Family Care Community Partnerships (FCCP) Selected Logic Model Outcomes in the System of Care CY14 1 st and 2 nd Quarters Rhode Island Department of Children, Youth & Families Data and Evaluation Unit December 11, 2014

Family Care Community Partnerships (FCCP) was established in 2009 by DCYF to promote activities at the community level. The partnerships are designed to strengthen and support families whose children are at risk of: 1)Abuse and/or neglect, 2)Who have a Serious Emotional Disturbance (SED), and/or 3)Who are involved with the RI Training School. The values and principles of the FCCP System of Care include: 1)Child-centered, youth-guided and family-driven, 2)Individualized and strength based 3)Cultural and linguistic competence 4)Trauma informed 5)Community based 6)Collaborative 7)Wraparound The FCCPs are served by providers in 4 regions of RI: 1)East Bay 2)Northern RI 3)Urban Core 4)Washington Kent 2

Characteristics of Active Families The FCCPs had 1249 families active during the CY14 1 st and 2 nd quarters (active defined as opened at least 1 day or greater during the quarter. The total number of children served by the FCCP during these 2 quarters was Figure 1: Percentage of Families Active by FCCP Data: Rhode Island Family Information Systems (RIFIS). During CY13 1 st and 2 nd Quarters 1305 Families were served families were served during the last two quarters of CY13. 3

Additional Characteristics of Target Child and Families Twenty nine percent of children/youth served are Caucasian/White followed by 5% African American/Black. Seventeen percent of children/youth are of Hispanic Origin. Median age of child is 7 years of age. Seventy eight percent of children speak English as their primary language. The second language spoken is Spanish (10.9%) Eligibility Criteria Data Source: RIFIS. Data was taken from FCCP Intake 1A completed in the reported Quarters. The numbers are not mutually exclusive because the end user can check all that apply. Figure 2: Percent of FCCP Families by Eligibility Criteria 4

Logic Model Outcome 2a: Increase child and family strengths and functioning Indicator: Establish baseline for child and family strengths and functioning and increase in child and family strengths and functioning from baseline. Data Source: North Carolina Family Assessment Scale (NCFAS) 5

Logic Model Outcome 2a: Increase child and family strengths and functioning Serious Problem (-3) Moderate Problem (-2) Mild Problem (-1) Baseline/ Adequate (0) Mild Strength (+1) Clear Strength (+2) Environment Intake Transition Parental Capabilities Intake Transition Family Interactions Intake Transition Family Safety Intake Transition Child Well-Being Intake Transition Social/Community Life Intake Transition Self-Sufficiency Intake Transition Family Health Intake Transition Table 1: Percent of ratings in each NCFAS domain at intake and discharge (N=302) Data: RIFIS. Three hundred and two families were pulled from all 1249 families active in the first 2 quarters of CY14. From a system level, from intake to baseline, clear and mild strengths increased across each domain while serious and mild problems decreased across all domains. 6

Logic Model Outcome 2a: Increase child and family strengths and functioning (cont.) Figure 1: Percent of Families Showing Change in NCFAS Ratings, (N=302) Data Source: RIFIS. While a majority of the families did not experience any change from intake to transition, over Two thirds of the families maintained positive scores from baseline to transition (66.1% to 78.0%). Significant positive changes were found in all domains, (18.9% to 31.2%). A small number of families Experienced negative changes in each domain area, (2.1% to 5.1%). 7

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. Indicator: Child and family assessments are completed within a determined number of days of referral for services as defined by clinical standards for emergency and non emergency cases. Data Source: NCFAS, Ages and Stages, Ohio Scales, Crisis Plan, Functional Assessments and Strengths Need Cultural Discovery (SNCD) 8

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. Figure 2: Percent of FCCP families that completed NCFAS, at intake and transition Data: RIFIS. Data based on children/families who were open for more than 45 days and closed during the reporting period. 9

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. Table 2: Percentage of Completed Assessments for Families Open to an Agency for more than 45 days Data Source: RIFIS. Calculation is determined from the agency intake start date and includes children/youth that are age appropriate to the assessment. CY13 1 st and 2 nd Quarters CY13 3 rd and 4 th Quarters CY14 1 st and 2 nd Quarters Ages and Stages Baseline (N=126) 33.3% (N-113) 5.2% (N=120) 28.3% Ohio Scales Baseline – Parent (N=359) 18.7% (N=327) 12.9% (N=387) 21.0% 10

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. (Cont.) Table 3: Average Number of days for NCFAS completion, CY14 1 st and 2 nd Quarters Data Source: RIFIS. The FCCP standards for completing a baseline NCFAS is 45 days. Calculation is determined from the agency intake start date. CY14 1 st and 2 nd Quarters Average number of days to complete NCFAS baseline

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. (Cont.) Table 4: Completed SNCD, CY14 1 st and 2 nd quarters East BayNorthern RI Urban CoreWashington Kent State SNCD Number of Families active 30 days or greater Data Source: RIFIS. A completed SNCD is marked final and approved by the supervisor. Calculation is determined from the agency open date. 12

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family Indicator: Children/family members will receive services within a determined number of days of being referred as defined by clinical standards for emergency and nonemergency cases. Data Source: RIFIS and DCYF Record Reviews 13

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family Figure 3: Median length of time (hours) to first face to face contact with family by response Priority, CY 14 1 st and 2 nd Quarters Data: RIFIS. 14

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family Indicator: Children/family engage in family team meetings at frequency as defined by practice standards Data Source: RIFIS 15

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family East Bay Northern RI Urban Core Washington Kent State Number of Team Meetings Child/Youth open to FCCP 30 days or greater Data Source: RIFIS Consumer Assessment Responses by Program. *Child/Youth are those that were open to FCCP for more than 30 days. Some of the children/youth included in these numbers may have been closed prior to the time a team meeting is occurring. Table 7:Number of FCCP Team Meetings, by FCCP region, CY14 1 st and 2 nd Quarters 16

Logic Model Outcome 6: Provide culturally competent services Indicator: Staff provides services in the primary language of the child/family member. Data Source: RIFIS 17

Logic Model Outcome 6: Provide culturally competent services CY14 1 st and 2 nd Quarters (N=1249) Staff provides services in the primary language of the child/family member 98.1% Data: RIFIS Table 8: Services provided in primary language to child/family

Logic Model Outcome 10: Increase the percentage of children who remain safely in their homes receiving community-based services despite their risk for out-of-home placement/removal. Indicator: Increased percentage of children/youth who are able to remain safely in their home receiving community-based services. Data Source: RIFIS and RICHIST 19

Logic Model Outcome 10: Increase the percentage of children who remain safely in their homes receiving community-based services despite their risk for out of home placement/removal Table 9: Close Reasons for DCYF referred Children/Families, CY14 1 st and 2 nd Quarters Data: RIFIS. Children/Families are those that were referred by DCYF and were closed during the first six months of CY14. CY14 1 st and 2 nd Quarters (N=424) Team agrees wrap goals met42.8% Child opened to DCYF7.5%

Next Steps 1.Ongoing program evaluation 2.Continuous quality improvement 3.Fidelity to Wraparound practices 4.Reassess targets for outcome measures 5.Building community involvement in the regional and statewide FCAB’s 21