Comprehensive Strategy

Quarterly Community Meeting

9:00 – 11:00 AM, June 10, 2014

Briar Cliff University

 Topic:            Community Data Presentation and Analysis

Meeting Objectives:

  •  To review the newest available data that measures our communities’ progress toward positive youth development

  • To network with colleagues


  •  Welcome/Introductions

  • Partner Spotlight – Dr. Paul Olson – Siouxland Social Science Research Center

  • Data “Scramble”

  • Analysis of Western Iowa Teen Birth Rates

  • Community Conversation

  •  “Offers and Requests”

  • Evaluations and Adjournment


Welcome and Introductions

Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions.  (For a list of attendees, see pages 7-8.)  The facilitator confirmed the agenda.

Partner Spotlight 

Dr. Paul Olson presented on the services available to the Siouxland community through the Siouxland Social Science Research Center.  Through the data repository at the Center, agencies may freely access statistics, data and research relevant to their work.  Other services include:

Survey Research: Analysis of quantitative methods of information gathering; reporting on individual group and electronically collected data.
Field Interviews and Observation: Study of attitudes, trends and social mannerisms using mixed methods of personal interviewing and surveillance.
Focus Groups: Examination of attitudes and trends using a qualitative format in a group dynamic.
Telephone Surveys: A means of examining attitudes and trends using a more personal format by asking particular questions with one respondent at a time.
Data Management & Analysis: A study by reduction, summarization, tabulation and graphical analysis of data.
Empowerment Evaluation: The design, implementation and interpretation of program results, where the client is an active participant.
Program Evaluation: Assessment of goals, objectives, outputs and impacts of program implementation and outcomes.

Data “Scramble”/Community Conversation

The Comprehensive Strategy Data Work Team facilitated an exercise to focus on the following data sets (which were a subset of the 2014 Data book shared later with the participants):

Annual Scores % Proficient for Math and Reading, Grades 3-5 in Sioux City         
Math               69.14  
Reading          69.27
Math               70.93
Reading       71.15
Math             71.41
 Reading        69.5
Math          76.7
Reading     65.54
Math        76.81
Reading   72.88
% Students Eligible for Free/Reduced Meals in Woodbury County
43. 6%
 Median Household Income for Dakota and Woodbury counties
Woodbury Co.     $43,616
Dakota Co.            $43,813
Woodbury Co.     $43,820
Dakota Co.            $42,192
Woodbury Co.         $42,672
Dakota Co.                $43,729
Woodbury Co.            $43,362
Dakota Co.                     $47,273
Positive # of Tox screens and # of positive screens for newborns born in SC hospitals
Positive Tox Screens                 10
Number of Screens
Positive Tox Screens               32
Number of Screens 
Positive Tox Screens               14
Number of Screens
Positive Tox Screens               10
Number of Screens 
Positive Tox Screens               24
Number of Screens
Teen Birth Rate, (% of live births <20) for Woodbury and Dakota County
Woodbury Co.    11.9
Dakota Co.           12.8


Woodbury Co.    12.9
Dakota Co.           13.0
Woodbury Co.    12.1
Dakota Co.            11.3


Woodbury Co.    8.9
Dakota Co.          10.2


# of Dissolutions of Marriage in Woodbury County

The complete 2014 Comprehensive Strategy community data compilation (Progress Report 2014) may be accessed electronically on the Siouxland CARES website at:

Analysis of Western Iowa Teen Birth Rates
Dr. Stephanie Bell of Briar Cliff University presented an analysis of teen birth rates in Western Iowa as compared to the other Urban 8 areas of Iowa.  (See attached document for her presentational slides.)  Teen Pregnancy Presentation 2014
“Offers and Requests”
 Participants shared the following information with their colleagues:
 BCU Psych Department has senior students who complete a Senior Seminar Research Project who are looking for research ideas.  Please contact Stephanie Bell at
Julius Fleschner offers assistance with library research and finding published data.  Call him at 712-279-5451.
SIMPCO/Sioux City Public Library – Sustainable Communities Grant through the U of I for school year 2014-2015.  A U of I student study project to be determined.  To support Early Literacy (inventory, cooperative programs, TBD) – what is happening in Sioux City – what could be happening to support reading at grade level by third grade.
Choices Counseling Open House.  (Mental health therapy and behavioral health services.) June 26, 3-6 pm.  520 Nebraska St., Suite 408.  Meet and Greet, door prizes, snacks and fun!
TIPS – For all alcohol license holders in Woodbury, Plymouth, and Monona counties through December to decrease underage and binge drinking.  Contact Davidson Wissing.

Youth Services Fair - Midtown Center (corner of 14th and Nebraska), Friday, August 1 from 3pm – 6pm.  Find out about many services offered to young people.  Contact Jo Fokken (JTO), Cheryl Connot Perez (Midtown) or Sarah Sayavong (JCS/SHIP).

Morningside College is always looking for info from nonprofits to use on PSA’s on their student radio/TV stations.  Contact Dave Madsen at or 274-5480.
Social Work BSW Degree Completion Program – ONLINE. – Launches in the fall at Briar Cliff University.   Second entirely online BSW degree completion program in the US!  Part of BCU’s fully accredited program.  Apply online to contact advisor at
South Sioux City Income Survey – June 14th and June 21 from 2-6 in South Sioux City.  Contact Philip Sigillito at to volunteer to help.

Beyond the Bell – Has been awarded a new middle school grant – Contact Jenna Meyer at to help figure out how to get sex education in the afterschool program.

For more information regarding Teen Pregnancy data and analysis contact:
Stephanie L. Bell Ph.D.
Associate Professor of Psychology
Briar Cliff University
Heelan Hall 374
3303 Rebecca Street
Sioux City, IA 51104
Evaluations and Adjournment 
Participants were asked to fill out session evaluation sheets and leave them on the tables.
 Evaluation responses and names of those in attendance are listed on pages 5-8.
The session adjourned at 10:59 AM.
 Respectfully submitted,
 D. Burnight, CTF
Facilitated Resources


Participant Evaluation Summary



Number of respondents: 38

Average rating listed in bold italics







Topics chosen for discussion:










Meeting format:










The following meeting objectives were rated according to the level respondents thought they were met.  (1 being “fully met,” 5 being “not addressed at all”)


To review the newest available data that measures our communities’ progress toward positive youth development














To network with colleagues


















An “ah-ha” for me during this session was…

  • The associate between Teenage Pregnancy & political religious beliefs in Iowa as it pertains to geography.
  • The number of agencies that are involved in the collection and analysis of this information and the services that are available.
  • The massive amount of cooperation needed to make a change.
  • Stats are evaluated through our values system.  Conversations looked at education as a solution where so many issues are value based.  Where are the dads?
  • The Blackhawk County connection – I am going to look into this and hopefully get more strategies from Blackhawk.
  • Beyond the Bell is starting a middle school program – if sex education isn’t a priority in the schools – what can we do in our program to help the cause?
  • Teen pregnancy rates and possible reasons.
  • All the different data sets can be broken down even further for more clarified information.
  • Amazed that the state of Iowa doesn’t have a standard for sex education past the “biology
  • Multiple births – how are they registered 19 year old with 3 children.
  • I am not as in tune with data as I used to be.  Also the offered studies to explore for teen births.
  • See correlation of trend – juvenile arrests/teen births
  • How much higher Woodbury Co. teen birth rates remain in comparison to the rest of Iowa.
  • “Spare time” for teenagers is a big contributor to several key issues.
  • The lack of sex education in the schools.


I would suggest that in future sessions we…

  • What is the plan for the future as a community?
  • “Bridges Out of Poverty” – Workforce Development – What businesses could do to more fully engage/understand/work with more effectively – impact staff turnover, productivity, absenteeism.
  • Provide opportunities for group to use data for follow-up meetings to address changes.
  • * The impact of how girls are socialized very early on to be sexualized/attractive to males.  Their value is tide to their ability to be sexy and wanted. This certainly impacts the # of girls having sex.
  • What can I do to help?  Direct networking here are the needs & who is going to do what?
  • Have agencies who provide services highlight their skills and abilities to impact areas that need to be addressed (what they can do to help address and inform the community).
  • Impact of values – can’t get this in a classroom.  Is there an answer to “sensation seeking?”
  • Maybe include very short amount of time to follow-up on discussion topic from last meeting to see if any new info has come up or partnerships have formed to combat discussion topic since last meeting.
  • Could we invite some representatives from our biggest minority groups to explain cultural differences so we could get a clearer picture on possible reasons why #’s are the way they are?
  • The Puritan influence on state educators & other state sponsored programs.
  • ID efforts on agreed upon issues and do follow-up on those efforts.  Most organizations have to establish objectives that aim to impact negative trends.  It would be interesting to highlight effective efforts on some of the topics of concern.
  • Children’s mental health issues.
  • Identify areas that groups could break at to discuss further & decide how to solve or work toward solutions as a group.



Other comments:

  • I liked the way the scramble was planned – small group interaction that didn’t put anyone on the spot.  Good conversation.
  • Great job!
  • Programming?
  • Thank you for the invitation to attend.
  • Enjoyed the data scramble.
  • Great meeting, thank you to everyone that put this together – very meaningful.
  • Always very interesting!  <smiley face>
  • Nice job – good session!
  • I missed much of the meeting due to a conference call.  Thank you for the data.
  • I appreciate the ability to get together over the data!  Involve individuals/families that have used programs and come out better to help organizations understand what works of the clients – why it works – what they know that prevented services for some.
  • Great data exercise!


Comprehensive Strategy
Dakota Valley Schools
Briar Cliff
Community Action Agency of Siouxland
Boys & Girls Home
United Way of Siouxland
Sgt. Brad
Sioux City police department
Crittenton Center
Burnight Facilitated Resources
Youth for Christ
Briar Cliff
Northwest AEA
Attorney at Law
Boys and Girls Home
Catholic Charities
Sr. Shirley
Briar Cliff
Girl Scouts
Briar Cliff
Jackson Recovery
SHIP Board
Siouxland District Health Dept.
Sioux City Council
Boys Town
United Way
Siouxland CARES Teen Court
Comprehensive Strategy Intern
Choices Counseling & Consulting
Siouxland Community Foundation
Comprehensive Strategy
Community Action Agency of Siouxland
Morningside College
Court Administrator
Beyond the Bell
Eckerd Youth Alternatives, Inc.
Briar Cliff
Siouxland CARES
Boys Town
Siouxland Mental Health Center
Choices Counseling & Consulting
Boys and Girls Home
Juvenile Court/SHIP
Lutheran Services in Iowa
Woodbury County Attorney’s Office
Center for Siouxland
Sioux City Public Library
Sioux City Housing
United Way
Boys and Girls Home
Salvation Army
Jackson Recovery
Sr. Grace Ann
Clare House
St. Luke’s UnityPoint Health


Poverty Simulation Documentation

Comprehensive Strategy and the Micah Project

In Cooperation with Northwest Area Education Agency

Wednesday, May 7, 2014, 1-4 p.m.

