COMMUNITY ASSESSMENT 2018-2019 - UNITED WAY OF TARRANT COUNTY - unitedwaytarrant.org - United Way Tarrant County
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UNITED WAY OF TARRANT COUNTY
COMMUNITY ASSESSMENT 2018–2019
un i t e dw aytarran t.org
UNITED WAY OF TARRANT COUNTY
Dear Friends,
United Way of Tarrant County is pleased to share our 2018-2019 Community
Assessment with you. The assessment, made possible by a grant from the Sid This community assessment
Richardson Foundation, is the third and final phase of discovery in support of was carried out by the University
our new Strategic Plan, which we launched in the spring of 2018. The Strategic of North Texas Health Science
Plan introduced Systems Change, a new way for United Way of Tarrant County Center (UNTHSC) School of
to lead and allocate resources geared toward not just managing social issues, Public Health in partnership
but solving them for particular populations. This Community Assessment now with the United Way of Tarrant
provides us with a clear directive of where Systems Change funding is needed in our community County and community
and how our donors and the people of Tarrant County expect us to allocate resources. stakeholders.
Through our partnership with the University of North Texas Health Science Center, we conducted
numerous interviews and focus groups with key informants. We also analyzed and extracted The UNTHSC project
key findings from existing research and publicly available statistical indicators. We found five team includes:
major areas needing significant investment: housing and homelessness; health, mental health
and wellness; transportation; education/early childhood/youth; and basic needs, emergency Principal Investigator:
assistance and financial stability. Emily Spence-Almaguer,
Ph.D., MSW
While many of these issues are not new, the Community Assessment highlights how they are Associate Dean for Community
interconnected, how they compound challenges for residents and their quality of life and how Engagement and Health Equity
the root of many of these chronic issues is poverty. As a result, United Way of Tarrant County will
specifically target the issue of intergenerational poverty with an emphasis on addressing gaps in Project Director and
the five major areas. Co-Investigator:
The Community Assessment results also show the need for better communication, collaboration Danielle Rohr, MS
and coordination among social service organizations, government entities and the private Senior Program Evaluation and
sector. We believe it is our role and our responsibility as a steward of investments by donors Assessment Manager
to be a leader in convening resources and facilitating communication and collaboration. We
take that role seriously. To that point, we are providing a full technical report of all the data Co-Investigator:
collected and analyzed for the Community Assessment. The technical report can be found at Karen Bell Morgan, Ph.D.
www.unitedwaytarrant.org/communityassessment. Assistant Professor and MPH
Program Director
The 2018-2019 Community Assessment is a powerful tool for United Way of Tarrant County,
our partners and the communities we serve. We hope you will take the time to read the report
Graduate Research Assistants:
and learn about the social issues facing Tarrant County. We look forward to working with the
Claire Deahl
community to fulfill our mission to provide leadership and harness resources to solve Tarrant
Brittney Sanderson
County’s toughest social challenges.
Julia Aiken
Emily Hardin
Sincerely,
Alice Miank
TD Smyers Designed by
President and Chief Executive Officer
United Way of Tarrant County
www.visualinfonomics.com
2 United Way of Tarrant County: Community Assessment 2018-2019
HOW DID WE ASSESS TARRANT COUNTY?
research team. This resulted in over 4,000 passages, of which
METHODS 2,309 identified perceived needs and issues of concern to
We used multiple strategies to gather information about the Tarrant County stakeholders. Based on feedback gathered from
strengths, needs and concerns of Tarrant County residents. existing data, key informant interviews and focus groups, United
Way conducted a donor survey and provided a summary of
PHASE ONE: PUBLICLY AVAILABLE DATA SOURCES findings, which also are included in this report.
We began by finding out what other organizations in our
community have learned through their own assessment HOW TO USE THIS REPORT
projects. This included a review of more than 20 existing This report provides an overview of social issues facing residents
assessment reports, most of which addressed special topics of Tarrant County. It highlights what is going well, what needs
such as community health, behavioral health, criminal justice, to be improved, and what the community perceives about the
education, transportation and economic development. role and influence of United Way of Tarrant County. This report
is a brief summary of a large volume of data gathered for the
Next, we collected publicly available data that helped us better assessment. Those who are interested in greater detail and other
understand how Tarrant County has changed over time and how statistical indicators are invited to download our technical report,
we compare to other regions. These data sets were gathered from available at www.unitedwaytarrant.org/communityassessment.
national, state and local sources, including but not limited to: Since this assessment uses multiple sources of data, each
• United States Census and the American Community Survey source comes with limitations. Feedback from interview
• United States Bureau of Labor Statistics participants cannot be generalized to the region as a whole,
• Texas Education Agency public statistical data may provide an incomplete picture of an
• Texas Health and Human Services issue or not be available at the region or frequency desired, and
• Texas Department of Public Safety existing reports are generally designed to meet the needs of a
• Local school districts, health systems and municipalities specific set of stakeholders. Taken collectively, however, these
• Dallas-Fort Worth Hospital Council Foundation different data sources offer multiple perspectives on key issues
• Robert Wood Johnson Foundation facing residents of Tarrant County.
