Mental Health and Addiction Ad Hoc Agenda 03/19/2019Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019 – 8:30 am
5th Floor Training Room
3299 Tamiami Trail East, Bldg. F
Naples, FL 34112
1. Call to Order
2. Pledge of Allegiance
3. Roll Call
4. Adoption of the Agenda
5. Public Comment
6. Adoption of Minutes from Previous Meeting
7. Staff Reports
7.1. Bruce McAndrews Resignation
8. New Business
8.1. Priority 2 – Permanent Supportive Housing
8.2. Collier County Vital Signs Report (Christine Welton)
8.3. Review of Calgary Housing Solutions (Dale Mullin)
8.4. Veteran Data for Collier County (Dale Mullin)
8.5. Committee Vacancies
9. Old Business
9.1. Future Meeting Schedule
9.2. Priority 1 – Centralized Receiving System (CRS)
9.3. Discussion of Bed Supply per capita
10. Announcements
11. Committee Member Discussion
12. Next Meeting Time, Date and Location
12.1. April 1, 2019 – 8:30 am – same location
13. Adjournment
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Packet Pg. 733 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Mental Health and Addiction Ad Hoc Committee Meeting | Meeting Minutes Page 1
MINUTES OF THE REGULAR MEETING OF THE COLLIER COUNTY
Mental Health and Addiction Ad Hoc Committee Meeting
March 01, 2019
Naples, Florida
LET IT BE REMEMBERED that the Collier County Mental Health and Addiction Ad Hoc
Committee met on this date at 2:00 P.M. at 3299 Tamiami Trail East, Building F, 5th Floor
Training Room, Naples, Florida with the following Members Present:
Mental Health Committee
Present: Dale Mullin
Lt. Leslie Weidenhammer
Dr. Thomas Lansen
Scott Burgess
The Honorable Janeice Martin
Christine Welton
Janice Rosen
Pat Barton
Dr. Jerry Godshaw
Dr. Paul Simeone
Council Member Michelle McLeod
Dr. Pam Baker
Reed Saunders
Not Present: Bruce McAndrews
Dr. Michael D’Amico
Russell Budd
Dr. Emily Ptaszek
Susan Kimper
Also Present: Sean Callahan – Executive Director, Corporate Business Ops
Heather Cartwright-Yilmaz – Sr. Operations Analyst
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1. Call to Order & Pledge of Allegiance
Chairman Scott Burgess called the meeting to order at 2:04 P.M. and led the Pledge of
Allegiance.
3. Roll Call – Committee Members
Thirteen (13) members of the Mental Health and Addiction Ad Hoc Committee were
present, representing a quorum. Council Member McLeod introduced herself, followed by
Committee members present, highlighting their backgrounds and different interests in
serving on the Committee.
4. Adoption of the Agenda
A motion to approve the agenda was made and was unanimously adopted.
5. Public Comment
There was no public comment.
6. Adoption of Minutes from Previous Meeting
Following discussion with two changes, a motion was made and Minutes from previous
meeting were approved.
7. Staff Reports
There were no staff reports.
8. New Business
8.1. Review of Prior Workshop Reports and Data
Staff asked the committee if they were able to access the data that was provided in a drop
box from previous workshops, committee members confirmed. Ms. Welton described a
study done by Hodges University on vital statistics for Collier County that she will
provide to staff for distribution to the committee.
Dr. Lansen commented that he thought that the strategic plan in the SAMSHA document
presented a holistic way to attack many of the priorities this committee is trying to address,
and that he thought the metrics contained in the plan were excellent, asking if the committee
was considering the same. Dr. Baker clarified that she provided the plan to ensure that this
committee could align its priorities with the state strategic plan.
Dr. Simeone then mentioned that he had an update on the universal release for data
collection scheduled with attorneys, noting that one of the main difficulties of collecting this
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type of data is getting multiple agencies to agree to methods of collection and defining what
data would be collected. Dr. Simeone commented that he would keep the committee
apprised of any next steps for Lee Health.
Mr. Burgess mentioned that data on homelessness existed through the Homeless
Management Information System (HMIS) and thought that it might be helpful for Ms.
Welton to talk about it at a future meeting.
Discussion ensued around data collection from multiple agencies and the difficulty of
managing due to multiple sources.
Dr. Godshaw asked Judge Martin if there was data available from the problem-solving
courts that the committee could analyze. Judge Martin said that the Department of
Corrections would be the best place to find baseline data that would be most useful for
statistical comparison.
Mr. Burgess offered to check in with the South Florida Behavioral Healthcare System to see
what reports they might be able to provide to the committee. Dr. Godshaw mentioned that
he thought it would be pertinent to show a return on investment for different areas that the
committee was looking at to effectively describe the resource needs.
Dr. Baker mentioned that the committee could also look at statewide Baker Act reporting
data to see the need in Florida and how Collier County compared. The committee then took
a brief break before the 2:30 pm time certain item.
8.2. Skype Interaction with Manatee County Centerstone Staff – 2:30 Time Certain
Ms. Melissa Larkin-Skinner introduced herself to Committee members, highlighting her
background and different interests in serving the Community. Ms. Larkin-Skinner then
gave some historical background on Manatee County and Centerstone as a designated CRS
for the community.
Some of the items that Ms. Larkin-Skinner discussed were:
1. Centralized Receiving System
2. Centerstone is multi-state corporation
a. Manatee is only affiliate facility with Hospital and CSU
3. Impatient Hospital
4. Crisis Stabilization Unit
5. Psychiatric and Detox Facility
6. Partnerships: Takes ENTIRE Community to be Effective
7. Permanent Supportive Housing
8. Behavioral Health Data Collaborative
9. Increased Use of Evidence Based Practices
10. Increase Capacity of Problem-Solving Courts
11. Baker Act
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12. Marchman Act
During the presentation, Committee members discussed the central receiving system,
hospital, detox for drugs not just alcohol, funding and housing. One of the necessary items
identified for success was having funding for current beds. The Centerstone facility has
multi-discipline staff teams that ensures greater success rate as they can remove barriers for
patients before they get out so that they do not return.
Ms. Larkin-Skinner highlighted that the Centerstone facility serves everyone, including
children and adults.
Ms. Larkin-Skinner identified the following when asked by the committee on what metrics
they track for their programs:
• Turnaround to Law Enforcement
• Return Rate
• Follow-Up: If they come in for evaluation. Admitted as impatient. If they come
back or in as outpatient; measure how long, it will be before they are admitted back
to facility.
• Interrupt the bouncing act, treat the illness, get client situated in normal outpatient
program.
Ms. Larkin-Skinner identified the following when asked by the committee lessons they have
learned from the Manatee facility:
• Every unit is designed with a bedroom and bathroom, which she would change
• Communal restrooms around nurses station highly recommended
• Select fixtures for safety: Patient Safety Priority One
• Continuous Hinges: Do not have doors
• Design spacing for future growth
Ms. Larkin-Skinner identified the following when asked by the committee what gap areas
exist in Manatee County:
• Housing: Homelessness is number one reason patients return
o Manatee area very expensive
• Never enough of anything
• Resources and Operations Funding
Ms. Larkin-Skinner identified the following when asked by the committee about the
different design sections of the facility:
Geographic Areas: 3 Sections with Nurses Station
• Adult Women
• Adult Men
• Children
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Hospital:
• Division
o Psychiatric
o Addiction
Ms. Larkin-Skinner identified the following when asked by the committee about the size of
Manatee County vs. the number of facility beds:
• Manatee County population: 380,000
• Centerstone facility includes
o Psychiatric: 37 Beds
o Crisis: 30 Beds
• Beds are flexible: Not limited. The difference between units is billing Medicaid
• Funding from local County for Detox for the that cannot pay – Must be local
• Crisis Stabilization: Funded through state – Only pay for 30% of the cost.
Ms. Larkin-Skinner said that she is willing to discuss further with the committee in the
future.
8.3. Tampa Visit Briefing: Mr. Scott Burgess
Mr. Burgess discussed trip to Tampa to visit the Gracepoint facilities in the area. Mr.
Burgess mentioned that Manatee and Hillsboro are the same because they received their
funding from Legislature. There were 5 of the initial awardees for CRS in the state, though
another 4 were added since. There is a total of 9 in the state. The state was awarding 100%
with a match from the County. They have now dropped it down to a 50% match.
Committee discussion ensued around CSU application forms and if regulation would be
easier for RSU. Mr. Burgess then informed the committee about the housing
Mr. Mullin suggested that housing needs to be addressed as the number two priority.
Discussion around Gracepoint was encouraging as permanent housing models were shared.
One project was built with 90 units. Gracepoint is working on 2nd complex with 60 units as
a model.
Dr. Baker wanted to be on record recommending that varying people should be in the
complex and not just those with mental illness and addiction.
Mr. Burgess said the model Gracepoint is not only for mental illness, it is for affordability,
financial criteria are used to make the placement decision. The first floor has office and
retail space with residential units on the top floors.
Committee discussion then ensued around Park Royal. Mr. Burgess said they had not
looked at it at the David Lawrence Center for a hospitalization model. Dr. Godshaw said
there are 7 treatment areas; however, wanted to confirm they have enough space.
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8.4 Priority 1 – Centralized Receiving System (CRS) Discussion
CRS discussion above.
9. Old Business
9.1 Future Meeting Schedule
• March 19th at 8:30 am
• April 2nd at 8:30 am
• April 16th at 8:30 am
• April 30th at 8:30 am
• May 14th at 8:30 am
• May 28th at 8:30 am
9.2 February 25 Veterans Workshop
Mr. Mullin discussed the Veterans Workshop that was held on February 25.
10. Announcements
None
11. Committee Member Discussion
Ms. McLeod recommended that the vacant seat be held for Adult care.
Mr. Callahan asked if there were any future agenda items that the Committee might want to
include during future meetings.
Mr. Burgess recommended the CRS and moving onto the second priority of the committee
which is housing. Mr. Callahan said he would get with Ms. Welton offline and will work
with Dr. Baker for homeless initiative.
12. Next Meeting Time, Date and Location
The next meeting is scheduled for March 19, 2019 at 8:30 A.M. in the Fifth Floor Training
Room.
13. Adjournment
The meeting was adjourned at 3:52 P.M. with nothing further to discuss.
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Collier County Mental Health and Addictions Ad Hoc Advisory Committee
Scott Burgess – Chairman
The foregoing Minutes were approved by Committee Chair on March 19, 2019, “as submitted” [
] or “as amended” [ ]
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Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019 – 8:30 am
Item 7.1 – Bruce McAndrews Resignation
From: Mac <bmchammer@comcast.net>
Sent: Tuesday, March 5, 2019 4:18 PM
To: Scott Burgess <scottb@dlcmhc.com>
Subject: ad hoc committee
Good afternoon Scott, Hopefully you had received my voicemail last Friday. I had alluded to
some medical issues that need to be addressed sooner rather than later (per the Drs. Assessments)
and what started out as a hip replacement has evolved into back surgery first and then the hip.
Given this information I believe it is only fair that I resign as a member of the above committee.
I have not been able to attend the first two meetings and given my unknown future scheduling I
feel that I will not be able to fulfill my commitment properly. Perhaps someone else who made
application can be considered as an alternate. Although I am powerless over these circumstances
I would ask that you as Chairperson extend my apologies to the entire committee for my
absenteeism past and future. It was an honor and a privilege to even be considered for an
appointment to this illustrious committee. I was looking forward to working with the other
members in addressing the mental health and substance abuse issues that our community has
been and will be facing and I thank you for your continued diligence in leading Collier County
and Southwest Florida towards the goal of viable solutions. Despite my soon to be limited
capacity if I can help or volunteer time in any area please do not hesitate to call . I thank you in
advance for your deliverance of this message and I wish you and the committee the very best in
all your endeavors. Sincerely, Bruce McAndrews
Sent from Mail for Windows 10
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Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019 – 8:30 am
Item 8.2 – Collier County Vital Statistics Report
Hello Sean,
Hope your having a great week. At the last meeting I mentioned before I had to leave that
Hodges had put out a 2018 Vital Signs Report for Collier County and the group may find some of
the stats helpful for the group. I have attached it so that you can send it out if you wish.
Thanks,
Christine Welton
Executive Director
Hunger & Homeless Coalition of Collier County
ExecutiveDirector@collierhomelesscoalition.org
P.O. Box 9202
Naples , FL 34101-9202
(239) 263-9363 (Phone)
(239) 2101379 (Cell)
(239) 263-6058 (Fax)
Visit us on the web at www.collierhomelesscoalition.org
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Packet Pg. 742 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Johnson School of Business
2018 Vital Signs Report
October 11, 2018
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2018 Vital Signs Report
HU Johnson School of Business Page 2 of 115
All rights reserved, including the right of reproduction in whole or in part in any form, by Community
Foundation of Collier County.
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2018 Vital Signs Report
HU Johnson School of Business Page 3 of 115
This report was compiled by the Johnson School of Business
Hodges University, Naples, FL
Contact Information
Aysegul Timur, Ph.D., atimur@hodges.edu
Anke Stugk, Ph.D., astugk@hodges.edu
Eve Olvera, BS, eolvera@hodges.edu
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About Hodges University
Founded in 1990, Hodges University is a private nonprofit organization and one of Florida’s leading
institutions of higher learning. With campuses located in Naples and Fort Myers, the university prepares
students to leverage higher learning in their personal, professional and civic endeavors.
In addition to offering associate, baccalaureate, and graduate degrees in a variety of disciplines and
delivery options, Hodges University enhances the ability of students to achieve personal and professional
objectives through diverse educational experiences and programs including English as a Second
Language and the Center for Lifelong Learning.
For more information, call (239) 513-1122 or visit Hodges.edu.
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2018 Vital Signs Report
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Contents
Collier County Demographics .................................................................................................................... 12
TABLE 1 Total Population Estimates ................................................................................................ 12
TABLE 2 Forecast Estimates of Total Population ............................................................................. 12
GRAPH 1 Collier County–Forecast Estimates of Total Population ................................................... 12
TABLE 3 Total Population Estimates Percentage Change ................................................................. 13
GRAPH 2 Collier County–Total Population Estimates Percentage Change ...................................... 13
TABLE 4 Population Estimates Gender Distribution ......................................................................... 14
GRAPH 3 Collier County–Population Estimates Gender Distribution .............................................. 14
Population by Age Groups ...................................................................................................................... 15
TABLE 5 Collier County–Population by Age Group in Percent ....................................................... 15
TABLE 6 Florida–Population by Age Group in Percent .................................................................... 16
TABLE 7 United States–Population by Age Group in Percent .......................................................... 17
GRAPH 4 Collier County–Age Groups as Percentage of Total Population ...................................... 18
TABLE 8 Collier County–Age Groups as Percentage of Total Population (Forecast by 2050) ........ 19
GRAPH 5 Collier County–Total Population by Age Group Forecast by 2050 .................................. 19
TABLE 9 Population Estimates Under 18 Years ............................................................................... 20
TABLE 10 Population Estimates 65 and Over ................................................................................... 20
GRAPH 6 Collier County Population Trend Line .............................................................................. 21
TABLE 11 Components of Resident Population Change: April 1, 2010 to July 1, 2017 .................. 21
Population by Race or Ethnicity.............................................................................................................. 22
TABLE 12 Ethnicity–Hispanic or Latino ........................................................................................... 22
GRAPH 7 2017 Collier County Hispanic/Latino Population ............................................................. 22
GRAPH 8 2050 Collier County Hispanic/Latino Population (Forecast Estimation) ......................... 23
TABLE 13 Race Alone or in Combination with One or More Other Races ...................................... 24
GRAPH 9 2017 Collier County Population by Race.......................................................................... 25
Economic Indicator ..................................................................................................................................... 25
Economic Wealth Index .......................................................................................................................... 25
TABLE 14 Woods & Poole Economic Wealth Index ........................................................................ 25
GRAPH 10 Economic Wealth Index .................................................................................................. 26
Gross Regional Product ........................................................................................................................... 26
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TABLE 15 Gross Regional Product (in millions of 2009 dollars) ..................................................... 26
Unemployment ........................................................................................................................................ 26
TABLE 16 Annual Unemployment Rate–Not Seasonally Adjusted .................................................. 26
GRAPH 11 2017-2018 Monthly Unemployment Rate–Not Seasonally Adjusted ............................. 27
Employment and Economic Opportunity ................................................................................................... 28
TABLE 17 Labor Force and Employment Status ............................................................................... 28
GRAPH 12 Labor Force ..................................................................................................................... 29
TABLE 18 Females 16 Years and Over Labor Force ......................................................................... 30
GRAPH 13 Female Labor Force ........................................................................................................ 30
TABLE 19 Employment Status with Own Child ............................................................................... 31
TABLE 20 Occupations ...................................................................................................................... 32
GRAPH 14 2017 Collier County Occupations ................................................................................... 33
TABLE 21 Fastest-Growing Industries in Collier County ................................................................. 34
TABLE 22 Industries Gaining the Most New Jobs in Collier County ............................................... 35
TABLE 23 Fastest-Growing Occupations in Collier County ............................................................. 36
TABLE 24 Occupations Gaining the Most New Jobs in Collier County ........................................... 37
TABLE 25 Declining or Slow-Growth Occupations in Collier County ............................................. 38
Compensation .......................................................................................................................................... 39
TABLE 26 Average Annual Pay ........................................................................................................ 39
GRAPH 15 Average Annual Pay ....................................................................................................... 39
TABLE 27 Average Weekly Pay ........................................................................................................ 40
GRAPH 16 Average Weekly Pay ....................................................................................................... 40
TABLE 28 Collier County Subdivisions–Median Income ................................................................. 41
Housing ....................................................................................................................................................... 41
Poverty and Homelessness ...................................................................................................................... 41
TABLE 29 Point-in-Time Estimates of Homeless People ................................................................. 41
TABLE 30 Highest Rates of Unsheltered Homeless People by State in 2017 ................................... 42
TABLE 31 Highest Rates of Unsheltered Homeless People in Families by State in 2017 ................ 42
TABLE 32 Collier County Homeless Students Reported in Florida Public Schools by Florida
County ................................................................................................................................................. 42
TABLE 33 Causes of Homelessness in Florida .................................................................................. 43
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GRAPH 17 2016 Causes of Homelessness in Florida ........................................................................ 43
TABLE 34 Total Percentage of Poverty by Age Group ..................................................................... 44
TABLE 35 Below Poverty Level by Employment Status .................................................................. 45
Housing Cost and Foreclosure ................................................................................................................ 45
TABLE 36 Housing Cost Burden ....................................................................................................... 45
GRAPH 18 Collier County Housing Cost Burden as Percentage of Household Income–Population
65+ ....................................................................................................................................................... 46
TABLE 37 Foreclosure Status Distribution–August 2018 ................................................................. 46
TABLE 38 Median Home Prices–August 2018 ................................................................................. 47
Environment ................................................................................................................................................ 47
Protected Land and Conservations .......................................................................................................... 47
TABLE 39 Protected Land Almanac .................................................................................................. 47
GRAPH 19 Collier County Map of Protected Land ........................................................................... 48
TABLE 40 Conservation Land by Lead Managing Agency in Acres ................................................ 48
Healthcare ................................................................................................................................................... 49
TABLE 41 Registered Nonprofit Organizations in Health and Mental Health .................................. 49
County Health Ranking ........................................................................................................................... 49
GRAPH 20 Collier County Overall Health Outcomes and Health Factors Ranking Among 67
Florida Counties .................................................................................................................................. 49
GRAPH 21 Collier County Health Outcomes Components Ranking Among 67 Florida Counties .. 50
GRAPH 22 Collier County Health Factors Components Ranking Among 67 Florida Counties ....... 51
Reported Health Issues ............................................................................................................................ 51
TABLE 42 Population Reporting Poor or Fair Health in Percent ...................................................... 51
GRAPH 23 Reported Poor or Fair Health .......................................................................................... 52
TABLE 43 Reported Poor Physical and Mental Health Days per Month .......................................... 52
GRAPH 24 Reported Poor Physical Health Days .............................................................................. 53
GRAPH 25 Reported Poor Mental Health Days ................................................................................ 53
TABLE 44 Adult Obesity–Percent of Population .............................................................................. 54
TABLE 45 Low Birth Weight as Percentage of Total Births ............................................................. 54
TABLE 46 Reported Excessive Alcohol Consumption (percent of total population) ........................ 54
TABLE 47 Teen Birth Rate as Percentage ......................................................................................... 55
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GRAPH 26 Teen Birth Rate as Percentage ........................................................................................ 55
TABLE 48 Population Reporting Inadequate Social Support in Percent of Total Population ........... 55
TABLE 49 Primary Care Physicians .................................................................................................. 56
TABLE 50 Mental Healthcare Providers ............................................................................................ 56
GRAPH 27 Collier County Primary Care Physicians and Mental Healthcare Providers ................... 57
Health Insurance ...................................................................................................................................... 58
TABLE 51 Collier County–Percent No Health Insurance by Sex and Age ....................................... 58
TABLE 52 Florida–Percent No Health Insurance by Sex and Age.................................................... 59
TABLE 53 United States–Percent No Health Insurance by Sex and Age .......................................... 60
GRAPH 28 Adults Could Not See a Doctor Due to Cost ................................................................... 61
TABLE 54 Total U.S. Current Health Expenditure as Percent of Gross Domestic Product .............. 61
GRAPH 29 Total U.S. Current Health Expenditure as Percent of Gross Domestic Product ............. 62
TABLE 55 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–Collier County ................................................................................................. 63
TABLE 56 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–Florida .............................................................................................................. 64
TABLE 57 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–United States .................................................................................................... 65
TABLE 58 Healthcare Insurance 2018A Statistics and 2023 Estimates ............................................ 66
TABLE 59 Healthcare Services and Other Services 2018A Statistics and 2023 Estimates ............... 67
TABLE 60 Healthcare Supplies and Equipment 2018A Statistics and 2023 Estimates..................... 68
GRAPH 30 Selected Vaccine-Preventable Disease Rate for All Ages .............................................. 69
GRAPH 31 Preventable Hospitalizations under 65 from Vaccine-Preventable Conditions .............. 70
TABLE 61 HIV/AIDS Rate per 100,000 ............................................................................................ 71
GRAPH 32 HIV/AIDS Age Adjusted Death Rate ............................................................................. 71
TABLE 62 Total Gonorrhea, Chlamydia & Infectious Syphilis Rate per 100,000 ............................ 72
GRAPH 33 Total Gonorrhea, Chlamydia & Infectious Syphilis Rate ............................................... 72
TABLE 63 Total Number of ER Visits in which the Patient was Uninsured/Underinsured in Collier
County ................................................................................................................................................. 72
Middle and High School Student Risk Factors ........................................................................................... 73
TABLE 64 Percent of Collier County Elementary and Middle School Students at Risk for Being
Overweight .......................................................................................................................................... 73
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TABLE 65 Percent of Collier County Elementary and Middle School Students in the Obese Range
............................................................................................................................................................. 73
GRAPH 34 Collier County Elementary and Middle School Student Weight Risk ............................ 73
TABLE 66 Percentage of Collier County and Florida Statewide Youth in Middle School and High
School Who Reported Gang Membership–2008 to 2018 .................................................................... 74
TABLE 67 Percentage of Surveyed Collier County and Florida Youth Who Reported Alcohol Use
in the Past 30 Days .............................................................................................................................. 74
TABLE 68 Percentages of Collier County and Florida Youth Who Reported They Skipped School
Because of Bullying............................................................................................................................. 75
Adults with Health-Related Difficulties .................................................................................................. 76
TABLE 69 Percent of Residents with Ambulatory Difficulty ............................................................ 76
TABLE 70 Percent of Residents with Self-Care Difficulty ................................................................ 77
TABLE 71 Percent of Residents with Independent Living Difficulty ............................................... 78
Education .................................................................................................................................................... 79
TABLE 72 School District of Collier County Demographics - All Grades ....................................... 79
GRAPH 35 2018 School District of Collier County Demographics .................................................. 80
TABLE 73 Free and Reduced Lunch by Grade Level ........................................................................ 80
GRAPH 36 Free and Reduced Lunch ................................................................................................. 81
TABLE 74 Limited English Proficiency (LEP)-School District of Collier County ........................... 82
TABLE 75 Language Spoken at Home (2017 Estimate).................................................................... 83
TABLE 76 ACT Test Takers and Participation Rate (Public Schools) .............................................. 83
TABLE 77 ACT Average Scores (Public Schools) ............................................................................ 84
TABLE 78 Collier County ACT Composite Scores and Participation by Race (Public Schools) ..... 84
TABLE 79 FSA English Language Arts Scores - Percent of Students Scoring Three or Above
(Public Schools) ................................................................................................................................... 85
TABLE 80 SAT Five-Year Trend of Participation Rates (Public Schools) ....................................... 85
TABLE 81 SAT Critical Reading, Writing and Math Mean Score Comparison ............................... 86
TABLE 82 Collier County Five-Year Trend for College-Bound Senior SAT Test Takers: Mean
Scores and Participation Rate by Ethnicity ......................................................................................... 86
TABLE 83 Mean SAT Scores Public and Independent School Comparison ..................................... 87
TABLE 84 High School Graduation Rates, Florida's Calculation ..................................................... 88
GRAPH 37 High School Graduation Rate ......................................................................................... 88
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TABLE 85 School Enrollment............................................................................................................ 89
TABLE 86 Educational Attainment.................................................................................................... 90
TABLE 87 Collier County Detailed Field of Bachelor’s Degree for First Major for the Population 25
Tears and Over ..................................................................................................................................... 91
TABLE 88 Florida Detailed Field of Bachelor’s Degree for First Major for the Population 25 Years
and Over .............................................................................................................................................. 92
TABLE 89 United States Detailed Field of Bachelor’s Degree for First Major for the Population 25
Years and Over .................................................................................................................................... 93
Recreation, Arts, and Leisure...................................................................................................................... 94
TABLE 90 Employment in Arts, Entertainment, and Recreation (in thousands of jobs) .................. 94
GRAPH 38 Employment in Arts, Entertainment, and Recreation ..................................................... 94
TABLE 91 Earnings in Arts, Entertainment, & Recreations (in millions of 2009 dollars) ................ 95
Nonprofits in Arts, Entertainment, & Recreation ................................................................................... 95
TABLE 92 Registered Nonprofit Organizations ................................................................................ 95
TABLE 93 Percentage of Students (PK-12) Who Participated in a Fine Arts Discipline .................. 96
TABLE 94 Number of Fine Arts Classes by Discipline (PK-12) ....................................................... 96
Charitable Giving ........................................................................................................................................ 97
TABLE 95 Average Charitable Giving and Adjusted Gross Income (Household Income by Zip) ... 97
GRAPH 39 Itemized Tax Return Reporting Contributions ................................................................ 98
TABLE 96 Florida–Average Charitable Giving and Adjusted Gross Income by Income Level ....... 98
TABLE 97 United States–Average Charitable Giving and Adjusted Gross Income by Income Level
............................................................................................................................................................. 99
Volunteering ............................................................................................................................................... 99
TABLE 98 Volunteer Rates and Hours by Age Group ...................................................................... 99
TABLE 99 Volunteer Rates and Hours by Race .............................................................................. 100
GRAPH 40 Volunteer Rate .............................................................................................................. 100
GRAPH 41 Volunteer Interest Areas ............................................................................................... 101
GRAPH 42 Top 5 Volunteer Activities ............................................................................................ 101
Collier County 211 Caller Statistics ......................................................................................................... 102
TABLE 100 Collier County 2-1-1 Total Calls per Month by Fiscal Year ....................................... 102
TABLE 101 Collier County 2-1-1 Call Problems/Needs for July 2017-June 2018 ......................... 103
TABLE 102 Collier County 2-1-1 Total Calls per Month per Gender for May 2018–August 2018103
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TABLE 103 Collier County 2-1-1 Total Calls per Month per Gender for May–August 2018 ........ 104
Children and Child Care ........................................................................................................................... 104
TABLE 104 Private Child Day Care Services by Population Under 5 years ................................... 104
GRAPH 43 Children per Day Care Ratio ......................................................................................... 105
GRAPH 44 Change in Population Under 5 Years and Change in Child Day Care.......................... 106
TABLE 105 Householder with Own Children Under 18 and No Spouse Present ........................... 107
TABLE 106 Percentage of All Married-Couples and Single Parents with Own Children Under 18
........................................................................................................................................................... 108
TABLE 107 Grandchildren Under 18 Years Living with Grandparents .......................................... 109
Children in Poverty ............................................................................................................................... 110
GRAPH 45 Percentage of Related Children Under 5 Years Living Below Poverty Level .............. 110
GRAPH 46 Percentage of Related Children 5-17 Years Living Below Poverty Level ................... 111
TABLE 108 Percentage of Families and People Whose Income in the Past 12 Months is Below
Poverty Level ..................................................................................................................................... 112
TABLE 109 Percentage of Households Receiving Food Stamps/SNAP with Children Under 18 .. 113
Domestic Violence .................................................................................................................................... 113
TABLE 110 Reported Domestic Violence Offenses for 2013-2017 ................................................ 113
TABLE 111 Collier County and Florida Reported Domestic Violence Offenses Rate per 100,000
Population from 2013 to 2017 ........................................................................................................... 114
GRAPH 47 Domestic Violence Offense Rate .................................................................................. 114
TABLE 112 National Human Trafficking Resource Center Inbound Phone Call Statistics ............ 115
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Collier County Demographics
In 2017, Collier County had a reported total population of 372,880. This represented a percentage
increase of 2.12 from the prior year. Total population in Florida and the United States also increased from
year to year since 2012, but at a lower rate compared to Collier County. The percentage change from
2016 to 2017 was 1.80 in Florida and 0.80 in the United States.
TABLE 1 Total Population Estimates
2012 2013 2014 2015 2016 2017
Collier County 332,332 339,244 347,899 356,570 365,136 372,880
Florida 19,344,156 19,582,022 19,888,741 20,244,914 20,612,439 20,984,400
United States 313,998,379 316,204,908 318,563,456 320,896,618 323,127,513 325,719,178
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
It is estimated that the total population for Collier County, the State of Florida, and the United States will
continue to increase in 2020.
TABLE 2 Forecast Estimates of Total Population
2020* 2040* 2050*
Collier County 397,917 600,778 722,109
Florida 21,857,940 28,901,330 32,585,100
United States 335,057,800 397,911,600 426,439,400
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
GRAPH 1 Collier County–Forecast Estimates of Total Population
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
2020, 397,917
2040, 600,778
2050, 722,109
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
Collier County-Forecast Estimates of
Total Population
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TABLE 3 Total Population Estimates Percentage Change
from 2012 to
2013
from 2013 to
2014
from 2014 to
2015
from 2015 to
2016
from 2016 to
2017
Collier County 2.08% 2.55% 2.49% 2.40% 2.12%
Florida 1.23% 1.57% 1.79% 1.82% 1.80%
United States 0.70% 0.75% 0.73% 0.70% 0.80%
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
GRAPH 2 Collier County–Total Population Estimates Percentage Change
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
from 2012 to
2013
from 2013 to
2014
from 2014 to
2015
from 2015 to
2016
from 2016 to
2017
Collier County-Total Population Estimates
Percentage Change
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Population estimates indicate that Collier County, the State of Florida, and the United States have a
higher female gender distribution versus the male gender distribution. On average, the gender population
is 51.00 percent female and 49.00 percent male.
TABLE 4 Population Estimates Gender Distribution
2012 2013 2014 2015 2016 2017
Collier County
Male 49.12% 49.15% 49.18% 49.19% 49.06% 49.21%
Female 50.88% 50.85% 50.82% 50.81% 50.94% 50.79%
Florida
Male 48.88% 48.88% 48.88% 48.87% 48.85% 48.88%
Female 51.12% 51.12% 51.12% 51.13% 51.15% 51.12%
United States
Male 49.19% 49.21% 49.21% 49.22% 49.23% 49.25%
Female 50.81% 50.79% 50.79% 50.78% 50.77% 50.75%
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
GRAPH 3 Collier County–Population Estimates Gender Distribution
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
48.00%
48.50%
49.00%
49.50%
50.00%
50.50%
51.00%
51.50%
2012 2013 2014 2015 2016 2017
Collier County-Population Estimates Gender
Distribution
Male
Female
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Population by Age Groups
Collier County has seen an increase of total population since 2013. The largest age group in Collier
County is between 65 and 74 years of age. In 2017, this age group represented 16.00 percent of the total
population in Collier County, 11.20 percent of the total population in Florida, and 9.10 percent of the
national total population.
