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FY10 CSA Critical Service Gaps

Gain insights into the FY10 critical service gaps survey, historical trends, statewide gaps, and changes in service capacity, empowering decision-makers to address key service needs effectively.

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FY10 CSA Critical Service Gaps

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  1. FY10 CSA Critical Service Gaps Office of Comprehensive Services February 22, 2011

  2. FY10 CSA Critical Service Gaps • Highlights of FY10 critical service gaps survey • Overview of service gaps survey • Statewide service gaps • Historical trends of services needs • FY10 regional differences • Historical trends of barriers • Changes in community service capacity

  3. FY10 Critical Service Gaps Highlights • 15 of top 20 statewide gaps reflect continued relative levels of need • Newly reported top 20 statewide gaps for • Short term assistance with necessities and Interpretive services • Medication follow-up, planned respite, SA day treatment increased • Decreased reported needs for: • Foster care, family assessment, special populations housing • Some new community services available for: • Intensive in-home, school based truancy programs, crisis stabilization • Continued community services deficits reported for: • Outpatient mental health supports, shelter care, Medicaid providers • Funding cuts impacting service provision related to: • VJJCCCA, Healthy Families and public sector staff • Significant increases reported in the use of natural supports

  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). • This report reflects the fourth year that this data has been collected by OCS on the 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 guide local initiatives to develop and strengthen specific community services, justify local needs for grants, encourage regional collaboration and attract new providers. • State decision makers will have access to data on the most critical service needs across the Commonwealth.

  6. Overview of Service Gaps Survey • In FY06, JLARC conducted the original survey of local service gaps utilizing a template of services provided by SAMHSA. • For the past four years, localities were asked to rank their top 5 service gaps from the same list of services from previous surveys. They were asked to indicate from a list of barriers, which ones were impacting their ability to develop community based services. • Members of the State Executive Council have also provided input in expanding the response items to include data on increases and decreases in services capacity, the use of natural supports and family partnership meetings.

  7. Overview of Service Gaps Survey • The response rate for local CSA programs participating in the survey continues at a high level:

  8. FY10 Statewide Service Gaps Top 20 Service Gaps Ranked by CSA Census* 1 Crisis Intervention and Stabilization 11 Developmental Prevention 2 Intensive Substance Abuse Services 12 Planned Respite 3 Emergency Shelter Care 13 Alternative Ed Day Programs 4 Psychiatric Assessment 14 Short term Assistance 5 Transportation 15 Parent & Family Mentoring 6 Respite 16 Short term Diag. Assess 7 Parenting/Family Skills Training 17 Substance Abuse Day 8 Supervised Independent Living 18 Substance Abuse Prevention 9 Medication Follow-up/Psych Review 19 Wraparound Services 10 Interpretive Services 20 After School Recreational *Individual locality reports weighted by local CSA census.

  9. Historical Trends of Service Needs:Crisis Services • Crisis intervention, emergency shelter care and respite continue in the top rankings; the reported need for acute psychiatric hospitalization has declined this year.

  10. Historical Trends of Service Needs:Family Services • Many family support and related services remain in the top 20, while regular foster care and family assessment gaps have declined.

  11. Historical Trends of Service Needs:Outpatient Behavioral Health Services • Intensive substance abuse and related services continue to figure prominently within the top twenty statewide gaps.

  12. Historical Trends of Service Needs:Reported service gaps with the greatest increases in FY10 • CPMTs have reported higher needs across the state for Medication follow-up, Interpretive Services and Short term Assistance services.

  13. Historical Trends of Service Needs:Congregate Care Services • Reported gaps in congregate care services continue to decline. • This reflects changes in CSA Data Set utilization of congregate care. • FY10 3,156 youth • FY09 3,697 youth • FY08 4,313 youth • FY07 4,301 youth

  14. 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

  15. FY10 Regional Service Gaps Central Region Service Gaps Ranked by Frequency: 1 Crisis Intervention and Stabilization 2 Emergency Shelter Care 3 Intensive Substance Abuse services 4 Psychiatric Assessment 5 Alternative Educational Day Programs 6 Parenting/Family Skills Training 7 Transportation 8 Career Technical and Vocational Education 9 Respite 10 Parent and Family Mentoring

  16. FY10 Regional Service Gaps Eastern Region Service Gaps Ranked by Frequency: 1 Parenting/Family Skills Training 2 Transportation 3 Emergency Shelter Care 4 After School Recreational/Social Services 5 Crisis Intervention and Stabilization 6 Planned Respite 7 Attendance Support 8 Supervised Independent Living 9 Life Skills Training 10 Regular Foster Care/Family Care

  17. FY10 Regional Service Gaps Northern Region Service Gaps Ranked by Frequency: 1 Crisis Intervention and Stabilization 2 Psychiatric Assessment 3 Substance Abuse Day Treatment 4 Emergency Shelter Care 5 Short term Diagnostic Assessment 6 Psychological Assessment 7 Transportation 8 Mental Health Day Treatment 9 Respite 10 Career Technical and Vocational Education

  18. FY10 Regional Service Gaps Piedmont Region Service Gaps Ranked by Frequency: 1 Crisis Intervention and Stabilization 2 Psychiatric Assessment 3 Intensive Substance Abuse services 4 Planned Respite 5 Respite 6 Parenting/Family Skills Training 7 Parent and Family Mentoring 8 Therapeutic Foster Care 9 Emergency Shelter Care 10 Supervised Independent Living

  19. FY10 Regional Service Gaps Western Region Service Gaps Ranked by Frequency: 1 Intensive Substance Abuse services 2 Crisis Intervention and Stabilization 3 Psychiatric Assessment 4 Emergency Shelter Care 5 Substance Abuse Prevention and Early Identification 6 Transportation 7 Wraparound Services 8 Parenting/Family Skills Training 9 Regular Foster Care/Family Care 10 Intensive In-home Services

  20. Statewide Barriers Top Barriers to Community Service Availability: 2007 through 2010 • Require access to grant or flexible funding for program start up • Need to pool resources and funding across multiple community partners and funding sources • Need coordination across localities to demonstrate regional demand for this service • Need for greater collaboration among community stakeholders • Community leaders have not reached consensus on prioritizing development of this service

  21. Changes in community services capacityServices Increases • State and regional reported increases in community services:

  22. Changes in community services capacityServices Increases • From the anecdotally reported new community services described in last year’s FY09 survey, the most commonly reported services included: • Therapeutic Foster Care services • School based Mental Health Day Treatment • Intensive In-home Services • Regular Foster Care/Family Care services • Intensive Care Coordinator services • The most commonly reported new services reported by CPMTs for FY10 survey include: • Intensive in-home • Foster homes • Therapeutic day treatment • School based truancy programs

  23. Changes in community services capacityServices Decreases • State and regional reported decreases in services for youth:

  24. Changes in community services capacityNatural Supports • 74% of CPMTs have reported the use of Family Partnership Meetings • State and regional reports on the increased use of natural supports indicate significant improvements over this past year

  25. Changes in community service capacityState level strategies for developing community services • Over the past year, cross agency planning teams have participated in an initiative to address facility and community capacity issues led by the Virginia Department of Behavioral Health and Developmental Services • Details of the DBHDS reports can be accessed on their website at: • www.dbhds.virginia.gov • Some of the recommendations include: • Expand behavioral health crisis intervention program capacity across the state • Add 6 licensing positions at DBHDS to increase the capacity to monitor community-based providers

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