2019-2020 Carroll County Local Management Board Needs Assessment For .

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2019-2020Carroll County Local Management BoardNeeds AssessmentFor Families, Youth and ChildrenMission: To lead community efforts that advances the wellbeing of children, youth and families1

Table of ContentsIntroduction . .3Carroll County Demographic Profile 4Quantitative Data 7Eight Results for Child Well-Being with IndicatorsBabies Born Healthy 11Birth to AdolescentsInfant MortalityLow Birth WeightHealthy Children 14ImmunizationsHealth Insurance CoverageChild DeathsHospitalizationsBehavioral Health- Youth Risk Behavior Survey:Substance Use (alcohol, tobacco and marijuana)ObesityChildren Enter School Ready to Learn 20Kindergarten ReadinessChildren are Successful in School .21ELA and Math 3th and 10th gradeTruancyBullying and HarassmentYouth will Complete School .28Dropout RateGraduation RateProgram completion for students with DisabilitiesEducational AttainmentYouth will have Opportunities for Employment or Career Readiness .32Youth unemploymentLabor Force Participation 18-25Youth 16-24 not in School and not workingCommunities are Safe for Children Youth and Families .38Juvenile Felony OffensesRecidivismChild maltreatmentCrimeFamilies are Safe and Economically Stable 43HungerChild PovertyOut of home placementsHomelessnessFaRM StudentsChildren and Families impacted by Incarceration2

Indicators specific to Carroll County . 50Opioid Related DeathsNon-Fatal OverdosesSuicide and self-injuryQualitative Data . .55Community Survey Results . 56Key Informant and Work group roundtable discussionsWith Community Mapping .62Carroll County Public SchoolsHungry Families RoundtableIncarceration Work GroupConnecting Youth Coordinating Council3

I.IntroductionNeeds Assessment Overview:The Carroll County Local Management Board for Children and Families (LMB) completed theFY 20 Needs Assessment, between August 2018 and January 2019 to inform the FY20-FY22Community Plan. The Eight Results for Well-Being form the basis for the most intensive dataexploration, with Indicator Data for each of the Eight Results. The assessment includes athorough look at the data and trends relating to the well-being of children, families and youth inCarroll. Demographic data for Carroll was also explored, looking for disparities across thecounty.Qualitative Data was obtained through a Community Survey that assessed the strengths andweaknesses of Carroll’s child and family service system, as well as the overall strengths andweaknesses of the county. Focus groups included the Dept. of Citizen Services, Carroll CountyPublic Schools, the Depts. of Juvenile and Social Services and the Community Services Council.An in depth analysis was also completed with the Hungry Children and Incarceration workgroups, as well as the Connecting Youth Coordinating Council. Each group completed a “Turnthe Curve” exercise related to data within their subpopulation. Finally, interviews werecompleted with the Directors of the Carroll Hospital’s Behavioral Health unit, Access Carrolland the Carroll County Youth Service Bureau.Executive Summary:Carroll County continues to perform well on many indicators related to families, youth andchildren indicating that services and supports are adequate for the needs of the community.The data does however point to several areas of concern.Disconnected and Homeless Youth:Employment rates in Carroll County have stagnated for youth 18-24, as has the attainment of aBachelor’s degree by this cohort. Outside of CCLMB’s Connecting Youth program there aresignificant gaps in coordinated services for disconnected and homeless youth. These youth alsopresent with complex issues and demonstrate a strong need for mental health or substance useservices.Families and Children Impacted by IncarcerationMental health and substance use issues also have a tremendous impact on the county’spopulation of those incarcerated and their families. Without the programs funded by theCCLMB, there are no services to help inmates maintain a connection with their children.Suicide and Self HarmThese indicators in Carroll County continue to be disturbingly higher than the state and nation.Subpopulation DisparitiesA deeper dive into the data reveals large disparities when race, sexual orientation and income areconsidered. African Americans, Hispanics, LBG and FaRM youth have significantly worseoutcomes than the overall population for a myriad of indicators including: births to adolescents,low birth rate, kindergarten readiness, ELA and math assessments, truancy, and graduation rates.4

