HomeMy WebLinkAboutGrant Request - Healthy BeginningsDeschutes County
Board of County Commissioners
Discretionary Grant Program
Board Meeting Date: December 12, 2012
Organization: Deschutes County Healthy Beginnings
Organization Description: Healthy Beginnings provides early childhood health and
development screenings, referrals, and follow-up services for children from birth to five years
old in Central Oregon, regardless of a family's ability to pay. Healthy Beginnings acts as a
central point of health care screening access for parents, providing parent education and
information regarding their child's health, nutrition, social -emotional, and developmental
progress.
Project Name: Healthy Beginnings — Improved Access / Early Intervention
Project Description: Healthy Beginnings is seeking support for screenings offered throughout
Deschutes County with a projected outcome of reaching over 400 children in Deschutes County.
The impact the economic recession has had on young families is significant. In addition,
Deschutes County is experiencing a significant population increase of young children.
Consequently, the need and demand for screenings and services are increasing rapidly. Grant
funds will also support pre-screening services, as well as the program's follow-up case
management services.
Project Period: 07/01/2012 — 06/30/2013
Amount of Request: $2,500 ($78,525 total)
Previous Grants: None
Approved:
Declined:
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Email:
Deschutes County Board of Commissioners
1300 NW Wall St., Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
DESCHUTES COUNTY ECONOMIC DEVELOPMENT FUND
DISCRETIONARY GRANT PROGRAM APPLICATION
Direct Application to:
Commissioner Tammy Baney
Commissioner Anthony DeBone
Date•
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Project Name:
Project Beginning Date:
Amount of Request:
Commissioner Alan Unger
All Three Commissioners
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Applicant/Organization:
Address:
Project End Date:
Date Funds Needed:
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Contact Name(s):
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Tax ID #:
City & Zip:
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On a separate sheet, please briefly answer the following questions:
1. Describe the applicant organization, including its purpose, leadership structure, and activities.
2. Describe the proposed project or activity.
3. Provide a timeline for completing the proposed project or activity.
4. Explain how the proposed project or activity will impact the community's economic health.
5. Identify the specific communities or groups that will benefit.
6. Itemize anticipated expenditures*. Describe how grant funds will be used and include the
source and amounts of matching funds or in-kind contributions, if any. If the grant will
support an ongoing activity, explain how it will be funded in the future.
Attach:
Proof of the applicant organization's non-profit status.
* Applicant may be contacted during the review process and asked to provide a complete line item budget.
Tammy Baney: Amount: Signature:
Anthony DeBone: Amount: Signature:
Alan Unger: Amount: Signature:
Deschutes County Healthy Beginnings, Inc.
Proposal to
D ES CH UTES COUNTY ECONOMIC DEVELOPMENT FUND
DISCRETIONARY GRANT PROGRAM APPLICATION
For
EARLY CHILDHOOD SCREENINGS - IMPROVED ACCESS TO HEALTH CARE AND EARLY INTERVENTION
1. Describe the applicant organization, including its purpose, leadership structure, and activities.
Healthy Beginnings (HB) provides early childhood health and development screenings, referrals and
follow-up services for children from birth to five years old in Central Oregon, regardless of a family's
ability to pay. The program provides accessible, preventative screenings to confirm the well being of
children. Healthy Beginnings serves as the gateway for families to learn about and receive needed
services. HB acts as a central point of health care screening access for parents, providing parent
education and information regarding their child's health, nutrition, social -emotional, and
developmental progress. Without these screenings and referrals, many children's health and
developmental concerns would not be identified and treated. Healthy Beginnings has received local,
state and national recognition for our services.
HB screenings evaluate children's physical health, as well as their social, emotional and physical
development. If concerns are discovered during the screenings, parents are referred to the appropriate
clinical specialist or agency that can further assess and treat the problem. Without these screenings and
referrals, many health and development concerns would not be identified and parents would left on
their own to navigate an often complex and confusing array of medical resources. Research shows that
many children do not have their concerns diagnosed until two years after the child has started school.
The damage and difficulty caused by these critical lost early years can be devastating to a child's
development. This damage impacts the family and the community for years to come.
