87-1828 WHITE - C�TV ckeRK COII[IC1I �/
PINK - FINANC'E
CANARV - DEPARTMENT G_ITY OF SA�INT PALTL �J
BLUE - MAVOR File NO. "�
�
�, ounc ' Resolution �
�
,
Presented By
Referred To Committee: __Date
Out of Committee By Date
WHEREAS� the City of Saint Paul has a commitment to the future and growth of the
City; and,
WHEREAS. the future of the City rests with a healthy and well educated
workforce; and,
WHEREAS, the City recognizes the children of the City as a valuable resource for
our future; and,
WHEREAS, the City recognizes that child health is more than physical well being,
and includes social and educational well being; and, .
WHEREAS„ the well being of children in our community is best addressed by a
collaborative effort to improve the health and well being of children in our
community; and,
WHEREAS, the Child Health Initiative will bring together City, County, School
District and private providers to develop a collaborative effort to improve the
health and well being of children in our corr�nunity;
THEREFORE BE IT RESOLVED that the proper city officials are hereby authorized to
apply for and accept a grant from the Saint Paul Foundation or other foundations
or funding sources to fund the Child Health Initiative staffing and conference.
COUNQILMEN Requested by Department of:
Y eas N ays �--
N�ia � In Favor
� �..
Sche,i.bel ��_ A gai n s t BY
Sonnen
w�aa �EC 2 9 1987 PP y y
Adopt�� Focm rov b C't corn
uncil: Date
Gertified Pa si d by Co ncil Sec ry BY
By
A►pprove b Navor: Date Ci � � �� Approv y Mayoc for Submi io t�Council
B
PUBLISNED J A N - 9 19 88
! � �d`�/��� o
Comnuni,� $e�vices � �DEPARTMENT ` N. _ 0�4�1 :
Gathi Lyman- kka � CONTACT �
292-7714 PHONE �
. '
Navember 9, 981 _ DATE �i,� � ` e�
�
SIGN NUl9BER FOR ROtJTING.: ORDE.R C1 i A�11 Locations f r Si ature :
�Departmen Director " Director of Management/Mayor
� Finance a d Management Services Director � � 5 City Clerk
,
�,�, Budget Di ector
City Atto ney
WILL BE CHIEVED BY TAI�ING ACTION ON THE ATTACME � M�TERIALS? (Purpose/
; Rationale) :
Positive ac ion will a11ow the Division of PubTic H$alth to apply for and receive grant _
funding for the Child H.ealth Initiative f��G�11itD
NOV 16 1987
. \\ �� I�� MAYOR'S OFF
` ICE .
OST BENEFIT BUDGETARY AND PERSONNEL IMPACTS ANTICIPATED: '�
Will financ an intern and a conference without addxtional expenditure of city dollars.
Does aot r uitre any unplanned Division expenditure� �
,
RINANCING SOU CE AND BUDGET ACTIVITY NUIrBER CHARGED 0 CREDITED: (Mayor:s signa-
ture not re-
Total Amou t of"Transaction: �p quired if under
� �t o,000)
Funding So rce:
Activity N mber: •
TTACHI!�dTS i st and Number Al l Attactm�ents :
1. Counci Resolution � _ R�CEIVED
2. Grant - PPtfieatior�
� : NOV 16 1987
x
. � . CITY ATT�R�VEY
qEPARTMENT RE IEW CITY ATTORNEY REYIEW
�,Yes No Council Resolution Required? ' Resolution Itequired? Yes � No
Yes No Insurance Required? Insurance Sufficient? � Yes No �/�
Yes No Insurance Attached:
(SEE •REyERSE SI'DE FOR IMSTR TIQNS) �
ltevised 12/84 '
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________________________________ AGENDA ITEMS =___________________=______=____ �,Y�I��� G
ID#: [494 ] DATE REC: [11/19/87] AGENDA DATE: [00/OQlpO] ITEM #: C 7
SUBJECT: [GRANT PERMISSION - PUBLIC HEALTH DIVISION - CHILD HEALTH INITIATIVE]
���..