Issues Shared Across the NationAffordable housing, the opioid crisis and transportation continue to surface as significant needsin Carroll County mirroring national trends. These issues are larger than the LMB can addressalone; however, the LMB will remain a partner in the on-going work around improvingtransportation as it impacts Disconnected Youth and those impacted by incarceration.The CCLMB is successfully engaging new partners and stakeholders, and continues to look foropportunities to play a role in the extensive collaborative work our agencies and communityservice providers carry out on behalf of our children, youth and families. LMB will recommendcontinued support of access to mental health and substance use services fordisconnected/homeless youth and incarcerated individuals while also focusing attention onsuicide and self-harm among school aged youth. The CCLMB will continue to fostercollaboration for the move to greater self-sufficiency for families that struggle with hunger andfood insecurity.5

II.DemographicsCarroll County is a 483 square mile mostly rural county with hundreds of acres of farm land, twocities and six incorporated towns, each with its unique character and demographics. Carroll islocated within an hour’s drive of the Baltimore/Washington Metropolitan area. The county seatis in the city of Westminster, with the majority of commercial and industrial businesses andhealth and human services located within the city.Population/Households:The population of Carroll has remained relatively flat from 2010-2017, with the largestestimated increase between 2016 and 2017.Carroll County Population Trend20102011201220132014201520162017167,134 167,019 167,030 167,211 167,392 167,136 167,140 167,781The median age in Carroll is 41.1 years with the largest adult cohort between 45 and 54 years ofage (28,135 or 16.8%). Males and females are equally represented at @ 50% each. Overall, theresidents under the age of age 18 represent the largest sector of Carroll’s overall population(37,339 or 22.3%).There are a total of 59,786 household in Carroll with 45,163 described as family households and20,332 households with children under 18 years of age. The average household size is 2.74people and the average family size is 3.15 people. 62% of all households are comprised of6

husband and wife, while 5,132 households are female headed with no husband present, and maleheaded households account for only 2,479 of the total households.Carroll’s population is relatively homogenousRace in Carroll CountyOneRace20102017164,615164,075Two or Whitemore2,5193,244155,282154,304BlackAmerican inoof anyrace4,3635,368Income and Housing:2017 ComparisonsCarroll CountyMarylandMedianhouseholdIncome 87,060 70, 583Medianhomeprice 324,800 287,800*Affordable Unemploymenthousingrate27%NA3%3.9*Affordable housing is defined as the number of available housing units that are affordable based on the averagesalary for a Carroll County Public School teacherWealth in Carroll is concentrated in the south end of the county, encompassing Sykesville,Eldersburg and Mt. Airy. The northwest and northeast sections of Carroll and the city ofWestminster have the lowest incomes across the county.7

2017 Median Household Income by Race/EthnicityCarroll 5589,82190,62583,796Black orAfricanAmericanOverallWhite, nonhispanicAsianTwo or moreraces68,49660,00040,00020,0000Hispanic orLatinoOtherCarroll County has 62,406 housing units, of which 59,786 are occupied, either by homeownersor renters. Owner-occupied units account for 49,028 or 82% of the total occupied units. Rentedunits are 10, 758 or 18% of the total units, with average household size in being almost identicalin both owner-occupied and rented unites (2.84 owner-occupied and 2.27 for renter occupied).Fair market rent in Carroll ranges from 1074 for a one bedroom up to 2590 for a 6 bedroomrental. 23% of all homeowners spend more than 30% of income on mortgage, while 51% of all8

renters spend greater than 30% of income on rental payment. Those 24 and under spendupwards of 50% of their income on rent.Rate of Homeownership in 01420152016Public Schools:Carroll County currently has seven public high schools, eight middle schools and 22 elementaryschools, serving over 25,290 students. The school population declined between 2014 (26,331) toa low of 25,225 in 2017. CCPS is the 10th largest school system in the state of MD. In additionto traditional schools, Carroll County provides alternative educational settings through thePRIDE, Gateway/ Crossroads Schools, and Flexible Student Support which serves middle andhigh school students who have behavioral and or emotional challenges; making the traditionalclassroom setting more challenging. In additional special education program are locatedregionally throughout the county and include BEST and Autism programming. . In addition,Carroll Springs provides holistic and individualized education for students, who due to the levelof their disability are unable to be served in their community schools. CCPS also providesOutdoor School, which allows 6th grade students the opportunity to spend one week living andlearning at the Bear Branch Nature Center on the grounds of Camp Hashawha. High schoolstudents also have the opportunity to apply to and attend the Career and Technology Center,which offers training, college and career readiness and certification in over 34 areas, fromagriculture, plumbing, and marketing to cyber-security and Culinary Arts. CCPS is the largestemployer in Carroll County, with over 3,700 administration, staff and teachers. Carroll schoolsare traditionally ranked as among the highest performing in the state, with a graduation rate thattypically exceeds 96% and a drop- out rate of less than 1%.9

