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

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

Initial Work in

4 Overview of Alaska’s Finance State Work Plan

5 Review of Relevant Data to Inform Decisions

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

Who Should Alaska Be Serving: Given the Current Eligibility Definition? Prevalence Study  Identify the 0-3 population  Percentage of children currently in service (range = 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

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

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?

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

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

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

Alaska’s Finance Self-Assessment Demographic Information: Things to Consider 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?

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

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/ / Source: Kids Count 2004

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

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

18 What Services Are Children Receiving?

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

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

Alaska’s Finance Self-Assessment Demographic Information: Things to Consider 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?

What We Know… 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?

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

Questions???? 24 Contact Erin at: (907)

25 Thank you. For more information, please us at or visit our website at