Northwest Area Education Agency


Comprehensive Strategy and the Micah Project convened a group to engage in a poverty simulation. 


Special thanks to the Northwest Area Education Agency for hosting this great session.
Poverty Simulation Evaluation, 5/7/14 by Comprehensive Strategy, 48 participated:
  • Scale:7 is excellent, 1 is not:
    • Overall satisfied with session and the facilitator’s presentation style contributed to my participation, both 6.58.
    • The exercises/activities we completed were engaging and I was comfortable with the pace of the session, both 6.67.
    • Comments:  Very engaging experience-thought provoking. Thank you. Best CS meeting in the last 3 years. Awesome! Great awareness. 
 Participants included (several others participated but did not sign in):
Boys & Girls Home
Nebraska Children & Familes Foundation
Burnight Facilitated Resources
Dr. Kim
Sioux City Schools
City of Sioux City
Sioux City Schools
Community Action Agency of Siouxland
South Sioux City Schools
Catholic Charities
Goosmann Law Firm
Jackson Recovery
Retired School Counselor
South Sioux City Schools
Pastor Paul
Trinity Lutheran Church
Jackson Recovery
Sioux City Human Rights Commission
Nebraska Children & Familes Foundation
South Sioux City Schools
Siouxland CARES
Community Action Agency of Siouxland
Briar Cliff
Westwood Schools
Transitional Services of Iowa
Boys & Girls Home
Boys & Girls Home/RE Scott
Woodbury County Attorney’s Office
Jackson Recovery
Transitional Services of Iowa


Comprehensive Strategy/Healthy Siouxland Initiative

Joint Community Meeting

9:00 – 11:00 AM, September 26, 2013

Siouxland District Health Department


“Poverty in Siouxland: Research Results.”

Executive Summary of the Siouxland Social Service Utilization Study – tk edit 

Siouxland Social Service Utilization Study

Meeting Objectives:

  • To share results of a recent Siouxland Research Center study commissioned by the Comprehensive Strategy Council
  • To increase provider understanding of client-centered needs for services
  • To network with colleagues


Partner Spotlight – Sioux City BOOST

  • Presentation of Poverty Research Results
  • Community Conversation
  •  “Offers and Requests”
  • Evaluations and Adjournment



Welcome and Introductions

 Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and introduced the facilitators.  (For a list of attendees, see pages 7 & 8.)  The agenda was confirmed.

Partner Spotlight 

Rita DeJong, Program Director – Sioux City BOOST, provided information regarding the program. BOOST works with young adults, ages 18-21, who have had previously been involved in the juvenile justice system. The goal is to assist them in a variety of areas, including (but not limited to) obtaining a high school diploma, entering and completing an occupational training program resulting in a certificate, building community ties, and becoming employed in the Siouxland area.


Presentation of Poverty Research Results

Siouxland Research Center Director Dr. Regan Murray, Ph.D, presented the results of a research study, commissioned by the Comprehensive Strategy Council, of Woodbury County residents whose income levels fell at or below the poverty level. The primary purpose of the study was to help determine what barriers, if any, prevented residents from utilizing social service agencies in the Siouxland area.  To help answer this question, the SRC first conducted focus groups with members of the target population, and then mailed surveys to approximately 1,200 Woodbury County residents who met study criteria.  Key findings of the study included:

  • Generally people reported satisfaction with how they are treated by agencies, access to services, and the services provided.
  • A majority of the Woodbury County residents know where to obtain help for services, i.e. health care, food, utilities.
  • Males and African Americans report less satisfaction and have less knowledge about existing services which may affect future utilization of services.

Individual agency directors may contact Dr. Murray to access agency-specific survey results. She may be reached at  712-279-1619  (NOTE:  The Comprehensive Strategy Council does not have access to agency-specific survey results.) 

 Community Conversation

 Following a short networking break, the participants self-selected into conversation groups and discussed the following questions:

  • What stands out to you from Dr. Murray’s presentation?
  • What impresses you about the research process or the project itself?
  • What concerns you about the information presented?
  • What does your agency do to make clients feel respected and meet their real and/or perceived needs?
  • What other questions does this study raise for you?

 Some key participant observations and insights are listed below:

  • The number of people who feel that their experience didn’t matter is concerning
  • Males and African Americans with low satisfaction and knowledge
  • Alarm around family-friendly
  • 1/3 didn’t get what they needed – Why?  What did they expect?
  • Want deeper dive into certain barriers…i.e. hours, transportation, child care
  • Where did these respondents live?  Target pockets?
  • Male vs. female access
  • Only 20% for lottery gift card (as incentive for returning survey) – people wanted to have voice
  • “I treat everyone the same” = not respecting cultural differences
  • Are we addressing cultural issues – training needed?
  • Are we respectful at the first contact?

 Question:  What are some creative ways agencies could help clients overcome real or perceived barriers that prevent utilization of services?

  • Do more around paperwork – explain better with person, make them feel it is OK to ask questions
  • Be a client!  Be in their steps (If not comfortable at own organization or want to see how staff does it, swap with other agencies – “secret shopper” approach)
  • Work together (across agencies) to create a satisfaction survey to be used
  • Create a list of basic services and agencies that provide them 
  • Include some basic information to help create a set of expectations up front
  • Is all the paperwork understandable for clients (i.e. third/fifth grade reading level)
  • Specific focus group within each agency
  • Address the paperwork issue
  • Are extended hours feasible?
  • Larger focus group between directors and those living in poverty to discuss barriers, respect and cultural issues
  • Non-judgmental
  • Create a 1-pager take-away for anyone leaving agency with information about available services
  • Customer service training available for agency staff (Briar Cliff offering?)
  • Cross-agency paperwork collaboration – Create single community data form – transfers with client – electronically accessed
  • Help clients create “basic data” folder they can carry with them
  • Establish liaisons – advocates – to help access services
  • Cross-train staff to be able to make referrals with realistic expectations
  • Train staff in cultural competency
  • Train “first responders” – receptionists, etc.

 Question:  What are some policy changes that could better support client-centered needs?

  •  First just need to share survey results with local government leaders/city leaders
  • Evaluate criteria around certain assistance programs
  • Do agencies need to look at hiring practices so employees reflect clients?  Goal: Create ethnic balance to match client mix.  (Challenge in that is around skills and training…so means targeting ethnicity groups and providing educational funds/grants/scholarships for them)
  • Cultural education & have them be clients for a day to see that they go through … “a day in the life of….”
  • Outreach to males
  • Create client parking lots
  • Open up hours of service
  • HIPPA changes
  • Staff training yearly

  “Offers and Requests”

 Disability Awareness Event – Connecting employers with individuals with disabilities.  Iowa Vocational Rehabilitation Services, October 18, 1-3:00, Room D, AEA building on Morningside Ave.  Exploring current relationships between IVRS and Sioux City Community Schools and how our Agency is preparing students for employment.

 Affordable Care Cat Educational Sessions – Siouxland Community Health Center, 10/8 at 2-4 PM and 10/10 at 9-11 AM.  To inform agencies about health coverage through ACA and how to make information available to your clients.

 Open discussion/presentation on a local coordinated intake and referral system

Evaluations and Adjournment  -  Presented by the Micah Project at Siouxland District Health Department on October 1, 10 – noon.

 Protecting Families – Child Abuse/Dating Violence, sponsored by the Mercy Child Advocacy Center on Oct 11.  Held at Sioux City Convention Center – Register at 279-2509.

 International Peacemaking – Lessons from Iraq – Presentation by Dr. Zuhair Fathalla, Tues, Oct. 1 at 7:00 PM in the Assisi Room – St Francis Center, Briar Cliff University.  Free and open to the public.

 Evaluations and Adjournment

 All participants and presenters were thanked, evaluation forms were collected and the meeting adjourned at 11:00.

 Respectfully submitted,


D. Burnight

K. Grieme


 Participant Evaluation Summary


Number of respondents: 34

Average rating listed in bold italics






Topics chosen for discussion:









Meeting format:









The following meeting objectives were rated according to the level respondents thought they were met.  (1 being “fully met,” 5 being “not addressed at all”)


To share results of a recent Siouxland Research Center study













To increase provider understanding of client-centered need for services














To network with colleagues

















An “ah-ha” for me during this session was…

  • Too much repetition filling out forms at different agencies
  • There is a sizable population that still has access issues
  • Most people do know about services available
  • That the person who is probably the lowest on the pay scale is often the first impression of the agency.
  • That the study is not as diverse as the community
  • Nobody here knows how our clients feel.
  • How little is understood about the causes of poverty, and how we perceive barriers (tangible vs. intangible)
  • Males need more info
  • The number of people disappointed in services.  Too high!
  • Survey results
  • BC having research availability
  • The data from the research study
  • Everything was interesting – I enjoyed it all.
  • Findings on African American men – Low % of surveys completed by the AA group – impact on findings
  • So many want the same thing, agency & service recipients, what can’t it be done?
  • Institutional research bias of research content (“barriers”) can be radically different than those of care providers.
  • Very good – let’s keep talking!!
  • Things haven’t changed when serving clients
  • Males don’t understand how to access services.

 I would suggest that in future sessions we…

  • How can we share training between agencies on customer services/cultural awareness
  • Centralized services in geographic area
  • Informational session on population in area @ ethnicity, employment, poverty.  Regular sessions in this helps to focus for ideas to address issues.
  • Invite legislators so that policy changes can be addressed
  • All walks of life.  More that just our area – perhaps – agencies.
  • The community
  • Clients present
  • Invite the new person in charge of 211 to present.  This system needs updating and she needs help.  Tammy – ISU Extension either in Des Moines or Ames.
  • How to prevent poverty or addiction to how to better services those living in poverty
  • More agency-specific info
  • I have no suggestions.  I think everything was good.
  • Bring in people from the community that are not from an agency.

 Other comments:

  • I was surprised at the % of African Americans that didn’t know where to access services and that at agencies felt they were treated not treated respectfully
  • Thanks!
  • Can the 211 service, or something else, be a central database of information so organizations can collaborate and people can have a central spot to locate services?
  • It was good.
  • Good time frame
  • Access an issue for mobility impaired – you sent us to an entrance with steps
  • Well-run meeting – Very effective!
  • Followed time schedule
  • Great groups/discussions.
  • Agency staff should REGULARLY & CONSTNATLY impress upon each other that people come to them b/c there is often no other choice.   Never acceptable to judge.
  • (Meeting format) Well conceived.
  • Put all clients’ information – birth certificate, medical records, DL, address, family history etc. – on a flash drive.
  • This was not the topic I thought I was coming to hear.  This is about agency feedback vs. poverty solutions.
  • Room arrangement



Sister Shirle


Boys and Girls Home and Family Services






Boys & Girls Home









Boys Club



Boys Town



Briar Cliff University
























Community Action






Comp Strategy









Facilitated Resources



Goosman Law Firm/Comp Strategy



IA Department of Human Services



Iowa Vocational Rehabilitation






Jackson Recovery












Mercy Health






Micah Project



Northwest AEA









S.C. Human Rights
















SDHD (cont.)





















