Res 74-83 RESOLUTION NO. 74-83
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DELRAY
BEACH, FLORIDA, AUTHORIZING AND DIRECTING THE MAYOR TO
EXECUTE AN AGREEMENT WITH THE STATE OF FLORIDA DEPARTMENT
OF COMMUNITY AFFAIRS UNDER THE FLORIDA FINANCIAL ASSIST-
ANCE FOR COMMUNITY SERVICES ACT; PROVIDING THAT THE CITY
OF DELRAY BEACH WILL BE RESPONSIBLE FOR THE LOCAL MATCH
REQUIRED UNDER PROVISIONS OF SAID ACT.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
DELRAY BEACH, FLORIDA, AS FOLLOWS:
Section 2. That the City hereby authorizes, confirms and ap-
proves the filing of the application of Planned Parenthood of South Palm
Beach and Broward Counties, Inc., for grant funds under the Florida Fi-
nancial Assistance and Community Services Act. The application being for
the fiscal year October 1, 1983 through September 30, 1984 requesting
state grant funds in the amount of $36,000.
Section 2. That the Mayor is hereby authorized and directed to
sign in the name and on behalf of the City an Agreement between the Flor-
ida Department of Community Affairs and the City of Delray Beach, Florida,
under the Florida Financial Assistance for Community Services Act, en-
dorsing the program of Planned Parenthood of South Palm Beach and Broward
Counties, Inc. A copy of the Agreement is attached hereto and made a part
hereof.
Section 3. That Planned Parenthood of South Palm Beach and
Broward Counties, Inc., will be the delegate agency and subcontractor of
the City of Delray Beach in connection with this grant.
Section 4. That the City will be financially responsible for the
local share of the grant as required pursuant to the provisions of Florida
Statute Chapter 409, notwithstanding the fact that all or part of the
local share is to be met or contributed by other source, i.e., contribu-
tions, other agencies or organization funds.
PASSED AND ADOPTED in regular session on this the 9th day of
August , 1983.
ATTEST:
De:~ar~_menC of CcmmuniC~ Affairs
~i~;ision of Local Resource Management ' $~bm~~- Cwo copies
~T~ ~xacu:ive Can~= :~ircl~ ~aa~ One mus~ be orig.inal
~,~':; CST~ Application ~EI:i~Ni
.~Iai,,e.: ' r~ of D~ B~ch~ F!o~ .T,le~hcne: (305) 278-2841 '
~~S: [0~ N. W., 1st ~y~, Delray B~ Flo~ z!=: 33444
:=u=~Z: ¢.~' ~ rn~ ....... "
~ie%a~&'_e Ac. en~z ( s ):" P1anned Parenthood of South Palm Beach and Broward Counties
Name: ~-,4,~y Mi*'~,, , ~e!m--hcne: (305) 368-1023
;~d~---~ss: ~Planned Parenthood - 160 N. W, 4th Street, Boca Raton, FTorida 33432
-'... ::~e ~-.~ a~dress of Fer~cn au~ri:ed t:o receive f,~-.ds, if ~is ap.-
.. ~-___ ~e made pay~l~ Co ~he. !~cal ~ove~enc.
"Xd~ress: ' F~n~Ce ~a~t~ '~i~ 6f Delray B~, 100 N. W. 'lst Argue
Delrgy B~ Zi:: 3344~
This application must be postmarked not later than Auqust 1, 1983
'to be considered~
GRA~T APPLICATION Page 2 of 7
Complete a separate page 2 for each' individual programl Use an
attachment page(s) if necessary.
:;ame of Program
!. Give a brief overview of the proposed program.
2. Identify the.%~unet human service need that this program will
address.
::
3. What hmpact will this program have on the unmet 'need?
4. Is this program currently operating? YES NO
If yes, what changes, if any, will the-~e funds provide for?
5. Identify the s?.~ecific target population tha~ this program will
serve (elderly, low-income, handicapped, etc.) .
62 How large is the program target population? Provide numbers.
7'. How many of'the target .popula=ion will be served by the program?
Provide numbers.
Will this program be coordinated with any other program or
serv. ices?. Identify them and explain the coordination of services.
Will these grant funds be used to match a federal or other gran~?
