Montana. Coal Board.

Health and human service needs in coal impact areas in Eastern Montana : a report to the Montana Coal Board (Volume 1982) online

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23,



J3£.iJ-



M3j3.



J32A.



RANK



1



DATA SOURCES

MONTANA STATE HEALTH PLAN 1981-82 (SHCC)

MONTANA HEALTH DATA BOOK A^]D MEDICAL FACILITIES INVENTORY, I98O

DHHS UNDERSERVED DESIGNATIONS LIST

MCH NEEDS ASSESSMENT 1982

HEALTH SERVICES ASSESSMENT, 17 EASTERN MONTANA COUOTIES, 1981

MONTANA VITAL STATISTICS



NOTES

1. PHYSICIAN/ POPULATION RATIO DOES NOT INCLUDE THE INDIAN POPULATION ON THE
CROW RESERVATION. THE RESERVATION HAS ITS OWN HEALTH FACILITIES.

64



COUNTY



NEED:



PU gLXC H EAim se:i^ yxce$



A. UNEMPLOYMENT RATE 1979-81
B. IMMUNIZATION RATE 1981
C.ADC RECEPIENT3, RATE/ 100 1981
D.MEDICAID RECIPIENTS, RATE/ 1000

1981
E. INFANT DEATHS ( 1977-80) /I 000
F.LOW BIRTH WTS. ( 1977-80)/ 1000
G.WOMEN RECEIVING NO PRENATAL

CARE (1977-80) /1 000 LIVE BIRTHS ^6.4
H. INDUCED ABORTIONS/ 1000 LIVE

BIRTHS
I.WuMEN IN NEED OF FAMILY PLAN-
NING/1000 (1979)
J. BIRTHS TO W0^EN <19 PER 1000
LIVE BIRTHS



COUNTY 1


STATE AVE


7 COUNTY AVE


RANK


6.8 !


5.98


4.98


1


97.6^ !


95.0%


97.2%


4


15. a !


9.0


6.4


1


16.6 !


24.9


n.7


2


16.8 !


11.6


H.8


2


66.^ 1


58.^


49.7


1


> S6.4 1


7.7


15.7


1


1^2.4 1


17^.9


74.9


1


2S.7 !


4^.9


45.6


7


18,5? !


^2,^%


14.2^


3



K. WOMEN, INFANTS & CHILDREN



I INCOME
MEXm. i ELIGT^LiL.
_I59 ! 1 2 58



% OF POP ELIGIBLE!
FOR WIC SERVICES ! RANK



jxa



■ SERVIC£ DATAj.

A. PUBLIC CLINICS- PRENATAL CLASSES; VD SCREENING; WIC; HIGH RISK FOLLOW-UPS,

B. SCHOOL HEALTH PROGRAMS- SCHOOL NURSING; IMMUNIZATIONS.

C. FAMILY PUNNING SERVICES- COUNSELING SERVICES PROVIDED ON AN OUTREACH
BASIS BY YELLOWSTONE COUNTY.

D. HOME HEALTH SERVICES- HOME VISITS.

E. OTHER- PARENTING CUSSES; COMMUNITY EDUCATION.

DATA SOURCES:

MONTANA STATE HEALTH PUN

MCH NEEDS i\SSESSMENT 1982

17 COUNTY HEALTH SERVICES ASSESSMENT

PERSONAL INiERVIEi;^S WITH COUNTY PUBLIC HEALTH NURSES



NOT ES ;

1 . BIG HORN HEALTH DATA INCLUDE THE CROW INDIAN RESERVATION WHICH HAS A HIGH
PERCENTAGE OF LOW INCOME FAMILIES.



65



COUNTY BIG HORN



NEJgP;



SERVICES FOR YOUTH

7 COUNTY



A. JUVENILt, PROBATION CASELOAD

RATE/ 1000

B. ly8l CHILD ABUSE AND NEGLECT

REFERRALS—RATE/ 1 000

C. DISTRICT COURT JUVENILE

PROBATION CASELOAD (1978-81)



D. STANDARDS FOR YOUTH SERVICES
DAY CARE FACILITIES



COUNTY


AVERAGE


1 RANK


11.6


1

q.9


1
1 ^


10.8


6.^


! 1


1.06


1.2^


! S


COU^JTY 1


REC. STANDARD


1/11,000 1


1/SOOO



SERVICE DATA:

A. REGISTERED DAY CARE HOMES: NONE

B. LICENSED DAY CARE CENTERS: _1_ LICENSED FOR 35 CHILDREN

C. LICENSED FOSTER CARE HOMES: _Z_

D. RECREATION

INDOOR

OUTDOOR— (HARDIN) BASKETBALL COURT; PLAYGROUNDS (2); OUTDOOR POOL;
TENNIS COURTS (3).

