INSPIRED STAFF, INSPIRING OTHERS—TWO UMOS PROGRAMS FOCUS ON JOB CREATION

Workforce Development Services:
UMOS (United Migrant Opportunities Services) is committed to developing and advancing Wisconsin’s workforce to meet employer expectations. By recognizing the complex needs of job seekers, UMOS uses an integrated, wrap-around approach in assisting individuals connect to work. This integrated workforce model increases job seeker access to an array of employment, training and related support services.

Workforce development professionals from multiple government, non-profit and for-profit organizations work toward a shared vision of seamless service delivery; thereby providing efficient workforce development and related services objectives of benefit to both job seekers and employers.

In 2012-13, UMOS workforce development staff served over 3,000 job seekers each month through various workforce development programs. Services provided included career exploration/planning, job search assistance, education, occupational skills training, job development, placement, retention, and more.

Workforce development programs are provided through UMOS’ “one-stop” Job Center. Programs and services administered at the Job Center include: Wisconsin Works/W-2 program; WIA Adult Services Program; WIA-167 National Farmworkers Jobs program; FSET; Children First, Pathways to Responsible Fatherhood program; the Healthy Marriage Initiative; and the Transitional Jobs Program.

National Farmworker Jobs Program (NFJP):
The purpose of the National Farmworker Jobs Program is to enable migrant farm workers to help themselves improve their economic well-being, their education, their health, and their housing so they may better realize their potential. For those migrants wishing to find more stable employment, UMOS collaborates with numerous schools and other educational institutions on the provision of GED and ESL, as well as with employers on educational and skills training efforts.

UMOS operates the National Farmworker Jobs Program with an array of services to farmworkers and their families: employment and training, job placement assistance, on-the-job training, aptitude assessment, job retention training, job club, short-term skills training and/or counseling and family counseling.

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UMOS services positively impacted 246 program participants and family members. Through a related component, the Community Crisis Relief Program, 1,595 individuals and family members received assistance. Community Crisis relief funding assists with food, gasoline for work, emergency shelter and other related emergencies, as well as educational services and work-related equipment.

For more information on the UMOS National Farmworker Jobs Program, contact Carmen Castro at 414.389.6000 or carmen.castro@umos.org.

United Migrant Opportunity Services, Inc. logo

United Migrant Opportunity Services (UMOS)
2701 South Chase Avenue
Milwaukee, WI 53207
Ph. (414) 389-6000
Fax (414) 389-6047
http://www.umos.org/

Bringing Access to Dental Care to Southwest Wisconsin

Walter Orzechowski, Executive Director of Southwest CAP (SWCAP), pens this edition of “Communities in Action.” Community Needs Assessment results indicated that in the SWCAP five-county service area, around 24,000 persons enrolled in Medicaid had not seen a dentist in the past year. SWCAP developed a strategy to improve dental access for low-income persons, which resulted in 12,060 dental encounters in only one year (2012). Click here to read more about the dental care clinics for low-income persons in southwestern Wisconsin.

Bringing Access to Dental Care to Southwest Wisconsin

Like all Community Action Agencies nationally, the Southwestern Wisconsin Community Action Program (SWCAP) conducts a Community Needs Assessment every three years. The first survey that was completed in my time at SWCAP was in 2001 followed by additional surveys in 2004, 2007, and 2010. The survey is designed to ascertain the most pressing needs of low income persons in the five county southwestern corner of Wisconsin served by SWCAP and includes the counties of Grant, Green, Iowa, Lafayette and Richland.

While I was involved in all of the surveys I do have to admit I was surprised by what I found to be the number one problem in the first three and the problem that was within the five most pressing problems in the fourth survey. I had expected to find that the most difficult problems our clients and others who were struggling with low incomes had would be lack of a well-paying jobs, lack of decent, affordable housing, lack of public transportation and difficulty in accessing health care for those without insurance, the means to pay privately, etc. I was certainly correct in the results that reinforced my expectation that the top problems were as I thought, but I had not expected a high priority problem that showed up consistently in each survey: the fact most of our clients and others who were low-income could not obtain dental care.

The reasons that cause the problem of access to dental care are multiple and complex. They include the dwindling number of dentists in rural areas overall, a high no-show rate among patients who have limited ability to pay and the fact many patients have not received dental care for many years (if ever) and, as a result, have very serious oral health problems that require extensive and expensive treatment that is unaffordable. However, the major reason has to do with reimbursement; that is, low-income persons in our area had no dental insurance or had no ability to pay privately or were insured in the Wisconsin Medicaid program. Although many were enrolled in the Wisconsin Medicaid program the reimbursement provided to dentists by Medicaid was so low (and still is) that very few dentists were willing to take on any and usually no Medicaid patients. Many of the dentists I spoke to said it costs them more to provide the care than what they received by Medicaid reimbursement.