If yes, identify the type and amount.
What funds Will sustain this program after the expiration of
this grant?
~L. Who will do the audit of the program? Must be a CPA firm,
municipal auditor, county auditor or Clerk of Court.
G.~a~~. _ 18.000
Ii_-es 5 ~=cugh 9 )
Tr_ave'.
<It_~.~r (s.uecif.v on a=ta=hment)
~n-.al SFacs .' _ 9.000.
T.'r ave I .......
--qu£.zmen ~_ . 4on
.... ~- (Lines 24 ~cuqh 2g) 2~000 ... 9~000
. 2 9 ) .... 27.000 ), 000
., z E~iTU~S (!;~- ~7 and 30)
%~ca% Gove--r~en'- Un!'- .%.:.o%yi.-.g: D_elr&v .Beach, F1prida_ . _
· :. ,,, .mmations from tna~ivia.,ua~? ~, I. 4,500.
2. 'Patient Fees Z. 4,500.
~ , TOTAL CA~ E M-A-~C~ .... 9,000.
·
;i. :=-K£.'.~.. Sa!a=ies !nc. :!cu.=~-7 Eou.:s ., T='-
$ X
$ X
$ X -
--~' C~ker In-Kind " '- Uni.; N'umbe:
Descri=~ion i Source C~:~"- ' '"'"' Units
~C___~v~letP~y ~,dDpmd reed%cal.-clinic. __$ 5.00 per sq. f~... X 1,800 sq. ft.. 9,000.
$ X -
$ X -
9,000 --
I%i. TCT~ OTHZR Total Mm~ 18,000~_ ~
160~. W. 4~ StrUt.. ~ca ~to~ Florida 33432
~ 305 )'..368-1023 ...
C s~ci~y ~n
Y. Sa_t a_-ie~ _. 20.6,00., .....
8:. .Ken~a! ~.~ace . , 9,000.
._ = ~ _ ~ 400.
~- ~men= .... . ,
~'~. O~%e_ (s:ecify on attacl~en~) 6,000 9~000.
~.. ~OT~ (~!nes 7 ~krouqh ~) 27.000 9._,000.
~. TOT~ EX?~SES (lAne 6 and lane !2) 27~0~
TOT.kL BUDGET 36,000.
~'~-'~ DZL~GATE AGENCY .K~.%EBY A~PROV~.S THIS A?~LICATiON
~TH ~L RULZS, ~GU~TiONS A~ CCNT~.~CTS RE~TiNG T~~:
Typed N~e
Typed Name (
~ - F~-u~ive Director
Title
%mcal Gcv_=_-T.._-.en:ai ~ni~. A.=plyl.-.?: .__Ci.t~Lqf De!ray Beach,_F~orida
~ "'-ZJ. 5ECCM--= -=ART CF "-".__ C~T..=~CT ~Z.~i.~ -'..._- ~==.~.'---.~='~--~ ~'~-"' .~= '.."
ALSO...-------~==~" '---~..-- "'= =~'..-.. T?.i. Ci.--.' OR ~.,'"~--'.. WiLl, -=.=.CVi=E T.=.EJ' -' -'-=--~-- ·
lard Younz ........
(305) 278-2841 ....
A.--T.E~T---~ =,y: Elizabeth Arnau
City Clerk
· . City of Delray Beac~h
..... Planned Parenthood of South
'ATrACHME~ Palm Beach & Broward Counties
Delegate Program Expenses:
Salaries: .
1 full-time nurse practitioner
working ~ time on this project 5,000.
2 part-time RNs working ¼ time
on this proj edt 6,000.
1 ~ounselor working ¼ time on
this project 3,000.
1 office manager ~rking ~ time
on this project 2,600.
... 1 clinic manager working ~ time ,
on this project 4,000...
20,600.
20 mi. x 2 days x 50 weeks
· x . 20 per mi. 400.
Onher; -
Laboratory Tests 2,000.
Contraceptive Supplies 2,000.
Medical Supplies 2,000.
6,000.