E. JUVENILt PROBATION CONTACTS 1981 118



pATA SOURCES:

DEPT. OF INSTITUTIONS, CORRECTIONS SUPPORT BUREAU

SRS, COUNTY WELFARE DEPARTMENTS

CRIME CONTROL INDEX REPORT

SRS, REGIONAL OFFICE CHILD CARE LICENSING SPECIALISTS

1. ATTENDANCE AT DAY CARE CENTER AVERAGING ABOUT 22 CHILDREN/DAY.

2. MORE FOSTER CARE HOMES NEEDED PRIMARILY BECAUSE OF RESERVATION PLACEMENTS.

3. 16 JUVENILES WERE SENT TO DETENTION FACILITIES DURING 1981.

M. CHILD ABUSE AND NEGLECT RANKING IS ONLY FOR FIVE COUNTIES. ROSEBUD AND
TREASURE DATA WAS NOT AVAILABLE.



66



COUNTY BIG HORN



NEED



SERVICES FOR THE ELDERLY



A. # OF PEOPLE > 62 YEARS OF AGE II^Q



B. % CHANGE IN ELDERLY POPULATION 1970 - I98O

C. J OF POPULATION > 62 YEARS OF AGE 10.2^

D. SERVICE TO POPULATION RATIOS:



+Z2M



LONG TERM CARE BEDS/ 1000



CQUNn



14/100



8/1000



RECOMMENDED STANDARD



65/ 1000



25/1000



INTERMEDIATE CARE BEDS/1000_

DATA SOURCES

U.S. CENSUS

AkEA AGENCY ON AGING

MONTANA CENTER FOR GERONTOLOGY, MSU, BOZEMAN (GARY A. REFSLAND, DIR.)

COUNTY AGING COORDINATOR

SRS, COMMUNITY SERVICES

SERVICE DATA

A. UNITS OF SERVICE (DEC. TO MAY))

CONGREGATE MEALS
HOME DELIVERED MEALS
HOME CHORE SERVICES
TRANSPORTATION
HOME HEALTH SERVICES

B. SENIOR CITIZENS CENTER/S



HARDIN !


LODGE GRASS


170 PER/7440 MEALS 1


1458 MEALS


17 PERSONS 1


NA


69 PER/ 414 VISITS!


NA


68 PEPy 408 RIDES !


NA


PROVIDED BY PHN !


NA


5 DAYS/WEEK 1


12-14D/M0



C. FUNDING
FEDERAL
STATE
COUNTY
TOTAL

NOTES



$ 30 . 296

2 .568

4^,424

$7 5,2g8



1. BIG HORN HAS A FULL TIME SENIOR CITIZENS DIRECTOR.

2. HOME HEALTH IS THE //I PRIORITY ACCORDING TO WAYNE BRITTS, AREA AGING
DIRECTOR FOR REGION #2.

3. THE PER CAPITA ALLOCATION FOR SENIOR CITIZENS IN BIG HORN COUNTY IS $66.10
PER YEAR.



67



COUNTY BIG HORN

RECREATION

NEED:

SERVJ: C E PATA:

FEDERAL:

AFTER BAY— PICNIC, CAMP, FISH, BOAT ACCESS

BLACK CANYON— PICNIC, CAMP, FISH BOAT ACCESS

CUSTER BATTLEFIELD— EXHIBITS

LaFEVERS'S RANCH— FISH

RED NOSE— FISH

WILLOW CREEK— FISH, PICNIC, BOAT

STATE :

ARAPOOISH— FISH

BIG HORN—FISH

CHIEF PLENTY COUP STATE MONUMENT— PICNIC , CAMP, EXHIBITS

TWO LEGGINS— FISH

TONGUE RIVER RESERVOIR— FISH, BOAT ACCESS, BOAT DOCK

ROSEBUD BATTLEFIELD— BOAT ACCESS, CAMP, PICNIC

LOCAL GOVERNMENT:

LODGE GRASS- PICNIC AREA.

HARDIN- TENNIS COURTS (3); BASKETBALL COURTS (1); PLAYGROUND (2); OUTDOOR POOL

(1); HORSESHOE SITE (1); PAVILION (1)

$77,200 IN FEDERAL GRANTS HAVE BEEN AWARDED TO BIG HORN FOR RECREATION

FACILITIES.

DATA SOURCES

ENERGY DEVELOPMENT IN SOUTHEASTERN MONTANA: ITS IMPACT ON OUTDOOR RECREATION,

1982;

DEPT. FISH, PARKS AND WILDLIFE, LAND AND WATER CONSERVATION ASSISTANCE FUND;

MONTANA RECREATION GUIDE, DEPT. FISH AND GAME, PARKS DIVISION.