III.Quantitative DataPrioritized starting in 2018Prioritized*New inFY 20CCLMB’s Impact on Eight Results for Well-Being for Children, Youth and FamiliesCCLMBResultsTargetFunded programFundingCCLMB rolePriorityPopulationor strategyServedBabies BornExpectantE-SMARTSAMHSAE-SMARThealthymoms andleadershipbabiesteamHealthyAge ren enterPre-schoolE-SMARTSAMHSAE-SMARTschool read toleadershiplearnteamChildren are5-21CCPSMSDECollaboration*Programsuccessful in*After school*CCHD toschoolprogrammingCCLMB to implementationand monitoringvendorYouth will5-21CCPSMSDECollaborationcomplete schoolYouth will have Youth ageConnectingGOC toCCLMBopportunities16-24 not inYouth in Carroll CCYSBfundedfor employment school andHSPprogramand careernot workingBERCreadinessChange, Inc.Families areSafe andEconomicallyStableCommunitiesare safe forchildren, youthand familiesFamilies andchildrenimpacted byincarcerationYouth withDJSinvolvementand theirfamiliesProject Connect&Family TiesInteragencyFamilyPreservation &Preserving Safeand n-CPA)GOC toCircuitCourt &CatholicCharitiesDHR/ LDSSto CCLMBfor CCYSBand HSPCCLMBfundedprogramDJS toCCLMB forCCYSBCCLMBfundedprogramResults: a population condition of well-being for children, youth, families and communitiesIndicators: measure (data) that help to quantify the achievement of a Result10CCLMBfundedprogram

Results: Babies Born HealthyIndicator: Birth to AdolescentsBirths to AdolescentsRate per 1,000 22.119.317.816.915.9Definition: Births to Teens/birth rate per 1,000 women who are 15-19 years of ageSource: Maryland Department of Health and Mental HygieneSignificanceTeen moms are traditionally less likely tofinish high school and obtain equitableemployment. Babies born to adolescents alsoare at risk for low-birth weight, premature birthand developmental delays. Single mothers inCarroll County are among those living inpoverty, which can result in negative socialdeterminants of health for their children.11AnalysisBoth the state and local data indicate a steadydecline in teen birth rate. However, CarrollCounty has a large disparity in the number ofbirths to teens for African American andHispanic populations. Specifically, in 2017,births to African American teens were 34.9 andbirths to Hispanics were 17.9, compared to 4.7for White non-Hispanic teens.

Indicator: Low Birth WeightLow Birth Weight108.898% of 8.68.6Definition: % of babies born weighing 2,500 grams or lessSource: Maryland Department of Health and Mental HygieneSignificanceInfant birth weight is highly indicative ofhealth status, development and survival. Lowbirth weight babies are a greater risk fordevelopmental and physical challenges,including learning disabilities, vision andhearing challenges and respiratory problems.12AnalysisThe percent of infants born weighing less than2,500 grams is trending upward. This may beimpacted by the number of infants bornexposed to opioids here in Carroll.Additionally, when looking specifically at race,the rate of low birth weight African Americanbabies is 13.2%. Hispanic babies tend to below birth weight in only 6.9% of births, similarto the White-non-Hispanic babies at 6.8%(2017)

Indicator: Infant MortalityInfant Mortality876.66.36.76.56.5Rate per 1,000 l3.74.53.133Maryland6.36.66.56.76.5Definition: Rate of death among infants less than one-year old per 1,000 birthsSource: Maryland Department of Health and Mental HygieneSignificanceInfant mortality is often associated with pooror no prenatal care, low birth weight andenvironmental and family conditions.13AnalysisCarroll County has a declining infant mortalityrate, and is significantly lower than the Staterate, which has held steady over the last fiveyears.