Sioux City Housing






Sioux City Schools



Siouxland CARES



Siouxland Community Foundation



Siouxland Mental Health



St. Thomas



State Legislature



Third Judicial District Court



United Way






Unity Point Health



Woman Aware



Woodbury County



Woodbury County Attorneys Office
































 Comprehensive Strategy

Quarterly Community Meeting

9:00 – 11:00 AM, June 18, 2013

Briar Cliff University

 Topic: “Community Data:  What IS it GOOD for?”


Meeting Objectives:

  • To review the newest available data that measures our community’s progress toward positive youth development
  • To confirm the best means of collection and use of data to support our work toward positive youth development
  • To network with colleagues


Meeting Agenda:

 ·         Welcome/Introductions/Context         

·         Partner Spotlight                                            

·         Updates on Comp Strategy Work Teams      

  • Constituent Survey                                                                
  • Poverty Research                                                       
  • Individual Development Accounts                                        
  • Evaluations and adjournment                                    

·         “Offers and Requests”                                               

·         Data Presentation                                                       

·         Community Conversation                                          

o   What kinds of data does our community need to collect?

o   How can data collection and distribution be done in the most useful way?


 Welcome and Introductions

Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions.  (For a list of attendees, see page 8.)  The facilitator confirmed the agenda.

Partner Spotlight 

Boys Town representative Chrissie Reynolds provided information regarding Boys Town scope, programming, and services.


Updates on Comp Strategy Work Teams  

 Comprehensive Strategy Council members presented information related to the following ongoing work groups:

  • Constituent Survey                                                                
  • Poverty Research                                                       
  • Individual Development Account (IDA) initiative                                       

“Offers and Requests”

Participants shared the following information with their colleagues:

The Micah Project will be sponsoring a “Streets of Hope” strategic planning conference on homelessness on Thursday, June 27th from 8:30 – 4:30 in the Mercy Leiter room.  Please RSVP to Micah Project – for lunch count.

Sioux City YouthBuild Open House will be held for anyone working with youth ages 16-24 on Friday, June 28th, at the Goodwill Admin Building, 3100 W. 4th St. Youth will give guided tours to get the word out for the next enrollment in August.

Data Presentation                                                     

The CS Data Work Group presented the latest data available related to community indicators in the five (5) youth problem behaviors that Comp Strategy has been tracking over time:

 Substance abuse

Teen Pregnancy



School Dropout

 An in-depth compilation of the annual Comprehensive Strategy Progress Report and related data, including risk factors, protective factors and community outcomes, may be accessed on the Siouxland CARES website at:

Community Conversation                                       

The participants self-selected into six discussion teams (healthcare/public health, education, social service/faith community, neighborhood focus, justice system, and government) to answer the following key questions:
 ·         What kinds of data does our community need to collect?
·         How can data collection and distribution be done in the most useful way?

Following table conversations, plenary discussion revealed the participants’ primary observations and insights. 


Below are recorded the verbatim comments from the table notes:


What kinds of data do you use?

  • Presentation to partners – financial – grants – programming
  • City life – investing in community
  • Report to National
  • Demographics of middle/high school youth
  • Neighborhood demographics
  • Internal collected data
  • Internal data
  • Limited English proficiency
  • Vacancy rates & affordable housing
  • Census info about population in community
  • To examine changes
  • Crime statistics going up.  Council wants to know as early indication of other things (Siouxland CARES)
  • Moving lower qualified people to mid or higher qualified skill level
  • Certified Worker program – have employees require
  • Justice system: Complaints, detention placements, petitions, adjudications
  • Workforce development – unemployment, job projections, skill level of workforce
  • College completion rates
  • Council – crime stats, drug stats
  • Housing Authority (limited language proficiency), vacancy rates, available affordable housing
  • Census information
  • Population based data (census, IDPH vital stats, Health Rankings, poverty, health risk assessment, age demographics, financial data – insurance, health concerns, readmission rates, chronic disease, economic factors, well-being index for Blue Zones)
  • Iowa Youth Survey
  • CARES survey
  • State and Federal
  • Day to day agency data
  • Most from agency
  • Evidenced data-outcome from programs
  • Substance
  • Residential interagency
  • State data for IDA & local agency
  • Zip code data


What are the ways your organization uses data? 

  • Use in-house data
  • Good relationships
  • Use more internal data for reporting to national organization
  • For some fundraising (90%)/grant proposals (10%)
  • Progress report
  • Annual report
  • Grant application
  • Use info to make change – Human Rights may visit with transportation
  • Community policing model – positive change
  • Compare data of their mentored students to that of non-mentored
  • Measures outcomes of their programs
  • Certified worker program – how to move people through system
  • Government reporting, in part using census data
  • How serving low income people
  • Hospital: Budget projects, program planning, strategic planning, grant writing, needs assessment, quality measurement, well-being (see if really improving health)
  • Kids Count – says state and national


What role does data play in your organization’s planning efforts?

  • Stories
  • Earn the right to talk to them
  • Measure outcomes of their programs & services.  Determine if effective and how complements schools
  • Useful for appropriate development of programs and skills (strategic planning for future)
  • Important to use data to move things forward instead of just “collecting” data
  • Use data to affect system change (example – transit system)
  • Use some data to dictate programs but also just do the grants/programs that are available.
  • Look at RFP’s interest and need to us or not
  • Use data for training purposes (domestic violence, substance abuse, mental health)
  • Strategic planning
  • Quality improvement projects


What are your primary data sources?

  • EOM reports of (unreadable)
  • Time spent, attendance, grades
  • Demographics (Census)
  • Internal data connection
  • Internal data gathering to meet federal guidelines for renewal finding for poverty rental assistance
  • All use census data of planning
  • Iowa Workforce Development
  • Report cards and attendance
  • Some new to all the Comp Strategy data so not sure how/if can use but really good and thankful for it
  • Their own program data outcomes
  • Use national (census), state, local – but also collect their own data for reporting and planning
  • Community policing and school resource officers could be used more effectively.  School uses police as “cop” in school.  More important to emphasize relationships.
  • Veterans – new focus requires staff to find new ways to gather data and access.  Only place getting new funding – Renovations to make things handicapped accessible
  • IDPH vital stats
  • Internal hospital data
  • General census data
  • General demographic info
  • Program information


What are your government or private funders wanting to fund in the current planning environment?

  • Comparing to national statistics
  • Teen pregnancy
  • Financial literacy
  • Hard copy from individuals employee
  • School district
  • Tax credit renovations – funded to become more accessible
  • Veteran programs
  • Council still going to fund youth or kid programs
  • Have to provide evidence of the need
  • Can’t provide evidence of homeless veterans
  • Won’t give funds until proved that you have used your money wisely – show outcomes
  • Parent engagement is critical this mindset
  • Accuracy of mental health diagnosis – more skilled staff
  • Working on alternative therapies/approaches to behavior management and academic skill building (i.e. interactive metronome, brainbased programs
  • Literacy
  • Skill development – short-term needs (hot jobs)
  • Wellness
  • Prevention
  • Collaboration with partners
  • Quality improvement based on outcomes
  • Neighborhood data/zip codes
  • Demographics
  • Risk factors – Woodbury County chosen because of need from data statewide
  • Poverty – rent, utilities
  • Parenting
  • Home visitation
  • Curriculum
  • Local foods (gardening)
  • Medicare, Medicaid
  • Decreasing teen pregnancy


What are the data implications of those requirements?

  • #’s How many students in Siouxland
  • Neighborhood
  • Pregnancy
  • Funding is short-term sometimes
  • Does funding align with true needs?
  • Sometimes where biggest needs are, are first to get out (i.e. counselors, reading specialists, etc.)


Other issues recorded on scribe sheets included: 

  • Data may not be reliable enough for accessing resourcing
  • Data on delinquency petitions and adjudications labeling properly
  • Is the data provided by Comp Strategy useful?
  • Would like more data on:
    • Parenting data would be interesting (value of education, expectation of school, etc.)
    • Students with learning and other disabilities (TAP program within high schools and vocational rehab
    • Alternative programs/education effectiveness/measures
    • We should get data for reading, math, etc, skills for earlier than 6th grad – Early development is key – so SHOW it!
    • Observations of data:
      • Need more counselors – specialists like reading are first to get out
      • Mental health issues increasing
      • Health and fitness (military information shocking, worst county shocking)
      • Graduation rate increasing, but competency decreasing – not ready for college/jobs (basic skills deficient)
      • Economic poverty chart
      • Early childhood education and parenting are key
      • Skill and fitness
      • Personal finance management missing in youth
      • Can you find out % of funding we get compared to other counties?
      • Parents mindset and engagement (understanding their expectations will help lead to better engagement)
      • Need more data on early childhood (0our data starts too late)
      • Need for more support around mental health – better diagnosis and more skilled staff to work thru the special needs.  How measure?
      • Curriculum and learning styles need to change — not for data committee but for community focus – one voice
      • Surprises in the data presented:
        • Environment – poorly ranked
        • Woodbury County ranks so high
        • Other key points:
          • Statistics or data on positive outcomes from community policing
          • A high percentage of poverty in Siouxland – compare to funding levels in other counties
          • In current funding environment veterans still receiving new money – HUD has programs
          • We all use census data as well as collect internal data for funding.  Federal must track outcomes.
          • Continue to collect data – snapshot of community
          • Do use lots of internal data
          • We use data for grant planning but do often just follow the $$$ for sustainability purposes
          • Environmental strategies
          • Were/how much funding comes to us – is it less and therefore we are worse off?
          • Need MSA data
          • Start data collection earlier
          • Hard numbers of pregnancy – 12-18 year olds
          • Demographics per neighborhood
          • Demographics per schools (tri-state)


Evaluations and adjournment


The attendees were thanked for their participation and insights and the meeting adjourned at 10:58 a.m.


Respectfully submitted,

D. Burnight, CTF

Facilitation Resources

Attendees who signed in at the Quarterly Community Forum included:


  • Katie Johnson
  • Herb Kuehne
  • Barbara Aalfs
  • Michele Haupt
  • Anne Tooley
  • Pat Johnson
  • Chrissie Reynolds
  • Cara Conrad
  • Erin Schroeder
  • Kevin Grieme
  • Debbie Hubbard
  • Bob Scott
  • Christie Finnegan
  • Mary Anne Harrington
  • Lynnsey Davison
  • Brenda Noll Nowell
  • Jo Fokken
  • Sarah Sayavong
  • Kari Van Cura


  • Carla Granstrom
  • Michelle Lewis
  • Dewey Sloan
  • Carole Utesch
  • Linda Phillips
  • Deb Burnight
  • Mary Bertram
  • Mark Hantla
  • Mellany Risdal
  • Linnea Fletcher
  • Priscilla Anderson
  • Sue Brown
  • Richard Closter
  • Vernon Meyer
  • Zack Nelson
  • Karen Mackey
  • Dennis Bogenrief (IVRS)
  • George Sayavong
  • Sally Kolbe








 Comprehensive Strategy

Quarterly Community Meeting

9:00 – 11:00 AM, February 7, 2013

Briar Cliff UniversityTopic: 


“An Alternative Approach to Economic Deprivation in Siouxland:  Exploring the Individual Development Account Model.”