This report is designed to stimulate dialogue about how to
PHASE TWO: PERSPECTIVES FROM build on community strengths and generate solutions to
problems that interfere with quality of life.
RESIDENTS AND COMMUNITY STAKEHOLDERS
With support and assistance from United Way of Tarrant
County and a large number of community organizations, we
CONTENTS
We Are Tarrant County............ 4 Built Environment.................. 17
completed 25 key informant interviews and 20 focus group Housing and Homelessness.... 6 Safe Communities................. 18
interviews. Lists of potential key informants were generated Education................................. 8 Community Relationships.... 19
by staff from United Way of Tarrant County and supplemented Transportation....................... 10 Strengthening Systems
by recommendations from other community stakeholders. The Physical Health Through Collaboration,
University of North Texas Health Science Center Institutional and Healthcare...................... 12 Coordination and Community
Review Board approved the human subjects research protocol Mental and Behavioral Health...13 Planning................................. 20
for this phase of the Community Assessment. All 45 sessions Basic Needs........................... 14 Tarrant County Strengths..... 21
were audio recorded and transcribed into text and demographic Financial Stability................. 15 Where to go next?................. 22
surveys were completed by the participants. The transcriptions Workforce Development Who did we talk to?............... 23
were divided into distinct passages and coded by the UNTHSC and Employment................... 16 Acknowledgments................ 24
United Way of Tarrant County: Community Assessment 2018-2019 3
WE ARE TARRANT COUNTY
W DID YOU KNOW?
ith an estimated population of more than
2 million people, Tarrant County is growing
rapidly, having gained 237,058 new residents Tarrant County is part of the fourth-largest
since 2010.1 It is the third most populous metropolitan area in the United States.
county in Texas and the 16th largest in the United
States. Like other counties in the metropolitan area,
it is attractive to new residents and businesses
because of its cost of living, quality of life, economic
0.3%
50+2813421
potential and cultural offerings.2
The county is racially and ethnically diverse, with a 2.1%
Multiracial
American Indian and Alaskan
Native Non-Hispanic
growing population of Hispanic residents. Languages
0.2%
other than English are spoken by 27% of households,
with one in five speaking Spanish.3 Among adults 5.0%
Asian
Native Hawaiian
and Other
25 and older, the vast majority hold a high school
diploma or equivalency (85%), and 21% have a 15.3% Pacific Islander
bachelor’s degree or higher.4 Tarrant County is also
Black/African
0.1%
home to an estimated 110,560 U.S. military veterans.
American
Non-Hispanic POPULATION Other
Full-time, year-round workers earn a median wage of
BY RACE
$46,091 per year.5 Approximately 12% of families in 49.2%
Tarrant County and 19% of children are living below 27.8% White
poverty level.6 Hispanic of Non-Hispanic
any race
TARRANT COUNTY POPULATION GROWTH, 2010-2017 2,054,475
2,021,746
3 RD
most populous
16 TH
largest county
13%
increase in population
1,983,642
county in Texas in the U.S. from 2010 to 2017
1,945,378
1,913,133
1,882,399
1,847,875
1,817,417
1,800,000
2010 2011 2012 2013 2014 2015 2016 2017
4 United Way of Tarrant County: Community Assessment 2018-2019
TARRANT COUNTY: AN OVERVIEW OF KEY ISSUES United Way
donor survey
Key informant
interviews
Proposed solutions
To identify the major issues affecting the lives of Tarrant County
residents, the research team analyzed and extracted key findings Strengths Concerns
from existing community assessment reports, publicly available
Analysis of publicly
statistical indicators, and transcriptions of key informant and
available data
focus group interviews. These were compared against one
Focus group
another to find areas of alignment. Details offered by interview
interviews
participants helped to illuminate and provide context for Trends
statistical indicators. When analyzing indicators, the research
Review of existing
team considered several dimensions, including trends over time, assessments
comparisons to other communities, state and national averages,
rates based on population size and whether or not there were The major areas of concern are likely not a surprise to residents of
disparities among subgroups. Tarrant County, as these issues arose with great frequency during
interviews. The issues also are in existing community reports and
TOP IDENTIFIED ISSUES associated with compelling statistical indicators. Furthermore,
these issues are entangled with one another, compounding
Housing and Homelessness challenges for residents who are trying to improve quality of life
for themselves and their families. The lack of affordable housing
Health, Mental Health and Wellness leads many families to live paycheck to paycheck, unable to
weather financial crises and relying on social service providers to
Transportation
meet basic needs. Employment opportunities that could increase
Education, Early Childhood and Youth financial stability may not be reachable by public transit, and
for individuals living near the poverty level, public transit is not
Basic Needs, Emergency Assistance and affordable. Going without needed health and mental healthcare
Financial Stability also limits people’s independence and capacity to pursue better
educational and employment opportunities.
