Montana. Dept. of Social and Rehabilitation Servic.

Final report, national social service reform 1115 project (Volume 1973) online

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7. Group care services (residential treatment center, group home for girls)

8. Specialized Education services



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The goals listed for Child Welfare Services in Silver Bow County are:

1. Preventive services to prevent abuse and neglect of children

2. To help stabalize the family unit

3. Making meaningful plans for children under the Child Welfare
Services of our agency.

There are 573 adult clients eligible for services in Silver Bow County.
Their needs are listed as:

1. Adult Foster Care Services (development and training)

2. Nursing Home Services

3. Outreach Services

4. Friendly Visiting Services

5. Homemaker Services

6. Group Services

7. Special Services to Developmental ly Disabled Groups

8. Community Services (advocacy)

The goals of adult services in Silver Bow County are:

1. Maintain adults in their own homes or communities

2. To provide for greater participation in community life

3. To be adult client's advocates in development of community services

Wheatland County
The County Director presented and discussed the service needs and
goals for this county as well as for the other three counties he
supervises— Musselshell, Golden Valley and Petroleum. He listed
three common services goals for the three service areas.

The service needs listed for 38 AFDC Families that would be eligible
for services in this four county area are:

1. Employment (referral and development of opportunities)



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2. Day Care

3. Family Planning

4. Medical and Dental Service referrals

5. Legal services

6. Housing (referral and advocacy)

7. Transportation

8. Homemaker services

The service needs listed for 14 Children under Child Welfare services
in the four county area are:

1. Protection

2. Day Care

3. Foster Homes

4. Sex Education (No Public Health Department)

5. Employment (for children in foster care)

6. Medical -Dental

7. Transportation

8. Teach Homemaking Skills

The service needs listed for the 106 adults eligible for services in
the four county area are:

1. Medical-Dental

2. Transportation

3. Housing Services (Foster Care, Personal Care)

4. Homemaker services

5. Run Errands (Meet nursing home resident needs)

6. Social outlets

7. Legal services

8. Protection



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The common service goals listed for the four county area are:

1. Fuller participation in American way of life

2. Independent functioning of clients

3. Enable clients to have self-respect.

Yellowstone County
Each social service staff member of this county office compiled a
priority list of service needs and service goals and presented them
to their respective supervisors. These lists were then discussed
with the social service supervisor during the visit to Yellowstone
County.

The service needs listed for the 899 AFDC families who could be eligible
for services in Yellowstone County are:

1. Educational Services (Referral and opportunity)

2. Family Counseling services

3. Housing services

4. Family Planning services

5. Legal Services

6. Homemaker services

7. Day Care Services

8. Transportation Services

The goals listed for the AFDC services in Yellowstone County are:

1. Better functioning as a family unit

2. To provide for single parent families to function independently
in the community.

3. Provide for better living environment.



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Thcre are 260 children under child welfare services in Yellowstone
County and their needs are listed as:

1. Foster care services

2. Family counseling services

3. Adoptive services

4. Fiomemaker Services

5. Services to Unmarried Mothers

6. Health services

7. Family Planning Services

8. Legal Services

The Goals for Child WElfare Services in Yellowstone County are:

1. Assist in helping families to function as families

2. Provide more acceptable living environments

3. Protect children

In Yellowstone County there are 889 adults who could be eligible
for services. Their needs are listed as:

1. Better living and care situations

2. Transportation services

3. Homeraaker services

4. Recreation services

5. Counseling services

6. Chore Services

7. Friendly Visiting Services

8. Employment Services



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The goals listed for adult services in Yellowstone County are:

1. Better living situations

2. Keep people in their own homes

3. Provide resources for people to meet their own needs.

Glasgow Social Service Agency
(Representing Valley and Phillips Counties)

The entire available social work staff met to discuss the service needs

and goals of the Glasgow Agency. This agency has staff in the smaller

communities surrounding Glasgow as well as a central office in Glasgow.

