2013-2017
COMMUNITY HEALTH ASSESSMENT
November 2013
SULLIVAN COUNTY PUBLIC HEALTH SERVICES
50 Community Lane, Liberty, NY 12754
(845) 292-5910
Sullivan County Public Health Services Community Health Assessment
Page 1
November 2013
Sullivan County Public Health Services Community Health Assessment
November 2013
TABLE OF CONTENTS
Executive Summary
3
Community Health Needs Assessment Overview
4
Secondary Data Profile
7
Community Survey
24
A. Focus Groups Overview
39
B. Minority Health Profile
43
Identification of Community Health Needs & Planning
70
Compendium of Health Resources
73
Appendix A: Secondary Data Profile References
105
Appendix B: Community Survey Statistical Considerations
107
Appendix C: Community Survey Participant Demographics
108
Appendix D: Prioritization Session Participants
109
Appendix E: Additional Community Resources for Youth and Families
110
Page 2
Sullivan County Public Health Services Community Health Assessment
November 2013
EXECUTIVE SUMMARY
Sullivan County Public Health Services led a comprehensive Community Health Assessment
(CHA) to evaluate the health needs of individuals living in Sullivan County beginning in 2013.
The aim of the assessment is to reinforce Sullivan County Public Health Services’ commitment to
the health of Sullivan County residents and to align its health prevention efforts with the
community’s greatest needs. The assessment examined a variety of indicators including risky
health behaviors (alcohol use, tobacco use) and chronic health conditions (diabetes, heart
disease).
The completion of the CHA enabled Sullivan County Public Health Services to take an in-depth
look at its greater community. The findings from the assessment were utilized to prioritize public
health issues and develop a community health improvement plan focused on meeting
community needs. Sullivan County Public Health Services is committed to the people it serves
and the communities where they reside. Healthy communities lead to lower health care costs,
robust community partnerships, and an overall enhanced quality of life. This CHA Final Summary
Report serves as a compilation of the overall findings of each research component.
CHA Components
 Secondary Statistical Data Profile of Sullivan County, New York
 Community Survey with 752 residents
 Focus Group Discussions with 14 Rural Health Network representatives and 5 young
adult community members
 Compendium of Health Resources
 Minority Health Profile of Sullivan County, New York
 Prioritization Session
 Community Health Improvement Plan (CHIP)
Prioritized Health Issues
Based on the feedback from community partners including health care providers, public health
experts, health and human service agencies, and other community representatives, Sullivan
County Public Health Services plans to focus community health improvement efforts on the
following health priorities over the next five-year cycle:
 Prevent chronic disease
 Promote healthy women, infants, and children
 Promote mental health and prevent substance abuse
Documentation
A final report of the CHA was made public in November 2013. The Community Health
Improvement Plan was also developed and adopted by each appropriate authority in November
2013. Both documents can be found at http://co.sullivan.ny.us/.
Page 3
Sullivan County Public Health Services Community Health Assessment
November 2013
COMMUNITY HEALTH ASSESSMENT OVERVIEW
Background
Sullivan County Public Health Services is committed to serving the residents of Sullivan County,
New York. They currently offer a wide-range of programs and services designed to improve the
overall health status of the community and enhance resident’s access to care. The programs and
services that are offered by Sullivan County Public Health Services include:
 Core Public Health Services
o Childhood Lead Poisoning and Prevention Program
o Epidemiology Program
o HIV Counseling and Testing Program
o Immunization Program
o Sexually Transmitted Infection Program
o Tuberculosis Control Program
 Certified Home Health Agency
o Offer the sole Certified Home Health Agency in the county for individuals
recovering from an illness or injury, or individuals who are disabled and/or
chronically ill
 Long Term Home Health Care
o Provides home-based services to individuals who would otherwise be placed in a
skilled or residential health care facility for an extended period of time
 Women, Infants & Children (WIC) Program
o Provides nutritional assessment, education, and food vouchers to eligible women
and infants and children under the age of five
 Early Care Program
o Identifies and provides services to children experiencing developmental delays,
and connects parents of children with special health care needs to support
services and educational opportunities
 Healthy Families of Sullivan Program
o A family support home visiting program that encourages strong parent-child
interaction and development
 Community Health Worker Program
o Assists in connecting pregnant women to the services they need
 Car Seat Program
o Provides free car seats to eligible residents and free checks for proper fitting of
care seats
 Health Education
o Provides services and programs designed to ensure the well-being of residents
Page 4
Sullivan County Public Health Services Community Health Assessment
November 2013
CHA Partners
Sullivan County Public Health Services is an active partner of the Sullivan County Rural Health
Network. The Rural Health Network is dedicated to improving the health status of Sullivan
County residents by increasing access to coordinated, cost effective health care services. The
Network, which is comprised of representatives from the community organizations listed below,
was engaged in the CHA process through the development and distribution of the resident
survey, focus group discussions, the prioritization of key community issues, and the
development of the CHIP framework. Community organizations are presented in alphabetical
order.









CACHE
Catskill Regional Medical Center
Family Empowerment Council, Inc.
Hospice of Orange & Sullivan Counties, Inc.
Hudson River HealthCare, Inc.
Hudson Valley Community Services
Maternal Infant Services Network
PRASAD Children’s Dental Health Program
Sullivan County BOCES
 Sullivan County Center for Workforce
Development
 Sullivan County Child Care Council
 Sullivan County Community College
 Sullivan County Department of Community
Services
 Sullivan County Office for the Aging
 Sullivan County Youth Bureau
 The Recovery Center
 United Way of Sullivan County
In addition, Sullivan County Public Health Services collaborated with Greater Hudson Valley
Health System (which includes Catskill Regional Medical Center) in conducting the CHA. The two
partners shared resources and the results of their individual and joint research efforts so as to
avoid duplicating efforts and to work in a more effective manner. The partners will continue
their collaborative efforts through the strategies presented in the CHIP.
Methodology
The CHA was comprised of both quantitative and qualitative research components. A brief
synopsis of the research components is included below with further details provided throughout
the document.
Quantitative Data:
 A Statistical Secondary Data Profile depicting population and household statistics,
education and economic measures, morbidity and mortality rates, incidence rates and
other health statistics for Sullivan County, New York was compiled.
 A Community Survey was conducted with 752 community residents. The survey was
modeled after the Health Care Efficiency and Affordability Law for New Yorkers (HEAL
NY) project and custom questions developed by Sullivan County Public Health Services.
 A Compendium of Health Resources was developed to document the assets in Sullivan
County that can be employed to address the identified health issues.
Page 5
Sullivan County Public Health Services Community Health Assessment
November 2013
 A Minority Health Profile depicting health needs, outcomes, and risky health behaviors
among minority population, and disparities that may exist.
Qualitative Data:
 Two Focus Groups were held with 14 Rural Health Network representatives and 5
young adult community residents in September 2013.
Research Partner
Sullivan County Public Health Services contracted with Holleran, an independent research and
consulting firm located in Lancaster, Pennsylvania, to conduct research in support of the CHA.
Holleran has 21 years of experience in conducting public health research and community health
assessments. The firm provided the following assistance:






Collected and interpreted secondary data
Conducted, analyzed, and interpreted data from the community survey
Assisted in the update of a community compendium of health resources
Conducted focus groups with community members
Facilitated a prioritization session
Prepared all reports
Community Representation
Community engagement and feedback were an integral part of the CHA process. Sullivan
County Public Health Services sought community input through a community health survey,
focus groups with community representatives, and inclusion of community leaders in the
prioritization and improvement planning process. Public health and health care professionals
shared knowledge and expertise about health issues, and leaders and representatives of nonprofit and community-based organizations provided insight on the community, including the
medically underserved, low income, and minority populations.
Research Limitations
It should be noted that the availability and time lag of secondary data may present some
research limitations. Additionally, language barriers, timeline, and other restrictions may have
impacted the ability to survey all community stakeholders. Sullivan County Public Health
Services sought to mitigate limitations by including representatives of diverse and underserved
populations throughout the research components.
Prioritization of Needs
Following the completion of the CHA research, Sullivan County Public Health Services prioritized
community health issues and developed a community health improvement plan to address
prioritized community needs.
Page 6
Sullivan County Public Health Services Community Health Assessment
November 2013
SECONDARY DATA PROFILE OVERVIEW
Background
One of the initial undertakings of the CHA was to create a secondary data profile. Secondary
data is comprised of data obtained from existing resources and includes demographic and
household statistics, education and income measures, morbidity and mortality rates, and health
indicators, among other data points. The data was gathered and integrated into a graphical
report to portray the current health and socio-economic status of residents in Sullivan County,
New York.
Secondary data was collected from reputable sources including the U.S. Census Bureau, Centers
for Disease Control and Prevention (CDC), New York State Department of Health, and the Robert
Wood Johnson Foundation. Data sources are listed throughout the report and a full reference
list is included in Appendix A. The data represents a point in time study using the most recent
data possible. When available, trending data and state and national comparisons are provided
as benchmarks.
The profile details data covering the following areas:









Demographic/Socioeconomic Statistics
Mortality Statistics
Maternal & Child Health Statistics
Sexually Transmitted Illness & Communicable Disease Statistics
Mental Health Statistics
Cancer Statistics
Environmental Health Statistics
Health Care Access Statistics
Crime Statistics
Secondary Data Profile Key Findings
This section serves as a summary of the key takeaways from the secondary data profile. A full
report of the findings is available in a separate document.
Sociodemographic Statistics
Demographics
According to the U.S. Census Bureau, the total population in Sullivan County is 76,793, a slight
increase of 3.8% since 2000. The majority of residents identify as White (80.4%), indicating a less
racially diverse population when compared to all of New York and the nation. Approximately 8%
of residents identify as Black/African American and 14% identify as Hispanic or Latino. The
primary spoken language is English, but 15% of residents speak another language. The median
age in Sullivan County is 41.8, which denotes an older population when compared to New York
(median age of 38) and the nation (median age of 37.2) (U.S. Census Bureau, 2012).
Page 7
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 1. Racial Breakdown of Overall Population (2009-2012)a
U.S.
New York
Sullivan County
White
74.2%
Black/African American
12.6%
4.8%
4.8%
16.4%
65.9%
15.6%
80.4%
8.3%
7.4%
8.2%
17.7%
1.6%
5.6%
13.6%
Asian
Other Race
Hispanic or Latino (of any race)b
Source: U.S. Census Bureau, 2012
a
b
Percentages may equal more than 100% as individuals may report more than one race
Hispanic/Latino residents can be of any race, for example, White Hispanic
Figure 1. Percentage of population speaking a language other than English, 2009-2011
Source: U.S. Census Bureau, 2012
Household Statistics
Sullivan County is comprised primarily of family households (64.5%), which are defined as more
than one person living together, either as relations or as a married couple. Family and nonfamily households occupy approximately 61% of the available housing units in the county. As a
result, 38.8% of the housing units in Sullivan County are vacant, which compares to 11% across
all of New York and 12.8% across the nation. The median value for owner-occupied units is
$179,000, which is lower than the median value across the state ($294,400), but similar to that of
the nation ($179,500) (U.S. Census Bureau, 2012).
Page 8
Sullivan County Public Health Services Community Health Assessment
Figure 2. Percentage of vacant housing units, 2009-2011
Source: U.S. Census Bureau, 2012
Figure 3. Median value for owner-occupied unit, 2009-2011
Source: U.S. Census Bureau, 2012
Page 9
November 2013
Sullivan County Public Health Services Community Health Assessment
November 2013
Approximately 47% of Sullivan County residents ages 15 years and over are currently married,
which is comparable to New York (45%) and the nation (49%). However, among residents who
have been married, a slightly higher percentage are divorced (11.0%) when compared to New
York (8.5%) (U.S. Census Bureau, 2012).
Figure 4. Divorce Rate, 2009-2011
Source: U.S. Census Bureau, 2012
Income and Poverty Statistics
The median income for households and families across Sullivan County ($46,287 and $58,436
respectively) is lower than across all of New York ($55,972; $68,161) and the nation ($51,484;
$62,735). The same trend is true of the median income for individual workers. The percentage
of families and individuals living in poverty in the past 12 months is also higher in Sullivan
County than in all of New York and the nation for the following categories:







All Families
Married Couple Families
Families Headed by a Female, No Husband Present
All People
People Under 18 Years
People 18 Years and Over
Unrelated Individuals 15 Years and Over
Households headed by a female, with children under 18 years, are particularly prone to poverty
in Sullivan County. Nearly half (48.4%) of these households live in poverty compared to 37.6%
across New York and 39.5% across the nation (U.S. Census Bureau, 2012).
Page 10
Sullivan County Public Health Services Community Health Assessment
Figure 5. Median household income, 2009-2011
Source: U.S. Census Bureau, 2012
Figure 6. Median family income, 2009-2011
Source: U.S. Census Bureau, 2012
Page 11
November 2013
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 2. Poverty Status of Families and People in the Past 12 Months (2009 - 2011)
Sullivan
U.S.
New York
County
11.5%
12.8%
All families
11.1%
Married couple families
Families with female householder, no
husband present
With related children under 18 years
5.5%
5.7%
6.2%
30.3%
27.8%
34.6%
39.5%
37.6%
48.4%
All people
15.2%
15.1%
18.5%
Under 18 years
21.4%
21.2%
27.9%
18 years and over
13.2%
13.3%
15.8%
Unrelated individuals 15 years and over
Source: U.S. Census Bureau, 2012
26.2%
24.8%
31.1%
The percentage of Sullivan County residents who are enrolled in benefits programs like
supplemental security income, cash public assistance, and SNAP is lower than the percentage
across New York, and comparable to the nation. However, the mean income that Sullivan
County residents receive from these benefits is higher than both New York and the nation. For
example, the mean supplemental security income received by Sullivan County residents is
$9,061. The mean supplemental security income across all of New York and the nation is $8,917
and $8,811 respectively (U.S. Census Bureau, 2012).
Table 3. Households with Supplemental Benefits in the Past 12 Months (2009 - 2011)
Sullivan
U.S.
New York
County
Households with supplemental security income
4.7%
5.6%
4.8%
Mean supplemental security income
Households with cash public assistance income
Mean cash public assistance income
Households with food stamp/ SNAP benefits in the
past 12 months
Source: U.S. Census Bureau, 2012
Page 12
$8,811
2.8%
$3,860
$8,917
3.3%
$4,039
$9,061
2.9%
$4,116
11.7%
13.8%
12.7%
Sullivan County Public Health Services Community Health Assessment
November 2013
Employment Statistics
According to the Bureau of Labor Statistics (2013), 10.9% of the civilian labor force in Sullivan
County is unemployed, which is a higher than the percentage that is unemployed across New
York (8.8%) and the nation (8.1%). Of the residents who are employed, the majority work in
management, business, science, and arts and are private wage and salary workers. A notable
percentage of residents are also employed in natural resources, construction, and maintenance
(U.S. Census Bureau, 2012).
Figure 7. Unemployment rate for civilian labor force, 2013
Source: Bureau of Labor Statistics, 2013
Educational Attainment
Education is an important social determinant of health. Studies have shown that individuals who
are less educated tend to have poorer health outcomes. Fewer residents in Sullivan County have
graduated from high school and a higher education institute when compared to all of New York
and the nation. In particular, 20.4% in Sullivan County residents have graduated from a higher
education institute compared to 32.6% in New York and 28.2% in the nation (U.S. Census
Bureau, 2012).
Health Insurance Coverage
Health insurance coverage is an important indicator of access to health care and overall health
status. In Sullivan County, 85.8% of the civilian, non-institutionalized population is insured, which
compares to 88.4% across New York and 84.8% across the nation. Of the population that is
insured, the majority (59.9%) are covered by private health insurance. However, a higher percent
is covered by public insurance (37.6%) when compared to New York (32.9%) and the nation
(29.5%) (U.S. Census Bureau, 2012).
Page 13
Sullivan County Public Health Services Community Health Assessment
November 2013
Health Status Indicators
Mortality Rates
The overall age-adjusted mortality rate per 1,000 for Sullivan County is 7.7, which is higher than
the mortality rate for New York (6.7) and the nation (7.4). In addition, Sullivan County has a
higher percentage of premature deaths (death before age 65) when compared to New York. As
depicted in the graph below, premature deaths were declining steadily in Sullivan County from
2007 to 2010, but there was a sharp increase from 27.9% in 2010 to 33.0% in 2011. (New York
State Department of Health, 2011; 2012 & Centers for Disease Control and Prevention, 2012).
Figure 8. Percentage of premature deaths, 2007 - 2011
Source: New York State Department of Health, 2008 - 2012
The graphs below detail the age-adjusted death rates per 100,000 for the three leading causes
of death in Sullivan County: heart disease, cancer, and accidents. For all of these causes, Sullivan
County has a higher death rate than New York and the nation. The death rate due to accidents is
particularly high (62.2) when compared to New York (29.6) and the nation (38.0). (New York
State Department of Health, 2012 & Centers for Disease Control and Prevention, 2012).
Page 14
Sullivan County Public Health Services Community Health Assessment
November 2013
Figure 9. Deaths due to diseases of the heart per age-adjusted 100,000, 2011
Sources: Center for Disease Control and Prevention, 2012;
New York State Department of Health, 2012
Figure 10. Deaths due to malignant neoplasms (cancer) per age-adjusted 100,000, 2011
Sources: Center for Disease Control and Prevention, 2012; Healthy People 2020, 2012;
New York State Department of Health, 2012
Page 15
Sullivan County Public Health Services Community Health Assessment
November 2013
Figure 11. Deaths due to accidents per age-adjusted 100,000, 2011
Sources: Center for Disease Control and Prevention, 2012;
New York State Department of Health, 2012
Maternal & Infant Health
The birth rate per 1,000 in Sullivan County is 10.5, which is comparable to New York (10.8), but
lower than the nation (12.7). Hispanic mothers have the highest birth rate in Sullivan County
(16.5), while White mothers have the lowest (9.3) birth rate. The teenage pregnancy rate in
Sullivan County is 42.3,compared to 30.8 across New York. Approximately 60% of teen
pregnancies result in live births, while 40% result in abortions. The percentage of preterm births
is also higher in Sullivan County (12.0%) than in New York (10.4%). Sullivan County saw a sharp
decline in preterm births from 14.6% in 2007 to 10.5% in 2009; however, the percentage has
steadily rose since then (New York State Department of Health, 2009, 2011, 2013 & Centers for
Disease Control and Prevention, 2012).
Table 4. Teenage (15 – 19 Years) Pregnancies (2011)
New York
Total teenage pregnancies
Teenage pregnancy rate per 1,000
Result of Pregnancy
Live births
Induced abortions
Sullivan County
12,239
30.8
n
7,333
4,645
261
Spontaneous fetal deaths
Source: New York State Department of Health, 2013
105
42.3
%
59.9
38.0
n
62
42
%
59.0
40.0
2.1
1
1.0
Five infant deaths occurred in Sullivan County in 2011 for a rate of 6.2 per 1,000 live births. The
rate is higher when compared to New York (5.6), but comparable to the nation (6.1) and the
Page 16
Sullivan County Public Health Services Community Health Assessment
November 2013
Healthy People 2020 goal (6.0). The current infant mortality rate represents a notable decline
from 2009 when it was 10.5. However, perinatal deaths are still a concern in Sullivan County. The
perinatal death rate is 12.3 compared to 8.7 across New York (New York State Department of
Health, 2011, 2013; Centers for Disease Control and Prevention, 2012; & Healthy People 2020,
2012).
Figure 12. Infant mortality per 1,000 births, 2007 - 2011
Source: New York State Department of Health, 2009 - 2013
Despite a declining infant mortality rate, the percentage of low birth weight infants in Sullivan
County is higher and has been on the rise. Approximately 10% of infants are born with low birth
weight compared to approximately 8% across New York and the nation. In particular, the
percentage of infants born with low birth weight is higher among mothers ages 30 or older
(10.8%) when compared to New York (8.0%). The low birth weight percentage has varied in
Sullivan County from year to year, but overall, has been on the rise since 2007 (New York State
Department of Health, 2013; & Centers for Disease Control and Prevention, 2012).
Breast feeding and prenatal care are also areas of opportunity for Sullivan County. The rate per
1,000 live births for infants who are exclusively breast fed in the hospital is 432.0. The rate
represents an increase from 409.8 in 2008, but still falls short of the current rate for all of New
York, 473.9. In addition, only 67% of mothers in Sullivan County receive prenatal care in the first
trimester compared to 70.1% across New York and the Healthy People 2020 goal of 77.9%.
Mothers ages 15 to 17 years are the most likely to receive late or no prenatal care. However, as
the graph below depicts, first trimester prenatal care has been on the rise in Sullivan County
since 2008 (New York State Department of Health, 2012, 2013; & Healthy People 2020, 2012)
Page 17
Sullivan County Public Health Services Community Health Assessment
November 2013
Figure 13. Percentage of infants born with low birth weight, 2007 - 2011
Source: New York State Department of Health, 2009 - 2013
Figure 14. Mothers who receive prenatal care in the first trimester, 2007 - 2011
Source: New York State Department of Health, 2009 - 2013
Additional indicators of child health include obesity, tooth decay, and well-child visits. In Sullivan
County, 22.2% of children and adolescents are obese, which is higher than all of New York and
represents an increase from 19.4% in 2008. In addition, 52.8% of Sullivan County third-graders
have evidence of untreated tooth decay compared to 24% across New York. Lastly, 65.1% of
Sullivan County children who are in government sponsored insurance program have had the
recommended number of well-child visits compared to 69.9% across New York (New York State
Department of Health, 2013).
Page 18
Sullivan County Public Health Services Community Health Assessment
November 2013
Sexually Transmitted Illnesses
The following table depicts the sexually transmitted illness rates per 100,000 in Sullivan County.
Overall, rates are lower for HIV/AIDS and gonorrhea and higher for chlamydia and syphilis. In
particular, the gonorrhea rate in Sullivan County (37.4) is a strength when compared to New
York (55.7) and the nation (104.2). In contrast, the chlamydia rate in Sullivan County (404.9) is an
area of opportunity when compared to New York (334.7) and annual trends. The chlamydia rate
has rapidly increased from 269.3 in 2007 to its current rate of 404.9 (New York State Department
of Health, 2012 & Centers for Disease Control and Prevention, 2012, 2013).
Table 5. Sexually Transmitted Illness Cases per 100,000 (2011)
U.S.
New York
n
Rate
n
Rate
32,052
10.3
736
6.6
AIDS
b
42,181
15.8
1,043
9.3
HIV
321,849
104.2
6,240
55.7
Gonorrhea
1,412,791
457.6
37,494
334.7
Chlamydia
Syphilis (Early)
13,136
4.3
351
3.1
Syphilis (Late)
18,576
6.0
517
4.6
Sources: New York State Department of Health, 2012
Centers for Disease Control and Prevention, 2012; 2013
a
Sullivan County
n
5
6
29
314
5
6
a
Rate
6.4
7.7
37.4
404.9
6.4
7.7
Includes all newly reported cases, excluding inmates
Includes all newly reported cases, regardless of concurrent or subsequent AIDS diagnosis and excluding
inmates
b
Figure 15. Chlamydia rate per 100,000, 2007 - 2011
Source: New York State Department of Health, 2008 - 2012
Page 19
Sullivan County Public Health Services Community Health Assessment
November 2013
Communicable Disease Statistics
Sullivan County has favorable rates for most communicable diseases. During the most recent
reporting year, the county did not experience any cases of acute hepatitis. In addition, the
county only experienced one case of tuberculosis and the rate per 100,000 for influenza (51.6)
was notably lower than the rate for New York (115.3).
The exception to the overall favorable findings is the rate of Lyme’s disease. Sullivan County
experienced 121 cases of Lyme’s disease for a rate of 156.0 per 100,000. This rate compares to a
rate of 64.9 across New York and a rate of 7.8 across the nation (New York State Department of
Health, 2012 & Centers for Disease Control and Prevention, 2012).
Mental Health Statistics
The suicide rate is considered to be an indicator of the mental health status of an area. The
suicide rate per 100,000 in Sullivan County is 12.6, which exceeds that of New York (9.7), the
nation (12.0), and the Healthy People 2020 goal of 10.2. The suicide rate has fluctuated in
Sullivan County, but it has historically been higher than that of New York. The rate peaked in
2007 at 16.1.
In addition to having a higher suicide rate, Sullivan County residents have more poor mental
health days. Approximately 14% of residents reported 14 or more days of poor mental health in
the past month, which compares to 11% across New York and the Prevention Agenda 2013
objective of 7.8% (New York State Department of Health, 2010, 2012; Centers for Disease
Control and Prevention, 2012; & Healthy People 2020, 2012).
Figure 16. Age-adjusted suicide rate per 100,000, 2007 – 2011
Source: New York State Department of Health, 2008 - 2012
Page 20
Sullivan County Public Health Services Community Health Assessment
November 2013
Adult Health Statistics
Sullivan County adults are more prone to health-risk behaviors like excessive alcohol
consumption, smoking, and obesity. In the most recent Behavioral Risk Factor Surveillance
System study, 18.6% of Sullivan County adults participated in binge drinking in the past month.
The percentage compares to 19.8% across New York, 15.8% across the nation, and the
Prevention Agenda 2013 Objective of 13.4%. Approximately 30% of Sullivan County adults are
also current smokers, compared to 19% across New York, 18% across the nation, and the
Prevention Agenda 2013 Objective of 12%. Lastly, 29.5% of Sullivan County adults are obese,
compared to 24.3% across New York, 26.9% across the nation, and the Prevention Agenda 2013
Objective of 15% (New York State Department of Health, 2010).
Cancer Statistics
Cancer is the second leading cause of death in Sullivan County and disproportionately affects
both males and females when compared to New York and the nation. The age-adjusted cancer
mortality rate per 100,000 in Sullivan County for males and females is 223.8 and 169.8
respectively, which is higher when compared to New York (211.6 and 154.2 respectively) and the
nation (219.4 and 151.1 respectively). The following graph illustrates the overall disparity in
Sullivan County. In particular, males in the county are more likely to die of prostate cancer and
females in the county are more likely to die of colorectal and lung and bronchus cancer (New
York State Department of Health, 2011 & Centers for Disease Control and Prevention, 2013).
Figure 17. Average annual cancer mortality per age-adjusted 100,000, 2005-2009
Source: New York State Department of Health, 2011
Males and females in Sullivan County are more likely to die of cancer, but only females are more
prone to developing cancer. The cancer incidence rate per age-adjusted 100,000 for females is
494.3. The county rate compares to a rate of 473.4 across New York and a rate of 417.7 across
the nation. Sullivan County females are particularly prone to lung and bronchus cancer. The
Page 21
Sullivan County Public Health Services Community Health Assessment
November 2013
incidence rate for female lung and bronchus cancer is 78.9 in Sullivan County, compared to 64.5
in New York and 55.7 in the nation (New York State Department of Health, 2011 & Centers for
Disease Control and Prevention, 2013). The following chart depicts incidence rates for all
reported cancer types by gender.
Table 6. Average Annual Cancer Mortality, per Age-Adjusted 100,000 (2005 - 2009)
HP 2020
U.S.
New York
Sullivan County
Rate
Rate
n
Rate
n
Rate
Female breast
Colorectal
Male
Female
Lung & bronchus
Male
20.6
23.0
1,625.6
22.4
9.4
20.2
N/A
N/A
20.2
14.1
1,019
1,067.4
19.2
13.8
7.8
7.4
19.9
15.0
N/A
N/A
65.7
3,336.2
61.0
26.4
64.2
39.6
3,048.6
42.2
25.4
54.4
N/A
4.1
222
4.0
0.8
2.0
N/A
21.2
1.7
23.6
121.4
1,056
1.7
21.3
0.6
10.0
1.3
28.2
N/A
219.4
11,400.4
211.6
90.4
223.8
N/A
Female
151.1
11,338.8
Sources: New York State Department of Health, 2011
Centers for Disease Control and Prevention, 2013
154.2
79.8
169.8
Female
Melanoma of the skin
Male
Female
Prostate
All sites
Male
Environmental Health Statistics
The environment that residents live, work, and play in can have a profound impact on their
health. An indicator of the environmental health of an area is the prevalence of asthma. In
Sullivan County, the rate per 100,000 for emergency department visits due to asthma is 52.3. The
rate is slightly higher than the New York rate of 49.4. Populations that are more prone to
emergency department visits due to asthma in Sullivan County are children ages five to 14 years,
teens to young adults ages 15 to 25 years, and adults ages 25 to 44 years. A positive finding is
that Sullivan County did not experience any deaths due to asthma during the most recent
reporting year (New York State Department of Health, 2012).
Table 7. Asthma Emergency Department Visits, per 10,000 (2010)
New York
Sullivan County
Total emergency department visits
55,146
400
49.4
52.3
Crude rate
Source: New York State Department of Health, 2012
Page 22
Sullivan County Public Health Services Community Health Assessment
November 2013
County Health Rankings
The County Health Rankings were developed as a collaboration between the Robert Wood
Johnson Foundation and the University of Wisconsin Population Health Institute. They were
developed to illustrate the indicators that impact health, including health behaviors, clinical care,
social and economic indicators, and physical environment. These indicators are then used to
assign an overall rank for each county. New York has 62 counties, resulting in a possible ranking
of one to 62. In general, Sullivan County ranks worse compared to other counties in the state. In
particular, it has the worst ranking for mortality and the second to worst ranking for health
outcomes. The highest ranking that Sullivan County received (rank of 40) is for physical
environment (County Health Rankings, 2013).
Table 8. Health Outcome and Factor Rankings (2013)
Sullivan County Rank Out of 62
Health Outcomes Rank
Mortality Rank
Morbidity Rank
Health Factors Rank
Health Behaviors Rank
Clinical Care Rank
Social & Economic Factors Rank
Physical Environment Rank
Source: County Health Rankings, 2013
61
62
55
55
54
52
57
40
Secondary Data Profile Summary of Findings
The secondary data profile provided valuable context regarding how socioeconomic factors like
income, education levels, and housing may influence local health outcomes. In Sullivan County,
the median income for households and families is lower and more residents live in poverty when
compared to New York and the Nation. Residents are also less likely to have attained higher
education, more likely to be unemployed, and less likely to have health insurance coverage. In
terms of health outcomes, Sullivan County is ranked as the second to worse county in New York.
It has a higher overall mortality rate and a higher percentage of premature deaths. In 2011, 33%
of all deaths were premature. Sullivan County also has worse maternal and child health
outcomes for teen pregnancy, low birth weight, breast feeding, prenatal care, preterm births,
child obesity, child tooth decay, and well-child visits. In particular, the teenage pregnancy rate
per 1,000 females is 42.3, 9.5% of infants are born with low birth weight, and only 67% of
mothers start prenatal care in the first trimester.
Additional areas of concern in the county are chronic disease, health behaviors, and mental
health. Sullivan County residents are more likely to die from chronic conditions like heart disease
and cancer. Contributing factors may be the increased percentage of residents who smoke
and/or are obese and the increased incidence of Lyme’s disease. Sullivan County residents are
also more likely to have poor mental health. Approximately 14% reported 14 or more days of
Page 23
Sullivan County Public Health Services Community Health Assessment
November 2013
poor mental health in the past month and the suicide rate for the county (12.6 per 100,000)
exceeds that of New York (9.7) and the nation (12.0).
Sullivan County has a number of strengths and assets to build upon, despite having primarily
negative socioeconomic factors and health outcomes. One area of strength is maternal and child
health. The county continues to struggle in this area, but it has seen improvement in recent
years. The infant mortality rate per 1,000 live births decreased from 10.5 in 2009 to 6.2 in 2011.
In addition, the rate of infants who are exclusively breastfed in the hospital increased from 409.8
in 2008 to 432.0 in 2010, the percentage of mothers who receive prenatal care in the first
trimester increased from 61.1% in 2007 to 67.0% in 2011, and the percentage of preterm births
decreased from 14.6% in 2007 to 12.0% in 2011. Additional areas of strength in Sullivan County
are lower death rates due to diabetes and stroke and lower rates for all reported communicable
diseases except Lyme’s disease.
COMMUNITY SURVEY OVERVIEW
Background
A community survey was conducted among Sullivan County residents between the dates of
August 14, 2013 and September 16, 2013. The survey was based on the Health Care Efficiency
and Affordability Law for New Yorkers (HEAL NY) project. The HEAL NY project was launched by
the state of New York in 2005 to provide funding and technical support to community-based
alliances for implementation of electronic health records and health information exchange. In
addition, the survey included a number of customized questions that were added to gather
information about health risk behaviors and community perceptions.
The community survey was made available both online and in paper format through various
locations throughout Sullivan County. Surveys were also made available in both English and
Spanish. All surveys were returned to Holleran for analysis. A total of 752 individuals who reside
within Sullivan County were surveyed, 374 through an online survey link and 378 through paper
surveys that were distributed. Only respondents who were at least 18 years of age were included
in the study. Select participant demographics are included in Appendix C.
The customized survey tool consisted of approximately 37 factors. Depending upon individuals’
responses, survey length ranged from 10 to 15 minutes. Overall, the survey assessed dietary
behaviors and weight management, healthcare practices and resources, alcohol and tobacco
use, mental health, disease prevalence, and community resources, strengths, and opportunities.
Statistical considerations for the study can be found in Appendix B.
Community Survey Key Findings
This section provides a summary of the Resident Survey results. A full report of the community
survey results is available in a separate document.
Page 24
Sullivan County Public Health Services Community Health Assessment
November 2013
Dietary Behaviors and Weight Management
Fruit and Vegetable Consumption
Among survey respondents, 46.4% ate fruits and/or vegetables daily. Only 26 respondents or
3.5% of the total sample, never ate fruits and/or vegetables. The most cited reason for not
eating fruits and/or vegetables was that respondents do not like them. Other reasons included
the expense of fresh fruits and vegetables, their availability, their quality, and the time it takes to
prepare them.
Table 1. Fresh fruit and vegetable consumption
Response Options
How often do you eat fresh
fruits and/or vegetables?
Count
Percentage
Daily
344
46.4%
3 - 6 days/week
187
25.2%
Less than 3 days/week
184
24.8%
Never
26
3.5%
Response Options
I do not like fresh fruits
and/or vegetables
Too expensive
Not available where I shop or
in my community
Other
Reason(s) for never eating
fresh fruits and/or vegetables
Count
Percentage
13
52.0%
9
36.0%
3
12.0%
3
12.0%
Females were significantly more likely than males to eat fruits and/or vegetables daily.
Conversely, males were significantly more likely than females to never eat them. Caucasian
respondents were also more likely to eat fruits and/or vegetables daily when compared to
African American and other race respondents. Only 17.8% of Hispanic respondents eat fruits
and/or vegetables daily, which is significantly different than the percentage of Non-Hispanic
respondents (53.6%).
Table 2. Fresh fruit and/or vegetable consumption among demographic subgroups
Frequency of fresh fruit and/or vegetable consumption
Daily
A. Female
Less than 3
days/week
Never
50.7% (B)
22.2%
24.8%
2.3%
B. Male
33.5%
32.0% (A)
27.0%
7.5% (A)
A. 18 - 24
31.4%
27.5%
31.4%
9.8%
B. 25 - 34
36.9%
32.1%
28.6%
2.4%
C. 35 - 44
34.3%
27.5%
34.3%
3.9%
D. 45 - 64
49.8%
23.2%
24.0%
3.0%
E. 65 - 80
51.3%
25.2%
20.0%
3.5%
F. 81+
54.5%
20.5%
20.5%
4.5%
A. African American
26.2%
40.5%
26.2%
7.1%
B. Asian/Pacific Islander
50.0%
12.5%
25.0%
12.5%
1.9%
C. Caucasian
54.6% (A E)
26.4%
17.1%
D. Native American/Alaska Native
50.0%
30.0%
20.0%
0.0%
E. Other
22.0%
34.1%
31.7%
12.2%
17.8%
21.8%
48.9% (B)
11.5%
53.6% (A)
27.1%
18.0%
1.2%
A. Hispanic
B. Non-Hispanic
Page 25
3-6
days/week
Sullivan County Public Health Services Community Health Assessment
November 2013
Farmer’s Markets
The availability of farmer’s markets can impact fruit and vegetable consumption. Among survey
respondents, a majority (61.7%) reported that they visited a local farmer’s market in the past
year. The towns that respondents visited the most for farmer’s markets were Monticello, Liberty,
and Callicoon. Among the 38.3% respondents who did not visit a farmer’s market, the most cited
reason was that they are too expensive. The second most cited reason was that respondents did
not have transportation. The third most cited reason was that the hours or days that the markets
are held are not convenient. In addition, many respondents stated that it is more convenient to
buy fruits and vegetables at the supermarket or that they grow their own in a home garden.
Table 3. Farmer’s market visits
Have you visited any local farmer's
markets in the past year?
Response Options
Count
Percentage
Yes
455
61.7%
No
283
38.3%
Response Options
Too expensive
Did not have transportation
The hours or days the markets are
held are not convenient for me
I don't know where to find them
Other
Reason(s) for not visiting a local
farmer's market in the past year
Count
Percentage
102
40.3%
77
30.4%
72
28.5%
63
45
24.9%
17.8%
Female were almost twice as likely as males to visit a farmer’s market. Of the females who did
not visit a farmer’s market, a significantly higher proportion said it was because they are too
expensive. In contrast, males were significantly more likely to state that the reason they did not
visit a farmer’s market was that they did not know where to find them. Among the defined age
groups, respondents ages 45 and up were more likely to visit farmer’s markets when compared
to younger groups. Among racial group, 73% of Caucasian respondents visited a farmer’s
market in the past year compared to 51.2% of African American respondents and 42.9% of other
race respondents. Hispanic respondents were more than two and a half times less likely to visit a
farmer’s market; only 28.6% visited one in the past year. A significantly higher proportion of
Hispanic respondents said that the reasons they do not visit farmer’s markets are because they
are too expense, they do not have transportation, and they do not know where to find them.
Page 26
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 4. Reason(s) for not visiting a farmer’s market among demographic subgroups
Reason(s) for not visiting a local farmer's market in the past year
Too
expensive
A. Female
I don't know The hours or days the
Did not have
where to find markets are held are
transportation
them
not convenient for me
Other
44.7% (B)
32.2%
18.4%
30.3%
17.1%
B. Male
25.9%
32.9%
36.5% (A)
24.7%
21.2%
A. 18 - 24
21.9%
37.5%
37.5%
21.9%
18.8%
B. 25 - 34
32.4%
29.7%
35.1%
32.4%
16.2%
C. 35 - 44
47.7%
38.6%
20.5%
27.3%
15.9%
D. 45 - 64
45.0%
30.0%
21.2%
28.7%
18.8%
E. 65 - 80
39.4%
18.2%
21.2%
30.3%
27.3%
F. 81+
12.5%
50.0%
25.0%
25.0%
12.5%
A. African American
22.2%
22.2%
33.3%
11.1%
22.2%
B. Caucasian
23.7%
12.3%
14.9%
38.6%
28.9%
C. Other
18.2%
31.8%
22.7%
59.1%
13.6%
55.4% (B)
54.5% (B)
34.8% (B)
18.8%
4.5%
23.9%
12.8%
17.1%
35.0% (A)
30.8% (A)
A. Hispanic
B. Non-Hispanic
Body Mass Index
Obesity and its connection to serious medical conditions has become a national concern. The
body mass index (BMI) of respondents was calculated based on their self-reported height and
weight. Based on this calculation, 61.5% of 2013 survey respondents were overweight or obese
(BMI of 25 or higher). Thirty-six percent of respondents were considered to have a normal
weight or a calculated BMI of 18.5 to 24.9. These results are favorable when compared to the
results of the 2009 resident survey. In 2009, 73.2% of respondents were overweight or obese
and only 24.4% had a normal weight.
Table 5a. Calculated BMI (2013 Survey)
BMI
Response Options
Count
Percentage
Underweight
16
2.5%
Normal Weight
228
36.0%
Overweight
196
31.0%
Obese
193
30.5%
Table 5b. Calculated BMI (2009 Survey)
Response Options
Underweight
Normal Weight
Overweight
Obese
BMI
Count
Percentage
6
2.4%
61
24.4%
91
36.4%
92
36.8%
Respondents ages 18 to 24 and 81 and up were more likely to have a normal BMI, particularly
when compared to respondents 45 to 80 years of age. Respondents ages 45 to 64 were the
most likely to be obese. Approximately 69% of respondents ages 45 to 64 and 67% of
respondents ages 65 to 80 were overweight or obese.
Page 27
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 6. Calculated BMI among demographic subgroups
BMI
A. Female
3.0%
Normal
weight
36.9%
28.5%
31.5%
B. Male
0.6%
34.8%
34.8%
29.8%
A. 18 - 24
2.4%
52.4% (D E)
23.8%
21.4%
B. 25 - 34
2.7%
40.0%
29.3%
28.0%
C. 35 - 44
3.2%
36.2%
31.9%
28.7%
D. 45 - 64
0.8%
30.7%
31.5%
37.1% (F)
E. 65 - 80
4.0%
29.0%
37.0%
30.0%
F. 81+
5.6%
61.1% (D E)
22.2%
11.1%
A. African American
0.0%
48.4%
22.6%
29.0%
B. Asian/Pacific Islander
20.0%
40.0%
20.0%
20.0%
C. Caucasian
2.5%
34.1%
31.4%
32.1%
D. Native American/Alaska Native
0.0%
40.0%
0.0%
60.0%
E. Other
2.8%
38.9%
22.2%
36.1%
A. Hispanic
1.4%
45.7%
27.9%
25.0%
B. Non-Hispanic
2.5%
32.9%
31.1%
33.6%
Underweight
Overweight
Obese
Healthcare Practices and Resources
Preventative Care
Approximately 90% of 2013 survey respondents visited a doctor for a routine physical exam or
check-up within the past two years; 80% visited a doctor within the past year. Respondents who
did not visit a doctor for a routine physical exam or check-up within the past two years cited
their inability to afford the visit as the primary reason. Additional reasons of note were that
respondents do not like to go or are afraid to go, lack health insurance, consider the cost of the
co-pay or deductible to be too high, and/or lack the necessary time. The 2013 survey results are
similar to the 2009 survey results. In 2009, 92.6% of respondents visited a doctor for a routine
physical exam or check-up within the past two years.
The likelihood of respondents to visit a doctor for a routine physical exam or check-up varied
significantly by their age, race, and ethnicity. Respondents ages 45 and older were more likely to
have visited a doctor within the past year. In particular, 90.4% of respondents ages 65 to 80 and
97.5% of respondents ages 81 and older visited a doctor within the past year. In contrast,
younger respondents (ages 18 to 44) were more likely to have visited a doctor within the past
two years. Among racial groups, Caucasians and Native Americans/Alaska Natives were the most
likely to visit a doctor within the past year. However, the percentage for Native Americans/
Alaska Natives is based on a low respondent count and therefore cannot be verified as
statistically significant from other racial groups. Racial groups that were the most likely to have
visited a doctor five or more years ago or never were African Americans and respondents of
Page 28
Sullivan County Public Health Services Community Health Assessment
November 2013
another race. Among ethnic groups, Non-Hispanic respondents were significantly more likely
than Hispanics to have visited a doctor within the past year. In contrast, Hispanics were
significantly more likely than Non-Hispanics to have visited a doctor within the past two years.
Table 7. Routine physical exam or check-up among demographic subgroups
Last doctor visit for a routine physical exam or check-up
A. Female
In the past
year
81.1%
In the past 2 In the past 5
years
years
10.1%
3.3%
5 or more
years ago
2.9%
Don't know
Never
2.1%
0.6%
B. Male
74.9%
12.6%
7.0%
3.0%
1.0%
1.5%
A. 18 - 24
56.9%
17.6% (E)
13.7% (D E)
5.9%
3.9%
2.0%
B. 25 - 34
72.9%
14.1% (E)
7.1%
1.2%
1.2%
3.5%
C. 35 - 44
72.5%
15.7% (E)
4.9%
3.9%
2.0%
1.0%
D. 45 - 64
80.9% (A)
10.3%
3.3%
3.3%
1.8%
0.4%
E. 65 - 80
90.4% (A B C)
3.5%
1.8%
2.6%
1.8%
0.0%
97.5% (A B C D)
2.5%
0.0%
0.0%
0.0%
0.0%
F. 81+
A. African American
71.4%
7.1%
2.4%
7.1%
11.9%
0.0%
B. Asian/Pacific Islander
71.4%
28.6%
0.0%
0.0%
0.0%
0.0%
81.8% (E)
9.9%
3.7%
2.9%
1.0%
0.6%
D. Native American/Alaska Native
90.0%
0.0%
10.0%
0.0%
0.0%
0.0%
E. Other
64.3%
14.3%
7.1%
7.1%
4.8%
2.4%
68.4%
16.4% (B)
6.8%
2.8%
4.0%
1.7%
82.9% (A)
9.2%
3.3%
3.1%
0.8%
0.6%
C. Caucasian
A. Hispanic
B. Non-Hispanic
Dental Care
Approximately 58% of 2013 survey respondents had a routine dental check-up in the past 12
months. Among the 42% of respondents who did not have a routine dental check-up, a number
of reasons were cited. The primary reason, cited by more than 50% of respondents, was that
they could not afford it. Other reasons included lack of time, lack of transportation, and that
respondents do not like to go or are afraid to go. Many respondents also stated that there is not
a need for them to get a dental check-up because they either have dentures or do not have a
dental problem. Since 2009, the percentage of respondents who received a routine dental
check-up in the past 12 months dropped by about nine percentage points. Approximately 67%
of 2009 respondents received a routine dental check-up compared to 58% in 2013.
The likelihood of respondents to receive a routine dental check-up in the past 12 months varied
based on their age, race, and ethnicity. Older respondents ages 45 and older were more likely to
receive a routine dental check-up when compared to younger populations. In particular,
respondents ages 45 to 80 were significantly more likely than respondents ages 25 to 34 to
receive a routine dental check-up. Approximately 70% of Caucasians received a routine dental
check-up, which is significantly higher than the percentage of African Americans (44%) and
other race respondents (34%). Non-Hispanic respondents were also significantly more likely
than Hispanic respondents to receive a routine dental check-up (66.5% compared to 29.7%).
Page 29
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 8. Routine dental check-up among demographic subgroups
Routine dental check-up in the past 12 months
Yes
No
A. Female
59.7%
40.3%
B. Male
52.7%
47.3%
A. 18 - 24
45.8%
54.2%
B. 25 - 34
41.5%
58.5% (D E)
C. 35 - 44
56.6%
43.4%
D. 45 - 64
62.2% (B)
37.8%
E. 65 - 80
62.5% (B)
37.5%
F. 81+
60.0%
40.0%
A. African American
44.4%
55.6% (C)
57.1%
42.9%
70.1% (A E)
29.9%
B. Asian/Pacific Islander
C. Caucasian
D. Native American/Alaska Native
44.4%
55.6%
E. Other
34.1%
65.9% (C)
29.7%
70.3% (B)
66.5% (A)
33.5%
A. Hispanic
B. Non-Hispanic
Overall, the reasons that respondents did not receive a routine dental check-up in the past 12
months were consistent among demographic groups. Respondents ages 35 to 44 and/or of
Hispanic origin presented the only exceptions. Both demographic groups were significantly
more likely to report cost as a barrier to receiving routine dental check-ups. Hispanic
respondents were also significantly more likely to report lack of transportation as a barrier.
The primary source of dental care for respondents and their children was private dental offices.
Fewer than 12% sought dental care through another source and approximately 20% did not see
a dentist at all. Among demographic groups, females, Caucasians, and Non-Hispanics were the
most likely to receive dental care in a private dental office. African American and Hispanic
respondents were the most likely to have not seen a dentist at all.
Healthcare Access and Information
The majority of respondents (56.1%) received their healthcare from a private doctor’s office.
However, respondent’s usual source of care varied by their demographic profile. Younger
respondents ages 18 to 44 were more likely than older respondents to receive care from the
hospital/emergency room. Respondents ages 25 to 34 were also more likely to receive care from
a free or reduced fee clinic. African Americans and other race respondents were more likely to
receive care from the hospital/emergency room when compared to Caucasians. In addition,
other race respondents were more likely to receive care from a free or reduced fee clinic when
compared to Caucasians. Hispanic respondents were more likely to receive care from the
hospital/emergency room and free or reduced fee clinics. In contrast, Non-Hispanic respondents
were more likely to receive care from private doctor’s offices and large multi-specialty groups.
Page 30
Sullivan County Public Health Services Community Health Assessment
November 2013
Males and females did not differ notably in where they received care, but males were more likely
to report that they do not receive care in general.
Table 9. Healthcare access
Response Options
Private doctor's office
Large multi-specialty group
The hospital/emergency room
Free or reduced fee clinic
I don't get healthcare
Other
Where do you usually go
for healthcare?
Count
Percentage
382
56.1%
108
15.9%
73
10.7%
68
10.0%
30
4.4%
20
2.9%
Respondents received most of their information about healthcare locations and events through
the newspaper (47.7%) and referrals from friends or doctors (45.5%). Other popular sources for
healthcare information included flyers on bulletin boards or in offices and the radio. The most
unused information resource among respondents was health-related or government websites.
Table 10. Healthcare information resources
Response Options
Newspaper
Referrals from friends or doctors
Flyers on bulletin board or in offices
Radio
Online social media (Facebook, Google)
Health related or government websites
Other
To learn about healthcare locations or events in the
area, what resources are you most likely to use?
Count
Percentage
299
47.7%
285
45.5%
209
33.3%
186
29.7%
149
23.8%
89
14.2%
27
4.3%
Prescription Drug Storage
The majority of respondents (75%) stored their prescriptions drugs either in the kitchen or in the
bathroom. Twenty-five percent of respondents stored their prescription drugs next to their
bed/nightstand or in another location. Among the respondents who stored their prescriptions in
another location, there was great variability. Some of the storage locations that respondents
listed included a bedroom drawer/dresser, living room, and lock armor.
Alcohol and Tobacco Use
Smoking Habits and Cessation
Fifteen percent of survey respondents reported that they currently smoke cigarettes. This
percentage did not differ significantly among demographic groups, with the exception of
African Americans versus Caucasians. Approximately 29% of African Americans reported that
they currently smoke cigarettes compared to 14% of Caucasians. A higher proportion of
Page 31
Sullivan County Public Health Services Community Health Assessment
November 2013
Asians/Pacific Islanders also reported currently smoking, but the proportion is based on a small
respondent count and cannot be verified as statistically significant.
Table 11. Current smoking status
Do you smoke?
Response Options
Count
Percentage
Yes
107
15.0%
No
607
85.0%
Among the respondents who currently smoke, the majority (61%) initiated smoking more than
10 years ago. Less than 6% initiated smoking in the past six months and approximately 32%
initiated smoking two to 10 years ago. The only significant difference that exists among
demographic groups is for Hispanics versus Non-Hispanics. Approximately 77% of Non-Hispanic
smokers have smoked for more than 10 years compared to 23% of Hispanic smokers.
The survey also assessed the smoking habits of individuals living in the survey respondent’s
household. According to Table 12, 84% of respondents who do not smoke live in a household in
which no one else smokes. In contrast, only 47% of respondents who smoke live in a household
in which no one else smokes. In general, approximately 22% of respondents live in a household
in which someone other than them smokes. Younger adults ages 18 to 24 were the most likely
to live in a household in which at least one other member smokes.
Table 12. Smoking habits of respondent crossed with total household smokers
Do you smoke?
Yes
How many people in your
household, other than you, smoke?
None
1 person
2 - 3 people
More than 3 people
Count
48
37
11
6
Percentage
47.1%
36.3%
10.8%
5.9%
No
Count
467
74
10
4
Percentage
84.1%
13.3%
1.8%
0.7%
Alcohol Consumption
Approximately 40% of respondents stated that they drink alcohol. The populations that were
most likely to consume alcohol were ages 18 to 64 and Non-Hispanic. The majority of
respondents (41.1%) drank alcohol less than once per week; only 15% of respondents drank
alcohol daily. Respondents ages 65 to 80 were the most likely to drink alcohol daily.
Table 13. Alcohol consumption
Do you drink alcohol?
Response Options
Count
Percentage
Yes
284
39.8%
No
429
60.2%
Page 32
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 14. Alcohol consumption among demographic subgroups
Alcohol consumption
Yes
No
A. Female
39.0%
61.0%
B. Male
41.3%
58.7%
A. 18 - 24
43.1% (F)
56.9%
B. 25 - 34
43% (F)
57.0%
C. 35 - 44
50% (E F)
50.0%
D. 45 - 64
44.8% (E F)
55.2%
E. 65 - 80
27.6%
72.4% (C D)
F. 81+
16.3%
83.7% (A B C D)
A. African American
45.2%
54.8%
B. Asian/Pacific Islander
50.0%
50.0%
C. Caucasian
45.6%
54.4%
D. American Native/Alaska Native
36.4%
63.6%
E. Other
35.7%
64.3%
25.7%
74.3% (B)
44.6% (A)
55.4%
A. Hispanic
B. Non-Hispanic
Only 40% of respondents reported that they consume alcohol; however, of those respondents,
approximately 50% binge drank at least once during the past 30 days. Approximately 19% binge
drank three or more times during the past 30 days. There were no significant differences in the
proportion of respondents who binge drank based on demographic characteristics. However,
Table 15 illustrates the frequency of binge drinking among respondents based on their
knowledge of where to find help for an alcohol or substance abuse problem. Among
respondents who binge drank at least once in the past 30 days, the majority knew where to find
help for an alcohol or substance abuse problem. However, respondents who binge drank five or
more times in the past 30 days were the least likely to know where to find help.
Table 15. Knowledge of alcohol or substance abuse resources crossed with
frequency of binge drinking
Do you know where to find help if you or someone you
know has an alchol or substance abuse problem?
Yes
No
Considering all types of alcoholic beverages, how many
times during the past 30 days did you have four (Women)
/ five (Men) or more drinks on one occasion?
5 or more times
3 - 4 times
Twice
Once
Never
Page 33
Count
16
19
24
42
109
Percentage
66.7%
76.0%
75.0%
82.4%
82.0%
Count
8
6
8
9
24
Percentage
33.3%
24.0%
25.0%
17.6%
18.0%
Sullivan County Public Health Services Community Health Assessment
November 2013
Mental Health
Anxiety and Depression
Slightly more than half of respondents did not feel anxious or depressed during the past week;
however, a notable percentage (45.4%) did feel anxious or depressed on at least one day. Of the
318 respondents who felt anxious or depressed, the majority (63.2%) only felt this way on one or
two days. There was no notable difference in the frequency of anxiety or depression among
demographic groups.
Table 16. Days of feeling of anxious or depressed
Response Options
No days
1 - 2 days
3 - 6 days
Every day
How many days in the past week
did you feel anxious or depressed?
Count
Percentage
382
54.6%
201
28.7%
65
9.3%
52
7.4%
The majority of respondents (75.7%) knew where to seek help to prevent a suicide and the
prevalence of this knowledge did not differ significantly among demographic groups. However,
individuals who may be more prone to suicide (felt anxious or depressed every day of the past
week) were the least likely to know where to seek suicide help. Only 62% of respondents who
felt anxious or depressed every day knew where to seek suicide help compared to 79% of
individuals who never felt anxious or depressed.
Table 17. Knowledge of suicide resources crossed with the number of days that
respondents felt anxious or depressed
Do you know where to seek help if you or
someone you know is thinking about suicide?
Yes
No
How many days in the past week
did you feel anxious or depressed?
No days
1 - 2 days
3 - 6 days
Every day
Count
275
138
43
31
Percentage
79.0%
76.7%
67.2%
62.0%
Count
73
42
21
19
Percentage
21.0%
23.3%
32.8%
38.0%
Disease Prevalence
Chronic Conditions
The most commonly diagnosed chronic condition among respondents was high blood pressure;
55.8% of respondents stated that they have this condition. The second most commonly
diagnosed condition, high cholesterol, was reported by 44.9% of respondents. Cancer was only
reported by 10.4% of respondents and was the least commonly diagnosed condition. Many
respondents also reported other conditions that they have been diagnosed with by a doctor.
The most commonly reported “other” conditions were arthritis, thyroid disease, and Hepatitis C.
Page 34
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 18. Prevalence of chronic health conditions
Please check any chronic health condition(s)
that you have been diagnosed with.
Response Options
High blood pressure
High cholesterol
Other
Diabetes
Heart disease
Cancer
Count
231
186
102
95
54
43
Percentage
55.8%
44.9%
24.6%
22.9%
13.0%
10.4%
The prevalence of chronic health conditions did not differ notably among demographic groups
and many of the differences that did occur were expected. For example, older adults were more
prone to every chronic condition and in some cases, significantly more prone. A difference that
may or may not have been expected was that Non-Hispanic respondents reported more cases
of high blood pressure and “other” conditions.
Key Health Issues
Respondents were asked to identify the most important health issue(s) that Sullivan County
should focus on. According to 54.8% of respondents, drug abuse (prescription and illegal) is the
key health issue in the area. It is followed closely by mental health (depression, anxiety, stress,
etc.) and chronic disease (diabetes, heart disease, cancer, etc.). Infectious disease is considered
to be the least important health issue in Sullivan County and was only selected by 22.1% of
respondents. Overall, many respondents felt that there was not just one issue burdening the
county. This sentiment is evidenced by the number of selections that each health issue received.
Table 19. Key health issues in Sullivan County
Response Options
Drug abuse (prescription and
illegal)
Mental health (depression,
anxiety, stress, etc.)
Chronic disease (diabetes, heart
disease, cancer, etc.)
Nutrition (healthy eating habits,
food allergies, etc.)
Key health issues in Sullivan County
Count
Percentage Response Options
Tobacco use (cigarettes, snuff,
352
54.8%
etc.)
Count
Percentage
218
34.0%
314
48.9%
Sexually transmitted diseases
193
30.1%
300
46.7%
Diseases from ticks and
mosquitoes
188
29.3%
284
44.2%
Clean air and water
187
29.1%
Aging related issues
276
43.0%
184
28.7%
Physical inactivity
269
41.9%
161
25.1%
Alcohol abuse
255
39.7%
158
24.6%
Dental health (healthy teeth)
238
37.1%
142
22.1%
Healthy babies and mothers
237
36.9%
41
6.4%
Page 35
Disabilities (physical, intellectual,
developmental)
Immunizations (getting a shot to
prevent a disease)
Accidental injuries (falls,
drowning, car crashes, etc.)
Infectious disease (Ex: Flu or
tuberculosis)
Other
Sullivan County Public Health Services Community Health Assessment
November 2013
Community Strengths and Opportunities
Community Strengths
Respondents were asked to identify the greatest strength(s) in Sullivan County. The number one
strength, identified by 50.7% of respondents, was the local 24-hour police, fire, and rescue
services. The second and third greatest strengths in the community focused on the physical
environment of Sullivan County. The second greatest strength, identified by 43.2% of
respondents, was access to parks and recreation (bike trail, playground) and the third greatest
strength, identified by 37.5% of respondents, was a clean and healthy environment. The
strengths that were ranked last by respondents were a bike-able, walk-able community (limited
need for a car) and access to public transportation.
Table 20. Greatest strengths in Sullivan County
What are the greatest strengths in our community (Sullivan County)? (check all that apply)
Response Options
Count Percentage Response Options
Count Percentage
Local 24-hour police, fire and rescue services
311
50.7%
Access to medical screenings
103
16.8%
Access to parks and recreation (bike trail,
playground)
265
43.2%
Services and support for individuals needing
help during times of stress and crisis
94
15.3%
Clean and healthy environment
230
37.5%
Emergency preparedness
83
13.5%
Access to arts and cultural events
210
34.3%
Access to affordable housing
81
13.2%
Access to basic health care
178
29.0%
Low violence/abuse (domestic, elder, child)
74
12.1%
Safe neighborhoods
151
24.6%
Programs, activities, and support for youth
and teens during non-school hours
68
11.1%
Programs, activities, and support for the
senior community
139
22.7%
Bike-able, walk-able community (limited need
for car)
55
9.0%
Low crime (theft, homicide, etc.)
130
21.2%
Access to public transportation
51
8.3%
Access to affordable, healthy food
116
18.9%
Other
37
6.0%
Tolerance for diversity (race, gender, religion,
etc.)
107
17.5%
Opportunities for Improvement
Respondents were asked to identify the areas that they felt the community should focus its
resources and attention on to improve the quality of life in Sullivan County. Access to affordable
housing was considered to be the area most in need of resources and attention and was
identified by almost 60% of respondents. The second focus area was identified as programs,
activities, and support for youth and teens during non-school hours. The third focus area was
identified as access to public transportation.
Page 36
Sullivan County Public Health Services Community Health Assessment
November 2013
Table 21. Areas to focus on to improve the quality of life in Sullivan County
Where should the community focus its resources and attention to improve the quality of life in Sullivan County?
(check all that apply)
Response Options
Count Percentage Response Options
Count Percentage
Access to affordable housing
386
59.8%
Services and support for individuals needing
help during times of stress and crisis
205
31.7%
Programs, activities, and support for youth
and teens during non-school hours
364
56.3%
Access to medical screenings
198
30.7%
Access to public transportation
337
52.2%
Clean and healthy environment
195
30.2%
186
28.8%
186
28.8%
162
25.1%
148
22.9%
131
20.3%
67
10.4%
Access to affordable, healthy food
315
48.8%
Bike-able, walk-able community (limited need
for car)
Access to basic health care
276
42.7%
Emergency preparedness
Safe neighborhoods
267
41.3%
Low crime (theft, homicide, etc.)
254
39.3%
Access to parks and recreation (bike trail,
playground)
Access to arts and cultural events
Programs, activities, and support for the
senior community
241
37.3%
Local 24-hour police, fire and rescue services
Low violence/abuse (domestic, elder, child)
215
33.3%
Other
Tolerance for diversity (race, gender,
religion, etc.)
208
32.2%
Household Telephone Survey Summary of Findings
The resident survey provided important information about the current health behaviors and
health perceptions of individuals living in Sullivan County. A review of the results yields several
areas of strength and opportunity for the community. Overall, the majority of respondents
practiced positive health behaviors like fruit and vegetable consumption and primary care visits.
In addition, few respondents were current smokers and less than half consumed alcohol.
However, disparities existed within different demographic populations in the community and
many residents demonstrated risky health behaviors like being overweight or obese.
Fruits and/or vegetables were consumed on at least a weekly basis by all but 3.5% of
respondents. More than 46% of respondents reported eating fruits and/or vegetables daily.
Respondents who were the most likely to eat fruits and/or vegetables on a daily basis were
female, Caucasian, and Non-Hispanic. The availability of farmer’s markets can impact fruit and
vegetable consumption. Many respondents (61.7%) visited a farmer’s market within the past
year. Respondents who were the most likely to visit farmer’s markets were female, Caucasian, 45
years of age or older, and Non-Hispanic. The majority of respondents who did not visit a
farmer’s market cited that they are too expensive and that they do not have transportation to
the markets. Healthy eating habits like fruit and vegetable consumption can also influence BMI.
Among survey respondents, 61.5% had a calculated BMI that is considered overweight or obese.
This percentage is down from 73.2% in 2009, but still constitutes a significant portion of the
community. Respondents who were the most likely to be overweight or obese were ages 45 to
64.
Page 37
Sullivan County Public Health Services Community Health Assessment
November 2013
Almost all of the respondents (90.2%) visited a doctor for a routine check-up in the past two
years and 80% visited a doctor for a routine check-up within the past year. This statistic is
comparable to the results of the 2009 resident study. Respondents who were the most likely to
visit a doctor within the past year were Caucasian and 45 years of age or older. Respondents
who were the least likely to visit a doctor within the past year were African American,
Asian/Pacific Islander, and of another race. The primary reason for not visiting a doctor among
all respondents was that they could not afford it.
The main source of healthcare and healthcare information varied among respondents. The
majority of respondents received their care at a private doctor’s office. However, young adults,
African Americans, and Hispanics were more likely to utilize the hospital or emergency room for
healthcare. The primary source of healthcare information for respondents was the newspaper
and referrals from friends and doctors.
Many respondents visited a dentist for a routine check-up in the past year. However, the overall
percentage of respondents who received a routine dental check-up (58%) was much lower than
the percentage who received a routine physical check-up (80%). The current percentage is also
down from 66.9% in 2009. Respondents who were the most likely to receive a routine dental
check-up within the past year were Caucasian and 45 years of age or older. Respondents who
were the least likely to receive a routine dental check-up within the past year were African
American and of another race. The main source of dental care for all respondents was private
dentist’s offices.
Fifteen percent of respondents reported that they currently smoke. Among these respondents,
61% have smoked for more than 10 years and 52.9% live in a household in which at least one
other person smokes. A positive finding from the survey was that 65.1% of respondents who
smoke were willing to try and quit smoking if free resources were provided to them.
Approximately 40% of respondents reported that they drink alcohol. Among these respondents,
41.1% drank less than once per week. In general, fewer respondents reported drinking any
alcohol, but a concern is that of these respondents, more than half reported that they binge
drank in the past 30 days. In addition, respondents who binge drank five or more times during
the past 30 days were the least likely to know where to find help for an alcohol or substance
abuse problem.
Approximately 45% of respondents reported feeling anxious or depressed on at least one of the
past seven days. The majority of these respondents only felt this way on one or two days, but
36.8% felt this way on three or more days. In addition, only 62% of respondents who felt anxious
or depressed every day of the last week knew where to seek help if they were thinking about
Page 38
Sullivan County Public Health Services Community Health Assessment
November 2013
suicide. This statistic compares to 79% of respondents who did not feel anxious or depressed on
any of the past seven days and knew where to seek help.
Respondents were asked to report chronic conditions that they have been diagnosed with by a
health care provider. Approximately 56% of respondents reported that they have high blood
pressure and 45% reported that they have high cholesterol. A number of other conditions were
identified by respondents, the most common of which were arthritis, thyroid disease, and
Hepatitis C.
In addition to reporting the conditions that they have been diagnosed with, respondents were
asked to identify the key health issues in the community. Drug abuse was identified by the most
respondents as the key health issue in the community. The second key health issue identified by
respondents was mental health and the third key health issue identified by respondents was
chronic disease.
Respondents were also asked to identify the greatest strengths in the community and the areas
in which the community needs to focus its resources and attention to improve the quality of life
in Sullivan County. The greatest strengths were identified as the local 24-hour police, fire, and
rescue services, access to parks and recreation, and a clean and healthy environment. The areas
that require more resources and attention were identified as access to affordable housing,
programs, activities, and support for youth during non-school hours, and access to public
transportation.
FOCUS GROUPS OVERVIEW
Background
Two focus groups were held at the Sullivan County Public Health Services facility in September
2013. One of the groups was conducted with Rural Health Network representatives; the other
was conducted with young adult community members (ages 18 to 26). Focus group topics
addressed access to care, key health issues and challenges, and community aspirations and
capacity. Each session lasted approximately 90 minutes and was facilitated by trained staff from
Holleran.
Participants were recruited through the CHA partners. In exchange for their participation, young
adult community members received $50 cash. Rural Health Network members were not
provided an incentive for their participation. Two discussion guides developed in consultation
with Sullivan County Public Health Services, were used to prompt discussion and guide the
facilitation.
Page 39
Sullivan County Public Health Services Community Health Assessment
November 2013
In total, 19 people participated in the focus groups. It is important to note that the results reflect
the perceptions of a limited number of providers and community members and may not
necessarily represent all providers and residents of Sullivan County.
Focus Groups Key Findings
The following section provides a summary of the focus group discussions including key themes
and select comments. A full report of the focus group results is available in a separate
document.
Access to Care
A number of issues were identified by community residents as barring people from accessing
health care. Many issues were centered on the cost of care and transportation. Participants
identified lack of health insurance, the cost of copayments and medications, lack of sick days,
and increasing premiums and deductibles, specifically. They also expressed concern that
Medicaid is often not accepted by providers. Transportation is an issue in Sullivan County
because of its rural nature and size. Residents are reliant upon their ability to afford a car that
they can drive themselves or having a reliable friend/family member to drive them. Other issues
included a lack of awarenss of what constitutes wellness, clinic hours of operation, a lack of
providers, and the transient lifestyle maintained by young adults. One participant stated, “The
general public doesn’t really understand the concept of wellness. Considering the amount of
poverty and the educational level of most of our communities, [wellness activities] are not things
that people are all that familiar with in general and it is just now that we are starting to see a
little bit of that impact in our communities.”
Participants felt that the elderly and immigrant populations were not being adequately served
by local health services. The elderly struggle with issues related to lack of transportation, fixed
incomes, and pride in asking for assistance. In reference to fixed incomes, one participant stated
that, “They have a totally different way of looking at money. It’s so fixed and it’s almost all
allocated so if something comes up like a medical issue, there’s a decision that has to be made.”
That decision may include not obtaining medical appointments or medications or not buying
food. Participants recommended a structured volunteer system to expand the services available
to seniors. The immigrant population was viewed as underserved due to lack of trust and
language barriers. One participant shared, “The immigrants don’t trust. They’re very fearful of
coming into any organized agency.”
In addition to identifying specific populations that are underserved by local health services,
participants stated that residents of the entire community tend to go outside of Sullivan County
for health services because of the perception that they receive better care. One participant
shared that on the last community survey, 30% of residents said that they traveled outside of the
county for healthcare. Residents believe that there are better providers available to them when
they travel outside of the county and that their experience in the healthcare system is better.
Page 40
Sullivan County Public Health Services Community Health Assessment
November 2013
Healthcare services were deemed to be missing in Sullivan County across the age spectrum and
across primary and specialty care. Participants felt that there are insufficient private pediatric
providers, dental providers (specifically for seniors relying on Medicare), overweight/obesity
programs, geriatric assessment programs, Lyme’s disease providers and education programs,
eye care providers, and substance abuse services. Related to substance abuse services, one
participant shared that outpatient services are available for adults, but these patients are in such
“bad shape” that it is difficult to treat them in this setting. He stated, “These are addicts like
we’ve never had to deal with before. Even cocaine was easier to deal with than what we’re
currently seeing.”
Key Health Issues and Challenges
Nine health issues were identified as major concerns in the community. Among the issues,
overweight/obesity, maternal health, and mental health and substance abuse were considered
the most pressing. Overweight and obesity rates were seen as high, especially among children.
One participant shared that 16% of WIC children (ages 2 to 4) are overweight and that recent
tracking efforts showed that overweight/obesity rates are highest among schools with higher
poverty rates. Participants also shared that many mothers in Sullivan County receive late or no
prenatal care. Lack of prenatal care was viewed as not only impacting health indicators like
infant mortality and birth weight, but also the ability to diagnose and treat mothers for existing
chronic conditions. Participants identified mental health and substance abuse as a key health
issue. Young adult participants stated that alcoholism and addiction to painkillers and
prescription drugs are the biggest issues. They felt that a contributing factor to painkiller
addiction was that individuals are being prescribed too many and their prescriptions are being
refilled too often. Rural Health Network participants echoed alcoholism as an issue and added
that there is also a high incidence of untreated depression and suicide.
Participants noted a number of challenges for people in the community trying to stay physically
fit and eat healthier. There was broad agreement that Sullivan County does not offer adequate
opportunity for physical activity and access to healthy foods. Participants shared that there are
no affordable gyms in the area, and access to parks and playgrounds is limited. Participants also
shared that there is easy access to fast food, but “You can drive 10, 20, 50 miles without seeing a
grocery store.” As a result, many residents buy items with longer shelf lives versus fresh foods.
Participants offered a number of solutions for increasing access to physical fitness areas
including:

Providing a bus that transports school-aged kids to parks

Offering more programs for older students, not just younger students
 Creating a walking trail in Liberty similar to the one in Kingston that is about two miles
long and allows biking, rollerblading, etc.
Page 41
Sullivan County Public Health Services Community Health Assessment
November 2013

Developing more hiking trails

Encouraging employers to allow employees the use of gym equipment at any time
 Promoting a closer relationship between the health department and the planning
department to create walkable communities and incorporate health-related issues in
planning and grant funding. One participant stated that, “The last 2020 plan I looked at
had not one word about health.”
 Capitalizing on the opportunities for kids to exercise using technology – Wii Fit, etc.
A number of weaknesses related to lack of resources and a disconnect between residents and
available community assets were identified within the community. Participants stated that there
is a lack of available summer activities for children, a lack of gyms and medical offices offering
evening hours, and a lack of monetary resources through foudations and grant funds. They also
noted a lack of connection between free health-promoting activities in the community and
residents. For example, one participant shared that Robert Wood Johnson Foundation data
showed that Sullivan County has terrible health statistics in general, but good access to the
outdoors and recreation. Another participant shared that the county spends a lot of time
promoting available outdoor recreation options to outside tourists, but not to residents within
the community. Participants cited a need for stronger collaboration among small, non-profit
organizations to address these weaknesses.
Community Aspirations & Capacity
Participants offered a number of suggestions for improving the health of the community.
Specific examples included forming initiatives to identify action steps, building community
gardens, creating a website that lists all of the resources available in the community, and hosting
community-wide competitions like Biggest Loser. Young adults participants also felt that
incentives were the key to engaging community members in improving their health and the
well-being of Sullivan County.
Young adult participants urged community organizations to concentrate on providing more
resources for physical activity and community supported agriculture options, and relocating
farmer’s markets to convenient locations. Rural Health Network members urged local hospitals
and public health to create more health education opportunities and health information
materials. They stated that health education needs to be more integrated into schools and social
media, and that there needs to be more health fairs that offer free testing and literature. They
also stated that they need more health information materials that are at appropriate reading
levels, bilingual, and culturally sensitive.
Focus Group Summary of Findings
The two focus groups were engaging and not shy in sharing their opinions. They offered different
perspectives of the community related to access to care, key health issues and challenges, and
community aspirations and capacity. Sullivan County is an area of great need as a result of its rural
nature and poor socioeconomic status. The county struggles to recruit and retain necessary
Page 42
Sullivan County Public Health Services Community Health Assessment
November 2013
medical professionals and provide easy access to medical services. Medical services that were
deemed missing or limited in the community spanned both primary and specialty care. Many
residents have to travel outside of the county for these services or go without them as
transportation is a huge barrier to accessing care. In addition to the barriers that are caused by the
rural nature and poor socioeconomic status of Sullivan County, a general lack of understanding of
what wellness means and why it is important contributes to poor access to care among residents.
The populations that were deemed to have the most underserved were seniors and immigrants.
A number of major health issues were identified within the community; however, the most
pressing were overweight/obesity, maternal health, and mental health and substance abuse.
Factors that contribute to overweight/obesity are lack of access to healthy foods and safe areas
for physical activity. Participants offered several recommendations to increase access to healthy
foods and areas for physical activity. An example was the suggestion to create a partnership
between the public health department and the community planning department to incorporate
health-related issues into planning and grant funding activities. Factors that contribute to poor
maternal health and mental health and substance abuse are lack of access to medical providers
and socioeconomic indicators like poverty and education.
Participants made a number of suggestions to improve the overall health of the community.
Young adult participants recommended that a website of all available resources within the county
be made available and that competitions and incentives be used to encourage community health
and involvement. Rural Health Network participants made recommendations for resources that
would help them better serve the residents of Sullivan County. Many of these resources involved
health education and health materials that could be distributed within the community.
MINORITY HEALTH PROFILE
Background
In 2012, Sullivan County Public Health Services, in partnership with other area agencies and
providers, conducted a minority health profile. The intent of the profile was to fully understand
the health status and outcomes of minority populations within the county, and disparities that
may exist. Specifically, the study assessed the health needs, outcomes, and risky health
behaviors within these populations. The data is intended to lend perspective to potential
interventions and advancements for health equity for all of those who live in Sullivan County.
The report is a compilation of existing health data for the county, also known as secondary data.
Data was gathered by a Master of Public Health (MPH) student, recruited by the New York State
Department of Health and Sullivan County Public Health Services, and was integrated into a
report prepared by Holleran. The specific data sources are listed throughout the report. It should
be noted that in some cases, local-level data may be limited or dated. This is an inherent
limitation with secondary data. The most recent data is used wherever possible. Additionally,
Page 43
Sullivan County Public Health Services Community Health Assessment
November 2013
when available, state and/or regional comparisons were also provided as benchmarks for the
Sullivan County statistics.
Minority Health Profile Key Findings
The following section provides a summary of the focus group discussions including key themes
and select comments. A full report of the focus group results is available in a separate
document.
Access to Care
Sullivan County includes six federally designated Medically Underserved Areas/Populations due
to low income. According to HRSA (Health Resources and Services Administration), “Medically
Underserved Populations” may include groups of persons who face economic, cultural or
linguistic barriers to health care.” In addition, Sullivan County currently has five HRSA
designated Health Professional Shortage Areas.
New York State has a health insurance plan for children, called Child Health Plus (CHIP). Both
Children's Medicaid and Child Health Plus are available through various providers throughout
the state. As of June 2012, more than 2,100 children in Sullivan County were enrolled in CHIP.
Based on current population estimates of the number of children under 18 living in Sullivan
County (17,150< that translates into approximately 12.6% of the county’s children enrolled in
CHIP. This is above the percentage throughout the state of New York (approximately 8.6% of
children enrolled in CHIP).The table below details the specific total of enrollees by insurance
provider.
CHIP Enrollees
Provider Type
June 2012
TOTAL CHILDREN ENROLLED
Sullivan County
New York State
2,165
366,917
EBCBS
225
56,890
FIDELIS
247
67,661
1,693
19,113
HUDSON
Sources:
http://www.health.ny.gov/health_care/managed_care/medicaid/2005/enrollment_report_0405.htm
http://www.health.ny.gov/statistics/child_health_plus/enrollment/
EBCBS: Empire Healthchoice; FIDELIS: New York State Catholic Health Plan, Inc; HUDSON: Hudson
Health Plan
Family Health Plus is a public health insurance program for adults who are aged 19 to 64 who
have income too high to qualify for Medicaid. Family Health Plus is available to single adults,
couples without children, and parents who are residents of New York State and are United
Page 44
Sullivan County Public Health Services Community Health Assessment
November 2013
States citizens or fall under one of many immigration categories. The statistics below show that
as of April 2012, 1,374 individuals between the ages of 19 and 64 in Sullivan County were
enrolled in Family Health Plus. This translates into 2.9% of the 19-64 year olds, compared to
3.9% for New York state overall.
Family Health Plus Enrollees
Sullivan County
Upstate New
York
New York
Overall
TOTAL ENROLLEES
1,374
138,662
493,341
ADULTS WITH CHILDREN
1,115
106,411
304,804
1,086
N/A
N/A
29
N/A
N/A
259
32,251
188,537
256
N/A
N/A
3
N/A
N/A
April 2012
HUDSON
GHI HMO Select
ADULTS WITHOUT CHILDREN
HUDSON
GHI HMO Select
Source:
http://www.health.ny.gov/health_care/managed_care/medicaid/2005/enrollment_report_0405.htm
N/A = Data not available
Medicaid eligibility, beneficiary, and expenditure statistics are detailed in the following tables.
These figures are for all Sullivan County residents in aggregate, not segmented by race or
ethnicity. As of April 2012, it was estimated 16,734 residents of Sullivan County were eligible for
Medicaid. Of those eligible, on average, 13,530 were enrolled. This translates into 80.8% of those
eligible who are also enrolled. This is slightly below the statewide percentage of eligibles-toenrollees, which is 84.1%.
Page 45
Sullivan County Public Health Services Community Health Assessment
November 2013
Average Yearly Medicaid Eligibles
Category of Eligibility
Jan. ’11-Dec. ‘11
Total Medicaid Eligibles
Sullivan County
New York State
(excluding NYC)
New York
Overall
16,734
1,823,974
4,898,205
MEDICAID & SUBSISTENCE
Medicaid avg. monthly eligibles
16,734
1,823,974
4,898,205
TANF children
982
93,932
260,355
TANF adults
470
40,479
93,243
Safety net children
217
29,870
111,873
Safety net adults
407
46,102
152,315
SSI aged
208
29,447
152,235
2,487
241,592
561,270
SSI blind & disabled
MEDICAID ONLY
TANF children
5,102
531,366
1,294,887
TANF adults
1,924
238,158
498,099
32
11,983
130,227
Safety net adults
1,164
154,514
697,350
SSI aged
1,164
125,273
285,879
SSI blind & disabled
1,150
119,224
190,581
Family Health Plus
1,408
19
19
155,233
431,126
6,803
38,767
Safety net children
Other
Source: http://www.health.ny.gov/statistics/health_care/medicaid/quarterly/aid/
Page 46
Sullivan County Public Health Services Community Health Assessment
November 2013
Average Monthly Medicaid Beneficiaries
Category of Eligibility
Jan. ’11-Dec. ‘11
Sullivan
County
New York State
(excluding NYC)
New York
Overall
13,530
1,423,997
4,119,436
13,530
1,423,997
4,119,436
TANF children
814
79,217
229,887
TANF adults
297
26,908
73,179
Safety net children
200
27,072
101,358
Safety net adults
393
43,632
136,978
SSI aged
142
19,951
115,751
2,152
205,798
487,759
Average Monthly Beneficiaries
MEDICAID & SUBSISTENCE
Medicaid avg. monthly beneficiaries
SSI blind & disabled
MEDICAID ONLY
TANF children
4,344
420,040
1,071,121
TANF adults
1,643
178,752
386,882
Safety net children
30
11,125
114,695
Safety net adults
979
125,530
518,903
SSI aged
513
61,576
159,124
SSI blind & disabled
756
76,761
128,175
1,381
143,533
403,402
154
35,510
256,601
Family Health Plus
Other
Source: http://www.health.ny.gov/statistics/health_care/medicaid/quarterly/aid/
Page 47
Sullivan County Public Health Services Community Health Assessment
November 2013
Yearly Medicaid Expenditures
Category of Eligibility
Jan. ’11-Dec. ‘11
Sullivan
County
New York State
(excluding NYC)
New York
Overall
184,677,573
16,458,412,546
44,512,697,166
184,677,573
3,077,574
16,458,412,546
267,839,842
44,512,697,166
759,501,678
2,535,420
190,472,479
542,921,059
761,461
84,614,428
317,717,762
Safety net adults
4,897,211
421,031,265
1,669,057,198
SSI aged
1,895,505
327,038,833
3,039,449,430
SSI blind & disabled
72,029,573
5,206,588,538
12,684,096,670
Total Medicaid expenditures beneficiaries
MEDICAID & SUBSISTENCE
Medicaid avg. monthly beneficiaries
TANF children
TANF adults
Safety net children
MEDICAID ONLY
TANF children
14,959,682
1,522,675,191
4,059,705,297
TANF adults
12,643,363
1,186,162,141
2,704,233,081
98,124
46,307,894
380,824,004
Safety net adults
10,299,520
1,048,302,007
3,827,248,665
SSI aged
21,557,664
2,806,395,330
6,639,993,452
SSI blind & disabled
32,086,814
2,413,187,118
4,338,450,154
Family Health Plus
6,622,458
625,004,764
1,646,899,515
Other
1,213,204
312,792,716
1,902,599,201
Safety net children
A survey was conducted among Sullivan County residents to better understand health insurance
coverage and potential access to care issues. When asked if there was a period of time when
they could not get needed health care, roughly 11% of county residents responded, “yes.” This
increases to 33.6% when looking at just the uninsured residents in the county. The most
common reason for not being able to obtain the care was a lack of insurance coverage, followed
by the health insurance not covering the needed service and being denied for the treatment or
claim. The figures below detail these survey responses.
Length of Time Uninsured
Sullivan Co. residents without health insurance
Page 48
Less than 1 year
19.7%
1 year to < 2 years
2 years to < 5 years
5 years to < 10 years
11.5%
26.9%
14.5%
10 years or more
27.4%
Sullivan County Public Health Services Community Health Assessment
November 2013
Was there a time when you couldn't obtain
needed health care?
66.4%
No
89.1%
33.6%
Yes
10.9%
0%
20%
40%
60%
Uninsured respondents
80%
100%
All respondents
Primary reasons for not obtaining needed
health care
No health insurance
64.8%
1.3%
11.7%
3.9%
6.2%
1.3%
5.6%
0.0%
1.2%
Health insurance didn't cover
Health insurance denied tx/claim
No available provider
Lack of transportation
0%
20%
Uninsured respondents
Page 49
92.1%
40%
60%
All respondents
80%
100%
Sullivan County Public Health Services Community Health Assessment
November 2013
Coverage for Individuals with Insurance
Does your insurance cover the following...?
Hospital care
99%
Doctor's visits
98%
87%
Prescription drugs
84%
Mental health tx
81%
Substance abuse
62%
Eyeglasses
56%
Dental care
0%
20%
40%
60%
80%
100%
As seen in the bar graphs above, a number of those with health insurance reported being
unable to access needed care. While the majority of those with some form of health insurance
report coverage for hospital care and doctor’s visits, fewer report full prescription drug
coverage, mental health treatment, and substance abuse treatment. Vision and dental care is
only included for slightly above half of those in Sullivan County with some form of health
insurance coverage.
Cost Prevented Seeing a Doctor BY Gender
Sullivan
2008-2009 BRFSS
County
Males
13.5%
Females
21.3%
New York
State
12.7%
14.6%
Females living in Sullivan County are more likely than their male counterparts to report cost as a
barrier to seeing a doctor (21.3% versus 13.5%). While the proportion of males with financial
barriers is equitable to males statewide, the proportion of women reporting these cost barriers is
higher than what is generally seen throughout New York.
The uninsured survey respondents were compared against their demographics to better
understand the characteristics of those without health insurance in Sullivan County. The table
below details that many of the uninsured (62%) are employed, 70% of them with full-time
positions. The largest proportion (41%) has a high school diploma or GED (General Education
Diploma) and 28% report having some college education. Not surprisingly, there is a clear trend
in insurance coverage when compared against household income levels.
Page 50
Sullivan County Public Health Services Community Health Assessment
November 2013
Demographics of Uninsured Survey Respondents
Sullivan County
Uninsured respondents
Employed
Yes
62%
No
38%
Part-time
70%
Full-time
30%
Education
Less than high school
17%
High school diploma/GED
41%
Some college
28%
Associates degree
7%
Bachelors degree
7%
Post-graduate degree
1%
Household income
Less than $15,000
30%
$15,000 - $24,999
30%
$25,000 - $44,999
25%
$45,000 - $74,999
12%
$75,000 or higher
3%
The table below shows that roughly 13% of White residents and 13% of Black residents within
Sullivan County are without some form of health insurance. Other sources, such as the 20082009 Behavioral Risk Factor Surveillance Survey (BRFSS), show the figures to be even higher, at
16.7% of White residents. Within these two racial groups, the 18-24 year-old population is the
most likely to be without health insurance. Roughly 38% of White young adults and 32% of
Black young adults in this age group are uninsured. The “other” racial group is likely comprised
of those individuals of Hispanic/Latino origins. The percentages of uninsured residents within
this group is pronounced (42.5% overall). As detailed in the table, there is a dramatic jump
within this group once the individual turns 18 years old, with 9.1% uninsured between the ages
of 6-17 and a dramatic 87.3% within the 18-24 year age group. The 2008-2009 BRFSS also notes
minimal differences between males and females in the proportion who are insured.
Page 51
Sullivan County Public Health Services Community Health Assessment
November 2013
Uninsured by Age and Race
Sullivan County
White
Black
Other race
Under age 6
9.5%
7.5%
0.0%
6-17 years
7.6%
5.0%
9.1%
18-24 years
38.3%
32.2%
87.3%
25-34 years
14.6%
10.7%
51.5%
35-44 years
20.4%
17.2%
48.9%
45-54 years
19.5%
16.5%
37.4%
55-64 years
14.7%
14.6%
0.0%
65-74 years
0.9%
4.5%
40.7%
75 years and over
0.0%
0.0%
0.0%
13.4%
13.3%
42.5%
TOTAL
Note: The percentages represent the proportion of residents within that demographic group
who are estimated to be uninsured. “Other” race is likely comprised of a significant number of
Hispanic/Latino residents. Individual Hispanic/Latino statistics were not readily available.
Healthy People 2010 aims to improve access to quality healthcare, including ensuring that
people have a usual and ongoing source of care. The “2009 Heal 9 Consumer Health Survey,”
surveyed Sullivan County residents on a variety of primary care and access to care topics.
Approximately 86% of those surveyed reported having a regular place for medical care. This
figure decreases to 60.7% among the uninsured. The 2008-2009 BRFSS survey further details
that females in Sullivan County are more likely to have a regular source of medical care
compared to their male counterparts (85.5% versus 76.6%).
When asked to specify where the regular source of care is received, 81.5% of the survey
respondents reported that the care is in a doctor’s office. This number drops to 60.6% for the
uninsured. Roughly one-quarter of the uninsured respondents reported that a clinic is their
usual source of care and another 14% stated that a hospital emergency room serves as their
primary place for medical care.
Page 52
Sullivan County Public Health Services Community Health Assessment
November 2013
Regular Place For Medical Care
Heal 9 Consumer Survey
60.6%
Doctor's Office
81.5%
25.4%
14.3%
Clinic
14.1%
4.2%
Emergency Room
0%
20%
40%
Uninsured respondents
60%
80%
100%
All respondents
The “Heal 9” survey also identified that among Sullivan County residents, 22% seek regular care
in a county outside of Sullivan County, but remain in New York State. Roughly 13% seek care in
New York City and 10% report receiving care in Pennsylvania. They are most likely to receive
care outside of the county for dental care and obstetric/gynecological services. The two primary
reasons for doing so was to “seek better care” and because the resident could not find a
provider within the county to provide the needed service.
Key Access to Care Takeaways:

Approximately 8 out of 10 individuals in Sullivan County who are eligible for Medicaid and
Subsistence programs receive benefits.

Sullivan County has proportionally more children enrolled in CHIP than throughout New
York state.

Roughly 11% of Sullivan County residents report needing to seek medical care at some
point, but not being able to. This number increases to approximately 34% among the
uninsured. Lack of insurance coverage, limited insurance coverage, and cost were the most
common barriers. Females in Sullivan County are more likely than the males in the county to
identify cost as a barrier to healthcare.

The Hispanic/Latino residents within the county are associated with the highest rates of
being uninsured, especially the 18-24 year-old age group.
The uninsured are more likely to report the hospital emergency room as their source of
regular health care than those with some form of insurance.

