HomeMy WebLinkAboutGrant Request - Healthy BeginningsEconomic Development Fund
Discretionary Grant Program
Organization: Deschutes County Healthy Beginnings
Organization Description: This organization provides accessible, preventative
screenings, referrals and follow-up services for children in Deschutes County from birth
to age five. This organization serves as a single point of contact for parents, providing
parental education and information regarding their child's health, nutrition, social -
emotional and developmental progress. On an annual basis, 15 free, comprehensive
health and development screenings are provided in five communities — La Pine,
Redmond, Sisters, Sunriver and Bend.
Project Name: Expanded Healthcare and Early Intervention
Project Description: These grant funds will support costs associated with three
additional summer screenings, two to be held in Bend and one in Redmond. This will
result in one additional screening being added to the schedule and providing services to
120 additional children.
Project Period: August 2011- July 2012
Amount of Request: $2,400 (Total Funds = $37,390)
Previous Grants:
• June 2008: $1,750 expand services ($1,000 Baney; $750 Daly)
• FY 2009 Community Grant - $10,000
• September 2009: $1,750 expand services ($875 Baney; $875 Unger)
• FY 2010 Community Grant - $5,000
• August 2010: $800 expand services ($800 Baney)
• FY 2011 Community Grant - $10,000
• FY 2012 Community Grant - $9,000
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:
1- 2-2.011
Project Name:
Project Beginning Date:
Amount of Request:
Commissioner Alan Unger
All Three Commissioners
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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:
Every child. Every year.
July 11,2011
Dave Inbody
Deschutes County Administration
1300 NW Wall Street, Suite 200
Bend, OR 97701-1960
Dear Dave:
On behalf of the Healthy Beginnings staff, Board of Directors and our volunteers, please accept the following proposal for
funding from the Discretionary Grant Program.
We feel that Healthy Beginnings is the best suited to provide this service successfully as we are the only program in
Deschutes County that provides free health and developmental screenings to children with no eligibility or insurance
requirements. Further, our 15 screenings planned for the coming fiscal year are provided in convenient community
locations in all 5 cities in Deschutes County. Our 17 years of service have provided over 7,000 children with a level of
service unduplicated in Deschutes County or anywhere throughout the state of Oregon.
We estimate the value of this service is $2,000 per child but because of our professional volunteers providing screening,
referral and education in health, dental, hearing, developmental, nutrition, speech and language, vision and behavior, our
program provides this service at a cost of under $300 per child. Although this program has a long history of success and
acknowledgement, with the economic downturn we are struggling to keep up with community need and our fast growing
population of children birth through five years. This proposal will increase this service significantly.
Our program is proud that we have improved every year. In the past years we have forged and expanded partnerships with
Head Start, Early Intervention, Early Childhood Special Education, WIC, Mosaic Medical, Grandma's House, DHS, local
schools preschools and day care providers, along with an extensive list of family support groups and health and human
service agencies in the county to assist us to reach more children. We continue to provide screenings in all 5 communities
of Deschutes County. Our screenings continually fill past capacity months in advance and we are putting families on wait
lists for most available screening times. I would welcome a visit from any county employee or representative to any of our
screenings.
With the generous proceeds from our 2010 request, we provided two screenings last summer (1 in Bend, 1 in Redmond).
At these screenings, we screened 67 children and made 69 referrals on behalf of 43 children for further examination from
the medical community. In addition, as with all of our screenings, followup was conducted by Healthy Beginnings staff after
each referral.
We feel that this proposal is in line with the focus and objectives of economic development for the county and appreciate
the opportunity to submit this project for possible support from your discretionary funding opportunity. Further, we
realize that this year especially, funding is tight and any contribution the county can make to sustain our effort will be used
to support other leverage opportunities and any amount will make a difference to our program and our service.
Thank you for your consideration in this effort.
S`ncerely, '4L�
L
Holly Re
Program Dire
1029 NW 14`h Street, Suite 102 ♦ Bend, Oregon 97701
• Ph: 541-383-6357 ♦ Fax: 541- 383-5917
www.myhb.org
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Deschutes County Healthy Beginnings, Inc.
Proposal to
DESCHUTES 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.
In accordance with our mission, Healthy Beginnings (HB) provides the opportunity for early
childhood health and developmental screenings, referral, and follow-up services for all children in
Deschutes County, aged birth through five years. The purpose of this program is to provide accessible,
preventative screenings to confirm the well being of children or, in working with the parents, to
identify and refer concerns in specific areas. HB acts as a single point of access for parents, providing
parent education and information regarding their child's health, nutrition, social -emotional, and
developmental progress. These services are provided at no cost to families.