The Glasgow agency staff combined the service needs for AFDC families and
for Child Welfare Services Children. The number eligible for services for
the Glasgow agency is not revelent since the entire population in eligible
for services. The service needs listed for the Glasgow area in family
and children services are:

1. Protective services for children

2. Need for authorization to offer services on the reservation

3. Substitute child care

a. Foster Homes

b. Day Care

c. Adoptions

4. Supportive Services — Counseling and Guidance

5. Educational SErvices

6. Preventive services

a. Socialization

b. Advocacy

c. Big Brother - Big Sister

d. Community Organization Activities

7. More adequate diagnostic consultation



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8. Need to make community aware of agency services

^,

y The goals listed for the Glasgow agency in family and children's services

are:

1. Protective Services

2. Offer services to children on the reservation on a voluntary
basis and only those services requested by the tribe.

3. Community involvement and organization for the prevention
of delinquency, neglect and dependency.

4. Integration of services with other agencies

The adult service needs listed by the Glasgow Agency staff for
that area are:

1. Better out reach to get people to services

2. Transportation services

3. Homemaker services

4. Broader Homemaker activity (Chore SErvices)

5. Counseling the elderly and disabled

6. Coordinating Services for Adults

7. Adult Foster Care Services

8. Training so as to help deal with alcoholism

The goals listed for ADult services in the Glasgow agency are:

1 . Outreach

2. Provide care to elderly or disabled.

3. Encourage adult clients to be self-supporting.

Wolf Point Social Service Agency
(Representing Roosevelt, Daniels, and Sheridan Counties)

The entire availabel Social Service Staff met to discuss their areas

_J service needs and goals. All persons in the area are eligible for

services from this agency and staff are placed in communities around



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the Wolf Point Agency.

Tlio Family service needs (AFDC) listed by the Wolf Point Agnecy
Staff are:

1. Employment services

2. Housing services

3. Educational services

4. Homemaker services

5. Family Planning Services

6. Legal Services

7. Transportation Services

8. Counseling (family and Alcohol)

The goals listed by the Wolf Point Agency for family services are:

1. Enrich Family life

2. Strengthen family life

3. Enable families to live independently

The service needs listed for the Child Welfare services by the Wolf
Point Agency staff are:

1. Staff Training so as to be able to work with unwed mothers

2. Counseling (children and families)

3. Develop system to work harmoniously with Juvenile Officers

4. Day Care Centers

5. Foster Care for teenagers and handicapped

6. Foster Home parents association

7. Training of Foster Home Parents

8. Transportation Services



_^



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The goals listed by the Wolf Point agency staff for children's services
are:

1. Better quality foster care

2. Better quality day care

3. Assist Foster Parents

Adult Service needs listed by the Wolf Point Agency staff are:

1. Homonaker services

2. Transportation services

3. Adult Foster Care

4. Need for more nursing home beds

5. Senior centers

6. Alcoholism counseling

7. Volunteer activities (use of adults as volunteers used to serve adults)

8. Legal Services

The goals for adult services listed by the Wolf Point Agency are:

1. Enable adults to renain in their own homes

2. Assist adults to live independently

3. Aid adults to have better living conditions

Summary of Service Needs and Goals Assessments
It is felt that it would be helpful to draw some correlations between
service needs and also to draw some correlations between the goals listed
by the counties.

By correlating or summarizing goals and needs we in no way wish to
minimize or dilute the individual needs or goals listed by each county
or social service agency.



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To have a more accurate correlation, the counties and agencies were
separated into three separate groupings. The groupings are Urban,
Semi -Urban/Rural, and Rural. These groupings were made based on eligible
service caseloads, population, and resource configuration.

The County or Agency groupings for Correlation purposes are:



URBAN



RURAL



lillips I
illey J



Cascade Richland

Missoula Rosebud

Silver Bow Wheatland

Yellowstone Golden Valley

Petroleum

Musselshell

Phi

Vai;

Daniels |

Roosevelt > Woli

Sheridan /

The Correlation for Social Services needs will be broken down by service
programs under each of the county groupings. Following each service
program needs priority list there will be a program goals listing in
priority order.

Our first area of correlation of service needs and goals will be the Urban
Group followed by the Semi-Urban/Rural group and finally the Rural group.