Meeting Objectives:

  • To raise awareness of the “mobility” approach to economic deprivation
  • To learn about the Individual Development Account model and explore its feasibility to address poverty issues in Siouxland
  • To network with colleagues


  • Welcome/Introductions
  • Partner Spotlight – The Micah Project
  • Update on Consumer Survey Planning
  • Overview of the “Mobility Model”
  • Case Story – “A Community in Action”
  • Community Conversation
  •  “Offers and Requests”
  • Evaluations and Adjournment


 Welcome and Introductions

Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions.  (For a list of attendees, see pages 9-10.)  The facilitator confirmed the agenda.

Partner Spotlight 

The Reverend Pat Johnson provide information regarding recent community planning efforts related to the Micah Project, a local faith-based collaboration organized to combat issues of poverty in Siouxland.

 Update on Consumer Survey Planning

Comprehensive Strategy Coordinator Sally Kolbe provided a progress report from the task team organized to explore possibilities related to implementing a survey process to determine grassroots needs in Siouxland.  She invited others to join the team if they wished.

 Overview of the “Mobility Model”

Associate Professor Heather Craig-Oldsen, Briar Cliff University, presented education about Individual Development Accounts, a model designed to provide financial literacy and economic mobility to program participants.  Anyone interested in obtaining a copy of her power point presentation is encouraged to contact her at Briar Cliff (

 Case Story – “A Community in Action”

 Amy Munderloh, representing the Northeast Nebraska Community Action Partnership, Inc., presented information about an Individual Development Account program that has been successfully undertaken in Pender, Nebraska, and answered questions about their experience.

 Community Conversation

 Following Ms. Munderloh’s community story, participants were given the opportunity to discuss the case study and determine the implications for implementing similar programs in their communities.  The following observations and insights were recorded from both table conversations and plenary dialogue:

 Observations and Insights from Table Conversations:

 What is one thing that stands out to you from Pender’s case story?

  • Savings benefit
  • He was going to try to pay it forward
  • Restrictive
  • Intergenerational
  • Structured support – following this
  • Continued savings to follow up
  • $ money issue – overlapping with other programs
  • Excellent resource
  • Motivational factors during the process
  • Recruitment?
  • Recipient has “skin in the game”
  • Given choices – good
  • $$ goes to vendor – good
  • Required to do classes – good
  • Alternative to welfare system
  • Goal establishment – long term not instant, temp fix
  • Personal investment/vested interest
  • Interactive education – long term habit/relationships
  • Developing continued partnerships
  • Family unification
  • Lifetime lesson to manage money
  • Convince others about benefits
  • Important emphasis on consistent & time-oriented
  • Experience with similar program in Des Moines for aging out: financial literacy education
  • Matching of funds
  • Great ideas how to get move on
  • How to make it a habit
  • Habitat partnership
  • Move client up
  • Make partnership
  • Limit 3 choices

 What seemed to be key success factors in Pender’s experience?

  • An entire change in thinking – learning to save in small amounts – paying it forward
  • 2-1 matching incentive
  • Controlling one’s savings
  • Federal $$
  • Federal funding & United Way
  • Buy-in from banks and credit union
  • Community buy-in: professionals on board
  • That CAA realigned their focus to career development & IDA’s
  • Strict guidelines to follow; discourages some behaviors, encourage consistency
  • Time limit – so there will be concrete benefit
  • 2:1 $$ incentive
  • Start small
  • Community
  • Support from community partners

 Who are the stakeholders in a mobility project like this one?  Who stands to gain something?  What is gained?

  • Credit funders
  • Private organizations
  • Banks/Credit Unions – gained customers
  • Community – increase income from property taxes, more residents with college degrees
  • Stakeholders – client, community
  • Who gains? – community, city-county-state
  • What gained?  Life change, sense of attainable goals
  • Clients – stability, financial, budgeting, habits are life long, learn what $500 can purchase! Home ownership, education gains.
  • Community/taxpayers – fewer on welfare/housing programs
  • Financial institutions
  • The agencies – Consumer Credit counseling, Habitat, keeps them in the program
  • Other community could replicate in Credit Unions or any agency that –paying it forward
  • Entire community, bring federal $$, less crime, better test scores
  • Quality of life for individual
  • Mobility/stability for families

 What programs/efforts in your community are already in place that approximate or are moving in the direction of “mobility” approaches?

  • The housing authority – self-sufficiency program
  • There are no central locations
  • Habitat for Humanity – consumer credit counseling
  • EITC program
  • Women Aware
  • SC housing – family self-sufficiency prog.
  • Community Development division
  • Micah Project
  • Sioux Valley credit Union IDA program
  • Habitat for Humanity
  • Center for Siouxland
  • Micah
  • Credit Union – Sioux Valley
  • Family Development in SC housing
  • Habitat
  • Early childhood scholarship
  • Sioux Valley Credit Union – Yea!
  • Center for Siouxland – credit counseling
  • WIT
  • United Way
  • Women Aware
  • SC Boost
  • Certificate programs in high schools

 What are the perceived barriers to moving in the direction of mobility approaches in our community?  What would it take to overcome them?

  • There are always everyday emergencies – between choices with food, housing, transportation, medication it would take added resources and partnerships co-occurring and added support at the end of the program.
  • Consumer oriented culture/changing habits – buying too much – wants vs. needs
  • Long term thoughts
  • Simple – too detail oriented
  • Difficult to understand
  • Funding
  • Income from family
  • Credit score
  • Finding the people
  • Transportation/child care/work schedule – issue attending required training classes
  • Partnering with other agencies that can provide those services
  • Need a survey or focus group to truly find out what the barriers are they tell us vs. us trying to guess
  • Re-framing thoughts – earned not charity
  • Pre-conceived notions
  • Is 200% too strict?
  • Getting right people connected @ right time
  • Not fall into lull if one project does begin and think “it is done”
  • Mobility (population moving state to state)
  • Program barriers – hard to see future when immediate needs
  • Can only make so much before penalized for insurance cost medication, food stamps, housing,
  • Don’t know what you don’t know

 Based on this conversation and our insights, what actions (if any) could/should be taken at this point?  By whom?  By when?

  • More of a collaborative effort between agencies
  • Banks – get funding – investors
  • Center for Siouxland – educating on finance
  • Community Action Agency
  • Peer or family mentoring “Be Friend” program at church-based program
  • Micah Project – ongoing
  • Spreading the word!
  • Central location for information
  • Navigators – that are bilingual

 Other comments listed on recording sheets:

  • John- the Iowa program – Can also purchase a vehicle, assisted technology, someone impacted by natural disaster.
  • Where would we find funding for surveys?  Focus groups?
  • Families that are receiving rental assistance
  • Community services campus – future
  • Education
  • Bridges Out of Poverty – Opportunities – Passport – Kids at 19+ – 2 year program aging out of the system
  • It is a model that could scale up – to schools, churches – empower people to get involved in their own ongoing groups
  • What if they got a job that brought them about 200% level while in program?


Observations and Insights from Plenary Conversation:

 What stood out from the Pender case study: 

  • Gentleman in video: pay it forward/ telling other people about the program, telling his nephew: breaking the generational cycle
  • Liked that it involved long term goal setting with time confinements (how long to save, taking action within three years, having to adhere to a schedule, “consistency”
  • Liked that it appears to be a well thought out program with education but allowing for choices in how the money was spent, would make a bigger impact.

 Key success factors in Pender

  •  Who are the stakeholders in a mobility project like this?
  • Any home ownership or small business support is good for the community as a whole
  • Kids aging out of foster care system
  • Good education for organizations and for individuals, to know mobility resources exist
  • Creates a more welcoming environment, helping people “navigate the system”

 What efforts are in the community already that are moving toward ‘mobility’ approaches:

  • The Center: Financial literacy
  • Micah Project: hoping to create a community service campus
  • Habitat for Humanity:  contact: Mark Custer 712-255-6244
  • City of Sioux City Housing Authority: Self sufficiency program with matching funds for earned & saved assets; especially for rental assistance participants

 Perceived barriers:

  • Community buy-in, need to make a shift in the mental model of what “help” would look like

 Options for Action:

  • Starting with an assessment tool: Rev. Johnson/ Micah can take on more of the role of developing a community resource/ assessment tool.
  • Request for people to consider ideas for funding the $8,000 research project that the Assessment task force has been working with Dr. Murray on.
  • John Parks: the Sioux Valley Community Credit Union / Iowa Project:
  • Restrictions are lower in Iowa than in Nebraska, and people can use the assets to purchase a vehicle, technical assistance for their homes if they have a disability or for a home-based business, or if they have been affected by a natural disaster.
  • They need a local non-profit partner; Community Action Agency of Siouxland may be interested.
  • Organizations that could refer resources/ participants:
  • Transitional Services of Iowa, Micah, Women Aware, Sioux City Housing Authority, Sioux City BOOST,
  • Habitat for Humanity, Legal Aid, Center for Siouxland, Workforce Development, SHIP (help identify agencies to work with), Jackson Recovery Center/ Sanctuary Apartments, Crittenton Center / Project Life or Westside Resource Center, 4Directions, Salvation Army, New Iowan Center
  • Potential funders:
    • Siouxland Economic Development Corporation provides micro lending for Siouxland projects
    • United Way of Siouxland
    • MRHD & {new casino}
    • Siouxland Community Foundation

 “Offers and Requests”

 Participants shared the following information with their colleagues:

 “Bowl for Kids Sake” needs bowlers and/or sponsors.  April 4, 5, & 6 at Rush Werks.  Team of 5 = $500 – Bowl 2 games – shoes, and bowling free.  BBBS fundraiser – call Teresa at 239-9890 for information.

 Poverty Simulation – 2-4 o’clock, Monday February 11 at BCU Stark Stage.  Contact Heather Craig-Oldsen for this cool experience.

 Guatemalan Presentation – 7-8 o’clock, Tuesday, February 12, at BCU Assisi room – Learn about the Guatemalan culture here in Siouxland.

 Dwight Howe Native American Cultural presentation, 7-8:00 o’clock, Wednesday, February 27, BCU Assisi room.  Learn about Native people in Siouxland.