Page 53
Sullivan County Public Health Services Community Health Assessment

November 2013
Many county residents seek healthcare services outside of the county due to either a
perception of better quality of care outside of Sullivan County and/or limited availability of
certain health care services within the county.
Health Status
The average life expectancy of a resident of Sullivan County is 75.4 years. This is equivalent to
peer counties and the United States overall. Approximately 17.4% of county adults report “fair”
or “poor” health and average 6.5 unhealthy days in the past month. According to the 2008-2009
BRFSS, Sullivan County residents had the highest proportion of adults reporting “fair” or “poor”
health in the entire region, also above New York as a whole (New York = 14%).
Health Status
Average life expectancy
75.4
Peer County
Ranges
74.5-77.1
Average number of unhealthy
days in the past month
6.5
5.7-8.2
Sullivan County
Sullivan County
All counties
U.S. Median
76.5
6
Source: http://www.communityhealth.hhs.gov/SummaryMeasuresOfHealth
Fair or Poor Health
Sullivan County
Percent of adults who report
“fair” or “poor” health
Sullivan County
17.4%
New York
14%
Source: 2008-2009 BRFSS
Key Health Status Takeaways:

The average life expectancy for Sullivan County residents is 75.4 years.

On average, Sullivan County adults report 6.5 unhealthy days in a typical month.

Roughly 17% of Sullivan County adults state that they are in “fair” or “poor” health, above
the percentage statewide (14%).
Mortality Rates
The age-adjusted mortality rate for Sullivan County is 828.9 per 100,000. As detailed in the
graph below, the mortality rate is highest for Black residents of Sullivan County, with an ageadjusted rate of 924.4. Additionally, Black residents within the county have the largest number of
years of potential life lost. The Hispanic and Black residents in the county have the highest
Page 54
Sullivan County Public Health Services Community Health Assessment
November 2013
percentage of premature deaths. Only 72% of Hispanic residents of Sullivan County live to reach
75 years of age. The Asian residents in the county have the lowest mortality rates.
Age-Adjusted Mortality Rates
828.9
Sullivan Co.
500.2
Asian
838.6
White
610.4
Hispanic
924.4
Black
0
200
400
600
800
1,000
Source: Minority Health Surveillance Report, County Edition, 2010
Percent Premature Deaths (<75)
49.1%
Sullivan Co.
53.3%
Asian
46.1%
White
72.3%
Hispanic
75.0%
Black
0%
10%
20%
30%
40%
50%
60%
70%
80%
Source: Minority Health Surveillance Report, County Edition, 2010
Premature deaths: Defined as the percentage of deaths under age 75 that are considered to be
preventable.
The top four leading causes of death in Sullivan County are heart disease, cancer, chronic lower
respiratory disease, and unintentional injury. Males in Sullivan County show higher mortality
Page 55
Sullivan County Public Health Services Community Health Assessment
November 2013
rates due to heart disease, cancer, and unintentional injury compared to Sullivan County
females. Females outpace males in mortality due to chronic lower respiratory disease.
Leading Causes of Death BY Gender
Per 100,000 Age adjusted
Sullivan County
Males
Females
Heart Disease
235
263
206
Cancer
179
193
172
Chronic Lower Respiratory Disease
48
40
54
Unintentional Injury
40
50
29
The following table outlines leading causes of death by race and ethnicity. Note that Black
residents in Sullivan County outpace other demographic groups in the majority of the categories
with the exception of congestive heart failure and unintentional injury. The Hispanic residents
have the highest mortality rates for stroke.
Leading Causes of Death BY Race
Per 100,000
Age adjusted
Sullivan
County
White
Black
Asian
Hispanic
Diseases of the heart
207.8
210.2
232.8
N/A
140.2
Coronary heart disease
152.3
154.4
174.5
N/A
101.6
Congestive heart failure
22.6
25.8
19.5
0
N/A
Stroke
27.9
27.3
N/A
N/A
53.6
53
57
41.6
0
37.6
Diabetes
33.6
31.1
61
N/A
41.6
COPD/CLRD (18+ yrs.)
80.9
95.9
38.9
0
16.5
White
Black
Asian
Hispanic
19.3
N/A
N/A
N/A
Unintentional Injury
Source: Minority Health Surveillance Report, County Edition, 2010
N/A = Too few data to report
Cancer Deaths BY Race
Per 100,000
Age adjusted
Colorectal cancer
Sullivan
County
17.9
Female breast cancer
18.2
18.1
N/A
N/A
N/A
Cervix uteri cancer
3.1
3.6
N/A
N/A
N/A
Source: Minority Health Surveillance Report, County Edition, 2010
N/A = Too few data to report
Data on the leading causes of death by race within various age groups is limited. Of the data
that is available, the following are notable trends for Sullivan County:
Page 56
Sullivan County Public Health Services Community Health Assessment



November 2013
Ages 25-44
o Blacks outpace Whites in heart disease and HIV/AIDS deaths. Roughly four out of ten
(39.1%) of AIDS diagnoses are among the Black population in the Mid-Hudson region
of New York state (Dutchess, Orange, Sullivan, and Ulster).
Ages 45-64
o Whites outpace Blacks and Hispanics in deaths due to cancer
o Blacks have higher percentages of deaths due to heart disease compared to Whites
and Hispanics
Ages 65+
o Whites and Hispanics share similar percentages of deaths due to heart disease, above
the percentage for Blacks.
o Similar percentages are seen for cancer deaths.
As stated above, Blacks in Sullivan County are more likely than Whites to die of HIV/AIDS.
Additionally, when looking at the Mid-Hudson region, 59.4% of the cases are Male. This
suggests that Black Males are likely the most at risk for HIV/AIDS.
Source: http://www.communityhealth.hhs.gov/NationalLeadingCausesofDeath
Key Mortality Rate Takeaways:

The highest overall mortality rate in Sullivan County is among Black residents, followed by
White residents. Asian residents have the lowest overall mortality rate.

When looking at potential years of life lost, the Hispanic and Black residents record the
largest number of years lost.

The infant mortality rate in Sullivan County is above the rate statewide and nationally.
Health Behaviors
The graph below details the percent of adults who have visited a dentist in the past year in
Sullivan County. Overall, 64% of adults visited a dentist, which is below New York as a whole.
Females are more likely to have gone to a dentist than males. Additionally, the White, NonHispanic residents are above the countywide average. This suggests that some or all other racial
groups are less likely to have visited a dentist in the previous year. Recall in the “Access to Care”
section of the report, individuals from Sullivan County reported having to go outside of the
county for some of their oral health needs.
Page 57
Sullivan County Public Health Services Community Health Assessment
November 2013
Percentage of Adults Who Reported
Visiting a Dentist in the Previous Year
2008-2009 BRFSS
White (Non-Hispanic)
66.1%
74.7%
Females
68.0%
73.5%
60.1%
68.4%
Males
64.0%
71.1%
Overall
-10%
10%
30%
Sullivan Co
50%
70%
90%
New York
The two following graphs detail the percentage of adults in the county who have had a flu shot
or nasal flu vaccine in the past year. Similar to the dental care graph, figures are reported
separately for certain demographic groups.
Percentage of Adults Who Received Flu
Shot or Vaccine in Past year
2008-2009 BRFSS
39.8%
43.6%
White (Non-Hispanic)
37.9%
45.1%
Females
35.9%
40.0%
Males
36.9%
42.7%
Overall
0%
10%
20%
Sullivan Co
Page 58
30%
40%
New York
50%
60%
70%
Sullivan County Public Health Services Community Health Assessment
November 2013
Percentage of Adults Who Received a
Pneumonia Shot or Vaccine in Past year
2008-2009 BRFSS
28.9%
28.7%
White (Non-Hispanic)
25.4%
26.9%
Females
28.8%
25.2%
Males
27.0%
26.1%
Overall
0%
10%
20%
Sullivan Co
30%
40%
50%
New York
Percentage of Adults Who Had a Routine
Checkup in Past year
2008-2009 BRFSS
66.3%
72.4%
White (Non-Hispanic)
Females
66.2%
Males
61.3%
66.9%
63.7%
72.9%
Overall
-10%
78.5%
10%
30%
Sullivan Co
50%
70%
90%
New York
In general, Sullivan County residents are less likely to have visited a doctor or other healthcare
provider in the previous year for a routine checkup compared to statewide averages. Females
are more likely than males and White residents show a higher percentage than countywide,
suggesting lower proportions of minorities who are having a routine checkup annually.
Risky behaviors, such as tobacco use and excessive alcohol use also contribute to poorer health
outcomes. Roughly 28% of Sullivan County adults are regular smokers, which compares to
16.8% throughout New York overall. This percentage is among the highest in the state and
Page 59
Sullivan County Public Health Services Community Health Assessment
November 2013
region. Additionally, Sullivan County reports fewer individuals living in non-smoking households
(74.1%) compared to statewide (79.1%).
Key Health Behaviors Takeaways:

Sullivan County residents are less likely than residents living throughout the state of New
York to have visited a dentist in the past year. The White residents in the county compare
above the county average, suggesting lower rates among the minority groups in the county.

Sullivan County residents are less likely than residents living throughout the state of New
York to have visited a doctor or other healthcare provider in the past year for a routine
checkup. The White residents in the county compare above the county average, suggesting
lower rates among the minority groups in the county.

Sullivan County is equitable, or above, the statewide average for the percentage of
individuals who received a pneumonia vaccine or shot in the past year.

Sullivan County is below the statewide average for the percentage of individuals who
received a flu shot or flu spray in the nose in the past year.

Sullivan County has a higher percentage of smokers compared to statewide averages as well
as fewer non-smoking households compared to throughout New York.
Chronic Disease
According to the Centers for Disease Control and Prevention, chronic diseases are the leading
causes of death and disability in the United States. Chronic diseases include diabetes, heart
disease, cancer, and obesity among others. The table below displays rates and percentages for
various cancer indicators. Where available, the figures are reported by race and ethnicity.
The age-adjusted incidence rate for lung care throughout the United States is 79.5, which is
relatively equivalent to the Sullivan County rate. Sullivan County, however, rates above the state
rate of 75.1. When looking at the incidence rates by race and ethnicity, however, there are some
variations. For New York state as a whole, the incidence rate for Black residents is 69.7 and
increases to 77.2 for Whites. (Centers for Disease Control and Prevention, National Program of
Cancer Registries).
Page 60
Sullivan County Public Health Services Community Health Assessment
November 2013
Cancer Indicators
2003-2007
Lung cancer incidence (per
100,000 age adjusted)
Sullivan
County
80.1
White
Black
Asian
Hispanic
84.3
77.2
N/A
N/A
Percent early stage
colorectal cancer
45.1%
46.7%
N/A
N/A
N/A
Percent early stage female
breast cancer
59.9%
60.3%
62.5%
N/A
N/A
Percent early stage
cervical cancer
41.2%
N/A
N/A
N/A
N/A
Source: Minority Health Surveillance Report, County Edition, 2010
N/A = Too few data to report
Significant differences are noted across racial groups with regard to asthma hospitalization
rates. This is true for both adults and children. There is a pronounced difference in
hospitalizations among children in Sullivan County. In all, 19.6 children per 100,000 are
hospitalized for asthma. The number is highest among Black children, with a rate slightly above
30. Asthma hospitalizations are lowest among White children. For adults, however, White
residents in Sullivan County are highest among the racial groups for hospitalizations due to
COPD or CLRD.
Asthma
Per 100,000
Asthma hospitalizations (age
adjusted)
Sullivan
County
14.8
White
Black
Asian
Hispanic
12.5
24.8
6.9
21.5
Asthma hospitalizations (0-17)
19.6
17.7
30.3
0
19.3
COPD/CLRD hospitalizations
(18+ years)
44.7
44.7
36.3
13.2
26.9
Source: Minority Health Surveillance Report, County Edition, 2010
Page 61
Sullivan County Public Health Services Community Health Assessment
November 2013
Prevention Quality Indicators Hospital Admission Data: Respiratory
Sullivan County
COPD
Asthma
Admissions
155
70
Rate
247
111
128%
64%
232
113
% As Expected, White
132%
47%
% As Expected, Hispanic
123%
147%
% As Expected, Black
77%
166%
% As Expected, Asian
N/A
N/A
% As Expected, Other
N/A
N/A
% As Expected
Age/Sex Adjusted Rate
Source: https://apps.nyhealth.gov/statistics/prevention/quality_indicators/
N/A = Too few data to report
Note: The ratio of the observed number of admissions to the number of "expected" admissions.
The number of "expected" admissions is the number of admissions that would be observed if
the rate for each age-sex group in the area were the same as it is for the state as a whole.
Diabetes statistics show similar health inequities to some of the previous tables. Black adults in
Sullivan County are more than twice as likely to be hospitalized for diabetes as are White adults,
with a hospitalization rate of 36.9 per 10,000 (compared to 13.0 per 10,000 for Whites).
Diabetes
Per 10,000
Diabetes hospitalizations
(age adjusted-primary
diagnosis)
Diabetes short-term
complications from
hospitalizations (6-18 yrs.)
Diabetes short-term
complications from
hospitalizations (18+ yrs.)
Sullivan
County
15.4
White
Black
Asian
Hispanic
13.0
36.9
0
16.5
3.0
2.7
8.0
0
0
6.3
5.2
13.6
0
6.3
Source: Minority Health Surveillance Report, County Edition, 2010
Page 62
Sullivan County Public Health Services Community Health Assessment
November 2013
Prevention Quality Indicators Hospital Admission Data: Diabetes
Uncontrolled
Diabetes
Lower
Extremity
Amputation
Short-Term
Complications
Long-Term
Complications
Admissions
10
6
29
44
Rate
17
10
46
70
45%
38%
88%
53%
16
9
47
65
% As Expected, White
52%
38%
75%
48%
% As Expected, Hispanic
27%
0%
40%
41%
% As Expected, Black
32%
97%
259%
124%
% As Expected, Asian
N/A
N/A
N/A
N/A
% As Expected, Other
N/A
N/A
N/A
N/A
Sullivan County
% As Expected
Age/Sex Adjusted Rate
Source: https://apps.nyhealth.gov/statistics/prevention/quality_indicators/
N/A = Too few data to report
Note: The ratio of the observed number of admissions to the number of "expected" admissions. The
number of "expected" admissions is the number of admissions that would be observed if the rate
for each age-sex group in the area were the same as it is for the state as a whole.
Statistics for diseases of the heart also point to elevated levels among the Black residents of
Sullivan County with hospitalization rates at nearly 162 for Blacks versus 122 for Whites. The
pattern is similar for stroke hospitalizations, although the gap is not as pronounced.
Diseases of the Heart
Age adjusted Per 10,000
Diseases of the heart
hospitalizations
Sullivan
County
131.5
White
Black
Asian
Hispanic
121.5
161.8
18
95.8
Stroke hospitalizations
23.7
22.4
34.9
9.1
19
Coronary heart disease
hospitalizations
65.3
58.4
57.2
12.5
58.5
Congestive heart failure
hospitalizations
44
45.5
62.3
N/A
15.4
Source: Minority Health Surveillance Report, County Edition, 2010
N/A = Too few data to report
Page 63
Sullivan County Public Health Services Community Health Assessment
November 2013
Prevention Quality Indicators Hospital Admission Data: Circulatory
Hypertension
Congestive
Heart Failure
Angina
Admissions
20
186
39
Rate
33
295
63
44%
81%
188%
31
284
60
% As Expected, White
30%
77%
175%
% As Expected, Hispanic
45%
25%
315%
% As Expected, Black
189%
166%
263%
% As Expected, Asian
N/A
N/A
N/A
% As Expected, Other
N/A
N/A
N/A
Sullivan County
% As Expected
Age/Sex Adjusted Rate
Source: https://apps.nyhealth.gov/statistics/prevention/quality_indicators/
N/A = Too few data to report
Note: The ratio of the observed number of admissions to the number of "expected" admissions. The
number of "expected" admissions is the number of admissions that would be observed if the rate
for each age-sex group in the area were the same as it is for the state as a whole.
Prevention Quality Indicators Hospital Admission Data: Acute
Sullivan County
UTI
Dehydration
Bacterial
Pneumonia
Admissions
62
38
168
Rate
98
62
267
% As Expected
60%
71%
95%
Age/Sex Adjusted Rate
100
61
259
% As Expected, White
54%
70%
91%
% As Expected, Hispanic
51%
33%
74%
% As Expected, Black
86%
82%
117%
% As Expected, Asian
N/A
N/A
N/A
% As Expected, Other
N/A
N/A
N/A
Source: https://apps.nyhealth.gov/statistics/prevention/quality_indicators
N/A = Too few data to report
Page 64
Sullivan County Public Health Services Community Health Assessment
November 2013
Note: The ratio of the observed number of admissions to the number of "expected" admissions. The
number of "expected" admissions is the number of admissions that would be observed if the rate
for each age-sex group in the area were the same as it is for the state as a whole.
Key Chronic Disease Takeaways:

Chronic disease statistics for Sullivan County do not suggest a favorable trend among Black
residents. With the exception of some cancers, Black residents in the county are more likely
to have diabetes, asthma, and diseases of the heart.

Incidence rates of lung cancer, while equitable to national figures, are above the New York
statistic. This trend holds true for residents overall as well as across racial groups.
The obesity rates for Sullivan County are unfavorable compared to New York state as a whole,
while the percentages of adults who are overweight are fairly similar to the state averages.
Maternal Health Indicators
The percentage of low-birth weight babies is roughly around 9%, which is above the statewide
and national percentages, which average around 8% of births. White infants are the least likely
to be of low birth weight, while Black, Asian, and Hispanic babies are more likely to be of low
birth weight, with percentages in the double digits. The proportion of teen pregnancies in
Sullivan County is also quite pronounced. All racial and ethnic groups appear to be above
national levels for teen pregnancies, but the figure is highest among Hispanic/Latino teens.
Birth-Related Indicators
Age adjusted
Per 10,000
Sullivan
County
White
Black
Asian
Hispanic
959
646
83
12
177
Percent births with early (1st trimester) prenatal
care
61.5%
64.3%
57.5%
52.9%
56.0%
Percent adequate prenatal care (Kotelchuk Index)
55.4%
59.1%
50.9%
47.1%
48.6%
Percent premature birth (<37 weeks)
13.6%
13.5%
17.9%
8.6%
12.6%
Percent low birthweight births (< 2.5kg)
9.1%
8.0%
14.1%
13.9%
10.0%
Teen (age 15-17) pregnancy rate per 1,000
23.9
19.1
27.5
0
49
Total pregnancy rate per 1,000 age 15-44 females
85.5
75.3
95.9
19.3
118.1
Fertility rate per 1,000 (all births/female
population 15-44)
64.2
57.3
60.2
36.6
92.2
Infant mortality per 1,000 live births
5.6
3.1
12.1
0
11.3
Number of births per year (three year average)
Source: Minority Health Surveillance Report, County Edition, 2010
Page 65
Sullivan County Public Health Services Community Health Assessment
November 2013
Note: The Kotelchuck Index, also called the Adequacy of Prenatal Care Utilization (APNCU) Index,
uses two crucial elements obtained from birth certificate data-when prenatal care began
(initiation) and the number of prenatal visits from when prenatal care began until delivery
(received services). A ratio of observed to expected visits is calculated and grouped into four
categories:
1.
2.
3.
4.
Inadequate (received less than 50% of expected visits),
Intermediate (50%-79%),
Adequate (80%-109%),
Adequate Plus (110% or more).
Key Maternal Health Takeaways:

Significant racial and ethnic disparities exist in Sullivan County with regard to maternal and
child health indicators. Sullivan County compares unfavorably to the state and nation across
most indicators, including low birth weight babies and teen pregnancy.

The Hispanic/Latino mothers are among the least likely to have early prenatal care, along
with Asian mothers. The teen pregnancy rates are also more than 32.5 points above the
countywide rate.

African American mothers are also showing unfavorable maternal health indicators
compared to the White mothers in Sullivan County. Specifically, higher rates of premature
births, low birth weight babies, teen pregnancy rates, and infant mortality rates.
Mental Health
As depicted in the graph below, drug-related hospitalizations for substance abuse and mentalhealth related disorders are highest among the White residents of the county. The Asian
statistics were too small to report. It is important to note that these figures reflect
hospitalizations only. It can therefore be concluded that many more individuals in the county
struggle with mental health issues that do not necessarily require a hospitalization.
Page 66
Sullivan County Public Health Services Community Health Assessment
November 2013
Drug-Related Hospitalizations per 10,000
48.6
Sullivan Co.
0.0
Asian
51.0
White
43.2
Hispanic
48.3
Black
0
10
20
30
40
50
60
70
Suicide statistics can be influenced by small numbers and should be interpreted with caution. As
evidenced by the following graph, the Asian and Hispanic residents in the county either had no
suicides for this time period or the counts are too small to consider reliable. Overall, the
countywide suicide mortality rate is 14.6 per 100,000 residents. The rates are highest among
Black residents of the county compared to the White residents. According to the Centers for
Disease Control and Prevention, in 2010, suicide was the tenth leading cause of death for
persons 10 and older, with an age-adjusted rate of 11.2 per 100,000. This suggests an elevated
suicide mortality rate in Sullivan County compared to nationally.
Suicide Mortality per 100,000
11.2
United States
14.6
Sullivan Co.
0.0
Asian
15.2
White
0.0
Hispanic
17.4
Black
0
5
10
15
Source: Minority Health Surveillance Report, County Edition, 2010
National Vital Statistics Report, January 2012
Page 67
20
Sullivan County Public Health Services Community Health Assessment
November 2013
The table below provides a variety of statistics on adults and children who have been diagnosed
with a mental illness. The number of Sullivan County adults with a serious mental illness (SMI) is
roughly 581. The racial and ethnic statistics show that a diagnosis of a mental illness is greater
among the White population in the county compared to the Black and Hispanic/Latino
residents. These statistics only reflect Sullivan County residents who have sought treatment.
Mental Health Consumers
Sullivan
County
(count)
581
Sullivan
County (%)
New York
(count)
New York
(%)
---
120,483
---
113
---
29,287
---
Youth, 0-17
130
15.8%
36,739
20.6%
Adults, 18-64
634
77.1%
129,052
72.4%
Adults, 65+
58
7.1%
12,413
7.0%
White
467
56.8%
81,366
45.6%
Black
190
23.1%
42,553
23.9%
Hispanic/Latino
127
15.5%
41,472
23.3%
Adults with Serious Mental
Illness (SMI)
Children with SED (Severe
Emotional Disturbance)
AGE
RACE
Source: http://bi.omh.ny.gov/cmhp
Key Mental Health Takeaways:

Per self-report measures of mental well-being, Sullivan County adults report poorer mental
health than statewide comparisons.

Statistics are limited for the Asian and Hispanic/Latino population for Sullivan County, but
data suggests that the majority of mental health concerns are among the White and Black
residents in the county.

Black residents of Sullivan County demonstrate the highest suicide mortality rates in the
county.

County suicide rates are above the national rates.
Page 68
Sullivan County Public Health Services Community Health Assessment
November 2013
Hasidic Jewish Population
During the summer months, the Hasidic Jewish population increases dramatically in Sullivan
County. The Hasidic population comes primarily from the New York City area of the state. While
data is scare for this population within Sullivan County, a number of statistics are available for
the Hasidic population in the New York City area. The following statistics come from the Jewish
Community Study of New York in 2011, published by the UJA Federation of New York as well as
an article published in June of 2012 by the Jewish Daily Forward entitled, “Time to Rethink the
New York Jew.”








The birthrate among Hasidic Jews is three times that of non-orthodox Jews.
1 in 5 (19%) of Jewish households are under 150% of federal poverty levels (FPL).
1 in 10 Jewish households are between 150% and 250% of federal poverty levels.
Forty-three percent (43%) of Hasidic Jewish households are poor (under 150% of
FPL).
Fifteen percent (15%) of Jewish households get at least one form of public
assistance.
The top services sought by Jewish families are: chronic disease management
(16%), disability services (15%), and job search services (14%).
Hasidic Jewish women have an average of 5.8 children.
Hasidic children make up 62% of orthodox Jewish children.
The above statistics are shared as these social determinants and birth rates impact the local
public health and healthcare systems in Sullivan County, especially during the summer months.
Minority Health Profile Summary of Findings
While Sullivan County, New York, is not alone in the existence of health inequities and disparities
across different racial, ethnic, and demographic groups, the gaps seem more pronounced than
in many areas throughout New York. The growing number of Hispanic/Latino residents,
particularly the undocumented, is leading to a higher proportion of uninsured, individuals with
chronic disease, and poor perinatal indicators. The Black residents in the county also
demonstrate poorer health outcomes with higher mortality rates and chronic disease rates than
White residents throughout the county. While the White residents within the county often
compare favorably to other racial groups, when compared to statewide averages, the White
residents often fall below these New York figures.
While interventions are possible around access to care issues, reducing barriers, educating
residents about preventive screenings, and healthy lifestyle behaviors, many of the unfavorable
health outcomes that are detailed in this report are synonymous with poverty, unemployment,
and low education levels. It is suggested that providers, elected officials, and other concerned
organizations and agencies take a holistic approach to the definition of wellness and pay
particular attention to these socio-economic influencers.
Page 69
Sullivan County Public Health Services Community Health Assessment
November 2013
IDENTIFICATION OF COMMUNITY HEALTH NEEDS & PLANNING
Prioritization Session
On October 21, 2013, approximately 20 individuals representing Sullivan County gathered to
review the results of the 2013 Community Health Assessment (CHA). Among the attendees were
representatives from local health and human service agencies, area non-profit organizations,
health providers, and public health representatives. The goal of the meeting was to discuss and
prioritize key findings from the CHA and to set the stage for the development of the Community
Health Improvement Plan. A list of attendees can be found in Appendix D.
Process
The prioritization meeting was facilitated by Holleran Consulting. The meeting began with an
abbreviated research overview, which presented the results of the primary and secondary
research and key findings of the CHA.
Following the research overview, participants were provided with information regarding the
prioritization process, criteria to consider when evaluating key areas of focus, and other aspects
of health improvement planning, such as goal setting and developing strategies and measures.
The criteria that participants were asked to consider in evaluating areas of focus included:
Size
Seriousness
Trends
Equity
Intervention
 Impact
 Values
 Resources





 Others
How many people are affected by the issue?
What will happen if the issue is not addressed (deaths, disability, etc.)?
Is the issue getting worse or better?
Are some groups more affected by the issue?
Is there a proven strategy to addressing the issue?
Can we make a difference?
Does our community care about it?
Do we have the appropriate framework, expertise, funds, etc. to
address the issue?
Social determinants, root causes, etc.
In a large-group format, attendees were then asked to share openly what they perceived to be
the needs and areas of opportunity in the county. During this discussion, attendees were asked
to consider five priority areas for community health improvement activities. The priority areas
are part of the Prevention Agenda Objectives that are set by the state of New York as the
blueprint for state and local action to improve the health of New Yorkers. Local health
departments and hospitals in New York are required to select at least two of these priority areas
and develop a community plan that addresses them and improves community health outcomes.
The priority areas are presented below in alphabetical order:
 Prevent chronic disease
 Prevent HIV, STDs, vaccine preventable diseases and healthcare associated infections
 Promote a healthy and safe environment
Page 70
Sullivan County Public Health Services Community Health Assessment
November 2013
 Promote health women, infants and children
 Promote mental health and prevent substance abuse
To aid the discussion around priority areas, a list of the needs that were identified through the
CHA research components was created and then each need was grouped according to the
priority area it aligned with. The following chart depicts the five priority areas and the needs that
correspond to them.
Identified Health Priorities
Attendees reviewed the findings from the CHA and discussed cross-cutting approaches to
further hone the priority areas. Ultimately, the following three priority areas for Sullivan County
were adopted:
 Prevent Chronic Disease
 Promote Healthy Women, Infants, and Children
 Promote Mental Health and Prevent Substance Abuse
Goal Setting
Following the prioritization session, Sullivan County Public Health Services reviewed the
identified priorities and develop goal statements to guide community-wide health improvement
efforts. The following goals were adopted for each priority area:
Prevent Chronic Disease
Goal 1: Create community environments that promote and support healthy food and beverage
choices and physical activity.
Page 71
Sullivan County Public Health Services Community Health Assessment
November 2013
Goal 2: Increase screening rates for cardiovascular disease, diabetes and breast, cervical and
colorectal cancers
Promote Health Women, Infants, and Children
Goal 1: Reduce premature births.
Goal 2: Increase the rate of Sullivan County babies who are breastfed.
Goal 3: Prevent unintended and adolescent pregnancy.
Promote Mental Health and Prevent Substance Abuse
Goal 1: Promote mental, emotional, and behavioral well-being in communities.
Goal 2: Prevent underage drinking, non-medical use of prescription pain reliever drugs by
young, and excessive alcohol consumption by adults.
Goal 3: Prevent suicides among youth and adults.
Goal 4: Promote tobacco use cessation among adult smokers.
Action Planning
To set a course for ongoing community health improvement activities and evaluation, a
Community Health Improvement Plan (CHIP) was developed by Sullivan County Public Health
Services. The CHIP was adopted in November 2013 and is available for review at
http://co.sullivan.ny.us/.
Page 72
Sullivan County Public Health Services Community Health Assessment
November 2013
COMPENDIUM OF HEALTH RESOURCES
The following is a comprehensive list of organizations involved in the community health
improvement process, both individually and in conjunction with the health department. The
services that the organizations provide are included. The list The listis not meant to be
exhaustive, and undoubtedly some resources may have inadvertently been left out. However, we
have tried to include as many community resources as possible to reflect the overall availability
of services throughout the county for individuals and families.
PARENTING EDUCATION/SUPPORT/CHILD CARE
Sullivan County Child Care Council, Inc.
Liberty, NY
Service Description: Referral service for children, parents, and child care providers that provides
research-based information, educational opportunities and training to child care providers,
parents and community. Promotes quality, safe, secure, and affordable child care, and acts as a
link between community agencies, childcare providers and parents.
Sullivan County Community College Child Development Center
Loch Sheldrake, NY
Service Description: Licensed day care and support services for students attending classes.
Sullivan County BOCES
Service Description: GED programs and parenting groups provided for families having difficulties
dealing with the parenting concept or children with special needs.

