Family Care Community Partnerships (FCCP) PowerPoint Presentation

Family Care Community Partnerships (FCCP)Selected Logic Model Outcomes in the System of CareCY14 3rd and 4th QuartersRhode Island Department of Children, Youth & FamiliesData and Evaluation UnitApril 2015

History of Family Care Community Partnerships (FCCP)Family Care Community Partnerships (FCCP) was established in 2009 by DCYF to promote activities at the community levelThe partnerships are designed to strengthen and support families whose children are at risk of:Abuse and/or neglect

Who

have a Serious Emotional Disturbance (SED),

and/orWho are involved with the RI Training School.

2

FCCPP Serves Four Geographic Regions in Rhode IslandEast BayNorthern RIUrban Core

Washington Kent

3

FCCP Values and PrinciplesChild-centered, youth-guided and family-drivenIndividualized and strength basedCultural and linguistic competence

Trauma

informed

Community based

Collaborative

Wraparound

4

Characteristics of Active Families in FCCP, CY14 3rd and 4th quarters5

Figure 1: Percentage of Families Active in the FCCP by FCCP, , by CY13 3rd and 4th quarters – CY14 3rd and 4th quartersThe FCCPs had 1058 families active during the CY14 3rd

and 4

th

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 1870.

Data Source: Rhode Island Family Information Systems (RIFIS). During CY14 1

st

and 2

nd

Quarters 1249 Families were served. 1203 families

were served during the last two quarters of CY13.

6

7Figure 2: Hispanic Origin of Primary Child in FCCP, by CY14 3rd and 4th quarters

Data Source: Rhode Island Family Information Systems (RIFIS). Eleven percent of the 1058 active families had missing data.

8Figure 3: Race of Primary Child in FCCP, , CY14 3rd and 4th quarters

Data Source: Rhode Island Family Information Systems (RIFIS).

9Figure 4: Median Age of Primary Child in FCCP by FCCP, by CY14 3rd and 4th quarters

Data Source: RIFIS.

10Figure 5: Primary Language of the Primary Child in FCCP, , by CY14 3rd and 4th quarters

Data Source: RIFIS.

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. Families can still access FCCP if one of their children is open to Probation.Figure 6: Percent of FCCP Families Active in FCCP by Eligibility Criteria by CY14 3

rd

and 4

th Quarter11

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)

12

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

5.7

14.3

15.2

38.1

13.3

12.4

Transition

2.4

6.7

10.0

44.8

20.0

16.2

Parental Capabilities

Intake

2.9

14.3

18.6

39.0

11.4

13.3

Transition

2.9

8.1

12.4

41.9

18.116.7Family Interactions Intake6.214.326.731.014.36.7 Transition5.76.716.265.724.810.0Family Safety Intake5.714.319.039.08.611.4 Transition4.34.88.151.415.215.2Child Well-Being Intake6.717.121.032.411.99.0 Transition4.38.115.239.520.011.9Social/Community Life Intake1.47.621.045.715.28.1 Transition1.95.712.447.121.011.0Self-Sufficiency Intake8.616.719.531.913.39.5 Transition7.19.515.738.119.09.5Family Health Intake7.119.021.428.614.88.1 Transition4.310.018.637.120.09.5

Table 1: Percent of ratings in each NCFAS domain at intake and discharge (N=210)

Data: RIFIS. Two hundred ten families were pulled from all 1058 families active in the last 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.

13

Logic Model Outcome 2a: Increase child and family strengths and functioning (cont.)

Figure 7: Percent of Families Showing Change in NCFAS Ratings, (N=210)

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 (63.4% to 76.2%).

Significant positive changes were found in all domains, (20.4% to 32.2%). A small number of families

Experienced negative changes in each domain area, (3.4% to 7.7%).

14

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)15

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services.Figure 8: Percent of FCCP families that completed NCFAS, at intake and transition, by CY13 3rd and 4th quarters – CY14 3

rd

and 4

th quarters (Goal review: July 2015 for CY15 1st

and 2

nd

quarters)

Data: RIFIS. Data based on children/families who were open for more than 45 days and closed during the reporting period.

