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 childrens
  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

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 surveys
  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