SEMI -URBAN/RURAL

Custer

Flathead

Gallatin

Hill

Lewis § Clark



Glasgow SSA



If Point SSA



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Urban County Correlation of Service Needs and Goals

Under the AFDC program the service needs most identified by the urban

counties in priority order are:

1. Counseling (family and marital)

2. Family Planning services

3. Training and employment services (supportive, referral, opportunity)

4. Housing (referral and development)

5. Homenaker services

6. Day CAre

7. Transportation services

8. Outreach services

The goals listed for the Urban counties for AFDC services are:

1. Assist families to function as well as possible

2. Aid families to adjust to single parent status

3. Enable families to live independently

The correlated services needs for the Urban Counties in Child Welfare
Services are:

1. Foster Care Services

2. Protective Services

3. Family counseling services

4. Homemaker services

5. Counseling unmarried mothers

6. Adoptive services

7. Family Planning Services

8. Day Care Services



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The correlation of goals for Child Welfare Services in the Urban Counties is;
J 1. Protect the child and be his advocate

2. Strengthen family life

3. Provide adequate Planning for children

The correlated services needs for Adults in the Urban Counties are:

1. Adult Foster Care Services

2. Homemaker services

3. Housing services

4. Counseling services

5. Transportation services

6. Nursing Home Services

7. Friendly Visiting SErvices

8. Outreach (getting services to people)

The correlated goals for services offered to adults in the Urban Counties is;

1. Enable adults to meet their own needs

2. Keep people in their own homes so they can maintain their
own independence

3. Provide advocacy and Protection for adults.

Correlation of Social Service Needs and Goals
In Semi-Urban/Rural Counties ~

The correlated service needs in priority order for the Semi-Urban/Rural
Counties in AFDC are:

1. Day Care Services

2. Counseling Services

3. Homemaker services

4. Mental Health Services

5. Health services

6. Family Planning services



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7. Housing services

8. Employment and training services

The correlated goals listed for AFDC in the Semi-Urban/Rural counties
are:

1. Enable families to take up role as an integral part of
communities.

2. Enable Families to function intact

3. To protect children and be their advocate.

The correlated CWS needs of the Semi-Urban/Rural Counties are:

1 . Foster care services

2. Counseling Unwed Mothers

3. Homemaker services

4. Day Care Services

5. Protective services

6. Adoptive services

7. Medical care services (mental and physical)

8. Family Planning

The correlated goals for CWS in the Semi-Urban/Rural Counties are:

1. Keep families together and children in the home

2. Protection of the child and being the child's advocate

3. More realistic planning for children

The correlated service needs for adult services in the Serai-Urban/Rural
Counties are:

1. Homemaker services

2. Medical related services

a. referral

b. development

c. transportation



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3. Protective services

4. Housing services

5. Community resource (referral and development)

6. Counseling services

7. Adult Foster Care Services

8. Rehabilitation services including planning with Vocational
Rehabilitation

The correlated goals for adults services in the Semi-Urban/Rural
Counties are:

1. Help adults to live independently

2. Enable Adults to participate fully in community life

a. employment

b. recreation

c. meaningful activities

3. Protection of adults

Correlation of Social Service Needs and Goals
For Rural Counties

The correlated service needs listed for AFDC in the rural counties are:

1. Employment and training services

2. Day care services

3. Homonaker services

4. Transportation services

5. Health related servcies

6. Housing services

7. Counseling services

8. Family Planning Services



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The correlated goals for AFDC in the Rural Counties are:

1. Enriching Family Life

2. Enable clients to function independently

3. Protection of children

The correlated service needs for CWS in the rural counties are:

1. Day Care Services

2. Counseling services

3. Homemaker services

4. Family Planning Services

5. Foster Home services

6. Authority to offer services on reservation

7. Protective services

8. Medical-Dental services

The correlated goals for CWS in the rural counties are:

1. Adequate independent functioning families

2. Efficient Foster Care Services

3. Protection of children

The correlated service needs listed for adult services in the rural
counties are:

1. Homemaker services

2. Transportation services

3. Adult Foster Care services

4. Medical services

5. Housing services

6. Meals-on-wheels

7. Protective services

8. More substitute care facilities

a. Personal care homes

b. nursing homes



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The goals for Adult services in the rural counties are:

1. Keep adult clients in their own homes

2. Enable people to function independently

3. Help adults attain better living situations.

A final correlation can be drawn by placing the service needs listings
from each program area and county grouping together.