HB is a starting point for many underserved families to connect with needed community resources and
services. Our program provides screenings that check children's physical health as well as their social,
emotional and physical developmental progress. If any problems are uncovered during the screenings,
parents are referred to the appropriate professional or agencies that can further assess and treat the
problem. Without these screenings and referrals, many health and developmental concerns would not
be identified or treated and resources would remain unknown or unfamiliar to parents. Sadly, research
shows that many children do not have their problems diagnosed until two years after the child has
started school. The damage and difficulty caused by these lost early years to a child's development are
devastating. This damage impacts the family and the community for years to come.
In fiscal year 2010-11 (July -June), Healthy Beginnings' activities comprised 14 free comprehensive
health and development screenings rotated from January through December in the five Deschutes
County communities of LaPine, Redmond, Sisters, Sunriver, and Bend. This program is offered to all
children, aged birth through five. With the help of professionals and 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. Families, by appointment, rotate through
the screening stations, for approximately two hours. Should concerns arise out of any of these
assessments, referrals are made to health -serving agencies for more in-depth evaluation.
HB has 5 full-time staff members and is governed by an active and dedicated Board of Directors led
by Helen Eastwood, President; Garrett Bergby, Vice President; Deborah Padgett Coehlo, PhD,
Secretary; Arden Dettwyler, Treasurer. Other board members include: Dr. Peter Magnus, Dr. Casey
O'Neill, Carolyn Jarschke, Kari Strang, Jennifer Moss -Lewis, Lisa McLean, and Char Reynolds.
To provide the screenings the program relies on a volunteer corps of 400 individuals — most
professional volunteers (audiologists, speech pathologists, dentists or dental hygienists, retired
educators, therapists, nurses and nurse practitioners, and early childhood specialists) as well as a
varied group of trained volunteers.
2. Describe the proposed project or activity.
Deschutes County Healthy Beginnings, Inc.
Healthy Beginnings is seeking support for screenings to be held on August 26th in Redmond and
September 9th in Bend. For the past 17 years the program has offered 12-15 (16 scheduled for this year)
annual screenings with limited wait time for families. With the downturn in the economy, and the
growth of young children in Deschutes County, our screenings in both Bend and Redmond are over
capacity. This funding will support our effort to serve an estimated 90 additional children and their
families, for a total of 550 Deschutes County children and families served. This funding will also
support pre-screening services as well as the program's follow-up case management as indicted at the
screening.
Our project goal is:
➢ To increase the number of screenings the program provides in Redmond and Bend
With the objectives of:
D Increasing service 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
> Offering enhanced access to Early Intervention, health, mental health, and dental services
to Deschutes County families
This 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.
This project will work to connect with high -need families with services that exist in the community.
We have developed a reciprocal referral process with many other agencies in the community including
teen parent programs, homeless shelters, families under Department of Human Services, Health
Department, WIC, and many others. According to the data collected through HB, over 1/3 of the
children we serve are without medical or dental insurance and roughly 1/3 do not currently have a
medical or dental home. Our program is the starting point for essential services that many families are
not able to access on their own. Funding will also support our outreach and site screenings at the
Bethlehem Inn and Saving Grace shelters and facilities.
3. Provide a timeline for completing the proposed project or activity.
DATE ACTIVITY
8/11 Healthy Beginnings provides a comprehensive universal screening in Redmond
offering 40+ families access to research bases/ science based assessments, 12
volunteer professionals, parent information and referrals to community services.
9/11 — Ongoing Continue outreach activities in Deschutes County (with a focus on at -risk
families including children and families in homeless shelters)
9/11 Healthy Beginnings provides a comprehensive universal screening in Bend
offering 40+ families access to research bases/ science based assessments, 12
volunteer professionals, parent information and referrals to community services.
9/11 - Ongoing Healthy Beginnings provides 13 additional comprehensive universal screening
clinics in Redmond, Bend, La Pine, Sisters and Sunriver offering 40+
Ongoing
Ongoing
Deschutes County Healthy Beginnings, Inc.
families at each clinic access to research -based / science -based assessments, 12
volunteer professionals, parent information and referrals to community services.
Provide follow-up services for families receiving referrals to take place 6 weeks
and 6 months after the screening
Periodic Evaluation of system (assisted by University of Oregon Dept. of
Psychology)
4. Explain how the proposed project or activity will impact the community's economic health.
Universal community screenings, like the screenings Healthy Beginnings offers provides consistent,
reliable, valid, evidence based/science based screening for young children. Children who are
identified with questionable or abnormal results can than are referred to evidence -based services. This
is important because when children receive appropriate services before age five it has been
documented that only 25% will need special education services once entering the K-12 system. When
children do not receive referral and needed services before entering school, 77% are found to require
special education services once entering school. 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 the community it
lives 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 is 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 underinsured 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.