COMMUNITY VOICES
“[What is needed?] I would say ... “… it’s all so connected. The root issue
affordable — no cost, or affordable — is poverty, I believe. And one of the
vocational training. And I know I sound things ... I want to make sure I’m clear
like a broken record, but that getting a about is the need for living-wage jobs
job at a living wage is the key to some and often training has to go alongside
of these issues that we’re talking that … but I think that really poverty is
about … because if you can get a job at the underlying issue that drives all of
a living wage and can afford a car, well these issues, obviously. So … I think
then you can meet your housing and we need pathways to help people get
your transportation needs ideally.” out of poverty. Living-wage jobs and
— Focus Group Interview Participant affordable housing are probably the
top two, I would say.”
— Key Informant Interview Participant
United Way of Tarrant County: Community Assessment 2018-2019 5
HOUSING AND HOMELESSNESS
MEDIAN PROPERTY VALUE
NEED FOR AFFORDABLE HOUSING $205,000
A
$210,000
ffordable housing in Tarrant County is increasingly $194,500
$189,100
difficult to find. Housing prices continue to rise and the
$187,500 $181,200
median home purchase price was approximately $228,000 $173,900 $172,500 $168,500
in 2018.7 A balanced housing market has about 6.5
months of inventory; however, Tarrant County has had less than $160,600
$165,000 $152,700 $153,200
2.5 months of inventory since late 2015.8 $161,500
$145,200
$138,800 $152,000
$142,500
Home ownership in Tarrant County (60.4%) is also lower than $139,600
the national average (63.6%), despite median property values $132,000
$120,000
in Tarrant County being $36,500 less than the national
2013 2014 2015 2016
average.9
United States Dallas-Fort Worth-Arlington Metro
Texas Tarrant County
HOUSING COST
$1,200
Median rent for a two-bedroom
apartment in 2018.10
The need for more affordable housing was often brought up
in interviews with community members. One Tarrant County
resident explained: “When I started looking for a place, the places
I could afford I couldn't get in because I didn’t make three times the 115 HOURS A WEEK $45,285 ANNUALLY
rent. But the places that were over my limit were more lenient as is the amount someone After-tax family income
far as acceptance to get me in. The places I could afford were too earning minimum wage needed for two adults and
far from my daughter’s school, so I would have to figure out how to would have to work to afford a child.11
get her to school.” rent and living expenses.
— Focus Group Interview Participant
HOMELESSNESS AND THE
LACK OF AFFORDABLE HOUSING DID YOU KNOW?
Not everyone has the same options when it comes to housing. More than one in five
Tarrant County
(23%) Tarrant County families earn less than $35,000, making housing unaffordable Homeless Coalition
for over 100,000 families.12 In Tarrant County in 2018, more than 2,000 people has partnered with over 40
were included in the homeless population point-in-time count, and an individual is organizations in the community
homeless for seven months, on average, before finding permanent housing.13 The
to provide care to people
count reflects a 5% increase in homelessness between 2017 and 2018. Affordable
experiencing homelessness.
housing and homelessness impact a diversity of people: veterans, children, seniors,
families, trauma survivors and people experiencing mental and physical disabilities. Their Housing Crisis System of
The overwhelming majority of people experiencing homelessness reported that Care delivered services to over
sudden unemployment and their inability to pay rent were the primary causes of 19,000 people in 2017.
their housing loss.
6 United Way of Tarrant County: Community Assessment 2018-2019
HOMELESSNESS IN TARRANT COUNTY
An abundance of organizations work together to address
Point-in-Time Count — people identified as homeless
homelessness in our Tarrant and Parker County Continuum
in Tarrant County and Parker County each January
of Care. Over the past several years, community leaders have
2017 1,912
emphasized the quick return from homelessness to permanent
housing and the importance of building the supply of affordable
2018 2,007
housing.
According to the Tarrant County
Homeless Coalition:
The housing math for extremely low-income families in our 6,701 INDIVIDUALS
community simply does not work. With only 19 housing units classified as homeless at any
for 100 households, we will continue to incur the extraordinary time during the prior year in the
costs of homelessness (economic, social and individual) if we do Continuum of Care in Tarrant
not focus and go to scale on increasing the supply of affordable County and Parker County13
housing. Worse, the longer we wait, the more the cost of the
solution will grow.13
WHO IS AT RISK IN TARRANT COUNTY?
