~l /a~ y o9 I. COMMISSIONERS' COURT AGENDA REQUEST PLEASE FURNISH ONE ORIGINAL AND ONE (1) COPY OF THIS REQUEST AND DOCUMENTS TO BE REVIEWED BY THE COURT MADE BY: Rene Walls MEETING DATE: 12/14/2009 SUBJECT: Interpretation of programs Agent for Family and Consumer Sciences OFFICE: Extension Office TIME PREFERRED: gam for the 2009 Fiscal year by County Extension I EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON) NAME OF PERSON ADDRESSING THE COURT: Rene Walls ESTIMATED LENGTH OF PRESENTATION: 10-15 minutes IF PERSONNEL MATTER -NAME OF EMPLOYEE: Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5, Chapter 551 and 552, Government Code, is as follows: Meeting scheduled for Mondays: THIS REQUEST RECEIVED BY: THIS RQUEST RECEIVED ON: @ .M. All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be appreciated and contribute towards your request being addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners' Court. 5:00 PM previous Tuesday EST REGION AMILY and CONSUMER SCIENCES Do We~ ~, Be. We~~ ~,:~~:~~ i ~~,~rr:~_r~~.~ u 7 Agrr LIFE E Summary: Do Well Be Well with Diabetes is an educational program for those with Type 2 Diabetes. It consists of nine different classes that teach diabetics how to control their blood glucose more efficiently. Some of the classes included are nutrition classes, an exercise class, a medication class and a complications class. This class has shown to not only help those with Type 2 Diabetes control their blood glucose, but it has also shown to help lower their healthcare bills, and in doing so lower healthcare cost for the county as well. Class Info: 2 Classes Offered in Kerr County o Doyle Center -February 4"', 5"', 11`~ and 12~' o Dietert Center -September 28`x' -October 18` 0 17 Participants Total 0 9 Classes, held in four days Results: • l5 Participants • Average Age: 73, Female: 60%, Male: 40% • As a result of the class, a higher number of participants followed a meal plan from a doctor, exercised at least 5 days a week, and checked their blood sugar as a means to manage their blood glucose. • As a result of the class, participants checked their blood sugar more frequently. • After the class, there were a higher number of participants who had gotten the recommended Alc test, urine test, eye exam and foot exam done by their physician. • As a result of the class, participants were more likely to check their feet for cuts and sores every day. In fact the percentage rose from 67% to 80%. • There was an increase in knowledge gained regarding proper nutrition for diabetes. • As a result of the class, most participants felt that they were better able to handle and manage their Diabetes. • Economic Impact for Kerr County = $159,145 Quotes: • I learned how to take care of myself • Great review of basic behaviors. Re-emphasize good practice to maintain diabetes control. • Most important things I Teamed were moderation, how to read a label, good vs. bad snacks, signs of low blood sugar, and balancing Garbs, protein and fat. • Most important thing I learned how to prevent complications. roving lives. impr~~°~l~lg i Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin. The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating EST REGION FAMILY and CONSUMER SCIENCES ~u wallc° Across TexasT AgriLIFE EXTENS Summary: Walk Across Texas is a program designed to get people motivated to exercise through competition with each other. There are several ways this program can be attempted. The most popular way is to create teams of up to 8 people and compete for 8 weeks against each other to see who can "Walk Across Texas". Then there is an individual route that people can also take, where they challenge themselves to walk more than other individuals in the county. At schools, this program is implemented on a class by class basis. Each class competes against other classes to walk the most miles. Overall this program has been a huge success in our county and this year it was implemented in several places. Participation Info: • Pilot Test -Spring o I Team at the United Methodist Church o I Team at the Extension Office 0 10 Teams through the hospital • BT Wilson o Classes aze competing together to see if they can "Walk Across America" • Ken County Employees 0 5 Times -This is their last week o Awazding Prizes after Thanksgiving Results: • Female Participants - 108 o Average age - 48 I o Number that could avoid or delay diabetes - 24 • Male Participants -11 ~ o Average age - 49 o Number that could avoid or delay diabetes - 2 • 95% of participants were physically active for at least 30 minutes, 5 days a week after the program. • 81.4% of participants felt that their family benefited from the program • Total Economic Impact for Kerr County $ 1,898,210 • Total Economic Impact for Kerr County Employees Only $550,370 -. r* Educational programs of the Texas Agrilife Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin. The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating f '. WEST