16

Goal: 75%

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 by CY13 3rd and 4th quarters – CY14 3rd and 4

th

quarters

(Goal review: July 2015 for CY15 1st and 2nd quarters)

CY13 1

st

and 2

nd

Quarters

CY13

3

rd

and 4

th

Quarters

CY14 1

st

and 2

nd

Quarters

CY14 3

rd

and 4

th

Quarters

Goal

Ages and Stages Baseline

(N=399)

13.5%

(N=393)

5.9

%

(N=424)

21.7%

(N=344)

9.0%

50%

Ohio Scales

Baseline – Parent

(N=775)17.5%(N=642)15.6%(N=751)17.4%(N=570)11.1%50%17Data Source: RIFIS. Calculation is determined from the agency open date and includes children/youth that are age appropriate to the assessment.

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. (Cont.) Table 3: Average Number of days for NCFAS completion, CY14 3rd and 4th Quarters (Goal review: July 2015 for CY15 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 open date.

CY14 3

rd

and 4

th

Quarters

Goal

Average number of days to complete NCFAS baseline

19.5

Within

45 days

18

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. (Cont.)Table 4: Completed SNCD, CY14 3rd and 4th quarters (Goal review: July 2015 for CY15 1st and 2nd quarters)

East Bay

Northern RI

Urban Core

Washington

Kent

State

Goal

SNCD

71

63

137

78

349

All families

Number of Families active 45 days or greater

110

159

365

153

787

Data Source: RIFIS. A completed SNCD is marked final and approved by the supervisor. Child/Youth are those that were open to an agency for 45 days or greater AND those who were open to an agency for 45 days or greater and closed. Child/Youth who closed with the following reasons were omitted: Family declined service, FCCP declined service and Unable to contact family. Calculation is determined from the agency open date.

19

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of familyIndicator: 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 Reviews20

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of familyFigure 9: Median length of time (hours) to first face to face contact with family by responsePriority, CY 14 3rd and 4th Quarters (Goal review: July 2015 for CY15 1st and 2

nd

quarters)

Data: RIFIS.

21

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of familyIndicator: Children/family engage in family team meetings at frequency as defined by practice standardsData Source: RIFIS22

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family East BayNorthern RI

Urban Core

Washington Kent

State

Goal

Number of

Team Meetings

360

179

291

186

1016

Monthly

Child/Youth open to FCCP 45 days or greater

104

159

364

143

770

All Children

open more than

45

days

Number of meetings

per family

3.5

1.1

0.8

1.3

1.3

Average length

of time in Agency (days)*

139.1

134.2

128.1

138.6

132.2

Data Source: RIFIS Consumer Assessment Responses by Program. *Child/Youth are 1)open to agency for more than 45 days and 2)open for more

than

45

Days and closed (did not include families whose close reason was unable to contact, family declined services or FCCP denied family. Some

of the children/youth included in these numbers may have been closed prior to the time a team meeting is occurring. * Data based on number of closed cases during

the reported quarters. Close reasons not included were unable to contact, family declined services or FCCP denied family.Table 5:Number of FCCP Team Meetings, by FCCP region, CY14 3rd and 4th Quarters(Goal review: July 2015 for CY15 1st and 2nd quarters)23

Logic Model Outcome 6: Provide culturally competent servicesIndicator: Staff provides services in the primary language of the child/family member.Data Source: RIFIS24

Logic Model Outcome 6: Provide culturally competent servicesCY14 3rd and 4th Quarters

(N=1058)

Goal

Staff provides services in the primary language of the

child/family member

98.1%

100%

Data: RIFIS

Table 6: Services provided in primary language to child/family

(Goal review: July 2015 for CY15 1

st

and 2

nd

quarters)

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 RICHIST26

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/removalTable 7: Close Reasons for DCYF referred Children/Families, CY14 1st and 2nd Quarters

(Goal review: July 2015 for CY15 1

st

and 2nd quarters)

Data: RIFIS. Children/Families are those that were referred by DCYF and were closed during the first six months of CY14.

*The

family

Met partial/most/all goals in any of the 4 phases of Wrap.

CY13 3

rd

and

4

th

Quarters

(N=575)

CY14 1

st

and

2

nd

Quarters

(N=676)

CY14 3

rd

and

4

th

Quarters

(N=584)

Goal

Team

agrees wrap goals met*

44.8%

44.4%

45.5%

75.0%

Child opened to DCYF

6.2%

7.1%6.3%5.0 %

Next StepsOngoing program evaluation Continuous quality improvementFidelity to Wraparound practices

Reassess targets for outcome

measures

Building community involvement in the regional and statewide FCAB’s

28