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Note: The items described on this page do not include many important ongoing areas that also need funding.  This report is best viewed as a partial list, not an all-inclusive list, of priority funding needs in our region.
         
Some Findings by United Way Teams
About Gaps and Emerging Needs

In the Rochester/Monroe County Area, March 20, 2001

The following pages contain information that was presented or was part of a hand-out package at the United Way Stake Holder’s Briefing for its Strategic Plan for Community Impact – 2003-2006. The Briefing was held on March 13, 2001.

The following materials are focused on gaps and emerging needs for five Impact Areas

bulletSuccess by 6
bulletKids on Track
bulletStrengthening Families 
bulletHelping Seniors
bulletOvercoming Disabilities

The gaps and needs are focused on the 2003-2006 timeframe and were identified by members of United Way Investment Teams through a variety of research methods including focus groups, surveys, “expert” presentations and review of research of other major organizations.

The gaps and needs identified here do not necessarily represent future investment decisions by the United Way.  These findings will be considered in development of an overall strategic plan for 2003-3006 about which a report will be issued in November 2001.

_____________________________

Gaps and Emerging Needs
United Way Stakeholders Briefing

March 13, 2001

Looking Across Impact Areas

GAPS & EMERGING NEEDS SB6 KOT SF HS OD
PHYSICAL HEALTH (healthy births, health care coverage, prevention)
MENTAL HEALTH (youth, children)
APPROPRIATE HOUSING (safe, decent, affordable)
SAFE & SUPPORTIVE ENVIRONMENTS (parent & child, elder abuse)
FINANCIAL WELL-BEING (financial mgt., employment)
INDEPENDENT LIVING (home support)
TRANSPORTATION (employment, socialization)
PREPARATION FOR SCHOOL SUCCESS (literacy, child care,  graduation)
BASIC NEEDS (food, shelter)
PROVIDERS:  SERVICE DELIVERY / ACCESS
PROVIDERS:  INFRASTRUCTURE

_____________________________

Strategic Planning Input
Identified Needs and Emerging Trends

Success by 6 Investment Team

 

Under Investigation 

Need

 

Respite services.

Promoting Literacy: Speaking, Listening, Reading, and Writing.

 

Advocacy for increase in those guaranteed subsidy and those eligible for subsidy.

 

Dental care for young children.

Sustaining quality improvement in childcare settings.

 

Day care with flexible hours.

 

Affordable day care.

 

Transportation to and from programming.

 

Increased staff development and training.

Skilled, knowledgeable parents.

 

Services for children exposed to violence.

 

Support and advocacy for UPK.

Services for children with significant behavior needs.

 

Wellness enhancing and preventative services.

 

Interpretive services for non-English speaking parents.

 

Support for children in foster care.

 

Support for part-time programs for infants, toddlers and 3 yr. olds.

 

Support for children with mild to moderate communication problems.

Healthy Births.

 

Home based nutritional counseling.

 

Development of instruments to determine specific problems underlying literacy delay in young children.

Sources:  The Success by 6 Volunteer Team constructed this list with input from surveys sent to the Executive Director of each of the agencies that run United Way funded programs, Monroe County Departments of Health and Social Services, Early Childhood Development Initiative, Center for Governmental Research, and individual provider input.

Success by 6 --  Gaps and Emerging Needs
Talking Points at United Way Briefing – March 13, 2001

Goal:  Healthy, young children (0-9) prepared to succeed socially and academically

Preparation for Success in School

Promoting literacy:  Speaking, listening, reading and writing.  

bulletThere needs to be a greater emphasis on caregiver and parental competence and family skill.
bulletAwareness of what is developmentally appropriate (materials, bhaviors etc.) for children of different ages.)
bulletPermeation of literacy programming as a component throughout the current Success by 6 portfolio.

Sustaining quality improvement in child care settings.

bulletEven though significant steps have been made in our community, obtaining and sustaining credentials in childcare settings continues to be an issue within our community. 
bulletUnited Way seeks to promote and support healthy systems of childcare.

Physical Health

Healthy Births.

bulletPromotion of accurate information regarding knowing when, where, and how to seek medical care for their children and themselves.
bulletUnderstanding of the benefits for seeking medical care early.

Mental Health

Services for children with significant behavior needs.

bullet

Services for children that have never classified as well as those that have been classified for other significant issues.

bullet

Mental health services for young children.

bullet

Staff development efforts geared toward supporting teaching better practices when it comes to assisting, teaching, managing, educating, and caring for those children with significant behavior needs.

bullet

Knowledge about what are appropriate reactions to a child’s behaviors.

bullet

Knowing when they need to seek help and how to ask for what they need.

bullet

Fundamental knowledge regarding the developmental stages of children.