ASK (Academic Support for Kids) - Education of homeless children and youth; case
management for homeless youth to ensure equal educational access; coordination with
local district homeless liaisons on issues of enrollment, transportation and
documentation.
Early Intervention Program
Liberty, NY
Service Description: The Early Intervention Program provides services to developmentally
delayed or disabled children between birth and three years of age.
Head Start of Sullivan County
WoodBourne NY & Monticello NY
Service Description: Program is designed to provide a warm, supportive learning environment
where children can develop individually by learning through play and educational models; a full
and part time day program for pre-school age children.
Page 73
Sullivan County Public Health Services Community Health Assessment
November 2013
Youth Educational School Services (YESS)/ Family Empowerment Council Inc.
Middletown, NY
Service Description: Provides advocacy, training and/or mentoring in Sullivan County. Advocates
work to protect the educational rights of students from pre-school through high school.
Funding is received through OMRDD Hudson Valley DDSO, Family Support Services.
Boys & Girls Club of Sullivan County
Monticello NY
Service Description: Community oriented activities to encourage positive interactions between
peers and the community; development of positive self esteem and personal growth in youth;
after-school activities and weekend opportunities for youth.
Monticello Housing Authority
Monticello NY
Service Description: Provides 80-plus low income units public housing at Evergreen Housing
Project with an after school recreation program for the residents; provides oversight for 80-plus
units at the Senior Citizen housing facility at Liberty Street in Monticello; provides Section Eight
housing for Sullivan County residents who apply and qualify.
Maternal-Infant Services Network
Central Valley, NY
Service Description: Provides family and community health and wellness services to pregnant
women and women of childbearing age; parents of infants and young children; schools
concerned with pregnant and parenting teens; and health and human service providers. Parent
and caregiver workshops include:

How to Talk to Your Teen About Anything - This workshop discusses the ways that
parents and caregivers can engage their children in discussions that range from everyday
challenges to those involving sexuality. We provide a basic overview of youth
developmental stages, offer tips on how to keep the lines of communication open with
your child, tools to help you answer those tough questions, and strategies to help you
can make conversations more comfortable for you and your child.

Healthcare and Health Insurance for Your Teen - Access to regular health care
services helps support healthy development in adolescence, but many barriers, such as
lack of insurance, can make it difficult to access care. This workshop will give you
information about for state funded health insurance programs, as well as other low or no
cost services and benefits that can help your family members access medical, dental, and
vision care.

Keeping your Teen Safe in a Technological World - Youth are growing up in a world
that requires them to spend a lot of time on-line for many reasons – education,
Page 74
Sullivan County Public Health Services Community Health Assessment
November 2013
socialization and entertainment. While there are many benefits that come from access to
technology, there are also some potentially serious risks. In this workshop, we’ll explain
how teens use the web, the dangers that they could be exposed to, and what you can do
as a parent or caregiver to protect you teen.

Youth Development and You - This workshop explains the ways which educators and
youth program staff make a difference in the lives of children. In addition to providing a
general overview of adolescent development, we describe how to really listen to what
teens are saying, keep the lines of communication open, and answer the questions that
adolescents may come to you with. Participants will also be provided with local resources
to share with youth that might need some additional support.
Teen pregnancy prevention services include:

Project AIM – A 13-session program for middle school age youth. Program participants
will develop a picture of themselves as successful adults, set goals and identify barriers to
achievement and learn how to protect their future by reducing risky behavior now with
the intent to reduce teen pregnancy and STI risks.

Making Proud Choices – An eight-hour series that aims to increase knowledge and
support positive decision making in Middle School age youth with the goal of reducing
pregnancy, HIV and STI’s.
APPROVED PRE-SCHOOL PROGRAM/ EVALUATION SITES
Best Friends Services, Inc.
Service Description: This day care program for preschool and school-age children provides early
intervention, special education and regular day care services.
Ellenville Children’s Annex
Ellenville, NY
Service Description: This center-based program is a school for preschool and school-age
children who are 3 through 8 eight years old, have the educational classification of preschooler
and a disability, autism, emotional disability or multiple disabilities.
Inspire Kids/CP Center
Goshen NY
Service Description: Early Intervention services: Inspire provides evaluation, therapy, and service
coordination through the New York State Early Intervention Services Program. This program
supports the development of children with special needs from birth through age 2-and-a-half
years. Evaluations are provided in the home and Inspire can be selected as a provider.
Page 75
Sullivan County Public Health Services Community Health Assessment
November 2013

Preschool services: Inspire Kids is dedicated to developing in each child a positive selfimage and a true love of learning. The staff endeavors to achieve this goal in a multi-age
classroom setting, in which basic skills are taught within an individualized program
augmented by age-appropriate enrichment.

Inspire Kids Preschool: Inspire Kids is a special education preschool and an evaluation
site approved by the New York State Department of Education. The preschool is located
at Inspire’s 2 Fletcher Street headquarters in Goshen. Children who have been approved
through their local school district’s Committee on Preschool Special Education are
eligible for services at Inspire Kids. Therapy services are available on an individual basis
according to a child’s Individualized Education Program (IEP). Some classes offer an
integrated setting where children with special needs and typically developing children
learn together. Programs for both the school year and a six-week summer session are
available.

Golden Apple Preschool: The Golden Apple Preschool, located within Inspire Kids, is
open to the general public and offers half-day inclusionary preschool classes for typically
developing children between the ages of 2 ½ and 5 years. The children learn within
integrated classroom settings in which children with typical and special needs together
benefit from an early education curriculum of learning, play and social skills.

Audiology: Inpire’s Audiology Department is staffed by New York State licensed and
American Speech-Language and Hearing Association certified audiologists. The
department is dedicated to the early identification and treatment of hearing disorders in
infants, children, and adults. A broad range of diagnostic and support services are
provided, including comprehensive hearing evaluations, newborn hearing screenings
including Otoacoustic Emissions testing (OAE), testing for auditory processing difficulties,
hearing aid consultation and testing, and auditory training for hearing loss and cochlear
implants.

Dentistry: Inspire’s state-of-the-art Dental Department provides preventive and
diagnostic treatment for all patients, and specializes in general dentistry for people with
special needs.

Occupational Therapy: Inspire’s Occupational Therapy Department offers evaluations and
treatment programs in their Diagnostic and Treatment Center and in some public
schools for individuals of all ages but specializing in the pediatric population. Skilled
therapists perform evaluations to assess the areas of fine motor performance, visual
motor and visual perceptual skills, self-management, and sensory motor integration.
Intervention occurs through one-on-one treatment sessions, consultations with parents
and teachers, and/or the provision of home programs.
Page 76
Sullivan County Public Health Services Community Health Assessment

November 2013
Physical Therapy: Inspire’s Physical Therapy Department provides evaluations and
therapy services for individuals of all ages. The Physical Therapy Department is staffed by
experienced physical therapists and physical therapist assistants trained in the treatment
of various diagnoses of orthopedic and neurological origin.
Preschool Special Education Program
Liberty, NY
Service Description: The Preschool Special Education Program provides services to
developmentally delayed or disabled children between three and five years of age.
Preschool learning experience (George Robinson Center)
Middletown, NY
Service Description: The Preschool Learning Experience (PLE) program is located in Middletown,
New York, at the George Robinson Center for Child Development and in New Windsor, New
York, on the grounds of the Mt. St. Joseph campus. This program is available to all children
between the ages of 2½ and 4 years. The PLE program is an integrated preschool program for
both typically developing as well as developmentally delayed children. The preschool program
offers full-day and half-day sessions depending on the needs of the child. The integrated
nursery school component offers only half-day sessions.

The New Windsor center offers 10 self-contained special education classrooms and two
integrated classrooms. The Middletown center offers nine full-day and two half-day selfcontained special education classrooms and one integrated classroom.

Classroom sizes are limited to between 9 and 12 children. Each class has 1 teacher and
up to 4 teachers' aides. If required by the child's Individual Education Plan (IEP), a oneon-one aide is provided as well. Dually licensed teachers in both early childhood
education and special education teach all integrated classrooms.

The children who are enrolled in the preschool program as preschoolers with a disability
receive any or all of the following services: each child referred by his/her school district
of origin comes to the preschool program with an Individualized Education Plan (IEP).
This plan states what goals and objectives the classroom and related service staff must
address throughout the school year. As the child progresses throughout the year,
progress is noted and the IEP may be updated as necessary. Any child between the ages
of 2 ½ and 4 years who has had a formal evaluation and had a program recommended
through his/her home school district may attend an integrated or non-integrated
preschool class.
Project Excel (Easter Seals)
Monticello NY
Service Description: Modeled after Project Discovery, the first integrated preschool program in
New York State, Project Excel provides educational services for the Universal Pre-kindergarten
Page 77
Sullivan County Public Health Services Community Health Assessment
November 2013
students of Monticello and classified pre-school children in the area. In partnership with the
Monticello School District, the program offers integrated preschool classes with “push-in
services” for children ages 3.5 to 4.9 years of age. Easter Seals also offers an evaluation team for
children referred by the districts, 80 Universal Pre-kindergarten slots, Early Intervention services,
related services at local programs, and a focus on family participation in the treatment and
education of children.
DRUG AND ALCOHOL
Daytop Village, Inc. – Substance Abuse Treatment
Parksville, NY
Service Description: Two treatment centers for substance abusers offer services comprised of
treatment, ancillary services, and in-house support services.
Catskill Regional Medical Center – Bio-Chemical Dependency Unit
Harris, NY
Service Description: Offers 10-to-15-day stays, drug-free medical detoxification, methadone-free
detoxification from heroin and methadone, alcohol and cocaine detoxification and aftercare
referrals.
Eligibility: Current drug use; medical insurance
Council on Alcoholism and Drug Abuse of Sullivan County, Inc. (Recovery Center)
Monticello, NY
Service Description: Not-for-profit community agency providing information, education,
consultation, and treatment to those whose lives have been affected by the disease of
alcoholism and other drug addictions; promotes public awareness and interest in the prevention
and treatment of addictions; provides non-medical detoxification, halfway house (residential),
HIV/AIDS services, KIDS Klub, CARE CORPS and Safe Summer Camp to recovering addicts.
Outpatient clinic is located at 196 Broadway, Monticello, NY.

Community Residence/Halfway House: Community Residence is a residential Halfway
House to assist individuals to maintain abstinence and continued recovery in a safe,
semi-independent living situation while attending outpatient services. Separate units for
men and women.

Day Rehabilitation: Intensive rehabilitation services up to five days a week, individual and
group counseling, didactic/interactive sessions, and health services, recreation and art
therapy, Life Skills, GED prep., vocational compound, discreet women’s program.

HIV/AIDS Outreach and Support Services: HIV/AIDS support groups (men’s, women’s,
mixed), 1-1 counseling, family counseling, counseling for significant others, on-site
testing, pre- and post-test counseling, referral and resources information, stress
Page 78
Sullivan County Public Health Services Community Health Assessment
November 2013
management services, CERTA Program for children, Congregate Meal Program,
confidentiality trainings, lectures.

KIDS Klub: A prevention program for children ages 7-12 affected by alcoholism and
other drug abuse. Based on the program “Children are People”, the children are taught
the following about alcoholism and other drug abuse: THEY DID NOT CAUSE IT, THEY
CANNOT CURE IT, THEY CAN COPE WITH IT.

Outpatient Clinic: Evaluations, individual and group therapy, Sober Teens Outpatient
Services (STOPS), Teen COA group, Family Program, Family Intensive, High Intensive
Program (HIP), Healthy Alternatives (HALT) for batterers, relapse prevention, Parent-Child
Program, Spanish-speaking group, DWI services, Gay/Lesbian group, women’s group.

Prevention-Intervention-Education Services: Prevention, intervention, and education
training for community organizations and human service agencies; professional training
and impactor training; annual alcohol and drug abuse poster contest; professional
presentations at community organizations/fairs and schools (elementary, middle and
high school levels).

Primary Care Unit: Provides 24-hour care and services with medical support for
intoxicated persons and persons in need of withdrawal services. Services provided in a
safe, structured setting with linkages to ongoing treatment and rehabilitation services.
Respite care for those in danger of relapse.

Public Information and Education: Professional trainings for alcohol/drug and other
human service professionals. Impactor trainings for community organizations and
businesses, faith communities, parents, teachers, neighborhood groups on preventing,
intervening, and treatment alcohol and drug problems. Particular emphasis on effective
prevention programs and activities which assist young people to develop “protective
factors” that help them avoid high risk behaviors and problems with alcohol and other
drugs. Participation in health fairs and community events.

Public awareness through media activities and public service announcements.
Participation in awareness campaigns, including annual Poster Contest. Resource library
available. Publication and distribution of quarterly newsletter.

Safe Summer Camp: A one-week sleepover camp for 30 at-risk children. Competency
building, educational and recreational activities, prevention, education, self-esteem
building. Camp is located at Frost Valley YMCA.
Page 79
Sullivan County Public Health Services Community Health Assessment
November 2013
Dynamite Youth Community, Inc. – Drug Free Therapeutic Community
Fallsburg, NY
Service Description: Dynamite Youth Community, Inc. is a New York State licensed and funded
drug rehabilitation program for adolescents and young adults. Two facilities: a day service and
outpatient unit located in Brooklyn and a residential component located in Fallsburg, NY.
Services provided: group, individual and family counseling, and a comprehensive educational
and vocational program.
New Hope Manor – Residential Substance Abuse Treatment Center for Women
Barryville, NY
Service Description: Residential substance abuse treatment for women 13 years of age and up.
Pregnant women and their infants are accepted. Assessments, referrals, speakers provided.
Weekly seminars open to the public.
Sullivan County Cares Coalition, Inc.
Monticello, NY
Service Description: Provide youth with alternatives to substance abuse by providing a variety of
programs (i.e., theater workshops, dance, prevention groups, positive alternatives for youth)
sponsored/co-sponsored recognition.
Sullivan County Division of Health & Family Services - Sullivan County Alcohol & Drug
Abuse Services (SCADAS)
Liberty, NY
Service Description: SCADAS is an outpatient drug and alcohol clinic. Services provided:
evaluations; individual, family and group counseling for substance abusers and those family
members affected by drug and alcohol abuse.
Veritas Therapeutic Community, Inc. – Residential Drug and Alcohol Treatment
Barryville, NY
Service Description: Group, individual, vocational counseling, HSE program, family therapy,
structured environment, NA and AA seminars and meetings, HIV+ and STD counseling.
Village of Liberty Police Department – Liberty D.A.R.E. (Drug Abuse Resistance Education
program)
Liberty, NY
Service Description: To educate and counsel 5th grade students within the Liberty school district
of drug abuse and violence resistance techniques through the presentation of a 17-week
curriculum.
Page 80
Sullivan County Public Health Services Community Health Assessment
November 2013
EMERGENCY SERVICES
Mobil Medic
Hurleyville, NY
Service Description: 24 hour emergency EMT ambulance services to local hospital emergency
room.
American Red Cross – Sullivan County Chapter - Disaster Services
Monticello, NY
Service Description: The Chapter aids victims of disaster, providing food, clothing, and
emergency shelter. Trained volunteers and staff can open a reception center or shelter on short
notice.
Catskill Emergency Service – Catskill Emergency Service Sullivan County
Monticello, NY
Service Description: Psychiatric emergency service operating when the mental health clinics
(Community Services) are closed.
RISE (Rape Intervention Services and Education) – Rape/Sexual Assault
Monticello, NY
Service Description: 24-hour hotline, limited case management, survivor of sexual assault
support group, short term counseling, court, police and emergency room advocacy, sexual
assault prevention education.
Community Action Commission to Help the Economy, Inc. (CACHE)
Liberty, NY
Service Description: An anti-poverty agency which serves the poor through multi-services.
These include: housing assistance program, weatherization, food and other program assistance.

Community Residence/Halfway House: Community Residence is a residential Halfway
House to assist individuals to maintain abstinence and continued recovery in a safe,
semi-independent living situation while attending outpatient services. Separate units for
men and women.

CACHE – Safe Passage: For victims of domestic violence only, 24-hour hotline. Safe
Passage provides advocacy to courts, police departments, Department of Social Services,
hospitals; provides short-term counseling to victims of domestic violence; provides safe
dwelling, support groups and education; provides information about other services in
the community; makes referrals to other programs. Bilingual services are also provided.

CACHE – Hunger Prevention and Nutrition Assistance (HPNAP): Provides low income or
homeless individuals and families with food to supplement their nutritional needs. Up to
nine meals per month per household member may be provided. The agency also
distributes surplus commodity food approximately four times per year.
Page 81
Sullivan County Public Health Services Community Health Assessment
November 2013

CACHE – Share Program: For 2 hour’s community service and $15.00 per unit, county
residents can receive up to $30.00 worth of food. Payment can be cash or food stamps.
This can be done on a monthly basis.

CACHE – Weatherization Program/Local Initiative Program:
Local Initiative Program provides but is not limited to outreach, information, referral, and
advocacy to those at or below the poverty level requiring help to access public
assistance, legal services, public health services, emergency help, employment
counseling, and consumer education.

Weatherization Program provides replacement windows, doors, insulation, and other
energy conservation improvements for the economically disadvantaged.

CACHE - Youth and Family Services: A team of professionals and paraprofessionals who
educate, role model, and advocate for families referred through a contract with the
Department of Family Services. The goal of the program is to prevent out of home
placement.
Sullivan County Federation for the Homeless, Inc.
Monticello, NY
Homeless Prevention Program/Tom’s Kitchen: The Homeless Prevention Program works to
prevent evictions, maintain a landlord and apartment list, refer to other agencies. Tom’s Kitchen
works to prevent hunger, serves hot noon-time meals, food pantry bags one day a week,
referrals to other agencies.
Together for Meals (Tom’s Kitchen) program: Provides food pantry services and hot lunches.
Clothing rack with donated clothing on site. Referrals to other agencies.
The Salvation Army
Monticello, NY
Service Description:

Emergency Services: To provide emergency food for a natural or manmade disaster.

Energy: Pay for home heating fuel, propane and electric bill.

Medications: Pay for medications under emergency basis.

Pantry: Distribution of Food bags, holiday dinners, and Thanksgiving baskets.

Rent: Help pay for rent when funds are available.

Transportation: Transportation under emergency needs only.
Page 82
Sullivan County Public Health Services Community Health Assessment
November 2013
United Way of Sullivan County
Monticello, NY
Service Description: The United Way of Sullivan County is a local community-based organization
designed to offer assistance to the residents of the County. Assistance is provided in many
different ways, including planning, allocations, communications, cooperative services, a Dress to
Work Program, and fundraising for area non-profits. The United Way works in close partnership
with schools, government, private business, and agencies to pinpoint and address critical
community issues. The United Way mobilizes community volunteers to help people in need and
offers information and referral. The United Way uses contributions to fund a wide variety of
programs and services.
FAMILY PRESERVATION AND SUPPORT
Community Action Commission to Help the Economy, Inc. (CACHE) – Safe Passage –
Domestic Violence Program
Liberty, NY
Service Description: For victims of domestic violence only, 24 hour hotline. Safe Passage
provides advocacy to courts, police departments, Department of Family Services, hospitals;
provides short-term counseling to victims of domestic violence; provides safe dwelling, support
groups and education; provides information about other services in the community; makes
referrals to other programs. Bilingual services are also provided.
Center for Workforce Development (Center for Career Development)
Monticello, NY
Service Description: Assistance in preparing for job searches, composing a resume and
acquisition of job skills. Free GED/ESL classes.
ARC– HCBS (Home & Community Based Services) Waiver
Monticello, NY
Service Description: Under the “Waiver”, service coordination, residential habilitation,
environmental modifications, and adaptive technologies may be accessed.
DRC (Dispute Resolution Services)
Monticello, NY
Service Description: The DRC is a private, not-for-profit organization dedicated to helping
people resolve conflicts through its many programs. At the heart of this effort is Alternative
Dispute Resolution. Dealing with: (Landlord/Tenant, Neighbor/Neighbor Boyfriend/Girlfriend,
Employee/Employer, Credit Card Disputes, Consumer Merchant Issues Crisis Intervention
Hotline, Elder mediation, Divorce mediation, Parent Access (Custody/Visitation), Parent Child
mediation, Peer mediation and Special Education mediation.
Page 83
Sullivan County Public Health Services Community Health Assessment
November 2013
Cornell Cooperative Extension Financial Education
Liberty, NY
Service Description: Offers financial education materials and information regarding family
budgets, credit management and debt repayment planning.

One-on-one budgeting – A financial educator works with clients to help them construct
a family spending plan.

AARP Volunteer Income Tax Program (VITA) - Trained community volunteers prepare
taxes for people over 60 as well as individuals with low-to-moderate incomes.

First Time Home Buyers Class – Educator-organized class focusing on the process of
buying a home.
EmPower NY- Classes are offered year-round at locations around the county that teach
consumer strategies for managing energy costs.

Cornell Cooperative Extension Consumer Education
Liberty, NY
Service Description: The Consumer Education program offers educational materials and
workshops to help consumers avoid financial hardship caused by fraud. The Consumer
Education program partners with the Caregiver Resource Center on the Long Term Care
Insurance Education and Outreach Program, offering classes and lunches to community
members and groups.
Family Empowerment Council INC.
Middletown, NY
Service Description: Provides funding and assistance to individuals with developmental
disabilities living at home with their families, A FEP panel reviews requests for funding and
provides information for referrals for community resources.
Interfaith Outreach United, Inc. – I.O.U. Emergency Assistance/Thrift Shop
Callicoon, NY
Service Description: I.O.U. is a community and church-based organization serving an area of
about 12 miles radius from the hamlet of Callicoon in the Town of Delaware (including the
towns of Cochecton, Fremont, and the Pennsylvania town of Damascus). The I.O.U. operates
Thrift Shop at 107 Main Street in Callicoon and provides emergency assistance to persons and
families in need. The Thrift Shop has a large Food Pantry which provides food assistance for
those in need, as well as a limited amount of furniture. Several area churches provide their local
outreach through the I.O.U.
Page 84
Sullivan County Public Health Services Community Health Assessment
November 2013
People for People Fund
Middletown, NY
Service Description: The People for People Fund assists people in obtaining a fresh start; offers
aid to those who have exhausted all other avenues of financial relief. Will serve Sullivan County.
Self-sufficiency is an objective.
Sullivan County Advocate Program
Liberty, NY

Family Preservation & Support: Intense advocate services for children and families at
serious risk of out-of-home placement owing to PINS and JD behavior.

Wrap-Around Programs and Families Count: Short term crisis intervention services and
intense advocate and case management services for youth and their families at serious
and imminent risk of out-of-home placement.
Sullivan County Department of Community Services – Sullivan Family Support – Parents
for Parents
Liberty, NY
Service Description: Family Support Group and services to families with a child/youth with
emotional or behavioral difficulties. Group meets in Liberty and Monticello three times/month.
Sullivan County Department of Family Services

Adult Services Unit: Adult protection, health-related, housekeeper/chore, homemaker,
personal care aide, home management, housing improvement, residential placement.

Child Protective Services: Child Protective services (abuse & neglect) investigation.

Children’s Services Unit: Foster care, child preventive, adoption.

Home Energy Assistance Program (HEAP): Income-based program during an emergency
to assist in paying fuel and/or utility bills during heating season.

Human Services Intervention and Outreach: Review and investigate citizen or agency
concerns and inquiries relating to the delivery of human services. Assistance in resolving
issues and/or makes referrals to appropriate services. Available to answer questions and
provide information regarding services in Sullivan County. *If not available at time of call,
please leave message. All calls returned promptly.

Medical Assistance: Medical for most medical needs including long term care.
Page 85
Sullivan County Public Health Services Community Health Assessment

November 2013
Temporary Assistance/Food Stamps: Public assistance for monthly income. Food stamps
as supplementation of food needs.
Sullivan County Youth Bureau
Monticello, NY
Service Description: Lead county department in planning services for Sullivan County youth and
families. Outreach, coordination, needs assessment, linkages, and advocacy in addressing youth
needs. Assists in development of programs and services to Sullivan County youth. Provides
funding for programs serving youth in Sullivan County (e.g., special delinquency prevention
programs, Boys & Girls Club, Cares Coalition, youth service and recreation programs; including
municipal recreation programs). Monitors funded programs serving youth to assure high-quality
delivery of services.
HEALTH AND SAFETY SERVICES
Hudson Valley Community Services
Monticello, NY
Service Description: HIV testing, case management; individual and group counseling; support
services; education presentations; health home care management for people with active
Medicaid who have one serious mental illness, or two chronic health conditions, or one chronic
health condition and the risk of developing another.
Pathstones (formerly; Sullivan County Rural Opportunities INC.)
Monticello, NY
Service Description: Case management; individual and group counseling; support services;
education presentations, assistance with financial, medical and housing for people living with
HIV.
Health Information Library at Catskill Regional Medical Center
Harris, NY
Service Description: The CRMC Library offers FREE consumer friendly health information services
to all Sullivan County Residents. Offering library facilities; computer access up-to-date reliable
health information for all ages. A trained Medical librarian to assist you.
Catskill Regional Medical Center
Harris, NY
Service Description: The Sole hospital provider in Sullivan County 164 bed facility, CRMC
provides services at its Harris campus and Callicoon as well as its family health centers in Bethel,
Monticello and Wurtsboro. Providing the highest quality care. CRMC recently added a new MRI,
a response helicopter and new Birthing center: Offering expectant family child birth classes
(call for more information and availability).
Page 86
Sullivan County Public Health Services Community Health Assessment
November 2013
Case Management Department located at Catskill Regional Medical Center
Harris, NY
Service Description: This department provides discharge planning for hospitalized patients both
in the Harris and Callicoon divisions; and for patients in the Harris Family Health Clinic and
Emergency Department. Case Managers assess the patient's level of capacity for self care and
the formal supports necessary to facilitate an appropriate discharge plan. The Case Manager
initiates referrals to agencies, nursing homes or adult homes as appropriate
American Cancer Society
Kingston, NY (serves Sullivan County)
Service Description: Information and referrals; educational programs; patient services; Look
Good…Feel Better; limited financial services.
Hudson River HealthCare Inc.
Monticello, NY
Service Description: Comprehensive quality health care center providing healthcare for all ages.
Same day appointments, offering adult well and sick care, child well and sick care, family
planning, health education, health screenings, HIV testing and counseling, immunizations,
internal medicine, pediatrics. Offering special programs: cancer risk assessments, child health
plus, colorectal screening, family health plus, diabetes control program, healthy women’s
partnership, nutrition counseling.
Fidelis Care Health Plan/W.P.H.S.P. – Child/Family Health Plus
Liberty, NY
Service Description: State subsidized insurance program/plan for uninsured children 18 years
and under, living in Sullivan County at low cost or no cost.
Hudson Health Plan/W.P.H.S.P. – Child/Family Health Plus
Monticello, NY
Service Description: State subsidized insurance program/plan for uninsured children 18 years
and under, living in Sullivan County at low cost or no cost.
Maternal Infant Services Network (covers 4 county area including Sullivan)
Central Valley, NY 10917
(845) 928-7448
Provision of referrals to prenatal care.
NYS Health Department/Monticello Regional office – Environmental Health
Monticello, NY
Service Description: Inspect and regulate children’s camps, food services, temporary residences,
swimming pools, bathing beaches, public water supplies, mobile home parks, sale of tobacco,
childhood lead poisoning home investigations.
Page 87
Sullivan County Public Health Services Community Health Assessment
November 2013
Planned Parenthood Mid-Hudson Valley, Inc. – Planned Parenthood
Monticello, NY
Service Description: Pregnancy testing, GYN exams, birth control methods, HIV antibody testing,
Morning After pill, Pap smear, STD testing, referrals for colonoscopy/mammograms, HRT.
Sullivan County Women’s Health Partnership (NYSDOH grant)
C/o Catskill Regional Medical Center
Harris, NY
Service Description: Sullivan County Breast Health Partnership offers free mammograms, clinical
breast exams, breast self-exam education, and pap smears to women 40 and older who meet
program guidelines.
Eat Smart New York (Cornell Cooperative Extension)
Liberty, NY
Service Description: Health and Nutrition program nutrition education for limited income
families, youth and senior citizens.

Food Safety

Improving Dietary Quality

Resource Management and Budgeting

Hunger and Food Insecurity Issues
Crystal Run Health Care
Rock Hill, NY
Service Description: Crystal Run Healthcare employs 140 physicians in ten locations throughout
the Mid-Hudson Valley and lower Catskill regions. You can have most of your health care needs
met in one place. You can see your primary physician, have lab work and tests done, and make
an appointment with a specialist...all in one day, without leaving the building. Also on-sight
URGENT Care facility.
Sullivan County Public Health Services
Liberty, NY
Service Description: Sullivan County Public Health Services commits to achieving this mission
through the ten essential public health services:

Page 88
Bilingual Outreach: The bilingual outreach program works to reach underserved
Latino populations and emphasize the importance of learning the principles of
becoming self-sufficient in promoting health for themselves and their families. They
are given the skills to overcome cultural and linguistic barriers to accessing medical
appointments and prenatal care, for example, by getting connected with resources
Sullivan County Public Health Services Community Health Assessment
November 2013
for learning English as a second language. Translation and interpretation is available
for PHS clinic appointments and maternal child health programs and visits.
Page 89

Child Passenger Safety Seat Program: The Sullivan County Child Passenger Safety
Seat Program is a program which provides car seats to families (with children
newborn to 8 years old) who reside in Sullivan County and are low income and need
of a car seat; receive education regarding safety awareness; and can show proof of
full time residency.

Disease Prevention and Control: Sometimes known as the epidemiology program,
this office tracks chronic and communicable disease trends in Sullivan County,
investigates and responds to outbreaks, implements health education programs in
regard to many of the more outstanding health risks in the county, and provides
preventive treatment for many of the more dangerous contagious illnesses such as
rabies, tuberculosis, and meningitis. The office also provides immunization clinics,
HIV counseling and testing, sexually transmitted infection diagnosis and treatment,
lead poisoning prevention and case management, tuberculosis control, rabies and flu
clinics, and much more.

Early Care: Early Care continues its mission to identify and evaluate, as early as
possible, those infants, toddlers and preschoolers whose healthy development is
compromised, and provide for appropriate intervention to improve child and family
development.

Health Education: PHS continues to deliver public health education through public
speaking, convening and facilitation of groups, production of teaching materials,
dissemination of public service announcements, and grant paid public awareness
campaigns.

Health Emergency Planning: The health emergency planning program in the county
prepares for and maintains readiness for emergencies, man-made or natural.

Healthy Families of Sullivan: The mission of the Healthy Families of Sullivan program
is to support and serve pregnant and parenting families in Sullivan County through
activities and education that promote positive parent-child bonding and
relationships, promote optimal child health, development, and safety, enhances
parental self-sufficiency, and prevents child abuse and neglect.