1. Give a brief overview of the proposed program:
The proposed program will provide for the expansion of the phySical facilities,
possibly into a larger single new building, the further develo~ant and im-
plementation of Infertility Services and the continued increase in family
planning~ medical, counseling and educational services.
a) Expansion of physical facilities:
Currently t_he South County Center is housed in 2 buildings: An affiliate-
~ned 1800 sq. ft. m~dical clinic building located at 160 N.W. 4th Street
and a rented duplex apa~H,~nt used for administration and education located
iamediately behind the clinic at 159 N.W. 3rd Street. The clinic building
w~s purchased and occupied in 1978 when the Sunday School rooms at the
Unitarian Church in Boca Raton could no longer acc~,L~date the growing
clinic numbers. In 1980, the administration and education functions were
moved into the_. rented duplex, again, to provide space for an ever-expanding
clinic.
It is now necessary, because of continued growth, to explore every avenue
to provide space for increased client numbers and expansion of the education
and training programs.
b) Further develo~T~_nt and implementation of Infertility Services:
Planned Parenthood has always offered a one session counseling for couples
.... seeking a p~egnancy. This counseling explored general health, sexual
history and preliminary instruction in fertility awareness with 2 addi-
tional appointments for the wcr~mn to improve and check on her progress with
fertility awareness. Following this counseling, a referral v~uld be made
to local OB-GYNS with a specialty in Infertility for further treatment.
In recent years, many marginal inccme couples seeking a pr .egnancy have
turned back to Planned Parenthood because they-cannot afford the fees,
often in excess of $5,000 for Infertility treatment by a private physician.
The Public Health Depa~-H~nts do not offer Infertility Services and are
extremely supportive of Planned ParentbLxxi's efforts. They would w~lccme
· this resource for their clients seekin? a pregnancy.
The affiliate Medical C~,~,~ttee (18 members) together with .the staff nurse
practitioners would oversee this expansion of Infertility medical services.
c) Continued increase in family planninq medical, counseling and educational
services:
The Planned Parenthood South County Center will continue to increase its
provision-of contraceptive services, counseling and education to all persons
without regard to age, Sex, or background. Low inccme residents of South
County will receive medical services on a sliding fee scale based on inccme
and family size. All counseling, education and referral is at no charge
to clients. (60% of South County clients have no inccme or incomes less
than $6,000 per year.)
Contraceptive services are provided at the South County Planned Parenthood
clinic: A free-standing, 1800 square feet modern building located in the
' civic center area of Boca Raton. The clinic is in a "downtown" location
readily accessible by car and. public transportation. Clinic sessions are
staffed by local OB-GYN's,nurse practitioners, R.N. 's and trained counselors,
many of them volunteers. Medical services include social and medical history,
weight, height, blood pressure, hemoglobin, VDRL, urine, alh~umin and sugar,
pregnancy testing, info~mation (written and group instruction) on birth
control method, s (pill, IUD, diaphragm, foam, condom, natural family planning),
breast check, heart, lung, and thyroid check, and pelvic examinations in-
cluding pap sraear and GC culture. Birth control methods are prescribed
and .supplied by the clinic. Clieht~ are followed for contraceptive and
medical problems and notified of annual examination. The clinic also treats
cca~n disorders such as vaginitis, urinary tract infections (UTI), he _rpes
and pelvic inflammatory disease (PID).
Counseling services include birth control, VD, sterilization, problem
pregnancy and counseling. The agency has a wide variety of referral resourses
in both Palm Beach and Browa~d Counties. Birth control counseling and ster-
ilization counseling involve education about methods, risk-benefits, cost,
resources, etc. Problem pregnancy counseling involves examination of all
options open to a w~man with an unplanned pregnancy: Resources for assistance
if the pregD~cy is to be full-term, adoption, foster care, abortion. Plan-
ned Parenthood is the ONLY AGENCY providing pregnancy testing and problem
pregrklncy counseling in Palm.. Beach County where all options are given,
where birth control methods are explained, contraceptive problems are dealt
with and follow-up appointments for contraceptive services are made as a
part of the counseling service. The Palm Beach County Health Dept. and the
-2-
Palm Beach County school system utilize Planned Parenthood's .counseling
services. Plarm. ed Parenthood is the ONLY SOUTH COUA~Y CLINIC offering
morning evening and Saturday clinics. The Health Department in Delray
Beach offers Tuesday and Thursday afternoon family planning clinics and
has a 4 week wait for an initial appointment.
