Montgomery County, Maryland
Prior to receiving the grant, Montgomery County had decided to incorporate a wraparound model into its service continuum within a 6-year period. There has been a deliberate attempt to ensure that Community Kids not be developed as a new and free-standing county program, but used to model a new philosophy of goals and structure to infuse into existing and future child and youth services throughout the county. Related to this goal, the three-pronged mission of Community Kids continues to be to learn and practice the delivery of wraparound services for youth in need of multiple services, to build infrastructure and support for integrated care in communities, and to integrate family involvement at all levels of the child-serving system.
Montgomery County is the catchment area for the Community Kids project. The county’s population has grown from just over 500,000 people in 1970 to over 931,000 in 2005. According to the U.S. Census, the county is 15.1 percent African-American, 11.3 percent Asian, and 11.5 percent Latino, mostly from Central America. Twenty-seven percent of the population was born outside of the United States. Respondents reported that children who attend the public schools in Montgomery County speak 146 languages. The growth in Medicaid recipients and the introduction of health care for the uninsured have caused the number of children relying on publicly funded insurance to continue to rise. Community Kids’ designated target population continues to be children and youth from preschool through high school who live in the community and who are at risk of out-of-home placement or a more restrictive service setting. In addition, the child or youth must have a DSM–IV diagnosis or have behavior indicative of a DSM–IV, Axis I diagnosis; be having difficulty in the home, school, or community environment; and be receiving services from multiple agencies. At the time of the 05 site visit, Community Kids has served 271 children with serious emotional disturbance since inception of the grant, with 106 of these children served since February, 2004. Of the 106 children served since the 2004 site visit, 54 (51 percent) were Black or of African descent; 24 (23 percent) Hispanic; 21 (20 percent) were White; 5 (.05 percent) biracial; and 2 (.02 percent) Other. Seventyone (67 percent) of these children were male and 35 (33 percent) female. Of all children served since the inception of the grant, 199 (73 percent) have been male and 72 (27 percent) female. The program originally had set a goal of serving 522 families across 12 community sites by the end of the grant period, a cumulative rate of approximately 100 additional families per year. That goal subsequently was revised when the project decided to serve families and children across 7 community sites rather than 12.