Needs Assessment: Community Fact Sheets Massachusetts Maternal, Infant, and Early Childhood Home Visiting Initiative

Fact Sheet: Holyoke (#1) HOLYOKE- AT A GLANCE: Population: 41,089 (12th) Estimated Population (0-3yrs): 1,908 Resident Births: 701 Median Income: $34,496 Number of HV Programs: 7 Ranked Top 5 at-risk in Domains: Child Readiness (#2), Parenting Stressors (#1), Violent Crime (#5) and Economic Self Sufficiency (#2) Required Indicators Holyoke Statewide Premature Birth1 -% before 37 weeks 8.2 9.0 Low Birth Weight2 - % live birth <2500 grams 9.3 7.9 Infant Mortality3 - infant deaths per 1,000 live births 8.9 4.9 Poverty4 -% below 100% FPL 26.4 Crime5& 6 violent crimes per 100,000 residents 1135.4 449.0 Substance Abuse11 - crude rate per 100,000 2949.7 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 13.2 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 50.7 18.9 School Drop-out Rates8 - % high school drop outs 10.4 2.9 Unemployment9 - % unemployed 11.7 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 56.6 19.5 Neglect: 94 % Physical: 9 % Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 26.4% of residents live below 100% FPL / highest in MA 74.5% of women giving birth receive publically financed health care / highest in MA Teen (15-19 years) birth rate is 95.7 per 1,000 live births / highest in MA 40.9% of infants are born to mothers with less than a high school education / 2nd highest in MA

Fact Sheet: Lawrence (#2) LAWRENCE, AT A GLANCE: Population: 81,591 (9th) Estimated Population (0-3yrs): 3,921 Resident Births: 1,379 Median Income: $32,337 Number of HV Programs: 6 Ranked Top 5 at-risk in Domains: Child School Readiness (#1), Vulnerable Populations (#1) and Economic Self Sufficiency (#1), Parenting Stressors (#4) Required Indicators Lawrence Statewide Premature Birth1 -% before 37 weeks 9.5 9.0 Low Birth Weight2 - % live birth less than 2500 grams 8.9 7.9 Infant Mortality3 - infant deaths per 1,000 live births 6.7 4.9 Poverty4 -% below 100% FPL 24.3 9.3 Crime5& 6 violent crimes per 100,000 residents 653.2 449.0 Substance Abuse11 - crude rate per 100,000 1964.7 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 10.2 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 74.8 18.9 School Drop-out Rates8 - % high school drop outs 12.4 2.9 Unemployment9 - % unemployed 16.4 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 12.9 19.5 Neglect: 82% Physical: 25% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 74.8% of residents self identify as non-White / highest in MA 12.4 % of 9th-12th grade students drop out / highest in MA 24.3% of residents live below 100% FPL / 2nd highest in MA Teen (15-19 years) birth rate is 76.8 per 1,000 live births / 3rd highest in MA

Fact Sheet: Springfield (#3) SPRINGFIELD, AT A GLANCE: Population: 156,358 (3rd) Estimated Population (0-3yrs): 6,993 Resident Births: 2,458 Median Income: $34,113 Number of HV Programs: 9 Ranked Top 5 at-risk in Domains: Maternal & Infant Health (#2), Parenting Stressors (#2), Violent Crime (#3), Economic Self Sufficiency (#3), Child Health (#5), Child School Readiness (#5) Required Indicators Springfield Statewide Premature Birth1 -% before 37 weeks 11.3 9.0 Low Birth Weight2 - % live birth <2500 grams 10.5 7.9 Infant Mortality3 - infant deaths per 1,000 live births 4.9 Poverty4 -% below 100% FPL 23.1 9.3 Crime5& 6 violent crimes per 100,000 residents 1254.9 449.0 Substance Abuse11 - crude rate per 100,000 3077.6 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 9.6 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 55.0 18.9 School Drop-out Rates8 - % high school drop outs 2.9 Unemployment9 - % unemployed 11.4 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 58.8 19.5 Neglect: 93% Physical: 10% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 30.7% of infants are born to mothers with less than a high school education / 3rd highest in MA Violent crime rate is 1254.9 reported offenses per 100,000 individuals / 3rd highest in MA 47.0% of children (0-<18 years) live in single parent households / 2nd highest in MA Teen (15-19 years) birth rate is 73.7 per 1,000 live births / 4th highest in MA