After seeing the results of the first survey (around 2004) I was able at that time to look at Wisconsin health data on the Medicaid population and found that in our SWCAP five-county service area around 24,000 persons enrolled in Medicaid had not seen a dentist in the past year and most for much longer than that, if ever. It was impossible to guess at how many non-Medicaid low-income persons had also not seen a dentist but clearly the number in need actually exceeded the 24,000. The problem showing up in our community needs assessments was a real one. So, based on our commitment to our SWCAP mission and being responsive to our community needs, I knew we had to act to remedy this problem as much as possible.

SWCAP was never going to be a provider of dental care. We lacked the expertise, the resources and, even if we tried we would not be able to sustain our own services financially (short of a major benefactor, which I thought unlikely). So I looked for other options and that is when I discovered Federally Qualified Health Centers (FQHC’s). The origins of FQHC’s are the same as Community Action

Agencies (CAAs) in that they started with the War on Poverty in the mid-sixties. They are designed to provide a range of outpatient health care services to low-income persons and many receive grant funding and donations to sustain themselves. Of crucial importance is that they receive cost-based reimbursement for Medicaid recipients, which means their Medicaid reimbursement covers the costs of providing care to Medicaid enrolled patients.

Important to the subject at hand, FQHCs provide dental care and, in fact, in many cases their dental clinics are the largest of their services. However, it is often difficult for them to find the resources necessary to build and equip clinics; although they can operate them on a break even basis, even for the Medicaid population. Given these facts, SWCAP started on a strategy of identifying FQHC partners who would be willing to provide dental care if SWCAP took on the burden of building and equipping dental clinics.

Since 2004, SWCAP has built and equipped two eight-chair dental clinics in our service area; one located in Darlington in Lafayette County and the other in Dodgeville in Iowa County. The clinic in Darlington is operated by Community Health Services, the parent organization of the FQHC located in Beloit. The clinic located in Dodgeville is operated by Access Community Health Centers, located in Madison. Both FQHC’s pay SWCAP rent that we use to pay down the mortgage on the buildings. Each clinic covers their other costs, such as utilities, insurance, etc. SWCAP also received $500,000 grants for each building from the Wisconsin Division of Health, Oral Health Programs. These grants helped pay for building and equipment costs, which totaled approximately $1.5 million to $1.8 million for each clinic. Both have been in operation for a few years and both have been very successful.

In addition to the FQHC clinics, SWCAP also assisted a non-profit group to form and operate a free dental clinic exclusively for low-income children in Monroe, serving Green County residents. Using free medical clinics as a model, this operation uses volunteer dentists and other volunteer staff at a single chair clinic located at a building in Monroe. The Fowler Memorial Free Dental Clinic is sustained financially by some Medicaid reimbursement but primarily by local fund-raising and donations. It, too, has also been very successful and the plans are to expand the facility and services as local funding permits.

Fowler Memorial Free Dental Clinic (for children) in Monroe with Dr. Rodriguez, his assistant and their first patient.

Fowler Memorial Free Dental Clinic (for children) in Monroe with Dr. Rodriguez, his assistant and their first patient.

The results of the three clinics in Southwestern Wisconsin for 2012 are as follows:

Darlington:  608-776-2082
2,682 patients
6,802 encounters

Dodgeville:  608-935-5550
1,385 patients
4,058 encounters

Fowler (Monroe):  608-328-9508
205 patients
1,200 encounters

Total of all three clinics
4,272 patients
12,060 encounters

Since its inception, the SWCAP strategy to improve dental access for low-income persons has resulted in 12,060 dental encounters in only one year (2012). We anticipate subsequent years to show a greater increase. This was clearly the result of the community speaking through its needs assessment and SWCAP listening by using its resources and network to, if not completely solve, at least lessen this significant  public health problem in the southwestern corner of Wisconsin.

Please feel free to contact me at w.orzechowski@swcap.org with any comments or questions on this or other offerings of SWCAP.

Wally Orzechowski,
Executive Director
Southwest CAP

Southwest Community Action Program logo

Southwest CAP
149 N. Iowa Street
Dodgeville, WI 53533
Phone 608-935-2326
Fax 608-935-2876
http://www.swcap.org

COMMUNITY ACTION LEADER WINS UW AWARD

October 4, 2013 — Madison, Wis. — Fred Hebert, Executive Director of the Central Wisconsin Community Action Council, was named the 2013 Wisconsin Idea Award Recipient by University of Wisconsin Chancellor Ray Cross at an award ceremony held September 12th in Madison.

The Wisconsin Idea Award honors individuals or organizations who have made significant contributions through involvement with UW Colleges or UW-Extension. Fred received the prestigious award for supporting the Summer Lunch Bunch program for children and youth at-risk for hunger in Adams, Columbia, Juneau and Sauk counties. Continue reading