oral surgery can be provided through County or State Papers as it falls within the auspices of the Hospital and not the Dental Clinic. Obstetric and orthopedic services are provided through State Papers but are quota -free (i.e., not counted into the 164 slots available for State Papers). Direct Assistance to Meet Emergency and Basic Needs Some agencies in Johnson County provide direct assistance for basic needs to residents in situations of emergency need. The following agencies provide some form of direct assistance: HACAP, the Iowa City Free Medical Clinic, Birthright of Iowa City, the Emma Goldman Clinic for Women, the Free Store, and the Iowa City Crisis Center. The American Red Cross and the Salvation Army sometimes assist families and individuals in cases of natural disaster. In addition, some local churches occasion- ally provide assistance, both direct and financial, to residents of Johnson County. Assistance for weatherization of homes of low-income families and individuals is provided by HACAP. Insulation of homes is designed to reduce an individual's or family's energy costs and to lower energy consumption by 20 percent. Determi- nation of eligibility is based on income guidelines (see Appendix 2). The client must usually own or be buying a home, although weatherization measures not exceeding $500 in cost may be done on rented housing if the client cannot otherwise obtain them. Health care at no cost to the patient in a supportive -I MICROFILMED By 1 JORM MICR¢L.A6 rf PAP 01111)'. . !V '4019(5 M!L;Wr iL;'!LL) BY JORM Id1CkOLAb 18 - LLUAr< RAP iJU Ni IU uL -. - environment is provided by the Free Medical Clinic to people who are unable to afford care from other sources and to those who have need of confidentiality in regard to care. There are no eligibility requirements for treatment. A wide range of clinical services is provided. Clients in need of more extensive or specialized treatment are referred to University Hospitals and Clinics. The services of the Free Medical Clinic are available from 7:00 p.m. to 10:00 p.m. on Monday and Thursday. The Clinic staff would like to provide more hours of service but this is not feasible at present funding levels. The staff also feels that continuity of care for the patient who must return several times for the same problem is lacking due to the large number of volunteers who do not work at every clinic session. The Clinic would like to employ a nurse practitioner or physician's assistant who would be able to work at every clinic session in order to alleviate this problem. Emergency assistance for women who find themselves in an unplanned pregnancy, is provided by Birthright of Iowa City and the Emma Goldman Clinic for Women. Birthright provides maternity and baby clothes, furnish- ings, and assistance in finding temporary housing and employ- ment to women who decide to carry their pregnancies to term. Housing has been provided during the past year for periods of time ranging from one week to five months. Women are housed in private homes, most of the cost being contributed by the host. Transportation related to the above services is also provided by Birthright. Eligibility is based solely on need. Referrals are made to the appropriate resources for assistance with hospital bills (Johnson County Social Services - State Papers program) and/or adoption counseling (Catholic charities, Lutheran Social Service). The Birthright office is open for three hours a day, five days a week during the University school year. Birthright maintains a 24-hour answering service. The Emma Goldman Clinic for Women provides vacuum aspira NICRaI ILMED BY DORM MICRd•LAB rrh,�R 141r!bt . 9f` 1.101!f° 1'A biles<W iLALL) By JORM MICROLA0 -19- LLUAH RAI'Iuj AUU JL, tion abortions upon request to women in the first trimester of pregnancy. Clients have the opportunity to discuss the abortion procedure, aftercare, and birth control with members of the Clinic staff. The client pays the full cost of the abortion, but the staff feels that cost is not a prohibitive factor in the delivery of the Clinic's services. The Clinic members feel that their abortion service and the manner in which it is provided is unique in this area. Due to a shortage of abortion services in some areas of the state, the Emma Goldman Clinic must often refer women to out-of-state facilities. Free useable second-hand clothing is provided to indi- viduals who need it by the Free Store. The Free Store is sup- plied entirely by donations. There are no eligibility require- ments. Service is available from 9:00 a.m. to 10:30 p.m., Monday through Saturday during the University school year. Emerge cy transportation for persons in crisis is pro- vided by the Crisis Center. Transportation is provided in cases of drug overdose, suicide attempt, psychological breakdown, and family crisis through the use of volunteers' cars. Clients are taken to the appropriate facility, most often one of the hospitals, Wesley House, or the Crisis Center itself. The Crisis Center receives a number of calls dealing with cases of spouse abuse (33 calls recorded from January - June, 1977) for which it is able to provide some intervention. However, there is no shelter facility or trained counselor in .Johnson County which is specifically equipped to deal with cases of spouse abuse. Direct provision of and financial assistance for various necessities are available in limited amounts from some churches in Johnson County. Of the 20 churches responding to a survey in June, 1977, 17 indicated that they occasionally provide assistance to county residents. Table G shows the types of assistance provided and the number of churches providing each type. i MICROFILMED By JORM MIC R6L A B TPAP 11APF c qc MO IV M9 L,Wr itPhU by JORM MICROLAb I,LUAk kAkiu'j ANO OL, -20- TABLE: 6 Assistance Provided by Churches Direct Provision of: Money for: Food - 4 churches Food Shelter - 1 churche Shelter/Rent Clothing - 3 churches Transportation/ Medical Care - 3 churches - 2 churches - 1 church Note: 3 churches did not specify the types of aid provided. Referral to the Appropriate Resources for Emergency Assistance Referral is provided by United Way Information and Referral and by the Iowa City Crisis Center. A list of referrals for emergency assistance which are received and made by all relevant agencies is provided in Table 7. Table 7 ..4 Referrals for Emergency Assistance AGENCY REFERRALS RD•CEIVIM 1101 REFERRALS AMl:: TO Birthright of Iowa City Other Birthrights J.C. Social Services SOcinl Workers at University (for financial aid/ (Hospital (for help in find- State papers) ing housing) Catholic Charities (for Enna Goldman Clinic for adoption cotmselins) Women Lutheran Social Ser- erCrisis CrisisCenter (for suppor- vice (for adoption tive services) counseling) J,C. Commission of J.C. Social Services J.C. Social Services Veteran Affairs (for food stamps/ State papers) J.C. Social Services-- HACAP IMCAP General Relief Crisis Center Crisis Center (for Vocationnl Rehabilitation services to transients) J.C. Coaunission of Veteran J.C. Caunission of Affairs Veteran Affairs (for Job Service of Iowa financial assistance J,C. Social Service workers to veterans) Problem Drinking Center Social Security (for Voss (louse SSI, Social Security Local physicians Disability) University (Hospitals and Vocational Rchabilita- Clinies business office tion + (mainly for State papers) University (Hospitals Dept, of Adult Cc:rections and Clinics --Social (mainly for assistance for Service Department medical care) Service workers at J.C. Social Scrviccs (corn plemeltary services) MIf.ROI Iu411) BY 1 JORM MIGR�LAEI N 1An . "F� !M!'I1'', hliLi<OI !L;'ILL) BY JORDI 141CROLAB Iowa City Crisis Center -- Emergency Transportation Iowa City Free Medical Clinic Free Store --Clothing HACAP Local Churches United Way Information and Referral LLUAR RAPiJ� APL -21- Contacted by other agencies when they are unable to provide such transportation Crisis Center Visiting Nurse Association of Johnson County United Way Infonmation and Referral Wesley House Iowa City Churches 6iost frequently transport clients to af`°�n`hiau'ic University '1dl' hospitals, Union Bus Depot, Wesley Iluuse University Iluspitals and Clinics (for more extensive or specialized treatment) Wesley (louse Crisis Center (for tempor- ary housing) Job Service of loowior:vy Wesley house (for ftem 1 cmplopment) Stone Soup (for free mems in exchange for work) Do not record this data. List referrals as made to "appropriate resources." Other churches Crisis Center Wesley House. Members of eommntity Free %Ldical Clinic J.C. Social Services University hospitals and J.C. Social Services (for lona Memorial Unio„ Clinics assistance in finding housing) Referrals made to all relevant agencies which provide emergency assistance. Iowa City Crisis Center Referrals emergencyto nil srelevant,Igencies which Information and Referral I provide Emma Goldman Clinic for Women U of I Hospitals' Earl v Termination of Preg- nancy Clinic Family Planning Planned Parenthood Private physicians Other clinics I•i1CR011LMID BY JORM MMRbLAB Refers out-of-town women to their Phy- sician or clinic for pregnanev testing and a pelvic exam prior to providing them with abortion appoint- ment I.1i w<Ur ILb1LU BY JORM I.1ICROLAB 22 - LLUAti kAVIUS AND ,,L:, UNMET NEEDS Several areas of need in the emergency assistance ser- vice system have been identified in the course of our study. Most of these have been mentioned previously. All deserve further elaboration here. Provisions for emergency assistance after regular busi- ness hours: No assistance is available to provide for the basic needs of residents in crisis at night or on weekends. This is a problem particularly in cases of unforeseen emergency ' which occurs after business hours or during the weekend. " Johnson County Social Services does have a social worker on �- call at all times but it is unable to make provisions for emergency financial assistance on weekends or at night. Two exceptions are noted with regard to the availability of services. Emergency transportation is sometimes available from the Crisis Center during office hours (11:00 a.m. - 2:00 a.m., seven days a week). Emergency transportation is also provided by the police department. Assistance to victims of natural disaster is available from the Red Cross immediately upon the occurrence of such disaster if five or more families 1 are involved. Budget counseling/money management services: No agencies in the Johnson County area provide budget counseling or assis- tance with money management by a trained counselor. Informal assistance is provided to clients by some of the social workers at Social Services and to some residents of the Mark IV complex by the students that work at the Mark IV Community Center; how- I ever, clients are reluctant to accept advice in most cases and do not usually view themselves as poor money managers. Lower income individuals are particularly in need of the assistance which a trained budget counselor could provide to help them .1 stretch their limited resources to cover expenses. Assistance for victims of spouse abuse: There is increas- ing concern on the part of a number of individuals and agencies in the Iowa City area about the need for interventive services all 'I 141CR01 ILMEO By 1 JORM MICR(�LAB Ijit,iW11L•ILU BY JORM 1,11CROLAb -23- uuAd RAP iJ�, ANU Ji in cases of spouse abuse. As previously stated, the Crisis Center received 33 calls from January 1 through June 30, 1977 for assistance in cases of spouse abuse. Other agencies in- volved with cases of abuse are the Community Mental Health Center and the Police Department. The incidence of spouse abuse in the area, as previously mentioned, is difficult to document. Since there is no agency which offers the needed intervention, women have no central place to report and no place from which to seek help. Victims are often reluctant to report the situation to the police or Crisis Center due to fear of worsening the consequences at home as a result. Spouse abuse is difficult to document as a result, although it is a problem area which needs attention. There is a need for services which would provide immediate and intensive mea- sures for alleviating the abuse and attempting to prevent future occurrence or abuse. Programs in other areas of the country offer immediate shelter to the abused individual and/or immediate, intensive counseling therapy involving both the abuser and the victim. Therapy is aimed at reconciliation through identifying the root problems leading to abuse and exacting commitments to change of specific behaviors from both parties. Shelter ser- vices are geared to end the immediate cause of abuse by separat- ing victim and abuser and providing a protected, supportive environment for the victim. No comprehensive service for intervention in cases of spouse abuse exists in Johnson County. Provision for dental services to low-income residents not receiving categorical assistance: One area of need which is not covered by County Clinical Papers or by any program is dental services. Neither the University of Iowa Dental Clinic nor local dentists provide services to low-income people through the County Clinical Papers system. There is no means at present through which indigent people can receive dental services if they are not receiving categorical assistance. MICR011041) 9Y 1 JOFtM MICROLAB rf p4V 'Arl", . Ir"Ilnlw`, MiuRW ILMLU BY JORM MICROLAB -24- LtUAH RAP Iu'3 AND UL IL_. ._ Need for assistance in cases of disaster which involve fewer than five families: There is no guarantee of immediate w provisions in cases where fewer than five families are stricken ,I by natural disaster. The Red Cross is responsible for pro- viding assistance only in situations of natural disaster in- " volving five families or more. Social Services will provide for persons who meet income guidelines, but immediate services cannot be provided after business hours or on weekends. Assis- tance has been provided by the Salvation Army through its local volunteer service committee, but volunteers cannot always be reached, so that assistance is not always immediately available. The family or individual who has lost everything in a natural disaster involving less than five families some- times is left without any source of needed emergency assistance. �.I. MICNOIILWEO OY JORM MICR6LA13 frnAn PAI !"I nf4 bIDINfS U MIuiWiILALJ BY JORM 1-11CROLAb Priority Problem LEUAR RAPiJ� AIIU JLC GENERAL RECOME\DATIONS Recommendation Possible Agencies Funding Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first.year of the Human Services planning project. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Communication, Coordination Information Inadequate communication and coordination among agen cies providing service results in inconsistencies, particularly in the way clients with multiple prob- lems are handled. Delays in the provision of service and misunderstandings or disagreements regarding service provision may occur when two or more agencies are involved with the same client. Regular meetings among agencies have been attempted but have been less than successful. Organizing and convening such meetings requires staff time and effort not available from any one agency. Agency directors and staff providing similar programs or services to similar client groups should meet together on a regular basis to: 1) share information about programs, 2) explore solutions to common problems, 3) acquaint them with the staff of other agencies to facilitate the refer- ral process and increase trust levels, and 4) share information on clients within the con- fines of confidentiality. —I I I.11CROfILMf.D BY JORM MICR+LAB MIAP R,1PIP° • O1S I•IOIIlrS All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Priority P1Il,ROFILMLU BY JORM MICROLAB Problem LLDAN RAPIJS AND L ?I ., GENERAL RECOMMENDATIONS (Continued) Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents geeting lost in the system without getting the service provision is also often done without consultation with agen- cies affected by such programs. The result is that services are delivered with less than optimal efficiency and effectiveness. d sent time through many agencies. As a conse- quence, it is difficult to assess portions of the pop- ulation which may be inade- quately served, and for which programs should be developed. Recommendation Human Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for them to succeed. Assessment of data require- ments is needed by 1) agen- cies to assess existing pro- grams, and 2) funding bodies to make allocation decisions based on cunmunity need. 1t common data collection and retrieval system should be developed which would place minimum demands on agency staff time and be economical. Funding agencies should make inquiries into systems Of :41CROFILMED BY I DORM MICROLAB MAP PAPPI� • PFS MOM, Agencies Affected All public and private not-for- profit agencies providing ser- vice to Johnson County, Cities Johnson County, United Way Possible Funding Sources Johnson County Re- gional Planning Commission, City, County, United Way T' "Z PIICRUFILMCU BY JORM MICR+LAB CI.OAP I?Apin- • Oft NUINCS Priority t.nw4 ,a'nny i1L�WU ILMW BY JORM 1,11CRO LAB Problem (lours of Service Emergency assistance is not available at night or on week- ends. Tile Johnson County Dept. of Social Services has a social worker on call 24 - hours a day, but does not presently provide emergency financial assistance after business hours. The most urgent need would seem to be that.for food, although there is some need for tem- porary shelter provisions as well. The Iowa City Crisis Center provides as- sistance to those in dire need through Salvation Army vouchers. However, funds will no longer be available to the Salvation Army as of January 1, 1978 and the Crisis Center will no longer be able to provide this assistance. An estimated 70 Johnson County residents who were in need of emergency assistance for food or shelter during off -hours contacted the Crisis Center during the year beginning July 1, 1976 and ending June 30, 1977. CEUAR kAP10U, AND L)L.:i�':'L_ RECOMENDATIONS Recommendation Financial assistance should be accessible to those who find themselves in situa- tions of emergency need dur- ing off -hours. Two possi- bilities are suggested: _ 1) Initiation of a voucher. system using General Re- lief funds to operate dur- ing off -hours through which emergency food and shelter would be provided upon referral. 2) Establishment of a food pantry by churches and/or interested citizens, which would have flexible hours and would provide food upon referral from the Crisis Center, Dept. of Social Services, and/or local churches. ' MICROFILMED 6Y JORM MICR#LAB fr DAP . ,rs vvnn+rs Agencies Affected Johnson County Dept. of Soc- ial Services/ General Relief, Local Churches, Johnson County Commission of Veteran Affairs Possible Funding Sources County, Local Churches Priority mlu<Ui iLALU by JURM 141CRULAB Problem Disasters There is no assurance that assistance will he provided in cases of natural dis- asters which affect less than 5 families. The Ameri- can Red Cross provides as- sistance to disaster vic- tims in .Johnson County only when 5 or more families are affected. Because there is no local Salvation Army office, local Salvation Army volunteers are not always accessible. Spouse Abuse There is no organized means, other than legal channels, for the provision of assis- tance to victims of spouse abuse. The incidence of spouse abuse cannot be documented for a number of reasons. Because there is no or- ganized resource to assist victims, it can be pre- sumed that most of them do not report the abuse. The shame, social stigma, and fear of the abusive spouse accompanying the problem make it difficult GEDAK RAVID� AND JL " .- Recommendation The provision of assistance to persons stricken by a natural disaster in which less than 5 families are in- volved should be assured. Representatives of agencies involved in the provision of disaster assistance should meet to plan for assuring the provision of such assis- tance. Johnson County Re- gional Planning Commission Human Service staff should facilitate these meetings. An organized system of cri- sis intervention should be available to victims of spouse abuse, perhaps at first on a pilot basis. Agencies which provide cri- sis intervention and re- lated services should meet to determine how they would fit into this sys- tem and to decide the best means for providing assis- tance. The following possibilities are suggested: 1) Immediate intensive cri- sis -intervention counsel- ing for the victim or MKWILMID By JORM MICM�LAS IDan PAOPI' . '1rC rd0IRr5 possible Agencies Funding Affected Sources Red Cross, Salvation Army, Crisis Center, Local Churches Iowa City Crisis Center, Women's Resource and Action Center, Johnson County Rept. of Social Services, Local Churches, Police Depts. in J.C., Community Mental Health Center - County, City* United Way County, City United way, Univ. of Iowa b Priority 111�,kUi ILMLU by JURM MICRULAU Problem for the victim to tell anyone. The Crisis Cen- ter receives about G calls per month dealing with spouse abuse. The Women's Recource and Action Center, although it has no formal program for provision of assistance, received 18 referrals concerning spouse abuse from May 10 thru Sept. 30, 1977, only one of which came from the Crisis Center. It is presumed that the inci- dence is much higher than this. LEUAR RAPiuS PJ1U uL, jU.�,L-. Recommendation both spouses which is aimed at resolving the situation and ending the abuse; 2) Provision of temporary shelter to victims of spouse abuse, either through a central faci- lity which would have as its purpose the provi- sion of temporary shel- ter both to victims of spouse abuse and to tran- sients or through the use of volunteers' homes. Money Management Difficulty is experienced by ' Money -management and/or many people in effectively credit counseling should managing financial resources, be made available to resi- resulting in financial crisis. dents of Johnson County Currently no resource for - who are experiencing fi- money management exists in nancial difficulties. Be - Johnson County except a few cause the number who need services provided through and would use such a ser - local banks. vice cannot be accurately es- The number of people affected cannot be determined as agencies have no accurate record of the number of fam- ilies and individuals ex- periencing financial crisis. timated, a pilot project is suggested. The following possibilities for provision of this service are recom- mended: 1) Johnson County Dept. of Social Services, 2) Local banks, or 3) A system of trained volun- teers (possibly University business students). ' M]CROFILMED BY f DORM MICR+LA9 fFOAP P.v`I'V • PFS MOIN S Possible Agencies Funding Affected Sources Johnson County County, City Social Servi- United Way ces - General Relief, HACAP, Adult Correc- tions (Probation and Parole), Court (bankruptcy), Lo- cal banks hllLkUFILALU BY JORM MICRULAB Priority Problem S. Dental Services Some low-income residents of Johnson County are not re- ceiving Title XIX assistance for dental care and are unable to afford such care. The cost of basic dental care is cover- ed by Title XIX for those eli- gible. Limited funds are available through the Council on Aging for dental care of elderly persons. A rough estimate of the number of people who are not receiv- ing dental care can be deter- mined as follows (1970 sta- tistics): (all Johnson County families.) Families Below Poverty Level - 1218 (7.59 of all J.C. Families) Families on Title XIX - 825 (5.19 of all J.C. Families) Families Not Receiving Dental Care - Approx. 393 (2.49 of all J.C. Families) This very rough estimate does not take into account the number of those slightly above poverty level who have difficulty in paying for or are unable to afford dental care. CEUAR RAPIUS AND L)L, lo.:IL Recommendation Agencies Affected A program should be developed Iowa City Free to ensure that dental care is Medical Clinic, accessible to Johnson County Johnson County residents who at the present Dept. of Social time are unable to afford such Services, Univ. care. Two possibilities are .of Iowa Dental suggested: Clinic, Dental 1) Dental services and screen- Association, ing might be provided by Johnson County the Free Medical Clinic Council on Ag through hygienist, student,ing, Univ. Iowa Family f and dentist volunteers; practice 2) The feasibility of a con- tractual agreement between the county and the Univer- sity of Iowa Dental Clinic to provide services might be examined. 141CROFILMED BY ' JORM MICR+LAB rrIYAR PAMP1 - it S'401:ir5 Possible Funding Sources County, City, United Way MlwiOr ILMLU BY JURM MICROLAB ' GEUArt RAPluS AND L)Lu -32- APPENDIX 1 Aid to Dependent Children/General Relief State of Iowa Department of Social Services SCHEDULE OF ALLOWANCES umber of I I _ _ ach Addition t•IILROIILMID DY JORM MICR+LA6 CIPAD J�AP!n( . flf MOINrF ~ IdIERDEILMED BY i DORM MICROLAB frPAP PAI'ln� . nfC *IMNF5 I.11w<Ui iLilhc.0 OY JORM t4(GROLAB APPENDIX 4 CEDAR RAl'iu5 ANO JLC 141CROf ILRCD BY u JORM MICR4?LAB rrOAP I'nrin'. , qf5 MOV11", AGENCIES 811101 PROVIDE SERVICES TO RESIDENIS IN CRISIS (usually financial) AGENCY SERVICES PROVIDED ELIGIBILITY FLING Birthright of Iowa City lliternity and baby clothing, furnishings, Any woman, regardless of race, creed, who finds For this and counseling/ support services: assistance in finding temporary housing and marital or economic status herself in an unwanted or unplanned 1976 - $ 2,843 employment; provision of transportation re- late) to above services. Service available pregnancy may receive assistance. No fees are charged; membership is Sources: Donations, at office 3 hours per day, 5 days/week and by voluntary for clients ($1.00 to be- 6lembership fees phone at all times. 15 women provided with came a member, $2.00 to becane a.mem- housing for varying lengths of time. 6er and receive the newsletter). Johnson County Commis- Financial assistance for food, rent/shelter, Fust be honorably discharged veteran Including services to tran- Sion of Veteran Affairs utilities, medical care, and miscellaneous 8 hrs/day, 5 days/ and meet guidelines for financial and circumstantial need. sients: 1976 - $75,600 items. Services available rvek. 230 Johnson Canty families (482 per- 1977 - $75,600 sons) served in 1976. 1978 - $80,850 Source: J.C. Board of Supervisors (100%) Iowa City Crisis Center faergency transportation to the proper favi- None. 1916 - 1917 - $ 1,6'48 645 lity (hospitals, Wesley Ilcuse, Crisis Center) $ for persons in crisis (drug overdose, sui- cide attempt, family crisis, psychological Sources: J.C. Board of ' breakdown) through the use of volunteers' Supervisors (64%) cars. Service available from 11 a.m.-2 a.m., seven days a week. 70 individuals served in United Way [28t) Work/Study (411) 1976. Donations (31) Misc. (It) Johnson County Dept. of rnergency financial assistance, usually one- Fust be resident of Johnson County (no specific of prior residency to- July 176 FY 178 -June '77 - $37,226 - $98,700 Social Services/General time only, for food, rent/shelter, utilities, period and meet guidelines for finin- Relief clothing, medical care State count g ( papers, y clinical payors), and miscellaneous items. quired) clal and circumstantial need. Clients Source: J.C. Board of Supervisors (100%) Services available from 8 a.m.-4:30 p.m. Mn- are asked to register with Job Service 'day through Friday. 1,440 client appointments of Iowa if unemployed. during FY 1977 (July, 1976 -June 30, 1977). 141CROf ILRCD BY u JORM MICR4?LAB rrOAP I'nrin'. , qf5 MOV11", I;ilLi(Oi ILALU BY JORP1 PIICROLAB LLUAR RAPlu�) AMU uL� AGENCY SrMVICES PROVIDED ELIGIBILITY RMING Salvation Army- Relief and recovery assistance to None. (7) Local Volunteer disaster victims; provision of Service Committee material goods throught local Salvation Army Store in cases of disaster. ' Iowa City Free Medical Health care in a supportive envirommcnt at no None. 1976 . $21,096 Clinic cost given to people who are unable to afford 1977 - $2S,290 other health care and to those who have need 1978 - $30,100 of confidentiality in regard to care. Ser- Sources: United Way fOt) . vices available from 7 p.m. -10 p.m, on Non- o J.C. Board of days and Thursdays. 4,223 patient vJsits Supervisors (3 (2,886 individuals served) in 1976. 3,703 Private groups and and patient visits by Johnson County residents. individuals (15t) Free Store Free, usable second-hand clothing to those None. None. Clothing donations only. who need it. have provided other items in past, but this service discontinued in July. Services available from 9 a.m.-10:30 p.m., . tbnday-Snturday when Center East is open (about 11 months/year). About 100 regular users; about 12 clients/day visit the store eN (3,432 visits/year). rn i Johnson County Chapter- American Red Cross Disaster preparedness, relief and recovery Provided to all victims of natural F1' 1976 $ 465 to disaster victims; provision of food, disaster when 5 or more families clothing, shelter, medical assistance when are stricken. 5 or more families are stricken by a natural disaster. t ��( I41CRorILNED BY I JORM MICR+LAE3 CFPAP AaPM' . nFS MOVIFS t4lui(U'rILMED BY JORM MICRULAB • LLUAR RAP IUS AND LL'.. ,u..'r" . J^,. AGENCY SERVICES PROVIDED ELIGIBILITY FUNDING U of I Office of Student Loans given to help students meet unforeseen 66st be student at U of I and have Amount (7) Financial Aids --Short-term expenses; up to $100 without co-signer, up to grade point average of 1.8 or above. Source: University of Iowa Loan Program $500 with co-signer. (1001) INCAP - Neighborhood a) W'eatherization program for low-income people. a) Must be below poverty guidelines (Ap- For 5 -comity area, including Center 97 clients (1 client -1 household or 1 indivi- pendix 2) and own or be buying a home. Johnson County: dual) served in 4th quarter of 1976, Average If renting and weatherization unavail- 1978 - $102,265 quarterly total = 62 persons. able through other sources, tip to $500 Sources: Camunity Services worth can be provided. Administration (Federal=631; Local -371) b) 11nergency financial assistance for procurement b) Must be below proverty guidelines (Ap- July 177 -June '78 -- $20,000 of foal mid medical assistance. 48 clients pendix 2) or be in situation of tuner- Source: Cculunity Services served in 3rd and 4th quarters of 1976. gency need. Administration (Federal -1001) I.ocal Churches Sane churches provide food, shelter, clothing, None. Church funds. Limited re - financial assistance for foal, shelter/rent, sources available. clothing, and medical care to residents who Omme Goldman Clinic for Women emergency assistance to transients This is the fourth in a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la, 1, ,a 101IM MIC, Hol An 2.142- 1014" 142 LLUAk RAP JUS AIIU ur_I ICES STUDY rt on NCE TO TRANSIENTS r, 1977 Sub -committee members: t - Chairman ter ,n !phenson 'f: :rnach �r by the 11 Planning Commission )uque Street Iowa 52240 r• �{ I-0ICRUf ILI4EU BY JORM MICR4�LAB PPDAP PAPInt • Uf5 MDI:IE5 11iut0i1LALU BY DORM MICkOLAB LLUAi< kAVIU� AiIU IJL� TABLE OF CONTENTS Preface - Methodology ----- GOAL---------------------------------------------------- 1 TYPES OF TRANSIENTS ------------------------------------- 1 SERVICE AREA DESCRIPTION -------------------------------- 2 PROBLEM DESCRIPTION ----------------------------------- 3 Hospital Patients ---------------------------------"- 4 People Stranded While Traveling through the Iowa City Area ------------------------------"-"- 5 People in Iowa City in Connection with the University -------------------------------------- 6 Other Groups of Transients ---------------------------- 6 Community Awareness of the Need for Services to Transients ------------------------------ 6 Statistics on Transient Population -------------------- 7 POPULATION SERVED/SERVICES PROVIDED --------------------- 10 History of Services to Transients --------------------- 10 Statistics on Number of Transients Served ------------- 10 Demographic Characteristics of Transients Served ------ 13 Associated Needs of Transients ------------------------ 17 Referrals to Other Sources of Assistance to Transients ------------------------------------------ 18 UNMET NEEDS/PROBLEMS IN SERVICE DELIVERY ---------------- 19 GENERAL RECOMMENDATIONS --------------------------------- 27 RECOMMENDATIONS ----------------------------------------- 30 APPENDICES 1. Patients Served - University of Iowa Hospitals and Clinics -------------'-------------- 34 2. Age, Sex, Residence of VA Hospital Patients ------- 35 3. Agencies which Provide Services to Transients -------------------- --------------- - 36 4. Responses to Church Questionnaires ---------------- 39 I ;•II LR01'ILMCD OY DORM MICROLAB MIA[? PAPIn' . IFS '101N6 f9i Lii Ul IL:'1LJ BY JORM f•1 I CROLAB LLOAI< kA{'iL)'j AiiD iL JOHNSON COUNTY REGIONAL PLANNING CON51ISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director Johnson County: City of Iowa City: City of Coralville City of Solon: City of Shueyville: City of North Liberty: City of University Heights: University of Iowa: Citizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse'Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES COM1MITTEE Chairperson: Carol Spaziani Rex Honey Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Henson Paul Huston Roald Rolfson Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin I IJIC20FILMEe 6Y JORM MICR40LA13 NOV VArin'. . pfS !1VIFF Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter 6tlutUl-iLALU 6Y JORM MICROLAb ACKNOWLEDGEMENTS CLDAR RANiU�> AND JL. 'IV.:,L:. The preparation of this report would not have been possible without the involvement and support of the subcommittee valuable Their successuofons theoprojectt and energy was in Appreciation is also due to the human service agencies in Johnson County who cooperated fully with the project and supported us in our planning effort. Finally, our thanks to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. Staff Participants Emil Brandt Executive Director Constance Echternach Project Director Pamela Ramsey Planning Assistant Lawrence Allen Social Work Practicum Student Research Assistant Mary McCue Naomi Miller Urban Regional Planning Practicum Student Donald Mulholland Research Assistant Prances Blommers Secretary Dianne Bunte Secretary Judith Waterman Graphics - This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was funded in part _ through a contract with Iowa City from the City's Community Blocic Grant allocation. MICRO[ ILMED BY JORM MICR+LAB [CRAP R,+1•I'"• • IIF, WINES 'd;✓itih iL4L.0 BY JUkM I.11CkULAb PREFACE METHODOLOGY I. BACKGROUND OF THE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commission. A Steering Committee was appointed by the.Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland. -i- Mi CRO[ ILMCO OY ' JORM MICROL_AB 9W . ''1° KMI'11S !•ii ��t Ur ILMLU by JORM MICRULAb LLUAi( kArljJ 6i10 �L� ., •• At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. MICROFILM RY DORM MICR( LAB Cr DAP Pnr l,i�r�'AO ,9F� ,M F11i..Wl ILJ4iO BY JORM MICROLAb • LLOAr RAV10� ANU UL Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas under study. Following is an organizational chart outlining responsibilities and relationships. MICROFILMED BY JORM MICR4�LAB rIOhP unol'�`, nr4 '40IIIft i•ii Ui(ui ili il.0 uY JOktq MICRULAB • CLUAk kAVIUj AND ORGANIZATIONAL CHART Regional Planning Commission (2) Executive Director (3) Human Services Planning Staff Human Services Committee (4) Family & Individual Life Services (6a) Mental Health Chemical Dependency (6b) Iowa City (1) Steering Committee (5) Emergency Assistance (6c) Public Protection $ Justice (6d) 1) Iowa City: Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and recommendations and can act or not act upon them. 2) Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RPC delegates responsibility for carrying out the plan to the Human Service staff and committer.. 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. -iv- •.��'�—Or uVuu By JORM MICR4�LAB ('rnAP Vnrinc . i NOINFf F, M111�1%01;LALL) by JURM MICkULAb • i,LJA,< kAVwj A;itJ )L. - -" 4) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. .5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri- ate ways of collecting data; identifying existing resources, providing information on how the service delivery system works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor- tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, _ and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- 111CP111 ILMID UY JORM MICROLAB 4ii utui iLfdc.0 BV JORM MICROLAii II. DATA COLLECTION LLUAr( RAriu; ,kNU �u Data an human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously conducted studies; and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The following agencies submitted written information to the sub -committees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -vi- tarc.norIuaro BY ' JoRM MICR6La.9 �rppp uar��' ^r5 '101'!rS NlwWr iLi4Lu 8Y JORM MICRULAB LLDAit kAPIJS i�;w University of Iowa Special Support Services University of Iowa Financial Aid University of Iowa Student Health Service Veterans Administration Hospital Social Services University Hospitals and Clinics Social Services HACAP'(Hawkeye Area Community Action Program) Wesley Foundation Free Clothing Store Johnson County Commission of Veteran Affairs Married Student Housing ,Iowa --Illinois Gas and Electric Company Stone Soup Restaurant (Mental Health/Chemical Dependency) Alcohol and Family Counseling Center (MECCA) Citizens Committee on Alcohol and Drug Abuse (Cedar Rapids) Community Pastoral Counseling Service HERA - Psychotherapy Collective Iowa Drug Information Center r Lakeside Foundation Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Mid -eastern Iowa Community Mental Health Center Orchard Place " Reality X Recovery., Inc. University of Iowa Counseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric Hospital Veterans Administration Hospital Alcohol Treatment and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging -vii- Abuse Registry "1 F11f.ROMME0 BY JORM MICROLAB b1u.KUi iLi4Lu BY JORM MICROLAB Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center LLUAk RAeiJJ A;IU UL .. '�-. ..,• Personal Interviews and Group Meetings_ Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc. Iowa City Crisis Center Wesley House Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit HACAP (Hawkeye Area Community Action Program) Mental Health/Chemical Dependency) Bill Bartley - Lakeside Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Family Counseling Center (MECCA) Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Johnson County Attorney's Office Catherine Wombacker, Patient Advocate MIMI ILI41D DY JORM MICR6LAE3 'VS '101%1S r•tlw(uilLALL) GY JORM I.11LRULAb LtL)Atl kAPIw ANLJ Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate Justice Sub -committee Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information $ Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment $ Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Through Churches and Campus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and Johnson County residents. -ix- I-11001 I ix- I.11001'I LMID BY JORM MIC R¢L A B rrnl,p uen,o' . We :I0IN11, MiwWt !CILU BY JOHM MICHOLAB LLUAI< HAVIU; iJiJ OL., "..., Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social service delivery system in Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools 61 -x- ��,� .•IICH01 ILMLD By JORM MICROLAB rrppn PH V), . ^.r,. 'm;•irr .-1 MILIWi ;L;'ILU by JURM I'IICRULAu CLUAt< RAPiuJ ANG u'c The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Association,be- cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however,'completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. Xi - 41001 ILM10 i- 41001'ILM10 BY DORM MICR6LAB rl n7ly Vnrl�c . 1tC vlwffi blluiWt iLALU BY DORM MICROLAb LLUAA RAY Iu'� Aik) O Data Collected from Social Workers Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair.. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. 141CROFILMED By JORM MICR46LA13 fInAp $W!'v, MIU<Oi ILAiU BY JURM MIGRULAb LtUAR RAFiUs A:JU Ut., >'��. � • - III. DATA ANALYSIS The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November Z, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. MICROP ILMED BY i DORM MICR+LAB MDAP • lfC !-001'1(5 Fli u(Ui iLili U BY JUKM MICKULAB • LLUAH kAPiu� AiW uL� -1- GOAL To ensure the provision of minimum basic necessities on a short-term basis during dislocation, emergency, or tragedy. TYPES OF TRANSIENTS There are three basic types of transients in the Iowa City/Johnson County area. All are composed of individuals/ families who do not have resources with which to provide the basic necessities of life for a period of short duration, usually less than one week, (i.e., have no place to stay and/ or adequate food provisions, clothing, etc. and are without employment or any means of financial assistance through which to provide for these needs). A transient individual/family may be in the area of necessity or by choice. The first type of transient is an individual who is in the Iowa City/Johnson County area for a period of short dura- tion (usually less than one week) and who has a specific "home -base" to which he/she is or will be returning after de- parture from this area. This type of transient may be in the area either by necessity or by choice. Most often his/her presence here is due to a matter of necessity. Groups of transients of this type in the Iowa City area include: 1) patients at University Hospitals or Veterans Administration Hospital, 2) attending relatives or friends of patients at one of the above mentioned hospitals, 3) persons returning home from a visit or vacation whose car breaks down unexpectedly or who, due to other emergency situations, run out of money, 4) persons on their way to a job and new place of residence who run out of money due to unexpected expenses, and 5) per- sons visiting the Iowa City/.Johnson County area who run out of money. The second type of transient is also an individual who is in the Iowa City/Johnson County area for a period of short I .moi I41CFOf WIN) 6Y JORM MICR+LAB (TIMOV11'I)' Mlu,WliLNLU by JORM MICRULAB CLUAR RAPIJ:; A;10 -2- duration (usually less than one week) but who has no specific "home -base" to which to return. This type of transient is far less prevalent in the area than the first type. A 1972-1973 survey conducted at Wesley House showed that "homeless" trans- ients made up 12 to 20 percent of those staying at the hostel, while transients of the first type comprised 80 to 88 percent of hostel guests. Transient individuals are usually in the area by choice. Groups of the second type of transients in the Iowa City area include: 1) young people, mostly males, travel- ing for experience and/or adventure, and 2) individuals who have chosen a mobile lifestyle. A third type of transient is the individual/family who is seeking to establish residence in the area but is temporarily without resources. Since this group is treated in the same way as county residents in terms of eligibility for assistance, it will be dealt with more fully in the section dealing with services to residents. SERVICE AREA DESCRIPTION These services use a crisis -oriented delivery system to meet the short-term basic needs of families and individuals who are in the area for a limited time and who lack sufficient resources to provide for these needs. The intervention provided is usually of short -duration and is designed to stabilize the immediate problem situation. Emergency assistance is given to meet the immediate need for food, shelter, clothing, medical care, transportation and counseling. Financial assistance is given and temporary employment provided to assist the indivi- dual. in meeting the cost of basic necessities. Referral to other appropriate resources is also made. Client groups include: 1) patients and attending rela- tives/friends of patients being treated at University Hospitals and the Veterans Administration Hospital, 2) families and individuals traveling through the area who are without money due to unexpected emergency expenses or theft and are stranded MICR01'ILnf.O OY DORM MICR+LAB rn,lAR PA�T` • 'N c• r11..i(W iLFiw BY JORM MICkOLAb - 3- (,LUA,( RAPiJ� 4i1J ��� r' .. • here, 3) families and individuals who desire to establish resi- dence in the area but are temporarily without any means of support, 4) individuals, usually young males, who are traveling for experience and/or adventure and lack financial resources, and 5) chronic transient individuals. Service Elements: 1) Direct provision of basic necessities: food, clothing, shelter, transportation, medical care. 2) Financial assistance: for procurement of basic neces- sities. 3) Counseling: for immediate problem situations. 4) Assistance in locating short-term employment opportunities. 5) Referral to other relevant sources: services which provide for basic needs in other areas, related services. PROBLEM DESCRIPTION Some families and individuals who are not residents of Johnson County but are temporarily in the county do not have the necessary resources to provide for basic needs while here, to return home, or to continue traveling to their intended destination. About 1,000 transients per year find themselves in need of some assistance to provide for basic needs while in the area. The majority of transients are in the Iowa City area due to reasons of personal necessity (e.g., for medical care or provision of needed support to someone here for care) or due to unforeseen emergency while traveling (e.g., theft, car breakdown, funds run out while traveling to visit a sick rela- tive or to prospective job in another locale). Some transients who come to Iowa City for University education or in hope of finding employment and establishing residence here run out of funds. The presence of so many transients in the Iowa City area is attributable in large part to the existence of the fol- lowing: 1) University Hospitals and Clinics, which serve the entire State of Iowa as well as surrounding states; 2) Veterans 9 MICRef IL14LD BY ' JORM MICR#LAS CI DAP PAt"I' 141i,ii Ur iLbI�U 8Y JORM I.11CROLAii -4 - LtUAK RAI IW AiIU UL.. 