STAFF ASS I GNED: [ �� ��-�.o ] S I G:{�,_ ] OUT-[ ] TO CLERK �[9A,[40�LII� � 2//�
ORIGINATOR:�COMMUNITY SERVICES ] CONTACT:[LYMAN-ONKKA - 292-7714 ]
ACTION:[ ]
[ ]
C.F.# [ ] ORD.# [ ] FILE COMPLETE="X" [ ]
� � � � � � � � � � � �
FILE INFO: [RESOLUTION �, �� ]
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.��••• CITY Of SAINT PAUL
�� ' DEPARTMENT OF COMMUNITY SERVICES
; ;.
� � � ° DIVISION OF PUBUC HEALTH
....
SSS Cedar Street,Ssint Paul,Minnesota 55101
George Latimer (612)292•7741
Mayor .
November 9, 1987
Paul Verret
The Saint Paul Foundation
1120 Norwest Center
Sai�nt Paul , Minnesota 55101
Dear Paul :
I am pleased to submit this application to the Saint Paul Foundation for funding
of the Child Health Initiative. The Saint Paul Division of Public Health has
struggled with the visible, tangible signs of poverty and urban decay. little
has been done to define and address the underlying problems leading to adult
poverty and too early parenthood which often accompanies it. Most of the pro-
grams have given attention to young women once they become pregnant. Nunerous
studies have shown that investments made in the prenatal and early years of
childhood lead to better educated, better functioning adults. Administrative
staff are seeking a means to avert some of the problems they now try to remedy.
We are requesting 520,025 for intern staffing and a conference in February, 1988
which will launch a ten year drive to have healthier kids in Ramsey County by
1998. We have begun the project already, bringing together participants from a
num!ber of jurisdictions to begin the planning process; we will need funding for
staff beginning December 1, 1987 through December 1, 1988 to ensure that we
f ollow our timeline for launching this project.
We have begun to secure commitments from other organizations but need Saint Paul
Foundation support to fund the conference and dedicated intern staff. The City
of Saint Paul , Division of Public Health will be the fiscal agent for this grant
and we will spend the funds solely f or the purpose stated in t he attached appli-
cat'ion; the Division will also make such reports as required by the Foundation.
Cathi �yman-Onkka will be the project contact person at the Division of Public
Health. Cathi can be reached at 292-7714 if you require additional information
while researching this grant application.
As you know, the City of Saint Paul is a tax exempt organization as a
govierrmental unit. We understand that ar�y payment of funds granted wi 11 be at
the conveni ence of the Foundat ion, i ncl udi ng modi fi cat ions of previousl y agreed
upon payment schedules should modifications be deemed necessary by the
Foundation. This should not impair the City's ability to undertake this project
in any way.
� � �
' . �Paul Verret -2- November 9, 1987
�l�� /�:��
�
Again, I appreciate the opportunity to w bmit this grant to the Saint Paul
Foundation and look forward to the Foundation's participation in this exciting
and significant initiative. More than 30,000 children now under age 5 will
benefit from our foresight and concern. Thank you for your consideration.
Sincerely,
Kat hleen Stack Director
Department of Community Services
JB,/am
c: Mayor Latimer
Cathi Lyman-Onkka
Sue Guse �
�.
• ' ' �������
'�T'H�►T C�1ILD HEAI�TH NEEmS AND WAI'S OF ME�TING 'I�-�.SE NEEmS ARE NOT ACLUSIVEL,1'
I�DICAL ISSUES; TNAT Q�IILD HEr'1LTgI MUST BE VIEWE[) IN A �L� SOCIAL AND
F.t�'�'IROh'��'I'E1L CONI'�..'�I'; THAT EE�D(,TIVE APPkOACI�S TO A SIGNIFICANT PROPORTIOIV OF
MAJOR UNI�T CHILD HFALTH PROBLII�.S, UTILIZING CCJRREtV`I7,1' AVAILABLE SGIII�TIFIC
I�IOWLIDGE, CIPT ACRU6S PROFF�SIONAL, DISCIPLINFS AND HII.PING SYST'�LS, AND RDQUIRE
ATT�V'I'ION T�O ISSUFS IN T� REAI,M OF I�DICINE AIvTD HEALTH, MENTAL, HEALTH,
EDUCATION, SOCIAL SF�tVICES, CORR�(,'TIONS, II�IAYI�VT, INOOh� DISTR,IBUTIOIV,
HOUSING, AND DAY CARE."