TABLE 5 Collier County–Population by Age Group in Percent
2013 2014 2015 2016 2017
Collier County
Total Population 339,642 348,777 357,305 365,136 372,880
Under 5 years 4.80% 4.80% 4.60% 4.50% 4.50%
5 to 9 years 4.70% 4.90% 4.90% 5.20% 4.80%
10 to 14 years 6.10% 5.40% 5.20% 4.80% 5.10%
15 to 19 years 4.90% 5.40% 5.10% 5.20% 4.50%
20 to 24 years 5.20% 5.00% 5.00% 4.70% 5.00%
25 to 34 years 10.10% 9.70% 9.80% 9.60% 9.70%
35 to 44 years 10.30% 10.20% 9.80% 10.00% 9.70%
45 to 54 years 12.20% 12.20% 12.10% 11.50% 11.80%
55 to 59 years 6.40% 6.00% 6.70% 6.10% 6.90%
60 to 64 years 6.80% 7.10% 6.60% 7.30% 6.50%
65 to 74 years 15.00% 15.30% 15.60% 16.30% 16.00%
75 to 84 years 10.10% 10.80% 11.00% 10.40% 11.20%
85 years and over 3.40% 3.20% 3.50% 4.20% 4.30%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
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TABLE 6 Florida–Population by Age Group in Percent
2013 2014 2015 2016 2017
Florida
Total Population 19,552,860 19,893,297 20,271,272 20,612,439 20,984,400
Under 5 years 5.50% 5.40% 5.40% 5.40% 5.40%
5 to 9 years 5.60% 5.60% 5.60% 5.50% 5.40%
10 to 14 years 5.90% 5.80% 5.70% 5.70% 5.70%
15 to 19 years 6.10% 6.00% 6.00% 5.90% 5.90%
20 to 24 years 6.70% 6.60% 6.30% 6.10% 6.00%
25 to 34 years 12.50% 12.60% 12.80% 12.90% 12.90%
35 to 44 years 12.30% 12.20% 12.20% 12.00% 12.10%
45 to 54 years 13.90% 13.70% 13.50% 13.40% 13.20%
55 to 59 years 6.80% 6.70% 6.70% 6.90% 6.90%
60 to 64 years 6.10% 6.20% 6.40% 6.40% 6.40%
65 to 74 years 10.20% 10.50% 10.80% 11.10% 11.20%
75 to 84 years 5.90% 5.90% 6.10% 6.20% 6.30%
85 years and over 2.50% 2.60% 2.60% 2.60% 2.60%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
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TABLE 7 United States–Population by Age Group in Percent
2013 2014 2015 2016 2017
United States
Total Population 316,128,839 318,857,056 321,418,821 323,127,515 325,719,178
Under 5 years 6.30% 6.20% 6.20% 6.10% 6.10%
5 to 9 years 6.50% 6.40% 6.40% 6.30% 6.20%
10 to 14 years 6.60% 6.50% 6.40% 6.40% 6.50%
15 to 19 years 6.80% 6.70% 6.70% 6.70% 6.60%
20 to 24 years 7.20% 7.10% 7.00% 6.90% 6.70%
25 to 34 years 13.50% 13.60% 13.70% 13.70% 13.80%
35 to 44 years 12.80% 12.80% 12.70% 12.60% 12.60%
45 to 54 years 13.80% 13.60% 13.40% 13.20% 13.00%
55 to 59 years 6.70% 6.70% 6.70% 6.70% 6.70%
60 to 64 years 5.80% 5.90% 6.00% 6.10% 6.20%
65 to 74 years 8.00% 8.30% 8.60% 8.90% 9.10%
75 to 84 years 4.30% 4.30% 4.40% 4.40% 4.60%
85 years and over 1.90% 1.90% 1.90% 1.90% 1.90%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
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GRAPH 4 Collier County–Age Groups as Percentage of Total Population
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
20.40%19.90%19.60%19.60%19.40%
25.40%25.30%25.40%24.90%25.20%
25.10%26.10%26.60%26.70%27.20%
3.40%3.20%3.50%4.20%4.30%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
2013 2014 2015 2016 2017
Collier County-Age Groups as Percentage of Total
Population
85 years and over
65 to 84 years
45 to 64 years
25 to 44 years
20 to 24 years
15 to 19 years
5 to 14 years
Under 5 years
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In 2017, the percentage of population 65 to 69 years was the highest age group in Collier County;
however, it is forecast to decline in 2050.
TABLE 8 Collier County–Age Groups as Percentage of Total Population (Forecast by 2050)
2017 2018 2019* 2020* 2025* 2030* 2035* 2040* 2045* 2050*
Collier County
20 to 24 years 4.80% 4.79% 4.73% 4.75% 4.72% 4.56% 4.16% 4.15% 4.21% 4.20%
25 to 29 years 4.89% 5.03% 5.20% 5.27% 5.29% 5.26% 5.01% 4.53% 4.52% 4.58%
30 to 34 years 4.84% 4.78% 4.79% 4.79% 5.30% 5.38% 5.32% 5.07% 4.59% 4.62%
35 to 39 years 4.80% 4.78% 4.75% 4.69% 4.69% 5.18% 5.27% 5.22% 5.00% 4.57%
40 to 44 years 4.80% 4.71% 4.63% 4.61% 4.49% 4.49% 4.93% 5.03% 5.01% 4.85%
45 to 49 years 5.59% 5.42% 5.24% 5.02% 4.42% 4.29% 4.26% 4.69% 4.80% 4.84%
50 to 54 years 6.16% 6.02% 5.83% 5.68% 4.98% 4.36% 4.21% 4.18% 4.60% 4.78%
55 to 59 years 6.57% 6.61% 6.64% 6.67% 5.98% 5.20% 4.49% 4.33% 4.30% 4.76%
60 to 64 years 6.87% 6.92% 6.99% 7.04% 7.16% 6.32% 5.41% 4.66% 4.49% 4.47%
65 to 69 years 7.89% 7.76% 7.73% 7.77% 8.02% 8.07% 7.06% 6.03% 5.20% 5.07%
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
GRAPH 5 Collier County–Total Population by Age Group Forecast by 2050
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
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From 2013-2017, the percentage of population under 18 years old has been declining at the county, state,
and national level. Over the same period of time, the percentage of population 65 years and over has been
increasing at the county, state, and national level. Compared to state and national levels, in 2017 Collier
County had the lowest percentage of population under 18 years; however, came in second for the highest
percentage of population 65 years and over.
TABLE 9 Population Estimates Under 18 Years
2013 2014 2015 2016 2017
Collier County 62,793 63,544 63,998 64,262 64,749
% of Total Population 18.51% 18.27% 17.95% 17.60% 17.36%
Florida 4,023,512 4,054,764 4,100,495 4,146,712 4,201,983
% of Total Population 20.55% 20.39% 20.25% 20.12% 20.02%
United States 73,579,424 73,577,154 73,616,759 73,642,285 73,655,378
% of Total Population 23.27% 23.10% 22.94% 22.79% 22.61%
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
TABLE 10 Population Estimates 65 and Over
2013 2014 2015 2016 2017
Collier County 98,007 102,591 107,721 113,064 117,384
% of Total Population 28.89% 29.49% 30.21% 30.96% 31.48%
Florida 3,648,852 3,792,505 3,941,129 4,094,917 7,214,635
% of Total Population 18.63% 19.07% 19.47% 19.87% 34.38%
United States 44,670,144 46,211,686 47,734,292 49,244,195 50,858,679
% of Total Population 14.13% 14.51% 14.88% 15.24% 15.61%
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
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The comparison of population groups in Collier County indicates that the population under 18 years is
declining, while the age group of 65 and over is increasing.
GRAPH 6 Collier County Population Trend Line
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPAGESEX. Retrieved from
http://factfinder.census.gov
From 2010 to 2017, Collier County had a total population change of 51,360. Most of Collier County’s
population change is due to domestic migration.
TABLE 11 Components of Resident Population Change: April 1, 2010 to July 1, 2017
Source: U.S. Census Bureau. (2018). 2017 Population Estimates: Table PEPTCOMP. Retrieved from
http://factfinder.census.gov
15.00%
17.00%
19.00%
21.00%
23.00%
25.00%
27.00%
29.00%
31.00%
33.00%
2013 2014 2015 2016 2017Percent of total PopulationCollier County Population Estimation
% of Total Population under 18
years
% of Total Population 65 years and
over
Total
Population
Change
Natural
Increase Births Deaths
Net
Migration
Total
Net
Migration
International
Net
Migration
Domestic
Collier County 51,360 978 23,497 22,522 50,154 16,518 33,636
Florida 2,179,806 235,054 1,582,037 1,346,983 1,936,102 910,841 1,025,261
United States 16,961,073 9,727,447 28,703,158 18,975,711 7,233,626 7,233,626 (X)
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Population by Race or Ethnicity
In 2017, Collier County consisted of 27.80 percent Hispanic or Latino population and 72.20 percent non-
Hispanic population. In Florida, Hispanic or Latino population represented 25.60 percent of the total
population, and in the U.S. Hispanics or Latinos represented 18.10 percent of the total population.
TABLE 12 Ethnicity–Hispanic or Latino
2013 2014 2015 2016 2017
Collier County Total Population 339,642 348,777 357,305 365,136 372,880
Hispanic or Latino 26.30% 26.70% 26.80% 27.00% 27.80%
Not Hispanic or Latino 73.70% 73.30% 73.20% 73.00% 72.20%
Florida Total Population 19,552,860 19,893,297 20,271,272 20,612,439 20,984,400
Hispanic or Latino 23.60% 24.10% 24.50% 24.90% 25.60%
Not Hispanic or Latino 76.40% 75.90% 75.50% 75.10% 74.40%
U.S. Total population 316,128,839 318,857,056 321,418,821 323,127,515 325,719,178
Hispanic or Latino 17.10% 17.30% 17.60% 17.80% 18.10%
Not Hispanic or Latino 82.90% 82.70% 82.40% 82.20% 81.90%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
GRAPH 7 2017 Collier County Hispanic/Latino Population
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
28%
72%
2017 Collier County Hispanic/Latino
Population
Hispanic or Latino Not Hispanic or Latino
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In 2050, the Hispanic or Latino population in Collier County is forecast to increase, while the non-
Hispanic or Latino population is forecast to decrease.
GRAPH 8 2050 Collier County Hispanic/Latino Population (Forecast Estimation)
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
44%
56%
2050 Collier County Hispanic/Latino
Population
Hispanic or Latino Not Hispanic or Latino
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In 2017, 90.30 percent of Collier County’s population was white and 7.50 percent black or African
American. Since 2014, the Asian population has slightly increased from 1.60 percent to 1.80 percent in
2017. In 2017, 77.40 percent of the State of Florida’s population was white and 17.60 percent black or
African American. The Asian population has slightly increased from 3.30 percent in 2014 to 3.50 percent
in 2017. The United States’ population was 75.10 percent white and 14.10 percent black or African
American in 2017. The Asian population has increased from 6.20 percent in 2014 to 6.60 percent of total
population in 2017.
TABLE 13 Race Alone or in Combination with One or More Other Races
2014 2015 2016 2017
Collier County
Total population 348,777 357,305 365,136 372,880
White 86.40% 90.60% 89.00% 90.30%
Black or African American 7.70% 7.50% 7.60% 7.50%
American Indian and Alaska Native 0.90% 0.40% 0.40% 0.40%
Asian 1.60% 1.60% 1.60% 1.80%
Native Hawaiian and Other Pacific Islander 0.00% 0.00% 0.00% 0.00%
Some other race 4.60% 1.20% 2.40% 1.00%
Florida
Total population 19,893,297 20,271,272 20,612,439 20,984,400
White 78.00% 77.80% 77.80% 77.40%
Black or African American 17.40% 17.40% 17.40% 17.60%
American Indian and Alaska Native 0.80% 0.80% 0.80% 0.80%
Asian 3.30% 3.40% 3.40% 3.50%
Native Hawaiian and Other Pacific Islander 0.20% 0.20% 0.20% 0.20%
Some other race 2.90% 3.10% 3.20% 3.30%
United States
Total population 318,857,056 321,418,821 323,127,515 325,719,178
White 75.90% 75.80% 75.40% 75.10%
Black or African American 13.90% 13.90% 14.00% 14.10%
American Indian and Alaska Native 1.70% 1.70% 1.70% 1.70%
Asian 6.20% 6.40% 6.50% 6.60%
Native Hawaiian and Other Pacific Islander 0.40% 0.40% 0.40% 0.40%
Some other race 5.20% 5.30% 5.60% 5.60%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
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GRAPH 9 2017 Collier County Population by Race
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table CP05.
Retrieved from http://factfinder.census.gov
Economic Indicator
Economic Wealth Index
From 2013 to 2018, Collier County has consistently had the highest Woods & Poole Wealth Index score,
compared to the State of Florida and the United States.
TABLE 14 Woods & Poole Economic Wealth Index
2013 2014 2015 2016 2017 2018* 2025*
Collier County 175.10 172.87 173.54 173.88 174.20 181.74 183.01
Florida 97.18 96.86 96.88 96.88 96.89 97.84 98.62
United States 100 100 100 100 100 100 100
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
White
Black or African
American
American Indian and
Alaska Native
Asian Native Hawaiian and
Other Pacific Islander Some other race
2017 Collier County Population By Race
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GRAPH 10 Economic Wealth Index
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
Gross Regional Product
From 2013 to 2018, Collier County and the State of Florida had a positive yearly increase in Gross
Regional Product. This trend is similar to the increase of Gross Regional Product in the United States
from 2013 to 2018.
TABLE 15 Gross Regional Product (in millions of 2009 dollars)
2013 2014 2015 2016 2017 2018* 2025*
Collier County 12,770 13,423 14,016 14,517 15,023 16,698 20,782
Florida 743,331 771,217 793,296 815,203 837,178 892,341 1,047,496
United States 15,384,326 15,894,995 16,302,781 16,696,645 17,088,653 17,602,878 19,971,767
Source: Woods & Poole. (2018). 2018 State Profile: Florida [DATA FILE]. Washington, DC: Author
(*Forecast Estimation)
Unemployment
Since 2010, the annual unemployment rate has been consistently declining in all observed geographical
areas.
TABLE 16 Annual Unemployment Rate–Not Seasonally Adjusted
2010 2011 2012 2013 2014 2015 2016 2017
Collier County 11.6 10.1 8.5 7.1 6.0 5.2 4.8 4.1
Florida 11.1 10.0 8.5 7.3 6.3 5.4 4.9 4.2
United States 9.6 8.9 8.1 7.4 6.2 5.3 4.9 4.4
Source: Bureau of Labor Statistics. (2018). Labor Force Statistics from Current Population Survey.
Retrieved from http://bls.gov
2013 2014 2015 2016 2017 2018*2025*
Collier County 175.10 172.87 173.54 173.88 174.2 181.74 183.01
Florida 97.18 96.86 96.88 96.88 96.89 97.84 98.62
United States 100 100 100 100 100 100 100
0
20
40
60
80
100
120
140
160
180
200
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The 2017-2018 monthly unemployment rate in Collier County, the State of Florida, and the United States
has fluctuated throughout the year. The fluctuations in the monthly unemployment rate for Collier
County, the State of Florida, and the United States follow a similar path, but during summer months the
Collier County unemployment rate is above the state and national unemployment rate.
GRAPH 11 2017-2018 Monthly Unemployment Rate–Not Seasonally Adjusted
Source: Bureau of Labor Statistics. (2018). Labor Force Statistics from Current Population Survey.
Retrieved from http://bls.gov
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
2017 2018
Collier County 4.4 4.0 3.7 3.5 3.7 4.2 4.5 4.7 4.6 4.2 3.9 3.5 3.9 3.5 3.4 3.1 3.1 3.9 4.1
Florida 4.8 4.4 4.2 4.0 4.0 4.3 4.4 4.3 4.0 3.9 3.8 3.7 4.1 3.8 3.8 3.4 3.4 3.9 4.0
USA 5.1 4.9 4.6 4.1 4.1 4.5 4.6 4.5 4.1 3.9 3.9 3.9 4.5 4.4 4.1 3.7 3.6 4.2 4.1
3.0
3.5
4.0
4.5
5.0
5.5
6.0
Monthly Unemployement Rate2017-2018 Monthly Unemployement Rate-Not Seasonally
Adjusted
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Employment and Economic Opportunity
From 2013 to 2017 in Collier County, the State of Florida, and the United States the unemployment rate
has gradually decreased. In 2017, Collier County had the largest percentage of its population not in the
labor force (47.70%), compared to the State of Florida (41.60%) and the United States (36.80%). Labor
force consists of the number of individuals 16 years and over available for work. While the number of
population of 16 years and over increased from 2013 to 2017 in Collier County, the percentage of labor
force decreased from 53.70 percent to 52.30 percent.
TABLE 17 Labor Force and Employment Status
2013 2014 2015 2016 2017
Collier County
Population 16 years and
over 283,561 291,946 300,290 308,016 315,591
In labor force 53.70% 53.00% 53.10% 52.30% 52.30%
Civilian labor force 53.70% 53.00% 53.10% 52.30% 52.20%
Employed 49.00% 49.60% 50.60% 50.40% 50.30%
Unemployed 4.70% 3.40% 2.50% 2.00% 1.90%
Armed Forces 0.00% 0.00% 0.00% 0.00% 0.10%
Not in labor force 46.30% 47.00% 46.90% 47.70% 47.70%
Florida
Population 16 years and
over 15,996,701 16,308,785 16,640,196 16,950,176 17,280,632
In labor force 58.90% 58.60% 58.40% 58.20% 58.40%
Civilian labor force 58.60% 58.30% 58.10% 57.80% 58.10%
Employed 52.90% 53.60% 54.00% 54.40% 54.90%
Unemployed 5.70% 4.70% 4.10% 3.50% 3.20%
Armed Forces 0.30% 0.30% 0.30% 0.40% 0.30%
Not in labor force 41.10% 41.40% 41.60% 41.80% 41.60%
United States
Population 16 years and
over 250,835,999 253,588,947 256,167,758 257,950,721 260,564,248
In labor force 63.60% 63.30% 63.10% 63.10% 63.20%
Civilian labor force 63.20% 62.90% 62.70% 62.80% 62.80%
Employed 57.90% 58.40% 58.80% 59.10% 59.50%
Unemployed 5.30% 4.50% 3.90% 3.60% 3.30%
Armed Forces 0.40% 0.40% 0.40% 0.40% 0.40%
Not in labor force 36.40% 36.70% 36.90% 36.90% 36.80%
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
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GRAPH 12 Labor Force
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
factfinder.census.gov
50.00%
52.00%
54.00%
56.00%
58.00%
60.00%
62.00%
64.00%
66.00%
2012 2013 2014 2015 2016 2017Percent of Population 16 and OverLabor Force
Collier County
Florida
United States
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In 2017, in Collier County, the State of Florida, and the United States, the number of females 16 years
and over that are employed has gradually increased from the prior year. In addition, the national
percentage of females 16 years and over in the labor force has also gradually increased from the prior
year.
TABLE 18 Females 16 Years and Over Labor Force
2013 2014 2015 2016 2017
Collier County
Females 16 years and over 145,223 149,682 154,269 158,119 161,655
In labor force 48.20% 48.10% 48.80% 46.50% 47.50%
Civilian labor force 48.20% 48.10% 48.80% 46.50% 47.50%
Employed 44.70% 45.00% 46.00% 44.70% 45.50%
Florida
Females 16 years and over 8,253,942 8,419,995 8,597,749 8,751,482 8,914,426
In labor force 54.40% 54.10% 54.10% 53.70% 53.80%
Civilian labor force 54.30% 54.00% 54.00% 53.60% 53.70%
Employed 49.20% 49.60% 50.30% 50.30% 50.80%
United States
Females 16 years and over 128,595,480 130,068,058 131,333,465 132,227,193 133,482,879
In labor force 58.50% 58.20% 58.10% 58.20% 58.30%
Civilian labor force 58.40% 58.10% 58.00% 58.10% 58.20%
Employed 53.60% 54.00% 54.40% 54.80% 55.20%
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
GRAPH 13 Female Labor Force
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
45.00%
47.00%
49.00%
51.00%
53.00%
55.00%
57.00%
59.00%
61.00%
2013 2014 2015 2016 2017Percentage of Female Population 16 and OverFemale Labor Force
Collier County
Florida
United States
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Since 2013, in Collier County, the percentage of households that have children 6-17 years old and
include both parents in the labor force has continued to increase until 2015. In 2016, the percentage
gradually decreased. The percentage of households with children under 6 and include both parents in the
labor force increased by 15.40 percentage points from 2016 to 2017. A similar trend can be observed at
the state and national level.
TABLE 19 Employment Status with Own Child
2013 2014 2015 2016 2017
Collier County
Own children under 6 years 19,334 19,107 18,543 19,568 18,355
All parents in family in labor
force 65.30% 63.20% 71.90% 51.20% 66.60%
Own children 6 to 17 years 42,381 42,296 40,873 42,514 43,172
All parents in family in labor
force 68.90% 70.70% 76.20% 70.00% 68.10%
Florida
Own children under 6 years 1,244,079 1,242,026 1,260,973 1,287,696 1,287,270
All parents in family in labor
force 65.50% 65.70% 67.10% 67.00% 65.60%
Own children 6 to 17 years 2,566,147 2,595,809 2,612,599 2,629,178 2,692,941
All parents in family in labor
force 71.50% 71.30% 71.40% 72.30% 71.00%
United States
Own children under 6 years 23,032,325 22,907,637 22,863,705 22,798,400 22,690,943
All parents in family in labor
force 64.70% 64.60% 65.10% 65.50% 65.90%
Own children 6 to 17 years 46,888,388 46,968,394 47,080,679 47,090,847 47,167,941
All parents in family in labor
force 70.30% 70.30% 70.30% 71.00% 71.30%
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
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From 2013 to 2017 in Collier County, the State of Florida, and the United States the majority of residents
were employed in management, business, science, and arts occupations. They are also employed in a
service occupation or a sales and office occupation.
TABLE 20 Occupations
2013 2014 2015 2016 2017
Collier County
Civilian employed
population 16 years and
over
138,998 144,750 151,828 155,130 158,695
Management, business,
science and arts
occupations
30.00% 30.40% 31.10% 29.10% 31.20%
Service occupations 26.20% 24.50% 23.30% 27.30% 21.50%
Sales and office
occupations 25.30% 23.20% 23.60% 21.70% 25.50%
Natural resources,
construction and
maintenance occupations
11.30% 14.90% 12.70% 15.00% 13.70%
Production, transportation
and material moving
occupations
7.30% 7.00% 9.30% 6.90% 8.20%
Florida
Civilian employed
population 16 years and
over
8,459,990 8,738,970 8,990,221 9,219,488 9,488,742
Management, business,
science and arts
occupations
33.60% 34.20% 34.50% 34.30% 35.20%
Service occupations 20.80% 20.80% 20.10% 20.60% 20.10%
Sales and office
occupations 27.60% 26.70% 27.00% 26.30% 25.90%
Natural resources,
construction and
maintenance occupations
9.10% 9.10% 9.20% 9.50% 9.40%
Production, transportation
and material moving
occupations
9.00% 9.20% 9.30% 9.30% 9.40%
United States
Civilian employed
population 16 years and
over
145,128,676 148,019,908 150,534,773 152,571,041 155,058,331
Management, business,
science and arts
occupations
36.30% 36.90% 37.10% 37.60% 38.20%
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Service occupations 18.40% 18.20% 18.00% 18.10% 17.90%
Sales and office
occupations 24.20% 23.70% 23.60% 23.30% 22.90%
Natural resources,
construction and
maintenance occupations
8.90% 8.90% 9.00% 8.80% 8.90%
Production, transportation
and material moving
occupations
12.20% 12.30% 12.30% 12.20% 12.20%
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
GRAPH 14 2017 Collier County Occupations
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
31%
22%
25%
14%
8%
2017 Collier County Occupations
Management, business, science, and
arts occupations
Service occupations
Sales and office occupations
Natural resources, construction, and
maintenance occupations
Production, transportation, and
material moving occupations
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Between 2017 and 2025, nursing and residential care facilities, ambulatory healthcare services,
educational services, miscellaneous manufacturing, and motor vehicle and parts dealers are projected to
be the top five fastest-growing industries in Collier County.
TABLE 21 Fastest-Growing Industries in Collier County
Employment 2017 - 2025 Change
Rank Industry 2017 2025 Total Percent
1 Nursing and Residential Care Facilities 4,246 5,473 1,227 28.9
2 Ambulatory Healthcare Services 8,914 11,437 2,523 28.3
3 Educational Services 2,104 2,591 487 23.1
4 Miscellaneous Manufacturing 1,482 1,820 338 22.8
5 Motor Vehicle and Parts Dealers 2,645 3,152 507 19.2
6 Specialty Trade Contractors 11,081 13,187 2,106 19.0
7 Social Assistance 2,101 2,484 383 18.2
8 Electronics and Appliance Stores 597 706 109 18.3
9 Health and Personal Care Stores 1,332 1,572 240 18.0
10 Transit and Ground Passenger Transport 608 717 109 17.9
11 Furniture and Home Furnishings Stores 1,413 1,663 250 17.7
12 Insurance Carriers and Related Activities 1,209 1,422 213 17.6
13 Merchant Wholesalers, Durable Goods 2,522 2,959 437 17.3
14 Professional, Scientific, and Technical Services 6,153 7,222 1,069 17.4
15 Real Estate 3,511 4,070 559 15.9
16 Sporting Goods, Hobby, Book, and Music Stores 790 914 124 15.7
17 Construction of Buildings 3,507 4,044 537 15.3
18 Administrative and Support Services 10,454 12,028 1,574 15.1
19 Building Material and Garden Supply Stores 1,777 2,043 266 15.0
20
Wholesale Electronic Markets and Agents and
Brokers 270 310 40 14.8
Source: Florida Department of Economic Opportunity (2017). Labor Market Information, Employment
Projections. Retrieved from: http://www.floridajobs.org/labor-market-information/data-center/statistical-
programs/employment-projections
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Between 2017 and 2025, ambulatory healthcare services, specialty trade contractors, food services and
drinking places, administrative and support services, and local government are projected to be the top
five industries gaining the most new jobs in Collier County.
TABLE 22 Industries Gaining the Most New Jobs in Collier County
Employment 2017 - 2025 Change
Rank Industry 2017 2025 Total Percent
1 Ambulatory Healthcare Services 8,914 11,437 2,523 28.3
2 Specialty Trade Contractors 11,081 13,187 2,106 19.0
3 Food Services and Drinking Places 16,529 18,383 1,854 11.2
4 Administrative and Support Services 10,454 12,028 1,574 15.1
5 Local Government 12,258 13,614 1,356 11.1
6 Nursing and Residential Care Facilities 4,246 5,473 1,227 28.9
7 Professional, Scientific, and Technical Services 6,153 7,222 1,069 17.4
8 Amusement, Gambling, and Recreation Industries 6,945 7,724 779 11.2
9 Real Estate 3,511 4,070 559 15.9
10 Construction of Buildings 3,507 4,044 537 15.3
11 Motor Vehicle and Parts Dealers 2,645 3,152 507 19.2
12 Food and Beverage Stores 5,048 5,541 493 9.8
13 Educational Services 2,104 2,591 487 23.1
14 Merchant Wholesalers, Durable Goods 2,522 2,959 437 17.3
15 Hospitals 4,606 4,993 387 8.4
16 Social Assistance 2,101 2,484 383 18.2
17 Miscellaneous Manufacturing 1,482 1,820 338 22.8
18 Clothing and Clothing Accessories Stores 2,379 2,711 332 14.0
19 General Merchandise Stores 4,009 4,338 329 8.2
20 Personal and Laundry Services 2,264 2,545 281 12.4
Source: Florida Department of Economic Opportunity (2017). Labor Market Information, Employment
Projections. Retrieved from: http://www.floridajobs.org/labor-market-information/data-center/statistical-
programs/employment-projections
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Between 2017 and 2025, nursing practitioners, computer-controlled machine tool operators/M & P,
diagnostics medical sonographers, web developers, and home health aides are projected to be the top five
fastest-growing occupations in Collier County.
TABLE 23 Fastest-Growing Occupations in Collier County
Employment 2017 - 2025
Rank Occupation 2017 2025 Growth
Percent
Growth
1 Nurse Practitioners 97 134 37 38.1
2
Computer-Controlled Machine Tool Operators,
M & P 98 134 36 36.7
3 Diagnostic Medical Sonographers 99 134 35 35.4
4 Web Developers 85 115 30 35.3
5 Home Health Aides 792 1,061 269 34.0
6 Physician Assistants 96 128 32 33.3
7 Personal Care Aides 996 1,310 314 31.5
8 Healthcare Social Workers 102 134 32 31.4
9 Occupational Therapists 78 102 24 30.8
10 Brickmasons and Blockmasons 278 363 85 30.6
11 Management Analysts 738 951 213 28.9
12 Medical and Clinical Laboratory Technicians 80 102 22 27.5
13 Insulation Workers, Floor, Ceiling, and Wall 153 193 40 26.1
14 Food Servers, Nonrestaurant 401 505 104 25.9
15 Taxi Drivers and Chauffeurs 344 433 89 25.9
16 Cooks, Institution and Cafeteria 210 262 52 24.8
17 Nursing Assistants 1,544 1,925 381 24.7
18 Billing and Posting Clerks 454 565 111 24.5
19 Medical Assistants 729 907 178 24.4
20 Physical Therapists 294 365 71 24.2
Source: Florida Department of Economic Opportunity (2017). Labor Market Information, Employment
Projections. Retrieved from: http://www.floridajobs.org/labor-market-information/data-center/statistical-
programs/employment-projections
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Between 2017 and 2025, retail salespersons, landscaping and groundskeeping workers, registered nurses,
construction laborers, and combined food prep. and serving workers/fast food are projected to be the top
five fastest-occupations gaining the most new jobs in Collier County.
TABLE 24 Occupations Gaining the Most New Jobs in Collier County
Employment 2017 - 2025
Rank Occupation 2017 2025 Growth
Percent
Growth
1 Retail Salespersons 7,483 8,749 1,266 16.9
2 Landscaping and Groundskeeping Workers 5,489 6,271 782 14.3
3 Registered Nurses 2,922 3,473 551 18.9
4 Construction Laborers 2,615 3,108 493 18.9
5
Combined Food Prep. and Serving Workers, Inc.
Fast Food 3,217 3,696 479 14.9
6 Cooks, Restaurant 2,846 3,319 473 16.6
7 Waiters and Waitresses 5,931 6,403 472 8.0
8 Painters, Construction and Maintenance 1,908 2,343 435 22.8
9 Nursing Assistants 1,544 1,925 381 24.7
10 Carpenters 2,333 2,702 369 15.8
11
Janitors and Cleaners, Except Maids and
Housekeeping 2,625 2,991 366 13.9
12 Secretaries, Except Legal, Medical, and Executive 3,467 3,830 363 10.5
13 Maids and Housekeeping Cleaners 2,537 2,885 348 13.7
14 Personal Care Aides 996 1,310 314 31.5
15 Cashiers 4,025 4,325 300 7.5
16 Office Clerks, General 3,070 3,368 298 9.7
17
First-Line Superv. of Construction and Extraction
Workers 1,734 2,019 285 16.4
18 First-Line Supervisors of Retail Sales Workers 2,427 2,712 285 11.7
19 Maintenance and Repair Workers, General 2,177 2,456 279 12.8
20
Laborers and Freight, Stock, and Material Movers,
Hand 1,726 1,996 270 15.6
Source: Florida Department of Economic Opportunity (2017). Labor Market Information, Employment
Projections. Retrieved from: http://www.floridajobs.org/labor-market-information/data-center/statistical-
programs/employment-projections
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Between 2017 and 2025, switchboard operators (including answering service), postal service clerks,
postal service mail carriers, travel agents, and editors are projected to be the top five declining or slow-
growth occupations in Collier County.
TABLE 25 Declining or Slow-Growth Occupations in Collier County
Employment 2017 - 2025
Rank Occupation 2017 2025 Growth
Percent
Growth
1 Switchboard Operators, Including Answering Service 147 115 0 -21.8
2 Postal Service Clerks 48 39 0 -18.8
3 Postal Service Mail Carriers 372 307 0 -17.5
4 Travel Agents 95 82 0 -13.7
5 Editors 106 94 0 -11.3
6
Mail Clerks and Mail Machine Operators, Exc. Postal
Service 35 32 0 -8.6
7 Tellers 648 595 0 -8.2
8 Sewing Machine Operators 114 105 0 -7.9
9 Cooks, Fast Food 369 341 0 -7.6
10
First-Line Superv. of Farming, Fishing, & Forestry
Workers 71 67 0 -5.6
11
Farmworkers and Laborers, Crop, Nursery, and
Greenhouse 1,620 1,529 0 -5.6
12
Molding and Casting Machine Setters and Operators; M
& P 45 43 0 -4.4
13 Tax Examiners and Collectors, and Revenue Agents 31 30 0 -3.2
14 Brokerage Clerks 100 97 0 -3.0
15 Printing Press Operators 86 85 0 -1.2
16 File Clerks 177 177 0 0.0
17 Probation Officers and Correctional Treatment Specialists 43 43 0 0.0
18 Tool and Die Makers 33 33 0 0.0
19 Bookkeeping, Accounting, and Auditing Clerks 1,813 1,819 6 0.3
20 Telecommunications Equipment Installers and Repairers 99 100 1 1.0
Source: Florida Department of Economic Opportunity (2017). Labor Market Information, Employment
Projections. Retrieved from: http://www.floridajobs.org/labor-market-information/data-center/statistical-
programs/employment-projections
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Compensation
Since 2012, the average annual pay in Collier County has been below Florida average annual pay. During
the same time frame, average weekly pay was also below state average.
TABLE 26 Average Annual Pay
2012 2013 2014 2015 2016 2017
Collier County $41,778 $43,214 $43,934 $45,020 $45,427 $46,415
Florida $43,211 $43,649 $44,803 $46,260 $47,035 $48,455
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment & Wages. Retrieved from
http://www. bls.gov
GRAPH 15 Average Annual Pay
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment & Wages. Retrieved from
http://www. bls.gov
$39,000
$40,000
$41,000
$42,000
$43,000
$44,000
$45,000
$46,000
$47,000
$48,000
$49,000
2012 2013 2014 2015 2016 2017Annual PayAverage Annual Pay
Collier County
Florida
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TABLE 27 Average Weekly Pay
2012 2013 2014 2015 2016 2017
Collier County $803 $831 $845 $866 $874 $893
Florida $831 $839 $862 $890 $905 $932
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment & Wages. Retrieved from
http://www. bls.gov
GRAPH 16 Average Weekly Pay
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment & Wages. Retrieved from
http://www. bls.gov
$750
$770
$790
$810
$830
$850
$870
$890
$910
$930
$950
2012 2013 2014 2015 2016 2017Weekly PayAverage Weekly Pay
Collier County
Florida
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TABLE 28 Collier County Subdivisions–Median Income
2013 2014 2015 2016
Everglades CCD
Household Total $51,188 $51,800 $50,665 $50,809
Hispanic or Latino Origin (of any race) $31,478 $34,221 $32,073 $33,523
White alone, not Hispanic or Latino $54,403 $54,053 $55,282 $52,967
Immokalee CCD
Household Total $49,432 $54,148 $57,557 $61,219
Hispanic or Latino Origin (of any race) $36,123 $36,697 $37,724 $40,058
White alone, not Hispanic or Latino $69,024 $76,035 $91,523 $83,352
Marco Island CCD
Household Total $68,478 $72,377 $72,500 $72,882
Hispanic or Latino Origin (of any race) $52,031 $52,066 $61,709 $45,313
White alone, not Hispanic or Latino $69,485 $73,337 $73,516 $75,836
Naples CCD
Household Total $56,123 $55,756 $56,891 $59,356
Hispanic or Latino Origin (of any race) $40,664 $40,721 $41,200 $42,504
White alone, not Hispanic or Latino $61,266 $61,636 $62,870 $65,128
Source: U.S. Census Bureau. (2018). 2016 American Community Survey 5-year Estimates: Table S1903.