NOTES



68



COUNTY CUSTER



CENSUS DATA



TOTAL POPULATION
CHILDREN UNDER 5
CHILDREN UNDER 18
WOMEN 15-45
FERTILITY RATE
MINORITY POPULATION
BLACK

SPANISH SURNAME
AMERICAN INDIAN
PERSONS 62+



1970


1980


^CHANGE


% OF POP


STATE AVE


RANK


12.174


n.109


7.7




13.2


^


qi6


1,082


15.4


9.^


8.2


^


Uf451


^.858


-n.4


29.4


^S.^


7


2.^0^


2.497


7.8


19.0


20.0


4


q6.4


92.1


-^.4




90.0


4


42


248


590


.^2


5.6


5


4


4





.0^


.2


^


11


204


1854


1.5


1.^


3


25


8^


S32


.6^


4.7


^


1879


2.127


H.2


16.2


1^.3


2



PATA SOURCE

1980 U.S. CENSUS .o.r.»,or^

1981 MATERNAL CHILD HEALTH STUDY, DEPT. OF HEALTH AND ENVIRONMENTAL SCIENCE

1970 CENSUS



NOTES



69



COUWn CUSTER



HEEUI



ALCOHOL AND DRUGS



COUtrn ! STATE AVE



A.



7 CO

7 COUNTY AVE! RANK



PER CAPITA ALCOHOL CONSUMPTION I |

iq72 $S2.86 I $49.23 ! $44.0^



1Q76



66. B7



58,61



-55t80



1981



71. 8 Q



57.53



63.86



B. ALCOHOL PROGRAM ADMISSION RATES/ 1000



1978


8.0


7.3


8.1


3


1979


8.3


8.0


8.6


3


1980


8.2


6.5


7.0


3


1981


6.0


6.3


5.4


3



C. HIGHWAY PATROL DUI SUMMONS



1979
1980
1981



TOTAL


RATE/ 1000


STATE AVG./1000


7 CO

RANK


44


3.3


2.77


3


21


1.6


1.45


6


12


.9


1.7


6



D. ALCOHOL RELATED MOTOR VEHICLE ACCIDENTS (1978-81)



ACCIDENTS

INJURIES

FATALITIES



TOTAL


RATE/ 1000


7 CO. AVE.


7 CO

RANK


139


10.6


10.5


2


60


4.6


5.1


5


4


.3


.8


6



E. UNEMPLOYMENT RATE (1979-81)



COUNTY



STATE AVE



7 CO

7 COUNTY AVE \RPMK



3,97



5.9 8



4.98



DATA SOURCES

DEPT. OF INSTITUTIONS: MONTANA COMPREHENSIVE PLAN FOR ALCOHOL AND DRUG
ABUSE PREVENTION, TREATMENT AND REHABILITATION; DEPT. OF REVENUE; MONTANA
VITAL STATISTICS; DEPT OF JUSTICE, HIGhVAY SAFETY DIVISION; I98O CENSUS;
DEPT. OF ADMINISTRATION: STATISTICAL RESEARCH DIVISION.

SERVICE DATA

A. PROVIDERS

OUTPATIENT: DISTRICT # 3 ALCOHOL & DRUG PROGRAM (MILES CITY). 3.5 FTE
COUNSELORS, ALSO SERVINu SATELLITE IN POWDER RIVER.

INPATIENT: NO ESTABLISHED PATTERN BECAUSE OF ALL NEW COUNSELING STAFF. .
LOOKING AT RIMROCK AND GLASGOW BECAUSE OF FEES FOR AFTERCARE.



B. ACTIVITY REPORTS:

# OF FIRST ADMISSIONS TO ALCOHOL PROGRAMS DURING I98I



J8_



NOTES :

1. COMPLETE COUNSELING STAFF TURNOVER DURING 1982.

2. PROVIDES SUPERVISION FOR ROSEBUD COUNTY/TREASURE COUNTS ALCOHOL COUNSELORS
WHICH ARE PARTIALLY FUNDED BY COAL BOARD GRANT.



70



COUNTY CUSTER



CR IMINAL JUSTICE



CRIME RATE per 100,000



COUNTY


STATE AVERAGE 1 7 COUNTY AVE


7 a

RANK


251.7


215.7 1 198.1


2


4851.6


4462.7 1 2346.2


1


5^139.0


7199.9 1 3607.1


1



A. 1980 CRIME INDEX REPORT



CRIMES AGAINST PERSONS
CRIMES AGAINST PROPERTY
TOTAL CRIMES

C. PROBATION AND PAROLE CASELOADS (INCLUDES CUSTER, POWDER RIVER, GARFIELD,
FALLON, CARTER, AND PART OF PRAIRIE)

1978

1979
1980
1981

D. DISTRICT COURT CASELOAD (1978-81)



TOTAL CASELOAD


AVERAGE/ MO.


RATE/ 1000


667


55.5


27.4


532


44.3


21.8


560


46.6


23.0


701


58,4


28.8



4 YEAR 4 YEAR RATE/ AVE CO 7 COUNTY 7 CO



CRIMINAL CASES
DOMESTIC RELATIONS
JUVENiLt PROBATION
ADOPTION
TOTAL CASES



TOTAL


AVE.