Educational services are provided both on and off site. Education and
decision making about se~3_a!ity, health care, family life and responsibility
are an integral part of on site clinic and ~ounseling services. A board-
certified sex educato~ (AASECT) supervises the sex education programs.
Schools, youth, churchgroups and local agencies also use the educational
services of Planned Parenthood. Nursing and counseling students fr~n
local colleges and universities are trained in family pl=,n~ng at Planned
Parenthood. -Workshops for professionals, such as public healtL
school counselors, HRS employees and ministers are offered at Planned
Parenthood. The proposed program' would continue medical services with
the addition of trained medical and counseling staff, as needed.
2. Identify the unmet human service need that this program will
address:
The rapid population growth in Palm Beach County - the "bocm area" of 1/
Southeast Florida - is expected to reach 32% or 205,260 additional people-
by 1990. While many of the new residents are financially secure retirees
° ~' ~ignificant 6umber are young margiD~l inccme singles and couples and
Cuban and Haitian Entrants. In Delray Beach 25?5% of households have less
than 10,000 per year incite, in Boynton 32.9% ,~--'
This new marginal income population plus the original poverty groups are in
desperate need of family planning medical services and counseling. One of
the absolute proofs for this need is reflected in the high perinatal d~ath
rates among non-whites in Palm Beach County. Palm Beach County leads the
state and has the highest infant mortaility rate for minorities in 1981,
the latest year for which figures are available - reaching 26.4 deaths for
· every 1000 live births.3_/
High perinatal death rates reflect the general health and living conditions
and are related to availability of prenatal care and family planning services.
Low birth weight babies born to teenagers frequently beccme death rate
statistics.
The unmet need to be addressed by this program also relates to the problems
of the unacceptably high rate of teenage pregnancy and illegitimacy in South
Palm Beach County. Unplanned teenage pregnancy, resulting in an unplanned
birth or an abortion, contributes to the emotional, financial'medical and
social prob!~s seen in the unprotected sexually active teenager. Teenage
birth rates continue at epidemic4P, roportions with 18% of all births in Palm
Beach County to teenage mothers._47 Illegitimacy among non-whites in Palm Beach
County has remained at a high level over the past four years; illegitimacy
among whites has increased during the same period.
Additionally, this program will aid in the detection of venereal disease and
ca.n. cer. Venereal disease is a significant health problem in the State of
Florida, since Florida ranks 4th in ss~hilis rate and only eleven states
have higher gonorrhea rates. Cancer detection--breast and cervical--remain
of primary importance in female health care. Breast cancer remains at a high
rate, affecting one in thirteen American wcmen. The incidence of cervical
cancer is increasing due to the increase of the Herpe. s II virus, increased
sexual activity at an early age an~ng adolescen~ and the effect of DES in
millions of American wcmen and their daughters.-~' Both VD and cancer cures
depend on early detection and treatment.
While these problems are present i~ ~11 segments of society, low-inccme persons
are more often the victims of lack of medical care..
Planned Parenthood is also concerned for the young marginal inccme couple
may wish to have children but who are having difficulty conceiving. Infertility
is experienced by approximately 10% of American couples and is increasing as
a problem because of increased ~exually Transmitted Diseases and the later age
of childbearing among scme wc~en. Infertility medical services and treatments
1/ The Delray News, June 19, 1983 .
2/ The Sun Sentinel Nov. 21, 1982
3/ The Miami Herald, March 6, 1983
4/ Bureau of Vital Statistics, Tallahassee, Florida
5/ American Cancer Society Publications
-3-
are extr~nely costly ranging frc~ $3,000 to $5,000 depending on the services
provided by a private OBGYN physician specializing in infertility.
Planned Parenthood wishes to utilize the m~mbers of the medical c~,~ittee
and the nurse practitioner to augment a comprehensive Infertility Service
including couples counseling, male physical exam and semen analysis, female
physical exam, fertility awareness counseling, hormone studies, Huhner
testing, Endcmetrial biopsy, hysterosalpingogram, laparoscopy and hysteros-
copy. The nurse practitioner would act as the primary care person handling
as many aspects of the Program as possible within the clinic and referring
to local participating doctors for individual testing and treatments at a
reduced rate for Planned Parenthood clients.
