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

2. 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 Birth % before 37 weeks
8.2
9.0
Low Birth Weight % live birth <2500 grams
9.3
7.9
Infant Mortality 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

3. 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 Birth % before 37 weeks
9.5
9.0
Low Birth Weight % live birth less than 2500 grams
8.9
7.9
Infant Mortality 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

4. 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 Birth % before 37 weeks
11.3
9.0
Low Birth Weight % live birth <2500 grams
10.5
7.9
Infant Mortality 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 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

5. 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 Birth % before 37 weeks
8.7
9.0
Low Birth Weight % live birth <2500 grams
8.5
7.9
Infant Mortality infant death per 1,000 live births
6.2
4.9
Poverty4
- % below 100% FPL
23.3
9.3
Crime5& 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 Rates % high school drop outs
8.6
2.9
Unemployment % unemployed
9.9
8.0
Child Maltreatment 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 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 years / 2nd highest in MA

6. 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 Birth % before 37 weeks
8.9
9.0
Low Birth Weight % live birth <2500 grams
7.9
Infant Mortality 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

7. 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 Birth % before 37 weeks
9.7
9.0
Low Birth Weight % live birth <2500 grams
10.1
7.9
Infant Mortality 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

8. 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 Birth % before 37 weeks
8.3
9.0
Low Birth Weight % live birth <2500 grams
8.9
7.9
Infant Mortality 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 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 reported offenses per 100,000 / 4th highest in MA

9. 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 Birth % before 37 weeks
9.1
9.0
Low Birth Weight % live birth <2500 grams
8.3
7.9
Infant Mortality 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

10. 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 Birth % before 37 weeks
8.7
9.0
Low Birth Weight % live birth <2500 grams
10.2
7.9
Infant Mortality 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 per 100, 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

11. 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 Birth % before 37 weeks
10.2
9.0
Low Birth Weight % live birth less than 2500 grams
9.3
7.9
Infant Mortality 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, per 100, year olds/ 2nd highest in MA
19.5% of Boston residents live below 100% FPL / state average: 9.3%

12. 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 Birth % before 37 weeks
11.5
9.0
Low Birth Weight % live birth < 2500 grams
10.6
7.9
Infant Mortality infant death per 1,000 live births
8.5
4.9
Poverty4
- % below 100% FPL
14.5
9.3
Crime5& 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 Rates % high school drop outs
5.8
2.9
Unemployment % unemployed
10.9
8.0
Child Maltreatment 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

13. 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 Birth % before 37 weeks
8.3
9.0
Low Birth Weight % live birth < 2500 grams
8.2
7.9
Infant Mortality infant death per 1,000 live births
8.9
4.9
Poverty 4
- % below 100% FPL
17.9
9.3
Crime5& 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 Rates % high school drop outs
5.2
2.9
Unemployment % unemployed
10.6
8.0
Child Maltreatment 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

14. 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 Birth % before 37 weeks
9.1
9.0
Low Birth Weight % live birth <2500 grams
8.9
7.9
Infant Mortality infant death per 1,000 live births
4.9
Poverty 4
- % below 100% FPL
14.6
9.3
Crime5& 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 Rates % high school drop outs
5.9
2.9
Unemployment % unemployed
8.8
8.0
Child Maltreatment 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

15. 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 Birth % before 37 weeks
7.83
9.0
Low Birth Weight % live birth <2500 grams
8.9
7.9
Infant Mortality infant death per 1,000 live births
3.8
4.9
Poverty4
- % below 100% FPL
11.4
9.3
Crime5& 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 Rates % high school drop outs
6.2
2.9
Unemployment % unemployed
8.5
8.0
Child Maltreatment 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 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

16. 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 Birth % before 37 weeks
10.2
9.0
Low Birth Weight % live birth <2500 grams
8.6
7.9
Infant Mortality 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

17. 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 Birth % before 37 weeks
7.9
9.0
Low Birth Weight % live birth <2500 grams
7.7
Infant Mortality 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

18. 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 Birth % before 37 weeks
8.1
9.0
Low Birth Weight % live birth <2500 grams
8.4
7.9
Infant Mortality 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

19. Data Sources
1: Premature Birth: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from
2 Low Birthweight: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from
3 Infant Mortality: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from
4 Poverty: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from
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
8 School Drop-out: Division of Information Services. (2010). Dropout Rates in Massachusetts Public Schools: 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 (custom report). Boston, MA. MA Department of Children and Families
11 Substance Abuse: Massachusetts Community Health Information Profile (MassCHIP): Retrieved from
12: Vulnerable Populations: Race Variable, 2005 Inter-Census Data; Massachusetts Community Health Information Profile (MassCHIP): Retrieved from