1000


>10,000


AVERAGE


RANK


297


74.25


5.6


3.58


4.58


1


636


159


12.1


9.93


8.9


1


88


22


1.68


1.77


1.23


1


51


12.75


1.0


.88


.86


3


2139


535


40.8


34,2


34.2


2



DATA SOURCES

DEPT. OF JUSTICE: CRIME INDEX REPORT; DISTRICT COURT CASELOAD STATISTICS;
DEPT. OF JUSTICE: OFFENSE AND ACTIVITY REPORT (STARTING 7/1/82);
DEPT. OF INSTITUTIONS: PAROLE AND PROBATION CASELOAD STATISTICS.

SERVICE DATA

A. PROVIDERS:

COUNTY SHERIFF: F.W. DAMM

CITY POLICh CHIEF: JAMES CERTAIN

DISTRICT COURT # 16; JUDGE ARTHUR MARTIN

COUNTY ATTORNEY: KEITH HAKER

JUVENILt PROBATION OFFICER/ S: ERNEST BUTTS, BONNIE BRITZMAN, MARION BUTTS

NOTES

1. CRIMES AGAINST PROPERTY ARE 65J ABOVE THE STATE AVERAGE.



71



COUNTY CUSTER



DOMESTIC VIOLENCE
(SPOUSE ABUSE, CHILD ABUSE AND NEGLECT, FAMILY DISTURBANCES)



NEED

COUNTY ! STATE AVE ! 7 COUNTY AVE! RANK

A. ALCOHOL ADMISSION RATE/1,000 | I I

(197»-8i) Li ! 7.Q i 7.2S I ^

B. UNEMPLOYMENT RATE (1979-81) ^.97 ! S.Q8 ! ^.98 I ^

C. MENTAL HEALTH ADMISSIONS I98I

RATE/ 1000 21.0 I NA ! 18.12 ! 1_

1972 ! 197S ! 1979 !1979 STATE AVE

D. TOTAL MARRIAGES/ RATE/ 1000 11V 9.5 I 142/1 1 .8 ! 1^7/10.4 ! 10.4
E. MARITAL TERMINATIONS/ RATE

PER 1000 60/ 5.0 ! 69/ 5.8!114/ 8.6! 6.5



4 YEAR AVE RATE 7 CO.

AVERAGE ! RATE/1000!C0 >10.000! AVE. ! RANK

F. DISTRICT COURT DOMESTIC I | | |

RELATIONS CASES (197»-8l) 159 ! 12.1 ! 9.9^ ! 8.9 ! 1



DATA SOURCES

SRS

SRS CHILD CARE SERVICES

COUNTY WELFA.KE SOCIAL WORKER CASELOAD REPORTS
CRIME INDhX, DEPT. OF JUSTICE

MONTANA VITAL STATISTICS, DEPT. OF HEALTH & ENVIR. SCIENCES
■ EASTERN MONTANA SPOUSE ABUSE PROGRAM.



SERVICE DATA

A. REPORTED CASES OF SPOUSE ABUSE SEPT. I98I - APRIL 1982 6

B. SPOUSE ABUSE CASES/ 1000/MO .06 COUI\ITY RANK 4

C. CHILD ABUSE/NEGLECT REFERRALS I98I 104
C. FOSTER CARE PLACEMENTS 22

NOTES

1. THE CHILD ABUSE & NEGLECT REFERRAL STATISTIC IS AN ESTIMATE RATHER THAN AN
EXACT FIGURE.



72



COUNTY CUSTER



MENTAL H EALT H SERVICES



need;



A. 1981 PER CAPITA ALCOHOL CONSUMPTION

B. 1981 HIGHWAY PATROL DUI SUMMONS/ 1000

C. AVERAGE ALCOHOL ADMISSION

RATES/ 1,000 (197«-B1)

D. POPULATION CHANGE 1970-80

E. UNEMPLOYMENT RATE 1979-80

F. 1981 JUVENILE PROBATION CASELOAD/

1000

G. CRIME INDEX REPORT

CRIMES AGAINST PERSONS
CRIMES AGAINST PROPERH
TOTAL CRIMES

H. DOMESTIC VIOLENCE REPORTS/ 1000
I. 1981 CHILD ABUSE REFFERALS/ 1000
J. DOMESTIC RELATIONS CASES (1978-81)
K. WARM SPRINGS ADMISSION RATE/ 1000

(19Y«-8i;
L. PERCENT BELOW POVERTY 1977



cou^^^Y i


ST AVE


7 CO AVE


7 CO

RANK


i $71.80!


$57.5^


$6^.68


2


)o 0.9 1


1.7


^.7


4


7.6 !


7.0


7.25


^


7.7 !


1^.2


lil.^


^


^.97 I


5.98


4.98


^


17.011


NA


9.9


1


251.7!


215.7


198.1


2


M851.6!


n452.7


2^46.2


1


5M^9.01


7iqq.9


^607.1


1


.06 !


.^^


1.04


4


7.9^ !