'b- Administration Hospital, which serves 30 counties in Iowa, 23 counties in Illinois, and four counties in Missouri and will accept veterans from anywhere in the country if they are in the area and medical need justifies treatement; 3) Inter- state 80 which makes Iowa City readily accessible to travelers; and 4) the University of Iowa. Hospital Patients University Hospitals and Clinics and the VA Hospital provide for lodging, transportation, and meals for those in- dividuals in need of medical treatment. Veterans Adminstration Hospital will provide transporta- tion assistance, lodging, and meals to authorized patients from the day before treatment is scheduled until transportation arrangements home can be made. The Hospital has no authoriza- tion to provide assistance to an attending friend or relative of a patient, but does refer to the Commission of Veteran Affairs in the home community for assistance. University Hospi- tals and Clinics provides lodging at Westlawn for minimum care patients, antepartum patients, authorized escorts, and attend- ants,upon approval of the attending physician, when space is available. Transportation by hospital car is available and is financed by State Papers for patients on State Papers and their authorized escorts (one escort allowed per patient). Hospital cars can be used by patients not on State Papers at their own expense. University Hospitals contacts the County Department of Social Services in the patient's home county for assistance when financial aid is required. Meal costs for out- patients with scheduling problems can be included in the hospi- tal bill. In some cases, a patient and/or attending relative or friend is not eligible to receive aid from established sources. The most common situations in which some other source of as- sistance is needed are: 1) I:or husbands or boyfriends of antepartum patients (University Hospitals has no provision for this); �~I 141001 WILD By I JORM MICR¢LA9 rr ppn unrinc pry 'd01'If `� hiii,RUr ILi'1LU BY JURM MICRULAB CLUAH RANiU�, AND L)L, >u.:r. -5- 2) For patients whose transportation arrangements neces- sitate early arrival (both hospitals can provide assistance only for one day prior to scheduled treat- ment); 3) In cases where the patient has misunderstood hospital policy on assistance (e.g., patient is not scheduled for treatment but had expected assistance, attendant of patient is not eligible for the assistance lie/she had expected); 4) For expectant mothers who are not ready to deliver _ on the expected date and cannot return home and come back again. People Stranded While Traveling Through the Iowa City Area Families and individuals traveling on Interstate 80 are sometimes stranded in the Iowa City area without resources to provide for basic needs. Some outside source of assistance is needed to enable them to continue their destination. The most frequently occurring situations which cause people to be stranded in the area without resources are: 1) Money stolen on the road, 2) All money used for car repairs, 3) Traveling to visit relative and ran out of money, 4) On way to prospective job/new residence and ran out of money. In some cases, upon prior authorization by the County De- partment of Social Services in an individual's/family's home county, Johnson County Social Services may render financial assistance and bill the home county for the amount of such assistance (code of Iowa: 252:24). This pertains to Iowa resi- dents only. In most cases, the home county is willing to render assistance only if the individual/family is known to them as low-income. The only other major source of assistance for these people is the Crisis Center. MICROFILMED BY JORM MICROLAB CMAP PA;'In' • 'Irq NOINFf hliwdJi iLl•1LJ 8Y JURM MICRULAb WE LLUAt kAi'iuS ;dI'u People in Iowa City in Connection with the Universit It is likely that a number of transients in the Iowa City area are attracted here by the University of Iowa. These people most often stay with friends and do not present a major problem in terms of needs for food, clothing, transportation and shelter. The need for acute inexpensive medical care for highly contagious diseases (e.g., viral infections, venereal disease) is the most prevalent need of this group. The Free Medical Clinic is the agency which most often comes in contact with these people. Other Groups of Transients Two other groups of transients are people looking for work and seeking to settle in the area, and people who have a transient lifestyle. People in the first group are eligible for assistance from Johnson County Social Services if they meet guidelines for financial need and are willing to register for work at Job Service of Iowa. Although a social worker from Social Services is on call 24 hours/day, seven days/week, direct financial assistance cannot be provided at night or on weekends. The Crisis Center provides assistance from 11:00 a.m. to 2:00 a.m. The only source of aid for those in the second group is the Crisis Center. There is no source for assistance to trans- ients between 2:00 a.m. and 8:00 a.m. Community Awareness of Need for Services to Transients Residents of Johnson County were asked to rank transients as a group in need of attention in planning for services in the area. Results are based on responses to the Iowa City people's Guide and Survey distributed to Iowa City residents in April, 1977, and on responses from Johnson County residents attending the .Johnson County Fair in August, 1977. A total of 2,101 responses were collected. Most of these (2,050) came from Iowa City residents, 32 responses cume from other resi- dents of .Johnsen County, and 19 responses came from people who �- I.11 CROF ILidf.a BY .IORM MICROLAB MIAD anoln• . If', t!WlrS MILKUi!C,I�u BY JORM MICRULAB LLDAie kAP; u� AND -7- did not indicate their place of residence. There was no appreciable difference in response accord- ing to place of residence. The responses to the survey indi- cate a low ranking of transients as a priority in need of planning for services. Eight hundred ninety-seven respondents placed transients fifth of five groups in need of attention. Of all respondents, 875 did not reply to this question. Only 80 respondents placed transients first in importance. A few respondents indicated that they were not aware of a transient problem in Iowa City. TABLE 1 Ranking of Transients as Group in Need of Planning for Services (Iowa City Survey - 1977) Rank Number % of Total 1 80 3.8 2 95 4.5 3 75 3.6 4 89 4.2 5 897 42.5 No Response 895 42.4 TOTAL 2,131 100.0 Statistics on Transient Population The Crisis Center lists the following categories of trans- ients in need of assistance. Numbers and percentages are based on all transient contacts from January through June of 1977. Transient Contacts Male individuals 316 Female individuals 30 Families/Number in families 30/124 Couples/Individuals in couples 29/ 58 TOTAL 528 The following is information on only those people who received vouchers (food, lodging, or transportation). S.. I MIMI"ILMf.B BY I JORM MICR+LAB rrngn Vnr m<, , nrt I4nmrL bllu(UI ILMLU BY JURM MICkULAB • CL U{ii RA{'IUJ AND JLC .'i�.�'L- •.. ,. -8- Reasons for being in Iowa City and Types of Problems Bnc.ountc'ULI M Money stolen on the road 6° While hitchhiking 21 While traveling by car 7 While traveling by bus P Total contacts 30 All cash used for car repairs 93 18% Hitchhiking and ran out of money 27% Traveling (short-term, unspecified 28 destination) Long-term transient traveling 10 with no money Lost money on the road 4 On way home to stay with rela- tives On way to start new job or 25 look for job Unable to get ride due to had 12 weather On way to pick up check or needing to wait here for check 12 Unable to find day labor along 25 way Person they were to stay with 3 was out of town Ride left without them 1 Became ill/injured along way 9 Total contacts 145 Moving to new place of residence 14� an ran out of money Family member became ill along 3 way Unexpected move due to death in 2 family - no travel money On way to job interview/job 49 Y...�I t41CROFILtl[D BY JORM MICR�LAB rrnnn pnr!n- . 'IFS IIM!IfS Nk,tWr ib'ILU by JORM 141CRULAB CEDAR RAPLu, AND L)L Unable to find job - need help 2 getting back home 18 Bus ride cancelled - no money for food or lodging ? Total contacts 74 In town looking for a job Looking for permanent job 62 Found job but no housing 7 No money until job starts 3 Total contacts 72 Frosoective University student no place to stay 2 Vacationing - ran out of money 1 In town for hospital appointment Veterans Hospital 21 University Hospitals $ Clinics 25 University Hospital 19 Westlawn 3 Oakdale 1 Psychiatric Hospital 2 — Total contacts 46 No place to stay while visiting some- one in hospital Veterans Hospital 3 University Hospitals,&, Clinics 25 Mercy Hospital 1 Total contacts 29 Local residents Laid off job - waiting for unemployment check 6 Laid off job because of illness 9 Looking for new job 7 Kicked out of apartment 3 No money for food stamps 5 Total contacts 31 � I4ICRl1F 1 Lld[n BY JORM MICR4�LA6 rPnnP PAPP . nr5 Mnllr" 14; 5% 6% Yli �i<UriLALU BY JURM MICkOLAb 10- (,LUAi( kAi'luj AII'U ULA- 130PULATION SERVED/SERVICES PROVIDED tory of Services to Transients (Back round Informati The greatest single source of funds for services to transients is funds which have been provided by United Way and administered by the Salvation Army since 1957. These were allocated by the local Salvation Army Service Committee from 1957 to 1973, and by the Iowa City Police Department from 1973 until August, 1975. Since August, 1975, the Iowa City Crisis Center has handled the allocation of Salvation Army funds. Wesley Foundation is the only organization which has been a major source of housing for transients. It has been providing this service since October, 1971 and has only re- cently (August 15, 1977) discontinued the provision of hous- ing to transients. Statistics on Number of Transients Served Figures on the number of transients who have received assistance for food, shelter, transportation and other mis- cellaneous needs are available from the records of the three ated in the allocation of Salvation agencies which have particip Information on the number of trans Army funds over the years. ients housed at Wesley I -louse is also available. Small numbers of transients have been housed and provided with other neces- sities at local churches. Information on services provided to transients was obtained from 20 churches in Iowa City and Coralville. This information is summarized in Appendix 4. The number of Salvation Army vouchers issued in past years is shown in Table 2. Information on the number of indi- viduals served is available only for the last three entries. Caution must be taken in interpreting the figures for y prior to the time when the Crisis Center took over the alloca- tion of funds. During these earlier years, there was no central location which dealt so extensively in the provision of vouchers and information/referral as the Crisis Center now does. Itsceos likely that other resources were more actively providing MICR.onuar.D By JORM MICR6LAB rf nhP P,n r�ur nr �. •�m I'lf': MiLi(Oh iLMLO BY JOR14 MICROLAB CLUAR RAP10z) AND * Plus 99 males lodged at jail. **Salvation Army funds for transportation cut off 4/1/76; subsequent funding from Mary Hawtrey Discretionary Fund. As can ue seen Table 2, the number of vouchers given more than doubled between 1957 and 1961 (101 vouchers provided in 1957 and 240 vouchers provided in 1961). This number remained about the same until 1970, when it increased to 341. The ad- ditional information on individuals housed at the jail in 1971 adds to the accuracy of the overall picture of the number of transients served. The picture becomes more comprehensive in the 1974 records, with the additional figure for individuals served (400 individuals served in 1974), as well as vouchers provided (726 vouchers provided in 1974). The 1976 and 1977 (January -July) figures are from the Crisis Center records. A total of 995 contacts were made and 1,293 vouchers provided in 1976. From January through July of 1977, 390 contacts.were made and 725 vouchers provided. Extended figures for 1977 are based on totals for January through July, 1977 plus percentages of these based on 1976 data for August through December. The total number of people to whom lodging was provided at Wesley !louse includes members of the American Youth Hostel organization and those receiving Salvation Army vouchers. The MICROEILMEO 6Y JORM MICR6LAB fEIIAP PA�1 P` •'1�`'dfl lllE� -11- to transients in the past. TABLE 2 Number of vouchers to Transients from 1957-1977 YEAR FOOD LODGING GAS BUS MISC. TOTAL 1957 34 33 14 20 11 101 240 1961 167 42 21 20 68 24 5 341 1970 223 1971 195 94* 52 6 3 8 350* 726(400 persons) - 1974 316 253 113 51** 36 19** - 1293(995 contacts) 1976 665 558 57 20 1 725(390 contacts) 1977 355 292 - (Jan -July) 98 34 2 1244(669 contacts) 1977 609 501 (extended) * Plus 99 males lodged at jail. **Salvation Army funds for transportation cut off 4/1/76; subsequent funding from Mary Hawtrey Discretionary Fund. As can ue seen Table 2, the number of vouchers given more than doubled between 1957 and 1961 (101 vouchers provided in 1957 and 240 vouchers provided in 1961). This number remained about the same until 1970, when it increased to 341. The ad- ditional information on individuals housed at the jail in 1971 adds to the accuracy of the overall picture of the number of transients served. The picture becomes more comprehensive in the 1974 records, with the additional figure for individuals served (400 individuals served in 1974), as well as vouchers provided (726 vouchers provided in 1974). The 1976 and 1977 (January -July) figures are from the Crisis Center records. A total of 995 contacts were made and 1,293 vouchers provided in 1976. From January through July of 1977, 390 contacts.were made and 725 vouchers provided. Extended figures for 1977 are based on totals for January through July, 1977 plus percentages of these based on 1976 data for August through December. The total number of people to whom lodging was provided at Wesley !louse includes members of the American Youth Hostel organization and those receiving Salvation Army vouchers. The MICROEILMEO 6Y JORM MICR6LAB fEIIAP PA�1 P` •'1�`'dfl lllE� 1•I1u(011LALL) BY JORN MICRULAb 12 - LLUAR RAYLU'�) ANU A number of people who have been lodged at the hostel has shown a steady increase as can be seen in Table 3. TABLE 3 Lodgers at Wesley House from 10/7L-9/76 Time Period Number of Overnights 10/71-9/72 442 10/72-9/73 1,642 10/73-9/74 10/74-9/75 1,768 10/75-9/76 2,090 (1,100 indivi- duals) Of the 1,100 individuals who stayed at Wesley House in the past year, about 400 were American Youth Hostel (AYH) mem- bers. The remaining 700 were transients who had nowhere else to stay. The average length of stay for both groups in 1976 was two nights. Based on data for the last six months of 1976, the Wesley House staff has determined the following break- down of those who would and would not be accepted under the policy effective as of August 15, 1977. (Under this policy only AYH members and University students and prospective students are accepted for lodging at Wesley House. AYH memberships can be purchased there if the individual wishes and is financially capable. Permanent memberships are $11.00 and temporary three - night passes are $1.00 plus a $4.00 per night charge.) This breakdown is shown in Table 4. TABLE 4 rs/Individuals Eligible Under New Wesley (louse Poli (based on individuals staying from 7/76-12/76) 1 . FII CIIOFILI.ICD BY JORM MICR(�L.AS rrndn PAPO' . nF, 'dn l!ICS YES NO TOTAL Individuals 310 (49%) 334 (51%) 653 (100%) Number of individuals extended to total 1976 549 561 1,110 Overnights 561 (431) 753 (57%) 1,314 (100%) Number of individuals extended to total 1976 899 1,191. 2,090 1 . FII CIIOFILI.ICD BY JORM MICR(�L.AS rrndn PAPO' . nF, 'dn l!ICS 14iw<Ur 10Iiu BY DORM MINOLAB -13- LLOAR RAV1Lj� AND 0L Demoeraphic Characteristics of Transients Served _ Information on the demographic characteristics of trans- ients in the Iowa City area has been compiled by the Crisis Center and Wesley House. The Crisis Center keeps records of the following characteristics of transients seen there: 1) age, 2) sex, 3) traveling companionship (whether the individual is traveling alone, in couple or with family). Information for 1976 and 1977 is shown in Table 5. Wesley House has records of the following characteristics of overnight lodgers: 1) age, 2) sex, and 3) residence. Data on age and sex is shown in Table 6 and includes both AYH members and other transients. TABLE 5 Age Sex and Traveling Companionship of Transients 8/1/76-7/31/77 (Crisis Center) CHARACTERISTIC MAIBER PERCENT OF TOTAL Total Contacts 1,039 100 PEOPLE SERVED 52 8 Male Individuals S49 6.5 Female Individuals 68 Families/P in families 95/330 31.8 Individuals in couple 92 8.9 AGE 17 Under 18 years 177 57 18-35 years 592 16 36-50 years 166 51-65 years 94 n over 65 years 10 1 N As can be seen from Table 5, about one-half of all Crisis Center transient contacts in the past year were male individuals (52.8 percent). About one-third were families (31.8 percent). Individual females (6.5 percent) and couples (8.9 percent) comprised a minority of those who contacted the Crisis Center. In addition, a majority of contacts were with people 18-35 years of age (57 percent). About one-sixth were under 18 years of age (17 percent) and one-sixth were between 35 and 50 years of age (16 percent). Only one-tenth or all contacts were. over 7. :41CROf WILD BY JORM MICROLAS rr0AP 1ArIII' r 'IFS '.101NfS ML ufUriLLL) BY JURM MICRULAB LLUAX kAPL:J', ANO -14- 50 years old. Although the two populations served by the Crisis Center and Wesley [louse are not identical, the numbers served are roughly the same. From August 1, 1976 through July 31, 1977, 1,039 individuals were served by the Crisis Center. From October 1, 1975 through September 30, 1976, about 1,100 indi- viduals stayed an average of two nights each at Wesley [louse. Keeping this in mind, Wesley House data for fiscal year 1976 (Table 6) indicates a smaller number of under 18 year-olds (about 88) than were seen by the Crisis Center (177) during a comparable period. This is largely a result of the fact that Wesley House cannot lodge minors who are not accompanied by a parent or legal guardian, while the Crisis Center deals with all transients, regardless of age. It is also likely that most families are in need of aid for transportation home (money for gas), rather than lodging in the area. Transportation assistance can usually be provided to a family at a lower cost than can lodging. It appears also that the proportion of males at Wesley House (68.3 percent) is greater than that at the Crisis Center (52.8 percent). However, it is difficult to draw a definite conclusion from this since the data is arranged differently by each agency. Breakdown of the residence of hostelers at Wesley House during fiscal year 1976 is not available. A breakdown of resi- dence has been obtained for fiscal year 1975 and is shown in Table 7. It is assumed that percentages for fiscal year 1976 are roughly the same as those for fiscal year 1975 since the percentage breakdowns for age and sex of hostelers in these two years are similar. ' MICROIILMLB BY i JORM MICR6LAB rlit,kUi IC -ILO BY JORI4 I4ICROLAB • LEUAk kklub AfJD JL -IS- TABLE 6 Age, Sex of Overnighters at Wesley House 10/1/75-9/30/76 CATEGORY NUMBER PERCENT OF TOTAL Total Overnights 2,090 AGE Under 18 years 168 Over 18 years 1,922 SEX Male 1,428 Female 662 Data on residence is included in Table 7. 100 8 92 68.3 31.7 TABLE 7 Age, Sex, Residence of Overnighters at Wesley (louse 10/1/74-9/30/75 CATEGORY NUMBER PERCENT OF TOTAL Total Overnights 1,768 100 AGE Over 18 years 1,598 90.4 Under 18 years 170 9.6 SEX Male 1,362 77 Female 406 23 RESIDENCE Iowa 576 32.6 Out-of-state 1,192 67.4 Adjacent States* (468) (26.5) Other States (644) (36.4) Foreign Countries (80) (4. 5) *Ill., Mo., Kan., Neb., S. Dak., Minn., Wis. t ��1 I41CROFU1110 6Y i JORM MICR(�LAB frnP,n n.11nnr . nrq ?1011IIS h1lucUi IC'iLu BY JURM NIGROLAB (,LUAR RAP iu5 AiIJ JL� -16- As can be seen from Table 7, about one-third (32.6 per- cent) of those overnighting at Wesley [louse were Iowa residents. An additional 26.5 percent reside in the states adjacent to Iowa. Of the hostelers during this time, 36.4 percent were from other U.S. states and 4.5 percent from foreign countries. Data on income is not obtained by either the Crisis Center or Wesley House. The Crisis Center estimates that most clients earn far below $9,999 per year. As previously mentioned, 75 (14 percent) of the 528 Crisis Center contacts from January through July of 1977 were in the Iowa City area in connection with one of the hospitals. No information is maintained by the hospitals on the patient population which is without resources to provide for basic necessities while in the area. It would be difficult to keep statistics on those who are ineligible for assistance through established channels (e.g., State Papers, County Clinical Papers), as there is no means to follow up on their circumstances. General information on characteristics of the overall patient populations at University Hospitals and the VA Hospital during the last fiscal year for each is given in Appendices 1 and 2. This information is discussed briefly below. As it is of limited value in describing the population which has need of assistance from community resources, it will not be dealt with at great length. University Hospitals served 39,241 inpatients and 309,693 outpatients during fiscal year 7977 (.July 1, 1976 through June 30, 1977). Of the total inpatients served, 11,408 in- patients (29 percent of all inpatients) and 41,574 outpatients (13 percent of all outpatients) were indigent (eligible for services provided through State Papers and therefore not in need of community assistance). Those individuals in need of assistance might belong to any of the three remaining categories, as described and defined in Appendix 1. Veterans Administration Hospital served 7,607 outpatients and 9,228 inpatients during fiscal year 1976 (October 1, 1975 MICROMMID BY JORM MICR4�LA9 frppv upo l,'A . lr5 MOINI1 fllLkUi ILALU BY JURM NICkOLAB • LLUAk kAPIUS AND UL, -17- through September 30, 1976). About 1.5 to 2 percent of these were Johnson County residents (114-152 outpatients and 138-185 inpatients). The great majority of those treated are out -of - county residents. Patients must meet financial guidelines to receive transportation aid, but no information is available on income levels of patients. There is no record of the num- ber of patients given assistance through community resources. Other demographic data is presented in Appendix 2. Associated Needs of Transients While the basic needs of transients are those discussed above (food, shelter and transportation), other assistance is sometimes required. The need for medical care is one of these. The Free Medical Clinic is the major source of medical care of a non -emergency nature. Although the Free Medical Clinic does not keep records on the transient population served, information on residence is maintained and gives an indication of the extent to which transients use service there. A total of 52.0 patient visits were made by out -of -county patients in 1976. The number of visits by Johnson County residents and non-residents is shown in Table 8. TABLE 8 Patient Distribution for 1976 (Free Medical Clinic) PATIENT DISTRIBUTION MALE FEMALE TOTAL Johnson County Residents 1,182 2,521 3,703 Out -of -County 170 350 520 TOTAL Patient Visits 1,352 2,871 41223 TOTAL Individuals Served = 2,886 A second associated need of transients is that for counsel- ing. There are essentially two types of counseling which are provided to transients in Johnson County: 1) short-term counsel- ing designed to alleviate an immediate crisis situation, and �I 141 CRD( ILIICD BY I DORM MICR(�LAB rinAll P;1rin,. . of5'101'4(5 MiL,Wf ILML U by JURM MICROLAb -18- LLUAR RAPloj AND uL, 2) longer-term counseling aimed at mitigation of problems which are more deeply rooted in the individual's lifestyle. Counseling is provided in Iowa City by the Crisis Center and was also provided in the past by Wesley House. Counseling provided is primarily of the first type, due to the limited stay of most transients. Referral to appropriate resources for longer-term counseling is made when necessary. Referrals to Other Sources of Assistance to Transients The following agencies/organizations which deal with transients in the area list these referral sources as those most often contacted: AGENCY 1) Crisis Center REFERRALS RECEIVED FROM REFERRALS MADE TO J.C. Social Services Wesley llouse (lodging) Wesley House John's Grocery (food) Local ministers Dividend Gas (gas) Iowa City Police Union Bus Depot (bus ticket) Coralville Police J.C. Social Services (finan- cial assistance for residents; 2) J.C. Commission on J.C. Social Services Veteran Affairs 3) Sedaven llouse (no longer in operation) 4) Stone Soup Cooperative Restaurant 5) University Hospitals Social Service Dept. 6) VA Hospital Social Work Service University Ilospitals Crisis Center Crisis Center Wesley House Dept. of Social Sery Private Physicians Private Ilospitals Dept. of SOc. Services Veterans' organizations ~!T MICRunwr.o BY 1 JORM MICR4LAB JDAG VWTV 'AD MI J.C. Social Services Food Stamp Program (for those seeking to establish residence) State Papers Program (for hospital bills over quota) None None Dept. of Social Services (financial assistance) Wesley Fowidation (lodging) Campus Dlinistries Crisis Center (financial aid for various types of assist- ance) Dept. of Social Services (financial assistance) MiLl(Ul iL4LU BY JURM MICkULAB LLUM kAPiJj AilU -19- 7) Wesley House Crisis Center Crisis Center (vouchers) (no longer pro- Commission on Veteran J.C. Social Services (finan- viding services Affairs tial assistance for residents) to transients) Local churches Commission on Veterans Affairs University Hospitals (financial assistance) Psych Hospital Oakdale VA Hospital MECCA Univ. and VA Hospitals Free Medical Clinic Stone Soup (meals) Free Store (clothing) 8) Free Store Wesley House Wesley House (temporary housing, employment) Crisis Center (temporary housing) Job Service of Iowa (temporary employment) _. Stone Soup (meals) 9) Free Medical Clinic Wesley House University Hospitals (more Crisis Center specialized care) 10) Local Ministers University Hospitals Wesley House Oakdale Crisis Center J.C. Social Services Free Medical Clinic J.C. Social Services Iowa Memorial Union (housing) UNMET NEEDS/PROBLEMS IN SERVICE DELIVERY Lodging Wesley House provided lodging to approximately 600 indi- viduals in 1976 who would not qualify under the policy established August 15, 1977! This means that about 50 persons per month will have to find other provisions. In addition, Sedaven (louse is no longer providing lodging to patients at University Hospi- tals. Approximately 40 individuals per year were housed at Sedaven House. These figures indicate that about 650 transients per year who were previously provided lodging will no longer find such lodging to be available. The Crisis Center is now referring *Refer to page 11 for explanation of Wesley House policy. MICROf ILMED BY JORM MICR¢LAB rr,iAp pwin'. • PFS MDI!ICS Mi urWi iLi'ILU BY JORM 141CROLAB 20 - LLJAIZ KAi'IJJ A;W .,L.• transients for lodging to five rooming houses and motels which charge reasonable rates ($5.50-$13.00). These rates, however reasonable, represent a substantial increase over the $4.50 per person per night cost at Wesley House, $2.50 of which was subsidized by the United Methodist Church and $2.00 provided through Salvation Army funds. The Salvation Army temporarily increased the amount of funds for lodging and food vouchers from $200/month to $400/month as of August 15, 1977. This will help meet the cost of needed services although it is not certain how long increased funding will be available. The main problem is the lack of places for transients to stay. The only additional resource beside the rooming houses and motels mentioned above for lodging referrals is the Coralville Reservoir where camping is available during the warmer months. Tent rentals are $20/week and $15/weekend. This cost represents a moderate to substantial increase, depending upon the length of stay, and could not be recommended to all transients (e.g., people with health problems). The Iowa City jail, previously mentioned as a possible source of lodging, is not presently available. The Johnson County jail may be used as a last re- sort for lodging of individual males and females when space is available. The following additional needs for lodging services for transients have been indicated by agencies in the Johnson County area. The agencies which have specifically mentioned these appear in parentheses. 1) Need for emergency housing for families, late-night arrivals, victims of spouse abuse, persons trying to relocate in Iowa City (Crisis Center). 2) Need for longer-term emergency housing than the two or three days previously available at Wesley House (U of I Special Support Services, Wesley (louse, various local churches; although Wesley House's policy has recently changed, this need should still be mentioned. IdICRO[ILMED BY JORM MICR�LAO MIAP 9f" I101NI S I M f•li L,i<Oi-iLi•iLu BY JURM h11CROLAb LLUAk kAVlu�, AiIO OL -21- 3) Need for more extensive lodging provisions for at- tending relatives/friends of hospital patients and, in some cases, outpatients: a. There are no lodging provisions for companions of antepartum patients at University Hospitals, b. There are no provisions for relatives of patients at the VA Hospital. c. The demand for lodging has exceeded the supply at Sedaven House (since lodging there is no long- er available, the only source specifically ear- marked for hospital visitors is United Ministries in Higher Education which has only two or three beds). 4) Need for more housing for transients (DSS, police, various churches). This is a growing concern, especial- ly now that Wesley House has changed its policy and Sedaven House is no longer in operation and the facility is being sold. S) Need for lodging provisions (halfway house) for males who are former patients of mental institutions (Wesley House) and for those individuals on pre-trial release (6th Judicial District Dept. of Correctional Services). Transportation Funds for transportation assistance were supplied by the Salvation Army prior to April 1, 1976. Since April, 1976, funds for the provision of transportation assistance have come from a special fund set up by the Crisis Center and supported by donations from local churches and individuals. The Mary Hawtrey Discretionary Fund, as it is called, supplies all funds for transportation assistance to transients. The assistance which can be provided with these funds .is minimal, amounting to about $25.00 per month. There are no provisions available for car repairs which are necessary when a family's car breaks down in the vicinity bn CROfILMED BY JORM MIC R�L A B frjIAn pAPIT .'1f51Iorf5 M1iL,Wi iG'4.0 BY JURM MICRULAB 22 - LEUA,� kAVILJ'j ANU and they do not have sufficient funds to have it repaired and continue on their way. Free car repairs and towing services have been provided to families in need in the past by several garages. This is no longer being done, due presumably to rising prices,abuse of services, or both. Free towing service is presently provided for abandoned or broken-down cars only when an emergency situation exists (e.g., car breaks down in traffic lane, on Interstate 80). Transportation by state car is available to patients at University Hospitals with State Papers and their escorts (one escort per patient; determination of need for escort made ac- cording to guidelines). Those patients without State Papers may use a state car at their own expense. Authorized patients at VA Hospital are eligible to receive transportation assistance. Veterans Administration Hospital is not authorized to give assistance to attending friends or relatives. The Commission of Veteran Affairs in the patient's home community makes pro- visions for assistance to a friend or relative according to its policy on determination of need. Veterans Hospital makes referrals for transportation assistance and assistance of other kinds to the Commission in a patient's home community when necessary. Problems arise when a patient at University Hospitals does not qualify for State Papers and does not possess sufficient funds to pay for transportation costs. There is also a problem when a patient without funds needs an attendant for.psychologi- cal or other support but does not qualify for escort provision. This second problem applies also to patients at VA Hospital. The following needs for transportation assistance have been indicated. Again, the agencies who mentioned the needs appear in parantheses. 1) Lack of sufficient funds for transportation assistance, especially since the Salvation Army cut off funds for this purpose (Crisis Center, Wesley House). MICRO(ILMED BY DORM MICROLAB 'TpNv . vc rMlllfS M w%J1 ,L IL U by JURM 1.11LkULAb LLUMK i(AYl'J.. i60 OL -23- 2) Some problem with sufficient space for inpatient parking (VA Hospital) and inability of some in- patients to pay for parking (University Hospitals). Employment The principal need in employment is for a "spot -labor" arrangement so that.transient persons in the area may "earn their keep" while here and earn enough money to enable them to continue to their destination. No definite program exists at the present time. Job Service of Iowa does have day labor available occasionally, although not on a completely reliable basis. Wesley House has offered some spot -jobs to transients in the past in exchange for lodging: Stone Soup Restaurant provides a free meal in exchange for a couple hours of work there. Six out of the 20 churches in the area who responded to a survey in,June 1977, provide odd jobs in exchange for assistance. These provisions can only be extended to a small number of people since the resources of individual churches are limited. This also does not constitute a day labor program, since it allows individuals to "earn their keep" but does not provide for travel to.their intended destination. During June 1977, a pilot project on day labor was con- ducted by LINK in cooperation with Job Service of Iowa, Iowa City. The two agencies were attempting to determine whether a program for .the provision of labor could be set up in the area. The project failed, due largely.to an inability to match applicants with available jobs. A problem in providing suit- able short-term jobs exists in that many -of the jobs available in the past have been taken over by other programs, such as chore services to the elderly, and are no longer available to transients. The need for increased provision of'spot-jobs has been indicated by the Crisis Center, Wesley House, Iowa City Police Department, and several local churches. A substantial number of the transients with whom the Police Department comes in V11CM ILI•ICD By JORM MICR6LAE3 41iutUr ILAi.0 BY JOkM MICRULAB 24 - I, LUAR kAe iii AiIU OL.+ contact would like to find short-term job opportunities. Lack of a specific place where transients can congregate to wait for phone calls regarding employment has been mentioned by Job Service of Iowa as a problem. Food/Clothing Food is provided to transient persons in need through Salvation Army vouchers for $2.00 per person to John's Grocery (via the Crisis Center) and in exchange for work at Stone Soup Restaurant (except when Center East is closed for three weeks of the year). Eight out of 20 local churches surveyed provide food to a small number of transients and six of them'provide financial assistance for procurement of food. Free clothing is available from the Free Store (when Center East is open-). Inexpensive clothing is available from Goodwill and the Salvation Army, as well as from a couple of private clothing stores in Iowa City. Three of the 20 churches surveyed have provided clothing and one has provided financial assistance for clothing to a small number of transients. No greater need for theprovision of clothing has been'indicated. Other Concerns/General Needs for Services to Transients The following general concerns and needs have been indi- cated by agencies:. 1) Insufficient community funds for transients --too low a priority in community (Crisis Center,.0 of I Special Support Services; the inadequacy of existing services for transients was mentioned often). 2) Need for consistent interagency policy; lack of com- munication among agencies (Salvation Army,,Crisis Center, various churches; this was also brought out in the meeting with VA Hospital staff in that patients sometimes do not,understand the circumstances under which the hospital does/does not provide lodging/meals to patients). MiLRo(ILIA10 BY JORM MICROLAB rrnAp :,w pw .'IF' !Illl9(` Mli,,Wr !LMLO 8Y JORM MICROLAb -25- LEOAH RAVIJ�, A:W JL.. 3) Need for greater publicity of services (Crisis Center, various churches). 4) Need for better counseling for transients (Crisis Center mentions that it is sometimes difficult for volunteer professionals to relate to clients' needs/ problems; mentioned also by several churches). 5) Some concern about attracting more transients through provision of "free" services (has come up in dis- cussion a few times). 6) Difficulty in making services accessible after busi- ness hours (mentioned by a couple of churches). 7) Need for more services to out -of -area hospital patients and those attending them. 8) Need for greater understanding of the policies of public hospitals on the part of the surrounding com- munity (VA Hospital, University Hospitals and Clinics). A number of these needs concern the inadequacy of pre- sently available resources for the provision of services. Thirteen of the 20 churches surveyed indicated that services for transients are inadequate. It should be noted that all of these concerns were expressed prior to the announcement of the change in policy at Wesley House. The need for a con- sistent interagency policy should be particularly stressed. There is also a need for the development of a definite policy on the provision of aid to transients on the part of the community as a whole. Trends in Delivery of Services to Transients - The following trends or changing patterns which are re- lated to the delivery of services to transients are apparent: 1) The number of transients in the Iowa City area has shown a steady increase in recent years. 2) The number of transients .in the area is highest dur: ing the late summer and autumn months and lowest during the winter months. .� air.aoruwEa By 1 JORM MICROLAB (F'lAp udl`I n, 9FC 'f01'I(� ml.kUiiLMLU BY JURM MICROLAB LLUAk kAPIU; AlIU 26 - Number of Transients Receiving Salvation Army Vouchers July, 1976 - June, 1977 July - October, 1976 325 November, 1976 - February, 1977 145 March - June, 1977 258 TOTAL SERVED: 728 3) The number of transients requesting lodging and other assistance at the Iowa City jail has tapered off in the past few years. It has been suggested that this is due to the change in administration of Salvation Army funds from the Police Department to the Crisis Center and the extent of lodging provided by Wesley House. 4) The number cf transients without a place to stay will increase greatly now that Wesley House is no longer offering lodging to the general transient population. Approximately 600 persons per year will need another source of lodging. � Id IC20FILnED 6Y JORM MICR#LAB ffOAP PES. !40!IIFS Priority HiLk0i ILMLU BY JORM 141CROLAB Problem CLOAK RAViuS AFIU uL GENERAL RECO,UME•NDATIONS Recommendation Possible Agencies Funding Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first year of the Human Services planning project. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Communication. Coordination Information Inadequate communication Agency directors and staff and coordination among agen- providing similar programs cies providing service or services to similar results in inconsistencies, client groups should meet particularly in the way together on a regular basis clients with multiple prob- to: lems are handled. Delays 1) share information about in the provision of service programs, and misunderstandings or disagreements regarding 2) explore solutions to service provision may occur common problems, when two or more agencies 3) acquaint them with the are involved with the same staff of other agencies client. Regular meetings to facilitate the refer - among agencies have been attempted but have been ral process and increase less than successful. trust levels, and Organizing and convening 4) share information on such meetings requires clients within the con - staff time and effort not fines of confidentiality. available from any one agency. 141CROFILMED or JORM MICR+LA9 Crppn 11ANn<. . f11S MMNF5 All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Priority F kliLrcUFiLM U BY JORM MICRULAB i:LUA,i RAPiuS AND JL, 'w,:,L„ • ; GENERAL RECOMMENDATIONS (Continued) Problem Recommendation Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents goeting lost in the system without getting the service provision is also often done without consultation with agen- cies affected by such programs. The result is that services are delivered with less than optimal efficiency and effectiveness. Data on client character- istics e.g. age, race, sex, income, residence and problems presented) are not available at the pre- sent time through many agencies. As a conse- quence, it is difficult to assess portions of the pop ulation which may be inade quately served, and for which programs should be developed. Human Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for them to succeed. Assessment of data require- ments is needed by 1) agen- cies to assess existing pro- grams, and 2) funding bodies to make allocation decisions based on cunmunity need. A common data collection and retrieval system should be developed which would place minimum demands on agency staff time and be economical. Funding agencies should make inquiries into systems of MICROFILMCD BY JORM MICR+LAB MAP enrt)' . oft MnCnS Possible Agencies Funding Affected Sources All public and Johnson private not -for- County Re - profit agencies gional Providing ser- Planning vice to Johnson Commission, County, Cities City, County, Johnson County, United Way United Way AR RAP IU5 AND uL inued Possible Agencies Funding Affected Sources 'or services :y should be Human staff should ;oordinate the its effort. dered as a possible funding 5 -7- MICROFILMED BY DORM MICR+LA© frDAR RATIMt • DF$ M lrffS N!1,,tUi iL;ILL) by JOW1 141CRULAB CLUAR RAi%lug ANO OLS• - Priority Problem A number of people who are in the Iowa City area each year do not have the resources to provide for basic necessities (shelter, food, transporta- tion) during the limited per- iod of their stay here. Approximately 90 transient persons/month were given some form of assistance by the Crisis Center during the first 6 months of 1977. (See Emergency Assistance to Transients profile, pp. 8-10 for the composition of the transient population served by the Crisis Center during this time.) The Crisis Cen- ter is currently providing assistance through a voucher system which relies on Sal- vation Army funds for food and lodging provision and on a memorial fund supported by donations for the provi- sion of transportation assistance. The Crisis Cen- ter has received no funds to cover the administrative costs of this program. Funds will no longer be available to the Salvation Army as of Janu- ary 1, 1978. The Diary Hawtrey Memorial Fund allows only minimal provision of trans- portation aid. RECOARdENDATIONS Recommendation City, County, United Way and Univ. of Ia. should meet to- gether before Jan. 1, 1978 to develop a definite policy regarding the extent of assistance to be provided to transients and a specific plan of action for the de- livery of services to transients. The policy should include the following: 1) The establishment of a housing facility with spe- cific provisions for the housing of transient per- sons and for emergency housing of other indivi- duals in need, such as victims of spouse abuse or individuals on pre- trial release or proba- tion (varying needs, such as those of spouse abuse victims for privacy, pro- tection, counseling, etc. must be provided for, in order for a multi-purpose facility to be feasible); 2) Limits on the eligivility of specific types of transients; 3) Provisions for emergency food assistance; 4) Some provision for trans- portation assistance. MICROFILMED By DORM MICR46LAB rTMP nn r!n. nft ia019f5 Possible Agencies Funding Affected Sources Crisis Center, Univ. of Iowa Ilospitals and Clinics, Vet- erans Adminis- tration Ilos- pital, Police Depts., City, County, United Way, Some Local Churches City, County, United Way, Local churches w 0 i r-lli.i<Ur !L;'ILU HY JURM MICkULAb Priority Problem Recommendation The Crisis Center will no longer be providing assis- tance to transients as of January 1, 1978. It is now unclear how much money might be available to assist tran- sients and who will take over the allocation of funds. A breakdown of needs, num- ber of people assisted, and relevant data is presented below: Lodging LLUArf kAFlui, Alib Ui Possible Agencies Funding Affected Sources Initial meetings should be or- garnized and technical assis- tance provided by the Johnson County Regional Planning Com- mission Human Service staff to assure coordinated effort and continuity. Three estimated budgets for the provision of services to tran- sients are presented below: 1) Crisis Center estimate of cost for 1978 if services presently being provided were to be continued: Food -(609 vouchers @ About 50 individuals/month $2.00 ea.) $1,218 provided with lodging at Lodging -(Rooming houses 8 Wesley House prior to Aug. motels/average cost @ 15, 1977, when it ceased to $9,50/person/night) serve the general transient $5,018 population. Under the new policy established at that Transportation -(132 vouchers/ time, transients are no average @ $5.00 ea.) longer eligible to be $ 660 lodged at the Wesley House Hisc. Assistance (e.g., medi- Youth Hostel. Cost was cine, diapers) about $4.50/person/night $ 200 ($2.50 to the Methodist Church and $2.00 Salvation Supplies-(e.g., vouchers books, Army funds). Transients Mailing) $ 100 are presently provided lodging at rooming houses Staff -(administration", book - or motels at an average cost keeping, statistics, of $8.00/night. In addition filing, etc. @ $4.00/hr.). to the increased cost of these $2,280 arrangements, rooms are some- TOTAL" $9,468. times unavailable. It is an- ticipated that local churches *Doescnot14 include staff time 5. •~I MICIVILMID OY JORM MICR+LAB fi'DAq pn P!m. . rttS k'nIACS w r Priority Miwd Ui-ILMLO BY JURM MILROLAb Problem and the jails will see an increase in the number of transients who show up at their doors in need of lodging. Transportation About 11 transient indi- viduals per month were pro- vided transportation assis- tance by the Crisis Center during the first'7 months of 1977. The average ex- penditure per month was about $75. The Mary Hawtrey Memorial Discre- tionary Fund is very limited in the assistance it can provide. Food_ About Sd food vouchers ($2.00 each) per month were provided to transi- ents by the Crisis Center during the first 7 months of 1977. Assistance toward the purchase of food, as well as that for transportation and lodging, will not be available as of January 1, 1978, • uUAN RAPIUb AND uL Agencies Recommendation Affected 2) Budget for lodging facility proposed by Transient Ser- vices, Inc. (for 1 year of operation): Salaries, benefits, and insurance -two 3/4 time positions $18,000 Office :supplies and postage 100 Telephone 250 utilities 1,500 Rent/House Payment" 4,200 Publicity 50 Maintenance 1,000 Repairs, 1st yr. 2,000 Equipment, 1st yr. 1 000 TTF1 in AThere are several housing options - rental, outright pur- chase, purchase on contract - which will markedly affect the total budget necessary for the facility. 