Certified Home Health Agency (CHHA): The certified home health agency is the sole
provider of intermittent home care in Sullivan County permitted by the Federal and
State government to care for Medicare and Medicaid recipients. Care is provided to
residents of Sullivan County from birth to death.
Sullivan County Public Health Services Community Health Assessment
November 2013

Long Term Home Healthcare Program (LTHHCP): The Long Term Home Health Care
Program (LTHHCP) continued to maintain and establish solid nurturing relationships
with patients who qualify for nursing home level of care, but who can be kept at
home at a fraction of the cost, in a more comfortable environment.

Maternal-Child Health Nursing: Maternal Child Health (MCH) Nurses perform skilled
nursing visits to antepartal, postpartal and pediatric patients throughout Sullivan
County. Nurses collaborate with other agencies and programs to manage cases and
optimize outcomes. In 2008, the MCH Coordinating Council was developed to
improve communication and collaboration and develop cost-savings measures
between the various programs at Public Health serving the childbearing population.

Physically Handicapped Children’s Program (PHCP): All income-eligible children
under 21 years of age with a qualifying physically handicapped condition are
identified through referrals and self-referral for evaluation. Children not eligible for
either are assisted through this program. The PHCP pays for specific medical care
without causing undue financial hardship on the family. PHCP assists many families
to access Child Health Plus or Medicaid.

Rural Health Network: The Rural Health Network (RHN) is a collaboration of multiple
agencies concerned about health in the County. The Rural Health Network receives
funding from the New York State Department of Health, which offsets salaries as well
as funds activities and subcontracts to improve the overall health of county residents.
The NYSDOH Office of Rural Health monitors the contract deliverables and
expenditures of the grant.

Women, Infants and Children (WIC): The goal of this program is to prevent low birth
weight deliveries and keep babies and children healthy. The program provides
nutrition education and food vouchers for healthy foods for pregnant and
breastfeeding women, infants and children each month. These vouchers are spent in
county stores and keep dollars within the County. PHS operates the only WIC
Program in NYS that does presumptive Medicaid Eligibility applications for the
purpose of getting pregnant women into early prenatal care.
The PRASAD Project – PRASAD Children’s Dental Health Program
Hurleyville, NY
Service Description: Comprehensive dental health program in Sullivan County schools; fluoride
programs, education programs, dental screenings and treatment on mobile dental van. For
Children 6 months and older and pregnant women currently enrolled in WIC.
Page 90
Sullivan County Public Health Services Community Health Assessment
November 2013
Maternal-Infant Services Network
Central Valley, NY
Service Description: Provides health insurance enrollment and in person navigator assistance for
New York State of Health Marketplace for individuals ages 0 to 64 and small businesses. Health
insurance enrollment includes commercial insurance and Medicaid/Child Health Plus.
Women’s Health Center at Hudson River Healthcare
Monticello, NY
Service Description: Provides women’s health care services: mammograms, clinical breast exams,
breast self-exam education, and pap smears and all phases’ ob-obstetrics and mid-wife care.
Neighboring Hospitals
Ellenville Community Hospital (Ellenville), in neighboring Ulster County, isutilized by some
residents of the Grahamsville, Neversink, and Woodbourne areas.
Wayne Memorial Hospital, in Wayne County, Pennsylvania, is used by some residents in
Narrowsburg, Jeffersonville, Callicoon and residents who live along Route 97 on the western end
of the county which borders Pennsylvania.
Bon Secours Community Hospital in Port Jervis is utilized by some residents of the Glen Spey
and Forestburgh areas.
Orange Regional Medical Center in neighboring Middletown is used by some residents in
Mamakating.
Refuah
New Square, NY
Service Description: The Refuah Health Center exists to provide high-quality medical, dental and
supportive services to all who wish to avail themselves of the Center, regardless of economic
status. Based out of Rockland County, Refuah provides services in the following disciplines:










Page 91
Allergy
Behavioral Health
Bone Densitometry
Case Management
Dermatology
Pediatric/Adult Dentistry
Digital Mammography
Family Practice
Gastroenterology
Geriatrics









Obstetrics
Otolaryngology
Ophthalmology and Optical
Services
Pain Management
Pediatrics
Podiatry
Physical Therapy
Pulmonolgy
Urology
Sullivan County Public Health Services Community Health Assessment
November 2013
A & T Healthcare, LLC
Newburgh, NY
Service Description: A & T Healthcare is a licensed home care agency owned and operated by
Registered Nurses. The agency provides the following services:




Skilled nursing
Home Health Aides
Live-in Home Health Aides
Personal Care Aides




Companions and hospital sitting
Private duty nursing
Physical, occupational, and speech therapy
Social work
Hospice of Orange & Sullivan Counties, Inc.
Newburgh, NY
Service Description: Hospice care is a specialized form of treatment and service for a patient
with an advanced end stage illness having a life expectancy of less than six months. Hospice
enables patients to live every day of life to the fullest, focusing on comfort and the
enhancement of the individual's quality of life.
Sullivan County Veterans Service Agency
Monticello, NY
Service Description: Benefits and services available to veterans who have received an honorable
discharge include: medical care advocacy, disability compensation claims, disability pension
claims, insurance, death pension benefits, dependency and indemnity compensation, burial in a
veteran's cemetery (either Sullivan County or national) with headstone or grave marker and
burial flag.
SPECIAL CARE NEEDS
Sullivan ARC
Service Description:
A. Clinical Services provides services to individuals with developmental disabilities and mental
retardation. The staff provides professional, high quality services aimed at assisting individuals
with functional and/or adaptive behavioral skill limitations achieve higher levels of
independence. Areas addressed include: Mobility, activities of daily living, socialization,
functional communication, self-esteem, assertiveness, problem solving, frustration tolerance,
vocational enhancement, hearing-aid training, mental health, dental, foot care, nutrition and
nursing services. Services offered are:






Page 92
Audiology
Psychology
Psychiatry
Nursing
Social Work
Dentistry





Podiatry
Speech Therapy
Occupational and Physical Therapy
Nutrition / Dietary Services
Rehabilitation Counseling
Sullivan County Public Health Services Community Health Assessment
November 2013
B. Day Program

Pre-Vocational: Provides opportunities for consumers of all types of developmental
disabilities to learn how to function in a work atmosphere. Training focuses on
developing the basic work skills/ethics and social appropriateness for the world of
work.

Pre-Academic/Environmental Awareness: Skills for daily living.

Senior Center: Social, recreational and learning opportunities for persons 50 and
older.

Sensory Stimulation: Helps to develop physical, mental and emotional well being
through sensory responses, in areas such as balance, strength, coordination and selfawareness.

Day Habilitation: Provides opportunities for consumers with all types of
developmental disabilities to learn how to access their community. The program
addresses issues that prevent consumers from accessing their community such as
social skills, hygiene and behavioral skills. The program also has a general health and
wellness component that addresses weight control, dietary needs, and stress
reduction techniques.
C. Vocational Services

SullivanArc’s Vocational Services has a double identity – working with individuals to
strengthen their job and social skill, and providing real work opportunities in a range
of appropriate, manageable settings, developing their work skills. It is a safe and
supported learning environment where individuals can grow and mature to reach
their greatest potential in the workplace.

Employment services, affords individuals one-on-one job support and training in
community job placements. Often called “Supported Employment,” this model
utilizes an employment developer and a job coach, and job support.
D. Residential Services

Page 93
SullivanArc’s Residential Program provides family style housing in 27 neighborhoods
throughout Sullivan County. Options include supportive apartments, supervised
apartments and family-style households (individualized residential alternatives, or
I.R.A’s) for 3-10 persons, each designed to offer support and independence, personal
privacy and access to the community.
Sullivan County Public Health Services Community Health Assessment
November 2013
New Hope Community
Loch Sheldrake, NY
Service Description: This is a residential setting for individuals with developmental and other
disabilities and in the community. New Hope is dedicated to providing viable options for
individuals to live, experience and explore their greatest level of independence. New Hope
Community offers an array of living options that are individually suited for each person. They
provide supports to over 200 people currently living in their community and provide a variety of
living options ranging from apartments, small homes, to a campus based setting. They offer
specialized homes and options for people with intellectual and other developmental disabilities
who are aging and may also be experiencing Alzheimer’s and dementia. They also provide
specialized homes that support adults with autism as well as home environments and day
activities for adults with challenging behaviors.
Crystal Run Village Inc.
Monticello NY
Service Description: Group and Independent Residential Opportunities, Supported
Employment/Job Placement, Service Coordination, Educational and vocational Services, Respite
House and In-home Respite, Village Care, Mobile Work Crew, Mental Health Services, The
Invisible Children’s Program, Residential Services for the Dually Diagnosed, Day Habilitation &
Residential Habilitation, HUD Supportive Housing for Families, Shelter Care Plus, Single Point of
Entry for Mental Health Services, Recreation, and Community Development for People with
Disabilities who are Homeless. Crystal Run Village, Inc. serves individuals with developmental
disabilities attributable to mental retardation, autism and spectrum disorders, downs syndrome,
epilepsy, neurological impairment, cerebral palsy and/or mental illness.
Sullivan Diagnostic Treatment Center (Center for Discovery)
Harris, NY
Service Description:
Educational Services:
 Social Interaction
 Total Communication
 Environmental Interaction
 Integrated Services
 Nutritional and Health
 Vigorous Exercise and Physical
 Structured Approach to Teaching
Well-being
 Independence in Interactions
 Evidence based outcomes
Residential Services Program:
Page 94

Pediatric residences: are home to children from the age of 5 to 21. The program and
the environments themselves are informed by the belief that all children can be
motivated, challenged and developed as complete individuals.

The Adult residences: at offers residential-living options to individuals over 21. In
support of its mission to help everyone reach their full potential each home is
Sullivan County Public Health Services Community Health Assessment
November 2013
designed to accommodate different levels of independence and to give individuals
the opportunity to develop as part of a community.

Clinical Services: The Health Center houses an Article 28 Clinic which provides on-site
primary medical, dental, neurology, orthopedic, audiology, psychiatry, podiatry and
other specialty clinics.
Lighthouse International -- Mid Hudson Valley
New York, NY
Service Description: Lighthouse International offers vision rehabilitation services to equip people
with vision impairment -- from partial sight to blindness -- with the skills and strategies they
need to remain safe, independent, and active at any stage of life.
Arcadia Residence
Liberty, NY
Service Description: Provides adult home care and health services to any individual age 18 and
over and in need of assistance with personal care, assistance with taking medications, or meals.
Narrowsburg Home for Adults
Narrowsburg, NY
Service Description: Provides services to adults ages 21 and over with the ability to care for own
personal needs with minimal assistance. Personal services include assistance with bathing and
grooming, beautician and barber, medication management, 24-hour a day supervision, daily
activity events, case management, weekly on-site psychologist. A Certified Home Health Agency
provides nurses and home health aides. Residential services include private and semi-private air
conditioned rooms, personal laundry service, housekeeping, three nutritious meals daily, special
diets, healthy snacks, call bell system, courtesy phone, and a business office. Additional services
include cable TV in the room and medical transportation.
The New Swan Lake Adult Home
Swan Lake, NY
Service Description: Provides adult home services including:
 Private and semi-private rooms
 On-site physician follow-up and doctors on call 24 hours a day
 Individual personal care 24 hours a day including supervision and assistance with
medications, personal hygiene and ambulation
 Every day three nutritionally balanced meals and evening snack supervised by
licensed nutritionist, with special attention given to prescribed diet
 Planned social and cultural activities
 Religious services
 Comfortable home atmosphere
 On-site beauty salon
 Opportunities to develop new friendships and to socialize with peers
Page 95
Sullivan County Public Health Services Community Health Assessment
November 2013
Jeffersonville Senior Living
Jeffersonville, NY
Service Description: Provides adult home services including long-term residential care, room,
board, housekeeping, personal care, and supervision.
Early Childhood Direction Center Located at Independent Living, Inc.
Newburgh, NY
Service Description: The Early Childhood Direction Center (ECDC) provides information and
assistance related to programs and services for children, under age 5, who have special needs,
diagnosed conditions, or suspected delays in development. Delays may include difficulty:
talking, moving around, thinking, learning,or behaving. Special needs may be related to chronic
medical conditions.
Traumatic Brain Injury (TBI) Service Coordination located at Independent Living, Inc.
Newburgh, NY
Service Description: The program assists persons with Traumatic Brain Injury (TBI) in developing
and maintaining a service plan that will allow them to access and secure necessary services and
supports so that they may live as independently as possible in the community.
Persuad Family Homes
Jeffersonville, NY
Service Description: Family-type homes that provide an atmosphere of family living for adults
who are unable to live on their own. Family-Type Homes for Adults are provided by people who
have a desire to help others and have extra room in their homes.
WILLCARE
Monticello, NY
Service Description: WillCare, a family owned agency, provides the following programs:

Co-Pilot: In cooperation with Sullivan County Department of Family Services, is designed
for self-directing individuals – who require or receive personal care and housekeeping
assistance under Medicaid – to manage their own home care services.

Lend-A-Friend: Lend-A-Friend is a private homemaker and companion program that
provides at-home assistive services for daily living. This program is designed for those
able to manage their personal care but who need assistance with tasks and activities, or
a personal companion.

Aide Services: Provides services including: Home health aides; personal care aides;
environmental aides; homemakers; companions; and sitters and escort aides that provide
assistance ranging from personal care, light housekeeping, meal preparation and
shopping to routine maintenance exercises, medication compliance and monitoring vital
signs.
Page 96
Sullivan County Public Health Services Community Health Assessment

November 2013
Skilled Nursing Services: Our registered and licensed nurses are available 24 hours a day,
everyday, to provide a variety of in-home or in-facility skilled nursing services.
Direction at Family Empowerment Council, Inc.
Middletown, NY
Service Description: "Direction" is a Consumer Directed Personal Assistant program. Individuals
with disabilities receive assistance in their homes with activities of daily living. The individual
hires a personal assistant of his/her own choosing to assist with personal hygiene,
environmental care, and errands.
Any-Time Home Care, Inc.
Middletown, NY
Service Description: Any-Time Home Care provides home care services that encourage personal
growth and a return to a healthy and independent lifestyle.
Options/CDPAS located at Independent Living, Inc.
Newburgh, NY
Service Description: As an Independent Living Center, we offer core services to persons with
disabilities that are critically important to fostering motivation, independence, self-direction,
employment, social integration, community participation and the elimination of attitudinal,
physical, and systemic barriers. Independent Living Inc. is run by people with disabilities for
people with disabilities. Core programs include information and referral services, peer
counseling, individual and systems advocacy, and independent living skills training. Other
services vary from center to center but generally include: assistance with housing, education,
employment, medical needs and personal attendant services.
Personal Care Services
Liberty, NY
Service Description: An aide assists disabled or elderly Medicaid recipients in the activities of
daily living.
Sherry Kay Home Health Care, Inc.
Port Jervis, NY
Service Description: Provides assistance with household tasks such as laundry, shopping, or meal
preparation, assistance with the physician's plan of treatment such as wound care, medication
administration, assistance with daily activities such as bathing, dressing, or eating, respite from
care of a child, spouse, parent, or other loved one, and warm and caring companionship.
Unlimited Care, Inc.
Middletown, NY
Service Description: Unlimited Care is a licensed provider of home care services, including:Health
care services, convalescent care, respite care, pediatric care specialties, private duty, insurance
visits, and hi-tech infusions services.
Page 97
Sullivan County Public Health Services Community Health Assessment
November 2013
Wellness Home Care, Ltd.
Goshen, NY
Service Description: Wellness Home Care, Ltd. provides skilled nursing and personal services
including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Personal Care Aides (PCAs),
Home Health Aides, companions, rehabilitation therapists, and home care management.
Medicaid Department at Sullivan County Department of Family Services
Liberty, NY
Service Description: Determines Medicaid eligibility for nursing home care based on resources
and income.
Community Home Health Care
Spring Valley, NY
Service Description: Licensed provider of home care that provides aide, nursing, and therapy
services to clients.
Respite Care: Help for the Caregiver
Cornwall, NY
Service Description: Licensed provider of home care that provides medical care and/or
assistance with daily tasks to enable elderly adults to stay in their home.
Call Care Management
Warwick, NY
Service Description: A geriatric care management agency that helps families determine what
kind of health and social care their aging or diabled loved-one needs, and the community and
entitlement resources available to them. The agency then assists in planning and coordinating
that care on an ongoing basis.
LEGAL SERVICES
Sullivan Legal Aid Panel INC
Monticello, NY
Service Description: Providing free or Low cost legal services to individuals in need.
Sullivan County Bar Association Lawyer Referral Service
Liberty, NY
Service Description: This is a 24-hour answering service. When a person calls, he/she will be
given one referral -- the name, address, and telephone number of an attorney. A person may
call multiple times, but will only receive one referral in a twenty-four hour period, thus allowing
time for the attorney to respond.
Page 98
Sullivan County Public Health Services Community Health Assessment
November 2013
Legal Assistance for Seniors (Office for the Aging)
Monticello, NY
Service Description: Legal assistance is available to assist seniors with problems involving Social
Security, Medicare, and other benefit programs; landlord/tenant disputes; problems relating to
the ownership of property; and problems which are not of a fee-generating nature.
Legal Services of the Hudson Valley
Newburgh, NY
Service Description: Provides free, high quality counsel in civil matters for poor and low-income
individuals and families who cannot afford to pay an attorney, where basic human needs are at
stake.
Dispute Resolution Center
Monticello, NY
Service Description: The Dispute Resolution Center uses a panel of trained volunteer mediators
to assist people in resolving conflicts related to elder mediation, landlord/tenant, husband/wife,
neighbor/neighbor, small claims issues, parent/child, Lemon Law arbitration, manufactured
home mediation, agricultural mediation, custody/visitation, divorce mediation, special education
mediation, and parent education.
MENTAL HEALTH
Catskill Regional Medical Center – Mental Health Unit
Harris, NY
Service Description: Inpatient psychiatric treatment for adolescents and adults.
Friends & Advocates for Mental Health
Monticello, NY
Service Description: Family support and advocacy for people recovering from mental illness.
They promote education and public awareness of mental illness as well as advocate for
continually improved programs for people living with mental illness. Sponsor social programs.
NYS Office of Mental Health – Rockland Children’s Psychiatric Center
Liberty, NY
Service Description:
Intensive Day Treatment: Clinic and crisis intervention services to prevent placement and/or to
transition children returning from hospitals.
Sullivan Intensive Day Treatment: Crisis program providing equal mix of academics and
therapeutic interventions for students in Sullivan County schools, daily group therapy, and
individual sessions as needed. Transitioning services to home schools.
Page 99
Sullivan County Public Health Services Community Health Assessment
November 2013
Stepping Stones – Psychosocial Club
Monticello, NY
Service Description: Club for adults who are mentally challenged offering vocational,
socialization, rehabilitation, education, and recreation. Aim is to reintegrate people with mental
disabilities into the community to provide a social support network.
Sullivan County Department of Community Services
Liberty, NY
Service Description:

Case Management Unit: Psychiatric case management (advocacy, linkage, coordination,
monitoring of clients through outreach services and home visits); services provided to
chronic mentally ill population of Sullivan County.

Continuing Day Treatment Program: Continuing treatment (all day) program for the
seriously and persistently mentally ill, therapeutic activities, individual and group therapy,
case management, activities of daily living training, and medication management.

Mental Health Clinic: Full range of mental health services for adults and children
including social work, psychological and psychiatric treatment. Treatment modalities
include individual, group, family and medication evaluation.

Treatment Reaching Youth (TRY) Program: The TRY Program provides the full range of
mental health treatment services onsite in all Sullivan County school districts except for
BOCES and Roscoe.

“Turning Points” Intensive Psychiatric Rehabilitation Program: “Turning Points” is a
program for the chronically mentally ill client who has the ability and desire to establish
and begin working in a rehabilitation goal in one of the areas of working; living space;
learning and/or socializing in a time limited milieu.
The Council on Alcoholism & Drug Abuse of Sullivan County, Inc. – Recovery Center
Monticello, NY
Service Description: An innovative 16-week cycle program for children at risk of being
orphaned as a result of AIDS. Program uses art, play and education to help children talk about
their feelings, help families to communicate, and to assure permanency planning.
Page 100
Sullivan County Public Health Services Community Health Assessment
November 2013
SENIOR SERVICES
Sullivan County Office for the Aging
Monticello, NY

Aging Services: To provide opportunities for the older population to secure and maintain
its independence and dignity, to improve the quality of life for all persons 60 years of
age and older.

Caregivers: The OFA provides training and support of family members, friends and
neighbors who care for the elderly. Caregiver manuals, pamphlets, and video tapes are
available.
Expanded In-Home Services for the Elderly Program: Non-medical in-home support
services to eligible individuals. Targeted to assist individuals who are not eligible to
receive in-home services through Medicaid. It is a cost sharing program determined by
a sliding scale and the amount of household income. EISEP provides case management,
assistance with dressing, bathing, cooking and cleaning.


HEAP/Weatherization: HEAP (Home Energy Assistance Program) is a federally funded
program designed to assist senior and low-income people meet their energy costs. In
conjunction with HEAP, there are various programs to help with weatherization. These
programs include insulation, weather-stripping, storm windows, furnaces, and other
forms of energy-saving measures.

Information and Referral & Case Management Services
o The OFA’s Information and Referral Office answers questions, solves problems,
and makes arrangements for the senior to receive various types of services (EPIC,
Adult Protective, Housing-Income, Legal Services, Social Security, etc...).
o `Case Management is one of the basic services provided by the OFA. The
caseworkers offer individualized information to clients on a one-to-one basis in
their own homes. The home visits are for persons who are homebound, frail
and/or isolated.

Nutrition Program: Provides a hot, nutritious meal to the elderly of Sullivan County, both
in the congregate and homebound setting, to offer nutrition education to those who
need it, and help maintain the independency of all elderly.
Senior Transportation Services: Shopping bus from home to Liberty or Monticello.
Available every weekday in different areas of the county. Bus picks up passengers at
their homes. We provide medical transportation for the wheelchair bound and those with
ambulatory problems. Suggested donation:

Page 101
Sullivan County Public Health Services Community Health Assessment
November 2013

Health Insurance Information Counseling & Assistance Program: Provides information to
seniors who are having problems with their insurance. Volunteers assist in dealing with
issues.

Equipment Loan Closet: Provides medical equipment that seniors may borrow for their
personal use. Durable medical equipment is available which allows seniors to get the
equipment they need without investing in something they will need only short term.

RSVP Program: Retired Senior Volunteer Program RSVP members make a difference in
the lives of those in need. With each new experience, volunteers meet new people and
work to solve new problems, creating solutions that benefit everyone. People who
participate in the Retired and Senior Volunteer Program choose among a variety of
different volunteer opportunities, such as tutoring/mentoring children, helping with
special events in the community, answering telephones for non-profit organizations.
Sullivan NYCONNECTS: Acts as a bridge between consumers and long term care services
that utilizes a single Point of Entry. A single Point of Entry makes things simpler for
people who are learning about long term care services and who need to make decisions.
At this single Point of Entry consumers and their caregivers will receive: Comprehensive
and unbiased information and assistance regarding long term care options, screening of
general social, medical and financial needs.

Cornell Cooperative Extension Caregiver Resource Center
Liberty, NY
Service Description: Works with the Sullivan County Office for the Aging to provide services and
support to families and caregivers of seniors who wish to remain within their community for as
long as possible; provides information and referrals to appropriate agencies; has an extensive
resource lending library to better assist the care giver and receiver; offers support groups and
training programs for caregivers such as legal and estate planning issues, communication issues,
stress reduction etc. Respite services are also a possibility and arrangements can be made
through the Sullivan County Office of the Aging.
Sullivan County Adult Care Center
Liberty, NY
Service Description: A full service residential 160 bed skilled nursing facility, this is a 24 hour full
care nursing care facility. This facility has onsite rehabilitation, Adult day care.
Achieve Rehabilitation & Nursing Facility
Liberty, NY
Service Description: A full service residential 140 bed skilled nursing facility, this is a 24 hour full
care nursing care facility. This facility has onsite rehabilitation.
Page 102
Sullivan County Public Health Services Community Health Assessment
November 2013
Catskill Regional Medical Center (SNU)
Harris, NY
Service Description: A full service residential 64 bed skilled nursing facility, this is a 24 hour full
care nursing care facility. This facility has onsite rehabilitation, Adult day health care, Clinical
laboratory services, Diagnostic radiology, and PRI baseline services.
Roscoe Regional Rehabilitation and Residential Health Care Facility
Roscoe, NY
Service Description: A full service residential 85 bed skilled nursing facility, this is a 24 hour full
care nursing care facility. This facility has onsite rehabilitation, Adult day health care, short term
respite care, and baseline services.
Hands On! The Hudson Valley Long Term Care Ombudsman Program
Poughkeepsie, NY
Service Description: Program provides advocacy services for all residents of licensed long term
care facilities which includes nursing homes, assisted living/adult care facilities, and family-type
homes. Provides advocacy services as contained in the New York State laws, regulations, and
statutes of the NYS Social Services Law, Section 487 -- Standards for Adult Homes; and in NYS
Department of Health Nursing Home Standards.
Managed Access/County Wide Case Management Program located at Catskill Regional
Medical Center
Callicoon, NY
Service Description: Assists patients with no means of payment to obtain health insurance,
medications, and medical services. Assists with completion of Nursing Home Medicaid
applications. Assists with completion of Patient Review Instrument (PRI) for Nursing Home
Placement. Assists patients with the scheduling of medical appointments. Provides patient
education regarding disease process, medications, and diet. Assists in obtaining personal
emergency response systems. Provides linkage to other agencies and referral services.
Swing Bed Program at Catskill Regional Medical Center
Callicoon, NY
Service Description: Provides short term nursing care, rehabilitation, nutritional therapy, physical
therapy, occupational therapy, case management, speech therapy, and respiratory therapy
activities to individuals recovering from major surgery, experiencing repeated hospitalizations,
recovering from a stroke, dealing with pain management, requiring wound care or amputation
care, coping with congestive heart failure, resolving conditions, and/or needing enteral nutrition.
Page 103
Sullivan County Public Health Services Community Health Assessment
November 2013
Senior Advocacy Groups
Middletown, NY; Monticello, NY; Newburgh, NY; South Fallsburg, NY
Service Description: The following organizations serve and empower seniors and individuals
living with disabilities to improve their quality of life:





Action Toward Independence, Inc.
Alzheimer’s Association
Deaf and Hard of Hearing Services located at Independent Living, Inc.
Independent Living, Inc.
Seniors Legislative Action Committee (SLAC) of Sullivan County
TRIAD
Liberty, NY
Service Description: TRIAD is a partnership among senior citizens, senior providers and law
enforcement to assess the needs of senior citizens towards the goal of reducing elder violence,
victimization and abuse.
SUPPORT GROUPS:
There are many support groups present through various organizations in the County, for
example: Catskill Regional Medical Center, the Recovery Center, Sullivan County Community
Services, BOCES, RISE, and others, run groups. Please refer to the agency which serves a specific
purpose to obtain the contact information and to follow up any existing support groups that
they may offer.
Additional Resources:
Addition resources to support healthy youth and families are provided in Appendix B. These
resources are related to the following areas of need:















Crisis Intervention
Alcohol, Drug, Substance Abuse
Social Services
Economic Development
Educational Support
Family-Life Support
Family Needs (Shelter, Food, Domestic Violence Support, Legal Assistance)
Health and Medical
Mental Health
Mental Retardation/Developmental Disability
Recreation and Youth Development
Youth Employment
Youth Mediation
Youth Support Groups or Trainings
Youth Out-of-Home Placement, Detention
Page 104
Sullivan County Public Health Services Community Health Assessment
November 2013
APPENDIX A: Secondary Data Profile References
Bureau of Labor Statistics. (2013). Local Area Unemployment Statistics. Retrieved from
http://www.bls.gov/lau/
Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System.
Retrieved from http://www.cdc.gov/brfss/index.htm
Centers for Disease Control and Prevention. (2012). Births: Preliminary data for 2011. Retrieved
from http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_05.pdf
Centers for Disease Control and Prevention. (2012). Deaths: Preliminary data for 2011. Retrieved
from http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_06.pdf
Centers for Disease Control and Prevention. (2012).Lyme disease. Retrieved from
http://www.cdc.gov/lyme/stats/index.html
Centers for Disease Control and Prevention. (2012). Sexually transmitted diseases (STDs).
Retrieved from http://www.cdc.gov/std/stats/default.htm
Centers for Disease Control and Prevention. (2012). Tuberculosis. Retrieved
from http://www.cdc.gov/tb/publications/factsheets/statistics/TBTrends.htm
Centers for Disease Control and Prevention. (2012). Viral hepatitis. Retrieved from
http://www.cdc.gov/hepatitis/Statistics/2010Surveillance/index.htm
Centers for Disease Control and Prevention. (2013). HIV/AIDS. Retrieved from
http://www.cdc.gov/hiv/statistics/index.html
Centers for Disease Control and Prevention. (2013). National program of cancer registries (NPCR).
Retrieved from http://apps.nccd.cdc.gov/uscs/
Federal Bureau of Investigation. (n.d.). Crime statistics. Retrieved from
http://www2.fbi.gov/ucr/cius2009/index.html
New York State Department of Health. (2010). New York state expanded behavioral risk factor
surveillance system. Retrieved from
http://www.health.ny.gov/statistics/brfss/expanded/2009/prevention_agenda/county/
New York State Department of Health. (2011). Cancer data for New York state counties. Retrieved
from http://www.health.ny.gov/statistics/cancer/registry/vol1.htm
Page 105
Sullivan County Public Health Services Community Health Assessment
November 2013
New York State Department of Health. (2012). 2011 Communicable disease annual reports.
Retrieved from http://www.health.ny.gov/statistics/diseases/communicable/2011/
New York State Department of Health. (2012). Information on asthma in New York state.
Retrieved from http://www.health.ny.gov/statistics/ny_asthma/
New York State Department of Health. (2012). New York state HIV/AIDS surveillance annual
report. Retrieved from http://www.health.ny.gov/diseases/aids/statistics/annual/2010/
2010-12_annual_surveillance_report.pdf
New York State Department of Health. (2012). Vital statistics of New York state. Retrieved from
http://www.health.ny.gov/statistics/vital_statistics/
New York State Department of Health. (2013). Vital statistics of New York state. Retrieved from
http://www.health.ny.gov/statistics/vital_statistics/
New York State Division of Criminal Justice Services. (2013). Criminal justice statistics. Retrieved
from http://www.criminaljustice.ny.gov/crimnet/ojsa/stats.htm
Robert Wood Johnson Foundation. (2013). County health rankings & roadmaps. Retrieved from
http://www.countyhealthrankings.org
U.S. Census Bureau. (2000). Census 2000 gateway. Retrieved from
http://www.census.gov/main/www/cen2000.html
U.S. Census Bureau. (2012). American fact finder. Retrieved from
http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml
U.S. Department of Health and Human Services. (2012). Healthy People 2020.
Retrieved from http://www.healthypeople.gov/2020/default.aspx
U.S. Department of Health and Human Services. (2013). The 2013 HHS poverty guidelines.
Retrieved from http://aspe.hhs.gov/poverty/12poverty.htm
Page 106
Sullivan County Public Health Services Community Health Assessment
November 2013
APPENDIX B: Community Survey Statistical Considerations
The final community survey sample (752) yields an overall error rate of +/-3.6% at a 95%
confidence level. This means that if one were to survey all residents in Sullivan County, the final
results of that analysis would be within +/-3.6% of what is displayed in the current data set.
Data collected from the 752 residents was aggregated and analyzed by Holleran using IBM SPSS
Statistics. The detailed survey report includes the frequency of responses for each survey
question. In addition, results from the 2009 HEAL 9 survey are included when available to
indicate how the health status of Sullivan County residents has progressed over time.
Frequencies and statistically significant differences between select demographic subgroups
(gender, grade level, race/ethnicity) in Sullivan County are also noted. However, frequencies by
demographic subgroups are omitted if the count for a subgroup is less than four, and
statistically significant differences by demographic subgroups are omitted if the count for a
subgroup is less than 30. For example, if less than four Black/African American participants
answered a question, their responses are masked.
Statistically significant differences between demographic subgroups are denoted by reference
letters. If a reference letter (A, B, C, etc.) appears next to a percentage, that percentage is
significantly larger than the percentage denoted by the reference letter. Table 3 provides an
example of the use of reference letters. Holleran runs Z-tests and Chi Square tests in SPSS to
identify statistically significant differences and uses p values <.01 as the cutoff for significance.
Applied example of the use of reference letters in showing
statistically significant differences
A. Females
Percentage of residents who visited a
local farmer’s market in the past year
64.7%
B
B. Males
52.8%
In the example, females are referenced by the letter “A” and males are referenced by the letter
“B.” The reference letter, B, appears next to the percentage for females denoting that the value
of 64.7% is significantly higher than that of males (52.8%). In other words, the percentage of
females in Sullivan County who visited a local farmer’s market in the past year is significantly
higher than the percentage of males who visited a local farmer’s market in the past year.
Page 107
Sullivan County Public Health Services Community Health Assessment
November 2013
APPENDIX C: Community Survey Participant Demographics
Sullivan County
2013 Community
Health Survey
Sullivan County
Population
(2012 Census)
29.1%
70.9%
50.5%
49.5%
7.6%
12.9%
15.2%
40.4%
17.4%
6.5%
11.7%
15.3%
13.9%
37.8%
7.2%
1.4%
83.4%
1.9%
7.2%
13.3%
2.1%
86.0%
N/A
2.9%
26.8%
73.2%
14.2%
85.8%
Gender
Male (n= 202)
Female (n= 493)
Age
18 - 24 (n= 51)
25 - 34 (n= 87)
35 - 44 (n= 102)
45 - 64 (n= 272)
65 - 80 (n= 117)
81 and Older (n= 44)
21.2%
Race
African American/Black (n= 42)
Asian/Pacific Islander (n= 8)
Caucasian/White (n= 489)
Native American or Alaska Native (n= 11)
Other (n= 42)
Ethnicity
Hispanic/Latino (n=178)
Non-Hispanic/Latino (n= 486)
Page 108
Sullivan County Public Health Services Community Health Assessment
November 2013
APPENDIX D: Prioritization Session Participants
Name
Title
Organization
Bruce Ellsweig, MD
Physician
Anita Parkhurst
Grant Administrator
Rob Lee
Administrator
Greater Hudson Valley Health
System
Jean-Paul Vallet
Director of Strategic
Planning
Greater Hudson Valley Health
System
Marcy Manheim
Director of PR and Marketing
Greater Hudson Valley Health
System
Barb Kunlik
Martha Scoppa
Susan Clark
Laura Quigley
Heide Padre
Public Health Advisor
Point of Entry Coordinator
Sullivan County Public Health
Educator
Director
Compliance Officer
Sullivan County Office for the Aging
Sullivan County Public Health
Services
Center for Workforce Development
Refuah Health Center
Caren Fairweather
Executive Director
Maternal-Infant Services Network
Nancy McGraw
Public Health Director
Sullivan County Public Health
Services
Cecilia Escarra
Administrator
PRASAD Children’s Dental Health
Program
Kaytee J. Warren
Amanda Langseder
Chief Professional Officer
WIC Coordinator
Sonja Hedlund
Independent Farming
Professional
United Way
Sullivan County Public Health
Services
Apple Pond Farm & Renewable
Energy Education Center
Joseph Todora
Director of Community
Services
Sullivan County Department of
Community Services
Joan Kern
Dan Grady
Director
President & CEO
North Branch Planning Council
Hospital of Orange & Sullivan
Counties, Inc.
Gerard Galarneau, MD
Chief Executive Officer &
Chief Medical Officer
Catskill Regional Medical Center
Page 109
Greater Hudson Valley Health
System
Catskill Regional Medical Center
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
APPENDIX E: Additional Community Resources for Youth and Families
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area Code is [845] unless otherwise noted)
Crisis intervention
Crisis intervention, mental health
SC Community Services 292-8770 daytime only
Community Services Mental Health clinic/agency
Mobile Mental Health
791-7123 or toll-free
(800) 710-7083;
Crisis intervention 24-hour for adults (age 18 and older)
Children’s Mobile Crisis
Intervention
701-3777 after-hours
only (5 pm–7 am)
Crisis intervention for children and youth under age 18
Crisis line, after-hours, 24/7
Dispute Resolution
(866) SC-YOUTH,
Crisis de-escalation and emergency referrals, follow-up mediation as needed
(866) 729-6884 toll-free
Crisis respite services
Through SC DFS
292-0100
Preventive mandated service provided by A Friend’s House (RHYA),
Middletown, or by foster boarding homes
Drug screening, urinalysis
Probation officers
794-3000 x 3400
Random urine screening to all PINS youth when indicated and accepted by
parent
Drug screening, blood or urinalysis
CRMC, Catskill Regional N/A
medical Center, or
private MD
No specific private providers; refer to family practitioner or hospital; also
available through intake appointments with Recovery Center or SCADAS
Other evaluation or intervention
Recovery Center
Range of education, treatment, and support services for both teen and family;
parent involvement mandated. Includes summer camp and positive quasirecreational activities for children of parents with substance-abuse problems
or with HIV
Alcohol, drug, substance-abuse
services
Page 110
794-8080
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area Code is [845] unless otherwise noted)
SCADAS, SC Alcohol/
Drug Abuse Services
292-8770
Evaluation, education, support groups, individual counseling, treatment, family
Recovery Center
794-8080
DATA, day treatment program for adolescents, including education
component
292-8770
Consult SC Community Services for placement options
Sullivan County
Intergroup Association
295-1010
For AA (Alcoholics Anonymous), NA (Narcotics Anonymous), and GA
(Gamblers Anonymous), Alateen, Alanon; services include a 24-hour answering
service (295-1010) for referrals to support meetings around the county
Preventive, with or without family
advocate
SC DFS Services
292-0100
CPS or home assessment
SC DFS Services
292-0100
DSS medical assistance
SC DFS
292-0100
DSS public assistance
SC DFS
292-0100
PathStone
343-0771 x 131
Intensive in-community treatment
needed
Residential treatment needed
Alcohol, specifically
DSS services indicated
Economic development for youth,
families
Individual and family empowerment
Page 111
Community development and human services: adult training/employment,
child and family development, youth education/training, emergency/support
services, housing assistance/rehabilitation, small-business entrepreneurship,
community revitalization
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
November 2013
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Educational support for youth,
families
Special-education or other
education advocacy as well as
education for parents
BOCES SETASC (special
292-0082 x 4040, 4042, Individual parent education and student advocacy for families with children with
education technical
4046; or 295-4040, 295- special-education needs; contact family education advocate 295-4040, admin
assistance service center) 4042, 295-4046
asst Faith Dymond 295-4046
ATI, Action Toward
Independence
794-4228
Individual parent education and student advocacy for families with children with
special-education needs; free parenting classes, autism support group,
educational advocates, autism social skills for kids and teens, help with
SSI/Medicaid; contact Joan Summa, Linda Simmons
Independent Support
Services
794-5218
Individual parent education and student advocacy for families with children with
special-education needs; contact Alan Kulchinsky
BOCES
292-0082 administration Range of classes and support services for children and teens with high needs
and/or at special risk
Project Excel (Easter
Seals)
794-4020
Universal pre-K, ages 3–4. Special-needs children age 2.9 months–5 years: any
CSE in county can refer child; Project Excel does all needed evaluations
(psychological, speech, physical), has all therapists on site as staff or independent
consultants for evaluations as well as treatment
School districts
N/A; individual district
Suggest that parents request testing, CSE through local districts; provide referral
to advocacy services such as Parents for Parents/SETASC and ATI
Least restrictive environment, local School districts
district
N/A; individual district
Larger districts have 504 classrooms, supports (e.g., Fallsburg)
School districts
N/A; individual district
Individual districts must provide home tutoring for youth out of school (e.g.,
long-term suspension) and after-school learning assistance
Literacy Volunteers of
Sullivan County, LVSC
794-0017
Literacy-related tutoring available for older youth dropouts as well as adults;
training for literacy volunteer tutors and ongoing in-services available; additional
trainings through Hudson Valley / Catskill Partnership, 292-0082 x 4022
Intensive special-educational
support
Educational testing/evaluation, SE
(special education) evaluation
Tutoring
Page 112
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Mentoring
School districts
N/A; see individual
districts
A number of districts have in-school mentoring programs; there is no Big
Brother/Big Sister program in our area
Boys & Girls Club
342-8833
After-school programs in Fallsburg, Liberty, and Monticello districts include
mentoring and homework help in addition to prosocial, skill-building, preventive,
and recreation activities; contact John Kane or Karen Juers
Youngsville School
292-0082 BOCES
For behavior problems; administered through BOCES. SE youth not eligible.
Includes on-site satellite substance-abuse services through Recovery Center
SC Child Care Council
292-7166
Contact Child Care Council for information, recommendations
Home-schooling supports
Frost Valley
985-2291
Frost Valley YMCA offers activities (mostly weekends) for home-schooling
families throughout the school year; weeklong family camp end of August.
Contact activities director and/or day camp director
Other educational alternatives
After-school alternative
education programs
N/A; individual district.
292-0082 BOCES
After-school programs available in some districts, BOCES; in general, not an
optimal educational option
Other educational alternatives,
continued
Job Corps
887-5400
Can serve 400 youth as residents; has 50 slots for day students. Includes GED
and/or college courses, vocational training, job placement and other follow-up
services; an option especially for older youth at risk of dropping out, of public
education due to frustration, but motivated to achieve skills for themselves
SC Community College
434-5750
Older youth can test for ability to benefit, enroll in college to complete high
school, receive financial aid
 Educational alternatives for adults: BOCES Adult Education
literacy and basic education
791-4070
Literacy Zone, Community Partnership, and other programs offer adult
education, including GED, vo-tech, online courses, and vocational assessment
BOCES Even Start
794-4405 x 300, 310
Family literacy program offers literacy, GED, life-skills education to adults with
young children. Contact Educational Support Services
BOCES
292-0082 for youth
791-4040 for adults
Vo-tech programs, with GED, full diploma, or IEP/local diploma
Alternative schooling
Child care
Vocational assessment, assistance,
training
Page 113
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
BOCES CCD, Center for
Career Development
791-4070
An option for the older youth who has dropped out, particularly with assistance
from VESID if applicable. Includes GED, vocational training, ESOL assistance
BOCES Educational
Support Services
794-4405 x 300, 310
Educational counseling, planning and advocacy, including vocational, with case
management for high-risk out-of-school teens
Job Corps
887-5400
Includes GED and/or college courses, vocational training, job placement and
other follow-up services; an option especially for older youth at risk of dropping
out, of public education due to frustration, but motivated to achieve skills for
themselves
VESID
794-5317
An option for older youth/dropout with special-education needs (local office
located behind Dept of Labor, 50 North St, Monticello)
ATI/BOCES SETASC
ATI 794-4228 x 12/x16
Parenting education for special-needs (MR, DD) parents; contact ATI (Linda
Simmons) or BOCES ( 295-4040)
BOCES Even Start
794-4405 x 300, 310
Parenting education, including hands-on parent/child practice, for low-income
families with family literacy needs. Contact Educational Support Services
BOCES Teen Parenting
794-4405 x 300, 310
Parenting education for teens, in context of range of services and case
management. Contact Educational Support Services
CACHE Parents
Anonymous
292-5821 x 629, x 633;
for additional parent
supports, 292-0100
Parents Anonymous, support groups for parents. Parenting education, including
for parents with special needs (MR, DD, learning-disabled); no open Preventive
case required for Parents Anonymous. For other parenting services, Preventive
Services referral required; contact DFS
Family-life support, family-life
education
Parenting education
Page 114
DRC, Dispute Resolution 794-3377
Center
In addition to family mediation and crisis intervention, DRC offers Parents Apart,
education/coaching for parents involved in divorce or separation
EPIC
Bilingual (English/Spanish) comprehensive parenting information, education, and
support in Monticello and Fallsburg. Contact Robin LaFountain in Monticello
796-3058 x 20216
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
 Parenting education, continued
RAPP, Relatives as
Parents Program
292-5250, Cornell
Cooperative Extension
Assists grandparents and other relatives who are primary caregivers for related
children; parenting and coping skills, peer support groups, access to other
services
Head Start
434-4164 , 794-4622
Monthly parenting workshops for participating families include transportation
and child care; parents also encouraged to take part in classroom activities to
strengthen parenting skills that support children’s ability to learn
SC Cares “Growing with
Your Teen”
292-9100, 292-2393
Short-term (2–3-session) parent/child communication classes for the general
public, in 10–15 locations throughout the county, usually at a school or church
SC Parenting Network
292-5250 x 116
Outgrowth of ICP, planning and mutual-referral group; newsletter. Contact
Cornell Cooperative Extension
SC Public Health Healthy 292-5910, ext. 2250
Beginnings
Public Health offers education and support to families expecting a child or with
an infant up to 3 months of age; for families who enroll before their infant is 3
months old, services are then available until child enters Head Start or
kindergarten
Strengthening Families
794-8080 x 170
Multicomponent family-focused prevention programming for children ages 10–
17 years who face a variety of challenges and risks. The program is designed to
help parents improve their parenting skills and reduce their children’s risk factors
Parents Anonymous
CACHE
292-5821 x 633 or 629
Nationally recognized support groups by parents, for parents, meeting in Liberty
and Monticello. Liberty: support groups with separate group for children Friday
7–9 pm; support group for parents of teens Tuesday 7–9 pm: daytime support
group Wednesday 10 am–12 noon
Parent or family support groups,
other
Parents for Parents
(BOCES SETASC)
292-0082 x 4040, 4042
or 295-4040, 295-4042
Support group for parents of children with emotional/behavioral challenges;
includes educational presentations, active advocacy, provided by BOCES SETASC;
contact parent educator/advocate
Other SETASC support
groups and services
292-0082 x 4040, 4042
or 295-4040, 295-4042
Sibling support, bereavement support, bipolar support, autism-spectrum
support; advocacy; education on parenting, child development, developmental
disabilities and special needs; contact parent educator/advocate
Page 115
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Bipolar Support Group
566-0810
Support group for parents of children with bipolar disorder; contact Ann
Bardinelli
Parents’ Neighborhood
Network (TLC)
791-7429, TLC
Support by parents, for parents, to meet the demands of family life; information
center with free materials, videos, community-resource guides to services
Parental respite
Through SC DFS
292-0100
Available only through DFS Preventive Services at this time
Parental respite and skill building
for parents with children with
mental-health concerns
Through Community
Services
292-0100, 292-0887
While providing respite, also provides skill building to parents and child.
Available only through Community Services OMH Waiver at this time
Counseling, family or marital
Private providers
N/A
See Community Services list, attached; also consult individual DFS caseworkers
Sibling issues, support
BOCES SETASC
292-0082 x 4040, 4042
or 295-4040, 295-4042
Sibling support group; support for siblings of special-needs children or youth.
Contact parent educator/advocate
Budgeting, nutrition, life skills for
parents
Cornell Cooperative
Extension
292-5250
Workshops and individual coaching in budget management, cooking, gardening,
and other skills
Independent-living skills, education CACHE
for youth
292-5821 x 629, x 633
Program for adolescents, teens; does not require open Preventive case
Youth/family advocate: Preventive
referral only
CACHE Family Division
292-5821 x 629
Community action commission offers a range of parent education/support,
including parenting classes and coaching for parents with special needs, and
family advocates
Youth/family advocate: court
referral only
SC CASA
794-3000 x 0672
Court-Appointed Special Advocates, accessed through Family Court only
Intensive specialized family
supports
RSS MST, Multisystemic
Therapy
794-1521; referral
required, 292-0100
Multisystemic therapy; available only through DFS Preventive Services referral
ICM, intensive case
management
292-8770
Available through SC Mental Health; see “mental-health needs,” below
Page 116
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
 Alternative to out-of-home
placement for youth at risk:
Preventive referral only
Occupations, Inc
562-7244; referral
required, 292-0100
Clinical casework services; available only through DFS Preventive Services referral
PINS assessment and follow-up
SC DFS, Department of
Family Services
292-0100, Services
Parents or schools thinking of filing PINS to help at-risk youth contact DFS to
assess youth and family needs, resources, and available services
292-0100
DFS oversees emergency/short-term housing in local hotels for PA clients
292-0100
Spectrum of services for disaster situations; contact DFS Outreach
Family needs, other intensive
supports
Emergency shelter or other respite SC DFS, Department of
Family Services
FEMA, Federal Emergency Management
Federation for Homeless 794-2604
 Food (includes food pantries, soup Bethel area: Faith
kitchens)
ministries, Presbyterian
Bethel, White Lake:
Shepherd’s Pantry
Page 117
Spectrum of services; includes assistance with food, clothing
583-5222
Food pantry, second Thursday each month 10 am–2 pm and fourth Thursday
each month 5–7 pm. Located at White Lake Reformed Presbyterian Church, Rte
17B across from Bethel Medical
583-4679
Food pantry, second Thursday 10 am–2 pm, fourth Thursday 5–7 pm, local only;
at White Lake Reformed Presbyterian Church, Route 17B across from Bethel
Medical
Bloomingburg: Our Lady 733-1477
of Assumption
Food pantry, Saturday 10 am; call for appointment by noon Wednesday;
emergency only. Located on High Street
Bloomingburg: To God
Be the Glory
344-2676
Food pantry, Based in Middletown, stops in Bloomingburg; Monday–Friday by
appointment
Callicoon: Holy Cross
Church
887-5450
Food pantry, anytime by appointment; located at 9719 Route 97
Callicoon: Parking lot
behind the library
292-5821 x 620
CACHE HPNAP distribution, second Thursday 11:05–11:20 am; call for
information or enrollment
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Page 118
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Callicoon: Private home
887-5515
Friday by appointment
Callicoon: United
Methodist Church
887-5112
Thursday 2–4 pm; walk-in with ID; located at 9290 Route 97
Callicoon Center: Park
parking lot
292-5821 x 620
CACHE HPNAP distribution, usually second Thursday 10:00–10:15 am; call for
information or enrollment
Claryville: Claryville
Reformed Church
985-2041, 985-2597
Food pantry, Tuesday and Thursday 10 am–2 pm, walk-in with no ID required,
limit once per month; located on Claryville Road
Eldred: Eldred Town Hall 292-5821 x 620
CACHE HPNAP distribution usually second Thursday, 12:15–12:30 pm; call for
information or enrollment
Grahamsville: United
Methodist Church
985-2283
Food pantry, anytime by appointment; located at 356 Route 55
Hankins: Hankins
Assembly of God
482-5864
Wednesday 2–4 pm, walk-in with ID; located at 14 CR 132
Hurleyville: United
Methodist Church
434-6470
Thursday 6–7 pm, walk-in with no ID required; located on Main Street
Jeffersonville:
292-5821 x 620
Jeffersonville Presbyterian
Church
CACHE HPNAP distribution usually second Thursday 10:30–10:45 am; call for
information or enrollment
Jeffersonville: St George’s 482-4640, call 9 am–1
RC Church
pm
Monday and Wednesday by appointment, local emergency only; located at 97
Schoolhouse Road
Liberty: CACHE office
CACHE HPNAP distribution, usually second Wednesday 9 am–1 pm; located at
63–65 Main Street
292-5821 x 620
Liberty: St Paul’s Lutheran 292-5093, 292-4626
Church
Food pantry second, third and fourth Friday, 3:30–5 pm, walk-in with no ID
required; located at 24 Chestnut Street
Livingston Manor:
Hemlock Ridge
CACHE HPNAP distribution usually first Thursday 11:25–11:45 am; call for
information or enrollment
292-5821 x 620
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Livingston Manor:
Community Center
292-5821 x 620
CACHE HPNAP distribution usually first Thursday 11:50 am–12:15 pm; call for
information or enrollment
Livingston Manor: United 439-5134
Methodist Church
Food pantry, 3rd Thursday 6–7 pm; call for information, limit 4 visits; located at
Pearl Street and Old Route 17
Loch Sheldrake:
Woodland Townhouses
292-5821 x 620
CACHE HPNAP distribution usually first Thursday 1:20–1:45 pm; call for
information or enrollment
Long Eddy: Long Eddy
Firehouse
292-5821 x 620
CACHE HPNAP distribution usually first Thursday 10:15 –10:30 am; call for
information or enrollment
Monticello: Monticello
Community Center
292-5821 x 620
CACHE HPNAP distribution usually first Wednesday 10 am; call for information or
enrollment
Monticello: Catholic
Charities
791-6023
Food pantry Monday–Friday 9 am–5 pm; located at Liberty and North Streets
Monticello: Federation for 791-2604 meals
Soup kitchen Friday 12–1 pm; walk-in with eligibility information; no ID required
the Homeless
(914) 797-3490 24-hour for hot meals. Hot breakfast Monday–Friday 8:30–9:30 am; hot lunch Monday–
emergencies
Friday 12–1 pm; located at 9 Monticello Street
Page 119
Monticello: Monticello
Housing Authority
292-5821 x 620
CACHE HPNAP distribution usually first Wednesday 11:15 –11:35 am; call for
information or enrollment
Monticello: Salvation
Army
794-2268
Monday and Friday, 1–3 pm, or anytime by appointment for emergency only;
located at 2 Jones Street
Monticello: St John’s
Episcopal Church
794-8111
Food pantry second and fourth Tuesday 5–7 pm; call for information; located at
14 St John Street
Narrowsburg:
Narrowsburg Lutheran
Church
292-5821 x 620
CACHE HPNAP distribution usually second Thursday 11:45–11:55 am; call for
information or enrollment
Neversink: Neversink
Town Hall
292-5821 x 620
CACHE HPNAP distribution usually first Thursday 12:45–1 pm; call for
information or enrollment
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Page 120
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Pond Eddy: United
Methodist Church
856-1129
Food pantry, call for information; located at Church and Berme Roads
Rock Hill: Church of the
Nazarene
796-3729
Food pantry anytime by appointment; located at 210 Katrina Falls Road
Rock Hill: United
Methodist Church
794-8463
Food pantry; call for information; located at 410 Rock Hill Drive
Roscoe: Roscoe
Presbyterian Church
(607) 498-4468, -4523
Food pantry, emergency only, anytime by appointment; located on Route 17
Roscoe: Roscoe
Presbyterian Church
292-5821 x 620
CACHE HPNAP distribution usually first Thursday 10:50–11:05 am; call for
information or enrollment
South Fallsburg: St
Andrew’s Episcopal
Church
436-7539
Food pantry, second and fourth Friday 5–7 pm, walk-in with no ID required;
located on Route 42
South Fallsburg: Town
Hall
292-5821 x 620
CACHE HPNAP distribution usually first Friday 11:05–11:30 am; call for
information or enrollment
Summitville: Mamakating 647-5452
United Methodist Church
Food pantry anytime by appointment, based on need only
White Sulphur Springs:
292-8269
United Methodist Church
Food pantry anytime by appointment, local emergency only; located at 3318
Route 52
Woodbourne: Lighthouse Assembly of God
434-5615
Food pantry fourth Saturday 9 am–12 noon, walk-in with ID, based on need and
emergency only; located at 507 Hasbrouck Road
Woodridge: Woodridge
County Garden Apts
292-5821 x 620
CACHE HPNAP distribution usually first Friday 10:00–10:20 am; call for
information or enrollment
Woodridge: Town Hall
292-5821 x 620
CACHE HPNAP distribution usually first Friday 10:30–10:45 am; call for
information or enrollment
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Housing
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Wurtsboro: Wurtsboro
Senior Citizen Center
292-5821 x 620
CACHE HPNAP distribution usually first Friday 11:50 am–12:05 pm; call for
information or enrollment
Wurtsboro: Community
Church
888-5626
Pastor Robert Meyer, 134 Sullivan Street. Town of Mamakating residents only; ID
required. Hudson Valley Food Bank guidelines, supplement for food for one month.
In addition to canned goods, frozen food and produce. Open weekly, Wednesday
10:00 am-12 pm, Thursday 4:00-6:00 pm.
Rural Opportunities,
Section VIII
794-4880 Rural Op;
292-0100 DFS referral
Can be expedited by referral/advocacy through Family Reunification Program
CACHE weatherization
292-5821
Energy assessment and weatherization of existing homes
Federation for Homeless
794-2604
Referral, advocacy; shelter
SC Dept Family Services 292-0100
Assistance with temporary placement for income-eligible homeless families
SC Rural Housing Corp
794-0348
Transitional living
Rural Opportunities
794-4880
Domestic-violence-related
supports
CACHE Safe Passage
292-5821 x 618 admin; Hotline, counseling, legal education and advocacy, shelter, referrals and advocacy
hotline 292-5400
for needed services, support groups
Legal assistance
Legal Services of the
Hudson Valley/CACHE
292-5821 x 629, x 628
Assistance in areas of landlord/tenant issues, Social Services, AIDS-related services,
Social Security benefit information, IEPs and other education-/school-related issues
Harris Family Health
Center
794-1372
Accepts Medicaid, Hudson Health Plus; for charity-care applications due to lack of
insurance, call 794-3300 x 2554
Specific eligibility criteria for youth leaving foster care
Health and medical concerns
Medical exam
Health insurance for children
and teens
Page 121
Hudson River Health Care 794-2010
Accepts Medicaid, Hudson Health, Child/Family Health Plus, assists with enrollment
in such insurance programs; very community-oriented
Family doctors
See DFS provider list
Refer to DFS list of providers; includes information on those accepting Medicaid
Child Health Plus, Family
Health Plus
292-0100;
791-7429 x 302
Applications through SC DFS; facilitated enrollment also through MISN (contact
enroller Carmen Mendoza) or Hudson River Health Care
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Fidelis Care
483-1292 x 25134;
(800) 550-8031
Nonprofit provider of health insurance for families and individuals; also assists with
facilitated enrollment
Medicaid: SC DFS
292-0100;
791-7429 x 302
Applications through SC DFS; facilitated enrollment also through MISN (contact
enroller Carmen Mendoza)
MISN
1-800-453-8666
Health insurance enrollment (commercial and Medicaid/Child Health Plus) and inperson navigator assistance for New York State of Health Marketplace
Health information
Catskill Regional Medical
Center, CRMC
794-3300 x 2187
CRMC’s health-information library open to the public MWF 10 am–4 pm, Tuesday
noon–8 pm, Sunday 1–5 pm; will conduct online searches for you in addition to
lending hard-copy books or printing out articles. Available by phone, e-mail
(library@crmcny.org), or website (http://www.crmcny.org/library.html)
Children's dental needs
PRASAD Project
434-0376
Comprehensive dental assessment, prophylaxis, and education at no cost, through
virtually all school districts; dental treatment to needy children
Reproductive: ob/gyn; sex
education; rape; HIV
Planned Parenthood
794-3704
Exams, pregnancy and STD testing, contraception, counseling, education
Rape or sex-abuse counseling
Page 122
Selma Ettenberg Women’s 794-7897
Health Center
Exams, mammograms, STD testing, contraception, counseling, education, referrals,
prenatal care; formerly at CRMC, now located at 60 Jefferson St, Monticello
Wurtsboro Women’s
Health Center
888-2200
Satellite of Selma Ettenberg/CRMC; includes mammograms on site
TLC/BOCES Real Deal
791-7429 TLC
794-4405 BOCES
Focus on sex and relationship education, support groups, community activities for
youth; outreach education to adults, parents, teachers
BOCES Teen Parenting
794-4405
Sex education, counseling, relationships, responsibility; case management no longer
available due to loss of funding and changes in funding streams
RISE
794-3300 ext. 2442
Rape Intervention Services and Education: crisis, follow-up (both legal advocacy and
counseling and referral); education, support groups, individual counseling by
trained, experienced laypersons (not clinical professionals); Cindy Zingher program
director