NA


6.^1


2


12.1 1


10.8


8.9


1


.81 1


.7^


.50


1


125s 1


15.^


17.85


7



M. SOCIAL WORKER/ POPULATION RATIO
N. MENTAL HEALTH WORKER/ POP RATIO
FAMILY COUNSELOR
PSYCHIATRIC SOCIAL WORKER
CLINICAL PSYCHOLOGIST



COUNTY



REC. STANDARD



1/6500



1/6000



1/6500 1


1/5000


1/HOOO 1


1/5000


1/nooo 1


1/20,000



SERVICE DATA:



A. UNITS OF SERVICE PROVIDED (1ST THREE QTRS FY '82):

OUTPATIENT: 2402.5
INPATIENT: 77.25
DAY TREATMENT: 8,599
EMERGENCY: 355.25
CONSULTATION & EDUCATION: 316. 25

B. ADMISSIONS TO CENTER: 276

C. ADMISSION RATE/ 1,000: 21.0 7 CO RAT E18.12 7C0 RANK

D. CLIENT DATA
% MALE
% FEMALE
% BELOW 18
% 18 TO 65
% OVER 65

E. WARM SPRINGS ADMISSIONS 1979-81: 32



44.5


55.5


26


70.6


2.5



DATA SOURCES:

CENSUS; COMPREHENSIVE STATE ALCOHOL/DRUG PLAN; CRIME INDEX REPORT;
DEPT OF INSTITUTIONS, JUVENILE PROBATION REPORTS; SRS, DOMESTIC VIOLENCE
REPORTING SYSTEM; SRS, CHILD PROTECTION SPECIALISTS RECORDS; BIG HORN COUNTY
HEALTH DEPARTMENT.
NOTES;



73



1. EIGHT BED TRANSITIONAL LIVING FACILIH (INPATIENT) IN MILES CITY OPERATED"
BY THE EASTERN MONTANA MENTAL HEALTH CENTER. OCCUPANCY RATE: 6.5 BED/ DAY.

2. 24 HOUR CRISIS "HOT LINE".

3. PERSONNEL: (4) PHD CLINICIANS SERVING MILES CITY AND SURROUNDING COUNTIES,

(1) MSW

(1) FULL-TIME NURSING POSITION FOR THE TRANSITIONAL CARE
FACILITY.

(4.5) ADMINISTRATIVE SUPPORT POSITIONS.



74



COUNTY CUSTER



NEED:



EMERGENCY HEPI C AL g E RVXC ES



1978-81 MOTOR VEHICLE ACCIDENTS
INJURY ACCIDENTS
FATAL ACCIDENTS

1977-79 STROKE FATALITIES
1977-79 HEART DISEASE DEATHS
1977-79 ACCIDENTAL DEATHS



TOTAL


RATE/ 1000


7 CO AVE


7 CO

! RANK


609


11.6


18.1


1 6


192


^.6


6.1


1 7


10


.19


.49


1 7


58


14i;.9


85.^


! 7


157


397.^


29^.5


1 6


21


5^.2


94.1


1 2



SERVICE DATA:



A. # OF TRIPS/YEAR

% EMERGENCY

B. MAJOR REASON FOR TRIP:



COUNTY


RATE/ 1000


7 CO AVE


7 CO

! RANK


650


49.5


78.28


! 5


50?


NA


53,^


i 5



C. PERSONNEL:

# OF CERTIFIED EMT'S: 11 (ALL FIREMEN)

# OF CERTIFIED FIRST RESPONDERS:

# OF ADVANCED FIRST AID: 5

ADMINISTRATIVE PERSONNEL: FIRE CHIEF ACTS AS DIRECTOR.

D. QUICK RESPONSE UNITS:



E. HOSPITALS USED:



HOLY ROSARY

VA FOR SOME NON-EMERGENCY TRANSPORT



DATA SOURCES:

COUNTY AMBULANCE SERVICE TRIP REPORTS; DEPT. OF JUSTICE, HIGHWAY TRAFFIC
SAFETY, MOTOR VEHICLt, ACCIDENT SUMMARY REPORT; MONTANA VITAL STATISTICS,
DHES, BUREAU OF RECORDS AND STATISTICS

NOTES;

1. SERVICE IS FUNDED BY THE COUNTY BUT IS SELF-SUPPORTING.

2. EQUIPMENT:

(3) TYPE #1, WITH BASIC LIFE SUPPORT
1982 FORD MODULAR
1972 CHEVY VAN
1976 DODGE VAN

3. TWO-WAY COMMUNICATION WITH HOSPITAL. HOSPITAL CALLS PHYSICIAN.

4. 911 USED TO CALL AMBULANCE.



75



COUNTY



CUSTER



PRIMARY HEALTH SERVICES



need;

A. STATE OF MONTANA HEALTH STATUS INDICATOR RANKING (1976-80): 16



C. INFANT MORTALITY RATE (1975-79).

D. INFAWT DEATOS (1977-80) /1000

E. LOW BIRTH WT ( 1977-80)/ 1000

F. PERCENT BELOW POVERTY (1977)

G. ADC RECIPIENTS, MONTHLY I98I

PER 100,000
H. MEDICAID RECIPIENTS, MONTHLY

1981/ 100,000
I. WOMEN 15-45/1000
J. % POPULATION > 62 YEARS OF AGE
K. GENERAL FERTILITY RATE



L. PHYSICIAN/ POPULATION RATIO
SERVICE DATA;



COUNTY


1 STATE AVE


1 7 CO AVE 1


RANK


12.2


1 n.5


1 17.9 !