3) Budget for lodging facility (includes other services) pro- posed by Salvation Army (for first year of operation): Rent/House Payment $6,000 House for Local Officer 3,500 Van or Station Wagon 8,000 I I 14ICR0f ILIdF.O RY JORM MICR+LA6 MAR PAND'.. . pf5 2.101NLS Possible Funding Sources w N hiiL(U1ILME.0 BY JURM MICROLAB CLUAR k0ilJy AND LL +- Priority Problem It appears to this committee that as of January 1, 1978 a major crisis will begin due to the termination of ad- ministration of funds by the Crisis Center and the unavail ability of funds in general for the purpose of aid to transients. Possible Agencies Funding Recommendation Affected Sources Furnishings and Equipment $10,000 Supplies 2,000 Officer's Salary 10,000 Part-time Staff Salary 4,000 Health Benefits, (Officer and Staff) and Re- tirement (Officer) 4,000 FICA (Sys) for Part-time Staff 600 Phone, Postage 1,200 Conference Expense 300 w Direct Assistance 9,000 LO Replacement Fund -Car 2,000 Furnishings 850 Miscellaneous 1,000 Support Service Payment (101) 6,000 TOTAL $68,450 •� ~� 111CROFILMED BY I DORM MICR+LA6 NDAR PAPIW f7E5 MONF5 MiutUl10ILD BY JORM MICROLAB CEDAI< kAPIoS AND UL���- -34- APPENDIX 1 Patients Served - Un'""'"'tv Of Iowa Hospita July 1, 1976 - June 30, 1977 A. University Hospital Admissions Pay Class Number Indigent 11,408 County Clinic Pay* 232 Clinical Pay** 5,786 Private Pay 21,815 TOTAL 39,241 B. University Clinic Outpatients pay_ Class Number Indigent 41,574 County Clinic Pay* 4,562 Clinical Pay** 78'719 Private Pay 184,838 TOTAL 309,693 in Percent of Total 29.1 .6 14.7 55.6 100.0 Percent of Total 13.4 1.5 25.4 59.7 100.0 * County Clinic Pay - covers hospital costs and cost of physician's services **Clinical Pay - physician's services provided at reduced cost to patient •' .-..i MICR01 Iu4ED BY JORM MIC R+L A B fFRAP PAPIns • PCS MOVIFS AMICY Iowa City Crisis Center Johnson County cc mission of Veteran Affairs 1,11t-i<OFlLMLU BY JORM MICROLAB LEOAk RAPlUS AMU uL' APPENDIX 3 AGENCIES WHICH PROVIDE SERVICES TO TRANSIENTS SERVICES PROVIDED ELIGIBILITY Salvation Army vouchers and referral for Emergency need as determined by Center staff and volun- food, lodging. Vouchers for gas, bus Crisis on duty. tickets; short -tens crisis counseling Leers services available at office from 11 a.m. 81 to 2 a.m. 7 days and week and by phone St 24 hours/day. 995 transients served in , 1976: 558 lodging vouchers, 665 food vouchers, 51 gas vouchers, and 19 bus vouchers. Financial assistance for food, shelter, bus, Wst be veteran and meet guide- financial yneeds. Services ous emergency miscellaneous lines for need. available 5 transient families (85 individuals) served in 1976. Iola City Free Medical Free medical care, consultation, and None. Clinic referral to more specialized services. 7 p.m. -10 p.m., bbnday and Thursday." 508 out -of -county residents served in 1076. Of these, 46S were Iowa resi- dents, 83 were out-of-state. Free Store Free, usable second-hand clothing to lone those who need it. (lave provided other items in past, but this service dis- continued in July. Open from 9 a.m. to 10:30 p.m, bbnday-Saturday when Center East is open (about 11 months/ Year). IdICROFILIdED DY JORM MICR4?LAB M)Am PAI -11" • OFS MOVIES FUNDING 1976 $4,761 1977 $5,479 .1978 $5,828 (budget) Sources: J.C. Board of Super. 6551 United Way 81 Work/Study St Donations fi Misc. 21 For financial assistance to residents as well as transients: July 175 -June '76 $75,600 FY 77 75,600 i FY 98 80,850 w source: J.C. Board of Super. 1004 For entire clinic: 1976 $21,096 1977 25,290 1978 31,000 (budget) Sources: United Way 511 J.C. Board of Health 371 Contributions 121 None. Clothing donations only- MICROFILMED nly. MllukUI-ILNEU BY JORM ! ICkOLAB • LLUAN KOM AW JL,:!""iL., SERVICES PROVIDED ELIGIBILITY AGENCY Formerly provided free lodging to Mut be visiting a patient in University Hospitals; no Sedaven House (no longer in operation) purple visiting patients at University Hospitals. services available at all smoking in House. nB times. 30.40 transients served in. 1976; 100 Overnights provided. Stone Soup Restaurant University Hospitals and Clinics - Social Service Department Veterans' Administration Hospital - Social {York Service Provide a free meal to anyone who is wilto work n the forla couple of ahours. open from t 7 a .-9 a.m., 11:30 a.m.-2 p.m., 5 p.m. -8 p.m., 6 days a week and from 7 a.m.-9 a.m. and 11:30 a.m.-2 p.m. on Saturday. About 2 people/week use this service. Referral for financial aid for lodg- ing, meals, transportation. Lodging at Westlawn for minimum Gare patients, escorts, attendants, and antepartum patients. Services available from 8 a.m.-5 p.m., Mbnday-Friday. Financial aid and referral for finan- cial aid (for lodging. meals, trans- portation) Services a,milable 24 hours a day (through Social '.Ark Service during the day and Medical Administra- tion Service at night). None FUNDING Amount: unknown Sources: Seventh -day Adventist Church Contributions 1 Source: paying customers Members fees Must be patient or escort or . p rtaofloverall Hospital budget attendant of patient at Uaiver- which does not specify funding for sity Hospitals; financial need tment. must be determined, Social Service Depar Fust be veteran, authorized Not applicable. patient at VA Hospital, and meet Part of overall Hospital budget financial guidelines. which does not specify fording for Social Work Service. MICROFILMED By JoRM RAICROLAB MAR MTV • 'irt ;4ionr5 hILROPILMLU BY DORM MICROLAB AGENCY SERVICES PROVIDED Wesley Ibuse (no longer pro- Provided short-term (2-3 days) lodging, viding services to general counseling, and referral for assistance transient population as of to all types of transients in the past. August 15, 1977) Since the change in policy, now provides short -tern lodging to American Youth Hostel members and students/prospective students at the U of I. CLDAk RAP[u5 AND jL, :•i�:a�„ ELIGIBILITY None, prior to August 15, 1977. As of August 15th, mut be AYH member, student or prospective student at the U of I. Local Churches Some churches provide short -terns lodging, tone. food, clothing, financial assistance for lodging, food, and transportation, and assistance in exchange for odd jobs. Limited amounts of assistance provided. Mould like to have Clinic open longer hours; this is not possible at present level of finding. IIICROFILI-10 BY 1 JORM MICR+LAE CrPAP PAr@S Pf5 momrf Oct. 75 -Sept. 76 $7,600 FY 77 8,200 Sources: Methodist Church 581 Salvation Army vouchers 141 J.C. Sec. Ser. 1.9 (purchase of service) Caen. of Veteran Affairsl.3 Clients fees 251 Clunrch fwlds. Limited resources available. w 00 i hiiGiNl iLi•1Lu BY JORM MICROLAB LLOAR RAFIU� A110 OLS -39- APPENDIX 4 Responses to Church Questionnaires (Sent to all churches in Johnson County, Iowa) 20 Responses - 60 Questionnaires Responses received from: Iowa City 18 Coralville 2 *Churches 15 Campus Ministries 6 *One response from combined church/campus ministry. AVERAGE NUMBER IN CONGREGATION (15 churches) 200 Provision of Emergency Assistance to Transients 1. Do Provide Assistance. . . . . . . . .15 Type of Assistance Provided: Food. . . . . . . . . . . . 8 Shelter . . . . . . . . . . 9 Clothing. . . . . . . . . . 3 Money For: Food. . . . . . . . . . 6 Shelter/Rent. . . . . . . . 6 Clothing. . . . . . . . 1 Transportation. . . . . . . 6 Medical Care. . . . . . . . 1 Type of Aid Not Specified. . . 5 Provide Odd Jobs . . . . . . . 6 Give Money to Another Organization which provides Emergency Assistance to Transients: Crisis Center . . . . . . . 2 United way. . . . . . . . . 1 2. Do Not Provide Assistance to Transients: . 3. Emergency Assistance Provided to the Following Numbers of Transients in 1976: 2- 5 persons. . . . . . . . 5 6-10 persons. . . . . . . . 4 24-25 persons. . . . . . . . 2 1,000 persons. . . . . . . . 1 I.1ICROVILI4[O By JORM MICR+LAB MAP PAPin'. . nFf MOPIF 5 NiLt l ILMLLi BY JORM MICROLAB -40- LEOAt RAPluil ANO LL. iu.:,L._, 4. Would Help Form/Support Central Clearing House to Assist Transients: Yes. . . . . . .10 Conditionally. . . . . . 4 Not Specified. . . . . . 4 No. . . . . . . . . . . 2 S. Source of Referrals: Phone Book . . . . . . . 2 Community. . . . . . . . 2 Churches . . . . . . . . 2 Univ. Hosp.. . . . . . . 3 Oakdale. . . . . . . 1 Dept. of S. S. . . . . . 2 Crisis Center. . . . . . 1 Not Specified. . . . . . 6 No Referrals . . . . . . 3 Not Applicable . . . . . 3 6. Refer to: Wesley House . . . . . . 5 Crisis Center. . . . . . 5 Free Med. Clinic . . . . 1 Dept. of S.S. . . . . 1 Ia. Memorial Union . . . 1 Number Suggested by Religous Leaders Association . . . . . 1 Not Specified. . . . . . 7 Do Not Refer . . . . . . 1 Not Applicable . . . . . 3 7. Problems/Needs Cited: a. Limited individual church or community resources for emergency assistance, especially for transients (13) -Lack of shelter for transients -Lack of experienced counseling (at Crisis Center) -Lack of shelter for women fleeing bad marriage -Lack of short-term work opportunities for transients -Lack of ready funds at church -No one at church after hours -Lack of extended lodging beyond 2-3 days provided at Wesley House -More services needed for hospital visitors b. Inability to discern real need vs. being ripped off c. Services difficult to find d. Need for halfway house for young people released from mental institutions 141CROFIL1410 or ' JORM MICR¢LA9 rrnn� nnr;n� . �rz iamnts substance abuse This Is the third in a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la. 2'i �- 7 IIICROHLMID By I DORM MICR+LAB MAIL PAPPC • M annus lliw Df IL14LU BY JORM 141CROLAB CLUAR RAPIDS AND UL's., TABLE OP CONTENTS Preface - Methodology ----------------------------------- l _ xiii GOAL---------------------------------------------------- SERVICE AREA DESCRIPTION -------------------------------- 1 PROBLEM DESCRIPTION/ShkViCE POPULATION ------------------ 1 Problem Description - Alcoholism ---------------------- 3 Service Population - Alcoholism ----------------------- 7 Problem Description - Chemical Abuse ------------------ g Service Population - Chemical Abuse ------------------- 12 SERVICES PROVIDED --------------------------------------- 14 Emergency Treatment ----------------------------------- 14 Inpatient Treatment ----------------------------------- 15 Intermediate Care ------------------------------------- 16 Outpatient Care --------------------------------------- 16 Aftercare ------------------------------ Outreach ------------------------••--------------------- 17 Consultation and Education ---------------------------- lB Maintenance Services ---------------------------------- 20 Support Groups ------------------------- 20 Support Services ------------------- Funding for Substance Abu!-,(! Treatment ----------------- 22 UNMET NEEDS ---------- ---------------------------------- 27 GENERAL RECOMMENDATION. --------------------------------- 34 RECOMMENDATIONS ----------------------------------------- 37 APPENDICES 1. Agencies which Provide Substance Abuse Treatment Services ------------------------------ 40 2. To Whome Agencies Refer --------------------------- 47 3. From Whom Agencies Receive Referrals -------------- 49 4. Influential or Planning/Advisory Relationships Affecting Service Providers ------- 51 �- I•IICROIILNEB By 1 JORM MICR( LAB frpAR RAn!m, . firs 'inmr, mil,tWi IL;'iLU BY JORM MiCROLAB (,LUAR RAFW�) AND A, i -,:,L., JOHNSON COUNTY REGIONAL I'LL ING COMMISSION MINBER GOVERNMENT'S AND [UPRESHNTATIUS FOR 1977 Isalcl 'Turner - Chairperson Emil L. Brandt. - Hxecutive Director ,Johnson County: City of Town City: City of Coralville City of Solon: City of Shueyville: City of North Liberty: City of University Ileighls University of Iowa: Citizens' Advisory Comm: John Dano, Daniel Downes, Charles Dul'fy, Donald Schr, J. Patrick White Carol do Prosse, Dorothy Douglass, Janes Ilnrris, .lames Lindbcrp,, Andrew McKean, Mary Picuhauser, David ferret, Allan Vcstnl Richard Mycrs,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson rsabcl 'rurncr HUMAN SHRVICHS COMMIT"11d; Chairperson: Carol Spazi.ani Rex Money Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Menson Paul Ruston Roald Rolfson Gladys Benz Carol Pracass:ini David Schutt Katherine Kruse Florence Spninc I,orada Mck Jones Harris illiam lickhardt athleen Kelly 'aul Sand in I MICROFILMED BY DORM MICR¢LAB rFPAP PAN')', 11f5 M01aF Jeannie Williams RLISSCII Proffitt Benny Leonard Faith Knowler Tim McCue Pat SLrabala Retty Runge Margaret Stephenson David Schuldt Jeanette Carter h11 �itUi ILI•ILu BY JURM 141CRULAB CEDAR RAPID) Aku JL ACF :O11LEDGEME-NITS The preparation of thio- report would not have been possible without the involv,ment and support of the subcommittee members. Their coi.trib-rtions of talent and energy was in- valuable to the success of the project. Appreciation is also duc to the human service agencies in Johnson County who cooperated fully with the project and supported us in ou- planning effort. Finally, our thank: to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. Staff Participants Emil Brandt Constance Eclttc •nach Pamela Ramser I.awrenco Allen Mary McCue Naomi Miller Donald Mulholland Frances Blommers Dianne Bunte Judith Waterman w. Executive Director Project Director Plal:ning Assistant Soc)al Work Practi.cum Student Research Assistant Urban Regional Planning Practicum S:udcnt Research Assistant Secretary Secretary Graphics This study was prepared by the Johnson County Regional Planning Commission for the Ci.ty of Towa City's Com- prehcnsive Planning program. It was funded in part .. through a contract with Iowa City from the City's Community Block Grlwt allocation. "7 MICROFILM[[) OY i JORM MICR+LAB rrDAp Rnrin,, . pr( MOINFS hll rlUi iLFILu BY JDRM 1.1lCkDLAb PRI:FACII METHODOLOGY I. BACKGROUND 01' THE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well us other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the lova City Compre- hensive Plan In the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Towa City. The balance of the funding is being provided by the Regional Planning Commissiul,. A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee nlcmhers were: Carol Spazian:i, representing citizens; Florence Stockman, representing Johnson County; Neal Borl.in, Dennis Glaft: and Linda Schreiber; representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabol.Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary Plc Cue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allan, .Tillen(Y Ferinlsun, Naomi Miller, and Donald Mulhnllnnd. :41CROIILIIED BY JORM MICR+LAB FMAH Var!m. . )rS nnpiFS Flil,tWt ILMLU by JOR14 MICkdLAi LEUAk kAklw AIIU oL At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall. polic;r advice for the study. This committee, composed of approxima'.ely 30 members, includes I) representatives of Local fund ng b -,dies, (i.e., Iowa City, .Johnson County, and the United W: y); :) human service board members; 3) staff from public and private human service agen- cies; 4) consumers o; t;ervices and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering 1ommittee and adopted by the Regional Planning Commission, are Goal: To make the planning and itplementation of human services in .Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of .loimsun County and to determine the extent to which these needs are being met. To analyze and correlate th4• information on human needs in order to make it useful or decision makers in formulating programs and allocating resources. 4. 'fo eSL:rhlish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping; inl"nrnultion on services and needs current and :1vai1a1)1e. 141 CROF I LIII D By JORM MICR+LA6 rr,jAQ PAr!p'. • P(S VVIF. f1k,,W1 ILMLU BY JURM MICRULAB LLUAk RAP IJ, AIiU A Because the areas o human servile arc so broad, priorities needed to be set. The >teering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., From Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the :�tccr:ing Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of: the four sub -committees established to deal with the four major areas under study. Pollowinp is an organizational chart outlining -- responsibilities and relationships. I MICROFIL14f.D BY JORM MICROLAB ffBAR Pni•; n5 • !IF� YDINFS Ml iwUi ILhtiu BY DORM MICROLAb Executive Director (3) Human Services Planning Staff Patnil), $ Individual Life Services (6a) GEUAk kAfWS Ailb ULA. - ORGANIZATIONAL CHART Regional Planning Commission (2) Human Servicc: Committee (A) Iowa City (1) Steering Committee (5) Emergency Assistance (6c) Mental Health Public Protection Chemical Dependency (61)) 1 1 F Justice (6d) 1) Iowa City: Contracts with the Regional Planning Commission for Human Servico Planning. They receive r()orts, conclusions and recoR,ro ,Dations ana can act or not act upon them. 2) .Johnson County_ Regional Planoin t Immission: is rosponsible for fulfillment: of Che torms of the contract. It: has over - NII resPossibility for the rCSUILS of the study and recommendations made by it. I1PC delegates responsibility for carrying out the plan to the Human Service staff and C Orlin i It e (? . 3) Human Services Planning Staff: Guides and directs tie study, prepares, materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out: reporting requirements. -iv- 1,. —1 AICROTILMED BY DORM MICR+L.A9 MIAP PAPI'1'. • PCS MOPIFS M,LIWIiLALU By JURM MICROLAB 4) Human Services Committee: CLUAa KAeiu'� AUlu JL Has overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. 5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee repoii.s, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. _ 6) Human Service Sub -Committees: Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri- ate ways of collecting data; identifying existing resources, providing information on how the service delivery system works, and identif.ics knowledgeable people to be brought into the study. They recommend how data should he organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental llealth/Chemical Dependency: Includes mental health, substance abuse and family, indivi.- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter, transpor- tation, medical care and jobs for transients and permanent residents in crisis situations. 6d) Public Protection a.d Justice: Includes juvenile jlstice services, adult community-based corrections, anll protection of the elderly from libuse, neglect, and exploitation. No'1'F.: '1'hc Steering Committee dealt With i.n this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering COMMittee used to develop the Human Services Project initially. "i MICROFILMED BY JoRM MICR+LAB MIAP Pwi'". - TS'4nPIF 4 1,i; U1W1 iLJ9w by JORM MICROLAB II. DA7•A COLLECTION CLUAk RA,,iJ; AIIU L)L, Data on human services and unmet needs was collected from it wide variety of sources using several different methods. Sources of information included: agencies; churches; private Practitioners in social work, psychology and psychiatry; s heals; youth; attorneys; support/advoca0y groups; citizens; previously ;;• ted Mudie:•: and census data. The methods used to collect the data Wer, written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list o' agencies providing services i.n each of the four major areas was obtained from the .Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pl.otod Agency Service Inventories were returned by 67 agencies. Seventoen agencies responded in the firm of a letter or were personally interviewed. Threc agencies wore no longer In exis- tence at the "1110 of the survey. In the remaining nine cases, agency organization roprosentatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. '['he qu0stionnaire was composed of two parts: Part I re- quested general Of about the agency, and Part II re- quested specific information on each major program offered by the agency. As the (1uest.i.onnaires were returned, they were summarized and distributed to sub -committee members. 1110 fotloc,"ing agencies submitted written information to the snh-conunittccs: limcrgencv Ass istancc_ Conran i Ctcc) Itirthriglit of Iowa City-__— Rnuna Coldmnn Clinic for h'onlen few" City Crisis Center Iowa City Proe PIodical Clinic Johnson County Chapter of the American Iced Cross Iowa City U0par4nont of Social Services Salvation Arm% Sedaven Ilousc vi - 9 MI CROP ILMLD By i JORM MIGR+LA6 CFDAP I'MT)', . 'rrs '1011fS MiLAOiiLALU BY JOkM NICROLAB CLDAk RAPlj� Alw uL� (lniversity of Iowa Special Support Service.; University of Iowa FinanclaI Aid (lniversity of Iowa Student health Service Veterans Administration hospital Social Services [lniversity hospitals and Clinics Social Services IIACAP (Ilawkeye Area Community Action Program) Wesley Foundation Free Clothing Store Johnson County Commission of Veteran Affairs Married Student Housing lows-TI.linois Gas and Floct:ric Company Stone Soup Restaurant Mental Ilea Lth/Chemical Dependicy) Alcohol and Family Counseling (..•nter (MECCA) Citizens Committee on Alcohol and Drug Abuse (Cedar Rapids) Community Pastoral Counseling Service HERA - Psychotherapy Collective Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy Ilospi.tal - Cedar Rapids Mid -eastern Iowa Community Mental health (:enter Orchard Place Reality X Recovery, Inc. University of Iowa Counseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric hospital Veterans Administration Hospital Alcohol Treatment and Rehabilitation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Servic-•s Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service Justice Sub -committee Adult Corrections Servico Department of Social Services Child Iowa City human Ri•llts Commission Iowa PIRG Mayors Youth Emplryment Program Project HOPE: Rape Victim Advoc;,-y Program United Action for Louth Youth homes, Inc. Johnson County Council. on Aging ~�! MICROHLIED BY JORM MICR�LAB r,nAP . 9(S .1W IF Abuse Registry Ili lwWr IL[ILU BY JORM MICROLAB LLUAif kANIU� AIIU JL'., _- Heritage Agency on Aging Visiting Nurse Association Ilawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center Personal inter.v;(.,ws and Group_Mceti.ngr Manu individuals, organizations, .Ind agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion,and proved to be very beneficial. 'rhe following agencies, organizations, and individualspro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital. Social Work Service Uepartulont of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of :J0hIIS0p County 'rransicnts, Inc. Iulqa City Ct';:;i:, Center Wesley House Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit: IIACAP (Ilawkeyc Arca Conuuun i t; AcI ion Program) (Ment:11 Ilealth/Chemical Dependency) hill Ii:Irticy - I.nncsidc Foundation and Alcoholism Anonymous Oakdale Alcoholism 1'rratment Unit Reality X Alcohol and Ramily Cannseling (:enter (MliCCA) SedIacok Treatment Center, Mercy hospital - Ced;Ir Rapids Johnson County Attorney's Officc (:;Itberine Womhncker, Patient Advocate I I wuaonLM By DORM MICROLAB rrnpn V4P!1)C . 'irC M01S1 .5 MiutW 1LNLJ BY JURM 1.11CRULAB Cr_0i,k RAriva ANU Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Towa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda dole, Magistrate Justice Sub -committee) Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department IIACAP (Ilawkeye Area Community Action Program) SEATS United Way Information F Referral Flawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark TV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment F; Training Act (CETA) Project HOPF Job Service of Iowa Data Collected Through Churches and Camnus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistance provided to transients and ,Johnson County residents. ��� I•IICBOFILI.ILD BY JORM MICR6LAB rrDAp UN,; nc, ,SFS dO I'IFS M IL,iWi iLALU BY JURM 1.11CRULPob CGUA� kAk Wz, ANO JL Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcopal University Chaplaincy Evangelical Free Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social service delivery system in .Johnson County. All schools In Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of I'orty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 101:11 to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x - Id ICROf ILMED BY JoRM MICRt LAB rrpAP FAnlm. . ir$ mnl9f` tli Lk Ur 1LMLJ BY JORM MURULAB LLUAR RiAriJJ AiIU JLC '��•-- The following personnel completed the questionnaire 19 School building principals 10 School counselors G School nurses 4 Assistant principals " 1 Superintendent School personnel wr re asked a variety of" questions related to children and their rIliliCS. those involved: chan};es in problems facing children and their faiiIies; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health relate( resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through the schools is available. Data Collected from Attorneys - All 110 members of the .fohnson County Bar Association,bo- cause of their invoivem-;nt with people in crisis, were mailed questionnaires dealing :ith problems their clients may have. Twenty-two questioinairrs were returned ror a response Tato of 20 percent. hour a torneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly wore not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however, completed the questionnaire partially. Tho attorneys were asked to relate thoir experiences re- garding contributing fa tors to family breakdowns, referrals to helping agencies, and t.e inridenc•e of people affected by a number of problems. A separate report siunmarizing the data obtained from attorneys is nvailahle. MICROFILMED BY 1 JORM MICR+LAB rpAp . ')f5 Mn1!IFS OluiWt 11-MLL) BY JORM 141CROLAb LtUAR kAPIJi AND LJL Data Collected from Social Workers, Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clionts through private practice were surveyed using a form similar to the Agency Service inventory. Two psychiatrists, two psychologists, and six social workers respnnde:i t'iat they did not have clients on it private practice basis. One psychiatrist, Iwo psychologists, and two social workers, however, furnished information on the clients in Ci::°ir private practice. Data Collected from Citizens loWa City distributed the Iowa (:I.y Peeples guide and survey to ever;; residence in Iowa City as part of their Comprehensive I'lanninh• effort. The huuan services planning project was allowed to include it section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficult ,v in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1.,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff' distrihuted the human service section of the survey to visitors at the Johnson County Pair. A total of 86 responses was roccivcd in this manner; 54 responses were from low- Cilv resident•= and 12 from residents in other parts of John- son Cnnnty. A "t�porate mport -:ununarizinp• the data rnllec•tod from viti- ton, Iliruup,h Ihi rl'Iorl i, rlvrli lahlo. Xii 41CImrILMID By JORM MICR(PLAB rtaAP PAPT" • PFS MWIFS Mlt,iM ILMLU BY JORM MICROLAB CLUAR RAP Iu�) AND uL� ',1., ,1IL III. DATA ANALYSIS The data which was collected was compiled into eight ser- ~ vice area profiles, the major sections or which are: Goal, Sor- vice Area Description, Problem Description, Service Population, Services Provided, and 'Inmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. i MICROFILM BY JORM MICR�LAO MIA17 rnnin<, nES MoPics t•ilti<UF 1LMLU BY JURM MICROLAb • LLUAH kAVWS ANU ,JCS ' :;IL_, •• -1- GOAL f Johnson County residents whose uSe Reduction in the number r, fnmi]y, mploymen*. and the of a substance is harmful to their health, e general wellbeing and quality u[' life in the community. SERV [CE AREA DESCRIPTION The substance abuse prevention and treatment program area if; aimed at the alleviation of the dependence upon chemiralr; for doily living through identific tion, evaluation, motivation, counseling, therapy and general rah+ �ilitation o£ the chemically dependent people and their families throe lh education toward awe+renrss and prevention of abuse. Service Elements: d individual, Alcohol - detoxification, psychiatric treatment, a.i group, marital and family counseling/therapy. Dry - psychotherapy, group thernpy, reality -encounter therapy, and methadone maintenance. Treatment may be provided on an inpatient or outpatient bones .. depending on the needs of the patients. PROBLEM DESCRIPTION AND SERVICE POPULA"CION The Iowa Health Systems Agency defines the problem of subitnnce abuse in their 1977 Stars Plan: �! 141SOfIWED By DORM MICR+LAB CFDAP iFS FffIIIIFS MIL,10 ILL U BY JURM 14[CRULAB -z- LLUAR kAYWI� A;W UL ";lubstance obu-:e is o costly 1 -en lth and sorinI problem. It affects both abusers and nonnhusers. An abuser uses a substance in such a way that it adversely affects some aspect of his/her life such as physical health, mental health, relations with family and friends, and/or ocnupational or educational functioning. No-nbusers, especially family members of abusers, are also victim3 of sub.. .n^e abuse; as indivic gals they can become just as dys- functional ns the substance abuser. With help, family members ren be returned to :v:nithy status, even if the substance abuser never deals with his/her problem. Substance abuse, in addition, has overall effects on will citizens who mu.t bear the cost of prevention and trentment: programs, and the related costs of lost Productivity, accidents, crime and other social problems." (HSA Plan, Aug. 1977. p. IV -31) The plan continues to describe the characteristics noted more frequently among substance nbusers. "These characteristics include low self- esteem, limited rnbility to cope with strer,s, difficulty in close relationships, physical and emotional discomfort, and lack of recreational alternatives. Something mu:;t be done about these charocteri^tier. of the problem if substance abuse is to be lessened." (P• ltf'�2) Drug and nlcnhol abuse are nrr.' con: i.dered together more frequnntly. Abusers of alcohol and drugs often exhibit the same cheracteriatics and the, causes for abuse are often vi.eaed as similnr. Treatment profcnvionale in bnth drug and nlr_oho] programs are seeing on increase of individuals with dual dependencies an well. The new State Department in Substance Abuse i; designed to combine nleohol and drug Phu er: 1,:nrlrnm::, ;it. lenrt an thn atnte l.•val. hb,:;t. ail' r.ho r.+;;enrch done on alcoholism and drug abuse has been raeporat.:, hownvr;r, and inrril agencic^ have boon net up to deal with MICROfILVIID BY JORM MICR+LAB �•r nAV P.1P!r,.. pf5 'AO!YfS r- f•liwtUf !LML) BY JURM MiCRULAB -3- CLUAR kAFIU� AND L)L. �-.:,;- , . _.,, them separately also. Description of the problems and service popula- tion, therefore, will be dealt with in two parts, the first on alcoholism and the second on drug abuse. Problem Description - Alcoholism A 1972 National Institute on Alcohol Abuse and Alcoholism reported that 70 percent of adults in Americo use alcoholic beverages. Of those who drink, about 10 percent or 6.2 percent of the total adult population, become problem drinkers or alcoholics. Estimates mode by local alcohol treatment practitioners regarding the number of alcoholics run between 5 and 10 percent of the general population. Using the conservative 5 percent fig—, it could be projected that at least 3,750 alcoholics live in Johnson County. Using the Jellinek formula, which is based upon the number of deaths involving cirrhosis Of the liver, the number of alcoholics in Johnson County would be 2,117. Personnel of both the University Hospital and 'Jaterans Administra- tion Hospital estimated that 40-50 percent of their general medical iated with alcohol. These individuals are patience had problems assoc alcoholism counseling at either facility. not generally channeled into in these patients is not generally known; The existence of the problem consequently, more thorough investigation may be necesssry. The NIAAA report cited the costs, both economic and social, associated with alcoholism. The life expectancy of the alcoholic is shortened by 10 to 12 years. NIAAA estimated 36 million people, families of alcoholics, to be ". . . caught in alcohol's web; unhappy marriages, IdICROr(LRLII BY JORM MICROLAB CFnAV VAP11, . ors InlIV, i MiLfl & ILMLO BY JURN MICRULAB CLUArt RAPIUS AND uL'J '%��•��- . to brok?n homes, desertion, divorce, impoverished families and deprived or displaced children are all part of the toll." (National Institute of Mental Health. National Institute on Alcohol Abuse and Alcoholism. 157Z, p. 1:' They estimated the cost to public and private agencies in wpport of the nlcoho'ic -ind his family to be $2 billion per year. They further strted that "n looms of $10 billion yearly has been attributed to work time lost through alcohol problems of employees in busineus, industry, civilian in government, and the military. An additional $3-3.5 billion can be attributed to property damage, medical expenses, overhand costs of insurance, and wage losses." (p. 12) Chronic drinkers were responsible for two-thirds of the highway fatalities, and half of all homicides and one fourth of all suicides are alcohol related. A needs assessment done by the Alcohol and Family Counseling Center (MECCA) states that 67.2 percent of total commitments to Anamosn, Fort Mndi.son and Rockwell City have alcohol problems. Unfortunately, NIAAA reports (end a local treatment professional concurs) that only one-tenth of the alcoholics are receiving treatment of any Fina. Johnr-on County attorneys were surveyed to ascertain their clients' i.nvolvament with vnrioue cnr.inl problems. They estimated that 25 pear:^nt If di.,r:,lu-i,n involved nlrnhol problems. The attorneys .1Ir;11 .:Stim,lted char. in nveroge ,f 55 percent of the battered spouse erica, involved ilc,Avi 1. The Crinis Center reported 140 calls in i RICOFILME0 BY JORM MICR461LAB CFDAP pAPi'), 'IFS I.JnpjrS N miIumiIILMLO BY JORM MICROLAB • LEUAk RAPIJ� AND AL 'w::+L 1976 concerning alcohol.; 112 of a cri.si:: nature :ind 2(t nnn- crisi..i. The community did not feel that planning for ,ervicer, to the alcoholic and drug dependent were jr importnnt n:, some other. group:-. Only 20 percent of the Iowa City People, Survey of 1977 r#-spondent:: ranked these services as moat important or :second mn=t imoortant when compared to the mentally or emotionally ill; chrnnicolly ill, phyni- tally or mentally handicapped; transients; or low income individuals with families. Residents of towns in Johnson County outside of Iowa City ranked the alcoholic -drug dependent services higher, with 36 percent ranking it as first or second in importance. School personnel were also surveyed to gain information on problems facing young people. Thirty-five percent felt that nrnblems with alcohol were increasing in the school=. A study of a.lrn)hol and drug use of [own high rchr,ol ;todenty showed that alcohol is the substance moat often used: ...I WILRU[ILMED BY Jo RM MIC R+LA13 MAP PAPM11 . rrr5 Mnlwr MlukUr ILMLU By JURM MICRULAB LLUAh RAPIDS AIiU ULA PERCEK OF STUDENTS WHO USE ALCOHOL, MARIJUANA AND OTHER DRUGS (DOWNERS, UPPERS, HALLUCINOGERS LIKE LSO) The report also indicated that the earliest age for onset of drug and alcohol u.te woe (increasing. "In 1974, the earliest age of onset was nine while among those interviewed in 1976, several began experimenting with alcohol around the age of six and daily usage was reported an early as ago ton. The earliest onset age for drug usage 1 other than alcohol wns nine with regular use being reported by age ten." (Incidence and Prev•rlence sturlie!: of Substance U -se and Abuse in Iowa 1974-]976 High li,lht:;; Iowa Dru.j Abuse Authority, P. 11. `• i MICROFILMEO BY JORM MICR#L.AB CMAP e�rl�,. nrt laorlrt uraoe Frequency o1 use (per Month) 6 8 10 12 Total ALCOHOL: (beer, wine, whiskey) Never 63: 445 265 165 390 Less than once a month 24 29 29 20 25 Once a month 4 8 10 9 8 - 2.3 times a month 3 12 20 22 14 C•ace a week 2 4 8 15 7 2-3 times a .eek 1 2 6 14 5 4 or more times a week 1 1 1 4 2 MAIJUIUI: Never 98% 895 78: 675 85% Less than once a month 2 5 7 10 4 Once a month 0 2 3 2 2 2-3 times a month 0 2 3 5 2 Once a week 0 1 3 2 1 2-3 times a week 0 1 4 6 3 4 or more times a week , 0 1 3 7 3 DRUGS: (uppers, downers, hallucinogens) Never 945 969 90: 83% 92% Less than once a month 1 3 5 0 4 Once a month 0 1 2 2 1 2-3 times a month 0 0 2 4 1 Once a week 0 0 1 1 1 2-3 times a week 0 0 1 1 1 4 or more times a week 0 0 0 1 0 SOURCE: Mary Hays, 'P.evort of the Iowa Study of Alcohol and Drug Attituces and Behavior Among Youth," Iowa Department of Public Instruction, 1975. • The percentages don't always add up to 1005, but are as - reported by the study. The report also indicated that the earliest age for onset of drug and alcohol u.te woe (increasing. "In 1974, the earliest age of onset was nine while among those interviewed in 1976, several began experimenting with alcohol around the age of six and daily usage was reported an early as ago ton. The earliest onset age for drug usage 1 other than alcohol wns nine with regular use being reported by age ten." (Incidence and Prev•rlence sturlie!: of Substance U -se and Abuse in Iowa 1974-]976 High li,lht:;; Iowa Dru.j Abuse Authority, P. 11. `• i MICROFILMEO BY JORM MICR#L.AB CMAP e�rl�,. nrt laorlrt I.11l.tWt IL MLU BY JOkM MICkULAB LLUAK kAPiJJ Ai1J Ju —7— service Population - Alcoholism Alcoholism treatment programs- reported the following number,; of Johnson County clients for the most recent fiscal year:* -� Mt. Pleasant 14 Oakdale 93 Alcohol and Family Counseling Center (MECCA) - 378 Veterans Administration -- Hospital - Knoxville 1 Lakeside 15 Client data on age, sex, race, income, and residence was bared on estimates in most cases and often incomplete. Oenerel conclusions can be derived from the data, however. Most clients (about 50 per- cent) fall between the ages of 36 and 59. This is followed by the 25 to 33 age group with about 22 percent, 19 to 24 with about 15 percent, and 60 and over with 10 percent. Men comprised about 80 percent of the client population. It should be noted, however, that mo.t agencies were seeing an increasing number of women seeking help with al.rohol problems. ~ Agencies who gave estimates on income sew few clients with incomes over $10,000. Of those reported, 50 percent had incomes below $5,000, 40 percent - $5,000 to $9,999, and 10 percent - $10,000 to $24,999. The Alcohol and Family Counseling Center (MECCA), in addition to income levels, tied information on employment status of *It should be noted that some clients will appear in the counts of more than one agency from whom they have received treatment. Consequently, this is not an unduplicated count. Refer to appendix I Cor a complete listing of agencies and clients served. UCRO WTO BY JORM MICRd•LA9 CrON{ pnrIT •yrs wmnrs Ml',:tUF ILMLu BY JURM MIGRULAB • CLUAk RAVIUS AND uL clients. Fifty percent were employed full-time, 4.7 percent - part- time, 3.6 oercent were housewives, 23.4 percent were unemployed and -. 16.7 percent were retired. Informuti.­­ on place of residence in Johnson County was not available in most cases. The Alcohol and Family Counseling Center (MECCA) did, however, estimate that 72 percent of their clients come from Iowa City and 10 percent from Corelville. Eighteen percent came from small cities and rural areas as follows: North Liberty - 576 Oxford - 496 Riverside - 3% Tiffin - 296 Hills - 1% Rural Areas - 3% Lakeside was also able to specify residents for the fifteen Johnson County clients served: Iowa City - 60.0% Corelville - 20.036 Solon - 13.3% Tiffin - 6.6% With the absence of good data indicating numbers of clients and doth on age, sex, race, income and residence it is very difficult to nsrertai.n portions of the population which may be underserved. problem Description - Chemical Abu,c The lnci.dance rind Prevalence Studies of Substance Use and Abuse in Iowa - 1974-'76, conducted by the. Iowa Drug Abuse Authority, found thnt 13 percent of all urban males nod 9 percent of females responding - 141CRUf ILMID BY i JORM MICRbLA6 MAP PAPP' I4 nr' MiLtWf ILMLU BY JURM Id1GROLAb • LEDAR RAPWb ANU JL� - to the survey used marijuana/hashish; for the 14 to 17 year ape group, the use was as high as 35 percent. The total using LSD or other hallucinogens and heroin was 1 percent, and 3 percent for cocaine. The study also sampled the rural, i.e., farm residents, and found that marijuana use was lower, but LSD, heroin and cocaine usage was greater than for their urban counterparts. 1 Illicit Drug Use Prevalence of Urban Use by Age & Sex Marijuana L.S.D./Other Sex/Age N Hashish Hallucinogens Heroin Cocaine Males 14-17 49 35% 10% 4% 8% 18-24 62 7.1 6 3 8 25-34 80 6 1 0 1 35-49 38 0 0 0 0 50+ 46 0 0 0 0 Females 14-17 62 26% 2% 3% 5% 18-24 54 15 2 0 6 25-34 92 3 0 1 1 35-49 49 2 0 2 4 50+ 40 0 0 0 0 Total Males 275 13% 2% 196 4% Total Females 297 9% 1% 1% 3% Total 1976 572 10% 1% 111G 3% lIncidence and Prevalence Studies of Substance Use and Abuse in Iowa 1974-1976, Highlights; Iowa Drug Abuse Authority, p. 4. MICROFILMED OY JORM MICR+LA6 C; -DAR I'A t'@` SFS MOI�IFS miLiWi ILALU By JORM MILROLAB LEUAR RAP IUI AIiD oL', '�U..IL -10- Prevalence of Rural Use by Age B Sex Marijuana L.S.D./Other Sex/Age N Hashish Hallucinogens Heroin — Cocaine Mn! -s 14-17 5223% 1.•..-;•r,, 17 24 12% 16% 129„ 25-34 3 r) n O 0 35-49 36 ,i 0 0 0 50+ 28 0 0 O 0 Females 14-17 70 9% 0% 196 1% L13-24 17 6 0 0 O 25-34 8 0 0 0 0 34-49 79 0 50r 28 0 0 0 0 0 0 Total Males 136 12% 1% 5% 6% Total Femeles 202 3% 196 1% 1% Total 1976 338 7% 1% 2% 3% While prescription drug urag, (cited below) was significant for both the; urbnn and rural Populations (between 12-31 percent for a / variety of prescription drugs) the prevalence of the high frequency user was much lower - 1 percent or less for all prescription drugs. 1 Incidence and prevalcncu Studies of Substance Use and Abuse in Iowa 1974-1976, Ilighlights; Iowa Drug Abuse Authority, p. 4. q I•IICIIOFILMED By 1 JORM MICRbLAB fFMP PAPIDS • PCS VINFS 1t1LtUF1L1LU BY JORM MICRULAB LL DAR RAVluS AND uL. ;u.,L-. •- The Iowa City Crisis Center reported 226 calls related to drug use in 1976; 126 were of a crisis nature and 100 of a non -crisis nature. The State Department of Health reported 44 drug overdoses in Johnson County which may have involved substances such as depressants, over-the-counter analgesics, LSD, heroin and stimulants in the period between April, 1976, and March, 1977. lIncidence and Prevalence Studies of Substance Use and Abuse in Iowa 1974-1976, Highlights; Iowa Drug Abuse Authority, P. 4. 5 7FIICRDCI LI•ICD DY I JORM MICR+LAB rrMP PAND`. - DrS MOINCS Prescription Drug Use General Consumption Patterns Most Frequent Age of Drug User Sex Group Sample Sedatives Rural Male 14-17 1576 Tranquilizer.l Urban Female 25-34 23% Urban Female 35-49 22% Diet Pills Urban Female 18-24 1796 Pep Pills Rural Male 14-17 1596 Urban Male 14-17 1296 Analgesics Urbnn Female 18-24 3196 The Iowa City Crisis Center reported 226 calls related to drug use in 1976; 126 were of a crisis nature and 100 of a non -crisis nature. The State Department of Health reported 44 drug overdoses in Johnson County which may have involved substances such as depressants, over-the-counter analgesics, LSD, heroin and stimulants in the period between April, 1976, and March, 1977. lIncidence and Prevalence Studies of Substance Use and Abuse in Iowa 1974-1976, Highlights; Iowa Drug Abuse Authority, P. 4. 5 7FIICRDCI LI•ICD DY I JORM MICR+LAB rrMP PAND`. - DrS MOINCS PIi L,4&ILALD BY JORM 411CROLAB CLUAk RAP iU�) AND L)L, IU 1L -12- Service population - Chemical Abuse The Iowa Code requires that physicians, hospitals and drug treatment centers report quarterly the treatment given to persons addicted t, o- dependent upon drugs. In 1976, 36.1 percent of the reports came from physicione, 5.3 percent from drug treatment centers, 13.6 percent from Mental Health Institutes and 44.7 parce-,,t from hos- ., pitals. No indication was given on the number of individuals each of -- these reporting sources treated. In 1976 a total of 3,646 persons were treated in the state of Iowa, twenty-one of those coming from Johnson County. Reality X reported to our committee having treated a total of twenty-one individuals on an outpatient basis, and five as inpatients from Johnson County during the some time period. No explanation was made `-- for the discrepancy between the number reported to the State and that which was reported to us by Reality X. Of the total number of individuals treated in the state, 5?.p percent were unemployed, 24.2 percent had previous rehabilitation .services, 10.4 percent were receiving some sort of public assistance, 43.3 I,ercenL were treated as outpatients and 55.6 percent were treated ns inpatients. No breakdown for Johnson County was given. Reality X did o0timnto, hnwever, that 75 percent of their Johnson County clients had incnmon bol.nw :j.`i,(oo. -- 'Pha C d l"w in.1 ago i; reokdown of clients war, given by the State DoPslrtment nC 110111th and Reality X: I4ICROEILI.IED BY 1 JORM MICR¢LAB CrDAR PAclrn, . oF5 '•1111'ICS PIILkUFILMEU by JORM MICROLAB LEDAi< kAE'WS AND JL �'�• �-• - DRUG TREATMENT REPORTED TO THE IOWA DEPARTMENT OF HEALTH AGE NUMBF,R l'EIX;1:N'I' 15-19 4 10.0 20-24 6 28.5 25-29 B 36.0 45-49 1 4.7 `- 60-64 2 9.5 TOTAL 21 99.7 REALITY X AGE NUMBER PERCENT 13-18 6.5 25.0 - 1.9-24 13.0 50.0 25-35 5.2 2010 36-59 1.3 5.0 TOTAL 26.0* 100.E *Reality X estimated the percentage of their clients falling within the age groupings. Only treatment of individuals whose primary diagno•�is is drug abuse must be reported, therefore it is likely that medical doctor: and mental health professionals who do not consider an individual's drug usage as the primary diagnosis are not required to report to the State Department of Health. This is because drugs and alcohol are used by individuals who have other problems.; conver:,el.y, r.ome problems do arise dram the use of alcohol or drugs. Individuals with alcohol as the primary substance of abuse, but who are also using other substances, would also not appear in the report. Several of the elroholism agencies reported nn Lncrease in dual dependencies. MCR01 ILNCR BY JORM MICR+LAB MP pArh'. . lrS 110196 i utllilLMLt0 BY JORM I41LkOLAB LLOAR RAPWS ALIO Ur_� ��• �- -14- SERVICES PROVIDED The Accreditation Manual for Alcoholism Programs published by the Joint Commission on Accreditation of Hospitals - Accreditation Counci.t f.. ''=vchiotric Facilities, defines eight levels of care and treatment of substance emergency treatment, inpatinet treatment, intermediate care, outpatient care, aftercare, outreach, consultation and education. These definition.: can be used to cate- gorize the services available to ,Johnson County residents for substance nbuse treatment. Emergency Treatment - Emergency treatment is defined as follows: "The emergenry care sy.+tem sholl provide for 24 hour availability of the fol.lnwing servicer to nll persons and their fnmilies with problem❑ relnted to alcohol use and abuse: 1) immediate medical evaluation and care; 2) supervision of persons by properly trained staff until they nre no longer incapacitated by the effects of alcohol.; 3) evaluation of medical, psychological, and social needs, leading to the development of a plan for continuing care, and 4) effective transportation services." Emergency services are most cnmm:ajly ;:,, I f:orttho detoxification procern. Oakdale Hospital is certainly the, most frequently urnd resource for detoxification for .tnhnann County r(ini.dnnts, nith nu gh n^her snlrr.ns are used from time to time. I,,,w enfnrcement )Ffici-,0n must now offer to take an indi- vidual t) n detoxifirntinn facility if picked up for intoxication. They mn:et frrn{ue_ntly take the pnrsnn to Oakdale. Iowa City police 1 itcliOf IWE.D By I JORM MICR+LA9 rrDAP PAPIn'. . nr5 I-0DIIIFS i I'llL,M.)i ILMLU BY JORM MILROLAB -15- LLUAR kAVIU�) ANU uL� frequently call upon the Alcohol and Psmily Counceling Center (tA rJ :CAj to counsel with the individual •.ind escort them ro Oakdale. While the Veterans Administration Hospital offers a 14 day detoxification program, they will not admit an intoxicated person unless there is a medical reason for hospitalization. Veterans Administration Hospital in Iowa City doer not have a formally accredited chemical dependency unit at the present time. Patients must be placed in the psychiatric unit. This has presented problems to police officers and agencies such as Wesley House and Crisis Center when an individual they bring to the Veterans Hospital is refused admission. Individuals who are 11nei— the influence of drugs are usually taken to Psychiatric Hospital for detoxification. The Emergency Services chart in Appendix N1 describes the services available through each agency. Inpatient Treatment - Inpatient treatment refers to treatment in a medical facility. It is defined as follows: "The inpatient component shall provide 24 hour supervised care under the direction of a physician in a hospital or other suitably equipped medical setting designed for the diagnosis and/or treatment of medical and/or psychiatric illness derived from or associated with alcohol abuse and/or alcoholism." 