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HomeMy WebLinkAbout1979-05-22 Info PacketMICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES l-, rr City of Iowa Ch MEMORANDUM Date: May 14, 1979 o: Cityouncil rom: City anager Fppr e: School Crossing Guards n the FY80 budget the City Council provided $25,000 for school rossing guards with the understanding that the money would be rovided to the school district to operate the school crossing guard ogram.. The School Board of Directors has been informed by school legal counsel that there is no legal authority for the school district "...to enter into the adult crossing guard business." Since that time I have discussed the matter with the school superintendent who indicates that the school district might be willing to participate financially to some degree in the program but it can neither assume total financial responsibility for the program nor operate the program. If I do not receive contrary instructions from the City Council prior to July 1st, a check in the amount of $25,000 will be sent to the school district for 1 operation of the crossing guard program. From the standpoint of p public relations, it is imperative r this matter be resolved at an early date. Therefore, I will schedule it for discussion at informal session in the next several weeks. In the meantime, if you have any comment, please let me know. cc: David L. Cronin Dale Helling Harvey Miller bdw i i i` IO39 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES 0T) CITY OF IOWA CITY CIVIC CENTER 410 E. WASHINGTON ST IOWA CI FY IOWA 52240 (319) 354.180D May 14, 1979 4. Page 2 subsection 2 -- states the City will follow section 364.15 of the 1977 Code of Iowa. The City can determine no applicability to Freeway 518.and this should be deleted. /046 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Mr. Ian McGillivray, Director Planning and Research Division Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 Re: Johnson County TQFS-518-4(17)-29-52 Agreement No. 79-3-026 Dear Ian: 4' The City staff has had an opportunity to thoroughly review the municipal agreement for Freeway 518 which you provided to us at the meeting of March 22, 1979. As the City Council does not concur with the decision of the Iowa Department of Transportation in relationship to the align- ment of Freeway 518, it would be inappropriate for the City of Iowa City to consider execution of the agreement. However, we do find significant problems in the agreement. These difficulties are detailed as follows: 1. Page 1, 4th paragraph -- The agreement states the frontage road will be 36 feet wide with gravel surfacing. It appears this frontage road may become a cutoff from Highway 6/218 utilizing either Camp Cardinal when it is extended or a county road further west. This frontage road should be hard surfaced to residential street standards. The City does not accept newly constructed gravel streets. All streets must meet City design standards. 2. The agreement states Melrose Avenue will have an island as a median running approximately 1,000 feet east and west of the interchange with Melrose. Will the median be grassed and landscaped in a manner consistent with the existing Melrose Avenue median? 3. The agreement states that Rohret Road will cross over Freeway 518 and that a portion of Rohret Road will be gravel surfacing. This road should be hard surfaced to at least subdivision standards. The City also wants to review the vertical alignment of Rohret Road. 4. Page 2 subsection 2 -- states the City will follow section 364.15 of the 1977 Code of Iowa. The City can determine no applicability to Freeway 518.and this should be deleted. /046 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Mr. Ian McGil("—"ray May 14, 1979 Page 2 5. Page 2 subsection 3 -- This section states that the City agrees that no changes in the physical features of the project will be undertaken or permitted without prior written consent of the department. Since the right-of-way will belong to IDOT it appears that this section is not relevant. 6. Page 2 subsection 4 -- This section states that local traffic will be maintained across this project during the construction period. Does this mean that the State will maintain local traffic? 7. Page 2 subsection 5 -- This subsection should be deleted. The legal implications of a blanket statement of this type are enormous. MICROFILMED BY DORM MICROLAB CEDAR RAPIDS -DES MOVIES 8. Page 2 subsection 6 -- This subsection refers to the Iowa Administrative Code Section 820-(06,P) chapter 1. This is a fairly lengthy section and the portions that are objectionable to the City are stated below: t a. 1.1(1)a -- This states that the City will be responsible for providing without cost to the State all City right-of-way. What does this include and what is the cost to the City? b. 1.1(1)b and c -- This section says that the State will be responsible for the costs of construction of longitudinal and outlet storm sewers made necessary by highway construction in the proportion that the street right-of-way of the primary extension bears to the total drainage area served by the proposed sewer., Section "c" says that the City will be respon- sible for the remainder of costs up to but not exceeding three 'i times the road use tax allocated to the City for the year the expenditures are expected to be made. What does this include and what is the cost to the City? The City should not be requested to bear the costs for this project. C. 1.1(2)c -- This section states that if local service roads are constructed by the State as part of the project upon com- pletion they shall become a part of the City street system. Does this mean that that frontage road made of gravel will become part of the local street system? The City only accepts streets which conform to the City's design standards. d. 1.1(3)d -- This says the City shall be responsible for the energy and maintenance costs of lighting on the main traveled way lanes and on the ramps of an interchange with a cross street. It is the City's understanding that the State is responsible for Freeway lighting. MICROFILMED BY DORM MICROLAB CEDAR RAPIDS -DES MOVIES Mr. lan McGi I`�r, May 14, 1979 Page 3 e. 1.1(3)3 -- The City shall be responsible for the installation, energy and maintenance costs for all lighting on the cross street in advance of and through the interchange. Again, it is the City's understanding that the State is responsible for Freeway lighting. f. 1.1(3)a and b -- These two sections seem to imply that the State will pay for the cost of relocation and removal of utilities existing within the existing street right-of-way which must be moved as part of this freeway project. Is this assumption correct? g. 1.3(4)a -- This says that the State will pay 50% of the cost of construction of overpasses and underpasses for pedestrians, horses and bicycles. The State has made a strong argument that the Freeway will not impede growth. It seems to be inconsistent to require the City to pay 50% of the costs of providing for movement by pedestrians, horses and bicycles. b h. 1.3(6)a and b -- This section says that IDOT will maintain close liaison with the municipality during the development of the project planned so all parties will be fully informed of the details involved in the proposed improvement. It also 1- says that when the plan is sufficiently complete to provide typical cross sections, plan and profile drawings and inci- dental details, the department shall submit to the munici- pality a project agreement for approval of the plan for the project and consenting to the improvement in accordance with the plan. Terms for reimbursement to the State and the local financial participation shall be stated in this agreement. To date the City has not received an agreement like this unless this agreement is in fact intended to comply with this section. 9. Page 2 subsection 7 -- This section should be deleted unless there are itemized expenses which the City agrees to pay. i; 10. Page 2 subsection 8 -- The City may agree to a removal of trees provided a replanting schedule meeting the approval of the City is submitted. 11. Page 2 subsection 9 -- This is covered in the Iowa administrative code. As stated earlier the City would need to know exactly what this section involves before it can be considered further. 12. Page 2 subsection 9, last paragraph -- The City desires a detailed listing of all property transactions prior to considering this section further. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Mr. Ian McGi?'`ray May 14, 1979 Page 4 13. Page 3 subsection 10 -- Generally it would appear this should be a State function. Unless more specifics can be given this section cannot be considered further at this time. 14. Page 3 subsection 12 -- This would seem to be covered by 1.3(3)b of the Iowa administrative code except that it is in direct conflict with a statement in the administrative code. The City does not plan to pay for relocations associated with the project. 15. Page 3 subsection 13 -- Once again the Iowa administrative code has some language about storm sewers. The City does not desire to assume responsibility for storm sewer projects constructed as a result of this project. It should be noted that the City's stormwater management ordinance provides that the ordinance should apply to any governmental project comprising a gross aggregate area of one acre or more. The paved lanes of Freeway 518 comprise over 13 acres of hard surface and the hard surface shoulders comprise an even larger area. The State is an active leader in stormwater detention and in fact f provided funding for a study at Iowa State University which explored the concept of using stormwater detention on highway projects. The State 1 providing stormwater detention for rainfall runoff from this large amount of paved area would be consistent with that effort. Adequate right-of-way is available and detention would require a minimum of i design and construction time and minimal funds to build the detention I areas. r Your consideration of our comments will be greatly appreciated. i Sinc e yyo�urss,,��i1 /�J Neal G. Berlin City Manager cc: Richard Plastino City Council Bennis Kraft jm1/14 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES The University of Iowa RECEIVED MM' t 1 1979 Iowa City, Iowa 52242 II Department of Physics and Astronomy May 11, 1979 (319) 353.4343 E1847 Mr. Neil Berlin City Manager 410 East Washington Iowa City, Iowa 52240 Dear Mr. Berlin: RE: Proposed ordinance to require permits for transportation Of certain radioactive materials I recommend that no action be taken on the recent proposal for a city ordinance requiring permits for transportation of radioactive materials, particularly the materials used in connection with nuclear power plants. None of the radioactive materials explicitly mentioned in the posal are volatile or explosive. In even the worst accident, it is hard to see how anyone could Buffer pro njury as g f a pill of the cargo, although in some cases,laconsiderableaclean-up result owork smight be required. A truck load of uranium metal, which would require a permit, is no more hazardous than a truck load of lumber. There are many common substances that are much more dangerous to transport than the nuclear materials, for example, gasoline ammonia, and propane. A two gram piece of plutonium metal, abo would reut the size of an aspirin tablet, quire a permit for transport. If I were carrying it, I would put it in a small bottle so that it would not get lost, the bottle in my pocket. No siand carry gnificant amount of radiation would get through the wall of the bottle. The hazards of plutonium have been grossly exaggerated. It is often claimed that one pound of plutonium dispersed uniformly over the earth would kill everybody. A piece of plutonium metal Is about as easy to disperse as a copper bar. However, during the bomb tests, over 10,000 pounds of plutonium were dispersed uniformly over the earth without any obvious harm. I wonder about the motivation behind the proposal. The most opti- mistic guess is that the authors of it meant well but just did not do their home work. However it seems more likely that they are trying to enlist the help of the city in making life more difficult for the power companies. It is even possible that they hope the permit process would allow them to learn about shipments of nuclear materials. There are people who would like to have such information for planning demonstra- tions or sabotage. A permit issued in Iowa City could mean that a police excort would be necessary for the entire path of the shipment Sincerely yours, / nLr ' Edwin Norbeck Professor of Physics l0gJ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101tiES a i OF TRgN.o� (OWA f""1 DECEIVED MAY 1 5 1979 HIGHWAY DIVISION Iowa City Construction Residency Post Office Box 429 1910 S. Riverside Drive Iowa City, Iowa 52240 May 14, 1979 (319) 354-1093 The Honorable Robert A. Vevera Mayor City Center Iowa City, IA 52240 REI No. Johnson County FN -6-7(17)--21-52 Johnson County RE; Bridge Floor Repair on US 6 within the City of Iowa City Dear Mayor Vevera: This is to advise that the construction activities on the above referenced bridge repair project on US 6 over the Iowa River is tentatively scheduled to begin on June 1, 1979. The pro- ject is scheduled for completion in 25 working days. Traffic will be restricted one lane in each direction through the work area on the bridge. If you have any questions concerning the project, please feel free to contact this office. Sincerely yours, Richard E. Kautz, P.E. Resident Construction Engineer REK:mlb cc: L.C. Balcom, P.E., Iowa D.O.T. District Construction Engineer Records Center COMMISSIONERS JULES M. BUSIER BARBARA DUNN DONALD K. GARDNER WILLIAM F. MLGMTN SIO.. CII, 0.n Moine+ Ceder RAO'de Malroee MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES NOIIIES l I' ,• I T. t 1 i 1 I •. 1 ROBERT RIGLER ALLAN THOMS BRUCE N, VAN GRUFF New Haw,., OuEapee Red DAL MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES NOIIIES ray The University of Iowa) Iowa CIty, Iowa 52242 OIBce of the President Mayor Robert A. Vevera City of Iowa City Civic Center Iowa City, IA 52290 Dear Mayor Vevera: RFr�ivF^'MW 91979 11W May 7, 1979 I am in receipt of your letter of March 29, 1979, and apologize for the delayed response. I have asked Mr. Bezanson and ent Phillips of my office to inquire into the University's Present parking policies and their relation, if any, to the Problems created by on -street parking in the central area of Iowa City. I am informed that while many of the University storage and commuter lots are presently filled, some are not, and future plans for an arena may have a positive impact on University parking. Mr. Bezanson has also indicated that the extent to which student commuter parking, on the one hand, and resident parking, on the other hand, are contributing to the problem is uncertain. Mr. Bezanson and Ms. Phillips have expressed a willingness to discuss these matters with you in order better to define the problems and any potential solutions. I to contact you at their earliest convenienceave asked them Sin*rely, L. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140It1E5 City of Iowa Cite' MEMORANDUM DATE: May 18, 1979 TO: City Councilmembers City Manager FROM: Abbie Stolfus, City Clerk RE: Appointment of Acting City Clerk I have been planning to attend the M.F.O.A. conference and workshops in Detroit, June 4th thru 8th. Even though I have hired a Deputy City Clerk, Marian Karr, she will not have enough training to be in charge while I am gone. Linda Schreiber has agreed to fill in for me, part- time, on those days, especially for the two Council meetings, if Council is willing. I have part-time funding in my budget to cover. . Atty. Hayek advises that at the meeting on May 29th, Council could appoint Linda as Acting City Clerk for the necessary time period. She will be able to attest the Mayor's signature and take minutes at both informal and formal meetings. May I add this item to the agenda for the 29th? G� MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MONIES 104q ",,City of Iowa Cite MEMORANDUM Date: May 17, 1979 To: City Manager and City Council From: Michael Kucharzak Re: Placard Notice Language The City Manager requested a memo clarifying the language used in the placard notice. The following sections of the Housing Occupancy and Maintenance Code form the basis of the language of the placard: 9.30.11. A. Unfit for Habitation. Any dwelling, dwelling units, or rooming unit which shall be found to have any of the fol- lowing defects shall be condemned as unfit for human habita- tion and shall be so designated and placarded by the housing inspector; 1. One which is so damaged, decayed, delapidated, unsanitary, unsafe, or vermin infested that it creates a serious hazard to the health or safety of the occupants or of the public. 2. One which lacks light, ventilation, or sanitation facil- ities adequate to protect the health or safety of the occupants or of the public. 3. One which, because of its general conditions or location, is unsanitary or otherwise dangerous to the health or safety of the occupants or of the public. B. Condemnation Procedures. The Housing Inspector shall leave a reasonable period of time, but not more than six (6) months between the time he placards the property and the time he begins condemnation proceedings if remedial action is not taken to correct the situation for which the dwelling was placarded. C. Vacate Condemned Dwelling. Any dwelling or any portion thereof condemned as unfit for human habitation and so designated and placarded by the Housing Inspector shall be vacated immediately or as ordered by the Housing Inspector. D. To Reoccupy Condemned Dwelling. No dwelling or portion thereof which has been condemned and placarded as unfit for human habitation shall again be used for human habitation until written approval.is secured from, and such placard is removed loafs' MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES fd OIMES z MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101NES by, the Housing Inspector. The Housing Inspector shall remove such placard whenever the defect or defects upon which the condemnation and placarding action were based have been eliminated. E. Removal of Placard Prohibited. No person shall deface or remove the placard from any dwelling, dwelling unit, or rooming unit which has been condemned as unfit for human habitation and placarded as such, except as provided in subsection 9.30.11.D. With the above sections of the code in mind the staff has developed a placard which states: Official Notice. Notice is hereby given that these premises are declared unsafe or unfit for human occupancy under Section 9.30 of the Municipal Code of the City of Iowa City, Iowa, or Section 4.13 of the State Code of Iowa. It is unlawful for any person to continue to occupy or use these premises under penalty of the law as provided for in the said above section. Any person guilty of violation of the above shall be subject to a fine of $100 or imprisonment for thirty days or both. Any unauthorized person who removes or defaces this notice will be prosecuted as provided by law. DEPARTMENT OFFICIAL The staff feels that the intent and letter of the law have been met by providing sufficient language in the placard to notify the occupants and all who may come by building deemed unsafe or unfit that such action has been taken and that the code does indicate that it is up to the occupants to vacate the building. If the occupants fail to vacate the building in a timely manner, and we allow ten days for either the4tenants to vacate on their own or for the owner or operator to vacate the building, the City will then initiate vacation procedures and allow twenty days for the building to become vacated. The overriding philosophy of the code is to always allow the tenants first to initiate the vacation action followed by the owner to vacate the premises and finally the City steps in and orders the vacation of the premises when the above has not taken place. To date we have not had to go to court on holding over of tenants' placarded properties. The staff feels the code has been properly followed and there is no need for change in the placarding procedures. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101NES I I I City of Iowa CK, MEMORANDUM Date: May 16, 1979 To: Senior Center Commission Members From: Bette Meisel, Program Development Specialist Re: Senior Center Commission Meeting SENIOR CENTER COMMISSION MAY 24, 1979 - 7:30 PM CITY MANAGER'S CONFERENCE ROOM AGENDA I. Meeting to Order and Roll Call 2. Approval of Minutes 3. Public Discussion 4. Report on meeting with City Council - City Manager 5. Comments regarding Senior Center's space allocation - Cora Pollock and Mary Rock 6. Discussion of Senior Center kitchen size and equipment - John Pfiffner 7. Decision concerning purchase of equipment using State senior center funds B. Adoption of by-laws 9. Adjournment bc3/10 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES /04& r—, AGENDA IOWA CITY CIVIL SERVICE COMMISSION i THE IOWA CITY CIVIL SERVICE COMMISSION WILL MEET MONDAY, MAY 21, y'oo I 1979 AT 8-60 A.M., IN THE CITY MANAGER'S CONFERENCE ROOM. 1 i a AGENDA ITEMS 1. INTERVIEW APPLICANTS FOR POSITION OF POLICE SERGEANT. /o4/ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 11011JES I MINUTES OF STAFF MEETING May 9, 1979 Departmental referrals from the informal and formal Council meetings of May 7 and 8 were distributed to the staff (copy attached). Items for next week's agenda include: Resolution for annual contributions contract Two disbursement lists Appointments to the Housing Commission and Committee on Community Needs The staff was requested to give some thought to developing a mechanism for coordi- nating projects and planning. Any ideas should be submitted to the City Manager. Patricia Brown, Director of Human Relations, briefly discussed the reorganization of the Human Relations Department. Each person in the department has been assigned an area of activity. Some of the major changes are that Sophie Zukrowski will no longer be handling personnel actions. She will concentrate on affirmative action compliance, civil rights, etc, She will be putting together a manual for staff use. Kay Allen will be handling the recruitment aspects of personnel and will be responsible for reference checks, Departments were requested not to check any references from applicants but to let the Human Relations Department handle this exclusively. Kay will also be in charge of employee orientation. June Higdon will be handling all personnel actions, employee benefits, employee assistance program, wage And salary administration. Another new area will be employee training and deyelopment. The Director will be responsible for this area. The Human Relations Department will no longer interview applicants but will train personnel from the departments to do their own interviewing. The Human Relations Department will also present a seminar on arbitration. Prepared by: �p.n/r. cu„tic. �Gta�.tJ. Lorraine Saeger MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Rggular Council Meeting May-8—,'1979 DEPARTMENT REFERRALS W SUBJECT DATE REFERRED DATE RECD TO DUE P COMMENTS/STATUS i W w Q Housing Code 5-8 H&IS/ Address possible exceptions to State Legal Code re. window area on time for com- pliance as related to Black's Gaslight State Code result from placement^` a structure on the Historical Regiv'. Mike K. to address Council re. H&IS 11 light Village. Mike to include in 5-11-79 packet a complete history of the "Village" i Black's Gaslight Village 5-8 HUS to include zoning, inspections, code Housing Board of Appeals 5-8 City Attny5-14 11t. etc. What was status of Board at time of hearing Black's appeal? Was there a lawful quorum? Alley Design Standards 5=i I City Mgr. Schedule for informal discussion after materials are received. N'^ fy Mace Braverman of time and date.`-' Pentacrest Garden Apartments When will planting be done. Advise City Manager. 5-8 P&PD i Send letter to Old Capitol Associates Old Capitol Mall - transfer of interest 5-8g City Mr. advising of contingencies included in t Council's approval of transfer. Rental Permit Fees 5-8 HUS r o oMunce re. ow is —n -c s ti-building complexes. Is $25 fee for each building? MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES I Imfarzsl Council Meeting May 7, 1979 DEPARTMENT REFERRALS MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES UJ UJ SUBJECT DATE RECD REFERRED TO DATE DUE Q W W Q COMMENTS/STATUS Clarify for Council the "liabilities" Heat Loss Identification Project 5-7 Energy Coord suggested re. changing the project procedure. Neuzil TractCity 5-7 City Mgr/ Legal Attorney to write letter to 11niv Heights. City Mgr. to meet with (". -'y Attorney and Jack Neuzil. Intersection - Washington and Capitol 5-7 p&pp _FF rovide Council with sketches showing grade problems for 5-11-79 packet. Burkle Building y g 5-7 H&IS/ Legal Discuss informally with Council on 5-14-79 the State housing standards, etc. as applied in this case. Would inclusion of solar collectors and Senior Center 5-7 P&PD system require a change in the archi- tect's contract? Report to City Mgr. Sunday opening of bars to minors 5-7 Legal 9 Draft ordinance or amendment re. restrictions of hours and age 1V s for patrons. i MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES NEWSLETTER for Lower Ralston Creek Neighborhood STATUS OF SMALL CITIES PROGRAM Iowa City has been informed by the Department of Housing and Urban Development that its preapplication for Small Cities Comprehensive Grant has been approved. This means that Iowa City may now submit its final application to HUD. Staff is now preparing the full application for a June 11, 1979 submission date. Providing that the full application is acceptable, Iowa City should receive HUD approval for its Small Cities Comprehensive Grant by October, 1979. If you would like to review the project, it is described in the City's preapplication, copies of which are available at the City Clerk's office and the Public Library. ENVIRONMENTAL REVIEW PROCESS To comply with the National Environmental Policy Act of 1969, and the Community Development Act of 1974, Iowa City must complete an environmental review of the Lower Ralston Creek Neighborhood Revitalization Program before HUD will release funds to the City. The environmental review process includes an environmental assessment and, where environmental impacts are significant, an environmental impact statement. An environmental assessment identifies and discusses the potential environmental impact of the project, alternatives to the project, and methods for reducing adverse impacts. It also determines the degree of significance of the impacts. The result of an assessment is a determination as to whether an environmental impact statement (EIS) is required. An EIS is a detailed study of the environmental impacts of a project, alternatives to it, and methods for reducing adverse impacts. The City Department of Planning and Program Development is in the process of preparing the environmental assessment. Among the project's impacts being studied are the soil composition, types of vegetation and wildlife present and how they may be affected by the project, and any impacts, positive or negative, upon the social and aesthetic environment of the Lower Ralston Creek neighborhood. If a full environmental impact statement is required, funding for the project could be somewhat delayed. A full EIS requires substantially more time than an assessment, and preliminary indications are that the Lower Ralston Creek Improvement Program will require an EIS. Public comment will be invited at specific intervals during the environmental review process. Watch this newsletter and the Press - Citizen for information concerning public comment and pub it c hearings on the environmental issues of the project. /0q-9 lrncuojILWO o• JORM MICROLAB CITIZEN INFO AND INPUT As part of the Small Cities Program every effort will be made to keep the residents of the Lower Ralston Creek Neighborhood informed of the project's progress, and to provide the opportunity for giving the City staff comments and suggestions on how the project should be carried out. This effort is known as the citizen participation process. Some of you may have become aware of the citizen participation process as it has been carried out for the entire Community Development Block Grant (CDBG) area (which includes most of central Iowa City). One of the major opportunities for input given the residents under this program has been through the Committee on Community Needs. The Committee on Community Needs (CCN) The Committee on Community Needs is a ,.itizens' committee which is appointed by the City Council for the purpose of receiving citizen input, reviewing proposed plans and making recommendations to the City Council. Since the Small Cities Project will be the major CDBG program being carried out in the next three years, the residents are strongly encouraged to apply for any openings on CCN which come up. Currently Ron Johnson is the Lower Ralston Creek Neighborhood representative to CCN. The next opening on CCN comes up in July. If you are interested in participating or want more information, you can contact Bruce Knight in the Department of Planning and Program Development, or apply at the City Clerk's office in the Civic Center. As other openings on the CCN come up, you will be notified in this newsletter. Public Hearings In order to gain further input from you we will be holding two public hearings on the full application for the Small Cities Grant before it is submitted to HUD. The first hearing will be held May 22 during the City Council meeting. The purpose of this hearing will be to discuss the Housing Assistance Plan. The second public hearing will be held May 29 during the City Council meeting. The purpose of this hearing is to discuss the full application and the proposals which are made in it. Other public hearings will be held on any amendments or changes which are made in the program. Information Further information will be available to the residents of the Lower Ralston Creek Neighborhood through the following sources: 1. The Lower Ralston Creek Neighborhood Newsletter will be sent to the residents on a reqular basis. The purpose of this newsletter is to keep you informed on the progress of the Small Cities Project, as well as provide you with any other information which is relative to this project. All information on the Small Cities Project is on file in the Department of Planning and Program Development, and is accessible to the public. 3. Special neighborhood meetings will be held at regular intervals in order to further inform you of the project's progress; and to give you the opportunity to ask questions and make comments. "ICROFLME O e. JORM MICROLAB Timetable The following timetable will be used to carry out the Small Cities Project: *January 1979 - Preapplication submitted to HUD (Federal Department of Housing and Urban Development). *April 1979 - Notification of selected applicants. May 22, 1979 - Public hearing N1, on the Housing Assistance Plan. May 29, 1979 - Public hearing N2, on the full application. June 1979 - Full application submitted to HUD. August 1979 - Notification of grant awards. October 1979 - Program begins. December 1979 - Program environmental impacts report will be analyzed by citizens and City Council. March 1980 - Begin acquisition process. May 1980 - Begin ty owner rinvolvedl discussions with each properor rente August 1981 - Begin demolition and clearance. July 1981 - Begin Ralston Creek Improvement. March 1982 - Technical assistance to residences in need of structural improvement and rehabilitation. June 1982 - Sale of vacant improved properties. September 1982 - Program ends. *These steps have already been completed. Items to Watch For In the months to come, the Lower Ralston Creek Newsletter will be giving you information about stages of the Small Cities Project which may affect you. The following subjects will be covered soon: -Relocation, how it affects you and what your rights are; -Acquisition, and how it will be carried out; and -The land sale and disposition process. uestions7 If you have any questions about the Small Cities Program and how you will be affected, please feel free to call 354-1800 and ask for Bruce Knight, extension 317, or Mike Flaherty, extension 324, of the Department of Planning and Program Development. b11CRanu4ED 8. JORM MICROLAB L johnson county e;,% �% - regional planning commission E C, 22%2 south dubuque street. May B, 1979 iowo Cdy, iowo 52240 13191351 c55o r;.' . va"01 GL612 Asyi 03A13038 MEMORANDUM T0: Dennis Kraft/-" /, I /�!-�yj• FROM: Emil Brandt RE: Fulfillment of Human Services Contract with Iowa City This is to confirm that the work elements of the contract agreement be- tween the City of Iowa City and the Johnson County Regional Planning Commission to complete a Human Needs Study to provide information on human services and human service needs in Johnson County for inclusion as part of Iowa City's comprehensive Plan have been completed in full. A listing of tasks -to be accomplished, as stipulated in the contract, is shown in (A) below.. Information on completion of .these tasks app ears in italics. An outline of work products stipulated in the contract is shown in (B) below. Information on completion of these appears in italics. A listing of work completed by the Human Services Project which was not included as part of .the contract agreement is shown in (C) below. A. Tasks to be Accomplished under the Contract 1. Establish an advisory committee to review the progress of re- search and data gathering; to provide advice in identifying resources .and resource deficiencies; and to help develop an ongoing planning and coordinating process for human. services in Johnson County. ' A Human Services Committee was created in early 1977 to•provide overall ,policy advice for the Human Services Project. This committee has functioned most actively through subconmr ttees chosen with regard to the various areas designated for study. It is. composed of approximately 35 members incZuding: re- presentatives of local funding bodies, human service agency staff and board members, consumers of services and informed citizens, and representatives from the University of / MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101NES Io 60 2) 2. Collect data on services in the following areas: a) Family and Individual Support and Maintenance; b) Emergency Income and Material Support; c) Mental Health/Chemical Dependency; d) Pub- lic Protection and Justice. Data will explain services currently - available or planned for the near future. Data on services in the above four areas was collected during the course of the Project. Members of subcommittees created for each of the four areas assisted in identifying service and data resources. Basic data collection was completed for areas b), c), and dl during 1977 and for area a) during 1978 and early 1979. 3. Complete a needs analysis of Iowa City residents for human ser- vices in the above four priority areas, noting human resource and service deficiencies, using previous research where possible - and also using the Citizen Participation process done by the City of Iowa City; techniques to be used should be to the extent of available resources. i; `4 A needs analysis was done in the four priority areas through ' various questionnaires developed mostly p y for service providers but involving some consumers; through interviews with providers and knowledgeable persons; through meetings with providers and other resource persons. A section on human needs and services was developed for and included in the Citizen Survey done by Iowa City, and the results of this were utilized where applicable. Several previous surveys and studies were used in determining needs and recommendations. ' 4. Design an ongoing planning and coordination process for human services which could be adopted and implemented. s<' A proposal for an onging planning and coordination process for human services was developed during November of 1978, based on' previous human service study findings. Community human service agencies and local policymakers were provided the opportunity. to provide input and comments on this proposal. B. Work Products Peouired under the Contract ' Copies of all work products mentioned below have been forwarded, as requested, to Iowa City and copies are on file at JCRPC as well.* ,... 1. Work program for tasks to be accomplished, personnel allocations, and time periods required to accomplish work to he submitted by June 1, 1977. Work program developed and submitted as required; work program amended due to staff turnover and related unforeseeable delays. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOIMCS 3) FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES t101RES 2. Monthly reports on costs incurred, progress in work program, and deficiencies in work program to be submitted by the first of each month under the contract. Monthly reports submitted to Director of Iowa City Department of Planning and Program Development (Community Development) on or shortly after the first month for all months of contract, be- ginning April 1, 1977 and ending April 1, 1979. 3. Data summaries on current level of service provided in the four priority areas, raw data to be maintained at JCRPC and available to Iowa City upon request. Data summaries, to the extent that data has been obtainable, are included in the 14 human service profiles completed by the Project. Raw data is being maintained at JCRPC. 4. Written report on human resources available in priority areas submitted to City of Iowa City. Fourteen human service profiles completed by the Human Services Project for the four designated priority areas, as follows: Mental NeaZth/ChemicaZ Dependency completed 11/77 - Counseling c Mental Health - Substance Abuse i E}nergencu Income and Material Support completed 11/77 - Emergency Assistance to Residents - Onergency Assistance to Transients Public Protection and Justicecompleted 11/77 - Juvenile Justice - Adult Corrections. - Protection of the Elderly Family and IndividuaZ'Support and Maintenance - Developmental and Acquired Disabilities - Nursing Homes completed I2178 - Child Care - In -Home Support Services - Fcmrilies in Stress: Child Abuse and Foster Care completed 3/79 - Family Planning 50 copies of each report submitted to City of Iowa City for distri- bution. The last three reports, completed 3/79 are still in the process of being printed and will be submitted upon completion of printing. FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES t101RES 5 V � 4) 5. Written proposal for an ongoing human services planning and co- ordination process which could be adopted and implemented sub- mitted to City of Iowa City. Proposal for an ongoing planning and coordination process de- veZoped in November, 1978 by Program Development Subcomittee of the Project submitted to Iowa City, Johnson County, and United Way. Original proposal was scaled down after input from representatives of these three bodies and revised version sub- mitted in February, 1979. work Completed by Project in Addition to That Contracted 1. Update of Johnson County Services Index The Index has been updated twice during the course of the Pro- ject. The last update involved entering information contained in the Index on computer (ATS) memory for ease in future updat- ing; this was completed during the summer of 1978, with the up- dated Index made available to agencies and other interested per- sons in winter of that year. 2. Spin -Off Directories from Services Index A Law Enforcement Officers' Referral Manual was developed and distributed to police officers in'Iowa City and Coralville and to Johnson County law enforcement officers in the summer and fall of 1977. ' A directory on services for Johnson County young people was developed, compiled by several Iowa City high school and junior high school students, and distributed to students in the Iowa City, bone Tree, Solon, and Clear Creek Community School Districts in the fall of 1978. 3. Greater Distribution of Human Services Profiles Human service profiles completed by the Project (see B.4 above) were disseminated to appropriate human service agencies; local state, and federal policymakers; and other persons working in the various areas dealt in the -profiles. Information has. been made available to the public by placing copies in the Iowa City and University of Iowa libraries and through the media. - . MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 5) 4. Joint Budget Form for Iowa Cit Johnson County, , United Way A human services budget form and instruction manual were de- veloped for use in conjunction with joint funding hearings to be held for human service funding requests for 1980 (United Way) and Fy '81 (Iowa City, Johnson County), with input from the three funding bodies. 5. Two workshops were held in 1978 in conjunction with Iowa City to provide human service agencies with general infor- mation on how to set more meaningful and measurable goals and objectives for their programs. A pilot project to assist four agencies in Johnson County with setting more meaningful and measurable goals and ob- jectives for their programswas conducted during the winter of 1978-79. A report on the project has been written -to provide a guideline for future such work with agencies. 6. Problem -so lvin and Coordinative Intera enc Meetin s The following coordinative, problem -solving meetings between >. agencies representatives and other interested persons have been initiated or facilitated by the Human Services Project during 1977, 1978 and 1979. - To explore means to continue services to transients in ^I - 1978, after Wesley House discontinued its transient housing program. Participation in meetings to negotiate Project HOPE ex- pansion of service ce t o include pre- and post -institutional . services for men. With representatives of law enforcement agencies, to make them aware of recommended actions in the Justice area. Between representatives of youth -serving agencies, to find ways to implement some of the profile recommenda- tions; in the Juvenile Justice area and to discuss cormnon problems and concerns. Between substance abuse counseling agencies and public education representatives, to discuss the need for pro- grams of substance abuse prevention for youth. ' - Between those involved in programs for senior citizens, to discuss protective legislation and needs for program- ming for the elderly. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES tdoltIES I - separate meetings held between nursing home providers, some providers of services to handicapped individuals, in-home support service providers, child care providers, and family planning providers to discuss common problems and concerns. S , Pam Ramser and I will be discussing our fulfillment pf the contract with the Council at its informal session on Monday, May h. If you have any z questions or need further information, please let me know. I; ?i MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES N r ® Johnson county ® regional planning commission 91122%2 south dubuque street iowc city. Iowa 52240 (319)351.8556 May 15, 1979 MEMORANDUM TO: Iowa City City Council Iowa City Staff FROM: Carol Spaziani, Chair - Human Services Committee Pam Ramser, Project Director Mary C. Neuhauser ac•wmn Emil L Bronot Attached please find copies of the most recently printed human service profile. reports: In -Home Support Services and Families .. in,Stress .(formerly.referred to as Neglected/Displaced Children). Copies of the profiles are being sent also to other local and state policy makers and to relevant human service agencies and citizen groups. These reports are twelfth and thirteenth in the series of profiles completed by the Human Services Project. A final profile, on Family Planning, will be forwarded to you upon completion of print- ing. los/ PIICROFILMED BY JORM MICROLAB CEDAR RAPID% -WC rlDlllrS A ,_City of Iowa Clt!�. MEMORANDUM Date: May 17, 1979 To: Neal Berlin From: Dick Plastin Re: Garbage Coll Two changes are coming up in garbage collection. 1. On or about June 1 we will be sending letters to all properties larger than a four-plex advising them to convert to private service. Others forced to convert to private service will include all rooming houses with nine or more occupants, all businesses being run out of homes if there is advertising on the property and all not for profit enterprises such as churches, clinics, etc. There are about 150 to 200 of these properties and they will be asked to convert to private service. You can anticipate hearing from some of them. 2. On July 1, 1979, the City will start charging $2.00 per month for each dwelling unit. This comes to $24 a year. Everyone gets billed six times during the year from July 1, 1975 to June 30, 1980, therefore the bill will be $4 every two months per dwelling unit. Garbage service charges for a one to four-plexe will have to be mandatory, that is all properties of this size will have to pay the garbage collection charge. An ordinance change will presented for your consideration in the near future codifying this. We are going to leave it optional whether people want to take our service even though they have to pay for it. Logically they would take our service but there are a few residents who, for one reason or another, insist on the right to contract with a private hauler even though they know they still have to pay the City charge. In summary, there are two changes coming up. The first one will be June 1 and will cut off all units larger than a four-plex. The second change will be July 1 when the City starts charging. Letters will go to each affected property on the first change. The second change will be publicized by handing out approximately 12,000-15,000 brochures. A brochure will be given to every property in Iowa City. If there are any questions at all, please bring them up now. We wi11 be going through a rather difficult period the next two months. The City is making a change and change is difficult, particularly when it involves money. cc: Street Sanitation Division Rosemary Vitosh Bob Bowlin lo5a MICROFILMED BY JORM MICROLAB CEDAR RAPIDs•DES Mo1nEs families in stress: child abuse & foster care This is the twelfth In a series of human services studies Prepared by Johnson County Regional Planning Commission Iowa City. Iowa MICROFILMED BY JORM MICROLAB CEDAR RAPIOS•OCs •101ri[s 1051 t ! a.f4 F I 14 �q HUMAN SERVICES STUDY Report on FAMILIES IN STRESS: CHILD ABUSE AND FOSTER CARE March, 1979 Prepared by;. Family and Individual Life Services Subcommittee B Elizabeth Bunge James Harris Faith Knowler Ronald Larson David Schutt Florence Spaine Human Services Staff Marianne Salcetti Pamela Ramser Larry Allen Human Services Project Johnson County Regional Planning Commission 22� South Dubuque Street Iowa City, Iowa 52240 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IIOINES ACKNOWLEDGEMENTS The preparation of this report would not have been possible without the involvement and support of the Family and Indi- vidual Life Services Subcommittee members. The talent, time, and energy contributed by them were invaluable to the success of the project. Appreciation is also due to the many human service agencies, organizations, and concerned individuals in Johnson County who contributed their knowledge and time to the project and supported us in our planning effort. Finally, we thank the Regional Planning staff for effort and support above and beyond the call of duty, which enabled us to complete the report you are about to read. STAFF PARTICIPANTS Emil Brandt Pamela Ramser Marianne Salcetti Bernice Weinberger Larry Allen David Chancey Frances Blommers Terri Maddix Judith Waterman Executive Director Project Director Planning Assistant Planning Assistant Planning Assistant Research Assistant Secretary Secretary Graphics This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Comprehensive Planning Program. It was funded in part through a contract with Iowa City from the City's Com- munity Block Grant allocation. MICROFILMED BY DORM MICROLAB CEDAR RAPIDS -DES rfOINEs -s I � ..l i -I .14 h' e.f Johnson County (5) John Dane Charles Duffy Joseph Marak Donald Sehr J. Patrick White City of Iowa City (9) Carol deProsse Dorothy Douglass James Harris Letha Lovelace Mary Neuhauser David Perret Glenn Roberts Isabel'Turner Alan Vestal City of Coralville (3) James Cole William Stewart Lee Strottmann JOHNSON COUNTY REGIONAL PLANNING COMMISSION COMMISSION MEMBERSHIP City of Hills (1) Larry Culver .City of North Liberty (1) David Roberts City of Oxford (1) Donald Saxton City of Shueyville (1) Jerry Cisar City of Solon (1) Harry Kral City o`her (1) Ron Saddoris HUMAN SERVICES COMMITTEE City of University Heights (1) James Stehbens University of Iowa (1) Richard Gibson Citizens Advisory Committee (1) Herbert Jordan Carol Spaziani, Chair Jeannie Williams Doris Bridgeman Betty Bunge Russell Proffitt Katherine Kruse Gladys Benz Carol Fracassini Rodger Darnell William Eckhardt David Schuldt Nicholas J. Karagan Faith Knowler Jeanette Carter Paul Sandin David Schutt James Harris Rex Honey Mike Townsend Margaret Stephenson Lorada Cilek Florence Spaine Lori Springer Kathy Kelly Susan Simon Benny Leonard Nancy Warner Roald Rolfson Mardi Cooper Al Colston Andy Anderson Verne Kelley Andy Burton Lee Graham Cameron Michael Rose MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140IliES 7 J I I 17 .J TABLE OF CONTENTS Preface . . . . . . . . . , , Section 1 Child Abuse GOAL . . . . . . . SERVICE AREA DESCRIPTION . . . . . . . . . . . . . . . . . . . . . 1 PROBLEM DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . 2 Child Abuse Injuries in Iowa in 1977 . . . . , Family Stress Factors . . 5 . . . . . . . . .. • . Johnson County . . . . . . . 6 . . . . . . . . . . . . The Abusive Parent . . . . 6 6 . . . . . . . . The Abused Child . . . . . . • . • • , , , , • The Child Abuse Incident . . • 9 . . . . . . . . Cultural Values and Reporting Neglect 10 . . . . . . . . . . . 11 SERVICES PROVIDED/POPULATION SERVED . . . . . . . . . . . . . . . . 13 Child Abuse Information Registry . . . . . . . . Survey of Local Network of Child Abuse Reporting . 13 . . . . . Investigating Reports of Child Abuse . . 14 . . . . . Protective Service Workers . 15 . . . . . . . . . . . . Area Agencies Providing Services for Families in Stress . 16 . . 17 UNMET NEEDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Section 2 Foster Care GOAL . . . . . . . SERVICE AREA DESCRIPTION PROBLEM DESCRIPTION . . Iowa Foster Children Study . . . . . . . . . 35 Effectiveness of Foster Care System . . . . . . . SERVICES PROVIDED/POPULATION SERVED . Foster Care Payment Rates . . . 91 Specialized Foster Family Programs . . . . .42 Foster Parent Association • . • . FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I4011JES l GroupHomes . . . . . . . . . . . . . . . . . . . . . . . . . 43 Emergency Shelter . . . . . . . . . . . . . . . . . . . . . . 43 - District 10 Treatment Team . . . . . . . . . . . . . . . . . 44 Family Assistance Specialist Team (FAST) . . . . . . . . . . 44 Family and Child Training (FACT) . . . . . . . . . . . . . . 45 Families. Inc . . . . . . . . . . . . . . . . . . . . . . . . 45 Independent Living . . . . . . . . . . . . . . . . . . . . . 46 -. The National Clearinghouse for Home-Based Services 1 to Children . . . . . . . . . . . . . . . . . . . . . . . . 46 I UNMET NEEDS . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 -� RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . 53 GENERAL RECOMMENDATIONS 55 1 APPENDICES w APPENDIX A - Local Survey Respondents to Child Abuse Questionnaire hi APPENDIX B Questionnaire on Child Abuse Programs and Reporting Vi I � APPENDIX C - Questionnaire for Foster Parents f e,} I ei iI Mi 1 r+t 1 I � MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•^C. NnINES Preface I. BACKGROUND OF THE PROGRAM 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 Program. The program will provide input into the Iowa City Comprehensive Plan in the human service area and will provide guid- ance to other policy-making groups in the community on future directions 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 con- tract with the City of Iowa City. The balance of the funding is being pro- vided 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 determine 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 the Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, repre- senting United Way of Johnson County; Emil Brandt and Isabel Turner, represent- ing the Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Planning Commission Executive Director, and Mary McCue, Research Assistant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Ms. Echternach resigned in December, 1977, and Sally Baldus served as Project Director from January through July of 1978. Pamela Ramser replaced her in August, 1978 and is the current director of the program. 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 35 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 agencies; 9) consumers of services and informed citizens; and 5) representatives of the University of Iowa. _i_ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES under study. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES w II. GOAL AND OBJECTIVES OF THE PROGRAM ' The goal and objectives of the human service planning program, as recommended by the Steering Committee and adopted by the Regional Planning ' Commission, are: w 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 c, y transportation. Objectives: 1. To supply data about existing programs and agencies. sl 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 y 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 coordination of human services, to include a way for keeping information on services and needs current and available. Because the area of human services encompasses a variety of resources, - priority areas needed to be set. The Steering Committee used the following criteria in selecting the priority areas for the first two years of the pro- ject: 1) the programs in each area 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 feeling 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 subcommittees established to deal with the four major areas under study. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES III. ORGANIZATION OF THE PROGRAM ORGANIZATIONAL CHART I Iowa City (1) 1 Johnson County Regional Planning Commission (2)I Human Services Planning Staff (3) Human Services Committee (4) Steering Committee (5) Family & Individual Emergency Life Services (6a) Assistance (6c) Mental Health/ Public Protection 6 Chemical Dependency (6b) Justice (6d) Program Development (6e) 1) Iowa City: Contracts with the Regional Planning Commission for Human Service'Planning. They receive reports, conclusions and recommendations and regarding programm- ing and funding for human 'services 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 Serv?ces Planning Staff: Guides and directs the study, prepares materials for committees, conducts research and data analysis, prepares reports, arranges meetings and carried out reporting requirements. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IdOFNEs 4) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the subcommittees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan development in specific service areas to subcommittees. 5) Steering Committee: Coordinates the work of the subcommittees, consolidates subcommittee re- ports, recommends joint efforts between subcommittees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Subcommittees: Prepare work plans for individual service areas, provides information on data that is available, data that is needed, and appropriate ways of collecting data. Identify existing resources, provide information on how the service delivery System works, and identify knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recom- mendations for service areas. Those subcommittees which published reports in 1977 (see below) have also worked to help inplement some of the recommendations made in those reports. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support services, adult day care, rehabilitation, home management/functional education, family plann- ing, and alternative living arrangements. Has been divided into two'groups (A and B) for the second year of the program. Group A has studied the areas Of Disabilities, Nursing Homes, and In -Home Support Services; Group B has studied the areas of Child Care, Neglected/Displaced Children, and Family Planning. Reports to be issued between December, 1978 and March, 1979. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, individual, and group counseling programs. Issued reports on Counseling, Mental Health, and Substance Abuse in November, 1977% 6c) Emergency Assistance: Includes short term assistance with food, shelter, transportation, medical care and jobs for transients and permanent residents in crisis situations. Issued reports on Emergency Assistance to Residents and Emergency Assistance to Transients in November, 1977. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, and exploitation. Issued reports on Juvenile Justice, Adult Corrections, and Protection of the Elderly in November, 1977. -iv- MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 11016Es 6e) Program Development: Includes development of a program proposal for a human services support network to begin in July, 1979 (after the termination of this phase of the Human Services Planning Program), study of information and referral services, and other activities to make the delivery of services in John- son County more efficient and effective. NOTE: The Steering Committee dealt with in this chart is composed of the Chairpersons of the five sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. IV. DATA COLLECTION AND PRIORITIES OF PROGRAM AREAS Data on human services and unmet needs was collected from a variety of local resources through questionnaires, personal interviews, and group meetings. An effort was made to use data included in previous studies and surveys, both within and outside of Johnson County. The agencies and individuals contacted and the zJ methods used are too numerous to recount here. This information is available through materials on file at the Johnson County Regional Planning Commission. The data which was collected has been compiled into fourteen service area profiles, the major sections of which are: Goal, Service Area Description, c� Problem Description, Service Population, Services Provided, and Unmet Needs. Recommendations were developed from the information contained in the Unmet Needs I=� portion of the profiles. The profiles were then sent to relevant agencies for their review. Corrections submitted by the agencies were incorporated into the profiles. q ' 1. Counseling 'N 2. Mental Health 3. Substance Abuse 4. Emergency Assistance to Residents 5. Emergency Assistance to Transients 6. Juvenile Justice 7. Adult Corrections 8. Protection of the Elderly 9. Child Care .� 10. Nursing Homes ! ll. Developmental and Acquired Disabilities 12. Families in Stress: Child Abuse and Foster Care 13. In -Home Support Services . 14. Family Planning Recommendations made for each individual service area have been assigned priorities by the Human Services Committee, Steering Committee, and Subcommittees. Several general recommendations, relating to all service areas, have also been developed; these are reprinted in each of the profiles. There has been no formal _V_ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES t10IDE5 ranking of individual service areas against each other. However, of the eight service areas studied during 1977, the area of Emergency Assistance to Transients was informally given first priority. Of the six service areas studied during 1978, the areas of In -Home Support Services and Child Care were seen to be of high priority, while the areas of Disabilities and Foster Care developed as low priority. -vi- MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Moil¢S W W *I w 4I .j F4 e1 04 j i+A '• rye ' u�A v1 I GOAL To have a system of readily available community support for families in which child abuse occurs and to vigorously work towards prevention and elimination of child abuse. SERVICE AREA DESCRIPTION The very act of child abuse arouses feelings and opinions in most people, whether they are confronted with the situation through a media story, the family next door or within their own household. The image of an abused and battered child inherently renders the issue of child abuse as one where an emotional reaction is the most immediate response and thoughtful, objective approaches to the problem seem difficult to muster. This report recognizes two realities: that child abuse does occur in Johnson County, and that child abuse should not be occurring. As with other social problems such as spouse abuse and rape, the actual number of victims is not really known. Until an abuse situ- ation is brought to the attention of a social service agency, or hospital, or the child is observed by persons outside a family, a child may continue to be abused or battered. Like most children, an abused child grows up. An abused child who becomes a parent has a much higher tendency to become abusive. Child abuse not only involves the child, it involves the parent and, ultimately, the community, which can either feel confident that enough is being done to alleviate child abuse or can continue to witness generation after generation of families in stress. This report addresses two facets of the .issue of child abuse: what is being done to treat the abused child and work with the family in stress, and what is being done to provide services to prevent child abuse in Johnson County. On July 1, 1978 a major change in the area of child abuse legis- lation occurred in Iowa. At that time, the definition of what actions constituted child abuse were expanded in the Iowa Code of Law. The pre- vious definition for child abuse in the Iowa Code was, "Any non-accidental physical injury suffered by a child as results of the acts or omissions MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140INCS I 2. r of the child's parents, guardians or persons legally responsible for the child". The new law now includes sexual abuse and neglect within the definition of child abuse. Sexual abuse of a child is considered to be any form of sexual activity with a child, and neglect is defined as the denial or failure of a child's parent or guardian to provide critical care: food, protection from imminent danger, necessary clothing, physical health care to prevent serious injury or death, or necessary emotional health care to adequately treat social maladjustment (Iowa Code). social service Departments throughout Iowa are now required by law to investigate all reports of suspected child abuse in their service locale and to submit a preliminary report on the case within 96 hours to the juvenile court, the county attorney and the Child Abuse Registry. PROBLE14 DESCRIPTION While the new Iowa law provides a tangible definition identifying the acts which are considered abusive towards children, the motivations be- hind an abusive parent's action, the long term effects on abused children and the most effective types of treatment and prevention programs remain somewhat elusive. It is only recently that the act of child abuse has been placed in a research context, a program policy framework, a legal structure or a social service orientation. The first medical recognition of child abuse in the United States was introduced in a paper on infant trauma presented in 1888. 1/ The first White House Conference on Children was held in 1909, followed by the creation in 1912 of the Children's Bureau, a public agency created to investigate and report on child welfare. Prior to 1964, there were no mandatory child abuse reporting laws in the United States. The Child Abuse Prevention and Treatment Act was passed in 1974, establishing the National Center on Child Abuse and Neglect. The Center's Nagi, Saad, Child Maltreatment In the United States, Columbia University Press, New York; 1977, p. 1. 2/' Ibid; p. 2. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101RES 3. main purpose is to provide grants and studies which seek ways to prevent identify and treat this nationwide problem. The act of a parent or guardian abusing a child is not isolated within any particular social, economic, racial or educational stratum of society. "Child maltreatment violates our most cherished stereotypes of parenthood. Attempts to rationalize the problem have surrounded it with myths such as abuse is a problem of the poor, abusive parents simply mis- judge their own strength or the parents are psychotic." 3/ Research indicates that the frequency of reports of child abuse in lower socioeconomic group is proportionally higher than reports from other income groups pri- marily because low income persons are more visible and accessible to poten- tial reporters such as clinics, case workers and various social agencies. The actual rate of child abuse was estimated at 350 reports per one million population by the U.S. Government in 1973. This rate produces more than 70,000 reports annually nationwide. According to a recent U.S. Department, Health, Education and Welfare (DREW) report: - Some 10,000 children are severely battered each year - At least 50 to 70,000 children are sexually abused each year - 100,000 dhildren are neglected physically, morally or educationally - 100,000 children annually suffer emotional neglect. The DHEW reports also reports that other estimates of child abuse in the United States by professionals are as high as 2.5 to 4 million incidents annually or about 13,000 to 21,000 incidents per million population. In Iowa, 1,926 suspected cases of child abuse were reported in 1976. That figure jumped to 2,297 cases of reported child abuse incidents in 1977 and spiraled further in 1978 with 6,388 reports. The impact of the state's new child abuse law is evident from the 1978 figures. In the first six months of that year, 1,624 child abuse suspected cases were re- ported, while 4,764 reports were made in the latter six months, after the new law became effective. The Iowa Department of Social Services said that 3/ U.S. Department of Health, Education and Welfare, National Center on Child Abuse and Neglect: The Probelm and It's Management, Vol. 1 An Overview of the Problem, p. 9. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOINES 4. 928 suspected abuse reports were made in January of 1979. Multiplying that figure by 12 indicates a potential for 11,136 possible reported cases in Iowa for the 12 months of 1979, which would be five times as many reports as were made in 1977. A total of 30 children in Iowa died during the period from 1976 to 1978 as a result of abusive treatment. Of the 2,297 Iowa children reported as suspected abuse cases to the Iowa Department of Social Services in 1977, the majority were white. Forty-nine percent of the children were male and 51 percent were female. The following table shows, in decreasing order of incidence, the percentage of child abuse cases for children ages newborn to 18 years old in Iowa in 1977: % of Total Reported Cases That Fell in That Age Category (rounded to Agne nearest oercent) 14-15 12 6-7 11 2 10 8-9 9 12-13 9 Under one year 8 One year a 10-11 8 4 7 16-17 7 3 6 5 6 Three of the reported cases did not mention the child's age. A prior incident of child abuse was reported in 565 of the sus- pected cases during 1977. In that same year, 78 percent of all reported child abuse cases named a relative of the child as the perpetrator of abuse. Breaking this down further, 61.4 percent of all reported cases involved the child's parent, with the mother named as the abuser in 54 percent of these cases and the father in 46 percent of them. Step-parents accounted for eight of the abuse reports, with other relatives named in six percent of the cases. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DE.S 1101Rr5 5• Other reported abusers and the frequency of incidence included: unrelated individuals (83), babysitter/child care persons (4%), teachers (.78), and foster parents (.6%). Child Abuse Injuries in Iowa in 1977 Bruises and welts were reported as the main type of injury inflicted (in 448 of all reported cases of child abuse) during 1977. In 26 percent of the reported cases, no injury was visible upon investigation. Abrasions and lacerations were noted in 9 percent of the injuries. Sexual abuse accounted for 5.7 percent of reported cases. Burns and scalding were named as the type of abusive treatment in 3.6 percent of the instances, and -� 2 percent of the injuries were recorded as wounds, cuts or Punctures. ^� Other categories of abusive injuries tabulated by the Iowa Depart- ment of Social Services and the number of reported injuries in each for I 1977 are listed below: j Bone fractures (other than skull) -- 45 Sprain dislocations -- 31 ' Malnutrition 26 i Skull fracture -- 16 Subdural hemorrhage or hemotoma t -- 12 � Internal injuries _ - 10 -a Skin injuries 9 Emotional Abuse 4 I� Teeth injuries 2 I,w Neglect _ _ 2 Eye injury (non bruise) - 2 I There was one reported instance of abuse in each of the following iareas: freezing and exposure, hair, intoxication, attempted drowning and I suffocation. It was also noted by the Iowa Department of Social Services that several abuse cases in 1977 involved multiple injuries. I� In the third quarter of 1977 (July -September), 85 percent of the reported abused children were considered to be of normal development and did not have special characteristics such as mental retardation or physical handicaps. In the fourth quarter of 1977 (October -December), 88 percent of the reported abused children were of normal physical and intellectual development. I MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES 6. As of this writing, the final statistical report for 1978 is not yet available from the Iowa Department of social Services. Family Stress Factors In 1976 and 1977, the Iowa Department of Social. Services main- tained records to identify family stress factors which had contributed to the reported child abuse cases. Many of the cases included families who demonstrated multiple stress factors. The major problem areas within abusive families for those two years were: poor child rearing patterns, lack of proper discipline, lack of nurturing parental role, marital conflict, emotional immaturity of the parent-, and parent -adolescent conflict. Johnson County According to the 1970 U.S. Census, Johnson county ranks 10th in population in Iowa. In the four quarterly reporting periods for suspected child abuse in Iowa in 1977, Johnson county ranked 10th, 10th, 7th and 7th, respectively, in rates of reported child abuse incidents per county in the state. A steady rise in the number of reported child abuse cases also occurred in Johnson County during 1978, with an increased correspondence to the rest of Iowa after implementation of the new child abuse law in July, 1978. Between January 10, 1978 and January 17, 1979 a total of 150 child abuse cases were reported to the Iowa Department of Social Services, Iowa city office (social Services). During that time, an average of 12 reports came into the department each month, although the caseload is currently accelerating at a rapid rate. For example, the office recieved two reports of suspected child abuse in November, 1977 and 27 reports in November, 1978. Following are the monthly totals of suspected child abuse cases reported in Johnson County during 1978: January 4 July 9 February 2 August 15 March 0 September 20 April 6 October 28 May 6 November 27 June 5 December 15 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101NE5 7. From July 1, 1978 (after the new state law went into effect) to February 21, 1979, there were 53 child abuse cases in Johnson County that were verified as abuse by the Social Services office. According to the department's records, 29 of the abused children were male and 24 were female. The children ranged in age from less than one year to 17 years. Of the 46 cases, where the child's age was reported, 27 were under the age of six, 11 were between the ages of eight and 12; and eight were adolescents. Nearly three-fourths of the abused children came from two-parent families with two or three children in the family unit. The father was the alleged abuser in 21 cases and the mother in 15 instances. Other alleged abusers and reported instances included: step-parent (3), babysitter (3), aunt or uncle (2), sibling (1) and neighbor (1). Of the abuse cases where the family's residence was noted, 34 were Iowa City residents, five were from Coralville and seven from surround- ing towns such as North Liberty and Oxford. In 12 of the verified child abuse cases, local school personnel were the initial reporters while the police, hospitals and neighbors followed as the next largest groups of local reporters. Physical abuse was identified in 30 cases, with sexual abuse oc- curing in four cases. Neglect was identified in 13 instances, with emotional neglect occuring in two cases. Several child abuse incidents involved more than one type of abuse. Where information was available, it was noted that the child was removed from the home in four cases (two were placed in temporary foster care and two were placed with relatives) and the child remained in the home in 39 cases. Following is a chart noting the type of social service to which families experiencing abuse were referred and the number of families for each: Family case worker (from Social Services) 14 No type of service used by family 10 Spouse abuse caseworker 5 Services used, but not specified 5 Families, Inc. 5 Homemaker 4 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IIOIIIES District 10 Treatment Team 2 Counseling 2 Social worker from helping agency 2 I Family refused help 1 Visiting Nurse Association 1 Alcohol caseworker 1 Daycare 1 ! Financial assistance 1 ! Not mentioned 1 Under criminal investigation 1 In 17 cases, abusive treatment of children was a repeat episode, i I whereas no prior abuse was noted in 29 of the reported incidents. The Abusive Parent The small but rapidly growing body of research on child abuse indicates that an abused child will probably be an abusive parent and that child abuse is more likely to occur in families with teenage parents. Studies on abused children indicate that premature babies are more likely to be abused than are full-term ones. The National Center on Child Abuse and Neglect identifies the j following character and personality factors typical of abusive parents: a special form of immaturity and associated dependence, extremely low self- esteem, difficulty seeking satisfaction with the adult world, social isola- tion with a reluctance to seek help, significant misperceptions of the child's abilities and development, strong belief in the value of punishment and serious lack of ability to be empathetically aware of the child's conditions and needs. These personality factors can, according to the center, translate into various behavior patterns, such as: inability to trust anyone, low participation in community activities, reluctance to give information about the child's condition or reluctance to respond appropriately to the child's condition by being overly hostile or apathetic, failure to take the child to medical appointments, excessive criticism of the child, failure to look at or touch the child, keeping the child confined in a cri.h or playpen for long periods of time, misusing drugs or alcohol, and frpquently leaving the child alone for inappropriate time periods. A study or battered children and their abusive parents conducted in Denver, Colorado found, "The common denominator of all Choir patients was a pattern of child rearing characterized by premature demand of high MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES I 9. + The Abused Child iThe term, "battered child", achieved a public notoriety in the 1960's and has since sparked greater commitment to dealing with the issue by doctors, caseworkers and the general public. The definition of a battered i child, as developed by Kempe and Associates in Denver, is, "any child who receives non-accidental physical injury or injuries as a result of acts or omissions on the part of his parents or guardians." The similarity between this and the original Iowa child abuse law is apparent (see page ). ... The battered child visibly bears the results of abusive treat- ' 1 ment. The types of physical injuries which are often the result of child abuse have already been described. However, the outward manifestations of emotional, mental or sexual abuse are often not as discernable as -� those of physical "battering". The National Center on Child Abuse and Neglect provides the following indicators which can assist in identifying J 4/ U.S. Department of Health, Education and Welfare, Op. Cit. P. 9. FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140INEs performance and compliance with satisfaction of parental needs ... abusing parents do not perceive the infant as an infant, but as an organized human capable of sensing their own needs and meeting them." 4/ In a report by the Iowa Council for Children, results from a 1973 study of rural teenage parents were published which indicated potential problems when the parental expectations of a child's behavior do not cor- respond with the child's developmental age. Following are the charted -_I results of that study. Ages at Which Parents Expected Babies to Achieve Selected Patterns of Behavior i Area of Development and Approxi- Parent's Estimates in Weeks mate Forms in Weeks Mothers Fathers -I Social smile 6 3 3 ^+ Sit alone 28 12 6 -•+ Pull up to standing 44 24 20 First step alone 60 40 40 First word 52 32 24 The need for parent education in Iowa has been cited as a great I IN ' s one: receiving top priority in the 1977 Governor's Conference on Child- ren, ranking 6th in a 1975 State Child Care Study and ranking second only "i to the need for child care for working parents in the 1974 Iowa Governor's Task Force Survey. + The Abused Child iThe term, "battered child", achieved a public notoriety in the 1960's and has since sparked greater commitment to dealing with the issue by doctors, caseworkers and the general public. The definition of a battered i child, as developed by Kempe and Associates in Denver, is, "any child who receives non-accidental physical injury or injuries as a result of acts or omissions on the part of his parents or guardians." The similarity between this and the original Iowa child abuse law is apparent (see page ). ... The battered child visibly bears the results of abusive treat- ' 1 ment. The types of physical injuries which are often the result of child abuse have already been described. However, the outward manifestations of emotional, mental or sexual abuse are often not as discernable as -� those of physical "battering". The National Center on Child Abuse and Neglect provides the following indicators which can assist in identifying J 4/ U.S. Department of Health, Education and Welfare, Op. Cit. P. 9. FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140INEs an abused child: unexplained injuries; undue fear of parents; evidence of overall poor care; given inappropriate food, drink or medicine, wariness of physical contact, particularly with adults; behavior extremes such as, crying often or very little; extreme aggression or extreme passivity; sudden regressive behavior actions, such as bed wetting or thumb sucking; learning problems although meeting normal intelligence expectations; habi- tual lateness or truancy from school or remaining after class rather than going home; and inappropriate dress for the weather. Sexual abuse is usually directed at female children (in 90 percent of reported cases) ranging in age from infancy to adolescents, with the perpetrator known to the child or the child's family in 75 percent of sexual abuse instances, according to the center. Indicators of sexual abuse include sudden behavior changes, emotional distress, sudden promiscuity or withdrawal in female adolescents and a verbalized wish to leave home. Emotional abuse usually stems from the parent's lack of love and direction for the child coupled with an inability to accept the child's potentials and limitations. The parents of an emotionally abused child may be overly harsh and critical, demanding excessive academic, athletic or social performance and may withhold physical or verbal contact. Or, conversely, they may care little about the child's successes and failures and fail to provide necessary guidance and praise. 5/ Results of that type of parental behavior usually have an adverse effect on the child's learning ability, achievement ability and general development. An emotionally deprived child usually exhibits learning difficulties or unusual behavior patterns. The Child Abuse Incident Research indicates that the majority of identified abusive parents are not necessarily psychotic or sociopathic personalities who act out by abusing their children. In many instances, the abuse event itself is usually precipitated by a crisis in the household. Since most abusive parents have a low sense of self-esteem and lack confidence in coping 5/ Ibid; P. 26. FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MD RIES 6/ Kempe, Henry and Helfer, Ray, Helping The Battered Child and His Family, T.B. Lippincott Co., Philadelphia, 1972, p. 7. U.S. DREW, Op. Cit, p. 13. 8/ Ibid;. P. . MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES II0I7IES 11. ` with adult responsibilities, any crisis, no matter how minor, could lead to a child abuse incident. Crises can involve finances, housing, jobs, marital relationships, death or even the breakdown of a household appliance such as the television set or the washing machine./ A crisis can be considered the trigger, not the cause, of ' a child abuse incident, and as the crisis multiplies the parent's ability to cope diminishes accordingly, according to Charles Abel, coordinator of the DREW Regional Child Abuse and Neglect Resource Center, located at the Oakdale Campus of the University of Iowa. Abel calls the vast . majority of child abuse incidents, "unpremeditated" and sparked by other crises facing a family already in a stress situation. Two elements in a family crisis are sometimes detected. The one easly described by the parents is what has happened in relation to their ~ child. more subtle, more important and more difficult for the parents to describe is the second element of the crisis -- the events which have led ^^+ to their unbearably low sense of self -value, resulting in a desperate need i for reassurance and nurturing from the environment./ It has already ' been mentioned that abused children often display learning difficulties w 1,141 and behavior problems and, in later life, stand a greater chance of be- coming abusive parents than children from non -abusive environments. Children subjected to violent physical abuse can end up with conditions such as mental retardation, loss of hearing or sight, malnutrition, lack of motor .,y control and speech defects. 8/ Abused children are more likely to experience problems with the justice system, employment or career demands, and general coping with society. Cultural Values and Reporting Neglect The most difficult facet of child abuse to identify or prove is emotional or material neglect. In many instances, a report of sus- --. pected child abuse in the area of neglect may reflect a variance of the j reporter's cultural values or perceptions from those of the child's parents or guardian. The definition of neglect varies from community to community • J as do the value judgments within those communities, according to Charles Abel. Those differences can be reflected in how people define adequate care, supervision or material needs such as food, clothing and shelter. 6/ Kempe, Henry and Helfer, Ray, Helping The Battered Child and His Family, T.B. Lippincott Co., Philadelphia, 1972, p. 7. U.S. DREW, Op. Cit, p. 13. 8/ Ibid;. P. . MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES II0I7IES 12. small town setting may differ from those Often, perceptions in a rural or in an urban, inner-city area. ..4 n' .