In Deschutes County, from January through December 2012, Healthy Beginnings conducted 14 free
comprehensive health and development screenings in Bend, Redmond, LaPine, Sisters and Sunriver,
With the help of professionals, paraprofessionals and age-appropriate diagnostic tools, our single point
of access services consist of assessments of the children's hearing, speech-language, vision, motor and
cognitive abilities. Additionally, nutrition counseling, behavior, dental and physical health
consultation as well as information on developmental stages, literacy, lead exposure and car seat safety
are also provided. By appointment, families rotate through the screening stations for approximately
two hours. Should concerns arise out of these assessments, referrals are made to health -serving
agencies for more in-depth evaluation.
HB has five staff members (4.66 FTE) and is governed by an active and dedicated Board of Directors
led by Garrett Bergby, President; Arden Dettwyler, Vice President/Treasurer; Deborah Padgett
Coehlo, PhD, Secretary;. Other board members include: Dr. Casey O'Neill, Jennifer Moss -Lewis,
Bridget McGinn, Courtney Latham, Michelle Slivkoff, and Char Reynolds.
To provide the screenings, the program relies on a volunteer corps of 400 individuals — most are
professional volunteers, including audiologists, speech pathologists, dentists, dental hygienists, retired
educators, therapists, nurses, nurse practitioners and early childhood specialists.
2. Describe the proposed project or activity.
Healthy Beginnings is seeking support for screenings offered throughout Deschutes County with a
projected outcome of reaching over 400 children in Deschutes County. For the past 18 years, the
Deschutes County Healthy Beginnings, Inc.
program has offered a full screening schedule. Support from the community is imperative to ensure we
continue to reach local families. Nearly 40% of children in Deschutes County enter kindergarten with
an unidentified health and/or developmental concern.
The impact the economic recession has had on young families is significant. In addition, Deschutes
County is experiencing a significant population increase of young children. Consequently, the need and
demand for HB screenings and services are increasing rapidly. Lottery funding will also support pre-
screening services, as well as the program's follow-up case management services.
Our project goal:
> To increase the number of screenings the program provides in Central Oregon with focus in
underserved in La Pine, Sisters and Redmond.
Our objectives:
> Increase services for at -risk families in Deschutes County by providing them with access to
developmental, behavior, health, and dental care through screening, improved outreach
and follow-up
> Offer enhanced access to early intervention, health, mental health, and dental services to
vulnerable populations of Deschutes County families
HB will provide much-needed developmental, behavioral, health and dental care and referrals to
families currently unable to access appropriate health care and services in our communities.
The project will connect high -need families with services that exist in the community. We have
developed a reciprocal referral process with many agencies in the community including: teen parent
programs, homeless shelters, families under the Department of Human Services, Deschutes County
Health Department, WIC, and many others. Data collected through HB reveals that over one-third of
the children screened are without medical or dental insurance and approximately one-third do not have
a medical or dental home. 73% of children screened are referred to a developmental, health, behavioral
health or dental services. Our program is the entry point for essential services that many families are
not able to access on their own. Funding will also support outreach and site screenings at the
Bethlehem Inn and Project Connect.
3. Provide a timeline for completing the proposed project or activity.
DATE ACTIVITY
9/12 — Ongoing Continue outreach activities in Deschutes County (with a focus on at -risk
families including children and families in homeless shelters)
9/12 - Ongoing
Healthy Beginnings provides 14 comprehensive universal screening clinics in
Redmond, Bend, La Pine, Sisters and Sunriver offering 40+ families at each
clinic access to research -based / science -based assessments, 12 volunteer
professionals, parent information and referrals to community services.
Ongoing Provide follow-up services for families receiving referrals to take place 6 weeks
and 6 months after the screening
Ongoing Periodic Evaluation of system (assisted by OSU Cascades)
Deschutes County Healthy Beginnings, Inc.
4. Explain how the proposed project or activity will impact the community's economic health.
Universal community screenings that HB provides offer consistent, reliable, valid, evidence based
screenings for young children. Children who are identified with questionable or abnormal results are
referred to evidence -based services. Further, parents who are connected with needed services are
shown to have improved parenting skills, including appropriate developmental stimulation,
recognition of cues and appropriate response and encourage self-regulation.