Seniors Children14-15
The number of homeless seniors has largely increased over In 2014-2015 there were 7,709 children counted as homeless in
the last decade because of growing poverty rates among older school districts in Tarrant County.
adults and the declining availability of affordable housing. • In Texas, homeless students score 10-15% below all other
Our interview participants were often concerned about the students.
lack of affordable senior living facilities in the Tarrant County • One in four homeless youth is at high risk for human
area. Participants also described a critical need for affordable trafficking.
memory care facilities. • They are at 5 times the risk of dropping out of school.
• They are more likely to interact with the criminal justice
Veterans system for crimes intertwined with homelessness, including
The Tarrant County Homeless Coalition reports that for every “survival sex.”
100 people experiencing homelessness in our community,
eight of those are veterans.13 Nationwide, over 10% of those “You can’t solve early childhood homelessness without solving
experiencing homelessness are veterans. affordable housing.” — Key Informant Interview Participant
Recently Unemployed Families Without an Emergency Fund
Unemployment is consistently identified as the number one Many different misfortunes that accumulate can realistically result
cause of homelessness by unsheltered individuals who are in homelessness for any family. Depleting savings to fix a family
surveyed during the point-in-time count.13 Families earning low vehicle, stay on top of bills or pay for a medical emergency could
wages are at particular risk of being unable to weather periods result in eviction if a family’s emergency fund is insufficient to
of unemployment. cover the costs. The University of Notre Dame released a study
that found that providing $720 of emergency financial assistance
Victims of Domestic Violence can save individuals from homelessness — and save the
Finding safety while fleeing domestic violence is a complex community money in the long run too.16
issue that is exacerbated by concerns over safety, health and
financial resources. For many people, leaving their abuser is only
the first step toward recovering from the trauma and many such
Behavioral Health
Mental health and substance use disorders 18%
OF PEOPLE WHO WERE
people find themselves without shelter. can both precede and be exacerbated by
HOMELESS IN 2018
homelessness. In 2018, 18% of individuals EXPERIENCED SEVERE
counted as homeless were identified as MENTAL ILLNESS
severely mentally ill and 11% were reported to
United Way of Tarrant County: Community Assessment 2018-2019 7
EDUCATION
CHILDCARE
The ability to access affordable, high-quality childcare is
necessary for parents and their children. Parents who have
access to dependable, high-quality childcare resources can gain
and maintain employment, while their children are provided with
educational opportunities that will allow them to enter school
kindergarten ready.
Average Monthly Cost of Childcare
for One Child in Tarrant County19
$850.92
$794.64
$772.80
Childcare is a large expense for many families with young
children. Subsidized childcare exists but is limited in availability. $675.08
In the following map, a subsidized childcare desert is defined
as a ZIP code of at least 30 children, ages 0-5, with working
parents living below 200% of the federal poverty level and in
need of childcare.18
Infant Toddler Pre-schooler School-aged
child
“We don't have nearly enough subsidized childcare. The vast
majority of people who need subsidized childcare, who are eligible
for it, don’t get it. And that really increases the rate of poverty for
families that have children under the age of 5, particularly single-
mother households with children under the age of 5.”
— Key Informant Interview Participant
“To keep your job, you need childcare!”
— Focus Group Interview Participant
8 United Way of Tarrant County: Community Assessment 2018-2019
AN EMPHASIS ON READING
Students who do not read on grade level by third grade are four Rates of 3rd-grade reading proficiency22
times more likely to drop out of school.20 According to Read
Fort Worth, only 33% of Fort Worth Independent School District Tarrant County 43%
(overall)
(FWISD) third graders were reading on grade level and community
leaders recognized the long-term economic and social risks this
posed for Tarrant County.21 Read Fort Worth is an innovative Texas 41%
initiative supported by the FWISD, the City of Fort Worth and key
stakeholders in business, philanthropy and nonprofit sectors.
People throughout the county are excited about the program Tarrant County,
economically
and many expressed interest in seeing it expand outside of Fort 32%
disadvantaged
Worth. students
“If we can get a child grade ready by the time they show up for Tarrant County,
kindergarten, their trajectory is dramatically different from that of non-economically 58%
disadvantaged
a child who comes in and they’re behind from day one.”
students
— Key Informant Interview Participant
SECONDARY EDUCATION AND BEYOND
With every increase in educational attainment, earnings grow.
year.23 This matches the Texas graduation rate and is better
than the national average high school graduation rate of 84%.24
Approximately 13.8% of 18- to 24-year-olds in Tarrant County
In 2017, the average Tarrant County resident with a bachelor’s do not have a high school diploma. Thirty percent have a high
degree earned more than twice what someone who lacked a school diploma and 46% have some college education or an
high school diploma or GED earned.5 associate degree.25
Tarrant County Median Annual Income 2017 One in five high school
$70,278 graduates in Tarrant
County (20.3%), in 2014-
$54,752 2015, enrolled in a Texas
public four-year university.
