Appendices for the Maternal Infant and Early Childhood Home Visiting (MIEHCV) Needs Assessment for Washington DC September 2020 Prepared by: Georgetown University Center for Child and Human Development Prepared for: District of Columbia Department of Health Child and Adolescent Health Division Child, Adolescent, School Health Bureau Community Health Administration 899 North Capitol Street, NE Washington, DC 20002 September 20, 2020 Copy for HRSA Review and Comment Only Do Not Disseminate Without Permission 1 Table of Contents for Appendices Appendix 1: Defining At-Risk Communities Appendix #1a………………………………………………………………………………………………………….3 Appendix #1b………………………………………………………………………………………………………….4 Appendix #1c………………………………………………………………………………………………………….6 Appendix #1d……………………………………………………………………………………………………..…..7 Appendix #1e……………………………………………………………………………………………………….…8 Appendix #1f………………………………………………………………………………………………………….9 Appendix #1g…………………………………………………………………………………………………….….11 Appendix 2: Home Visiting Capacity Assessment Appendix #2a……………………………………………………………………………………………………….12 Appendix #2b……………………………………………………………………………………………………….18 Appendix #2c……………………………………………………………………………………………………….20 Appendix 3: SUD/MH Capacity Assessment Appendix #3a……………………………………………………………………………………………………….22 Appendix #3b………………………………………………………………………………………………….……26 Appendix #3c……………………………………………………………………………………………………….30 Appendix 4: Interim Findings from the American Community Survey …………………….…………..32 2 Appendix 1: Defining At-Risk Communities Appendix #1a: Original HRSA/UIC Domains and Indicators 3 Domain Indicator Indicator Definition Alignment with statute Year definition of at-risk communities Socioeconomic Status (SES) Poverty % population living below %100 FPL Poverty 2013-2017 Unemployment Unemployed percent of the civilian labor force Unemployment 2017 HS Dropout % of 16-19 year olds not enrolled in school with no high High school dropouts 2013-2017 school diploma % of 16-19 year olds not enrolled in school with no high 2013-2017 school diploma % of 16-19 year olds not enrolled in school with no high N/A at ward level school diploma Income Inequality Gini Coefficient N/A Adverse Perinatal Outcomes Preterm Birth % live births <37 weeks Premature birth, low-birth 2014 weight infants, and infant mortality, including infant death due to neglect or other indicators of at-risk prenatal, maternal, newborn, or child health Low Birth Weight % live births <2500 g Premature birth, low-birth 2014 weight infants, and infant mortality, including infant death due to neglect or other indicators of at-risk prenatal, maternal, newborn, or child health Substance Abuse Alcohol Prevalence rate: Binge alcohol use in past month Substance abuse 2012-2014 Marijuana Prevalence rate: Marijuana use in past month 2014-2016 Illicit Drugs Prevalence rate: Use of illicit drugs, excluding Marijuana, 2012-2014 in past month Pain Relievers Prevalence rate: Nonmedical use of pain medication in 2012-2014 past year Crime Crime Reports # reported crimes/1000 residents Crime 2018 Juvenile Arrests # crime arrests ages 0-17/100,000 juveniles aged 0-17, 2015 Child Maltreatment Child Maltreatment Rate of maltreatment victims aged <1-17 per 1,000 child Child maltreatment 2016 (aged <1-17) residents 4 Appendix #1b: Health Planning Neighborhoods by Number, Name and Ward Health Health Planning Ward # Planning Neighborhood Name Neighborhood # 1 16th St Heights 4 2 Adams Morgan 1 3 Historic Anacostia 8 4 Bellevue 8 5 Brightwood 4 6 Brightwood Park 4 7 Brentwood 5 8 Barnaby Woods 4 9 Capitol Hill 6 10 U St/ Pleasant 1 11 Cathedral Heights 3 12 Eastland Gardens 7 13 Chevy Chase 3 14 Chinatown 2 15 Columbia Heights 1 16 Congress 8 Heights/Shipley 17 Douglass 8 18 Twining 7 19 Forest Hills 3 20 Fort Dupont 7 21 Fort Lincoln/Gateway 5 22 Tenleytown 3 23 Georgetown East 2 24 Hill East 6 25 Naylor/Hillcrest 7 26 Kingman Park 6 27 Lincoln Heights 7 28 Logan Circle/Shaw 6 29 Lincoln Park 6 30 Marshall Heights 7 31 South Columbia 1 Heights 5 32 Woodbridge 5 33 Mount Pleasant 1 34 Union Station 5 35 Washington Highlands 8 36 Kent/Palisades 3 37 Petworth 4 38 Michigan Park 5 39 Lamont Riggs 4 40 Saint Elizabeth's 8 41 Shepherd Park 4 42 Georgetown 2 43 DC Medical Center 5 44 GWU/ National Mall 2 45 Stadium Armory 7 46 Naval Station & Air 8 Force 47 Trinidad 5 48 Edgewood 5 49 Bloomingdale 5 50 Southwest/Waterfront 6 51 Woodley Park 3 6 Appendix #1c Sources and Indicators of Ward-Level Data for HRSA-defined Domains Domain Indicator Indicator Definition Year Source % total population living below %100 FPL % all women in DC living below %100 FPL % all children <5 years living below %100 Poverty FPL % all single mothers with children <5years living below %100 FPL % of unemployed females 16 and older in American Community