Retrieved from http://factfinder.census.gov
Housing
Poverty and Homelessness
From 2011 to 2017, the United States and the State of Florida have had a downward trend in the point in
time estimates of homeless people. From 2011 to 2017, the point-in-time estimates for Naples/Collier
County has fluctuated.
TABLE 29 Point-in-Time Estimates of Homeless People
2011 2012 2013 2014 2015 2016 2017
Naples/Collier County 390 455 396 361 389 545 621
Florida 56,687 55,170 47,862 41,542 35,900 33,559 32,190
United States 625,217 622,982 591,768 578,424 564,708 549,928 553,742
Source: The U.S. Department of Housing and Urban Development. (2018). The 2017 Annual Homeless
Assessment Report (AHAR) to Congress. Retrieved from https://www.hudexchange.info
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In 2017, Florida was ranked as the state with the second highest rate of unsheltered homeless people
(46.8%).
TABLE 30 Highest Rates of Unsheltered Homeless People by State in 2017
States With the Highest Rates
# of Homeless
People
# of Unsheltered
Homeless People
% of Homeless People who
were Unsheltered
California 134,278 91,642 68.2%
Florida 32,190 15,079 46.8%
Texas 23,548 8,493 36.1%
Washington 21,112 8,591 40.7%
Oregon 13,953 7,967 57.1%
Source: The U.S. Department of Housing and Urban Development. (2018). The 2017 Annual Homeless
Assessment Report (AHAR) to Congress. Retrieved from https://www.hudexchange.info
In 2017, Florida was ranked as the state with the second highest rate of unsheltered homeless people in
families (34.4%).
TABLE 31 Highest Rates of Unsheltered Homeless People in Families by State in 2017
States With the Highest Rates
# of Homeless
People in
Families
# of Unsheltered
Homeless People in
Families
% of Homeless People in
Families who were
Unsheltered
California 21,522 3,908 18.2%
Florida 9,422 3,242 34.4%
Texas 6,840 499 7.3%
Washington 6,331 543 8.6%
Oregon 3,519 1,826 51.9%
Source: The U.S. Department of Housing and Urban Development. (2018). The 2017 Annual Homeless
Assessment Report (AHAR) to Congress. Retrieved from https://www.hudexchange.info
The Collier County homeless students reported in Florida public schools has begun to gradually increase
since 2015-2016.
TABLE 32 Collier County Homeless Students Reported in Florida Public Schools by Florida County
2012-2013 2013-2014 2014-2015 2015-2016 2016-2017
Collier 1,123 849 779 808 900
Source: Florida Department of Children and Families. (2018). Council on Homelessness 2018 Annual
Report. Retrieved from http://www.dcf.state.fl.us/
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In 2016, the largest cause of homelessness in the State of Florida was employment/financial difficulties.
This was followed by medical/disability, family problems, and forced relocation.
TABLE 33 Causes of Homelessness in Florida
2016 Number 2016 Percentage 2015 Percentage
Employment/Financial 8,393 44.5% 41.5%
Medical/Disability 4,111 21.8% 17.5%
Family Problems 3,306 17.5% 19.6%
Forced to Relocate 2,714 14.4% 19.6%
Recent Immigration 109 0.6% 1.0%
Natural Disaster 212 1.1% 0.8%
Source: Florida Department of Children and Families. (2018). Council on Homelessness 2016 Annual
Report. Retrieved from http://www.dcf.state.fl.us/
GRAPH 17 2016 Causes of Homelessness in Florida
Source: Florida Department of Children and Families. (2018). Council on Homelessness 2016 Annual
Report. Retrieved from http://www.dcf.state.fl.us/
44.50%
21.80%
17.50%
14.40%
0.60%1.10%
2016 Causes of Homelessness in Florida
Employment/Financial
Medical/Disability
Family Problems
Forced to Relocate
Recent Immigration
Natural Disaster
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TABLE 34 Total Percentage of Poverty by Age Group
Region/ Year 18 to 24 years 25 to 34 years 35 to 44 years 45 to 54 years 55 to 64 years
Collier County 2011 21.4% 15.7% 18.7% 12.8% 12.0%
2012 16.0% 18.0% 15.2% 12.5% 9.5%
2013 13.8% 12.9% 17.0% 11.8% 8.3%
2014 18.8% 18.0% 16.8% 11.7% 9.9%
2015 19.0% 18.0% 18.4% 10.0% 11.4%
2016 11.6% 13.4% 13.6% 8.9% 11.5%
2017 13.5% 14.0% 12.6% 9.9% 9.5%
Florida
2011 24.0% 17.0% 15.3% 13.6% 12.3%
2012 24.0% 17.7% 14.4% 13.2% 13.1%
2013 22.8% 17.2% 15.3% 13.6% 13.3%
2014 22.5% 16.3% 14.6% 13.0% 13.6%
2015 21.2% 15.7% 13.5% 12.3% 12.6%
2016 39.6% 14.1% 12.8% 11.4% 12.9%
2017 18.1% 13.2% 12.0% 11.0% 12.2%
United States
2011 23.6% 16.0% 13.1% 11.4% 10.2%
2012 23.1% 16.0% 13.1% 11.3% 10.6%
2013 22.8% 15.9% 13.3% 11.4% 10.8%
2014 22.3% 15.4% 13.0% 11.2% 11.0%
2015 21.0% 14.5% 12.3% 10.7% 10.7%
2016 19.8% 13.5% 11.7% 10.1% 10.8%
2017 18.9% 12.7% 11.1% 9.7% 10.5%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table B17001.
Retrieved from http://factfinder.census.gov/; U.S. Census Bureau. (2018). 2017 American Community
Survey 1-year estimates: Table B01001. Retrieved from http://factfinder.census.gov/
Note. Year-to-year percentage changes were calculated by the research team.
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TABLE 35 Below Poverty Level by Employment Status
Region/ Sex 2012 2013 2014 2015 2016 2017
Collier County
Male 5,108 6,106 7,149 7,861 6,162 5,099
Female 4,300 5,617 5,973 5,325 4,573 6,996
Both 9,408 11,723 13,122 13,186 10,735 12,095
Florida
Male 313,112 327,455 328,290 301,587 302,395 277,659
Female 357,247 364,739 382,985 373,821 349,961 331,300
Both 670,359 692,194 711,275 675,408 652,356 608,959
United States
Male 4,809,449 4,948,486 5,007,735 4,700,888 4,483,921 4,193,809
Female 5,742,964 5,924,357 6,058,649 5,831,441 5,593,732 5,318,283
Both 10,552,413 10,872,843 11,066,384 10,532,329 10,077,653 9,512,092
Source: U.S. Census Bureau. (2018). 2017 American Community Survey1-year estimates: Table: S1701.
Retrieved from http://factfinder.census.gov/
Housing Cost and Foreclosure
The majority of households spend less than 30 percent of household income on housing. However, the
number of households spending more than 50 percent of household income on housing cost is increasing,
and it is projected to increase.
TABLE 36 Housing Cost Burden
2010 2015 2016 2020* 2025*
Collier County
30% or less 79,515 86,170 87,962 96,204 105,789
30.1 – 50% 27,486 29,436 30,025 32,696 35,716
More than 50% 26,176 28,165 28,724 31,255 34,114
Florida
30% or less 4,316,936 4,616,994 4,707,554 5,063,356 5,466,597
30.1 – 50% 1,515,330 1,614,513 1,645,848 1,766,440 1,902,121
More than 50% 1,581,574 1,686,079 1,718,537 1,840,853 1,980,335
Source: Florida Housing Data Clearinghouse. (2018). Household Demographic Data- Households by
tenure, age of householder, income, and cost burden. Retrieved from:
http://flhousingdata.shimberg.ufl.edu. (*Forecast Estimation)
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GRAPH 18 Collier County Housing Cost Burden as Percentage of Household Income–Population 65+
Source: Florida Housing Data Clearinghouse. (2018). Household Demographic Data-Households by
tenure, age of householder, income, and cost burden. Retrieved from:
http://flhousingdata.shimberg.ufl.edu. (*Forecast Estimation)
Collier County’s foreclosure rate is above the state and national rate. In Collier County, the pre-
foreclosure percentage from the prior month decreased by 37.2 percent. Additionally, the pre-foreclosure
percentage from the prior year increased by 35.0 percent. Median home prices in Collier County are
above the state and national home prices.
TABLE 37 Foreclosure Status Distribution–August 2018
Collier County Florida United States
Foreclosure Rates 1 in 2796 1 in 1209 1 in 1882
Pre-Foreclosure Current 38.6% 46.5% 32.1%
Prior month 37.2% 7.2% 7.9%
Prior Year 35.0% 3.5% 5.2%
Auction Current 34.3% 24.9% 37.0%
Prior month 4.0% 4.0% 6.6%
Prior Year 4.0% 21.6% 11.5%
Bank-Owned Current 27.1% 28.7% 30.8%
Prior month 5.6% 1.6% 13.8%
Prior Year 11.8% 15.8% 1.5%
Source: RealtyTrac (2018). U.S. Real Estate Trends and Market Info: Foreclosure rates. Retrieved from
http://www.realtytrac.com/statsandtrends/foreclosuretrends
2010 2015 2016 2020*2025*
30% or less 34,618 38,978 39,978 44,572 51,228
30.1 –50%8,501 9,566 9,811 10,934 12,556
More than 50%9,780 10,995 11,276 12,548 14,369
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
PercentageCollier County Housing Cost Burden as
Percentage of Household Income-Population 65+
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TABLE 38 Median Home Prices–August 2018
Median List Price Median Sales Price Median Foreclosure Sales Price
Collier County $395,000 $324,720 -
Florida $249,900 $210,000 -
United States $262,888 $248,100 -
Source: RealtyTrac (2018). U.S. Real Estate Trends and Market Info: Foreclosure rates. Retrieved from
http://www.realtytrac.com/statsandtrends/foreclosuretrends
*Data was not available for Median Foreclosure Sales Price
Environment
Protected Land and Conservations
The State of Florida has 29.1 percent of its region designated as protected land, compared to 9.7 percent
of the Southeast portion of the United States, and 20.5 percent of the United States total.
TABLE 39 Protected Land Almanac
Total Acres Protected
Protected Acres
per Capita
% of Region
Protected
Florida 10,049,676 0.55 29.1%
U.S. Southeast 28,960,509 0.43 9.7%
U.S. Total 473,653,971 1.57 20.5%
Source: Conservation Almanac (2018). Almanac. Conservation Almanac Tracking Investments in
Protected Lands. Retrieved from http://www.conservationalmanac.org (County data not available at time
of report)
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GRAPH 19 Collier County Map of Protected Land
This map was created on October 1, 2018, using the Conservation Almanac Interactive Mapping site.
Information on the map is for discussion and visualization purposes only.
2018 The Trust for Public Land. TPL, The Trust for Public Land, and The Trust for Public Land logo are
trademarks of The Trust for Public Land. http://www.tpl.org
Collier County has 68 percent of its land designated as conservation land, compared to the State of
Florida, which has 28 percent of its land designated as conservation land.
TABLE 40 Conservation Land by Lead Managing Agency in Acres
Local State Federal Private Total Conservation Area Total % of Area
Collier County 4,490 213,750 648,130 12,480 878,850 1,296,640 68%
Florida 495,466 4,890,173 4,061,780 127,777 9,575,196 34,721,280 28%
Sources: Florida Natural Areas Inventory. (2018). Acres of conservation lands by county. Retrieved from
http://fnai.org; Florida Natural Areas Inventory. (2018). Summary of Florida Conservation Lands.
Retrieved from http://fnai.org
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Healthcare
As of September 5, 2018, 5.22 percent of Collier County’s total registered nonprofit organizations were
designated as “Health and Mental Health,” organizations. This is less than the State of Florida, which has
6.49 percent and the United States with 6.18 percent.
TABLE 41 Registered Nonprofit Organizations in Health and Mental Health
Healthcare
Mental Health
& Crisis
Intervention
Voluntary Health
Association &
Medical Disciplines
Medical
Research
Total Registered
Nonprofit
Organizations
Collier County 41 16 28 4 1,706
Florida 2,066 985 2,051 224 82,056
United States 45,312 17,233 30,876 4,284 1,581,445
Source: Internal Revenue Service, (2018). Exempt organizations business master file, The Urban
Institute. National Center for Charitable Statistics. Retrieved from http://nccsdataweb.urban.org
County Health Ranking
In 2013, Collier County was ranked third among 67 Florida counties in regards to health outcomes. The
county’s health outcomes ranking has dropped to second and has maintained the same ranking until now.
In 2013, Collier County was ranked 10th in Florida in measured health factors and since then has
improved to be ranked third among 67 Florida counties.
GRAPH 20 Collier County Overall Health Outcomes and Health Factors Ranking Among 67 Florida
Counties
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
10
8
6
5
5
3
3
2
2
2
2
2
2013
2014
2015
2016
2017
2018
Collier County Overall Health Outcomes
and Health Factors Ranking Among 67
Florida Counties
Health Outcomes Health Factors
Well-------------------------------------------------------------------------Worse
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Collier County’s ranking among 67 Florida counties for length of life has maintained the same ranking
since 2017. The ranking for quality of life improved from ninth in 2017 to third in 2018.
GRAPH 21 Collier County Health Outcomes Components Ranking Among 67 Florida Counties
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
4
7
7
8
9
3
1
1
3
3
1
1
2013
2014
2015
2016
2017
2018
Collier County Health Outcomes
Components Ranking Among 67 Florida
Counties
Length of Life Quality of Life
Well-------------------------------------------------------------------------Worse
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In 2017, Collier County was ranked 17th of 67 Florida counties in regards to clinical care; however,
decreased to 21st in 2018. Since 2014, Collier County improved state ranking in relation to physical
environment from 11th to sixth. In 2013, Collier County was ranked 30th in social and economic factors;
however, increased to 13th in 2018.
GRAPH 22 Collier County Health Factors Components Ranking Among 67 Florida Counties
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
Reported Health Issues
In 2015, 2016, and 2018, Collier County and the United States had the same percentage of its population
reporting poor or fair health. Since 2017, Florida’s percentage increased from 17.0 to 19.0.
TABLE 42 Population Reporting Poor or Fair Health in Percent
2014 2015 2016 2017 2018
Collier County 16.8 17.0 16.0 15.0 16.0
Florida 15.9 16.0 18.0 17.0 19.0
United States 17.3 17.0 16.0 16.0 16.0
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
5
3
3
2
2
1
17
19
21
18
17
21
30
18
18
21
18
13
5
11
8
5
6
6
2013
2014
2015
2016
2017
2018
Collier County Health Outcomes Components Ranking
Among 67 Florida Counties
Physical Environment Social & Economic Factors Clinical Care Health Behavior
Well-------------------------------------------------------------------------Worse
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GRAPH 23 Reported Poor or Fair Health
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
From 2014 to 2018, Collier County has either matched or been below the State of Florida and the United
States reported poor physical and mental health days per month.
TABLE 43 Reported Poor Physical and Mental Health Days per Month
2014 2015 2016 2017 2018
Collier County
Poor physical health days 3.4 3.4 3.5 3.6 3.5
Poor mental health days 3.6 3.6 3.7 4.0 3.5
Florida
Poor physical health days 3.7 3.7 3.9 4.2 3.8
Poor mental health days 3.8 3.8 3.9 4.2 3.8
United States
Poor physical health days 3.8 3.8 3.7 3.8 3.7
Poor mental health days 3.6 3.6 3.7 3.8 3.8
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
14.5
15.5
16.5
17.5
18.5
19.5
2014 2015 2016 2017 2018
Reported Poor or Fair Health
Collier County Florida United States
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GRAPH 24 Reported Poor Physical Health Days
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
GRAPH 25 Reported Poor Mental Health Days
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
3
3.2
3.4
3.6
3.8
4
4.2
4.4
2014 2015 2016 2017 2018
Reported Poor Physical Health Days
Collier County Florida United States
3
3.2
3.4
3.6
3.8
4
4.2
4.4
2014 2015 2016 2017 2018
Reported Poor Mental Health Days
Collier County Florida United States
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From 2014 to 2018, Collier County has consistently had a lower obese population than the State of
Florida and the United States.
TABLE 44 Adult Obesity–Percent of Population
2014 2015 2016 2017 2018
Collier County 20.9 20.0 19.0 20.0 20.0
Florida 25.8 26.0 25.0 26.0 26.0
United States 30.6 31.0 31.0 31.0 28.0
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
From 2014 to 2018, Collier County has consistently had a lower percentage of low birth weight as a
percent of total births, compared to the State of Florida and the United States.
TABLE 45 Low Birth Weight as Percentage of Total Births
2014 2015 2016 2017 2018
Collier County 7.1 7.0 7.0 7.0 7.0
Florida 8.7 8.7 9.0 9.0 9.0
United States 8.3 8.3 8.0 8.0 8.0
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
From 2015 to 2017, Collier County’s reported alcohol consumption was consistent with 18.0 percent of
its population reporting excessive alcohol consumption; however, the percentage decreased to 15.0 in
2018.
TABLE 46 Reported Excessive Alcohol Consumption (percent of total population)
2014 2015 2016 2017 2018
Collier County 17.5 18.0 18.0 18.0 15.0
Florida 15.9 16.0 17.0 17.0 18.0
United States 16.5 17.0 17.0 17.0 18.0
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
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Compared to the State of Florida, Collier County had the highest teen birth rate in 2014 and 2015;
however, this rate has steadily declined.
TABLE 47 Teen Birth Rate as Percentage
2014 2015 2016 2017 2018
Collier County 43.9 39.0 34.0 30.0 24.0
Florida 38.1 36.0 34.0 31.0 25.0
United States 44.4 43.4 42.0 39.0 27.0
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
GRAPH 26 Teen Birth Rate as Percentage
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
From 2011 to 2012, Collier County has generally had the least percent of its population reporting
inadequate social support, compared to Florida and the United States; however, between 2013 and 2014,
Collier County’s percent was 0.2 percent higher than the United States.
TABLE 48 Population Reporting Inadequate Social Support in Percent of Total Population
2011 2012 2013 2014
Collier County 19.0% 19.2% 19.5% 19.5%
Florida 21.4% 21.2% 21.5% 21.4%
United States 19.5% 19.4% 19.3% 19.3%
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
20
25
30
35
40
45
50
2014 2015 2016 2017 2018
Teen Birth Rate
Collier County Florida United States
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From 2015 to 2018, Collier County had the highest ratio of primary care physicians to population,
compared to the State of Florida and the United States.
TABLE 49 Primary Care Physicians
2015 2016 2017 2018
Collier
Number 231 237 239 254
Ratio 1439:1 1430:1 1460:1 1410:1
Florida
Number 13,578 14,094 14,428 14,728
Ratio 1423:1 1390:1 1380:1 1380:1
United States
Number 233,862 239,500 241,107 242,500
Ratio 2015:1 1990:1 2030:1 1320:1
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
Collier County has consistently had the highest ratio of mental healthcare providers to population,
compared to the State of Florida and the United States. The amount of mental health providers has been
increasing from 2016 to 2018.
TABLE 50 Mental Healthcare Providers
2015 2016 2017 2018
Collier
Number 270 292 313 338
Ratio 1258:1 1190:1 1140:1 1080:1
Florida
Number 22,913 24,985 27,120 29,306
Ratio 853:1 800:1 750:1 700:1
United States
Number 552,104 593,720 641,686 692,029
Ratio 1128:1 1060:1 1105:1 470:1
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
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From 2015 to 2018, there was a dramatic increase in mental healthcare providers in Collier County. From
2015 to 2018, the amount of primary care physicians in Collier County stayed relatively constant.
GRAPH 27 Collier County Primary Care Physicians and Mental Healthcare Providers
Physicians
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
-
50
100
150
200
250
300
350
400
2015 2016 2017 2018
Collier County Primary Care Physicians
and Mental Healthcare Providers
Collier PCP Collier MHP
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Health Insurance
In 2017, the percentage of males without health insurance decreased for the age groups under 6 years, 6
to 17 years, 25 to 34 years, 35 to 44 years, 45 to 54 years, 55 to 64 years, and 65 to 74 years. The female
age groups 6 to 17 years, 35 to 44 years, 65 to 74 years, and 75 years and over also had a percentage
decrease of individuals without health insurance.
TABLE 51 Collier County–Percent No Health Insurance by Sex and Age
2014 2015 2016 2017
Male
Under 6 years 3.57% 7.02% 9.43% 5.94%
6 to 17 years 16.51% 15.27% 10.66% 10.40%
18 to 24 years 33.45% 35.88% 28.07% 37.74%
25 to 34 years 51.62% 41.18% 44.90% 40.84%
35 to 44 years 40.74% 37.39% 37.37% 35.77%
45 to 54 years 27.48% 33.95% 26.08% 25.42%
55 to 64 years 20.21% 14.53% 20.60% 14.00%
65 to 74 years 0.81% 1.25% 3.34% 0.08%
75 years and over 0.92% 0.45% 0.16% 2.54%
Female
Under 6 years 3.77% 6.31% 4.40% 8.69%
6 to 17 years 14.81% 16.41% 17.02% 13.67%
18 to 24 years 39.41% 20.31% 34.66% 45.90%
25 to 34 years 38.39% 29.99% 29.77% 32.36%
35 to 44 years 37.42% 34.72% 27.52% 25.86%
45 to 54 years 17.84% 18.98% 16.27% 24.47%
55 to 64 years 16.35% 12.66% 12.55% 14.54%
65 to 74 years 2.08% 1.83% 1.56% 0.16%
75 years and over 1.86% 0.31% 1.23% 0.93%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table B27001.
Retrieved from http://factfinder.census.gov
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In the State of Florida from 2014 to 2017, the male and female population percentages without health
insurance were highest for ages 18-24, 25-34, and 35-44.
TABLE 52 Florida–Percent No Health Insurance by Sex and Age
2014 2015 2016 2017
Male
Under 6 years 6.74% 4.81% 5.11% 5.85%
6 to 17 years 10.68% 7.66% 6.77% 8.21%
18 to 24 years 29.30% 24.12% 21.91% 23.40%
25 to 34 years 34.76% 29.61% 27.37% 27.94%
35 to 44 years 28.49% 24.13% 23.21% 23.56%
45 to 54 years 22.92% 19.12% 17.74% 18.67%
55 to 64 years 16.66% 12.73% 12.87% 14.00%
65 to 74 years 1.68% 1.74% 1.56% 1.24%
75 years and over 0.87% 0.74% 0.75% 0.86%
Female
Under 6 years 7.20% 5.42% 4.32% 5.69%
6 to 17 years 10.23% 7.94% 7.06% 7.70%
18 to 24 years 24.96% 19.25% 17.96% 19.61%
25 to 34 years 24.72% 20.60% 19.71% 20.27%
35 to 44 years 22.46% 18.35% 16.77% 17.59%
45 to 54 years 20.50% 16.45% 16.14% 15.98%
55 to 64 years 16.73% 12.40% 12.64% 13.46%
65 to 74 years 1.89% 1.77% 1.93% 1.63%
75 years and over 1.17% 0.92% 0.76% 0.85%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table B27001.
Retrieved from http://factfinder.census.gov
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In the United States from 2014 to 2017, the male and female population percentages without health
insurance were highest for ages 18-24, 25-34 and 35-44.
TABLE 53 United States–Percent No Health Insurance by Sex and Age
2014 2015 2016 2017
Male
Under 6 years 6.49% 3.97% 3.82% 4.11%
6 to 17 years 20.96% 5.26% 4.81% 5.50%
18 to 24 years 25.04% 16.82% 14.74% 15.95%
25 to 34 years 19.46% 20.70% 18.39% 18.45%
35 to 44 years 14.87% 16.45% 15.40% 15.53%
45 to 54 years 10.25% 12.15% 11.40% 11.69%
55 to 64 years 1.07% 8.19% 7.86% 8.21%
65 to 74 years 0.61% 0.99% 0.92% 0.90%
75 years and over 4.95% 0.52% 0.44% 0.52%
Female
Under 6 years 4.95% 4.04% 3.81% 4.12%
6 to 17 years 6.55% 5.12% 4.72% 5.35%
18 to 24 years 16.77% 13.13% 11.55% 12.49%
25 to 34 years 18.09% 14.34% 12.93% 12.93%
35 to 44 years 15.45% 12.69% 11.82% 11.89%
45 to 54 years 13.06% 10.17% 9.52% 9.77%
55 to 64 years 10.01% 7.65% 7.17% 7.54%
65 to 74 years 1.23% 1.05% 1.01% 0.95%
75 years and over 0.68% 0.63% 0.55% 0.59%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table B27001.
Retrieved from http://factfinder.census.gov
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From 2012 to 2015, the highest percentage of adults who could not see the doctor due to cost was in the
State of Florida, followed by Collier County and the United States.
GRAPH 28 Adults Could Not See a Doctor Due to Cost
Source: University of Wisconsin Population Health Institute. (2018). County Health Rankings &
Roadmaps. Retrieved from http://www.countyhealthrankings.org
Total current health expenditure as percent of GDP has increased 0.3 percent in 2016.
TABLE 54 Total U.S. Current Health Expenditure as Percent of Gross Domestic Product
2012 2013 2014 2015 2016
Private Sector 8.5 8.4 3.1 3.0 3.1
General Government 7.9 8.0 13.4 13.8 14.0
Total Expenditure 16.4 16.4 16.5 16.8 17.1
Source: Organization for Economic Co-operation and Development. (2018). Health Expenditure and
Financing [custom table]. Retrieved from stats.oecd.org
10.0%
11.0%
12.0%
13.0%
14.0%
15.0%
16.0%
17.0%
18.0%
2012 2013 2014 2015
Adults could not see a doctor due to cost
Collier County
Florida
United States
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GRAPH 29 Total U.S. Current Health Expenditure as Percent of Gross Domestic Product
Source: Organization for Economic Co-operation and Development. (2018). Health Expenditure and
Financing [custom table]. Retrieved from stats.oecd.org 8.58.43.13.03.17.98.013.413.814.02012 2013 2014 2015 2016
Total Current Health Expenditure
as % of GDP
Private Sector General Government
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The projected income and projected healthcare-related expenses for Collier County, Florida, and the
United States are anticipated to increase in 2023.
TABLE 55 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–Collier County
2018A 2023
Collier County
Household Demographics
Total Households 154,740 -
Average Household Income $100,437 -
Median Household Income $62,406 -
Healthcare Consumer Expenditure
Total Healthcare $4,672.29 $5,551.42
As percentage of Average Household Income 4.65% -
As percentage of Median Household Income 7.49% -
Healthcare Detail
Healthcare Insurance $3,352.87 $4,011.53
As percentage of Average Household Income 3.34% -
As percentage of Median Household Income 5.37% -
Medical Services $693.39 $808.28
As percentage of Average Household Income 0.69% -
As percentage of Median Household Income 1.11% -
Medical Supplies $158.58 $193.73
As percentage of Average Household Income 0.16% -
As percentage of Median Household Income 0.25% -
Source: DemographicsNow. (2018). Collier County, FL, Florida and Entire US CEX - Healthcare Detail
Comparison [Data]. Retrieved September 17, 2018 from DemographicsNow database.
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TABLE 56 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–Florida
2018A 2023
Florida
Household Demographics
Total Households 8,171,488 -
Average Household Income $74,651 -
Median Household Income $51,707 -
Healthcare Consumer Expenditure
Total Healthcare $4,216.06 $5,050.00
As percentage of Average Household Income 5.65% -
As percentage of Median Household Income 8.15% -
Healthcare Detail
Healthcare Insurance $3,002.32 $3,624.37
As percentage of Average Household Income 4.02% -
As percentage of Median Household Income 5.81% -
Medical Services $642.61 $755.10
As percentage of Average Household Income 0.86% -
As percentage of Median Household Income 1.24% -
Medical Supplies $129.72 $159.55
As percentage of Average Household Income 0.17% -
As percentage of Median Household Income 0.25% -
Source: DemographicsNow. (2018). Florida and Entire US CEX - Healthcare Detail Comparison [Data].
Retrieved September 17, 2018 from DemographicsNow database.
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TABLE 57 2018A Household and Healthcare Demographics and 2023 Demographic Household and
Healthcare Estimates–United States
2018A 2023
United States
Household Demographics
Total Households 123,611,231 -
Average Household Income $84,609 -
Median Household Income $58,754 -
Healthcare Consumer Expenditure
Total Healthcare $4,598.78 $5,566.56
As percentage of Average Household Income 5.44%
As percentage of Median Household Income 7.83%
Healthcare Detail
Healthcare Insurance $3,153.16 $3,814.27
As percentage of Average Household Income 3.73% -
As percentage of Median Household Income 5.37% -
Medical Services $838.76 $1,014.48
As percentage of Average Household Income 0.99% -
As percentage of Median Household Income 1.43% -
Medical Supplies $149.74 $186.78
As percentage of Average Household Income 0.18% -
As percentage of Median Household Income 0.25% -
Source: DemographicsNow. (2018). Entire US CEX - Healthcare Detail Comparison [Data]. Retrieved
September 17, 2018 from DemographicsNow database.
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The costs for health insurance plans, health maintenance plans, Medicare payments, and Medicare
supplements are projected to increase in 2023 for Collier County, Florida, and the United States.
TABLE 58 Healthcare Insurance 2018A Statistics and 2023 Estimates
2018A 2023
Collier County
Blue Cross / Blue Shield $ 852.83 $ 990.13
Commercial Health Insurance $ 438.76 $ 524.78
Health Maintenance Plans $ 660.88 $ 781.67
Medicare Payments $ 771.90 $ 935.36
Medicare Supplements $ 271.79 $ 331.54
Florida
Blue Cross / Blue Shield $ 851.91 $ 997.61
Commercial Health Insurance $ 409.58 $ 492.22
Health Maintenance Plans $ 628.56 $ 747.97
Medicare Payments $ 623.37 $ 769.63
Medicare Supplements $ 218.17 $ 270.84
United States
Blue Cross / Blue Shield $ 968.37 $ 1,156.57
Commercial Health Insurance $ 593.74 $ 706.35
Health Maintenance Plans $ 635.00 $ 756.38
Medicare Payments $ 528.63 $ 656.20
Medicare Supplements $ 206.36 $ 256.73
Source: DemographicsNow. (2018). Collier County, FL, Florida and Entire US CEX - Healthcare Detail
Comparison [Data]. Retrieved September 17, 2018 from DemographicsNow database.
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The cost of dental services and other medical services in 2018A was the highest for the United States,
followed by Collier County, then by Florida. However, the cost of eyecare services in 2018A was the
highest for Collier County, followed by the United States, then by Florida.
TABLE 59 Healthcare Services and Other Services 2018A Statistics and 2023 Estimates
2018A 2023
Collier County
Dental Services $252.65 $ 303.97
Eyecare Services $ 46.46 $ 56.00
Other Medical Services $ 10.49 $ 12.23
Physician Services $136.34 $ 151.88
Convalescent/Nursing Home Care $ 31.05 $ 33.99
Lab Tests and X-Rays $ 43.70 $ 49.04
Rental of Medical Equipment $ 0.62 $ 0.72
Services by Non-Physician Professionals $ 76.67 $ 91.80
Florida
Dental Services $222.99 $ 270.80
Eyecare Services $ 40.88 $ 50.02
Other Medical Services $ 10.48 $ 12.19
Physician Services $133.40 $ 149.52
Convalescent/Nursing Home Care $ 28.13 $ 31.91
Lab Tests and X-Rays $ 44.05 $ 50.08
Rental of Medical Equipment $ 0.52 $ 0.62
Services by Non-Physician Professionals $ 66.09 $ 79.58
United States
Dental Services $305.92 $ 378.80
Eyecare Services $ 44.56 $ 55.35
Other Medical Services $ 13.97 $ 16.96
Physician Services $198.81 $ 234.86
Convalescent/Nursing Home Care $ 23.14 $ 26.81
Lab Tests and X-Rays $ 44.26 $ 51.67
Rental of Medical Equipment $ 0.46 $ 0.56
Services by Non-Physician Professionals $ 87.70 $ 108.39
Source: DemographicsNow. (2018). Collier County, FL, Florida and Entire US CEX - Healthcare Detail
Comparison [Data]. Retrieved September 17, 2018 from DemographicsNow database.
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The cost of drugs is the highest for Collier County, the State of Florida, and the United States, which is
followed by healthcare supplies and equipment, and eyeglasses and contact lenses in 2018A. In 2023, it is
estimated for the costs to increase.
TABLE 60 Healthcare Supplies and Equipment 2018A Statistics and 2023 Estimates
2018A 2023
Collier County
Eyeglasses And Contact Lenses $ 68.94 $ 84.08
Healthcare Supplies and Equipment $ 158.58 $ 193.73
Drugs $ 467.45 $ 537.88
Florida
Eyeglasses And Contact Lenses $ 56.93 $ 69.48
Healthcare Supplies and Equipment $ 129.72 $ 159.55
Drugs $ 441.41 $ 510.99
United States
Eyeglasses And Contact Lenses $ 72.07 $ 89.54
Healthcare Supplies and Equipment $ 149.74 $ 189.78
Drugs $ 457.12 $ 551.02
Source: DemographicsNow. (2018). Collier County, FL, Florida and Entire US CEX - Healthcare Detail
Comparison [Data]. Retrieved September 17, 2018 from DemographicsNow database.