The service needs for AFDC would look like this:



URBAN

1. Counseling

2. Family Planning

3. Training 5 Employment

4. Housing

5. Homemaker

6. Day Care

7. Transportation

8. Outreach



SEMI -URBAN/RURAL

1. Day Care

2. Counseling

3 . Homemaker

4. Mental Health

5. Health service

6. Family Planning

7. Housing

8. Employment § Training



RURAL

1. Employment § Training

2. Day Care

3. Homemaker

4. Transportation

5. Health Related

6. Housing

7. Counseling

8. Family Planning



The summary that can be drawn from this listing can reasonably show the
priority order of service needs for AFDC in Montana. These needs are ;

1. Day Care Services

2. Counseling (Marital and Parent child)

3. Homemaker services

4. Employment and training services

a. Development

b. Referral

5. Family Planning Services

6. Housing services



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7. Transportation services

8. Health Related services

9. Mental Health Services
10. Outreach



The service needs for CWS for all county groupings would look like this



URBAN

1. Foster Care

2. Protective

3. Family Counseling

4 . Horaemaker

5. Counseling U.M. 's

6. Adoptive services

7. Family Planning

8. Day Care



SEMI -URBAN/RURAL

1. Foster Care

2. Counseling U.M.'s

3. Homemaker

4. Day Care

5. Protective

6. Adoptive services

7. Medical care

8. Family Planning



RURAL

1. Day Care

2. Counseling

3 . Honemaker

4. Family Planning

5. Foster Home

6. Authority to Offer CWS
on reservation

7. Protective services

8. Medical-Dental assistance



A summary drawn from this shows a reasonable priority list of services
needs for child welfare services statewide:

1. Foster care

2. Counseling (Marital, Parent-Child, U.M.'s)

3. Homemaker services

4. Day Care services

5. Protective services

6. Family Planning Services

7. Adoptive

8. Medical -Dental

a. Development

b. referral

c. transportation



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9. Authority to operate on reservations



The service needs for adults from all county groupings are:



URBAN

1. Adult Foster Care

2. Homemaker

3. Housing

4. Counseling

5. Transportation

6. Nursing Home

7. Friendly Visiting

8. Outreach



SEMI -URBAN/RURAL

1 . Homemaker

2. Medical related

3. Protective services

4. Housing

5. Community Resource

a. referral

b. development

6. Counseling

7. Adult Foster Care

8. Rehabilitation Services



RURAL

1 . Homemaker

2. Transportation

3. Adult Foster Care

4. Medical

5. Housing

6. Meals on Wheels

7. Protective

8. More substitute Care



A summary of priority service needs listed, drawn from the above
information would show the following:

1. Homemaker services

2. Housing services

a. development

b . referral

3. Adult Foster Care

4. Medical Services

a. development

b. referral

c. transportation

5. Transportation services

6. Protective services

7. Counseling services (supportive, case maintenance)

8. Community resources

a. development

b , referral



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9. Services to clients in Nursing homes

10. Meals on Wheels

11. Friendly visiting

12. Outreach

13. Rehabilitation services including planning with the Division of
Vocational Rehabilitation

14. More substitute care facilities (Nursing homes, Personal Care)

A similar correlation can be dravm with the goal configurations obtained
from the county groupings.

The goals for AFDC from the various county groupings would look like
this:



URBAN

1. Assist families to
function as well as
possible

2. Aid families to adjust
to single parent
status

3. Enable families to
live independently



SEMI -URBAN/RURAL

1. Enable Families to take
up role as integral part
of community.

2. Enable Families to
function intact



3. To protect children and
ba their advocate



RURAL



1. Enrich Family life



2. Enable clients to

function independently



3. Protection of
children



A summary of goals for AFDC that could reflect the statewide conception is:

1. Enable families to function as well as possible within their
own communities.

2. Aid families to remain intact and function independently.

3. To protect children and be their advocate
The goals correlation for CWS looks like this:



URBAN

1. Protect child and be
his advocate

2. Strengthen family life



3. Provide adequate

planning for children



SEMI -URBAN/RURAL

1. Keep family together and
children in the home

2. Protection of child and
be his advocate

3. More realistic planning
for children



RURAL

1 . Adequate independent
functioning families

2. Efficient foster
care services

3. Protection of
children



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The goals for CWS statewide can be summarized as follows:

1. Protect the child and be his advocate

2. Provide for adequate independent functioning families

3. To have more realistic planning for children

4. To provide for efficient foster care services



The goals correlation for the county groupings in the area of adult
services looks like this:

SEMI -URBAN/RURAL



URBAN

1. Enable adults to meet
their own needs

2. Keep adults in their
own homes

3. Provide advocacy and
Protection for adults



1. Help adults to live
independently

2. Enable adults to partic-
ipate in community life

3. Protection of adults



RURAL

1. Keep clients in their
own homes

2. Enable adults to
function independently

3. Help adults to attain
better living situations



The goals for adults services on a statewide basis can be summarized as follows:

1. Help adults live independently in their own homes

2. Enable adults to have a role in the community

3. Protect adults who can not act on their own behalf



Conclusion of Service Needs and Goals Analysis
The listings compiled in this report do not lock in or necessarily
establish the way all service programs will be developed. These
listings and summaries will, however, be a very important tool in
the development of statewide service plans since they represent
field input.



APPENDIX 5



. Service Information Questionaire



STATE OF MONTANA

SOCIAL AND REHABILITATION SERVICES

INTER -OFFICE CORRESPONDENCE

FROM: National Social Service Refom Project D.ic "'"^^ ^^' ^^^^
TO:

RE: Questionaire for the Social Service Reform Project



As a part of the National Social Service reform project and as a direct
result of information gathered by Don Sekora in March and April of this
year, obtaining a clarification of what is meant by a few service concepts
is felt to be necessary at this time.

We feel that you, the line worker, can best identify these concepts. To
help you formulate your thoughts, there are twelve questions which you can
answer by ranking from most to least preference using number one as the
most preferred and numbering down to the least preferred. If the
question refers to an area of activity you are unfamiliar with please
refrain from answering that question by marking it N/A.

Please complete the questionaire and return it prior to August 17, 1073.
Please send it to:

Donald V. Sekora

Family and Adult Services Bureau

Box 1723

Helena, Montana 59601

Thank you for your efforts in providing us with valued information
that will help us to better plan for social service programs in our
agency.



Don Sekora, Director
National Social Service
Reform Project

DS/rew



SAMPLING OF PROPOSLD QUESTIONAIRE
Rank from most to least according to preference.

1. What type of homomaker service 1s most needed In family and child welfare services?
A. teaching household responsibilities,

B. teaching how to properly care for children.

C. both a and b above.

D. carrying out household responsibilities and care of children but not teaching.

E. teaching and carrying out household responsibilities and care of children.

F. cleaning, shopping, and mending.

2. What type of homemaker services is most needed in adult services?
A. cleaning, shopping, and mending.

B. teaching household responsibilities.

C. carrying out household responsibilities such as cooking and shopping.

D. both b and c above.

E. teaching and carrying out household responsibilities.



3. In family planning services should the SRS service worker primarily be responsible
for?

A, referral to family planning clinic.

B. counseling about family planning - need, methods, and devices.

C. referral to more competent, qualified professional without discussion.

D. referral to other medical personnel.

E. discussion, counseling then referral to family planning clinic if appropriate,



4. What is most needed in day care for children?

A. coordination of current services.

B. more day care centers.

C. more day care homes.

D. higher quality of home and/or centers.

E. better referral system.

5. When someone mentions counseling what is most clearly indicated?

A. a licensed professional such as a psychologist or psychiatrist Only.

B. talking about a topic but in general, nonspecific terms.

C. psychotherapy in the clinical sense of the word around client dysfunctioning

with professional background available.

D. talking about causes and remedies of certain problems including future pre-

vention.
E- manipulating environment to bring about behavior change.

6. Advocacy most closely means?

A. taking over for the client.

B. acting as client's agent.

C. making client dependent on service worker in certain cases.

D. intervention with agencies and/or professionals on behalf of client.

F. carrying out daily social work activities.

F. developing community resources.



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7. Protective services means?

A. intervening on behalf of children and/or adults.

13. taking over custody of people unable to care for themselves.

C. helping only when requested.


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