$38,801
$30,917 Another 29.5% of high
$24,042 school graduates in
Tarrant County enrolled
in Texas public two-year
colleges that same year.26
Less than High school Some college Bachelor’s Graduate or
high school graduate or associate degree professional “I think that focusing on education and making sure that we are
graduate (includes degree degree preparing young people for the workplace of the future, that is a very
equivalency) high priority in my mind.” — Key Informant Interview Participant
This demonstrates that education is essential for individuals “Just two years and the automotive people and the HVAC tech
and households to be financially stable and essential to support people are coming, but we can hardly get them out of the classroom
a strong economy. Almost 90% of students in Tarrant County graduated, and they’ve already got jobs.” — Key Informant Interview
graduated from high school in four years, for the 2015-2016 school Participant
DID YOU KNOW?
Fifty-nine percent of students in the
59+41 EARLY COLLEGE HIGH SCHOOLS
Tarrant County College District has partnered with Fort Worth,
Arlington, Mansfield, Everman, Grapevine-Colleyville and Crowley
59%
Education Service Center Region XI, Independent School Districts to offer Early College High School
which includes Tarrant County, met the (ECHS) programs to more than 3,000 students. These programs
criteria for college readiness in both allow students to graduate with both a high school diploma and an
English language arts and mathematics.27 associate degree.28
United Way of Tarrant County: Community Assessment 2018-2019 9
TRANSPORTATION Map not to scale
35W
W University Dr
N Bonnie Brae St
University Village
Shopping Center
64x
Texas Health
Presbyterian Scripture St
Park & Ride
W Oak St
S Bonnie Brae St
C
Presbyterian
Hospital W Hickory St
University of
North Texas
Thompson
1 2 3 63x North Park & Ride Xpress 4 11 North Beach/Heritage Trace 5 6 7
overing 902 square miles, it’s no surprise
35E 64x North Texas Xpress See inset
Southbound I-35 Service Rd
Summerfields
(south of Golden Triangle)
Riverside
MAP KEY
Beach
Route 63x – North Park & Ride Xpress, Route 11 – North Beach / TEXRail Detail
Route 64x - North Texas Xpress Detail
63x Heritage Trace Detail
Pa
# Bus Route - up to every 15 minutes Route 64x – North Texas Xpress Detail Grant Park
rk
Pepperbrush
64x 11
Vis
# 121
ta
H i l lwood
Bus Route – up to every 30 minutes
MAP NOT TO SCALE DENTON Staghorn Prewett
114
Teal
that transportation plays a major role
# Bus Route - up to every 60 minutes Non-stop express Amador
64x service to Denton W University 35W Misty Ridge
Basswood
# i t a g e Tr ace DFW AIRPORT -
Bus Route - Xpress/Limited
64x University Village Her
A A
Pkwy
Basswood B ass GRAPEVINE/MAIN ST NORTH
# Non Stop Service Scripture Shopping Center wood Future TEXRail Future TEXRail
Bonnie Brae
age
TCC 35W Texas Health 1 WATAUGA
63x
Teal
rit
Dogwood
Hadley Presbyterian 39 W inter H Alliance
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Trinity Railway Express Line and Station Park & Ride gstraw Town 114
Svc.
Alliance North Texas
Future TEXRail Line and Station 35 Center NORTH RICHLAND HILLS/ DFW AIRPORT -
in the lives of Tarrant County residents.
Corporate SMITHFIELD Service to DFW
ch
TERMINAL A/B
N Texas
International Airport
Bea
Training Future TEXRail Station Future TEXRail
63x Center 64x
Park & Ride Western Center N Tarrant Watauga
see separate list for information 64x Alliance 121 360
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Transfer Center Center Thompson e)
Westport Pkwy tur
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Point of interest -
People access healthcare systems,
see separate list for route information
Golden Triangle Blvd
College / University North 63x Fos
sil Cre
Park & Ride ek Route 30 – CentrePort Circulator Detail
Hospitals & JPS Health Centers 64x Fossil Creek TCC Northeast
NORTH RICHLAND HILLS/ Campus
63x 29
IRON HORSE
Other Cities/Municipalities 64x Heritage Trace Pkwy Future TEXRail Station Lewis 360
Reynolds
Harwood
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la 23
Janetta
employment, grocery stores, social and
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820 Standley Hw Jerry Jo 183 Amon 183
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Davis Blvd.
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Station Blvd
American Blvd
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find transportation to be at the crux of their
Handley Ederville
NORTH SIDE
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Gravel
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Sylvania
17 th
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Center Texas A&M
mp
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Fort Worth 10
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Rd 31
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us
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Be
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W
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6 5a Old Hickory T & P Station
Harris
ail cC
Texas Health ry Tr M Woodmont Altamesa Carriage W Presidio St
Forest Hill
Gettysburg
Trinity Railway Express S
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bu Altamesa Rockmoor
t
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an Future TEXRail Station Ma
Will Rogers
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Tarrant County Saldana st Cre Bamberry Altamesa 72
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St
30 4 5 6
Chancellorsville
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Ave
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bu
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College Ave
Cle
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costs to earn a living.