 Evaluations and Adjournment

 Participants were asked to fill out session evaluation sheets and leave them on the tables, and asked to consider the following questions:

 What do I know as a result of today’s meeting?

How does this impact me and/or my organization?

Who else needs to know?

How do I get the information to them?

 Evaluation responses and names of those in attendance are listed on pages 8-10.

 The session adjourned at 10:55 AM.

 Respectfully submitted,

 D. Burnight, CTF

Facilitated Resources

Participant Evaluation Summary

 Number of respondents: 32

Average rating listed in bold italics







Topics chosen for discussion:









Meeting format:









The following meeting objectives were rated according to the level respondents thought they were met.  (1 being “fully met,” 5 being “not addressed at all”)


To raise awareness of the “mobility” approach to economic deprivation













To learn about the Individual Development Account model and explore its feasibility to address poverty issues in Siouxland














To network with colleagues

















An “ah-ha” for me during this session was…

  • Hearing about “be friend” program in Norfolk from people @ my table
  • It is good for the right person but it is a small group & it is costly
  • Some programs provide greater benefit to program developers and facilitators than to the targets of the program – in this case the impoverished.
  • The current like-mindedness and drive to move forward – something big is about to happen!
  • How IDA’s can be used for youth aging out of the system
  • IDA
  • Continuing to partnership for outcomes in our community
  • Having credit union, financial advisor & other business contacts here today!
  • Hearing bout potential partnerships for IDA’s
  • How impacting the program could be
  • IDA’s – I had no idea about this program
  • Realizing how many agencies could work together
  • How dependent even the IDA award is on govt. funding – supplemental $$ from assets for Independent Account

I would suggest that in future sessions we…

  • Where are or how can we develop low skill employment for the caretakers with children living in poverty
  • The education piece is such a value and keeps everyone up-to-date.  Thought there was a more “get-stuff-done” attitude @ this meeting.
  • Take action steps
  • Wasn’t aware of the program
  • Have more opportunity to discuss questions about programs
  • Importance of increasing education for youth to slowly pull them (and the community) out of poverty.  The importance of education on financial advancement.
  • Focusing on most critical needs in the community

 Other comments:

  • Thanks
  • Too many of there sessions avoid issues of impoverished children
  • Just trying to learn about C.S. Today this session was good for that.
  • Helpful to meet individuals and network around table
  • Great location!


“Attendance List






Barbara Aalfs

Community Volunteer

Mary Bertram

Community Action Agency

Abby Buckhouse

Briar Cliff University

Deb Burnight

Burnight Facilitated Resources

Paul Campbell

Presbytery of Prospect Hill

Thomas Clark

Sioux City BOOST

Jim Cole

Siouxland Youth for Christ

Katie Colling

Women Aware

Cheryl Connot-Perez

Wooddbury County Extension

Heather Craig-Oldsen

Briar Cliff University

Linnsey Davison

Siouxland Community Health

Rita DeJong

Sioux City BOOST

Sara Fay

St. Luke’s Hospital

Sister Shirley Fineran

Briar Cliff University

Linnea Fletcher

Jackson Recovery Centers

Jennifer Gomez

Sioux City Community Schools

Jeff Hackett

Boys Town

Sue Harder

Mercy Home Care

Ed Huff

Crittenton Center

Rev. Pat Johnson

Micah Project

Chris Jones

Sioux City BOOST

Dawn Kimmel

Siouxland Aging/SIMPCO TAG

Bruce Kolbe

Community Member

Sally Kolbe

Comprehensive Strategy

Herb Kuehne

Community Volunteer

Michelle Lewis

Siouxland District Health Depart.

Linda Madison

Sioux City Community Schools

Jade Meier

Briar Cliff University

Ivy Menke

Sioux City BOOST

Stephanie Mohrhauser

City of Sioux City/ Housing

Regan Murray

Briar Cliff University

Amy Munderloh

Northast Nebraska Community Action Partnership

Callie Naylor

Sioux City BOOST

Brenda Noll

Eckerd Youth Alternative

Matt Ohman


John Parks

Sioux Valley Credit Union

Linda Phillips

Siouxland CARES

Joy Reuss

Lutheran Services of Iowa

Chrissie Reynolds

Boys and Girls Home

Andrea Rohlena

Jackson Recovery Centers

Dewey Sloan

Woodbury County Attorney

RoxAnn Smith

Jackson Recovery Centers/ River Hills

Dusti Storm

Northeast Nebraska Community Action Partnership

Abbie Susie

Big Brothers Big Sisters

Mark Stuck

R.W. Baird

Jason Wagner

Transitional Services of Iowa

Jenna Walsh

United Way of Siouxland

Ted Wilson

Briar Cliff University




Comprehensive Strategy/Siouxland Healthy Initiative
Quarterly Community Meeting
September 28, 2012
Northwest Area Education Agency

Topic: “Economic Deprivation: A Prescription for Change”

Focus Question: “If indeed poverty is a significant root cause of problem behaviors (and our research indicates this to be true), how can we mobilize the community to impact extreme economic deprivation in Siouxland?”

Meeting Objectives:
• To raise awareness of the linkage between problem behaviors, risk and protective factors and the environmental strategies that can impact them
  To identify priority community environmental strategies that could reduce risk and build protection around our community goal for “Extreme Economic Deprivation”
• To network with colleagues

• Welcome/Introductions
• Partner Spotlight
• Online Comprehensive Strategy Partner Satisfaction Survey Results
• Impacting Economic Deprivation – A Comprehensive Approach
• Community Conversation
• “Offers and Requests”
• Evaluations and Adjournment
Welcome and Introductions
Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions. (For a list of attendees, see pages 7 & 8.) The facilitator confirmed the agenda.

Partner Spotlight
Jenna Walsh, United Way of Siouxland, presented information related to United Way’s current efforts related to addressing issues of economic deprivation. United Way raises community funds and distributes them to 30 agencies. They have three impact areas, one of which is focused on families. Examples of agencies providing programming to address poverty issues are:
• The Center has financial counseling, payee services, and transitional housing assistance.
• Mary Treglia Community House serves refugees, and helps with transitioning people into
the community.
• Women Aware helps clients create action plans.
United Way also partners to support the Earned Income Tax initiatives, helping people with tax preparation, which returned $400,000.00 locally last year, adding to the $1million returned since the program began. This is money that would have otherwise gone unclaimed and would not have come back to the Siouxland community. All United Way partners influence poverty in some way.

Satisfaction Survey Report
Allyson Olson, Comprehensive Strategy Council member, presented data from an online survey intended to provide direction for Comprehensive Strategy’s future focus and activities. The survey was distributed in July and August in order to assess partner satisfaction levels with Comprehensive Strategy’s process, outcomes, and opportunities for engagement. 58 partners responded to the survey. Overall, levels of partner satisfaction were very high. If anyone is interested in the full results of the survey, please contact Allyson at

Impacting Economic Deprivation
Three members of the Comprehensive Strategy Council – Kevin Grieme, Linda Phillips, and Herb Kuehne – presented education intended to raise awareness of the Comp Strategy model and its approach to reducing risk and building protection around the risk factor of “extreme economic deprivation.” (See Appendix #1, page 9) Also included was information derived from geomapped
census data for the Siouxland area, illustrating pockets of poverty in our tri-state region.

Community Conversation
Four questions were asked in order to share group knowledge and insights related to the topic of poverty in Siouxland:
• What strategies related to poverty issues are you aware of currently being utilized in Siouxland that focus on the individual?
• What specific environmental strategies related to “extreme economic deprivation” are you aware of that are currently in use in the Siouxland area?
• What are other environmental strategies we could focus on (as a community)? Whatdifference would that make?
• What are our recommendations for action? What would it take to make that happen?
What are our next steps?

Participant responses recorded from table conversations are listed on page 3 – 5.
What strategies (related to poverty issues) are you aware of currently being utilized in Siouxland that focus on individual behaviors?
Table 1:
• Backpacks for meals being taken home by students for weekend meals
• Summer lunch program – being under-utilized
• Food Bank service opportunities for helping to pack programs
• Medical access for children – free to sliding fee scales
• I-Smile program – working to get students into dental homes, especially for Title IXX
• Free dental services provided by local dentists on identified days
• WIC program – nutrition education and food benefits

Table 2:
• Available information is given to school counselors
• The key is always going to be education and jobs in Siouxland, good paying jobs to be more specific
• Bring in awareness of the poverty level, where did stats come from

Table 3:
• Programs to help people help themselves
• Fed SS – Family Development – help to get off FIP
• Beyond Poverty – Salvation Army
• Women Aware programs
• CSADV programs
• Family team meetings – Crittenton
• Boys Town model
• Need hands-on intense services
• Need to remove barriers
• That congregations
• Move from acts of charity to systemic change

Table 4:
• Access to transportation
• Shopping cards
• Individual plans to access community supports
• Rental Assistance (family self sufficient through education and training
• Increase savings, build escrow (75 families)
• Educational plans
• Determine eligibility for certain programs for support

Table 5:
• SHIP – scholarship funds for low income families
• Family team meetings – connect to resources by choice, not dictated by court system
• Love and Logic parenting classes
• Siouxland Beyond Poverty classes

Table 6:
• Job retraining/training – DHS
• Churches work closely with schools and with children in poverty – fundraisers to raise money for families in need – Ponca
• Food assistance, cash assistance – DHS, nutrition education for individuals

What specific environmental strategies related to “extreme economic deprivation” are you aware of that are currently in use in the Siouxland area?

Table 1:
• Job retaining strategies – skill development for new
• Health care – training for high school students (CNA) program
• Career academies

Table 2:
• The funding for state and federal funds are decreasing. Programs will need to downsize and merge
• Also discussed helping people who are afraid to ask for help

Table 3:
• Scholarships to receive education
• Bus/taxi vouchers – for targeted clients
• Boost
• Swis program
• Hopes program
• Food pantries, banks

Table 4:
• Urban revitalization
• Siouxland Community Health Center – based on income so people can get affordable health care

Table 5:
• TANF – policy allows states to fashion own Welfare to Work – some have better
employment rates
• Pierce Street Corridor development – heart of inner city

Table 6:
• Low-income housing
• Sliding scales at Jackson, Health Center, Siouxland Mental Health Center

What are other environmental strategies we could focus on (as a community)? What difference would that make?

Table 1:
• Have a conversation with “poverty” individuals to determine what is needed – barriers
that are encountered by them to self-sufficiency

Table 2:
• More youth earlier to develop educational and leadership skills
• An environmental problem is a need for good low income housing options for the community. A focus needs to be affordable housing.

Table 3:
• One stop shop for all needs

Table 4:
• Concentration of poverty – segregation of children in neighborhoods
• Need a true integration where people are willing to live in neighborhoods with diversity in economic status
• Microloans
• Integration
• Skill-based education
• Community needs assessment
• Start a conversation!