Fact Sheet: Chelsea (#4) CHELSEA, AT A GLANCE: Population: 34,128 (15th) Estimated Population (0-3yrs): 1,694 Resident Births: 745 Median Income: $39,710 Number of HV Programs: 4 Ranked Top 5 at-risk in Domains: Violent Crime (#1), Vulnerable Populations (#2), Parenting Stressors (#3) and Economic Self Sufficiency(#4) Required Indicators Chelsea Statewide Premature Birth1 -% before 37 weeks 8.7 9.0 Low Birth Weight2 -% live birth <2500 grams 8.5 7.9 Infant Mortality3 - infant death per 1,000 live births 6.2 4.9 Poverty4 - % below 100% FPL 23.3 9.3 Crime5& 6 -violent crime per 100,000 residents 1732.2 449.0 Substance Abuse11 - crude rate per 100,000 1922.2 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 9.7 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 64.1 18.9 School Drop-out Rates8 -% high school drop outs 8.6 2.9 Unemployment9 - % unemployed 9.9 8.0 Child Maltreatment10 - rate of supported investigations per 1,000 Child Maltreatment - rate of substantiated maltreatment by type 30.1 19.5 Neglect: 95% Physical:8 % Sexual: 1% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 43.8% of infants are born to mothers who have less than a high school education / highest in MA Violent crime rate is 1732.2 per 100,000 / highest in MA 69.7% of mothers are foreign-born / highest in MA The teen birth rate is 81.2 live births per 1,000 females aged 15-19 years / 2nd highest in MA

Fact Sheet: Lowell (5th) LOWELL, AT A GLANCE: Population: 105,749 (4th) Population Ages (0-3): 4,550 Resident Births: 1,775 Median Income: $49,816 31.7% of students are considered to have limited English proficiency / highest in MA Number of HV Programs: 7 Ranked Top 5 at-risk in Domains: Child School Readiness (#4) & Vulnerable Populations (#4) Required Indicators Lowell Statewide Premature Birth1 - % before 37 weeks 8.9 9.0 Low Birth Weight2 - % live birth <2500 grams 7.9 Infant Mortality3 - infant deaths per 1,000 live births 6.1 4.9 Poverty4 - % below 100% FPL 16.8 9.3 Crime5& 6 violent crimes per 100,000 residents 1059.6 449.0 Substance Abuse11 - crude rate per 100,000 2119.2 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 9.8 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 42.1 18.9 School Drop-out Rates8 - % high school drop outs 4.2 2.9 Unemployment9 - % unemployed 11.5 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 32.4 19.5 Neglect: 90% Physical: 14% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 31.7% of students are considered to have limited English proficiency / highest in MA 6.3% of children (0-11 years) are on the waitlist for subsidized childcare / 4th highest in MA Lowell School District has been designated as a Level 4 district, which indicates that it contains one or more schools among the lowest-performing and least improving 2% based on quantitative indicators

Fact Sheet: New Bedford (6th) NEW BEDFORD, AT A GLANCE: Population: 94,502 (7th) Population Ages (0-3): 3,737 Resident Births: 1,389 Median Income: $36,775 Number of HV Programs: 7 Ranked Top 5 at-risk in Domains: Maternal & Infant Health (#4), Violent Crime (#2) and Economic Self Sufficiency (#5) Required Indicators New Bedford Statewide Premature Birth1 -% before 37 weeks 9.7 9.0 Low Birth Weight2 - % live birth <2500 grams 10.1 7.9 Infant Mortality3 - infant deaths per 1,000 live births 7.4 4.9 Poverty4 -% below 100% FPL 20.2 9.3 Crime5& 6 violent crimes per 100,000 residents 1302.0 449.0 Substance Abuse11 - crude rate per 100,000 2673.0 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 8.6 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 22.7 18.9 School Drop-out Rates8 - % high school drop outs 2.9 Unemployment9 - % unemployed 13.3 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 64.5 19.5 Neglect: 94% Physical: 10% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: Violent crime rate is 1,302.0 reported offenses per 100,000 people / 2nd highest in MA 13.3% of residents are unemployed / 4th highest in MA 64.5 children (0- <9 years) per 1,000 are victims of substantiated maltreatment / 4th highest in MA 41.4% of children (ages 0-<18 years) lived in single parent homes / 5th highest in MA