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Collier County reported a below state rate for selected vaccine-preventable diseases, with the exception
of the years 2008, 2011, 2013, 2014, and 2016. Please note, data was not available for 2015.
GRAPH 30 Selected Vaccine-Preventable Disease Rate for All Ages
Source: Florida Department of Health. (2018). Communicable Diseases: Selected Vaccine Preventable
Disease Rate for All Ages. Retrieved from http://flhealthcharts.org
2007 2008 2009 2010 2011 2012 2013 2014 2016
Collier 2.5 4.4 2.5 2.8 6.5 3.4 6.5 6.8 6.8
Florida 3.3 3.7 4.5 3.5 3.0 4.6 5.8 5.8 5.3
0
1
2
3
4
5
6
7
8
Rate Per 100,000Selected Vaccine-Preventable Disease Rate
for All Ages
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Collier County has seen an increase of preventable hospitalizations from vaccine-preventable conditions
per 100,000 people under 65 years of age.
*Data was not available for Collier County in 2008-2011, 2014, and 2016-2017.
GRAPH 31 Preventable Hospitalizations under 65 from Vaccine-Preventable Conditions
Source: Florida Department of Health. (2018). Communicable Diseases: Preventable Hospitalizations
under 65 from Vaccine Preventable Conditions. Retrieved from http://flhealthcharts.org
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Collier 0 0 0 0 2.1 2 0 2 0 0
Florida 0.9 0.9 0.8 0.7 1.1 1.1 1.0 0.5 0.5 0.5
0
0.5
1
1.5
2
2.5
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From 2011 to 2017, Collier County has consistently had a much lower HIV/AIDS rate per 100,000 than
the State of Florida. The HIV rate per 100,000 in Collier County was high in 2016. In the State of
Florida, the HIV rate per 100,000 was high in 2011. The AIDS rate per 100,000 in Collier County was
high in 2012-2013. In the State of Florida, the AIDS rate per 100,000 was high in 2011.
TABLE 61 HIV/AIDS Rate per 100,000
2011 2012 2013 2014 2015 2016 2017
Collier County
HIV Cases Rate 12.9 11.0 10.4 9.4 14.5 17.6 13.4
AIDS Cases Rate 7.1 8.6 8.6 5.0 5.8 7.1 7.5
HIV/AIDS Age Adjusted Death
Rate 1.3 0.7 2.3 0.9 0.6 1.7 1.7
Florida
HIV Cases Rate 24.7 23.6 22.6 23.5 24.5 24.6 24.1
AIDS Cases Rate 16.0 15.0 15.2 11.7 11.2 10.5 9.9
HIV/AIDS Age Adjusted Death
Rate 5.1 4.6 4.5 4.2 4.0 3.9 3.2
Source: Florida Department of Health. (2018). Communicable Diseases: AIDS Cases; HIV Cases;
Deaths from HIV/AIDS. Retrieved from http://flhealthcharts.org
GRAPH 32 HIV/AIDS Age Adjusted Death Rate
Source: Florida Department of Health. (2018). Communicable Diseases: AIDS Cases; HIV Cases;
Deaths from HIV/AIDS. Retrieved from http://flhealthcharts.org
0
1
2
3
4
5
6
2011 2012 2013 2014 2015 2016 2017Rate Per 100,000HIV/ AIDS Age Adjusted Death Rate
Collier County Florida
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From 2010 to 2015, Collier County has consistently had a much lower total gonorrhea, chlamydia and
infectious syphilis rate per 100,000 than the State of Florida. The total gonorrhea, chlamydia and
infectious syphilis rate per 100,000 was highest during 2015 for Collier County and the State of Florida.
TABLE 62 Total Gonorrhea, Chlamydia & Infectious Syphilis Rate per 100,000
2010 2011 2012 2013 2014 2015
Collier County 232.0 249.4 275.5 262.0 261.4 290.1
Florida 510.4 511.9 518.7 536.1 539.5 588.7
Source: Florida Department of Health. (2018). Communicable Diseases: Sexually Transmitted Diseases:
Total Gonorrhea, Chlamydia & Infectious Syphilis. Retrieved from http://flhealthcharts.org
GRAPH 33 Total Gonorrhea, Chlamydia & Infectious Syphilis Rate
Source: Florida Department of Health. (2018). Communicable Diseases: Sexually Transmitted Diseases:
Total Gonorrhea, Chlamydia & Infectious Syphilis. Retrieved from http://flhealthcharts.org
The total number of people who visited the ER in which the patient was uninsured/underinsured in
Collier County was highest in 2014 – 2015.
TABLE 63 Total Number of ER Visits in which the Patient was Uninsured/Underinsured in Collier
County
2014 2015 2016 2017 2018
Collier County 15,778 15,364 14,523 14,523 11,971
Source: Health Planning Council of Southwest Florida. (2018). 2018 Collier County Florida Health
Profile. Retrieved from http://www.hpcswf.com
200
250
300
350
400
450
500
550
600
2010 2011 2012 2013 2014 2015Rate Per 100,000Total Gonorrhea, Chlamydia &
Infectious Syphilis Rate
Collier County Florida
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Middle and High School Student Risk Factors
From 2010 to 2013, the percent of Collier County elementary and middle school students at risk for being
overweight has been 18-19 percent. This trend has been constant during this time period.
TABLE 64 Percent of Collier County Elementary and Middle School Students at Risk for Being
Overweight
2010-2011 2011-2012 2012-2013
Collier County 18% 19% 18%
Source: NCH Safe & Healthy Children’s Coalition. (2018). NCH Safe & Healthy Children’s Coalition
2013 Annual Report. Retrieved from http://www.safehealthychildren.org
From 2010 to 2013, the percent of Collier County elementary and middle school students in the obese
range has slightly fluctuated, ranging from 22 to 24 percent.
TABLE 65 Percent of Collier County Elementary and Middle School Students in the Obese Range
2010-2011 2011-2012 2012- 2013
Collier County 23% 24% 22%
Source: NCH Safe & Healthy Children’s Coalition. (2018). NCH Safe & Healthy Children’s Coalition
2013 Annual Report. Retrieved from http://www.safehealthychildren.org
GRAPH 34 Collier County Elementary and Middle School Student Weight Risk
Source: NCH Safe & Healthy Children’s Coalition. (2018). NCH Safe & Healthy Children’s Coalition
2013 Annual Report. Retrieved from http://www.safehealthychildren.org
0%
5%
10%
15%
20%
25%
30%
2010-2011 2011-2012 2012-2013PercentCollier County Elementary and Middle
School Student Weight Risk
At Risk For Being Overweight In Obese Range
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In the State of Florida, the percentage of surveyed youth in middle school and high school who reported
gang membership declined from 2010 to 2016; however, in 2018, the percentage of students reporting
gang membership in middle school increased by 0.5 percent and in high school increased by 0.2 percent.
Collier County data from 2008 to 2012 and 2018 was not available.
TABLE 66 Percentage of Collier County and Florida Statewide Youth in Middle School and High
School Who Reported Gang Membership–2008 to 2018
2008 2010 2012 2014 2016 2018
Collier County
Middle School - - - 2.70% 2.70% -
High School - - - 4.40% 1.90% -
Florida
Middle School 7.50% 5.90% 4.30% 3.60% 3.30% 3.80%
High School 6.60% 5.30% 4.20% 3.70% 3.50% 3.70%
Source: Florida Department of Children & Families. (2018). 2018 Florida Youth Substance Abuse Survey
Collier County Data Tables. Retrieved from http://www.dcf.state.fl.us
In Collier County and the State of Florida, the percentage of surveyed youth in middle school and high
school who reported alcohol use in the past 30 days declined from 2008 to 2016. Data for Collier County
was not available for 2018.
TABLE 67 Percentage of Surveyed Collier County and Florida Youth Who Reported Alcohol Use in the
Past 30 Days
2008 2010 2012 2014 2016 2018
Collier
Middle School 13.70% 13.90% 14.80% 7.30% 7.30% -
High School 44.60% 41.70% 36.40% 29.60% 29.40% -
Florida
Middle School 17.30% 16.80% 12.30% 10.10% 8.00% 7.30%
High School 39.50% 38.00% 33.90% 28.40% 25.50% 21.20%
Source: Florida Department of Children & Families. (2018). 2018 Florida Youth Substance Abuse Survey
Collier County Data Tables. Retrieved from http://www.dcf.state.fl.us
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From 2008 to 2018, Collier County and the State of Florida middle school students and high school
students were asked if they skipped school because of bullying; 2.60-8.40 percent of them indicated that
it had. Data for Collier County was not available for 2018.
TABLE 68 Percentages of Collier County and Florida Youth Who Reported They Skipped School
Because of Bullying
2008 2010 2012 2014 2016 2018
Collier
Middle School 2.60% 3.30% 4.70% 8.10% 6.30% -
High School - 2.60% 3.60% 6.60% 6.90% -
Florida
Middle School 2.90% 3.70% 4.40% 5.60% 7.60% 7.70%
High School - 3.90% 4.50% 6.20% 8.20% 8.40%
Source: Florida Department of Children & Families. (2018). 2018 Florida Youth Substance Abuse Survey
Collier County Data Tables. Retrieved from http://www.dcf.state.fl.us
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Adults with Health-Related Difficulties
From 2012 to 2017, males and females that were 5-17 years of age experienced the lowest percentage of
ambulatory difficulty. Females 75 years and over experienced the highest percentage of ambulatory
difficulty.
TABLE 69 Percent of Residents with Ambulatory Difficulty
2012 2013 2014 2015 2016 2017
Collier
Male 5 to 17 years 0.52% 2.48% 0.24% 1.81% 0.77% 0.29%
Male 18 to 34 years 0.43% 1.14% 1.22% 1.67% 0.00% 0.47%
Male 35 to 64 years 5.89% 6.83% 4.22% 5.69% 2.84% 4.33%
Male 65 to 74 years 7.48% 5.02% 7.63% 7.30% 6.93% 7.52%
Male 75 years and over 14.23% 14.92% 17.59% 10.62% 18.48% 16.01%
Female 5 to 17 years 1.05% 0.30% 0.00% 0.45% 0.00% 0.57%
Female 18 to 34 years 0.28% 2.14% 0.35% 0.57% 0.81% 2.18%
Female 35 to 64 years 4.55% 5.06% 3.35% 2.95% 4.26% 4.51%
Female 65 to 74 years 5.98% 10.13% 8.50% 4.07% 6.54% 8.95%
Female 75 years and over 28.44% 23.48% 18.38% 24.13% 20.28% 27.14%
Florida
Male 5 to 17 years 0.57% 0.73% 0.58% 0.61% 0.58% 0.77%
Male 18 to 34 years 1.46% 1.38% 1.44% 1.31% 1.53% 1.57%
Male 35 to 64 years 7.00% 7.09% 7.06% 6.75% 6.82% 6.86%
Male 65 to 74 years 12.63% 12.68% 12.61% 12.73% 12.20% 13.19%
Male 75 years and over 24.95% 26.23% 25.27% 26.16% 26.29% 24.76%
Female 5 to 17 years 0.67% 0.56% 0.56% 0.59% 0.56% 0.63%
Female 18 to 34 years 1.42% 1.51% 1.23% 1.33% 1.39% 1.18%
Female 35 to 64 years 7.65% 7.92% 7.55% 7.49% 7.58% 7.36%
Female 65 to 74 years 14.96% 15.25% 15.33% 14.75% 14.74% 14.24%
Female 75 years and over 33.67% 34.75% 34.79% 34.35% 33.50% 33.64%
United States
Male 5 to 17 years 0.69% 0.67% 0.67% 0.67% 0.67% 0.64%
Male 18 to 34 years 1.42% 1.42% 1.40% 1.37% 1.42% 1.38%
Male 35 to 64 years 6.75% 6.89% 6.84% 6.74% 6.70% 6.49%
Male 65 to 74 years 13.67% 13.93% 14.71% 13.91% 13.75% 13.71%
Male 75 years and over 27.52% 28.04% 27.50% 27.33% 27.46% 26.90%
Female 5 to 17 years 0.59% 0.59% 0.60% 0.58% 0.58% 0.57%
Female 18 to 34 years 1.42% 1.44% 1.43% 1.38% 1.38% 1.30%
Female 35 to 64 years 7.97% 8.10% 8.13% 7.97% 7.98% 7.58%
Female 65 to 74 years 17.43% 17.47% 17.30% 16.93% 16.92% 16.45%
Female 75 years and over 36.52% 37.05% 36.92% 36.40% 36.26% 35.36%
Source: Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year estimates: Table
B18105. Retrieved from http://www.census.gov/
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From 2012 to 2017, in Collier County, the State of Florida, and the United States, the male and female
population percentages with self-care difficulty were highest for ages 75 and older.
TABLE 70 Percent of Residents with Self-Care Difficulty
2012 2013 2014 2015 2016 2017
Collier
Male 5 to 17 years 0.67% 2.95% 1.01% 2.37% 0.58% 0.78%
Male 18 to 34 years 0.43% 0.00% 0.84% 0.40% 0.29% 0.32%
Male 35 to 64 years 1.14% 1.69% 2.42% 0.37% 1.40% 0.96%
Male 65 to 74 years 4.10% 1.32% 3.44% 1.20% 1.72% 2.50%
Male 75 years and over 4.23% 5.79% 9.69% 1.47% 8.66% 8.32%
Female 5 to 17 years 0.00% 0.30% 0.66% 1.08% 0.00% 0.00%
Female 18 to 34 years 0.44% 1.47% 0.67% 0.19% 0.40% 0.29%
Female 35 to 64 years 0.87% 2.02% 2.47% 1.00% 1.09% 0.72%
Female 65 to 74 years 1.30% 2.32% 3.95% 0.78% 3.09% 1.05%
Female 75 years and over 10.15% 12.65% 15.20% 5.98% 12.70% 5.71%
Florida
Male 5 to 17 years 1.06% 1.08% 1.01% 1.14% 1.15% 1.18%
Male 18 to 34 years 0.96% 0.87% 0.84% 0.89% 1.02% 1.23%
Male 35 to 64 years 2.55% 2.38% 2.42% 2.29% 2.31% 2.37%
Male 65 to 74 years 3.91% 3.45% 3.44% 3.73% 3.22% 3.62%
Male 75 years and over 9.16% 9.38% 9.69% 9.62% 9.69% 9.80%
Female 5 to 17 years 0.75% 0.76% 0.66% 0.72% 0.69% 0.78%
Female 18 to 34 years 0.71% 0.94% 0.67% 0.64% 0.91% 0.68%
Female 35 to 64 years 2.54% 2.44% 2.47% 2.36% 2.39% 2.55%
Female 65 to 74 years 3.84% 3.66% 3.95% 3.67% 3.60% 3.31%
Female 75 years and over 14.81% 14.35% 15.20% 14.47% 13.89% 13.94%
United States
Male 5 to 17 years 1.17% 1.10% 1.16% 1.15% 1.25% 1.21%
Male 18 to 34 years 0.91% 0.90% 0.91% 0.93% 0.99% 0.98%
Male 35 to 64 years 2.36% 2.36% 2.37% 2.38% 2.34% 2.26%
Male 65 to 74 years 4.28% 4.16% 4.22% 4.20% 4.21% 4.04%
Male 75 years and over 11.11% 10.94% 11.09% 10.84% 10.98% 10.65%
Female 5 to 17 years 0.74% 0.69% 0.74% 0.73% 0.79% 0.74%
Female 18 to 34 years 0.75% 0.76% 0.77% 0.74% 0.78% 0.75%
Female 35 to 64 years 2.56% 2.58% 2.57% 2.55% 2.53% 2.42%
Female 65 to 74 years 4.96% 4.77% 4.73% 4.62% 4.51% 4.33%
Female 75 years and over 15.88% 16.02% 15.84% 15.59% 15.47% 14.97%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year Estimate: Table B18106.
Retrieved from http://www.census.gov/
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From 2012 to 2017, in Collier County, the State of Florida, and the United States, the male and female
population percentages with independent living difficulty were highest for ages 75 and older.
TABLE 71 Percent of Residents with Independent Living Difficulty
2012 2013 2014 2015 2016 2017
Collier
Male 18 to 34 years 1.11% 2.05% 0.81% 2.05% 2.77% 0.94%
Male 35 to 64 years 3.85% 2.94% 2.34% 1.47% 4.15% 0.74%
Male 65 to 74 years 5.48% 2.86% 5.39% 3.64% 6.54% 3.43%
Male 75 years and over 10.01% 13.60% 11.69% 5.81% 18.68% 9.89%
Female 18 to 34 years 1.12% 2.69% 2.02% 1.57% 2.21% 2.79%
Female 35 to 64 years 3.74% 2.87% 1.55% 1.80% 4.89% 1.94%
Female 65 to 74 years 3.01% 3.93% 4.56% 3.32% 8.49% 2.86%
Female 75 years and over 27.65% 20.14% 15.87% 17.28% 29.10% 16.38%
Florida
Male 18 to 34 years 2.49% 2.44% 2.76% 2.43% 2.96% 2.95%
Male 35 to 64 years 4.29% 4.16% 4.22% 4.20% 4.17% 4.01%
Male 65 to 74 years 6.23% 5.59% 5.75% 5.32% 5.07% 5.64%
Male 75 years and over 17.16% 17.00% 16.84% 16.80% 16.87% 16.33%
Female 18 to 34 years 1.94% 2.03% 1.92% 1.71% 2.14% 2.20%
Female 35 to 64 years 4.74% 4.65% 4.81% 4.65% 4.62% 4.49%
Female 65 to 74 years 7.54% 6.69% 7.24% 7.18% 6.98% 6.48%
Female 75 years and over 27.28% 27.12% 27.49% 27.44% 25.89% 25.75%
United States
Male 18 to 34 years 2.35% 2.43% 2.50% 2.57% 1.50% 2.77%
Male 35 to 64 years 4.08% 4.12% 4.12% 4.16% 2.78% 4.02%
Male 65 to 74 years 6.77% 6.69% 6.71% 6.54% 2.60% 6.51%
Male 75 years and over 19.36% 19.15% 19.03% 18.91% 9.24% 18.02%
Female 18 to 34 years 1.92% 1.95% 2.06% 2.06% 0.79% 2.28%
Female 35 to 64 years 4.85% 4.87% 4.94% 4.88% 2.54% 4.70%
Female 65 to 74 years 9.29% 8.83% 8.85% 8.62% 4.74% 8.33%
Female 75 years and over 30.43% 30.25% 30.03% 29.58% 18.77% 28.21%
Source: U.S. Census Bureau. (2018). 2017 American Community Survey 1-year Estimates: Table
B18107. Retrieved from http://factfinder.census.gov
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Education
The School District of Collier County has a total of 48 schools (29 elementary schools, ten middle
schools, eight high schools, one Pre-K-thru-12 school). These schools serve a total student body of
48,000 students. There are also 13 Alternative School Programs. In addition, the district has two technical
colleges and adult education programs.
From 2011 to 2018 in the School District of Collier County student body, students who were white,
black, and Hispanic made up the largest percentages. The Hispanic population dominates the highest
percentage of students in Collier County schools.
TABLE 72 School District of Collier County Demographics - All Grades
2011 2012 2013 2014 2015 2016 2017 2018
White 40% 39% 38% 37% 36% 36% 34% 33%
17,174 16,960 16, 701 15,420 16,487 16,386 16,712 16,013
Black 12% 12% 12% 12% 12% 12% 11% 12%
5,181 5,203 5,308 5,418 5,416 5,334 5,637 5,524
Hispanic 44% 44% 46% 47% 48% 49% 49% 51%
18,682 19,205 19,966 20,786 21,510 22,420 24,412 24,079
Multi 2% 2% 2% 2% 2% 2% 3% 2%
851 897 914 878 904 904 1511 977
Asian 1% 1% 1% 1% 1% 1% 1% 1%
464 478 470 493 522 575 647 710
Pacific Islander 1% 1% 1% 1% 1% 1% 1% 0%
50 42 41 48 51 43 47 0
Source: Collier County Public Schools (2018). District Profile: Demographics by race -- grade all -
district. Retrieved from http://collierschools.com
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GRAPH 35 2018 School District of Collier County Demographics
Source: Collier County Public Schools (2018). District Profile: Demographics by race -- grade all -
district. Retrieved from http://collierschools.com
From 2009 to 2016 in Collier County, the percentages of KG-5, Grades 6-8, and Grades 9-12 needing a
free and reduced lunch have increased.
TABLE 73 Free and Reduced Lunch by Grade Level
2009 2010 2011 2012 2013 2014 2015 2016
KG - 5 58% 61% 65% 66% 67% 67% 66% 66%
11,210 11,888 12,855 13,159 13,556 13,771 13,828 13,826
Grades 6 - 8 51% 53% 59% 59% 61% 60% 61% 61%
4,862 5,027 5,608 5,642 5,944 6,059 6,432 6,485
Grades 9-12 38% 42% 47% 49% 51% 53% 53% 54%
4,798 5,261 5,974 6,244 6,600 6,815 6,924 7,329
Source: Collier County Public Schools (2017). District Profile: Demographics by free and reduced
lunch- combined grades - district. Retrieved from http://collierschools.com
33%
12%
51%
2%1%0%
2018 School District of Collier County
Demographics
White Black Hispanic Multi Asian Pac Islander
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GRAPH 36 Free and Reduced Lunch
Source: Collier County Public Schools (2017). District Profile: Demographics by free and reduced
lunch- combined grades - district. Retrieved from http://collierschools.com
The Florida Department of Education has created various domain codes that are utilized to indicate which
students are considered Limited English Proficient (LEP) and their standing regarding having enrolled in
a course that has been created for LEP students. Students that have been assigned the code of “LY” were
identified as being Limited English Proficient and are currently enrolled in courses created for LEP
students. Students that have been assigned the code “LN” have been identified as LEP students but have
not enrolled in courses created for LEP students. Students that have been assigned the code “LF” have
attended an ESOL program and are being monitored for two years. Students that have been assigned the
code “LP” are in grades 4-12 and have various indicators that indicate that they should receive an
aural/oral assessment to measure their English proficiency levels. Students that have the code “LZ”
assigned to them have been identified as an LEP student, have exited the ESOL program, and are no
longer being monitored.
In the School District of Collier County, students who are in KG-5 are the highest percentage of students
who are considered “LY” students. The percentage of students who have been coded as “LY” students
has gradually trended upward from 2009-2014; however, trended downward from 2014-2016.
30%
35%
40%
45%
50%
55%
60%
65%
70%
2009 2010 2011 2012 2013 2014 2015 2016
Free and Reduced Lunch
KG - 5 Grades 6 - 8 Grades 9-12
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TABLE 74 Limited English Proficiency (LEP)-School District of Collier County
2009 2010 2011 2012 2013 2014 2015 2016
KG - 5
LY 21% 21% 20% 21% 22% 23% 22% 22%
LN 0% 0% 0% 0% 0% 0% 0% 0%
LF 5% 3% 7% 8% 6% 7% 8% 8%
LP 0% 0% 0% 0% 0% 0% 0% 0%
LZ 5% 5% 4% 2% 3% 3% 3% 4%
Non-LEP 69% 71% 69% 69% 69% 67% 67% 65%
Grades 6 - 8
LY 7% 8% 6% 5% 6% 6% 5% 5%
LN 0% 0% 0% 0% 0% 0% 0% 0%
LF 7% 5% 7% 7% 5% 5% 7% 6%
LP 0% 0% 0% 0% 0% 0% 0% 0%
LZ 18% 20% 19% 19% 21% 21% 20% 18%
Non-LEP 67% 67% 68% 68% 68% 68% 68% 70%
Grades 9 - 12
LY 9% 8% 7% 6% 6% 5% 5% 5%
LN 0% 0% 0% 0% 0% 0% 0% 0%
LF 3% 2% 3% 4% 2% 3% 3% 3%
LP 0% 0% 0% 0% 0% 0% 0% 0%
LZ 17% 20% 22% 23% 25% 25% 24% 24%
Non-LEP 71% 70% 68% 68% 67% 67% 68% 68%
Source: Collier County Public Schools (2017). District Profile: LEP Status-Combined Grades. Retrieved
from http://collierschools.com
LY = Limited English Proficient (LEP), currently enrolled in LEP course
LN = Identified as LEP students but have not enrolled in LEP courses
LF = Student attended an English second language (ESOL) program and are being monitored for two
years
LP = 4th-12th grade, various indicators for need to measure English proficiency levels.
LZ = LEP students, completed ESOL program, no longer monitored
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Estimates from 2017 indicate that Collier County has a higher percentage of its residents who speak in a
different language at home (33.2%) than in the State of Florida (29.7%) and the United States (21.8%).
TABLE 75 Language Spoken at Home (2017 Estimate)
Collier County Florida United States
Population 5 years and over 356,026 19,855,078 305,924,019
English only 66.8% 70.3% 78.2%
Language other than English 33.2% 29.7% 21.8%
Speak English less than "very well" 15.8% 12.2% 8.5%
Spanish 24.6% 21.8% 13.4%
Speak English less than "very well" 12.4% 9.4% 5.4%
Other Indo-European languages 7.5% 5.5% 3.7%
Speak English less than "very well" 3.1% 1.9% 1.1%
Asian and Pacific Islander languages 0.9% 1.7% 3.5%
Speak English less than "very well" 0.2% 0.7% 1.6%
Other languages 0.2% 0.7% 1.1%
Speak English less than "very well" 0.0% 0.2% 0.3%
Source: Census Bureau. (2018). 2017 American Community Survey. Table CP02. Retrieved from
http://factfinder.census.gov
From 2013 to 2016, in Collier County, the State of Florida and the United States, the percentage of
students who were ACT test takers gradually increased; however, in 2017, Collier County, the State of
Florida, and the United States percentage decreased.
TABLE 76 ACT Test Takers and Participation Rate (Public Schools)
2013 2014 2015 2016 2017
Collier County
n 1,998 1,987 2,008 2,234 2,454
% 72% 74% 74% 78% 76%
Florida
n 124,131 129,676 130,798 131,621 129,320
% 74% 81% 79% 81% 73%
United States
n 1,799,234 1,845,787 1,924,436 2,090,342 2,030,038
% 34% 57% 59% 64% 63%
Source: Collier County Public Schools. (2018). 2016-2017 ACT Assessment Results Memorandum.
Retrieved from http://collierschools.com
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From 2013 to 2017, the ACT average scores were relatively stable in Collier County, the State of Florida
and the United States. Collier County and the State of Florida’s ACT average score were very close to
each other, and the average ACT score for the United States tended to be slightly higher than that of
Collier County and the State of Florida.
TABLE 77 ACT Average Scores (Public Schools)
2013 2014 2015 2016 2017
Composite Scores Collier County 19.8 19.6 20.1 20.2 19.8
Florida 19.6 19.6 19.9 19.9 19.8
United States 20.9 21.0 21.0 20.8 21.0
English Scores Collier County 18.8 18.7 19.3 19.4 19.0
Florida 18.7 18.7 18.9 18.9 19.0
United States 20.2 20.3 20.4 20.1 20.3
Mathematics Scores Collier County 19.9 19.5 19.8 19.7 19.3
Florida 19.7 19.5 19.6 19.5 19.4
United States 20.9 20.9 20.8 20.6 20.7
Reading Scores Collier County 20.4 20.5 21.0 21.2 20.9
Florida 20.4 20.7 21.0 21.1 21.0
United States 21.1 21.3 21.4 21.3 21.4
Science Scores Collier County 19.5 19.3 19.9 19.9 19.4
Florida 19.1 19.1 19.5 19.5 19.4
United States 20.7 20.8 20.9 20.8 21.0
Source: Collier County Public Schools. (2018). 2016-2017 ACT Assessment Results Memorandum.
Retrieved from http://collierschools.com
From 2012 to 2016 in Collier County, the ACT composite scores and participation by race were
measured. Collier County’s white student population had the highest ACT composite scores, followed by
the Hispanic student population and the black student population.
TABLE 78 Collier County ACT Composite Scores and Participation by Race (Public Schools)
2012 2013 2014 2015 2016
Composite Scores Black 16.3 16.4 16.4 17.2 16.9
White 22.7 22.4 22.2 22.6 22.8
Hispanic 18.3 18.2 18.1 18.5 18.6
Number of Students Black 223 295 238 298 269
White 769 805 752 792 847
Hispanic 629 721 816 814 933
Source: Collier County Public Schools. (2018). 2015-2016 ACT Assessment Results Memorandum.
Retrieved from http://collierschools.com
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From 2015 to 2018, the percent of students scoring three or above in English Language Arts (ELA) was
consistently similar for Collier County and the State of Florida.
TABLE 79 FSA English Language Arts Scores - Percent of Students Scoring Three or Above (Public
Schools)
2015 2016 2017 2018
Grade 3 Collier County 53% 52% 57% 59%
Florida 53% 54% 58% 57%
Grade 4 Collier County 52% 53% 57% 60%
Florida 54% 52% 56% 56%
Grade 5 Collier County 52% 51% 56% 59%
Florida 52% 52% 53% 55%
Grade 6 Collier County 50% 54% 55% 56%
Florida 51% 52% 52% 52%
Grade 7 Collier County 55% 51% 57% 54%
Florida 51% 49% 52% 51%
Grade 8 Collier County 61% 65% 58% 63%
Florida 55% 57% 55% 58%
Grade 9 Collier County 57% 58% 58% 56%
Florida 53% 51% 52% 53%
Grade 10 Collier County 55% 55% 55% 59%
Florida 51% 50% 50% 53%
Source: Collier County Public Schools. (2018). 2017-2018 State FSA and ECO Exam Results for Grades
3-10. Retrieved from http://collierschools.com
The SAT five-year trend of participation rates for Collier County was highest in 2013 and 2017;
however, from 2014 to 2016, the trend of participation rates for Collier County fluctuated.
TABLE 80 SAT Five-Year Trend of Participation Rates (Public Schools)
2013 2014 2015 2016 2017
Collier County
n 1,620 1,416 1,535 1,427 1,854
% 58% 55% 55% 50% 56%
Florida
n 112,554 115,437 122,939 122,294 134,808
% 67% 72% 74% 63% 64%
United States
n 1,660,047 1,672,395 1,698,521 1,637,589 1,832,683
% 50% 52% 52% 47% 48%
Source: Collier County Public Schools. (2018). 2016-2017 SAT Assessment Results Memorandum.
Retrieved from http://collierschools.com
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From 2013 to 2016, the SAT critical reading, writing, and math mean score for students from Collier
County, the State of Florida, and the United States has fluctuated.
* 2017 is the first year the redesigned SAT is reported. Critical Reading and Writing were combined.
TABLE 81 SAT Critical Reading, Writing and Math Mean Score Comparison
2013 2014 2015 2016 2017*
Collier County Critical Reading 490 499 498 508 533
Writing 477 480 482 488
Math 493 494 493 501 507
Florida Critical Reading 492 491 486 481 517
Writing 475 472 468 462
Math 490 485 480 475 493
United States Critical Reading 496 497 495 494 538
Writing 488 487 484 482
Math 514 513 511 508 533
Source: Collier County Public Schools. (2018). 2016-2017 SAT Assessment Results Memorandum.
Retrieved from http://collierschools.com
From 2011 to 2015, the five-year trend for college-bound senior SAT test takers participation rate by
ethnicity experienced an upward trend for all groups. The highest percentage of SAT-takers was white
students, followed by Hispanic students and black students.
TABLE 82 Collier County Five-Year Trend for College-Bound Senior SAT Test Takers: Mean Scores
and Participation Rate by Ethnicity
2011 2012 2013 2014 2015
White Students Number 893 888 880 794 758
Participation Rate 65% 67% 67% 66% 61%
Critical Reading Mean 510 519 520 519 526
Writing Mean 494 500 508 502 510
Math Mean 521 525 528 516 524
Hispanic Students Number 392 450 483 416 490
Participation Rate 40% 52% 48% 40% 45%
Critical Reading Mean 462 460 466 472 472
Writing Mean 450 445 453 452 460
Math Mean 468 468 467 465 466
Black Students Number 139 125 136 105 170
Participation Rate 40% 43% 38% 34% 46%
Critical Reading Mean 410 426 418 432 441
Writing Mean 389 413 405 412 414
Math Mean 407 422 410 410 414
Source: Collier County Public Schools. (2018). 2014-2015 SAT Assessment Results Memorandum.
Retrieved from http://collierschools.com
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TABLE 83 Mean SAT Scores Public and Independent School Comparison
Schools Critical Reading Mathematics Writing
2016
Florida
Public 474 467 454
Religious 522 520 516
Independent 540 560 539
United States
Public 487 494 472
Religious 532 537 525
Independent 530 579 536
2015
Florida
Public 481 474 461
Religious 520 516 513
Independent 538 555 535
United States
Public 489 498 475
Religious 533 536 527
Independent 532 579 538
2014
Florida
Public 486 479 465
Religious 519 515 510
Independent 535 556 534
United States
Public 492 501 478
Religious 533 537 527
Independent 535 580 542
2013
Florida
Public 488 486 469
Religious 519 516 513
Independent 529 552 529
United States
Public 491 503 480
Religious 531 536 528
Independent 536 581 545
Source: The College Board. (2018). 2016 SAT Report on College-Bound seniors. Retrieved from:
www.collegeboard.org
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From 2012 to 2017, the high school graduation rates for Collier County and the State of Florida
increased.
TABLE 84 High School Graduation Rates, Florida's Calculation
2012-13 2013-14 2014-15 2015-16 2016-17
Collier County 81.3% 82.1% 84.3% 86.7% 88.2%
Florida 75.6% 76.1% 77.9% 80.7% 82.3%
United States 81.0% 82.3% 83.2% 84.1% -
Source: Florida Department of Education. (2018) 2016-17 Florida’s High School Cohort Graduation
Rate. Retrieved from: http://www.fldoe.org; National Center for Education Statistics, Common Core of
Data (CCD). (2018) 2015-16 Dropout and Completer Data Tables. Retrieved from: https://nces.ed.gov
GRAPH 37 High School Graduation Rate
Source: Florida Department of Education. (2018) 2016-17 Florida’s High School Cohort Graduation
Rate. Retrieved from: http://www.fldoe.org; National Center for Education Statistics, Common Core of
Data (CCD). (2018) 2015-16 Dropout and Completer Data Tables. Retrieved from: https://nces.ed.gov
60.0%
65.0%
70.0%
75.0%
80.0%
85.0%
90.0%
2012-13 2013-14 2014-15 2015-16 2016-17
High School Graduation Rates
Collier County Florida United States
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School enrollment has been fluctuating since 2013-2017 in Collier County, the State of Florida, and the
United States.