Table 5:
• Habitat for Humanity – policy – assist with substandard housing by giving interest-free loans
• Low equity loans – promote own ownership
• Need policy for guaranteeing associate degree enrollment to every high school student –payment for tuition to school

Table 6:
• Ask them what THEY need – Platinum Rule – Educating families on what and where to get assistance

What are our recommendations for action? What would it take to make that happen? What are our next steps?

Focus Question: “If indeed poverty is a significant root cause of problem behaviors (and our research indicates this to be true), how can we mobilize the community to impact extreme economic deprivation in Siouxland?”

Recommendations for action:
1. Participants were encouraged to attend the upcoming Micah Project community meeting
(see Offers and Requests for details). The purpose of the Micah Project is to more
effectively alleviate poverty in our community.
2. A task team formed to design and implement a survey tool that can be used to assess families’ true economic needs, as seen through their eyes (i.e. “Platinum Rule” – “Do unto others as they would have you do unto them”). Sally Kolbe, Comprehensive Strategy Coordinator, will coordinate the work of the group.

Volunteers include:
• Amy Tooley, City of Sioux City
• Dewey Sloan, Woodbury County Attorney
• Margaret Sanders, CSADV
• Jenna Walsh, United Way
• Paul Olson, Briar Cliff University
• Mary Bertram, Community Action Agency of Siouxland

Based on the outcomes of the Micah Project meeting and the needs assessment task team, the Comprehensive Strategy Council will consider continuing this conversation at the next community meeting, to be held in December 2012. Those with suggestions for the agenda are encouraged to contact any Council member.

“Offers and Requests”
The following announcements were made:
The Micah Project Community Meeting: Thursday, October 11, 2012, 9:00 am – 3:00 pm, Scottish Rite Temple, 801 Douglas St., Sioux City. Breakfast and lunch provided, off-street parking available. RSVP for meals, please. Contact: Rev. Patricia Johnson, Director, 712-547-6020, During these difficult economic times, with substantial funding cuts affecting programs and services, how can congregations partner with business, government, and social services to more effectively alleviate poverty.

Slavery: It Didn’t End with the Civil War (Human Trafficking): Patrick Atkinson for the Sister Muriel Ford Lecture presentation, 7:00 Sunday night, September 30, Briar Cliff University, Saint Francis Center. Open to the public. Human trafficking impacts our community today!

Cold Stone Creamery Fundraiser: Briar Cliff students – Sunday, September 30, noon – 4:00 pm, Cold Stone Creamery, 18th and Hamilton, will donate ½ profits to house building funds for service learning project in Guatemala in January 2013.
Domestic Violence Vigil: CSADV, Wednesday, October 3, 6:00 pm, Library Gleeson Room.

October is Domestic Violence Awareness month.

Community Family Team Meetings – Serving all of Siouxland: Sponsored by Community Partnership for Protecting Children. Contact Audrey at 712-252-8262, email .

SPFSIG Coordinator Position Available: Strategic Prevention Framework State Incentive Grant Woodbury County position through Jackson Recovery Centers. Apply online to or call Priscilla Anderson at 234-2314.

Red Ribbon Week Kickoff: Sponsored by Siouxland CARES, Sioux City Mayor’s Youth Commission, Sioux City Elks Lodge 112. Positive youth development – alternative activity at Long Lines Family Rec Center, 5:30-7:00 p.m., October 15, 2012.

Evaluations and Adjournment
A participant evaluation will be distributed with the documentation and participants are asked to return for ongoing performance improvement to Sally Kolbe at

Those in attendance were thanked for their participation and insights and the meeting officially adjourned at 10:59 AM.

Respectfully submitted,
D. Burnight, Facilitated Resources
October 2, 2012

Participant List (those who signed in):
Barbara Aalfs Community Volunteer
Mary Bertram Community Action Agency
Kathy Boman BCU student
Abby Buckhouse BCU student
Deb Burnight Burnight Facilitated Resources
Becky Carlson Siouxland District Health Dept.
Katie Colling Women Aware
Cheryl Connot-Perez Woodbury County Extension
Riley Cowell BCU student
Heather Craig-Oldsen Briar Cliff
Linda Cron NWAEA
Rita DeJong, BOOST-Bridging & Overcoming Obstacles thru Service and
Nene Diallo BCU student
Jo Fokken, Western Iowa Tech Community
Jennifer Gomez SCCSD
Jody Graham Community Member
Kevin Grieme Siouxland District Health Dept.
Jane Griesel CSADV
Tammy Hovde
Pat Johnson Micah Project
Sally Kolbe Insight
Herb Kuehne Sioux City Police Dept.
Brian McCorthy BCU student
Leesa McNeil Woodbury County Courts
Mark Monson County Supervisor
Gary Niles Juvenile Court Services
Brenda Noll Eckerd Youth Alternative
Paul Olson Briar Cliff University
Jennifer Paulsen BCU student
Linda Phillips, Siouxland CARES

Paige Reinning Big Brothers/Big Sisters
Margaret Sanders CSADV
Dewey Sloan Woodbury County Attorney
RoxAnn Smith River Hills recovery
Paul Speidel Westlaun Presbyterian
Abbie Susie BBBS
Tina Tassler BCU student
Amy Tooley City of Sioux City
Gabriela Valdovinos BCU student
Jenna Walsh United Way of Siouxland
Sara Wester Siouxland District Health Dept.

APPENDIX #1 – Provided by Linda Phillips
Communities That Care Model for Comprehensive Strategy for Positive Youth
Development Vision: Our community will provide opportunities for youth and families to be healthy and resilient contributors to society.

Mission: To facilitate the creation of resource tools for positive youth development.

Five Objectives:
1. Reduce the availability of alcohol, tobacco and other drugs for illegal purposes.
2. Provide opportunities and support so families will be safe, healthy and nurturing.
3. Provide early opportunities and motivation for youth to develop positive meaningful relationships with their community
4. Provide early opportunities, motivation and support for academic success for all youth.
5. Foster economic growth that will enable families to achieve financial independence.

Specific individual and interpersonal risk factors for Objective 5 above:
• Lack of prenatal care
• Lack of health, dental and mental health care and/or coverage of medical insurance
• Unable to meet basic needs: food, housing, etc.
• Lack of quality early education and care programming
• Inadequate caregiver abilities
• Violence (child abuse, neglect, domestic violence)
• Poor children who live in old apartments or homes-high rates of accidental injury or
exposed to toxics-lead/asthma
• Lack of networks and support increases family isolation
• Children not living with two parents
• Child living with parent(s) who do not have steady, full-time employment
• Unengaged fathers
• Family income below the poverty level
• Family receiving welfare benefits
• Household head is high school dropout
• Minimum entry level job skills
• Lack of job-seeking skills
• Lack of coordinated, comprehensive school to work efforts
• Lack of basic work readiness and/or occupational skills
• Low paying wages to meet basic family needs
• Decline in employer healthcare benefits
• Lack of flexible work schedules, family-friendly businesses, corporate childcare
Effective Approaches-Strategies
• Prenatal and Infancy Programs
o Perinatal approaches – Ensuring healthy pregnancies and healthy infants;
Preparing all young people for parenthood; Meeting demands of a high-needs
infant; Making family planning services available
o Scope of Health Care for Very Young Children – Providing well-child care
programming; Counseling and support services for children with chronic or
handicapping conditions; Providing dental services
o Dependable Caregivers – Ensuring quality child care choices; Providing
affordable child care options; Developing networks of family-centered child care
programs for infants and toddlers
o Mobilize Community to support Young Children and Families
• Youth Employment with Education
o Collaborative Relationships – wrap around services
o Skill Training Opportunities
o Job Mentoring Opportunities
o Meeting Basic Needs
o Leadership Development – opportunities for leadership development and civic



 Comprehensive Strategy

Quarterly Community Meeting

June 19, 2012


 “Data Review – Resetting the Targets


Meeting Objectives:

  • To provide community partners with current data impacting youth development
  • To explore current data trends and provide anecdotal information to inform what the numbers are telling us
  • To make community recommendations for 2015 target outcomes, based on current trends
  • To network with colleagues


  • Welcome/Introductions
  • Partner Spotlight
  • Data and Trends Review/Community Conversation
  • 2015 Target Outcomes
  • “Offers and Requests”
  • Evaluations and Adjournment


Welcome and Introductions

Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions.  (For a list of attendees, see page 7.)  The facilitator confirmed the agenda.

Partner Spotlight

Through a short presentation and video, BriarCliffUniversity representatives Regan Murray and Paul Olson provided a brief history of the institution and information related to the Siouxland Social Science Research Center.  The Siouxland Social Science Research Center is an organization which designs and conducts affordable social science research in order to provide information needed by private or public agencies, non-profit organizations, and other community groups.  The Center can generate useful information for policy analysis, program evaluation, social impact studies, needs assessments, or action-orient ed research.  Both qualitative and quantitative research techniques are used, including but not limited to questionnaires, interviews, case studies, focus groups, polls, content analyses, and unobtrusive data-collecting strategies. 

Data and Trends Review/Community Conversation

Northwest AEA representative Marlin Jeffers led the group in an electronic response exercise to review current key data indicators related to the five Comprehensive Strategy problem behaviors: 1) Substance Abuse, 2) Teen Pregnancy, 3) School Dropout, 4) Delinquency, and 5) Violence.  The results of the exercise can be found in the PDF attachment entitled, “Comprehensive Strategy Clicker Report.”  Table and plenary conversations revealed the following insights from the participants:

What surprises you about this information?

  • Dropout rates (improved by 1% inSioux City, decreased in SSC)
  • Teen pregnancy rates (alarming compared to state rate for bothIowaandNebraska
  • Difficulty at which teens can obtain alcohol or drugs
  • Other things going down & marijuana use is up
  • Drink more in a shorter time
  • Binge drinking going down along with alcohol use in general
  • Lower numbers in all categories
  • Marijuana use was dipped in 2010
  • Not surprised
  • Not reflective of ten years ago – suspect that there is underreporting
  • Some surprise at high use of marijuana by seniors

How does this information relate to your observations or experience working with your target population/client base/constituents?  What do you see happening in your world?

  • Trends look good, but what data aren’t we tracking (K2)??
  • JacksonRecovery – numbers are steady
  • Big Brothers Big Sisters – Not seeing much with substance abuse, Younger “littles” (5% are age 14-18)
  • Perhaps youth who fill out surveys are underreporting or youth with problem behaviors aren’t in attendance

What do you think is behind the numbers?  What are current trends, events or anecdotal information that helps to explain what’s going on here?