�1 w.l ,.1 !I 'A I H� MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES 13. SERVICES PROVIDED/POPULATION SERVED In order for an abused child and his or her family to receive help, a case of suspected child abuse must be acknowledged, identified and reported to the appropriate agency. According to Iowa law, persons in the following capacities are legally bound to report suspected cases of child abuse: all health practioners such as doctors, nurses and physician's assistants, all social workers under the jurisdiction of the Iowa Department of Social services, certified psychologists, certified school employees, employee(s) of a licensed child care facility, staff members of mental health centers, law enforcement officers, any social worker employed by a public or private agency or institution. These persons are known as mandatory reporters since they are required to report suspected cases. Other reporting sources include self -referrals from the parents or children seeking help and referrals from any person who is concerned about a child's welfare and safety. The Child Abuse Information Registry is a'centralized record system in Iowa. All reports of suspected child abuse are telephoned into the Registry in Des Moines from the appropriate area Social Services office. The Registry also provides a toll-free reporting "hotline" (1- 800-362-2178) for citizens in the state who wish to make a suspected child abuse report. These "concerned citizen" reporters are not required to give their names or addresses when making a report. The centralized system provides coordination of information regarding previous abuse reports involving a family, other siblings and any other material rele- vant to the case. Provisions in the Iowa Code allow for the scaling of suspected child abuse reports ten years after receipt of the report. Child abuse information in the Registry is expunged when it is determined through an investigation that the report information is not valid. While the system is overseen through the Iowa Department of Social Services, the person making an abuse report to the Registry talks with a member of the Iowa Highway Patrol. The following chart indicates the initial sources of child abuse reports, and the number from each source, for reports concerning Johnson County residents from January 10, 1978 to January 17, 1979: MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 4101NES Anonymous reporter or just a name listed: 87 Law enforcement or legal profession: 15 Teacher and/or other school personnel: 11 Hospital or clinic personnel: g Local Social Services staff: g Babysitters/child care personnel: 5 Other social service/helping agencies: 4 Friends/neighbors: 3 Child Abuse Information Registry (from Johnson County): 3 Private physician: 2 School nurse: 1 Parent (self -referral): 1 14. Survey of Local Network of Child Abuse Reporting An informal telephone survey of agencies, groups or organizations in Johnson County which have the occasion to come into contact with children was conducted for this report. Groups represented include all school districts in the county, hospitals, law enforcement agencies, child care centers and various social service agencies. (see Appendix A for list of respondents and Appendix B for copy of questionnaire.) A total of 23 groups were contacted. Twenty-one of the 23 respondents said their group or office had a viable detection and reporting program for suspected cases of child abuse. Staff members at agencies, school district workers and child care center personnel received in-service training at 17 of the surveyed facilities. i The three private pediatricians in Iowa City all said that they monitor sus- pected abuse through personal examination of their patients. School dis- trict personnel in Johnson County receive guidelines on identifying pos- sible child abuse in a booklet issued by the Iowa Department of Public Instruction (DPI). Nineteen of the 23 respondents said they refer suspected cases of child abuse to the Iowa Department of Social Services, Iowa City office (Social Services). Five respondents noted that no situation has presented itself which would require making a report. MICROFILMED BY JORM MICROIAB CEDAR RAPIDS -DES MOPJES ti E( Ea I ls. MICROFILMED BY JORM MICROL.AB CEDAR RAPIDS -DES MOPI[s Seven respondents said that the incidence of child abuse at their facility has increased over the last two years, while eight respondents said there had been no perceptible increase. Eight respondents said they had not seen enough cases or incidents to give an accurate answer. Respondents were also asked to identify what they saw as the ,. major factors in the increased incidences of child abuse and whether, indeed, an increase existed or if just more cases were being reported. Nine re- spondents said there was more public awareness about child abuse and the ^ social responsibility to report suspected cases. Eight respondents felt that there was not necessarily an actual increase in the incidence of child abuse but that increased mandatory reporting requirements had accordingly increased the number of reported cases. -� Factors mentioned by the respondents as contributing to child abuse and families in stress in Johnson County included: marital break- up, crowded living conditions, economic stresses, inflationary pressures on the family budget, unemployment, single parents, live-in roommates and _ young parents with no support systems in parenting. The cyclic aspect of abusive parents who were once themselves abused children was also mentioned frequently by the respondents. Investigating Reports of Child Abuse Since the Iowa Department of Social services is bound by law to investigate all reports of child abuse, it is up to the investigator to ferret out reports which do not constitute child abuse. Some reports reflect a difference in value judgments; other reports of suspected i abuse are made for malicious purposes by the reporter to discredit the ,., alleged abusive parent. A reported case of suspected abuse must be investigated within 96 hours by a worker from the Iowa Department of Social Services, Iowa I City office. Local Social Service officials say the local department's procedure is to investigate suspected physical or sexual abuse reports within an hour after the report is received and within 12 hours on J suspected neglect reports. During that time, the investigator must determine through a home visit if the child or children in a family are in a life-threatening smtuation. Local Social Service personnel say efforts to remove the child from his or her home are initiated only when the child appears to be in imminent danger. A Social service investigator MICROFILMED BY JORM MICROL.AB CEDAR RAPIDS -DES MOPI[s 16. does not have the authority to remove a child from an abusive home situation - unless the parents voluntarily agree to place the child in foster care. In those instances where the child appears to be in imminent danger and the parents refuse foster care, a Social Services investigator must get a court order for removal or contact law enforcement officers, who can re- move the child immediately. Many of those children who are removed from i their homes through court order or police intervention because they are in imminent danger are usually designated as Children in Need of Assistance (CHINA). See Foster Care, page 40, for a further explanation of this status. In Johnson County, parents or guardians of the child are contacted -, by telephone before a Social Service investigator visits the home. Local Social Service officials say the department's approach is a programmatically non -threatening and assistance -oriented one. A high priority with the de- „ partment is to keep a family in stress intact by providing support services which enable the family to function in a positive manner and work towards the elimination of child abuse. While it is the parent's prerogative to refuse services such as counseling, there have been many instances in Johnson County where a family has received such services on a court-ordered �•� basis so that the child or children may remain in the home. •- 1 Protective Service Workers j Social Service employees who investigate and deal with family abuse situations are known as protective service workers. New employees in this capacity are required to take several courses in the area of investigating and treating child abuse. All protective service workers and their supervisors in Iowa received special training after the new state law went into effect last year. Staff development programs are now offered on an ongoing basis for workers in this area. Protective service workers are expected to be knowledgeable in the areas of inter- viewing skills, child abuse syndrome, family dynamics, child development, and problem solving. While working with families in stress, protective service workers utilize a variety of parenting and counseling techniques, depending on the family's situation. The different tools employed include puppetry for the children to act out feelings and tensions, as well as a ,.., Portage Parenting Program and Effective Parenting kits. Those parenting techniques emphasize dialogue between parent and child, more reinforcement and support by the parents for the child's activities and concerns, and MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MonlEs , 17 . reasonable expectations for a child's performance. Parents often keep checklists to gauge their behavior development and family functioning. The Social Services Department retains the services of a local Psychologist for family evaluation and utilizes professional counseling services of contract agencies such as Families, Inc. and Lutheran Social -� Service. Area Agencies Providing Services for Families in Stress To avoid unnecessary duplication, program descriptions of these agencies are contained in the Foster Care section, from pages 42 to 46. Agencies such as Families, Inc., Lutheran Social Service and the District 10 Treatment Team assume several roles in working with families in stress where child abuse or the potential for abuse are often evidenced. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Local protective service workers follow a national trend in higher employee turnover rates than those in other social service capacities. Child -abuse and family -in -stress problems are not the easiest of social problems to confront on a daily basis, and local workers remain in the area for an average of one and a half to two years, according to department figures. The high turnover rate is largely due to pressures and stresses of the job, which often includes weekend work and late night crisis calls_ The fact that social workers who are trained as helping professionals ..-, often find themselves in a dilemma, doing the required investigation of ._; I child abuse but not necessarily the treatment, is another turnover factor. A spokesman for the local Social Services office said the turnover rate has accelerated since the July, 1978 child abuse law went into effect, which produced a higher investigation rate in the areas of neglect and sexual .a abuse. Local Social Service officials say they recognize this present dynamic and are working to offset the trend by upgrading Protective Service I' Worker positions to require a higher level of professional background and i - education, with resultant higher salaries. Workers in the protective service �•.., field will also begin to concentrate fulltime activities on protective service work, whereas previously workers have been responsible for other y types of casework besides protective service. Area Agencies Providing Services for Families in Stress To avoid unnecessary duplication, program descriptions of these agencies are contained in the Foster Care section, from pages 42 to 46. Agencies such as Families, Inc., Lutheran Social Service and the District 10 Treatment Team assume several roles in working with families in stress where child abuse or the potential for abuse are often evidenced. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES LEM Parents Anonymous ,.., Originally known as "Mothers Anonymous," Parents Anonymous (PA) was started in 1970 by "Jolly K.," a 29 -year old abusive mother who was not satisfied with existing services or therapies for parents who were i 9/ abusing their children. The group's self -described purpose is to provide, i "a crisis intervention program whose primary objective is to help prevent damaging relationships between parents and their children."10/ Parents Anonymous offers its members two t ym types of help: weekly meetings where ! participants can share experiences and feelings about losing their tempers �i i I with their children and, secondly, the opportunity to support as well as challenge each other. Personal and telephone contact among members during j crisis periods occurs on a basis similar to that of the Alcholics Anonymous program., Thea appeal of Parents Anonymous ymous no doubt results from the man inadequacies in our y q present ways of offering help to parents who abuse their children. The very fact there seems to be a need for an anonymous organization strongly suggests the extent to which the problem is still viewed as a moral issue. The honesty among members and easy accessibility during crisis periods also .... strongly suggests some of the inadequacies of either non -directive psychotherapeutic or so- called authoritative approaches which have almost always, been parents' only previous .� options in seeking help. 11/ Cedar Rapids Parents Anonymous --' The first Parents Anonymous (PA) group was formed in Cedar , Rapids on May 10, 1973. Nearly six years later, the group has expanded to become two with se separate p groups approximately 30 parents participating. All of the parents were themselves abused children, according to Jean Hart - .1 i grave, PA coordinator for Cedar Rapids and a four -state region including Iowa. The majority of PA parents in Cedar Rapids are single ones, ... although the group has included childless couples deciding whether to -� have children, and expectant mothers. Parents in the PA groups range in i 9/ Ebeling and Hill, Op. Cit.; p. 151.. 10/ ibid. i 11/ Ibid.; p. 152. M� MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I401NCS Visiting Nurse Association The Visiting Nurse Association (VNA) is a private, non-profit agency, federally certified by the Social Security Administration, which provides a range of health services on a contract basis with MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIMES 19. age from 17 to 44 years. New members exchange first names and phone numbers voluntarily and usually call other PA parents who have children in similar age ranges during stress periods, according to Hartgrave. The majority of PA participants are self -referrals, although some persons be- come involved due to a referral from a social services agency or on a court- ordered basis. Child care is provided in a licensed center staffed by specially trained homemakers while the PA groups meet. The Cedar Rapids PA group has also started a peer self-help group for the children of PA parents. The group, for young persons ages nine to sixteen, also includes children who are not in family stress situations. Ten crisis homes have been set up for parents by the Linn County Social Services Department. Parents may leave their children there on a 24-hour, no -� questions -asked basis when they feel stress and the potential for abuse mounting. -. Based on her experience in PA, Hartgrave said that ,.., pressures building up for the parent are often the first impetus for child abuse. That pressure can originate from marital problems, economic pressures or school stress to the point where the family situation is generally an unhappy one. She targeted the two main age categories for potential child abuse as birth to 12 months and 13 to 15e "Good, y ars. solid parenting should be required in the schools,,, she said. There is a difference c between child development education and just the realities of parenting and i' Parent education." She also noted that isolation is a big factor i ,i with abusive parents, whether the parent works or is at home most of the time. "People i can still be among other people, but they are isolated," she said. A major asset of PA is that while the abusive �. Pent comes to realize that he or she is doingwrong, the g. parent is reinforced by the group that his or her actions are understood and that the parent still counts as a parent and a person. "Parents -., get the acceptance in the group which they don't get from society," Hartgrave said. Visiting Nurse Association The Visiting Nurse Association (VNA) is a private, non-profit agency, federally certified by the Social Security Administration, which provides a range of health services on a contract basis with MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIMES ME the Johnson County Health Department and United Way of Johnson County. are provided. The Well Child Clinics are also staffed by VNA and provide service to children from birth through age 16. This program is a comprehensive health service offering examinations, immunizations and lab tests, such as blood analysis and urinalysis, to its clients. Standards of service used in the clinics are in accordance with guidelines set by the American Academy of Pediatricians. The service is available to all Johnson County residents, without regard to income. A priority of the clinics program is to provide bIICA0F1UIED BY JORM MICROLAB CEDAR RAPIDS -DES 140PIEs The agency's Children and Adults Health Promotion Program is geared towards younger families in stress and is available to anyone in Johnson County, as there are no income guidelines for participation. Major goals of the program aro optimal physical, emotional and mental health. Nurses work with the Social Services Protective Services Unit •� to match families in stress with the appropriate community resources. In some instances where a child abuse case has been investigated by Social Services, a court-ordered referral for service will utilize VNA. Agency personnel say that many families are in stress situations, that child abuse often results when young parents have not had experience or responsibility for children when they were young and that many young parents are themselves in the process of maturing. This dual maturation on the part of the parent and the child produces problems and stress, with parents prioritizing their needs along with those of their young child. Many of the agency's clients of the Health Promotion Program •-• are young, teenage parents, single parents or families breaking up. Agency personnel play an ongoing counseling role regarding child care and essential parenting. VNA also does screening for the Women, Infants and Children (WIC) program in Johnson County, which provides formula milk and essen- tial dairy products to pregnant and lactating women and to children I from age newborn to five years. Through the screening program, VNA is able to assess families in stress situations, although limited physical facilities interfere with client privacy and long-term communi- cation. Accordingly, VNA has reduced its organized efforts toward problem identification and intervention through this program, although health assessment and some counseling, including nutrition education, are provided. The Well Child Clinics are also staffed by VNA and provide service to children from birth through age 16. This program is a comprehensive health service offering examinations, immunizations and lab tests, such as blood analysis and urinalysis, to its clients. Standards of service used in the clinics are in accordance with guidelines set by the American Academy of Pediatricians. The service is available to all Johnson County residents, without regard to income. A priority of the clinics program is to provide bIICA0F1UIED BY JORM MICROLAB CEDAR RAPIDS -DES 140PIEs 21. W. information on child development, behavior and nutrition. Agency personnel w note that the clinics' clients now include "quite an influx of young children with young parents." VNA's various health programs are geared to stress the practical Y.. sides of parenting, along with the aesthetic aspects of child rearing. Be- havior education or parenting tips are placed in a psychological perspective so that parental expectations of their children can be realistic ones. VNA works to provide reinformcement for parents with an emphasis on case follow- ^ up. Following is a chart noting the number of families and individuals served by VNA in 1978: Individuals Families Children and Adults Health 573 Promotion Program 1,122 (14,098 home visits) Women, Infants and Children '(WIC Program) 347 --- Well Child Clinics 273 (at 20 clinics) --- Homemaker Service (Program of the Iowa Department of Social Services, Iowa City) The local social Services office provides homemaker services to families in stress. A homemaker from the department spends a specified period of time in a home teaching parenting skills and household responsi- bilities such as budgeting money. Many of the families served by the home- makers are young, ranging from age 16 to early twenties. Child-rearing topics such as nutrition, discipline, caring for the newborn and stimulating interaction with children are among those emphasized in the homemaker service. Homemakers are usually referred into a home via a protective service worker or through other social service agencies. In 1978, there were nine full-time homemakers employed by the department. The group served an average of 86 households a month of which 67 were age 60 and over. Since the program is geared towards serving the elderly, the program's thrust for families in stress is limited. Grant Wood Area Education Agency (AEA) As part of its community outreach in a school setting, Grant Wood AEA offers services to families in stress and abused children in all of MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DE.S MO RIGS e 22. the Johnson County school districts. Psychologists and social workers from the agency usually receive referrals from teachers and administrators. Often, if a child is experiencing trouble or stress at home, it is re- flected in his or her school work and behavior. Grant Wood AEA's work with a student can involve small student group counseling, working with the teacher so the child receives more praise and encouragement when applicable, and converging with the child's parents. Following is a chart noting the number of referrals from Johnson County schools of Grant Wood AEA for the past two school years: District 1977 - 1978 1978 - 1979 (to date) Social Psychological Social Psychological Work Testing Work Testing Clear Creek 4 20 3 24 Iowa City 41 496 46 346 Lone Tree 4 23 11 31 Solon 4 35 5 36 University of Iowa Hospitals and Clinics Because the University Hospital complex is a tertiary care center serving the entire state, its personnel come into contact with ten percent of the severely abused child cases in Iowa, according to personnel there. The child abuse team of the hospital complex is comprised of a pediatrician, nurse, lawyer, hospital administrator, psychiatrist, psychologist, orthopedist and social worker. This multi -disciplinary approach enables a comprehensive investigation when suspected abuse is diagnosed. Reports on suspected abuse are referred to the child's county of residence. Staff members at the hospital receive comprehensive training on child abuse and neglect investi- gation procedures. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES 23. UNMET NEEDS Treatment and prevention of child abuse present two different facets of the issue since one is a before -the -fact action and the other, an after -the - fact approach. This section addresses what existing programs in Johnson County deal with each dimension of child abuse. A respectable variety of treatment programs already operate in Johnson County to deal with families in stress. Most of these agencies work with families in a therapeutic approach, with treatment often confronting actual incidents of child abuse while working to offset further occurrences. However, there appears to be a lack of a community forum or coordinated system for the various agencies and departments in this service area. Such a forum could ultimately enhance the effectiveness of individual service providers by provid- ing a mechanism for information exchange, mutual support and coordinated planning of approaches and treatments. Community Council A Child Abuse and Neglect Resource Center, under the auspices of the U.S. Department of Health, Education and Welfare (DREW), is located at the Oak- dale Campus, near Iowa City. This center serves a four -state area: Iowa, ,Nebraska, Kansas and Missouri. The center is currently engaged in a four-year project to facilitate the ongoing development of Area Councils on Child Abuse and Neglect (ALAN) in the four -state area. According to Charles Abel, program coordinator, the ACAN program is based on national child abuse research which recognizes two things: that child abuse is a community problem and is best solved on a community level and that professionals alone cannot solve the child -abuse problem but must also involve civic leaders and concerned citizens in a consistent, committed effort. Commitment to developing such councils in other states has been demonstrated in Missouri, with all county social service departments now required to have a functioning ACAN council, and in Kansas, where the community council approach has been deemed a top priority by that state's chapter of the National Committee on the Prevention of Child Abuse (NCPCA). MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 24. j The Oakdale Center provides technical assistance to an area after ^ a community agrees via a letter of intent to: 1) initiate and expand an existing council or program on child abuse, 2) develop a child abuse -� prevention program and 3) assist in organizing and operating a multi -disci- plinary diagnostic and treatment team for child abuse. Once a community substantively demonstrates its commitment to dealing with the child abuse problem locally, the center can facilitate that community's outreach through programs such as parenting education, family development curriculums in the schools, setting up a Parent's Anony- mous Chapter, encouraging existing child care centers to provide drop-in emergency child care for families in stress or a home visitors program where trained volunteers meet the parents of newborns in the hospital and do •w follow-up support visits after mother and child return home. The Oakdale Center's approach is to view child abuse as symptomatic of family -in -stress problems and to assist in developing local efforts to ~w ', support families by building on existing programs without creation of any new agencies or excessive cost outlay. There is presently no community council on the treatment and pre- vention of child abuse in Johnson County. Several agencies interviewed for-+ this report noted a need for a community forum which could involve entities such as Social Services, the prosecuting attorney, law enforcement, support .y service groups and school personnel in coordinating information and develop- ing a community council. The Child Abuse and Neglect Resource Center hopes to help create four community councils (ACAN) a year in Iowa for the next four years. Whether Johnson County develops preliminary efforts in this area will depend on service professionals and concerned citizens in the community. School Districts This report has outlined several approaches to the prevention of child abuse. One proven factor in the incidence of child abuse has been unrealis- tic expectations by the parents of a child's developmental and functional DI i H') d MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Ito1NES 2s. capabilities for particular age levels. Research also indicates that when education is provided to help make those expectations more realistic ones, �. the potential for child abuse can diminish. Of the four school districts in Johnson County, the Solon School District is the only one which provides a comprehensive curriculum on fam- ily living and development for grades kindergarten through 12. In kinder- garten and first grade, group discussions and materials focus on topics such as working mothers, adoption and one -parent families; first graders -� also learn about family members' roles in a family unit and the relations of young animals with their mothers. Second graders learn about the re- sponsibilities of parents as they relate to livelihood and jobs, and the relationships between parent and child; third grade focuses on one's self- concept of a family, getting along in a group, companionship and respect for others; teachers in the fourth grade use a kit called "Toward Appreciative Development: Friends and Family"; fifth graders discuss social development as it relates to group functionings in an historical, social studies per- spective; sixth grade deals with individual feelings, g peer pressure, drugs Ii and alcohol. In the junior high home economics classes, which both boys and ,.a girls attend, parenthood and babysitting are highlighted; and for grades I ,.a 10-12 an elective social studies course on marriage is offered in which the district superintendent said "participation is excellent and there is a ..y ,q waiting list." In the Lone Tree School District, a family -living and child de- ivelopment course for juniors and seniors is offered on an elective basis by "i the home economics department. Fifth and sixth grade girls take a special program on physical development which is coordinated by the school principal, u+ female teachers and the Visiting Nurse Association. Students in the Clear Creek School District receive information on physical -� development and reproduction in a junior high program. High school men and women may take an elective course on child development. Last year the district received a special grant from the Iowa Department of public In- struction to start a family life education curriculum in the school district. A teacher was hired and a local citizens committee was formed to plan a MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES r40111Es 94 Program. After the advisory committee refused to approve the program on "moral" grounds, the teacher resigned and the grant money went unused. A family life education program had been previously identified in a needs assessment survey of the teachers and the students as the number one need in the district. The Iowa City School District currently has each elementary school establish program guidelines on family development, family living, _ and human growth. Elementary health and social studies classes do some "indirect" work with the issues of family dynamics. Staff members say the quantity and quality of the program vary among the particular schools, with some offering quite a bit and others not providing much information to the students. A family living course for seventh graders, which covered a wide range of growth and development topics, was discontinued several Years ago. There are several courses offered through the district's home economics department which address various aspects of family living, although school officials say that boys' participation in the home economics classes varies with course content. An Independent Living course deals with responsibilities of adult life; a sequence of Child Development classes explores human development from the fetal stage to the teenage years. A course called Adult Living is offered at West High School., in which adult values, relationships, human reproduction, and parenting are discussed. Eighth grade health classes discuss reproduction, and child care information is "covered in junior high, but it's sporadic, nothing is written down," according to Pat McMahon, supervisor of the district's school nurses. _ ' ~ �. •" _ -1 Hospitals The effectiveness of available support systems and education for new parents as preventive measures have been demonstrated. While local hospitals do refer patients and infants with disabilities to health agencies, a greater effort could be exerted for parents with healthy children. Often a family in stress does not receive professional attention or support services ' until problems occur, rather than having access to services which help to ! Offset the potential for problems or stress. New parents often have questions on infant care, behavior or general needs regarding family adjustment to a new member that could be answered in a supportive, educational fashion if the parents knew where to seek the answer. �N r1 FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MORIES MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES HONES 27. Parents Anonymous The Parents Anonymous (PA) program is also a proven preventive and treatment -oriented approach that enables abusive parents or persons -' concerned about their dealing with children to work out their problems as individuals in a group setting. There have been two attempts in the past - several years to start an ongoing Parents Anonymous qroup .in Iowa City and both have failed to sustain membership and consistent activity. one of - the goals of the Family Assistance Specialist Team (FAST) of Lutheran Social Service is to develop an ongoing Parents Anonymous chapter in Johnson County. (For more information on the FAST program refer to the section on Foster Care, p. 41). Members of the FAST program are currently collecting names of persons interested in joining a Parents Anonymous group. Problems with the previous Parents Anonymous groups included transportation, child -• care and obtaining a non -threatening meeting place. Parents Anonymous groups -- are required to have a facilitator, who is usually a professional person with training in counseling or group therapy. Members of a PA group them- selves choose the person they want as a facilitator. Another problem in previous Iowa City PA chapters was that of finding a professional person to work successfully as the group facilitator. A PA chapter in Johnson County would be a localized effort in the right direction in providing community services on a self-help basis 0A to parents and adults in stress situations. e;t Children's Resource Center A facility for providing information, educational materials and support for children, families and persons working with children has al- ready been mentioned as a community need in the Child Care Profile and is .:. also underscored in the Foster Care section of this profile. A resource center could also provide meeting space for a PA group and could house a variety of materials and programs for families. A resource center could be viewed as both a preventive and a treatment approach, by offering i resources for new parents, parents with concerns about child development J and families already in stress situations. I - Training As noted earlier, when persons make reports of suspected child ~ abuse to the Child Abuse Registry hotline in Des Moines, they speak with a member of the Iowa Highway Patrol. In Missouri, a similar hotline set- up is handled by social workers trained in obtaining information in a sensitive, supportive fashion. Additional training for the highway patrol MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES HONES 28. ^ in this area would perhaps enable a reporting system which could offer more comprehensive definitions of neglect and provide more information when a suspected abuse situation appears to be a critical one. Parenting There is a variety of opportunities for expectant parents to parti- cipate in prepared child birth classes in Johnson County. Provision of com- prehensive information on child care and parenting techniques could provide a helpful supplement to these courses. Child Care Emergency child care centers or homes have proven to be effective measures for allowing stressed parents a breathing period and preventing Possible abuse situations from occuring. Currently, there are no emergency child care centers or programs in Johnson County. A drop-in child care pro- gram would also provide parents with a break to forestall unnecessary or rechanneled family tension. The Family Assistance Specialist Team (FAST) of Lutheran Social Service offers an emergency intake program for referral clients from Social Services and clients already participating in the FAST program. A Home- maker will go to a home where a crisis is occurring and remain there in a protective capacity of the child until other services can be provided. This program is most often used for middle -of -the night crises where the child might suffer unnecessary trauma by being removed and placed in foster care. The Youth Emergency Shelter of Youth Homes, Inc. in Iowa City serves young people 12 years of age and older on an emergency basis. Homemaker Services There is presently legislative talk of eliminating the homemaker services on a state funding level or giving county social service depart- ments the option of continuing the program under their auspicies or contract- ing the service out. While the major part of the homemaker program currently serves the elderly and handicapped, a viable outreach effort to families in stress does not exist. The continuation of the program and expansion to serve more families with children would enhance an already existing service which is known to offer support and substantive assistance to families in stress. There are nine full-time homemakers employed by Social Services. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Priority Problem 1, Community Child Abuse Council Need for vigorous community effort to develop a county- wide child abuse prevention program. Need to increase public aware- ness and commitment to address- ing the issue of child abuse and families in stress as social problems not limited to any one group but affecting all of society, with eventual costs to society in delinquency, mental health and mental or physical retardation. RECOMMENDATIONS Recommendations Encourage those agencies already serv- ing children and families in stress, governmental agencies, law enforcement, juvenile court, county attorney's office, civic leaders, service organ- izations, and interested citizens to form an ongoing child abuse council. (Refer to p. 23 of Child Abuse for discussion of community councils). Develop a multi -disciplinary and diagnostic team of existing agencies and medical, legal, social, psycholo- gical groups already serving abused children and families in stress to share resources and better coordina- tion of service. Launch a concerted educational out- reach program through the local media and other community resources. Encourage use of Children's Resource Center for community interests. Establish links with existing child abuse groups such as CHEW Child Abuse and Neglect Resource Center at Oakdale. Develop a Speaker's Bureau of persons willing to speak on the issues of child abuse and families in stress to inform community, civic and ser- vice organizations. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MDRIES Possible Agencies Funding Affected Sources Appropriate social service agencies serving families and children, civic leaders, city, county government, law enforcement. This council would not be viewed as an ongoing agency requiring com- prehensive fund- ing. Rather, volunteer parti- cipation in this would be an in- vestment in Johnson County's future. Supply costs like paper or postage could be shared among participating agencies and groups through in-kind donations. Meeting or work space could be found at the proposed Children's Resource Center or. at an existing agency. N ID Priority Problem 2. Child Abuse Prevention Lack of consistent family liv- ing education programs on all grade levels in area school districts to prepare and sensitize young people about the realities and potential j difficulties in adult func- tioning, nurturing children, and family interaction. Recommendation Development of family education and adult living curriculums in all schools to be presented in an ap- propriate fashion for each grade level. Need to incorporate more Encourage program expansion in pre - information on child develop- pared childbirth classes presently ment and family adjustment available for Johnson County resi- expectations for expectant dents. parents, beyond the pre- pared childbirth level. Lack of coordination and availability of education and resource materials and support for families in stress or parents needing resources on children's developmental periods from newborn to 18 years. Need for a Parent's Anonymous group in Johnson County. Children's Resource Center to house appropriate materials, audio visual aids and information and referral services. The Resource Center would also pro- vide a physical facility for parents groups, Parents Anonymous, and re- lated interest groups. Encourage a group start through network referrals from focal agencies and provide meeting space, transpor- tation, child care and community support. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES b101MES Possible Agencies Funding Affected Sources Area school dis- School districts, tricts in grades Grant Wood AEA, K-12 in local Iowa Department , schools, parents, of Public Instruc- teachers, PTO tion. groups and con- cerned citizens. University of User fees, ab - Iowa Hospitals and sorbed agency Clinics, Mercy Hos- cist. pital, Emma Goldman ' Clinic and other local health and social service groups or agencies in Johnson County. Appropriate social Volunteer support service agencies, by users, United interested families Way, U.S. Housing and concerned & Urban Develop - citizens. ment (HUD) Block Grant program, city and county participation. Interested parents Use existing space and their children, in a .supportive appropriate social c:oaiunity facilit} service agencies. Volunteer carpool: child care by a Ilomemaker from Social services.' s a 1 Priority Problem Recommendation Need for emergency, drop-in Develop and encourage emergency child care for parents to child care provisions from exist - temporarily leave children ing child care facilities such as when they feel the potential a local center or child care home for abuse and stress mounting. provider. 3. Child Abuse Treatment Need to promote and support Educate and inform those relevant existing programs in Johnson funding bodies of the ongoing, com- County which investigate and munity needs in the areas of child treat abused children and abuse investigation and treatment. families in stress. Recognize and support ongoing efforts of treatment and importance they continue. Develop a consistent information base with comprehensive research £ of violence in the family, its 9 related problems and impact on society. I Need to continue and expand Lobby Iowa legislature and Iowa De - homemaker services to provide partment of Social Services to off - in -home support and education set potential for cutting back the for families in stress. homemaker program and work to ex- pand the program's base so that more families and children can be served. Need to provide training to Additional training in child abuse sensitize Iowa Highway Patrol report taking should be required personnel in taking child abuse for all patrol personnel taking reports. calls for the Child Abuse Registry. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140111ES Agencies Affected Child care pro- viders, appropri- ate social service agencies. Social Services, Lutheran Social Service, Families, Inc., Visiting Nurse Association. Iowa legislature, Iowa Department of Social Services. Possible Funding Sources User fees, Depart- ment of Social Services. Iowa legislature, Iowa Department of Social Services, county and city Government, and private user fees. Federal demon- stration grant projects. Iowa Department of Social Services. Iowa Highway Patrol. Iowa Highway Pa- trol. w r 32. GOAL To provide community support and alternatives to families in stress situations, thereby reducing the need for placement of children in foster care and, when necessary, to provide effective foster care services to children who cannot reside in their natural home due to family stresses, with the implicit goal of reuniting the child with his or her family when feasible. SERVICE AREA DESCRIPTION Foster children are those persons under the age of 18 who are residing and functioning in an environment other than the family unit in which they were born. This foster or substitute family structure assumes several forms in the State of Iowa. The Iowa Department of Social Services administers the majority of foster care programs. Follow- ing are the various definitions used by the State. Child Foster Care: Substitute care furnished on a 24-hour basis to an eligible child outside that child's home by a person or agency other than the child's parent or j guardian. Child foster care - shall include, but is not limited to, the provision of food, lodging, _I training, education, supervision and health care. Emergency Shelter: A physically unrestricting facility used i for the shelter care of children in need of temporary protective living arrangements. Services provided in the shelter may include medical, -_I psychiatric and psychological evaluation, counseling, education and legal services. Foster Family Home: A private facility licensed by the Social Services Department consisting of a family unit providing care to no more than five children, including the family's own children. Children Placed in foster care family homes include those with normal developmental needs and those with special needs or problems. , Group Home: A licensed facility caring for no more than eight children whose physical, emotional, developmental, social and behavioral needs require 24-hour care, but who are able to utilize community resources such as education services. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES 33. Residential Treatment Center: A licensed facility providing specialized, 24-hour services to children whose degree of emotional, -' behavioral and/or social dysfunctioning necessitates in care a structured environment. Specialized care and strategies for behavior change are emphasized with the provision of an appropriate recreational and educational — Program either on or off the center's grounds. Independent Living: Those placements made for children 165 r to 18 years of age who are under the legal custody or guardianship of the Social Services Department. These children live independently ` while under the guidance and support of a service worker. Emphasis is placed on the child learning the responsibility of adulthood. I There are also group homes and residential treatment centers i for children who are mentally retarded or developmentally disabled. (See Human Services Profile on Developmental and Acquired Disabilities for I information on these programs). KI PROBLEM DESCRIPTION The Iowa Department of Social Services says the purpose of foster care is to provide services geared to a child's needs that contribute to V•� his or her social, emotional, physical and intellectual growth. The second stated purpose of foster care, according to the Department's Foster Care Services. Manual, is to facilitate uniting the family and child(ren) .., again. A child becomes a foster child when he or she cannot be cared for in the natural home. Factors precipitating family break-up can M, include marital strife, economic and employment stresses, substance abuse by the parent(s), mental and physical or emotional incapacity of the parent(s), the child(ren) being in a life-threatening situation or the i parents' inability to cope with a mentally retarded or developmentally disabled child. Parents may voluntarily place a child(ren) in foster care, the courts may intervene and assume custody or guardianship, or the Social Services Department may receive custody or guardianship. Termination of parental rights is authorized by the juvenile courts in Iowa. A parent or parents may voluntarily relinquish rights to a child or a court-ordered termination may be based on: abandonment of the child by the parent(s), parents' consistent neglect of duties of .. 1-1 MICROFILMED BY JORM MICROLAB CEDAR RANDS -DES IIOIIIES 34. child care, parent considered unfit because of a specific conduct pattern, or the parents' refusal to financially support a child after being ordered to. 12/ The impact of terminating a parent's right is reflected in the follow- ing statement from the Iowa Department of Social Services: "The Termination of the parent-child relationship is a drastic measure and should only be pursued in extreme situations. In these cases where the parent-child relationship is terminated, the worker shall explore the possibilities of an early adoption for the child." 13/ A foster child who is available for adoption may not always be adopted into a permanent family situation. In 1976, only four percent of the Iowa children in foster care were adopted by non -relatives. Or, of 2,673 adoption decrees issued in Iowa in 1976, about one-fifth (154) i were adoptions by non -relatives of foster care children. 14/ i The State of Iowa does provide subsidized adoption services to -' families wishing to adopt a child, when the familyhave may problems meet- ing expenses or when the adoptive child may have special physical or emotional needs which require an additional cost outlay the family cannot provide. _ A family is able to participate in the program if its income i meets the state's eligibility scale. For example, the income of a family of four (including the adopted child) must be under $14,470 after deduc- tions to be eligible. The differential for additional family members is 1 $1,500 annually per person, according to the state's requirements. This subsidy ends when the adopted child marries, reaches the age of 18, no longer resides in the home, completes some type of education '., program at the age of 21, or dies. { •-i As of December, 1978, there were 69 Johnson County children who j were residing in some type of foster care environment, according to figures - from the Iowa Department of Social Services, Iowa City office (Social .J Services). In 1970, there were 2,548 foster children in Iowa. The number of foster children in the state increased in the early to mid -1970's. 12/ Iowa Department of Social Services, "Foster Care Service Manual -XIII;" 1977, p. 6-7. 13/ Ibid; P. 7. 14/ The Iowa Council for Children, "For Every Child;" Abt Associates, Inc.; p. 17. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES IIDINES 35. In 1973, a total of 5,481 Iowa Children were in foster care; in 1977 that figure dropped to approximately 4,000 and in 1978 there was another de- crease to approximately 3,850 foster children. State Social Services estimates the current foster care population at 3,550 children. According to Social Service officials, this downward trend reflects a programmatic shift in Iowa toward providing support services to families in stress which _ enable the family to stay intact and the child(ren) to remain in the home. While various experts on the local, state and national levels are presently examining the validity of foster care and its long term effect on children, it appears that foster care is still the most frequent response to a family in stress when a child's position in that environment is considered uncertain or precarious. " When we plan for children in foster care, we are often dealing with an accomplished fact. The child is already in foster care. And yet, the j most important factor is what happened before they came ... how long they will remain in foster care, ' whether they will go home and how they will adjust er to their new status. The very circumstance of placing a child in foster care, where the child's care is undertaken by people who are not his parents, is considered by , those who are concerned with children as an extreme treatment method. The importance of the family in a child's life makes it important to prevent place- ment where possible. 15/ i Iowa Foster Children Study A 1973 state-wide foster care study by the Iowa Department of Social Services produced some major findings concerning foster children in the state. of the 5,481 children surveyed, 1,173 were in some type of public institution or facility, while 4,308 were in other types of care such as a foster home. Ninety percent of the children surveyed were I white. Mothers of two-thirds of the foster children had not seen their ichild(ren) for over six months. Comprehensive figures on the fathers were I not available. The survey found there were clear plans for a foster child's i future in three instances: children entering independent living, children entering adoption, and children returning to their natural home. "The (715) children who were not in placement long had not been moved around M 15/ Iowa Department of Social Services, Bureau of Family and Adult Service, ^' "Foster Care Survey;" 1973, p. 1. M FIICROFILMEO BY JORM MICROLAB C[DAk RAPIDS -DES 1101r1[5 36. much. The age of the child was not as significant a factor as the length - of stay and number of placements." 16/ The report also noted that 644 children had had four to ten placements and that most of the surveyed child- ren were over the age of 12 and had been in foster care for 30 months or longer. Several characteristics of foster children and the foster care delivery system emerged from the survey. The longer a child is in foster care, the more likely it is that he or she will experience four to ten placements. The longer a child remains in foster care, the more chances decrease that he or she will return home. For those children who remained in foster care for a long period of time, an increase in the case worker's understanding of the child's needs resulted due to a long-term care relation- ship. The longer a child was in foster care, the more likely it was that the future plan was that of independent living. Effectiveness of Foster Care System In 1977, the Iowa Department of Social Services performed a state- wide research project to gauge the effectiveness of improving foster care services through the use of service contracts with children, natural parents, foster parents and case workers. A service contract was defined in the study as a formal (in writing) or informal agreement on the exchange of perfor- mance expectations by all involved parties. The study focused on ways to improve a child's foster care exper- ience and to increase the rate (when feasible) of foster care children returning to their natural home. Consequently, emphasis was placed on the case worker working with the natural parent(s) while the child was in foster care. "The most frequently provided and needed services to natural parents included counseling, home -management, functional education and ... assessment services," according to the study. i Results from the study indicated that the more emphasis placed on workingwith the natural parents, the less chance that the child will be placed in foster care. Case workers participating in the study saw - their involvement with the child's natural family "as helpful in providing a transition from foster care to the return home and to prevention of the need for additional foster care," according to the study. Foster parents 1G/ Ibid; p. 5 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES 37. were viewed and treated accordingly as paraprofessionals employed by the agency and formed a service contract of mutual expectations with the case workers. "The case workers felt problems in foster care were caused mainly by placing a child in a home that was not suitable because they ' didn't have enough choice of foster homes in making the placement." 17/ Forty-six of the 52 children initially studied in the report were out of foster care at the end of the project, with 88% (34) returning ' to a home with one or both natural parents. After a one-year follow-up period, only one of the 34 children was again living in foster care. i A decrease in length of time in foster care was attributed not only to working with the natural parents but also to continuing training ., for workers in general social work practice during the period of the project. Nearly 200,000 children in the United States are believed to be ") in long-term foster care, according to a recent Wall Street Journal article I °) on foster care. "Under the existing system, these children spend their formative years bouncing from one foster home to another, deprived of roots, )1 unsure of the future, calloused in outlook and authorities say, more likely to end up an unemployed adult living off welfare and crime."la/ r.1 + According to local Social Service workers, the service approach in Johnson County is viewing foster care as not a treatment of choice and not necessarily the first regime." While the state of Iowa allows a six-month voluntary placement period for a foster child before the case �y is reviewed to determine the child's future, the local Social Services ' office has reduced this period to a mandatory 30 -day review. �. On a state-wide basis, service emphasis is to place foster children .� in a foster family milieu rather than a group home or institutional setting. "The goal of the Department of Social Services is to develop community based _ facilities and services for these children to avoid not only institutional-, ization, but also to avoid wide geographic separation of these children from their families," according to Social Service procedures. 17/ Iowa Department of Social Services, Division of Community Services; "Increasing the Effectiveness of Foster Care Through the Use of the Service Contract with Children, Natural Parents, Foster Parents and Workers," 1977, p. 31. 18/ Phe Wall Street Journal, "Laws That Deny Children a Real Home," Des Moines Register reprint, November, 1978; P. 3 B. M MICROFIL14ED BY JORM MICROLAB CEDAR RAPIDS -DES 110 RIES 38. I I M 1 � J 19/ Keniston, Kenneth and the Carnegie Council on Children, All Our Children, The American Family Under Pressure, Harcourt, Brace & Jovanovich, 1977; p. 136. i. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS.OES MOlees Foster care not only involves the child in placement, it also affects the child's natural family. The apparent shift toward alterna- tives to foster care programs emphasizes working with the family as a unit, addressing the family's deficiencies or problems, and attempting -� to provide support services which meet a family's needs and enable it to _ stay together. The potential for keeping a child and his or her sibling in the natural family setting is more viable when these support services are available to reduce stress areas and facilitate the family's function- J ing. A 1977 report by the Carnegie Council on Children views the situation as follows: We believe this county is currently spending a great - deal of money on repair, rather than prevention. This emphasis should be reversed and every measure taken to save families before they reach the breaking point. A decent system of child care relieves some of the pro- blems of child abuse and makes foster care a less fre- quent necessity; good family planning makes some health superfluous, counseling and homemaking and other services I ��1 can sometimes make the difference that is needed to forestall removing children from a troubled family. An ounce of prevention often costs less than a later cure. 19/ N�{ .H I I M 1 � J 19/ Keniston, Kenneth and the Carnegie Council on Children, All Our Children, The American Family Under Pressure, Harcourt, Brace & Jovanovich, 1977; p. 136. i. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS.OES MOlees ■ STATE-WIDE FOSTER CARE SERVICE FIGURES IOWA DEPARTMENT OF SOCIAL SERVICES YEAR s MONTH FOSTER FAMILIES THOUSANDS OF DOLLARS GROUP HOMES THOUSANDS OF DOLLARS INSTITUTIONS THOUSANDS OF DOLLARS OTHER THOUSANDS OF DOLLARS CHILDREN THOUSANDS OF DOLLARS 1977 January 2608 506 729 207 642 195 25 4 4004 912 February 2618 513 719 205 657 202 24 4 4018 924 March 2638 507 749 211 656 199 32 6 4075 923 April 2615 506 742 216 659 200 40 7 4056 929 May 2610 514 726 207 689 215 34 6 4059 942 June 2528 476 749 203 671 197 47 8 3995 884 July 2470 480 686 199 654 205 53 10 3863 894 August 2451 473 704 197 655 197 49 S 3659 875 September 2418 471 704 195 677 198 48 9 3847 873 October 2432 473 672 188 697 215 41 B 3e42 884 November 2412 471 658 180 712 224 40 9 3822 884 December 2399 467 670 194 725 234 3B 7 3832 902 1976 • January 2402 466 627 167 743 232 36 7 3808 872 February 2403 464 623 179 757 245 40 9 3823 897 March 2423 475 640 182 797 253 35 7 3695 917 April 2404 473 616 176 798 260 33 7 3651 916 May 2382 464 619 173 817 258 29 6 3847 901 June 2341 441 605 165 815 255 38 8 3799 869 July 2305 439 582 176 782 251 41 9 3710 876 August 2282 432 595 176 772 248 37 7 3686 861 September 2249 431 564 177 736 249 41 9 3590 660 October 2269 436 579 171 785 259 43 9 3676 865 November 2253 556 008 39 3656 December 2258 540 808 38 3644 FY1977 FY1978 PY1979 Average Population 3,986 Average Population 3,841 Average Population 3,620 Average $ $473. Average $ $529. for first half of year {+.a• -i v�,n+ew 1....�: .--. .��..: i.n-^� !�.+i i.�-.—i i -..—.a i...�...i :-o.....1 i..+..� �w:�wr MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES 40. SERVICES PROVIDED/POPULATION SERVED When a child enters the foster care system, he or she is pro- vided with a case plan which is developed by the particular service worker handling the child's case. This plan outlines the child's history (physical, family, emotional and intellectual), the purpose and reason of the child's placement and the eventual goal of the plan: whether the child will return home, be adopted, or enter a foster care program such as a group home. The Department of Social Services has designated five different -. types of custody, as follows: ._ 1. Commitment to the Department: When a court has committed the child to the Commissioner of Social Services or his designee. -' 2. Legal Custody: When a court has transferred legal custody of the child to the Department of Social Services. i 3. Voluntary Placement: When the department has agreed i to provide foster care services for the child on the basis of a signed placement agreement between the department and the child's parent or guardian. 4. Emergency Placement: When the child has been placed in emergency care for a period of not more than thirty days upon approval of the Commissioner or his designee. —� 5. Protective Supervision: When the parents have custody I y or guardianship of the child, while the department retains a right to interview and counsel the child in i his or her home. This type of arrangement often occurs j in a family unit which is receiving in-home intensive _i therapy. !, Johnson County children who enter the foster care system via the juvenile courts are usually designated Children in Need of Assistance i (CHINA), according to the Johnson County Juvenile Probation Officer. J Children fitting the CHINA category as defined by the Iowa code are those children who do not have a parent or guardian, are abandoned by their parent(s), or are without parental care because of faults or habits of the parent(s) or guardian. In 1976, the Iowa Department of Social Services had guardianship responsibility for 995 children of which 313 youths under the age of 18 were in the CHINA cagetory. Most of these were boys with an average age of 16.4 years, according to the department records. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140I11ES 41. Very few Johnson County children who are in foster homes become involved with the courts because of legal violations. However, a trend was noted in 1978 of increased law violations by children whose natural residence is outside of Johnson County but who have been placed in a foster care arrangement, particularly group homes, in Johnson County. These foster children have committed an increasing number of violations in Johnson County, according to the juvenile probation officer. In 1977, the Johnson County I Juvenile Court assigned custody of 25 children in need of foster care to i the local Social Services Department. It was noted that the court handles ._ very few cases involving children who are residing in foster family homes. i There are four major types of foster care services offered in Johnson County: Foster Family Home, Group Home, Youth Emergency Shelter ! and Independent Living. The variety of placement types affords Social f 1 Services the flexibility of matching a foster child with the appropriate jcare for his or her needs. I Foster Care Payment Rates The Foster Care Payment Rate is established for foster parents to cover the foster child's room, board, clothing, transportation, school expenses other than tuition, allowance and personal needs. Payment is mailed on the second working day of the month following the actual care provided. This rate of care reimbursement is considered insufficient to meet a child's needs, according to a report by the District 10 vice pre- sident of the Iowa Foster Parent Association. The following chart indicates the payment rate of Social Services and the desired rate by the foster parents in District 10, which includes Johnson County. Foster Parent's View Social services of Actual Cost for Age of Child Monthly Base Rate Foster Care Child 0-5 years $130 $150 6-11 years 170 180 12-15 years 210 250 16-20 years 220 280 Specialized rate reimbursements are added in instances when a foster child needs specialized care such as: for ongoing minor medical r>1 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES az. p problems and/or therapy or psychiatric services; a special needs rate of $65 per month per child for care of children with major difficulties in daily living such as moderate to severe retardation, emotional disturbances and/or physical handicaps; and an $85 monthly rate for extremely develop- mentally disabled children who are totally dependent on others for daily care in dressing, feeding or mobility. ., An additional payment of $100 reimburses foster parents for purchasing necessary clothing for a foster child. The amount must be author= ized by a child's case worker and is authorized only when the child is first placed in foster care. A personal allowance of $10 a month for children over six years of age is included in the base rate of foster care reimbursement. Foster care children of normal health development attend school -' in their foster parents'school district. The Grant Wood Area Education Agency (AEA) offers specialized tutoring services, psychological testing, counseling and diagnostic (hearing, vision, dental) services to foster children in area school districts. f _Specialized Foster Family Programs r_f s There are two specialized foster parent programs in Johnson County: ! the Emergency/Diagnostic Foster Family Home and Intensive Service Foster Family Home. An Emergency/Diagnostic Foster Home is a private facility which provides emergency service for a 30 -day period and diagnostic services for up to 90 days. Foster parents in this program are qualified in the areas i of counseling, flexibility and experience. Foster children placed in this type of situation vary from delinquent teenagers to infants whose parents i are temporarily unable to care for them. Intensive Service Foster Homes care � for adolescents, unwed mothers and children, and mentally Y or physically ' M developmentally disabled children. These homes offer a more intensified approach than the usual foster home but are less specialized than a group w: care facility. There is one Emergency/Diagnostic Foster Family Home and two Intensive Foster Care Homes in Johnson County. One Intensive Home i i cares for developmentally disabled children in lieu of institutionalization and the other provides services for adolescents with behavior problems that would be aggravated in a group setting. Families participating in these programs care primarily for children with specialized needs and do not care for other foster children. u MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I4011jEs 43. Foster Parent Association There is no foster parent association in Johnson County, although the need for one has been expressed by foster parents and Social Service r. workers. However, given the geographic clustering of some local foster parents, there is a sense that some of the foster parents communicate among themselves and share in providing for needs such as respite care. Group Homes There are two organizations in Johnson County providing group home services i primarily to adolescents. Youth Homes, Inc. operates on a contract arrangement with the Department of Social Services. Youth Homes i has two foster care programs: Iowa City Girls' and Boys' Group homes and the Youth Emergency Shelter, discussed below. In 1978, the average length of stay in the boys' facility was 101 days. Five Johnson County males stayed at the facility in 1978. Three young men from other Iowa counties also received services there last year. Lutheran Social Service of Iowa's southeastern Iowa office is based in Iowa City. The agency has a boys' group home, Coffelt Place in Iowa City, and a girls' group home, New Hope Home, in Washington, Iowa. Coffelt Place serves boys age 16-18 years. In 1978, it provided services to four Johnson County youths. Lutheran Social Service has run the New Hope Home since 1973, caring for females age 14 to 18 years. In 1978, one female in Johnson County was served there. -•a Lutheran Social Service is licensed as a child placement agency by the Iowa Department of Social Services. This empowers the agency to i license foster homes. Through its Expectant Single Parents Program, the agency has licensed seven foster homes in the area to care for infants who are in the transition period between termination of parental rights and adoption. The infants usually remain in the foster homes for a period of two to four weeks. Emergency Shelter Youth Homes operates an emergency shelter to assist youths in crisis and runaways. From January to June of 1978, agency records indi- cate that 40 percent of the clients were from Johnson County, 46 percent were from elsewhere in the state and 14 percent were from out of state. w>1 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOINES M 44. Thirty-eight percent of all females served in 1978 were from Johnson ^+ County and forty-seven percent of all males served there were Johnson County residents. _. Since 1975, the local Social Services office has reduced the number of Johnson County children in foster care by 41 percent. The Iowa Department of Social Services District 10, which includes Johnson County, has a low ratio of placing children in foster care compared to other districts in the state, according to personnel there. There is also an increased trend of a child's natural parents knowing where the child is living if a child is placed in foster care. The child's case worker maintains close and constant contact with a foster child's natural - parents to keep them apprised of the child's development. -- Family stress situations which might have previously been resolved by removing a child or children from the home and resulted in foster care placement are now handled in several ways in Johnson County. It should be noted that when it is observed that a child or children are in a home situation which is life threatening, the usual recourse is re- moval of the child(ren). The District 10 Treatment Team is based in Johnson County and serves families in Iowa, Washington, Linn, Benton, Jones, and Johnson counties. In its three year existence, the team's purpose has been to work with families in stress situations to prevent foster care placement from J occurring. The approach is an intensive therapy one where concentrated -, time is spent with a family, working with all family members on a wide range of problems. When needed, workers will assist a family in obtain- ing other relevant community services, such as alcoholism counseling. Workers function more as field social workers and develop a case relation- ship with the family. In the program's first two years, the team worked with 199 children and 99 parents. Seven cases resulted in a voluntary release of parental rights and two ended in court-ordered termination of parental rights. Family Assistance Specialist Team (FAST) The Family Assistance Specialist Team (FAST) was started on a joint initiative by the Iowa City Social Services office and Lutheran Social Service through available state funds for services to a child in his or her home when such services may be an alternative to foster care placement. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101;IFs 45. The program's major focus is to direct children away from out - of -home foster care placement and to reduce the length of stay for those I children already in foster care. ' Children who have been served thus far range in age from three _ to twelve years, Team members work with a family on an intensive basis in areas such as respite care, information and referral, chore service, education, emergency caretaker services, and surrogate parenting. Services ~ of the FAST program are rendered by Lutheran Social Service on a contract basis with the local Social Services office. The program serves the area ^' within a 60 -mile radius around Iowa City and, since its inception in November, 1978, has served six families, three of them from Johnson County. •^ Participating families are also encouraged to utilize the resources of• Parents Anonymous (a national program with local chapters for parents experiencing stress and acting out against their children) when appropriate. „ Family and Child Training (FACT) Systems Unlimited provides a support base for parents and guardians through its Family and Child Training program (FACT) which is funded with a state Title XX contract. The FACT program enables the agency to maintain the develop- mentally disabled child or charge in his or her home. Support services in- clude counseling, parent training, social and developmental therapy, respite - care and recreation therapy. Currently, fourteen Johnson County children between the ages of five and 18 are being served through the FACT pro- gram. (See Disabilities Profile for more detail on this program). Families, Inc. 1 Family -centered services are offered to a nine -county area in southeastern Iowa by Families, Inc., located ill West Branch, Iowa. ' Therapists act as family advocates and work intensively with a family on development of functioning skills that meet the family's particular needs. -t Between 300 to 350 children are served annually by a team of 25 therapists i who may spend as much as thirty hours a week in a family's home. Last• year 60 percent of the households served were single -parent ones. The approach of working with a family as a unit is designed to prevent foster ra care placement whenever possible. Approximately 70'5 of the agency's cases have been deterred from foster care placement, according to agency personnel. nt MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOIRES AG. Five staff mo:mbur: :serve ,Johnson County and usually handle 12 to IA fami.l.ics at any g.iveu Lime. Ihuni.li.es, Inc. is; under T.itlu R% ,ir)n Lr.u:L. wil:h the Iowa Soc.ial Survico!; Dolcartment. All of the above agencies receive the majority of their cases through referrals from the local Social Services Department. A few similarities exist between these groups and agencies: all strive to provide the types of supportive services to help a family stay together and all attempt to forestall foster care placement when possible and work to link a family with available support services in the community. Independent Living There is currently one Johnson County young person living in -- an independent living arrangement. This type of care is considered bene- ficial for young persons who are not comfortable living at home and do not have a need for a more intensive set-up such as a group home. Social _ service personnel monitor independent living care through regular visits and assisting the young person in tasks such as budgeting and housekeeping. I The National Clearinghouse for Home -Based Services to Children has its headquarters at the University of Iowa's Oakdale Campus. Established in 1977, the Clearinghouse's goals are: 1. To foster and promote interest in and development of home-based, family centered treatment services. 2. Increase knowledge and skill in home-based treat- ment approaches by conducting workshops. 3. To provide understanding of new child welfare forecasting technologies for program planning -' personnel. The group's second annual conference on home-based family services will be held this spring in Iowa City. A national network l of practitioners, policy makers and researchers in the areas of family and children's services is coordinated through the Clearinghouse Regional workshops on in-home treatment are held by the Clearinghouse, which is also affiliated with the University's School of Social Work and Families, Inc., in West Branch, Iowa. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIOEs 47. UNMET NEEDS While this section will deal with a variety of unmet needs in the foster care delivery system, the initial section will deal with the ... concern of one particular group, that is, foster care parents. Foster Parent Survey Information on foster family situations and concerns of local foster parents were tabulated from a survey mailed to 34 Johnson County foster parents in the spring of 1978. i (See Appendix C for a copy of the � questionnaire). Of the 34 respondents, one was no longer a foster parent and •' one family said they were too new at foster parenting to respond appro- priately. Accordingly, a total of 32 responses were analyzed. ~ The survey sought information on the following areas concerning foster care: funding, foster parent training, relationship of foster �. . parents to the child's placement agency, foster 9 Y. parent services and needs, relationship between foster parents and the juvenile court, and trends and/or gaps in the delivery system. Funding of Foster Care Sixteen respondents said they thought the funding level of foster care does not adequately cover all facets of child care, while fourteen said it was adequate. Two parents did not answer the question. �- Those foster parents who said the funding was insufficient „ for child care cited various problems. The following are concerns listed by those foster parents, with the number of responses to each problem in parantheses: clothing (9); baby sitters/daycare (5); trans- portation (3); food for teenagers (2); household wear and tear (1); special interests or hobbies such as music lessons (1); and no funds for disposable diapers or plastic pants (1). Tragi Fifteen foster parents said they had participated in training programs that related to their responsibilities as foster parents. Six- teen had not attended any training programs and one respondent did not "- answer the question. / MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I40ItlES The subject of tra?.ning and number of responses for each cate- gory are: dealing with adolescents and youth problems (S); communication skills (3); Parent Effectiveness Training (PET) (3); child psychology (2); foster parent class (2); care for the retarded child (1); and general care of children (1). Nineteen of the 29 foster parents said they thought additional training would be beneficial to their role as a foster parent. Three respondents did not answer the question. Seven foster parents wanted more training in child development and behavioral problems; six wanted involve- ment with a foster parents' support group; three asked for training in communication; two respondents wanted information on community resources, while training on battered children and drug abuse were each requested by one foster parent. Thirteen foster parents felt there were inadequate training opportunities for foster parents. Eleven respondents said there were enough opportunities, while eight foster parents did not answer the question. Four respondents said training should be available every six months; two mentioned scheduling difficulties; one wanted training in the hometown rather than at Kirkwood Community College; and one asked for special training sessions for parenting with handicapped children. Relationship of Foster Parents and Child's Placement AcIency A majority of respondents (18) said they were provided with all the necessary information on initial placement of a foster child. Thirteen said they did not receive enough background on the foster child, and one respondent did not answer the question. Three foster families who said sufficient information was given on a foster child also noted that it takes living with someone to really know the person and that a case worker can only provide so much information. Those foster parents who said they did not receive satisfactory information on their foster children cited examples such as: "could have used more legal information;" "received no information on child's background including medical history;" "weren't told the foster child had stolen cars and that I should lock up coin collections and rings;" "no information on delivery of child and medical history." MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIMES 48. M One foster parent speculated: "Sometimes we have felt that pressures have come (between the foster parent and child) because "- significant data has been withheld." Communication Between Foster Parents and Case Workers Suggestions from foster parents for improving the initial place- ment procedure included better communication between the foster parents and the case worker on expectations and role of the foster family (four respondents); providing the child with enough clothing (three respondents). ..., an initial visit with the child prior to family's final acceptance (two I j respondents); and having regular phone calls from a Social Services staff j member during the child's first few weeks with the foster family. Eight respondents said there needed to be more ongoing communi- cation between the foster parents and the case worker after the child's W. i initial placement with a family. Regular weekly visits by the case worker were mentioned as a way to achieve this, along with treating foster parents i '"' ' as team members in the child's development rather than as passive providers. "'I Nineteen out of 28 respondents to the question on whether foster care regulations needed changing said "no". Nine respondents said "yes". rt aJ Sixteen foster parents said they felt the screening of prospective foster parents was adequate, while 13 said the procedure needed change. Fourteen foster parents said there was no need to change the method of training foster parent applicants, while 13 respondents said the program needed change. said one foster parent: "People don't get enough training in parenting, and foster children often need special care." � Foster parents were asked to rank their satisfaction with the '•"' coordination of activities, events and services between foster parents and the child -placing agency, such as Social Services or Lutheran Social .,., Service. Seven respondents ranked the coordination as excellent, 11 said good, eight fair, and three poor. Respondents who indicated displeasure with the coordination cited primarily the need for a better working re- lationship with the case worker, more workers needed to handle the case- load, and more comprehensive information about the foster child's back- ground and habits. w MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES 50. Foster Parent Services and Needs Seventeen foster parent respondents said they did not carry liability insurance. Two parents said it was the state's responsibility to provide this type of insurance (which would cover parents if their foster child damaged someone else's property, sustained an injury which could lead to a lawsuit against the parent, or was involved in an accident which related to liability insurance). six respondents said they did carry insurance and nine didn't respond to the question. Nineteen foster parents said that opportunities for foster parents to have an interval of rest or relief were available. Nine respondents felt there were no opportunities and four said they didn't know. opportunities for relief included availability of substitute foster parents or relatives, in-between placements, and respite when the foster child is in school during the day. Foster parents who did not have the opportunities for relief said that a network of foster families should be developed to take turns watching each other's foster children, or that the county should provide respite care in special foster homes on an annual basis. A fairly even distribution of foster parents said they accepted foster children in the following age groups: infants (17 respondents), grade schoolers (19 respondents), and adolescents (19 respondents). How- ever, when asked which age group they preferred, the number of foster parents who preferred adolescents dropped from 19 to seven, grade schoolers from 19 to 13, and infants from 17 to 11. Relationship Between Foster Parents and Juvenile Court Nineteen foster parent respondents felt that an orientation pro- gram should be given to foster parents prior to their testifying in Juvenile Court. Eleven persons did not answer the question and two re- spondents said an orientation was not needed. Those requesting an orientation said it would be helpful to foster parents to know what to expect in the Juvenile Court system and what their responsibilities as foster parents are to the court and to the foster child. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOIflES 51• W 'I I Trends or Gaps in the Foster Family [tome Care Delivery System Those foster parents answering the questionnaire said a greater societal base of foster parents needs to be developed which includes single ..I parents, college students, and adults with various life styles. It was also I mentioned that the state should provide foster parents with more supplies for their foster children, particularly clothing. Three foster parents � sl said they wished foster parents had a better image with the rest of the community. Foster Children with Disabilities Proportionally, more developmentally disabled children are in j the foster care system than healthy children. While various community i j support sources, such as Systems unlimited, help to maintain such child- ! iren in their natural homes or in home -like settings, it appears that other community resources such as more respite care offerings could be directed toward keeping developmentally disabled children out of the fos- ter care system. Adolescent Foster Children Foster care studies and records indicate that adolescent children who cannot be maintained in their homes face difficulties in the foster care system. This age group's inherent developmental stress and acting out behavior make placement in a foster family home difficult in many instances. Resources such as seminars, films and information and referral services could assist those foster parents who are interested in caring for adolescents by making available information on care techniques such as behavior modifi- cation. This educational support system could cater to both foster parents and the hard -to -place adolescent who might not normally adjust in a foster ILII, family home. 1 Foster Parenting Education ( Kirkwood community College offers courses in foster parenting for interested foster parents in east central Iowa. Last fall, a class on foster parenting was held; a second course, on fostoring the adolescent, was held in February, 1979. Classes are held in Cedar Rapids, which can prove a i MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIMCS 52. problem for local foster parents in arranging transportation and child care. Only one foster parent from Johnson County attended the parenting class last fall, according to Kirkwood records. Resource Center A resource center could coordinate, initiate and support various facets of family life in the community (see Child Care Profile and Child Abuse section for discussion of resource center), in the area of foster care, and could constructively bring foster parents and other interested persons together. It could serve as a catalyst for organization of a local foster parent association. With an emphasis on keeping a family together under stress situations, a resource center could provide programs to assist families in recognizing when and how problems initially occur and thereby -' avert the need for crisis -oriented family problem -solving. Schools I It appears that most school districts in Johnson County do not I I( �' consistently or comprehensively offer programs on family life education in I-+ grades kindergarten through twelve. Of the four school districts in Johnson County (Iowa City, Solon, Clear Creek and Lone Tree), Solon is �I the only school district offering some facet of family life education in grades kindergarten to twelve. Research indicates that a successful pre- , ... ! vention program on family stress, child abuse and foster care can be offered in a community through school courses. (See Child Abuse � , page 24, for further explanation of school programs). Preparing P g young people at an early age for the responsibilities of adulthood and providing them with coping mechanisms _I and problem -solving skills can lead to a better awareness and more reasonable expectations on their part in coping with life, family dynamics and the nurturing of children. /^ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES tlopg5 Priority Problem 1. 2 3 Alternatives to Foster Care Reduce the need for foster care by continuing and expanding support programs for families in stress situations. Need to promote/expand programs such as respite care which enable a child with physical, emotional or mental disabilities to remain in the home rather than be institutionalized or placed in foster care. Foster Family Funds Need to increase payment rates to reflect basic cost of living expen- ses of caring for foster children. Need to clarify liability insurance needs of foster parents. Education Programs Lack of consistent family living edu- cation programs on all grade levels in area school districts to prepare and sensitize young people about the realities and potential difficulties in adult functioning, nurturing chil- dren and family interaction. RECOMMENDATIONS Recommendation Educate and inform those relevant funding bodies of the ongoing com- munity need for alternatives to foster care and preventive aspects of in-home support services. Expand the financing of foster par- ents basic rate to meet the actual level of cost. Survey those existing liability in- surance possibilities for foster parents to determine if insurance should be included in the basic pay- ment rate to foster parents. Development of family education and adult living curriculums in all schools to be presented in an ap- propriate fashion for each grade level. Agencies Affected Possible Funding Sources Social Services, Iowa Legis - local families lature, Iowa and their chil- Dept. of dren, Lutheran Social Ser - Social Service, vices, County Systems Unlimit- Government & ed, Families, private user's Inc., state and fees on a county govern- sliding scale ment. basis, home- maker services, Title XX. Foster parents, Iowa Legis - foster children, lature, Iowa Dept. of Social Dept. of Services, Lu- Social Services theran Social Service. Area school dis- School dis- tricts in grades tricts, K-12 in local Grant wood AEA, schools, par- Iowa Dept. of ents, teachers, Public In - PTO groups and struction concerned u, citizens 1mn,.+i V..+.,�t+.... i-+.*� 4�-�.,,i t�.m..i ...-.... ..._._.. _-� .-.....-1 t-�-1 r^+ �.-�-� v..^.� v-r»� r^ -•+-i .....,..t ......., .....- '+ IIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Moms RECOMMENDATIONS (Continued) Priority Problem Recommendation 4. Support for Foster Parents Need to provide comprehensive and Continue outreach efforts to enhance consistent support for foster parents. development of a local foster parent association and expand locally -based training program offerings which are flexible enough to meet foster par- ents needs and address areas such as the hard -to -place adolescent and children with special needs. 5. Coordination of Community Resources Lack of coordination and availability of education and resource materials and support for families in stress or parents needing resources on chil- dren's developmental periods. Public Education and Awareness Need to increase public awareness that families in stress and result- ing problems or issues are not limited to any social or economic group but can occur•in any family with eventual ramifications for society in general. Children's Resource Center to house appropriate materials, audio visual aids and information and referral services. The Resource Center could also pro- vide a physical facility for parent groups and a foster parent associa- tion. Launch a concerted outreach program through the local media and other community resources. Encourage use of Children's Resource Center for community interests. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Possible Agencies Funding Affected Sources Area foster Iowa Dept. parents, foster of Social children, Dept. Services. of Social Ser- vices, Lutheran Social Service, Interested fam- Volunteer ilies, social support by service agen- users, United cies, area chil- Way, U.S. dren, and con- Housing & cerned citizens. Urban Develop- ment (HUD), Block Grant program, city and county participation. Interested fam- United Way, ilies and 4 C's, Work - children, gen- shop program, eral public. More aggres- sive local grant seeking. Priority Problem GENERAL RECOMMENDATIONS Recommendation Possible Agencies Funding Affected Sources The following problems and recommendations relate to all of the service areas studied during the first and second years of the Human Services Planning Project. Because they relate to all areas, they will not be tailored to each individual area. However, their importance to each of the service areas should not be diminished due to this manner of presentation. - - - - - - - - - - - - - - - - - - - - - - - - - - - - COMMUNICATION, COORDINATION_, INFORMATION Inadequate communication and coor- dination among agencies providing service results in inconsistencies, particularly in the way clients with multiple problems are handled. Delays in the provision of service and misunderstandings or disagree- ments 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 re- quires staff time and effort not available from any one agency. Inadequate knowledge on the part of service providers concerning the functions and programs of agencies can result in inapprop- riate referrals or lack of referral to a needed resource. In addition to clients getting lost in the system and not finding the Agency directors and staff pro- viding similar programs or ser- vices to similar client groups should meet together on a regu- lar basis to: 1) Share information about programs. 2) Explore solutions to common problems. 3) Acquaint them with the staff of other agencies to facili- tate the referral process and increase trust levels. 4) Share information on clients within the confines of confi- dentiality. Human Service planning staff may be assigned the responsibility for calling and organizing such programs in order for them to succeed. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES All public Johnson and private County Re - providers gional Plan - serving John- ning Commis - son County Sion; State clients. and federal sources of funding should be explored. GENERAL RECOMMENDATIONS (Continued) Possible Agencies Funding Priority Problem Recommendation Affected Sources appropriate services, service pro- vision is often carried out without consulting other agencies which pro- vide similar or complementary ser- vices. The result is that services are delivered with less than optimal efficiency and effectivbness. DATA ON CLIENT CHARACTERISTICS Information on client character- istics (e.g., age, race, sex, in- come, residence and problems pre- sented) is not available at the present time through many agencies As a consequence, it is difficult to assess portions of the popu- lation which may be inadequately served and for which programs should be developed. These agency sessions might be used to address many of the spe- cific recommendations found in each of the profiles. Assessment of data requirements All public is needed by 1) agencies to and private assess existing programs and not -for -pro - 2) funding bodies to make allo- fit agencies cation decisions based on commun- providing ity need. A common data collec- service to tion and retrieval system should Johnson Coun- be developed which would place ty, United minimum demands on agency staff Way time and be.economical. Funding Agencies should make inquiries into systems of evaluation used for services. Accountability should be emphasized. The Human Services planning staff should be available to coordinate the de- velopment of this effort. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES Johnson County Re- gional Plan- ning Commis- sion, City, County, United Way; State and federal fund- ing sources should also be explored. Priority Problem GENERAL RECOMMENDATIONS (Continued) Recommendation Possible Agencies Funding Affected Sources FUNDING General revenue sharing funds should be considered as a possible funding source for many of the recommendations. Wherever possible, recommendations should be met by agencies already in existence. This may involve coordination of existing services, addition of a new program or program component to an existing agency, or shifting the focus of a current program to meet an identified need. It is recommended that a new agency be established in response to an unmet need only when the efforts of existing agencies have failed or when it has been satisfactorily determined that it is not feasible for an identified need to be met through such efforts alone. This approach will help ensure that additional costs are minimized and fragmentation of services avoided. HUMAN SERVICES SUPPORT NETWORK A continuing program to provide support and assistance to local human service agencies has been proposed by the Program Development Subcommittee of this project (December, 1978). This program would assist in the areas of coordination of agency services and data collection (see preceding Recommendations in this section). It would also provide for joint program and budget review by local funders of human service programs. (See Proposed Program for Implementation of a Human Services Support Network for further detail.) It is recommended that local funding bodies share the cost of providing this support network and that they require participation in this process by human service agencies applying for funding locally. en J f NWA4 IPQM pow* -wwj .0.0 -MM4 w�/ 1Wom "0" MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOITIEs ■ APPENDIX A Local survey Respondents to Child Abuse Questionnaire: I. Iowa City Recreation Center 2. Iowa City School District 3. Lone Tree School District 4. Mark IV Community Center 5. Dr. Peter Wallace 6. Dr. Thomas Rosenberger 7. Dr. John Maxwell 8. Mercy Hospital 9. University of Iowa Hospitals and Clinics, Dr. Gerald Solomons 10. Clear Creek School District 12. Free Medical Clinic 13. Hawkeye Area Community Action Program (HACAP) 14. Solon School District 15. Iowa City Catholic Schools 16. Head Start Preschool Center 17. Early Childhood Education Center (ECEC) 18. Jack and Jill Nursery School 19. Play School 20. Montessori School of Iowa City 21. Iowa City Police 22. Coralville Police 23. Johnson County Sheriff's Department MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES ■ APPENDIX B Questionnaire on Child Abuse Programs and Reporting 1. Does your facility have a detection and reporting program for child abuse? YES NO 2. Please briefly explain the program. 3. Are staff members informed about what to look for regarding incidents of child abuse? YES _ NO 4. What type of training program is given for this? 5. Where do you refer reports of child abuse? 6. Are you satisfied with (name of referral used in # 5's) response? YES NO 7. Is there any attempt by your facility to work with the child's parents in an abuse situation? YES _ NO 8. Has the incidence of child abuse seen by your agency or organization in- creased over the past two years? YES _ NO 9. Can you give me an actual figure or estimate of reported child abuse cases at your facility for 1978? 10. What does your agency or organization see as the main factor in increased incidents of child abuse (if increase noted in response to # 8)? MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 110IIIES ■ APPENDIX C Questionnaire for Foster Parents 1. Is the funding level for foster care adequate to cover all facets of child care (e.q., travel expenses, social activities, food)? YES NO _ N.A. (Not Applicable) Please list any problems in this area. 2. a) Have you participated in any training programs that related to your responsibilities as a foster parent? YES NO N.A. If yes, please indicate dates of such training. b) What was the subject of the training? c) Do you think you would benefit from more training? YES NO N.A. _ d) If yes, in what areas? e) Do you think foster parents have adequate opportunities to participate in training programs? YES NO N.A. Please discuss your response. 3. a) The coordination of activities, events, and services between foster parents and the child -placing agency (i.e., the Department of Social Services) is: Excellent Good Fair Poor Bad No Opinion Please discuss your response. b) Is there a need for better communication between foster parents and social workers (e.g., sharing information about foster children)? YES NO If yes, please discuss in further detail. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MDINES APPENDIX C (Cont'd.) 4. Do you have liability insurance that will cover you if your foster child damages someone's property, sustains an injury which may lead to a law- , suit against you and/or is involved in any other incidents relating to liability insurance? YES _- NO N.A. If yes, please discuss the limits of your insurance. 5. Do you see a need to change any of the following procedures: YES NO Foster care regulations Screening of foster parent applicants Training of applicants before children are placed with them. if yes on any of the above, please discuss. 6. a) Please check the age group(s) you accept. Infants Grade Schoolers Adolescents b) What age group(s) do you prefer? Infants Grade Schoolers Adolescents Please discuss the reasons for your preference(s). 7. a) Are there opportunities for foster parents to have an interval of rest or relief? YES NO Don't Know If yes, please describe them. b) If answer (a) was no, is there a need for rest and relief opportunities? YES NO _ N.A. Please discuss your response and make suggestions. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES M APPENDIX C (Cont'd.) S. a) Please comment on any concerns you have about appearing in Juvenile Court for a case involving one of your foster children: b) Do you think there is a need for a foster parent orientation program prior to testifying in Juvenile Court? YES NO N.A. Please discuss your response. 9. a) Do you think you are provided all the necessary information you need on initial foster child placements? YES NO N.A. Please discuss your response. b) Please state any suggestions you have for improving the initial place- ment procedure. c) Do you have any suggestions for improving the quality of foster child placement after the initial placement? 10. Do you have any additional comments and/or concerns about foster care (e.g., the delivery of services, complaints about the foster care pro- gram as it now stands, trends, gaps in services)? MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 110111ES MICROFILMED BY JORM MICROLAB CIOAR RAPIDS -,,)Fs n01111:s in -home support services This is the thirteenth in a series of human services studies prepared by Johnson County Regional Planning Commission Iowa City, Iowa /06/ HUMAN SERVICES STUDY Report on IN-HOME SUPPORT SERVICES March, 1979 Prepared by: Family and Individual Life Services Subcommittee A Katherine Kruse Benny Leonard Russell Proffitt Mike Townsend Jeannie Williams Human Services Staff Bernice Weinberger Pamela Ramser Larry Allen Human Services Project Johnson County Regional Planning Commission 225 South Dubuque Street Iowa City, Iowa 52240 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IIOINES ACKNOWLEDGEMENTS -� This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Comprehensive Planning Program. It was funded in part through a contract with Iowa City from the City's com- munity Block Grant allocation. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES The preparation of this report would not have been possible without the involvement and support of the Family and Indi- vidual. Life Services Subcommittee members. The talent, time, and energy contributed by them were invaluable to the success of the project. Appreciation is also due to the many human service agencies, organizations, and concerned individuals in Johnson County who contributed their knowledge and time to the project and isupported us in our planning effort. -, Finally, we thank the Regional Planning staff for effort and i support above and beyond the call of duty, which enabled i -1 us to complete the report you are about to read. n I � r I STAFF PARTICIPANTS 1 1 Emil Brandt Executive Director ,.� Pamela Ramser Project Director Marianne SalcettiPlanning Assistant -� � Bernice Weinberger Planning Assistant j Larry Allen Planning Assistant David Chancey Research Assistant Frances Blommers Secretary Terri Maddix ! Secretary 1 i Judith Waterman Graphics -� This study was prepared by the Johnson County Regional Planning Commission for the City of Iowa City's Comprehensive Planning Program. It was funded in part through a contract with Iowa City from the City's com- munity Block Grant allocation. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES ■ r n J I >I J JOHNSON COUNTY REGIONAL PLANNING COMMISSION COMMISSION MEMBERSHIP Johnson County (5) John Dane Charles Duffy Joseph Marak Donald Sehr J. Patrick White City of Iowa City (9) Carol deProsse Dorothy Douglass James Harris Letha Lovelace Mary Neuhauser David Ferret Glenn Roberts Isabel Turner Alan Vestal City of Coralville (3) James Cole William Stewart Lee Strottmana City of Hills (1) Larry Culver City of North Liberty (1) David Roberts City of Oxford (1) Donald Saxton City of Shueyville (1) Jerry Cisar City of Solon (1) Harry Kral City of Swisher (1) Ran Saddoris City of University Heights (1) James Stehbens University of Iowa (1) Richard Gibson Citizens Advisory Committee (1) Herbert Jordan HUMAN SERVICES COMMITTEE Carol Spaziani, Chair Doris Bridgeman Jeannie Williams Russell Profitt . Betty Bunge Gladys Benz Katherine Kruse Rodger Darnell Carol Fracassini David Schuldt William Eckhardt Faith Knowler Nicholas J. Karagan Paul Sandia Jeanette Carter James Harris David Schutt Nike Townsend Rex Honey Lorada Cilek Margaret Stephenson Lori Springer Florence Spaine Susan Simon Kathy Kelly Nancy Warner Benny Leonard Mardi Cooper Roald Rolfson Andy Anderson Al Colston Andy Burton Verne Kelley Michael Rose Lee Graham Dameron MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 1401NES TABLE OF CONTENTS Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . GOAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . SERVICE AREA DESCRIPTION . . . . . . . . . . . . . . . . . . PROBLEM DESCRIPTION . . . . . . . . . . . . . . . . . . . . . Definitions of Specific In -Home Support Services . . . . Characteristics of the U.S. Population 65 Years andOlder . . . . . . . . . . . . . . . . . . . . Characteristics of the Elderly in Iowa and Johnson County. . . . . . . . . . . . . . . . . . . . . . . . Summary. . . . . . . . . . . . . . . . . . . . . . . . SERVICES PROVIDED/POPULATION SERVED . . . . . . . . . . . . . Medical and Health -Related Services . . . . . . . . . . Activities of Daily Living . . . . . . . . . . . . . . . Housing Rehabilitation and Weatherization Services . . . UNMET NEEDS . . . . . . . . . . . . . . . . . . . . . . . . . Needs Identified Through Agency Questionnaires . . . . . Needs Identified Through Meetings With Providers and Through Communications With Providers and Consumers . . . . . . . . . . . . . . . . . . . . . . GENERAL RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I40RIE5 i -vi 1 1 1 1 4 10 12 14 14 19 24 27 27 29 31 34 L I ■ LIST OF TABLES TABLE 1 - Percent of the Total Population 65 and Over: 1900-2050 . . . . . . . . . . . . . . . . . . . . . . . 4 TABLE 2 - Percent Distribution of the Population 65 Years Old and Over by Age: 1900-1975 . . . . . . . . . . . . 6 TABLE 3 - Death Rates by Major Causes - 65 Years of Age by Sex for Select Years . . . . . . . . . . . . . . . . 7 TABLE 4 - Population Projections for Johnson County, Iowa For Those 60 Years of Age and Older . . . . . . . . 11 APPENDICES APPENDIX 1 - Federal Legislation Relating to Programs for the Aged APPENDIX 2 - Index of Agencies by Services Provided APPENDIX 3 - Agencies Providing Services to the Elderly in Johnson County MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Preface I. BACKGROUND OF THE PROGRAM 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 program. The program will provide input into the Iowa City Comprehensive Plan in the human service area and will provide guid- ance to other policy-making groups in the community on future directions 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 con- tract with the City of Iowa City. The balance of the funding is being pro- vided 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 determine 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 the Iowa City Administration; Doris Bridgeman, appointed by Iowa City; Faith Knowler, repre- senting United Way of Johnson County; Emil Brandt and Isabel Turner, represent- ing the Johnson County Regional Planning Commission. Staff assistance was provided by Emil Brandt, Regional Planning Commission Executive Director, and Mary McCue, Research Assistant. After the work program was adopted in January, Constance Echternach was hired as the Human Services Project Director and Pamela Ramser as Assistant Planner. Ms. Echternach resigned in December, 1977, and Sally Baldus served as Project Director from January through July of 1978. Pamela Ramser replaced her in August, 1978 and is the current director of the program. 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 35 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 agencies; 4) consumers of services and informed citizens; and 5) representatives of the University of Iowa. -i- MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIDES II. GOAL AND OBJECTIVES OF THE PROGRAM The goal and objectives of the human service planning program, 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 transportation. 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 onhuman 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 coordination of human services, to include a way for keeping information on services and needs current and available. Because the area of human services encompasses a variety of resources, i priority areas needed to be set. The Steering Committee used the following icriteria in selecting the priority areas for the first two years of the pro- ject: 1) the programs in each area would have some degree of local funding (i.e., i from Iowa City, Johnson County, or United Way), thus assuring some local program leverage; 2) there was a feeling 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 subcommittees established to deal with the four major areas under study. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101RES III. ORGANIZATION OF THE PROGRAI4 ORGANIZATIONAL CHART Iowa City (1) Johnson County Regional Planning Commission (2) i Human Services Planning Staff (3) i Human Services Committee (4) Steering Committee (5) i Family & Individual Emergency Life Services (6a) Assistance (6c) Mental Health/ Public Protection & ` Chemical Dependency (6b) Justice (6d) .J Program Development (6e) �J 1) Iowa City: ~. Contracts with the Regional Planning Commission for Human service Planning. They receive reports, conclusions and recommendations and regarding programm- ing and funding for human services 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, arranges meetings and carried out reporting requirements. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I40PIES 9) Human Services Committee: Has overall responsibility for guiding the study, approving actions and recommendations made by the subcommittees and the assimilation of data into a unified plan. The Human Services Committee delegates responsibility for plan development in specific service areas to subcommittees. 5) Steering Committee: Coordinates the work of the subcommittees, consolidates subcommittee re- ports, recommends joint efforts between subcommittees when appropriate, and has primary responsibility for A-95 review. 6) Human Service Subcommittees: Prepare work plans for individual service areas, provides information on data that is available, data that is needed, and appropriate ways of collecting data. Identify existing resources, provide information on how the service delivery system works, and identify knowledgeable people to be brought into the study. They recommend how data should be organized and prepare conclusions and recom- mendations for service areas. Those subcommittees which published reports in 1977 (see below) have also worked to help inplement some of the recommendations made in those reports. 6a) Family and Individual Life Services: Includes such programs as child care, in-home support services, adult day care, rehabilitation, home management/functional education, family plann- ing, and alternative living arrangements. Has been divided into two groups (A and B) for the second year of the program. Group A has studied the areas of Disabilities, Nursing Homes, and In -Home Support Services; Group S has studied the areas of Child Care, Neglected/Displaced Children, and Family Planning. Reports to be issued between December, 1978 and March, 1979. 6b) Mental Health/Chemical Dependency: Includes mental health, substance abuse and family, individual, and group counseling programs. Issued reports on Counseling, Mental Health, and Substance Abuse in November, 1977. 60 Emergency Assistance: Includes short term assistance with food, shelter, transportation, medical care and jobs for transients and permanent residents in crisis situations. Issued reports on Emergency Assistance to Residents and Emergency Assistance to Transients in November, 1977. 6d) Public Protection and Justice: Includes juvenile justice services, adult community-based corrections, and protection of the elderly from abuse, neglect, and exploitation. Issued .• reports on Juvenile Justice, Adult Corrections, and Protection of the Elderly in November, 1977. -iv- MICROFILMED BY JORM MICROLAB CEDAR RAPIns•DEs MDin[s 6e) Program Development: Includes development of a program proposal for a human services support network to begin in July, 1979 (after the termination of this phase of the Human Services Planning Program), study of information and referral services, and other activities to make the delivery of services in John- son County more efficient and effective. NOTE: The Steering Committee dealt with in this chart is composed of the Chairpersons of the five sub -committees and should not be confused with the Steering Committee used to develop the Human Services Project initially. IV. DATA COLLECTION AND PRIORITIES OF PROGRAM AREAS Data on human services and unmet needs was collected from a variety of local resources through questionnaires, personal interviews, and group meetings. An effort was made to use data included in previous studies and surveys, both within and outside of Johnson County. The agencies and individuals contacted and the methods used are too numerous to recount here. This information is available through materials on file at the Johnson County Regional Planning Commission. --I The data which was collected has been compiled into fourteen service area profiles, the major sections of which are: Goal, Service Area ;Description, Problem Description, Service Population, Services Provided, and Unmet Needs. Illi Recommendations were developed from the information contained in the Unmet Needs portion of the profiles. The profiles were then sent to relevant agencies for their review. Corrections submitted by the agencies were incorporated into the profiles. 1. Counseling 2. Mental Health 3. Substance Abuse f 4. Emergency Assistance to Residents ,r 5. Emergency Assistance to Transients 6. Juvenile Justice 7. Adult Corrections --� 8. Protection of the Elderly 9. Child Care j 10. Nursing Homes 11. Developmental and Acquired Disabilities 12. Families in Stress: Child Abuse and Foster Care 13. In -Home Support Services 14. Family Planning Recommendations made for each individual service area have been assigned priorities by the Human Services Committee, Steering Committee, and Subcommittees. Several general recommendations, relating to all service areas, have also been developed; these are reprinted in each of the profiles. There has been no formal -v- MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Ido RIES ranking of individual service areas against each other. However, of the eight service areas studied during 1977, the area of Emergency Assistance to Transients was informally given first priority. Of the six service areas studied during 1978, the areas of Zn -Home Support Services and Child Care were segn to be of high priority, while the areas of Disabilities and Foster Care developed as low priority. -vi- n, MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES GOAL To provide a wide variety of options for consistent, quality health care and related support services to older persons, regardless of income, in a safe and secure setting, with the aim of maintaining the individual's independence and preventing unnecessary or premature institutionalization. -- SERVICE AREA DESCRIPTION In-home support services, in the broadest sense, encompass a wide range of health-related and social activities provided in the home or in community settings. These services are designed to foster and main- tain the wellbeing and independence of each individual. Services include home health care, homemaker services, adult daycare, nutrition programs, ' handyman and chore services, telephone reassurance and friendly visitation, -� transportation, low -rent public housing, and information and referral i ,... services. i However, the resources discussed here should also be available to any homebound individual. The earlier human services profile on De- J velopmental and Acquired Disabilities deals with the younger population. To avoid duplication, the focus of this profile will be on the older population. An additional profile on Families in Stress addresses those support services available to families in which child abuse and economic or social pressures pose problems in keeping the family unit intact. i i PROBLEM DESCRIPTION -' Definitions of specific in-home support services may vary among agencies. �? The definitions provided below include the most common activities of each specific service and are intended to serve as guidelines in understanding each area of service. Home Health Care is provided in collaboration with a physician and other health professionals to an individual in his/her home. Home health care agencies can be certified for Medicare (Title XVIII) and Medicaid (Title XIX) and thus become eligible for reimbursement through these programs for services they provide. In order to be certified, an agency must offer nursing services and at least one of the following services: home- maker/home health aides services, medical social services, and physical, - occupational or speech therapy. 0 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES i 1 Handyman and Chore Services are designed to assist an individual in maintaining his/her home by making minor modifications and repairs and providing household services such as heavy duty cleaning and yard mainten- ance. Telephone Reassurance and Friendly visiting Programs provide regular phone calls or visits to alleviate isolation, loneliness and fear of illness or injury. Nutrition Programs usually provide one hot balanced main meal a day to individuals in a group setting; provision for an additional cold meal may be included. Sites are located in strategic areas, usually in areas with a high concentration of elderly residents. Meal sites are often located in facilities such as churches or community buildings. Frequently, social activities are scheduled following the meal. In instances where an individual is unable to leave his/her home, some communities also provide a "meals -on -wheels" program in which daily meals are delivered to the home. Individuals with dietary restrictions can often be accommodated by this program. Nutrition counseling includes budgeting, meal preparation and education in nutrition. Adult Daycare Centers provide care during the day in a group set- ting to ambulatory adults who have physical, mental or social disabilities to a degree that they cannot or should not stay alone but do not need 24-hour care. Daycare programs usually offer care to adults in need of supervision due to the absence of family members or other responsible persons from the home during all or part of the day. An adult daycare program also serves to give the families of individuals or those who are homebound a respite from care of that person during the day. Rehabilitative, restorative, self-care training services and a variety of recreational, social and educational activities may be offered. Professional and para- professional staff develop individual treatment plans with specific goals to meet the needs of each participant. Health counseling, individual and family social services, and emergency medical care are often an integral part of this program. Transportation Services use vans or buses which may be specially equipped to accommodate handicapped and elderly individuals so that they FIIEROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110111E5 2. 3. have access to products and community services which would otherwise be un- available to them. In addition, transportation services permit individuals to participate more fully in community social and recreational activities. Home Improvements and Repairs Assistance programs provide for essential home repairs, weatherizati.on and removal of architectural barriers in order to remove health hazards and provide for physical safety and com- fort. Homemaker Service is a program designed to help maintain normal household functioning when an individual is faced with long-term or short- term illness, disability or other problem which interferes with functioning. Through this program trained homemakers working under supervision assume responsibility for routine household activities such as meal preparation, i shopping and light housekeeping. Homemaker/Home Health Assistance is a comprehensive support service designed to provide homemaking and personal care services. This service requires personnel working under agency supervision with the functions of the homemaker/home health aide determined by a care plan established by a professional member of the agency. If the care is part of a medical treat- ment program, supervision must be provided by a licensed nurse which may be one of the services of a certified home health agency. i Multi-purpose Senior Center is a community facility which provides a broad spectrum of social, health, educational and recreational activities for older persons at the Senior Center facility, with provisions for reach- ing the homebound and disabled individuals as well. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MDIIIES it Characteristics of the U.S. Population 65 Years and Older Population Trends , According to the Current Population Reports of the U.S. Bureau of Census, those individuals over age 65 presently constitute over 10.7 percent of the total U.S. population; projections indicate that by the 1980's that number will increase to 11 percent and by the year 2000 to 11.7 percent, as indicated in Table 1: Since 1900 the over -65 population . has grown from 3.1 million people to 22.4 million in 1975. The growth of this population group during this time is illustrated in the chart onthe j following page. The Census Bureau predicts that there will be about 31.8 million elderly people by the year 2000, and that by 2030 there will be 55 million. The number of people surviving into old age could be even great- er in the future since mortality rates are currently declining for all age groups. Table 1 ! Percent of the Total Population 65 and over: 1900-2050 Year Year (July 1) Percent (July 1) Percent 1900 4.1 1980 11.0 1910 4.3 1990 11.7 �+ 1920 4.6 2000 11.7 � 1930 5.4 2010 11.9 1940 6.8 2020 14.6 ,_.. 1950 8.1 2030 17.0 1960 9.2 2040 16.1 1970 9.8 2050 16.1 1975 10.5 Source: U.S. Bureau of Census, Current Population Reports Special Studies, Series P-23, No. 59, May 1976, p. 9. Although the absolute numbers of those over age 65 are steadily increasing, the rate of growth is uneven. As indicated in Table 1, a de- cline of the growth rate is anticipated around the year. 1980, with a net increase of 1.6 million from 1990 and 2000, as compared with a not increase of some 4.4 million in the preceding decade. it is generally believed that — MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DE.S FIOIDES ABSOLUTE INCREASE: 65 & OLDER AND TOTAL U.S. POPULATION 1900-1975 Total Population Source: 300 Statistical Abstract of the United States, 96th Edition, Bureau of the Census, 1975 65 & Older Source: Current Population Reports, Special Studies, Bureau of the 250 Census, Series p-23, No. 59 in 0 200 H a 64 & Under z " ❑ 65 & Older z 0 150 QHQ w7 D O a 106 100 7azw : a this decline in the growth rate primarily reflects the lower birth .y rates of the depression years and World War II. A similar but less marked pattern of decline is anticipated in the years 2000 and 2010. M However, a significant increase in the numbers of older persons will begin to occur around the year 2010 because of the high birth rates following World War Ii. It is predicted that between 2010 and 2020, the population in the over 65 age group will increase by 9.6 million, from 33.2 million in 2010 to 42.8 million by 2020.1/ Within the age group 65 years and over, the proportion of �- those between 65 and 74 years of age is decreasing while the proportion of those over 75 years is increasing. This trend will continue until _ the end of the century according to the predictions of the U.S. Bureau of Census. In 1900, those over 75 years of age represented 29 percent of people in the 65 and over age group and 1.2 percent of the total ^ population. By 1975 this group comprised 38 percent of those people and 4 percent of the total population, as indicated in Table 2. The current growth of the 75 year and over population has been attributed to the high birth rates of the late 19th and early 20th centuries, the high immigration rate prior to World War I, and the increase in life expectancy.2/ rr Table 2 Percent Distribution of the Population 65 Years Old and Over by Age: 1900 to 1975 AGE 1900 1930 1950 1960 1970 1975 .. 65 years and over 100.0 100.0 100.0 100.0 100.0 100.0 65 to 69 years 42.3 41.7 40.7 37.7 35.0 36.2 70 to 74 years 28.7 29.3 27.8 28.6 27.2 25.8 75 to 79 years 17.4 18.5 19.2 17.9 80 to 84 years 29.0 29.0 9.6 11.5 11.8 85 years and over ' 14.1 5.6 7.1 8.4 Source: U.S. Bureau of the Census, Current Population Reports, Series P-25, Nos. 311, 321, 519, 614 and 601. - 1/ The National Council on the Aging, Inc., Fact Book on Aging; A Profile Of America's Older Population, Washington, D.C., February, 1976. p. 11. 