Community Dashboards Survey Results for the 17 Most At-Risk Communities

1. Community DashboardsSurvey Results for the 17 Most At-Risk Communities

2. Statewide Dashboard • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Awareness & access to services • Child care resources • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Community/family violence • Underserved populations: • Homeless families • Individuals with mental health conditions • Low income individuals/families • Undocumented immigrants • Most difficult service areas to refer: • Housing • Mental/Behavioral Health • Transportation • Gaps in substance abuse services: • Lack of detox & treatment resources • Lack of funding & staff capacity • Youth/teen education Underserved by age group: • Major barriers to making referrals: • Lack of transportation • Lack of capacity to serve new clients • Clients ineligible • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Families • Visiting Nurse Association 2 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

3. Boston • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Cultural & linguistic barriers • Quality & cohesion of services • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Community/family violence • Underserved populations: • Undocumented immigrants • Homeless families • Individuals with mental health conditions • Low income families • Most difficult service areas to refer: • Housing • Mental/Behavioral Health • Legal Services • ESOL • Gaps in substance abuse services: • Lack of Detox & treatment resources • Cultural & linguistic barriers • Youth/teen education Underserved by age group: • Major barriers to making referrals: • Clients ineligible • Cultural & linguistic barriers • Client access to services • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Baby Healthy Child • Early Head Start 3 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

4. Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Housing resources • Awareness & access • Quality of services • Cultural & linguistic barriers Brockton • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Community/family violence • Underserved populations: • Homeless families • Individuals with mental health conditions • Undocumented immigrants • Low income families • Most difficult service areas to refer: • Housing • Child care services • Basic & Emergency needs • Job training • Gaps in substance abuse services: • Therapy & transitioning resources • Family education • Youth/teen education Underserved by age group: • Major barriers to making referrals: • Capacity to serve new clients • Client ineligibility • Financial & insurance-related • Exemplary home visiting • Programs (unbiased*): • Early Intervention 4 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

5. Chelsea • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Early childhood services • Lack of services • Outcome domains of primary concern: • Economic self-sufficiency • Vulnerable populations • Community/family violence • Underserved populations: • Undocumented immigrants • Recent immigrants • Unemployed • Low income families • Most difficult service areas to refer: • Housing • Job training • Basic & Emergency needs • Gaps in substance abuse services: • Lack of funding & capacity • Awareness & access to services • Lack of services Underserved by age group: • Major barriers to making referrals: • Lack of capacity to serve new clients • Client ineligibility • Cultural & linguistic barriers • Child care services • Fear of government • Exemplary home visiting • Programs (unbiased*): • Healthy Families • Early Intervention • Visiting Moms 5 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

6. Everett • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Child care services • Home visiting services • Outcome domains of primary concern: • Parenting stressors • Economic self-sufficiency • Child education & performance • Underserved populations: • Undocumented immigrants • Homeless families • Low income families • Most difficult service areas to refer: • Housing • Mental/Behavioral health • Youth/Teen services • Gaps in substance abuse services: • Detox & treatment resources • Youth/teen education • Lack of services Underserved by age group: Most difficult service areas to refer: Housing Mental/Behavioral health Youth/Teen services • Exemplary home visiting • Programs (unbiased*): • Healthy Families • Early Intervention • Visiting Nurse Association 6 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

7. Fall River • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Lack of funding/capacity • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Community/family violence • Substance abuse • Child health • Underserved populations: • Homeless families • Individuals with mental health conditions • Low income families • Unemployed • Most difficult service areas to refer: • Mental/Behavioral health • Transportation • Housing • Gaps in substance abuse services: • Detox & treatment resources • Lack of funding/capacity • Awareness & access to services • Therapy & transitioning resources Underserved by age group: • Major barriers to making referrals: • Cultural & linguistic barriers • Client ineligibility • Client access to services • Child care services • Financial & insurance-related • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Families • Early Head Start 7 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

8. Fitchburg • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Lack of funding/capacity • Child care services • Outcome domains of primary concern: • Economic self-sufficiency • Community/family violence • Substance abuse • Vulnerable populations • Underserved populations: • Homeless families • Individuals with mental health conditions • Low income families • Unemployed • Individuals with substance abuse issues • Most difficult service areas to refer: • Mental/Behavioral health • Transportation • Housing • Gaps in substance abuse services: • Youth/teen education • Lack of funding/capacity • Lack of services Underserved by age group: • Major barriers to making referrals: • Transportation • Client access to services • Capacity to serve new clients • Exemplary home visiting • Programs (unbiased*): • Early Intervention 8 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

9. Holyoke • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Teen parenting & pregnancy • Child care services • Maternal services • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Child education • Underserved populations: • Homeless families • Individuals with mental health conditions • Low income families • Pregnant or parenting teens • Most difficult service areas to refer: • Transportation • Housing • Mental & behavioral services • Substance abuse • Gaps in substance abuse services: • Detox & treatment resources • Lack of funding/capacity • Awareness & access to services • Services for women Underserved by age group: • Major barriers to making referrals: • Transportation • Capacity to serve new clients • Client access to services • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Families • MSPCC 9 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

10. Lawrence • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Quality of services • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Community/family violence • Child education & performance • Underserved populations: • Undocumented immigrants • Homeless families • Low income families • Individuals with substance abuse issues • Most difficult service areas to refer: • Housing • Mental & behavioral services • Transportation • Adult Education • Gaps in substance abuse services: • Detox & treatment resources • Lack of funding/capacity • Awareness & access to services • Youth & teen education Underserved by age group: • Major barriers to making referrals: • Transportation • Child care • Client ineligibility • Exemplary home visiting • Programs (unbiased*): • Early Intervention • MSPCC 10 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

