FY08 CSA Critical Service Gaps

1. FY08 CSA Critical Service Gaps Office of Comprehensive Services January 8, 2009

2. FY08 CSA Critical Service Gaps • Highlights of FY08 critical service gaps survey • Overview of critical service gaps survey • Previous service gaps surveys • Statewide service gaps • Regional differences • Statewide barriers • Regional barriers • Changes in reported community services availability • Reported new services and strategies for expansion

3. FY08 Critical Service Gaps Highlights • Increased reported needs for: • Intensive Care Coordination • Parenting/ Family Skills Training • Decreased reported needs for: • Group Home Care • Residential Treatment • Increased community-based service capacity for: • School based Mental Health Day Treatment • Parent and Family Mentoring • Strategies for increasing service capacities include: • Annual CPMT – Stakeholder retreats • Working with existing providers to modify/customize services

4. Overview of Service Gaps Survey • One of the primary responsibilities of the Community Policy and Management Team (CPMT) is to coordinate long range, community-wide planning to develop resources and services needed by children and families in the community (§2.2-5206). • The 2006 Virginia General Assembly amended Chapter 781 of the Code of Virginia to further specify this requirement. On an annual basis, the CPMT shall report to the Office of Comprehensives Services (OCS) on gaps and barriers in services needed to keep children in the local community (§2.2-5211.1.1). • This report reflects the third year that this data has been collected describing service gaps and barriers for CSA youth in Virginia.

5. Overview of Service Gaps Survey • Lack of local services may result in placements outside of the community that can negatively affect child outcomes and increase costs. Service gaps may also delay some children’s return to the community. • By completing an annual survey of critical service gaps, CPMTs may use this data to prioritize the most effective use of scarce resources, guide local initiatives to develop and strengthen specific community services, and justify local needs for grants and other funding opportunities. • State decision makers will have access to data on the most critical service needs across the Commonwealth.

6. Previous Service Gaps Surveys • Participation: • In FY06, 72% of localities provided input and in FY07, 70% of communities participated. • Consistency: • Most of the same top 20 service gaps were ranked by localities across FY06 and FY07. • Changed perceptions of need: • In FY07, the greatest increased reported need was for Wrap-around services. • Regional differences: • The most remarkable differences in regional needs were for crisis intervention services in the Northern Region and for substance abuse services in the Southwestern Region.

7. FY08 Survey • The FY08 Service Gaps Survey resulted in a response rate of 80% of CPMTs participating in the assessment. These localities represent approximately 87% of youth served under the CSA. • Localities were asked to rank their top 5 service gaps from the list of services from previous surveys. They were asked to indicate which of a list of barriers were impacting their ability to develop community based services. • A new community services availability section was added with items relating to increased services, strategies and needs. Space was provided for anecdotal descriptions of increased services and strategies utilized to increase service capacity.

8. FY08 Statewide Service Gaps Top 20 Service Gaps Ranked by CSA Census* 1 Crisis Intervention 11 Regular Foster Care 2 Intensive Substance Abuse services 12 Parent & Family Mentoring 3 Intensive Care Coordination 13 Developmental Prevention 4 Wrap-around services 14 Therapeutic Foster Care 5 Parenting/Family Skills Training 15 Planned Respite 6 Alternative Educational Day services 16 Services to MR/DD children 7 Transportation 17 Career-Vocational Education 8 Psychiatric Assessment 18 Specialized Foster Care 9 Substance Abuse Prevention 19 Acute Psychiatric Hospital 10 Respite 20 Emergency Shelter Care *Individual locality reports weighted by local CSA census.

9. CSA Data Set Reporting Regions Yellow Areas – Central Region Blue Areas – Northern Region Green Areas – Piedmont Region White Areas – Western Region Red Areas – Eastern Region

10. Regional Service Needs Differences Central Region Service Gaps Ranked by Frequency: 1 Transportation 2 Parenting/Family Skills Training 3 Alternative Educational Day Programs 4 Parent and Family Mentoring 5 Emergency Shelter Care 6 Intensive Substance Abuse services 7 Developmental Prevention & Early Identification 8 Intensive In-Home services 9 Psychological Assessment 10 Therapeutic Foster Care

11. Regional Service Needs Differences Eastern Region Service Gaps Ranked by Frequency: 1 Respite 2 Wrap-around services 3 Crisis Intervention and Stabilization 4 Intensive Substance Abuse services 5 Parenting/Family Skills Training 6 Developmental Prevention and Early Identification 7 Psychiatric Assessment 8 Life Skills Training 9 Acute Psychiatric Hospitalization 10 Intensive Care Coordination/Case Management

12. Regional Service Needs Differences Northern Region Service Gaps Ranked by Frequency: 1 Crisis Intervention and Stabilization 2 Intensive Substance Abuse services 3 Regular Foster Care 4 Therapeutic Foster Care 5 Intensive Care Coordination/Case Management 6 Alternative Educational Day Programs 7 Career Technical and Vocational Education 8 Specialized Foster Care 9 Parenting/Family Skills Training 10 Emergency Shelter Care