Fact Sheet: Fall River (7th) FALL RIVER, AT A GLANCE: Population: 92,117 (9th) Population Ages (0-3): 3,472 Resident Births: 1,251 Median Income: $35,814 Number of HV Programs: 5 Ranked Top 5 at-risk in Domains: Child School Readiness (#3), Parenting Stressors (#5) and Violent Crime (#4) Required Indicators Fall River Statewide Premature Birth1 -% before 37 weeks 8.3 9.0 Low Birth Weight2 - % live birth <2500 grams 8.9 7.9 Infant Mortality3 - infant deaths per 1,000 live births 7.6 4.9 Poverty4 -% below 100% FPL 17.1 9.3 Crime5& 6 violent crimes per 100,000 residents 1198.8 449.0 Substance Abuse11 - crude rate per 100,000 4023.2 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 10.4 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 11.9 18.9 School Drop-out Rates8 - % high school drop outs 10.1 2.9 Unemployment9 - % unemployed 13.3 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 44.6 19.5 Neglect: 93% Physical: 11% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 13.3% of residents are unemployed / 3rd highest in MA Substance use disorder admission rate is 4023.2 per 100,000 individuals / 3rd highest in MA 10.1% of high school (grade 9-12) students drop out / 3rd highest in MA 14.3% of children (0-<3 years) are enrolled in Early Intervention / 4th highest in MA Violent crime rate is 1198.8 reported offenses per 100,000 / 4th highest in MA

Massachusetts Home Visiting Needs Assessment Fact Sheet Fact Sheet: Lynn (8th) LYNN, AT A GLANCE: Population: 92,186 (8th) Population Ages (0-3): 3,906 Resident Births: 1,501 Median Income: $41,933 Number of HV Programs: 7 Ranked Top 5 at-risk in Domain: Vulnerable Populations (#3) Required Indicators Lynn Statewide Premature Birth1 -% before 37 weeks 9.1 9.0 Low Birth Weight2 - % live birth <2500 grams 8.3 7.9 Infant Mortality3 - infant deaths per 1,000 live births 5.2 4.9 Poverty4 -% below 100% FPL 16.5 9.3 Crime5& 6 violent crimes per 100,000 residents 906.2 449.0 Substance Abuse11 - crude rate per 100,000 2800.9 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 44.2 18.9 School Drop-out Rates8 - % high school drop outs 2.9 Unemployment9 - % unemployed 10.5 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 29.0 19.5 Neglect: 92% Physical: 14% Sexual: 2% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 50.4% of Lynn students speak English as a second language / 3rd highest in MA 25.3% of students in Lynn have limited English proficiency / 3rd highest in MA 27.9% of infants are born to mothers who have less than a high school education / 5th highest in MA

Fact Sheet: Southbridge (9th) SOUTHBRIDGE, AT A GLANCE: Population: 17,503 (16th) Population Ages (0-3): 3,906 Resident Births: 237 Median Income: $40,788 Number of HV Programs: 5 Ranked Top 5 at-risk in Domain: Child Health (#1) Required Indicators Southbridge Statewide Premature Birth1 -% before 37 weeks 8.7 9.0 Low Birth Weight2 - % live birth <2500 grams 10.2 7.9 Infant Mortality3 - infant deaths per 1,000 live births 9.5 4.9 Poverty4 -% below 100% FPL 15.4 9.3 Crime5& 6 violent crimes per 100,000 residents 473.8 449.0 Substance Abuse11 - crude rate per 100,000 2536.7 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 27.4 18.9 School Drop-out Rates8 - % high school drop outs 7.7 2.9 Unemployment9 - % unemployed 10.3 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 51.8 19.5 Neglect: 91% Physical: 15% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: Rate of asthma and asthma-related hospitalizations is 1989.0 per 100,000 0-19 year olds / highest in MA Teen (15-19 years) birth rate is 67.3 per 1,000 live births / 5th highest in MA Southbridge School District has been designated as a Level 4 district, which indicates that it contains one or more schools among the lowest-performing and least improving 2% based on quantitative indicators