_____________________________

Strategic Planning Input
Identified Needs and Emerging Trends

Kids on Track Investment Team

 

Under Investigation 

Needs

  Substance abuse treatment.
  Computer skills training.
After school structured programming. (mentoring, tutoring, job training, recreation.)
  Transportation to and from programming.
Flexible (evenings and weekends) childcare.
  Housing for teens (with or without children) no longer able to live at home.
  Respite and emergency childcare.
  Services for children with multiple diagnosis. 
  Family conflict intervention services.
  Information about availability of existing services.
  Sex offender groups.
  Home stabilizing services.
  Diversion services.
  Emergency services for impoverished families.
  Intervention with Hispanic students encountering difficulties in schools.
Mental Health Services.
  Interpreting services for non-English speakers.
  Consistent standards for special education programs.
  Role modeling programs. (aggressive recruitment of certain populations ie: African-American males.)
  Short term counseling for families.
  Early detection and intervention for children with learning disabilities.
  Attention paid to the link between family instability and the impact on quality of life for students.
  Services to youth exposed to violence.
  Literacy services for students with disabilities.
Youth empowerment and leadership development opportunities.
  Access to schools where there is a more natural access to special services.
  Increase in capacity of preventative programs.
  Future planning for adolescents with developmental disabilities and their families.
  Better integration of services to the same family
  Family support services for families of incarcerated youth.
  Additional family conflict intervention services.
  Intensive home therapy.
Parent support group activities and structured recreation for families.
  Grief and loss strategy counseling.
  Social and emotional support services and training for those moving off of welfare and into work.

Trends:

bulletWelfare to work
bulletLowering of PINS age from 18 to16 years old.
bulletContinued high rate of poverty for children.
bulletRegents standards.

Sources:  The Kids on Track Volunteer Team constructed list with input from surveys sent to the Executive Director of each of the agencies that run United Way funded programs, Department of Social Services, Youth Bureau, and individual provider input.

Kids on Track – Emerging Needs and Gaps
Talking Points – March 13, 2001

Goal: Healthy, Self Confident Youth (10-21) Succeeding Socially and Academically.

Mental Health

The umbrella of additional mental health services for youth can be characterized by some of the following specifics:

bulletGreater access to mental health services for youth.   In general, it doesn’t there are enough mental health services available to youth.
bulletServices for youth with dual diagnosis. There is a need for service provision for youth that have been diagnosed with two presenting issues.  ie: substance abuse and bi-polar disorder.  To treat one disorder successfully, the other most be considered and treated as well.  Seemingly an increasing number of young people are presenting with these complicated dual diagnosis. 
bullet

Services for younger children.  Providers are telling us that they are seeing increasingly younger children presenting with greater mental health issues.  

bullet

Services for children exposed to violence.  Exposure to violence effects children profoundly.   We are hearing from providers that not only does exposure to violence have an immediate effect on youth at the time of the incident in very obvious ways, but they are seeing more cases of longer lasting Post Traumatic Stress Disorder as a result.

Safe and Supportive Environments  

There were multiple categories identified by providers that the Kids on Track team felt fit under this broad heading.  Each of these categories are unique and target a specific population, but they all speak to the need for there to be an increased number of opportunities for individuals to learn and play in safe and supportive environments.

bulletStructured activities for parents and their children.
bulletProviders felt that one way in which youth could be additionally supported would be to offer their parents and caregivers opportunities to interact with them in positive environments.  We heard that our community would benefit from:
bulletSocially and emotionally supportive programming for parents and their children. 
bulletOpportunities for parents to learn how to interact with their children in positive and productive ways.
bulletAssistance for parents seeking healthy options during which to spend quality time with their children.

Structured activities and programming for youth

The United Way has been a long time supporter of youth development opportunities and after school programming.  However, the community has continued to report to the Kids on Track team that more development in this area is needed.  It was recommended that the United Way continue to explore and affirm its commitment to a variety of types of programs that fall under this category of “structured activities and programming for youth.”

These activities take advantage of time youth aren’t in school but are geared to keep them going and staying engaged.  These programs offer youth healthy choices with which to use their free time as well as opportunities to develop their potential in any number of realms. 