  • Rural vs. urban areas
  • Lower SES vs. higher SES areas
  • Lack of parent involvement
  • Behavior model/generational
  • Social stigma of marijuana use as diminished with increase in medicinal marijuana
  • (Our) Table does not believe that the drop in alcohol is actual
  • We have alcohol problem.  We have special unit – but also high alcohol rate
  • Child abuse high – and these children grow into adults with problems
  • Drop in drug screening state – perhaps due to changes in hospital staff, mothers going to smaller or out-of-state hospitals, mothers using new drugs that are not tested
  • Binge drinking – You can get very drunk without “binging” depending on what you drink.  “One drink” size is changing as portions get larger
  • Dropout – many factors make it complicated to track (late graduation, early, graduation, alternative schools, state versus local policies)

 Questions raised:

  • Survey should be administered at end of school year.  Are they?
  • Why is there such a difference from year to year?
    • Why is Woodbury County so high compared to rest of state?

(Note: Data sheets included in the participants’ packets included: 1) Comprehensive Strategy Annual Progress Report, 2) Updated Risk Factor data (including data fromDakotaCounty), 3) Urban 8 comparisons, 4) County Health Rankings, 5) Metro Area Youth Survey, and 6) Previous 5-10-15 year Goals for the Problem Behaviors. Community partners wishing to access the current data reports are encouraged to visit the Siouxland CARES website link for Comprehensive Strategy at: )
2015 Target Outcomes
Following a short networking break, the participants self-selected into problem behavior teams to re-set 2015 target outcomes, based on key indicators for each of the five problem behaviors.  The teams reported back on the following recommendations for target outcomes:

Problem Behavior:

2015 Target Outcome:





Substance Abuse

(30 day prevalence)




            Binge drinking







  • Current positive trends
  • How low can it realistically go?
  • Sends the message that there is still work to do


Teen Pregnancy

115 per birth rate per 1,000

  • Previous rate 100
  • Minimal resources – 3-5 year grants
  • Small target is hit with grant $$ – not entire community/schools
  • Not much change expected without change in attitudes, funds, awareness
  • Top program – PP
  • Capp dollars – PP, LSI, Girls Inc.
  • Value systems/SES of our community
  • Generational


School Dropout

Public (7-12)  2%

            (9-12)  3%

  • Graduation coaches
  • Career academies
  • Legislative issues (Consistent definition of “dropout”, 5 years to complete diploma, count GED completion and training)


Delinquency and Violence

Be at the state average for juvenile simple arrests and larcenies


  • We believe there will be a downward trend over the next 5 years due to the resources and increased collaborative efforts in the community

The participants indicated their levels of agreement with the proposed targets using the “clicker” response system.  Their responses are documented as item numbers 15-22 in the attached document entitled “Comprehensive Strategy Clicker Report.”

At the next Comprehensive Strategy quarterly community meeting, the new target outcomes will be reviewed, confirmed and/or adjusted, and environmental strategies that can help achieve these targets will be discussed in preparation for the annual Comprehensive Strategy legislative (public policy) forum in December.

 “Offers and Requests”

 The following announcements were made:

Jackson Healthy Kids and Communities Newsletter:  Send your email address to to be added to the mailing list
Jackson Recovery Centers – Prevention Job Opening:  SPF SIG coordinator for PlymouthCounty.  Apply to Jackson Recovery Centers, – Pricilla Andersen, 712-284-2314

Evaluations and Adjournment

Participants were asked to fill out evaluations of the community meeting.  (Note: A summary of evaluation responses is found on pages 5-6 of this document).  Those in attendance were thanked for their participation and insights.   The Data Collection Team was thanked in particular for all the hours of time and energy spent in collecting and organizing the 2012 data report.  The meeting officially adjourned at 11:00 AM.



Comprehensive Strategy/Healthy Siouxland Initiative Joint Community Meeting
March 12, 2012


Topic:  Environmental Strategies–“Strategies that target the broader physical, social, cultural, and institutional forces that contribute to problem behaviors.”

Meeting Objectives:
.. Raise awareness of the potential for how environmental strategies can support lasting community change
.. Identify possible strategies that partners can implement (as individual organizations or collectively) that can significantly impact positive youth behavior
.. Network with community partners in the interest of positive youth development

• Welcome/Introductions
• Context-What are “environmental strategies?”
• Partner “Spotlight” – Priscilla Andersen, Jackson Recovery Centers; Holly Keegan, Monona County SPF SIG Coordinator; Katie Brannen, Woodbury County SPF SIG Coordinator; Andrew Dutler, Plymouth County SPF SIG Coordinator
• Small Group Discussion
• Debriefing of Small Group Discussion
• “Offers and Requests”
• Evaluations and Adjournment
Welcome and Introductions:  Comprehensive Strategy Chair Barbara Aalfs welcomed the participants and led brief introductions.

Linda Phillips, Siouxland CARES, and Michelle Lewis, Siouxland District Health Department, defined “environmental strategies” and gave examples of some currently being used in their work.

Partner Spotlight
Four representatives (see list in agenda) from Jackson Recovery Centers presented information on the Strategic Prevention Framework State Incentive Grant environmental strategies currently being implemented in Monona, Woodbury and Plymouth counties.

Small Group Discussion and Debrief
Tables were asked the following questions and given time to share answers with each other.
1. What do you see going on related to environmental strategies in your world? Where are you using or observing environmental strategies? What is the impact/result on individual/family/ organizational/community behaviors?

2. If you see evidence of environmental strategies in your work or experience, what is driving a push in that direction? (i.e., funding opportunities, marketing, competition, etc.?)

Following plenary discussion, each table was asked to write 5-10 environmental strategies that had been listed at their tables on sheets of paper (color-coded to indicate whether the strategies were at the Home/Family level, the Workplace level, the Community level or the State/Federal level). The examples were collected and organized into eleven different focus areas (see “Appendix 1” for detail on the resulting work product). In debriefing the exercise, the participants noted that areas of strength included “Food Selection Choices” and “Physical Activity and Exercise.” Areas that were noted for needing more attention included:
• A need for less disconnect between those who want to eat healthier and cost of healthy food
• Supporting positive sustainable policies for all facets of Life
• More workplace strategies at all levels (Note: Michelle Lewis shared information related to local efforts to support workplace wellness – anyone wishing to get involved in the initiative or find out more about it is encouraged to call Angela Drent at the Siouxland District Health Department.)

When asked what should be done with the work product created, the participants suggested sharing the information with the Blue Zone team (considering the good programs and strategies that are already in place) and emphasizing the message that this work will continue to move forward.

“Offers and Requests”
The following announcements were made:

MARY TREGLIA HEALTH FAIR: April 19, 9 AM – noon at 900 Jennings. Purpose is to educate immigrant families on health services and related programs. Looking for more providers who have information to share with this new population.

MULTICULUTRAL FAIR: Everyone is invited Sunday, March 25 from Noon – 4 PM at Long Lines for food, entertainment and education.

“GREAT HURT:” Awareness of historic trauma and impact on Native American families, children and youth. March 25 at 7:00 PM at the Briar Cliff University Stark Center. Open to the public.

JACKSON RECOVERY CENTERS: Annual banquet, March 24th at the Marina Inn. National speaker to present – for more information, contact

DOMESTIC VIOLENCE ASSESSMENT AND INTERVENTION FOR SERVICE PROVIDERS: Presented by CSADV and the Iowa Department of Public Health on Friday, May 18, 8:30 AM to 12:30 PM, at the Northwest Area Education Agency. Free – Contact Deb at 277-0131 for more information.

AGENCY SUMMIT: For all service providers on Friday, March 30th at St. Thomas Church (12th & Douglas) to share and gather info. Appropriate for line staff to learn about services available to clients. Call Mary at Community Action Agency to register.

KIDS FEST: For kids 0-5 in IDA County – Booths, fun education, and prizes. Ida Grove Skate Palace on April 12, 3:30 – 6:30.

NEEDED: Information on who can put healthy food in vending machines
Evaluations and Adjournment
Participants were asked to fill out evaluations of the community meeting and leave them at the door as they left (Note: A summary of evaluation responses is found on page 4 of this document). Those in attendance were thanked for their participation and insights. The meeting adjourned at 10:55 AM.

Respectfully submitted,
D. Burnight, Facilitated Resources

Participant Evaluation Summary
Number of respondents: 24
Note: A formatting issue neutralized available information from the quantitative evaluation component – therefore, no quantitative scores are included in this summary.

Narrative responses included:
An “ah-ha” for me during this session was…
• Seeing what was offered in the community as environmental strategies currently
• We operate in a bubble
• Learning what other agencies’ strategies are – some great ideas. Getting everyone involved.

I would suggest that in future sessions we…
• Include clients as part of meeting
• I like the meeting format

Other comments:
• Need to focus on what inhibits behavioral change
• Allow more time for large activity – felt too rushed
• Excellent
• Excellent!

Legislative Forum

Friday, December 9, 2011, 9:00 a.m.

Stoney Creek Inn & Conference Center

Hosted by Comprehensive Strategy

 Welcome:  Barbara Aalfs, Comprehensive Strategy Chair

Introductions/Process:  Kevin Grieme, Director, Siouxland District Health Department, (712) 279-6119,


 Mandatory attendance until successful graduation or 18 years of age.

Presented by Dr. Linda Madison, Associate Superintendent, Sioux City Community School District, 712- 251-5882 (cell),

Background: A few points made through the research….

•     Economic future of our states/country and the dropout problem are related.

•     Suggests as much as a 12% increase in earnings post-high school.

•     Students less likely to report being unemployed, having health problems, being depressed, and working in lower-skilled jobs.

•     People with more schooling report higher levels of satisfaction with their lives overall.

•     A compulsory school age helps raise expectations among students, their parents, school authorities, and the general public.

 Current Law/Regulation


Iowa Code, Chapter 299, covers compulsory school attendance and truancy:

“The parent, guardian, or legal or actual custodian of a child who is of compulsory attendance age (6-16 years old), shall cause the child to attend some public school, an accredited nonpublic school, or competent private instruction.”


July 1, 2005Nebraskalegislation made attendance at school compulsory until age 18. The rationale behind this enactment was a strong commitment to all students earning a high school diploma. More importantly is the new legislation that requires each district to report attendance to the state on a monthly basis and requires that students with excessive absences to be reported to and prosecuted by the County attorney.

 South Dakota

Effective July 1, 2008, South Dakota passed legislation making attendance compulsory until age 18 unless students have earned a high school diploma or have completed a school based GED program passing the GED test from the Dept. of Labor.


 Continue funding programs that address the teen pregnancy issue and support of mandatory attendance until successful graduation at age 18.