Result: Healthy ChildrenIndicator: Immunizations120% of on: % of Children ages 19-35 months who have received the full schedule ofrecommended immunizationsSource: Parents as Teachers reports to the CCLMB and Dept. of Health and Mental HygieneSignificanceThe immunization status of young children is apositive predictor of avoidance of illness,death, disability, or developmental delaysassociated with ’s vaccination rate is very high,indicating that almost all children in Carroll arereceiving the proper vaccine protection.Carroll’s average is above the State average.

Indicator: Children with Health InsurancePercent of children with health insurance10099.499.499% of children9897.19796.6 695.897.199.499.4Maryland96.695.2Definition: percentage of children age 0-19 with health insurance coverageSource: United States Census Bureau, Small Area Health Insurance EstimateSignificanceAnalysisChildren without health insurance are moreCarroll and MD both have high rates of insuredlikely to skip routine and preventive care,children, due in part to the Medicaidputting them at greater risk for undetectedExpansion as well as the Children’s Healthdisease and illness, which can ultimately beInsurance Program.more dangerous and more expensive to treat.15

Indicator: Child Deaths2016 Child Deaths605248# of Carroll1101Maryland48522816Definition: The number and rate per 100,000 people of child deaths for ages 0-21 byunintentional injury, homicide, suicide or related cause.Source: MD Dept. of Health and Mental Hygiene, Vital StatisticsSignificance- Child deaths due to homicide,Analysis-in 2016, there were 176 child deathssuicide and unintentional injury are deemedreported across MD. Three of the four leadingpotentially preventable. Interventions can becauses are injury, homicide and suicide,put into place to reduce these deaths.accounting for 80 of the 176 deaths. CarrollCounty reports a total of 3 child deaths in2016, with 19 total between the years of 20122016. This equates to 1.1 death per 100,000people.16

Indicator: HospitalizationsHospitalization Rates - Children350303.4Rate per 09.378.943.343.845201220132014Carroll Self-inflicted78.9113.8109.3MD Self-inflicted43.343.845Carroll Unintentional271.9303.4225.1201172142MD UnintentionalDefinition: Rate of non-fatal injuries per 100,000 children that requires in-patienthospitalizations in two categories-self-injury and unintentionalSource: https//goc.maryland.govSignificanceIn-patient hospitalizations can be traumatic forchildren, especially if the injury is related tosuicidal ideation or mental health issues.17AnalysisCarroll has a higher rate of both unintentionaland self-inflicted injury than MD. This datacorresponds with school system data showing agrowing trend of students reporting self-injuryand suicidal thinking.

Substance Use (tobacco, alcohol, marijuana)2016 Youth Risk Behavior Survey Results Carroll County .8QN42: % of students who currently drankalcohol ( at least one drink on at least 1 day30 days before the survey)QN44: % of students who currently werebinge drinking (had four or more drinks ina row for female and five more drinks ofalcohol in a row for male students, with ina couple of hours, on at least one dayduring the 30 days before the survey)QN46: % of students who ever usedmarijuana (one or more times during theirlife)QN47: % of student who tried marijuanafor the first time before age 13 3127.34.2QN48: % of students who currently usedmarijuana (one or more times during the 30days before the survey)QN58: % of student who were offered,sold or given an illegal drug on schoolproperty (during the 12 months before thesurvey)17.923.818.416.42029.823.521.2QNFRCIG:% of students who currentlysmoked cigarettes (on at least 1 day duringthe 30 days before the survey)QNFRCIG % of students who smokedcigarettes frequently (20 or more daysduring the 30 days before the survey)QNDAYCIG: % of students who currentlysmoked cigarettes daily (on all 30 daysduring the 30 days before the survey)QN34:% of students who every used anelectronic vapor productQN 35 % of students who currently usedan electronic vapor product on at least 1day during the 30 days before the surveyQN40: % of students who ever drankalcohol (at least one drink of alcohol, on atleast 1 day during their life)QN41:% of students who had their firstdrink of alcohol before age 13 years18Carroll20169Carroll 2016LGBTQMaryland20168.2Questions:5