1The Inpatient Treatment chart in Appendir. 177. indicates hospitals which provide such treatment. lJoint Commission on Accreditation or Hospitals, p. 41. 141CRDEILI.IED DY ' JORM MICR6LA9 I'ECAR F.v,!n, n!S %M!9ES MIt;tUi-IL'1LU by JURM MICRULAb LEUAR RAPluS AW uL� .��• �� -16- Intermediate Care - Intermediate Care is usually associated with halfway houses. Lakeside Foundation is the exception, since it --. provides a 28 day formalized treatment program, similar to that of the npatient c:eotment program. It is defined as follows: "The inter- mediate cure component shall be designed to facilitate the rehabilitation of the alcoholic person by placing him/her in an orgac:ized therapeutic environment in which he/she may receive diagnostic services, counseling, vocational rehabilitation and/or work therapy while benefiting from the support which a full or partial residential setting can provide."1 Individuals generally enter a halfway house after an inpatient treatment and/or detoxification program for purposes of reintegration into the community. 'rhe chert in Appendix N1 entitled "Intermediate Care" r identifier, the agenr_ie.: which provide this service. 0Utp1,tiant Care - The Joint Commission on Accreditation of Hospitals definer, outpatient cera as: ". designed to provide a variety of dingnortic and primary alcoholi:;m treatment services on both a srhaduled basis and nonscheduled basis in a nonresidential setting to alcoholic persons and their families whose physical and emotional status allows them to iunccion in their usual environment."2 Outpatient care cbn be used before, after or In lieu of an inpnt.ient or intermediate program. ^ The Alcohnl and Family Counsel. i.ng Center (MMCA) is used most often for 1. Jai.nt.';n mm1 r.s i -,r; on ;vArnd i. to t inn of Ionpi. tnls, p. 47. 2Ib.id, p. 53. 5 �I 111CROMMED BY JORM MICR+LAB MAP PAND' oC5 1101?I15 !•Ii W<Ur !Li•ILU By JURM MICRULAB M WM LLUAk kAVlu�) AND UL outpatient treatment. Oakdale and most other residential. programs _ refer the client directly to this agency upon dischfirge. ilea l3 ty R counsels Johnson County drug abuse client: on an outpatient basis Fit the Alcohol and Family Counseling Center (MECCA) facility one afternoon a week. The Mental Health Center and private psychiatrists are also used for counseling of substance abuse. All residential treatment programs agree on the necessity for on-going counseling if relapse is to be avoided. Agencies listed on the "Outpatient Treatment" chart in Appendix Ill provide outpatient counseling. Aftercare - All agencies which provide treatment provide after- care to some degree, as well. The distinction between aftercare and continued outpatient care is slight in most cases. The joint Commission on Accreditation of Hospitals defines aftercare as care to patients who have progressed sufficiently through emergency, inpatient, -- intermediate and/^r outpatient services to the poin'. of their recovery where they will benefit from a level of continued contact which will. support and increase the gains made to date in the treatment prorer•s." l (No chart was developed since all agencies: provide aftercare.) Outreach - Outreach efforts have been primarily focused upon _- making medical personnel in the general medical services of hospitals aware of substance abuse problems which their patiants may have, and the benefits that these patients may receive from referral to substnncr_ 1Joint Commission on Accreditation of Hospitals, p. 63. 111CRUILMID By I JORM MICR�LAB ffllA4 PAPIP'. 1,11w(W IL Lu BY JOHM MICkOLAB LLOAR kAV1US Allu uL' -1'- abuse counseling programs. As was mentioned in the Problem section of this profile, it i; estimated that about 40-50 percent of the patients - admitted to general medical service units have problems associated with elcohoi -,r Both Veterans Administration Hospital Alcoholism Unit ind Onkdnle Hospital, nt•rr ire attempting to do more inservice training to make medical personnel aware of the effect= of alcohol nbuse on the general health of patients. Other outreach efforts with which the Alcohol and Family Counseling Center. (MECCA) has been involved have been aimed at working with the elderly and employee groups to expand knowledge of treatment opportunities. The formal definition of outreach: '"Che Outreach component shall be designed to facilitate identification within a target population of persons and their families who have problems related to the use of alcohol, tr, far_ilitnte procurement of alcohol.ism services, and to alert all public and private human service agencies who serve the some target population to the importance of early identification and enay access to the service delivery system. It is essential that the out- reach process involve as many organizations, agencies and individuals as may bu in contact with a part of the target population."' Consultation and Education - Many agencies are involved to some extent in preventive services, but n,ne ora funded adequately for this ^.et vire, Funding f,,r alcoholinm progrnms is tied to direct service I .1•,int Cnmmi!ainn on Accreditation of Honpi.tnln, p. 59. i IdICNOf ILMEO OY JORM MICR(�LAB rrOAB PAr19,, • 9Li mmrS fliutRUr ILMLD BY JDRM MICROLAii CEDAR RAVIu�) AND L, , .Jill client counts, consequently education efforts must be considered as "overhead." The Alcohol and Family Counseling Center (MFCCA) and Grant 'flood Area Education Agency work with nchools only upon the schools' request, and to date, this service has not been actively solicited. -' Reality X works primarily in Linn County schools, since Linn County provides the match for their grants. United Action for Youth r provides preventive substance abuse services as port of its regular on-going contact with youth. Crisis Center reached 650 people �...� 1976 through talks given in schocl.s and meeting bells. The Alcohol Safety Action Program attempts to educate drivers convicted of OMNUI to the dangers of drinking and driving. They have not been successful in getting judges to refer first time OMVUI offenderr to substance abuse counseling. ASAP is available to do preoentence investigotions on OMWIs but is not always used. .. Education and consultation are rarely separate programs in agencies. The definitions follow: "Consultation service shall be designed to provide the individual or group seeking aid the required skills to cope more adequately with i:,sues involving care and/or 1 program management." "Thr, education service shall be da.;igned to convey on a regular and planned bnsis n philosophy that increarLs community -- understanding of the nature or the use and abuse of alcohol, its 1Joint Commission on Acrreditntion of Hospital;:, p. 64. _i 141CROI ILMID BY JORM MICR¢LAB rrMIP PIPS"' MlufWFiLMED BY JORM MICROLAB CEDAR RAPIJS AHO JL' -20- treatment and prevention, and the human and legal rights of the population at risk, as well as to inform the public of existing alco- holism resources and to gain public support for the development of addi.tinn., .'-ou rces." 1The chore in Appendix d] shows the agencies involved in Preventive Maintenance Services - No formal definition is :,!',ided for the maintenance program. It is, however, a residential service to keep an individual at a level attained when further rehabilitation seems unlikely. The facilities housing these individuals (primarily elderly) are limited in capacity. The Veterans Rome in Marshalltown has a waiting list of over o year. The Johnson County care facility is currently caring for three recovering alcoholics. Support Groups - Alcoholics Anonymous, Alonon, for family members and friends and Alateen, for children of chemically dependent persons, while not treatment programs as such, are almost universally used to extend, solidify and support treatment programs. Alcoholics Anonymous has twenty-three active groups in Johnson County providing support to recovering alcoholics. AA, because of its anonymous nature, did not provum Curtner information for our study. No support group exists, to our knowledge, for recovering drug nhusr,rn, however, AA is open fnr attendance to nil chemically dependent persona. I ,)Hint commission on Accreditation of Hospitals, p. 71. i MICROrILMCO OY JORM MICR+LAS TOAP PAN')' PFS MOTIFS hiiL,<011LMLD BY JDRM MICRDLAB -21 - LEDAK RAI'lu�> AND JL Support Services Individuals recovering from substonce ribuse often require ., number of supportive services to enable them to successfully function again in society. Financial assistance is consistently mentinned by helping agencies as necessary for many individuals who have completed treatment. Those most in need are the habitual substance abusers- who are homeless and lack any personal funds for necessities such as food, clothing and shelter. Oakdale and Veterans Admini- stration have small amounts of don-�red fund, with which they can help individuals on an emergency basis. but must: rely on other agencies for more ongoing support. Agencies agree that the nvnil+tbility of such support is limited. Individuals are referred to the following agencies for financial assistance: Department of Social Services: Certification far state papers, medicaid, and general relief. Commission on Veterans Affairs: General finuncial ossi.stance. Crisis Center: Vouchers for food, lodging .and transportation. Vocational rehabilitation and job placement: is required for many recovering substance uburars who lack ,job skills or the ability to function adequately in a competitive employment si tuati.on. The following agencies are used for training and placement assistance: Rehabilitation and Education Services Branch: Give, counseling and funds for training. It should be noted that assistance for substance abusers through this source is limited. Id ICIIOPILMED BY t JORM MIC R¢LAB rronD pAhlnt . 1qS '401111'S I-Ilui(Oi ILMLU BY JORM MICROLAB _2Z_ LEUAk RAP luS AND LjL, L Oondwill Tnduatrie::; Provides Inb training and competitive employment readiness training. Goodwill is a resource, although no agency mentioned referring to them. Chit'„ iirtn with job placement and training. Job Service of low+,. Offers employment counseling and job referral. There seems to be some question as to :tie ability of the ngency to work effectively with this category of Lridividua 1. An entirely new lifestyle must be ncquired for many recovering iubstance abusers, including developing new recreational outlets. The way in which an individual spends his leisure time is certainly one of the most difficult habits to change. The Iowa City Recreation Center is addressing thic through special groups. Other resources mentioned by Reality y were the Cedar Rapids YMCA, YWCA and Community Centers. The treatment nn individual receives in a drug or alcohol program may at times by supplemented by other restources. The Community Mental Health Center, Psychiatric Hospital and Mt. Pleasant Mental Henit:h (:e:n.er provide psychiatric, prychologirnl counseling as well as evaluetinn. liospi.tnls are also ur.ad to address the medical needs of patient -i. Pundi.n Por ,ubr.tence Ahur.e Trentment The 11wa !;talc DrrPvrtme_nt of Substance Ahura har+ recently been frnrmed merging the Di.v.ininn on Alcoholism and the Drug Abuse Authority. �! MICROIILMCO BY JORM MICRTLAB M)AP PA11n` • 'tit F101PF5 Hitt( LILA U BY JORM MICROLAb �fl LLDAR RAPIU� AND L)t� Funding procedures for both alcohol and chemical dependency t.rencment programs will follow those set previously £,,r nlrnhnlism I'Proejrnmr. House File 594 specifies that the individual receiving subr:tonce abuse treatment will be charged the full cost Gu the ::ervir,e. IF this is not collected from ". . . the subst-ince nbuser and any person, firm, corporation, or insurance cnmpany bound by contract to provide support, hospitalization, or medical services for the substance abuser (125.31), the County of residence will be bi.11ed for 2596 or the cost of the service and the State Department of Subr.tnnce Abuse, 751A." In reality, however, the State uivie;i�n on Substnnce Abuoa is contributing only 23% of the cost of nlcnhnlinm trentment for Johnson County renidentr currently. Counties are liable for only $SoO per client per year, however, this may be waived by the Board of Supervisor£. The exception to the County and Stnte liability for the treatment of p-rtient who is unable to pay are those who are sentenced by the court as part of oMVIII sentence. Individuate: who are sentenced to treatment must be treated as though they were non-residents., with the State providing loo percent of the cost of care. Payment for detoxi.£i.cntion is limited to five days of inpatient treatment. Counti.ns must be notified within five days of a patient's admirsiori. When their treatment is completed, the client is billed by the facility. If it is not paid, the bill is submitted to the Bonrd of Supervisors of the county of residence. They are obligated to try to collect s "(, Ill CRO(I U110 BY I JORM MICR+LAB rrnnit enolnc • art i•mves I.11u<Ui1LMLO BY JORM MICROLAB (rDAR kAPIOS AND uta _24_ the bill. If this is not paid, a determination by the Supervisors is made as to the financial statu_; of the patient. If the patient is unable to pay, the supervisors pay the 25%. If it is determined that the ir.d:;:c•.i!. can pay, the County Attorney is to sue for collection. It is unclear whether tn'- limitation on detoxification will continue with the new Division of Substance Abuse. Services to individuals beyond detoxification, e.g., counseling and residential treatment service, while not bound by the five day rate, rare limited to the 25% reimbursement factor and $500 per client per year from counties. The Alcohol and Family Counseling Center (M5CCA) hes a contract with Johncon County to provide .iervices to its rr_:identr: in lieu of the 25,t reimbursement. The allocation is designed to cover services for all Johnson County clients with the excess going to the Noss House program. If Johnson County residents are seen by treatment programs other than the Alcohol and Family Counseling Center (MECCA), the County is billed Car the 25Y reimbursement. Johnson County receives billings from Lakeside, Mercy Hospitnl (CR) Chemical Dependency Unit, Broadlawns in ue:r :.!, ser:. +ued several other Encilities. Mt. Pleasant and Independence am funded through the Mental Health Institutional fund Cor which the county mur,t roimbur..^,e rhe i to BOX, for those people unable to pay. !renliey /, , nhem;l'd dopendenry trentment program, is funded I.hr."ullh Ti U e R%, the lows Drug Abuse nuth,ority, Linn County, and ~I II I CROF I LFI10 BY I JORM MICR+LAB CFPAP PAr!n5 nF<. 6101NFS 1.11LWi iLMLU by JURM HICRULAB • CGLIAit kAN1U� ANU ULA .�• ' -+ "" -25- fees from individuals. It is assumed that counties will also be charged the 25% reimbursement for services to their res;idents why, are unable to pay under the Division ...)f Substance Abuse. Oakdale is now part of the University Hospital and can accept patients on State Papers. For those individuals not on State Papers, the counties are billed the 25%. Services at the Veternne: Administration Hospital is limited to a 14 day detoxification program which is provided without charge to veterans. If clients, need longer term care, they are generally referred to Psychiatric Hospital or the Alcohol and Family Counseling Center ,(MECCA). Veterans Hospital has no contract with them at the oresent time, consequently, patients must pay for services with private funds or become eligible for State Papers. The Alcohol and Family Counseling Center (MECCA) is considering at this point the institution of a sliding foe scale for service. Citizen] Committee has this in effect at the present time and in addition, has a small Title XX contract for service to low income people. Contracts with the Iowa Division on Substance Abuse are held by the Alcohol and Family Counseling Center (MGCCA), Citizens Committee on Alcoholism and Lakeside in District X. The contract- are in lieu of the 75% State match, but as has been previously mentioned, do not approach this rate. �~W MICROF ILI110 OY I JORM MICR¢LAO rrn,^,p USP11, . ar( MWNF( MiLi(U�1LL1Lu BY JORM 141CRULAB LEDAt< RAPiub ANO L)L' -26- Third party payments, primarily insurance, play a large part in funding substance abuse. Iowa City and University of Iowa employees are covered by a Blue Cross -Blue Shield plan which provides for Payment of Lu,:h aervires. Treatment must take place, however, in a medical facility. Outpatient or intermediate care (with the exception of Lakeside) is not covered under insurance plans. Both Lakeside and Sedlacek Treatment Center, Mercy Hospital rely heavily on insurance payments for reimbursement. Funding of substance abuse treatment is extremely complex and difficult to under.atand even for professionals delivering the services. Generally, it can be concluded that the very poor can obtain services through Oakdale, Reality X, Mt. Pleasant or Independence for residential treatment. The Alcohol and Family Counseling Center (MECCA), Reality X and Citizen.. Committee on Alcoholism provide intermediate care and outpatient treatment services. Individuals who have adequate personal funds or who are covered by an insurance plan including substance abuse treatment also have a wider range of treatment possibilities. It seems that individuals beyond there categories have difficulty in paying for lengthy treatment, and present problems to agencies trying to nerve them. I tdICROCILMCO DY DORM MICR+LAO rrnnn PANT • ')[ . "InIROS MIOU; ILMLu BY JOkM M1CkOLAi • LLOAk kANIU� AND uta _77_ UNMET NEEDS Several problems, most of which have been mentioned previously, were identified in the course of our study. These can be divided according to programming and facilities concerns and those which deal with the delivery System and how it works. Programs and Facilities Prevention/Education: 'While several agencies are to some extent involved in prevention and education efforts in substance abuse in Johnson County, these efforts are not integrated and coverage is incomplete. Grant Wood Area Education Agency has a value:: clarification/ substance abuse team to work with schools in the seven county area. These two people are made available to schools, at the school's request, to conduct teacher training in these areas. Two people cannot adequately rover all schools in the seven county area, however. The team has found that schools are reluctant to invite substance abuse educators to work with them until a problem has arisen. Johnson County schools are most difficult to get into because of the number of extra people, primarily from the University, coming into the schools with various special projects. The team has found that they're asked back routinely to those school with whom they have worked, however, they simply do not have the time to "knock on the doors" of those schools who have not used their services. Films and printed material are available to all schools regardless of whether 141 CRRL I LMLO BY DORM MICR¢LAB rfMP P,v+;nom, 1IC F1019LS 19i1.i<OFiL;'ILU BY JURM MICkOLAb LLUAn kAHIU�) AIJU ,)L -28- the team has worked with them, and speakers are available to Community groups in the evening. The school survey of Johnson County schools, conducted in conjunctLon with this study, found that of the forty people responding, 22.5A stated that teaches r craining in substance abuse was adequate; 65% felt that some training was given; and 10;6 in regard to drug education and 12.5% in alcohol education, felt that no training was given. Other community agencies involved in substance abuse prevention and education are United Action for Youth, which works primarily in schools to which they are invited; Crisis. Center, which works with both -schools and community groups; Alcohol and Family Counseling Center (MECCA) and Reality X. The Alcohol and Family Counseling Center (MECCA) would like to expand its program, but has found it difficult to provide the kind of education efforts they think are necessary in the schools. They do not have sufficient funding currently to permit them to do extensive work in this area. kcaiity X does not receive any funding from John.;on County, consequently most of their efforts are aimed at Linn County schools, Even with all the agencies i.nv­lved in substance abuse prevention/ education efforts, covernge of young people in incomplete and inadequate and coordinntion of the :e efforts most certainly is locking. 5 �I 141 CROP ILMFO OY DORM MICRbLAB rrpgn N!(.r Ur iLMLU BY JURM MICROLAB LLUAR R{II'IU-, AiW )L -29- Services to the Indigent: Individuals, for whom substance abuse treatment has not resulted in a life of .snbriety, present special problems for agencies who are to help them. Many are homeless and without family ties. They require mnintenance facilities, temporary or semi-permanent housing, transportntion and medical assistance. The Alcohol and Family Counseling Center (MECCA), Oakdale and Veterans Administration Hospital in particular see a large number of these individuals annually. The Salvation Army Men's Social Service Center in Cedar Rapids was designed to meet the needs of these in- dividuals, but find that their "work therapy" approach is not suitable for the elderly, or for yon�h Counseling services are adequate to the extent that rehabilitation is possible, but housing or maintenance services are not available to the extent needed. Early Identification of Subitance Abuses: Doctors are often the first contact Cor substance abusers, yet very frw patients in general medical services in hospitals are referred to substance abuse counseling. The medical profession may not be as in touch with the disease aspects of alcoholism as would be desirable. Attorneys, when surveyed, felt that on the average, 25 percent of marriage dissolution cases involved alcohol. They, too, are in an excellent position to recommend substance abuse counseling. The Office of Planning and Programming, Highway Safety Program, viewa the arrest of the drinking driver as n start in a full cycle of arrest, court action and rehabilitation. IIICROFILRCD BY JORM MICROLA9 [rMp VVIII . lrt MOIT, t4lt,kUr ILi•1L.0 BY JORM 141CROLAB LLUAr RAPIU� AND 01-," -30- In Johnson County this cycle has been especially difficult to achieve because of a lack of cooperation by the courts in choosing other sentence alternatives rather than simply a $300 fine. The court har sev•:: nl renrence o,".ons available and can involve the Alcohol and Family Counseling Center (MECCA) in counseling and treatment. The Alcohol and Family Counseling Center (MECCA) desires four to six weeks of counseling sessions with OMWI first offenders, in- cluding the family when appropriate. It is very difficult under the prevent method to see a client for an hour or less and determine if he/she has an alcohol problem, based only on the information the offender submits to them. Statistics chow that there were over 350 first offense OMWI arrests in Johnson County during fiscal 1977,. 40 to 50% of those held in jail are arrested for OMVUI due to the expansion of the ASAP (Alcohol Safety Action Program). CMWI arrests shoul.a increase substantially during the next year. Offenders are currently going to Kirkwood Community College in Cedar Rapids for four con- secutive weeks to OMVUI schnol, which is an inconvenience for the offenders, nrcnune of the number of Johnson County offenders (500 r,rre.::ts in fiocnl 1977), n program should be conducted in Johnson County under the nuapic"u of the Alcohol and Family Counseling Center (MECCA). payment Cor SuboL,.nce Abuse Treatment: Sedlmcek Treatment Center, Mercy 11ospitnl (Cedar Rapids) cited examples of individuals who, lacking privnto funds or insurance coverage to pay for substance •'.. 7141CROI ILMED DY I JORM MICR+LAB rrDAP PA! V)'� • ')Ft 110PIF`, I-IiLi111rlLigcU BY JURM MICRULAB -31- LLUAR RAfIw A110 JL ;�. ,L.. ..,' .-, abuse treatment, refused further treatment once the detnxification process was concluded. Sedlacek Treatment Center, Mercy Hospital (Cedar Rapids) noted a direct relationship between willingness to '— treatment and the availability of funding. Lnkesi.de Alcohol receive Treatment Center also noted that n number of people had to be ~ turned away annually because of inability to pay for service. The very poor can receive service from Mt. Pl.eosant and Oakdale and the Alcohol and Family Counseling Center (MECCA). Those with .-� adequate private funds or insurance coverage can purchase services i ' r their own. Ninety percent of the individuals seeking services on from all sources were eatimated to have incomes below $10,000 per year but not all are eligible for public assistance. Individuals with incomes at this level find several thousand dollars in treatment bills extremely difficult, if not impossible to pay. Programming For Youth: The prevalence of substance abuse, both alcohol and drugs, is increasing among young people and makes up • a large percentage of agency case loads. Counselors find it particularly difficult to find ways to motivate young people and to aid in the development of coping skills necessary to insure sobriety. -• Many agenciej cited the need for counseling services by individuals .;killed in -working with young people. The Human Services school survey pointed out that while problems with drug use among young people had stabilized, 351; felt that problems with alcohol were increasing, 45% felt that the problem was remaining .. the same, and no one felt that the problem was derrenring.* *20% did not respond to this euestion. ry° hi1LR01I L14CD DY JORM MICROLAe rrpnv, PN•In nC PI011+fs Hlut'Ur!LJ' U BY JOR141.11CROLAB LLUA,< kAPIJU Ali vu • ' .. .." -32- Delivery System Concerns: Throughout the study, it became apparent that service providers lacked adequate information about services available through other agencies. Preventive/Education services al.-:ln example of this. Many agencies seemed to believe that it was another's re;pen:tibility and that it was being taken care of by them. The result is that very little is, in fac', being done. Some of the confusion is due to the complexity of administration and funding arrangements. Two other ureas showing lack of coordination and causing inefficiency or ineffectiveness in delivering services, are substance abuse counseling to those in the correction system and to veterans. The Alcohol and Family Counseling Center (MECCA) had, up until recently, a counselor who worked with court services. Sixth Judicial District Department of Court Services has recently added a program of their own to provide that service to their clients. Whether this is the most efficient way to deliver services is a question whl.h should be addressed. The Veterans Admini.strntion Hospital will not admit an intoxicated person :L there is no bed available on the psychla tric word, or if the admitting physician sees no medical reason for hospitalization. This policy has caused problems for Wesley House and the Police Department who, upon request of the individual, transport him for detoxification. Oakdale also stated thnt because of the admission policy of Veterans Hospital, and their lack of n long term care program, veterans who have earned the right to ;uch treatment must pay for it at another FIICRO1 I LMLO OY 1 DORM MICR4�LAB CFMu VAI l°` milu,Wi ILALU BY JORM MICROLAB LLUAR RAP IU� AND OL GENERAL RECO MENDATI0\S Priority Problem Recommendation Possible Agencies Funding Affected Sources The following problems and _ompanying recommen,laticns relate to all of the eight se, vice areas studied during the first yea. of the Human Services planning project. Because they r,.late to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. Communication, Coordination information Inadequate comrv:nication Agency, directors and staff and coorJinatio:. among agen- providing sinilar programs cies providing service or services to similar results in inconsistencies, client groups should meet particularly in the way together on a regular basis clients with multiple prob- to: lens are !:aniled. Delays in the provision of service 1) share information about and .-;:nderstandings or programs, disagreements regarding 2) explore solutions to service provision may occur common problems, when two or more agencies are involved with the same 3) acquaint them with the clienr. Regular meetings staff of other agencies among agencies have been to facilitate the refer - attempted but have been ral process and increase less that: successful. trust levels, and Organizing and convening 4) share information on such meetings requires clients within the con - staff tine and effort not fines of confidentiality. available from any one agency. S �! MICROFILMER BY I JORM MICR�LAB CMAR PAND' • nrS moors All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Priority Mil,itUF iLMLU BY JORM MICROLAB Problem CEDAR RAPIUS AND uL'3 GENERAL 4sC0"`tE\IlA'IIUVS (Continued)_ Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents goeting lost in the system without getting the service provision is also often done without consultation with agen- cies affected by such programs. The result is that services are delivered with less thar. optimal efficiency and effectiveness. Datil on(§client character- tsticsg., age, race, sex, income, residence and problems presented) are not available at the pre- sent tine through many agencies. As a conse- quence, it is difficult to assess portions of the pop- ulation which may be inade- quately served, and for which programs should be developed. Recommendation Hunan. Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for then to succeed. Assessment of data require- ments is needed by 1) agen- cies to assess existing pro- grams, and 2) funding bodies to mnke allocation decisions based on community need. A common data collection and retrieval system should be developed which would place minimum demands on agency staff time and be economical. Funding agencies should make inquiries into systems of I I4ICROFILMED i JORM MICR+LA6 MAR PAPMP FS .•d01%IFS BY Agencies Affected All public and private not-for- profit agencies providing ser- vice to Johnson County, Cities Johnson County, United hay Possible Funding Sources Johnson County Re- gional Planning Commission, City, County, United Way A Mk,ifOrILMLU BY JORM MICROLAB CLUAR RAPWu AIIU JLC GENERAL RECONME\'DATIO\S (Continued) Agencies Priority Problem Recommendation Affected evaluation used for services and accountability should be emphasized. The Human Services planning staff should be available to coordinate the development of this effort. Funding General revenue sharing funds should be considered as a possible funding j source for man}, of the recommendations. _( I41CR0f ILIdED BY 1 JORM MICR+LAO Cf DAP PAI'1Ds • irs iomrs Possible Funding Sources NloWiiLMLU by JURM MICRULAB Priority Problem 1. Programming for Youth The prevalence of substance abuse, both drugs and alcohol, is increasing among young peo- ple. It was estimated that 1/5 of the Juvenile Probation caseload (161 of 804 people) in 1976 have problems asso- ciated with the use of drugs or alcohol. Counselors find it difficult to find ways to motivate young people and to aid in the development of coping skills necessary to ensure sobriety. This prob- lem is also a concern which arose in the study of the Juvenile Justice area. 2, Prevention - Education Prevention and education ef- forts are not integrated and coverage is incomplete. Schools in Johnson County are reluctant to invite sub- stance abuse educators to work with them until a prob- lem has arised. The Grant Wood Area Education Agency values clarification/sub- stance abuse team cannot actively encourage utiliza- tion by all schools because of staff limitations. (Refer to the problem sec- tion of the profile for ad- ditional information.) RECOMMENDATIONS Recommendation LEDAk RAVIo� AIW JL The placement of at least one full-time counselor, highly skilled in working with youth and trained in substance abuse therapy, in a community agency such as MECCA is recommended. This counselor should be available to work with the clients of all agencies and to do in-service train- ing with the counselors at the other agen:ies. More creative approaches to- ward prevention and education, aside from that delivered in the schools, should be deve- loped. Agencies providing preventive or educational pro- grams should be coordinated. These agencies should meet regularly to jointly plan strategy. The Grant Wood Sub- stance Abuse Program may be in need of expansion, but other community agencies in the schools to alleviate the shortage of staff should be explored. .-.(- IIICR01'1011D BY I JOFiM MICR¢LAB NPAP P,Srtnc.. 'If5 F1nnrf Agencies Affected MECCA, Mental Health Center, Lutheran SOC- ial Service, County Attor- ney, United Action for Youth, Oakdale Alcoholism Unit, Reality X, Dept. of social Ser- vices United Action for Youth, Cri- sis Center., Grant Wood AEA, MECCA, Reality X, Oakdale Alcohol- ism Unit Possible Funding sources City, County, United Way, Dept. of Soc- ial service, Iowa Dept. of substance Abuse Grant wood AEA, City, County, United way, School Board 1-11L.(Ui101I L) BY JURM I.IICRULAb Prioritv Problem 3, Early Identificatiun Substance abuse prn5lems affecting health and/or job performance, '-..aily and personal relaj.on- ships are often not dis- covered until severe disruption occurs. 4. OMVUI omwi offenders are not rou- tinely referred to the Alco- hol Counseling Center until a second offense has been coi- mitted. When individuals arra referred to MECCA ror evalua- tion, only a one-hour coun- CLUAR RAPljS AW OLS Possible Agencies Funding Recommendation Affected Sources Individuals, such as physi- Medical A.:so- Univ. of Iowa, cians, attorneys, and em- ciation, Vniv.-- Private Indus- ployers, who regularly come Medical Sohool, try, Business, into contact with indivi- Bar Associa- United Way duals for whom substance tion, Em loyer abuse has begun to impair Groups, MECCA, physical, emotional, or in- Reality X, Oak- tellectual functioning, dale Alcoholism should be trained to recog- Unit, :.niv. of nize the symptoms of sub- Iowa stance abuse and encouraged to refer such individuals to helping agencies as ear- ly as possible. community agencies are available to provide in-service training and consultation. Acre effort should be applied to bring the above groups to the agency resources, (attor- neys, doctors, employers). The Iowa City employee assis- tance program effort should be applauded and this program should be expanded to other major employers. A greater utilization of tom- Courts, MECCA, Fee for Service munity alcohol counseling ser- Kirkwood Com - vices should be made by the munity College, courts for individuals arres- ASAP, Adult Cor - ted for drunk driving. Man- rections datory referrals to MECCA should be made involving 4 to i. i 14ICRDFILIdCD BY DORM MICR LAS CF9AP R•V•1 n., . nr5 "1011x( m I MILROFILMLD BY JORM MICROLAB Priori .y Problem seling session is required, at the end of which few OMVUI offenders are seen again. Current method of dealing with OMVUI is ineffective. More extensive evaluation is required to discover the extent of the problem. Agencies are prevented from being effective under current policies. Over 508 of the highway fatalities nationally are related to drunk drivers. A total of 500 persons in Johnson County were arrested for OMVUI in 1976, 350 of which were first- time offenders. Recidivism rates are about 308. OMVUI school is being held at Kirk- wood Community College in Ce- dar Rapids and is four weeks in length. For more effec- tive substance abuse education, classes should be conducted locally and for a longer per- iod of time. The Alcohol Safety Action Program is being expanded, which will mean an even greater number of Johnson County residents affected. CEDAR kAPluU) AND uL': Recommendation 6 weeks of evaluation and counseling, with the fam- ily when necessary, to re- duce the recidivism rate among this population. Mandatory OMVUI classes should be conducted in Johnson County, utiliz- ing community staff peo- ple, making it possible to work extensively with offenders ane the family. In addition, the licenses of offenders should be more readily withdrawn. 5. �I Id ICROFILMED By I JORM MICR+LAB rrnml RmVim . nrs.,annus Agencies Affected Possible Funding Sources Facility U. Hosp.-Smar- gency Room, Psych. Hoop. Oakdale Veterans Hoop. (Iowa City) Veterans Hoop. (Knoxville) Ht. Pleasant MilLg< FILMED BY JORM MICROLAB LEDAR RAV WS AND L)L J.' APPENDIX ONS State- Public - for alcohol 6 County EMERGENCY TRSATMSNT - DETOXIFICATION Client a of Jo. Ct. Specific Private not for for alcohol 6 diem 6 insurance Eligibility Client• Servire Capacity Pees Funding Auspices None Unknown Detoxification 7 7 Private pay, Public -State for drugs drugo insurance, State None 93 Detoxification 6 bed Datax. $49.50 - Can University, Public - for alcohol S 28 bed Rehab. be paid priv., County, University other drugs Insurance, fees State Papers, County, State Vets. of drmad Unknown Detoxif icetion Handle 30-40 None Federal I Public- 1' Forces for alcohol 6 at a time, Federal b I Financial Need other drugs usually Veterans 1 Datoxification 7 None Federal Public - None Sedlecek Treatment None Center, Mercy Hoop. (Ceder Rapids) Mercy Heap. 7 (Iowa City) for alcohol 6. Federal other drugs 14 Detoxification 7 Not specified State- Public - for alcohol 6 County State other drugs About 60 Detoxification 10 bed Datox. Hospital per Private pay, Private not for for alcohol 6 diem 6 insurance profit other drugs 7 Detoxification 7 ? Private pay, Private not for under Dr. Brown S insurance profit alcohol 6 other drugo i MICROFILMED BY JORM MICR+LA13 FFDAR PArIM • 9ES MOMMFS MILRW ILMLO BY JORM HICROLAB CLOAk RAPIDS AMU LLS Appendix One (continued) ENEROENCY TREATMENT - DETOXIFICATION (continued) Facility Client Eligibility M of Jo. Ct. Clients Specific Service Capacity Pees Funding Auspices 15 Total Mild Detox. 3 Bede Mild $300/3 day 9096 private insurance Private not for profit Lakeside Patients suet be ambulatory All Services tients efrred Intersadietetox. 13 ds, $50/day Intemedlete pay, County, State- Foundation to rehospital care if care 10% need presented. Alcohol Ct.-60196 Private not Alcohol and Family None 310 total Escort Service 7 None State -lex for profit Counseling Center Detox. not to detox. pees -11% 1 (MECCA) - specified facilityp r � IICROFILNED By i JORM MICR+LAB [FOAP 11APInC • PES MORIES MlukUIILMLD BY JORM MICROLAB Client Facility Eligibility Cekdole Heap. Ilona Veterans Hoop. Veterans of (Iowa City) arced forces. INPATIENT CARS Financial need. Veterans Heap. Veterans (Knoxville) Financial need. Wt. Pleasant None Sedlacek Treatment None Center, Mercy Hosp. D,toxification) (Ceder RApide) Public • LLUAR kANIUS A(IU uu 1U: L_, Powell III No information available Psychiatric Heap. None 172 Longer tem (Total alcohol rehabilitation M not available) drugs and alcohol Funding Appendix One (continued) INPATIENT CARS Public A of Jo. Ct. Specific Service Capacity Pees CLients counties 91, (Same as Short term re- 32 bade $49.50 D,toxification) habilitation Public (3 days to 3 N weeks -average) Public I Unknown Short tem Usually None Private not treatment thandlee for profit (14 day detox.) 1 Long tam 7 None 14 Long tem 7 Not spa - rehabilitation cified About 60 Rehabilitation 54 bode HospHospital per (30 day minimum) Powell III No information available Psychiatric Heap. None 172 Longer tem (Total alcohol rehabilitation M not available) drugs and alcohol Funding Auspices Insurance. Public private pay University State Papers State counties Federal Public Federal Federal Public Federal p N Stets/County Public I State Private pay, Private not insurance for profit 7 7 private pay Public insurance State Papers State Counties 141citDFILHED BY 1 JORM MICR46LAO rfDAP MDINFS M16MILMLU BY JORM 141CROLAB • CLUAk RAPIDS AND u'L'� r'iul;I Facility Client Sligibility N of Jo. Ct. Clients Appendix One (continued) INTERMSDIATS CARE Specific Service Capacity Faso Ponding Auspices 28 Day 13 Beds $50/day Private pays Private not Lakeside None 15 insurance 90% for profit Treatment County 6 State 1076 NOTE, This is not a halfway house. The distinction between intermediate care (which Lakeside is technically) and inpatient treatment is the absence of a medical Getting. None 266 Total Semi -structured 22 Bede $5/day County -68166 State -18% Private not for profit Gil Voss Recovery House Voss clients living and Peas -11% y� W Alcohol and Family not separate counseling (Voss budget Counseling Center not separate) (MECCA) 83 Semi -structured 12 Beds $3.50-$24.50/ 7 Private not Averill House Absence of [Joel (No Jo. Cc. living and week, eliding for profit (Men) & Marty Men Recovery House medical problems or psychosis figured) counseling seals (Women) requiring cera beyond scope of program Structu cad 12 Bode S1l ding Scale Ti«Co.-24.5% Priforvate Reality X None 5 environment profitt reality and IOAA (State)- insight therapy 56.7% (drugs) Salvation Army Must be willing Unknown - Work therapy 7 None Private does tions, Private not for profit Mens Social to ntay for 30 55-65 men income from Service Center days and able to nerved/day. stores work Fuels a good % are from Jo. Ct. I IdI C20FILIdCD BY JORM MICR6LAE3 frDAp NAPII• ors MnPlrs I HILRWIL14LU BY JORM 141CROLAB LEUAR RAVIUS ANU ULA Appendix Cne (continued) OUTPATIENT TREATMENT ` l Facility i Client Eligibility X of Jo. Ct. Clients Specific Service Capacity Nee Funding Auspices y Alcohol and Family None 420 total Education, Not specified Sliding stele County-SE,,�4L Private not Counseling Center individual, State -1E% for profit (MECCA) marital, family Pees -11% i 6 group counseling/ therapy Reality % None It Insight and Not specified Sliding scale For outpatient Private not f - - reality based Linn Co. -248 for profit I therapy for State IDAA-49% I drug abuse Title 10(-27% Psychiatric Hoop. None 2704 total Diagnontic 7 Varies State I Public A visite, evaluation, County Univeroity a ' ' (Substance individual 6 Ste to abuse cases group psycho- . not specified) therapy, chemo- therapy Mental Health None 724 total for Individual, 7 Sliding scale Countiae-86% Private not Center all services couples, groups, for profit psychotherapy, chemotherapy Private Psychiatrists - No infosaetion available, j c F,14 11 CROF I L14ED BY JORM MICR+LAB rrmiz nFS MOINES MI(.kUf ILAD BY JORM MICROLAB LLUAR kAPIUS AND Ju !U,; ,L:, -J"! i NICRO111.11 0 BY JORM MICR+LAF3 CEDAR V.APIYI • PF6 MOVIPS Appendix One (continued) PREVENTIVR SERVICES N of Jo. Ct. Spocif is Service Auspices capacity Client Fees ponding Clients Facility Sligibility No budget given Not available Library Service State sponsored Not Drug Abuse None None Ie. Drug Abuse for information public agency available � Information Center Authority on drug abuse (Cedar Rapids) Not specified for Private for for Not available Reality % Nona thiaspr premed In LinnrCountyly in schools profits School District Not ev+i ]able. Upon request Public FNS only I one person LA Grant Wood Area Schon le None Service to Jo. will do drug working in to Sducation Ct. does not ed. in schools- in-service this eras I ar seem to be extensive also training Nona Iowa City 166 for total Outreach- Private not for 2 full time staff United Action Age: a rox. Ag PP Johnson Cte, program. Not p 9 Street profit Several Cor Youth 16 or under LyM available for counseling side United Way preventive services Ct. Southeast Jr. Go to schools Private not 27booe Alcohol end Family None None Johnson High and at their for profit person Counseling Center Coralville request (MSCC.A)- •Alcohol and Family Counealing Center (MBXA) can teach only limited information about aleoholi ;o and cannot no touch proper drinking habits and attitudes, prohibited by State law. i NICRO111.11 0 BY JORM MICR+LAF3 CEDAR V.APIYI • PF6 MOVIPS GEDAk RAPIDS AND UES 'r'iU:;,�.,. .��•:, One (continued) SERVICSS (continued) Y of Jo. Ct. Specific g Clients Service Auspices Capacity P Drinking Drivers Public 7 School y 650 Individuals. Drug 6 Sciide, Private not 7 Schools G Crisis inter- for profit community groups vention :reining addressed 11CROFILMEO BY JORM MICR+LAB MAR PAND5 • PFS MPIFS Nit,,(Ui-1L4i.0 by JURM MICROLAb LLUAk RAP Iui) AIIJ UD �L� -47- APPENDIX Two TO WHOM AGENCIES REFER Mt. Pleasant Halfway Houses Reality X Vocational Rehabilitation (Education and Training) CETA (Training) Community Mental Health (Evaluation) Oakdale Alcoholism Centera (for follow up) - Alcohol and Psmily Counseling Center (MECCA) Halfway Houses - Voss House wesley House (housing after discharge) Veterans Relief (financial) Dept. of Social Services Veterans Hoapi.tal (Knoxville) Alcohol Treatment Centers (occasionally) Veterans Hospital (Iowa City) Psychiatric Hospital (additional treatment) '— Veterans Hospitals - Minneapolis & Chicago (Drug inpatient treatment) Voss Recovery House (for discharge of patients and if patient is not admitted) Alcohol and Family Counseling Center (MECCA) (for recently discharged patients from the area) Crisis Center (occasionally for funds for short term housing or travel when patient is not admitted) Commission of Veterans Affairs (for funds for individual when not admitted) Oakdale (when patient i.6 not admitted) Area Police (when patient is not admitted and become: disorderly and disruptive) *NOTE: Patients are not admitted unions beds nre available or admitting physician feels hospitalization is required. -- Lakeside Foundation University Hospital, Mercy (both Ceder Rapids and Lowe City) St. Lukes, Oakdale and Veterans Administration (fpr detoxification under _ medical supervision and other medical treatment) Alcohol and Family Counseling Center (MECCA) Citizens Committee on Alcoholism and Drug Abuse AA Social Services Sob Service, Inc. (reasons for referral not specified) - Alcohol and Family Counseling Center (MECCA) AA, Alanon, Alateen Lake.iide Oakdale Hospital (Evaluation and Detoxification) Veterans Administration Hospital (Detoxification, medi.-1 ❑nd cs;r•h'�'.