 Presented by Sarah Deck, Clinical Supervisor of Staff Development and Education, Jackson Recovery Centers, 712-234-2384,


  • Page 5 of Comprehensive Strategy June 2011 Progress Report—percentage of teen pregnancies for Woodbury County, State of Iowa, Dakota County and State of Nebraska
    • Handout: Sioux City’s rate of teen childbirth compared to Urban 5 in Iowa 
    • Handout: The Cost of Teenage Pregnancy
    • Handouts (3): The Public Costs of Teen Childbearing in Iowa, Nebraska and South Dakota
      • Handout: Other Information Related to Teenage Pregnancy

 Data Highlights:

  • Teen pregnancy rates have been increasing since 2007 in both Woodbury and Dakota counties.
  • According to a Geo-mapping Study using grant funding that was completed using teen births in 1997-1999,
    • The race breakdown of “urban” teen mothers was:
      • 85% Caucasian
      • 8% Native American
      • 5% Black
      • 2% Asian
      • The race breakdown for “rural” teen mothers was:
        • 93% Caucasian
        • 7% Asian
        • Public Costs of Teen Childbearing in 2008:
          • $99 million in Iowa
          • $67 million in Nebraska
          • $23 million in South Dakota
          • In 2008 costs to taxpayers in Iowa, Nebraska and South Dakota associated with the children of teen mothers were:
            • $36 million for public health care
            • $64 million for child welfare
            • $28 million due to increased rates of incarceration
            • $49 million in lost tax revenue
            • Teen pregnancy coincides with other problem behaviors being addressed by Comprehensive Strategy for Positive Youth Development:
              • Economic deprivation
              • Availability of alcohol and other drugs
              • Academic failure

 What works to reduce teen pregnancy:

    • Comprehensive sex education:  curriculum-based education that encourages both abstinence and contraceptive use.
    • Service learning programs that engage youth in their communities.
    • Youth development programs that encourage participants to plan for their future.
    • Parent programs that involve parents and youth and seek to improve communication.
    • Community-wide programs that encourage involvement from the entire community.

 Current Human Sexuality/Development Education Begins:

  • Iowa: Sioux City Public Schools’ current curriculum is to introduce puberty via fifth grade human growth and development class. The Sioux City Catholic Schools do teach human sexuality courses and their curriculum is abstinence-only.
  • Nebraska: South Sioux City’s current curriculum is 4-6 grade girls get information on menstrual cycles and body changes associated with puberty. All 5-6grade boys are educated about body changes associated with puberty. No additional education is completed.   
  • South Dakota: Dakota Valley’s current curriculum is to introduce puberty and male/female development during an informational talk during fifth grade science class.

What We Know and Want You to Know…and Continue to Fund:

  • Prevention education is key:
    • While teen sexual activity is down among most teens, it has risen among girls younger than 15. Terry, E., & Manlove, J. (2000). Trends in Sexual Activity and Contraceptive Use Among Teens. Washington, DC: National Campaign to Prevent Teen Pregnancy.
      • We recommend broadening the span of human sexuality education within schools’ core competency—starting early and provide ongoing education.
      • We also recommend that schools and parents allow the surveying of students to help target more effective programming and education. (For example: Substance Abuse survey/decreasing usage; new Mental Health screening/identifying depression)
      • Parents have a definite role (and are vital) in reducing teenage pregnancy.
        • Teenagers want to talk to their parents about sex, love, relationships and birth control:
          • A study showed that 7 of 10 teens interviewed said that they were ready to listen to things parents thought they were not ready to hear.
          • Another study found that when asked about the reasons why teenage girls have babies, 78% of white and 70% of African-American teenagers reported that lack of communication between a girl and her parents is often a reason teenage girls have babies. Premarital Sexual Experience Among Adolescent Women – U.S. 1970-1988. Morbidity and Mortality Weekly Report, Vol. 39, Nos. 51 & 52, (January, 1991). Princeton Survey Research Associates for the Henry J. Kaiser Family Foundation. (1996, June). The 1996 Kaiser Family Foundation Survey on Teens and Sex: What Teens Today Say They Need to Know, and Who They Listen To. Menlo Park, CA: Author.
          • According to,age-appropriate conversations about relationships, sex, love, and intimacy should begin early in a child’s life and continue through adolescence. Having the stereotypical “talk” once with your child is not enough and often occurs too late.
            • We recommend somehow integrating core competency and parental engagement—possibly having parents determine level of education and when, etc. Reinforced communication and education from both schools and parents will only aid in preventing teenage pregnancy.

Siouxland should prioritize funding to conduct a new geo-mapping study as well as begin a study of “best practices” from other Iowa counties and states where teen pregnancy rates are low to better understand teen pregnancy in our area and to help target more effective programming and education.

  • Investing in programs that provide education and prevention of teenage pregnancy and that allow teen parents to continue to gain independence, will save taxpayers in the long run.  An effective example is the child care center for Sioux City high schools.


Initiatives that improve outcomes for people who suffer from addiction or mental illness should be provided and funded to decrease additional costs in the future.

Presented by Kermit Dahlen, President and CEO, Jackson Recovery Centers, 712-234-2364,

Extent of the problem:  7.8% of the population suffers from addiction and 5% from Severe Mental Illness.


  • 11.9% of children live with a parent that is addicted or abuse alcohol and/or drugs.
  • Children are the largest growth population and most children are being raised in poverty and by a single parent (mother).
  • 28% ofUSchildren, between the ages of 12-20, on average drink 6 times per month and have 5 or more drinks per drinking episode.
  • 50% of all mental illness begins by age 14.
  • 20% of all children suffer from mental illness.

 Robert Wood Johnson Foundation calls Addiction the number one public health problem.

  • Costs the American economy $275 billion a year.
  • Total expenditures for treatment only $18 billion.
  • Cost benefit ratio (without cost of corrections) is for each $1 spent on treatment there is a $7 return.
  • If you count corrections savings – the ratio is for each $1 spent on treatment results in a $12 return.


  1. Fund in-jail Treatment:  The Phoenix Program inWoodburyCounty works!  All State and Federal funding has been eliminated after October of 2012.  The Phoenix Program has demonstrated its effectiveness by outside objective evaluation conducted by theUniversity ofIowa Substance Abuse Consortium.  The Phoenix Program has been credited with helping prevent the need for a new jail. 
  2. Utilizing tax credits as a way to incent business to grow or invest in capital does not work for not-for profits.  The substance abuse treatment and prevention system would benefit from a sales tax exemption like those already provided hospitals, schools, etc.
  3. The Mental Health System inIowaneeds to be redesigned and funded adequately. 
  4. A standardized set of core mental health services need to be available to all Iowans.
  5. Substance abuse treatment is a specialty that demands highly trained professional staff.  Addiction is a diagnosis historically that does not respond to general mental health or physical health intervention.  It is imperative that the addiction treatment specialty not be lost in any attempts to redesign the mental health system or state government realignment.  We strongly believe that the SA system is best placed in the Department of Public Health and that the payment system should not be merged with the mental health system in the redesign.  We believe both systems are underfunded and the merger of two underfunded systems only creates a new exceedingly underfunded system without focus and priority.
  6. A full continuum of substance abuse and mental health treatment should be included as an essential benefit in any health care reform benefit design inIowa. 
  7. Regional child and adolescent crisis stabilization and evaluation units are essential services that are missing in the current continuum of care.
  8. In-school mental health and substance abuse programs need to continue to be funded.



 Increase Iowa, Nebraska, and South Dakota’s Beer Excise Tax to $0.73 per gallonPresented by Carolyn Goodwin, Adult Advisor, Sioux City Mayor’s Youth Commission, (712) 251-4502,


Alcohol abuse results in deaths, injuries, violence, teen pregnancy, school absenteeism, and crime, to name a few. Many times cities, counties, and states bear the burden of alcohol abuse in the form of law enforcement, court and health care costs. 

Research has shown that implementing alcohol environmental strategies as part of a comprehensive plan is effective in reducing costs associated with the alcohol abuse as well as underage drinking.  Locally, our alcohol environmental strategies include keg registration, enforcement of underage drinking laws, holding adults responsible for teen parties, compliance checks, party patrols, and responsible beverage server training.  Another equally important environmental strategy is the raising of the beer excise tax.  Raising the beer excise tax will reduce youth access to alcohol and will provide much-needed funds for prevention, treatment, corrections, and enforcement services, all of which can help reduce the use of alcohol and the associated costs.    


Current Beer Excise Tax Rate:  $0.19 per gallon (ranked as the 26th state from the top-Alaska is 1st at $1.07 per gallon).  Wine tax inIowa is $1.75 per gallon.  The beer excise tax inIowa has not been raised since July 1, 1986.  Inflation adjustment is not built in so we continue to lose revenue.  In 2010,Iowa’s Beer Excise Tax was $14,488,000, compared to $14,657,000 in 2009.

Impact:  An increase in the beer tax of 54 cents per gallon would be about a 5 cent per serving increase in a typical 12 oz. serving of beer (128 ounces in a gallon divided by 12 oz. serving is approximately 11 of the 12 oz. servings=5 cents per serving).

  • The proposed tax would add $0.60 to the cost of a 12-pack of beer.
  • The proposed tax would cost a light drinker (two beers a week) $5.20 per year.
  • The proposed tax would cost a heavy drinker (twelve beers a week) $31.20 per year.
  • The proposed increase would generate approximately $41.6 million dollars annually based upon FY2009 beer sales of just over 77 million gallons of beer statewide.


Current Beer Excise Tax Rate:  $0.31 per gallon (ranked 14th state).  Wine tax inNebraska is $0.95 per gallon.  In 2009,Nebraska’s Beer Excise Tax was approximately $14,380,000.

 Impact:  An increase in the beer tax of 42 cents per gallon would be about a 4 cent per serving increase in a typical 12 oz. serving of beer (128 ounces in a gallon divided by 12 oz. serving is approximately 11 of the 12 oz. servings=4 cents per serving).

  • The proposed tax would add $0.48 to the cost of a 12-pack of beer.
  • The proposed tax would cost a light drinker (two beers a week) $4.16 per year.
  • The proposed tax would cost a heavy drinker (twelve beers a week) $24.96 per year.
  • The proposed increase would generate approximately $19.5 million dollars annually based upon FY2009 beer sales of just over 46 million gallons of beer statewide.

South Dakota

Current Beer Excise Tax Rate:  $0.27 per gallon (ranked 16th state).  Wine tax inSouth Dakota is $0.93 per gallon.  In 2009,South Dakota’s Beer Excise Tax was approximately $5,900,000. 

 Impact:  An increase in the beer tax of 46 cents per gallon would be about a 4 cent per serving increase in a typical 12 oz. serving of beer (128 ounces in a gallon divided by 12 oz. serving is approximately 11 of the 12 oz. servings=4 cents per serving).

  • The proposed tax would add $0.48 to the cost of a 12-pack of beer.
  • The proposed tax would cost a light drinker (two beers a week) $4.16 per year.
  • The proposed tax would cost a heavy drinker (twelve beers a week) $24.96 per year.
  • The proposed increase would generate approximately $10.4 million dollars annually based upon FY2009 beer sales of just over 21 million gallons of beer statewide.

Utilization of revenue:  The increase in revenue could be used to fund drug enforcement, corrections, treatment, and prevention services.  These services might include, but are not limited to, drug courts, jail-based treatment, multi-jurisdictional drug task forces, prevention programs, and other treatment services.