MONIT�DRING CHILDREN'S HF.ALTH: kEY INDICATORS C. ARDEtv MILLER et al.
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Application to the Saint Paul Foundation for Child Nealth Initiative ���7 ����
Ax�licant: City of Saint Paul
Depsrtment of Community Services
Division of Public Health
555 Cedar Street
Saint Paul, Minnesota 55101
The Division of Public Health is com�nitted to providing health promotion,
protection and prevention to individuals and neighborhoods of the City of Sa.int
Paul. Services are targeted in the following areas:
�suring that environmental health ffood, housing, water, animal/pests,
neighborhood hazards and worksite) protection is pro�-ided to residents
and visitors; containinq comrnunicable diseases includin� sexually
transmitted disea.se and AIDS; promoting the health of residents through
innovative, cost-effective public health education efforts aimed at
disease and injury reduction; providing health services to special high
risk residents including those without access to preventive health care
(on an interim basis); ar�d promoting a comprehensive, city-wide network
of public health services which meet the changing needs of Saint Paul
residents.
Cont,act Person: Cathi Lyman-Onkka, Health Analyst
292-7714
Pro.ieLct Title: Child Health Initiati�e staffin,� and conference
Stat�nent of Pur�aose: To encourage particigation of policyrt�akers and to
establish a model for interdisciplinary and multi-jurisdictional collaboration
to e�sure improved child health in Ramsey County by 1998 for an estimated
37,585 children under age five.
Backt�round/Problem Statement:
For the past several years the focus of much public policy debate has centered
on welfare reform and self sufficienc�•. Those efforts have largelv been
focused on women who find themselves on Aid to Families with Dependent Children
(A��C) . While many of these individuals are successful in leavint! AH�C, little
has been done to define and address the underl,ring problems leading to adult
povertv end too early parenthood which often accompanies it. Most of the
progrsms have given attention to young women once thev become pregnant.
T7ie Saint Paul Division of Public Health has struggled with the visible,
tangible signs of poverty and urban decay. Staff, tired of doinq little more
than putting on band-aids, are seeking a mea.ns to avert some of the problems
they now try to remedy. This led to the proposal to have the healthiest
children in Minnesota bS 1998. N�unerous studies have shown that invesLnents
ma.de in the prenatal and early years of childhood lead to healthier, better
educslted, better functioning adults.
We ha�ve l�own for man�v years that good, early preriatal care, adequate
nutrition, safe housing, stable care giving, ar�d age appropriate social
ea-periences produce children who are most able to succeed in our society. Yet, -
there are manp children in our societ� who lack these basic needs. A major
barrier is poverty and nearly 22X of our children live in poverty. Recent,
unpublished, data on children in Raa�sev Countp suggests that children living
just above poverty (1009b - 200% of poverty) may be at even greater risk of some
problems that children living in poverty.
� ', A. recent report published by the Wilder Foundation indicates that even children
� who live° in families above 517,000/year (roughly 1859K of poverty for a family
• of �'ee) are at risk. The following table highlights some significant � ��;��
f indiings: �"
>17,000 <17,000 <Poverty
Child has ever had a bad accident
or in jury 1196 1296 6.5X
Child has ever had a ph��sical,
emotional or mental coridition
that interfers with development or
daily activities 2.5% 9°� 8%
Child age 0-4 is up to date on
immunizations 93� 91% 8796
Child age 3-5 drinks 24 ounces of
milk or more per day (rec�ended) 3796 43X 4U%
Child age 4-5 has never had a .
dental checkup 16% 19.5X 13�
Source: "Health and Well Being of Children: A report from the Needs
Assessment of Children in Ramsey County, Minnesota" Mueller arid Cooper
h'ilder Research Center, 9/87
These findings have more than health significance. Children with developmenta.l
delavs and handicaps significantiv impact school s�stems as they struggle with
limited financial resources to pro�-ide the mandated equal educational
oppartunities and individualized educational plans these children reyuire.