2/ Ibid. P. 6. MICROFILMED BY JORM MICROLAB CEDAR RAPI05.00S I101NF5 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 14011JES 7. Health The data in this area suggests that there has been an increase in long-term disability due to chronic conditions and impairments. It seems likely that this increase is due largely to a concurrent increase in the number of individuals over 75 years of age. The prevalence of chronic conditions among the elderly living in the community is greater than among younger people but lower than among those elderly in nursing ,j homes. A high prevalence of chronic conditions, however, does not necessarily signify a high incidence of disabling conditions. The i impact of specific chronic conditions varies markedly. Two chronic conditions, arthritis and heart disease, cause nearly half of the i limitation in functioning among elderly persons. i + i Table 3 �+ Death Rates by Major Causes 65 Years of Age by Sex for Select Years 1 (Rates per 1,000 Population) Cause of Death 65 to 74 years 75-84 years 85 years and over 1940 1954 1973 1940 1954 1973 1940 1954 1973 All Causes 4.8 3.8 3.4 11.2 8.6 7.9 23.6 18.2 17.4 J Male 5.5 4.7 4.7 12.1 9.8 10.1 24.6 18.7 19.8 1 Female 4.2 3.0 2.4 10.4 7.6 6.6 22.8 17.7 16.2 Diseases of the Heart Male 2.1 2.1 2.1 5.0 4.4 4.5 10.3 8.3 9.3 Female 1.5 1.3 1.0 4.2 3.5 3.0 9.7 8.1 7.9 Malignant neoplasms J Male 0.7 0.8 1.0 1.3 1.3 1.7 1.5 1.7 2.0 Female 0.6 0.6 0.6 1.0 1.0 0.9 1.3 1.3 1.1 Source: National Center for Health Statistics, U.S. Public Service, Vital - Statistics Rates in the United States, 1940 - 1960; and Vital Statistics of the United States, Mortality Part A; 1973. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 14011JES 8. Substantial declines in two of the three leading causes of death, heart disease and cerebral vascular disease, account for most of the decrease in mortality for the elderly, as can be seen in Table I. The decline in mortality rates for females has been greater than that for males, with an increase in mortality rates for men in more �. recent years. The decline in the death rates for heart disease accounted for 55 percent of the overall decline in mortality among the elderly from 1950 to 1971 and 61 percent of the decline from 1965 to 1975. In _ contrast, the death rate for cancer, the second leading cause of death, has increased slowly over the years. In 1975, about 961 in every 100,000 people aged 65 years and over died from cancer. Ten years earlier the rate had been 901 per 100,000 and 25 years earlier it had been 857 per 100,000 people aged 65 years and over.!/ .. Data on disability and morbidity are not available for as many years as is mortality data. National statistics are only available for the years 1965 through 1975 and only for the non -institutionalized popu- lation. The proportion of the elderly population in institutions in- creased during this period of time, and the health characteristics of those in institutions may not have been the same in 1975 as in 1965, These changes would affect the amount of disability and morbidity of the institutionalized population. .., The presence of chronic conditions is often not as important '- to people as the ability to carry out their usual activities. National-� statistics in 1975 indicated that 47 percent of the non -institutionalized _. elderly population experienced various degrees of limitation in carrying out activities. It was found that the proportion of elderly people with activity limitation differed according to a number of demographic variables. _ Age increased the likelihood of limitation, and women were less likely to be limited than men. 4/ 3/ U.S. Department of health, Education and Welfare, Health United '- Status, 1976-1977, p. 7. 9/ Ibid. p. 11. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140111[5 Despite the fact that health problems increase with age, most individuals over 65 do not consider themselves to be seriously handicapped in carrying out their usual activities. The high prevalence of chronic conditions and impairments and the higher levels of limitation of activities and mobility give the impression that most of the elderly view themselves as being in poor health and unable to function. However, national surveys indicated that 69 percent of the non -institutionalized elderly saw their health as good or excellent; poor health was reported for only 9 percent. Self-assessment of poor health increased with age and was somewhat more common among men. Poor health was reported more frequently by minority groups, by residents of non -metropolitan areas and by the poor Y Demographic Factors The ratio of the sexes among the elderly has changed significantly within the last few decades. In 1960 the sex ratio for people aged 65 years and over were 83 men per 100 women, and currently there are only 65 men per 100 women. The ratio decreases from 77 men per 100 women at ages 65 through 74 to only 48 men per 100 women at 85 years and over.=/ Elderly women are far more likely than elderly men to be living alone. Thirty six percent of women 65 years of age and over and 41 percent of women 75 years of age and over were living alone in 1975, in contrast to 14 percent of men 65 years and over and 18 percent of men 75 years and over.2/ The most common current marital status among men is to be married with the wife present (77 percent) while the most common marital status among women is widowhood (51 percent). Only 38 percent of elderly women were married with the husband present.=/ 5/ Ibid. P. 12. 6/ The National Council on the Aging, Inc., Fact Book on Aging: A Profile of Americas Older Population, Washington, D.C., February 1978, pp. 20- 22. 7/ Ibid. 8/ Ibid. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IiOINES VM 10. w Income Income is a crucial determinant of how the older population �. lives. It affects their physical and mental health, transportation utilization, housing and nutrition adequacy, vulnerability to crime, W level of social participation and the general quality of life. Gen- erally, the elderly are a low-income group. Many people reaching re- tirement age have always had a low level of income, and old age com- pounds the problems of a lifetime of poverty or near poverty. Others have entered the low-income group because of retirement, illness and -• disability, and/or the effect of inflation upon fixed incomes. The elderly, regardless of living situation, have income levels approximately half that of the younger population. From 1960 to 1975, according to the U.S. Census Bureau data, elderly persons ... living alone, particularly women and non-white elderly persons, have the greatest economic deprivation. The total number of persons age 65 and over classifed as poor is 3.3 million, using the measure of poverty accepted by the Bureau of Census. Using the poverty threshold established by the Department of Health, Education and Welfare, which includes the "new- +-P poor", raises the number to 5.5 million persons.9/ ,,, Characteristics of the Elderly in Iowa and Johnson County According to the 1970 U.S. Census, the population of Iowa was 2,824,376, of which 12.4 percent (representing 350,293 people) ._., were 65 years of age and over. The Johnson County population was 72,127, of which 6.9 percent (representing 5,013 people) were 65 years of age and over. Of the total state population in 1970, 28.3 percent of those aged 65 and over were below the poverty level, compared to 9.4 under ! the age of 64 in this income group. Poverty households in Johnson i County included 8,530 persons, or 12.7 percent of the total population. -- j Of the total number of persons below the poverty level in Johnson County, 12.7 percent or 1,083 were age 65 and over. However, in the over 65 age _ group, 22.5 percent are below the poverty level. 9/ Iowa State Office of Economic Opportunity, Profile of Poverty: An Analysis of Poverty in Iowa, August, 1973. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 110i0E5 - 11. _ A census conducted in 1974 did not show a significant increase in the elderly population of Johnson County, with 7 percent of the total population of 75,025 being age 65 and over. However, the percentage of — 7/ the elderly in the urban area of the county increased significantly.— '. Both the percentage and absolute number of elderly persons in Johnson County are expected to increase over time, according to the fore- casts of the State Office for Planning and Programming as shown in Table 4. i — During the 50 year period from 1970 to 2020, the elderly population of Johnson County may increase to almost 300 percent, an absolute increase of ^ 13,657 people. This amount is nearly a tripling of the present elderly population as shown in Table 4. Table 4 Population Projection for Johnson County, Iowa • For Those 60 Years of Age and Older {,y 1970-2020 Number Pct. Number Pct. 1 Year over 60 Over 60 Over 75 Over 75 NI 1970 6,992 9.7 2,023 2.8 1974 7,220 9.6 2,208 2.9 1980 8,060 10.0 2,289 2.8 1985 8,697 10.3 2,493 2.9 1990 9,478 10.7 2,713 3.1 i J 1995 10,321 11.2 3,046 3.3 i 2000 11,284 11.8 3,310 3.5 2005 12,745 13.0 3,646 3.7 �-. 2010 16,420 16.2 3,983 3.9 a i ... 2015 18,812 18.1 4,363 4.2 i - 2020 20,649 19.5 4,956 4.7 J Projection Summary Total Pct. Population Pct. _ Year Population Increase (Over 60) Increase 1970 72,127 --- 6,992 --- i'., 2020 .106,166 147.0 20,649 295.0 Source: State office for Planning and Programming. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 14011JES N 12. KI Although the population predictions can only be estimates, there is enough evidence that there will be a steady increase in the elderly '-• population of the county with a rapidly accelerating increase after the year 2000.• .- A report issued by the Johnson County Regional Planning Com- mission in January, 1977 as a result of a study to assess transportation needs and preferences of the elderly and handicapped in Johnson County concluded that 20 percent of the elderly have serious mobility problems. In addition, it was found that a substantial proportion of the elderly live alone, have serious physical disabilities and are socially isolated. Summary Given declining birth rates, reduction of infant mortality and improved chances of survival in the middle adult years, those over 65 constitute a larger proportion of the total population than ever before. The arbitrary designation of those over 65 (or more recently 60 or 62) as an undifferentiated mass of elderly persons is illustrative of the rigid nature of popular thinking on the subject of aging. Although these age distinctions originated as a practical method of determining eligibility for retirement benefits, the older ages have acquired many negative con- notations. Society's emphasis on youth has relegated the older popula- tion to a marginal position. However, there is no fixed and inevitable relationship between chronological age and diminished functional ability. In the past, old age was commonly understood as a static life -stage with •- fixed chronological boundaries. Today, attitudes are moving in a new direction. The idea of old age as a life stage is giving way to a more dynamic conception of a life -process. The current thought is that there is no static life stage. Instead, aging is a continuum without distinct physiological breaks. studies have shown that persons over age 65 are not a homogeneous group and are mentally and physiologically more youthful than middle- aged persons. Some individuals may be "old" long before age 65. Dr. Robert Butler, a geriatric psychiatrist, suggests that many of the effects currently attributed to the aging process are really manifestations of disease which may often be reversible. Overall, there is a wide range of variation in health status, functional ability, and mental outlook among the elderly. It is generally true that impairment increases with ._ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES age, but those under age 74 tend to be minimally impaired. As a group, those over 75 have greater needs and are the major users of services, other than social or recreational programs.l0/ Services for the elderly are presently characterized by an overemphasis on acute medical problems, reliance on institutional care, and neglect of preventive and supportive measures. Chronic conditions which have the most profound applications for the individual's lifestyle and continued functioning generate different service needs than acute conditions. While Medicare and Medicaid make some provision for acute, episodic medical needs, there is no provision for long-term care and maintenance of the chronically ill within a community context. The medical model dominates Medicaid and Medicare legislation and does not provide coverage for problems that interfere with the activities of daily living. The provision of homemaker and chore services is presently left to the initiative of the states under Title XX. However, income eligibility guidelines, including funding limitations, do not provide programs which meet the needs of all elderly persons. To achieve a comprehensive approach to the service needs of the elderly, it is necessary to eliminate arbitrary distinctions between health and other service needs. Chronic physical ailments need to be viewed as personal management proglems, as well as medical problems. The consequences of a physical impairment are often more significant than the physical ailment per se. Purely medical services should be integrated into a comprehensive system of health -social services with no one service assuming a prominent position in a continuum of services for the healthy as well as for those suffering from varying gradations of functional disability. 10/ Kamerman, Sheila B., and Kahn, Alfred J., Social Services in the United States. Philadelphia, Temple University Press, 1976. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101f1ES 13. I 19. SERVICES PROVIDED/POPULATION SERVED It is difficult to categorize services by agency, because multiple '^ services are often offered by an individual agency and the distinctions be- tween services are sometimes blurred. In an effort to develop some order to �. the services offered, four broad program categories are used within which agencies are placed according to their major function. These categories are: _ Medical and Health -Related Services, Activities of Daily Living, Housing Rehabilitation and Weatherization Services, and Recreation/Education Services. (see Appendix 2 for a complete listing of agencies and services, and Appendix 3 for a summary of specific information regarding programs). MEDICAL AND HEALTH-RELATED SERVICES Visiting Nurse Association of Johnson County (VNA) provides direct client services in a variety of settings: homes, clinics, and group gatherings. The VNA is a non-profit agency which provides the following programs: 1) Disease and Disabilities 2) In -Home Health Promotion and Counseling 3) Health Counseling and Resource for Groups 9) Well -Child Clinic & Screening Program The first three program categories include services to the elderly population and are described below. The Disease and Disabilities Program is administered in the client's home. Services are available 9 hours a day, 7 days a week throughout the year. Self or family referral accounts for 91% of the program's clients - while the remaining 59% are referred by agencies (almost exclusively hospitals and doctors). The program provides medical management of a diagnosed medical •- problem in collaboration with a physician. Development of an individual's care program is preceded by comprehensive assessment and communication with the source of prior medical care. Nursing, physical therapy and speech i therapy, and aide services are provided, without the necessity of institution- alization. Teaching clients and their families about the management of the medical problem may be provided in conjunction with these services. Any Johnson County resident for whom a medical care source will provide a signed treatment plan is eligible for service, following agency - assessment. Pees are charged and are assessed on a sliding scale according ^� MCRDFILHED BY JORM MICROLAB CEDAR RArIDS•D[s woulEs to a client's ability to pay. Approximately 289 of clients are reimbursed by Title XVIII (Medicare, Title XIX (Medicaid) or private insurance. Cost is not a prohibitive factor, but there is a limit to the number of clients who can be accepted at the current staff level. Services are provided by nurses, aides, and an occupational therapist on the VNA staff. Physical therapy and speech therapy are pro- vided on a contract basis. There is a total presently of 9.25 nurses and 3.5 rural health aides. More than 559 of the services are provided to clients 60 years of age and over, and this age group is predominantly female. Data on character- istics of the client population for 1978 are taken from admission records and are summarized as follows: AGE FAMILY INCOME 0-4 years 79 Less than $5,000 - 15 - 209 5-18 years 49 $5,000 - $9,999 - 75 - 809 19-65 years 319 RESIDENCE 66 years and over 559 Metropolitan Iowa City - 819 Small cities/rural area - 199 Clients are served within 24 hours of contact unless referrals indicate otherwise. When necessary, referrals are made to the following: Department of Social Services (for support services, funding assistance, assessment). Hospitals or doctors' offices (for more intensive medical evaluation and treatment). Volunteer Services (Council on Aging, Volunteer Service Bureau, Hawkeye Area Community Action Program). Referrals to the Disease and Disabilities program are received from the Department of Social Services, Free Medical Clinic, daycare centers, and county and state health departments. In -Home Health Promotion and Counseling is a service provided to Johnson County residents without charge. This is an educational and counsel- ing program with emphasis on prevention and self-care. The service is avail- able 9 hours a day, 5 days a week throughout the year and is provided in the client's home or at another convenient meeting place. Referrals to this program are received primarily through agencies (including VNA clinics), FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110PIES 15. 16. Agency referrals account for 653 of the clients. Family referrals account for 253 of all referrals, and only 1o3 of clients are self-referred. The agencies from which referrals are most often received are: Headstart, Univer- sity of Iowa Child Behavior and Development Clinic, Well Child and WIC Clinics provided by the VNA, HACAP and the University of Iowa Obstetrics Clinic. Data on characteristics of the client population for 1977 are summarized as follows: AGE RESIDENCE 0-14 years 35% Metropolitan Iowa City - 853 -' 5-18 years 32% Small Cities - 76 19-59 years 233 Rural Areas - 83 -- 60 years and over 103 Data on the over 60 population by sex and place of residence are not available. Funding for the In-home Health Promotion and Counseling is provided by the Johnson County Health Department and United Way of ., Johnson County. Health Counseling and Resource for Groups is a service provided to agencies which have programs for which knowledge of health care is important but which do not have the resources to employ health professionals. .1 - This service is also provided to community service groups in an effort to increase community awareness of health care methods. Through this program the VNA will provide any organization, institution, or community group ` with professional health consultation to meet mutually identified needs. Services provided include individual counseling, lectures,,discussion, r screening and development of policies for care. services are delivered at various locations: daycare centers, hool, through Grant wood congregate meals sites, Retirement Village, Nelson Sc Area Education Agency (AEA) and at pre-schools. Joint planning for services s. Some of these is regularly done with congregate meals site manager - facilities are accessible to the handicapped, while others are not. The health counseling service is available through individual group arrange- „ ments with VNA. There must be a mutual agreement on a need for this e. There is no data available on service, which is provided without fe client In 1978, a total of 606 staff characteristics for this Pro hours were spent in providing services and 3,185 individual contacts occurred. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110114ES 17. The Iowa Department of Social Services, Johnson County (DSS) has three programs which provide in-home support services and which are used pri- marily by older individuals: In-home Health Care, Homemaker/Home Health Aide, and Chore Services. The first of these programs is discussed below, while the Homemaker/Home Health Aide and Chore Services programs will be discussed in the section on Activities of Daily Living (see page 19). The In -Home Health Care Program is designed for Johnson County residents who need home-based care of a less intensive nature than that provided by a nursing home. The intent of this program is to avoid insti- tutionalization of an individual, since some individuals using this service ' require 29 -hour care. This program provides financial ass+.stance to indi- viduals so that they may employ an individual to perform homemaking services and to assist in personal care. The VNA cooperates in this program by providing a health care plan developed in collaboration with a physician and by providing periodic evaluation of each case. The VNA must approve each individual care plan i being provided. There is no provision for payment to health care providers who cooperate in this program. The DSS must initiate referrals of potential recipients of this service to the VNA. There is no recruitment of providers for this service. The list �.i of home sitters maintained by Mercy Hospital is used as a resource. Family members can also be employed to perform the service. Eligibility is deter- mined according to income guidelines. As of December 1, 1978, eight clients N� were receiving this service and all were over 60 years of age. Congregate Meals is a nutrition program which provides meals in a group t� setting for persons over 60 years of age and their spouses. The purpose of this service is to provide meals for individuals who cannot afford to cook adequate meals, lack the skills for preparing nourishing meals, or have limited mobility for shopping or cooking. Besides providing nutritional meals, the group setting provides an opportunity for socialization. i Special diets are available if ordered by a physician but are limited to bland, basic diabetic, and no added salt. The menu and meal sites are advertised in the local newspapers and on radio in Iowa City. A reservation is encouraged one day in advance for those who do not utilize a site on a regular basis. There is no charge for meals, but voluntary donations are accepted. SEATS provides regular transportation to meal sites. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 1101RE.S Iowa City has five congregate meals sites. Sites and days 18. when meals are available are as follows: Sites Close Mansion Daily (7 days a week) First United Methodist Church Mon., Tues., & Thurs. Gloria Dei Lutheran Church Wed. & Fri. .- Autumn Park Daily (except Sat. & Sun.) St. Wenceslas Church Mon., Wed., & Fri. �- The First Methodist Church and Gloria Dei Lutheran Church are located in the same neighborhood so that individuals living near that area can receive daily meals from Monday through Friday. ,.., A Home -delivered Meals program (Meals -on -Wheels in other com- munities) is available to homebound individuals who are 60 years of age and over. Homebound individuals under age 60 may also utilize this service but must pay for the cost of the meal. Meals are prepared at Close Mansion ni and delivered by volunteers. The program provides daily meal delivery r, _ Monday through Friday. A carry -out meal service is provided at Close ! Mansion on weekends. Iowa City, Coralville and University Heights re- �•. sidents are eligible for this service. Individuals receiving delivered meals are evaluated regularly to determine continued need for this service. During fiscal 1978 (October 1, 1977 through September 30, 1978) a total of 48,389 meals were served in the Iowa City area. This number includes both congregate and home -delivered meals. On the average, at least 1,000 meals are prepared weekly at all sites within the Iowa City service area, with about one-third being home -delivered meals. Lone Tree has one site for congregate meals which is located at the Lone Tree United Presbyterian Church. A main hot meal is served _.. at midday on Monday, Wednesday and Friday; home -delivered meals are , provided on those days to people living within the Lown of Lone Tree. In addition to meal, an arts and crafts program is provided before meals and a nurse from the visiting Nurse Association visits the site on Wed- nesdays. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DE.S MOINES 19. During fiscal 1978 (October 1, 1977 through September 30, 1978) a total of 5,725 meals were served. This number includes home -delivered meals. On the average, 45 people utilize this service at any given time, with about 10 individuals receiving home -delivered meals. The Lone Tree site serves residents of Lone Tree and the surrounding area. Many are residents of East Side Village. Only residents of the town of Lone Tree are eligible to receive home -delivered meals. ACTIVITIES OF DAILY LIVING The Iowa De artment of Social Services (DSS) provides assistance with various daily activities to elderly and homebound individuals through two Programs: Homemaker/Home Health Aide and Chore Services. Homemaker/Home Health Aide Program is a direct service program -� for Johnson County residents of all ages. The homemaker/home health aide is employed by the DSS to Provide a variety of duties in the home which may include light housekeeping, cooking and shopping. In addition, ,J assistance with personal care of a non-medical nature is Provided when necessary. Individuals who are not clients of the agency may be charged for this service, with fees adjusted according to income. Individuals receiving this service may also be receiving complementary services from other agencies since many have multiple needs. The homemaker/home health I_ aide can provide service on a 24-hour a day basis, but more often service is limited to a portion of the day or week. Twenty-four hour service is r„I not available for adults. A social worker evaluates and a � pproves requests for services and supervises the homemaker/home health aides. Although a i� tangible service is provided, an added benefit is derived from the social- ization offered by the presence of another person in the home. In-service education for the homemaker/home health aide is generally informal but each homemaker/home health aide participates in 15 to 30 hours of formal training through the facilities of Kirkwood College. Referrals to the program are received from both agencies and -- individuals. While a physician may refer a patient, a doctor's referral is not necessary. Many referrals are received from health organizations such as Mercy Hospital, University Hospital, and the Visiting Nurse Associa- tion (VNA). MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -D[. 110PIES 20. Although the DSS has prime responsibility for providing this service, it may be subcontracted to another agency. At the present time, the homemaker/home health aide service is provided as a direct � service of the DSS. As of December 1, 1978, there were a total of nine full-time homemaker/home health aides in Johnson County. During December, 1978 the homemaker/home health aides provided 852 hours of service, of which 709 hours were received by persons over 60 years of age. Income and sex distribution for this age group was not available but of persons of all ages who received this service, 81% had annual incomes of less than $5,000, 83% were women and 91% resided in the Iowa city metropolitan area. The monthly averages of individuals and households served in 1978 were as follows: Individuals Served Households Served Total 86 Total 145 60 and over 86 Age 60 and over 67 Age Chore Service is a program which indirectly provides services similar to those of the Homemaker/Home Health Aide program. This program provides financial assistance to clients of the DSS to enable the client to employ a family member or other individual to perform various types .w i � services such as home maintenance an of homemaking duties and/or chore i repairs. As of December 1, 1978, ten individuals were recipients of this service, and nearly all were over 6o years of age. Data on client charac- teristics other than age are not available. il on Ain provides a variety of supportive services The Johnson County Counc guidelines which are performed by staff and volunteers. There are no income and the agency's services are available to all Johnson County residents years of age and over. Services consist of assistance with shopping,_ busi- ness and legal forms, handyman and chore services, telephone reassurance, friendly visiting, and information and referral. Group activities and •r workshops are also offered, some in collaboration with the Golden Age Club of the Iowa City Department of Parks and Recreation. ` MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 21. A federally funded program to provide financial assistance for health care to low-income persons for such services as dental treat- ment, hearing examinations and hearing aids, and eye examinations and glasses was available until August 1978, when the federal funding for this service was discontinued. During 1977, 34 volunteers assisted in the provision of service. The number of units of service provided for each activity are listed below, as well as the number of volunteers who participated in service provision, where applicable. The Johnson County Special Elderly and Handicapped Transportation System (SEATS) provides specialized transportation on a demand -response basis to residents•of Johnson County who are over 60 years of age or handicapped. The purpose of this service is to provide an economical means of transporta- tion to elderly and handicapped persons so that they can participate more fully and independently in the life of the community. There is no charge for this service, although voluntary donations are accepted. The service operates primarily within Johnson County, with the exception of trips to Cedar Rapids two times a month. At least one trip is made directly to Cedar Rapids, and one is usually made via Swisher with a transfer to LIFTS, the special transportation service provided by Linn County. service is provided to both urban and rural residents on a daily basis. The service for rural residents is limited to the daytime hours, Monday through Friday, while urban residents are provided service in the MICROFILMED BY JORM MICROLAB CEDAR. RAPIDS•DES nOIREs UNITS OF # VOLUNTEERS SERVICE SERVICE PROVIDED PROVIDING SERVICE Shopping Assistance 204 3 Assistance with business & tax forms 414 -- Handyman & chore services 271 6 Telephone Reassurance 30 20 Financial assistance for health care assistance (discontinued 8/78) 95 -- Information and referral 1,212 -- Friendly visiting 329 5 Programs & workshops 164 The Johnson County Special Elderly and Handicapped Transportation System (SEATS) provides specialized transportation on a demand -response basis to residents•of Johnson County who are over 60 years of age or handicapped. The purpose of this service is to provide an economical means of transporta- tion to elderly and handicapped persons so that they can participate more fully and independently in the life of the community. There is no charge for this service, although voluntary donations are accepted. The service operates primarily within Johnson County, with the exception of trips to Cedar Rapids two times a month. At least one trip is made directly to Cedar Rapids, and one is usually made via Swisher with a transfer to LIFTS, the special transportation service provided by Linn County. service is provided to both urban and rural residents on a daily basis. The service for rural residents is limited to the daytime hours, Monday through Friday, while urban residents are provided service in the MICROFILMED BY JORM MICROLAB CEDAR. RAPIDS•DES nOIREs 22. early evening on weekdays. There is usually no waiting list for service but requests for transportation have increased rapidly as the service has become more familiar to residents in the county. During 1978, a total of 28,796 one-way trips were provided, representing more than a 130 percent increase over the number of trips provided during 1977. An estimated 80 percent of client trips are provided to riders over 60, and about 75 per- cent of all trips are made by females. An estimated 700 to 900 individuals are presently using this service. M Data on the purpose of the trips provided and on client character- istics are not available. It is believed that the most frequent requests are for transportation related to health, shopping, employment and social service needs as well as for the purpose of attending congregate meals. Willow Creek Neighborhood Center is an independenty operated neighborhood center housed in the Mark IV apartment complex. While the apartment build- ing is privately owned, the Mark IV management provides space for the center's activities. A varied program for all age groups is offered without charge ito residents of the apartment complex and to anyone else in the surrounding iarea who may want to participate in activities. The center operates from 8:00 a.m. to 5:00 p.m. Monday through Friday. Adult activities are offered one evening a week from 7:00 p.m. to 9:00 p.m. j I The center's program includes recreational activities, such as i arts and crafts and social activities; educational activities such as infor- mational lectures; outreach activities, such as advocacy, friendly visiting f and counseling. , 9• A Program of emergency assistance to provide food, trans- portation and small loans is also provided. Health consultation is provided weekly by a V11A nurse. In addition, a small library for both adults and children is housed in the center. ~ �~ �a _.. Although the center developed in response to the needs of the Mark IV residents, anyone residing in the surrounding area may participate in the activities offered. However, only residents of the Mark IV complex have traditionally participated in the programs. Approximately 700 to 750 people reside in Mark IV apartment complex. About one-half of the residents are under age 18, and about five percent are elderly. It is estimated that about half of these older residents are regular participants in the center's activities. Additional descriptive data on apartment residents using the center is not available. MICROFILMED BY JORM MICROLAB LERAR RAPIDS•DES 1101ME5 23. The Mercy Hospital Continuing Care Program provides an informal in-home support service by maintaining a list of currently available "home sitters" and providing this list to agencies or individuals who request -- the service. The home sitters are not employees of the hospital. Any arrangement between the home sitter and the employing individual or agency is a strictly private one which includes the setting of salary, specific duties, and other conditions of employment. The Continuing Care Program acts solely as a link between qualified home sitters and those requesting the service. The program advertises for home sitters in the Press Citizen for one week each year. Interested individuals are interviewed and asked to submit two references, one business and one personal. If the references f and the interview are favorable, the applicant is placed on the list of i. home sitters. Requests for home sitters are often made by hospital inpatients and are also received from other community residents and from health and social service agencies on behalf of clients. During fiscal 1977 (July 1, 1977 through June 30, 1978) there were about 55 requests for home sitters. While there are requests for live-in home sitters, it is not known how many have been employed on this basis. No additional specific data is available on those requesting home sitters. The most frequent requests seem to come from elderly persons who live alone and desire companionship -'� and assistance with personal care. ,,.., There is a greater demand than supply of home sitters. Since individuals employing persons from the home sitter list do not ordinarily contact the hospital after such employment is initiated, the outcome of the service is not known. Persons on the home sitter list do not usually contact the hospital after they become employed, so that the availability of anyone on the list at any given time is unknown. Many local churches offer informal supportive activities for homehound individuals, many of whom are elderly. Clergy and church members often visit these persons in their homes, in hospitals, and at nursing homes. Assistance with meal preparation and chores is available through some - churches as well. Clergy often act as an informal resource for infor- mation and referral. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIIIES 24. HOUSING REHABILITATION AND WEATHERIZATION SERVICES �+ Hawkeye Area Community Action Opportunity Program (HACAP) sponsors a variety of programs for low-income individuals. Most of these are solely for younger age groups, with the exception of the Weatherization Program. This program serves all age groups. The purpose of the ., Weatherization Program is to lower escalating fuel costs which impose financial hardship, particularly on elderly and other handicapped i individuals who may be subsisting on fixed incomes. The elderly are more susceptible to illness than the younger population, either through existing health problems or from age alone. This particular service ^ in itself can avert institutionalization in a hospital or nursing home. Weatherization consists of remedial measures to insulate homes, both rental and owner -occupied. In the latter case, alterations of a more permanent nature may be made to the home. Labor for this program is provided through CETA (Comprehensive Employment and Training Act) ._ employees. There is no charge to the client. , In addition to providing weatherization measures, HACAP staff members visit their clients on a regular basis. Elderly individuals are visited even if they are not recipients of the Weatherization Program's services. Staff members often act as a resource and referral source for clients. Transportation for intermittent necessities, such as trips to physicians' offices or pharmacies, is provided when no other transportation service is available to meet an individual's need. Referrals to HACAP are often made by hospitals, the Visiting .._ Nurse Association, the Council on Aging, and the Department of Social Services. Some individuals are self-referred or referred by family members. The agency advertises its service through a newsletter which is directed to many groups and agencies who offer programs for elderly individuals. f The Johnson County Community Development Program provides funding re- ceived through federal block grant legislation for the rehabilitation of homes. Rehabilitation measures include weatherization and structural y changes to accommodate handicapped individuals. The Johnson County Re- gional Planning Commission is under contract to provide staff time to help implement the program. Other agencies cooperate by providing services, such as weatherization (HACAP) and chore services (DSS), to help carry .. out needed rehabilitation measures. F, MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IIOIIIES Most of the requests for this program are received from older individuals. At the present time all homes being considered for rehab- ilitation are owner -occupied. As of January, 1979, three homes were in the process of being rehabilitated. Several other homes are in the pro- cess of being considered for rehabilitation. RECREATION/EDUCATION SERVICES The Iowa City Department of Parks and Recreation sponsors a variety of activities for older individuals through the Golden Age Club of Iowa City. In addition, Recreation Center classes are available to older persons at a minimal fee. The Golden Age Club of Iowa city meets regularly at the Iowa City Recreation Center. A variety of social and recreational activities are offered for people who are over age 65 or retired. There is no residence requirement and no charge to participants, with the exception of that for special activities such as chartered bus trips. A monthly newsletter is sent to all club members. As of January, 1978 about 500 individuals were members of the club, with about 300 of these being active participants. Recreation Center classes are available to any resident of Iowa City who is 65 years or over at a minimal fee, regardless of whether he/ she is a member of the Golden Age club. The Coralville Parks and Recreation Department sponsors the Autumn Club which, similarly to the Golden Age Club of Iowa City, provides a variety of social and recreational activities. The Autumn club meets monthly at the coralville Recreation Center. There is no residence or age requirement for participation in the program, but most people participating in the program are over age 60. No charge is made for activities sponsored by this group, with the exception of special activities such as chartered bus trips. Most of the club's activities are attended by at least 20 to 30 people. Activities having 50 to 55 participants are considered to be well -attended. Most persons participating in the Autumn Club activities are women, and most reside within the City of Coralville. Activities of the Autumn Club are advertised through a newsletter and in the newspaper. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Mo1MES 25. 