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nwoo
G
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S Adams St
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o
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9
This Trinity
Points of Interest Metro transit map
31
shows bolded lines Transfer
where public transportation routes are
Centers
available in Tarrant County. Note the large geographic areas with no routes within walking
Point of Interest Route / Grid Reference Point of Interest Route / Grid Reference Location Route / Grid Reference Location Route / Grid Reference
Interviews with community members revealed
1 Alliance Town Center 11 Inset 23 Montgomery Plaza 2, 7, 10 D3 East Fort Worth 21 Boca Raton (M - Sun), 89 SPUR/East Lancaster (M - Sun) North Side 12 Samuels/Mercantile Center (M - Sun), 14 Sylvania\NE
D5 C3
2 Amon Carter Museum 2, 7 D3 24 Near Southside Area/Hospital Dist. 1, 4, 5, 6 D3, D4 Transfer Center 22 Meadowbrook (M - Sun), Transfer Center 28th (M - Sun), 15 Stockyards/North Main (M - Sun),
distance in the southwest and northeast regions of the county.
4104 E Lancaster Av. 25 Crosstown (M - Sun) 60x Eastside Xpress (M - Fri) 2500 N Houston St. 44 Central/Azle Ave (M - Sun), 45 TCC Northwest/Angle
3 Bass Performance Hall Molly * 25 Panther Island Pavillion 10, 15, 46 D3
Ave (M- Sun), 91 Ridgmar Mall/Stockyards (M - Sun)
4 Bell Helicopter TRE, 111 C7 26 Renaissance Square 24, 28 E5
consistent concerns about access to public
Hulen Mall 6 8th Ave/McCart/Hulen Mall (M - Sun), F2
5 Casa Manana Theater 2, 7 D3 27 Ridgmar Mall 2, 26, 27, 61x, 91 D1 Transfer Center 25 Crosstown (M - Sun), 32 Bryant Irvin (M - Sat) Ridgmar Mall 2 Camp Bowie (M - Sun), 26 Ridgmar Mall/Normandale D1
4942 S Hulen St. Transfer Center (M - Sun), 27 Como (M - Sun), 61x Normandale Xpress
6 Chapel Hill Shopping Center 25 D2 28 Sundance Square 1, 15, 46, Molly *
2600 Mall Circle (M - Fri), 91 Ridgmar Mall/Stockyards (M - Sun)
7 DFW Airport Trinity Railway Express – 29 Tarrant County College Northeast 23 B6
La Gran Plaza 1 Hemphill (M - Sun), 5a Evans Ave. (M - Sat),
transit options. Not all municipalities offer bus or train routes, to a credit card, debit card or pre-paid card. Milo the self-driving
8 Service to Dallas Trinity Railway Express – 30 Tarrant County College Northwest 44, 45 B2 F3 Sierra Vista 3 S Riverside/TCC S. Campus (M - Sat), E4
Transfer Center 25 Crosstown (M - Sun), Transfer Center 5b Evans Ave. (M - Sat), 8 Riverside/Evans (Sun Only),
9 Farrington Field 7 D3 31 Tarrant County College South 3, 5a, 5b F5 4200 South Fwy. 72 Hemphill/Sycamore School Rd. (M - Sat) 1500 E. Berry St. 24 Berry St. (M - Sun)
10 Forth Worth Botanic Garden 7 D3 32 Tarrant County College Southeast 67x F5
11 Fort Worth Museum of 2, 7 D3 33 Tarrant County College Trinity River 10, 15, 46 *
and among those that do, there are large areas without bus cars in Arlington are free but only serve a limited area in the
Science and History 34 Tarrant County Courthouse 10, 15, 46, 61x, 65x, 66x *
12 Fort Worth City Hall 1, 10, 46, Molly * 35 TCC’s Erma C. Johnson Hadley 63x, 64x Inset EAST FORT WORTH TRANSFER CENTER HULEN MALL TRANSFER CENTER LA GRAN PLAZA TRANSFER CENTER
13 Fort Worth Convention Center 1, 4, 5, 6, 7, 9, 14, Molly * Northwest Center of Excellence for E LANCASTER AV E MA
HULEN LL
Aviation, Transportation and Logistics RIN
14 Fort Worth Water Gardens 1, 4, 5, 6, 7, 9, 14, Molly * MALL G
stops. Families may spend hours each day walking to bus entertainment district. Tarrant County College and the Trinity
at Alliance Airport (Hadley CEATL) RD
15 Fort Worth Historic Stockyards 12, 14, 15, 45, 91 C3
MALL ENTR ANCE RD
36 Texas A&M School of Law 2, 3, 89, Molly * Sears
16 Fort Worth Zoo 7 D3, E3
37 Texas Christian University 7, 24 E3 22 5a MALL
17 Trinity Metro Customer Service Center 2 *
S SA RG E NT ST
38 Trinity Park 7 D3 PA R K I N G
stops, waiting, and transferring routes to go to work, drop Metro are now offering free transportation to students to
18 Hulen Mall 6, 25, 32 F2 39 University of North Texas – Denton 64 Inset
89 (east) 72
19 Kimbell Art Museum 2, 7 D3 40 UNT Health Science Center 2 D3
21 OV 6, 25, 32
20 La Gran Plaza Mall 1, 5a, 25, 72 E4 41 UTA Fort Worth 2, 3, 89, Molly *
ER
TO 1 25
N
21 LaGrave Field 15 C3 25
children off at childcare and pick up necessities. connect them to other campuses and the larger transit system.