Massachusetts Home Visiting Needs Assessment Fact Sheet Fact Sheet: Boston (#10) BOSTON, AT A GLANCE: Population: 558,435 (1st) Estimated Population (0-3yrs): 19,688 Resident Births: 8,019 Median Income: $52,433 Number of HV Programs: 13 Ranked Top 5 at-risk in Domain: Child Health (#4) Required Indicators Boston Statewide Premature Birth1 -% before 37 weeks 10.2 9.0 Low Birth Weight2 - % live birth less than 2500 grams 9.3 7.9 Infant Mortality3 - infant deaths per 1,000 live births 6.1 4.9 Poverty4 -% below 100% FPL 19.5 Crime5& 6 violent crimes per 100,000 residents 1104.4 449.0 Substance Abuse11 - crude rate per 100,000 3339.2 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 3.4 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 50.1 18.9 School Drop-out Rates8 - % high school drop outs 8.0 2.9 Unemployment9 - % unemployed 8.7 Child Maltreatment10 rate of substantiated reports per 100,000 (0 -<9 years) Child Maltreatment - rate of substantiated maltreatment by type 22.9 Neglect: 86% Physical: 19% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 771 refugees/asylees have resettled in Boston in the last five years / 3rd highest in MA Violent crime rate is 1,104.4 reported offenses per 100,000 people / 6th highest in MA Rate of asthma and asthma-related hospitalizations is 1,627.42 per 100,000 0-19 year olds/ 2nd highest in MA 19.5% of Boston residents live below 100% FPL / state average: 9.3%

Fact Sheet: Brockton (#11) BROCKTON, AT A GLANCE: Population: 100,366 (5th) Estimated Population (0-3yrs): 4,071 Resident Births: 1,552 Median Income: $50,197 Number of HV Programs: 4 Ranked Top 5 in Domain: None Required Indicators Brockton Statewide Premature Birth1 -% before 37 weeks 11.5 9.0 Low Birth Weight2 -% live birth < 2500 grams 10.6 7.9 Infant Mortality3 - infant death per 1,000 live births 8.5 4.9 Poverty4 - % below 100% FPL 14.5 9.3 Crime5& 6 -violent crime per 100,000 residents -- 449.0 Substance Abuse11 - crude rate per 100,000 2148.1 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 6.9 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 43.6 18.9 School Drop-out Rates8 -% high school drop outs 5.8 2.9 Unemployment9 - % unemployed 10.9 8.0 Child Maltreatment10 - rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 32.7 19.5 Neglect: 91% Physical: 14% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: • 44.6% of women giving birth in the city are foreign-born, compared to the state average of 17.2% 61.0% of women giving birth receive publically financed health care / state average: 33.1% • Infant mortality rate is 8.5 deaths per 1,000 live births / state average: 4.9 per 1,000

Fact Sheet: Worcester (#12) WORCESTER, AT A GLANCE: Population: 179,839 (2nd) Estimated Population (0-3yrs): 6,746 Resident Births: 2,760 Median Income: $45,944 Number of HV Programs: 6 Ranked Top 5 at-risk in Domain: Vulnerable Populations (#5) Required Indicators Worcester Statewide Premature Birth1 -% before 37 weeks 8.3 9.0 Low Birth Weight2 -% live birth < 2500 grams 8.2 7.9 Infant Mortality3 - infant death per 1,000 live births 8.9 4.9 Poverty 4 - % below 100% FPL 17.9 9.3 Crime5& 6 -violent crime per 100,000 residents 969.8 449.0 Substance Abuse11 - crude rate per 100,000 2713.0 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 3.5 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 33.3 18.9 School Drop-out Rates8 -% high school drop outs 5.2 2.9 Unemployment9 - % unemployed 10.6 8.0 Child Maltreatment10 - rate of substantiated reports per 100,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 37.7 19.5 Neglect: 90% Physical: 16% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: 1,485 refugees/asylees have resettled in the city in the past five years / highest in the MA 28.2% of students have limited English proficiency in school / 2nd highest in MA Infant mortality rate is 8.9 per 1,000 live births / state average of 4.9 per 1,000