�n`c�xl aerviees) "I IdICRO ILnCD BY 1 DORM MICR¢LAB ('T PAP Vai'I n•, nf5 Id017fi 1._ � MICROFILMED OY DORM MICR�LAB ErOAP PAPIM, • PES MOIVE MiLROFiLMLU BY JORM MICROLAB -4`+- CLUAR RAPiuS AND L;L'j APPENDIX THREE FROM WHOM AGENCIES RECEIVE Mt. Pleasant Agencies - 50% (not specified) Self -referral - 50% Reality X Dept, of Adult Correction (for complements Dept. of Social Services -' 60% of referrals come from agencies 4076 of referrals come from self -referrals Oakdale Alcoholism Centers Community Hospitals _ Court services Halfway House ..: Employers School system 50P6 referred from agencies 1596 referred from families 1096 publicity Veterans Administration (Knoxville) Alcoholism Treatment Centers 7016 referrals come from agencies 20% family 10% self -referrals Veterans Administration (Iowa City) Private physician hospitals (financial re Dept. of Social Services (complementary r Lakeside Foundation AA Psychiatrists Psychologists Hospitals Doctors Clergymen Iowa Division on Alcoholism Alcohol and Family Counseling Center (M6( SCARF (Quad Cities) Citizens Committee on Alcoholism 6 Drug I Oakdale 6096 referred by agencies or AA 206 self -referrals 10% referred by family 10% publicity ti, ri i I•ncaoniwen JORM MICR MIA11 Rno!n' . nor hii L,<Uf lli'IED BY DORM MICROLAB LWAR RAVIJS AHD JL'' %1U. -50- Appendix Three (continued) FROM WHOM AGENCIES RECEIVE REFERRALS (continued) Alcohol and Family Counseling Center (MECCA) Oakdale Veterans Administration Hospital Mt. Pleasant MHI University Counseling Service Courts University of Iowa Physical Plant (employees) City of Iowa C'ty (emp_oyees) Courts (driving related) Physicians Psychiatrists Lutheran Social Services Health Nurses Attorneys Vocational Rehabilitation Police/Sheriff Employers Family Friends AA Alanon Advertisements MICROFILMED BY i JORM MICRbLAB ff OAR BAN!)" • I1fS MOI'76 MiLdUFILMiU BY DORM MICROLAB LLUAii RAF'IIiJ ANN ui, 'lu-:1L -, -•• -51- APPENDIX FOUR INFLUENTIAL OR PLANNING/ADVISORY RELATIONSHIPS AFFECTING SERVICE PROVIDERS W Citizens Committee on Alcoholism and Drug Abuse Agency, family and self -referral (no further information given) o. Who has influence over their program? b. With whom do they plan jointly or have an advisory relationship? *NOTE: a denotes agency having influence b denotes planning/advisory relationship Mt. Pleasant No information given Reality X l ra a - Iowa Drug Abuse Authority b - Linn County Mental Health Centers i ni Oakdale a - Not stated ij j b - Halfway houses, community alcoholiem centers Veterans Administration Hospital (Knoxville) if b - Veterans Administration '7 Veterans Administration Hospital (Iowa City) _I a - Veterans Administration Lakeside a - Iowa Division on Substance Abuse, Blue Cross/Blue Shield of Iowa b - Consortium agreement with all facilities in Area y. '1 Alcohol and Pomily Counseling Center (MECCA) a - Iowa Division on Substance Abuse b - Division on Alcoholism, County Boards of Supervisors Citizens Committee on Alcoholism and Drug Abuse Not specific t I4ICROGILII(D BY ' JORM MICR�LAEI rrPAR PAP!Y, . '0'S TIOIgfS i M160 iL14LU BY JORM MICROLAB LEUAk RAP1t1S AIIU uL3 ;9u,,L, e johnson county 40 regional planning commission ® 21/2 south dubuque street. Iowa city, iowo 52240 (319)351-8556 Sent .to you by Isobel Turner cm.,w,. Emil L. Brandt E..,- a OI.W Johnson County Reg.iona4 Uann.ing Commission Human Seuicez Division Cabot Spaz.ian.i - Cha-inpenson Human Senv.icez Committee SaUy BaZdus - Human Senv.ices PZannen. EmiP- Bhand-t - Executive D.iaee.toh Johnson County Reg.ionaC Pkann.ing Commission 0 5 �1 141CROMMED BY I JORM MICR+LAB fFDAP PAPIM • rtrt wrirS . ................. I No mental health This is the second in a series of human sE prepared by Johnson County Regional Plannin jOpM MICROLAO miL(WrILi4LU BY JORM MICRO LAB CLUAR RAPiUu AND uG IIUPIAN SI:IZVECI:S STUDY Report on NIISNTAL HEALTH November, 1977 Mental Health/Chemical Dependency Subcommittee Members: Verne Kelley - Chairman Gladys 3onz L. Gru'.:, Uameron David Munson Paul Huston Staff: Connie Iicliternach .Jill Ferguson Prepared by the Johnson County Regional Planning Commission 2211 South Dubuque Street Iowa City, Iowa 52240 T I.IICROFILMCD BY DORM MICR+LAO MAP RANnB • DF5 MOINES Mlw(W ILALU 8Y JORM MICROLAb LLUAIi RAPiUL) AfiU ul TABLI: 01: CONTI!NTS Preface - Methodology - - - --- ----------- --- -- --- -- - --- - -- I - xu I GOAL-------------------------------------- 1 SERVICE, AREA DESCRIPTION-------------------------------- -----------------------------PROBLEM PROBLEMDESCRIPTION------------------------------------ -----------------------------------POPULATION POPULATIONSERVED -------------------------------------- 5 Agency Client Characteristics ------------------------ 6 Summary-------------------------------------------- 10 SERVICES PROVIDED -------------------------------------- 11 Inpatient Psychiatric Care --------------------------- 11 Aftercare -------------------------------------------- 14 Patient Advocate -----------------`------------------- 14 Outpatient Psycliiatric Carc--------------------------- is Partial Hospitalization/Intermediate Care ------------ 19 Emergency Psychiatric Care --------------------------- 19 Residential Treatment of the Emotionally Distressed ----------------------------------------- 20 Transitional Residential Care of Persons Recovering from Mental Illness --------------- ------ 21 Maintenance Services --------------------------------- 22 .Support Groups --------------------------------------- 23 Preventive Services ---------------------------------- 23 Advocacy--------------------------------------------- 24 UNMFT NEEDS/ PROBLEMS IN SERVICE DFLIVFRY--------------- 24 GENERAL RECOMMENDATIONS -------------------------------- 28 RECOMMENDATIONS ---------------------------------------- 31 APPENDICES 1. Emergency Admissions, Voluntary Admissions, Involuntary Admissions ------------------------- 34 2. Outpatient Services ------------------------------ 36 3. Services Available ------------------------------- 37 c —I wicaonuaca By 1 JORM MICR+LAB rs,w Pwm, • Pf5-,mrirS I-iL_,<Ur ILMLJ BY JURM MICRULAb CLUAre RAPLJS AND JL JOHNSON COUNTY REGIONAL PLANNING COMMISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director City of Iowa City: City of Coralville City of Solon: City of Shueyville: City of North Liberty: City of University Heights: University of Iowa: utizens' Advisory Comm: John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Perret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES COMMTTTEE Chairperson: Carol Spaziani Rex Honey Doris .Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Henson Paul Huston Roald Rolfsou Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter � I4IL201ILMF.O BY DORM MICR4�LAB MAP PAP!p9 . ')f5 4101!JfS fllu(Ur iLA U BY JORM 1,11CROLAB ACKNOWLEDGEMENTS CLJA,i kAN103 ANN JLC This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Cem- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. S ~I I.11CROrILMED BY i DORM MICR¢LAB MIAP PAINT, . lrC VI IFS dnohavbeepossible The preparation of this report would without the involverent and supp otile subcommittee members. Their contributions of talent and energy was in- valuable to the success of the project. Appreciation is also due to the human service agencies in Johnson County who cooperated fully Iiith the project and -' supported us in our planning effort. 0.1 Finally, our thanks to the Regional Planning staff for exerting the extra effort necessary to complete the project on time. M Staff Parti.ci.pants Emil Brandt Excc.rtive Director Constance Echternach Project Director Pamela Ramser Planning Assistant " Lawrence Allen Social Work Practicum Student Mary McCue Research Assistant Naomi. Miller Urban Regional PI -inning Practicum Student Donald Mulholland Research Assistant Frances Blommers Secretary Dianne Bunte Secretary Judith Waterman Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Cem- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. S ~I I.11CROrILMED BY i DORM MICR¢LAB MIAP PAINT, . lrC VI IFS I•ii LAUI ILALU BY JORM 1.1 ICROLAB I,LOAn RAi'IUJ iiilD �G 'i.-• �- PREFACE METHODOLOGY I. BACKGROUND OF 'rHE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commission A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. " Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in .January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Fergusnn, Naomi Miller, and Donald Mulholland. -i- ^I MICRWILMED BY I DORM MICR+LAB r1W, BLPll)" . qj5 FIDINFC W;L,Iwr iLblw by JORM MiCROLAb LLOAI< RA'riu� ilNU 0L� ':�.. -... . At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service p."anning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnbun County and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. 1•IICROFILMED BY JORM MICR+LAE] nDAR 'MPIF5 MILK f ILIA D BY JUkM MICRULAB LLUAii kAPIO.) AND JL., ,o•iL.., - Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program y area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas 1� under study. Following is an organizational chart outlining �,.� responsibilities and relationships. V,1i,i<Uri Li1LU BY JORM MICROLAii Executive Director (3) Human Services Planning Staff (Family F, Individual Life Services (6a) CLUAk RAVLu'3 AIIU JL, 'IU, IL. I ORGANIZATIONAL CHART Regional Planning Ccmmission (2) Human Services Committee (4) Iowa City (1) r - Steering Committee (5) Emergency Assistance (6c) Mental HealthI I Public Protection Chemical Dependency (6b) $ Justice (6d) 1) Iowa City: Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and tec(,mmendati.ons and can act or not act upon them. 2) Johnson County Regional Planning Commission: Is responsible for fulfillment of the terms of the contract. It has over-all responsibility for the results of the study and recommendations made by it. RNC delegates responsibility for carrying out the plan to the Human Service staff and committer. 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. -iv- ri MICROF I LMLO RY DORM MICRbLAB rfMP �n�'IP� • '16 MOIMfS vt MlLi(UriLMLu by JURM MICkULAb LLUAk kAV ii, Ai1J L)L.. I-..,�., NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- I•IICRaf IL1110 By JORM MICR(�LA6 4) Human Services Committee: i: - Has overall responsibility for guiding the study, approving 1 actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub-commi.ttees. F•, 5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: �k Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri-ate ways of collecting data; identifying existing resources, providing information on how the service delivery system -' works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recommendations for service areas. 6a) Family and Individual Life Services: ,+ Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, indivi- dual, and group counseling programs. 6c) Emergency Assistance: Includes short term assistance with food, shelter,,transpor- tation, medical care and.jobs for transients and permanent residents .in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- I•IICRaf IL1110 By JORM MICR(�LA6 HioWl iLMLL) by JOk14 MILROLAb II. DATA COLLECTION LLUAi< kAPIJ', AIW Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously O"cted studies: and census data. The methods used to collect the data were written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. The I'.::ct,liig agencies submitted written information to the sub -committees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Army Sedaven House -v.i- s1 i MICROFILMED By JORM MICR6LA6 f�jlA4 V1D!'��. • '��r. �dM tl[� n i t.i(O1 iLALu BY JOkM MINOLAB (EUAI< kAPIU3 AND ~� I41CROFILMR) RY JORM MICRbLAB rrnn!� R��,�„� • arc o-lmars University of Iowa Special Support Services Aid University of Iowa Financial Student Health Service University of Iowa Social Services os Veterans nistratonital dHospitals1andlClpnics Social Services University HACAP (Ilawkeyc Area community Action Program) Wesley Foundation Free Clothing store. Commof Veteran Affairs Johnson County Married Student Housing Gas anElectric Company Iowa.-Illinois ne Soup and _ Mental Health/Chemical Depedenc ) (MECCA) ( Abuse (Cedar Rapids) Alcohol and Family CounselingCenter + Alcohol and Dr g Citizens Committee on Pastoral Counseling Community ive HERA - Psychotherapy Iowa Drug Information Center Lakeside Foundation Mercy Hospital - Cedar Rapids y Sedlacek Treatment Center, Mental Health Center Mid -eastern Iowa Community orchard Place Reality X Recovery, Inc. University of Iowa Counseling Service Clinic Training University of Iowa Research and Hospitais Alcoholism Unit (Oakdale) University of Iowa 9 Psychiatric Hospital ion H Alcohol Treatment Veterans Administratospital (Knoxville) ' and Rehabilitµtion Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center and Action Center Women's Resource Social Service Lutheran (Justice Sub -committee Adult Corrections Service Social Services Child Abuse Registry Department of Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape victim Advocacy Program - United ActionforYouth Youth [Ionics, County Council on Aging Johnson ~� I41CROFILMR) RY JORM MICRbLAB rrnn!� R��,�„� • arc o-lmars Nt LWriLMLU BY JORM I.1ICkOLAii • (.LUAk k{i I'l Ui AND UL. /a... -L. , • Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center Persona. In'erviews and Group Meetings Many indiviauais, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served e o purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Ilospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of .Johnson County Transients, Inc. Wesley Ilouse Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit HACAP (Ilawke,ve Arca Community Action Program) (Mental Ile,,, I til/c.11cillical Ilependency) Ili ]1 Itarticy I,alccsidc Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and 141111ily Counseling; Center (MECCA) SedTacek 'I'rc•ntment (:enter, Mercy Hospital - Cedar Rapids ,Johnson County Attorney's Office Catherine Womhackcr, Patient Advocate '41CROMMED BY DORM MICR4�LAB rrOAR Vnr;n'. . )FS-.iomFS I r•tlLi(Ui iLh1W B4 JORM MIGkULAB LLOAt kAvio� Ai1J Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate (Justice Sub -committee) Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information f, Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehab iiitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisiz Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment � Training Act (CETA) Project HOPE Job Service of Iowa Data Collected Through Churches and Campus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assists-rc provided to transients and Johnson County residents. MICROF WILD By JORM MICROLAB Id01'If`. Illi w<Ui iL1LJ BY JORM 1.11CROLAb LLOAK RAP IJP A:IJ ULA -• � Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Epis o;.: l University Chaplaincy Evangelical F,oc Church Iowa City Foursquare Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social so-vice-lclh,ery system in .Johnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses wore asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to l'th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x- MICRO[ WIED OY JORM MICROLA13 f f[N I• r hli:, i(Ui ILMLU BY JORM MICROLAB LLUAR RAVIJ� Ai1U OL The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in trancit. A separate report summarizing the data obtained through h the schools is available. Data Collected from Attorneys All 110 members of the Johnson County Bar Association,be- a cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. „ Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in y those areas. Two of the four, however, completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number of problems. A separate report summarizing the data obtained from attorneys is available. 5 4�I MICROP ILMCD 6Y i JORM MICR4�LA6 f�PAP nn>I�c ?f6 ?InPIF" Mi. ,Wl !LF1LU by JUkM MICKULAB LLUArf kAriu:, nfw d, Data Collected from Social Workers, Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice.were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; S4 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. r•t s I VII CpOf ILt4ED 61Y DORM MICR4LAB rrppp p.+rty Pf°. V!Oitlf'; J MlukUiiLMLU BY JORM MICRULAB CCUAk RAPID: A:IU ��.. '...;�.. III. DATA ANALYSIS The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 and were adopted. 1-.. ®ICROFIL1410 By i JORM MICR¢LAB CEDAR PAPIP`� • 'SFS MOI%F5 Flil.i(UL ILMLL) BY JURM MICRULAb L.LUAi RAP id GOAL To reduce the incidence and severity of enwlionaI :Ind ~ numtaI Ll is turbance and disease, :nal to pronwtc and wl rota in mental liealth in JoI111S011 County. SERVICE AREA DESCRIPTION The Mental Health Treatment Service encompasses a constel- lation of diagnostic and therapeutic programs designed to help the mentally ill in a variety of settings which include the services of psychiatrists, psychologists, and psychiatric nurses and social workers. Service Elements: Inpatient psychiatric care, outpatient psychiatric care, aftercare, partial hospiivii �it.ion for psychiatric care, eBler- gency psychiatric care, residential treatment of the emotionally disturbed, transitional residential care of persons recovering from mental illness, maintenance, prevention and support groups. PROBLEM DESCRIPTION Definition of Mental Health Mental health can loosely be dafined as the general well- being of a person—his mind and emotions. A 1971 Mental Health Association publication defines a mentally healthy individual as "one who feels comfortable ahout himself, feels right about other people and is able to meet the demands of life." An ex- panded definition ascribes certain characteristics to a mentally healthy individual: Regarding himself, a mentally healthy person is one who can usually cope with his emotions: fear, anger, love, jealousy, guilt or worry; can take life's disappoint- ments in stride; has self-respect and neither underesti- mates nor overestimates his abilities; and feels able to deal with most situations that conic his wa)'. Regarding his relationships With others, a mentally healthy ra i IIICROFILI4E0 BY DORM MICR#LAB NPAQ pAI'Mt nf51101RIS Hl�,Wf iLMLL) BY JORM MICRULAb CLUAK kAVlub A11U JLC i'�•:1L, . person is able to give love; expects to like and trust other and takes it for granted that others will like andtrust him; does not push people around, nor does he allow himself to be pushed around; and is able to establish personal relationships that are satisfying and lasting. Regarding his ability to meet the demands of life, the mentally health individual is one who, if possible, docs something about his problems as they arise; accepts his respnnsibiIities; welcomes new experiences and new ideas; uses his natural capacities; is able to think for himself and make his own decisions; puts his best efforts into what he does and gets satisfaction out of doing it. A surprising number of people, however, lack these characteristics to the point that their functioning as individuals in society is impaired. 'these can be call.ed,to some extent, mentally ill. According to another Mental Health Association publication, "One out of ten people in the United States has some form of mental illness, ranging from mild to severe, that would benefit from professional help. Twenty-one million families have some- one .in their immediate family affected by mental illness; that is more than one in four." The publication also states that children suffer from mental illness in the same proportion as adults, three percent have severe emotional problems and another eight percent have less severe problems but are still unable to function normally. Only one person in 35 is receiving treatment for mental or emotional problems. This is less than one-third of those needing it, according to the Mental Health Association. Statistics on N111111C.I- of NIL, nGlILy Distressed/ry cs of Mistress The Hoover Ilea lth Council and the Johnson County Ilealth Council COI1(It 1Ctell n health survey of 244 Johnson County house- holds in 1973-1974. of the 242 responses received, 33 (1.i.0 percent indicated that they had had n nervous condition. When asked what it was, the following responses were given: :11CROr ILMID BY 1 JORM MICR�)LAB rrnAP RAP!fl- . ,rS 140114 f4iit(Ui iU4c.0 BY JORM MICROLAii .3- LLJArt RAV Wj AND u� - Type of Disorder Number of Responses Percent Nervous stomach 16 48.5 Menstrual disorders 5 15.2 Ileadacllcs 3 9 1 Shell shock 3 0.l Menopausal depression 2 6.1 Severe dupression 2 6.1 Nervous breakdown 2 6.1 Raising big family 2 6.1 Polyneuritis 1 3.0 When asked if they were taking any kind of medicine or pills for their disorder, 1.4 respondents (5.8 percent) indicated that they were, 137 (56.6 percent) said they were not, and 93 (38.4 percent) did not answer this question. The survey participants were also asked if anyone in their household had, during the previous year, been so mental- ly distressed that they had desired the help of a mental health counselor. Seventeen persons (7 percent) desired such help, while 137 (94 percent) did hug. Of the 17 who desired such help, 12 (71 percent) found help. Ten of these 17 were satis- fied (83 percent), while one (8.3 percent) was not, and one (8.3 percent) did not know. Individuals contacting the Mental Ilealth Center and the Crisis Center seek help for a variety of problems. listed below are the particular problems and the number of individuals presenting these problems to the two ngLncies: Problem Mental Health Center Crisis Centel- Marital enterMarital 21.1 160 Family Relationships lsl 387 Psychosis 72 Depression 68 372 Identity 66 Anxiety 44 Anti -Social Behavior 29 Post-Marital/Divorce 26 146 Peer Relationships is School Performance 12 160 Sexual 18 203 Physical functioning 11 Suicidal 6 126 nICROP IL1410 OY I DORM MICROLAB MAP PAPIP` • 91S H0I9r, I,IiLI 1i iLi'ILU BY JURM MICkOLAB cont. Problem Obsessions -Compulsions Pro - Marital Alcohol Abuse Drug Abuse Mental Retardation Intcri;cc >onal Loneliness financial/Hinployment Medical (lousing Pregnancy/Abortion Legal TO'T'AL CLUAk kAPIJs AND OL, iu. �L -4- Mental Health Center Crisis Center 7 7 2 154 2 212 2 597 449 365 308 240 151 126 74.1 4,156 Attorneys in ,Johnson County were surveyed to gain their Opinions on mental health problems contributing to marriage dissolutions. Ten attorneys of the 22 responding saw it as a contributing factor in an average of -'0 percent of the cases they handle([. The attorneys were also asked about the relationship of mental '].loess to spouse abuse. The eight attorneys who saw a connection thought it was a contributing factor in an average of 64 percent of the cases. Seven attorneys also responded that an average of 87 per- cent of the child abuse cases which had come to their attention involved mental health problems. School personnel in Johnson County were also surveyed to ascort.in i:r,ir "Pinions on problems facing youth. Sixty per- cent, or 24 or 42 people surveyed, felt that emotional. problems were increasing among young people. 'Twenty percent,or eight people survoyed, felt that identity problems were increasing, while 27.5 percent,or II people, saw disruptive behavior be- coming more of if prohlem. In the wren of adequacy of help for mental henith problems, 10 percent,or four people, felt that services were good, while 45 percent,or 18 people, felt they were satisfactory, ;nul 15 percont,or six people, said that they nICROF LLwtn By DORM MICR6LA9 rrnn„ nar�n• "rs annus MILuWi iL;'ILU by JORM 14ICROLAb LLUAR RATIOS ANU UL �•� . -' in need of improvement. Clergy in Johnson County were nsked abont trend:; they saw in Chu course of their work in counseling; with people. The mental health - relates! trends which they identified were: Il More and more persons need release from pressures) lives, 2) More marital and family problems, and 3) More cases of depression and unfulfilled expectations. POPULATION SP.ayliu information on the number of individuals receiving mental health treatment: services is derived solely from data provided by agencies. Since t.ho distinction between the client who is mentally ill and requires mental health treatment and the client who has difficultly dealing with stressful situations in his life and therefore requires "counseling" is often unclear, the service population for this orea is difficult to assess. Agencies such as the Community Mental health Center, whose primary pur- pose is mental health treatment, also do family therapy. Agencies such as Lutheran Social Service, with a primary thrust of counsel- ing, also find themselves treating people who could he called mentally ill. Undoubtedly, psychiatrists in private practice also see individuals who would not he diagnosed as mentally ill. The distinction hetween mental health an,! counseling services is very complex. As many arguments can he made for including both types of Services in one profile as can he made for separat- ing them. 'rwo criteria were used to determine which agency programs appeared in each profile: 1) the statal purpose of the agency program, and 2) the purpose for which funding is granted. Diagnoses of clients were not generally available to its from agencies, consequently it is difficult to ascertain the number of individuals who are clinical].), mentally ill currently in treatment through all agencies. In short, the service popu- lation receiving mental health services will necessarily be im- precise :Incl open to other interpretations. In this profile, we Y .+t MICROFILFIFD BY ' JORM MICR+LA6 MAD VAPIn, • I,rS 140111S Nii,PoUi-ILI'ILU BY JORM 141CROLAB LLUAIt RAPiUj AND A M will dealt with only those agencies who have the treatment of mental illness as a primary thrust. Those agencies whose major focus is counseling will be dealt with in the Family and Individual Life Services profile. The agencies and pro- grams provided in that grouping should be considered as im- portant supportive services to the mental health delivery Sys teal. Agency Client Characteristics The Mid-Hastern Iowa Community Mental Health Conter re- ported that from .July 1, 1975 to June 30, 1976, 724 individuals were served. Four hundred were new clients served by the Cen- ter's outpatient services and 324 clients were carried over from fiscal year 1974-1975. The clients had the following characteristics: ACF• 0-4 years 0.3% 25-35 years 43.S% 5-12 years 2.8% 36-59 years 26.8% 13-18 years 5.2% 60 and over 2.6% 19-24 years 18.8% SIA RACK INCOME Male 40% IVhito 99% Less than $5,000 15% Female 60% Non-white 1% $S,000 to $9,999 45% $10,000 to $24,999 309, $25,000 and over 10% Eighty percent of .Johnson County clients reside in the Iowa City metropolitan area, 10 percent in small towns, and 10 percent in rural nre.as, In fiscal year 1977 (July 1, 1976 -June 30, 1977), 749 individuals in .Johnson County were served by the Community Mental Ilealth Center. Four hundred fifty-five were new clients and 294 clients were carried over from the previous year. Male clients cnmpriSOLI 37.6 percent 1111(1 female clients comprised 61.3 percent. Tho age breakdown is as follows: AGI: 0-4 yenrs 1 13-17 years 4.77, 25-34 years 44.2% 5-I' years 6.1%. 18-24 years 17.11. 35-59 years 16.81, 60 and over 1.80 MICROI Rath BY ' DORM MICRbLAB rrDAl! PAV"c 9/C d0:4(S m;u,(uI1L4Lu 8Y JURM MICRULAB 7 - Lt.Wktt MPIu� H1iLJ ULA 'iU, No income or residence data was available for 1976-1977 clients. University of Iowa hospitals _and --_IIsvchiatric Hospital served 179 Johnson County residents as inpatients in fiscal year 1977. One hundred two patients were admitted for the first time, while 77 were rc-admissions. (luring that same time period, 3,471 outpatient visits involving Johnson County residents wore recorded. The actual number of .Johnson (:ow Illy outpatients was not avnilahle; however, an cstiIII; tc of approxi mately three visitsper patient was made. Therefore, approxi- mately one-fifth of all inpatients and two-fifths of all out- patients seen at Psychiatric Hospital were from Johnson County. During 1976-1977, approximately 1,33(1 Johnson County patients were served by Psychiatric hospital. No specific client charac- teristics were available for .Johnson County residents, but it was estimated that 48 percent of the clients were male, 52 percent female. About 98 percent of the patients were white. Mount Pleasant Mental _;ealth Tnstitutc served one out- patient in fiscal year 1976 and 31 new inpatients; 15 were car- ried over from the previous year. The one outpatient was a white male in the 19-24 year old age bracket. The 46 inpatients had the following characteristics: AGI: 13-18 years 19% 25-35 years 130 60 and over 19% 19-24 years 13% 36-59 years W. SEX RACE Male 42% tvhite 100°% Female 58% Veterans Administration hospital psychiatric Lard serves Johnson County residents; however no patient count was available since they do not keep statistics by county. HERA, Psychothcrapy Collective served :I to"' of 433 John- son County clients in the time period between August 1, 1976 and July 30, 1977. Two hundred eighteen clients were served in group sessions and 151 were served in individual sessions for the first. time. Sixty four additional clients were carried over "� IdICRo(ILI•I(D BY JORM MICR+LAB rrIAR 1AI1 11�` • 'If5 .101'I(5 hll wcUi iLrlw BY JORM MICROLAB UrL)Ak kAPIOS AtIU L)c from the previous year. 'rhe agency estimated that their clients had the following characteristics: AGI' SEX 19-24 years 15% 36-59 years 10% Male 20% 25-35 years 750 60 and over 1% Female 80% INCOME RESIDENCE Lcss than $5,000 30% Metropolitan Area 87% $5,000 to $9,999 1115% Small Cities 13% $10,000 to $24,999 5% The Research and Training Clinic Department of Psychology provides outpatient counseling to Johnson County residents as part of its training of clinical psychology graduate students. Eighty-three new clients were served during the .lune 1, 197 May 31, 1977 period. Approximately 30 clients were carried over from the previous year. It was estimated that their clients had the following characteristics: Am: 0-4 years 1% 19-24 years 30% 5-1.2 years 209. 25-35 years 30% 1.3-18 years 5% 36-59 years 14% SH RACE Male 50% White 98% FemaIc 50% Non-white 2% No estimates were given regarding income or residency. Morcy Iloshital in Iowa City had 206 patients with a psy- chiatric diagnosis in the last fiscal year. No breakdown was given on the number of Johnson County residents who were i:cluded in 1:11e total. However, about 43 percent of all hospital admissions are from ,Johnson County. Ili llc_rest__f•aniiIy Scrvices,_Iowrl (:ity Residence for Women provides a halfway house for women who have :I history or mental illncsS/hospitalization. The residence was opened if) November o1' 11176 :Ind served four women between daft bale :Ind May, 1977. All of their clients are white women from the Iowa City metro- - politan :Irc:I with incomes of less than $S,000 per year. 'Three. of the women (75 percent) are between the ages of 25 and 35. One (25 percenl) is in the 36-S!):Igo bracket. 5 "CRonuatn By Jo RM MICR�LA9 MAP pw!ry • �r5 Idomr5 I;ii WAUi iLMLu BY JURM MICRULAB LCUArt RAYiuJ AtiU L)L� W. LL Psychiatrists and psychologists in pr•i_vate�r;lcticc also serve Johnson County residents with mental health problems. All practitioners who, to the hest of our knowledge, serve clionts in private practice were surveyed. Two psychiatrists and two psychologists returned questionnaires indicating that they had no private practice. One psychiatrist and two psychologists returned questionnaires indicating that they did indeed h11VC private practice clients. Only the psychiatrist gave the number of clients who were served; the psychologists did not give that information. The psychiatrist estimated that his 60 clients had the following characteristics: AGE i .a — 13-18 years 12% 36-59 years 25% 19-24 years 25% 60 and over 12% 25-35 years 25% SEX INCOME Male 20% Less than $5,000 101 ' Pemale 80% °'5,1100 to $9,999 5% $10,000 to $24,999 801, $25,000 and over S'1 Eighty percent of these clients were from the Iowa City area •e and the remaining 20 percent from small cities in Jolmson County. "i The psychologists, while they did not indicate the number t of clients being seen, did provide information oil client charac- teristics based on estimates of their caseload. Roth indicated that about 65 percent of their clients are in the 25-35 age group. One saw the remaining clients falling primarily below that age group, the other over that age group. income levels varied more significantly however; the percentages given for each income level are presented below: Psychologist A Psychologist II Percent Percent Less than $5,000 25 5 $5,000 to $9,999 45 10 $10,000 to $24,999 25 80 $25,000 and over 5 5 One psychologist stated that most of his clients resided :4ICROF ILMD BY ' JORM MICR¢LA© rraAR . 9FS FIOIIIF`, M ILi(W ILMLU BY JOkM 141CROLAB CtDAi< RAflu'.) AND uL, L- in in Iowa City and Coralvillo; the other did not make an estimate. Recovery, Inc., a self-help peer counseling group, served approximately 23 Johnson County clients between April, 1976 and April, 1977; 20 were new clients and three were carried over from the previous year. Recovery, Inc. estimated that 75 percent of their members were bcL.rcen the ages of 25-35, 20 percent between 36-59, and five percent over the age of 60. No estimates were made on sex or income levels. About 90 percent of their members are from Iowa City; five percent from Coralville and five percent from small cities in Johnson County. The Iowa City Crisis Intervention Center provides over -the - phone and walk-in counseling to individuals who may he mentally or emotionally troubled. While they do not "treat" mentally ill people, they are to be considered as a resource in the mental health delivery system. The 4,580 contacts made with the Crisis Center involved a crisis situation or required infor- mation about, and referral to, services. Fifty-fi.ve percent of the clients were men and 45 percent were women. Eighty-seven percent were over the age of 18 and 13 percent were under 18. Eighty-one percent were non -students and 19 percent were students. One hundred eleven calls were made to the Crisis Center concerning suicide in 1976. Seventy-two percent were made by the individual and 28 percent were made from others concerned. Thirty-four percent of these suicide calls involved mem and fib percent involved females. Ninety-five percent were over the age of 1" ;Ind five percent were under 18. Seventy percent were non -students; 30 percent were students. Summa r Since several agencies could not give accurate client counts, it is impossihle to judge how many Johnson County clients were treated I'or mental illness in the last year. Of those who did report, however, approximately 1,634 clients were served by all ;1p.encies,exrludilig the Crisis (:enter figure of 4,380 contacts. ,... F-71 dIt20F1 LFIED By DORM MICR+LAB 1FDAr PAN!" • 'Ir5 V151'5 t•Ii-iWt ILMLU 8Y JORM MICROLAB UUM RAPIU:� ANU LJLS 'IU, ., An individual who is hoing served by more than one agency nuiy be counted more than once; this is not :in undupIicoted count. When all client information furnished to ns is suaunarieed, the following conclusions call he made: I) Males make up ahout .36.1, percent of tI,c clients served; women, 63.3 percent. More women are heinl; seen th:ur men. 2) The 25-35 age group constitutes the highest percentage of clients served. The average ncrcent by age group is as follows: 0-4 years less than 10 25-35 years 50.8 5-12 years 3.3$ 36-59 years 17.4771 13-18 years 7.0% 60 and over 4.6$ 19-24 years 12.75% 3) Most clients fail] within the .$10,000 to $25,000 in - conic bracket. The averap,e percent by income level Is, as follows: Less than $5,000 170 $5,000 to $9,999 34$ $10,o0n to $24,9419 44% $24,000 and over 52 SERVICES PROVIOE0 Services provided through the mental health delivery system are: inpatient psychiatric care, outpatient psychiatric care, partial psychiatric hospitalization/intermediate care, emergency psychiatric care, residential treatment of the emotionally dis- turbed, transitional care of persons recovering from mental ill- ness; maintenance, prevention, support groups and crisis inter- vention. Inpatient Psychiatric Care is a program designed to provide treatment to mentally ill individuals who require temporary care because of severe mental illness. The basic objective of the program is to return the mentally ill person to society as a useful and productive member of society and to assist him or her and the family to accept limitations imposed by the ill- ness. Program elements include: services provided under medi- o-ncnonu410 By ' JORM MICR LAB rt'Mn I�,Art M. 7rt felnCS F1ii,tWi iLF1Ld BY JORM MICROLAd CEJAk RAPIUS AND A u -12 - cal supervision by psychiatrists, psychiatric social workers, psychologists, psychiatric nurses, et al; cooperation with community agencies and referral following discharge, where indicated. Follow-up treatment after discharge aimed at post- hospital social adjustment (aftercare) of patients may be in- cluded. Admission to inpatient facilities may be on a voluntary or invullmtary basis. The admission procedures are described in Appendix 1. Psychiatric Hospital is part of the University of Iowa Hospitals and Clinics and provides child and adult inpatient psychiatric care to Johnson County residents. Psychiatric Hospital programs offer treatment for all types of psychiatric problems and and problems in daily living, such as grief or divorce. 'Treatment is generally short-term or evaluative in nature. The following methods are used in the treatment of patients: diagnostic evaluation, individual and group psycho- therapy, behavior therapy, chemotherapy, and electroshock therapy. 'rhere arc no eligibility guidelines for admission to Psychiatric Hospital. Services can also be provided through State Hospital papers allocated to counties. Unlike the State Papers for medical treatment which is handled through County General Re- lief, determination of the financial need of individuals for State papers for Psychiatric Hospital, whether as voluntary of involuntary admissions, is made by the County Attorney's Office, file patient, or a member of his family, is asked to complete a financial questionnaire, to give information on legal residency, income from all sources, household expenses and incumbrances, and the number of people living in the house- hold. Such questionnaires are available at Psychiatric llospi- tal, the Department of Social Services, or the County Attorney's Office. On the basis of such information, a determination is made by :In Assistant County Attorney on whether the individual will he granted free treatment under State papers or will be obligated In pay for the service on a sliding scale. While 94 fl1CROI 11.14[0 BY I DORM MICR�LAB ffMB Barin`. faf5 5101'7[5 MiLiiUi iLi4LU BY JORM MICRULAB -13- LLUAK RAPIJ5 AI'IJ JL, ;U.'. no appeal procedure is specified in the statute instituting this process, the individual may ask for reconsideration of the fee by the County Attorney's Office. 'rhe client's initi;ll evaluation will he covered by the State Papers program only if the evaluation is made in good faith for the purpose io determine whether there exists a need for hospitalization. Outpatients' services arc not covered, although aftercare may be. Seventy-four percent of the funding for Psychiatric Hospital comes through direct appropriation form the State of Iowa, the remainder from patient and other payments. Because of the availability of State Papers, it is less costly for the county to sent a patient to Psychiatric Hospital than to Mount Pleasant, in which the county's share of the cost is 80 percent. Referrals for service are made to or received from state hospitals, local mental health centers and private practitioners. Psychiatric hospital has no Juint planning or advisory relation- ships with other agencies. Johnson County clients are referred more frequently to Psychiatric hospital than the Mount Pleasant Mental Health Institute for inpatient treatment because it is more desirable to keep people in their home communities. The Mount Pleasant Mental Hcalth Institute provides in- patient treatment of Johnson County residents using the methods of service delivery which include a comprehensive treatment pro- gram of group work, individual psychotherapy, discriminating use of medication, activity therapy, dental services, a full gamut of medical services and aftercare planning. Treatment may be for prolonged periods of time than is usually given by Psychiatric Iospital. 'there is no eligibility requirement for service. A per diem rate is charged to the patient; the County Board of Supervisors is required to make an investigation to determine whether the patient is or is not able to pay. If it is determined that the patient is unable to pay, the county will purchnse the service for those patients with legal settlement •�� 141CROEILnED BY JORM MICR+LAB frpAp agrl p', . "rf. dOI'IES 11k,kUi ILMLU BY JURM 141CRULAB -14- CLUAR kAPiva AND uc� >1v.:.L_, in the county. JUVC'1111e courts, district courts and the Department of Social Services refer clients to the Mount Pleasant Mental Health Institute. In addition, individuals may voluntarily admit themselves. The Institute refers to halfway houses, group homes, private residential treatment centers, sheltered care, nursin,, homes and county care facilities for post-hospitaliza- ti.on services. Inpatient care for .Johnson County residents is also pro- vided by the Veterans Administration Hospital and Mercy Hospi- tal although no specific information regarding these services is available. Veterans Administration has a separate psychiatric uni.t; Mercy llospital does not. Aftercare is follow-up treatment after discharge aimed at post- hospital adjustment of patients. Aftercare may include medical supervision of medication. 'Ilse htid-Eastern Iowa Community Mental Health Center is most frequently referred to for aftercare or post -hospitalization treatment by inpatient treatment facilities. A treatment plan is developed for the individual and carried out on an outpatient basis by the Mental Ilcalth Center. Mount Pleasant has a formal agreement with the Mental Health Center to provide aftercare services. Psychiatric Hospital provides outpatient counseling with its own stuff resources but also utilizes the Mental Health Center for aftercare. Patient Advocate, Mrs. Catherine Wombacker, serves .Johnson County resiJent.: o-.!,( hovu hcen committed to mental institutions by the courts. Most of the patients that the advocate acts on the be- half of are receiving treatment at Veterans Administration Hospi- tal, Psychiatric Hospital, Mount Pleasant, or the County Care fnciIity, although some may he referred out-of-state. Senate file 49!1, entitled an Act Related to the Ilospitali- zation ol" the Mentally Ill, created the Patient Advocate posi- tion. The advocate receives a report on the patient 15 clays nl'Icu admission, then 30 days, and every GO days following for MICROFILMED 6Y i JORM MICR6LA9 rrppn 11011F5 I;tiwWr iLMLJ BY JORM PIICROLAB CLUAR RAPiJJ Ai1J uL as long; as the pat:ioil t is in Lhe institution. The advocate is dofined by the Code :is "an individual who has demonstrated by prior activities an informed concern for the welfare and rehabilitation of the mentally ill." No other qualifications or training; :ire required. Workshops, however, are occasionally held in tho area of the advocate's function and role. The advocate's rL-Sponsibility begins at whatever time the patient's attorney withdraws from the case. Mrs. Wombackcr ususally gets actively involved with a case when called upon by the patients, family or physician. The most typical reason for being called upon is that the patient states he does not know why lie has been hospitalized. !II She also works with the patient at the time of discharge in + the areas of employment, housing and other problems. Outpatient Psychiatric Care is a program to diagnose and treat Ila individuals whose mental health has been severely affected, who need professional help w,..: :ire able to stay in their own homes or a substitute facility, and thus do not require 24 hour care. The program provides both intensive and supportive treatment under a variety of auspices and professional disci - t plines. Program elements include coordination teams consisting e of psychiatrists, p::ychiatric social workers and psychologists - The Mid -pastern Iowa Community Mental Health Center, " Psychiatric Hospital, Research and Training Clinic, the Univer- sity of Iowa Ilospitals and Clinics' Dep:n•tinent oC Psychology, �a and private psychiatrists and psychologists provide outpatient i� services to Johnson County residents. The Mid-131stern Iowa Community Mcntal Health Center, in addition to outpatient treatment (including emergency), provides consultation, education and community planning services, train- ing services, and research and demonstration services. The methods of service delivery are: individual, group, couples, * and family psychotherapy and chemotherapy consultation, educa- *Appendix 2 contains definitions for individual psychotherapy, couples psychotherapy, family psychotherapy, group psychotherapy, and chemotherapy as well as diagnostic services. t•I I CROP ILI4t0 BY JORM MICR(�LAB rrnAp . nrC mnpiFC MILkOi-ILAU BY JORM MICROLAB 16 - LEDAk kA✓IJJ ANJ JL: tion and planning; training in helping skills and assertiveness; demonstration, lectures and publications regarding innovations in service delivery. The only eligibility requirement for services is that clients reside in one of the three counties served by the agency. Pees charged for services are related to the client's ability to pay, and some clients are covered by Title XIX Medicaid. Funding for the agency is derived from several sources: Johnson County (S9 percent), Cedar and Town Counties (27 per- cent) and fees (10.7 percent). Referrals to the Mental Ilcalth Center were rccelved by both individual and agencies: Self 45% Community agencies 4% Other patients 2% County Social Services 4% a 20 Friends 8% Schools 2% Physicians 6 6; Clergy , Parole/Probation 1% U. of 1. Courts and attorneys 6% Crisis Center 1% 1% Mental Ilospital 4% Other Referrals from the Mental Health Center are made to Lutheran Social Service, University Counseling Service, Psych- iatric Hospital and Student Health Services when service cannot be provided within a short time due to waiting lists. The Mental Ilcalth Center has joint planning/advisory relationships with the Crisis Center :ind the Rape Victim Advo- cacy program. Outpatient services are :,lso provided by Psychiatric Hospi- tal, allhouVlr outpatient services were not distinguished from inpatient services in the description of agency programs. 