While teenage childbearing, child spacing, unacceptably high abortion rates
and perinatal death rates are problems to be addressed at the Planned Parent-
hood clinic through family planning medical services, the marginal income
couple faced with Infertility also needs a c~,~unity resource to p£ovide
counseling and medical care.
3. What impact will this program have on unmet need?
The State of Florida HRS in its ARDC Dr. ogrqm currently spends $51,000 + medicaid
to raise a dependent child to age 18.5--/ The total cost to the State in AFDC
payments, hospital costs, intensive care nurseries and rehabilitation programs
° is ~5~zmous. By ~m~xting the South County Clinic expanded family planning
medical, counseling and educational services will be available to the increasing
margir~! income and entrant population of South Palm Beach County. Sufficient
provision of Planned Parenthood services would significantly improve cu~,~unity
health and family s~mbility, while reducing pressures on existing agencies so
that citizen needs could be better served.
Every week that passes without these family planning services represents tragedy
to teens, entrants and marginal inccme women and their families as unwanted (and
unprovided for) pregnancies and illnesses enter their lives. Depression is al-
' ~eady a significant ~raotional problem among Cuban and Haitian Entrants, exacer-
bated by poverty and an atmosphere of rejection.
Through a vigorous oUtreach program the "hard to reach" entrant, teenager or
marginal income women will be .specifically targeted. An attempt will be made
to locate these persons through institutions (agencies, schools, churches) al-
l ready in contact with them.
Planned Parenthood is C~L,L.~tted to freedcm of choice in reproductive decisions.
Decisions about life-style and reproductive rights need to be based on sound and
accurate infomnation (infonned consent). Such decisions also require the explora-
tion of personal values and cultural mores.
4. IS this program currently operating?
Yes--Planned Parenthood of South Palm Beach and Broward Counties, Inc. began as a
counseling and referral agency using volunteers only, in one rocm of the local
Unitarian Universalist Church in June, 1975. By December 1976, clinic services
bega~, using the Sunday School rooms of the Church. In January 1978, with
ployees and 25 volunteers, a local building was selected, purchased and renovated
into a family planning clinic (CBS 1800 square feet).
In the five years of services in the South county center, the building has been
cc~pletely paid for by private contributions and the client registration has
reached over 8,000, 25% of these clients being frcm Delray Beach. The South
county Center now has nine employees, including a full-time Fami.l.y Planning
Nurse Practitioner, fifty volunteers, and four contracted local OB-GYN's help-
ing provide clinic services. The rapid expansion of the medical and counseling
services at the South County clinic .re~ulred the'addition in 1980 of an adjoin-
ing rental unit to acc~,~date administration and education - "the duplex".
The South County Center is open Monday through Friday 8-6, Monday and Tuesday
evenings for clinic and Wednesday and Thursday evenings for Lamaze prepared
childbirth education classes. Seven medical clinic sessions are offered
each week: Monday and Tuesday evenings, Tuesday, Thursday, Saturday (once a
month) mornings and Wednesday and Thursday afternoons. Counseling is offered
during all remaining time slots.
6--/ Florida Association of Planned Parenthood Affiliates (FAPPA), fact sheet, 1981
-4-
If yes,what changes if any will these funds ~..rovide. for?
The funding will help provide for expansion of the provision of family plan-
ruing medical, counseling and educational services through the expansion of
the physical facilities. The current clinic and duplex are inadequate for
the rapidly growing client numbers (a 21% increase during Jan.-June 1983 over
the sam~ period last year). Several staff members share the same office,
with overcrowding, noise and distraction a ccrmnon problem. Volunteers do not
have a desk or place to w~rk. Student training (95 student nurses received
training Jan.-June 1983) is done in a hallway area 6'x 12' equipped with a
sofa and coffee table. The 3 counseling cubicles, 2 are also used as offices,
are 6'x6'; 6'x7'; 6'x9' and inadequate for current couples counseling and de-
finatelvinade~uatefor~ exoanded Infertility Services ~ounselir~z.
'~ne emucar~onaz outreacn program nas ~naaequa~e space for ma-cerza~s storage.
