Glengarda Child & Family Services

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1 Glengarda Child & Family Services

2 Background Glengarda has been servicing families in Essex County since branches of service Day Treatment School Based Children s Intervention Program Early Intervention Program

3 Research Objectives Analyze outcome data for all 3 programs Disseminate findings to board, staff and community Examine implications for service

4 Expected Outcomes The outcome data will be utilized (a) To allow the stakeholders to be more informed about the effectiveness of service delivery (b) To assist in the process of future planning of services

5 Day Treatment

6 Data Analyzed BCFPI and CAFAS Initial treatment plans and reviews Program evaluation surveys P.I.P Home support Discharge Follow-up

7 Average Age Boys 9.05 yrs. Girls 8.75 yrs Both are significantly younger than the provincial average ONT SW GLEN 0 Boys Girls

8 Gender 82% of our children are boys compared with 55% elsewhere 18% of our children are girls compared with 45 % elsewhere Boys Girls ONT SW GLEN

9 Average CAFAS score at entry to Treatment Glengarda scores was sign. Higher than the southwest and provincial averages Average Most Frequent ONT SW GLEN

10 Outcomes CAFAS Average score at intake is 107 Average score at 12 months is 94 Average score at discharge is 63 Average rate of change between intake and discharge is 44 90% of clients show an improvement between initial CAFAS score and discharge

11 Outcomes BCFPI Throughout 3 years of data, we found that every year clients improved on more subscales 2005 showed dramatic improvements in all 18 subscales The greatest improvements were shown in these subscales Conduct (CDp) had an average score of 76.8 at intake, and a average score of 49.9 at discharge an improvement of 26.9 School (SchoolP) had an average score of 75.3 at intake and a average score of 53.8 at discharge, an improvement of 21.5

12 Outcomes Discharge Service helpful 94% Better understanding of children s behaviour 100% Relationships with community schools improved 92% Better understanding of Children s needs 100% Service received helpful today 94%

13 Outcomes Follow-up Not experiencing same problems as at time of service 77% Service was helpful 92% Changes we made while receiving service from Glengarda continued today 92% Continue to have better understanding of child and family needs 100% Recommendation made while receiving service still helpful today 93%

14 Outcomes Home Support Goals were achieved 64% Goals not fully achieved 24% Goals not achieved 4% CYW supportive in role 100% Comfortable with CYW in their home 100%

15 Outcomes Parent Involvement Program Goals achieved 100% Comfortable in classroom 83% Staff perceived as supportive in role 100%

16 Outcomes Family Counseling Goals achieved 76% Some goals achieved 22% Social worker supportive and empathetic 100% Problems with scheduling 11%

17 Outcomes Partner Agency/Family Satisfaction Survey 59 consumer 66 partner agency Responses consistently high for both groups

18 Conclusion Glengarda s day treatment program admits clients that have high social and emotional needs Services are highly valued by families and perceived as helpful Program is effective in reducing levels of emotional dysfunction Some families have would prefer a longer period of treatment

19 School Based Children s Intervention Program

20 Sept. 05 to Mar. 06 scores for SBCIP - Cafas 10 children scored children scored children scored children scored Glen.

21 Information Gathered Staff utilized behaviour rating scales from the Achenbach System of Empirically Based Assessment (ASEBA) This information was obtained from multiple sources about a child s functioning at the time of initial treatment planning and at regular intervals during the course of treatment

22 Information Gathered (cont.) For the present analysis, data from 26 children were used. 22 boys and 4 girl with an average age of 8.5 Ratings were obtained from parent, teacher and staff after behavioural observation Three sets of behavioral ratings are seen on chart

23 Information Gathered (cont.) The AESBA Direct observation score provides information on the presence or absence of clinically significant behavioural problems Specifically it produces 3 scores Internalizing behaviour; Externalizing behaviour and Total behavioural problems It also provides a non normative score regarding the extent to which a child was seen to engage in on-task behaviours

24 On-task Behaviour Referred Children First Observation: On-task an average 63% of the time Second Observation: On-task an average of 69% of the time Third Observation: On-task an average of 85% of the time Comparison Children First Observation: On-task an average of 88% of the time Second Observation: On-task an average of 89% of the time Third Observation: On-task an average of 95% of the time

25 Outcomes Children that are referred to SBCIP present with some significant mental health problems and showed improvement on on task behavior, on average from 63% of the time to 85% of the time by third observation

26 Outcomes Over the course of three administrations the number of children who received clinically significant scores in any areas rated, generally decreased. Which suggests that the treatment plan is proving successful in improving children s functioning

27 Early Intervention Program

28 Information Gathered Research was gathered for 310 children for the EIP evaluation 154 males/156 Females Age range of 4 to 14 years 120 children from the public school board, 190 from the catholic school board 160 children from the county/150 children from the city

29 Information Gathered (cont.) Other forms of data collection includes Teacher ratings in overall pro-sociality at both pre and post program Glengarda staff ratings of the degree to skill scenarios Teacher and school administrator survey on the effectiveness of the program, and the extent to which it is still being used Parent satisfaction survey

30 Outcomes In all cases of follow up questionnaires, teachers indicate that they are still trying to use the program in their class In general, the findings indicate that EIP is effective in improving the social skill development in children Results demonstrate that children participating in the program show significant improvements in pro-social behaviour

31 Outcomes Skill Streaming In all cases of follow up questionnaires, teachers indicate that they are still trying to use the program in their class In general, the findings indicate that EIP is effective in improving the social skill development in children Results demonstrate that children participating in the program show significant improvements in pro-social behaviour

32 Executive Summary of Findings Overall, all sources of quantitative and qualitative data from clients, consumers and partner agency/professionals indicate that Glengarda is known and respected in the community and is perceived as appropriate and generally effective services in all areas.

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