Socioeconomic DC 2016 Unemployment Survey Status (SES) % of unemployed females 16 and older with children through the age of 6y in DC % of females without a High School Diploma Education % of 16-19 year old females not enrolled in school Income Number of DC households with <$25,000 Inequality % of DC households with <$25,000 Preterm Birth % live births <37 weeks Low Adverse Perinatal % live births <2500g DC Health Report Birthweight 2016 Outcomes Infant # all infant deaths/1,000 live births Mortality # all 18-44 years female alcohol use/1,000 Alcohol females aged 18-44 years # all 18-44 years female marijuana Marijuana use/1,000 females aged 18-44 years # all 18-44 years female illicit DC Department of Substance Abuse 2016 Illicit Drugs drugs(excluding marijuana) use/1,000 Behavioral Health females aged 18-44 years # all 18-44 years female Nonmedical use of Pain Relievers pain medication/1,000 females aged 18-44 years Crime Reports # reported crimes/1,000 residents DC Metropolitan Police Crime # all adult females 18 and older 2016 Female Arrests Department arrests/1,000 females aged 18 and older Rate of maltreatment victims aged <1-17 per 1,000 child (aged <1-17) residents Child Child Rate of neglect only victims aged <1-17 DC Child and Family 2016 Maltreatment Maltreatment per 1,000 child (aged <1-17) residents Services Agency Rate of abuse only victims aged <1-17 per 1,000 child (aged <1-17) residents # all 18-44 years female use of mental DC Department of Mental Health Mental health health services/1,000 females aged 18-44 2016 Behavioral Health years 7 Appendix #1d Sources and Indicators Available at the Health Planning Neighborhood Level Domain Indicator Indicator Definition Year Source % total population living below %100 FPL % all women in DC living below %100 FPL % all children <5 years living below %100 Poverty FPL % all single mothers with children <5years living below %100 FPL % of unemployed females 16 and older in Socioeconomic DC 2016 American Community Unemployment Status (SES) % of unemployed females 16 and older Survey with children through the age of 6y in DC % of females without a High School Diploma Education % of 16-19 year old females not enrolled in school Income Number of DC households with <$25,000 Inequality % of DC households with <$25,000 % live births <37 weeks % of mothers with previous preterm births Preterm Birth % of mothers without prenatal care who had a preterm birth Adverse Perinatal % live births <2500g 2016 Low DC Health Vital Statistics Outcomes % of mothers without prenatal care who Birthweight had a low birthweight birth Infant # all infant deaths/1,000 live births Mortality NICU % of NICU admissions % of women who did smoke prior to pregnancy Substance Abuse Tobacco Use 2016 DC Health Vital Statistics % of women who did smoke during pregnancy Rate of maltreatment victims aged <1-17 per 1,000 child (aged <1-17) residents Child Child Rate of neglect only victims aged <1-17 DC Child and Family 2016 Maltreatment Maltreatment per 1,000 child (aged <1-17) residents Services Agency Rate of abuse only victims aged <1-17 per 1,000 child (aged <1-17) residents 8 Appendix #1e List of Final (Limited) Indicator Definitions Used During Simplified Method Analysis Domain Indicator Indicator Definition Poverty % all women in DC living below %100 FPL % of unemployed females 16 and older with children through the age Unemployment Socioeconomic of 6y in DC Status (SES) Education % of females without a High School Diploma Income % of DC households with <$25,000 Inequality Preterm Birth % live births <37 weeks Low % live births <2500g Adverse Perinatal Birthweight Outcomes Infant # all infant deaths/1,000 live births Mortality NICU % of NICU admissions Alcohol # all 18-44 years female alcohol use/1,000 females aged 18-44 years # all 18-44 years female marijuana use/1,000 females aged 18-44 Marijuana years # all 18-44 years female illicit drugs(excluding marijuana) use/1,000 Substance Abuse Illicit Drugs females aged 18-44 years # all 18-44 years female Nonmedical use of pain medication/1,000 Pain Relievers females aged 18-44 years Tobacco Use % of women who did smoke prior to pregnancy Crime Reports # reported crimes/1,000 residents Crime # all adult females 18 and older arrests/1,000 females aged 18 and Female Arrests older Child Child Rate of neglect only victims aged <1-17 per 1,000 child (aged <1-17) Maltreatment Maltreatment residents # all 18-44 years female use of mental health services/1,000 females Mental Health Mental health aged 18-44 years 9 Appendix #1f Insert from PDF: various outcomes from formulas (2 pages) 10 11 Appendix #1g Insert from PDF COI definitions 12 Appendix 2: Home Visiting Capacity Assessment Appendix #2a 2019 Home Visiting Program Survey Final Questions Please