5 .


8.7


1 11.6


! n.8 I


7


^q.^


I 58.^


1 49.7 !


7


^2i


1 15.?


! 17.8 i


7


7.5


! 9.0


1 6.4 !


1


14.1


I 24.9


! 11.7 1


1


19.0


1 20.0


! 19.4 !


2


16.2


1 n.^


1 12.2 1


2


92.1


I 90.0


1 98.1 1


4


COUNr/


1 STATE AVE 1


RECOMMENDED


STANDARD


1/690


.1 1/750 1


1/2500



A.
B.
C.
D.



LICENSED PHYSICIANS 19



ACTIVE LICENSED NURSES: RN'S196 LPN' S 40 PHN'S_i

DENTAL PRACTICES: FULL-TIME 6

HOSPITALS: HOLY ROSARY (MILES CITY), 120 BEDS

INPATIENT ADMISSIONS 2,828

EMERGENCY ROOM VISITS 4,244

% OCCUPANCY 14.1%

SURGICAL PROCEDURES INP/OUTPT 1154/204
E. NURSING HOMES: CUSTER COUNTY (121 BEDS) & FRIENDSHIP VILLA (67 BEDS)



# OF BED DAYS
% OCCUPANCY
EXPENSE/ PT DAY
ADMISSIONS



CUSTER 1


FRIENDSHIP


VILLA


41.022 1


21.528




97.1% 1


95.9%




$22.25 1


$28.09




62 !


48




COUNTY 1 RATE/ 10 001


STATE AVE!


7 CO AVEI RANK


216 1 16.4 I


17.9 !


20.0 ! 6


19 i 82.6 1


..171,9 !


112.4 1 4



F. LIVE BIRTHS (1979)

G. INDUCED ABORTIONS (I98I)

PATA SOURCES

MONTANA STATE HEALTH PLAN 1981-82; MONTANA HEALTH DATA BOOK AND MEDICAL
FACILlTlEii INVENTORY, I98O;
DHHS UNDERSERVED DESIGNATIONS LIST;
MCh NEEDS ASSESSMENT 1982;

HEALTH SERVICES ASSESSMENT, 17 EASTERN MONTANA COUNTIES, I98I;
MONTANA VITAL STATISTICS

NOTES

1. CUSTER COUNTY HAS THE BEST PHYSICIAN/ PATIENT RATIO OF ANY OF THE IMPACT
COUNTIES.

76



COUNTY CUSTER



PUBLIC HEALTH SEVICES



need:



COUNTY


STATE AVE


7 COUNTY AVE


7 CO

RANK


3.97


5.98


4.98


; r.

3


95.0%


95.0%


97.2%


6


7.5


9.0


6.4


3


14.1


24.9


n.7


3


8.7


11.6


^3.S


7


^q.^


58.^


49.7


7


2.1


7.7


15.7


6


82.6


17^.9


74.9


4


44.0


4^.9


45.6


5


n.5%


12.?%


14.2%


4


AVE/MO 1


INCOME i % OF POP ELIGIBLE! 7 CO
ELIGIBLE 1 FOR WIC SERVICES 1 RANK


2^1 1


516 1


3.Q%


i 7



A. UNEMPLOYMENT RATE 1979-81

B. IMMUNIZATION RATE 1981

C. 1981 ADC RECIPIENTS/ 1000

D. 1981 MEDICAID RECIPIENTS/

1000

E. INFANT DEATHS/ 1000 LIVE

BIRTHS

F. LOW BIRTH WT./1000 (1977-80)

G. WOMEN RECEIVING NO PRENATAL

CARE/' 1000 LIVE BIRTHS
(1977-80)

H. INDUCED ABORTIONS/ 1000
LIVE BIRTHS

I. WOMEN IN NEED OF FAMILY PLAN-
NING/ 1000 (1979)

J. BIRTHS TO WOMEN <19/ 1000
LIVE BIRTHS

K. WOMEN, INFANTS & CHILDREN



SERVICE DATA:

A. PUBLIC CLINICS- VD SCREENING, WIC

B. SCHOOL HEALTH PROGRAMS- SCHOOL NURSING; IMMUNIZATIONS.

C. FAMILY PLANNING SERVICES- COMPLETE SERVICES.

D. HOME HEALTH SERVICES- HOME VISITS, POSi NATAi. VISITS, FOLLOW-UP FOR
NURSING MOTHERS.

E. OTHER- PRE-NATAL CLASSES; COMMUNITY EDUCATION; HIGH RISK FOLLOW-UPS;
SPECIAL SERVICES FOR DIABETIC CHILDREN.

DATA SOURCES:

MONTANA STATE HEALTH PLAN; MCH NEEDS ASSESSMENT 1982; 17 COUNTY HEALTH
SERVICES ASSESSMENT; PERSONAL INTERVIEW WITH PUBLIC HEALTH NURSE

NOTES:



77



COUNTY CUSTER

SERVICES FOR TOE ELDERLY
NEED

A. # OF PEOPLE > 62 YEARS OF AGE 2127

B. % CHANGE IN ELDERLY POPUUTION 1970 - 1980 +n.2^

C. ? OF POPULATION > 62 YEARS OF AGE 16.2% 7 CO RANK

D. SERVICE TO POPULATION RATIOS:



COUNT Y



LONG TERM CARE BEDS/ 1000



IV 1000



8/1000



RECOMME NDED STANDARD



65/100



25/1000



INTERMEDIATE CARE BEDS/1000_

DATA SOURCES

U.S. CENSUS

AnEA AGENCY ON AGING

MONTANA CENTER FOR GERONTOLOGY, MSU, BOZEMAN (GARY A. REFSLAND, DIR.)

COUNTY AGING Ce^ORDINATOR

SRS, COMMUNITY SERVICES



SERVICE DATA

A. UNITS OF SERVICE (DECEMBER TO MAY)

CONGREGATE MEALS _

HOME DELIVERED MEALS _

HOME CHORE SERVICES _

TRANSPORTATION _

HOME HEALTH SERVICES _

B. SENIOR CITIZENS CENTER/S



^56 PERSO NS /62i5 MEALS
4 4 PERSON S /^81 7 ME ALS
178 PERSON S /1781 VISITS
30 PERSONS /5.^88 RIDES
PROVIDED BY THE PHN

EVERYDAY



C. FUNDING

FEDERAL

STATE

COUNTY

TOTAL
NOTES

1. NO FULL TIME PAID STAFF.

2. $132,617 EQUALS $62. 3 4/ PERSON > 62 YEARS OF AGE.



$57.829

5,^24

69 ,^24

1 32 , 61 7



78



COUNTY CUSTER



NEEu;



A. 1981 JUVENILt POBATION

CASELOAD/ 1000

B. CHILD ABUSE AND NEGLECT

REFERRALS/ 1000 (I98I)

C. DISTRICT COURT JUVENILE

PROBATION CASELOAD (1978-81) 1.68



SERVICES FOR YOUTH

7 COUNTY 7 CO
COUNTY ! AVERAGE ! RANK
1 I

17.01 ! Q.Q ! 1



7. 9 3



_6^



1.23



D. STANDARDS FOR YOUTH SERVICES



DAY CARE FACILITIES



COUNTY



REC. STANDARD



1/ 6,500



1/5000



SERVICE DATA:

A. REGISTERED DAY CARE HOMES: THREE

B. LICENSED DAY CARE CENTERS: _2_ LICENSED FOR 62 CHILDREN

C. LICENSED FOSTER CARE HOMES: 18_

D. RECREATION

INDOOR

OUTDOOR— BASKETBALL COURTS, TENNIS COURTS, OUTDOOR POOL, OUTDOOR ICE
RINK.

E. 1981 JUVENILE PROBATION CASELOAD 223



DATA SOURCES:

DEPT. OF INSTITUTIONS, CORRECTIONS SUPPORT BUREAU

i>RS, COUNTY WELFARE DEPARTMENTS

CRIME CONTROL INDEX REPORT

SRS, REGIONAL OFFICE CHILD CARE LICENSING SPECIALISTS

NOTES



79



COUNTY CUSTER

RECREATION

NgEU;

SERVICE DATA;

FEDERAL: NONE

STATE:

BRANUM LAKE—PICNIC, FISHING

ROCHE J AUNE— FISHING, BuAT ACCESS, FLOAT TRIPS

LOCATE REST AREA—PICNIC, EXHIBIT

TWELVE MILE DAM— PICNIC, CAMPING

LOCAL GOVERNMENT:

WOODRUFF PARK— PICNIC, CAMPING

SPOTTED EAGLE PARK— PICNIC, CAMPING, SWIMI-iING, FLOAT TRIP, SNOWMOBILING

TENNIS COURTS (11)

OUTDOOR POOL (1); OUTDOOR ICE RINK (1); HORSESHOE SITE (4); PISTOL RANGE (1);

PICNIC AkEA (2); ARCHERY RANGE (1).

DATA SOURCES

ENERGY DEVELOPMENT IN SOUTHEASTERN MONTANA: ITS IMPACT ON OUTDOOR
RECREATION, 1982

DEPT. FI5H, PARKS AND WILDLIFE, LAND AND WATER CONSERVATION ASSISTANCE
FUND

MONTANA RECREATION GUIDE, DEPT. FISH AND GAME, PARKS DIVISION

NOTES

1. PRIVATELY OWNED FACILITIES INCLUDE A RIFLE RANGE, A SHOTGUN RANGE, A GOLF
COURSE, AND A lAmPING AREA.

2. $66,300 IN FEDERAL GRANTS HAVE BEEN AWARDED FOR RECREATION FACILITIES.