42 Will Rogers Memorial Center 2, 7 D3 RI
D
ST
G
22 Log Cabin Village 7 E3 89 (west) E
* See Downtown Fort Worth inset B
N
LV
LE
D
U
H
60x
Park and Ride Locations
E . S E M I N A RY D R I V E
S
Location Route / Grid Reference Other community organizations, such as Catholic Charities Location Route / Grid Reference NORTH SIDE TRANSFER CENTER RIDGMAR MALL TRANSFER CENTER SIERRA VISTA TRANSFER CENTER
EDGE PARK METHODIST CHURCH 66x Candleridge/Altamesa Xpress F3 SOUTH PARK & RIDE 65x South Park & Ride Xpress F4
“… we have a deplorable lack of public transportation. People who of Fort Worth, also provide limited transportation for qualified
E B E R RY STR E ET
5616 Crowley Rd. I-35 at Alsbury Exit
351 E Alsbury Blvd. N W 26TH ST
ALTAMESA CHURCH OF CHRIST 66x Candleridge/Altamesa Xpress F2
4600 Altamesa Blvd. RIDGMAR MALL 61x Normandale Xpress D1
RIDGMAR
I-30 at Green Oaks
don't own a car or can't afford a car, they are really trapped in the individuals.
45, 91 MALL 2, 26, 27,
N HOU STON ST
ST. BARTHOLOMEW CATHOLIC 66x Candleridge/Altamesa Xpress F3 1888 Green Oaks Rd.
CHURCH 61x, 91
14, 44 AKS RD
3601 Altamesa Blvd.
NORTH PARK & RIDE 63x North Park & Ride Xpress A3 5b 24 (east)
R
Southbound I-35 Service Rd. (south of 64x North Texas Xpress
CI
WESTERN HILLS METHODIST 61x Normandale Xpress D1 12
lowest levels of income because they can't get to work.”
GREEN O
Golden Triangle) 10157 North Freeway
MALL
CHURCH
2820 LAREDO DR. 15 3, 8 24 (west)
“… it would be nice to get a monthly pass but you [have to] be a part of
TEXAS HEALTH PRESBYTERIAN 64x North Texas Xpress A4 WILLMON ST
HOSPITAL DENTON PARK & RIDE PL A Z A P
KW
Y
3000 I-35, Denton, TX 76201
— Key Informant Interview Participant
MHMR or something like that.” — Focus Group Interview Participant
Focus group and key informant interview participants described “Transportation, if you don't have money to get on a bus, how can
the barriers they faced, including the cost of bus fares, limited you get somewhere?” — Focus Group Interview Participant
bus pass assistance from social service providers, long
commute time to work or medical services and lack of reliable “Bus tickets, we used to have a bus ticket program that was very
shelter at bus stops. The inability to get to employment helpful, and they discontinued that, and now it's a big problem.”
opportunities, work or school also was a chief concern. — Focus Group Interview Participant
While some communities offer ride services, most of these
require smart phones, credit cards or adequate financial
resources to pay for them.
Some communities have begun to offer additional
transportation services, which also have their own limitations.
Services like Alliance Link and Arlington’s Via prefer riders use
their app, which requires a smartphone, and link their account
10 United Way of Tarrant County: Community Assessment 2018-2019BARRIERS TO ACCESSING HEALTHCARE
Access to resources via
public transportation is an
important public health
topic. Research has shown
that in the United States,
almost four million people
do not get medical care
because of transportation
barriers,32 making it critical
to provide an infrastructure
that supports the ability to
access care, particularly
for vulnerable populations
LACK OF SAFE SHELTER
such as older adults and Lack of adequate bus stop shelters was another consistent
people with disabilities. Services exist that assist these theme mentioned by participants. In a 2013 study
groups in Tarrant County; however, there are still those who conducted in Tarrant County, the researcher discussed
experience difficulties using medical transport services: the interconnectedness of the stress related to walking
to medical appointments, the lack of bus stop shelters
“There are doctor appointments that I have to go to but I have and infant mortality.33 The qualitative study examined
to leave two to three hours early because I have to walk to JPS.” this journey through the depiction of a pregnant mother
— Focus Group Interview Participant who visited a medical clinic and then had to wait in the
unprotected elements at a bus stop bench. Five years later,
“To have to go all the way from your neighborhood to this remains an issue that was discussed by focus groups:
downtown to get access to any number of programs and
facilities and stuff ends up being too difficult.” “And there's not enough bus stops. Also, there's not enough
— Key Informant Interview Participant benches and covers.”