1'sychintric Hospital provides extensive diagnostic services not avnilablc through all outpatient programs located elsewhere. The Mount pleasant Mental Ilcalth lnsitituto also provides outpatient services, although to a lesser.degree clue to U limi- tation on the nunlher of staffporsons available to deliver ser- vices and the Distance from the patient. The purpose of the program is to modify or elinlin:rto a patient's mental illness to Mi CROFILMEO OY I JORM MICR+LAO rrnnr 101'V 1;IiukUi ILMLU 8Y JORM MICRULAb 17 - CLUAR RAPIuj ANU IJL� '�•� . such an extent that the patient call he nulintaiocd in a c0114- munity setting without heing; referred to a hospital. Referrals to the program include those from local comanmity School districts, parents, probation offices and jnVe14iIC courts. Referrals are made to school psychologists, school guidance cowtselors :Ind local cottununity mental ho:IIt11 ccnler;. The Research and Trraiitinl; cjinic-, Dep-Irtuicil of Psy_1..InIpgy, provides diagnostic and short-term psychntherapeot1c services to adults, children, and families with :I wide variety of problems amenable to outpatient care. The Resuarcb and 'Training Clinic's primary purpose is the training; of graduate students in Clinical psychology and,thercfore, client eligibility is limited to those who prove to be good teaching cases. No fees are charged for the service. funding for the Clinic is provided through the University of Iowa and National Insti- tute for Mental licalth grants. The Clinic refers to the Mcntal licalth Center, lJnivcrsity Counseling Service, and Families, Inc. when they are more appro- priate for particular services needed. Referrals are routinely received from the Johnson County Department of Social Services, University Counseling Service, school psychologists, the dental health Center, Crisis Center, Goodwill industries, the Speech and hearing Clinic, the University Child Development Clinic, and local clef ymen, physicians and lawyers. The Clinic does not have joint planning/advisory relationships with other agencies or organization:;. HRA Psychotherapy Collective provides psychotherapy rot- individuals, orindividuals, groups, and couples; marriage counseling, fvnily therapy, body work, and educational workshops. IWRA also pro- vides training in therapy skills, crisis intervention :utd asser- tiveness. HERA was organized in 1974 by four women therapists who believed that women and men needed an alternative to traditional health care. They believed that it was not possible for thera- pist: to be neutral; they either encouraIte people to ",Idjust" :41CROI 11.4410 By JORM MICRI/LAB MTV 0ar",.. yrs Molars r,iLQi ii -MED BY JORM MICROLAB • CEDAR kikPluo AND uL� 1,::,L_, I8 - to had situations or they assist people in regaining their own power. Feminist consciousness -raising; may be involved in the beginning stages of therapy. A variety of approaches, includ- ing transactional analysis, Gestalt,breathing techniques, medi- tation and body movement, are used. Fees are charged on a sliding -scale basis. Limited fund- ing ccr.:c,, from the University of Iowa Student Senate. The agency refers to tie 'Iniversity of Iowa Hospitals and Clinics, Legal Aid, Emma Goldman Clinic for Women, Women's Resource and Action Center, and the University of Iowa for complementary services. 111:RA receives the majority of referrals from self-reforrals or from other clients. Referrals are also made by St. Luke's Hospital in Cedar Rapids, physicians in private practice, the Crisis Centor,.Department of Social Services, Emma Goldman Clinic for Women, and the Women's Resource and Action Ccnter. HERA is involved with the Women's Resource and Action Center in'a joint planning relationship. Private psychologists and psychiatrists use a variety of techniques in treating individuals. The three who completed the questionnaire cited the following methods: transactional analysis, group and individual therapy, Gestalt techniques, therapy using a feminist perspective, reality -based action oriented, chemotherapy and psychotherapy. The prohlcros which individuals most frequently bring to them are: depression, lack oh self-confidence or assertiveness, fccliul;; •I fining crazy, anxiety, and problems related to mar- ring,, f;nnily and divorce. ane psychologist is also asked to work with juvenile offenders and conduct psychological evaluations. The three were willing to take third party payments; con- tract�a aro hold with Vocational Roh;ihiIitotioil , .Ilive niIc 111'Oha- tion ;rad the Iluivcrsity of' lown, in addition to receiving pay- ment through 'I,itic xlx %Icdicaid. They did not, however, use a sliding scale for patient fees. A row clients (2-10 percent) were rofcrrcd to puhlically and/or voluntarily suhsidized ;•ncnorttwrn By i JORM MrCR¢LA6 rinAi, IiAr!Oti Ptq 'dai%r, 1-11utUi-ILQiU BY JORM I.IICROLAif IE LLUAI( RAviu.) AInJ uL _ agencies in the last year. The :II•eni io•. 111 wholll 111"Y refl•rrl•I for suhsidi2od sorviies worL•: I's}'chi:llrir Illr:liital Ihc.• C,uu munity Mental Ilcalth Center, Ilniversilr Cnnncelinp, 5erviic•. Crisis (.Cut Or , specific pr•acIi Bone rs or the Linn Colully Mell I:II Health Center. If clients Ill'ed rcicr rat far reason=. ul 'It' I. that] I lilanciol ones, the fol lowllll'• rvsolll'l'l•s are Ilscd: (]well Ul1llj', psyche ICl;ltit; R'olRen's ReNource and Act loll (a'llt<'I'; I':II'eI11S • Without Partners; Crisis Camel'; Universi ly (.ollllSI•l illy ServliC; and HERA, psychotherapy Collective. The private practitioners completing the questionnaire received referrals from .JUVCI11 Ie Probot ion, Johnson County SOcial Services, the .Johnson County Attorney's Office, the .Johnson i County Shcriff, Vocational 1?011ahilitatioo and the Cedar Rapids YWCA. y a Partial Hospital_ization/InCcrmedlate_Cnrc, commonly known as I "day treatment," is :1 progr;l"; designed to (IiaP•nose :nal treat ind.ividuaIs whose mental health has been severely al•('ected, who need professional help, and who are ahlc to stay in their z x own homes or in substitute Flcil!ties and thus do not rc(Juirc 24 hour care. The program elements arc essentially the same as in the outpatient psychiatric care program except that: 1) the duration of the treatment is usually much longer and ° more intensive, and 2) teachers, occupational therapists and recreational workers are included in the team providing the li treatment. No day treatment is availahlc for adults in .John - soil County. Families, Inc., while not providing day treatment in the classical sense, works intensively with falaiIics in their own homes for up to several hours per clay, The prup,ram el' this agency, while providing an alternative to clients of the mental _ health de livery system, will he considered in more depth in the I:allli.ly and Individual Life Emergency Psychiatric Care_ is :I program designed to provide emergency intervention in a psychiatric crisis to prevent the i I41CROFILMLI) 6Y DORM MICRIILA6 Fi1LItUi ILMLL) BY JORM MIUOLAB • LEDAit HANIU�) AIIU JL 20 - crisis from becoming a chronic disabiIit,v cir suicide. The essen- tial element of an emergency psychiatric care program is that it is readily available and accessible 24 hours a day to poten— tial clients. psychiatric Hospital provides emergency 24 hour treatment, as does Mercy Hospital in Iowa City, Veterans Administration liospltal and the (Mount I)lcasant Mental Health Institute. 'file emergency COIIIIIIiImUilt nrocedure is described in Appendix 1. 'file Iowa Cid Crisis Center has a suicide line which is available during; the hours when the Crisis Center is not open (2:011 a.m. to 11:00 a.m.). The Crisis Center uses trained volunteers to B1:111 the phones with hack -up provided by the Mental Ilealth Center. 'I'lle Mental Ilealth Center's staff provides out- patient emergency service on weekdays during working hours and ... :11 so receives eulergency calls at home. t Residential 'I'rentnlent. of the Finotionally Disturbed is a program -- ---- -- --- :.1 designed to provide intensive psychosocial treatment to indi- viduals suffering from some severe emotional disturbance who g arc Irmporarily unable to live in their own homes and need Contrnlle(l 1'•1.0111) living. The residential treatment program is oriented toward a speedy return of the client to his or her ❑urrllnl environment. Progr:uB eleBlents include: study and diagno- sis to determine and develop e treatment plan for each client; work in behalf of or directly with the client in n therapeutic milieu during placincnt (including provision of group living fncilitics :Ind the csscntinls of daily living such as meals, clothing, arrangements for education, recreation, religion, medical/dental care and other supervision); provision of treat- ment services as needed by each client (socinl work, psychiatric, I)S)'C110101;IC, 1'elllr(ll:11 edlll':Itlnrl); wol-I, with parents of Children •- 111 Alaiellle Ill; 81111 Ili);1 1118 C L•Ille 111 :ICI lvll les (111 r lilt till` rondllis l:- 1111'111 101•1'iod. Thr pl'n f', I':I III IS 11911;11 ly de.signed for vlllof iollal ly 4, ll 1':1 11 I'bt'II I hi I Il 1'(.11 . I'll I• I•'.•,I•II I 1:1 1 111 I I c l -,-Ill r' he l wl•I'I1 :III I llllo l it -Ill (11I1, Ip i 1 :1 11 .r p•.yrlliairir Ial1• prupr:nn :Ind n rl•sidl•ntial Ircnlmrnt program tllal In till' Illrulrr, :III rare is prr•rrihrd and dirvctetl •� by a pllycil roll alld in Ihr Inner. II'I•:IllICII1 p1:1ns are made :11111 Ia1'1'Ir•II Illlt 1))' a lealll wl Ill ille physician serving, prl' 6.aI IIi II':1 t'Ull tillllll Ill. Irl ~I L11CRaf ILI4ED BY I ' DORM MICR+LAO ffDe!+ pen, oc. . r)r5 !.tai>lr� Neil. i<UI iL�•ILU BY DORM MICROLAii LLUAi( RA IJI� ANU L)L '�• - aIts itional_Ilcsidcnli:it Calc ul Pet-SOns Rrcnvr•ria}� from MI•nL•II Illness is ;1 progrlul designed to I':1cit i1:1lc a sun,ulh Ir;msit iun of the mentally ill from :1 protected and strucluled setting when the person is returned to the common ity• IInII'way houses are organized to 110111 recovering patients gradually adjust to reintegration into the community and the resultallt exposure to the stress of unsupervised living. Progrun elements include: provision of congregate living quarters on a residential care basis and the offering of flexible arrangements (in and out) for activities to expedite the individual patients adjustment to work, home and the normal community environment. Psychiatric treatment may be provided as needed on it reduced basis to selected patients. No halfway house is available for men recovering from mental illness- Ifillcrest Vami] _ Services _ Town Cit Residence_ for Women provides a group home for adult women IR years of age and older who have a history of ment;;1 ?llncss/hospitalizatio❑ and :I re unable to function independently. The goal is to equip them emotionally, vocationally and socially to live independently and to be contributing citizens. Group and individual Counsel- ing and the development of social living skills arc available within the facility. Community resources for vocational and recreational services are used whenever possible. women who are 18 years of age and nlder and are cligihlc. For Title XX (I)SS funds) or Mental Ilealth Institutional I:unds and have approval from a medical doctor for the use of the llillcrest facility for their situation, meet the requirements for eligibility. Clients who need medical care are regularly referred to University IlospitaLs and Clinics and/or the Community Mental Health Center. Referrals for vocational/job training are regularly made to Goodwill Industries and VocatiOil ;rl Rehabili- tation. Referrals to the program are routinely received from Vocational Rehabilitation, the Department of Social Services, Goodwill Industries., Psychiatric Hospital. Tho DCpartIII cnt of 141CROFILIIED BY DORM MICR+LA9 ffpAR npr;��S PYS h10INfS I•liu( ( ILAL.0 by JUNM 111LkULAb -22- LLUAk kAriJ� VjL) ULA .i'V •.'- , Social Services has influence over the nature of the program through funding of vocational training for women. Funding for the program is provided through Title XX fudns for services and through Johnson County for maintenance. No halfway house is available for men recovering from mental illness in Johnson County. Maintenance Services are provided to individuals with chronic physical and/or mental. healLh problems in order to prevent deterioration in those conditions through residential or group care. Maintenance services are generally utilized for those individuals who have rctitrned from inpatient treatment and for whom further treatment is not deemed to be beneficial. The Johnson County Care facility is the primary resource Of maintenance care for .Johnson County residents. It is a licensed home for custodial care. Residents are charged fees; however, they very rarely pay the full cost of the service. The County Care facility is primarily funded by Johnson County. Most patients at the County Care facility come from Mount Pleasant, Woodward or Glenwood State Institution. A medical examination is required prior to admission. Referrals are made by the Johnson County Department of Social Services. A number of community services are available to and utilized by the residents of the County Care facility. The County Care facility is managed by an Administrator under the supervision of the Johnson County Board of Supervisors. 'I'hc Iowa Veterans' Ilome in Marshalltown provides long- term care ill the dormitory, nursing care, or extended care for the geriatric or chronically ill veteran, spouse or widowed spouse. The Veterans' Ilon,e may furnish domiciliary care Ito: I) n veteran who was discharge,) or rele+lsed from active military, naval or ;,it, service for n disnhility incur- I•od in or aggraviited in the line of duty, or a person will, is in receipt nl disability compensation when he is ,;,,Obring from n permanent disahilit:y, tubercu- losis l,r neuropsychiatrie. ai.lmont,and is incapnci t:,lod from earning n living and has no adequate means of support; I w,ceonuato By JORM MICR46LAB �y lliwWl ILhliU by JORM 141CROLAb CCOAfi RAPiuo AIaC 23- 2) a veteran of any war of service after January 31, 1955 who is in need of domiciliary care if' he is un- able to defray the expenses of this necessary care. Fifteen .Johnson County residents were being served as of May 1, 1977. There is an average of Ah individuals on the waiting list for service for the dormitory cure and n one year wait for the nursing home care. Support Groups offer informal peer counseling to individuals who have similar personal experiences. Recovery, Inc. is a systematic method of self-help aftercare to prevent relapse in former mental patients and chronicity in nervous patients. It is an organization of lay people. Professionals such as physicians, psychologists and the clergy are welcome to observe meetings, but not to participate unless they are patients. Members must be over the age of 18 years. Between April, 197b allu April, 1977 approximately 20 new people were served by Recovery, Inc.; three were carried over from the previous year. The organization has no source of funding. The only referral. made by Recovery, Inc. is the sugges- tion that the individual contact his doctor or social worker who made the original referral to Recovery, Inc. Recovery, Inc. received referrals from Psychiatric hospital. Preventive Services are aimed at enabling individuals to develop methods of coping with everyday stress, thereby reducing the likelihood that mental illness will develop. These services are also utilized to conduct research into the causes of mental illness. Program elements include training lay people in the deve- lopment of interpersonal and coping skills; increasing the level of competency of individuals in the helping professions in dealing with mental illness and psychosocial problems and its development, and organization and dissemination of knowledge on mental health issues. The Mid -Eastern Iowa Community Mental Health Center con- ducts training workshops in rural ureas for teachers, clergy, 111CROFIL111.0 UY J ORM MIC R¢L A O fFPAP PAT'Inr. , .,FS 5101'11' rl;l.r f iLMLA) BY JORM MLCkOLAb LcUAk kik lu:, NI;u OLE nurses and other professionals and lay persons who want to improve their abilities either in helping people with their personal problems or to improve in their own interpersonal and coping skills. Research, and evaluation is an activity conducted primarily by the University of Iowa; however, the Mental Health Center also participates in research and evaluation in some areas where the Center's services will not be disrupted. ,file Mental Health Association of Iowa works to increase research into causes, prevc,Ition and treatment of mental illness. It is a statewide organization with a regional office in Coral- vi.11e. The organization supports legislation aimed at increas- ing research int.o the causes and cures of mental illness. It also conducts worry clinics throughout the state, although none have been offered in .Johnson County. The agency's services are delivered primarily on an indirect basis, that is, on behalf of a nonulation or client group rather than to specific individuals. Advocacy attempts to plead, argue or urge the case for the provision of adequate mental health services for all individuals in society. Program elements include development of materials, and communication of agreements to selected parties or the public at large as needed through the use of every available technique not prohibited by law. The Mental Health Association lobbies to ensure proper provision of services to the mentally ill and follows up on complaints made to it by clients seeking treatment from mental health services. The agency also provides speakers to commu- nity groups on issues affecting mental health and provides canteen -aids to residents of the County Care Facility. UNMET NHGDS/PROIi1.HMS IN Sf:RVICF DELIVERY The unmet needs of the mental health delivery system can he grouped into the following categories: lack of common data hast and outcome measures; inability to pay for outpatient services/shoringo of sliding -fee scale availnhility; lack of comp;u';!ble Mid valid (Into collection and lack of outcome measures; inadequate cooper;Ition ;aid consultati-m among; service providers in the montnl health del ivory system. MICRBn LnCB BY JORM MICROLAB rr aAp u.1:�•q, � .,,r c. 4If1!9f `• hilLJfUi fl -ML) by JURM MICRULAB -25- CEDAR kAkFjj3 ANL) JL., �• -- - -•^ Lack of Common Data B;u,e and outcome Measures This was ;I problem cited by the subconmiitee :Is an arca of concern. Agencies aro not currently keeping comparable statis- tics; therefore, it is difficult to make any comparison in types of clients served, problems addressed, treatment given and the cost of delivering services to Johnson County clients. At the present time, no information is available as to whether treatment has resulted in the improvement of the client's mental health or well-being. Inability to Pay for Outpatient Services/Shortage of Sliding Fee Scale Availability The Mid -Eastern Community Mental Health Center, the major provider of outpatient mental health treatment available on a sliding -fee scale, has a four to six week waiting list. They refer clients, because of t>>r waiting list, to Lutheran Social Service, University Counseling Service, Psychiatric hospital and Student Health Services. Lutheran Social Service also has a long waiting list and must cut back on the amount of counseling time available to Johnson County because of their obligation to provide additional services to the rural counties in their area which support them financially. University Counseling Service can serve only students, faculty and staff of the University of Iowa. They are not able to serve individuals who need long-term counseling (beyond B-12 sessions) at the present time even though they sec a great need for such services. Many of the clients served by Psychiatric hospital are those who need evaluation or medication monitoring, although ongoing outpatient counseling is available. The County Attorney's Office is required by lata to certify eligibility for State Papers for Psychiatric Hospital. State Papers are not available ?�- MICROFILMED BY DORM MICROLAB r'rDAR PATIV. . 'IFt 50PV Fl:.. if Ui ILi'ILU BY JURM MICRULAB 26 - CLUAIt kAVIuo AIIU UL- to individuals requiring outpatient services or evaluation if hospitalization is not being considered. HERA also stated that there is a need for funding to supplement low-income clients to make its services available to a broader range of people. Lack of Comparable and Valid Data Collection and Lack of Outcome Measures Currently, agencies are recording client statistics in a variety of ways which make comparisons from one agency to another difficult. Collection of information on the problems facing individuals is not done by most agencies. Because of this program planning, involving a number of agencies is dif- ficult. At the present time, few agencies are capable of document- ing the outcome of their service to individuals and families. It is impossible, in effect, to tell if the service has "done only good." Inadequate Cooperation and Consultation Among Service Providers in the Mental Health Service Delivery System This problem was cited by several agencies and churches. It is common for more than one helping agency or individual to be involved with a client or his family. At the present time, information which would benefit the client and aid in his treatment is not always shared with other appropriate help- inq prnf(,.-sionals. Lack of familiarity with the staff of other agencies seems to be a contributing factor. while confidentiality must be preserved, cooperative arrangements among the helping profossionals should be made so that the client is offered the most appropriate and effective treatment. (aient Gro Ilis)ro)ortionately Represented in Agency Caseloads I'hrnugh analysis of the data collected from the agencies, two groups stood out as disproportionately being represented in Client ;I;itistics: 1. �v MICROFILldla By i DORM MICR46LAEI I•Il l,iN� ILMLO 8Y JORM MICROLAb ,tUAk RAPIu; AND �c +I MICROFILM BY JORM MICRWLAB I'I"II P 11,1111' . "I', M01 'IF -27- 1) Women comprised 64.6 percent of the clients being seen by mental health programs while men made up only 35.3 percent of the total. This is contrasted to the percentage of men in substance abuse treat- ment (80 percent) and correctional facilities and programs (90 percent). 2) Individuals in the 25-35 age group made up 50.8 per- cent of the total clients soon, pointing out that these are evidently years of great stress. While no attempt at explaining these phenomena is being made, they perhaps deserve further study to ascertain if changes in agency programs are required. Other Problems Cited by Agencies or Individuals Listed below are other problems cited. The group which cited the problem is indicated in parenthesis. j 1) Need for a halfway house for men (clergyman) 2) Need for preventive mental health (clergyman) 3) The County Attorney's Office is not staffed or ade- quately equipped to deal with financial eligibility determination of psychiatric State Papers (Assistant County Attorney). 4) Little money for follow-up and aftercare following residential care (Orchard Place). .$) Pew programs for low -intellect children with severe behavior problems (Orchard Place). 6) Pew settings where maximum physical protection is available if needed (Orchard Place). -< 7) The new commitment law and its implications should be examined by the therapeutic community (Mental Health/Chemical Dependency Subcommittee). 8) Special assistance in job and housing location is needed for people returning from mental illness treat- ment (Patient Advocate). +I MICROFILM BY JORM MICRWLAB I'I"II P 11,1111' . "I', M01 'IF FilmWi (LMLO BY JORM MICROLAB CEUAk MPIUS AND UL'J GENERAL RECO.MIGNDATIONS Possible Agencies Funding Priority Problem Recommendation Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first year of the Human Services planning projeci. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Communication. Coordination Information Inadequate communication Agency directors and staff and coordination among agen- providing similar programs cies providing service or services to similar results in inconsistencies, client groups should meet particularly in the way together on a regular basis clients with multiple prob- to: lems are handled. Do lays share information about in the provision of service1) programs, and misunderstandings or disagreements regarding 2) explore solutions to service provision may occur common problems, when two or moreagencies are involved with the same 3) acquaint them with the client. Regular meetings staff of other agencies among agencies have been to facilitate the refer - attempted but have been ral process and increase less than successful. trust levels, and Organizing and convening 4) share information on such meetings requires clients within the con - staff time and effort not fines of confidentiality. available from any ;one agency. " ( I4ICROMMID BY I JORM MICROLAS rrl)Aa P.A I'I n�; . PES 1,10InES All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Mllt:iiUFIL&U BY DORM MICROLAB 'Priority Problem LLDAk RAPIUS AND L)t GENERAL RECONPIENDATIONS (Continued) Inadequate knowledge, on the part of service pro- viders, concerning the functions and programs of agencies can result in inappropriate refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents geeting lost in the system without getting the service provision is also often done without consultation with agen- cies affected by such programs. The result is that services are delivered with less than optimal efficiency and effectiveness. Recommendation Human Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for them to succeed. Data on client charaetur- Assessment of data require- Is uge, race, mems is ncedud by 1) agen- sex, income, residence and cies to assess existing pro - problr-ms presented) are grams, and 2) funding bodies not available at the pre- to make allocation decisions sent time through many based on cucmunity need. A agencies. As a eonse- common data collection and quence, it is difficult to retrieval system should be assess portions of the pop- developed which would place ulation which may be inade- minimum demands on agency quately served, and for staff time and be economical, which programs should be Funding agencies should make developed. inquiries into systems of I•IICRDMMED 6Y i JORM MICR+LAB MAD Mr'ln'. • DFf, N019CS Agencies Affected All public and private not -for profit agencies providing ser- vice to Johnson county, Cities Johnson County, United Way Possible Funding Sources Johnson County Re- gional Planning Coy -fission, City, County, United Way Priority MiLkOf ILMLO BY JORM MICROLAB LEDAk RAPIDS AND UL .w.:+ rtlLlwi ILi4LU BY JURP1 141CkOLAb LLUAk kAP1U5 AIIU JLC ;1c,:a_ , RECOMMENDATIONS Agencies Priority Problem Recommendations Affected 1 2. Shortage of Personnel At some agencies the provision of service on a sliding -scale basis results in long wait- ing lists. The effect is that people in family or personal crisis cannot receive service from the agency of choice and may discontinue their search for help. Family personal problems continue without solution, oftentimes intensi- fying the problem. This is also a problem of the coun- seling area. People may re- quest service for either counseling or mental health therapy at any of these agencies experiencing wait- ing list difficulties. There- fore the waiting list affects both service areas. Client Croups Disproportion- ately k— c Msentedin Agency Case Loads Through analysis of the data collected from the agencies, two groups stood out as being disproportionately represented in client statistics: 1) Women comprise 64.6% of the clients being seen by men- tal health programs, while men make up only 35.4% of the total. This is con- trasted to the percentage Staff should be added to the Mental Health Center and Lu- theran Social Service to meet the demand for service. Ef- forts should also be expanded to facilitate referral and follow-up to those agencies offering -counseling who do not have waiting lists. Agencies in the mental health area should explore the rea- sons for these phenomena and study the development of pre- ventive and/or early inter- vention programming to: 1) reach males who may be in crisis or severe stress; 2) develop outreach programs and training in the devel- opment of coping skills for those in typically stressful periods of life. ^' I41CROF I L14ED 3Y I JORM MICR6LAB rFOAP PANS`. • 'tt5 P101NF5 Mental Health Center, Luth- eran Social Service, Univ Counseling Service Possible Funding Sources Johnson County Dept, of Soc- ial Services, United Way Mental Health University Center, Psy- of Iowa chiatric Hos- pital, Ht. Pleasant, HERA, Private practi- tioners, Luth- eran Social Ser- vice, University Counseling Ser- vice, Men's Re- source Center, Women's Resource and Action Center f1ii.RUi ILMLU BY JURM NICRULAB LLUAk RAPluS ARU ,)L� ;U• +L Priority Problem of total clients wno are male in substance abuse treatment (801) and in correctional facilities and programs (90%). 2) Individuals in the 25-35 age group make up 50.8% of the total clients seen,pointing out that these are years of great stress. Other Problems The following problems were identified by one or more agencies. However, sufficient information was not available upon which.to develop specific recommendations. 1) Need for a halfway house for men; 2) Need for preventive mental health services; 3) The county attorney's office is not staffed or adequately equipped to deal with finan- cial eligibility determina- tion of psychiatric State Papers; Recommendations Possible Agencies Funding Affected Sources Agencies and organizations con- Orchard Place, cerned with these problem areas Clergy, Johnson should begin to record the in- County Attorney, stances of such problems so that Dept. of Social the magnitude can be documented. Service, State These areas require further study General Assembly, and review prior to the develop- Community Cor- ment of recommendations. rectional Services 5 't NICRUILMED By I JORM MICR�LAB (f MP R.1P17' OfS MOINFS MlUt(OFILMEU BY JORM M1CkOLA.B CLUAk kAPWU ANU UL Priority Problem Recommendations 4) Little money for follow-up and aftercare following residential care; 5) Few programs for low -intellect children with severe behavior problems; 6) Few settings where maximum physical protection is avail- able if needed; 1) The new committment law and its implications should be examined by the Iowa General Assembly. (A bill for revi- sion of this law is pending;) 8) Special Assistance in job and housing location is needed for people returning from mental illness treatment. t•� MICRDI`ILMED BY I DORM MICR+LAO CFDAP hAIIJM • n1� mnitiE5 Agencies Affected Possible Funding Sources w w MIL,OW ILNLLD BY JORM MICROLAB CEDAR k0 lus AND JLC :IV.:L., -34- APPENDIX 1 Emergency Admissions Peace officer takes respondent into custody and to the nearest available facility r Notified nearest available magistrate to proceed to facility. Legal counsel provided if practicable. Magistrate makes written sm issal order for f case. immediate hospitalization. Chief Medical officer examines. Discharge Respondent detained not to exceed 48 hours, exclud- ing weekends and holidays. Emergency treatment only, except with patients con- sent. Voluntary Involuntary Discharge Admission Procedures Voluntary Admissions Person applies for voluntary admission to hospital. lospital admits for observation, diagnosis, care and treatment. Di.schargc Hospital care not required. Discharge upon patiunt's M request at any time un- less hospital applies for judicial certification. •~F 141CRoFILI•ICO BY 1 JORM MICR�LAB rrpAn VAPio, nF5 ?10 i'!(` i MIL,kUF1LMcU BY JORM MICROLAU -35- CEDAR RAPIDS AND UL, Ii :u.., Involuntary Admissions Application filed in District CourL by any interested person. Verified by Clerk of Court. Preliminary hearing-- dudae ruviews case. ase dismissed.[ If necessary, place Pormal hearing. repon,Ic,:t in Respondent repre- custody until formal sented by own hearing (within 5 days). attorney. Case dismissed. hospitalization ordered. Chief Medical Officer reports to judge within 15 days. Possible extension of 7 days per court order. Discharge Continued hospitalization Outpatient Other (Report to court 30 days care. placement after entry of order.. (Report to (Report Thereafter not to exceed court 60 to court 60 days.) days after every 6 IAICROFILIJEO BY DORM MICR+LAB moon P'Wlnt • nr rmnlrt entry of months.) orrlf:r . Thereafter not to exceed 90 days.) Discharge III t,,Wr I LMLJ BY JURM MICkULAB LWAR RAPIu:) AND OL -36- APPENDIX 2 Outpatient Services Individual Psychotherapy Treatment by individual interview such as supportive psychotherapy, relationship therapy, insight therapy, behavioral therapy and play therapy. Couples Psychotherapy Therapy appliced with a couple as a unit such as with spouses experiencing marital dysfunction. Family Psychotherapy Therapy applied with a family as a unit. Significant members of the family are seen together and considered as patients (excludes groups of families or married couples). Group Psychotherapy Treatment by the use of group dynamics or group inter- action such as therapy with groups of married couples or with groups of adolescents (excludes family psychotherapy). Chemotherapy Treatment by use of medications. Diagnostic Services Psychiatric, social work, psychological or other mental health professional evaluation; a psychodiagnostic process includ- ing such things as a psychiatric history and mental status examination, study of personal background and family interactions, and evaluation of cognitive processes and personality character- i.stics. llowa Community dental Health Center's Accounting Manual, "Defini- tion of^ticrv'icc Ilcmcn— *Thc Mental Ilenith/Chemical Dependency Subcommittee adds that physical, neurological and appropriate laboratory tests should also he included as part of good diagnostic services. MICROFILMED OY DORM MICR¢LA6 rlPAO �dr MOPIf5 MlLkUr iLl•ILU BY JUHM MICROLAB LLUAR HAPIUS AND OL ;'w.: : • - •' 5 { MICROFILMED BY I JORM MICR+LAB CMAII 11API11 . nj5 VIOIYFS APPENDIX 3 Services Available 1) PROGRAM: Inpatient Psychiatric Care # of Jo. Co. Agency Eligibility Fees Clients Served Auspices Funding Psychiatric Hospital None Sliding scale 172 Public E State U. of Iowa Mount Pleasant Mental Health None Per diem charge 46 Public S State State and Institute to client or Counties county of resi- dence if unabla to pay. Veterans Administration Veterans None NA Public F, State Veterans Admini- Hospital stration Hospi- tal Marcy Hospital None Insurance, Pri- NA Private, not- Insurance vale Pal•. for profit Patient fees 2) PROGRVI: Partial Hospitalization and Intcnradiate Cara Psychiatric Hospital :Adolescent Sliding scale. Potential of 6 Public f, State U. of Iowa '. State Papers. (will begin operation 10/77) 3) PROGRIM: Emergency Psychiatric Care Psychiatric Hospital None Sliding scale. W Public Public 6 State State Papers. Insurance. Veterans Administration Veterans None 41 Public 6 Fed- Veterans Admini- Hospital eral stration Hospi- tal 5 { MICROFILMED BY I JORM MICR+LAB CMAII 11API11 . nj5 VIOIYFS MILt(O IGILD BY JORM MICROLAB 3) (con't.) �,cr Eligibility Mercy Hospital None Mei ,t Plcssact Montal Health None Institute Iowa City Crisis Center None 4) PR@GRA:: ottpatient Psychiatric Care Mid -Eastern Iowa Con unity None Mental Health Center Mbunt Pleas.:at Mental I!calth None Institute Private psychiatrists and None psychologists HERO, Psychotherapy Collective None Research and Training Clinic, Must be good U. of Iota Departtaent of subject for Psychology teaching. • CEDAR RAPIU�) AND uL� e1L,L--. APPENDIX 3 (con't.) N of Jo. Co. Clients Served Fees Insurance. NA Sliding scale. Patient fees. AA County pay. None 111 Sliding scale. 724 Title XIX Medi- caid. Patient fees. 1 County pay. Varies HA Sliding Scale 433 Ione 83 1 I 'MICROFILMED BY JORM MICR+LA6 MAP PAVIP'• 7F5 WWIFS Ausnices Funding Private, rot- Patient fees for-profit Insurance Public $ State State and Counties Private, not- County: 69.6% for-profit United Way: 30.35 Private, not- Johnson County: 59: for-profit Other Counties: 27: roes: 10.7% Medicaid: 1.71 Public 6 State State and Counties Private, profit Patient fees snaking Private, not- Patient fees for-profit U. of Iowa Student Senate Public 6 State U. of Iowa w , M(I,RUFILiMrU B`i JORM MICROLAB LEUAR RAP1U�) AND uLS wi;iLl, 5) PROMV-1: Transitional Resirential Care Agency Eligibility Hillcrest Family Service be IS and over. 6) PROGRV: Maintenance Service Iola Veterans Home Veteran or crouse. Johnson Canty Care Sone Facility ?) PROGFL tM: Pret•ention ar:i A\ vocncy J!cntal Health iusociation None ?lid -Eastern Cmmunity None ?kntal Health Center APPENDIX 3 (con't.) F of Jo. Co. Fees Clients Served Title XX, 4 Mental Health Institutational Funds. None None .ore None CIiOrILMED BY I JORM MICR+LAB rrDAP P,WIPS • DCS I.101nC5 is \a NA Auspices Funding Private, not- County and the for-profit Dept. of Social Services, State Public F, State State Public 6 County County Private, not- United Way for-profit Private, not- Johnson County: 59X for-profit Other Cmmties: 27X Fees: 10."s Medicaid: 1. 7% M i Miu,Wz iL:'1LU BY JORM MICKLAb LLDA1t kAI'IJW i�ilJ uL.. �. ..•.. counseling This is the first in a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, la. .'I1 CROP I ME BY 1 JORM MICR+LAB frnAl) 11111' Irt !101'1(' .�Iq^ Mit,kUi iL• ii BY DORM 1.11CROLAB LLUA< RA lu: AiIU L, TABLE OF CONTENTS GOAL------------------------------------------------- 1 S17RVICE AREA DESCRIPTION ----------------------------- I PROBLEM DESCRIPTION ---------------------------------- 2 Divorce Rates -------------------------------------- 4 Other Problems Affecting Families and Individuals -- 6 POPULATION SERVED ------------------------------------ 9 Agencies and Individual Practitioners with / Counseling as their Primary Purpose -------------- 9 • Agencies that Provide Counseling as a Major Major Component of their Programs ---------------- Portion of their Program ------------------------- 10 Agencies that Provide Crisis Intervention 22 Counseling --------------------------------------- 14 „i Agencies that Provide Support Group Services ------- 16 Other Counseling Resource:. ------------------------- 17 q. �1 i h11CROf ILnf.D RY DORM MICR+LA6 (rPAJ) PAPJW PfS M019F SERVICES PROVIDED ------------------------------------ 19 .a Agencies or Individuals with Counseling as their Primary Purpose ------------------------- 19 / Agencies that Provide Counseling as a + Major Component of their Programs ---------------- 21 Intensive In-home Treatment ---------------------- 22 p Foster Home Care --------------------------------- 22 Group Home Care for Children --------------------- 23 Transition to Independent Living ----------------- 25 L.y Informal "Street Counseling" for Youth ----------- 26 Crisis Intervention Services --------------------- 28 °~ Support Groups ----------------------------------- 32 Other Counseling Resources ----------------------- 34 MAJOR UNMET NEEDS/ PROB LE -MS IN THE SERVICE DELIVERY SYSTEM ------------------------------------ 37 GENERAL RECOMMENDATIONS ------------------------------ 41 RECOMMENDATIONS -------------------------------------- 44 APPENDTX Services Available --------------------------------- 46 q. �1 i h11CROf ILnf.D RY DORM MICR+LA6 (rPAJ) PAPJW PfS M019F i '1e 9iL'Wt 1LAL0 BY JURM 1,11CkULAb LEUAif kAL'1J'� JOHNSON COUNTY REGIONAL PLANNING COhfMISSION MEMBER GOVERNMENTS AND REPRESENTATIVES FOR 1977 Isabel Turner - Chairperson Emil L. Brandt - Executive Director Johnson County: City of Iowa City: City of Coralville City of Solon: City of Shueyville: City of North Liberty: City of University Heights* University of Iowa: Citizens' Advisory Comm: �e Chairperson M John Dane, Daniel Downes, Charles Duffy, Donald Sehr, J. Patrick White Carol de Prosse, Dorothy Douglass, James Harris, James Lindberg, Andrew McKean, Mary Neuhauser, David Ferret, Allan Vestal Richard Myers,Lee Strottmann, James Cole Harry Kral Jerry Cisar David Roberts James Stehbens Richard Gibson Isabel Turner HUMAN SERVICES CO"OIITTF.E Carol Spaziani Rex Honey Doris Bridgeman Margaret Cooper Roger Darnell Mary Boland L. Graham Dameron Verne Kelley David Henson Paul Huston Roald Rolfson Gladys Benz Carol Fracassini David Schutt Katherine Kruse Florence Spaine Lorada Cilek James Harris William Eckhardt Kathleen Kelly Paul Sandin Jeannie Williams Russell Proffitt Benny Leonard Faith Knowler Tim McCue Pat Strabala Betty Bunge Margaret Stephenson David Schuldt Jeanette Carter J MICROFILM By JORM MICR¢LAB frppD npf'!n' • qF� !O !'IF', 19ii,iWi iLMi d 8Y JORM 1.11CROLA3 LtUAr< kA lbL AU OL ACKNOWLEDGL•MI-NTS .4 This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. ' 141CROFILI410 BY ' JORM MICR�PLAB ffpmt RAnIn, . hf5 '-00mr' The preparation of this report would not have been possible without the involvement and support of the subcommittee members. 'Their contributions of talent and energy was in- valuable to the success of the project. Appreciation is also due to the human service agencies in Johnson County who cooperated fully with the project and supported us in our planning effort. Finally, our thanks to the Regional Planning staff for • exerting the extra effort necessary to complete the project on time. Staff Participants Emil Brandt Executive Director Constance Echternach Project Director Pamela Ramser Planning Assistant ' Lawrence Allen Social. Work Practi.cum Student • Mary McCue Research Assistant Naomi Miller Urban Regional. Planning Practicum F Student Donald Mulholland Resenrch Assistant Frances Blommers Secretary Dianne Bunte Secretary Judith Waterman Graphics .4 This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Com- prehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Community Block Grant allocation. ' 141CROFILI410 BY ' JORM MICR�PLAB ffpmt RAnIn, . hf5 '-00mr' Niiu(Ur iLALU BY JURM IIICkULAB DDDDArR LLUA� kAYlUJ AlJJ JL METHODOLOGY I. BACKGROUND OF THE STUDY The Johnson County Regional Planning Commission, at the request of Iowa City, as well as other interested groups in the area, has undertaken a county -wide human services planning pro- gram. The program will provide input into the Iowa City Compre- hensive Plan in the human service area and will provide guidance to other policy-making groups in the community on future direc- tions of social services. Up to 75 percent of the financial support for the planning effort comes from Iowa City Community Development funds via a specific contract with the City of Iowa City. The balance of the funding is being provided by the Regional Planning Commissie^ A Steering Committee was appointed by the Commission in early September, 1976 to develop a preliminary work program and to de- termine priorities for program directions. The committee met on a weekly basis into December when it submitted recommendations to the Commission. Steering Committee members were: Carol Spaziani, representing citizens; Florence Stockman, representing Johnson County; Neal Berlin, Dennis Kraft and Linda Schreiber, representing Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, representing United Way of Johnson County; Emil Brandt and Isabel Turner, representing Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Plann- ing Commission Executive Director, and Mary McCue, Research Assis- tant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Several others have been in- volved on a part-time basis. They were: Lawrence Allen, Jillene Ferguson, Naomi Miller, and Donald Mulholland- -i- 4 t+ I•IICROfILM[U OY JORM MICR�LAB frpAl, PMP111 • ')I `!10!!V 1!1iL,:W1 lU4LU By JORM MICRULAB SLUM RANiU, rNU OL.. 'I, •;�L .... At the recommendation of the Steering Committee, a Human Services Committee of the Regional Planning Commission was created to provide overall policy advice for the study. This committee, composed of approximately 30 members, includes 1) representatives of local funding bodies, (i.e., Iowa City, Johnson County, and the United Way); 2) human service board members; 3) staff from public and private human service agen- cies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. The goal and objectives of the human service planning pro- gram, as recommended by the Steering Committee and adopted by the Regional Planning Commission, are: Goal: To make the planning and implementation of human services in Johnson County as efficient and effective as Possible by providing policy makers with the information necessary to make sound decisions about needs and resources for programs such as health, recreation, social services, economic opportunity, education/information and transpor- tation. Objectives: 1. To supply data about existing programs and agencies. a. To provide for meaningful organization of existing data. b. To gather new data as needed to supplement or to fill gaps in existing data. 2. To identify the human needs of the residents of Johnson Lounty and to determine the extent to which these needs are being met. 3. To analyze and correlate the information on human needs in order to make it useful for decision makers in formulating programs and allocating resources. 4. To establish a mechanism for ongoing planning and co- ordination of human services, to include a way for keeping information on services and needs current and available. 5 MICROMMED BY JORM MICR+LAB 11DM unr,.I- . n[S XM NFC, M!;,i:Ui iL•1 a BY JURM MICRULAb LtVAR RAViJ, AND OL Because the areas of human service are so broad, priorities needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first year of the program: 1) the program would have some degree of local funding (i.e., from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feel- ing on the part of the Steering Committee that substantial unmet needs and other related concerns existed in the program area; and 3) the study of the service systems could be accomplished within the time frame of the project. The Steering Committee which organized the planning effort was disbanded after formation of the Human Services Committee. The members of the newly formed Human Services Committee were each assigned to one of the four sub -committees established to deal with the four major areas under study. Following is an organizational chart outlining responsibilities and relationships. Miu,Wl iLMLU BY JORM MICRULAB Executive Director (3) Human Services^ Planning Staffl CLUAR RAPlu'.) AND OLu %i .; _. ORGANIZATIONAL CHART (Family 4 Individual) Life Services (6a) (Regional Planning 4 Commission (2) Human Services Committee (4) Iowa City (1) Steering Committee (S) Emergency Assistance (6c) Mental Health [public1rotection Chemical Dependency (6b) stice (6d) 1) Iowa Citz: Contracts with the Regional Planning Commission for Human Service Planning. They receive reports, conclusions and rerommc;daLia:, and can act or not act upon them. 2) Johnson County Regional Planning Commission_: Is responsible for fulfillment or the terms of the contract. It has over-all responsibility for the results of the study and for carrryingdoutons themade Planbtolt. RPC the Humane Service staates fresponsibility and committer. 3) Human Services Planning Staff: Guides and directs the study, prepares materials for committees, ` conducts research and data analysis, prepares reports, arran- ges meetings and carries out reporting requirements. —iv— ro IdICROPILMEO DY 1 DORM MICR+LAS rrnAR • nrt F101NC5 Miu Ur iLMLJ BY JORM MICROLAB I,LOAK kAP1JS AIJJ L)L 4) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the sub -committees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan develop- ment in specific service areas to sub -committees. 5) Steering Committee: Coordinates the work of the sub -committees, consolidates sub -committee reports, recommends joint efforts between sub- committees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Sub -Committees: Prepares work plans for service areas, provides information on data that is available, data that is needed, and appropri- ate ways of collecting data; identifying existing resources, providing information on how the service delivery system works, and identifies knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusionq and recommendations for service areas. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support ser- vices, adult day care, rehabilitation, home management/ functional education, family planning, and alternative liv- ing arrangements. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, dual and indivi- dual, group counseling programs. + 6c) Emergency Assistance: " Includes short term assistance with food, shelter, transpor- tation, medical care and jobs For transients and permanent residents in crisis situations. