1. THE ALASKA EXPERIENCE PRESENTER: ERIN KINAVEY PART C COORDINATOR/ EARLY INTERVENTION MANAGER Meeting the Challenges of Fiscal Stability: Refining and Interagency Finance System

2. Setting the Context 2 Initial work began in 2004 Our work morphed into a systems approach to financing service Completing the Finance Self-Assessment in 2006 Current accomplishments and direction

3. Initial Work in 2004 3

4. 4 Overview of Alaska’s Finance State Work Plan

5. 5 Review of Relevant Data to Inform Decisions

6. A Framework for Developing and Sustaining a Part C Finance System 6 Demographic Information Fiscal Resources Political and Economic Context Design a Finance System Agreements for Use of Resources Infrastructure Policies and Procedures Guidance and Support System Monitoring VISIONVISION Demographic Information Fiscal Resources Political and Economic Context Design a Finance System Agreements for Use of Resources Infrastructure Policies and Procedures Guidance and Support System Monitoring VISIONVISION

7. Who Should Alaska Be Serving: Given the Current Eligibility Definition? 7 2004 Prevalence Study  Identify the 0-3 population  Percentage of children currently in service (range = 0 - 4.35 percent  Population characteristics that are predictors of participation in early intervention (reports of harm, poverty, pre-term birth, late or no prenatal care and maternal education <12 years).  Computation of an index  Estimated prevalence projection

8. How The Data From The Prevalence Study May Be Used 8 Grant application planning for targeting activities to our needs, establish measurable outcomes and accountability Evaluate system resources (people, time and money) Data analysis and verification Quality assurance - reporting realistic needs/resources to the legislature and general public

9. Alaska’s Finance Self-Assessment : Things to Consider 9 1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? 2. Are we identifying, evaluating, and serving all eligible children? 3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

10. What is the Rate of Population Growth? 10 US/AK Population Growth and Birth Rates, 1990-2000 Source: U.S. Census Bureau

11. What Race/Ethnicity are Children 0-3? 11 Source: U.S. Census Bureau, 2003 & 2004 Percent of 0-3 Population

12. Who is Receiving EI Services in Alaska by Race/Ethnicity? 12 Source: 2004 US Census Bureau December 1 Count Number of Children

13. Alaska’s Finance Self-Assessment Demographic Information: Things to Consider 13 1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? 2. Are we identifying, evaluating, and serving all eligible children? 3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

14. Prenatal and Birth Risk Factors 14 LOWER Than National Average USAK Teens who are high school drop outs 8%6% Very low birth weight 1.5%0.9% Low birth weight 7.8%5.8% Births to mothers with < 12 years of education 22%14.5% Children with household head is high school dropout 17%9% Children who speak a language other than English in the home 19%12% Children under age 5 in poverty 21%15% Source: Kids Count 2004

15. Prenatal and Birth Risk Factors HIGHER Than National Average USAK Births to Women with late or no prenatal care 3.6%4.6% Births to women who smoke during pregnancy 11%17.9% Children in families: No parent has full time/year round work 33%40% Prevalence of substantiated incidence of harm/neglect 11.9/100022.3/1000 15 Source: Kids Count 2004

16. What Proportion of Children Are Being Served by Early Intervention Services? 16 % of 0-3 children served Source: December 1 Child Count

17. At What Age Are Children Being Served? 17 Source: December 1, 2004 count

18. 18 What Services Are Children Receiving?

19. Type of Services - LOWER Than 2004 National Average 19 % Children Receiving Services Source: 2004 December 1 Count

20. Type of Services- HIGHER Than 2004 National Average 20 % Receiving Services Source:2004 December 1 Count

21. Alaska’s Finance Self-Assessment Demographic Information: Things to Consider 21 1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? 2. Are we identifying, evaluating, and serving all eligible children? 3. What do we know about early intervention services that inform EI/ILP about the use of resources, supports and services?

22. What We Know…. 22 1. What do we know about infants and toddlers in Alaska and the nation that inform EI/ILP about the early interventions system? We know the rate of population growth Race/Ethnicity of children 0-3 Who is receiving services by race/ethnicity Local information from 2004 Prevalence Study 2. Are we identifying, evaluating, and serving all eligible children? Prenatal and birth risk factors Proportion of children being served by Part C Age at which children are being served Percentage of types of services being provided 3. What do we know about Alaska early intervention services that inform EI/ILP about the use of resources, supports and services?

23. NEXT STEPS: Considerations for strategies/options 23 Update Prevalence Study ~ How many children should Alaska be serving if eligibility changes to 25% delay? Cost Study ~ What is the current total cost of doing business and how are resources used? Compare local data with State data ~ Local self- assessment Project total cost for broadening eligibility Prepare for next legislative session

24. Questions???? 24 Contact Erin at: Erin.kinavey@alaska.gov (907) 269-3423

25. 25 Thank you. For more information, please e-mail us at nectac@unc.edu nectac@unc.edu or visit our website at www.nectac.org www.nectac.org