REGION FAMILY and CONSUMER SCIENCES Agri LIFE EX Texas Over 60 percent of children from birth through age 6 (not yet in kindergarten) receive some form of child care on a regular basis from persons other than their parents. The Texas Workforce Commission estimates that there are over 100,000 child care providers caring for more than 760,000 children under the age of 13 in licensed or regulated child care facilities in the state of Texas. Additionally, child care is the 16th largest industry in the state, generating over 145,000 jobs and $2.3 billion in wages for Texans. Findings from longitudinal research have clearly established the fact that quality does matter when it comes to child care. Children who receive high-quality care (e.g., warm sensitive caregiving, well educated child ~ care staff, low child-to-adult ratios, small group size) develop better language, math, and social skills; exhibit fewer behavior problems; and tend to be better prepared for entrance into school. Having awell-trained child care workforce is essential to providing the high quality child care that children need to develop physically, socially, emotionally, and cognitively. i Child Care Provider Conference On September 12, 2009, the Texas AgriLife Extension Service in Bandera, Gillespie, Kendall, Kerr, Medina, Sutton and Uvalde Counties in cooperation with Texas Department of Family and Protective Services, conducted a child care provider training conference in Kerrville, Texas for 251 child care providers and directors who provide care for 3,210 children enrolled in 55 child care centers or family day homes. The mean age of participants was 38.4 years and had been in the profession for 9.5 years. Sixty-four percent has a High School diploma or less. Two- hundred and twenty-eight participants completed a written evaluation of the conference. A total of 1,757 clock hours of training were provided to child care professionals seeking to meet state mandated training requirements established by the state of Texas. Participants were asked to indicate their agreement or disagreement with a series of items related to the training. Two-hundred and twenty-eight participants completed written surveys. (See Table 1 for participant responses.) ~ !Texas AgriLde Extension Service are open to all people without regard to race, color, sex, disability, religion, age, or national origin. ..... ~.......,&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating ~' I 1 Child Care Provider Conference Outcomes (N = 228) n nt Learned new information 96.5% 3.5% Will utilize new information to stren then ro ram 95.6% 2.6% Intent to Use Information Will use now 97.4% 1.3% Will use in future 96.9% 0.9% Trainin 's Influence on Provider/Pro ram Quali Will be more effective rovider 96.9% 0.9% Will lead to im rovements in uali of care offered 94.7% 2.6% Relevanc of Trainin Hel ed rovider obtain re uired clock hours 92.5% 5.3% To ics relevant to dail work 93.4% 2.6% Other Trainin cost-effective 92.5% 3.1 Trainin too sim listic 30.7% 59.6% Plan to attend another Extension conference 95.6% 1.8% As can be seen in the tables above, child care providers found the training tc beneficial. Qver 90 percent of participants acquired new information from the confe considered the training to be very cost-effective, considered the training to be very the work they do, plan to utilize the information gained at the conference to improve programs, and consider themselves better equipped to work with the children in the A~-ri LIFE ~ ~ , ~ ~ ~ummar_y: EXTENSION Texas A&M System Take A Stand is a Conflict Management Curriculum developed by Texas AgriLife. They partnered with the Dispute Resolution Center in Lubbock County to pilot this program. This program includes S lessons. The topics included are conflict management bullying, communication, etiquette, teamwork and cultural awareness. Our county piloted the program at Ingram Elementary School with the 4'" grade. Class Info: Itesiyts• This curriculum was taught to Ingram Elementary School's 4'" grade classes. There were 84 youth and one teacher who participated in the program pilot. Overall Program Evaluation: • 87% of students were mostly or completely satisfied with the activities in the lessons. • 84% of students were mostly or completely satisfied with the instructors' responses to questions. • 78% of students were mostly or completely satisfied with the program overall. • 78% of students were mostly or completely satisfied with the range of topics covered. Knowledge Learned Evaluation: • 77% of students often or always respect others. • 76% of students often or always accept and understand the consequences of violence. • 74% of students are good team members often or always. • 74% of students often or always respect customs and traditions of others. • 73% of students often or always have good manners. • "Thank you very much for doing Take A Stand with our class! ! It was so much uotes: fun! ! I learned tons! ! ... - Student