Completed with the Local Interagency Coordinating Council for Anne Arundel County
- poverty
- homelessness
- distracted parents - use of technology and social media
- addiction
- abuse
- delayed interventions - deficiencies in community awareness of early intervention programs, lack of understanding, lack of will, "he'll catch up" or "she's just shy"
- lack of parent awareness & education ("is this normal?")
- parental needs for additional education (literacy, GED)
- lack of appropriate medical care (primary or specialty) - preventative or proactive intervention
- community trauma
- lack of a common definition across agencies/services
- access to services - transportation, language barriers, health care
- cultural barriers (both directions)
- lack of interest
- increase in kinship care
- agency fear ("they'll take my kids", "they'll take me" immigration issues)
- adult mental health
- child mental health - "security of attachment" issues, often due to trauma
- incarcerated parents
- basic needs take priority
- inability of programs to properly engage parents (approach?)
- staff fatigue/burn out
- parent/provider burn out
- major subjectivity in the Child Outcome Summary measures
- disconnect between state perspective and local experience (lack of understanding of the reality of issues affecting families) - training for/speaking to only a "perfect world" scenario
- need more access to preschool and affordable child care
- sandwich generation - balancing care of elderly parents and young children
- system is not keeping up with increased level of need for children currently in service (huge changes over 10 years)
- increase of kids referred with autism, intense medical needs vs. kids with language delays (10 years ago)
- more extreme behaviors exhibited, higher intensity of behaviors (2 year olds being kicked out of multiple day cares regularly)
- pending legislation that says you can't suspend or expel kids regardless of age (concerns about ability to support high needs kids, ensure safety of child and teacher/caregiver, trauma to other children in classroom, etc.)
- lack of resources and supports for families with kids birth to four
- capacity needs given intensity and volume of behaviors
- lack of data sharing between ITP, Child Find and K-12 (legislation that prevents some of this! ex. data sharing between Part C and Part B services)
- lack of data sharing between agency partners
- lack of data sharing across jurisdictions (county lines)
- issues with stigma that become a barrier to getting help/supports
- technology becomes a crutch with kids (phones, tablets, etc.) as a means of managing behaviors
- technology addiction and reliance with parents and kids
- could part of increase in referrals be due to changing social and cultural mores and children being seen in the community in care/play settings earlier than in previous generations (things not kept "behind closed doors")
- improvements in medical technology have helped kids with significant health issues survive
- increase in substance exposed newborns
- high rates of adverse childhood experiences (ACES study), lack of resilience/protective factors