Application of Needs Assessment to Your Agency and Analysis of Needs Data

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Kathleen Ball
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1 Application of Needs Assessment to Your Agency and Analysis of Needs Data Spring In-Service Continuing Education Program Nationally Certified ROMA Trainers and Candidates Hilton Atlanta Airport, Atlanta, GA April 8 and 9, 2015 Presented by Frederick Richmond The Center for Applied Management Practices frichmond@appliedmgt.com

Candidates Hilton Atlanta Airport, Atlanta, GA April 8 and 9, 2015 Presented by

2 The Foundation Policies for the Service Delivery Model A Nevada CSBG Policy Guide for Implementation of the Community Services Block Grant- C1 Definition of a Family Unit for Determining CSBG Eligibility C2 Income Eligibility Limit C3 Definition of Income for Eligibility Purposes C4 Period of Time for Determining Income C5 Income Verification C6 Reassessment of Eligibility M1 Required Statewide Software M2 elm 3.0 Hosting Costs and User Fees

Eligibility Limit C3 Definition of Income for Eligibility Purposes C4 Period of Time for Determining Income C5

3 Nevada CSBG Policies for the Service Delivery Model-M3 Statewide Data Model Agency Data Model Agency Matrix NV Intake Assessment Scales Additional Program Scales

4 Nevada Statewide Data Model

5 Agency Data Model

6 Agency Matrix

7 Nevada Service Delivery Model-M4 Each person seeking services is administered an intake to determine eligibility and collect required CSBG characteristic and demographic data. Each person seeking services is administered a self-sufficiency or well-being assessment of 13 mini-surveys. When is a client a client?

8 Nevada Service Delivery Model Parallels ROMA Cycle

10 NV Intake Assessment Scales Child Care or Head Start Education-Adults/Youth Emergency Assistance Employment Energy Food and Nutrition Health Insurance-Adults Health Insurance-Children Household Budgeting Housing Percentage of Poverty Primary Health Care Transportation

and Nutrition Health Insurance-Adults Health Insurance-Children

11 Employment-Family Level Assessment

12 Health Insurance-Children-Family Level Assessment

13 Housing-Family Level Assessment

14 Well-Being or Self-Sufficiency Matrix Baseline Needs-Presenting Conditions

15 Advanced Outcome Report

16 Aggregate Family Level Needs Assessment-Five Highest Needs

17 Employment-#1 Need First Highest Need (Employment): What interventions is the agency currently using to meet this need (include quick service, one-way referral, referral and follow-up, and case management interventions)? Enter Your Response Here: The first highest need is employment. During the period, 7/1/14-3/19/15, 137 persons were assessed for employment and 120 or 88% were below the Prevention Line in the In- Crisis and Vulnerable benchmarks. Of the 120 persons in need of employment services: 36 of 120 or 30% received an employment service. 265 employment services were provided to the 36 clients. Each client received on average 7 employment services. All employment services were provided directly by the agency. There were no referral services. The most frequent service was Case Management Meeting, provided 145 times. No One Way Referrals were made for employment.

During the period, 7/1/14-3/19/15, 137 persons were assessed for employment and 120 or 88% were below the Prevention Line in the In- Crisis and Vulnerable benchmarks.

18 Household Budgeting-#2 Need Second Highest Need (Household Budgeting): What interventions is the agency currently using to meet this need (include quick service, one-way referral, referral and follow-up, and case management interventions)? Enter Your Response Here: The second highest need is household budgeting. During the period, 7/1/14-3/19/15, 130 persons were assessed for household budgeting and 112 or 86% were below the Prevention Line in the In-Crisis and Vulnerable benchmarks. Of the 112 persons in need of household budgeting services: 4 of 112 or 4% received a household budgeting service. 5 household budgeting services were provided to 4 clients. Each client on average received 1 household budgeting service. All household budgeting services were provided directly by the agency. There were no referral services. The most frequent service was Financial Literacy Class, provided 4 times. No One Way Referrals were made for household

During the period, 7/1/14-3/19/15, 130 persons were assessed for household budgeting and 112 or 86% were below the Prevention Line in the In-Crisis and Vulnerable benchmarks.

19 Emergency Assistance-#3 Need Third Highest Need (Emergency Assistance): What interventions is the agency currently using to meet this need (include quick service, one-way referral, referral and follow-up and case management interventions)? Enter Your Response Here: The third highest need is emergency services. During the period, 7/1/14-3/19/15, 154 persons were assessed for emergency services and 81 or 53% were below the Prevention Line in the In-Crisis and Vulnerable benchmarks. Of the 81 persons in need of emergency services: 36 of 81 or 44% received an emergency service 39 emergency services were provided to 36 clients. Each client on average received 1 emergency service. There were 3 Referral Services for clothing. The rest of the services were provided directly by the agency. The most frequent service was burial, provided 35 times. There were 3 One Way Referrals for emergency

During the period, 7/1/14-3/19/15, 154 persons were assessed for emergency services and 81 or 53% were below the Prevention Line in the In-Crisis and Vulnerable benchmarks.