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Other: nutrition, endocrine,
vision, hearing
Medical specialists
See DFS list
Please see DFS list of providers; includes information on those accepting Medicaid
Neurological
Center for Discovery
794-1400
Outpatient pediatric neurological evaluations; also see DFS provider list. Current
information also available from Community Services (292-0887) and CACHE (2925821)
SC Mental Health Clinic
292-8770
Community Services: full spectrum of mental-health services
SC Mental Health TRY
292-8770
Treatment Reaching Youth, MH social workers in the schools
Private providers
N/A
Depending on issues, certain practitioners are particularly recommended. See
Community Services list of approved providers or consult Community Services
School-issues-related only
School-based
N/A; individual district
School-district social workers, guidance counselors
Special support groups
Hudson Valley Support
Group for Families with
Bipolar Children
883-9516
Local support meetings in Wurtsboro and Liberty; contact Jeanette Smith, Outreach
Bipolar Support Group
566-0810
Support group for parents of children with bipolar disorder; contact Ann Bardinelli
SC Mental Health Clinic
292-8770
Community Services: full spectrum of mental-health services
Private
N/A
No specific recommendations; see Community Services list of approved providers
292-8770
Community Services includes psychiatric as well as mental-health services
Catskill Regional Medical
Center, CRMC
794-3300
Community hospital psychiatric services
Private practitioners
N/A
See Community Services list of approved providers or consult Community Services.
It is recommended that parents see a psychiatric professional, not a family doctor,
to prescribe and monitor psychotropic medications
Center for Discovery
794-1400
Outpatient pediatric neurological evaluations. Current information also available
from Community Services (292-0887) and CACHE (292-5821)
Mental-health needs
Counseling, individual
Mental-health evaluation
Psychiatric; Rx eval/reevaluation SC Mental Health Clinic
Neurological
Page 123
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Four Winds outpatient,
Fishkill
1 (800) 546-1770
Outpatient educational, psychiatric, neurological evaluations
Westchester Med Center
(914) 493-7000
Outpatient pediatric neurological evaluations
Parental respite and skill building Through Community
for parents with children with
Services
mental-health concerns
292-0100, 292-0887
While providing respite, also provides skill building to parents and child.
Available only Community Services OMH Waiver at this time
Sex-abuse treatment, sexoffender treatment
SC Mental Health Clinic
292-8770
Group work available for sexual offenders and those sexually abused
Private practitioners
See mental-health
practitioners list
Certain practitioners have this as a specialization
Sex-abuse counseling, advocacy
RISE
794-3300 ext. 2442
Rape Intervention Services and Education: crisis, follow-up (both legal advocacy
and counseling and referral); education, support groups, individual counseling by
experienced laypersons (not psychiatric/clinical professionals); Cindy Zingher
program director
Grieving, death, and loss
Children’s Grieving Center, 561-6111
Hospice of Orange
A safe, neutral, and private environment for grieving children and their families.
Trained volunteers and professionals lead discussions and activities designed to
help in the grieving process; services are offered free of charge to the
community
Mental-health intensive
support
IDT, intensive day treatment for
children
IDT
ICM, intensive case management SC Mental Health Clinic
794-3430, now at BOCES Intensive day treatment administered through BOCES in conjunction with RCPC,
St John Street Education Rockland County Psychiatric Center, a major residential provider. Includes small,
Center
closely supervised class in Liberty secondary-school building, treatment, support
292-8770 x 4031
Ancillary mental-health supports RSS, Rehabilitation Support 794-1521
Services
Page 124
Community Services: part of the spectrum of mental-health care
Provides recreational activities for youth with mental-health diagnosis; group
home, Hamptonburgh residence
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Harbor House: UCMHA
Info: 292-8770, SC
Mental Health Clinic
Therapeutic foster homes, teaching family homes. Referral through MH to main
office in Kingston
Catskill Regional Medical
Center, CRMC
794-3300
Short-term, evaluation
Four Winds
1 (800) 546-1770
Short-term and 30-day observational evaluation, treatment, placement, followup recommendations
RCPC
359-7400
Evaluation, in-patient treatment
Residential treatment
292-0100
Recommendations from and placement through SPOA, single point of access
Hamptonburgh
794-1521, RSS
Residential program for girls
Assessment, residential care,
therapies
Center for Discovery
791-8153
Pediatric assessments available; special therapies for residential population
include animal-assisted therapy (“hippotherapy”), farming and gardening
Supervised community-based
housing
New Hope Community
434-8300
Includes community-based residences, independent-living training and housing
Crystal Run Village
796-4324
Sullivan ARC
796-1350
ATI
794-4228
Crystal Run Village
796-4324
Family Empowerment
343-8100
Independent Support
Services, ISS
794-5218
Contact Alan Kulchinsky
New Hope Community
434-8300
Contact director of Medicaid Service Coordination
Sullivan ARC
796-1350
In-patient or residential
treatment programs
MR/DD assessment and services
Service coordination, case
management
Page 125
Action Towards Independence; Case management and service access for persons
with disabilities; Joan Summa
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Other services
Early Intervention
292-5910 ext. 2718
For children ages 0–3; contact Lisa Wissman
Early Childhood Directions 338-6755 (Kingston)
For children ages 3–5; toll-free 1 (888) 811-3232
Hudson Valley DDSO
791-7620
Local office of state agency for MR/DD services
Project Excel
794-4020
Easter Seals educational program for DD young children
SC BOCES SETASC
292-0082 x 4040, 4042
or 295-4040, 295-4042
Family education support group, autism support group
Recreation, school-based
School districts
N/A; see individual
districts
Many districts have after-school sports and some have other activities as well
(e.g., Liberty, Monticello, Fallsburg), some Youth-Bureau funded; contact schools
Recreation, other
Boys & Girls Club
342-8833
After-school programs in Fallsburg, Liberty, and Monticello districts include
mentoring and homework help in addition to evidence-based prosocial, skillbuilding, preventive, and recreation activities such as art, music, theater, dance;
contact John Kane or Karen Juers
Frost Valley YMCA
935-2291
Family and youth activities throughout the year, both free and fee-based
YMCA
794-7700 x 10975
Recreational activities for adults and youth, housed at Monticello High School;
fee-based. Local YMCA camp in development; contact Ross Miceli, Juliet DiPietro
Bethel Woods Center for
the Performing Arts
295-2446
In addition to popular adult and classical music concerts, Bethel Woods offers a
series of performances for young people (contact Elaine Muscara, community
outreach) and educational tours of the museum (contact museum director)
Boys & Girls Club
342-8833
Art-related activities include visual arts and crafts, music, theater, and dance;
contact John Kane or Karen Juers
CAS, Catskill Art Society
436-4227
After-school, evening, weekend classes in a range of arts and crafts; studio tours;
hosts annual spring student art show, featuring entries from all school districts
Recreation and youth
development
Art, theater, music, performance
Page 126
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Cornell Cooperative
Extension
292-5250
Cornell offers art workshops and annual theater activities
DREAM Tank
791-5600
Development program for teens that includes personal goal setting, “a touch of
class” training in social graces, and projects in art and music; contact Sonia
Caycho Mullen; director Judge Josephine Finn
DVAA, Delaware Valley
Art Alliance
252-7576
Classes in a range of arts; financial grants to individual artists; lists of current area
activities and events
Footings
783-7505
After-school programs in Monticello-district elementary schools
Forestburgh Playhouse
794-2005
Children’s theater includes series of performances in summer, interaction with
actors
The Janice Center
482-3324
Music, dance, art, theater, movement. Music Together® programs to introduce
music to children 0–5; dance classes in ballet, hip-hop, jazz, tap, ballroom; art,
theater, karate, Zumba. Large class programs, recitals, seminars and workshops.
Contact Tanya Cohen
Jillian Rahm, Bliss Art
See website
Range of creative arts and crafts, sculpture, collage;
http://www.blissartcreative.com
Liberty Free Theatre
292-3788
Free theater productions, opportunity for serious teens to learn, hands-on
coaching
Liberty Public Library
292-6070
Art and craft workshops, films, performers, presentations
Livingston Manor Free
Library
439-5440
Performers, presentations; parade, reading and music event in the local park
pavilion
Sunshine Hall Free Library
Page 127
November 2013
Art workshops and presentations, performers
Monticello Library
794-4660
Seasonal thematic film series for families and teens, with facilitated discussion
NACL, North American
Cultural Laboratory
557-0694
Cutting-edge theater and performance; stilt-walking, giant puppets; classes,
retreats; children’s classes and family activities
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Radioactive Teen
Theater (formerly Act
Up)
(570) 224-7511
Teen theater program, conducted primarily through libraries and school libraries,
offers opportunity for teens to create and produce radio plays; sites include Jeff
library, Honesdale, and Monticello Literacy Center; recruiting also through SW
CSD (HS) school library. DVAA community artist grant funded
River Springs Art Inst
(Old Stone House)
434-9370
Year-round art, writing, and nature-focused activities and workshops for
children, teens, and adults
SC Cares Coalition
292-9100
Cares Coalition, partnering with Bethel Woods, offers teens the opportunity to
design and produce performances focused on teen community issues
Shakespeare in the Park 292-7690
Summer theater includes opportunities for teens; offered by director Oliver King
through Liberty Parks & Recreation
SC Community College
College events and student activities open to other youth, families; free or group
rates
434-5750
Sullivan West CSD after- 482-4610
school art
932-8560
After-school art program with professional artists and performers, offered to
district children by PTSO, ranges from theater and music to ceramics and
photography
Western Sullivan Public
Library
Art and craft workshops, films, performers, presentations
482-4350, 887-4040
Youth Arts Group
518-9210 (cell)
Other individual artists
Cultural programs; reading/literacy SC Community College
activities
Page 128
November 2013
Leadership-development program, group-building techniques and professional
artist mentors give youth the opportunity to explore and respond to the issues in
their lives; youth discuss issues and develop projects that educate and inspire
action for change. Contact Andres Chamorro
Info: 794-3000 x 0396;
Many other artists, illustrators, and craftspersons around the county offer classes
292-0082 x 4029 or 4027; or individual instruction, or are available for workshops; call Braman Arts, BOCES
436-4227; 252-7576
Arts in Education, Catskill Art Society, DVAA, or Youth Bureau for possibilities
434-5750
College events and student activities open to other youth, families; free or group
rates
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
SC BOCES Arts in
Education
292-0082 x 4029/x 4027
295-4029/295-4027
School-based activities with artists and published writers, including after-school
workshops
SC BOCES Even Start
794-4405
Family-literacy partnerships; summer camp for eligible kids up to age 8
PUBLIC LIBRARIES
See below; also see
Yellow Pages, “L”
Liberty, Grahamsville, and Western Sullivan are most active in providing
programs, but others do as well. For many, activities vary; consult individual
libraries
Eldred: Sunshine Hall
Library
557-6258
Children’s reading activities; developing workshops for teens
Fallsburg Library
436-6067
Children’s reading activities; community-oriented workshops; open-mic poetry
Liberty Public Library
292-6070
In addition to reading and hands-on activities for children, sponsors other
educational workshops for young adults, movies series
Livingston Manor Free
Library
439-5440
Children’s reading activities, summer reading program, workshops
Monticello: Crawford
Public Library
794-4660
In addition to reading clubs and hands-on activities for children, offers family
concert and movie series
Neversink/Grahamsville 985-7233
Daniel Pierce Library
Children’s reading activities, plus wide range of other activities, including the
“Great Pumpkin Party” fair in October
Port Jervis Free Library
856-7313, 856-9154
Children’s reading activities
Roscoe Free Library
(607) 498-5574
Children’s reading activities
Western Sullivan Public
Library
482-4350 Jeffersonville, In addition to reading activities for children, sponsors other educational
887-4040 Callicoon, 252- workshops for young adults
3360 Narrowsburg
Other individual writers Info: 794-3000 x 0396;
Many writers around the county offer classes or individual instruction, or would
791-7429 (TLC); 292-0082 provide group workshops; call Liz Huntington at SCCC, DVAA, BOCES Arts in
x 4029 or 4027
Education, or Youth Bureau for a range of resources
Page 129
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Clubs, groups: Girl Scouts
Girl Scouts Heart of the
Hudson, Sarah Wells
Council, Middletown
361-2898
Troop activities; individually designed programs for older girls; communityservice activities and skills, leadership development; summer camp, scholarships
available
Clubs, groups: Boy Scouts
Hudson Valley Council,
Boy Scouts of America
791-7239
Services include a nontraditional Cub Scout group at MHA; contact Ruth Owens
is an assistant council commissioner for the Hudson Valley BSA Council, attends
all SC district meetings, will liaison with individual troops and “dens”
Clubs, groups: 4H, workshops,
projects
Cornell Cooperative
Extension
292-4621, 292-6180
Group and individual activities, projects, community service, trips. Cornell also
offers educational programs and presentations ranging from cooking and
personal finance to environmental awareness and gardening; these are available
on site at Cornell, or through arrangement at schools or other youth-group
venues
Recreation/group activities: youth
centers
Boys & Girls Club
342-8833
After-school programs in Fallsburg, Liberty, and Monticello districts include
mentoring and homework help in addition to evidence-based prosocial, skillbuilding, preventive, and recreation activities such as art, music, theater, dance;
contact John Kane
Delaware Youth Center
887-5155
Full summer program, year-round holiday events and teen dances, skate park
Monticello Housing
Authority
794-6855
Child and teen activities in community-center room: computer access, preschool
play area, teen community service, holiday events, trips; hosts other community
services, such at TLC and parenting education
YMCA
794-7700 x 10975; 344- Activities for children, teens, and adults include fitness, swimming instruction,
YMCA (344-9622)
yoga, specialty classes, sports
Recreation/group activities:
municipal
Town of Bethel
Page 130
794-3000 x 0396
Programs range from ice hockey through summer swim and camp or yearround field trips; most are Youth-Bureau funded; contact Youth Bureau for
current list
Town hall 583-4350
Summer camp (fee-based), summer swim instruction (free); year-round trips,
sports
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Recreation: summer camps
Page 131
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Town of Callicoon
Town hall 482-5390
Winter basketball, grade 3–8, 482-5750; currently no summer program, preparing a
site for a full-day camp program and researching other options for family recreation
Town of Cochecton
252-3634, 932-8210
Year-round trips, seasonal celebrations, workshops
Town of Fallsburg
Parks & Rec 434-5877
Summer camp; school year swim program; year-round special events
Town of Forestburgh
Town hall 794-0611
Summer camp and swim (free); winter ski (fee-based)
Town of Highland
Town hall 557-6085
Summer camp (free)
Town of Liberty
Parks & Rec 292-7690
In addition to a range of free and fee-based recreational activities, offers Open Gym
at the middle school in early fall; fee-based summer camp, half-day or full-day
Town of Lumberland
Town hall, 856-8600
Summer camp (free)
Town of Mamakating
Parks & Rec 888-3013, 8883049
Summer camp (fee-based); year-round trips, workshops, seasonal celebrations,
including “Battle of the Bands” for teens
Town of Neversink
Parks & Rec
985-2262 x 312
Summer swim and swim instruction; year-round trips, workshops, seasonal events
Town of Rockland
Town hall 439-5450
Winter skating and Ice Carnival offered by Livingston Manor Rotary
Town of Thompson
Town hall 794-2500
Summer camp (fee-based)
Town of Tusten
Town hall 252-7146
Year-round trips, events, seasonal celebrations
Village of Monticello
794-2351
Year-round sports and other activities (both free and fee-based)
Delaware Youth Center 887-5155
Full summer program, including swim; mornings only
Frost Valley YMCA
985-2291
Summer camps (fee-based); some “scholarships” available
Boy Scouts
791-7239
Summer camps (fee-based); some “scholarships” available
Girl Scouts
361-2898
Summer camps (fee-based); some “scholarships” available
Town of Bethel
Town hall 583-4350
Summer camp (fee-based), summer swim instruction (free), family trip and picnic
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Recreation: sports groups
and leagues
PROVIDER
PHONE CONTACT
Town of Fallsburg
Parks & Rec 434-5877 Summer camp; school year swim program; year round special events
Town of Forestburgh
Town hall 794-0611
Summer camp and swim (free)
Town of Highland
Town hall 557-6085
Summer camp (free)
Town of Liberty
Parks & Rec 292-7690 Summer camp, half-day or full-day (fee-based)
Town of Lumberland
Town hall, 856-8600
Town of Mamakating
Parks & Rec 888-3013, Summer camp, half-day or full-day (fee-based)
888-3049
Town of Neversink
Parks & Rec
985-2262 x 312
Summer swim and swim instruction
School-based
Individual schools
Contact individual school districts
Fallsburg Pop Warner
Football and
Cheerleading
583-6500
Full tackle football, for ages 5–15; 50–120 served yearly. Morningside Park, August 1–late
November; hope to go to year-round cheerleading. Fee-based, associated with Mid-Hudson
Conference
Fallsburg Youth
Wrestling Club
693-4307
iBAM, International
Boxing Academy
468-4324
After-school and weekend boxing and fitness training; local, regional, and national
competitions; life-skills and prevention training. Contact Ray Sheenan, president
Liberty Bike Trail
239-2218
Bike trails and group riding events for youth, adults, and families; annual Fall Bicycling Day
in October; details at website, http://www.libertybiketrail.org
Liberty Little League
292-7237
Little League play on town and school fields, including Walnut Mountain field. Serves about
19 teens plus about 250 children overall; planning expansion
MAFCO — Monticello 794-0487
Area Football & Cheerleading Organization
Page 132
November 2013
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Summer camp (free)
Nonprofit serving over 100 youth annually; fee-based
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Monticello Gymnastics 794-2835
Gymnastics, all ages, fee-based, overseen by professional gymnast/trainer
Monticello Recreation
Basketball, baseball leagues; some fee-based
794-2351
Rockland Football League (607) 498-5329
Football for youth in Roscoe and Livingston Manor area; fee-based
SC Youth Baseball and 583-7180
Softball League
League serves about 300 youth in Livingston Manor, Roscoe, Sullivan West; fee-based
Other special-interest areas: WJFF
public media
482-4141
Technical and creative training, youth-run radio program, field trips, hands-on coaching;
hopes to develop a mobile production-studio-on-wheels to take this creative opportunity to
schools and other youth group settings around the county. Participating youth are willing to
do stories on youth-related events. Contact Jason Dole or Betsy Woolf
River Reporter
252-7414
Publishes youth-written material periodically, and highlights youth achievements on an
ongoing basis; contact youth editor Richard Ross or associate editor Mary Greene for media
coverage of youth activities
SC Democrat
887-5200
Excellent human-interest media coverage for youth-related events
Catskill Chronicle
747-4200 Leni
985-7783 Carol
Excellent human-interest media coverage for youth-related events; online zine. Contact Leni
Santoro or Carol Montana
292-7680
Exhibitions and presentations of a range of animals, including comments about their
relationship with human qualities and habits
Other special-interest areas: Animal Alley
nature, wildlife, farming,
gardening, energy tech,
museums
Page 133
PHONE CONTACT
November 2013
“Animal Encounters,”
“Everything Animals”
Liberty Public Library, Animal rescuers present creatures ranging from dogs, cats, rodents and hedgehogs to
292-6070
doves, tarantulas, millipedes, lizards, tortoises, snakes, frogs, toads
Apple Pond Farm
Education Center
482-4764
Workshops include renewable energy, Saturday “Farming with Kids” feeding animals,
planting, picking, grooming horses, trimming goats. Work depends on season, age of child,
and weather; children must be accompanied by an adult
Ashokan Center
657-8333
Outdoor education center, nature field trip facility about 1 hour from Monticello
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
November 2013
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Butterfly Botanicals
733-7713
Butterfly farm, greenhouse; offers tours, opportunity for kids/families to learn how to "grow"
butterflies for release in their yards/neighborhoods as pollinators
Catskill Fly-Fishing
Center and Museum
439-4810
Fishing and fly-tying exhibits, classes, and workshops on the Willowemoc
Catskill Mountain Club Info:info@catskillmou
ntainclub.org
Web:www.catskillmou
ntainclub.org
CMC offers opportunities to hike, camp, fish, hunt, canoe, kayak, bike, climb, and otherwise
enjoy nature and outdoors year round. Activities include group hikes, annual October “Lark
in the Park” series, education, volunteer service projects. Free membership; donations
encouraged. Contact Aaron Bennett, CMC coordinator; online group posts at
catskillmountainclub@yahoo.com.
Community Gardens:
Fallsburg
Bee Green Community Share in development of a community garden at Morningside Park in Hurleyville. Contact
Garden, 436-4634
Kelley Gips
Community Gardens:
Liberty
292-9446
Community garden on Main Street; contact Jon-Jon Thomas
Community Gardens:
Livingston Manor
482-3857
Community garden on Pearl Street; contact Kurt Knuth
Community Gardening: Livingston Manor Free Working on a program in wild plants / gardens for grades 4–8: to visit Fort Delaware,
Livingston Manor
Library, 439-5440
conduct plant walks, plant garden[s]
Community Gardens:
SCCC
Page 134
434-5750
Community garden currently in development with volunteers from staff and student body;
not yet open to public
Delaware Valley Raptor (570) 296-6025
Center
Wildlife rehabilitation for raptor birds; excellent public presentations
Down on the Farm days 794-3000 x 3127
A number of area farms and horse stables sponsor “day on the farm” events; contact SC
Visitors Association at the Government Center for information
Eagle Institute
Eagle watching, tours, volunteers welcomed to gather data; educational presentations
(570) 685-5960
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
Page 135
PROVIDER
PHONE CONTACT
November 2013
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Federation of Sportsmen 439-3738
Based in Willowemoc; in addition to mentoring youth in hunting, activities
include annual Fair & Youth Day
Fort Delaware
252-6660; 807-0261
Fort Delaware Museum of Colonial History, 6615 SR 97, Narrowsburg, NY 12764.
Open Memorial Day–Labor Day. Hands-on activities for kids. On SC website
Frost Valley YMCA
985-2291 x 397
Hikes, presentations, wildlife observations, stargazing, raptor center. Some
activities in collaboration with CMC, Catskill Mountain Club. Contact Natural
Resources and Environmental Science coordinator
Harvest Festival at Bethel 292-2448
Woods
Sundays late August–early October at the original Woodstock concert site, with
regional farm products and artisans, special events and music each week,
children's activities, hay and corn mazes, and a scarecrow exhibit
Hudson Valley Raptors
Presentations of raptor birds, hawking and hunting with raptors, falconry with
interspecies teamwork
853-3173
Mountaindale
434-4747
Community Development
Project
Community revitalization focused on youth, heritage, and environment. Activities
include nature park with silent walkway; Junk Jam (1st Sunday in August): concert
to promote environmental awareness: reduce, reuse, recycle; music to heal the
earth; community beautification and service projects
National Park Service;
Upper Delaware Scenic
River
Presentations on a range of area resources, wildlife, cultural history;
management of Delaware-area recreational facilities, safety, information, and
access
(570) 729-7134
(570) 729-8251 x 221
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
SASD, Sullivan Alliance
for Sustainable
Development
482-4764;
794-3000 x 0578
Information on energy sustainability, project ideas for youth: e.g., renewable energy
clubs in middle schools; recycling teams in school at all grade levels around the
county; renewable-energy model making and science-fair projects (e.g., build a
desktop wind turbine, an electrolysis device for producing hydrogen, or even a model
solar car); teams to monitor energy consumption at their school and then produce
plans to downsize energy consumption — a project already under discussion at
Liberty HS; work as a group on local Habitat for Humanity housing to design and
install the energy-saving and energy-producing components
Sullivan Renaissance
295-2440, 295-2442
Community beautification projects with extensive youth involvement; master
gardener available for consultation
Upper Delaware Council
252-3022
“River watch,” research, policy directions; teen volunteers welcomed
Youth development:
community service,
leadership, skills
development
No systematized approach is in place for developing/finding service slots for youth
Youth development, leadership, Boys & Girls Club
service
Community Garden [see
nature activities, above]
342-8833
After-school programs in Fallsburg, Liberty, and Monticello districts include mentoring
and homework help in addition to evidence-based prosocial, skill-building,
preventive, and recreation activities such as art, music, theater, dance; contact John
Kane
436-4634
Share in development of a community garden at Morningside Park in Hurleyville;
similar activities being initiated at SCCC. Contact Kelley Gips
DRC, Dispute Resolution 794-3377
Center
Youth are trained as peer mediators and empowered to act as peer educators in
dispute resolution, alternatives to violence; contact Kathy Kreiter
DREAM Tank
Anti-gang initiative for teens includes education in self-awareness, personal goals and
self-presentation, and self-expression through choice of art or music media. Contact
Sandra Caycho Mullen; director Judge Josephine Finn
791-5600
Hudson River Health Care 794-2010
Page 136
November 2013
Training in prevention, decision making, peer education and leadership
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Mountaindale
434-4747
Community Development
Project
Community revitalization focused on youth, heritage, and environment. Activities
include nature park with silent walkway; Junk Jam (1st Sunday in August): concert to
promote environmental awareness: reduce, reuse, recycle; music to heal the earth;
community beautification and service projects
Rockland Fire District
Cadet and Junior
Firefighter programs
Cadets, ages 14–16; and Junior Firefighters, ages 16–18. Cadet program offers limited
training toward junior firefighting and involves kids in community service fireprevention activities like cleaning chimneys, washing fire trucks, taking part in litter
pluck and fundraisers; kids are required to maintain passing grades in school.
In-house training; at age 16, kids can get paid training as firefighter interns. Juniors
take part in Fire Prevention Week as peer educators at school
439-4423
SC Cares: “Choices,” LCA 292-9200, 292-2393
Company (“lights,
Camera, Action”), and
Youth Mentoring
Youth groups and their adult mentors are trained in theater techniques and trustbuilding skills to defuse dispute situations, offer training to peers, and conduct public
performances and presentations; individual youth placed in mentoring/job-skillsbuilding relationships with local business people as adult mentors
Sullivan/Orange Chapter 294-9785
American Red Cross
Skills trainings (e.g., CPR, emergency responses, fire safety) to youth and training
youth to act as peer educators in these areas
Sullivan Renaissance
295-2440, 295-2442
Community beautification projects with extensive youth involvement; master
gardener available for consultation
TLC, Teen Link to
Community (MISN)
791-7429
Adolescent group projects provide a forum to develop social skills, appropriate
relationships, positive socializing activities;”Hip-Hop in Me” summer performance;
Wise Guys male responsibility curriculum; community projects
Youth Economic Group
(Rural & Migrant
Ministry)
485-8627, 798-8275
Education, empowerment, and entrepreneurship opportunity for teens and young
adults: a worker cooperative that serves as both a job development program and an
educational vehicle. Contact Jillian Rahm
Youth Empowerment
485-8627
Project (Rural & Migrant
Ministry)
Page 137
November 2013
Youth enabled to have greater control of their lives as they explore and internalize the
concepts of self-worth, leadership, and democracy; includes Youth Arts Group, YEP
summer camp and day-camp programs, leadership institutes
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Youth employment, summer Center for Workforce
job
Development, CWD
794-3340
Summer youth program, internships, assessments, job-seeking coaching, and
resources
VESID, if appropriate
794-5317
Older youth with disabilities eligible to receive training and job-placement services
Youth mediation, home or
school
PROVIDER
November 2013
DRC, Dispute Resolution 794-3377
Center
Range of mediation, including parent/child mediation; crisis intervention; ; train youth
as peer mediators/educators, set up school-based peer-mediation programs; contact
Kathy Kreiter
In-school mediation
N/A; individual district Schools universally prefer to control their own mediation process; some districts are
utilizing DRC training programs for student peer mediators as well. See DRC.
DRC boys/girls groups
794-3377
Local police in schools
N/A; individual district Monticello and Fallsburg districts in particular use police youth officers, mediators
School-based
N/A; individual district A number of districts have their own programs; information is not widely available;
contact PINS planning group
SC Mental Health
292-8770
Individual and group work for adolescent anger management; groups form based on
sufficient numbers of appropriate youth
MISN
1-800-453-8666
Adolescent groups impart social skills as well as sex education, appropriate
relationships, and positive socializing activities for young teens
Youth support groups or
trainings, other
 Boys/girls/officers group
Anger management, prosocial
skills
Prosocial skills, relationships
Boys Council
Page 138
Mediation is developing support groups, largely for at-risk youth, and exploring
restorative-justice models of youth engagement in community; contact Kathy Kreiter
A structured group for males between 10-18 years old that challenges myths of
masculinity while providing positive opportunities to explore the natural strengths of
young men. These programs are offered in conjunction with the evidence-based teen
pregnancy prevention programs listed above. Groups are offered from 8-12 weeks.
Sullivan County Public Health Services Community Health Improvement Plan
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
Girls Circles
Bereavement support
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
A structured support group for females between 10-21 years old. The groups aim to
build positive relationships and develop self-esteem and self-confidence. These
programs are offered in conjunction with the evidence-based teen pregnancy
prevention programs listed above. Groups are offered from 8-12 weeks. Participants
should be in a similar age group.
Advocacy for special-needs
children
Advocacy for special-needs
children, continued
November 2013
For details, also contact SC Community Services, 292-8770
ATI
794-4228
Action Toward Independence, advocacy and services for all persons with disabilities,
not limited to children/youth
Independent Support
Services
794-5218
Case management and service access for persons with disabilities; Alan Kulchinsky
Parents for Parents
(BOCES SETASC)
292-0082 x 4040, 4042 In addition to parent support and education, provides direct advocacy with CSE;
or 295-4040, 295-4042 contact parent educator
Other support groups
(BOCES SETASC)
292-0082 x 4040, 4042 Special support groups for autism and Asperger’s syndrome, parents of bipolar
or 295-4040, 295-4042 children; contact parent educator
BOCES SETASC
292-0082 x 4040, 4042 Bereavement group targets children with bereavement and abandonment issues;
or 295-4040, 295-4042 contact parent educator
SC DFS Services
292-0100 for
information
Court-ordered foster care, case management, advocacy, referral to other services as
needed; therapeutic foster care placement, case management, community activities,
advocacy, treatment; by family court order only, through DFS care and custody.
292-0100 DFS
Services, for
information
Transitional residential care for youth returning to community who cannot be placed
with family or in family-based foster care; court-ordered
Youth out-of-home
placement, detention
Foster care, by family court
order only
Group home foster care, for
Abbott House
youth in court-ordered placement
Page 139
Sullivan County Public Health Services Community Health Improvement Plan
November 2013
ASSESSED AREA OF NEED
PROVIDER
PHONE CONTACT
PROGRAM SERVICES (Area code is [845] unless otherwise noted)
Nonsecure detention (family
court-mandated)
Astor Homes
292-0100 DFS
Services, for
information
Provides nonsecure beds on availability outside of Sullivan County. Must be
mandated by family court; DFS provider of choice for this service
Services and housing for
runaway youth
A Friend’s House
292-0100 DFS Services Licensed shelter and services for runaway and homeless youth; by DFS referral only
information and
for respite for PINS-classified youth
referral
Page 140