The Children's Institute of Pittsburgh Community Needs Assessment

The Children's Institute of Pittsburgh is currently conducting a community needs assessment. This assessment will help identify potential gaps in service delivery within the local community. The Children's Institute of Pittsburgh is committed to meeting the needs of the community and relies on community input.

Please take a few minutes to complete the following survey. Your responses are anonymous. Should you have any questions please contact Jacqui Lanagan from Strategy Solutions, Inc. at jacqui@getstrategy.com or 814-480-8000. Thank you for your input!

You will be given a list of program/service needs which are broken down into various categories. For each item please consider how much of a need you feel there is in the community for the program/service as well as the potential role The Children's Institute of Pittsburgh may have for each. Again, please consider the community needs - even if you may not have a need for the respective program/service.

Please indicate which category best describes your role in the community:

Parent of a child with special needs

Professional working with children with special needs

Funder of programs for children with special needs

Donor of programs for children with special needs

Community Member

Other

Please Specify

Do you have personal or professional knowledge related to acute rehabilitation needs of children with special needs?

Yes

Rehabilitation Services

3.	How much of a need is there in the community for each of the following services/programs:
3.		Great Need 5	4	Some Need 3	2	No Need 1
	Autism/Neuro-development
	PM&R (Physical Medicine and Rehabilitation)
	Concussion
	MBS (Modified Barium Swallow)
	Local X-rays
	Functional Feeding
	Procedural Clinic (CP, Peripheral Nerve, Spasticity)
	Spinal cord TBI transition
	Sleep studies (Autism)
	Wound clinic
	Spinal cord injury clinic
	Diabetes
	Asthma
	Skilled level of head injury
	Support Groups
	Other

Please Specify

4.	Why do you feel this is a community need?
4.		There is currently no one providing this service in the community	There is someone providing this service but I have not been satisfied with the service	There is someone providing this service but there is a waiting list	The incidence rates are growing so I anticipate a need for this service	Not sure/Don't know enough
	Autism/Neuro-development
	PM&R (Physical Medicine and Rehabilitation)
	Concussion
	MBS (Modified Barium Swallow)
	Local X-rays
	Functional Feeding
	Procedural Clinic (CP, Peripheral Nerve, Spasticity)
	Spinal cord TBI transition
	Sleep studies (Autism)
	Wound clinic
	Spinal cord injury clinic
	Diabetes
	Asthma
	Skilled level of head injury
	Support groups
	Other

Please Specify

Do you have personal or professional knowledge related to educational needs of children with special needs?

Yes

Educational Services

6.	How much of a need is there in the community for each of the following services/programs:
6.		Great Need 5	4	Some Need 3	2	No Need 1
	Educational opportunities for children with special needs (in general)
	Educational program for children with multi-disabilities
	Educational programming for children with Autism
	Extended School Year
	Transition programs for those aging out
	Post-secondary education (18 to 21)
	Group homes
	Workshop (adult training)
	Consultation and knowledge centers
	Medically fragile, autism, other Dx specialities
	Intensive behavior training for parents of preschool age children with autism and/or physical disabilities
	Itinerant direct based autism therapeutic staff support services (TSS)
	Evening/after school socialization opportunities
	Informational learning modules/videos
	Satellite services (OT, PT, Speech, Psychological) in remote areas
	Post secondary and adult training and preparation program
	Other

Please Specify

7.	Why do you feel this is a need?
7.		There is currently no one providing this service in the community	There is someone providing this service but I have not been satisfied with the service	There is someone providing this service but there is a waiting list	The incidence rates are growing so I anticipate a need for this service	Not sure/Don't know enough
	Educational opportunities for children with special needs (in general)
	Educational program for children with multi-disabilities
	Educational programming for children with Autism
	Extended School Year
	Transition programs for those aging out
	Post-secondary education (18 to 21)
	Group homes
	Workshop (adult training)
	Consultation and knowledge centers
	Medically fragile, autism, other Dx specialities
	Intensive behavior training for parents of preschool age children with autism and/or physical disabilities
	Itinerant direct based autism therapeutic staff support services (TSS)
	Evening/after school socialization opportunities
	Informational learning modules/videos
	Satellite services (OT, PT, Speech, Psychological) in remote areas
	Post secondary and adult training and preparation program
	Other

Please Specify

Do you have personal or professional knowledge related to foster care and/or adoption?