TABLE 85 School Enrollment
2013 2014 2015 2016 2017
Collier County
Population 3 years and over
enrolled in school 64,171 63,871 67,853 65,401 64,930
Nursery school, preschool 6.2% 3.8% 6.0% 5.0% 4.1%
Kindergarten 4.8% 4.5% 5.4% 5.4% 4.4%
Elementary school (grades 1-8) 43.9% 45.9% 42.5% 43.5% 47.3%
High school (grades 9-12) 19.7% 24.9% 22.8% 23.5% 21.0%
College or graduate school 25.5% 20.9% 23.4% 22.5% 23.2%
Florida
Population 3 years and over
enrolled in school 4,643,948 4,674,255 4,706,933 4,718,808 4,770,596
Nursery school, preschool 6.2% 6.0% 6.1% 6.0% 6.1%
Kindergarten 4.9% 4.8% 4.7% 4.9% 4.8%
Elementary school (grades 1-8) 39.0% 39.2% 39.0% 39.1% 39.6%
High school (grades 9-12) 20.6% 20.9% 20.9% 21.0% 20.8%
College or graduate school 29.3% 29.1% 29.1% 29.0% 28.8%
United States
Population 3 years and over
enrolled in school 2,395,254 82,063,714 81,618,288 81,572,277 81,273,337
Nursery school, preschool 6.0% 6.0% 6.0% 6.0% 6.0%
Kindergarten 5.2% 5.1% 5.0% 5.0% 4.9%
Elementary school (grades 1-8) 40.0% 40.2% 40.3% 40.3% 40.5%
High school (grades 9-12) 20.6% 20.7% 20.9% 21.0% 21.1%
College or graduate school 28.3% 28.0% 27.8% 27.7% 27.4%
Source: Census Bureau (2018). 2017 American Community Survey 1-year estimate Table: CP02.
Retrieved from http://factfinder.census.gov
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From 2013 to 2017, the number of people who obtained either a graduate or professional degree has
gradually increased for Collier County, the State of Florida, and the United States.
TABLE 86 Educational Attainment
2013 2014 2015 2016 2017
Collier County
Population 25 years and over 252,800 259,692 268,250 275,724 283,595
Less than 9th grade 6.9% 8.1% 6.3% 8.2% 7.2%
9th to 12th grade, no diploma 5.5% 7.1% 6.9% 6.7% 4.5%
High school graduate
(includes equivalency) 28.3% 25.3% 26.1% 25.9% 27.0%
Some college, no degree 17.8% 18.2% 17.9% 17.3% 16.2%
Associate degree 9.1% 6.5% 7.7% 7.9% 8.1%
Bachelor's degree 17.6% 21.2% 21.4% 19.6% 22.4%
Graduate or professional
degree 14.8% 13.6% 13.8% 14.3% 14.6%
Florida
Population 25 years and over 13,726,996 14,041,196 14,394,281 14,703,671 15,020,177
Less than 9th grade 5.3% 5.2% 5.2% 5.2% 4.7%
9th to 12th grade, no diploma 7.9% 7.6% 7.2% 7.4% 6.9%
High school graduate
(includes equivalency) 29.5% 29.6% 29.2% 28.9% 28.8%
Some college, no degree 20.7% 20.7% 20.4% 20.1% 19.9%
Associate degree 9.5% 9.7% 9.6% 9.7% 10.0%
Bachelor's degree 17.6% 17.4% 18.2% 18.2% 18.9%
Graduate or professional
degree 9.7% 9.8% 10.2% 10.4% 10.8%
United States
Population 25 years and over 210,910,615 213,725,624 216,447,163 218,475,480 221,250,083
Less than 9th grade 5.8% 5.6% 5.5% 5.4% 5.1%
9th to 12th grade, no diploma 7.6% 7.5% 7.3% 7.2% 6.9%
High school graduate
(includes equivalency) 27.8% 27.7% 27.6% 27.2% 27.1%
Some college, no degree 21.1% 21.0% 20.7% 20.6% 20.4%
Associate degree 8.1% 8.2% 8.2% 8.4% 8.5%
Bachelor's degree 18.4% 18.7% 19.0% 19.3% 19.7%
Graduate or professional
degree 11.2% 11.4% 11.6% 11.9% 12.3%
Source: Census Bureau (2018). 2017 American Community Survey 1-year estimate Table: CP02.
Retrieved from http://factfinder.census.gov
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From 2014 to 2017 in Collier County, the State of Florida, and the United States, the population of 25
years and over chose (highest to lowest) business, education and science, and related fields as their first
major.
TABLE 87 Collier County Detailed Field of Bachelor’s Degree for First Major for the Population 25
Tears and Over
2014 2015 2016 2017
Collier County
Total 90,277 94,443 93,512 104,937
Science and Engineering
Computers, Mathematics and Statistics 2,043 2,350 2,236 3,351
Biological, Agricultural and Environmental Sciences 4,785 5,377 5,091 5,273
Physical and Related Sciences 2,113 3,110 3,016 4,574
Psychology 3,327 4,315 3,721 4,342
Social Sciences 7,422 6,874 6,914 8,939
Engineering 5,447 7,461 7,286 7,077
Multidisciplinary Studies 471 378 402 419
Science and Engineering Related Fields 8,263 7,390 8,293 10,149
Business 21,124 23,752 23,054 25,218
Education 15,843 15,549 14,154 16,787
Arts, Humanities and Other
Literature and Languages 4,819 4,112 5,000 4,229
Liberal Arts and History 5,370 3,350 4,524 4,971
Visual and Performing Arts 2,240 3,096 3,805 3,659
Communications 2,007 3,178 2,132 1,984
Other 5,003 4,151 3,884 3,965
Source: Census Bureau (2018). 2017 American Community Survey 1-year estimate Table: B15010.
Retrieved from http://factfinder.census.gov
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TABLE 88 Florida Detailed Field of Bachelor’s Degree for First Major for the Population 25 Years and
Over
2014 2015 2016 2017
Florida
Total 3,830,504 4,092,338 4,208,456 4,454,492
Science and Engineering
Computers, Mathematics and Statistics 146,526 151,990 155,050 171,336
Biological, Agricultural and Environmental
Sciences 184,611 197,129 209,207 222,540
Physical and Related Sciences 112,839 112,242 113,952 116,480
Psychology 175,474 197,723 187,936 205,853
Social Sciences 264,583 285,945 298,762 308,548
Engineering 293,646 318,838 331,390 358,356
Multidisciplinary Studies 26,769 19,826 25,404 29,646
Science and Engineering Related Fields 385,093 414,601 432,861 475,420
Business 936,865 995,869 1,002,581 1,084,019
Education 550,212 589,792 566,225 582,640
Arts, Humanities and Other
Literature and Languages 118,586 133,919 150,060 145,364
Liberal Arts and History 163,744 177,220 185,286 185,733
Visual and Performing Arts 122,926 122,006 138,054 144,434
Communications 136,864 148,969 161,048 162,072
Other 211,766 226,269 250,640 262,051
Source: Census Bureau (2018). 2017 American Community Survey 1-year estimate Table: B15010.
Retrieved from http://factfinder.census.gov
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TABLE 89 United States Detailed Field of Bachelor’s Degree for First Major for the Population 25
Years and Over
2014 2015 2016 2017
United States
Total 64,255,026 66,241,553 68,334,277 70,765,915
Science and Engineering
Computers, Mathematics and
Statistics
2,839,305 2,994,162 3,070,646 3,295,041
Biological, Agricultural and
Environmental Sciences
3,943,346 4,084,323 4,261,869 4,462,181
Physical and Related Sciences 2,109,399 2,072,146 2,158,914 2,203,957
Psychology 3,018,445 3,125,659 3,270,563 3,392,209
Social Sciences 4,941,702 5,102,173 5,221,852 5,325,019
Engineering 5,004,316 5,212,950 5,357,590 5,626,061
Multidisciplinary Studies 421,146 431,426 463,442 516,502
Science and Engineering Related
Fields
5,922,912 6,180,927 6,487,863 6,784,663
Business 13,116,144 13,585,532 13,874,749 14,374,483
Education 8,345,701 841,457 8,546,076 8,636,768
Arts, Humanities and Other
Literature and Languages 2,760,995 2,851,805 2,927,045 2,990,063
Liberal Arts and History 3,242,151 3,282,681 3,373,305 3,445,951
Visual and Performing Arts 2,600,701 2,687,762 2,812,759 2,902,778
Communications 2,470,219 2,549,845 2,665,764 2,739,387
Other 3,518,544 3,662,705 3,841,839 4,070,852
Source: Census Bureau (2018). 2017 American Community Survey 1-year estimate Table: B15010.
Retrieved from http://factfinder.census.gov
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Recreation, Arts, and Leisure
From 2014 to 2018, the percentage of total employment in Collier County has decreased, and it is
projected to continue to decrease in 2020. In the State of Florida, the percentage of total employment
began to increase in 2015; however, it is projected to continue decreasing. In the United States, the
percentage of total employment increased in 2015; however, it is expected to continue decreasing.
TABLE 90 Employment in Arts, Entertainment, and Recreation (in thousands of jobs)
2014 2015 2016 2017 2018* 2020*
Collier County 9,548 9,678 9,697 9,761 10,330 10,696
% of Total Employment 4.70% 4.65% 4.55% 4.44% 4.41% 4.27%
Florida 329,007 339,632 342,790 346,686 353,873 365,504
% of Total Employment 3.02% 3.05% 3.02% 2.96% 2.85% 2.84%
United States 4,182,250 4,288,845 4,316,562 4,353,597 4,445,347 4,577,344
% of Total Employment 2.25% 2.27% 2.25% 2.22% 2.19% 2.19%
Source: Woods & Poole Economics. (2018). 2018 State Profile: Florida [DATA FILE]. Washington,
DC: Author. (*Forecast Estimation)
GRAPH 38 Employment in Arts, Entertainment, and Recreation
Source: Woods & Poole Economics. (2018). 2018 State Profile: Florida [DATA FILE]. Washington,
DC: Author. (*Forecast Estimation)
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
2014 2015 2016 2017 2018*2020*Percent of Total EmploymentEmployment in Arts, Entertainment,
and Recreation
United States Florida Collier County
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From 2014 to 2016, Collier County has experienced an upward trend in earnings in arts, entertainment,
and recreations. This trend can also be seen in the State of Florida, as well as the United States. From
2017 to 2018, the trend moved downward for Collier County, the State of Florida, and the United States;
however, it is projected that the trend will move upward in 2020.
TABLE 91 Earnings in Arts, Entertainment, & Recreations (in millions of 2009 dollars)
2014 2015 2016 2017 2018* 2020*
Collier County 368,064 377,129 386,676 359,041 333,203 350,203
% of Total
Employment
181.37% 181.19% 181.25% 163.41% 142.12% 139.86%
Florida 10,246,102 10,492,939 10,740,588 10,495,826 10,494,180 10,954,610
% of Total
Employment
93.90% 94.26% 94.62% 89.59% 84.59% 84.97%
United States 109,580,948 111,752,297 114,076,457 120,846,434 124,437,500 129,119,200
% of Total
Employment
58.98% 59.17% 59.45% 61.70% 61.41% 61.91%
Source: Woods & Poole Economics. (2018). 2018 State Profile: Florida [DATA FILE]. Washington,
DC: Author. (*Forecast Estimation)
Nonprofits in Arts, Entertainment, & Recreation
As of August 2016, 5.69 percent of Collier County’s total registered nonprofit organizations were
classified as “Arts, Culture, and Humanities.” This is less than the State of Florida with 6.16 percent and
the United States with 7.49 percent.
TABLE 92 Registered Nonprofit Organizations
Arts, Culture, and
Humanities Environment
Animal
Related
Total Registered
Nonprofit
Organizations
Collier County 97 41 56 1,706
Florida 5,052 1,373 1,959 82,056
United States 118,498 35,314 28,084 1,581,445
Source: Internal Revenue Service. (2018). Exempt organizations business master file, The Urban
Institute, National Center for Charitable Statistics. Retrieved from http://nccsdataweb.urban.org
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In both Collier County and the State of Florida, the highest percentage of students in PK-12 participated
in music, followed by visual arts, theatre, and dance.
TABLE 93 Percentage of Students (PK-12) Who Participated in a Fine Arts Discipline
2013-14 2014-15 2015-16 2016-17 2017-18
Collier County
Dance 0.1% 0.0% 0.0% 0.6% 0.7%
Theatre 1.0% 1.1% 2.2% 1.4% 1.3%
Visual Arts 54.6% 54.9% 54.7% 55.0% 52.9%
Music 57.7% 57.8% 57.1% 56.2% 55.0%
Florida
Dance 1.7% 1.7% 1.8% 1.9% 1.9%
Theatre 3.3% 3.5% 3.7% 3.7% 3.8%
Visual Arts 41.3% 41.8% 42.8% 42.8% 43.1%
Music 44.6% 44.8% 45.4% 45.3% 45.1%
Source: Florida Department of Education. (2018). 2017-18 Fine Arts Students of Total Students by
Discipline. Retrieved from http://edstats.fldoe.org
TABLE 94 Number of Fine Arts Classes by Discipline (PK-12)
2013-14 2014-15 2015-16 2016-17 2017-18
Collier County
Dance 3 - - 17 26
Theatre 31 46 80 66 54
Visual Arts 652 586 591 650 634
Music 731 697 705 691 705
Florida
Dance 2,672 2,549 2,753 2,933 3,081
Theatre 5,328 6,059 6,415 6,402 6,665
Visual Arts 31,848 31,068 31,871 333,556 34,054
Music 39,440 39,530 40,649 41,740 42,124
Source: Florida Department of Education. (2018). 2017-18 Fine Arts Teachers and Classroom. Retrieved
from http://edstats.fldoe.org
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Charitable Giving
In 2011 and 2013, Collier County has had the highest AGI average on itemized returns, as well as the
percentage of itemized returns and average itemized contributions reported, compared to the State of
Florida and the United States.
TABLE 95 Average Charitable Giving and Adjusted Gross Income (Household Income by Zip)
Number of
Itemized
Tax
Returns
Filed
Average
AGI on
Itemized
Returns
Number of
Itemized
Returns
Reporting
Contributions
% of
Itemized
Returns
Average
Itemized
Contribution
reported
% of
Average
Itemized
Contribution
reported
2013
Collier County 52,270 $ 266,916 43,910 84.01% $ 13,885 5.20%
Florida 2,184,920 $ 132,502 1,770,130 81.02% $ 5,823 4.39%
United States 44,380,440 $ 124,224 36,478,140 82.19% $ 4,928 3.97%
2012
Collier County 53,030 $ 306,412 44,360 83.65% $ 14,642 4.78%
Florida 2,277,630 $ 142,131 1,829,820 80.34% $ 5,698 4.01%
United States 45,592,210 $ 126,262 37,298,370 81.81% $ 4,802 3.80%
2011
Collier County 52,695 $ 305,788 43,512 82.57% $ 11,418 3.73%
Florida 2,358,331 $ 213,650 1,862,177 78.96% $ 4,884 2.29%
United States 46,813,356 $ 183,128 38,009,698 81.19% $ 4,308 2.35%
Source: Internal Revenue Service, Charitable Giving by Households that Itemize Deductions (AGI and
Itemized Contributions Summary by Zip, 2011, 2012, 2013. The Urban Institute, National Center for
Charitable Statistics. Retrieved from http://nccsdataweb.urban.org/
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GRAPH 39 Itemized Tax Return Reporting Contributions
Source: Internal Revenue Service, Charitable Giving by Households that Itemize Deductions (AGI and
Itemized Contributions Summary by Zip, 2011, 2012, 2013. The Urban Institute, National Center for
Charitable Statistics. Retrieved from http://nccsdataweb.urban.org/
Residents of the State of Florida and the United States who earn $75,000 or higher itemize at least 83.54
percent of their tax returns and on average, contribute at least $3,253 of their income to charitable causes.
Data for Collier County is not reported to the National Center for Charitable Statistics.
TABLE 96 Florida–Average Charitable Giving and Adjusted Gross Income by Income Level
AGI Size
Number of
Itemized Tax
Returns Filed
Average
AGI on
Itemized
Returns
Number of
Itemized
Returns
Reporting
Contributions
% of
Itemized
Tax
Returns
Filed
Average
Itemized
Contributions
Reported
% of
average
AGI on
Itemized
Returns
Florida
$1 under $25,000 259,540 $ 15,470 162,970 62.79% $ 1,835 11.86%
$25,000 under
$50,000 478,030 $ 37,447 352,930 73.83% $ 2,571 6.87%
$50,000 under
$75,000 397,740 $ 61,902 321,870 80.92% $ 3,159 5.10%
$75,000 under
$100,000 298,930 $ 86,917 254,540 85.15% $ 3,736 4.30%
$100,000 under
$200,000 506,070 $ 137,519 451,530 89.22% $ 4,753 3.46%
$200,000 or more 244,610 $ 602,567 226,290 92.51% $ 22,037 3.66%
Source: Internal Revenue Service, Charitable Giving by Households that Itemize Deductions (AGI and
Itemized Contributions Summary by Zip, 2013). The Urban Institute, National Center for Charitable
Statistics. Retrieved from http://nccsdataweb.urban.org/
78.00%
79.00%
80.00%
81.00%
82.00%
83.00%
84.00%
2011 2012 2013Percent of all itemized tax returnReporting Chartiable Contribution
Collier County Florida United States
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TABLE 97 United States–Average Charitable Giving and Adjusted Gross Income by Income Level
AGI Size
Number of
Itemized Tax
Returns Filed
Average
AGI on
Itemized
Returns
Number of
Itemized
Returns
Reporting
Contributions
% of
Itemized
Tax
Returns
Filed
Average
Itemized
Contributions
Reported
% of
average
AGI on
Itemized
Returns
United States
$1 under $25,000 3,531,590 $ 15,066 2,282,770 64.64% $ 1,889 12.54
$25,000 under
$50,000 7,352,780 $ 38,274 5,389,430 73.30% $ 2,517 6.58%
$50,000 under
$75,000 8,125,380 $ 62,351 6,450,670 79.39% $ 2,874 4.61%
$75,000 under
$100,000 7,202,730 $ 87,249 6,016,940 83.54% $ 3,253 3.73%
$100,000 under
$200,000 13,016,250 $ 137,926 11,553,640 88.76% $ 4,089 2.96%
$200,000 or more 5,151,670 $ 501,783 4,784,690 92.88% $ 15,886 3.17%
Source: Internal Revenue Service, Charitable Giving by Households that Itemize Deductions (AGI and
Itemized Contributions Summary by Zip, 2013). The Urban Institute, National Center for Charitable
Statistics. Retrieved from http://nccsdataweb.urban.org/
Volunteering
Statewide, the 55-64 population has the largest amount of hours volunteering and the 75 and over
population has the largest amount of hours nationwide. The age group 65-74 has the highest volunteer
rate in Florida with 22.18 percent and the 35-44 population has the highest rate nationwide with 29.75
percent.
TABLE 98 Volunteer Rates and Hours by Age Group
16-19 20-24 25-34 35-44 45-54 55-64 65-74 75+
Florida
Rate 20.03 13.96 16.59 20.23 21.41 20.49 22.18 14.47
Hours - - 48 48 52 64 - -
United States
Rate 26.21% 18.55% 22.04% 29.75% 28.26% 25.64% 26.47% 19.96%
Hours 40 40 32 45 52 53 81 100
Source: Corporation for National and Community Service. (2018). 2015 Volunteering and Civic
Engagement. Retrieved from www.volunteeringinamerica.gov
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In the State of Florida, the percentage of the population that donates time to volunteerism is less than the
percentage of the population of the United States that donates their time to volunteerism.
TABLE 99 Volunteer Rates and Hours by Race
White Black Native Am /
Alaskan Asian Hawaiian / Pacific
Is.
More than one
RNO
Florida
Rate 19.42% 17.96% - 14.37% - 23.90%
Hours 60 68 - - - -
United States
Rate 26.70% 19.18% 18.90% 18.36% 24.45% 26.61%
Hours 50 52 50 40 48 46
Source: Corporation for National and Community Service. (2018). 2015 Volunteering and Civic
Engagement. Retrieved from www.volunteeringinamerica.gov
GRAPH 40 Volunteer Rate
Source: Corporation for National and Community Service. (2018). 2015 Volunteering and Civic
Engagement. Retrieved from www.volunteeringinamerica.gov
15.00%
17.00%
19.00%
21.00%
23.00%
25.00%
27.00%
29.00%
31.00%
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Volunteer Rate
United States Florida
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People in both the State of Florida and the United States tend to donate the largest amount of time to
religious causes, educational endeavors, and social service causes; however, they donate less of a
percentage of their time to health-related causes, civic causes, sports and arts, and other causes.
GRAPH 41 Volunteer Interest Areas
Source: Corporation for National and Community Service. (2018). 2015 Volunteering and Civic
Engagement. Retrieved from www.volunteeringinamerica.gov
Residents of the State of Florida and the United States tend to devote the largest portion of their
volunteering hours in activities relating to fundraising and collection/distributing of food.
GRAPH 42 Top 5 Volunteer Activities
Source: Corporation for National and Community Service. (2018). 2015 Volunteering and Civic
Engagement. Retrieved from www.volunteeringinamerica.gov
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
40.00%
Civic Educational Health Religious Social
Service
Sports/ Arts Other
Volunteer Interest Areas
Florida United States
18.80%
24.00%
24.20%
17.50%
18.00%
14.30%
20.00%
21.00%
14.50%
14.60%
General Labor
Fundaraiser
Collect/ Distr. Food
Mentor Youth
Tutor/ Teach
Top 5 Volunteer Activities
Florida United States
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Collier County 211 Caller Statistics
From 2013 to 2017, there has been a gradual increase in the amount of people calling Collier County
2-1-1 requesting assistance. Data was not available for July 2015 through December 2015.
TABLE 100 Collier County 2-1-1 Total Calls per Month by Fiscal Year
2013-2014 2014-2015 2015-2016 2016-2017
July 119 255 - 215
August 179 201 - 253
September 284 253 - 261
October 202 286 - 274
November 161 178 - 236
December 164 177 - 230
January 180 181 150 227
February 170 147 136 291
March 237 166 160 338
April 221 184 129 314
May 250 161 147 229
June 211 162 134 301
Year Total 1,497 2,378 2,351 856
Source: Collier 2-1-1. (2018). 2016 - 2017 Caller Statistics Monthly Report. Retrieved from
http://www.collier211.org
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From July 2016 to June 2017, housing and shelter assistance, food, utilities, healthcare, and mental health
and addictions were the top five needs for county residents.
TABLE 101 Collier County 2-1-1 Call Problems/Needs for July 2017-June 2018
Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun
Housing & Shelter 121 124 242 338 177 169 137 81 130 149 166 115
Food 38 56 244 193 166 65 42 44 34 68 58 44
Utilities 70 97 194 424 133 112 97 50 68 67 67 74
Healthcare 34 31 22 28 35 21 38 27 58 32 46 22
Mental Health &
Addictions 8 23 2 16 16 9 17 8 35 30 29 14
Employment &
Income 21 15 46 43 17 13 43 163 184 111 26 9
Clothing &
Household 5 15 46 48 13 14 10 7 11 5 26 3
Childcare &
Parenting 6 9 2 15 11 9 0 1 0 5 1 5
Government & Legal 5 10 16 30 21 16 21 23 22 22 21 9
Transportation
Assistance 4 6 7 11 5 14 9 12 13 11 10 13
Education 3 3 1 0 0 2 1 1 0 0 1 0
Disaster 2 6 805 219 42 14 7 4 7 3 28 16
Other 32 33 41 27 23 25 25 29 32 16 14 18
Source: Collier 2-1-1. (2018) 2017-2018 2-1-1 Counts. Retrieved from http://www.collier211.org
Between May and August, females made the most calls to Collier County 2-1-1. Data was not available
prior to May 2018.
TABLE 102 Collier County 2-1-1 Total Calls per Month per Gender for May 2018–August 2018
May June July August
Female 261 253 340 239
Male 116 86 106 80
Unknown/Refused 116 3 0 17
Source: Collier 2-1-1. (2018) 2018 2-1-1 Counts. Retrieved from http://www.collier211.org
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Between May and August, people in the age ranges of 18 to 29, 30 to 39, 50 to 59, and 60 and above
called the Collier County 2-1-1 phone line the most. Data was not available prior to May 2018.
TABLE 103 Collier County 2-1-1 Total Calls per Month per Gender for May–August 2018
May June July August
0 to 18 0 0 0 0
18 to 29 10 16 13 10
30 to 39 11 2 15 1
40 to 49 9 5 10 0
50 to 59 8 35 22 10
60 and above 44 34 32 31
Not Available 411 250 354 284
Source: Collier 2-1-1. (2018) 2018 2-1-1 Counts. Retrieved from http://www.collier211.org
Children and Child Care
The amount of reported child day care establishments increased in Collier County, the state of Florida,
and the United States in 2017.
TABLE 104 Private Child Day Care Services by Population Under 5 years
2013 2014 2015 2016 2017
Collier County
Number of Establishments 44 47 45 47 49
Number of employees 781 769 765 964 974
Total Wages in thousands 18,015 18,591 18,488 22,551,717 23,603,460
Average Weekly Wage 444 465 465 450 466
Average Annual Pay 23,067 24,165 24,175 23,386 24,234
Population under 5 years 16,518 16,620 16,793 16,870 17,022
Children per 1 day care 375 354 373 359 347
Florida
Number of Establishments 4,211 4,124 4,030 4,085 4,108
Number of employees 49,623 49,839 51,127 53,177 54,689
Total Wages in thousands 953,605 978,210 1,028,690 1,098,858 1,163,071
Average Weekly Wage 370 377 387 397 409
Average Annual Pay 19,217 19,627 20,120 20,664 21,267
Population under 5 years 1,076,020 1,084,349 1,099,832 1,114,110 1,138,337
Children per 1 day care 256 263 273 273 277
United States
Number of Establishments 70,007 69,819 70,067 70,877 71,233
Number of employees 788,254 799,437 824,359 850,196 873,154
Total Wages in thousands 15,735,442 16,374,041 17,454,791 18,429,254 19,522,015
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Average Weekly Wage 384 394 407 417 430
Average Annual Pay 19,962 20,482 21,174 21,676 22,358
Population under 5 years 19,867,850 19,867,880 20,122,640 20,168,520 20,224,410
Children per 1 day care 284 285 287 285 284
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment and Wages. Retrieved from
http://www.bls.gov; Woods & Poole Economics. (2018) 2018 state profile: Florida. Washington, DC:
Author.
GRAPH 43 Children per Day Care Ratio
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment and Wages. Retrieved from
http://www.bls.gov; Woods & Poole Economics. (2018) 2018 state profile: Florida. Washington, DC:
Author.
0
50
100
150
200
250
300
350
400
2013 2014 2015 2016 2017
Children per Day Care Ratio
Collier County Florida United States
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From 2013 to 2017 in Collier County, the percent of the population that is under 5 years and the percent
of the population that is in day care have both fluctuated.
GRAPH 44 Change in Population Under 5 Years and Change in Child Day Care
Source: Bureau of Labor Statistics. (2018). Quarterly Census of Employment and Wages. Retrieved from
http://www.bls.gov; Woods & Poole Economics. (2018) 2018 state profile: Florida. Washington, DC:
Author.
2013 2014 2015 2016 2017
Population under 5 years -0.89%0.62%1.04%0.46%0.90%
Children per 1 day care -0.89%-5.80%5.53%-3.82%-3.22%
-10.00%
-5.00%
0.00%
5.00%
10.00%
15.00%Percentage ChangeCollier County Percentage Change of
Population Under 5 Years and
Percentage Change in Day Care
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From 2014 to 2017 in Collier County, the percentage of female householders with no husband was higher
than male householders with no wife. Overall, female householders with no husband have a higher
percentage than males in the United States, followed by Collier County and Florida.
TABLE 105 Householder with Own Children Under 18 and No Spouse Present
2014 2015 2016 2017
Collier County
Male
Householder, no wife present 4,662 5,552 4,597 6,882
With own children under 18 years 1,999 3,287 2,192 3,353
As % of all Male householder, no
wife present 42.88% 59.20% 47.68% 48.72%
Female
Householder, no husband present 11,482 12,618 12,157 12,594
With own children under 18 years 6,121 6,697 6,427 6,478
As % of all Female householder, no
husband present 53.31% 53.07% 52.87% 51.44%
Florida
Male
Householder, no wife present 353,537 359,661 364,873 377,628
With own children under 18 years 155,425 161,212 157,756 167,868
As % of all Male householder, no
wife present 43.96% 44.82% 43.24% 44.45%
Female
Householder, no husband present 959,771 1,002,174 985,794 977,583
With own children under 18 years 494,344 502,732 495,544 469,659
As % of all Female householder, no
husband present 51.51% 50.16% 50.27% 48.04%
United States
Male
Householder, no wife present 5,765,116 5,730,981 5,794,777 5,886,661
With own children under 18 years 2,736,649 2,718,895 2,709,515 2,723,009
As % of all Male householder, no
wife present 47.47% 47.44% 46.76% 46.26%
Female
Householder, no husband present 15,272,285 15,083,980 15,023,387 14,896,928
With own children under 18 years: 8,257,048 8,072,458 7,942,075 7,789,620
As % of all Female householder, no
husband present 54.07% 53.52% 52.86% 52.29%
Source: Census Bureau. (2018) 2017 American Community Survey: Table B11003. Retrieved from
http://factfinder.census.gov
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TABLE 106 Percentage of All Married-Couples and Single Parents with Own Children Under 18
2014 2015 2016 2017
Collier County
All Families 91,539 95,011 91,425 97,195
Married-couple w/ Children under 18 19,380 17,853 16,773 16,440
As % of Married-couple w/ Children
under 18 21.17% 18.79% 18.35% 16.91%
Single Male w/ Children under 18 1,999 3,287 2,192 3,353
As % of Single Male w/ Children under
18 2.18% 3.46% 2.40% 3.45%
Single Female w/ Children under 18 6,121 6,697 6,427 6,478
As % of Single Female w/ Children
under 18 6.69% 7.05% 7.03% 6.66%
Florida
All Families 4,693,411 4,806,611 4,864,461 4,943,506
Married-couple w/ Children under 18 1,097,577 1,117,422 1,133,704 1,163,791
As % of Married-couple w/ Children under
18 23.39% 23.25% 23.31% 23.54%
Single Male w/ Children under 18 155,425 161,212 157,756 167,868
As % of Single Male w/ Children under 18 3.31% 3.35% 3.24% 3.40%
Single Female w/ Children under 18 494,344 502,732 495,544 469,659
As % of Single Female w/ Children under
18 10.53% 10.46% 10.19% 9.50%
United States
All Families 77,152,072 77,530,756 77,785,962 78,631,163
Married-couple w/ Children under 18 22,112,890 22,208,234 22,188,306 22,334,270
As % of Married-couple w/ Children under
18 28.66% 28.64% 28.52% 28.40%
Single Male w/ Children under 18 2,736,649 2,718,895 3,085,262 2,723,009
As % of Single Male w/ Children under 18 3.55% 3.51% 3.97% 3.46%
Single Female w/ Children under 18 8,257,048 8,072,458 7,081,312 7,789,620
As % of Single Female w/ Children under
18 10.70% 10.41% 9.10% 9.91%
Source: Census Bureau. (2018) 2017 American Community Survey: Table B11003. Retrieved from
http://factfinder.census.gov
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The total number of grandchildren less than 18 years living with their grandparents increased in Collier
County in 2016, before declining in 2017. The total number of grandchildren less than 18 years living
with their grandparents has been gradually increasing in the State of Florida from 2014 to 2017. The total
number of grandchildren under 18 years living with their grandparents has gradually trended upward in
the United States from 2014 to 2016, before declining in 2017.
TABLE 107 Grandchildren Under 18 Years Living with Grandparents
2014 2015 2016 2017
Collier County
Total 4,500 4,116 7,701 4,049
Under 6 years 1,502 2,417 3,936 1,895
6 to 11 years 1,605 1,143 2,874 1,286
12 to 17 years 1,393 556 891 868
Florida
Total 352,311 359,892 373,692 378,068
Under 6 years 159,120 162,973 155,055 161,792
6 to 11 years 114,861 113,228 127,101 129,641
12 to 17 years 78,330 83,691 91,536 86,635
United States
Total 5,829,891 5,886,720 5,964,069 5,956,765
Under 6 years 2,673,367 2,647,137 2,589,817 2,559,565
6 to 11 years 1,819,225 1,877,805 1,963,246 1,955,033
12 to 17 years 1,337,299 1,361,778 1,411,006 1,442,167
Source: Census Bureau. (2018) 2017 American Community Survey: Table B10001. Retrieved from
http://factfinder.census.gov
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Children in Poverty
From 2013 to 2017, the percentage of children under 5 years living below the poverty level in the State of
Florida and the United States has gradually declined. During this same time period, the percentage of
children under 5 years living below the poverty level in Collier County has gradually declined before
steadily increasing.
GRAPH 45 Percentage of Related Children Under 5 Years Living Below Poverty Level
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
2013 2014 2015 2016 2017
Collier County 23.6%33.6%30.7%15.8%26.2%
Florida 27.0%26.2%25.8%23.2%21.7%
United States 24.8%23.9%22.8%21.3%20.2%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%PercentagePercentage of Related Children Under 5
Years Living Below Poverty Level
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From 2013 to 2017, the percentage of related children 5-17 years living below the poverty level in the
State of Florida and the United States has gradually declined. During this same time period, the
percentage of related children 5-17 years living below the poverty level in Collier County has gradually
declined before steadily increasing.