There are many reasons why universal screenings are important to a young child and for the
community they live in. The following 10 points represents some of the research the program has
identified.
1) Comprehensive health and developmental screening is not being done in all pediatric offices —
further less than 25% of pediatric offices use valid developmental screening tools.
2) There are a growing number of children who do not have a pediatrician or a family practitioner
as their primary health care provider. In our community, less than 50% of families could
identify a regular health care provider when asked at a Healthy Beginnings screening.
3) 43% of all children across the United States are under -insured having no health insurance for
well child care.
4) Vision impairments are increasing, prompting the American Pediatric Association to
recommend a vision screening in the first year of life.
5) Hearing impairments are being missed, prompting the American Pediatric Association to
recommend a hearing screening twice before age two.
6) Nationwide, over 400,000 young children are afflicted by prenatal drug exposure, which is
400% increase since 2001. Alcohol and methamphetamine are the leading cause of this major
disability.
7) Behavioral and social emotional problems are also increasing and have become the number one
cause of pre -Kindergarten academic failure. This area is rarely screened by pediatricians.
8) In the last 15 years, brain studies have documented the negative impact of poor parenting and
neglect on life-long learning. Parenting skills, like other areas, are rarely screened by
pediatricians.
9) Dental decay, also on the rise with young children, can impact speech, development, nutrition,
and success in school - 40% of children in Head Start have significant dental decay.
10) Less than 20% of all parents attend parenting classes.
Community universal health and developmental screenings provide an important first step in
improving the outcomes of children and their families. The benefits are profound and have long
reaching impacts on the entire lives of these children, their families, and their communities.
Deschutes County families are struggling with the cost of health care, and many young families have
little or no access to health care for themselves or their young children. Many children with special
needs are not identified until after age five (or later) in spite of clear evidence that early identification
of health, speech and hearing and other sensory impairments and environmental deprivation can
positively impact learning skills throughout life and decrease dramatically the cost to the community.
Deschutes County Healthy Beginnings, Inc.
Young children (0-5) are one of the fastest growing segments in our community. According to
Deschutes County Community Impact Report, our county ranks second worst in the state for meeting
"readiness" standards for kindergartners.
HB's program data continues to document an alarming community trend. The number of children seen
in our screening program without insurance has remained high. In 2001-02 97% of the children we
screened had a primary health care provider. Over the past several years we have seen an alarming
trend of families reporting that their child or children lack a primary health care provider. Healthy
Beginnings has been identified by the state as a model program providing important links to education
and health care services. Last year 75% of the children screened required a referral and 79% were
identified with risk factors — many of these had multiple risk factors including living in a shelter,
having a teen parent, being referred from a high risk agency such as foster parents or DHS, having no
primary health care provider and not having health insurance.
These trends have devastating effects on the families and the community. With the lack of access to
health screenings, children go without needed services. Parents miss work and children are not able to
enter kindergarten at their highest potential. Statistically, these children are at higher risk for school
failure and falling into the juvenile justice program. Studies indicate that 70% of the children in
juvenile justice system have untreated vision concerns; this is in comparison to less than 25% in the
general public.
The current estimate indicates that for every dollar spent on early intervention for high-risk
families, seven dollars is saved through prevention of long-term negative outcomes (Children's
Defense Fund). In addition, the Academy of Pediatrics estimates that early intervention provides
"savings to community of $30,000 - $100,000 per child."
We estimate the value of our screening at $3,000 per child (estimated on the cost of office visits to
specialists providing similar services in the area). The program plans to serve over 400 Deschutes
County children this year engaging 400 professional volunteers to meet our community's growing
needs. This represents an estimated market value of over a million dollars.
Finally, since spring of 2010, HB has been a Healthy Kids application assistance agency for families
with children not covered by private insurance or Oregon Health Plan. With increased awarness of
this iniative the program will help 200 children sucessfully submit a Healthy Kids application this
year. While this outreach effort complements our screening efforts, the Healthy Kids DHS grant does
not fund the program's core screening efforts.