Yes

Social Services

9.	How much of a need is there in the community for each of the following services/programs:
9.		Great Need 5	4	Some Need 3	2	No Need 1
	Adoption
	Foster Care
	Medical Foster Care
	Respite
	Finding permanent homes for older children ages 10 to 21 years
	Family Visitation Center
	Family Preservation
	Project PACT (birth families visiting children in foster care)
	Mental Retardation (MR)
	Teaming Together for TEENS (parental education for parents of at risk teens)
	Post Adoption Behavioral Health
	Social/Educational support group for married couples
	Teen support group
	Psycho/Educational support group for father's
	Socialization groups (children and/or youth with Mental Health diagnosis)
	Support groups/parenting classes (biological parents)
	Program to allow workers to "live" in family home opposed to removing the child
	Program/grant for families to get clearances to become a resource or respite family
	Host home program (place at risk families with mentor family)
	Program providing education about co-parenting
	Webinars for Resource Parent/Foster Family Training
	Support groups for foster/adoptive parents
	Other

10.	Why do you feel this is a need?
10.		There is currently no one providing this service in the community	There is someone providing this service but I have not been satisfied with the service	There is someone providing this service but there is a waiting list	The incidence rates are growing so I anticipate a need for this service	Not sure/Don't know enough
	Adoption
	Foster Care
	Medical Foster Care
	Respite
	Finding permanent homes for older children ages 10 to 21 years
	Family Visitation Center
	Family Preservation
	Project PACT (birth families visiting children in foster care)
	Mental Retardation (MR)
	Teaming Together for TEENS (parental education for parents of at risk teens)
	Post Adoption Behavioral Health
	Social/Educational support group for married couples
	Teen support group
	Psycho/Educational support group for father's
	Socialization groups (children and/or youth with Mental Health diagnosis)
	Support groups/parenting classes (biological parents)
	Program to allow workers to "live" in family home opposed to removing the child
	Program/grant for families to get clearances to become a resource or respite family
	Host home program (place at risk families with mentor family)
	Program providing education about co-parenting
	Webinars for Resource Parent/Foster Family Training
	Support groups for foster/adoptive parents
	Other

11.	What do you feel are the top 3 community needs specific to children with special needs?
	Need 1
	Need 2
	Need 3

12.	What do you feel are the top 3 priorities for The Children's Institute to focus on over the next 2 years?
	Priority 1
	Priority 2
	Priority 3

Please Specify

14.

Are you currently, or have you or a family member ever received services from The Children's Institute?

Yes

15.

Please indicate which service(s) were used. Please check all that apply.

Hospital (inpatient, outpatient)

Day School

Project STARR

Other

Please specify

16.

Please indicate the ages of your family member(s) currently receiving services. Please check all that apply.

Birth to less than 3

3 to less than 5

5 to less than 13

13 to less than 18

18 or older

17.

Please rate your level of satisfaction with the services received:

Very Satisfied
5

Satisfied
3

Not at all Satisfied
1

18.	If you were not satisfied with the services, please offer some suggestions for improvement.

19.	Please describe what a child/family centered environment of care would look like for you and your family.

20.

How often do you visit The Children's Institute of Pittsburgh Amazing Kids website?

Daily

Weekly

Monthly

A few times a year

Annually

Never

Please Specify

22.	How interested are you in having the following available on the Amazing Kids website:
22.		Very Interested	Somewhat Interested	Not at all Interested
	Easier ways to find what you are looking for
	More interaction (blogs, social media integration)
	Video clips
	Admission papers
	Information on specific diagnosis
	Information related to billing
	Education and training for parents and families
	Insurance information
	Other

Please specify

23.	How important is it for you to have the following information available on the Amazing Kids website:
23.		Very Important 5	4	Somewhat Important 3	2	Not at all Important 1
	Scheduling an appointment
	Finding a doctor/clinician/therapist
	Search for diagnosis
	Online bill pay
	Video clips of success stories
	Other

Please specify

24.	Please provide any additional comments or suggestions for the Amazing Kids website.

The following questions will be used for statistical purposes only:

25.	Please indicate your zip code.

26.	Please indicate the County you reside in.

27.	Please indicate the State you reside in.

29.

Gender:

Male

Female

30.

Which category best describes you?

Caucasian/White

African American

Hispanic/Latino

Native American

Asian/Indian/Middle Eastern

Other

Please specify

Please Specify

32.

Please indicate the highest education level you have completed:

Less than high school

High School/GED

Some College

2 Year College (Associates Degree)

4 Year College (BA/BS)

Masters Degree

Doctoral Degree

33.

Please indicate your current employment status. Please check all that apply.

Full time student

Part time student

Homemaker

Employed part time

Employed full time

Unemployed - due to lay off/downsizing

Unemployed - other reason

Retired

Other

Please Specify

The Children's Institute of Pittsburgh Community Needs Assessment

Rehabilitation Services

Educational Services

Social Services

The following questions will be used for statistical purposes only:

Thank you for your participation!