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Access to Mental Health Providers Is Highly Uneven Across the State

By Shannon McConville

At a time of growing demand for mental health services, regional disparities in the availability of providers--such as psychologists, licensed clinical social workers, and marriage and family therapists—are a persistent challenge.

Report

Anticipating Changes in Regional Demand for Nursing Homes

By Laurel Beck, Landon Gibson

California’s nursing homes provide a major source of personal and medical care for the state’s most vulnerable residents—the elderly and the disabled. By 2030 the state’s 65-and-over population will grow by 87 percent. The number of people requiring skilled nursing care could increase by 32,000, far outstripping current capacities. We find that there will be significant disparities in regional growth rates across racial/ethnic groups and in regions’ abilities to absorb higher numbers of patients. Specifically:

  • The Bay Area and the Inland Empire have the largest discrepancies between existing nursing home capacity and projected demand in 2030; Los Angeles and Northern California (excluding the Bay Area) have the smallest.
  • Regional growth rates in the 65-and-over population vary widely within racial/ethnic groups. For example, rates among Latinos range from 159 percent on the state’s Southern Border (Imperial and San Diego Counties) to 193 percent in the Inland Empire; among Asians they range from 93 percent in the Central Coast to 212 percent in Northern California (excluding the Bay Area).

In order to meet the growing and changing demands for senior care at the statewide and regional levels, policymakers will need to address ways to increase nursing home capacity. These solutions must also include recruiting and training health workers who can provide effective, culturally competent care, whether in skilled nursing facilities or home- and community-based settings.

Report

Child Poverty and the Social Safety Net in California

By Caroline Danielson, Sarah Bohn

Because economic hardship is associated with a host of adverse outcomes, particularly for children, policies that can give children a better start in life are especially important. This report focuses on measuring material hardship among children across the state. Using the California Poverty Measure—which accounts for both family earnings and safety net resources and adjusts for work expenses and housing costs—we find that one-quarter of California’s children are in poverty. An additional 26 percent of children live in households that are "near poor,” or somewhat above what is often referred to as the poverty line. In short, about half of California’s children are poor or near-poor. Poverty rates, earnings, and the role of safety net resources all vary by region. But most poor children live in "working poor” families, with one or more working adults. And, without resources from the social safety net—which includes the federal Earned Income Tax Credit, CalFresh (California’s food stamp program), CalWORKs (California’s welfare program), and housing subsidies—there would be far more children in poverty throughout California.

Statewide Survey

PPIC Statewide Survey: Californians and the Environment

By Mark Baldassare, Dean Bonner, Rachel Lawler, Deja Thomas

Key findings include: Three in ten Californians name water supply and drought as the state’s top environmental issue; nearly seven in ten say the water supply is a big problem in their part of the state. More than half of Californians say higher gas prices have caused financial hardship, and more than four in ten are upset about the current rate of inflation. Most Californians oppose offshore drilling, and an overwhelming majority want to prioritize alternative energy over oil, coal, and natural gas. But views are divided along party lines. Democrats are much more likely than independents and Republicans to support key state climate change policies.

blog post

Leon Panetta Joins PPIC Board

By Mark Baldassare

Leon Panetta, a distinguished leader with decades of experience at the highest levels of government, joins the PPIC Board of Directors.

Report

Priorities for California’s Water

By Jeffrey Mount, Letitia Grenier, Ellen Hanak, Caitlin Peterson ...

California has made great strides in preparing for a drier, hotter future, but it remains a challenge to harness the bounty of wet years while also reducing flood risk. How did California’s water sector manage the unusually wet 2023 water year—and what lessons can we glean for the future?

blog post

A Pragmatic Reason to Protect Freshwater Fish

By Ellen Hanak, Jeffrey Mount, Peter Moyle

When species make the endangered species list, we’ve not only failed them, we’ve made it harder to manage water during drought. 

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