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, ^� and exploitation. NOTE: The Steering Committee dealt with in this chart is composed of the Chairperson of the four sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. -v- MICROFILMED BY ' JORM MICR¢L-AS MIAP •'q5 MPII'S H!UiWi iLi•ILJ BY JORM f41CROLAb LLUAK RAviJ� AHU L)L, ;,,..:,L II. DATA COLLECTION Data on human services and unmet needs was collected from a wide variety of sources using several different methods. Sources of information included: agencies; churches; private practitioners in social work, psychology and psychiatry; schools; youth; attorneys; support/advocacy groups; citizens; previously Wnducted studies: and census data. The methods used to collect the data we::. written questionnaires, personal inter- views and group meetings. Data Collected Through Agencies A list of agencies providing services in each of the four major areas was obtained from the Johnson County Services Index. A total of 96 agencies were surveyed through this method. Com- pleted Agency Service Inventories were returned by 67 agencies. Seventeen agencies responded in the form of a letter or were personally interviewed. Three agencies were no longer in exis- tence at the time of the survey. In the remaining nine cases, - agency organization representatives either could not be located for information or it was determined that their information was not critical to the study of the four major service areas. The questionnaire was composed of two parts: Part I re- quested general information about the agency, and Part II re- quested specific information on each major program offered by the agency. As the questionnaires were returned, they were summarized and distributed to sub -committee members. Tbc frl.(;:•ing agencies submitted written information to the subcommittees: (Emergency Assistance Committee) Birthright of Iowa City Emma Goldman Clinic for Women Iowa City Crisis Center Iowa City Free Medical Clinic Johnson County Chapter of the American Red Cross Iowa City Department of Social Services Salvation Arm), Sedaven (louse 5 -vi- .�I '11CR0I ILMCD 0y JORM MICR+LAB ffnpp VAPPI` • ')FS '101'7f5 i jiLcui ILi4LU by JORM MICROLAb CLUAA RAPly�, ikhU JL. University of Iowa Special Support Services University of Iowa Financial Aid University of Iowa Student Health Service Veterans Administration Hospital Social Services University Hospitals and Clinics Social Services HACAP (Hawkeye Area Community Action Program) Wesley Foundation Free Clothing Store Johnson County Commission of Veteran Affairs Married Student Housing .Iowa• -Illinois Gas and Electric Company ^ Stone Soup Restaurant (Mental Health/Chemical Dependency) Alcohol and Family Counseling Center (MECCA) Citizens Committee on Alcohol and Drug Abuse (Cedar Rapids) Community Pastoral Counseling Service HERA - Psychotherapy Collective ^ Iowa Drug Information Center Lakeside Foundation Sedlacek Treatment Center, Mercy Hospital - Cedar Rapids Mid -eastern Iowa Community Mental Health Center Orchard Place Reality X Recovery, Inc. University of IowaCounseling Service University of Iowa Research and Training Clinic University of Iowa Hospitals Alcoholism Unit (Oakdale) Psychiatric Hospital Veterans Administration Hospital Alcohol Treatment and RehabiliLation (Knoxville) Birthright of Iowa City Families, Inc. Hillcrest Family Services Iowa City Crisis Center Women's Resource and Action Center Lutheran Social Service (Justice Sub -committee) Adult Corrections Service Department of Social Services Child Iowa City Human Rights Commission Iowa PIRG Mayors Youth Employment Program Project HOPE Rape Victim Advocacy Program United Action for Youth Youth Homes, Inc. Johnson County Council on Aging Abuse Registry MIMI ILMID By JORM MICRWLA9 rrMrt VMIIT. . ?rS "InINF MlwWi-ILMLL) by JURM t11CRULAb Heritage Agency on Aging Visiting Nurse Association Hawkeye Legal Aid Mark IV Neighborhood Center Congregate Meals Lutheran Social Service Department of Social Services Iowa City Crisis Center CLUAk kAPIJ', AIiU OL, Personal T:i'erviews and Group Meetings Many individuals, organizations, and agencies were person- ally interviewed and/or participated in group meetings around similar service areas. The group meetings served two purposes: 1) to gain information which could not be easily obtained through a common survey instrument and 2) to provide a forum whereby agencies and organizations providing similar services or serving a common clientele could meet to exchange information. In some cases, it was the first such occasion and proved to be very beneficial. The following agencies, organizations, and individuals pro- vided information to the subcommittees through interviews and/or group meetings: (Emergency Assistance Sub -committee) Iowa City Police Department University Hospitals and Clinics Social Services Veterans Administration Hospital Social Work Service Department of Social Services General Relief Women's Resource and Action Center - Project on Spouse Abuse Salvation Army United Way of Johnson County Transients, Inc. Icv:a City Crisi< Center Wesley (louse Job Service of Iowa Johnson County Attorney's Office Oakdale Alcoholism Unit IIACAI' (Ilawkeye Arca Community Action Program) (Mental Ilea Ith/Chemical Dependency) Bill Bartley - Lakeside Foundation and Alcoholism Anonymous Oakdale Alcoholism Treatment Unit Reality X Alcohol and Family Counseling Center (MECCA) Sedlacek Treatmcnt Center, Mercy hospital - Cedar Rapids Johnson County Attorney's Office Catherine Wombacker, Patient Advocate i MICImfILMLO By DORM MICR+LAB ffOAR Un PI n�. nrS ,mmFs NiLtWi !LML.0 BY JORM Ih11CRULAb CLDAt( RAPIJ�) ANU JLC Mid -Eastern Communities Mental Health Center University of Iowa Counseling Center Families, Inc. Department of Social Services Iowa City and Coralville Police Departments Johnson County Sheriff's Department Lutheran Social Service Linda Dole, Magistrate (Justice Sub -committee) Juvenile Probation Sixth Judicial District Department of Correctional Services (Pre-trial and probation) Community Correctional Services (Parole) Johnson County Attorney's Office Iowa City and Coralville Police Departments Johnson County Sheriff's Department HACAP (Hawkeye Area Community Action Program) SEATS United Way Information F, Referral Hawkeye Legal Aid Alcohol and Family Counseling Center (MECCA) Visiting Nurse Association Iowa City Housing Rehabilitation Program Mark IV Neighborhood Center Congregate Meals Johnson County Council on Aging Heritage Agency on Aging American Association of Retired Persons Lutheran Social Service Iowa City Crisis Center Association for Children with Learning Disabilities Public School IV Psychiatric Hospital Iowa City Public Library Iowa City Recreation Center Department of Social Services School Department of Social Services Protective Services United Action for Youth Comprehensive Employment $ Training Act (CF.TA) Project HOPE Job Service of Iowa Data Collected Through Churches and Campus Ministries All (60) churches in Johnson County were asked to respond to a questionnaire concerning two main areas: 1) their involve- ment in counseling families and individuals; and 2) emergency assistan.e provided to transients and Johnson County residents. MICROFILMED 6Y 1 DORM MICRf LAB irnAP V.N`I1' •'SIS' -00144' I-Libi(Ot ILMLU BY JOkM MICROLAB LLDAit kAPIJJ AIIJ OL' Twenty (33%) of the churches surveyed responded, 18 from Iowa City and two from Coralville. The following churches answered the questionnaire: Agudas Achim Congregation/Hillel Foundation Bethany Baptist Church First Baptist Church First Christian Church Episcoi,al University Chaplaincy Evangelical Pre-, Phurch Iowa City Foursquai,� Church Iowa City Friends Meeting Good News Bible Church Faith United Church of Christ Kirkwood Avenue Church of Christ Lutheran Campus Ministry First Mennonite Church St. Marks United Methodist Church St. Wenceslaus Catholic Church Trinity Christian Reformed Church Unitarian -Universalist Society United Ministries in Higher Education Wesley Foundation A separate report summarizing the information obtained from churches and campus ministries is available. Data Collected Through Schools School system personnel, as a result of their daily contact with the problems that children bring to them, can often see trends in the incidence and prevalence of problems. In addition, as a result of experience with referral sources, school system personnel have good information on the workings of the social servi^c delivery system in .iohnson County. All schools in Johnson County were contacted for participa- tion in the study. School superintendents, principals, vice principals, counselors, and nurses were asked to complete the questionnaire. A total of forty responses were received: 12 from kindergarten to sixth grade -metropolitan area schools 8 from 7th to 9th grade -metropolitan area schools 8 from 10th to 12th grade -metropolitan area schools 5 from all grades -school nurses 5 from all grades -small town schools -x- 141001 WILD ByI JORM MICR+LAB frpp� Fn r!n� D(5 h!O Rlft t;I1�j<Ui 7Ll•ILU BY JORM I•IIGROLAB (.LUAK i<AI'lUj ANU JL The following personnel completed the questionnaire 19 School building principals 10 School counselors 6 School nurses 4 Assistant principals 1 Superintendent School personnel were asked a variety of questions related to children and their families. These involved: changes in problems facing children and their families; methods by which problems are identified; frequency of contact with selected agencies; frequency of agency contacts with school personnel; frequency of selected health problems; frequency of use of selected health related resources; barriers to problem solution; adequacy of training in preventive programming; procedures when a child becomes ill in school; evaluation of supports for youth in the county; and families in transit. A separate report summarizing the data obtained through ' the schools is available. Data Collected from.atorneys All 110 members of the Johnson County Bar Association�be cause of their involvement with people in crisis, were mailed questionnaires dealing with problems their clients may have. Twenty-two questionnaires were returned for a response rate of 20 percent. Four attorneys indicated that the areas of juve- nile court, dissolution of marriage, battered wives, and neglect, abuse or victimization of the elderly were not relevant to their practice and thus did not feel qualified to answer questions in those areas. Two of the four, however, completed the questionnaire partially. The attorneys were asked to relate their experiences re- garding contributing factors to family breakdowns, referrals to helping agencies, and the incidence of people affected by a number - of problems. A separate report summarizing the data obtained from attorneys is available. AICROF ILMID 6y DORM MICR4�LAB prMn '401'f', Fliw<Ui ILAL.0 by JURM MICkULAb LtUAit kAPIU,� AiliJ OL, Data Collected from Social Workers Psychologists and Psychiatrists in Private Practice All practitioners in Johnson County who, to the best of our knowledge, serve clients through private practice were surveyed using a form similar to the Agency Service Inventory. Two psychiatrists, two psychologists, and six social workers responded that they did not have clients on a private practice basis. One psychiatrist, two psychologists, and two social workers, however, furnished information on the clients in their private practice. Data Collected from Citizens Iowa City distributed the Iowa City Peoples guide and survey to every residence in Iowa City as part of their Comprehensive Planning effort. The human services planning project was allowed to include a section on human service needs in this survey. Citi- zens were asked to indicate services in need of improvement or expansion, their difficulty in obtaining services, age groups and types of people needing attention in planning for new and improved services, and ways in which programs should be funded. A total of 1,996 responses were received through the Iowa City effort. In an effort to learn the opinions of other Johnson County residents, staff distributed the human service section of the survey to visitors at the Johnson County Fair. A total of 86 responses was received in this manner; 54 responses were from Iowa City residents and 32 from residents in other parts of John- son County. A separate report summarizing the data collected from citi- zens through this effort is available. ,.I r- ,~' 141CRoEILMEI1 BY ' JORM MICR6LA13 rPIIAP VAP!'' ?(C fI014ES Mit,i<Ui 101LU BY JORM 141CRULAb III. DATA ANALYSIS LGUAR RAN1u5 AND UL. >iu.:._.. The data which was collected was compiled into eight ser- vice area profiles, the major sections of which are: Goal, Ser- vice Area Description, Problem Description, Service Population, Services Provided, and Unmet Needs. The profiles were then sent to the agencies who were mentioned in them for their review. Corrections submitted by the agencies were incorporated into the profiles. Recommendations were developed from the information con- tained in the Unmet Needs portion of the profiles. The recom- mendations were then sent to agencies and organizations for their comments. A public meeting was held on November 2, 1977 to obtain community input into the recommendations. The completed recom- mendations were sent to the Johnson County Regional Planning Commission on November 16, 1977 a;:d were adopted. MiuNr iLi4u1 BY JORM I.IICRULAb • LtUM kAViw ANN ter.., �'�• � MICROrILMCD By JORM MIC R6L A B CEDAR pp!ry 9F5 !ml!iFS GOAL To reduce and/or alleviate the emotional problems and temporary stresses encountered by Johnson County families and individuals. _ SERVICE AREA DESCRIP'T'ION Counseling (casework or casework counseling) is a pro- gram which uses the casework method (i.e., a professional relating to a client via an interview, talking, discussion and lending a sympathetic ear) to advise and enable families and individuals within a family unit or individuals not living as part of a family, to come to grips with and to resolve emo- tional problems or temporary stresses encountered by them. Under this program, a counselor helps his or her client with an experience or opportuniLy in which the client can express his/her attitude and feelings about a problem of social func- tioning and can gain a new perspective through discussion of a possible means of handling it. Counseling may be on a one- to-one basis or group basis and may be conducted by volunteers under the supervision of professional staff. Service Elements: " Service elements include counseling some or all of the following: children, families, out -of -wedlock pregnant girls, unwed parents and couples, adoptive parents, married couples, divorced individuals, couples contemplating divorce, VD -prone youths and adults. NOTE: 1. It is recognized that most human services invariably -- include some "counseling". This must be distinguished from the above -defined counseling program where coun- seling is the major, not the sole, activity. 2. In this profile, a distinction between counseling services and mental health treatment services is —• made. Although the mental health treatment agen- cies (e.g., Mid -Eastern Towa-Mental health Center, MICROrILMCD By JORM MIC R6L A B CEDAR pp!ry 9F5 !ml!iFS i !Ii l,ituF IL9i,U By JURM MICRULAb LLUAH kAViJS AIIU -2- individual providers, Psychopathic Hospital, Re- search and Training Clinic, and others listed in the mental health profile) perform family and individual counseling or therapy, they do not con- sider it their primary focus, whereas the agencies included in this profile have as their main thrust family and individual counseling. The distinction between Counseling and Mental Health services is very complex. As many arguments can be made for i.nclu�ing both types of services in one profile as can be made for separating them. Two criteria were used to determine which agency programs appeared in each profile: 1) the stated purpose of the agency program, and 2) the purpose for which funding is granted. PROBLL•M DESCRIPTION Social functioning of individuals can be hampered by many problems and stressful situations. Among these are marital con- flicts, parent/child conflicts, difficulties with interpersonal relationships, career or occupational pressures, problems asso- ciated with aging or stress associated with societal conditions or personality. The Mental Health Center, which provides counseling as well as treatment of mental illness, recorded the problems with which clients needed assistance. The Crisis Center, which pro- vides over -the -phone or walk-in counseling of a different sort, also recorded their clients' problems. Table 1 includes a par- tial listing of those problems. MICRDEILMED AY JORM MICR+LAB rrOAD h.v In., !1(S !•101VES 1-1iG[(W ILMLU BY JORM MICROLAb LEUAtf RAPIU�) ANL �L� ��: �� • - -3- ']'able Table I --. Mental Health Crisis Center Problem Center Contacts Contacts Marital 211 160 Family relationships 151 387 Depression fib 372 ' Identity 66 �a Anxiety 44 Anti -social behavior 29 Post-marital/Divorce 26 146 Peer relationships 15 School performance 12 160 Sexual 18 203 Physical functioning 1.1 "R Obsessions -Compulsions 7 Pre -marital 7 Mental retardation 2 Substance use or abuse 4 366 Suicidal 6 126 I,y Interpersonal 597 Loneliness 449 Financial or employment 365 Pregnancy or abortion 151 TOTAL 677 3,482 I41Ca0f l LMEO BY JORM MICR<�LAB CrnAn FArIn°SFS :d0I9E5 MiuiWi 1111LU BY JORM I•IICkOLAB • I,CUAK RAP iuj ANO ULA -4- Clergymen in Johnson County were asked to indicate if they provide counseling to people, and,if so, what kind. Seventeen of the twenty clergy responding to the survey indi- cated that they did provide counseling. Table 2 shows the type of counseling they are called upon to provide and the num- ber of clergy providing such counseling. T^hle 2 Type of Counseling Provided: Marriage 15 Depression 11 10 Career g Pre Marital 7 Dtale Female Relationships 6 Family/Parent - Child 6 Life Adjustment/Identity 6 Academic/Occupational Choice 6 Spiritual/Theological 4 Alcohol/Drugs 4 Problem Pregnancy 4 Transient 4 L.Health Crises/Death 3 Other types of counseling mentioned concern these areas: homosexuality, women, financial problems, and the occult. Divorce Rates . 01 ,,, r: ll.ilf, with ;I divorce rate of 5.2 per 1,0011, was the fourth highcsr in the state of lown. Population was not the sola dater•minenl of the divorce r:rte since .Johnson County ranked seventh :uuoue, Iho counties in pnpnl;ltiun, ;Ind three of the cnun- tics with 1,rcater population ranked Lower than Johnson County in divorce rates. The divorce rate for the state as a whole was 3.6, significantly lower than that of Johnson County. Forty-one and six tenths percent of the ,Johnson County dissolutions in 1975 occurred in marriclges of 0-4 years in duration. Sixty percent of the state dlSp011lti.0115 granted involved children under agr LR. 141CR01IU•ILD BY 1 JORM MICR40LA13 Cr DAP 11AI'Iirf. Rnl-if5 Mk,k(Ji lLi'1LU BY JURM 611CRULAb UUAR RAPW� ANU ��� �• � "' No comparable data is available for Johnson County divorces involving children. The marriage rate for Johnson County (8.1/1,000) was slightly lower than the state average of 8.9. Chart 11L below shows that while the Pm rriage rate for the State of Towa has been (lociining in the 1970's, the disso- lution (divorce) rates have been rapidly increasing;. RATE 20 CHART 111 MARRIAGE AND ISSOLUTION RA'I'IiS* 1945-1975 Occurrence Rates Rate Per 1,000 Population 10 9 *Vital Statistics for Towa, 1975, p.5. No comparable data is available for Johnson County. 1.J 1945 1950 1955 1960 1965 1970 197 YEAR Mucanr ILI-10 BY JORM MICR4�LAB ('MAP 0.1VIn • nFG I40I:VFS Mi wiUiILMLL) BY JUkM 111CRULAb LLUAR RAP1Ljj A;10 J'L- Other Problems Affecting Families and Individuals School Surveys School personnel in Johnson County were surveyed in May, 1977 to gain their opinions on problems facing youth and their families. Forty questionnaires were returned by school princi- pals, vice-,)r;ncipals, counselors and nurses. The school per.onnet were asked if they are seeing a change in the incidence of certain problems facing children and their families. The question and responses are shown in Table 3. Many persons (43.5%) cited family stability problems as increasing. A small percentage (12.5%) of the respondents felt that there had been no change in family stability. An ambiguity in the data arises, for thirty percent indicated a decrease; the contradiction would be eliminated if it could be concluded that the respondents were indicating a decrease in family stability rather than a decrease in family stability problems (the word- ing of the question is misleading). In support of this inter- pretation is the negative response of 50-60% of the respondents to the amount of family support of youth as seen in Table 4. School personnel were also given a list of support ser- vices and asked to rank each. Table 4 shows the responses for the family support services. The school personnel expressed a concern for family support of youth. Except: for the item regarding parental protection of children from ahuse or no,plrct, every item related to family life was overwhelmingly (42.5;; to 60$) marked, "needs improvement". liar Association Survey A human services questionnaire was mailed to all 110 ,John- son County members of the American liar Association. A total of 22 questionnaires was r•uturnocl. They were asked to rank a number of factors according to what they were sceinp`as contributing to family disruption. They were also asked to indicate any change in incidence noticed. When the respouses o1' rhe attorneys were averaged, the following I MICROf MED BY i DORM MICR LAM frpAP Ib1pIl`. PrS-inpir` MILi<0VIL4LD BY JORM MICROLAB CEDAR RAPIDS AU uL', Au.tL, •J"" Table 3 Question: Are you seeing a change in the incidence of the following problems facing children and their families? Increase No Change Decrease No Response Problem s ✓< .Y $ k Emotional Family Stability Identity Problem Pregnancy Drugs Alcohol Disruptive Behavior Delinquency Absence from School Drop -outs Suspected Child Abuse or Neglect 24 60.0 13.0 32.5 1 2.5 2 5. 0 17 42.5 5.0 12.5 12 30.0 6 15.0 8 20.0 23.0 57.5 3 7.5 6 15.0 10 25.0 16.(: 40.0 5 12.5 9 22.5 6 15.0 22.0 55.0 6 15.0 6 15.0 14 35.0 18.0 4 5. 0 0 0 8 20.0 11 27.5 19.0 47.5 10 25.0 0 0 9 22.5 21.0 52.5 7 17.5 3 -.5 12 30.0 19.0 17.5 7 17.5 2 5.0 1 15.0 23.0 57.5 6 15.0 10 25.0 6 15.0 27.0 67.5 2 5.0 5 12.5 5 I r-1 I41CRoml 11D By JORM MICROLAB CCPAR VA111M • nF'` MM NFS I•tlt•ROFILMLU BY JURM 141CROLAB CEUAK RAPlUS A;10 UL Table 4 N=40 Satis- Needs Unsatis- Dunt No Support Good factory Improve. factory Know Response J J J J• r % n % Families Amount of Time Parents 1 2.5 2 5.0 22 55.0 7 17.5 4 10.0 10 25.0 Devote to Their Chil- dren Supervision of Chil- 1 2.S 4 10.0 21 52.5 8 20.0 3 7.5 3 7.5 dren by Parents Parent Interest in 1 2.5 11 27.5 22 55.0 0 0 3 7.5 3 7.5 Children's Activities Parent Understanding of 0 0 8 20.0 24 60.0 3 7.5 2 5.0 3 7.5 Children's Problems t Parent Discipline of 0 0 8 20.0 22 55.0 3 7.5 4 10.0 3' 7.5 Children in Helpful Ways Availability of Family 5 12.5 11 27.5 19 47.5 3 7.5 4 10.0 2 5.0 Counseling Programs To Help Parent- 4 10.0 8 20.0 17 42.5 4 10.0 4 10.0 3 7.5 Child Understanding Children are Protected i 3 7.5 13 32.5 13 37.5 5 12.5 4 10.0 5 12.5 5 �I 141cImr ILI4FD DY I JORM MICR+LA6 MAR • PfS 11WIFS MiLi W iL;'ILu BY JORM MICkOLAB (,LOAtI kAF I W AND Lk: -9- ranking.,; were made: I. Changing roles or life styles of ncrrriage partner"'. 2. Money management and/or insuffiricnt money. 3. Poor communication. 4. Sexual problems. S. In-law difficulties. 6. Problems with children. Changing roles or life styles of marriage partners was seen to be increasing significantly by I.o of the 11 attorneys responding to that question. Money management and/or insuf- ficient money was seen to be an increasing factor by four attorneys while five felt that this factor was remaining stable. Other problems cited were alcohol and physical abuse. - POPULATION SERVED Aet Jr and Individual Practitioners with Counseling as t err Primary Purpose University Counseling Service provides academic, vocational, and personal development counseling to students and staff at the University of Iowa. Over 50o clients were served from June I, 1976 through May 31, 1977. During this time, 5,200 counseling hours were provided. Nearly all clients are between 19 and 24 years of age and reside in metropolitan Iowa City. About 90 PC" - cent are white. Women comprise about 30 percent of those coun- seled. Client characteristics (estimated percentages) are r� summarized below: AGE SEX RACK 9 19-24 years 90% Male 40% White 90% 25-35 years loo Female 60.6 Non-white 10% RESIDENCE Metropolitan Iowa City 95% Small Towns/Johnson County 5% Lutheran Social Service provides casework counseling by professional social workers to families, individuals, and couples desiring such counseling. The total nrnnber of clients seen by rr rrtcaonuaea By JORM MICR+LAB rMV PaPM' • irS mpiFS mIL,tUf ILMLU BY JURM MILROLAB 10 - LLUAR RAIio5 AND Ju > Lutheran Social Service in the family counseling program in 1976 was 110; 80 new clients.and 30 from the previous year. Client characteristics based on estimates are summarized below: AGI; SEX RACE _ 0- 4 3% MaIc 30; White 95% 5-12 S% pcma1c 70% Non-white 50 13-18 15% 19-24 150 25-35 400 36-59 220 ^ INCOME RESIDENCE 5,000 - 9,999 6000 Iowa City 604o 10,000 - 24,999 35% Coralville 20% 25,000 and Over 5% Hills 1% Oxford 1% Solon 2% Riverside 2% North Liberty 2% Tiffin 2% Social Workers in Private Practice provide counseling in a private practice setting. Information on the number of people served by private practitioners is incomplete. Of eight social workers responding to a questionnaire during June of 1977, only two indicated that they are in private practice. One of the respondents indicated that less than 10 people per year are seen. Vic other dial not indicate the number served. It can be assumed that a limited number of people in ,Johnson County arc counseled by social workers in private practice. Agencies that Provide Counseling as it Major Portion of their Program The Johnson County Department of Social Service counseling as an integral part of its protective services for — children which is designed to alleviate abuse or neglect of chil- dren. The Protective Services unit served 38o clients from I rl MICROFILMED BY JORM MICR40LAB ffDAR I>nn!p�. . pfS 40I�dCS .I NIILA hILMLL) BY JORM MICROLAb CLOAK RAPluo AND JL, .July l., 1976 to .June 30, 1977. fwenty of these clients were carried over from the previous year. Clients were provided with 03,000 hours of casework counsoIirig. Client ch:u'artcrisrirs :Ire given below. All percentages arc estimates. I MICROFILMED BY JORM N11CROLAB rr,V? PAP!•,•,. . IF 101"FS SPX RACK AGC - 30% Male SOti White S0" — 0-4 years Nonwhite - - 30% Female 50v 5-12 years 13-18years - 40% — RFS11)FNC1: • FAMILY 1NCODIIi - 80% Metro Iowa City 480 Under $5,000 - 5% Iowa City - 28% $5,000 $9,999 - 25% Coralvi.11e Oso $10,000 $24,999- 60% University heights 20% _. $25,000 over - 10% other Areas/Johnson County- w Families, Inc. provides intensive in-home treatment to severely dysfunctional families in a nine -county area. About 20 families (100 individuals) from .Johnson County were served from July 1, 1976 through June 30, 1977. Approximately five of these families were carried over from the previous year. The majority (90%) of client families have incomes of under $10,000. Ninety- three percent of the .Johnson County clients reside in metropoli- tan Iowa City. About 80 percent of clients are white. Males and females each comprise about half of the client population. Children of all age groups arc served. Uata on .Johnson County + clients are shown below. Percentages are estimates. AGES (children only) SIC RACK 1+ 0- 4 year - 33% Male - 50% White - 800 50% Non -White - 20% 5-12 year - 33% Fmnale - 13-18 year - 34% RIiSI01NCh FAMILY Y_ INCOME Iowa Cit - Under $5,000 60% Coralville . 80% 100 $5,000 $9,999 - 30% University heights - 8% 3% $10,000 $24,999 - - 2% Other Areas/Johnson County - 7% $25,000 and over I MICROFILMED BY JORM N11CROLAB rr,V? PAP!•,•,. . IF 101"FS P1:U(Ui IL(4LU BY JORM MICROLAB -12- CLUAt< RAHUS AND )L� .;�.��� , .Johnson County Social Services and Lutheran Social Service both have programs which provide for foster home care to children whose Family environment is not functioning to provide for a normal upbringing. ,Johnson County Social. Services provided foster home care to a total of 118 children during the year beginning July 1, 1976, and ending .June 30, 1977. Seventy-nine clients were car- ri.ed over From the pi-vious year. Data which was provided on client characteristics pertains only to 39 clients, which is the number of new clients served during fiscal 1977. Most of the clients served were under 12 years of age, the majority of these being less than 5 years old. The majority of new clients were male and white. Data on residence and family income is not kept. Available data is shown below. AGE SEX o- 4 years - 490 Male - 76% 5-12 years - 31; Female - 24e 13-]8 years - 200 Lutheran Social Service has indicated two clients in the Foster Family Care program in its budget for 1.978. information on the number served during the past year and on client charac- teristics should be obtained soon. Youth Homes, Inc., and Lutheran Social Service offer group home care programs designed to provide a comprehensive treatment - oriented living experience to children who cannot adjust in their own home or in a foster care setting. 1'o.r[iI Ilomes, Inc. has a boys' group home and a girls' group home. The boys' group home was opened on November 18, 1976,. and served five Johnson County residents through May 9, 1977. Client; must he under 1R years or age. All clients have been miles and residenEs of, Iowa City. Iistimatcs or family .incomes ;ire as Fol low!;: F_AM I LY I NCOMII $5,000 - $9,999 (Ir. $10,000 - $24,999 404 �— MICROFILMED BY i JORM MICR+LAB rIpAr, pnvj�', • I)FS MOINFS MiU<Ui 1LiILU BY JORM 14ICROLA11 -13- LL9AR kAV1US A1111 Ou'�,�.;�i.., The girls' group home was opened on February 1, 1976, and served five girls from Johnson County and six from outside of the county through December 31, 1976. Clients nwst he Linder 18 years of age. Most clients have been white. Of the ,Johnson County clients served, 71 percent were from Iowa City. I)ata on client characteristics is given below. RACE INCOME RES I DENC1i (all Clionts) (J. un Coty Clionts- (.I. CCLlnty (Clionts only estimates) only) White 91a $5,000- $9,999 60 Iowa City - 71..0o Non -White - 90 $10,000-$24,999 - 40% Oxford - 14.5$ Solon - 14.5$ Lutheran Social Service has a boys' group home, Coffelt Place. The 1978 budget includes group home care for six boys. Hillcrest Family Services and Iowa Children's and Family Services, although not located in Johnson County, provide group home care serviceq which are available to Johnson County residents. No clients from Johnson County arc presently being served by the two group homes which Iowa Children's and Family Services runs. No data on clientele has been obtained from Hillcrest Family Services. Youth homes, Inc. and Iowa Children's and Family Services provide programs for transition to independent living to ado- lescents 17 to 18 years of age who have previously been in fos- ter care or group home situations. Youth homes, Inc. began its transition to independent living program on February 1., 1977, and served a total of four clients during the first four months. Two of the clients were Johnson County residents, one from Iowa City and one from hills. one of the clients is female, the other male. Three of the total four clients have family incomes in the $5,000 to $9,000 bracket; the income of the other client's family was in the $1.0,000 to $24,999 bracket. Iowa Children's and Family Services, located in Des Moines, provided supervised independent living care to one I IIICROf ILVI[D BY DORM MICM( LAB I'rIIAP PAVTnl • nrS ;IOTA(" Miui(Ur ILMLU BY JURM 141CROLAB -14- LEDAR kAPIU�) AND L)c� !U,. ,L:, —111 Johnson County client who entered the program on January 20, 1977, from foster care. United Action for Youth provides informal "street" counseling to youth through its outreach program in an effort to meet their individual needs and to provide them with opportunities related to personal interests. % tntal of 166 young people were served by the program from July .l througii December 31, 1976. Of these, 117 were new clients and 49 were carried over from the previous year. Nearly all clients (90%) were between the ages of 13 and 18. The majority (580,) were male. Most of United Action for Youth's clients (8S%) reside in Iowa City and Coralville. Data on race and income of clients is not maintained. Other data is shown below. RESIDENCE 12 AGE ears 7 Iowa City -65$ yCoralville -20; 13-18 years 900 University Ilts. 8% Sf:X Hills - 2% Pcmalc 420, Orford 26 Male 58 Solon 10, Lone 'free 1$ N. Liberty - 10, Aeencies that Provide Crisis Intervention Counseli.n 'rhe Iowa City Crisis Center provides short-term crises intervention services, community education, assistance to youth, and information and referral at no cost to clients. In 1976, i, 034 writs of service (one unit = one client contact) were provided by the crisis intervention program. The community oducation program served 650 clients in 1976. A total of 1,752 contacts for information and referral. were made during the year. The Youthline, initiated on March 1, 1977, re- ceived 40 contacts (Luring the first three months of operation. The following statistics on the population served by those progrllms in 1976 have been provided by the Crisis Center. No further information is ascertained from clients due to the confidential nature of services. �. i wicaonuarn By , DORM MICROLAB r rP0.P VN`!T. • 'IFi MINIS, bliwfUtiLi'lru BY JORM MICROLAb Number of Contacts Calls 3,478 Wal k- ins 902 'Dotal 4,380 SEX Male 550 Female 45% 15 - LLUAR RAPlu�, AND JL )Os of Contacts Crisis 620 Tnfo.f; Referral 38 ACI: Under 18 - 13 Student 199. 1.8 F, over- 87% Von -student - 81% The Rape Victim Advocacy Program (RVAP) assists victims of sex crimes in any way possible through the Rape Crisis Line. " Educational and informational services are also provided. A total of 64 crisis calls (rapes, attempted rapes, haras- sments, exhibitionists) were received by the Rape Crisis Line in 1976. During that time, the RVAP Speakers Bureau spoke to over forty different groups (af,,:--x imately 1,200 individuals). The is RVAP staff states that it is difficult to estimate the number I A of people who were provided information in 1976, as some of the informational resources may be consulted informally at the RVAP " office. The staff averages about two or three requests a week ° for information concerning the number and location of various 3 incidents in the Johnson County arca. a The following client characteristics were given and in - elude all clients served. Percentages are estimated. i+ AGE. SEX RACF 1.3 - 18 years - 1.5% Female -990 White - 85% 19 - 24 years - 350 Male - 1% Non-white - 151, 25 - 35 years - 25% .3 ti - 59 Nears - 2S% FAMILY INCOME RUSTUP.NCP. Under $5,000 - 90% Iowa City 75% $10,000-$24,999 - 10% Coralvillc 10, University 'lei gilts S% Other Areas/Johnson Col.mty 10% MILRO ILMCD By I JORM MICR6LAB rr Opp vnt'I pc • 'RS MOTIFS 1'111J<Ot1Li4Lu BY JORM MICROLAB -16- LELW RAVIuS AilD OL> Birthright provides material support, counseling, and crisis intervention to women who find themselves in an unplanned pregnancy. In 1976, 150 to 200 clients were served by the telephone reassurance and counseling services which Birthright provides. Data on client characteristics (all programs) is as follows. All per:zr.t^I;cs arc estimated. AGI: 13-18 years -61S% 19-24 years -35' 25-35 vears-10% .Johnson Countv - 750., Metro Iowa City- 60% S F:X RAC F. Female -95% R'Lite- 95% Male - 5% Non-white.- 5% 1tES1DENCE Small Towns- 7.5% Rural Areas- 7.5% Out -Of -County - 25% The Uenartment of Social Services Central Child Abuse Registry in Des Moines provides information, intake, and referral to individuals who report cases of child abuse. Approximately 2,000 families in the state were served in 1976. No information on the number of .Johnson County clients is available. Agencies 'that Provide Support Group Services The Women's Resource and Action Center provides support groups and counseling, information and referral, and classes and workshops which Focus on providing information and assistance to women. During the 1976-77 University school year, 200 clients wcr� S^rvccl through rho support groups and counseling program. All were women, of whom the great majority (95%) were white. Most were between 25 and 35 years of age. About.64% of the clients served reside in lows City. listimnted percentages of ilient characteristics are Shown hcluw. AGI; SFX 19-24 ycnrs•10'S Female 100% 25-3S yenrs-80", 3(1-59 ycnrs 10"„ Ii ACI. Whire -95" Non-white - S% a.. 1 i t4ICROCILMCD BY Jo RM MICR+LAB rrnAit PAV!T, . SFS M01!IFS R1?Sl DEN'CE Iowa City -64% Coral vi I - R% University IIT. - R% Small 'Towns in JX. -10' Rural Areas in .i.C.-10% 1.11w(Oi ILi'ICU BY JORN 141CROLAB 17 - LEUAk kAP1US A11U I41CROrILMED BY JORM MICROLA13 Data on income is not available. Information and referral is provided by phone ;Ind throug;( the WRAC Newsletter. About 2,500 individuals were serve(! by these resources during the 1976-77 school ),ear. 01' this number, about 65% (1,625) were carried uvur 1'rom Lhe pre- vious year. The majority of cIioil ts of this program are between the ages of 19 and 3S. About 00. reside in Iowa City. Approxi- mately 85R� of all clients are female and about 90", are white. IJ Estimated client characteristics are as follows: AGF: SP.X RPS I DPNCE — 4 :�i 0- 4 years- 5% Female -85% Iowa City -ciO% 5-12 years- 5% Male -15% Coralville -150 V4 13-18 years- S% University Ilt. 5% 4i 19-24 years -3000 RACK Small "Towns in 15-35 years -30% Rural Areas in J.C.-lo% 36-59 years -20% Wil ite -90% ° 60 and over- 5% Non -white -10% ri No data on income is available. I' e About 100 individuals participated in classes and work- shops offered by WRAC during the 1976-77 school year. All were Y women; about 90$ between 36 and 59 years of age. Percentages on .i client characterisLics (except age) are the same as for the support groups and counseling program. .19 Parents Without Partners provides educational and social IL opportunities for single parents and thoir children. No infor- f mation on clientele has been obtained. Other Counseling Resources Churches and Religious Organizations provide counseling for a wide range of problems and concerns. 'I'wclve of 20 clergy- men who responded to a questionnaire in .June, 1977 provided in- formation on the number of cases counseled or sessions provided per year. An average of s0 sessions/cases are counseled per year by each of the respondents. Data on the overall makeup of the pouplation counseled is presented on the following page. I41CROrILMED BY JORM MICROLA13 MlLi OF (LMLO BY JORM MICRULAB *Congregation Members Non -Members **Youth Young Adults Middle Iil der 1), *Based on 15 responses **Rased on l.i responses S51 452 140 580 200 RS. 18 - CCL)Ak RAVIUS AiID UL. **Low-income 312 Middle -Income 621 Upper -Income 72 **Metropolitan -Area -Residents 832 Small -Town Residents 111 Rural Residents 69, Community Pastoral Counseling Service provides direct counseling to clients who need help in resolving marriage and family conflicts. From September 21., 1975 through September 20, 1976, 20 clients were served and 151 hours of counseling were provided. Five cli.ents wore carried over from the previous year. The majority of the clients served (600) were 25 to 35 yodrs of age, with the remaining 401 between the ages of 36 and 59. Half of all clients were male and half female. Most were white. About 552 of the clients reside Ln Iowa City. Data on client charac- teristics is below. y ACE SFX RACE RESIDENCE 25-35 years -60% Female - 502 White -902 Iowa City 551%— �r,-59 yaars-409, a1a1e - 502 Non -white -101 Small Towns in •1.C.-452 Data on income is not available. i MICRUILMED BY JORM MICR<�LAB CFDAP vanpx . pf5 I10nIF5 iiu<Ui iLi•1c.0 6Y JORM MICKULA; -19- LL.UAk RAND» +'iu SERVICES PROVIDED Counseling services are delivered in o variety of settings. 'rhe setting which comes to mind most often is the counseling agency of private practitioner where clients voluntarily come to receive assistance from a formally trained counselor, most often a social worker. Other settings in which counseling is delivered are agencies who provide counseling as a major component in their programs: the telephone, or crisis counseling agency, support organizations serving special population groups, and churches or religious organizations. Agencies or individuals With Counseling as their primary Purpose University Counseling Service - The mission of the Univ- ersity Counseling Service is to facilitate student development at the University of Iowa by providing assistance to students and staff in solving problems, making decisions, and applying learn- ing skills in the areas of vmcational, academic and personal development. The Counseling Service works with other student service groups in the University in the assessment and redesign of edu- cational environments. The University Counseling Service is a state-sponsored program. The service offers individual and group counseling and structured groups for specific areas and environmental interven- tion. To be eligible for services, clients must be related in some manner to the University. Students have first priority, then student spouses, then staff, then faculty and spouses of the last two categories. Cli.ents' wait for service is usually less than a week. The number ol- persons on the waiting list is usually about two. Referrals to the University Counseling Service come From other University agencies. The University Counseling Service refers to the Community Mental Health Center or to other Univ- ersity agencies. The Counseling Service engages in joint planning for student services with the Deans and Directors of othO r Student services. MICROFILMED BY i JoRM MICR+LAB MiL,Wi iLML..0 BY DORM MICRULAB -20- LLUAX RAPiva AND JL. 'i,.:,L Lutheran Social Service (LSS)' purpose is to provide professional social work services to families, individuals, couples and groups requesting one of the several therapeutic and educational services offered by the agency. There are no eligibility criteria for counseling assist- ance. Pees charged are based on the clients' ability to pay. 'Ihere ir. n 30-4S clay waiting list due to insufficiency of staff time to handle the L.al case load. Funding for the service comes from Lutheran churches and the United way. LSS receives referrals Cor counseling from the Community Mental. Ilealth Center (when demand for service exceeds supply), churches (when more trained or formal. counseling is desired or needed), Johnson County Probation Office (for family counseling), and the Department of Social Services (when clients are ineli- gible for their service). ESS refers on a regular basis to the Department of Social. Services (for financial assistance) and to support groups or the Community Mental Ilealth Center (for group counseling). Counselors in Private Practice - Social workers, who to the best of our knowledge provide counseling in a private prac- tice setting, were surveyed. A total of eight responses were received, six indicating that they dict not have private practice clients, and two indicating that they did. One social worker, who accepts only a few clients, works with individual, marriage and family problems. An emphasis is placecl on interactional and communication skills. Goal -oriented, .ere used with reevaluation after six ses- sions.Contractinit :Is part of the treatment procedure is also used. Marital problems nre those most frequentl.y encountered. service is provided inunedintely with a maximum of a one-week wait.iug period. No sliding -Ice Scale is used. whon roferraLs arc required, Ilniversity Counseling Service, 11ni.versity Psychology Clinic, and the Mental Ilealth Center arc recommended. No refer- rals are received Ilnni other ngenci.es. r Mlrimnu ID or JORM MICR40LA9 f�nN� VSr�n•. PfS 'dO..IF `. MiLcWf iLMEL) BY JORM MICROLAB UUM RA'rle`, ANJ JL 21. - The other respondent to the survey is a full-time pri- vate practice counselor who does both family and individual counseling. No particular "school" of counseling is followed, but the respondent notes that the interactions of people are of particular concern. The most common problems encountered are,.again, marital. 'file occasion to refer clients has not arisen. Agencies that Provide COU ISO liug_is_i _til ajor ComLnent of their_ their Programs The Department of Social Services provides counseling as an integral part of the unit for protective services for chil- dren. As well as its many other programs, the protective ser- _ vices unit of the Johnson County Department of Social Services attempts to alleviate neglect or abuse of children. The goal. of the program is the protection of children and the better- ment of family functioning. The Department of Social Services is mandated to provide this service. The methods of service " delivery are as follows: investigations, in-home treatment, -' casework, and referral to other agencies. ']'here are no eligi- bility guidelines for this program. Funding for this program is provided through Title XX. This program receives referrals from the following: University Hospitals, Mercy Hospital, and y various doctors. This program makes referrals to the following: Families, Inc., Dr. Owen Duffy, Crisis Center, and Lutheran Social Service. This program does ;joint planning with the Pro- bation Office and County Attorney (on juvenile matters). 