11. Lowell • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Teen parenting & pregnancy • Quality of services • Awareness & access to services • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Vulnerable populations • Underserved populations: • Individuals with mental health conditions • Homeless families • Low income families • Undocumented immigrants • Recent immigrants • Most difficult service areas to refer: • Mental & behavioral services • Transportation • Housing • Child care services • Gaps in substance abuse services: • Detox & treatment resources • Awareness & access to services Underserved by age group: • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Visiting Nurse Association • Healthy Families • Major barriers to making referrals: • Transportation • Cultural & linguistic barriers • Capacity to serve new clients 11 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

12. Lynn • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Lack of funding/capacity • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Vulnerable populations • Underserved populations: • Individuals with mental health conditions • Undocumented immigrants • Homeless families • Recent immigrants • Most difficult service areas to refer: • Housing • Transportation • Basic & Emergency needs • Gaps in substance abuse services: • Lack of funding/capacity • Detox & treatment resources Underserved by age group: • Exemplary home visiting • Programs (unbiased*): • Healthy Families • Young Parent Support • Major barriers to making referrals: • Transportation • Capacity to serve new clients • Financial & insurance-related 12 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

13. New Bedford • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Outcome domains of primary concern: • Economic self-sufficiency • Vulnerable populations • Child education & performance • Underserved populations: • Homeless families • Undocumented immigrants • Unemployed • Most difficult service areas to refer: • Housing • Transportation • Basic & Emergency needs • Job training • Gaps in substance abuse services: • Quality & cohesion of services • Lack of services • Therapy & transitioning resources Underserved by age group: • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Families • Young Parents Support [Child & Family Services] • Major barriers to making referrals: • Client ineligibility • Client access to services • Transportation 13 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

14. North Adams • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Teen parenting & pregnancy • Lack of funding/capacity • Outcome domains of primary concern: • Parenting stressors • Child health • Economic self-sufficiency • Underserved populations: • Homeless families • Pregnant or parenting teens • Unemployed • Most difficult service areas to refer: • Housing • Mental/Behavioral health • Transportation • Basic & Emergency needs • Gaps in substance abuse services: • Lack of funding/capacity • Detox & treatment resources • Youth/teen education • Therapy & transitioning resources Underserved by age group: • Exemplary home visiting • Programs (unbiased*): • Parent-Child Home • Early Intervention • Visiting Nurse Association • Child Care of the Berkshires • Major barriers to making referrals: • Transportation • Lack of qualified professionals 14 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

15. Pittsfield • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Maternal services • Teen parenting & pregnancy • Outcome domains of primary concern: • Parenting stressors • Child health • Economic self-sufficiency • Child education & performance • Underserved populations: • Individuals with mental health conditions • Low income families • Pregnant or parenting teens • Most difficult service areas to refer: • Transportation • Mental/Behavioral health • Youth/Teen services • Gaps in substance abuse services: • Lack of funding/capacity • Detox & treatment resources Underserved by age group: • Exemplary home visiting • Programs (unbiased*): • Visiting Nurse Association • Healthy Families • Pediatric Development Center • Major barriers to making referrals: • Transportation • Child care services • Client access to services 15 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

16. Revere • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Vulnerable populations • Underserved populations: • Low income families • Undocumented immigrants • Recent immigrants • Most difficult service areas to refer: • Housing • Mental/Behavioral health • Child care services • Basic & Emergency needs • Gaps in substance abuse services: • Detox & treatment resources • Youth & teen education • Services for women Underserved by age group: • Major barriers to making referrals: • Client ineligibility • Child care services • Exemplary home visiting • Programs (unbiased*): • Early Intervention • ROCA • Housing Families 16 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

17. Southbridge • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Awareness & access to services • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Vulnerable populations • Underserved populations: • Homeless families • Low income families • Individuals with mental health conditions • Most difficult service areas to refer: • Transportation • Housing • Mental/Behavioral health • Gaps in substance abuse services: • Family education • Youth & teen education • Lack of funding/capacity Underserved by age group: • Major barriers to making referrals: • Transportation • Client access to services • Cultural & linguistic barriers • Exemplary home visiting • Programs (unbiased*): • Healthy Families 17 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

18. Springfield • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Quality of services • Child care resources • Outcome domains of primary concern: • Economic self-sufficiency • Community/family violence • Parenting stressors • Underserved populations: • Homeless families • Low income families • Individuals with mental health conditions • Most difficult service areas to refer: • Housing • Mental/Behavioral health • Transportation • Gaps in substance abuse services: • Lack of funding/capacity • Detox & treatment resources • Awareness & access to services Underserved by age group: • Major barriers to making referrals: • Transportation • Capacity to serve new clients • Client ineligibility • Exemplary home visiting • Programs (unbiased*): • Early Intervention • Healthy Families 18 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category

19. Worcester • Level of maternal, • infant & early • childhood • services • interaction with • other programs: • Gaps in maternal, infant & early childhood services: • Lack of funding/capacity • Housing • Outcome domains of primary concern: • Economic self-sufficiency • Parenting stressors • Child education & performance • Underserved populations: • Homeless families • Individuals with mental health conditions • Low income families • Unemployed • Undocumented immigrants • Most difficult service areas to refer: • Housing • Basic & Emergency needs • Transportation • Gaps in substance abuse services: • Lack of funding/capacity • Youth & teen education • Lack of services Underserved by age group: • Major barriers to making referrals: • Capacity to serve new clients • Transportation • Client access to services • Exemplary home visiting • Programs (unbiased*): • Healthy Families • MSPCC • Pernet Family Services 19 *biased responses (for which respondents chose their own program as exemplary) were not considered; bold items indicate top responses in each category