S. Identify the specific communities or groups that will benefit.
HB screenings provide children and their families' access to 12 volunteer professionals, with referrals
and follow-up. Assessments include: health, nutrition, dental, behavior, hearing, vision, motor and
cognitive development, speech, and car seat safety. This service is offered to all families living in
Deschutes County — there are no eligibility requirements. Spanish interpreters are provided at no cost
when needed. Community need has driven this growth and our need to expand our services.
Screenings reach capacity months in advance, and children are not able to receive an appointment in
an appropriate amount of time, thus delaying the ability of the family to connect with needed services.
Deschutes County Healthy Beginnings, Inc.
6. Itemize anticipated expenditures*. Describe how grant funds will be used and include the
source and amount of matching funds or in-kind contributions, if any. If the grant will support an
ongoing activity, explain how it will be funded in the future.
All funding will be dedicated to support and provide the upcoming screenings in Deschutes County.
Lottery Funds Matching Funding
Sources
Direct Services Personnel
HB Screening Organization Staff 1,000 37,500
In -Kind Staff 0 18,000
Materials and supplies:
Project Supervision 0 3,700
Consumable Materials 100 200
Printing and Binding 0 200
Assessment Tools and Protocols 300 600
Contract Services (Interpreters needed for screenings) 500 2,000
Office Supplies 0 125
Local Travel 500 9,500
Postage 100 4,200
Sub Totals $2,500 $76,025
Healthy Beginnings currently benefits from:
➢ United Way of Deschutes County Partner Funding
➢ Annual Fundraiser activities including:
• Health Wise Flu Shot Clinics
• Girls Night Out
• The Grin and Bear It Fun Run
• HB Board fundraising activities
➢ Extensive local corporation and community service club support
➢ Grant writing activities
➢ In-kind donations last fiscal year that included:
• Volunteer In-kind valued at over $50,000
• Staff In-kind valued at nearly $25,000
• Facility donation valued at over $5,000
The HB Board of Directors has addressed this project in its strategic plan and is working to sustain this
project and expand the program providing direct screening services to children throughout Deschutes
County and beyond. The Board is also expanding its fundraising efforts to provide expanded services
to specific high-risk populations.
Attach:
Proof of the applicant organization's non-profit status.
* Applicant may be contacted during the review process and asked to provide a complete line item budget.
Amount Approved: By: _ Date:
Declined: By: Date:
f. L'•1' sira•
P.O. Box 2508
Cincinnati OH 45201
t7 7
DESCHUTES COUNTY HEALTHY BEGINNINGS
INC
1029 NW 14TH ST STE 102
BEND OR 97701-2189
In reply refer to: 0248667579
Aug. 05, 2011 LTR 4168C EO
93-1234708 000000 00
00017117
BODC: TE
Employer Identification Number: 93-1234708
Person to Contact: Mr Gerding
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your July 27, 2011, request for information
regarding your tax-exempt status.
Our records indicate that you were recognized as exempt under
section 501(c)(3) of the Internal Revenue Code in a determination
letter issued in May 1998.
Our records also indicate that you are not a private foundation within
the meaning of section 509(a) of the Code because you are described in
section(s) 509(a)(1) and 170(b)(1)(A)(vi).
Donors may deduct contributions to you as provided in section 170 of
the Code. Bequests, legacies, devises, transfers, or gifts to you or
for your use are deductible for Federal estate and gift tax purposes
if they meet the applicable provisions of sections 2055, 2106, and
2522 of the Code.
Please refer to aur website www.irs.gov/eo for information regarding
filing requirements. Specifically, section 6033(i) of the Code
provides that failure to file an annual information return for three
consecutive years results in revocation of tax-exempt status as of
the filing due date of the third return for organizations required to
file. We will publish a list of organizations whose tax-exempt
status was revoked under section 6033(3) of the Code on our website
beginning in early 2011.
If you have any questions, please call us at the telephone number
shown in the heading of this letter.
Sincerely yours,
S. A. Martin, Operations Manager
Accounts Management Operations
