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2023 Family Support Needs Assessment Update
At-Risk (Need) Counties
For the 2023 Family Support Needs Assessment Update all counties are considered at-risk (have need). Counties differ in their areas of risk (need) please see the chart below. Levels 3 and 4 are considered areas of risk (need) for that county.
| County | Average Risk Level | Count of Elevated Risk | Percentage of Elevated Risk Data Points | Percent Unserved in EBHV under 200% poverty | Low Birth-Weights (Infant) | Infant Mortality | Child Death due to Neglect | Prenatal Health – Adequate Prenatal Care | Prenatal Health % of females who quit smoking by their third trimester | Prenatal Health Percent of females giving birth who did not smoke during pregnancy | Prenatal Health Weight of Mother | Environment – County Health Quality of Life Factors | Child Death Rate | Newborn Health – Preterm Birth | Child Health – C Section | Poverty | Crime | Domestic Violence Deaths | High School Dropouts | Unemployment | Child Maltreatment – Total Reports | Child Maltreatment – Substantiated Reports | Drug Use Disorder | Drug Overdose Deaths | Substance Abuse Treatment Facilities |
| Adams | 2.02 | 6 | 30.0% | 3 | 1 | 1 | 4 | 2 | 4 | 1 | 1 | 1 | 1 | 2 | 2 | 4 | 1 | N/A | 2 | 1 | 3 | 3 | 2 | N/A | 1 |
| Berks | 2.42 | 12 | 57.1% | 3 | 3 | 3 | 3 | 1 | 4 | 1 | 1 | 3 | N/A | 4 | 2 | 3 | 3 | 3 | 4 | 2 | 1 | 1 | 2 | 3 | 1 |
| Bradford | 2.43 | 9 | 45.0% | 2 | 1 | 1 | 1 | 3 | 1 | 3 | 4 | 3 | 4 | 2 | 2 | 2 | 2 | N/A | 3 | 2 | 3 | 3 | N/A | 3 | 4 |
| Butler | 1.73 | 3 | 15.0% | 3 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 4 | 1 | 3 | 1 | 1 | 1 | 1 | N/A | N/A | 2 |
| Centre | 1.74 | 4 | 19.0% | 2 | 1 | 1 | 3 | 2 | 2 | 1 | 4 | 2 | 2 | 1 | 1 | 1 | 1 | N/A | 1 | 1 | 1 | 1 | 4 | 3 | 2 |
| Chester | 2.06 | 8 | 38.1% | 2 | 1 | 1 | 3 | 4 | 3 | 1 | 3 | 1 | 2 | 1 | 2 | 4 | 1 | 3 | 3 | 1 | 1 | 1 | N/A | 4 | 1 |