We heard that there is a need for:  

bullet

Additional after school opportunities for structured mentoring and tutoring programs, as well as more clubs, opportunities for recreation, and job training.

bullet

An increased number of healthy, productive options for children to spend their free time.

bullet

Increased youth empowerment and leadership development opportunities.

Flexible childcare

Appropriate, safe childcare is needed for children in the evenings and weekends due to the increasingly non-traditional working hours of primary caregivers.  Without flexible childcare options, caregivers are being forced to leave their young children alone or in less than desirable circumstances. 

_____________________________

Strategic Planning Input
Identified Needs and Emerging Trends

Strengthening Families Investment Team

 

Under Investigation

 

Needs

 

Safe & affordable housing
  Aggression & violence prevention
  Assessment skills & resources
Basic needs / emergency services
Civic involvement
Debt / credit management
  Elder abuse prevention
  Facilities improvements
  Health care & prescription coverage
  Language skills
  Mental health services
Staff training & retention
Technological competency & employment opportunities
  Transportation employment
Employment services

Trends:

bulletWelfare to Work
bulletIncreasing frequency of clients with multiple needs
bulletLead paint remediation

Sources:   Strengthening Families’ list was developed with input from provider focus groups, Emergency Food & Shelter Grant Program feedback, HUD Homeless Continuum of Care team

Strengthening Families – Gaps and Emerging Needs
Talking Points at United Way Briefing – March 13, 2001

Goal: a thriving family unit fully participating in the community

The Strengthening Families team has developed a illustrating its vision of how a family moves from vulnerable to thriving, and the inputs and outputs associated with that growth.

Basic Needs

This includes the provision of basic services such as emergency food, shelter, and health care in an effort to have physically and mentally healthy families.  Basic Needs impact our community’s most vulnerable families and have been identified by providers and others as an increasing need.

Strengthening Families currently invests a significant portion of it’s funding in this category and plays a role as a major funder of many of these programs.

Our Team needs additional information to better understand both the scope of the recent increase and the factors at work if we are to address it effectively

Based on existing, provider-driven coordination, the category of Basic Needs represents a great opportunity to work cooperatively with a cluster of providers who have developed their own model to bring families along the continuum.                      

Appropriate Housing

Although this community is rich in housing provision, Strengthening Families heard from both Providers and Funders that we are still confronted with a lack of safe, affordable housing.  The concerns include homeless housing, transitional housing for those who are getting their lives back on track, affordable rental housing, home ownership opportunities, and the support of mixed-income neighborhoods.

Recently there has been a lot of public discussion of housing issues including the impact of lead paint remediation on our community’s housing stock and the increasing rate of foreclosures  - both of which impact the homeowner and investor-owned housing markets.   Strengthening Families will be spending additional time examining our ability to address these, as well as other factors. 

Financial Well-Being

For Strengthening Families, Financial Well-being is essential to moving a family from vulnerability through self-sufficiency and in to thriving.

The Team has learned that further support is needed for the development of job skills, job placement and income management.   These issues continue to surface as families struggle with changes initiated by Welfare to Work legislation and the Workforce Investment Act.

Strengthening Families will be investigating further the role of:

Technological competency & employment opportunities - An example of this is Strengthening Families current investment in a program with the Rochester Resource Alliance designed to provide funding for employees who wish to improve their job skills, leading to better-paying and more secure jobs.

Two other areas of investigation in Financial Well-being include Employment services and Debt / credit management

Safe and Supportive Environments  

For the Strengthening Families Team, Safe and Supportive environments relates specifically to civic involvement on a neighborhood level, and the impact that has on the larger community. This need relates to resident-driven processes to identify neighborhood quality of life issues and the process by which these issues are addressed.

___________________

Strategic Planning Input
Identified Needs and Emerging Trends

Helping Seniors Investment Team

 

Under
Investigation
 
  Information, referral
  Educate young on aging
  Affordable housing
  Anxiety and depression
  Drug abuse prevention
  Social transportation
  Elder abuse prevention
  Grandparents raising grandchildren
  Guardianship
  Financial management – medicaid, medicare
  Shelter beds for older adults
  Professional Care Providers
  Chore services/friendly visiting
  Home modification – safety, fall prevention
  Development disabled children living longer – caregiver needs
  Continuum of care of services needed
  People wanting to work longer
  Need for planning a longer life – finance and health
  Increase in nonprofessional caregiving help
  Respite care
  Social model and medical model day care programs

TRENDS 

bulletPoverty
bulletGrowth of 85+ population
bulletMedium income for women (elderly) $10,943

SOURCES: The Helping Seniors Investment Team received input from forums held by the New York State Office of Aging and the Monroe County Office of Aging. In addition, surveys were completed by the Executive Directors of Helping Seniors’ programs.