Deschutes County Healthy Beginnings, Inc.
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.
Healthy Beginnings is the gateway for families to learn about and receive needed services.
Oregon's state budget commitment to the Oregon Health Plan has declined in recent years. The
number and rate of Oregonian children without health insurance has steadily increased. Our region is
ranked number one for the number of children without health insurance — 19% of the children are
without this basic level of care. With young children age birth — 5 one of the fastest growing segments
in our community, this staggering statistic will rise. According to Deschutes County Community
Impact Report from the United Way our county ranks 2nd 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. In 2010-11 only 84% of the children we saw had a
primary health care provider. Screening clinics fill up months in advance with some families having
to wait months to receive service. To meet this community demand in the coming year, the program
increased service adding a screening. With an additional screening clinic scheduled for this year, the
program will provide 16 screenings, up from 12 in 2007-08. Last year 70% of the children screened
required a referral and 74% 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
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 $2,000 per child (estimated on the cost of office visits to
specialists providing similar services in the area). The program plans to serve 550 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.
Deschutes County Healthy Beginnings, Inc.
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. The services that this grant is
providing will increase the awarness of this iniative with goals to enroll 400 children in Healthy Kids
next year. While this outreach effort complements our screening efforts, the Healthy Kids DHS grant
does not fund the program's core screening efforts.
5. Identify the specific communities or groups that will benefit.
These screenings provides children, aged birth through 5 years and their family access to 12 volunteer
professionals, with referrals and follow-up as indicated. 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 other eligibility
requirements. Spanish interpreters are provided at no cost whenever a family needs this service. We
estimate the number of children screened this year will be 550. Community need have driven this
growth — and our need to expand our services. Screenings are filling up 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.
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.
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 1,000.00 17,500.00
In -Kind Staff 0 11,000.00
Materials and supplies:
Project Supervision
Consumable Materials
Printing and Binding
Assessment Tools and Protocols
Contract Services (Interpreters needed for screenings)
Office Supplies
Local Travel (300 miles x .550mile)
Postage
Sub Totals
0
300.00
0
300.00
600.00
0
100.00
100.00
3,700.00
0
200.00
300.00
2,000.00
125.00
65.00
100.00
Healthy Beginnings currently benefits from:
➢ United Way of Deschutes County Partner Funding
➢ Annual Fundraiser activities including:
• Health Wise Flu Shot Clinics
• Girls Night Out
$2,400.00 $34,990.00
Deschutes County Healthy Beginnings, Inc.
• 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:
INTERNAL REVENUE SERVICE
P. O. BOX 2508
CINCINNATI, OH 45201
Date: OCT 2 3 2002
DESCHUTES COUNTY HEALTHY BEGINNINGS
INC
520 NW WALL ST
BEND, OR 97701
Dear Applicant:
DEPARTMENT OF THE TREASURY
Employer Identification Number:
93-1234708
DLN:
17053257734002
Contact Person:
MICHAEL A LUDWIG
Contact Telephone Number:
(877) 829-5500
Our Letter Dated:
May 1998
Addendum Applies:
No
ID# 31470
This modifies our letter of the above date in which we stated that you
would be treated as an organization that is not a private foundation until the
expiration of your advance ruling period.
Your exempt status under section 501(a) of the Internal Revenue Code as an
organization described in section 501(c)(3) is still in effect. Based on the
information you submitted, we have determined that you are not a private
foundation within the meaning of section 509(a) of the Code because you are an
organization of the type described in section 509(a)(1) and 170(b)(1)(A)(vi).
Grantors and contributors may rely on this determination unless the
Internal Revenue Service publishes notice to the contrary. However, if you
lose your section 509(a)(1) status, a grantor or contributor may not rely on
this determination if he or she was in part responsible for, or was aware of,
the act or failure to act, or the substantial or material change on the part of
the organization that resulted in your loss of such status, or if he or she
acquired knowledge that the Internal Revenue Service had given notice that you
would no longer be classified as a section 509(a)(1) organization.
You are required to make your annual information return, Form 990 or
Form 990 -EZ, available for public inspection for three years after the later
of the due date of the return or the date the return is filed. You are also
required to make available for public inspection your exemption application,
any supporting documents, and your exemption letter. Copies of these
documents are also required to be provided to any individual upon written or in
person request without charge other than reasonable fees for copying and
postage. You may fulfill this requirement by placing these documents on the
Internet. Penalties may be imposed for failure to comply with these
requirements. Additional information is available in Publication 557,
Tax -Exempt Status for Your Organization, or you may call our toll free
number shown above.
If we have indicated in the heading of this letter that an addendum
applies, the addendum enclosed is an integral part of this letter.
Letter 1050 (DO/CG)