13. Regional Service Needs Differences Piedmont Region Service Gaps Ranked by Frequency: 1 Psychiatric Assessment 2 Transportation 3 Planned Respite 4 Parent and Family Mentoring 5 Intensive Substance Abuse services 6 Substance Abuse Prevention and Early Identification 7 Crisis Intervention and Stabilization 8 Career Technical and Vocational Education 9 Developmental Prevention and Early Identification 10 Alternative Educational Day Programs

14. Regional Service Needs Differences Western Region Service Gaps Ranked by Frequency: 1 Intensive Substance Abuse services 2 Crisis Intervention and Stabilization 3 Psychiatric Assessment 4 Transportation 5 Parenting/Family Skills Training 6 Emergency Shelter Care 7 Regular Foster Care 8 Short-term Diagnostic Assessment 9 Specialized Foster Care 10 Medication Follow-up/Psychiatric Review

15. Statewide Barriers Top 10 Barriers to Community Service Availability: 1 Require access to grant or flexible funding for program start up 2 Need to pool resources and funding across multiple community partners and funding sources for this service 3 Need for greater collaboration among community stakeholders 4 Need to demonstrate the need for and value of this service to local decision makers and/or funders 5 Community leaders have not reached consensus on prioritizing the development and/or funding of this service 6 Unsure how to engage private and/or public providers in the development of this service 7 Need coordination across localities to demonstrate regional demand for this service 8 Need community agencies to review caseloads to determine whether sufficient demand to support development of this service 9 Community needs better data to guide the investment of resources or funds 10 Need information on what are key factors that make this service effective

16. Regional Barriers Central Region Top 5 Barriers: 1 Require access to grant or flexible funding for program start up 2 Need for greater collaboration among community stakeholders 3 Need to pool resources and funding across multiple community partners and funding sources for this service 4 Need coordination across localities to demonstrate regional demand for this service 5 Need to demonstrate the need for and value of this service to local decision makers and/or funders

17. Regional Barriers Eastern Region Top 5 Barriers 1 Need to pool resources and funding across multiple community partners and funding sources 2 Need coordination across localities to demonstrate regional demand for this service 3 Require access to grant or flexible funding for program start up 4 Not aware of potential funding sources for this service 5 Need to demonstrate the need for and value of this service to local decision makers and/or funders

18. Regional Barriers Northern Region Top 5 Barriers: 1 Require access to grant or flexible funding for program start up 2 Need to pool resources and funding across multiple community partners and funding sources 3 Need for greater collaboration among community stakeholders 4 Community needs better data to guide the investment of resources or funds 5 Unsure how to engage private and/or public providers in the development of this service

19. Regional Barriers Piedmont Region Top 5 Barriers: 1 Need for greater collaboration among community stakeholders 2 Need to pool resources and funding across multiple community partners and funding sources 3 Need to demonstrate the need/value of this service to local decision makers 4 Require access to grant or flexible funding for program start up 5 Unsure how to engage private and/or public providers in the development of this service

20. Regional Barriers Western Region Top 5 Barriers: 1 Require access to grant or flexible funding for program start up 2 Community leaders have not reached consensus on prioritizing the development and/or funding of this service 3 Need to demonstrate the need for and value of this service to local decision makers and/or funders 4 Unsure how to engage private and/or public providers in the development of this service 5 Need for greater collaboration among community stakeholders

21. Changes in reported community services availability • Consistency: • Most of the top 20 service gaps reported in the two previous years remained in the FY08 survey’s top 20 gaps • Notable changes in statewide rankings: • Intensive Care Coordination and Parenting/Family skills training rose significantly in FY08. • Group home care and Residential treatment, which were in the top 10 for previous 2 years, fell from top 20 list • Notable differences: • Respite and transportation are more highly reported needs in rural than metropolitan areas of the state • Intensive Substance Abuse services are very highly reported needs for the Northern and Western regions of Virginia

22. Reported new community services • Changes to Community Services Availability: • 65% of localities reported an increase of community services • 61% of localities reported an increased array of services • 81% of localities reported they had taken steps to expand services • From the reported new community services described in survey responses, the most commonly reported services include: • School-based Mental Health Day Treatment • Parent and Family Mentoring • Parent/Family Skills Training • Wraparound Services • Intensive In-home Services

23. Reported strategies for expanding community services • CPMT led initiatives: • Annual CPMT/FAPT/Stakeholder retreat • Inventory local services and solicit vendors • Case worker training on community based services • Regional meeting of CSA programs to jointly develop services • Working with existing providers to better modify/customize services • Juvenile Court led initiatives: • Convening stakeholder conference on community services • Cross agency school/court service unit trainings on truancy • Funding strategies: • Access regional grant funds for community service development • Strategically coordinating private funds, Safe & Stable Families, VJCCCA and CSA non-mandated funds to meet community needs