| Cumberland | 2.36 | 10 | 47.6% | 3 | 2 | 1 | 4 | 4 | 2 | 1 | 4 | 2 | 3 | 1 | 2 | 4 | 3 | 4 | 1 | 1 | 1 | 3 | 3 | N/A | 1 |
| Delaware | 2.53 | 12 | 57.1% | 4 | 3 | 3 | 3 | 4 | 4 | 1 | 1 | 2 | N/A | 2 | 3 | 4 | 4 | 3 | 1 | 1 | 1 | 1 | 3 | 4 | 1 |
| Elk | 2.53 | 10 | 50.0% | 4 | 1 | N/A | 1 | 1 | 3 | 4 | 1 | 2 | 3 | 2 | 3 | 4 | 3 | N/A | 3 | 2 | 4 | 4 | 2 | 2 | 2 |
| Franklin | 2.41 | 11 | 50.0% | 4 | 3 | 2 | 3 | 3 | 4 | 1 | 1 | 2 | 1 | 3 | 1 | 3 | 4 | 3 | 4 | 1 | 2 | 2 | 2 | 3 | 1 |
| Fulton | 2.50 | 10 | 52.6% | 1 | 1 | N/A | 1 | 1 | N/A | 3 | 4 | 3 | 4 | 3 | 3 | 3 | 3 | N/A | 4 | 3 | 1 | 2 | 2 | 2 | 4 |
| Lancaster | 2.35 | 10 | 45.5% | 4 | 2 | 2 | 3 | 4 | 4 | 1 | 3 | 2 | 2 | 1 | 1 | 4 | 1 | 3 | 3 | 1 | 1 | 2 | 3 | 3 | 2 |
| Lebanon | 2.28 | 9 | 47.4% | 3 | 3 | 1 | 1 | 3 | 3 | 1 | 1 | 2 | N/A | 3 | 2 | 4 | 1 | 3 | 4 | 1 | 2 | 3 | N/A | N/A | 2 |
| Montgomery | 1.96 | 6 | 28.6% | 2 | 2 | 1 | 2 | 3 | 3 | 1 | 1 | 1 | N/A | 1 | 3 | 4 | 4 | 2 | 2 | 1 | 1 | 1 | 2 | 3 | 1 |
| Montour | 2.34 | 9 | 47.4% | 2 | 1 | N/A | 1 | 3 | N/A | 1 | 3 | 2 | N/A | 4 | 1 | 4 | 4 | 4 | 1 | 1 | 3 | 1 | 3 | 2 | 4 |
| Northampton | 2.50 | 11 | 52.4% | 3 | 2 | 1 | 3 | 1 | 4 | 1 | 3 | 2 | 3 | 3 | 4 | 3 | 4 | N/A | 2 | 2 | 1 | 2 | 4 | 4 | 1 |
| Somerset | 2.45 | 11 | 55.0% | 1 | 4 | 2 | 1 | 3 | 2 | 3 | 1 | 3 | 3 | 3 | 1 | 3 | 2 | N/A | 2 | 3 | 3 | 4 | 3 | N/A | 2 |
| Washington | 2.14 | 7 | 36.8% | 3 | 3 | 1 | 3 | 2 | 1 | 3 | 3 | 2 | N/A | 2 | 2 | 4 | 1 | 2 | 1 | 2 | 2 | 1 | N/A | N/A | 3 |
| Wayne | 2.72 | 12 | 63.2% | 1 | 3 | N/A | 4 | 2 | 3 | 1 | 4 | 3 | 4 | 3 | 3 | 2 | 1 | N/A | 4 | 3 | 2 | 3 | N/A | 4 | 2 |
| Westmoreland | 2.47 | 8 | 38.1% | 4 | 4 | 2 | 3 | 1 | 1 | 1 | 4 | 2 | N/A | 2 | 2 | 4 | 2 | 2 | 2 | 2 | 2 | 3 | 4 | 2 | 3 |
| Wyoming | 2.39 | 10 | 52.6% | 1 | 2 | N/A | 1 | 1 | N/A | 4 | 3 | 2 | 1 | 3 | 3 | 3 | 1 | N/A | 1 | 3 | 3 | 3 | 4 | 2 | 4 |