Helping Seniors –  Gaps and Emerging Needs 
Talking Points at United Way Briefing – March 13, 2001

Appropriate Housing

bulletMore affordable housing - middle income is needed
bulletMore housing in suburbs is needed
bulletSafety factors should be considered when locations are chosen
bulletCross impact team need

Financial Well Being

bulletPeople need help working with their financial responsibilities when they have not done this before e.g., widows
bulletPeople need to know more about Medicaid and Medicare
bulletPeople need to be aware of financial scams

Independent Living

bulletMore professional care providers are needed e.g., nursing aides
bulletAides are needed to keep people more independent e.g., stay in their own home
bulletThis is not just a labor issue e.g., pay, it is also a system issue e.g., some regulations on aides will not allow new ideas to help aides e.g., day care
bulletCross impact team need

Transportation

bulletSocial transportation is the biggest need e.g., taking people to the grocery store
bulletSome efforts have been very successful in the community and these need to be looked at for expansion or duplication if appropriate
bulletThe western part of the county appears to have the biggest need
bulletCross impact team need

 Provider Service Delivery

bulletSurveys showed information, referral and services for seniors not known when needed
bulletThere should be a “one stop shopping” program that assists people
bulletCare management should be part of the continuum of services offered

 ___________________

Strategic Planning Input
Identified Needs and Emerging Trends

Overcoming Disabilities Planning Subcommittee

 

Under Investigation Needs
  Support for individuals with developmental disabilities who need social activities but are not at a diagnosis level for reimbursement
  Housing that is safe and decent for people with mental health, substance abuse and other disabilities
  Case Management triage, coordination and reimbursement  for people with disabilities for social and mental care
  Transportation for mental health clients social rehabilitation
  Cultural competence attention for all clients -- professionals and service agencies
  Support for kids with disabilities to prevent high school drop out
  Comprehensive insurance for people with disabilities and help with Medicaid funding which is decreasing
  Health Care workers
  Support with people with disabilities who are aging and for their caregivers (including chronic diseases)
  Employment with benefits
  Advocacy assistance to avoid stigma
  Skill training and education
  Prevention of leading causes of death -- example, cancer, heart disease, diabetes
  Rural -- satellite delivery of services
  Home health care
  Mental health care
  Rehabilitation services
  Public education
  Increased collaboration with agencies to serve multiple needs
  Assistance for disabled who are isolated
  Independent living skills training
  Arts for Children

TRENDS

bulletWelfare to work
bulletIncrease in number of disabled enrolled in SSI
bulletRole of courts increasing in the substance abuse area and moving into other disabilities
bulletClients using the internet
bulletIncrease complexity of management of care
bulletMore clients are economically disadvantaged

SOURCES:  The Overcoming Disabilities Investment Team received input on needs from: Studies done by the Office of Mental Health, Office of Developmental Disabilities, client focus groups, and surveys completed by Executive Directors of Overcoming Disabilities’ programs.

Overcoming Disabilities -- Emerging Needs and Gaps
Talking Points at United Way Briefing – March 13, 2001

Goal:  People with disabilities (mental health, substance abuse, development, physical and health)  maximizing their independence as integrated members of the community.

Appropriate Housing*

bullet

It appears that housing is needed for people with mental health and substance abuse disabilities in particular but it is also an issue for all disabled.

* This is a cross impact area issue.

Physical Health

bullet

As people with disabilities age (and their caregivers) more chronic issues are emerging that need attention.

bullet

People with disabilities need help in preventing and working with the leading causes of death e.g. heart disease, cancer.

Independent Living

bullet

People with disabilities sometimes fall through the cracks on continuous and comprehensive living skills.

bullet

Homeless people with disabilities need.

Preparation for School Success

bullet

Kids with disabilities are dropping out of middle and senior high school and appear to need more support.

bullet

This issue (with information and suggested follow-up help) was referred to KOT who work with children of special needs.

Provider Service Delivery

Three issues emerged as infrastructure needs that need to be addressed for all programs to consider:

bullet

Cultural Competency

bullet

Increased collaboration with agencies to serve multiple needs

bullet

Case management triage, coordination and reimbursement

 

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Revised: 02 Mar 2004 14:02:36