GRAPH 46 Percentage of Related Children 5-17 Years Living Below Poverty Level
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
2013 2014 2015 2016 2017
Collier County 20.5%25.0%22.3%16.7%24.1%
Florida 23.1%22.5%21.6%19.8%19.3%
United States 20.8%20.4%19.5%18.3%17.3%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%PercentagePercentage of Related Children 5-17
Years Living Below Poverty Level
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From 2013 to 2017 in Collier County, the State of Florida, and the United States the percentage of
families and people whose income in the past 12 months is below the poverty level has been the highest
for families with a female householder, no husband present with related children under 18 years and
related children under 5 years.
TABLE 108 Percentage of Families and People Whose Income in the Past 12 Months is Below Poverty
Level
2013 2014 2015 2016 2017
Collier County
All families 8.8% 8.9% 9.3% 6.3% 8.2%
With related children under 18 years 16.8% 20.5% 19.9% 12.7% 19.1%
With related children under 5 years only 15.1% 11.6% 19.3% 2.7% 20.3%
Married couple families 6.8% 4.9% 6.4% 3.8% 5.7%
With related children under 18 years 13.6% 12.8% 13.6% 7.3% 11.8%
With related children under 5 years only 6.5% 9.4% 7.8% 0.0% 0.0%
Families with female householder, no husband
present 15.4% 27.8% 18.8% 18.1% 24.3%
With related children under 18 years 19.3% 37.7% 26.8% 22.6% 38.8%
With related children under 5 years only 14.1% 22.2% 48.1% 7.6% 68.7%
Florida
All families 12.4% 12.0% 11.3% 10.5% 10.1%
With related children under 18 years 20.3% 19.9% 18.9% 17.1% 16.3%
With related children under 5 years only 18.8% 19.3% 17.3% 16.4% 14.0%
Married couple families 7.0% 6.6% 6.1% 6.1% 6.0%
With related children under 18 years 10.4% 9.6% 9.1% 8.6% 8.0%
With related children under 5 years only 7.7% 8.2% 7.0% 6.9% 6.5%
Families with female householder, no husband
present 29.1% 29.4% 27.0% 25.0% 24.0%
With related children under 18 years 38.7% 39.7% 37.1% 33.8% 34.0%
With related children under 5 years only 40.9% 42.7% 39.6% 37.0% 33.6%
United States
All families 11.6% 11.3% 10.6% 10.0% 10.0%
With related children under 18 years 18.5% 18.0% 17.1% 15.9% 15.0%
With related children under 5 years only 18.3% 17.5% 16.4% 15.1% 14.2%
Married couple families 5.8% 5.6% 5.2% 5.1% 4.8%
With related children under 18 years 8.5% 8.2% 7.7% 7.1% 6.6%
With related children under 5 years only 7.0% 6.5% 5.9% 5.3% 5.1%
Families with female householder, no husband
present 30.9% 30.5% 29.0% 27.3% 26.2%
With related children under 18 years 41.0% 40.6% 39.2% 37.0% 35.7%
With related children under 5 years only 46.2% 45.4% 43.9% 41.4% 40.2%
Source: Census Bureau. (2018). 2017 American Community Survey: Table CP03. Retrieved from
http://factfinder.census.gov
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From 2013 to 2017, Collier County’s percentage of households receiving food stamps/SNAP with
children under 18 was above the state and national percentage. In the State of Florida and the United
States, the percentage of households receiving food stamps/SNAP has gradually decreased; however, in
2017, the State of Florida’s percentage increased.
TABLE 109 Percentage of Households Receiving Food Stamps/SNAP with Children Under 18
2013 2014 2015 2016 2017
Collier County 56.8% 60.7% 67.2% 63.8% 59.5%
Florida 48.8% 48.6% 48.5% 47.5% 48.0%
United States 54.0% 52.9% 52.1% 50.8% 50.1%
Source: Census Bureau (2018) 2017 American Community Survey 1-Year Estimate Table: S2201.
Retrieved from https://factfinder.census.gov
Domestic Violence
In Collier County and the State of Florida during 2013-2017, the most reported domestic violence offense
was simple assault, followed by aggravated assault and threat/intimidation.
TABLE 110 Reported Domestic Violence Offenses for 2013-2017
2013 2014 2015 2016 2017
Collier County
Total Population 333,663 336,783 343,802 350,202 357,470
Murder 3 2 0 5 2
Manslaughter 0 0 0 0 0
Forcible Rape 34 16 25 22 29
Forcible Fondling 11 6 11 4 18
Aggrav. Assault 241 236 269 217 322
Aggrav. Stalking 4 0 0 1 0
Simple Assault 1,114 1,258 1,198 1167 1272
Threat/Intimidation 18 20 33 43 54
Stalking 2 1 0 0 0
Total Reported Offenses 1,427 1,539 1,536 1459 1697
Florida
Total Population 19,259,543 19,457,270 19,815,183 20,148,654 20,484,142
Murder 170 193 184 179 162
Manslaughter 17 12 15 14 18
Forcible Rape 1,588 1,417 1,517 1,535 1,580
Forcible Fondling 744 692 756 713 762
Aggrav. Assault 17,043 17,040 17,354 16,734 16,657
Aggrav. Stalking 201 136 153 171 189
Simple Assault 85,606 84,994 85,608 84,382 85,721
Threat/Intimidation 2,161 2,010 1,641 1,502 1,521
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Stalking 500 388 438 410 369
Total Reported Offenses 108,030 106,882 107,666 105,640 106,979
Source: Florida Department of Law Enforcement. (2018). Florida’s County and Jurisdictional Reported
Domestic Violence Offenses, 2017. Retrieved from https://www.fdle.state.fl.us
In 2013-2017, the reported domestic violence offenses rate per 100,000 of the population has fluctuated
for Collier County; however, the rate has continued to decline for the State of Florida.
TABLE 111 Collier County and Florida Reported Domestic Violence Offenses Rate per 100,000
Population from 2013 to 2017
2013 2014 2015 2016 2017
Collier County 427.68 457 446.8 416.6 474.7
Florida 560.92 547.9 543.4 524.3 522.3
Source: Florida Department of Law Enforcement. (2018). Total Reported Domestic Violence Offenses by
County, 1992-2017. Retrieved from https://www.fdle.state.fl.us
GRAPH 47 Domestic Violence Offense Rate
Source: Florida Department of Law Enforcement. (2018). Total Reported Domestic Violence Offenses by
County, 1992-2017. Retrieved from https://www.fdle.state.fl.us
400
420
440
460
480
500
520
540
560
580
2013 2014 2015 2016 2017Rate Per 100,000 PopulationDomestic Violence Offense Rate
Collier County Florida
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In the State of Florida during 2014-2017, the National Human Trafficking Resource Center received the
majority of their inbound phone calls for sex trafficking, followed by labor trafficking. The majority of
inbound phone callers were females, and the majority of the callers were U.S. citizens.
TABLE 112 National Human Trafficking Resource Center Inbound Phone Call Statistics
2014 2015 2016 2017
Florida
Total Number of Calls 1,428 1,518 1,623 1,601
Human Trafficking Cases Reported 360 410 555 604
Types of Trafficking Reported
Sex Trafficking 245 308 406 402
Labor Trafficking 69 69 92 137
Trafficking Type Not Specified 24 21 28 32
Sex and Labor 22 12 29 33
Gender
Male 54 53 87 95
Female 297 351 470 504
Age
Adult 247 294 385 425
Minor 110 121 173 182
Citizenship
US Citizen 155 147 168 153
Foreign National 80 81 116 145
United States
Total Number of Calls 21,431 21,941 26,727 26,557
Human Trafficking Cases Reported 5,041 5,575 7,565 8,524
Types of Trafficking Reported
Sex Trafficking 3,593 4,183 5,549 6,081
Labor Trafficking 815 728 1,055 1,249
Trafficking Type Not Specified 452 492 691 817
Sex and Labor 181 172 270 377
Gender
Male 686 580 978 1,124
Female 4,170 4,739 6,344 7,067
Age
Adult 3,290 3,612 4,888 5,278
Minor 1,587 1,653 2,389 2,495
Citizenship
US Citizen 1,873 1,728 2,094 1,947
Foreign National 1,259 1,130 1,453 1,510
Source: National Human Trafficking Resource Center. (2018). Hotline Statistics. Retrieved from
http://traffickingresourcecenter.org/
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Packet Pg. 857 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019
Item 8.3 – Review of Calgary Housing Solutions
Provided by Dale Mullin
Sean,
See a copy of the following email and 3 attachments. A lot of material but very interesting
material on homelessness in Calgary....a world class solution. Tim Hearn (Canadian) is the
individual I spoke about. He is a part time resident of Collier County - Gray Oaks.
******************************************************************************
***********
Good morning, Tim
Per your request, I am attaching some off the shelf material that we hope addresses what you are
looking for. I’m sure that Diana will chime in if she has anything else to add.
1.) A Centralized Receiving System - Mental Health/Addiction Patients
Attached is the Our Living Legacy report (you have this in hard copy, but now you can share it digitally).
On pages 46- 48, you can find information on Coordinated Service Delivery, and more specifically on
page 47, what we would call our centralized receiving system, Coordinated Access and Assessment
(CAA). The goal is to serve the most vulnerable and acute first, which could certainly include those with
mental health issues and addictions. You can find a helpful visual on how the process works on page 48.
2.) Permanent Supportive Housing (Scattered Sites & Supportive Services)
Attached is the Together to Zero report (you also have this in hard copy). In the Strategic Directive 2
Section (Home for Everyone), there is a section on The Housing Continuum. In the visual, scattered site
and place-based housing are a part of the Supportive Care Housing piece. This might be good context for
the Ad Hoc group.
The last attachment is an overview of Calgary’s Homeless Serving System of Care. Here you can find
more details on CHF funded programs, both scattered site and placed based.
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Also, I know that you and Doug are well-versed in these areas, but Doug’s Ad Hoc Committee might
benefit from an overview of the following terms and their specific definitions. You can find these
definitions at the end of the attached Living Legacy Report.
• PSH, Permanent supportive housing: Long term housing for people experiencing homelessness
with deep disabilities (including cognitive disabilities) without a length of stay time limit. Support
programs are made available, but the program does not require participation in these services to
remain housed (Systems Planning Framework).
• Supportive Housing: Supportive Housing provides case management and housing supports to
individuals and families who are considered moderate to high acuity. In Supportive Housing
programs, the goal for the client is that over time and with case management support, the
client(s) will be able to achieve housing stability and independence. While there is no maximum
length of stay in Supportive Housing programs, the housing and supports are intended to be non-
permanent as the goal is for the client to obtain the skills to live independently, at which point
the client will transition out of the program and into the community, where they may be linked
with less intensive community-based services or other supports (Systems Planning Framework).
• Place-based housing: Refers to physical housing with program supports for individuals typically
with high acuity (Systems Planning Framework).
• Scattered site housing: A housing model that utilizes individual rental units located throughout
the community, typically owned by private market landlords. Rent supplements are typically
applied.
Again, we hope this is helpful to you, Tim. If you need anything else, please let me know.
Best,
Teresa
Teresa Hiser
Development Manager
Calgary Homeless Foundation
Main: 403.237.6456
teresah@calgaryhomeless.com
www.calgaryhomeless.comesting reading. Galgary in know internationally for the work that have
done in solving their homeless problems.
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Note: Permanent Supportive Housing-Housing Units contained in a central purpose built building from which people are not expected to graduate | Supportive Housing-Individual Housing units throughout the greater community with no time limit but from which people usually graduate
Defined as:
Prevention Services provide short term
financial assistance and limited case
management in order to prevent housing
loss due to a housing crisis.
Defined as:
Outreach involves moving outside the
walls of the agency to engage people
experiencing homelessness who may be
disconnected and alienated not only from
mainstream services and supports, but
from the services targeting homeless
persons as well.
Defined as:
System-Level Priorities are unique and
diverse programs which provide support
to the greater Homeless Serving System
of Care.
Non-Market Housing Defined as:
Non-market housing is typically described as
subsidized, social or affordable housing
units.
Grad Rent Subsidy Defined as:
GRS is a rent supplement program that
provides financial assistance for clients to
obtain and maintain affordable housing
after completion of a support program.
Defined as:
Adaptive Case Management programs
offer client directed, flexible supports
and financial assistance to those
experiencing homelessness, to secure
and sustain housing.
Defined as:
Supportive Housing (SH) provides case
management and housing supports to
adults and families who are considered mid
to high acuity. The goal is that over time and
with case management support, the client(s)
will be able to achieve housing stability and
independence.
Defined as:
Permanent Supportive Housing (PSH)
provides long term housing and support
with no time limit for high acuity
individuals experiencing major barriers
and exhibiting complex needs, and who
will require ongoing support to maintain
their housing.
Defined as:
ACT is an integrated team-based
approach designed to provide
comprehensive community-based
supports to help people remain stably
housed. These teams may consist of
physicians and other health care
provides, social workers and peer
support workers.
Agency Program
Aspen Family Home Stay
Boys and Girls
Club Unity Project
Children’s
Cottage Society HomeBridge
Children’s
Cottage Society Rapid Rehousing
McMan Rapid Rehousing
Agency Program
Aboriginal
Friendship
Centre
Outreach and
Cultural
Reconnection
Alpha House DOAP Team
Wood’s Homes Exit Reach
Agency Program
Distress Centre
of Calgary
CAA Team at
SORCe
Aboriginal
Friendship
Centre
Indigenous
Gathering Place
Keys to Recovery Creation Lodge
Keys to Recovery ASCHH Liaison
Canadian
Accreditation
Council
Accreditation
Agency Program
CUPS Community
Development
Agency Program
CUPS Grad Rent Subsidy
Program
CUPS Graduated
Housing Program
Agency Program
Children’s
Cottage Fee for Service
Closer to
Home Fee for Service
CUPS Fee for Service
Discovery
House Fee for Service
Inn From The
Cold Fee for Service
**No target # of clients for Fee for
Service programs
Agency Program
Alpha House Alpha Housing
Accessible
Housing Bridge to Home
Aspen Family Sustainable Families
Boys and Girls
Club
Aura
Infinity Project
Home Fire
Children’s
Cottage HomeLinks
Calgary Dream
Centre Living in Community
Calgary John
Howard
Adult Housing
Reintegration
Roofs for Youth
CUPS Key Case
Management
Discovery
House Community Housing
Inn from the
Cold
Housing with
Intensive Supports
McMan Hope Homes
Hope Homes
Aboriginal
Aboriginal
Friendship
Centre
Aboriginal Homeless
Initiative
The Alex HomeBase
Keys To
Recovery Keys To Recovery
Inn From The
Cold Journey House 1
Journey House 2
Metis Calgary
Family Services Rainbow Lodge
Wood’s New Horizon
Alberta Health
Services
Bridgeland &
Ophelia Supportive
Housing
Agency Program
Alpha House
Madison
Francis Manor
Sunalta Lodging
House
Aurora
Women’s Housing
Program
The Alex Abbeydale Place
Prelude
Accessible
Housing Newbridge
CASS Stepping Stone
Manor
Langin Place
YW of Calgary Providence
Croydon
Sharp
Foundation Murrary’s House
TBD The Maple *
Opening 2018
Agency Program
The Alex Pathways to
Housing
% of Funding: 3% % of Funding 3% % of Funding: 2% % of Funding: 9% % of Funding: 3% % of Funding: 46% % of Funding: 23% % of Funding: 11%
Total $: 1,222,000 Total $: 1,595,000 Total $: 904,000 Total $: 4,169,000 Total $: 1,141,000 Total $: 21,072,000 Total $: 10,292,000 Total $: 5,187,000
# of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: 476 # of Clients: 20** # of Clients: 1200 # of Clients: 310 # of Clients: 200
Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: $8759 Cost/Client: N/A Cost/Client: $17,560 Cost/Client: $33,200 Cost/Client: $25,935
30.A.2
Packet Pg. 860 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Updated: 31 August 2018
Prevention Services
3%
Outreach
3%
Non-Market
Housing &
GRS
9%System-Level Priorities
2%
Adaptive Case
Management
3%
Supportive
Housing
46%
Permanent
Supportive
Housing
23%
Assertive Community
Treatment (ACT)
11%
Supportive Housing $21,072,000
Permanent Supportive Housing $10,292,000
ACT $5,187,000
Non-Market Housing & GRS $4,169,000
Outreach $1,595,000
Prevention Services $1,222,000
Adaptive Case Management $1,141,000
System-Level Priorities $ 904,000
30.A.2
Packet Pg. 861 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Updated: 31 August 2018
Defined as:
Prevention Services provide
short term financial assistance
and limited case management
in order to prevent housing loss
due to a housing crisis.
Defined as:
Outreach involves moving outside the walls of
the agency to engage people experiencing
homelessness who may be disconnected and
alienated not only from mainstream services
and supports, but from the services targeting
homeless persons as well.
Defined as:
System-Level Priorities are unique and
diverse programs which provide support
to the greater Homeless Serving System
of Care.
Non-Market Housing Defined as:
Non-market housing is typically
described as subsidized, social or
affordable housing units.
Grad Rent Subsidy Defined as:
GRS is a rent supplement program
that provides financial assistance for
clients to obtain and maintain
affordable housing after completion
of a support program.
Defined as:
Adaptive Case Management
programs offer client directed,
flexible supports and financial
assistance to those experiencing
homelessness, to secure and
sustain housing.
Defined as:
Supportive Housing (SH) provides case management
and housing supports to individuals and families
who are considered mid to high acuity. In this
program type, the goal for the client is that over time
and with case management support, the client(s) will
be able to achieve housing stability and
independence.
Defined as:
Permanent Supportive Housing (PSH)
provides long term housing and support with
no time limit for high acuity individuals
experiencing major barriers and exhibiting
complex needs, and who will require ongoing
support to maintain their housing.
Defined as:
ACT is an integrated team-based approach
designed to provide comprehensive
community-based supports to help people
remain stably housed. These teams may
consist of physicians and other health care
provides, social workers and peer support
workers.
Agency Program
Agency Program
Alpha House DOAP Team
Aboriginal
Friendship Centre
Outreach and Cultural
Reconnection
Agency Program
Distress Centre
of Calgary
CAA Team at
SORCe
Aboriginal
Friendship
Centre
Indigenous
Gathering Place
Keys to Recovery Creation Lodge
Keys to Recovery ASCHH Liaison
Canadian
Accreditation
Council
Accreditation
Agency Program
CUPS Community
Development
Agency Program
CUPS
Grad Rent
Subsidy
Program
CUPS
Graduated
Housing
Program
Agency Program
Agency Program
Alpha House Alpha Housing
Accessible
Housing Bridge to Home
Calgary Dream
Centre Living in Community
Calgary John
Howard
Adult Housing
Reintegration
CUPS Key Case Management
Aboriginal
Friendship Centre
Aboriginal Homeless
Initiative
The Alex HomeBase
Keys To Recovery Keys To Recovery
Alberta Health
Services
Bridgeland & Ophelia
Supportive Housing
Agency Program
Alpha House
Madison
Francis Manor
Sunalta Lodging
House
Aurora
Women’s Housing
Program
The Alex Abbeydale Place
Prelude
Accessible
Housing Newbridge
CASS Stepping Stone Manor
Langin Place
YW of Calgary Providence
Croydon
Sharp
Foundation Murrary’s House
TBD The Maple * Opening
2018
Agency Program
The Alex Pathways to Housing
Total $: 0 Total $: 1,415,000 Total $: 904,000 Total $: 4,169,000 Total $: 0 Total $: 12,332,000 Total $: 10,292,000 Total $: 5,187,000
# of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: 476 # of Clients: 0 # of Clients: 784 # of Clients: 310 # of Clients: 200
Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: $8,758 Cost/Client: N/A Cost/Client: $15,730 Cost/Client: $33,200 Cost/Client: $25,935
30.A.2
Packet Pg. 862 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Updated: 31 August 2018
Adults Sector
74%
Youth Sector
10%
Families Sector
14%
System-Level Priorities
2%
30.A.2
Packet Pg. 863 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Updated: 31 August 2018
Defined as:
Prevention Services provide short term financial
assistance and limited case management in
order to prevent housing loss due to a housing
crisis.
Defined as:
Outreach involves moving outside the
walls of the agency to engage people
experiencing homelessness who may be
disconnected and alienated not only from
mainstream services and supports, but
from the services targeting homeless
persons as well.
Defined as:
System-Level Priorities are unique and
diverse programs which provide
support to the greater Homeless
Serving System of Care.
Non-Market Housing Defined as:
Non-market housing is typically
described as subsidized, social
or affordable housing units.
Grad Rent Subsidy Defined as:
GRS is a rent supplement
program that provides financial
assistance for clients to obtain
and maintain affordable housing
after completion of a support
program.
Defined as:
Adaptive Case Management programs offer
client directed, flexible supports and financial
assistance to those experiencing homelessness,
to secure and sustain housing.
Defined as:
Supportive Housing (SH) provides case
management and housing supports to
individuals and families who are considered mid
to high acuity. In this program type, the goal for
the client is that over time and with case
management support, the client(s) will be able
to achieve housing stability and independence.
Defined as:
Permanent Supportive Housing (PSH)
provides long term housing and
support with no time limit for high
acuity individuals experiencing major
barriers and exhibiting complex needs,
and who will require ongoing support
to maintain their housing.
Defined as:
ACT is an integrated team-based
approach designed to provide
comprehensive community-based
supports to help people remain stably
housed. These teams may consist of
physicians and other health care
provides, social workers and peer
support workers.
Agency Program
Agency Program
Boys and Girls Club Unity Project
McMan Rapid Rehousing
Agency Program
Wood’s Exit Reach
Agency Program
Distress Centre
of Calgary
CAA Team at
SORCe
Aboriginal
Friendship
Centre
Indigenous
Gathering Place
Keys to
Recovery Creation Lodge
Keys to
Recovery ASCHH Liaison
Canadian
Accreditation
Council
Accreditation
Agency Program
Agency Program
Agency Program
Boys and Girls
Club
Aura
Infinity Project
Home Fire
Calgary John
Howard Roofs for Youth
McMan Hope Homes
Hope Homes Aboriginal
Woods New Horizon
Agency Program
Agency Program
Total $: 171,000 Total $: 180,000 Total $: 904,000 Total $: 0 Total $: $0 Total $: 4,312,000 Total $: 0 Total $: 0
# of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: 162 # of Clients: N/A # of Clients: N/A
Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: $26,671 Cost/Client: N/A Cost/Client: N/A
30.A.2
Packet Pg. 864 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Updated: 31 August 2018
Defined as:
Prevention Services provide short term financial
assistance and limited case management in
order to prevent housing loss due to a housing
crisis.
Defined as:
Outreach involves moving outside the
walls of the agency to engage people
experiencing homelessness who may be
disconnected and alienated not only from
mainstream services and supports, but
from the services targeting homeless
persons as well.
Defined as:
System-Level Priorities are unique and
diverse programs which provide
support to the greater Homeless
Serving System of Care.
Non-Market Housing Defined as:
Non-market housing is typically
described as subsidized, social
or affordable housing units.
Grad Rent Subsidy Defined as:
GRS is a rent supplement
program that provides financial
assistance for clients to obtain
and maintain affordable housing
after completion of a support
program.
Defined as:
Adaptive Case Management programs offer
client directed, flexible supports and financial
assistance to those experiencing homelessness,
to secure and sustain housing.
Defined as:
Supportive Housing (SH) provides case
management and housing supports to
individuals and families who are considered mid
to high acuity. In this program type, the goal for
the client is that over time and with case
management support, the client(s) will be able
to achieve housing stability and independence.
Defined as:
Permanent Supportive Housing (PSH)
provides long term housing and
support with no time limit for high
acuity individuals experiencing major
barriers and exhibiting complex needs,
and who will require ongoing support
to maintain their housing.
Defined as:
ACT is an integrated team-based
approach designed to provide
comprehensive community-based
supports to help people remain stably
housed. These teams may consist of
physicians and other health care
provides, social workers and peer
support workers.
Agency Program
Aspen Family Home Stay
Children’s Cottage
Society HomeBridge
Children’s Cottage
Society Rapid Rehousing
Agency Program
Agency Program
Distress Centre
of Calgary
CAA Team at
SORCe
Aboriginal
Friendship
Centre
Indigenous
Gathering Place
Keys to
Recovery Creation Lodge
Keys to
Recovery ASCHH Liaison
Canadian
Accreditation
Council
Accreditation
Agency Program
Agency Program
Children’s
Cottage Fee for Service
Closer to
Home Fee for Service
CUPS Fee for Service
Discovery
House Fee for Service
Inn From The
Cold Fee for Service
**No target # of clients for Fee for Service
programs
Agency Program
Aspen Family Sustainable Families
Children’s
Cottage HomeLinks
Discovery House Community Housing
Inn from the
Cold
Housing with Intensive
Supports
Inn From The Cold Journey House 1
Journey House 2
Metis Calgary
Family Services Rainbow Lodge
Agency Program
Agency Program
Total $: 1,051,000 Total $: 0 Total $: 904,000 Total $: 0 Total $: 1,141,000 Total $: 4,428,000 Total $: 0 Total $: 0
# of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: N/A # of Clients: 20** # of Clients: 254 # of Clients: N/A # of Clients: N/A
Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: N/A Cost/Client: $17,433 Cost/Client: N/A Cost/Client: N/A
30.A.2
Packet Pg. 865 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
TogetherToZero
Charting Calgary’s Path
To the End of HomelessnessDecember 2018
Absolute
Functional
30.A.2
Packet Pg. 866 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
The lead author of the Living Legacy Collective Impact Report & “Together to Zero”
strategic directives was Alina Turner of Turner Strategies, in collaboration with I Heart
Home, Calgary Homeless Foundation and the many agencies within Calgary’s
Homeless-Serving System of Care
AUTHORS:
Dr. Alina Turner - Turner Strategies
Victoria Ballance, Joel Sinclair - Calgary Homeless Foundation
ENGAGEMENT TEAM:
Nancy Loraas - Next Level Leadership
Emily Bedford, Megan Donnelly - I Heart Home, Calgary Homeless Foundation
INDIGENOUS ENGAGEMENT TEAM:
Karen Pheasant-Neganigwane
Ange Neil
Katelyn Lucas - Aboriginal Standing Committee on Housing and Homelessness
30.A.2
Packet Pg. 867 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
”“Coming together is a beginning.
Keeping together is a progress.
Working together is success.
- Henry Ford
”“Individual commitment to a group
effort - that is what makes a team work,
a company work, a society work,
a civilization work.
- Vince Lombardi
30.A.2
Packet Pg. 868 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Acknowledgements
WE WOULD LIKE TO EXPRESS OUR DEEP APPRECIATION TO ALL THOSE WHO MADE THIS DOCUMENT A
POSSIBILITY. FIRST AND FOREMOST, OUR SINCERE GRATITUDE GOES OUT TO EVERY FRONT LINE WORKER
WHO ATTENDED OUR ENGAGEMENT SESSIONS AND OFFERED THEIR STORIES WITH RESPECT, TRUST, AND
VULNERABILITY. THESE STRATEGIC DIRECTIVES WOULD NOT BE POSSIBLE WITHOUT THEIR WILLINGNESS TO
BELIEVE IN A FUTURE WITHOUT HOMELESSNESS IN OUR CITY, AND THE COURAGE THEY HAVE TO DEDICATE
THEIR LIVES TO MAKING IT A REALITY. IT WAS A GREAT PRIVILEGE FOR US TO CAPTURE THEIR STORIES,
THOUGHTS AND IDEAS, WHICH ALLOWS US ALL TO ADVANCE UPON OUR PRACTICES TO CONTINUALLY
IMPROVE OUR SERVICE TO THOSE WHO ARE EXPERIENCING HOMELESSNESS.
We would also like to thank the Government of Canada, the Government of Alberta, and City of Calgary for their
unprecedented support for our collective mission and their substantial contributions to capital projects and
programs which have allowed us to demonstrate tremendous success and arrive at the place we are today.
We also want to thank Indigenous Elders, Chiefs and Council, leaders and individuals who continually inform
us to ensure we are culturally inclusive, and for always providing their truth and wisdom through honesty and
vulnerability.
We thank those with lived and living experience of homelessness who share their stories, opinions and
thoughts, and consistently give of themselves to help us craft a system of care that is focused on people first
and meeting the needs of those we serve.
Many thanks to all Calgarians who volunteer, educate and participate in our collective vision of ending
homelessness by gifting us with their time, talents and resources.
A vision toend homelessness in Calgarycan only be achieved, together.
30.A.2
Packet Pg. 869 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Our Consultation Process
TO MARK THE CONCLUSION OF CALGARY’S 10 YEAR PLAN TO END HOMELESSNESS, MEMBERS OF CALGARY’S
HOMELESS-SERVING SYSTEM OF CARE (HSSC) AS WELL AS BROADER STAKEHOLDER GROUPS (PUBLIC,
CORPORATE CALGARY, THOSE WITH LIVED EXPERIENCE OF HOMELESSNESS, INDIGENOUS ELDERS, YOUTH
AND ADULTS) WERE INVITED TO GIVE REFLECTIONS ON THE PAST DECADE OF ENDING HOMELESSNESS IN OUR
CITY IN ORDER TO INFORM HSSC DIRECTIVES MOVING FORWARD.
Phase I of this engagement process involved 54 long-standing individuals within the HSSC who had extensive
knowledge of Calgary’s 10 Year Plan to End Homelessness. The purpose of these sessions was to identify the
key topics to bring to discussions with the broader community. These discussions focused on the following
questions:
z What’s working?
z What’s not working?
z What unique factors made this possible?
z What’s most important?
z Is there anything we’re missing or that we
should be asking?
Discussions within the first phase sessions identified eight key topic areas to explore in Phase II of the
engagement process:
1. Caring for the Front Lines
2. Data and Reporting
3. Empowering Calgarians
4. Homeless-Serving System Planning
5. Housing
6. Poverty and Homelessness
7. Shelter Visioning
8. Empowering Calgarians: The Public
Phase II called to all members of the HSSC, as well as broader stakeholder groups such as key members of the
primary public systems, corporate Calgary, community volunteers, agency board members, agency executives,
the public, and those with lived experience of homelessness to contribute their thoughts, stories, knowledge
and opinions.
Each session focused on one of the topics listed above, and Phase II saw 12 engagement sessions attended by
over 200 participants for a total of 53 hours. In addition, 42 public online surveys were completed.
All Phase I and II engagement sessions were facilitated by Nancy Loraas of Next Level Leadership. Remarks were
collected in the form of minutes, written long-answer and short-answer forms, and online surveys.
Separate and complementary sessions were completed with Indigenous Elders, leaders, youth, and adults
many with current or past experience of homelessness. Elders were consulted first, and guided subsequent
conversations as participants were invited to give their reflections on the unique perspective of Indigenous
homelessness in Calgary. These sessions were led by Indigenous facilitators: Karen Pheasant-Neganigwane,
Ange Neil and Katelyn Lucas. Honouring oral tradition, remarks from these sessions were collected through
video and voice recording.
The directives reflect feedback received throughout the consultation
process and the quotes included in this report are a few of the remarks made
by engagement session participants.
30.A.2
Packet Pg. 870 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Introduction:Together to Zero
ON JANUARY 29, 2008, THE CITY OF CALGARY LAUNCHED A BOLD INITIATIVE TO END HOMELESSNESS IN OUR
COMMUNITY. CALGARY’S 10 YEAR PLAN TO END HOMELESSNESS WAS FOUNDED ON THE ASPIRATIONAL GOAL
OF ENDING HOMELESSNESS IN OUR CITY IN TEN YEARS. AS A FIRST OF ITS KIND IN CANADA, THE ORIGINAL
VISION OF CALGARY’S 10 YEAR PLAN WAS THAT ALL PEOPLE FACING HOMELESSNESS IN CALGARY WILL
HAVE ACCESS TO SAFE, DECENT AND AFFORDABLE HOUSING AS WELL AS THE RESOURCES AND SUPPORTS
NECESSARY TO SUSTAIN THAT HOUSING BY THE YEAR 2018.
While Calgary did not achieve its ambitious goal
of ending homelessness, over the past decade
our community has had many successes. We’ve
housed almost 10,000 people, built almost 600
units of permanent housing with supports, and
we’ve developed a well-coordinated homeless-
serving system of care that the rest of the world
consistently looks to emulate. Calgary is a leader in
our country. Our city has consistently led the charge
to end homelessness in Canada – and as we have
collaborated and coordinated around Calgary’s 10
Year Plan, we have learned a lot.
We have learned that Housing First does not equal
housing only, and that many people may require
wrap around supports to help them be successful.
We have discovered that the true causes of
homelessness come from external macro factors,
and that prevention must predominantly occur in the
primary public systems. We have created a Homeless
Management Information System (HMIS) that allows
us to better assess the state of homelessness in our
city, and we have also learned that while the goal of a
true Absolute Zero end to homelessness remains our
collective aspirational goal we realize that this is not
realistic in practice without significant changes within
our primary systems. It makes more sense for us to
focus on achieving what is now known as Functional
Zero - whereby efforts are concentrated on reaching
a point where there are enough services, housing
and emergency shelter beds for everyone who
needs them. This way, anyone who does experience
homelessness does so only briefly, is rehoused
quickly and successfully, and is unlikely to return to
homelessness again.
Functional Zero is a realistic and achievable goal in
our city, if we all work together.
This guiding document is a consolidation of a
decade of knowledge combined with what we, as a
community, envision as the primary strategic areas of
focus crucial to achieving this collective goal. Through
our Living Legacy engagement sessions participants
clearly articulated what they felt are the most critical
areas of focus for our city. Their collective knowledge
directly informed the creation of the six core Strategic
Directives within this guiding document that will take
us Together to Zero.
