the alaska experience presenter: erin kinavey part c coordinator/ early intervention manager meeting...
TRANSCRIPT
THE ALASKA EXPERIENCE
PRESENTER: ERIN KINAVEY PART C COORDINATOR/ EARLY INTERVENTION
MANAGER
Meeting the Challenges of Fiscal Stability: Refining and Interagency Finance System
Setting the Context2
Initial work began in 2004Our work morphed into a systems
approach to financing serviceCompleting the Finance Self-
Assessment in 2006Current accomplishments and
direction
Initial Work in 20043
4
Overview of Alaska’s Finance State Work Plan
5
Review of Relevant Data to Inform
Decisions
A Framework for Developing and Sustaining a Part C Finance System
6
Demographic
Information
Fiscal Resources
Political and
Economic Context
Design a Finance System
Agreements for Use
of Resources
Infrastructure
Policies and
Procedures
Guidance and Support
System Monitoring
V
I
S
I
O
N
Demographic
Information
Fiscal Resources
Political and
Economic Context
Design a Finance System
Agreements for Use
of Resources
Infrastructure
Policies and
Procedures
Guidance and Support
System Monitoring
V
I
S
I
O
N
Who Should Alaska Be Serving:Given the Current Eligibility Definition?
7
2004 Prevalence Study Identify the 0-3 population
Percentage of children currently in service (range = 0 - 4.35 percent
Population characteristics that are predictors of participation in early intervention (reports of harm, poverty, pre-term birth, late or no prenatal care and maternal education <12 years).
Computation of an index
Estimated prevalence projection
How The Data From The Prevalence Study May Be Used
8
Grant application planning for targeting activities to our needs, establish measurable outcomes and accountability
Evaluate system resources (people, time and money)
Data analysis and verification
Quality assurance - reporting realistic needs/resources to the legislature and general public
Alaska’s Finance Self-Assessment : Things to Consider
9
1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system?
2. Are we identifying, evaluating, and serving all eligible children?
3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?
What is the Rate of Population Growth?10
US Population Growth: 12.85%
230,000,000
240,000,000
250,000,000
260,000,000
270,000,000
280,000,000
290,000,000
1990 2000
Alaska Population Growth: 13.38%
520,000
540,000
560,000
580,000
600,000
620,000
640,000
1990 2000
US/AK Population Growth and Birth Rates, 1990-2000
Source: U.S. Census Bureau
What Race/Ethnicity are Children 0-3?11
0
10
20
30
40
50
60
70
Am. Ind Asian/Pac.Is. Black Hispanic White
US 2003
US 2004
AK 2003
AK 2004
Source: U.S. Census Bureau, 2003 & 2004
Perc
ent
of
0-3
Popula
tion
Who is Receiving EI Services in Alaska by Race/Ethnicity?
0
50
100
150
200
250
300
350
400
450
500
550
Amer. Ind Asian Black Hispanic White
2.02% of AK children 0-3
Actual % receiving services
12
Source: 2004 US Census Bureau
December 1 Count
Num
ber
of
Child
ren
Alaska’s Finance Self-Assessment Demographic Information: Things to
Consider13
1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system?
2. Are we identifying, evaluating, and serving all eligible children?
3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?
Prenatal and Birth Risk Factors14
LOWER Than National Average US AK
Teens who are high school drop outs 8% 6%
Very low birth weight 1.5% 0.9%
Low birth weight 7.8% 5.8%
Births to mothers with < 12 years of education 22% 14.5%
Children with household head is high school dropout
17% 9%
Children who speak a language other than English in the home
19% 12%
Children under age 5 in poverty 21% 15%
Source: Kids Count 2004
Prenatal and Birth Risk Factors
HIGHER Than National Average
US AK
Births to Women with late or no prenatal care
3.6% 4.6%
Births to women who smoke during pregnancy
11% 17.9%
Children in families: No parent has full time/year round work
33% 40%
Prevalence of substantiated incidence of harm/neglect
11.9/1000
22.3/1000
15
Source: Kids Count 2004
What Proportion of Children Are Being Served by Early Intervention Services?
16
1.8
1.9
2
2.1
2.2
2.3
2.4
2.5
2000 2001 2002 2003 2004 2005
US
AK
% o
f 0-3
ch
ild
ren
serv
ed
Source: December 1 Child Count
At What Age Are Children Being Served?
00.5
11.5
22.5
33.5
4
<1 1-2 2-3 Total
Age
Percent of Total Nonduplicative Count of ChildrenReceiving Services
USAK
17
Source: December 1, 2004 count
18
What Services Are Children Receiving?
Type of Services - LOWER Than 2004 National Average
19
% C
hild
ren
Receiv
ing
S
erv
ices
Source: 2004 December 1 Count
Type of Services- HIGHER Than 2004 National Average
20
%
Rece
ivin
g S
erv
ices
Source:2004 December 1 Count
Alaska’s Finance Self-Assessment Demographic Information: Things to
Consider21
1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system?
2. Are we identifying, evaluating, and serving all eligible children?
3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?
What We Know….22
1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system?
• We know the rate of population growth• Race/Ethnicity of children 0-3• Who is receiving services by race/ethnicity• Local information from 2004 Prevalence Study
2. Are we identifying, evaluating, and serving all eligible children?
• Prenatal and birth risk factors• Proportion of children being served by Part C• Age at which children are being served• Percentage of types of services being provided
3. What do we know about Alaska early intervention services that inform EI/ILP about the use of resources, supports and services?
NEXT STEPS: Considerations for strategies/options
23
Update Prevalence Study ~ How many children should Alaska be serving if eligibility changes to 25% delay?
Cost Study ~ What is the current total cost of doing business and how are resources used?
Compare local data with State data ~ Local self-assessment
Project total cost for broadening eligibilityPrepare for next legislative session
25
Thank you.
For more information, please e-mail us at [email protected]
or visit our website at www.nectac.org