26. Willow Creek Neighborhood Center offers a variety of recreational and social activities to residents of the Mark IV apartment complex and sur- rounding area. This program is described in the section of Activities of Daily Living (see page 22). — The Iowa City Public Library provides a library service for homebound and visually handicapped individuals. This service is available to residents of Iowa City, North Liberty, and rural unincorporated areas of Johnson County. Books and specialized reading materials are avail- able by mail upon request. Large print reading materials and prism glasses are available to the visually handicapped. Readers may tele- phone or mail their requests to the library's information desk. If requested, a staff librarian is available to assist in choosing materials. _ There is no charge for use of this service, with the cost of mailings and postage being paid for by the library. The Iowa City Public Library also provides assistance to indi- viduals applying for specialized library services for the blind and handicapped through the Iowa Commission for the Blind in Des Moines. The Iowa City Library has a sample collection of talking books and `A other special materials for demonstration purposes for prospective users of this sarvice. Medical eligibility requirements of the Commission ..J for the Blind must be met. There is no charge for the service. Efforts to publicize this service are made as staffing allows. ` The service has been advertised on radio and through various newsletters. Most individuals using services for the homebound are elderly. As of January 4, 1979, 64 people were using the library's homebound service. Of these, only seven were men. several of those using the service ! reside at the Oaknoll retirement residence, and several at the Mark IV apartment complex. During 1978, there were 161 requests for this service and a total of 544 items were supplied to users. FIICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 11016[5 27. UNMET NEEDS Needs Identified Through Agency Questionnaires A questionnaire was developed by the Human Services staff and sent to 12 agencies which provide a diversity of in-home support services to community residents. The questionnaire did not address itself to any particular age group, but it did focus on services to and needs of adult disabled and homebound individuals. The survey sought information con- cerning in-home services in the following areas: in-home service needs, accessibility and agency knowledge of existing services, and hospital discharge planning processes. It was difficult to devise questions which were applicable to all agencies, since the variety of services -, being surveyed was so great. Agencies were, thus, asked to answer questions which they deemed relevant to the particular services they provide, to the best of their ability. ' In -Home Support Service Needs Seven agencies had clients who were referred to institutional settings at one time or another because appropriate in-home resources were not available. No one could document the number of clients who were affected, but some of the services which were not available to clients and necessitated institutional referrals were: homemaker companionship, chore and repair services. Lack of appropriate housing was also cited as a• i factor necessitating institutionalization. Accessibility and Agency Knowledge of Some In -Home Support Services Accessibility of the home -delivered services listed below to rural ^! residents were tabulated as follows (figures represent total number of i agencies responding in a given category): Accessible Accessible to all Accessible Don't only Not - who need it to most Know to some Accessible , Home Health Care 5 3 -- Friendly Visiting 1 1 5 1 Home Delivered Meals 2 1 2 3 _ Telephone Reassurance - 1 5 1 - Homemaker Service 4 2 2 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MORTES za. None of the agencies surveyed -were able to document or estimate the number of rural. residents who are not being served but who need a specific service. In response to whether certain in-home support services are available to rural residents, most agencies responded that home health care is accessible to all or most individuals in need of this service. The question of whether services to both rural and urban re- sidents were underutilized was answered by six agencies. Five agencies - felt that there was underutilization of services, while one did not. _ The reasons given for underutilization of existing services were: lack of knowledge on the part of community residents and the lack of outreach activities offered by providers. One particular service, that of home- , delivered meals, was mentioned as being unavailable to individuals not residing within the urban areas of the county. "- Problems and Needs Related to the Hospital Discharqe Plannin Process r, Nine of the responding agencies felt that specialized home services for elderly people were needed, particularly after hospitaliza- tion. Homemaker, companionship and nursing services were among the most common needs of post -hospitalized patients. In addition, daily home de- livered meals, shopping and errand services, telephone reassurance, and transportation services were also listed as essential home services. Eight agencies responded to a question exploring the process of discharge planning. Three of the respondents, all local hospitals `- directly 'involved in discharge planning, indicated that they employ one or more staff members who assist patients and their families in planning for discharge. However, none of the hospitals routinely actively involve the providers of home services in the planning process. _ Patients and their families do not often have an opportunity to talk to c.,mmunity service providers before leaving the hospital. Among the problems mentioned in the discharge planning process v is that there is very little follow-up to ascertain whether patients are continuing with medical recommendations made by hospital staff. Hospital staff members involved in discharge planning are unaware of patient outcomes so that their efforts in preparing patients for discharge cannot be evaluated for effectiveness. •1 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES Mollies Other Problem Areas and Unmet Needs The survey elicited comments from the various responding agenices on other problems and unmet needs. One of the unmet needs is the lack of service on a more intensive basis; there is often no provision for daily or 24-hour service. In addition, a lack of communication and coordination between agencies often results in multi -agency intervention, thus causing confusion to the client. Needs Identified Through Meetings With Providers and Through Communications With Providers and Consumers Information and Referral Although informal information and referral services are provided i by many community agencies, a central information center is needed to'dis- ^� seminate information, coordinate services, and assist in data collection to ",j be used in planning services. M' ..y services to -Rural Residents The needs of rural residents are less well-known than those of their urban counterparts. It is generally felt that rural residents under - utilize existing services. In addition, existing services oft reach rural residents because of geographical restrictions pla service areas and lack of outreach activities. Hospital Discharge Planning An overemphasis on the medical model of providing ca cularly when physicians are directing discharge plans, promote of nursing home care rather than in-home care. A team approac: hospital personnel and community providers of home services wo, more effective planning. Nutrition Programs There is a need for a daily service providing home -d1 hot and cold meals. Existing services should be expanded to i1 residents of the county. Counseling in the areas of nutritioni - tion, budgeting and menu planning is also needed. Volunteers Problems with recruitment and lack of commitment of t hamper the delivery of some services. A need exists to impleme training program. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110ItIEs 29. 30. Financingofservices ~ Inadequate and fragmented financing of services is agencies providing community in-home common among ^ support services. Housing In-home support services cannot be separated from the physical setting where they are delivered. There exists a need for a housing alternatives to variety of accommodate individuals with diverse addition, needs. In provision needs to be made for a broader program of tion rehabilita- and alteration of existing homes, to permit residents f to the environment to which they are remain in accustomed as long as possible. Exist- ing programs are limited in the amount of assistance they can to provide due stringent guidelines and other regulations.- Daycare There is no adult daycare program in Johnson Count Y• The ,I! for this type of program on a daily or intermittent basis need has been cited as a frequently 4V community need. i ..1 cI `1 1 I .1 M MICROFILMED BY JORM MICROLAB CEDAR RAPIDS-DES MOINES GENERAL RECOMMENDATIONS Possible Agencies Funding Priority Problem Recommendation Affected Sources The following problems and recommendations relate to all of the service areas studied during the first and second years of the Human Services Planning Project. Because they relate to all areas, they will not be tailored to each individual area. However, their importance to each of the service areas should not be diminished due to this manner of presentation. - - - - - - - - - - - - - - - - - - - - - - - - - - - - COMMUNICATION, COORDINATION, INFORMATION Inadequate communication and coor- dination among agencies providing service results in inconsistencies, particularly in the way clients with multiple problems are handled. Delays in the provision of service and misunderstandings or disagree- ments 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 re- quires staff time and effort not available from any one agency. Inadequate knowledge on the part of service providers concerning the functions and programs of agencies can result in inapprop- riate referrals or lack of referral to a needed resource. In addition to clients getting lost in the system and not finding the Agency directors and staff pro- viding similar programs or ser- vices to similar client groups should meet together on a regu- lar basis to: 1) Share information about programs. 2) Explore solutions to common problems. 3) Acquaint them with the staff of other agencies to facili- tate the referral process and increase trust levels. 4) share information on clients within the confines of confi- dentiality. Human Service planning staff may be assigned the responsibility for calling and organizing such programs in order for them to succeed. FIICRDFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOMMIES All public Johnson and private County Re - providers gional Plan - serving John- ning Commis - son County sion; State clients. and federal -sources of funding should be explored. w r GENERAL RECOMMENDATIONS (Continued) Agencies Priority Problem Recommendation Affected appropriate services, service pro- vision is often carried out without consulting other agencies which pro- vide similar or complementary ser- vices. The result is that services are delivered with less than optimal efficiency and effectiveness. DATA ON CLIENT CHARACTERISTICS Information on client character- istics (e.g., age, race, sex, in- come, residence and problems pre- sented) is not available at the present time through many agencies As a consequence, it is difficult to assess portions of the popu- lation which may be inadequately served and for which programs should be developed. These agency sessions might be used to address many of the spe- cific recommendations found in each of the profiles. Assessment of data requirements All public is needed by 1) agencies to and private assess existing programs and not -for -pro - 2) funding bodies to make allo- fit agencies cation decisions based on commun- providing ity need. A common data collet- service to tion and retrieval system should Johnson Coun- be developed which would place ty, United minimum demands on agency staff Way time and be economical. Funding agencies should make inquiries into systems of evaluation used for services. Accountability should be emphasized. The Human Services planning staff should be available to coordinate the de- velopment of this effort. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIMEs Possible Punding Sources Johnson County Re- gional Plan- ning Commis- sion, City, County, United Way; State and federal fund- ing sources should also be explored. W N GENERAL RECOMMENDATIONS (Continued) Priority Problem Recommendation Possible Agencies Funding Affected Sources FUNDING General revenue sharing funds should be considered as a possible funding source for many of the recommendations. Wherever possible, recommendations should be met by agencies already in existence. This may involve coordination of existing services, addition of a new program or program component to an existing agency, or shifting the focus of a current program to meet an identified need. It is recommended that a new agency be established in response to an unmet need only when the efforts of existing agencies have failed or when it has been satisfactorily determined that it is not feasible for an identified need to be met through such efforts alone. This approach will help ensure that additional costs are minimized and fragmentation of services avoided. HUMAN SERVICES SUPPORT NETWORK A continuing program to provide support and assistance to local human service agencies has been proposed by the Program Development Subcommittee of this project (December, 1978). This program would assist in the areas of coordination of agency services and data collection (see preceding Recommendations in this section). It would also provide for joint program and budget review by local funders of human service programs. (See Proposed Program for Implementation of a Human Services Support Network for further detail.) It is recommended that local funding bodies share the cost of providing this support network and that they require participation in this process by human service agencies applying for funding locally. w W MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 6IOINES Priority 1 RECOMMENDATIONS Problem Grorps Recommendation Affected 1) Funding Federal funding is fragmented Implementing comprehensive federal legis- All agencies receiving and inadequate. The follow- lation to eliminate the current compll- federal funding through ing highlights some of the cated system of different eligibility the various titles Problems with present federal guidelines for programs would reduce the of the Social Security Act legislation. number of separate agency contacts an and the Older Americans Act. individual must make, simplify the pro - a) Title XIX (Medicaid) has Coss of securing multiple benefits, and a medical focus rather insure provision of services to all who than a socio -medical need them. orientation so there to no provision for non- medical services which fulfill social needs and enhance the quality of life. b) Title %VII (Medicare) provides for home health Services contingent upon Prior hospitalization and the need for home nursing care excluding maintenance home health care that can avert in- stitutionalization in nursing homes. c) Title XX -Income eligi- bility guidelines ex- clude some of the elder - 1Y who are in need of the services provided by this federal -state program. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110111ES Possible Fundinq Sou Expansion of nxlstiuy Federal programs. W da ■ Priority Problem 2) Information and Referral most agencies providing Community services provide an informal information and referral service. 1101w_ ever, people who have not had prior contact with a Iwspital or community agencv often do not know whom to approach for service. 3) Day Care Adult dayeare for the elderly does net cur- rently exist in the Com- munity, with the exception of the Nelson Adult Center, which serves only developmcnt- ally disabled adults over age Is. Recommendation A central information and referral service should be developed which would be available to make appropri- ate referrals and assist in deter- mining community needs. A pilot project of daycare should be implemented to provide respite and dally care. q) Coordination Multi -agency intevention and to agency can provide.all of the needed insufficient knowledge of ex- services but an interagency network of ped- Isting services are related to existing servicos should be dovole a lack of a coordinated system Regular meetings by service coordinating ere rn of community Weed scrvlces. for activities mand l sharing information should be implemented. The Iowa City Senior Center might be the focal point of such activities. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Groups Affected All community agencies providing services to the elderly. DSS, VNA, Council on AaL,g, Nursing homes. Ali homebound elderly persona residing with their families In Johnson County who need dally and intermittent services which cannot be provided In the home. Possible Funding Sources united Nay, City and County government. Department of Social Services. All hospitals and agencies City and County Govern - providing in-home support p[ovldts and all lhorcncie scrvlces. root scrvlces. w N i Priority Problem 5) Discharge Plannin A continuum of care is lack- ing in the community. ilos- pital discharge planners and community providers do not have a direct link. Patients and families often do not have an opportunity to discuss their needs with providers of community re- sources before discharge. 6) Rousing Supportive services are not effective if they cannot be delivered in an adequate physical environment. There is a lack of Musing which can adapt to the changing needs of the elderly popu- lation as advancing years increase limitation of activities and disability. 7) Multi -Purpose Senior Center Recommendation A team approach to discharge planning involving both hospital personnel and community providers would assure that smooth transition is made from the institutional setting to the home. In addition, an appropriate evaluation by means of an assessment tool to assist in determining the needs of the patient before discharge. Row housing options need to be imple- mented when remaining in one's home is no longer feasible despite whatever battery of supportive services are given. Congregate living situations which pro- vide companionship and assistance with activities of daily living and which per- mit a sense of autonomy and dignity need to be developed. Zoning laws and licens- ing regulations need to be changed to accommodate innovative types of housing for the elderly and handicapped. There Is a need to provide a The proposed Iowa City Senior Center to bridge between the elderly be located In the old Post office in community and the general com- downtown Iowa City will have seven munity by ensuring that the components education, health, infor- plane and services of the pro- mation and referral, nutrition, social posed Iowa City Senior Center services, volunteer employment, and be implemented in such a way recreation. In addition, agencies as to provide needed services which service the elderly will either be which are responsive to the housed at the senior center permanently needs expressed by elderly or on a periodic basis. residents. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES Croups Possible Affected Funding Sources All hospitals in Johnson County, all agencies pro- viding in-home support services. City and County agencies involved with housing and zoning. All community agencies providing services to the elderly. The elderly population of Johnson County. All groups indicated as affected. City, County and Federal Governments. City, County and Federal Governments. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES h Groups Possible Priority Problem Recommendation Affected Funding Sources jB) Nutrition Progams Hany rural elderly and Expansion of the congregate meal Rural homebound and City, Count-.- and homebound persons do program and tome -delivered meals elderly residents of Federal G,vernnouts. not have the access to is needed to insure that all Johnson County. the currently existing Johnson County elderly and home - nutrition programs. bound residents have access to Congregate and home - these services. delivered meals pro- I grams. SEATS, VNA. L i I i w 1 9 V MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES APPENDIX 1 Federal Legislation -- Relating to Programs for the Aged The Social Security Act with subsequent amendments provides for medical and - social service programs for all age groups, with the exception of Medicare which is primarily for the aged. Medicaid (Title XIX) is a program which is federally funded but state operated and administered. It provides medical benefits for certain ., low-income persons in need of health and medical care. The program, enacted as Title XIX of the Social Security Act, is basically for the poor. It does not cover all of the poor, however, but only persons in one of the categories eligible for coverage under the welfare cash payment programs -- the aged, the blind, the disabled, and members of families with dependent children in which one parent is absent, incapacitated, or unemployed. Under certain cir- cumstances, states may provide Medicaid coverage for children under 21 years old who are not categorically eligible. Subject to broad federal guidelines, states determine the benefits covered, program eligibility, rates of payment to providers and methods of administering the program. Medicare (Title XVIII) is a nationwide health insurance program .., for people 64 years of age and over, persons eligible for more than 2 years for social security disability payments, and certain workers and their de- pendents who need kidney transplantation or dialysis. Health insurance .� protection is available to insured persons without regard to income. Monies from payroll taxes and premiums from beneficiaries are deposited into the program by the insured population. The program was enacted on July 30, 1965 as Title XVIII, Health Insurance for the Aged, of the Social Security Act and became effective on July 1, 1966. It consists of two separate, coordinated - programs: hospital insurance (Part A) and supplementary medical service (Part B). The services of certified home health care agencies are covered by both parts A and B. Title XX is a federal -state social service program which builds upon prior federal social service legislation. Title XX of the Social Security Act was enacted on January 4, 1975 and became effective on October 1, 1975. Under MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•Dr5 110111E5 this program social services are to be delivered to AFDC, SSI and low-income individuals and families. These services are to be directed toward achieve- ment of the following five goals: " I. Achieving or maintaining economic self-support to prevent, reduce or eliminate dependency; II. Achieving or maintaining self-sufficiency in- cluding reduction or prevention of dependency; L4 III. Preventing or remedying neglect, abuse or exploita- tion of children and adults unable to protect their "4 own interests, or preserving, or reuniting families; IV. Preventing or reducing inappropriate institutional .a care by providing for community-based care, home- based care, and other forms of less intensive care; and The Older Americans Act of 1965, with subsequent amendments, was enacted by .... Congress for the purpose of providing assistance in the development of new or improved programs to help older persons through grants to the states for Section 2001, Social Security Act as amended. M M MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES s.� V. Securing referral or admission for institutional care t! when other forms of care are not appropriate, or pro- viding services to individuals in institutions." 1/ Under Title XX states may offer the following types of services to +I anyone, without regard to income: information and referral services, protec- 1 tive services for children and adults, and family planning services. Other services can be provided only to persons in designated low-income groups or to individuals and families that meet state income guidelines. These guide- lines may not exceed 115 percent of the state median income as adjusted for family size. Some states have different eligibility limits for different services, different groups of people and/or different parts of the state. Some states offer one or more services only to AFDC and SSI recipients. States are required to charge income -related fees for service fur- nished to individuals and families with incomes higher than 80 percent of I the state median income as adjusted for family size. Such fees may be charges for services furnished to people with lower incomes. The Older Americans Act of 1965, with subsequent amendments, was enacted by .... Congress for the purpose of providing assistance in the development of new or improved programs to help older persons through grants to the states for Section 2001, Social Security Act as amended. M M MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES community planning, services, and training; through research, development or training project grants; and establishment of the Administration on Aging (AOA) within the Department of Health, Education and Welfare. Title III has as its purpose to provide grants for social services, nutrition services and multi -service senior centers. The Administration on Aging administers all programs under this title, designating within each state a state agency to implement the programs through local area agencies on aging. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES APPENDIX 2 INDEX OF AGENCIES BY SERVICES PROVIDED MEDICAL AND HEALTH-RELATED SERVICES Visiting Nurse Association (VNA) • Disease and Disabilities Program • In -Home Health Promotion and Counseling • Health Counseling and Resource for Groups Iowa Department of Social Services (DSS) • In -Home Health Care Program Congregate Meals (includes home -delivered meals) • Iowa City Congregate Meals • Lone Tree Congregate Meals ACTIVITIES OF DAILY LIVING Iowa Department of Social Services (DSS) • Homemaker/Home Health Aide Program • Chore Services Johnson County Council on Aging • Shopping Assistance, Assistance with Tax and Business Forms, Telephone Reassurance, Information and Referral, Friendly Visiting, Programs and Workshops Johnson County Specialized Elderly and Handicapped Transportation System (SEATS) • Specialized Transportation Services Willow Creek Neighborhood Center • Advocacy, Friendly "isiting, Counseling and Emergency Assistance Mercy Hospital • Home Sitters (list maintained by Mercy Hospital Continuing Care Program) Local Churches • Informal Supportive Activities HOUSING REHABILITATION AND WEATHERIZATION Hawkeye Area Community Action Program (HACAP) • Weatherization FICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES r10INES Johnson County Community Development Program • Housing Rehabilitation and Weatherization RECREATION/EDUCATION SERVICES Iowa City Department of Parks and Recreation • Golden Age Club • Recreation Center Classes Coralville Parks and Recreation Department i• Autumn Club Willow Creek Neighborhood Center I j • Educational Activities Iowa City Public Library • Library Services for the Homebound and Visually Handicapped MICROFILMED BY JORM MICROLAB CEDAR RAPIDs•DCS 1101tiEs N \ N V. Y 4 U � d U V• � V A L 2 N J u V G +V V T q A y c u U = V N _ � 4 E A q q L V u L C m U nn n 9 U U 1 V• '� N n U •� y 0 V c U U L U Q E ,•i C C .di b 0 A C L U lUi O T I+ c •".• 2 3> w U n w •� %% u C D u .r0 .0 C u A t YY Y L• U O U d d _0 0 FfLq VIS£U la FHF I u t y o C rt 0 0 N E N 4 T d O M L A c E C Vi U cp U U V •p � C N L) P G A C _v > u° i 9 N N N S! ti'0 d L e 0 0 0 E O p o m.-ui `m •.oU gym:: U N •y Y U V Yop Y U ❑w•.cin cu •q E q p u I ^ O U uU.. C u N •i ^I Y U U � O UL OO W AZq U M N L 0 4 C i d O U 0 c •cnP +ZOi Z •.Ui d Wa c N� L9 Y U V p> A P q c Y t'i u U S C 0 y E U A n cLp y T A U > d C N •.Ci . E 0 C L VI A U O C y � U C y 0 > q U o S S 0 c VOj 0 � 7 G W N U JGw W u N L b Y e U ? Y Y U O,\ U O F v q G n A vl A 5 S 7 y 02 S K MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1101NES AGENCIES PROVIDING SERVICES TO THE ELDERLY III JOHNSOU COUNTY AGENCY/LDCATION AREA SERVED ELIGIBILITY FEES AUSPICES/FUNDING 60 age and Ib fees, but donations Public (Johnson County Board of Supervisors)/ Congregate Meals Iowa City, Coral- Anyone over years of (includes home- ville and University his or her spouse. are accepted. Heritage Agency on Aging (Title Ilt) delivered meals)/ Heights Iiomebound individuals under 60 receiving home - Iowa City delivered meals pay for cost of meal. Lone Tree and sur- Anyone over 60 years of age and No fees, but donations Heritage Agency on Aging (Title III) Congregate Meals (includes home- rounding area his or her spouse. are accepted. City of Lone Tree delivered meals)/ Home -delivered meals available Ione Tree only to residents residing in - I Lone Tree. ACTIVITIES OF DAILY LIVING Johnson County Service eligibility per federal None. Public (Iowa Department of Social Services)/ Iowa Department of Social Services and state guidelines. ilo memakcr/ilome Ileal[h Alde Pry [am and (DSSI/ C_hofe Service: Title XX Iova City MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES IdOINES AGENCIES PROVIDING SERVICES TO TIIE ELDERLY Ifl JOHNSON COUNTY AGENCY/LOCATION AREA SERVED ELIGIBILITY FEES AUSPICES/FUNDING Johnson County Elderly (over 60) and handicapped. $.50 rider donation for Public (Johnson County)/ Johnson County one way trip in Johnson Specialized Elderly County. Johnson County of Supervisors and Handicapped Iowa City Transportation 5.15 rider donation for Coralville System (SEATS)/ Congregate Meals (Iowa University ((eights City) CETA Iowa City IDOL 5.10 rider donation for Heritage Agency on Aging (Title III) Congregate Meals IL.ore RESB Tree) IDSS Iowa Department of Revenue Donations (rider and service groups) Willow Crock Neigh- Residents of Mark IV Any resident of Mark IV Apartments None. Private, not-for-profit/ borhood Center/ Apartments and sur- or surrounding area. rounding area United Way Iowa City Iowa City Mercy Ifospltal/ None designated None specified. None. Private, not-for-profit/ Ilomesitter list by Mercy Ilospitals Continu- Iowa City ing Care Program Johnson County Johnson County Age 60 years and over. None. Private, not-for-profit/ Council an Aging/ United Way Iowa City Iowa City Coralville Ileritage Agency on Aging (Title II1) Johnson County MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES ■ I I I I I AGENCIES PROVIDING SERVICES TO THE ELDERLY IN JOHNSON COUNTY AGENCY/LOCATION AREA SERVED ELIGIBILITY FEES AUSPICES/FUNIIING Coralville Parks and No designated area. No residence or age restriction for No fees for Autumn Club Public (City of Coralville) Recreation Department Autumn Club. activities except for special activities such Coralville as chartered bus trips. Willow Crock Neigh- Residents of Mark IV Any resident of Mark IV Apartments None. Private, not-for-profit/ borhood Center/ Apartments and sur- or surrouudinq area. rounding area. United Way Iowa City Iowa City Iowa City Public Iowa City, North Any homebound elderly or handi- None. Public (Iowa City)/ Library/ Liberty and rural capped individual. unincorporated areas Iowa City Iowa•City of Johnson County. Friends of Iowa .. City Public Library MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES AGENCIES PROVIDING SERVICES TO TIIE ELDERLY IN JOHNSON COUNTY AGENCY/LOCATION AREA SERVED ELIGIBILITY FEES AUSPICES/FUNDING HOUSING REHABILITATION AND WEATNERIZATION Johnson County Income guidelines for weatheriza- None. Private, not-for-profit/ Hawkoye Area Com- ,unit Action Pro- Y tion. Wea theriza tion Program: gram HIACAP) Johnson Friendly visiting and assistance Department of Energy County/ with transportation is an informal Iowa City service provided without regard to income. Johnson County Com- Cities of Oxford and BUD income guidelines. None. Public (Johnson County)/ munity Development/ Shueyville Housing rehabilitation Iowa City Unincorporated areas HUD of Frytown, Horse and Yocumvillc RF.CREATIONAL/EDUCATION SERVICES No designated area Golden Age Club membership limited No membership or activi- Public (City of Iowa City)/ Iowa City Department or individuals 65 ties fees for the Golden of Parks and Recre- to retirees and over. Age Club except for Iowa City aUen/ years of age special activities such as chartered bus trips. Iowa City Individuals 65 years of age and over residing within Iowa City qualify for $1.00 fee per recre- ation center classes, otherwise usual fees are MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES Id01NF.S WHAT YOU, ALWAYS WANTED To. ENOW;; JORM MICROLAB REDUCED FEE FOR LOW INCOME RESIDENTS Effective July 1, 1979, low income residents who qualify for any of the programs listed below will be able to sign up for free refuse collection. A release of information form, available at the Civic Center, must be signed and will be used to verify the individual's participation in a program with the proper agency. All residents of a household must be eligible under the low Income criteria of one of the following programs: Supplementary Social Security Benefits Title XX Program ADC Program Food Stamp Program P ' In addition, those individuals who qualify to file an Iowa Disabled and Senior Citizen Property Tax and Rent Disbursement Claim with the State can present a copy of the form most recently filed to show eligibility. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 110111ES What is the cost of this service? Refuse service will cost $2.00 a month per dwelling unit starting July 1, 1979. This charge will be added to the water and sewer bill that you receive every two months. The total charge, then, for each dwelling unit would be $4.00 every two months. The actual cost of providing refuse collection services is $3.18 per month per dwelling unit. This means that the occupant pays $2.00 of this cost while the General Fund covers the remaining $1.18 of the collection charge. IffFL�wosB� ~`moi �,�r1MENT �v fS MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES W a z <V) O a 3. �O UU U z > What sort of trash container can be used? The actual occupant of each dwelling unit, whether that be tenant or owner, is responsible for providing good refuse containers. Plastic bags are preferred for the storage of your refuse, as opposed to garbage cans, since individual bags weigh less than a full garbage can and are more easily lifted onto the garbage truck. Plastic bags should be at least 1 � mils in thickness. The purchase of biodegradable bags is encouraged to help the environment. A way to stop animals from ripping out plastic bags is to sprinkle a teaspoonful of ammonia or bleach over the contents of the bag before closing. If you choose to use a garbage can it should be from 20 (n to 35 gallons in size and must have a tight fitting lid. Cans may be made of metal, fiberglass or plastic. If plastic, they should be of a material that will not (J) W Fw" become brittle in cold weather. w If your garbage cans do not meet these standards, nr you will be given a written notice and the containers ,,,,,, a O will be removed with the refuse. The weight of a < container and its contents must be less than 75 lbs. �4 W so the refuse collector can lift it. Z O (over) Z �+ MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES I101NES Because of safety requirements, the refuse collector cannot reach in the can to empty it if you "pack it in." If you pack it too full the can may be damaged if the collector attempts to empty it by banging it on the refuse vehicle. The earliest you may put trash on the curb is 5:00 PM the day before your scheduled pick-up time, and con- tainers must be taken away from the curb on the same day the garbage is collected. Cans must be stored at the side or back of any building on your property. Will the refuse collector Lake my newspapers for me? Yes, the City also picks up newspapers. You should put them in a cardboard box or paper grocery bag. News- papers are picked up on your regular refuse pick-up day, although they may not be picked up at the same hour of the day since a different truck is used to collect newspaper. 1� MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1401ME5 V) w U � w a � O w � � z� m What should 1 do with my yard wastes? If you have yard wastes, you should follow the guidelines listed below: Tree limbs should be tied in bundles not longer than 4 feet and no wider than 18 inches in diameter. Grass, leaves or clippings should be placed into a cardboard box, plastic bag or other container so it can be picked up quickly and won't be blown away before the refuse truck arrives. The weight of the container and its contents must not exceed 75 lbs. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOIRES What should 1 do with large, bulky objects? We will pick up large objects that won't fit into the refuse trucks. This would include objects such as sofas, T.V. sets, mattresses, box springs, etc. You must call the Sanitation Division (354-1800, ext. 263) for this service. When you call we will arrange a day for you to put your bulky object out for pick-up. This service is extended ONLY to our customers ... not to those who have private refuse collection service. MICROFILMED BY JORM MICROLAB CrDAR RAPIDS•DES MOIDES F I MM15 JORM MICROLAB AY. .. . ... EFZUSE I k I JORM MICROLAB "I CHOF I01iD B� JORM MICROLAB r City of Iowa CL'.' MEMORANDUM Date: May 15, 1979 To: Neal Berlin and Council From: Craig Minter, Superintendent of Streets and Sanitation Re: Handicapped Verification Memo Attached is a copy of a memo which will be sent to all persons presently receiving handicapped carry -out service by the Iowa City Streets and Sanitation Division. bdw2/8 cc: Dick Plastino MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 10S3 CITY OF CIVIC CENTER 410 E. WASHINGTON ST. IOVVA CITY IOWA CITY IOWA 52240 (319) 354.1800 The City of Iowa City presently has a collector carry rather than having you place it at the curbside. Since this is an out your garbage additional expense to other taxpayers, it requires us to verify that a handicapped person resides at this address. i We will be happy to continue to provide you with carryout garbage f you explaining that You lare nnot sable oto carrys pof asOut your ownmgarbagehduectona handicap. If we do not receive a statement within 30 days, we will be forced to discontinue providing you with carryout garbage service. Thank you for your assistance in this matter. Sincerely, G. C. Minter Superintendent of Streets/Sanitation bdw2/2 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES M0114ES City of Iowa Citi MEMOR ANDU M Date: May 14, 1979 To: Neal Berlin and Cj Council From: Dick Plastino Re: Council Request bo Street Lighting in the 400 Block of North Lucas and 200 Block o North Linn 400 Block of North Lucas This block of Lucas is located between Davenport Street and Fairchild Street. It is a single family residential area. Street lighting exists at both the Lucas/Davenport and Lucas/Fairchild intersections. The block is shorter than 600 feet. It complies with Council policy. No additions are recommended. 400 Block of North Linn This block of Linn is located between Market and Bloomington. There is commercial activity in the area. Street lighting exists at the Linn/Market and Linn/Bloomington intersections. The block is shorter than 600 feet. It complies with Council policy. Additional lighting is not recommended. bdw4/2 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 140IM7ES 1054 1 I City of Iowa CiAy MEMORANDUM Date: May 16, 1979 To: Dave Perret From: Dick Plastino i� Re: Bus Barn Ventila Dave, you had inquired about the ventilation system and how it works. It is working fine and,has completely cleaned up the air at the bus barn. jm3/30 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 110INES City of lows MEMORANDUM Date: April 26, 1979 To: City Council From: Dick Plastino Re: Street Division Bu et With the completion of the winter snow removal season, it is now possible to project the budget deficit in the Street Division for a time period ending July 1, 1979. The budget deficit will be a minimum of $206,000 and a maximum of $240,000. The $206,000 assumes an austerity work program the remainder of this fiscal year while the $240,000 assumes a normal maintenance program for the remainder of this fiscal year. There are three options at this point. These are: 1. Use fund balances of road use tax and general fund. 2. Cover deficit with funds budgeted for asphalt overlay. 3. Cut back planned work programs for FY80 and use a portion of the asphalt overlay program. 1. FUND BALANCES Unspent road use tax funds. Approximately $109,000 may be available from existing road use tax funds. This $109,000 is composed of $41,000 that is available from unallocated road use tax funds from previous years. Another $45,000 is available from capital projects which are complete and which did not require all of the funds allocated for them. A final $23,000 may be available from Traffic Engineering if they are able to underrun their budget by a few percent. General fund. Approximately $50,000 to $75,000 could be allocated to this deficit from the general fund. The total of these two funds would be approximately $184,000. The remaining funds would have to come from the next two options. 2. ASPHALT OVERLAY PROGRAM $272,000 is allocated for this program. The entire budget overrun could be covered by using funds allocated for this program. A small amount would be left over for some preventive maintenance such as the chip seal program. 1 0510 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 2 3. WORK PROGRAM FY80 work programs could be cut back and $153,000 saved. These work programs and the amounts saved are listed below. I. The leaf removal program $ 4,725 2. Oiling of rock surfaced roads, shoulders and alleys $14,018 3. Resurfacing and preparation of rock roads, j shoulders, and alleys for oiling $18,727 4. Drainage swale, silt removal $15,270 5. Grading rock roads, shoulders, and alleys $ 1,350 6. Spring rock road repair $ 2,214 7. Snow fence erection and removal $ 1,000 8. Fogsealing of asphalt surfaces $ 6,044 9. Random asphalt crack sealing $ 1,686 10. Random concrete crack sealing $2 676 11. Equipment acquisitions/equipment repair/equipment replacement $61,425 12. Surface preparation for asphalt resurfacing and chip sealing $ 2,268 Subtotal $153,403 13. Asphalt resurfacing and chip sealing program $86,597 Grand total $240,000 RECOMMENDATION The staff recommends we use the available road use tax fund balance of $109,000, part of the general fund balance in the amount of $75,000 and cover the remainder by reducing the asphalt overlay program by $56,000 from $272,000 to $216,000. " MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 3 ATTACHMENT 1 To aid Council in evaluating work programs for FY80 the effect of cutting a program will be given. 1. LEAF REMOVAL PROGRAM If the leaf removal program is cut out of the budget, there will be no effect as far as deterioration of facilities is concerned. This would be the primary candidate for cutback due to the fact that it will affect no long-range costs. A cutback in the program, however, will result in a high level of citizen dissatisfaction. 