Massachusetts Home Visiting Needs Assessment Fact Sheet Fact Sheet: Revere (#13) REVERE, AT A GLANCE: Population: 45,551 (10th) Estimated Population (0-3yrs): 1,650 Resident Births: 761 Median Income: $49,178 Number of HV Programs: 4 Ranked Top 5 at-risk in Domain: None Required Indicators Revere Statewide Premature Birth1 -% before 37 weeks 9.1 9.0 Low Birth Weight2 -% live birth <2500 grams 8.9 7.9 Infant Mortality3 - infant death per 1,000 live births 4.9 Poverty 4 - % below 100% FPL 14.6 9.3 Crime5& 6 -violent crime per 100,000 residents 419.9 449.0 Substance Abuse11 - crude rate per 100,000 2788.1 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 9.7 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 18.4 18.9 School Drop-out Rates8 -% high school drop outs 5.9 2.9 Unemployment9 - % unemployed 8.8 8.0 Child Maltreatment10 - rate of supported investigations per 1,000 Child Maltreatment - rate of substantiated maltreatment by type 16.9 19.5 Neglect: 95% Physical:8 % Sexual: 1% Neglect: 92% Physical: 13% Sexual: 2% HIGHLIGHTS: 8.5% of children (0-<11 years) are on the waitlist for subsidized childcare / highest in MA 59.7% of women giving birth in Revere are foreign-born, the fourth highest percentage in Massachusetts 57.5% of women giving birth receive publically-financed health care / state average: 33.1% Massachusetts Home Visiting Needs Assessment Fact Sheet

Fact Sheet: Pittsfield (#14) PITTSFIELD, AT A GLANCE: Population: 43,949 (11th) Estimated Population (0-3yrs): 1,580 Resident Births: 520 Median Income: $43,507 Number of HV Programs: 6 Ranked Top 5 at-risk in Domain: Child Maltreatment (#2) Required Indicators Pittsfield Statewide Premature Birth1 -% before 37 weeks 7.83 9.0 Low Birth Weight2 -% live birth <2500 grams 8.9 7.9 Infant Mortality3 - infant death per 1,000 live births 3.8 4.9 Poverty4 - % below 100% FPL 11.4 9.3 Crime5& 6 -violent crime per 100,000 residents 699.6 449.0 Substance Abuse11 - crude rate per 100,000 4127.5 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 8.1 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 9.2 18.9 School Drop-out Rates8 -% high school drop outs 6.2 2.9 Unemployment9 - % unemployed 8.5 8.0 Child Maltreatment10 - rate of substantiated maltreatment per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 66.8 19.5 Neglect: 97% Physical: 6% Sexual: 2% Neglect: 92% Physical: 13% Massachusetts Home Visiting Needs Assessment Fact Sheet HIGHLIGHTS: Substance use disorder admissions rate is 4127.5 per 100,000 individuals / 2nd highest in MA 66.8 per 1,000 children (0- <9 years) are victims of substantiated child maltreatment / 3rd highest in MA 34.1% of women receive less than adequate prenatal care / 4th highest in MA 25.6% of mothers report smoking during pregnancy/ 4th highest rate in MA

Fact Sheet: North Adams (15th) NORTH ADAMS, AT A GLANCE: Population: 14,031 (17th) Population Ages (0-3): 480 Resident Births: 150 Median Income: $35,020 Number of HV Programs: 4 Ranked Top 5 at-risk in Domain: Child Maltreatment (#1) Required Indicators North Adams Statewide Premature Birth1 -% before 37 weeks 10.2 9.0 Low Birth Weight2 - % live birth <2500 grams 8.6 7.9 Infant Mortality3 - infant deaths per 1,000 live births 3.7 4.9 Poverty 4 -% below 100% FPL 18.2 9.3 Crime5& 6 violent crimes per 100,000 residents 616.8 449.0 Substance Abuse11 - crude rate per 100,000 2416.1 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 8.9 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 6.1 18.9 School Drop-out Rates8 - % high school drop outs 6.8 2.9 Unemployment9 - % unemployed 9.4 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 74.3 19.5 Neglect: 97% Physical: 6% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% Massachusetts Home Visiting Needs Assessment Fact Sheet POINTS OF INTEREST: 74.3 per 1,000 children (0 - <9 years) have substantiated reports of maltreatment / highest in MA 33.7% of mothers report smoking during pregnancy / 2nd highest in MA 21,413.4 per 100,000 children (0 - <9 years) experience unintentional injuries / 4th highest in MA