The affiliate educator shares a "back bedroom" in the rented duplex with the
administrative assistant. Rocm for group education is shared with the af-
filiate c~,nHttees and their work.
The funding will aid the expansion of the physical plant and the provision
of services. A new larger facility will be sought with the need set at
between 3,400 and 4,500 square feet (currently 2,700 sq. feet in clinic and
duplex). The services are expected to expand .at approximately 15% into 1984
based on current client registration and c~L,~nity growth rates.
o The. .~unds will also help augment the Infertility Service program f~, level I o
(counseling) to level II (treatment).
By increasing the space and ultimately staff {as needed) at the Boca Raton
Center, the ¥~iting ti~ for clinic and counseling appointmmnts can be kept
to a minimum, an important factor when dealing with a younger transient popula-
tion. Increasing clinics will allow for a greater n ~umber of clients to .receive
family planning services. The addition of more clinics will allc~v teens and
working mothers (many who work odd hours as waitresses, etc.) to be able to
use the clinic facilities at a time when they are free to do so, i.e., early
mornings, evenings, Saturdays.
5. Identify the specific target population that this program will serve:
This program will benefit teenagers, entrants and marginal income w~nen and
their families living in the Boynton, Delray and Boca Raton areas who find them-
selves without decision making skills, accurate information to make reproductive
choices and without adequate r~clical care.
Both Palm Beach and Br°ward Counties both have high rates of teenage pregnancy,
consistent with high rates found 'in the rest of the United States. In Palm Beach
County births to non-white wcmen 'under 16 y~rs of age was considered to be one
of the major health probl~ns of the county.'--' In Palm Beach County 26% of non-
. white births and in Broward County 27% of non-white births were to teenagers.
The Alan Guttmacaher Institute reports 1/3 of the 1.55 million abortions in
1981 were to teenagers.8/ In Palm Beach County the number of abortions increased
frcm 2,903 in 1979 to 3,256 in 1980. In Broward County the increase was from
-6,569 to 8,539 Ln the same period.9/ These abortion numbers are unacceptably
high and could be reduced with education and family planning medical services.
Illegitimate birth rates in beth Brow~rd and Palm Beach Counties r~nains high,
at approximately 54% of all births for non-whites and 11% for whites.
Although teen-age pregnancy is m~lically high-ri~ by definition, nearly ba]f
of pregnant teenagers receive no prenatal care in 'their first trimester. The
death rate frcm cc~plications of pregnancy and child birth is 13% greater for
15-19 year olds and 60% greater for teenagers 14 or younger cc~pared with w~nen
in their early 20' s.
Early childbearing poses serious social 'and econcmic consequences for teenage
mothers and their children. Teenage mothers are often forced to leave school
and to forgo job training and other opportunities for econc~ic advancement.
Unmarried mothers may face social disapproval, financial hardship and difficulty
in finding work and child care facilities. They my be forced to turn to wel-
fare for support. A New York City survey, for example, reports 72% of mothers
who first gave birth between 15 and 17 were on welfare. A life begun in poverty
7/ District 9 HRS-Health Planning Council
8--/ Teenage Pregnancy: The Problem That Hasn't Gone Away, Allen Guttmacher
Institute 1981
9_/ Miami Herald, November 11, 1981
often continues in poverty and perpetuates a cruel cycle. If they marry,
teenage mothers are more likely to have unstable marriages and financial
problems than others of same age and socio-economic status. Wc~_n who have
their first child in their teen years tend to have more children in quicker
succession than their peers. The suicide rate of teen mothers is seven
tim~s that of other teenage girls.10/
The health risk to babies born to teenagers is enormous. They are two to
three times more likely ~o die in their first year than babies born to wc~en
in their early 20 's. Babies born to teenagers are often born too small, or
premature, with the associated problems of mantal retardation and congenital
malformations.il/ A comparison of infant mortality rates in 4 southern states
and the metropol'i'tan counties in Florida shows Broward and Palm Beach Counties
to have the highest non-white infant, mo.rtality for all counties in the South-
east United States.12/
According to the Fiorida Inventory of Services for Adolescents HRS, the per-
centage of f~ales age 15-19 at risk of unintended pregnancy who are living
in families below 200% of the federal poverty index are 45% in Palm Beach County
and 37% in Brow~rd County. In Palm Beach County 55% of females at risk aged
15-19 are not served by organized family planning proqr~ ams; in Broward the
number exceeds 76% (one of the highest in the .State of Florida). Only 34%
of the need for family planning was met during 1982 in the State of Florida,
leaving 66% of the need unmet.