'There is no waiting list for this program. "• Many alternatives are available to the protective service unit for working with the troubled family beyond assistance which is provided directly by the social workers in the unit. Referral to another counseling agency or private practitioner or to the Department of Social Services family treatment team; referral to �. Families, Inc. for intensive in-home treatment; provision of tem- porary or longer-term foster care; referral to group homes, resi- dential facilities, or supervised independent living situations. NICROFILMID BY JORM MICR+LAB ('vpAn PVT)' • 11fS'd0i9fq L1ii,itui ILML,U BY JURM MICkOLAB -22- LLUAa kAYIUZ, A41U ✓L Regardless of the alternative chosen, DSS continues to monitor the case and provide social work counseling when this is not available through the referral agency. The in-home treatment unit supervises the case unless an out -of -home placement is made for a duration of more than 90 clays, at which time the out -of -home unit assumes responsibility. Following is a de- scription of the alternatives available and the role which counseling plays in it. Intensive In-home Treatment is used with severely dysfunctional families who have a number of problems. It is used as an alter- native to out -of -home placement for one or more family members. Case workers can work directly with the family up to several hours a day. Service can be provided by the DSS in-home treatment unit or a referral of the case can be made to Families, Inc. All re- forrals to Families, Inc. must be made by DSS. No fees are charged for the service and funding is through Title XX (DSS).. Foster Home Care provides a substitute family -life experience in an agency -supervised home to children who need care for a tem- porary or extended time -period during which the normal family environment is either non-existant or greatly hampered for social, emotional or physical reasons. Children may be placed .in foster care either voluntarily or involuntarily. Voluntary placement is made through agreement hetween the parents and DSS. In cases of 'involuntary placement the rustocly of the child is transferred, through court order, first to the cuurt and subsequently to the DSS. In both types of placement, DSS provides the gamut of available services which are necessary to alleviate problems. Doth the DSS and Lutheran Social Service have foster care programs which attempt to alle- viate dysfunctional family life and, perhaps, physical or emo- tional abuse or neglect. Case workers provide assistance to the foster fancily and supervision of the person placed in foster care to assure that. total care is provided and all basic needs are met. Case workers work with the client's school and with the natural 14ICROIALME0 6Y 1 JORM MICR+LA6 ffMC PAPP' • '1ES 5101'!5 tliuroi ILMLU BY JOkM MIGkOLAb 23 - LLUAr( kAPW.) A;ib JL family during foster home placement and provide follow-up after the termination of foster placement. The extent to which each of these program elements is provided is depcudent upon the particular needs of the child and his/her family. T the child is placed in a DSS foster home, DSS staff provide the casework. If the case is referred to Lutheran Social Service, they provide the casework. liligibiIity for the service at either agency is dependent upon the nature of the circumstances confronting the child. All handing for programs at both agencies is provided through 'Title XX MSS). Lutheran Social Service states that it plans jointly with USS for foster care. Group Home Care for Children :is another alternative for dealing with severely dysfunctioning families. It is a program designed to provide a comprehensive treatment -oriented living experience in an agency -owned or operated facility for children who, for some reason, are unable to aujust in their own or foster home and who are not suited for placement in an institutional setting. The program is geared to the specific needs of the child and to his or her eventual return to his/her own home and community as soon as personal and social adjustment and development per- mit. Program elemenLs include: study and evaluation of the child and his/leer needs; supervision of the person placed in group homes to the end that total care nd treatment are provided and all basic human needs are met; work with the family during group home placement, as needed; and follow-up readjustment assis- tance to the individual and his/her family after tormination of the group home placement. In Johnson County there are three group home facilities. Youth Homes, Inc. has a boys' and it girls' group home and Lutheran Social Service has it boys' group home (Coffelt Place). Youth Homes, Inc., operates two group homes: one for girls and one for boys. Girls' Group home serves adolescent girls in crisis (abuse, neglect, delinquent, family conflict) who cannot live at home or in a foster home. This program provides housing, �..t :41CROFIL14LD By 1 JORM MICR(�LAB MIAD rAV";1' • 'l;S '•10PJFS MiutUl iU•h.0 BY JURM MICROLAB -24- counseling,and vocational and social skills. Personal and occupational skill development are also program elements. Clients must be female, from 14 to 17 years of age, and be referred by the Department of Social Services. Pees are based on the client's ability to pay. (This assessment is made by the Department of Social Services.) Wait for service ranges from zerc to 30 days. Seventy percent of the funding comes from the Iowa Departl:..nt of Social Services: 42 percent through maintenance funds (state foster care funds) and 28 percent through service funds (Title XX). Thirty percent of the funding is provided by the Johnson County Board of Supervisors. Referrals to this program are received from the Iowa De- partment of Social Services, ,Johnson County Probation Office, and United Action for Youth. Referrals are commonly made to the following: schools, psychiatric Ilospital., Mayor's Youth Employment Program, Owen Duffy (psychologist in private prac- tice), and the Community Mental Health Center. Joint planning for the program is done with the Mid -Eastern Iowa Crime Com- mission, Johnson County Regional Planning Commission, the Iowa Group Home Association, and Child Care Administrators of Iowa. Youth Homes, Inc. - Boys' Group home - This program serves adolescent boys in crisis (abuse, neglect, delinquent, family conflict) who cannot live at home or in a foster home. The goal of the program is to aid the resident in developing the necessary living shills to return home, go to an alternative living situa- tion, or go to independent living. this program provides hous- ing, cuun:;uiing, assistance with school and job, and assistance with personal and occupaltional skills development. The eligibili- ty requiremonts arc the same as those for the Girls' Group home, with the exception of that of sex. The fee Schedule is also the sane as that. for the Girls' Group IlomO, Referrals made by both programs are 1.110 same. An initial grant for this program was provided by LEAA (in the amount of ;;44,515.70) to he expended for staff, equip - ;111(1 pr0gr;un developm0nt. The grant requires a 100 match, MICR01 I LMID BY JORM MICR6LAB CfDAV Un�n.. !115 idD14fS I.1;�,wi iL• U BY JURI.1 M1CROLAb -25- LLUAf kAkluj A;IU ✓L which has been provide by the .Johnson County Board of Supervi- sors. Funding for 1977 was provided by the following: 1) LrAA Grant (90% federal/10o Johnson County Board of Supervisors) . . . . . . . . . . . . 44% 2) Johnson County Board of Supervisors . . . . . 17.5; 3) Iowa Deparvicnt of Social Services . . . . . 38.5; The nature of s-rvices provided by this program is influenced by the Iowa Department of Social Services through contracting, the Johnson County Board of Supervisors through contracting, and the Iowa Crime Commission through grant funding. Lutheran Social Service Boys, Group Home-Coffelt Place - This program provides a group living situation similar to the above mentioned programs. The program provides housing, counseling, assistance with school and finding jobs and social and personal development. The only eligibility requirements are age (14-17 years of age) and sex (male). Funding for Coffelt Place is pro- vided by the Department of Social Services (Title XX) which is the only outside agency that has an influence on the nature of the program. Job Service of Iowa and the schools provide services that are utilized by clients on a regular basis. Other agencies providing group home cure which are not located in Johnson County, but whose programs are available to Johnson County resi- dents,are Hillcrest Family Services and Iowa Childrens' and Family Services. Transition to Independent Living is a program designed for youth aged 17-18 tvho are mature enough to function on their own with some counseling and supervision. The youth served in this pro- gram have progressed through various alternative living situa- tions such as Eoster care or group home living who, for various reasons, are not able to return to their own homes and are deemed ready to be responsible for their own lives. Illtimately, the objective of this program is to assimilate the necessary social, Psychological, emotional, and other skills necessary to success- fully live independently. MICROF WIN 6Y DORM MICR�LA6 ff apo P.4n1 „- �f`'d017f5 Mt L,tW iL:'I U 8y JURI4 MICROLAB -26- LLJArt RAe JJ IA;w JLC � '- Youth Homes, Inc. provides a transitional program to inde- pendent living which includes counseling in the above mentioned areas. The only eligibility criterion for this program is that a youth be between 16: and 18 years of age. Fees for this program are assessed by the Department of Social Services and are based on the parents' ability to pay. Funding for the program is pro- vided through Title XX (75% federal funds and 25% state funds). Referrals come from the Johnson Count}, Department of Social Services, Johnson County Probation Ofrice, and United Action for Youth. The program refers to the following agencies: The Mayor's Youth Employment, United Action for Youth Program, Owen Duffy -private psychologist, the Community Mental Health Center, and the school system. Informal "Street Counseling" for Youth United Action for Youth provides a program which includes counseling, guidance, and outreach to youth in informal settings. Counselors and para -professionals meet with youth at places where the youth regularly congregate. Univid. Action for Youth has as its overall mission the provision if assistance to young peo- ple, especially those who are alienat,;d from the traditional approaches to youtt service, by identifying their individual needs and the development of opportunities in the best interest of the individual with retard for the community. The outreach program aims at alleviating the problem of juvenile delinquen:y and related problems through the development of contacts with ymlth who are experiencing difficulty and through assistance to troubled youth who are identified as being under severe stress which is likely to result in delinquent behavior if not relieved. 'rhe outreach program provides both direct and in- direct services which include street counseling, crisis interven- tion, information,referral and follov-up,and planned leisure recreation activities. Services are abailable from 8:30-4:30 Monday thru Friday, 12 months of the year. The clients of the program must be arproximately 18 or under. No fees are charged. 141 LNOI IU4E0 6Y i JORM MICR( �fPhp vary n� pl �, VIOI PIrS MiuwfiLMLu BY JORM MICROLAB 27- ILbAiS ANJ The services of the outreach program are generally avail- able within the day on which contact is made. 'I'utori.ng, requests usually take 1 to 2 weeks to be matched. Drug seminars and other month in advance. 'There is no programs are usually planned a waiting list for any of the services oCEered. Referrals to the outreach program are roiltinely received from Iowa City schools, Johnson County Social Services, Youth Ilomes, Inc., IOW;I City Police Dept., Iowa City Recreation Centc," PALS program, and the Crisis Center. All or these ;Ire for com- plementary services. United Action for Youth refers clients to the following on a regular basis: Youth l:nw rgency Shelter (for emergency shelter care placement must berOade'oltile Dept. of Social Services), Youth Homes, Inc. ( group home Mayor's Youth Employment Program and CETA (for women's health care),Iowa City Free Medical Clinic (for health care). other agencies which provide services that are used by clients on a regular basis are: Lutheran Social Service, HACAP, Psychiatric Hospital, Community Mental Health Center, Coralville Recreation Center, Goodwill, Career Development ProgramKirkwood, ?lurk IV , Community Center, and Wesley (louse. by The following i.nfluence the nature of: services United Action for 'iouth,s outreach Program: 1) City o (contracting and funding). 2) Johnson County (contracting and finding), 3) United Nay (funding), 4) iuvenile Court (referral ial Services (referral accountability), and 5) Johnson County Soc Joint planning for the program is done through accountability). Iowa City schools. monthly meetings with CBP.C, PS 4, and the Meetings are also held with Johnson County Soci'lvandswibhut once every two weeks regarding, clients and case plans the same. Youth Ilomes, Inc. about once every two weeks regarding Monthly meetings are held with United hrdin UAY also ents meets and every se G0-90 days with Juvenile Probation reg' g Inc., Mayor's plans. Johnson County Social Services, Youth Homes, Youth Employment, and Mark IV Community Center all provide services to young people but do not provide youth outreach. 5 1 MICRO[ ILITO By DORM MICR6LA93 MiLjWr!LMLU By dOkM IAICkOLAii - 28 - CLUAt kAPIU3 ANO UL Funding for the agency comes from these sources: Iowa City . . . . . . . . . . . . . 55.8a United Way . . . . . . . . . . . . 6.5 0 CETA . . . . . . . . . . . . . . . 4.8% LEAH . . . . . . . . . . . . . . . 29.60 State Buy -in and .Johnson County contribute small amounts. Crisis Intervention Services T!is service encompasses programs designed to mobilize timely intervention .r the lives of individuals who are exper- iencing emotional distress or are prone to suicide or some other form of physical self-abuse. This service category also encom- passes programs designed to mobilize timely intervention and assistance to come to the rescue of innocent victims of violent crimes, such as rape. The Iowa City Crisis Center provides free, short-term crisis intervention services, counseling, and information and referral. Crisis intervention is available to anyone by phone at all times; walk-in service is available 15 hours per day. The intervention program immediately meets a client's self - defined need for information or someone to talk with. Staff volunteers undergo a 50 -hour training program which includes education in helping skills and information about community resources. The Crisis Center most frequently refers clients to the following: Free Medical Clinic, University Counseling Service, University Hospital, Community Mental Health Center, and the Emma Goldman Clinic for Women. In addition to these agencies, clients are often referred to the Alcohol and Family Counseling Center, aren physicians, clergy, Psychiatric Hospital, Lutheran Social Service, IIERA, employment service, Ilawkeye Legal Aid, Sudent Legal Services, police, Protection Association for TCIVMILS, 14amens' Iie90UrCC and Action Center, United Action for Yottih, and the Youth lanergency Shelter. Johnson Count), Social Services' answering service and the Free Medical. Clinic and Mental Ilenith Center list the Crisis Center whon they are not open for service. About 70 per - s. r td ILROf ILFiCO By JORM MICR�LAB f f ppP rAf! n. 'la 5 FID I!1f ; IL;'ILU by JURM MICROLAB 29- LLOAk k0lU'� AIIU OL, cont of the funding for the Crisis Center comes from the Johnson County Board of Supervisors and about 30 percent from United Way. The Crisis Center also operates a Youthline which provides an alternative for help to persons under age 18. Trained teenage counselors (aged 14-18) provide immediate, con- fidential, and anonymous crisis intervention under the super- vision of staff and experienced adult volunteers. Parents, as well as teenagers, are encouraged to use this service. Youth line counselors are available from 5:00 p.m. to 10:00 p.m. every day of the year. Referrals to the Youthl_ine have been made by agencies and family members and by some school counselors. Individuals also become aware of the service through publicity. The Youth line refers clients to the provioalol.y mentioned agencies. United Action for Youth (which has a similar service) and the Youth Emergency Shelter are the apencies to whom clients are most often referred. About 64 percent of the funding for this ser- vice comes from the Johnson County Board of Supervisors and 26 percent from United Way. The Rape Victim Advocacy Program has as its first concern the physical and mental wellbeing of victims of rape and other forms of sexual abuse. This involves utilizing workable rela- tionships with law and medical personnel and the County Attorney's office. 'rhe program also exists for the purpose of informing the public about the issue of rape and sexual abuse and working toward prevention of such crimes. The goal of the Rape Victim Advocacy program is to assist victims of sex crimes in any way possible. Tho Rape Crisis Line operates on a 24-hour basis, so that it is possible for a victim to contact someone immediately after an incident has taken place and to receive support and direction concerning the alternatives which are open to him/her. The Rape Victim Advocacv Program providos information and films through its Information Bureau and assists other agencies 4 MICRO[ uaEo BY JORM MICMl LA6 MOAR HAP!')•� 'd0INF' 11w%0f IU'iLU BY JORM 141CROLAb -30- CLDAR RAVIu_� AND JLC in setting up similar programs in their communities. The program also has a Speakers Bureau which talks to groups, classes, and organizations about the crime of rape and other forms of sexual abuse. In addition, the staff has done in-service training to sensitize medical and legal professionals, as well as counselors, teachers, etc., to the needs of victims of sex crimp,. The Rape Cris.. Line is in operation 24 hours a day, 7 clays a week. When no one is in the office, emergency advocates take calls from their homes. Clients are referred to the ser- vice through publicity (25%), by self (25%) and from agencies (25%).* Referrals to the Crisis Line are routinely received from Johnson County Social Services, Crisis Center, United Ac- tion for Youth, Attorney's offices, police departments, and various church groups and ministers. No fees are charged and there are no eligibility criteria. Emergency service is given immediately. ,Necessary referrals are made to the following: Mid - Eastern Iowa Community Mental Health Center (for extensive or family counseling), Emma Goldman (for V.D. check and pregnancy testing for clients who do not want to see private physicians), private attorneys, Iowa City Police Dept., .Johnson County Sheriff's Dept., Campus Security, etc. The Community Mental Health Center and the Johnson County Attorney's office are agencies whose services are most frequently used by clients. Services offered by the Rape Victim Advocacy Program are influenced by Student Senate (financing), Johnson County Board of Supervisors (funding), Vice -President Hubbard, and the WRAC Advisory Board, rhe program has a joint planning/ad- visory relationship with University Ilospitals, the Iowa City and Coralville Police Departments, and the Johnson County Shoriff's Department. No agencies in the county provide a a similar program. *lixact figures received from agency. .M Id ICNnrILMEO BY i DORM MICR#LAB rrMP r1PIn-. • •,rs MINIS Mlui Ui iLi4LO BY JURM MiCkULAB -31- LLOAk RAPILJS AWu L)L� .'�U, IL Funding for the program comes through University of Iowa Student Senate (12.2"), Johnson County Board of Supervisors (33.1$), City of Iowa City Aid to Agencies (.3 B.la), (lousing and Community Development Assistance - Towa City Birthright is an agency which serves persons who have unplanned orunwanted pregnancies or difficulties of a personal nature related to a pregnancy. It offers three programs: Family and Individual Support, Emergency Income and Material Support, and Mental Ilealth/Counse- ling and Crisis Intervention. The Birthright office is open three hours a day, five days a week during the University school year. A staff member can be reached at all times through an answering service. Anyone, regardless of race, creed, marital or economic status, who fields herself in an unwanted or unplanned pregnancy may receive assistance. All clients are served directly. No fees are charged. The purpose of Birthright is to provide an atmosphere of comfort, confidentiality, and privacy, to alleviate any anx- iety about the client's personal situation, and to help the client clarify the problems, feelings involved and alternative ways of coping. Clients are seen on a one-to-one basis. In addition, Birthright provides temporary housing, maternity clothing, baby clothes and furnishings as needed through the Emergency Income and Material Support program. Anonymous pregnancy testing, help in obtaining employment, and trans- portation related to these needs are also provided. Fifty percent of clients are self-referred and AO percent are referred through puhli.city. Five percent are reforred by family and S percent from agencies. Referrals are routinely received from other Birthrights, University Hospital., social workers (for help with housing), Emma Goldman Clinic (for girls deciding to continue pregnancy), and the Crisis Center (for supportive services). There is no waiting list. Service is immedi a t:e. �- IdICROfILIACO DY JORM MICR4�LAB fFOAp rm—,. . u[' Iaa IgFS Mlui( i iLMcu 8Y JORM MILROLAB -32 - CEDAR RAPIJS ANU JL� :' L- Referrals are made on a regular basis to these agencies: Johnson County Social Services (for financial aid and State . Papers), Catholic Charities adoption counseling, and Lutheran Social Services (for adoption counseling). Client is usually accompanied by a volunteer from Birthright. If a client has legal questions a consultation may be arranged with Birthright's legal auiscr In addition, some clients utilize the services of Wesley (louse for eatorgency shelter of one to two days in length. Funding for the agency is provided entirely through donations and membership fees. Department of Social Services - Central Child Abuse Registry provides a 24-hour, 7 day a week source of information, intake, and referral for individuals reporting cases of child abuse. All cases of reported child abuse are referred to the County Dept. of Social Services for investigation and follow- up by the protective service unit. Funding for the program is through Title XX (D.S.S.) Support Groups provide individuals experiencing personal diffi.culty or stress due to environmental circumstances and other factors an opportunity to share experiences and to re- ceive support and comfort from others experiencing similar difficulties. 'Clic Women's Resource and Action Center provides the following services: support groups and counseling, information -ind roforrnl, and classes and workshops. programs focus on sup- portive -services, education, and information for women; there are no eLigibili.ty criteria for services, which are open to men as well. Support groups offered bl WRAC are: orientation for women new to the community, support and friendship, and com- mon solution;; to common problems. Individual counseling Ilppoint- Du:nts focus on vn1ucs cl;u•ification and decision-making. There ;n•c no vlit;ihility criteria and no fees are charged for service. ticrvice is ;ivnillthle from 9-9 (9-5 during the summer), Monday MICROI ILMED BY 1 JORM MICR16LAB MIAr na: , • NIaDlats Ml�Awl ILALL) BY JW1 111CkOLAfi -.i3- (.LDAR RANiU� AND UL. L through Friday, 12 months of the year. rhe Center is access- ible to handicapped persons. Seventy percent of those who utilize counseling and sup' ices are self-referred. Twenty percent are referred port group sery through publicity and 10 percent art, rcrerrrd from al;encies. Clients may wait up to six weeks for support group;; (fur previously scheduled meetings) and up to two weeks for individual counseling. There is no waiting list. WRAC offers referrals for telephone and walk-in clients to agencies and individuals, etc. in the areas of counseling, medical care, legal counsel, legislation, child care, divorce, welfare, etc. Information is also distributed in the WRAC news- letter. There are no client eligibility criteria and no fees are charged. Information and Referral is available from 9-9 (9-5 during summer: Monday Frivay, 12 months of the year. Sixty percent of the::- who contact WRAC for 1 F R are self-referred, 20 percent are referred through publicity, and 20 percent are referred by other agencies. Information on the agenices which refer clients to IVRAC's I F, R service is unavailable. Those agencies/individuals to whom clients are referred by WRAC on a regular basis are: 1) Ilawkeye Legal Ai.d or private attorneys (for legal advice which WRAC can't give); 2) Community mental Ilealth Center or private counselors (when demand exceea5 supply at WRAC, or when more concentrated or specialized counseling is desired 3) Uni- versity hospitals or Emma Goldman Clinic (for medical care); 4) miscellaneous other services. Information and referral ser- vice is often immediate; in some cases it may take up to week to procure the necessary into assist a client. There is no waiting list. The University of Iowa, City Of Iowa City, and Johnson County Board of Supervi.sors have influence on the nature of I F, R services provided by WRAC. 'rhe center has no joint planning/advisory relationship with anyone for this program. The Crisis Center provides a similar service, but for more generalized, less specialized areas. s I41 CRO(I LMED BY i JCIRM MICR6LA6 rf Prtn pnr l n� of °. MM IF Filo<Ui 1LML0 by JURM MICRULAb LLUAK HAPlu�> ANO UL. -34- Remedial programs such as Assertive Behavior Training, programs on financial management, etc. for women in transition, and legal workshops are offered by WRAC. Fees are sometimes charged; all fees are related to client's ability to pay. Fifty percent of those who participate in classes or workshops are slef- referred and 50 percent are referred through publicity. It is men- tioned, in addition, that referrals are received from Johnson County Social Services, the Niental Health Center, and The Crisis Center. Funding for WRAC comes through the University of Iowa and the Federal Work/Study program. Parents Without Partners is an educational and social club for single parents and their children which meets once a month. Single parents, widowed, divorced, or unmarried are eli- gible for membership. The initial membership fee is $12.50. Other Counseling Resources Churches and religious organizations provide counseling to a number of people in Johnson County. Clergymen are often the first contact for the individual or family seeking counseling for emotional problems. All churches in Johnson County were asked to complete a questionnai.ro, half of which dealt with counseling services provided by clergymen. 'Twenty of the sixty churches responded, seventeen indicating that they provide counseling. Counseling is provided as previously mentioned in the Problem Description section of this profile, for problems in these areas: marriage, dell rer"ion. carcor, Pre -marital, male-female relationships, family/parent -child, life adjustment/identity, academic/occup- tional choice, spiritual/theological, alcohol/drugs, problem pregnancy, transients, and health crisis/death. The number of sessions per counsclee varies from one to about 20. Mnst of the pastors provide counseling; of one to six sessions in duration and refer to professional, more specialized counselors if long-term counseling is required. This informa- tion was provided by 11 of the 20 respondents. h �F MI CROI IL14E0 BY JORM MICRbLAB MIAD Irnrini nf5 -Inrf9 14iu,(W iLMLL) BY JORM 141CROLAB -35- LLOAR RANIu�) ARU JL Referrals for counseling are received with the greatest frequency from the following sources (information provided by 19 of 20 respondents): Friends Previously Counseled/Congregation Members 8 Other Pastors 7 Crisis Center 3 Seldom/Never Received 6 Other sources of referral mentioned by only one res- pondent each are: Lutheran Social Service Oakdale Johnson County Social Services City of Iowa City Wesley House Doctors Community Mental Health Social Workers Gloria Doi Lutheran Church School Officials U. Of I. School of Nursing Parents University Hospital Most pastors make referrals for long-term or specialized (e.g., alcohol/drug problems, problems of transients, financial difficulties) counseling meds (information provided by 18 of 20 respondents). Such referrals are most often made to: Crisis Center . . . . . . . . . . . . . 6 Wesley Nouse . . . . . . . . . . . . . 4 Community Mental Health . . . . . . . . 4 MECCA . . . . . . . . . . . . . . . . . 4 Private Psychologist/Psychiatrist • • ' 4 Psychiatric Hospital . . . . . . . . . 3 Johnson County Social Services . . . . 3 U. of I. Counseling Service . . . . . . 2 Other clergy . . . . . . . . . . . . . 2 Do Not Refer . . . . . . . . . . . . . 3 Referrals are also made to the following resources (each mentioned by only one respondent): Christian Marriage and Family Counseling (Cedar Rapids) Community Pastoral Counseling Number Suggested by Iowa City Religious Leaders Association HACAP Family Services Local Professional Counselor Agencies Specializing in Counseling for Problem Pregnancies Agencies Dealing in Financial Assistance/Counseling I ^! 141CNaf ILMED BY DORM MICRbLAB ff DAn Var!'+t nFt 'd01'IfS I;liuiWriLF1L0 by JURM MIC ULAB • I.tUAK RFViu� AHU u�� ��.:,�_, .., 36 - All of those pastors who provide counseling (18) do not regularly charge for their services. Two of them indicated that there may be a charge for books/materi.als involved. One of the pastors sometimes charges for counseling, based on ability to pay, and one charges only for long-term (more than 6 or so ses- sions) counseling. One pastor charges a $50 fee to non -congre- gation ,r.hers for premarital counseling. The Community :'nstoral Counseling Service also provides counseling to individuals in Johnson County. The mission of the Community Pastoral Counseling Ser- vice is to provide a professional pastoral counseling resource for the community and to develop and encourage educational programs in pastoral counseling. The Pastoral Counseling Ser- vice provides direct counseling with clients who need help in resolving marriage and family conflicts. Appointments are arranged by client and counselor. In addition to the Counsel- ing Service's own office, a counseling office is available at Wesley Ilouse. fees charged for the service are based on ability to pay. Churches provide some financial support for the service which can be used if needed to pay all or part of the fee. Seventy percent of clients are obtained through referral From agencies, 20 percent are self-referred, and 10 percent are referred through publicity. There is usually about a one week waif for cervico. Referrals to the Pastoral Counseling Service :,re made on a regular basis by local church pastors who feel they arc not qualified to bundle certain cases. Referrals are not mado by the Counseling Service on a regular basis. Similar services arc provided by Lutheran Social Service and by local pastors. The Pastoral Counseling Service does not have a joint planning/advisory relationship with any other organization on a regular basis. .41CRaf l Lldtn By JORM MICR(�LAB I'MAn 'IFS V101%1S Mllw(U1-iLMLU 3Y JURM MIGRULAb -.i7- LEDAk RAFIU�) A!U LJL, ;11.,IL_ , Funding for the agency i.s provided by the fallowing churches: First Baptist Church Gloria Dei Lutheran Church First Congregational Church First United Methodist Church MAJOR UNMET NFEDS/PRIIBLGMS 1N THE SERVICE DFLIVITY :;cvor;ll prohicmwr wore• ilk -Ill ified in the rnur•.c nl' the - ..InJy: lurk n1 ranpr rag inn anal rnu rd ilini i 10 :nm�u1; ,yp•ur it providing ruun:a•Iing;-if rviro•:; inclfrrlivruoss of Four( - (Irdered Conciliation services when uunulated as 1):11.1 ul' dissolution pro- ceedings; long waiting lists far those counseling, agencies offering; sliding -fee scales; an increase in the incidence of single par- ents needing assistance; and a shortage of certain specific services. In addition to these problem areas, several other suggestions were made to improve the delivery system. Inadequate Cooperz`=^n and Coordination among Agencies Providing Services was the most frequently mentioned problem. This has resulted in inconsistencies in the way youth with mul- tiple problems are handled. Sometimes an agency working with a family may not be able to get information which would assist in the treatment of that family from another agency. Delays in the provision of beivice, misunderstandings or disagreements regarding service provision may occur when two or more agencies are involved with the same client. Aciion taken by one agency, without the involvement of other relevant agencies, may result in inconsistent treatment of clients and in poor relations among agencies. Conciliation Services are mandated in those dissolution (divorce) cases which are contested by either party. A court- ordered referral to a counseling agency is given to the couple and they must attend before the dissolution is granted. Attorneys in Johnson County were asked how they viewed court-ordered conciliation- The response was overwhelmingly negative. Only two of the seventeen attorneys responding to AICR01ILMICD BY JORM MICR<�LAB rrDAr nnrl^s . '1f5 •d0I4FS MIt,AU'r iLMLL) 8Y JOkM 141CROLAB -38- T LLUAN kAV1U5 ANL) JLC the question saw any value to conciliation. Their responses were: -"waste of time, money and energy, but often helps request- ing party feel comfortable with dissolution." -"generally ineffective unless one of the parties deep down wants reconciliation and won't admit it." Counselors with whom we spoke also felt that court- ordered concilLation as ine fective and frequently used only as a stall tactic by one of the parties. Generally, it can be concluded that court-ordered conciliation is a waste of com- munity resources. Shortage of personnel at some agencies providing services on a sliding fee scale is a problem most directly exem- plified by the long waiting lists of two of the major providers of family and individual counseling. The Walt for service at Lutheran Social Service averages 30 to 45 days, resulting in an attrition rate of about 40 per- cent. The Community Mental Health Center, which also provides a great deal of family and individual counseling, also has a three to six week waiting period for service. (Note: The Center's outpatient services for treatment of mental illness are dealt with in the Mental Health Profile.) Most individuals or families facing real or perceived crises feel that counseling is needed immediately. Often, it has taken a great deal of courage to make the contact for counseling. To be told that a wait of several weeks is required before a counselor c::;t he seen may discourage the person from seeking help Psychiatric Hospital makes outpatient counseling avail- able on a sliding fee scale and has no waiting list. The basis upon which clients select an agency is unknown. University Counseling Service can serve only students and staff at the University of Iowa. They too, however, have stated that there is a shortage of longer-term treatment (beyond 8-12 sessions) available to staff requiring such therapy. No insurance or third -party payment is available for such services. H MICROFILMED By DORM MIC RoLAB r r oAP 1'A r' I"' • '1fS ')!'IIS Ni(AW ILi4LJ BY JURM 141CRULAB -39- LLUAIl RAPIw Aiib JL., An increase in the number of single parents who are seeking assistance is reported by the Crisis Center, the Women's Resource and Action Center, and the Department of Social Services. No judgement is made on the ability of counseling agencies to deal with their problems. Ilowever, i.t may he assumed that wider publicity of and ❑ccessibilit), to helping resources would he advisable. A need for more comparable and valid data collection among agencies, and a central register for non -confidential data was cited by several agencies as well as the Suhcommittoe. 'Pile Subcommittee also felt that a system of evaluation of agency effort should be developed and a greater emphasis placed on accountability. Other problems Cited by Agencies and Individuals A shortage of specific services was mentioned by several agencies. listed below are the services and source identifying the problem. 1. More foster homes, particularly for adolescents (DDS) 2. Alternative living arrangements, particularly for supervised independent living (UDS) 3. More appropriate alternative school settings for youth, both in variety and capacity (UA)' and Youth Homes, Inc.) 4. Additional shelter for runaways. 'rhe Youth Emergency Shelter is often full and ir.s limitations as a result of restrictions and placement requirements made by DDS (IJAY) S. Need for men's supportive services dealing with aging, vocational stress, marital difficulties and coping with emotions (clergymen) 6. Lack of continuity in working with troubled youth after they reach the age of 18. Currently no ser- vices are available for children over 18, yet they may soon he starting; families of their own (DDS and Families, Inc.) 7. Insufficient agency/individual resources to meet the needs of women in transition, e.g., women returning to school or work, divorcing, single parenting (WRAC) Mumnnuato or JORM MICR4�LA13 fr9AN VAT'"I" • rqt )10PIF M D-koi ILMLU By JORM MICROLAB • CtUAH RAFLJz, j�D L)L, .i�„� •-•"• -40- 8. An interim sten should be provided bewteen insti- tutionalization and home care. This may be a two to three day "attention -getting" period for adolescents who may be able to avoid institution- alization (Families, Inc.) Other suggestions for improving the delivery system were made by individuals and organizations who participated in the study. They are: 1. A need fu; guidelines for community standards or "norms” of behavior; a picture of what the "normal" family is like (Families, Inc.) 2. Criteria on when a child needs to be removed from the home should be developed (Families, Inc.) VIICROFILMED By I JORM MICRI LAB CEOM PAP!pC nCS MOIWC Priority MIL,k FILilLU By JURM MICROLAB UUAR RAPLu�) AND OL, "w..,L_, Problem GENERAL RECOTIENDATIONS Recommendation Possible Agencies Funding Affected Sources The following problems and accompanying recommendations relate to all of the eight service areas studied during the first year of the human Services planning projeei. Because they relate to all areas, they will not be repeated in each individual section. Their importance to each of the service areas should not be diminished because of their treatment here. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Communication. Coordination Information Inadequate communication and coordination among agen cies providing service results in inconsistencies, particularly in the way clients with multiple prob- lems are handled. Delays in the provision of service and misunderstandings or disagreements regarding service provision may occur when two o: more agencies are involved with the same client. Regular meetings among agencies have been attempted f:ut have been less than successful. Organizing and convening such meetings requires staff time and effort not available from any one - agency. Agency directors and staff providing similar programs or services to similar client groups saculd meet together on a regular basis to: 1) share information about programs, 2) explore solutions to common problems, S) acquaint them with the staff of other agencies to facilitate the refer- ral process and increase trust levels, and J) share information on clients within the con- fines of confidentiality. ! MICROFILM BY i JORM MICR+LAB CrOAP PAPIn' . nr, gOI'Ir5 All public and Johnson private provi- County Re- ders serving gional Johnson County Planning clients Commission Priority h1i��tUFILMLO by JORM MICROLAit Problem LLDAR RAPidj AND )L' w.: GENERAL RECO " M)ATIONS (Continued) Inadequate k:.­,lcdge, on the part . s^"vicc pro- viders, conce;nl ng the functions and ;:rograms of agencies cc.i result in inappropri.,:c refer- rals, lack of referral when a client could bene- fit from service by another agency, or cli- ents gecting lest in the system without getting the service provision is also often done wit!:out consultation with agen- cies affected by such programs. The result is that services are delivered with less than optima! efficiency and effectiveness. Recommendation Human Service planning staff may be assigned the responsi- bility for calling and organi- zing such programs in order for them to succeed. Data an client character- Assessment of data require- ts acs e.g., age, race, meats is needed by 1) agen- sex, incor..e, residence and cies to assess existing pro - problems presented) are grams, and 2) funding bodies not available at the pre- to make allocation decisions sent time through many based on community need. A agencies. As a conse- common data collection and quence, it is difficult to retrieval system should be assess portions of the pop- developed which would place ulation which may be inade- minimum demands on agency quately served, and for staff time and be economical. which programs should be Funding agencies should make developed. inquiries into systems of I41CROMMIB By JORM MICR#LAB CfMP P4CIP°. • KS HOI4f `, Possible Agencies Funding Affected Sources All public and Johnson private not -for- County Re - profit agencies gional providing ser- Planning vice to Johnson commission, County, CitiesCity, County, Johnson County, United Way United Way y N Y�TIdICROFILFICD BY JORM msr M�LAB MAP PArinl . nrS p101ACS Mil ,,(OrILMLU BY JORM MICROLAB LEOM kAIIIJj AND oL� NICROFILMN) BY DORM MICR+LAB rrnAr PAr!ns nl'S '-In RIFS RDCO�p� 10NS Possible Agencies Funding Affected Sources Recommendation Priority Problem _ 1, Short:_ to t % rsunnel Mental nDept. :Igell:`es the Prov'_ Staff should be added to the and Center,HLuthh County At some Sion of service on a slid- Mental Health Center to Social vservice. eran C1Univ. of Social Services, ing-scale basis results in Lutheraneet the demand for Serviceice long waiting lists (3-6 ex - Effortstshouldllso weeks). The waiting list nded referral Service at the Mental Health Cen- p' follow-up to those agen- ter averages 25 people, at and Lutheran Social Services cies sing cand or,inglwhtionso donooffer have 6 people. The effect o in r family or waiting lists. that people Personal crisis cannot re- ceive immediate service from the agency of choice a and may discontinue their , search for help. Family personal problems continue without solution, often in- tensifying the problem. This is also a problem of the Mental Health area. People may request service for either counseling or mental health therapy at any of these agencies ex- periencing waiting list difficulties. Therefore the waiting list affects both service areas. NICROFILMN) BY DORM MICR+LAB rrnAr PAr!ns nl'S '-In RIFS Priority m!L,<Ui iL;4LU BY JURM MICRULAB • LEDAR MPP AND L)L, 'I�,��-• -' RECOMMENDATIONS (Continued) Problem Recommendation Possible Agencies Funding Affected Sources 2. Ineffectiveness of once cation ervtces Court-ordered conciliation The Iowa Code should be re- Iowa Legislature, None in divorce cases is reported viewed concerning the court- District Court, as being ineffective and a ordered conciliation Private practi- waste of community resources. Provision in contested tioners, Mental divroce cases. renter, Lutheran Social Service, J.C. Dept. of Social Services, Clergy 1 MICROC I LI4ED BY JC)RM MICR46LAB ffDMt PAi`I �ti !1f5 !1nID0� 111Lj<Ui ILMiU BY JORM MICROLAB LLDAk RAP IJ:) AND ur 2) Abencias that Provide Counseling as a ?tajor Component of their Programs Jct:n=on County ^:;;:. None None 360 Public and of Social Services- (7/1/76-6/30/77) State Protective Services for Children Dept. of Social None None 6 Johnson Co. Public and Services, District families cur- State X - In-home Treat- rently-about 10 nent Unit or 11 per year 5 ~1 IdICROFILMED BY JORM MICR+LA6 rrnAP PAPInr nrS IiomrE Funding University of Iowa United Way Johnson County, Churches Patient Fees Title XX State of Iowa Title X.K-75% State of Iowa -25% A rn APPGQ JX Services :Available 1) Agencies or Individua'_s �.::th Counseling as their Priaary Purpose of .Jo. Co. .a&= "clieibility Fees Clients Served Auspices University of Iowa Act be connected in None 500+ Public and Ccurseling Service so:.:e way with Univ. (5/20/76-5/19/77) State Lutheran Social None Sliding 112 Private, not - Service Scale (2/1/76-1/31/77) profit Private Ccultselors None Vary XA Private, not - for profit 2) Abencias that Provide Counseling as a ?tajor Component of their Programs Jct:n=on County ^:;;:. None None 360 Public and of Social Services- (7/1/76-6/30/77) State Protective Services for Children Dept. of Social None None 6 Johnson Co. Public and Services, District families cur- State X - In-home Treat- rently-about 10 nent Unit or 11 per year 5 ~1 IdICROFILMED BY JORM MICR+LA6 rrnAP PAPInr nrS IiomrE Funding University of Iowa United Way Johnson County, Churches Patient Fees Title XX State of Iowa Title X.K-75% State of Iowa -25% A rn mtk,tWflLk.0 BY JORM MICROLAB CEDAk RAPLUS AND ULA `Ic: ,Vency Families, Inc. Dept. of Social Ser- vices -District X Foster Home Care for Children Lutheran Social Ser- vice -Foster Care Family Youth Hogs, Inc. - Johnson County Boys Group Hone Youth Hr,.Ias, Inc., Iowa City Girls' Group Home Lutheran Social Ser- vice -Boys' Group Hone (COffelt Place) Jill gibiliry Ahrst be referred by Johnson County Dept. of Social Services \one ?ust be reforred by Johnson County LVpt. Or Social Senrices ?::et be ::ale, 11.17 years old, and re- faTeJ by Dept. of Social Sen1CC5 14- l. -'-years old, and referred by Dept. of Sociai Services Nh+st be referred by County Dent. of Social Services Lees None Sliding Scale F of .Jo. Co. clientsAuspices Fimdine _� 20 E:utilies-xbout Private, rot- Title )1 - 75, loo individuals for-profit State of Iowa - 25� (7/1/76-6/30/77) 118 (6/1/76 - Public and Title XX 5/30/77) State State of Iowa Sliding S (2/1/76 Scale- 1/31/77) Purchased thrl Dept. of Social Services Sliding 3 (11/13/'.6 - Scale 5/9/77) Sliding 12/ Scale 31/76) SIiIing 5 (=/1/76 - Scale - 1/31/77) PUreh::lae tluv Dept. of Social Serices 1 IdILROf ILMEO BY JORM MICR4�LAB CIPAR PANm.. . ofs IOMF private, not- Title 'M (Dept- of for-profit Social Services) private, no (1977 only) LEIA (90'; federal, for-profit Grant til•; Johnson County) Privote, u:ot- Iowa Copt. of Social _ 70: for-profit Ser leas (Starr Foster Care- n", an'! Title X1-=89 Johnson County 30 private, not- Jelnson COL"'ty' lY.ized ,<ay, Churches for-profit h!luiUrlLMLU BY JURM MICROLAB LLUAR MPP AMU L)L %! 1'h Ez.-.-s- ' -ram tic :o is dcrt`Lit'i United Acrion for Youth - 1'.liQ!S::it%- Fees �t bu ld-17 vcars Sli in4 :.i a..d rerCrre:i by Sc;ile ..^.Sa i l'olnt\ Drt::. ➢'JTC SSC c:I Social Sen'ic.- ti: -.: Dcot cf Socal Services yst be approxi- None mately 1S or under 3.) Crisis Intcr'ontion Services !:wa City Crisis �• Center Rape Yicti.-n Advocacy None Prcgra:. - Rape Crisis Center Brithrigh: of Icua Citv Ions Dept. of Social services - Central Child Abuse Registry None None of Jo. Co. 1,65.1 contacts Private, not- Clicnrs Served Ausniccs Funding 2 (2-1-1: - Private, not- (`�77 onh•) 5/1/77) for-profit .."'pt. of Social (1976) ;:-vices - 55; Johnson County - 3S.lt (State Foster Care -39t Iowa City ,lid to and 'title L1 -16S) L E"L\ Grant - 1S; Joimson County - 16% Housing 4 Conwity Iowa City - 12% 166 (7/1/76 - Private, not- (1977-75 only) 12/31/76) for-profit loan City - 564 Johnson County - 1.5t shin fees None Li:�l - 30;. Public and Title 0 State Buy -in - 1.53 for entire state State CC•TA - 5t in 1976) United Way - 65 None 1,65.1 contacts Private, not- Johnson County - 7M (1976) for-profit United Way - 30, None 64 crisis calls Private, not- Univ. of Iowa - 12.21 (1976) for-profit Johnson County - 3S.lt Iowa City ,lid to Agencies - 35.1% Housing 4 Conwity Asst.-Ia. City - 11.4% None 150-200 (1976) Private, not- Donations - Member - for -profit shin fees None Unlmoln (2,000 Public and Title 0 for entire state State in 1976) T. ...t—'I1C0"o[IWED BY I DORM MICRO LAB MAP Paan, , ars mnmrs MiL,sWi ILMEU by DORM 611CROLAb CEDAR RAPIDS AND uL' .4.,ency Eligibility Fees of Jo. Co. Clients Served Auspices eligible J) Support Groups/Other Counseling Resources Women's Resource and Action Sone Center None 200 (9/1/76- Private, not - - Support Groups ana 5/20/77) for-profit Counseling VI Private, not- Parents Without Partners All Single par- $12 S0 UnkT o •• Some local churches and religious organizations Community Pastoral Counseling Service ents are initial MIM .ri ate, pot- for-profit eligible member- ship fee Sone Do not VI Private, not- regular- for-profit ly charge None Sliding 20 (9/21/75 - Private, not - Scale (1/20/76) for-profit S•dlCAor 1LMEO 6Y -.. JORM MICR+LAO CrOAR PAPM, • OCS MOTWr Funding Tlniv. of lowa Federal {fork/ Study %tambership gees Churches Fees Churches