These problems also affect the ability of mothers and other care�i��ers to enter
the work force because of the limited availabilit� of dat care for handicapped
infstzts and children. This may ser�•e to keep families in po��ert�- and dependent
on countv hLmian services and welfare. It may also limit the social contacts of
these children needed for them to succeed socially and educationally.
Manp model programs have been developed to improve children's lives. They are
not S11 public health programs. Some involve the educational communitv, some
social services, some the medica.l comnunity, but each needs the support of
policy mal;ers at different levels to achieve success.
Because the imp�ct of these problems crosses political jurisdictions and
ser�-ice areas of go��ernment, the best solutions �.�ill also cross these
jurisdictions. In Saint Paul there are three elected bodies responsible for
policy affecting children: the City Mayor and Council; the Countsr Board of
C.om�nissioners; and, the School Board. Each operates from a different
perspective. Any policy of the County Board will impact all communities in the
county and must be supported by special interest groups throughout the countv.
The �chool districts, county human service program and the county public health
programs all must answer to their respective state conmissioners. The
challenge, and ultimate problem is:
To develop a consensus building model in which elected officials can
negotiate policy which can then be implemented in their various
jurisdictions.
A collaborative effort amoru� counties, school districts, and municipalities
could more efficiently use the liunited resources available to each. A
collaborative effort across political boundaries also raises the public
importance of an issue. Levels of government are rarelv seen as collaborators,
they are more often seen as competitors. Successful collaborative efforts are
rare.
Q � Y -
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Pro.iect Description:
The objective of this project is to develop a model which will lead to a
col�aborative effort by municipalities and school districts in Ramsey County
and Ramsey County to achieve the goal, "By 1998 Ramsey County will have the
healthiest kids in Minnesota." Leadership for this project ha.s been from M�yor
George Latimer, City of Saint Paul. To achieve a collaborative effort Ma.yor
Latimer has im�ited the assistance of Commissioner Diane Ahrens, Chair, Ramse��
Coulzty Board of Comnissioners; Superintendent David Bennett, Saint Paul Public
Schools; ar�d Hamline Universitv's Graduate Program in Public Administration.
Support for this initiative throughout the county will be initiated at a
conference at Hamline Universitv on February 12, 1988. This conference will be
co-sponsored by the Conm�issioner, the Mayor, and the Superintendent.
The purpose of the conference is to provide policyma,kers from throughout the
cou#rtv an opportunity to learn the status of young (0-6 years) children in
R�m�ev County. Strategies w�hich have been tried in other areas of the countr,r
to improve the health and well-being of children will be presented. The
desired outcome of the conference is a com�nit.a►ent of policyma.kers from all
three units of government to work collaboratively to reach the goal of the
"Hea►lthiest Iiids". A second outcome of the conference will be a consensus
building model to achieve collaboration among units of �overnment.
� The rationale for a conference format to achieve collaboration is the ability
to bring the same information base to each policy-maker regardless of their unit
of government. The format will include opportunities for facilitated
discussion of policy and program options among policyir�akers in similar units of
government so that thev may return to their respective jurisdictions prepared
to �ommit to collaborative efforts. A foliuh-uP session will be held in late
spring, 1988 to report on policies and programs in process and in place and to
re-commit to the Initiative.
Attendance at the February conference will be limited to elected or appointed
public officials, their kev policy staff, representatives of minority groups
underrepresented among the public officials, and a very limited number of
community leaders including business and foundation representatives. The group
will be kept as small as possible to facilitate consensus building and to limit
media involvement until the collaborative relationships are firmly established.
OBJECT'IVES•
1) Brinq the issue child health to the attention of key policyma�:ers in
Ramsev County.
2) Get polic�-mal:ers to co�nit to a collaborative plan of action to address
child health needs in Ramsey Countv.
31 Set up a forum for policymakers (175 invited to conference)
4j' �.sure followup on action steps bv co�nitted agencies
5) Monitor progress toward improving child health as reflected by key
indicators.
FIJNDING:
We a.�e requesting $20,025 to finance salary for an intern ($10,400) , costs for
the conference in Februarv 1988 ($5,500?, and follow-up costs ($625) . Because
it is a multi-jurisdictional effort it will be a complex project to mar�a�e and
requires dedicated staffing. In addition, outside funding for the conference
will encourage attendance and full p�rticipation by invitees.