Fact Sheet: Everett (16th) EVERETT, AT A GLANCE: Population: 37,100 (14th) Population Ages (0-3): 1,371 Resident Births: 655 Median Income: $49,830 Number of HV Programs: 3 Ranked Top 5 at-risk in Domain: None Required Indicators Everett Statewide Premature Birth1 -% before 37 weeks 7.9 9.0 Low Birth Weight2 - % live birth <2500 grams 7.7 Infant Mortality3 - infant deaths per 1,000 live births 3.9 4.9 Poverty4 -% below 100% FPL 11.8 9.3 Crime5& 6 violent crimes per 100,000 residents 505.7 449.0 Substance Abuse11 - crude rate per 100,000 1846.4 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 6.7 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 23.8 18.9 School Drop-out Rates8 - % high school drop outs 4.0 2.9 Unemployment9 - % unemployed 8.8 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 25.4 19.5 Neglect: 93% Physical: 16% Sexual: 3% Neglect: 92% Physical: 13% Sexual: 2% POINTS OF INTEREST: 64.8% of women giving birth in Everett are foreign born / 2nd highest in MA 62.2% of mothers giving birth are receiving publically-financed health care / 6th highest in MA 16.2% of children aged (0- <3 years) are enrolled in EI / state average: 14.0 Massachusetts Home Visiting Needs Assessment Fact Sheet

Fact Sheet: Fitchburg (17th) FITCHBURG, AT A GLANCE: Population: 40,514 (13th) Population Ages (0-3): 1,626 Resident Births: 615 Median Income: $47,369 Number of HV Programs: 6 Ranked Top 5 at-risk in Domain: None Required Indicators Fitchburg Statewide Premature Birth1 -% before 37 weeks 8.1 9.0 Low Birth Weight2 - % live birth <2500 grams 8.4 7.9 Infant Mortality3 - infant deaths per 1,000 live births 5.8 4.9 Poverty4 -% below 100% FPL 15.0 9.3 Crime5& 6 violent crimes per 100,000 residents 449.0 Substance Abuse11 - crude rate per 100,000 1853.7 1621.6 Domestic Violence7 - % abuse prevention filings (restraining orders) 10.3 5.5 Vulnerable Populations12 - % non-white variable as a proxy for subcategory 27.6 18.9 School Drop-out Rates8 - % high school drop outs 2.9 Unemployment9 - % unemployed 11.7 8.0 Child Maltreatment10 rate of substantiated reports per 1,000 (0- <9 years) Child Maltreatment - rate of substantiated maltreatment by type 37.8 19.5 Neglect: 91% Physical: 26% Sexual: 2% Neglect: 92% Physical: 13% Sexual: 2% POINTS OF INTEREST: 11.7% of residents are unemployed / 5th highest in MA 8.4% of high school students (grade 9-12) drop out / state average: 2.9% 51.9% of women giving birth receive publically financed health care / state average of 33.1% Massachusetts Home Visiting Needs Assessment Fact Sheet

Data Sources 1: Premature Birth: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip 2 Low Birthweight: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip 3 Infant Mortality: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip 4 Poverty: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip 5 Crime: Criminal Justice Information Services Division. (2008). Violent crime crude rate (custom report): U.S. Department of Justice 6 Crime: Commonwealth Fusion Center. (2008). Uniform Crime (custom report): MA Crime Reporting Unit of the MA State Police 7 Domestic Violence: 2010, Massachusetts Court Filings, total court filings for 2009: Retrieved from www.mass.gov 8 School Drop-out: Division of Information Services. (2010). Dropout Rates in Massachusetts Public Schools: 2001-2009. Boston MA: MA Department of Elementary and Secondary Education. 9 Unemployment: Division of Unemployment Assistance. (2010). Labor force, employment and unemployment in Massachusetts (custom report). Boston, MA: MA Executive Office of Labor and Workforce Development 10 Child Maltreatment: Division of Early Intervention and Special Projects. (2010). Rate of children <9 years with supported allegations and unduplicated counts of child maltreatment 2009-2010 (custom report). Boston, MA. MA Department of Children and Families 11 Substance Abuse: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip 12: Vulnerable Populations: Race Variable, 2005 Inter-Census Data; Massachusetts Community Health Information Profile (MassCHIP): Retrieved from http://www.mass.gov/dph/masschip