° Se~lly trans~t~ diseases - syphilis, gonorrhea and herpes simplex Ii -
continue to plague persons of all ages and ecom~x~ic strata. Teenagers tend to
be the most frequent victims and young persons under 25 are u~a!!y half the
reported cases.
The Center for Disease Control ranked Florida's gonorrhea rate llth in the
nation. There were 598 cases of gonorrhea per 100,000 persons in the S~ate,
compared to a national average of 437.2 cases per 100,000 while the statistics
for gonorrhea in Palm Beach County remain constant, the level of penicillin
resistant gonorrhea has increased 108%:
~C.D.C. ranked Florida's infections syphilis rate 4th highest in 1981. The
State had 30.1 cases of syphilis per 100,000 persons. The national average
was 13.7 cases per~lO0,000. Palm Beach County's syphilis rate increased 36.7%
from 1981 to 1982.~-~~/
The Cuban and Haitian Entrant will also be part of the target population. With
the cc~pletion of the original family planning filmstrip, "The Planned Family"
with language cassettes in English, Spanish and Creole, a tool will be available
to the affiliate educator in attempting to reach the Entrant population. (The
filmstrip has been contracted to Perennial Films, H~ghland Park, Ill. for dis-.
trJtmation nationwide to clinics, schools and agencies.)
· Barriers to delivering service to Entrants are numerous. Language and literacy
levels must be considered. Cultural attitudes toward the "taking of medicine",
the "keeping of appointments" and "the sex roles" must be understood. Scme
Entrants will need basic education in health and hygiene. Many may re~,iwe
transportation to classes or clinics.
6. How large is the program target population? Provide numbers.
A population explosion has occurred in both Palm Beach and Broward Counties with
a mass migration of individuals and families frc~ northern cities to the "Sun
Belt". Since 1970 Palm Beach County has experienced a 65% population increase
compared with a 43% increase for the total State of Florida. There were 505,605
Palm Beach County residents in 1977; 10,233 were 0-14 years and 73,880 were 15-24
years old. There were 578,728 residents in 1980. It has been estimated by the
United Way that the population of Wes. t .Boca Raton now numbers close to 55,000
persons, making it one of the fastest growing'a~eas in the Nation. Brow-ard
County has grown frcm a population of 620,000 in 1970 to 902,543 residents in
1977: 176,551%~re 0-14 years old and 126,342 were 15-24 years old. Broward
County now has a population of 1,023,892. The South County Center is concerned
with the recent building boc~ in Delray Beach, the addition of thousands (15,000
to 20,100 est.) Haitian and Cuban entrants into the Delray Beach black c~'L.'~dnity
and the expected growth in nearby Boynton Beach with the arrival of a large
~torola plant. It is also concerned with the population growth in nearby
10/ "Teenage Parenthood" - Florida Cooperative Extension, 1979
11__/ March of Dimes
12/ District X H~S Family Planning M~nitor June 1983
1--3/ Tom Burns, Palm Beach County Health Dept. January 1983
-6-
Brc~ard c~,~nities such as Deerfield, Pc~pano and Coral springs whose popu-
lation has more than doubled in the last seven years.
According to the 1980 census Boca ~aton has grown 74%, Boynton Beach 97% and
Delray Beach 72% since the 1970 census. Boca Raton is expected to be the
County's largest city,%~th a younger than average age population for Palm
i Beach County by 1990.~--%~/15/
7. How many of the target population will be served by the program?
'The current numbers of medical and counseling clients served at the South
County Center is approximately 440 per month with a client registration of al-
most 8,500. (30% 'of clients are teenagers and 60% have no inccme or less than
~,000 per year.) The purpose of the grant is to help expand the physical
facilities to accc~te the growth in the medical, counseling and education
program and to upgrade the Infertility Service aspect of the medical program.