Indicator: ObesityCarroll2016QNOBESE: % of students who had 9.4obesity ( 95th percentile for body massindex)QNOWT: % of students who areoverweight ( 85th % but less than 95th %for BMI)QN 68: % of students who describedthemselves as slightly or very 1411.514.315.212.914.92527.126.726.2The Youth Risk Behavior Survey continues to provide valuable insight into the behaviors ofteens across Carroll, Maryland and the nation. Disparities are seen mainly for teens in Carrollwho identify as LGBTQ. Not included in the above charts are measurers for heroin, cocaine andprescription drugs, all of which LGBTQ report using at a much higher rate than theirheterosexual peers. In addition, LGBTQ youth report a much rate of dating and sexual violence.The entire survey results are available s/Pages/YRBS2016.aspx#Carroll19

Result: Children Enter School Ready to LearnIndicator: Kindergarten Readiness% of Student ready for Kindergarten7060595547.5% of 1755515947.54543Definition: Full readiness is defined as consistently demonstrating skills, behaviors and abilitieswhich are need to successfully meet kindergarten expectations.Source: ificanceScientific research strongly supports consistentand intentional early learning experiences,prior to the start of Kindergarten. Many stateshave adopted or supported access to universalpre-k for their children.20AnalysisCarroll County traditionally ranks 1st or 2nd inkindergarten readiness. In 2017, Carrollfinished behind Garrett County with 59% ofstudents being prepared socially, emotionally,academically and developmentally ready forschool. However, of the students who qualifyfor FaRM, only 28% of them are consideredready to learn. 21% (5,000) of students arecurrently receiving FaRM.

Result: Children are Successful in SchoolIndicator: English and Math Proficiency for 3rd and 10th grade students3rd Grade ELA Assessment60% reaching .92933 35.323.532.127201002015201620172018all 23.232.935.332.1504African AmericanDefinition: English, Language and Assessment (ELA), students read passages from real fictionand non-fiction texts and sometimes watch video or listen to audio. They then respond, inwriting, to a prompt; students use what they’ve learned from the passages and multi-media tosupport their arguments. Students who reach level 4 or 5 are considered proficient.Source: ElaPerformance/1EL/3SignificanceBeing proficient (reaching level 4 or 5) in thirdgrade is an important predictor of futureacademic success.21AnalysisOverall, Carroll students outperform the stateaverage of 38.8% proficient. However,performance gaps are evident for students whoreceive FaRM, students with 504 plans and forAfrican American students.

10th Grade ELA Assessment80% reaching 018All 7.841.846.7African American40.950.760.461.3Definition: In these tests, students read passages from real fiction and non-fiction texts andsometimes watch video or listen to audio. They then respond, in writing, to a prompt; studentsuse what they’ve learned from the passages and multi-media to support their arguments. Studentswho reach level 4 or 5 are considered proficient.Source: sments/ElaPerformance/SignificanceStudents are measured in writing at everygrade level because it is key to showingreadiness for the next level of academic workand, in high school, readiness for college andcareer.22AnalysisCarroll students achieve proficiency in English10 at a higher level than the state average of38.8%. As in 3rd, grade students, there are stillachievement gaps for FaRM, 504 and AfricanAmerican students; although the gap is not aswide for African American students in 10thgrade as it is in 3rd.

3rd Grade Mathmatical Assessment% reaching proficiency60504066.666.37058.358.143.235.4 5201620172018All 258.353.857.3African American37.546.757.448.7Definition: In these tests, students solve multi-step math problems that require reasoning andaddress real-world situations. This requires students to reason mathematically, make sense ofquantities and their relationship to solve real-world problems, and show their understanding.Source: MathPerformance/3A1SignificanceAchieving proficiency in elementary school iscrucial for building a deep understanding ofmathematical concepts; which are for collegeand career readiness.23AnalysisCarroll students exceed the state-widepercentage of 42.3% for those achieving level4 or 5 for 3rd grade math assessments. As withthe ELA assessment, Carroll still hasdisparities for FaRM, 504 and AfricanAmerican students. The smallest gap is seen inthe 504 students, with the largest gap evidentin FaRM students.