These six Strategic Directives provide an intentional
framework by which public systems, homeless-serving
agencies, the public, corporate Calgary, and partners,
can best utilize the shared knowledge gained over
the last ten years to adjust and align our individual
agencies’ strategic and tactical plans, governance
models, initiatives, and programs to function
better within the Homeless-Serving System of
Care (HSSC) in order to best meet the needs
of vulnerable Calgarians who are at risk of or
experiencing homelessness.
While stopping homelessness before it ever begins
will always be our shared goal, collectively aligning
ourselves with the Strategic Directives outlined within
this guiding document will help Calgary to achieve
Functional Zero and empower our community to
continue charting our path forward to the end of
homelessness in Calgary.
Absolute
Functional
30.A.2
Packet Pg. 871 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
CALGARY’S HOMELES S S ERVIN
G
S
YSTEM OF CAREPrimary PublicSystems
CHSSC - Default System
Public systems:
(Housing, Income Supports, Justice, Childrens’s Services, Health)
The primary systems of care in our city. Though they are distinct, they
integrate with each other in service to individuals.
Calgary’s Homeless-Serving System of Care (CHSSC) is a default system. The not-for-profit
agencies in the HSSC can, with appropriate and guaranteed resources, provide services (right
connecting or direct) to clients who have fallen through fractures within primary public systems.
Growing the HSSC will never solve the broader systemic issues that cause homelessness.
Public systems invest in
housing and supports and
contribute resources to address
the complex needs of clients
experiencing homelessness.
Intentional, systems-informed
service oriented partnerships
between primary public systems
and not-for-profits (before
homelessness occurs) optimizes
ecosystem effectiveness.
CHSSC focus is on achieving a
point where there are enough
services, housing and emergency
shelter beds for everyone who
needs them so that anyone who
experiences homelessness does so
only briefly, is rehoused quickly and
successfully, and is unlikely to return
to homelessness again.
1
2 4
3
Primary prevention
occurs within the
primary public
systems.
CHSSC Catches those
who fall through
fractures within the
primary systems.
If a client presents
within the HSSC,
primary prevention
is no longer possible.
CHSSC reconnects
clients back to the
primary systems
whenever possible.
5
1
2
3
5
What isFunctional Zero?
OVER THE PAST DECADE WE’VE LEARNED THAT WE REQUIRE A MORE AGILE SYSTEM, AND CONCURRENTLY, WE
NEED A MORE AGILE VISION OF SUCCESS. THE MOVE AWAY FROM FIXED-POINT TARGETS TO INDICATORS OF
PROGRESS ENABLED US TO THINK ABOUT SUCCESS IN A DIFFERENT WAY, AND WE NOW FRAME SUCCESS IN
TERMS OF FUNCTIONAL ZERO.
A Functional Zero end to homelessness means that
public systems and the HSSC have a systematic
response in place that ensures homelessness is
prevented whenever possible or is otherwise a
rare, brief, and non-recurring experience.
Functional Zero for Calgary does not mean that no
one will ever experience homelessness but, rather,
as a system of care (public and HSSC) we will have
the resources that allow us to measure the capacity,
sustainability, and effectiveness of our system in real
time. This, in turn, allows us to ensure that our
focus is on reconnecting clients to the appropriate
public systems and achieving a point where there are
enough services, housing, and emergency shelter beds
for everyone who needs them so that anyone who
experiences homelessness does so only briefly,
is rehoused quickly and successfully, and is unlikely to
return to homelessness again.
It also means that as a community, we have
absolute zero tolerance for ignoring homelessness,
normalizing it, doing nothing to prevent it, and doing
nothing to stop it.
Functional Zerofor Calgary:
30.A.2
Packet Pg. 872 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
1PEOPLE FIRST
OF PRIMARY CONSIDERATION FOR ANY FUTURE EFFORTS, THE HSSC MUST
REMAIN GROUNDED IN A PEOPLE-FIRST APPROACH. THIS MEANS THAT WE MUST
CONTINUALLY REMIND OURSELVES THAT WHILE WE EXIST TO SERVE THOSE MOST
VULNERABLE, WE MUST ALSO BE MINDFUL OF ALL WHO ARE INVOLVED IN OUR
EFFORTS TO PREVENT AND END HOMELESSNESS IN OUR CITY.STRATEGIC DIRECTIVE30.A.2
Packet Pg. 873 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
”“
The Voice ofLiving and Lived Experience
The Homeless Charter of Rights is
empowering. It’s helping leaders understand
what they need to support what people are
going through, and it’s what will empower
people experiencing homelessness when
they are in public.
It is clear that more can be done to diminish the gap
between the recipients of our services and those
who deliver and fund those services. We have long
lamented the lack of service user input in program
design – yet have only begun to implement measures
that circumvent service-centric systems.
Moving forward, we need to explore the potential of
a culture of innovation with the voice of people with
lived experience at its core. Embedding their input
at key points in the program development-delivery
continuum will enable and facilitate an iterative
improvement process that allows the HSSC to better
meet the needs of clients.
IN 2015, CALGARY’S PLAN WAS UPDATED WITH A PEOPLE FIRST LENS, WHICH MEANS THAT WE MEET THOSE
AT RISK OF, OR EXPERIENCING HOMELESSNESS WHERE THEY ARE, AND ALLOW THEM TO MAKE THEIR OWN
CHOICES FOR SERVICES AND HOUSING. AT ITS CORE, WE MUST CONTINUE TO FOCUS OUR EFFORTS AROUND
ALLOWING THE VOICE OF LIVED AND LIVING EXPERIENCE TO CONSTANTLY INFORM THE WORK THAT WE
DO. WHAT THIS ULTIMATELY MEANS IS THAT WE MUST CONTINUALLY LISTEN AT THE SERVICE LEVEL WHILE
CONSISTENTLY SEEKING INPUT AT THE PROGRAMMATIC LEVEL.
30.A.2
Packet Pg. 874 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
“”Action on Truth & Reconciliation:The Effects of Colonization &Recognition of Cultural Differences
I think right at this point, what it means
to be Indigenous is that we’re all
recovering. Maybe not necessarily from
addiction but we are recovering from
our own misery. And that has yet to be
recognized as society, as a whole, or
even acknowledged.
ENDING HOMELESSNESS IN CALGARY MUST ADDRESS THE HISTORY AND IMPACT OF COLONIZATION
THAT IS A PRIMARY DRIVER OF HOMELESSNESS FOR INDIGENOUS PEOPLE, AND EFFORTS WILL ONLY BE
EFFECTIVE WITH THE LEADERSHIP OF, AND AUTHENTIC PARTNERSHIPS WITH, INDIGENOUS PEOPLES IN OUR
COMMUNITY. THE TREMENDOUS OVERREPRESENTATION OF INDIGENOUS PEOPLE AMONGST MARGINALIZED
GROUPS, INCLUDING THOSE EXPERIENCING HOMELESSNESS, CLEARLY INDICATES THE ONGOING EFFECTS OF
COLONIALIZATION. THE IMPACTS OF RESIDENTIAL SCHOOLING, THE SIXTIES SCOOP, AND ONGOING RACISM
CONTRIBUTE TO FURTHER INTERGENERATIONAL TRAUMA COMPOUNDING ITS EFFECTS ON INDIGENOUS
PEOPLE’S HEALTH AND WELLBEING.
Truth must inform reconciliation. This is not a
check box exercise. A renewed focus on building
partnerships and nurturing trust with First Nations
is a crucial next step – as is building partnerships
with Inuit and Métis communities. In support of this
process, Indigenous Elders, youth and adults with
lived experience provided specific feedback into the
strategic directive development process to facilitate
a better understanding of homelessness from an
Indigenous perspective.
Many Indigenous Elders attributed the core issues
that contribute to homelessness in the Indigenous
community to the intergenerational trauma caused
by residential schools and colonization; a loss of
connection to family, community and culture –
including language, traditional values, spirituality and
ceremony; as well as a lack of appropriate housing and
government funding to create additional housing that
is required on the reserves. Indigenous Elders also
discussed the high occurrence of addiction to drugs
and alcohol and prevalence of domestic violence.
Many also highlighted that stereotypes still exist and
that often this stems from a lack of understanding
and knowledge of history and culture.
The Elders shared their view that the younger
generations have lost their parenting skills as many
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of them are repeating the parenting techniques
learned within the residential school system. These
parenting techniques are believed to be contributing
to the continued cycle of abuse and trauma, and
elder generations (typically grandparent figures) have
had to step in to raise grandchildren in a healthy and
traditional way to bridge the knowledge gap within the
younger generations’ lack of parenting skills.
Addiction for many is linked to a lack of connection
and access to cultural engagement, specifically to
history, language, land, traditions, ceremony and
community. It was also noted that Indigenous peoples
have an “identity problem.” This stems from being
disconnected from their community and traditional
culture, which contributes to a lack of acceptance of
their heritage and a diminished feeling of pride and
self-worth.
Indigenous self-determination is core to truth and
reconciliation and must underpin the development of
homelessness programs and strategies. Further, the
urban Indigenous community is non-homogenous
and there is a diversity of Indigenous culture. This
means rather than “Indigenizing” programs, we
must participate in meaningful engagement and
co-development processes with Indigenous partners
in Calgary and Alberta. The HSSC must continue to
explore, in partnership with Indigenous governments
and partners, what role the HSSC should play in
support of self-determination. Such reflection will
need to be a key priority post-2018 as we work
together to solve the homelessness crisis affecting
Indigenous people.
“”
I’m intimidated going into a room
full of white people even if it’s all
about recovery. I understand that
comfort level with our own people,
and that we need to be around our
own people to heal.
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The challenges of working with high-complexity
individuals experiencing homelessness continues
to negatively impact our front line workers. The
psychological stressors, and/or vicarious trauma of
working with clients who have or are experiencing
trauma, addictions and mental illness combined with
the physical and environmental challenges factor into
everyday life for those working on the front lines. Our
staff are the primary advocates for those they serve,
however, the burden on staff working with complex
populations continues to take its toll.
In a CHF-commissioned study interviewing 245 staff
in 13 agencies, Drs. Wagemakers Schiff and Lane
(2016) assessed burnout and post-traumatic stress in
Calgary’s homeless-serving sector. The study points
out that a disproportionate number of front line
workers have minimal education and training for
dealing with the complexity of the clients they are
serving. Many staff have no training in counselling
or intervention skills (particularly in addictions)
prior to being hired into these critical front line
positions. According to the study, about 25% of
workers in the homeless-serving sector in Calgary
suffer from burnout and compassion fatigue that
heavily impacts job performance and decreases
their quality of life. Further, approximately 36% of
those interviewed reported symptoms that would
very likely result in a PTSD diagnosis. This vicarious
traumatization is likely the result of a combination of
prior traumatic experiences, traumatic work events,
and being witness to client trauma.
This sentiment was reflected in our engagement
sessions with participants stating that their jobs are
constantly crisis-driven, which is highly stressful, and
HSSC front line staff suggested a number of possible
ideas to better support them in their work. They
did reflect that collaboration among agencies was
beneficial for their work life and that the strong sense
of community within and among agencies is beneficial
for their mental health. Individuals in supervisory roles
acknowledged that more leadership training would
also be highly beneficial, but also strongly suggested
safer and more effective channels for front line staff
to express concerns and feedback to leadership and
executive levels within their respective organizations.
Front line workers also expressed that peer-to-peer
support, mentorship and talking with others who
have had similar experiences is much more effective
than third party counselling, and while front line staff
recognized that existing training (such as the vicarious
trauma workshops) was beneficial to ongoing work,
there was an overall acknowledgement that gaps still
remained.
Beyond 2018, leaders within the HSSC must review
working conditions, professional capacity building, and
training needs to meaningfully support those on the
front line who are doing the extraordinarily difficult
work.
Caring for the Front Lines
ONE OF THE MOST CONSISTENT THEMES THAT FLOWED THROUGH OUR ENGAGEMENT SESSIONS IS THAT OUR
FRONT LINE WORKERS FEEL NEGLECTED AND WITHOUT SUPPORT. THROUGHOUT THE FEEDBACK PROCESS,
IT CONSISTENTLY BECAME CLEAR WE NEED TO BEGIN TO GIVE THE SAME LEVEL OF ATTENTION AND CARE TO
OUR OWN PEOPLE AS WE GIVE TO THOSE WE SERVE.
”“One of the challenges is often that we work in an
environment that’s always crisis-driven and staff
is under stress. The challenge is that we don’t turn
around and acknowledge that and put resources in
place that mitigate the crisis component. We don’t
turn our mission for clients around on ourselves.
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Living and Lived Experience:
z Enhance client-centered lens by integrating client feedback intentionally through
program development, implementation, and evolution.
z Continue to leverage the voice of lived experience by listening to people,
committees and groups such as the Client Action Committee and Youth Advisory
Table, and allow their input to consistently inform the work that we do.
z Intentionally seek out those living in homelessness to be more responsive to real-
time needs as their experiences are time, system, and landscape dependent.
Caring for the front lines:
z Review opportunities to enhance training and peer-to-peer supports to augment
frontline staff capacity.
z Examine and create more opportunities for front line worker concerns and feedback
within homeless-serving organizations and throughout the greater system of care.
z Continue collaborating and fostering a greater sense of community between and
among agencies within the HSSC.
Action on Truth and Reconciliation:
z Stop “Indigenizing” programs and start right connecting to existing Indigenous
communities and services to foster greater self-determination and participate in
meaningful engagement and co-development processes with Indigenous partners
within Calgary and Alberta.
z Seek guidance from Indigenous Elders and partners to increase awareness of culture
and intergenerational trauma and their impact on people, structures, and policies
within HSSC agencies and organizations.
z Respectfully incorporate Indigenous ways of knowing, oral tradition, ceremony,
acknowledgement, and history into more culturally-appropriate service delivery.
People First Priority Areas of Focus:
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2 HOME FOR EVERYONE
OVER THE PAST DECADE THE HSSC HAS BECOME MUCH MORE ADAPTABLE AS IT’S SHIFTED
TO MEET CLIENTS’ NEEDS. HOWEVER, INCREASED FLEXIBILITY IS REQUIRED WHEN IT
COMES TO THE HOUSING CONTINUUM IN ORDER TO MAINTAIN THIS CLIENT-CENTERED
LENS. HOUSING FIRST IS NOT HOUSING ONLY, AND HOUSING CAPACITY AND DESIGN
MUST BE IN ALIGNMENT WITH THE DIVERSE NEEDS OF THE INDIVIDUALS WE SERVE.STRATEGIC DIRECTIVE30.A.2
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HousingFirst
Chronic health issues, (particularly mental illness,
disabilities, and physical illness), increase risk for
homelessness. Those experiencing housing instability
often face a multitude of challenges – including mental
health issues, addictions, domestic violence, limited
education, barriers to employment, and involvement
with multiple systems like Children’s Services and
Justice. Housing First works for people, public systems,
and communities by delivering access to housing
with wrap around supports. However, Housing First
is not housing only. It is a people-centric approach
that recognizes the unique needs of individuals
and families, as housing and programs need to be
adaptable and reflective of the changing dynamics of
individuals and families experiencing homelessness.
Over the past decade the sector has primarily
prioritized high-complexity clients, ensuring that
limited resources were strategically utilized. We
now recognize that housing and programming must
be made available for mid-complexity clients as an
intervention and prevention measure. The current
housing continuum does not capture the differing
needs within different program types and it has been
expressed that a more comprehensive definition of
“success” within a Housing First model is required as
clients often found a space that they like and simply
elected to stay there. We also need to examine
opportunities to further incorporate an Indigenous
lens into our housing strategies – such as providing
multi-family dwellings with programming that
promotes healing, community and culture.
A key learning over the past decade revealed that,
while there are pieces of the service network that the
non-profit sector can deliver more effectively and cost-
efficiently on behalf of mainstream systems, it can
only do so with adequate resourcing and collaboration
to achieve ongoing system coordination. The lack
of capacity and access to public services such as
counseling, mental health supports, and addictions
services continue to be a key barrier for those
experiencing homelessness. This is why we need other
public systems to invest and operate in housing and
supports as well – Health, Justice, Children’s Services,
and others can contribute resources to address the
complex needs of clients experiencing homelessness.
For instance, the Collaborative for Health and Home
(CHH) identified 900 complex, long-term homeless
individuals who are in need of an integrated health
and housing response as result of their complex
mental health, addiction, and physical health
challenges. The HSSC does not have the capacity,
the expertise, nor the authority to build and operate
such a facility; we need Alberta Health’s leadership
to address this need. Similarly, correctional facilities
require additional community-based housing units
and supports appropriate to the levels of need of the
person released. Provincial and federal corrections
systems must contribute to the development of
housing stock and supports specific to the needs of
shared complex service participants with housing
instability. Youth leaving provincial foster care also
need transition supports, including rent subsidies and
access to affordable housing.
The HSSC can be a part of all of these solutions,
however, it cannot be expected to take them on alone.
CALGARY’S 10 YEAR PLAN WAS BUILT UPON THE PHILOSOPHY OF HOUSING FIRST. VERY EARLY ON, WE
UNDERSTOOD THE NOTION OF HOUSING FIRST AS THE IDEA OF PROVIDING A PERSON EXPERIENCING
HOMELESSNESS WITH HOUSING, WHILE SIMULTANEOUSLY OFFERING THEM SUPPORTS TO ADDRESS
COEXISTING ISSUES THEY MAY BE FACING.
“”
Housing First wasn’t in our
philosophy 10 years ago. The
person-centered supports are
amazing, but it was disruptive
to the system.
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Intensity of Support
Non-market housing Market housing
Level of Subsidy
Level of Income
No Housing EmergencyTransitional Housing Supportive CareHousing Non-Market Housing(Rental and Ownership)Market Housing(Rental and Ownership)
Calgary’s Housing Continuum
Calgary’s Community Housing Affordability Collective
(CHAC) represents an important first step for a
sector that needs to advance its collaborative work
towards an integrated and coordinated approach
to better meet the community’s needs. Enhancing
the coordination of the housing continuum with the
homeless-serving system of care will further ensure a
seamless integration of these resources for clients at
risk of or experiencing homelessness.
Moving forward, addressing the unique needs of
diverse groups will continue to be a priority at the
program and system levels. Adding much needed
affordable housing stock will meet the needs of some
individuals, however other individuals experiencing
homelessness will require long-term housing with on-
site intensive supports delivered through supportive
housing models with integrated public health care.
Accordingly, housing units and program design will
need to be built across the housing spectrum in
alignment with the diverse needs of the individuals we
serve.
Finally, all citizens of Calgary should have a safe,
secure, affordable and well-maintained home from
which to realize their full potential and be contributing
members of our community. Marginalized persons,
such as those exiting homelessness, have the right
to be protected from discriminatory practices which
limit their housing opportunities. This view aligns with
the recently released National Housing Strategy which
declared “housing rights are human rights.”
Applying a human rights based framework that
fosters participation, inclusion and non-discrimination
must be prioritized by all orders of government, with
municipal leadership being critical.
The Housing Continuum
A SHORTAGE OF AVAILABLE AFFORDABLE HOUSING UNITS CONTINUES TO CREATE BOTTLENECKS AT ALL
POINTS ON THE HOUSING CONTINUUM AS CALGARIANS STRUGGLE TO MOVE FROM TRANSITIONAL TO
PERMANENT HOUSING, FROM NON-MARKET TO MARKET RENTAL HOUSING, OR FROM RENTAL HOUSING TO
HOME OWNERSHIP. THE PRIVATE SECTOR IS ALSO A KEY PARTNER IN THIS EFFORT, AND WE WILL CONTINUE
TO NEED THEM TO DEVELOP AFFORDABLE HOUSING OPTIONS AND WORK WITH THE NON-MARKET HOUSING
SECTOR TO ENHANCE ACCESS TO AVAILABLE STOCK. WE WILL ALSO NEED TO WORK IN PARTNERSHIP WITH
OUR AFFORDABLE HOUSING PROVIDERS TO EXPLORE NEW DELIVERY MECHANISMS THAT ARE FLEXIBLE
AND INNOVATIVE.
City of Calgary Affordable Housing Strategy http://www.calgary.ca/CS/OLSH/Documents/Affordable-housing/Corporate-Affordable-Housing-Strategy.pdf
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Housing First:
z Continue to focus on refining, perfecting, and adapting the Housing First model to
maintain and improve our client-centric approach.
z Examine opportunities to further incorporate an Indigenous lens into our Housing
First strategies.
z Increase housing sustainability by focusing our efforts on utilizing strengths-based
approaches to fostering client resiliency and to empowering clients to optimize and/
or build natural supports, thus becoming less reliant on systems supports.
The Housing Continuum:
z Work with all orders of government leadership (Federal, Provincial, Municipal,
Indigenous) to develop policies that increase affordable housing options and apply
a human rights based framework that fosters participation, inclusion and non-
discrimination. Considerable efforts have more recently emerged at all orders, which
is encouraging.
z Engage the private sector as a key partner in this effort. We will continue to need
them to help develop affordable housing options and work with the non-market
housing sector to enhance access to available stock.
z Work with affordable housing partners to leverage common assets, becoming
increasingly innovative in our collective work.
Home For Everyone Priority Areas of Focus:
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3 DATA AND
KNOWLEDGE
WE HAVE A CRITICAL BLIND SPOT IN OUR CAPACITY TO END HOMELESSNESS DUE TO THE LACK OF
DATA INTEGRATION THROUGHOUT AND BETWEEN THE HSSC AND THE PRIMARY PUBLIC SYSTEMS
OF CARE. IN THIS SENSE, WE DO NOT HAVE ENOUGH VISIBILITY IN THE FULL SCALE AND DYNAMICS
OF THE ECOSYSTEM INVOLVED. MEASURING AND MONITORING SUCCESS REQUIRES A REAL TIME,
SYSTEM-LEVEL LENS AND, DESPITE PROGRESS, A TRUE INFORMATION SYSTEM THAT TIES TOGETHER
ALL SERVICES WITHIN THE ECOSYSTEM CURRENTLY DOES NOT EXIST IN CALGARY.STRATEGIC DIRECTIVE30.A.2
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Research & Real-TimeKnowledge Dissemination
However, even though we recognize the importance
of data in developing agile responses to social issues,
we are still working on the creation of an integrated
ecosystem that truly closes the gap between evidence
and practice.
We need to increase our capacity to respond to
emerging and current requirements. Given that as
many as 10,000 services exist in the Calgary ecosystem
it is essential that we map this complexity and monitor
its trends and outcomes. Access to real time data from
a larger network of services can drive agile system
planning and help link all agencies within the HSSC
together through our shared mandate.
We also know that sustaining an end to homelessness
requires the coordination of the entire HSSC in
partnership with the primary public systems, and
advancing solutions in policy, interventions, and
research will continue to be required to inform
decision making.
IN ORDER TO ACHIEVE FUNCTIONAL ZERO, IT IS IMPERATIVE THAT WE DEVELOP A SYSTEM THAT LEVERAGES
REAL TIME DATA. USING DATA TO INFORM RESEARCH (WHICH IN TURN INFORMS PRACTICE) HAS ENABLED US
TO BETTER TAILOR INTERVENTIONS THAT MEET THE NEEDS OF DIVERSE CLIENTS AND ASSESS THE EFFICACY
AND EFFICIENCY OF SERVICES IN ORDER TO ENHANCE AND IMPROVE CLIENT OUTCOMES.
DataSharing
We also know that our capacity to end homelessness
relies on greater data integration between the
HSSC and primary public systems such as Children’s
Services, Health, and Justice. This existing data
disconnect results in having no way of knowing
whether new service participants are coming into
the system as a whole, or if they are cycling through
various components. This hampers system planning
and in turn, our capacity to respond appropriately and
adjust in real time.
In order to move system planning forward, efforts
to enhance coordinated service delivery are critical,
and this includes having better visibility into all
components within the system. The ability of service
providers, multi-disciplinary teams, police officers
and health professionals to respond in the most
appropriate and beneficial manner to individuals in
need also requires appropriate information sharing,
and we will need to resolve this lack of integration if
we are to move forward and enhance coordinated
service delivery across systems, rather than simply
within our own.
WE’VE MADE GREAT STRIDES OVER THE LAST DECADE IN TERMS OF DATA COLLECTION AND UTILIZATION,
AND WHILE WE HAVE FOUND THAT THE INCREASE IN DATA SHARING THROUGHOUT THE HSSC IS HIGHLY
BENEFICIAL, WE STILL NEED TO DEVELOP NEW TECHNOLOGICAL SOLUTIONS TO SUPPORT MORE SEAMLESS
DATA INTEGRATION ACROSS THE HSSC AND PRIMARY PUBLIC SYSTEMS.
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Key Performance Metrics
Current KPIs are limited to measuring program
performance within the HSSC, and while this is crucial
for monitoring the efficacy of Housing First programs
themselves, they don’t capture the interaction
between funded and non-funded agencies (shelters
in particular). Our progress over the recent years
has illustrated that system-level KPIs will need to be
developed to measure alignment and coordination
across the entire HSSC and into the public systems.
While the HSSC has developed and continues to refine
our KPIs at a program level, it is essential that our
performance management approach becomes more
agile and able to inform adjustments in real time
as part of a comprehensive approach that tackles
the structural, systemic, community, institutional,
interpersonal, and individual causes of homelessness.
Moving forward we need to identify and start
measuring system-level indicators in order to be more
nimble in our planning and become more proactive in
our collective response.
Measurement Tools
As we work towards our goals, we require a way to
measure our success. Historically, our HSSC has relied
on tools such as our biennial Point in Time Counts
(PiT) to measure the current state of progress. PiT
counts are important for identifying trends but they
only provide a snapshot of homelessness within a
specific time period and are, therefore, of limited
value as a lagging indicator. We need to develop more
agile system planning mechanisms that effectively
track inflow and outflow in real time, while providing
an accurate picture of what is happening across
services in terms of participant needs and outcomes.
Future work in this area must focus on developing
and implementing measurement tools, such as the
Scope of Needs and Services List (Calgary’s version
of a By Names List) that allows us to have a real-time
and more holistic snapshot of people experiencing
homelessness along with their needs and the services
that they require. These types of real time data tools
are better equipped to capture the flow of individuals
entering and exiting the HSSC, and allow us to better
serve them by right connecting them to public
systems or services, thus ending their experience of
homelessness as quickly as possible.
Measurement
UTILIZING EVIDENCE-BASED BEST PRACTICES, KEY PERFORMANCE INDICATORS (KPIS) ENABLE US TO BUILD A
HIGH-PERFORMING SYSTEM OF CARE THAT STABLY HOUSES THOSE WHO ARE EXPERIENCING CHRONIC AND
EPISODIC HOMELESSNESS, AND ALLOWS US TO BE MORE RESPONSIVE TO CALGARY’S UNIQUE NEEDS.
”“To measure impact, we have our agency impact, but
as a system, what is the goal? Is it the systems impact
or our program impact? The system impact needs to
be something that agencies can actually measure
within their programs. That’s not happening right now.
”“I like the data sharing idea – one system, or more than
one, integrated and accessible by different programs.
You automatically build tighter community.
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Data Sharing:
z Maintain client autonomy and privacy while improving agency and program
collaboration. Use client-centered language to educate clients on their right to
privacy, and give them a comprehensive understanding of how data sharing meets
their needs, why their data is being collected, who can see it, and how it is being used.
z Increase data sharing commitments and agreements by all agencies within the HSSC
and the primary public systems of care.
z Investigate and examine technological solutions to support data integration within
and between the HSSC and primary public systems of care.
z Enhance system of care visibility. Ongoing efforts to enhance coordinated service
delivery are critical; this includes having enhanced visibility of all components of
the system. We need to develop workable and effective solutions in support of
information sharing provisions and protocols.
Measurement:
z Develop and adhere to systems-level performance indicators to inform real time
systemic adjustments as part of a comprehensive approach that incorporates the
structural, systemic, community, institutional, interpersonal, and individual causes of
homelessness.
z Integrate a Scope of Needs and Services List that enables the HSSC to have a real
time snapshot of the needs of, and services required by, the individuals we serve.
Research & Real-Time Knowledge Dissemination:
z Examine system mapping to enable real time, full visibility of all services and agencies
to all organizations within the HSSC.
z Provide access to real time, actionable data to drive agile system planning in order to
link all agencies within the HSSC into a cohesive system of care through our common
shared mandate.
Data and Knowledge Priority Areas of Focus:
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4 AGILE HSSCPLANNING
STRATEGIC DIRECTIVEAGILE SYSTEM PLANNING IS ABOUT MORE THAN SETTING TARGETS AND MONITORING
PERFORMANCE. AN AGILE SYSTEM WOULD BEGIN WITH PREVENTION WITH A FOCUS
ON BEING RESPONSIVE, NOT REACTIVE. FASTER, AND MORE STRATEGIC CYCLES OF
DEVELOPMENT ARE NEEDED THROUGHOUT THE HSSC, NOT ONLY IN THE PROGRAM
IMPLEMENTATION, BUT ALSO IN WORKING ALONGSIDE PRIMARY PUBLIC SYSTEMS.
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AGILE HSSCPLANNING
SystemCoordination
At a programmatic level, and as the HSSC continues to
advance (and the capacity of the system to deliver on
client-centered outcomes related to housing referrals,
housing placement and housing stability evolves) it
is critical that we are measuring the right things and
integrating what we learn into our agency-specific
service delivery plans. As our community becomes
increasingly data-driven, comparison and evaluation
are major mechanisms for systems improvement,
decision making and planning. Data, measurement
and reporting doesn’t always effectively capture
progress made with clients – or alternatively, areas
of concern. For example, there needs to be a better
understanding of rehoused placements and the
instances of Housing First graduates coming back into
the system. Moving forward, a review and refinement
of the indicators used to assess program performance
will be important. This will need to be an iterative
process that ensures program KPIs align with on-the-
ground experiences of the front line.
Finally, we know that sustaining Functional Zero
requires the coordination of the entire HSSC in
partnership with primary public systems, and
advancing solutions in policy, interventions, and
research will continue to be needed. As shifts in our
environment impact homelessness we need to course-
correct in real time to ensure effectiveness, and as we
relieve the current backlog in our system we can work
with public systems to shift public system resources to
enhance our focus on prevention, and move upstream
to address the root causes of homelessness in a
coordinated manner. Accordingly, the HSSC can play
a critical role in creating service delivery models that
right connect people to primary public systems and
increase capacity and access to essential services for
people at risk of or experiencing homelessness.
A SYSTEM PLANNING APPROACH WITH A NEUTRAL BACKBONE SYSTEM PLANNER ORGANIZATION TO DRIVE
COORDINATION, AND WHERE APPROPRIATE, INTEGRATION EFFORTS AMONG THE HSSC AND PUBLIC SYSTEM
PARTNERS (SUCH AS HEALTH AND JUSTICE) WILL BE REQUIRED TO MAINTAIN FASTER, LEANER CYCLES OF
DEVELOPMENT THROUGHOUT THE SYSTEM OF CARE. TO THAT END, AGILE HSSC PLANNING IS MORE THAN
SETTING TARGETS AND MONITORING PERFORMANCE. IT REQUIRES A LEAD SYSTEM PLANNER ORGANIZATION
TO DEVELOP A NIMBLE AND ITERATIVE APPROACH TO CONTINUAL IMPROVEMENT.
”“We do need more funding allocated to
preventative work, but if we’re going to
get into it, let’s think about accountability
and not take on the work that other
agencies and system can or are already
doing better.
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”“We need to tailor the scorecards and
benchmarks according to programs.
What if we looked at a positive
change in client complexity rather
than agency performance? It’d be a
lot more client focused.
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System Coordination:
z Enhance our understanding of Housing First program graduation rates. Utilize
existing data to generate a better understanding of Housing First graduate rehousing
to determine system capacity needs.
z Explore primary public systems capacity and integration of Housing First program
graduates to understand recidivism patterns back into homelessness.
z Explore strategies to intentionally manage the inflow from mental health, addiction,
health, and correctional facilities into homelessness and Housing First programs.
z Explore opportunities to enhance and adjust current program KPIs to align with
on-the-ground experiences at the front line level. These indicators, as well our
interpretation and reporting of data, will need to follow an iterative process that
adjusts as needed based on real time inputs from front line workers.
Agile HSSC Planning Priority Areas of Focus:
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Packet Pg. 890 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
5 ECOSYSTEM
INTEGRATION
ONE OF THE GREATEST CHALLENGES FACED IN OUR WORK ON HOMELESSNESS STEMS
FROM THE FACT THAT HOMELESSNESS CANNOT BE SOLVED BY THE HOMELESS-SERVING
SYSTEM OF CARE ALONE; IN FACT, THE HSSC ITSELF IS A SECONDARY, DEFAULT SYSTEM
THAT EMERGED TO RESPOND TO THE GAPS AND FRACTURES THAT PEOPLE ARE FALLING
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ECOSYSTEM
INTEGRATION
HomelessnessPrevention
While we continue to focus on ending long-term
homelessness amongst those experiencing chronic
and episodic homelessness, we must also enhance the
system of care to efficiently house those at imminent
risk of or who experience short-term homelessness
as well. To meet our goal of achieving Functional Zero
in Calgary, we need to stop people from becoming
homeless in the first place.
As an example, the higher incidence of homelessness
among those who exit Children’s Services provides
impetus to examine how that system prepares and
supports young people for transitions to adulthood.
In the case of Income Supports, inadequate shelter
allowance exacerbates homelessness risk for those
receiving social benefits yet who are unable to pay
rent. This would suggest that this system could
shift policy and procedures in this area to reduce
homelessness long-term. The higher incidence of
people experiencing mental illness in shelters also
suggests a gap in the Health system that enables
this issue to emerge in the first place. Similarly, the
higher incidence of homelessness for people involved
with the Justice system points to the need to explore
what might be done around Justice investment in
appropriate housing as part of the release planning
process.