With increased facilities and increased staff (current facilities will not
allow for additional staff) the clinic could increase the number of persons
receiving services by 15% to an average of 510 visits per month or 6,120 visits
per year.
At present, off-site encounters, which include sex education programs, TV, radio,
. new.spapers number almost 100,000 per year. The South County Center provides ser-
vice to any person regardless of age, sex or residence. (A small, but significant
number of our clients are teens and young adults who are without a-true per-
manent residence.) However, these itinerant teens plus the Palm Beach and near-
by Brow-ard County preteens and teenagers are the persons most at risk of un-
planned pregnancies and the high incidents of venereal disease. Teenagers in
general are more fearful of and less able to pay for m~dical services within
traditional settings.
Cuban and Haitian entrants have spread throughout South Florida with a signi-
ficant number relocated in the Black C~nities of Delray Beach, Boynton Beach
,and the agricultural areas West of the Turnpike. Entrants are probably more
· fearful of gove~nt run clinics and unable to pay for medical services in a
traditional setting.
The Infertility services (Level II) will initially serve a small number of
persons, perhaps only 5 or 10 couples a year. However, for these persons of
modest or marginal income seeking a pregD~ncy, the service can be extremely
meaningf ~ul aD~ certainly is not duplicated anywhere locally. The Palm Beach
County and Broward County Health Departments encourage the development of these
services at Planned Parenthood as they currently do not provide Infertility Ser-
vices themselves and do not have an outside referral for couples ccming to them
for this particular kind of medical and counseling help.
8. Will this program be linked to any other program or services?
Yes, the program will provide access to the following services:
1. Contraceptive medical services.
2. Well-wcmen GYN medica~ services.
3.Treatment for vaginitis, herpes II, urinary tract infections (UTI)
and pelvic inflammatory disease (PID).
4. Counseling services.
5. Referral, including medical - also referral to over 30 agencies in
Palm Beach County and over 50 agencies in Broward County.
6. Educational services.
7. Student training services.
8. VD and cancer testing, education and foll~-up.
9.Broad-based health screening for diabetes, hypertension, anemia,
kidney aD~ bladder disease, diseases of heart, lung and thyroid.
10. Lamaze instruction for prepared childbirth.
14/ Florida Statistical Abstracts 1977
15/ Sun Sentinel March 7, 1982
11.Sickle cell testing and counseling/referral, available at Palm
Beach County Health Department - Delray.
12. Level II Infertility Services - counseling and treatment.
Explain the coordination of services:
Clients are recruited through word-of-mouth, media and the education - outreach
component of the agency. Planned Parenthood also maintains an updated file of
local referrals for persons calling for reproductive he~]th related topics, i.e.,
information on LaMaze, LaLeche, schedules of Health Depa~:ent V.D. clinics,
costs for vasectomies at local urologists, costs of maternity care and referrals
for O.B., etc. If.Plaruned Parenthood cannot provide the specific serfice requested
by a client, referrals are made to known c~,L~unity resources with the request to
"get back to us" if :services could not be obtained. In the area of medical
referrals, documentation exists on the client's chart regarding the referral and
the result.
A client may initiate contact with Planned Parenthood for pregnancy testing, be-
ccmea contraceptive clinic client and be referred to the County Health Unit or
a private doctor for a specific health probl~n while continuing as a contraceptive
client at Planned Parenthood. A client referred frcm the Health Department may
wish. th~ Counseling Infertility Services or Lamaze Classes offered by Planned
o PareRthood, South County Drug Abuse or HRS counselors may bring clients into
Planned Parenthood for counseling or family planning medical services.
9. Will these grant funds be used to match a federal or other ~rant?
No. South County Center currently receives funding frcm private foundations and
contributors, United Way of Greater Boca Raton and client fees.
10. What funds will sustain this program after ~he expiration of this
~rant?
~ Individual contributions $ 110,000
Special events 5,000
United Way-Boca Raton 40,000
Medicaid 1,000
Patient Fees 85,000
Contraceptive sales 65,300
Investment incc~e 3,000
Presentations (training workshops) 1,000
$ 310,000
11. Who will do the audit of the pro~ram?
Patricia Rowe, CPA
West Palm Beach, Florida