at Ingram Elementary • "I truly loved the "Take A Stand" presentation, my students were engaged right from the start. Both the students and I were sad when it came to an end. Since the visit, I have noticed a closeness among the students that was not there before. Thanks for all you did to make our school a better place." - Teacher at Ingram Elementary For More Information Contact: Rene Walls or Laurinda Boyd Kerr county 830-257-6568 1rn~rinr~ 'T'ray ,. AgriLIF~ EXTENSIO Texas A&M Svs+ Kerr County 4-H Health Rocks Curriculum Plan Originator: Laurinda Boyd Team Members: Rene Walls, Kari Potter and 22 teen Leaders County/Unit Name: Kerr Report Type: Final Relevance/Issue Description: Hea/th Rocks! is a curriculum-based life skills development program for youth ages 8 to 12, sponsored by the National 4-H Council. It helps youth learn skills such as decision-making, critical thinking, and stress management but places a special emphasis on tobacco-use prevention. The program also includes components that bring youth and adults together as partners in developing community strategies that prepare young people to make health lifestyle choices. -Human Interaction Research Institute 4-H has worked for decades to help youth develop skills that serve them for life. Some of these skills, such as communicating with others, relating to change, and dealing with stress, help youth as they seek to develop the internal strength to resist risky behaviors. We feel a prevention program built upon the strong foundations of life-skill development and decision-making results in a program that truly reduces youth tobacco and drug use. Kids who have personal social skills and competencies are more resistant to substance use. Ultimately we want children who are already forming their opinions about tobacco, alcohol and drug use to take control of these choices and not make them because of peer pressure, stress, or other emotional factors. Target Audience: Adults and Youth Response or what educational activities, events, and /or experiences were delivered to address the issue described above: Our Kerr County 4-H Health Rocks Leadership team which consist of 22 teens from Jr. High and High school, delivered 6 teaching sessions to 357 Ingram Elementary 3ro, 4tn and 5"' grade students over a 6 week period. The Health Rocks curriculum was utilized to teach hands on, interactive activities to the students. Some of these activities, such as communicating with others, relating to change, and dealing with stress, help youth as they seek to develop the internal strength to resist risky behaviors. The teen leaders taught the program from Sam to noon. They received E-days excuses for their participation during their own classroom time. The program was very well received by the teachers and students. More Information Contact: Laurinda Boyd 4-H Program Assistant, Ken County Texas AgriLife Extension y~ Results: Through this program, 22 4-H Junior and Senior Health Rock Teen leaders developed as leaders while teaching this curriculum-based life skills development program. The teen leaders have noticed a positive response to the curriculum through the youth's behavior and interaction with the teen mentors. The Results of the effect of the Health Rocks Program on the elementary school age children was determined by their completion of a pre & post survey. The youth indicated an increase in knowledge based on information presented as follows. • I can talk to someone in my family about tobacco, alcohol and drugs, increased their knowledge by 88%. • I know at least three ways to say no to tobacco, alcohol and other drugs, increased their knowledge by 83% • I am able to avoid getting into trouble by making good decisions, Increase in knowledge by 79%. • I know how to say no to peer pressure, increased their knowledge by 79%. • I try to not to be influenced by media and advertising when I make choices, increased their knowledge by 77%. • I understand the difference between legal and illegal drugs, knowledge increase of 77°~. • • I will participate in a community service project related to tobacco, alcohol and drugs, increased their knowledge by 74%. • I do my best to make good decisions, increased their knowledge by 74%. • Being addicted makes you lose control, knowledge increase of 73%. • I have positive ways to relax, increased their knowledge by 72%. • I try to do the right thing even if it is not popular or what others are doing, Increase in knowledge by72 %. • I make decisions based on facts, Increase in knowledge by 70%. • I understand the negative consequences of using tobacco, alcohol and drugs, Increase in knowledge by 67°k. • I am able to make a difference in my community, increased their knowledge by 63%. • Most youth my age don't use drugs, HR increased their knowledge of this subject by 50% Through our partnership with Ingram Elementary School, we have been able to promote the 4-H program and create a positive influence on these youth at risk.