% reaching proficency10th Grade Algebra I 018all 0.253.846.9African American20.632.630.431.9Definition: In these tests, students solve multi-step math problems that require reasoning andaddress real-world situations. This requires students to reason mathematically, make sense ofquantities and their relationship to solve real-world problems, and show their understanding.Source: MathPerformanceSignificanceAlgebra I assessments are crucial for buildingskills necessary for college and careerreadiness.24AnalysisCarroll students perform above the stateaverage of 31.2% for proficiency in Algebra I.As seen in other standardized testing, subpopulations of students, especially AfricanAmerican students perform well below thecounty average. However, all of Carroll’s subpopulations outperform the state averages.

Indicator: TruancyTruancy (20 days)141311.811.61210.3% of oll5.36.177.88MD10.311.611.813Definition: Truancy is defined as being absent more than 20 days and includes student who wereabsent 21 school days or more and who were registered to attend a single school, one or moreschools in a county, or one or more schools in Maryland for at least 90 days.Source: raphics/ChronicAbsenteeismSignificanceBeing absent 20 days or more contributes tolost learning opportunities and has negativelong-term consequences for students. Highlevels of absenteeism are linked to schoolfailure, drop outs, delinquent behavior,substance use and other risky behaviors.25AnalysisCarroll County has a lower rate of the truancythan the State of MD, but both the state and thecounty have increasing levels of truancy. Evenwith a low truancy rate, the school systemdescribes these students as very difficult toserve, with multiple interventions beingattempted, with unsuccessful results. Adisparity does exist for FaRM students, whohave a much higher rate of truancy. In 2017,the rate was 11.8% compared with 7.8% for allstudents and rose to 12.25 compared to 8% in2018.

# of incidents reports per 1,000 studentsIndicator: Bullying and HarassmentBullying and Harassment129.71087.96.66.76.5 185 reports in Carroll .7% of the student population officially report being bullied6091 total incidents reported across MD in 2017 .6%Definition: Bullying, harassment and intimidation includes any intentional conduct, includingverbal, physical or written conduct, or an intentional electronic communication, that creates ahostile educational environment by substantially interfering with a student’s educational benefits,opportunities or performance, or with a student’s physical or psychological well-being.Bullying – A pattern or behavior when a person repeatedly uses power in an intentional manner,including verbal, physical, or written conduct or intentional electronic communication againstone or more students. Cyberbullying – The use of electronic communication to harm or harassothers in a deliberate, repeated, and hostile manner. Harassment – Includes actual or perceivednegative actions that offend, ridicule, or demean another individual with regard to race, nationalorigin, marital status, sex, sexual orientation, gender identity, religion, ancestry, physicalattributes, socioeconomic status, familial status, physical or mental ability, or disability.Intimidation – subjecting an individual to intentional action that seriously threatens and inducesa sense of fear and/or inferiority. Source: https://mystudent.carrollk12.orgSignificance Beginning in 2005, all schoolsystems across the state were required to beginreporting bullying incidents. A standard formand procedure were also developed, the formmust be used by all schools systems, and theform cannot be modified. Most bullyingincidents occur on school property and most26Analysis- Carroll falls in the middle of thestate in terms of number of reported incidents,with 7.3 incidents reported per 1,000 studentsin the 2016-17 school year. Worcester Countyhad the lowest rate at 2.9 while Talbot Countyhad the highest at 17.2. According to CCPS,there is some concern that forms are not always

victims and perpetrators are of middle school completed, the only official way to reportage.bullying, so this may be under reported. Asevidenced in the chart below, Carroll students,especially those who identify as LGBTQ arebullied at a rate higher than the state average.QuestionsQN23:% of students whowere bullied on schoolproperty (ever during the12 months before thesurvey)QN24: % of students whowere electronically bullied(social media)27Carroll 2016LGBTQ 2016Maryland 201626.143.318.220.235.714.1

Result: Youth Will Complete SchoolIndicator: Dropout Rateperc

The Carroll County Local Management Board for Children and Families (LMB) completed the FY 20 Needs Assessment, between August 2018 and January 2019 to inform the FY20-FY22 . salary for a Carroll County Public School teacher Wealth in Carroll is concentrated in the south end of the county, encompassing Sykesville, .

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