2. OILING OF ROCK SURFACE ROADS, SHOULDERS AND ALLEYS The elimination of this program will not affect long-term costs as far as maintenance except for the loss of cover rock from rain storms. The elimination of this program, however, will result in a considerable number of complaints from property owners along the rock roads as a result of the dust. 3. RESURFACING AND PREPARATION OF ROCK ROADS, SHOULDER AND ALLEYS FOR OILING Elimination of this program will affect not only the ability to oil but will also affect the structural adequacy of all rock roads, alleys and shoulders. The result of this will be mud roads which will become very sloppy during a rainstorm. In addition, there will be large ruts developed which will make travel on these roads very difficult. In addition, this will eliminate the possibility of the Street Division placing rock behind residents' houses as requested in the alleys. Overall results of this will be a high volume of complaints from residents. 4. DRAINAGE SWALE SILT REMOVAL The elimination of this program makes the placement of rock or any future oiling of any unimproved road impractical since failure to have proper drainage will result in water standing both on the road and immediately under the surface due to the high water table created by inadequate ditches. The result will be rapid deterioration of existing roads 5. GRADING OF ROCK ROADS The elimination of this program will force the property owners to take matters into their own hands in the form of a petition for special assessment or the hiring of a contractor to grade their rock roads, shoulders and alleys. The elimination of MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 110111ES 4 Elimination of this program will mean that all work in mud jacking will be contracted out. There will be no curb paver bought, all air compressors will be rented as needed, no new concrete tools will be bought and no additional equipment for cleaning the cracks for crack sealing will be purchased. Long - MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES FIDIIIES this program will result in a very high level of citizen complaints. 6. SPRING ROCK ROAD REPAIR The elimination of this program will force property owners to purchase rock on their own unimproved roads to fill mud boils and chuckholes created by winter after the spring thaw in order to be able to travel these roads at all. Elimination of this will result in a very high level of citizen dissatisfaction. 7. SNOW FENCE ERECTION AND REMOVAL The elimination of this program will result in greatly lengthened response times as far as plowing is concerned due to the fact that snow fence will stop the majority of the drifting snow and reduce the total effort required to plow. Elimination of this program will result in citizens complaining very adamantly about Our snow removal program. t S. FOG SEALING OF ASPHALT SURFACES Elimination of this program will result in the inability to protect a sizable investment in r asphalt pavement and will result in further deterioration since surface cracks less than one-eighth of an inch wide will not be sealed r, and water will penetrate the asphalt mat. i 9. RANDOM ASPHALT CRACK SEALING Elimination of this program will speed up deterioration of existing investments in asphalt surfaces. Since it will not be possible to seal surface cracks greater than one-eighth of an inch wide water will penetrate the asphalt deterioration. mat and speed i� 10. RANDOM CONCRETE CRACK SEALING Elimination of this program will allow surface water to enter under our concrete streets through all the cracks and joints that presently exist. This will create erosion of the subgrade, displacement of the concrete slabs and lead to further deterioration of all concrete streets. 11. EQUIPMENT ACQUISITIONS Elimination of this program will mean that all work in mud jacking will be contracted out. There will be no curb paver bought, all air compressors will be rented as needed, no new concrete tools will be bought and no additional equipment for cleaning the cracks for crack sealing will be purchased. Long - MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES FIDIIIES ■ 1 s r - term effects of this will be, if these programs are reinstituted, higher capital outlay in the future. 12. SURFACE PREPARATION FOR ASPHALT RESURFACING AND CHIP SEALING Elimination of this program will mean surface defects on all asphalt streets that will be overlayed or chip sealed will not be repaired prior to resurfacing or chip sealing. The result of this will be the failure of the new asphalt mat or seal coat. 13. ASPHALT RESURFACING AND CHIP SEALING PROGRAM Reduction of this program will result in a program reduced from an already under -sized program and will mean further deterioration and escalation of future costs to resurface streets beyond practical repair. jm MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MONIES n City of Iowa Cites, ;-- MEMORANDUM Date: May 18, 1979 To: City Council From: Richard J. Plasti Re: Ralston Creek Sto 1 Plan The Ralston Creek Storm Water Management Plan has been completed by Shoemaker & Haaland Professional Engineers of Iowa City. The full report is attached to this memo. Copies of the report are on file at the Iowa City Public Library for other interested persons. In brief, the report makes several recommendations 1. The two storage sites (Hickory Hill and South Branch structures) are essential elements of a plan to lessen flood damages in the Ralston Creek watershed. 2. There is so much developed watershed below the dams that flooding and property damage will still occur to some extent after completion of the dams. Certain channel improvements must be done to adequately satisfy citizen concerns about flooding. 3. There are not enough storage sites of sufficient size downstream of the two large dams to use the "storage" concept to completely solve flooding on the creek. 4. The Ralston Creek channel was studied as nine separate sections. The cost for safety transporting the 100 -year flood in all nine sections was frequently unacceptably high. An intermediate goal for safely transporting the 10 -year flood within the creek banks was selected. 5. In most locations, except between Gilbert Street and the confluence of the north and south branch, the safe transport of the 10 -year flood within the channel was practical and could be funded by the City. Fortunately, there were also two sections of the creek where channel improvements could be made to contain the 100 -year flood at reasonable cost. 6. The City must continue to pursue non-structural solutions to Ralston Creek flooding and flooding in other areas of the City by ordinance, utilizing insurance, manmnt hef flood plainordinance, a r d subdivision regulations. 7. Funding for the two stormwater storage dams has already been provided. MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 11011JES 10-T7 2 cc: File H4D Shoemaker-Haaland Engineers Ralston Creek Coord. Comm. be/sp MICROFILMED DY JORM MICROLAB CEDAR RAPIDS -DES t10114ES 8. Additional funding of $3,320,000 is n:eded to complete improvements on Ralston Creek. $775,000 of ibis amount has been approved in the Small Cities grant applicl.ti m. $120,000 is proposed to be funded by special assessment. ,he remainder will have to come from general obligation bonds, 1`z yi!neral fund, or other unknown sources. The Public Works Department views the recommenced improvements as being a three to six year improvement proje.:t. We anticipate submitting a budget request to the Council begiining in FY31 for a portion of the funds to implement the solutions reco vnended in the report. The steps in distributing this report will be as f)llol: 1. The report is sent to Council. 2. The report is p;•esented to the Ralston :reek coordinating Committee and discussed at length. Recommeniaticis concerning the report will be sent by the Committee to tie Cit 1 Council. 3. A general public information meeting will be held 0 present the results of the report to the citizens of Iowa City. The report itself is a proposed course of action. The City Council may amend the type of action, the sequence of <ction or any other aspects of the report. After construction of the t4) stormwater y storage sites, the remainder of the improvements era going to be extremely time consuming. They involve a large numbti- of property owners. The trigger for Council discussion of the work progral! will occur during budget discussions for the FY81 budget. Doing tto few months between now and that time, the report will b; explained to the community and to residents along the creek sr that everyone is familiar with the project by the time Council discussions occur. cc: File H4D Shoemaker-Haaland Engineers Ralston Creek Coord. Comm. be/sp MICROFILMED DY JORM MICROLAB CEDAR RAPIDS -DES t10114ES NIICROEILMED AV JORM MICROLAB CI DAR unrin1,.oII ^, :;I I City of Iowa City MEMORANDUM DATE: May 18, 1979 TO: City Council FROM: City Manager RE: Informal Agendas and Meeting Schedule 1:30 - 5:00 P.M. Monda 1:30 P.M. - Review zoning applications 1:45 P.M. - Council agenda, Council time and Council committee reports 2:15 P.M. - Human Services Planning Report - Johnson County Regional Planning Commission staff 2:45 P.M. - School crossing guard program - City Manager, Police Chief 3:15 P.M. - Public Works budget deficit - Public Works 3;45 P.M. - Hafor Circle Drainage - Public Works 4:00 P.M. - Discuss -economic -Development - Planning and Program Development 4:30 P.M. - Executive session - Public housing sites 4:45 P.M. - Consider appointments to the Board of Appeals and Resources Conservation Commission 7:30 P.M. Regular TuesdayCMeeting - Council Chambers May 28 1979 HOLIDAY - No Informal Meeting Monda May 29, 1979 7:30 P.M. - Regular Council MeetingTuesda - Council Chambers June 4 1979 1:30 - 5:00 P.M. Monda 1:30 P.M. - Review zoning applications 2:00 P M. Council 2:30 P.M. - Neighborhood SiteoImprovementuncil time aProposalsl-'Planning andports Development 3:30 P,M. - League of Iowa Municipalities Policy Determination - City Manager 4:00 P.M. - Council evaluation of FY 79 goals and objectives PENDING Northside Study Area Transportation Study Energy Conservation Measures Leaf Burning Policy Use of Salt on Streets Plans for New Art Gallery - I.C,/ Northside Street Lighting J.C. Arts Council Appointments to United Action for Youth Board, Board of Libr -, Trustees, and Committee on Community Needs -June 12, 1979 Appointment to the Housing Commission - June 19, 1979 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES I MATERIAL DISTRIBUTED AT INFORMAL SESSION OF MAY 22, 1979. Petition from area residents re storm sewer drainage problem in Hafor Circle area. Letter from East Central Iowa Council of Governments re meeting set for 5/24 on 518 issue Memo from Asst. Atty Bowlin re zoning of Black's Gaslight Village. Memo from Asst. Atty. Bowlin re agreement on property taxes for Blocks 83 & 84 with Johnson County. Community Development Block Grant Program, letter from Jud TePaske re meeting of Dev. Advisory Committee on 5/30. I MICROFILMED BY DORM MICROLAB CEDAR RAPIDS -DES I401NE5 z . i i i 1 t {. I 1 it i i i 1 I MATERIAL DISTRIBUTED AT INFORMAL SESSION OF MAY 22, 1979. Petition from area residents re storm sewer drainage problem in Hafor Circle area. Letter from East Central Iowa Council of Governments re meeting set for 5/24 on 518 issue Memo from Asst. Atty Bowlin re zoning of Black's Gaslight Village. Memo from Asst. Atty. Bowlin re agreement on property taxes for Blocks 83 & 84 with Johnson County. Community Development Block Grant Program, letter from Jud TePaske re meeting of Dev. Advisory Committee on 5/30. I MICROFILMED BY DORM MICROLAB CEDAR RAPIDS -DES I401NE5 i We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden i for any repT:;s snould be borne by the original developers and contractors and by the City of Iowa City and not b9 the homeowners affected. In support of these views we respectfully submit this petition. SIGNATURE 00 ^ NAME ADDRESS /4Y? /1v �Dr Coir. (P QA -I l y17012 `\I Z)ol 19 GS`-'� lld,2v_cd� FSarKos h 142(- Ac' 4rnc.u,CLC' It/ 'bol79 //,lel /� J I�ec-vig r46 rJ �P u�3o/Y`/ �JI CU elCvr`/bol /-�(f/3 T>l(Y�Liv 4/3z/�y /ie�jyNUldS / ly/y laLtfDY (circ% %/ 30 7% f� Id r1'cl, Ll --3o 7� I� C. Ei _k-Ao r 193 fi / rr y -3o-7 5 � � 7 VAO /�✓�' 9 !)u/�fFT cicvifcrf/9✓k /,P/7 fx4R*0- /� 1�:)Zc/c6`e c �C t MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES i { i We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden i for any repT:;s snould be borne by the original developers and contractors and by the City of Iowa City and not b9 the homeowners affected. In support of these views we respectfully submit this petition. SIGNATURE 00 ^ NAME ADDRESS /4Y? /1v �Dr Coir. (P QA -I l y17012 `\I Z)ol 19 GS`-'� lld,2v_cd� FSarKos h 142(- Ac' 4rnc.u,CLC' It/ 'bol79 //,lel /� J I�ec-vig r46 rJ �P u�3o/Y`/ �JI CU elCvr`/bol /-�(f/3 T>l(Y�Liv 4/3z/�y /ie�jyNUldS / ly/y laLtfDY (circ% %/ 30 7% f� Id r1'cl, Ll --3o 7� I� C. Ei _k-Ao r 193 fi / rr y -3o-7 5 � � 7 VAO /�✓�' 9 !)u/�fFT cicvifcrf/9✓k /,P/7 fx4R*0- /� 1�:)Zc/c6`e c �C t MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Is 1 amu' We/the undersigned wish, by our signatures on this document, to tOtition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support of these views we respectfully submit this petition. SIGNATURE NAME Ji,4„'(iz�.4� meq' C.' 17'?. )itodk �u. • l C�'l�ii' �; On�lcn✓ ADDRESS NSA t % .bc4047H 5-111 9 111-1 ben Iqk joy Imq ",AjA 6-3--7� 1015 DerJQIC,E1 �- 3-79 3._7rj . l3�lRhAirlr.:i�IkE��a� lo.?5.1�ElV13161-' �- 0/Noy ),I»al, %�o1L1p ��il'�Cr ldls ocr6.dl s /_11p 1o1s 92,�l� nl •(� S/3/� 1 D I i F{N r Ti-, 1. eg1J1jL-A'T 1135' .bc4047H 5-111 9 '//1 tip 51e6cEse— joy UC�N13/FJFI 5(�l�/ Cpru� ��,,,✓s�e,eev; 1„,44 41kl (i1i�l�uel t'J. pirn MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1401NES goy p0016W 'I18 bm bjthi s/31'7 9 ,/Y1 l ,13179 � r/J �l'✓Lo-(, /'! l•�'��C /�99cGt(� � ��tlr✓ r C s->> l . h�� Yor~t4 ���7 ��•� s��7, i �r� /� / 6z Edwn�d !"rzz,✓/ /9z, JJ,of�r' ",l.y... 6dr.rkil �• O, s2 .ter ! e(c a�nbiS� //� _",.%�/ d/ ' lila cua int T Jrf! zurS&A /o/6 DDr 5/3/-7 '5/3/77 cr),WtArseh 101 RC nc �I c,� P,�- f3, j ,Kr'rcnl— Ziadcz, rr✓ ,Nwi?ry �tlJli5 7(rm Leec,e /1ANFuRU Cl= lrrh / s�s/7� /1s3 Oen 6rg71 Or. 5/,3/79 9enh/dr. 5/3171' /N. T 17cM/)f5°,l //,/v hrn'6•x/ Pr- lrrh / 4 LL LiA)D,9 /N. T 17cM/)f5°,l //,/v hrn'6•x/ Pr- 113 Y MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES I We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not bq the homeowners affected. In support of these views we respectfully submit this petition. qSIGNATURE r_� ,7. NAME ADDRESS D AT I- P. Lo n y /9/7 ) &A/in br- SIJVI�l Tlrw �ob��Asor� IglI O-, S'1I11'1 - �/1/J, N1�o 5S /S 39 4 '0 / Je6f /1 // ICDohno11 lf4l'9 �L7 y MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1401NES k. We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel S that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water j problems even before any houses were constructed; we also feel that the burden i for any repairs should be borne by the original developers and contractors s' i and by the City of Iowa City and not by the homeowners affected. In support of these views we respectfully submit this petition. j SIGNATURE i NAME ADDRESS DATE 1�? Y si=p P -Y l�2 0b .0 F- I) -5p /1 q 1k 1=RwLry cl I '� t au I2. 12. r/�"a"'!� IJ OuGCirS /s• ��ts��f /�//�/.t �v.�.v e5 Ty A�/✓ r P rJ J° l/aRNPe0(X 49 /7r. kxvty TCR9Bfy i JTa � l% 2rw en' I 5. C �l i s -)11,Li wcn e ,r a- � vi, MRSaN 1530 Derwen deo C,C'C0/o 1239 /(yd,5 �.119Ey&<- laqy VI/�'E��I��'A/ C/_ F/-1jEL 12 /Z � 'P� ,4111-11 V/ /)iCA2las 1,49° Tq 1 MICROFILMED BY ' JORM MICROLAB i CEDAR RAPIDS -DES MOINES i _ S- 7-7Q 7-179 �-7-�q s 7-79 We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel i that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden i for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support of these views we respectfully submit this petition. I I SIGNATURE NAME J�e� L, Y,& �. �eh4che o� Va.�-e� Canckiq. ?o../ne- �Q/21k'}.`ppCl.Cu`xr(�U C" 1\lee� dQO �7.�J ��C� �e�b/kh ✓�.�r�a'ck. /1�� ��.A ..1�Ssc�'s�JJ✓ /7 I (//chic (Qra.�os Mrs Robed- Dams b d �.�. Spencer f^(o/aeY21' Se QAR 1. l.II•YCII 4CU1ISn' ADDRESS "bATC- 181 q "y 9Y, 913U 1W 1831+ ;- olc,- Dr. �[j 301 i 1844 Fla�'dQ��. 4I3(,179 i /3c, 7y AK 4e,s I I SIGNATURE NAME J�e� L, Y,& �. �eh4che o� Va.�-e� Canckiq. ?o../ne- �Q/21k'}.`ppCl.Cu`xr(�U C" 1\lee� dQO �7.�J ��C� �e�b/kh ✓�.�r�a'ck. /1�� ��.A ..1�Ssc�'s�JJ✓ /7 I (//chic (Qra.�os Mrs Robed- Dams b d �.�. Spencer f^(o/aeY21' Se QAR 1. l.II•YCII 4CU1ISn' ADDRESS "bATC- 181 q "y 9Y, 913U 1W 1831+ ;- olc,- Dr. �[j 301 i 1844 Fla�'dQ��. 4I3(,179 1902 Ha -/or Jr /3c, 7y AK 4e,s -/- 7 r lq 17 Ir �� 5-1-79 71 n" -n Mot III `) �/j/7� lSa�( ErKAsco,J ,OR, i MICROFILMED BY JORM MICROLAB ' CEDAR RAPIDS -DES MOINES We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not biy the homeowners affected. In support of these views we respectfully submit this petition. SIGNATURE NAME ADDRESS pg rL� /I,, 4 6r, o I _ hoz s�� /� 2.9.E ly e e/ooh ��n i„ dye S// I!/J l� GA2G5cnJ RZZ �EiJKRivG,� ti/�79 }t l s »,�rti7red�e L 1.37 Pe N f;' I5 .L D6C `;/(/79 . _ RoN $MAN IJ s1//- i ��,,��•l�y.�12- 4���1 7� MICROFILMED BY ' JORM MICROLAB CEDAR RAPIDS -DES 11OHES f j i We the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support of these views we respectfully submit this petition. SIGNATURE NAME ADDRESS t ATL � - If C om, / 1 M I j MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES 1401NES f :,Ie the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support of these views we respectfully submit this petition. SIG14ATURE NAME Ior.�aaJ 8/74ran Forbes ADDRESS iia a t=s/ron Ii zo 15-jt� . T LLl F 2DCJ�61/1 SAT I s H `• ��' 1� V �A �Av i D bAIV c� Gl V r �'C' sco .lGlslou� 1rr� G,.�.�G�c� t)ATI 71 E,5 �oLL E5Tl"on 4/3o/77 S:�Ro io k130177 too v F'19W 11(� 7�a 1 Z� C. KHe2A . qkL G5T20n1 Sj 1 I79 e�ORRFLL tFos w.'3Eni7oy ,faA AJ U sea /1' 44j0L -bores rl CNy u►4 W, L. &ark ne-[7- Ks�f Es+aaN s'—�x 179 % /l / S �STO�'cv✓ / 7��y 317/77 PSR/sNo hyo) J�5rvH,s4aN i MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES i f t { I of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support ! of these views we respectfully submit this petition. SIGNAT_� NA11E ADDRESS DAT c 6 _ rZ2rL—` �S o{ �Kn�c,ti f3 /2NLi 3.9— "'V ^ �1. 5�3 r �Ut 1i CL 1 _ a a a i Ft� ,i i 11 !t 0„ f ' i We the undersigned wish, by our signatures on this document, to petition e r �i 1 �A the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not by the homeowners affected. In support ! of these views we respectfully submit this petition. SIGNAT_� NA11E ADDRESS DAT c _ rZ2rL—` �S o{ �Kn�c,ti f3 /2NLi 3.9— "'V ^ �1. 5�3 �Ut 1i CL a i f ' i T MICROFILMED BY DORM MICROLAB ' CEDAR RAPIDS -DES MOinES 1 i i a I Ne the undersigned wish, by our signatures on this document, to petition the city Council of Iowa City to consider the following statements: we feel that the storm sewer drainage problem which exists in our area needs to be remedied by the best means possible; we also feel that the problem stems from inadequate storm sewer drains in an area that was known to have water problems even before any houses were constructed; we also feel that the burden for any repairs should be borne by the original developers and contractors and by the City of Iowa City and not bV the homeowners affected. In support 'i of these views we respectfully submit this petition. SIGNATURE NAME ADDRESS bATd y - MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES I �F�E! yrs ;• .• east central iowa000 Y7;g�g council of hovernnwnls 332 east washingion iowa city, Iowa 52240 (319) 354.2328 00 May 16, 1979 0 Mayor Robert Vevera City hall Civic Center Iowa City, IA 52240 Dear Mayor Vevera: At its next regular meeting the ECICOG Board has scheduled a discussion of the current status of I-518 as proposed by IDOT. This will not be another presentation by the IDOT staff, but a frank discussion of the directly affected local jurisdictions. As the chief elected official in your jurisdiction, your participation in this discussion would be greatly appreciated. The meeting will be held at Iowa hall, Kirkwood Community College in Cedar Rapids on May 24, 1979. The regular meeting begins at 12:30 p.m., and you are welcome to come at that time, or at 1:30 p.m, which is the approximate time we hope to be considering the I-518 issue. Please feel free to call. me or James Elza, the ECICOG Director, if you have any questions. JF:rh Sincerely, Janet Fraser Chairperson 7 - MICROFILMED BY 1' JORM MICROLAB CEDAR RAPIDS -DES MOIRES I City of Iowa Ci.,( MEMORANDUM DATE: May 21, 1979 TO: City Council City Manager FROM: Robert H. Bowlin, Assistant City Attorney RE: Zoning of Black's Gaslight Village As you are all well aware, the question of the compliance of the four structures known as Black's Gaslight Village with the Iowa City minimum housing code has been before the Board of Housing Appeals twice within the last two months. While this question may be on its way to resolution, there also exist serious questions as to whether the village complies with the city zoning ordinance. The present zoning of the village is R-2, and the property appears to comprise two city lots. If this is true, the maximum allowable density would be 20 persons. However, as all of you probably know as well, the village has a somewhat lengthy history, and it is possible that there are non -conforming uses which might make higher densities valid. Establish- ing the existence or non-existence of such uses would be most difficult, given the length of time that has elapsed since the village began to take form, and the numerous changes the village has seen. For these reasons, we believe it makes sense to adopt a reasonable stance toward the situation by considering each of the four existing buildings to be duplexes; thus, the maxim un permitted density under the zoning ordinance would be 40 persons. Oar' recommendation is that the City should take this position. Mr. Kucharzak, the Director of Housing and Inspection Services, should determine if the present occupancy exceeds 40 person. If he finds that it does, then the Council should authorize the institution oflitigation in the District Court to obtain a permanent injunction against occupancy exceeding 40 persons, unless the owner will voluntarily comply with this limitation. I would be pleased to answer any questions you may have with regard to this matter. 7 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES City of Iowa C. )y MEMORANDUM Date: May 21, 1979 To: City Council and City Manager From: Robert H. Bowlin, Assistant City Attorney Re: Agreement Reference Property Taxes for Blocks 83 and 84 Attached to this memorandum please find a copy of a proposed agreement reference property taxes between the City and Johnson County, Iowa. This agreement basically provides that the City will offer $47,707.76 to the County in payment of disputed property taxes; and in return the County will show those taxes and penalty and interest paid. We are proposing this agreement so that the taxes will show as paid in the abstracts. This is necessary to satisfy the title insurance company that is going to be insuring title to the parts of Blocks 83 and 84 to be transferred to Old Capitol Associates. Of course, the agreement contains specific language that the payment of these taxes does not constitute a waiver of any of the City's rights or claims that these taxes should not have been assessed in the first place, or that interest should not have been added. It is our intention to enter into this agreement with Johnson County, and Pat White, the First Assistant County Attorney, will be recommending this agreement to the Board of Supervisors on Wednesday, May 23. If you have any comment concerning the agreement please direct it either to John Hayek or myself. Thank you. jm1/24 7 MICROFILMED BY ' JORM MICROLAB CEDAR RAPIDS -DES 1401NE5 i s i i I I i , i AGREEMENT REFERENCE PROPERTY TAXES z The following agreement is entered into by and 'between the City of Iowa City, Iowa, a municipal corporation, and Johnson County, Iowa, a county government, in connection with the payment of certain property taxes in Iowa City, Iowa. The County has assessed property taxes against property located in Block 84 z I of Iowa City, Johnson County, Iowa, for the years 1973 and 1974. This property ' i> was acquired by the City of Iowa City in connection with Urban Renewal Project - Iowa R-14. The total amount of property taxes, penalty, and interest assessed against the property involved is $47 707.76. The 9 P P Y property involved and the u assessed amounts are more particularly described on the attached exhibits Al 4 t ° through A8 which by this reference are made a part of this agreement. In order to clear up certain title problems created by the assessment of R the above described taxes the City of Iowa City will pay the taxes, penalty and y interest set forth above in the amount of $47,707.76 to the County and tenders a check payable to Johnson County, Iowa in that amount with this agreement. It Y 9 - � is, however, agreed by the parties that the payment. of these taxes at this time by the City shall in no manner constitute a waiver by the City of its claim that said property taxes are not due and payable at this time and are not properly assessable against this property. The payment by the City to the County of these taxes shall not be deemed a waiver of any rights the City may have with respect to these taxes. It is understood by both parties that a lawsuit has been i j� brought in Johnson County District Court to determine the respective rights of ii !' the parties with respect to these property taxes and certain other property P Y taxes. :f 1 MICROFILMED BY ` JORM MICROLAB CEDAR RAPIDS -DES 140INES E e V !'1 Dated at Iowa City, Iowa, this _ day of 1979. CITY OF IOWA CITY, IOWA By: Robert H. Bowlin Assistant City Attorney JOHNSON COUNTY, IOWA By: J. Patrick White' Assistant County Attorney Approved by the Johnson County Board of Supervisors. Chairperson 7 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES MOINES i _ Exhibit A-1 RE. .tN PHIS SLIP WHEN YOU PAY r Iowa City, Iowa, APRIL 20, 1979 TAX STATEMENT JOHNSON COUNTY, IOWA CITY OF IOWA CITY F_4 19 I I Description OT West 47' L 7 B 84 C 197 Due 197 1973 Taxes 1510 t ' Penalty 724 i iI k' i; S I t p i s I. L I; II I i i I I y1� i t �I t i f I I l I 1 Exhibit A-1 RE. .tN PHIS SLIP WHEN YOU PAY r Iowa City, Iowa, APRIL 20, 1979 TAX STATEMENT JOHNSON COUNTY, IOWA CITY OF IOWA CITY F_4 19 I r 7 MICROFILMED BY Ii JORM MICROLAB ' CEDAR RAPIDS -DES IIOINES I J I Description OT West 47' L 7 B 84 Book Page Line 197 Due 197 1973 Taxes 1510 00 Penalty 724 80 I p 1 Total2234 ' DONALD J• KRALL County Treasurer ' Tteaswv j II i I i r 7 MICROFILMED BY Ii JORM MICROLAB ' CEDAR RAPIDS -DES IIOINES I J 1 D(hibit A-2 3 RE't .,N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20, 1979 19 TAX STATEMENT JOHNSON COUNTY, IOWA DOROTHY MYERS Description OTW20' L2 B84 Book Page Line 197 Due 197 u Taxes DONALD J. KRALL County Treasurer t MICROFILMED BY ' JORM MICROLAB CEDAR RAPIDS -DES I40INES Total 859 5111 Treasurer i ti I is �S Gi tel :r IF. I I a! y: ji I I I � If� LI .' II Ii �I .I 1 D(hibit A-2 3 RE't .,N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20, 1979 19 TAX STATEMENT JOHNSON COUNTY, IOWA DOROTHY MYERS Description OTW20' L2 B84 Book Page Line 197 Due 197 u Taxes DONALD J. KRALL County Treasurer t MICROFILMED BY ' JORM MICROLAB CEDAR RAPIDS -DES I40INES Total 859 5111 Treasurer T r 5 ; I r Fxhi bit A-3 REi_.�N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20, 1979 13 TAX STATEMENT JOHNSON COUNTY, IOWA DOROTHY MYERS a F 7 i 1• F I � Y OT E 20' L 3 B 84 } Description 1 1 Book Page Line 1 • gg 197 Due 197 2/3 1973 Taxes 3009 55 Penalty 1444 58 Taxes 2946 41 i 1414 27 I j8814 81 .::. Total DONALD J. KRALL County Treasurer . Tnaaver I I t i fi I i E It t r MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES l'— Ambit A1} RETL .J THIS SLIP WHFN YC)IJ PAY Iowa City, Iowa, APRIL 20,. TAX STATEMENT JOHNSON COUNTY, IOWA BERNICE, ROBERT, RICHARD G. BECK Description OT W 40' of E 60' L 3 B 84 Book Page Line 1979 7 197 Due 197 '.1 1973 Taxes 3 � L 1 6 i J46 3 Penalty -Ig 1 Ambit A1} RETL .J THIS SLIP WHFN YC)IJ PAY Iowa City, Iowa, APRIL 20,. TAX STATEMENT JOHNSON COUNTY, IOWA BERNICE, ROBERT, RICHARD G. BECK Description OT W 40' of E 60' L 3 B 84 Book Page Line 1979 7 197 Due 197 1973 Taxes 3 Penalt 1 axes - J46 3 Penalty -Ig 1 Total 1111TT AT Tl i TPTI IT 9334 County Treasurer y 7MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOVIES Ikyu Treasurer E�hiUit A-5 REI .N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20, 1979 19 TAX STATEMENT JOHNSON COUNTY, IOWA .JOHNSON COUNTY REALTY Description OT W 20' L 3 B 84 6 L 4 B 84 8 po0x 197 Due 197 1/3 1973 Taxes 3029 1454 74 27 Total /^ A484 DONALD J• KRALL — County Treasurer Ikporo � T MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MONIES Exhibit A—G RDI RN THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20; 1979 TAX STATEMENT JOHNSON COUNTY, IOWA Georgia T. Marlas OT S 41'' of E 701 L 8 B 84 Description Boole Page Line 197 Due 197 1974 Taxes 1496 10 718 12, it 1 $� Total 221412F4 DONALD J. KRALL County Treasurer Deputy nysuty i {It I FI I 1 a a S ' e s 1 I ,v a H f 1 1 I 1 .. 1 � gRNRNRNRN� I t 1 1 Exhibit A—G RDI RN THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 20; 1979 TAX STATEMENT JOHNSON COUNTY, IOWA Georgia T. Marlas 1 MICROFILMED BY f ' JORM MICROLAB CEDAR RAPIOS•OES MOINES OT S 41'' of E 701 L 8 B 84 Description Boole Page Line 197 Due 197 1974 Taxes 1496 10 718 12, Total 221412F4 DONALD J. KRALL County Treasurer Deputy nysuty i {It I 1 MICROFILMED BY f ' JORM MICROLAB CEDAR RAPIOS•OES MOINES 1:xhibii A-7 1-Nl0a RE. .W THIS SLIP WHEN YOU PAY �` Iowa City, Iowa, APRIL.20, 1979 19 ' TAX STATEMENT JOHNSON COUNTY, IOWA GEORGIA T. MARLAS OT N 60' of S 110'x' L 8 L,esenpnon Book Page Li 197 Due 197 1973 Taxes DONALD 1• KRALL County Treasurer - ' MICROFILMED BY JORM MICROLAB ' CEDAR RAPIDS -DES 140HIES E�hibit A-8 RE 2N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 18, 1979 TAX STATEMENT ,JOHNSON COUNTY, IOWA EDWIN W 6 HELEN B O'BRIEN 12 I OT L 8 B 84 Description S 19' of N 49' i Book n.,. -• MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES 1 11 �I I e�I �1 l� G •1 �p M i i E�hibit A-8 RE 2N THIS SLIP WHEN YOU PAY Iowa City, Iowa, APRIL 18, 1979 TAX STATEMENT ,JOHNSON COUNTY, IOWA EDWIN W 6 HELEN B O'BRIEN 12 I OT L 8 B 84 Description S 19' of N 49' i Book n.,. -• MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Q 0• Community Development Block Grant Program Johnson County, Iowa May 16, 1979 City Clerk Civic Center 410 E. Washington Iowa City, IA 52240 Dear Member: i Johnson County's Community Development Advisory Committee will hold a public meeting on May 30, 1979 at 7:00 P.m. in the Courthouse Annex. The community Development Block Grant awarded. to -Johnson County is nearing completion for its first program year. This Program included thehousing rehabilitation and co crsnity improvement projects for Oxford, Shueyville and the rural areas of Morse, Frytown and Yocumville. i This meeting is intended to provide a review of progress on the program's activities and to act or. proposed budget amendments for the years end. Your participation is heartily urged and I'm sure the information will be of interest for those who have helped develop and carry rn•�r, the Community Development Program. Very truly yours, Juds Te Paske Program Administrator JT:dc i Judson Te PDske • Program Administrator • Telephone 338.2421 Johnson County Courthouse • Iowa City, Iowa • 52240 MICROFILMED BY JORM MICROLAB CEDAR RAPIDS•DES 1101NES GO INFORMAL COUNCIL DISCUSSION NAI. 21, 1979 INFORMAL COUNCIL DISCUSSION: May 21, 1979, 1.:30 P.N. in the Conference Room at the Civic Center. Mayor Pro tem John Balmer presiding. COUNCILMEMBERS PRESENT: Balmer, deProsse, Roberts, Erdabi, Vevera (2:15 PPI), Perrot (2:40 PM). Absent.: Neuhauser. STAFFMEPIBERS PRESENT: Berlin, Stol.fus, Melling. Others present for certain discussions, as noted. TAPE-RECORDED on Reel 79-16, Side 1, 1.310 -End, & over Side 2, 1-1012. REVIEW OF APPLICATIONS TO PLANNING & ZONING CONN Schmeiser present. 1310-1440 Ord. Rezoning Ty'n Cac Part 2 1. Approval of annexation has been received from the City Development Board. 2. Procedure was at third consideration of the ordinance rezoning, but with change in legal description, Council should give all three considerations of Ord. with amended description. Sewer Hookup Outside City I. Berlin explained that Council could not make a commitment regarding zoning, with annexation procedures, & Olin Lloyd is not anxious to annex, but he would contact him again. 2. Fitzpatrick should write his request to Council. COUNCIL AGENDA -COUNCIL BUSINESS 1440-1970 I. City Mgr. Berlin called attention to the letter from East Central Iowa Council of Governments regarding May 24th meeting for dis- cussion of I-518. deProsse & Erdahl would consider attending, Possibly with a staffinember. Further discussion Tuesday night. 2. Erdahl questioned if Vevera wanted to attend the Senior Center Coumnission meetings, or if other arrangements should be made. 3. Erdahl called attention to Kucharzak memo regarding placarding. Councilmembers agreed that wording should be added to clarify, along with a date. 4. There were no objections to memo from City Clerk requesting Council appointment at 5/29 meeting of Acting City Clerk for 6/4-8. 5. Regarding the letter to IDOT concerning the agreement for Freeway 518 from the City Manager, Councilmembers approved of the time taken to outline the difficulties. 6. Erdahl commented on Professor Norbeck's letter regarding transportation of radioactive materials (written on Univ, stationery). 7. Plastinn's memo in 5/18 Packet on procedure for garbage pickup noted. Citizens will have to pay the city even if they contract for private hauler. Berlin explained the billing cycle. 8. Halling requested copies of the Hawkeye proposal & Cox proposal on CATV. 9. There will be no informal session on May 28th, Memorial Day holiday. 1.0. Council will discuss the summer schedule at formal meeting. 11. Berlin advised that Comm. Pepper was working on legislation pending in Congress regarding cable television. I MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MIRES i i j. \ 't i GO INFORMAL COUNCIL DISCUSSION NAI. 21, 1979 INFORMAL COUNCIL DISCUSSION: May 21, 1979, 1.:30 P.N. in the Conference Room at the Civic Center. Mayor Pro tem John Balmer presiding. COUNCILMEMBERS PRESENT: Balmer, deProsse, Roberts, Erdabi, Vevera (2:15 PPI), Perrot (2:40 PM). Absent.: Neuhauser. STAFFMEPIBERS PRESENT: Berlin, Stol.fus, Melling. Others present for certain discussions, as noted. TAPE-RECORDED on Reel 79-16, Side 1, 1.310 -End, & over Side 2, 1-1012. REVIEW OF APPLICATIONS TO PLANNING & ZONING CONN Schmeiser present. 1310-1440 Ord. Rezoning Ty'n Cac Part 2 1. Approval of annexation has been received from the City Development Board. 2. Procedure was at third consideration of the ordinance rezoning, but with change in legal description, Council should give all three considerations of Ord. with amended description. Sewer Hookup Outside City I. Berlin explained that Council could not make a commitment regarding zoning, with annexation procedures, & Olin Lloyd is not anxious to annex, but he would contact him again. 2. Fitzpatrick should write his request to Council. COUNCIL AGENDA -COUNCIL BUSINESS 1440-1970 I. City Mgr. Berlin called attention to the letter from East Central Iowa Council of Governments regarding May 24th meeting for dis- cussion of I-518. deProsse & Erdahl would consider attending, Possibly with a staffinember. Further discussion Tuesday night. 2. Erdahl questioned if Vevera wanted to attend the Senior Center Coumnission meetings, or if other arrangements should be made. 3. Erdahl called attention to Kucharzak memo regarding placarding. Councilmembers agreed that wording should be added to clarify, along with a date. 4. There were no objections to memo from City Clerk requesting Council appointment at 5/29 meeting of Acting City Clerk for 6/4-8. 5. Regarding the letter to IDOT concerning the agreement for Freeway 518 from the City Manager, Councilmembers approved of the time taken to outline the difficulties. 6. Erdahl commented on Professor Norbeck's letter regarding transportation of radioactive materials (written on Univ, stationery). 7. Plastinn's memo in 5/18 Packet on procedure for garbage pickup noted. Citizens will have to pay the city even if they contract for private hauler. Berlin explained the billing cycle. 8. Halling requested copies of the Hawkeye proposal & Cox proposal on CATV. 9. There will be no informal session on May 28th, Memorial Day holiday. 1.0. Council will discuss the summer schedule at formal meeting. 11. Berlin advised that Comm. Pepper was working on legislation pending in Congress regarding cable television. I MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MIRES i I ..�..-._. _....-.,._. �:•s..�.:-L.�r�c::::.-r�xL-....:ra-Cm1i..:.r-1v�tr:^..wV.^..`._....•rrcr_�r.r,-nars�'u rt;1::::::5za:.1.�v: r Page 2 Informal Council May 21, 1979 12. deProsse requested Council discussion of street -lighting Policy, possible end of J:nie. Berlin commented that 1./3 of energy used by the City is for street -lighting. 13. Berlin advised that Atty. Hayek would explain the addition of the item on the agenda regarding the contract with Old Capitol. The intent is that Old Capitolwould lose the 107. HUMAN SERVICES REPORT Emil Brandt, Pam Ramser, Schreiber, Kraft, Milkman present. 1967-2230 Mayor Vevera arrived, 2:15 PPI. 1. Brandt called attention to the memo F work elements distributed with the 5/18 packet, regarding fulfillment of Human Services Contract. 2. Ramser outlined further process which includes evaluation of agency programs slid budgets, and commented on tasks that United Way will do. 3. Schreiber stated that updating of information will occur 6 be corrected in the Agency request for funding. 4. Status of the contract for help in sharing of funding with the County will be reported by the City Manager. SCHOOL CROSSING GUARDS 2230 -End Superintendent of Schools, Dave Cronin 6 Chief. Miller present. I. Berlin reported that the legal counsel for schools had said that the school had no authority to be responsible for the program. Asst. ALLY. Ryan said the City was responsible for streets. 2. Cronin stated that it was the position of the schoolboard that this was an issue both parties need to be concerned about, but they looked to the controller of the streets to be responsible for crossing guards. An areawide Parent Group committee was formed to consider administrative problems, including ansisti.ng in securing of crossing guards, sidewalk placement, bus parking on River St. 3. Mayor Vevera explained Council's decision to limit the funding. Cronin advised that he was willing to go to the Schoolboard, recommending that the school start sharing in financing. 4. Miller asked for police representation on the committee. Brachtel is meeting with thein in May. Cronin also called attention to a suggestion that a volunteer guard supplement the adult guards. PUBLIC WORKS 13UDGET DEFICIT Plastino, Vit'osh, Water present. Side 2, 1.. Plastino called attention to his memo in 5/18 packet, stating 1-220 that the deficit would be about $240,000, requesting a recommenda- tion from Council on funding possibilities. 2. Vitosh explained that there would be a balance of funds in several. departments, where all the money as budgeted would not be used, specifically in personnel allocation. 3. To achieve 11 cut in asphalt overlay program, Plastino explained that as it costs $5,000/$6,000 to do one block, 10 to .12 blacks could be deleted from the program. 4. Funds will. also be needed for the Senior Center. Use of general fiord balances for the deficit will be a significant increase in the use of property tax in the street budget. 5. The asphalt program can be bid for August construction, so Council can wait until. the end of June to see what the endini, general fund balance is, and all of Councilmembers present to discuss alternatives for funding. De.l.otion of curb cuts, bikeways d tennis courts had been suggested. r- MICROFILMED BY JORM MICROLAB CEDAR RAPIDS -DES MOINES Page 3 Council Informal May 21, 1979 EXECUTIVE Conference Room, 3:25 P.N. 1 Moved by Balmer, seconded by Robertslto adjourn to executive session under Chapter 28.A.5.j, to discuss the purchase of particular real estate only where premature disclosure could be reasonably be cy.pected to increase the price the governmental body would have to pay for that property. Affirmative roll call vote unanimous, 5/0, Balmer, Erdahl, Verret, Roberts, Vevera voting •,� aye, Neuhauser absent and deProsse absent from the room. Notice given in j tentative agenda for informal meeting, posted on 3 bulletin boards. Lyle Seydel was present to discuss public housing sites. deProsse present, 3:30 PM. Moved by Roberts, seconded by Perrot to adjourn, 4:05 PP1. Motion carried unanimously. HAFOR CIRCLE DRAINAGE Dietz area residents 1. present. Walter Gerber, 1943 Ilafor Circle submitted apeitit220-1012 on m 1 residents asking that the burden for repair oftlestorm oseweo i drainage problem be borne by the original developer and the City and not by the homeowners. Forbes, 1102 Estron, related his problems. 2. It was suggested that some residents might have water problems but won't admit it because it might affect the value of their property. I. I 3. Staff explained request that Council consider specifying elevations, etc. as outlined in memo from Dietz, as the storm -water management ord, is, not the entire answer. 4. Garber questioned if Council was aware of tale pffer by the developer to install larger pipe. Dietz thought that%installation of another 24° pipe, you would not see a difference because of the level of the creek. The Highway Dept. is negotiating with the Airport Commission, I regarding problems when Sunset is extended to Highway 1, for land for rerouting. 5. Staff is to draft an ordinance, working with Homebuilders organization on it, S Dietz to work with homeowners on individual solutions. -'I APPOINTMENTS .. I 1. Resources Conservation Commission -Keith Gormezano 2. Board of Appeals -John Penick I I Meeting adjourned, 5:20 I'PI. I !I .I { i z MICROFILMED BY ' h I JORM MICROLAB ? CEDAR RAPIDS -DES P INES 1 _ I kr ft A., of All 'lit vAl L H N W H 7 N ro r 4J 010 3 O W H 44H E >. 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