| York | 2.67 | 14 | 66.7% | 4 | 4 | 1 | 3 | 3 | 3 | 1 | 1 | 2 | 2 | 3 | 3 | 4 | 2 | 3 | 3 | 1 | 3 | 3 | N/A | 4 | 3 |
| Allegheny | 2.29 | 9 | 42.9% | 2 | 4 | 2 | 2 | 1 | 1 | 1 | 1 | 2 | N/A | 3 | 3 | 3 | 3 | 3 | 2 | 2 | 1 | 1 | 4 | 4 | 3 |
| Armstrong | 2.63 | 13 | 61.9% | 4 | 3 | 4 | 1 | 2 | 1 | 3 | 1 | 3 | 3 | 2 | 4 | 4 | 1 | N/A | 2 | 3 | 2 | 3 | 3 | 3 | 3 |
| Beaver | 2.53 | 11 | 55.0% | 4 | 3 | 3 | 1 | 1 | 2 | 1 | 1 | 3 | 4 | 1 | 4 | 3 | 2 | N/A | 4 | 3 | 2 | 4 | 3 | N/A | 2 |
| Bedford | 2.28 | 9 | 45.0% | 1 | 1 | 2 | 4 | 1 | 3 | 1 | 3 | 3 | 2 | 2 | 1 | 3 | 3 | 4 | 1 | 2 | 4 | 4 | N/A | N/A | 1 |
| Blair | 2.38 | 8 | 40.0% | 2 | 2 | 2 | 1 | 1 | 2 | 3 | 1 | 3 | 4 | 1 | 1 | 2 | 4 | N/A | 3 | 2 | 4 | 2 | N/A | 4 | 4 |
| Bucks | 2.39 | 10 | 47.6% | 4 | 2 | 1 | 3 | 3 | 4 | 1 | 3 | 1 | N/A | 2 | 4 | 4 | 2 | 3 | 1 | 1 | 1 | 1 | 3 | 4 | 2 |
| Cambria | 2.82 | 15 | 71.4% | 2 | 3 | 3 | 3 | 1 | 3 | 4 | 4 | 3 | N/A | 4 | 1 | 1 | 3 | 3 | 2 | 3 | 3 | 1 | 4 | 4 | 4 |
| Cameron | 2.50 | 9 | 50.0% | 1 | 4 | N/A | 1 | 1 | N/A | 4 | 1 | 3 | 1 | 2 | 4 | 2 | 3 | N/A | 2 | 4 | 3 | 1 | 4 | N/A | 4 |
| Carbon | 2.50 | 9 | 42.9% | 2 | 4 | N/A | 1 | 2 | 2 | 4 | 1 | 4 | 1 | 4 | 2 | 3 | 2 | 4 | 2 | 3 | 3 | 2 | 4 | 2 | 1 |
| Clarion | 2.24 | 8 | 40.0% | 1 | 2 | 4 | 1 | 2 | 3 | 3 | 1 | 3 | N/A | 1 | 3 | 1 | 2 | N/A | 2 | 4 | 3 | 2 | 2 | 3 | 2 |
| Clearfield | 2.35 | 10 | 47.6% | 1 | 3 | 4 | 1 | 2 | 1 | 4 | 1 | 3 | 1 | 2 | 1 | 1 | 2 | 4 | 3 | 3 | 3 | 2 | N/A | 4 | 3 |
| Clinton | 2.60 | 10 | 47.6% | 3 | 2 | 2 | 1 | 4 | 4 | 2 | 1 | 3 | 2 | 2 | 1 | 3 | 3 | N/A | 3 | 4 | 4 | 4 | 4 | 2 | 1 |
| Columbia | 2.59 | 10 | 45.5% | 2 | 2 | 2 | 4 | 1 | 2 | 3 | 4 | 2 | 3 | 4 | 2 | 3 | 2 | 4 | 3 | 2 | 3 | 3 | 2 | 2 | 2 |
| Crawford | 2.83 | 14 | 70.0% | 3 | 1 | 4 | 4 | 4 | 1 | 4 | 4 | 3 | N/A | 3 | 2 | 2 | 3 | N/A | 1 | 3 | 4 | 3 | 3 | 2 | 3 |