It is very difficult to bring these systems together at
the local level and engage in cross-system planning
and investment coordination. This is partially to
do with the accountability of systems beyond
Calgary itself to the province or nationally, as well
as their understanding of where accountability
for homelessness lies in relation to ministerial or
departmental mandates. Health might argue that
homelessness is not a health issue and thus outside
their responsibility realms; same could be said by
Justice or Children’s Services. However, all of these
systems require significant policy shifts. While difficult,
this work on cross-system leadership and ecosystem
planning will continue to be a priority for Calgary to
achieve its objectives on ending homelessness. This
will require incremental changes to primary public
systems as agile system planning requires new skills,
will and knowledge.
OVER THE PAST DECADE, OUR EMPHASIS ON REDUCING CHRONIC AND EPISODIC HOMELESSNESS HAS FOCUSED
THE HSSC’S INTERVENTIONS ON TERTIARY AND SECONDARY PREVENTION. HOWEVER, WE ALSO RECOGNIZE
THAT WITHOUT ALL TYPES OF PREVENTION, SUCCESS IS VERY LIMITED. IN FACT, PREVENTING HOMELESSNESS
WILL REQUIRE AN INTENTIONAL PREVENTION EFFORT TO IDENTIFY THOSE AT THE GREATEST RISK AND BEST
MATCH THEM WITH APPROPRIATE RESOURCES BEFORE HOMELESSNESS OCCURS. THIS HAS IMPLICATIONS FOR
GOVERNMENT AND NON-PROFIT AGENCIES WHO ARE NOT WITHIN THE HSSC TO COLLECTIVELY RECOGNIZE
THAT IN ORDER TO BE PART OF THE SOLUTION, THEY WILL HAVE TO RETHINK SIGNIFICANT ASPECTS OF THEIR
APPROACH TO SERVICE DELIVERY, POLICY DEVELOPMENT, AND IMPLEMENTATION.
”“We’ve increased our level of
collaboration; we share a lot of
information and build a lot of trust. We
can expand this to the administrative
and public systems too.
30.A.2
Packet Pg. 892 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
CALGARY’S HOMELES S S ERVIN
G
S
YSTEM OF CAREYouth Families Singles
Ethnicit
y «
L
GBTQ2S+ « Human Rights « Domestic Violence « Gender Lens « Addiction « Poverty « Indigeneity « Mental Health « Aging « A c c e s s i b i l i t y « And More « HealthJusticeHousing
Chi
ld
ren
’sServ
icesIncomeSupports
Calgary's Homeless-
Serving System of Care
is not a primary system.
Public Systems
The primary systems
of care in our city.
Though they are
distinct, they integrate
with each other in
service to individuals.
Populations
The primary
segmentation of
individuals within
the eco-system.
Pressure points
within the system
These pressure
points are common
throughout the system
and are not tied to
primary systems.
homeless-serving sector
services those who fall
through the primary
systems.
Calgary’sEcosystem:
Much more needs to be done to develop effective
strategies on the primary prevention side to stem
the flow of new cases of homelessness before
they occur. This includes the development of more
affordable housing, and changing policies to ensure
vulnerable groups – such as youth leaving care – are
not discharged into homelessness. In addition, we
need to find ways to increase incomes for vulnerable
populations, including enhancing income supports,
access to living wage employment, and other poverty
reduction measures that are specifically aligned
towards ending homelessness.
However, it is important to remember that these
issues and their solutions are not within the direct
powers or accountability of the HSSC. In fact, growing
the HSSC will never solve these systemic issues
within the broader ecosystem and primary public
systems. We need leadership within these systems to
accept accountability and take action on addressing
the gaps and drivers contributing to homelessness
within their own ministries, programs and services.
30.A.2
Packet Pg. 893 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Homelessness Prevention:
z Leverage Community Systems Integration (CSI) Table to drive coordination, and
where appropriate, integration efforts across the HSSC with our public system
partners such as Health, Children’s Services, and Justice to address the gaps and
drivers within their own systems that are contributing to homelessness.
z Leverage the Collaborative to Health and Home (CHH) to continue to advance access
to intensive case management and health supports including mental health and
addicitons services as homeless Calgarians transition into supportive housing.
z Enhance the integration of the HSSC with poverty reduction and affordable housing
efforts being led by Enough for All and CHAC in order to maintain momentum beyond
2018.
Ecosystem Integration Priority Areas of Focus:
30.A.2
Packet Pg. 894 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
6 STRATEGIC
INVESTMENT
& EMPOWERING
CALGARIANS
WITHOUT THE SUPPORT OF ALL ORDERS OF GOVERNMENT, THE SUCCESSES WE HAVE ACHIEVED
TO DATE WOULD NOT HAVE BEEN POSSIBLE, AND MOVING FORWARD, SUPPORT FROM ALL
ORDERS OF GOVERNMENT WILL CONTINUE TO BE ESSENTIAL. CRITICAL MASS IS REQUIRED TO
AFFECT SUSTAINABLE CHANGE, BUT CRITICAL MASS CAN ONLY BE ACHIEVED IF ALL CALGARIANS
PARTICIPATE IN OUR COLLECTIVE EFFORTS TO END HOMELESSNESS IN OUR CITY, AND ACTIVELY
ENGAGE IN THE BETTERMENT OF OUR COMMUNITY.STRATEGIC DIRECTIVE30.A.2
Packet Pg. 895 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
FunderEngagement
The Government of Alberta supported (rather than
dictated) directions to Calgary, and this created space
for the emergence of local capacity to develop systems
planning approaches appropriate to solve local
complex social issues. This enabling approach was
reinforced at the federal level by the Homelessness
Partnering Strategy (now called Reaching Home) and
the National Housing Strategy – which put the onus of
community planning at the local level, rather than in
government (provincial or federal).
Notwithstanding the above, the successes we have
achieved to date would not have been possible
without investment from all orders of government
(Federal, Provincial, Municipal) and moving forward,
support from all orders of government will continue
to be essential. The Federal Government’s National
Housing Strategy has marked a momentous shift in
the affordable housing sector, though the details of
the rollout are yet to be determined. The Government
of Alberta’s Affordable Housing Strategy (2017), with a
commitment of $1.2 billion over five years to improve
the system’s 70,000 housing units and construct
an additional 4,100 units by 2021 is a promising
investment within the affordable housing sphere.
We will also need The City of Calgary to continue to
support policies that remove barriers and increase
affordable housing options and provide assertive
leadership with federal, provincial and industry
partners on tackling the affordable housing gap.
As noted, concerted coordination and integration
efforts across the HSSC with our partners in Health,
Justice, Income Supports, poverty reduction, mental
health and addiciton, affordable housing, and others
will be required to maintain momentum beyond
2018. The levels of resources needed will require
constant monitoring and adjustment to respond to
shifting drivers of demand. We will need to develop
common ways of measuring leading and lagging
indicators provincially and nationally to ensure a
consistent approach emerges. Though parts of the
HSSC have been aligned through joint provincial,
federal, and philanthropic funding to a high degree,
resource infrastructure can and should be strategically
examined from an ecosystem perspective. Failure
to do so will continue to hamper efforts as we
have no way of knowing whether diverse funders
(governments, foundations, charities, etc.) are working
at cross-purposes, duplicating efforts, or even whether
we are serving different groups and to what effect.
Moving forward, we need to ensure diverse funders
are aligned across the HSSC and that KPIs and
outcomes are co-created and shared.
GOVERNMENTS’ TRUST AND ENABLING APPROACH TO LOCAL LEADERSHIP THROUGH THE COMMUNITY
BASED ORGANIZATION AND COMMUNITY ENTITY MODELS WAS A CRITICAL FACTOR IN CALGARY’S SUCCESS
OVER THE PAST DECADE. THEIR SUPPORT FOR LOCAL AUTONOMY IN BACKBONE ENTITY-DRIVEN SYSTEM
PLANNING ALONG WITH THE PROVISION OF RESOURCES AND ENABLING POLICY WERE CRITICAL.
”“What’s working is how well we work
together collaboratively as agencies and
as a sector; we have built off of that and
started collaborating to determine how we
can provide the best sector-wide support.
30.A.2
Packet Pg. 896 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
HOME FOR EVERYONE
However, there is still a considerable lack of public
knowledge on homelessness as well as a great
amount of shame and stigma associated with the
people who experience it, and innovative approaches
to connecting, informing, and engaging with the public
need to be developed through a comprehensive and
collective communication vehicle. Unified messaging
through a single brand will contribute to a stronger
HSSC voice and minimize the confusion that comes
from trying to navigate multiple messages from
multiple sources.
Critical mass can only be achieved if all Calgarians
participate in our collective efforts to achieve
Functional Zero within our city, and actively engage
in the betterment of our community. This requires
that all Calgarians have a deeper understanding of
homelessness and what causes it, and challenge the
myths and stigma surrounding those experiencing it.
ENDING HOMELESSNESS REQUIRES THE ENGAGEMENT OF ALL CALGARIANS, EACH CONTRIBUTING IN A
MANNER THAT FITS THEIR CAPACITY. BY LENDING PUBLIC SUPPORT AND ENCOURAGING COMMUNITY ACTION
ON HOMELESSNESS, MANY HAVE CONTRIBUTED TO THE SUCCESSES WE’VE HAD OVER THE PAST DECADE
THROUGH EMBRACING PERMANENT HOUSING WITH SUPPORTS IN LOCAL NEIGHBOURHOODS; PROVIDING
VOLUNTEER HOURS IN AFFORDABLE HOUSING BUILDINGS; AND BY FUNDRAISING TO PAY DOWN BUILDING
MORTGAGES.
”“We almost have a unified voice – a
better ability to advocate. Because
of that, we can work really well
together, streamline services,
and address the problem more
effectively in the future.
30.A.2
Packet Pg. 897 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Funder Engagement:
z Identify opportunities for better integration of governance, funding, and policy
across systems, services, and sectors to support more seamless access to, and
transition among services.
I Heart Home:
z Develop a collective communications mechanism for the HSSC to work in concert
with existing initiatives such as CHAC’s Common Voice for affordable housing.
z Create more public awareness of the scope and causes of homelessness in Calgary,
and the performance of programs that are delivering desired outcomes towards the
collective goal.
z Address the stigma and discrimination associated with homelessness in Calgary
through collective HSSC communication.
Strategic Investment & Empowering Calgarians Priority Areas of Focus:
30.A.2
Packet Pg. 898 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Conclusion:
Together,We can get toZeroAbsolute
Functional
CALGARY’S HOMELESS-SERVING SYSTEM OF CARE IS COMPRISED OF A NETWORK OF AGENCIES AND PUBLIC
SYSTEM PARTNERS WORKING TOGETHER TO ENSURE THAT THOSE AT IMMINENT RISK OF OR EXPERIENCING
HOMELESSNESS HAVE TIMELY ACCESS TO THE RIGHT HOUSING WITH THE RIGHT SUPPORTS AT THE RIGHT
TIME. THE STRATEGIC DIRECTIVES AND PRIORITY AREAS OUTLINED IN THIS GUIDING DOCUMENT ARE BASED
ON THE LESSONS AND WISDOM GLEANED FROM OVER A DECADE OF COLLECTIVE IMPACT, COLLABORATION
AND COORDINATION.
Complex social issues like homelessness are cross-cutting, whether we consider them through the lens of a
government jurisdiction, department, or service delivery approach. Across and within the ecosystem, (including
the HSSC), system of care service providers and programs continue to mainly operate in a fragmented manner.
The strategic directives and priority areas outlined in this guiding document provide a strategic framework to
drive alignment across system of care participants and enable co-ordination at the strategic and service delivery
levels to achieve Functional Zero within our city.
As the system planner for Calgary’s HSSC, Calgary Homeless Foundation is honoured to continue to collaborate
with the HSSC to deliver services, housing and programs, and coordinate resources in alignment with the
strategic directives outlined in this document.
No single agency, system or service can end homelessness alone. It’s no longer sustainable to care solely about
one’s own organizational mandate and associated initiatives. To achieve transformational change we must drive
for shared accountability and identify ways to co-ordinate at the ecosystem and strategic level as well as the
service delivery level.
30.A.2
Packet Pg. 899 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
”“ z Each time a person or family at risk of or experiencing homelessnes is supported to
access and maintain permanent housing
z When there are fewer paths in and a timely path out, for everyone
z When our system response is such that: when a person falls into homelessness, the
system finds them, treats them with dignity and respect, gets them into permanent
housing with supports if/as needed, and does so in days and weeks – not months
and years
- Diana Krecsy, CEO, CHF
”“Teamwork is the ability to work together toward
a common vision. The ability to direct individual
accomplishments toward organizational objectives.
It is the fuel that allows common people to attain
uncommon results.
- Andrew Carnegie
We Will Have Ended Homelessness When:
30.A.2
Packet Pg. 900 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
HOME FOR EVERYONE
WWW.IHEARTHOMEYYC.COM
TogethertoZeroAbsolute
Functional
30.A.2
Packet Pg. 901 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019 – 8:30 am
Item 8.4 – Veteran Data for Collier County
Sean,
Attached is Veteran Data for Collier County provided by the VA. I sent a second request
because I am missing the number of Veterans that served overseas in pre post 9-11 (Gulf Wars -
Pre 9-11).
Should have it very soon.
Dale Mullin
President
dale@woundedwarriorsofcolliercounty.com
239.596.3019 (o)
203.449.7742 (c)
411 Saddlebrook Lane
Naples, FL 34110
30.A.2
Packet Pg. 902 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
January 31, 2019
In Reply Refer To:
Mr. Dale Mullin
411 Saddlebrook Lane
Naples, FL 34110
dale@woundedwarriorsofcolliercounty.com
516/001PV
FOIA 19-03120-F
Dear Mr. Mullin:
Thank you for your inquiry to the Bay Pines VA Healthcare System (BPVAHCS). This
letter is the initial agency decision on your January 5, 2019 request under the Freedom of
Information Act (FOIA), 5 U.S.C. § 552, for the following:
1. Total number of Veterans living in Collier County last census count.
2. Breakdown of the total number of Veterans served in overseas wars living in Collier
County: WWII, Korea, Vietnam, Post 9-11.
3. Breakdown by gender for item #2.
4. Number of Veterans diagnosed with PTSD or TBI living Collier County (2015-2018).
5. Number of homeless Veterans reported in Collier County by year (2015-2018).
6. Number of Veterans receiving housing payments from VA/HUD in Collier County (2015-
2018).
7. Number of Veterans receiving treatment for PTSD and TBI by VA living in Collier
County (2015-2018).
8. Number of Veterans arrested in Collier County (2015-2018).
9. Veteran suicides reported in Collier County (2015-2018).
10. Number of Veterans treated for substance abuse living Collier County (2015-2018).
Your request was received in my office on January 7, 2019. Social Work Service,
Mental Health and Behavior Sciences Service (MH&BSS), Health Administration Service and
the Associate Group Practice Manager conducted a search for documents responsive to your
FOIA request that were gathered or created by the BPVAHCS on or before January 5, 2019.
At the conclusion of the search, the following information was determined to be responsive to
your request.
In response to line item 1, the Associate Group Practice Manager provided the following
total number of Veterans living in Collier County last census count:
County, St 9/30/2015 9/30/2016 9/30/2017 9/30/2018 9/30/2019
Collier,FL 30,407 29,324 28,242 27,164 26,094
DEPARTMENT OF VETERANS AFFAIRS
Bay Pines VA Healthcare System
Post Office Box 5005
Bay Pines, Florida 33744
30.A.2
Packet Pg. 903 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Page 2.
Mr. Dale Mullin
Data Source: National Center for Veterans Analysis and Statistics
(https://www.va.gov/vetdata/veteran_population.asp)
In response to line item 2, Health Adminitstration Service provided the breakdown of the
total number of Veterans served in overseas wars living in Collier County: WWII, Korea,
Vietnam, Post 9-11.
(2V08) (516GF) Naples, FL Totals
Desert Storm (Veteran)
Korean 952
Operation Desert Shield
Persian Gulf War 1,272
Post-Korean 575
Post-Vietnam 625
Pre-Korean 35
Vietnam Era 3,524
World War I
World War II 453
In response to line item 3, Health Administration Service provided the following
breakdown by gender for line item 2:
(2V08) (516GF) Naples, FL Totals
Female 336
Male 7,140
In response to line item 4, the Associate Group Practice Manager provided the following
number of Veterans diagnosed with PTSD or TBI living Collier County (2015-2018).
Note: This is the number of Veterans treated in VHA with Collier as their home county
with diagnosis codes for PTSD and TBI. It is unknown how many Veterans have a
diagnosis, but are not receiving treatment.
In response to line item 5, Social Work Service provided the number of homeless
Veterans reported in Collier County by year (2015-2018):
FY COC homeless sheltered unsheltered
2015 FL 606 5 5 0
2016 FL 606 5 4 1
2017 FL 606 9 4 5
2018 FL 606 11 3 8
30.A.2
Packet Pg. 904 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Page 3.
Mr. Dale Mullin
In response to line item 6, Social Work Service provided a “no records” response
concerning the number of Veterans receiving housing payments from VA/HUD in Collier County
(2015-2018). Social Work Service explained that while there are a few Housing and Urban
Development-Veterans Administration Supportive Housing (HUD-VASH) Veterans residing in
Collier through the HUD portability system, there are no HUD-VASH vouchers allocated to
Collier County.
In response to line item 7, the Associate Group Practice Manager provided the number
of Veterans receiving treatment for PTSD and TBI by VA living in Collier County (2015-2018).
In response to line item 8, the Associate Group Practice Manager and Social Work
Service provided a “no records” response for the number of Veterans arrested in Collier County
(2015-2018). Social Work Service explained that this information it may be obtained through
the court system.
In response to line item 9, Mental Health and Behavioral Sciences Service provided a
“no records” response to the number of Veteran suicides reported in Collier County (2015-
2018). Mental Health and Behavioral Sciences Service explained that there are no known
suicides among Veterans who resided in Collier County in the Suicide Prevention Application
Network (SPAN) tracking system during that timeframe (2015-2018).
In response to line item 10, the Associate Group Practice Manager provided the
following number of Veterans treated in VHA with Collier County as their home county and a
diagnosis of Substance Use Disorder.
Please be advised that you may appeal the “no records” response to:
Office of the General Counsel (024)
Department of Veterans Affairs
810 Vermont Avenue, N.W.
Washington, D.C. 20420
Email: ogcfoiaappeals@va.gov
30.A.2
Packet Pg. 905 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Page 4.
Mr. Dale Mullin
If you should choose to file an appeal, your appeal must be postmarked or electronically
transmitted no later than ninety (90) calendar days from the date of this letter. Please include a
copy of this letter with your written appeal and clearly state why you disagree with the
determinations set forth in this response.
You may also seek assistance and/or dispute resolution services for any other aspect of
your FOIA request from VHA’s FOIA Public Liaison and/or Office of Government Information
Services (OGIS) as provided below:
VHA FOIA Public Liaison:
Email Address: vhafoia2@va.gov
Phone Number: (877) 461-5038
Office of Government Information Services (OGIS)
Email: ogis@nara.gov
Fax: (202) 741-5769
Mailing address: Office of Government Information Services
National Archives and Records Administration
8601 Adelphi Road
College Park, MD 20740-6001
Thank you for your interest in VA. If you have any further questions, please feel free to
contact me at (727) 398-6661, extension 14626.
Sincerely,
30.A.2
Packet Pg. 906 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019
Item 8.5 – Review of Committee Vacancies
Filled Positions
Membership Credential Committee Member Organization
1 Veterans Service Organization Dale Mullin Wounded Warriors of Collier
2 Collier County Sheriff’s Office Lt. Leslie Weidenhammer CCSO
3 Licensed Psychiatrist/Psychologist Dr. Emily Ptaszek Healthcare Network of SWFL
4 Licensed Behavioral Health Prof. Susan Kimper NCH
5 Medical Health Professional Dr. Thomas Lansen
6 David Lawrence Center Scott Burgess DLC
7 NAMI Dr. Pam Baker NAMI
8 At-large Honorable Janeice Martin 20th Judicial Circuit
9 Collier County Grantor Agency Robert (Reed) Saunders
10 Homeless Advocacy Organization Christine Welton Hunger & Homeless Coalition
11 Peer Specialist CM Michelle McLeod City of Naples
12 Recovery Community Janice Rosen
13 At-large Dr. Michael D’Amico
14 At-large Russell Budd PBS Contractors
15 At-large Pat Barton
16 At-large Dr. Jerry Godshaw
17 At-large Dr. Paul Simeone Lee Health
Vacant Positions
Membership Credential Committee Member Organization
At-large (2) Vacant
30.A.2
Packet Pg. 907 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
Mental Health and Addiction Ad Hoc Committee Meeting
March 19, 2019 – 8:30 am
Item 9.3 Discussion of Bed Supply Per Capita
THIS IS A ONE WAY COMMUNICATION.
Good evening, Committee Members.
Please find two items that Pam Baker wanted to share with the Committee attached to this email. The
first is an article regarding psychiatric beds per capita. This article provides (particularly pages 3-4) some
clarity to the question raised by Judge Martin at Friday’s meeting. Pam emphasized that the number
includes state hospital beds.
The second attachment shows the number of licensed psychiatric hospital beds in Collier County. Per
Pam’s email: “Attached shows the number of licensed psychiatric hospital beds in Collier County. This
does not include the DLC CSU which is not a ‘hospital’ by definition. With the Willough at 82 and NCH 23,
we technically already have more than the recommended number. They just are not used for emergent /
Baker Act capacity. Thank you for distributing to the Committee.”
Have a good evening.
Respectfully,
Sean Callahan
Exec. Director of Corporate Business Operations
Office of the County Manager
3299 Tamiami Trail E, Building F, Suite 202, Naples Florida 34113
Phone: 239.252.8383 Cell: 239.272.6516 E-mail: Sean Callahan@colliercountyfl.gov
“HOW ARE WE DOING?” Please CLICK HERE to fill out a CUSTOMER SURVEY.
We appreciate your feedback!
30.A.2
Packet Pg. 908 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County Mental Health and Addiction Ad Hoc
30.A.2
Packet Pg. 909 Attachment: [Linked] Agenda and Back-up Document Packet - March 19, 2019 (8622 : Collier County
BACKGROUND PAPER September 2016
Psychiatric Bed Supply Need Per Capita
SUMMARY
The United States is in the midst of a psychiatric bed shortage that worsens every year. By early 2016, the
practice of closing state mental hospitals, often called “deinstitutionalization,” had eliminated more than 96%
of the last-resort beds that existed in the mid-1950s; after a brief period of expansion in the 1990s, private
hospitals, too, are shrinking their psychiatric inpatient capacity. The consequences are many and far-ranging,
yet most states continue to decrease the number of state hospital beds they supply per capita and, because of
financial disincentives, private and other inpatient-service providers are not stepping in to replace those that
are lost. Despite widespread consensus that “more beds are needed,” neither the United States nor its
individual states have conducted research to establish evidence-based bed supply ranges. The Treatment
Advocacy Center in 2008 published the most commonly cited bed target in the United States — 40 to 60 beds
per 100,000 people — but no official effort has been made to validate or revise this number. New computer
modeling holds promise for developing evidence-based targets in the future.
________________
BACKGROUND
Although most people with a diagnosed mental illness never require hospitalization, and many with the most
serious conditions can be successfully treated in the community, inpatient psychiatric treatment remains an
essential component of a complete mental healthcare continuum. “While community and hospital-at-home
teams can be effective for many (but not all) patients, inpatient care is essential when an acute episode is
accompanied by potentially high risks of suicide or violence,” Stephen Allison and a team of international
colleagues write in the September issue of Australian & New Zealand Journal of Psychiatry. Psychiatric units in
general hospitals and private psychiatric hospitals occasionally admit individuals who are severely ill, but most
do not have the resources to provide intensive psychiatric care. Additionally, because individuals with the most
severe and chronic mental illnesses experience high rates of unemployment, poverty and homelessness, they
often do not have personal resources or health insurance to pay for their hospitalization, which discourages
hospitals from admitting them. In 2013, uninsured individuals with schizophrenia or bipolar disorder were less
likely than any other psychiatric patient category to receive hospital care.
As La and colleagues write in their 2015 report on psychiatric bed supply and demand in North Carolina, “state
psychiatric hospitals are the ultimate safety net for people with mental illness.” Yet the number of available
psychiatric beds grows smaller every year. In 1955, there were an estimated 559,000 state and county
psychiatric beds, or nearly 340 beds per 100,000 people. By early 2016, the state hospital bed population had
dropped more than 96%, to 37,679 beds, or 11.7 beds per 100,000 people. Of these, nearly half were occupied
by criminal offenders with serious mental illness; barely six beds per 100,000 people remained for individuals
with acute or chronic psychiatric disease who had not committed crimes.
30.A.2
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2|Page
Treatment Advocacy Center • www.TreatmentAdvocacyCenter.org
Psychiatric Bed Supply Need Per Capita
Allison, S., Bastiampillai, T., Fuller, D. A., Gupta, A., and Sherry, K. W. Chan. (2016). The Royal Australian and New
Zealand College of Psychiatrists guidelines: Acute inpatient care for schizophrenia. Australian & New Zealand
Journal of Psychiatry.
La, E. M., Lich, K. H., Wells, R., Ellis, A. R., Swartz, M. S., Zhu, R., & Morrissey, J. P. (2015). Increasing access to state
psychiatric hospital beds: Exploring supply-side solutions. Psychiatric Services, 67, 523–528. Retrieved from
http://ps.psychiatryonline.org/doi/abs/10.1176/appi.ps.201400570 .
Parks, J., & Radke, A. (Eds.). (2014). The vital role of state psychiatric hospitals. Alexandria, VA: National Association
of State Mental Health Program Directors. Retrieved from
http://www.nasmhpd.org/sites/default/files/The%20Vital%20
Role%20of%20State%20Psychiatric%20HospitalsTechnical%20Report_July_2014.pdf
Agency for Healthcare Research and Quality. National statistics on mental health hospitalizations. US Department of
Health & Human Services.
Fuller, D. A., Sinclair, E., Geller, J., Quanbeck, C., Snook, J. (2016). Going, going, gone: Trends and consequences of
eliminating state psychiatric beds, 2016. Arlington, VA: Treatment Advocacy Center.
CONSEQUENCES
When the safety net shrinks, the consequences appear to be many and far-ranging:
• Emergency rooms overwhelmed by people in psychiatric crisis, resulting in critically ill psychiatric
patients waiting days and even weeks to be admitted to a hospital
• Mentally ill inmates who cannot be tried because they are unstable but who cannot be treated
because there is no bed available for them
• Ultra-short hospital stays for patients who do get admitted in order to turn beds over
• Acutely ill individuals left untreated to suffer consequences that are often dire and sometimes fatal to
themselves or others.
Despite the impact and cost of such consequences — and the growing outcry they have provoked from a
variety of constituencies — evidence-based guidelines for policymakers and public health officials to use in
establishing and maintaining a safe minimum number of psychiatric beds do not exist. Informal consensus
estimates and localized anecdotes serve in their place. A team of researchers in North Carolina has developed
a computer-based alternative that holds promise but has not been applied to practice.
American College of Emergency Physicians. (n.d.). “Psychiatric Emergencies.” Retrieved from
http://newsroom.acep.org/fact_sheets?item=30093.
Fuller, D. A., Sinclair, E., Geller, J., Quanbeck, C., Snook, J. (2016). Going, going, gone: Trends and consequences of
eliminating state psychiatric beds, 2016. Arlington, VA: Treatment Advocacy Center.
Allison, S., Bastiampillai, T., Fuller, D. A., Gupta, A., and Sherry, K. W. Chan. (2016). The Royal Australian and New
Zealand College of Psychiatrists guidelines: Acute inpatient care for schizophrenia. Australian & New Zealand
Journal of Psychiatry.
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Psychiatric Bed Supply Need Per Capita
CONSENSUS BED SUPPLY RANGE
In 2008, the Treatment Advocacy Center published a study that included a safe minimum number of public
beds for adequate psychiatric services per 100,000 populations. Estimates were solicited “from 15 experts on
psychiatric care in the US, [including] individuals who have run private and state psychiatric hospitals, county
mental health programs, and experts on serious psychiatric disorders.” Participating experts were asked to
estimate beds for children and forensic (criminal justice-involved) patients, as well as civil, adult patients. An
estimated range of 40-60 public psychiatric beds per 100,000 people emerged, with a consensus around 50
beds per 100,000 population. Across the 34-member Organization for Economic Cooperation and
Development (OECD), to which the United States belongs, the median number of psychiatric beds per 100,000
people in 2014 was 68 beds. This suggests that international policy and practice are operating slightly above
the upper end of the consensus range.
Torrey, E. F., Entsminger, K., Geller, J., Stanley, J., Jaffe, D. J. (2008). The shortage of public hospital beds for mentally
ill persons. Arlington, VA: Treatment Advocacy Center.
Organization for Economic Cooperation and Development. (2013). Health at a glance 2013: Hospital beds by
function of health care, 2011 (or nearest year). Paris: OECD Publishing. Retrieved from
http://www.keepeek.com/Digital-AssetManagement/oecd/social-issues-migration-health/health-at-a-glance-
2013/hospital-beds-by-function-of-health-care- 2011-or-nearest-year_health_glance-2013-graph72-en#page2
EVIDENCE-BASED BED SUPPLY RANGES
Of the many social and personal conditions reported to correlate with psychiatric bed shortages, emergency
room “boarding” of psychiatric patients because no bed is available for them and jail/prison wait-listing of
mentally ill inmates for the same reason serve as the most direct indicators of how well the current psychiatric
bed population is meeting demand. In that context, the American College of Emergency Physicians reports that
ER boarding of psychiatric patients is now virtually universal in the United States, with some patients waiting
weeks for hospital admission. At the same time, a majority of the states report maintaining wait lists for
forensic beds, with some inmates waiting weeks for admission to a bed. While factors such as the adequacy of
community-based services that avert the arrival of mentally ill patients in the ER or inmates in the jail, bed
shortages are clearly implicated. When a California county simultaneously halved the number of its psychiatric
beds and closed its outpatient stabilization clinic, the number of visits to the local medical center for
psychiatric consultation tripled, and ER boarding times skyrocketed.
These reports provide evidence that the current mental health bed population is not sufficient but continue to
leave unanswered the question of how many beds would be necessary to better align supply with demand.
A team of researchers at the University of North Carolina (UNC) and Duke University in 2015 reported on a
computer modeling-based approach to answering the question. La and colleagues analyzed emergency room
waits and hospital admissions for a 25-county region of North Carolina that is home to a population of 3.4
million people. The region’s total psychiatric bed capacity consisted of 398 beds in a state hospital, 494 adult
psychiatric beds in 14 general or private psychiatric hospitals, and 66 non-hospital crisis beds in five facilities.
Combined, this totaled 958 psychiatric beds, or approximately 28 adult beds per 100,000 population. The
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average wait time in an emergency room for one of these beds at the time of the study (2010 to 2012) was 3.3
days.
The authors used a computer simulation program to model different scenarios to ascertain how many
additional psychiatric beds would be needed to achieve an average preadmission wait time of less than one
day. The answer was 356 additional beds (total bed capacity of 1,314 patients) or about 39 adult beds per
100,000 population — approximately the lower end of the consensus range. This calculation included only
adult patients (ages 18 – 64) and assumed a median duration of stay in the state hospital of 20 days, which was
typical in the hospital under study at that time. This calculation did not include psychiatric beds for children or
for forensic patients, who usually stay for extended period. La and colleagues noted other measures can be
taken to decrease the need for psychiatric beds but their impact was outside the scope of the study. Such
measures include assertive community treatment and the use of assisted outpatient treatment (AOT) to
ensure medication adherence.
In the state of South Australia (SA), public officials have essentially created a real-time test of the computer
modeling project, adding psychiatric inpatient beds with the express purpose of reducing emergency room
wait times for psychiatric patients. In October 2014, 284 psychiatric patients in the state were reported held in
SA emergency rooms for 24 hours or more before admission to a mental health bed. By December 2015, that
number was reduced nearly 75%, to 76 patients, and the average wait time for psychiatric hospitalism was cut
in half. To reach that level, the state added 30 new acute care beds (typically used for patients with psychotic
symptoms) and six new forensic beds. An additional four forensic beds were scheduled to reduce the time
mentally ill offenders waited behind bars for a bed.
American College of Emergency Physicians. (n.d.). Psychiatric emergencies [Fact sheet]. Retrieved from
http://newsroom.acep.org/fact_sheets?item=30093
American College of Emergency Physicians. (2014.) Care of the psychiatric patient in the emergency department.
Nesper, A. C., Morris, B. A., Scher, L. M., & Holmes, J. F. (2015). Effect of decreasing county mental health services
on the emergency department. Annals of Emergency Medicine.
Torrey, E.F. (2008). The Insanity Offense. New York: W.W. Norton.
Stettin, B. (2014). An advocate’s observations on research concerning assisted outpatient treatment. Current
Psychiatry Reports.
Health Management Associates. (2015). State and community considerations for demonstrating the cost
effectiveness of AOT services. Retrieved from http://tacreports.org/storage/documents/aot-cost-study.pdf
Siebert, B. (2016, February 12). Mental health emergency room waiting times halved. InDaily. Retrieved from
http://indaily.com.au/news/2016/02/12/mental-health-emergency-room-waiting-times-halved/
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CONCLUSION
Psychiatric hospitals represent only one point on a care continuum, but they are a critical one for individuals in
psychiatric crisis or otherwise in need of intensive services. As the Treatment Advocacy Center reported in
Going, Going, Gone, its 2016 state survey of trends in hospital bed population, “With lawsuits and court orders
proliferating over illegal boarding of psychiatric patients in hospital ERs and bed waits in jails, there is little
doubt the United States needs more psychiatric beds to meet inpatient demand.” The report’s
recommendation remains relevant: “In recognition of the national scope and consequences of the bed
shortage and the need for baseline data nationwide and tools for setting targets,” the federal government
should assess hospital bed need by type, facility and location. . . .”
Fuller, D. A., Sinclair, E., Geller, J., Quanbeck, C., Snook, J. (2016). Going, going, gone: Trends and consequences of eliminating
state psychiatric beds, 2016. Arlington, VA: Treatment Advocacy Center.
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