For the Purpose of this survey, a Crisis Nursery is: a type of respite care that provides temporary relief for families and caregivers in situational emergencies and helps prevent out-of-home placement and possible abuse and neglect toward children ages 0 through 5.

1. In the course of your work, have you been aware of families who were in need of parent/caregiver relief services that a crisis nursery might provide?

Yes

No

2. Using the best source available to you in your agency or practice, how many families could have benefited from a crisis nursery service during the past year? 

3. Do you believe the number of families who could benefit from a crisis nursery in the past year has been:

About the same as in the two previous years

Greater than in the two previous years

Less than in the two previous years

Don’t know

4. Of the children who would have benefited by crisis nursery services, what percent would you estimate were/are experiencing a serious disability or illness?  %

5. What age(s) of children do you believe are most in need of crisis services?

  0 to 3 years

  0 to 5 years

  0 to 6 years

  Other (please specify)

6. At present, what do you do when a family is in a situational crisis that may place their child(ren) at risk for abuse or neglect? (i.e., What arrangements are made for the family? Whom do you contact?)

7. For families with small children for whom a short-term out of home stay would have been beneficial, which of the following circumstances led to the need for such care?  Please check each applicable category.

Abuse

Fear of potential abuse

Neglect

Domestic violence

Abandonment

Physical illness or medical emergency (including child birth) in family

“Cooling off” period

Homelessness of parent(s)

Alcoholism or substance abuse

Death of a parent or caregiver

Other (please specify)

8.      If a crisis nursery program were to be designed in the Boise area……

a.  Whom should the program serve (please check each applicable category)

Young families

Homeless families

Families living in poverty

Anyone in need of temporary child care, regardless of socioeconomic status

Other (please specify)

b.  What type of hours should the program operate?

During the day

During the evening

Overnight hours

24-hours, 7 days a week

On-call

Other (please specify)

c.  What do you believe would be an appropriate length of stay for children at a crisis nursery?

3 days or less

3 to 7 days

7 to 14 days

Longer (please specify)

d.  On what basis should fees be charged?

A sliding scale based on family income

A flat rate for everyone

No charge

Other (please specify)

e. What other issues should be addressed in planning a crisis nursery program?

9. What are the most critical challenges facing families that might benefit from crisis nursery services? 

10.  What efforts if any are you aware of that have been made to address the potential need for a crisis nursery in the Boise area?

11.  Would you or your agency be willing to assist in designing and/or providing support services for a potential crisis nursery program?

Yes

No

12.  If yes, please the describe the nature of the assistance you would be willing to provide:

Contact Information:

13.  What other agencies or organizations are you aware of that could offer this information?  

14.  When designing a program, it is essential that the planners receive input from the population being served.  Would you agency be willing to administer and collect a short survey from your clients with young children?

Yes

No

Name:     Title:  Name of Agency or Organization:

To submit this survey, please click the submit button.  Thank you for your time!