| Dauphin | 3.25 | 16 | 76.2% | 3 | 4 | 4 | 4 | 4 | 4 | 1 | 1 | 2 | 4 | 4 | 3 | 2 | 4 | 3 | 4 | 2 | 3 | 4 | N/A | 4 | 4 |
| Erie | 2.86 | 14 | 66.7% | 3 | 4 | 3 | 1 | 2 | 2 | 3 | 3 | 3 | N/A | 4 | 4 | 1 | 4 | 2 | 4 | 3 | 3 | 2 | 2 | 3 | 4 |
| Fayette | 3.17 | 16 | 72.7% | 1 | 4 | 4 | 1 | 3 | 1 | 4 | 4 | 4 | 1 | 4 | 4 | 2 | 4 | 4 | 4 | 4 | 4 | 3 | 2 | 4 | 4 |
| Forest | 2.62 | 11 | 61.1% | 1 | 4 | N/A | 1 | 3 | N/A | 3 | 1 | 3 | 3 | 1 | 4 | 1 | 3 | N/A | 1 | 4 | 4 | 4 | 2 | N/A | 4 |
| Greene | 2.82 | 13 | 68.4% | 1 | 2 | N/A | 1 | 3 | N/A | 4 | 4 | 4 | 3 | 4 | 3 | 1 | 2 | N/A | 3 | 2 | 4 | 4 | 3 | 3 | 3 |
| Huntingdon | 2.83 | 13 | 65.0% | 4 | 1 | 4 | 1 | 2 | 2 | 4 | 3 | 3 | 4 | 1 | 3 | 2 | 3 | N/A | 4 | 4 | 4 | 4 | N/A | 3 | 1 |
| Indiana | 2.57 | 11 | 52.4% | 4 | 2 | 1 | 4 | 4 | 1 | 1 | 4 | 3 | 4 | 1 | 1 | 1 | 4 | N/A | 2 | 4 | 2 | 3 | 3 | 2 | 3 |
| Jefferson | 2.38 | 10 | 52.6% | 1 | 4 | 2 | 1 | 3 | N/A | 3 | 3 | 3 | 1 | 2 | 1 | 2 | 1 | N/A | 3 | 4 | 3 | 2 | N/A | 3 | 3 |
| Juniata | 2.88 | 13 | 65.0% | 1 | 3 | 4 | 4 | 4 | 4 | 1 | 2 | 3 | 4 | 1 | 1 | 4 | 4 | N/A | 3 | 2 | 4 | 4 | 2 | N/A | 3 |
| Lackawanna | 2.88 | 14 | 70.0% | 2 | 3 | 2 | 3 | 2 | 2 | 3 | 4 | 3 | N/A | 4 | 4 | 2 | 3 | N/A | 3 | 3 | 2 | 3 | 3 | 4 | 3 |
| Lawrence | 2.61 | 13 | 59.1% | 1 | 2 | 3 | 4 | 4 | 2 | 4 | 1 | 4 | 3 | 4 | 3 | 1 | 1 | 3 | 1 | 4 | 2 | 2 | 3 | 3 | 3 |
| Lehigh | 2.85 | 15 | 71.4% | 3 | 3 | 3 | 3 | 2 | 4 | 1 | 4 | 2 | 3 | 3 | 3 | 3 | 4 | 3 | 4 | 3 | 2 | 1 | N/A | 4 | 2 |
| Luzerne | 2.72 | 15 | 71.4% | 3 | 3 | 3 | 3 | 3 | 3 | 1 | 1 | 3 | 1 | 4 | 4 | 2 | 3 | 3 | 3 | 4 | 2 | 1 | N/A | 4 | 3 |
| Lycoming | 2.97 | 15 | 71.4% | 3 | 3 | 4 | 4 | 1 | 1 | 3 | 1 | 2 | 4 | 4 | 4 | 2 | 4 | 4 | 3 | 2 | 3 | 3 | N/A | 3 | 4 |
| McKean | 3.13 | 15 | 75.0% | 2 | 4 | 3 | 4 | 2 | 3 | 4 | 1 | 3 | 2 | 3 | 4 | 1 | 4 | N/A | 4 | 4 | 4 | 4 | 3 | N/A | 4 |
| Mercer | 2.60 | 12 | 60.0% | 1 | 2 | 3 | 3 | 4 | 2 | 3 | 3 | 3 | 3 | 3 | 2 | 1 | 3 | N/A | 1 | 3 | 4 | 4 | 2 | N/A | 2 |