20 Housing-#4 Need Fourth Highest Need (Housing): What interventions is the agency currently using to meet this need (include quick service, one-way referral, referral and follow-up and case management interventions)? Enter Your Response Here: The fourth highest need is housing. During the period, 7/1/14-3/19/15, 144 persons were assessed for housing and 67 or 47% were below the Prevention Line in the In- Crisis and Vulnerable benchmarks. Of the 67 persons in need of housing services: 23 of 67 or 34% received a housing service. 85 housing services were provided to 23 clients. Each client received on average 4 housing services. There were 6 referral services for housing. The rest of the housing services were provided directly by the agency. The most frequent service was Rental Assistance provided 25 times. There were a total of 72 Rental Assistance services provided. There were 19 One Way Referrals for housing.

During the period, 7/1/14-3/19/15, 144 persons were assessed for housing and 67 or 47% were below the Prevention Line in the In- Crisis and Vulnerable benchmarks.

21 Fifth Highest Need (Energy): Energy-#5 Need What interventions is the agency currently using to meet this need (include quick service, one-way referral, referral and follow-up and case management interventions)? Enter Your Response Here: The fifth highest need is energy. During the period, 7/1/14-3/19/15, 73 persons were assessed for energy and 36 or 49% were below the Prevention Line in the In-Crisis and Vulnerable benchmarks. Of the 36 persons in need of energy services: 5 of 36 or 14% received an energy service. 5 energy services were provided to 4 clients. Each client received on average 1 energy service. There were 3 referral services for energy. The most frequent service was Utility assistance-gas, electric or propane provided 5 times. No One Way Referrals were made for energy.

22 Next Steps Are there adjustments that need to be made/can be made to improve results (include adjustments to service interventions controlled by the agency, staff training, additional resources, and potential partnership opportunities)? Describe and list the adjustments that will be made. Enter Your Response Here:

23 Missing Date Report

24 Movement Report

25 Wage Data and Percent of Poverty

26 Wage Data, Percent of Poverty, Demographics and Characteristics

27 2015 HHS Poverty Guidelines

28 2015 HHS Poverty Guidelines with Hourly Wage Calculations

29 The Cliff Effect Sample Programs and Income Eligibility for Low-Income Persons

30 The Cliff Effect-Analysis A household income of $10.30 an hour which is 100% of poverty indicates eligibility for all benefits listed in the table. An income greater than $13.39 an hour or 130% of poverty limits eligibility for subsidized benefits to persons whose income does not exceed that amount. For example, a person whose income is greater than 130% of poverty is eligible for Energy Assistance, WIC, and CHIP but not eligible for CSBG, Head Start, Medicaid or TANF.

31 The Cliff Effect-Analysis A wage of $10.30 an hour or an annual income of $20,090 qualifies a family of three for all programs since that income is at 100% of poverty. A person in a family of three with a minimum wage job at $7.25 an hour or an annual income of $14, is at 70% of poverty and also qualifies for all benefits. The minimum wage if adjusted for inflation would be $13/hour. As a person begins to increase their income, they potentially lose eligibility for benefits. A person working at $7.25 an hour or minimum wage in a three person household increasing their income by 38% to $10.00 an hour is still at 100% of poverty and qualifies for all benefits as listed in the previous slide. It would take an hourly income above $13.39 an hour which is an 85% increase above minimum wage to lose eligibility for many of the subsidized benefits.

32 The Cliff Effect-Analysis If a person earns an income above $13.39 an hour (without significant benefits) where they would lose eligibility for many of the subsidized programs, is the increase in income from a poverty wage of $10.30 an hour to $13.39 an hour or an annual increase in income of $6, worth the loss of benefits resulting from: National School Breakfast/Lunch Program/Free Meals Supplemental Nutrition Assistance Program (Food Stamps) TANF Community Services Block Grant (CSBG) CAAs Head Start Medicaid

33 The Cliff Effect-Analysis Many clients are single female headed households with two children and their education and job experience are limited. We need to consider: How many clients are likely to get a minimum wage job at $7.25 an hour which is 70% of poverty? How many clients are likely to get a job paying $10.30 an hour which is at 100% of poverty? How many clients are likely to get a job paying $12.88 an hour (with significant benefits) which is at 125% of poverty and maintains eligibility for most subsidized benefits?

34 The Cliff Effect-Analysis How many clients are likely to get a job paying $20.61 an hour which is at 200% of poverty where eligibility is lost for many of the subsidized benefits? Is the dollar value of Medicaid, Head Start, TANF, Food Stamps, Energy Assistance, WIC, School Feeding Programs, Subsidized Child Care, and Housing Assistance for a family of three equal to or greater than the increased earning power from 74% to 150% or 200% of poverty? How many clients must have subsidized childcare in order to work? How many clients can afford non-subsidized

Guide to Health and Social Services

Guide to Health and Social Services Health Services If you have little or no insurance and need health services: You can visit one of the 159 county health departments across the state. The local health