— Focus Group Interview Participant
“Yes. I have patients who call and have to cancel appointments
because they don’t have a ride or their car broke down and they “Some bus stops have nice-looking benches with an awning.
have absolutely no way to get to us.” I’d welcome one.” — Key Informant Interview Participant
— Key Informant Interview Participant
COST OF FUEL INNOVATIVE SOLUTIONS
Focus group participants also brainstormed opportunities While participants voiced concerns regarding transportation,
to remove barriers to accessing grocery stores and other there was discussion about the strengths of systems
social services because of either the lack of transportation working together to help remove transportation barriers:
or the inability to afford increased gas prices:
“Well I was going to the emergency room so often, and staying in
“Gas vouchers — something like that. I've had lots of times where the hospital you know overnight, and they have a program … they
a client couldn't come because of gas, or they changed their put me on it … someone comes out to my house twice a week and
counseling attendance from once a week to once every other they take my vitals to make sure I’m OK … MedStar, the ambulance,
week, because they just can't get here that often.” referred me to them … I needed to go to a doctor and … he said ‘I
— Focus Group Interview Participant can get you a ride there’ ... he got on the phone and five minutes
later I had a ride.” — Focus Group Interview Participant
United Way of Tarrant County: Community Assessment 2018-2019 11PHYSICAL HEALTH AND HEALTHCARE
E
very year the Robert Wood Johnson Foundation Social, behavioral, environmental and economic conditions have
sponsors county health rankings that draw on an array of a strong influence on health and are particularly concerning in
statistical data sources. For 2018, Tarrant County ranked Tarrant County.34
32 in health outcomes and 72 in quality of life indicators
among 242 ranked counties in Texas (top 13th and 30th • 35% get insufficient sleep
percentiles in the state, respectively).34 • 29% are obese
While Tarrant County may fare better than most other Texas • 24% are physically inactive
counties on health indicators, a substantial proportion of residents • 20% of children live in poverty
struggle with the causes and consequences of poor health: • 18% report severe housing
problems
21% are uninsured adults • 18% drink excessively
• 15% smoke
16% report being in poor or fair health • 14% are disconnected youth
• 17% are food insecure and
11% report frequent physical distress 8% have limited access to
food
11% struggle with diabetes • Air pollution levels exceed
state and national averages
“Our asthma rates are impacted by the
DID YOU KNOW?
lack of affordable housing. When housing
is substandard … whether it's roaches
or infestation and the conditions that Almost 14% of the Medicare population in Tarrant County
children are living in when they are two, was diagnosed with dementia, which is notably higher
three, four families to a home ... those kids than the national average of 9.9%.35 Alzheimer’s was the
have terrible problems with health, with fifth-leading cause of death in Tarrant County,36 and
lead exposure, with asthma and all kinds of diabetes and health Texas ranks second in the nation for Alzheimer’s-related
issues.” — Key Informant Interview Participant deaths.37
ACCESS TO CARE Ratio of health providers
Among Texas counties with a population greater than one million Primary care physician ratio Dentist ratio Mental health provider ratio
people, Tarrant County ranks the worst in the ratio of residents to
1370:1
primary care providers, dentists and mental health providers. Bexar 1224:1
pop. 1,928,680 638:1
There are 57 primary care physicians per 100,000 people in Dallas
1476:1
1240:1
Tarrant County, which is much lower than the national average pop. 2,574,984 780:1
of 75 PCPs per 100,000.34 Concerns surrounding the physician
1749:1
shortage emerged in the interviews, including a need for Harris 1508:1
pop. 4,589,928 964:1
Spanish-speaking physicians.
1758:1
Tarrant 1739:1
pop. 2,016,872 1000:1
“There are doctor appointments that I have 1181:1
to go to but I have to leave two to three
Travis 1466:1
pop. 1,199,323 420:1
hours early because I have to walk to JPS.”
— Focus Group Interview Participant STRENGTH: Despite the county’s shortage of health
providers, health systems were identified as the fifth most
“The seniors need help with their common strength of the community during focus groups and
medication because their medication key informant interviews. Interviewees described a combination
keeps going up, and up and up!” of public and private systems, as well as smaller organizations
— Focus Group Interview Participant that fill important gaps.
12 United Way of Tarrant County: Community Assessment 2018-2019You can also read