�� .
� .
� ' � /�,���_����
U`�
In-kind funding will be provided bv the Saint Paul Division of Public Health in
the form of staffing and clerical support, along with resources cam►itted bv
the Hamline University Graduate Program, Ram,sey County Public Health and the
Saint Paul Independent School District #625. We anticipate that other in-kind
resources will be available as the project pro�resses and commitments are ma,de.
The proposed budget is as follows:
Rec�uiested from Saint Paul Foundation
Graduate student intern - 1040 hours x $10/hour $10,400
Conference support costs - 100 attendees a S25 2,500
Conference speal�ers - Est 3@ $1500 4,500
Printing/duplica.ting/postage 2,000
Follow-up session - 25 attendees C $25 625
Total Requested $20,025
In-Kind Supt�ort
City of Saint Paul:
Health Analyst .25 FTE $11,898
Clerical Support .10 FI'E 2,250
I�ata Services .10 FTE 4,519
Assistant to the Mas-or .10 FTE 4,500
Office of Cable Communications Video Production �.000
Tota.l Citv In-hind $27,167
Hamline University Graduate Program in Public Administration
Director .10 FI'E $ 3,200
Administrative Support .05 FTE 700
Facilities 250
Total Hamline In-kind S 4,150
Ramses• Countv
Health Coordinator .1 FTE $ 4,212
Independent School District .1 FTE g Z�ggp
TOTAL IN-KIND $38,409
The f�unds will be spent solely for the purposes stated in the application and
the S�int Paul Division of Public Health will make such reports as are required
by th� Foundation.
OONTIhiUATIO:V OF T}IE PR0.TECT:
This is a ten year project which will require the commitment ar1c1 active
particip�tion of the agencies and jurisdictions involved. We anticigate that
after the first year the participating organizations will provide the needed
funding to continue the project.
. � �� ����
. . � �-
TZMELINE:
This project has been started and now requires additional funding to ensure
that the following timeline can be met, hence our request to the Saint
Paul Foundation:
PROPOSED TIMELINE FROM OCTOBER 23, 1987 - APRIL 1988
10-28-87 Initial meeting of support staff (City, County, schools) to begin
preparation of background packet and identification of speakers
11-06-87 Funding application inquiries sent
12'-18-87 Draft Invitation ready
12-24-87 Invitations sent
01-25-88 Draft background packet prepared
01-04-88 Speakers identified and secured (two facilitators already
confirmed) funding secured
01-18-88 RSVP from invitees
Confirmation of speakers
1-24-88 Background Packet mailed to attendees
2-01-88 Follow-up call to attendees to remind of conference, answer
questions about packet
Follow-up call to speakers
2-11-88 Kickoff in evening
2-12-88 All day session
3-01-88 Follow-up packet sent to attendees �
4- -88 Half-day session to confirm commitments, establish linkages, set
checkpoints
STAFF COMMITMENTS
Division of Public Health - Cathi Lyman Onkka . . . . . . . . . . . . . .. . . .. 292-7714
Mayor's Office - Sue Guse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 292-4736
Hamline University, Vera Vogelsang-Coombs . . . . . . . . .. . . . . . .. .. . . . . 641-2900
School District 625 - Verne Melberg . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 293-5275
Ra�msey County Public Health - Betty Kaplan . . . . . . . . .. . . . .. . .. .. . . 777-1211
Ramsey County Human Services (unfilled)
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, r . . , ��,_l'�°��
The Division of F'ublic Health will provide primary staffing and coordination of
this project. The school district, countp and Ma��or's Office staff will
caoperate in research, analysis, desiqn, and implementation of the confererice.
Hamline University will provide academic support and handle conference
housekeeping details.
Still needed are representatives from the minority co�►unities to assist in
identification of ket� indicators and resources within those cormnunities.
SU$MITTID BY•
-��/ ; /,
; ;�-r, � % ; ,
Iiathleen Stack, Director
Departmerit of Communitv Services
COriiTACT PERSON/PROJEGT M?,NAGER:
�`,�%�._�;�.Z,e,�w: �a,. _� �-
Catherine Lyman a, Health Analvst
Saint Paul Divi��o� of Public Health