| Mifflin | 1.99 | 5 | 23.8% | 2 | 1 | 4 | 1 | 4 | 1 | 2 | 1 | 4 | 2 | 1 | 1 | 1 | 1 | N/A | 4 | 2 | 2 | 1 | 2 | 3 | 2 |
| Monroe | 2.89 | 13 | 68.4% | 4 | 3 | 3 | 4 | 2 | 4 | 1 | 1 | 3 | N/A | 3 | 4 | 3 | 4 | N/A | 2 | 4 | 1 | 3 | 4 | N/A | 2 |
| Northumberland | 3.00 | 15 | 71.4% | 2 | 4 | 3 | 4 | 2 | 1 | 4 | 3 | 3 | 4 | 3 | 2 | 2 | 3 | 3 | 4 | 3 | 4 | 4 | 3 | N/A | 2 |
| Perry | 2.18 | 8 | 38.1% | 2 | 1 | 2 | 1 | 4 | 3 | 1 | 3 | 3 | 2 | 2 | 1 | 4 | 2 | N/A | 2 | 1 | 3 | 3 | 3 | 2 | 1 |
| Philadelphia | 3.11 | 17 | 77.3% | 4 | 4 | 4 | 3 | 4 | 3 | 1 | 3 | 3 | 3 | 4 | 2 | 1 | 4 | 4 | 4 | 4 | 1 | 2 | 3 | 4 | 3 |
| Pike | 2.78 | 10 | 58.8% | 4 | 3 | N/A | 1 | 3 | N/A | 1 | 4 | 2 | 4 | 4 | 4 | 3 | 2 | N/A | 1 | 4 | 2 | 4 | N/A | N/A | 1 |
| Potter | 2.44 | 9 | 50.0% | 3 | 1 | N/A | 1 | 3 | N/A | 3 | 1 | 3 | 2 | 4 | 4 | 1 | 1 | N/A | 2 | 4 | 4 | 2 | N/A | 3 | 2 |
| Schuylkill | 2.90 | 14 | 66.7% | 4 | 4 | 4 | 1 | 3 | 2 | 4 | 1 | 4 | 1 | 3 | 4 | 2 | 3 | 3 | 3 | 4 | 2 | 2 | N/A | 4 | 3 |
| Snyder | 2.41 | 8 | 42.1% | 3 | 2 | N/A | 4 | 4 | N/A | 1 | 4 | 2 | 2 | 1 | 1 | 3 | 2 | 4 | 3 | 2 | 1 | 2 | 4 | N/A | 1 |
| Sullivan | 2.81 | 11 | 61.1% | 2 | 2 | N/A | 1 | 4 | N/A | 3 | 3 | 3 | 2 | 3 | 3 | 2 | 4 | N/A | 1 | 2 | 4 | 4 | 4 | N/A | 4 |
| Susquehanna | 1.97 | 4 | 20.0% | 4 | 1 | 2 | 1 | 2 | N/A | 4 | 1 | 2 | 1 | 2 | 3 | 2 | 1 | N/A | 1 | 1 | 2 | 2 | 4 | 2 | 1 |
| Tioga | 2.67 | 12 | 57.1% | 3 | 1 | 3 | 4 | 1 | N/A | 3 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 4 | 4 | 3 | 4 | 4 | 4 | 2 | 4 |
| Union | 1.96 | 4 | 21.1% | 2 | 1 | N/A | 1 | 4 | 4 | 1 | 1 | 1 | N/A | 1 | 2 | 2 | 1 | N/A | 2 | 1 | 1 | 2 | 4 | 2 | 4 |
| Venango | 3.06 | 15 | 68.2% | 1 | 4 | 4 | 4 | 3 | 2 | 4 | 4 | 3 | 3 | 1 | 2 | 1 | 2 | 4 | 2 | 4 | 4 | 4 | 4 | 3 | 4 |
| Warren | 2.95 | 14 | 66.7% | 4 | 4 | N/A | 1 | 1 | 4 | 4 | 3 | 2 | 3 | 4 | 4 | 3 | 2 | 4 | 4 | 3 | 2 | 1 | 4 | 2 | 3 |