80



COUNTY MC CONE



CENSUS DATA



TOTAL POPULATION
CHILDREN UNDER 5
CHILDREN UNDER 18
WOMEN 15-45
FERTILITY RATE
MINORITY POPULATION
BLACK

SPANISH SURNAME
AMERICAN INDIAN
PERSONS 62+



1970


iqBG


%CHANGE


% OF POP


STATE AVE


RANK


2,875


2.702


-6.1




1^.2


5


2^9


245


2.5


9.0


8.2


3


1.118


qi5


-18.2


^^.8


^^.?


5


50M


491


-2.6


18. 1


20,0


7


qi.2


69.2


-28.^




. 90.0


7


18


12


^^


.44


5,6


7














.2


7


1


1







1,3


7


17


8


-5^


.29


4.72


7


. S54


^70


4.6


H.7


n.3


4



DATA SOURCE

1980 U.S. CENSUS

1981 MATERNAL CHILD HEALTH STUDY, DEPT. OF HEALTH AND ENVIRONMENTAL SCIENCE
1970 CENSUS



NOTES

1. POPULATION CHANGE IN 7 COUNTY AREA 1970-1980: 14.3%



81



COUNTY MC CONE

ALCOHOL AND DRUGS
NEEU;



COUNTY ! STATE AVE i 7 COUNTY AVE! RANK



A. PER CAPITA ALCOHOL CONSUMPTION



1972


$^0.^6 !


$49.2^ I


$44.0^


1 5


1976


40.71 1


S8.61 !


55.80


1 6


1981


^^,49 1


S7.S^ 1


6^,86


1 7



B. ALCOHOL PROGRAM ADMISSION RATES/ 1000



1978


5.2


7.?


8.1


4


1979


1.0


8.0


8.6


6


1980


2.2


6.5


7.0


5


1981


4.8


6.^


5.4


4



C. HIGHWAY PATROL DUI SUMMONS





TOTAL


RATE/ 1000 1


STATE AVG./1000


RANK


1979


6


2.2 !


2.77


4


1980


8


2,9 1


1.45


3



..14.



_LI_



D. ALCOHOL RELATED MOTOR VEHICLE ACCIDENTS (1978-81)



ACCIDENTS

INJURIES

FATALITIES



TOTAL


RATE/ 1000


7 CO. AVE.


RANK


215


19.8


24.0


4


74


6.8


5.1


4


10


.9?





2



E. UNEMPLOYMENT RATE (1979-81)



COUNTY ! STATE AVE ! 7 COUNTY AVE !RANK



1.76



5.98



4,98



DATA SOURCES

DEPT. OF INSTITUTIONS, MONTANA COMPREHENSIVE PLAN FOR ALCOHOL AND DRUG
ABUSE PREVENTION, TREATMENT AND REHABILITATION; DEPT. OF REVENUE: MONTANA
VITAL SSTATISTICS; DEPT OF JUSTICE, HIGHWAY SAFEH DIVISION; CENSUS DATA;
DEPT. OF ADMINISTRATION,
SERVICE DATA

A. PROVIDERS

OUTPATIENT: COUNSELLOR ONE DAY PER WEEK OUT OF GLENDIVE (DISTRICT 2
ALCOHOL AND DRUG PROGRAM) . 24 HOUR hOTLIinE TO GLENDIVE OFFICE.

INPATIENT: Depends on ability of client to pay, and client preference.

B. ACTIVITY REPORTS:

# OF FIRST ADMISSIONS TO ALCOHOL PRXRAMS DURING 1981 6

NOTES:



82



COUNTY MCCONE



CRIMINAL JUSTICE



NEED:

A. 1980 CRIME INDEX REPORT



CRIMES AGAINST PERSONS
CRIMES AGAINST PROPERTY
TOTAL CRIMES



COUNTY



CRIME RATE per 100,000







70 3,2



g A0 5.6



STATE AVERAGE



21 5.7



4^62.7



7199.9



7 COUN TY AVE



198.1



me^



^607.1



RANK



C. PROBATION AND PAROLE CASELOADS (AS OF 1979 INCLUDES WIBAUX, MCCONE, DAWSON,



RICHLAND AND PART Oh PRAIRIE COUNTIES) :

1978
1979
1980
1981

D. DISTRICT COURT CASELOAD (197B-81)

M YEAR 4 YEAR



■lOTAL CASELOAD


AVERAGE/MO.


RATE/ 1000


1S2S


127.0


2^.5


11^0


94.1


40. 7S


1^16


109.6


47,^6


164^


n6.9


^9,25



MTE/ AVE CO



7 CO



7 CO



TOTAL


AVERAGE


1,000


<10.000


I AVE.


RANK


^6


9


^.S


^.22


1 4.58


6


2^


S.7S


2.12


7.24


1 8.9


1 2 3 4 5 7 9 10 11 12

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