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<br />· Economic shift from industry/manufacturing to servicelretail <br />· Family stability <br />. High service costs relative to outcomes <br />· Disabilities and chronic health problems <br />· Lack of alternatives to long-term, expensive institutional care <br />· Reduced state/federal responsibility and funding <br />· Increasing state and federal mandates/unfunded mandates <br />· Substance abuse/addictions <br />· Stable employment <br />· English proficiency <br />· Poor physical/dental health <br />. Crime/arrest records <br />. Achievement gaps <br /> <br />Sample Indicators and Outcomes <br /> <br />· Increased independent living/reduced dependency <br />. Improved communicationlintegration of service delivery <br />. Increased local funding/service flexibility <br />· Greater return on investment <br />· Improved inter-county and regional service delivery <br />· Reduced legal/regulatory barriers to community-wide coordination <br />. Reduced incidence/impact of chronic health problems and disease <br />. Improved access to services <br />. Reduced underutilization of services and reduced chronic/recidivistic overutilization <br />· Reduced negative indicators and spillover, e.g., dropout rates and negative impact <br />on economy and social order <br />. Increased economic opportunity and living wage jobs to reduce dependence and <br />chronic negative living conditions . <br />· Improved nutrition and health <br />· Improved continuity and coordination of care <br />. Increased proactive and preventive approaches to services <br />· Improved functional literacy <br />· Cost-effective alternatives to institutional care <br /> <br />Board of Commissioners Draft Statement of Purpose and Goals <br /> <br />A changing economy, a growing and diversifying population, and increasing state and <br />federal pullback of responsibility and funding along with increasing unfunded mandates <br />have combined to increase the cost and demand for health, education, and human services. <br />We invite all local governments, service providers, and community institutions to join us in a <br />broad-based and long-term community initiative to improve opportunity, prosperity, <br />educational achievement, and health and reduce poverty, poor health, crime, and barriers to <br /> <br />f" - ;)..; <br />