Family Care Community Partnerships (FCCP) Selected Logic Model Outcomes in the System of Care CY14 3 rd and 4 th Quarters Rhode Island Department of Children, Youth & Families Data and Evaluation Unit April 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 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. 2

FCCPP Serves Four Geographic Regions in Rhode Island 1.East Bay 2.Northern RI 3.Urban Core 4.Washington Kent 3

FCCP Values and Principles 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 4

Characteristics of Active Families in FCCP, CY14 3 rd and 4 th quarters 5

Figure 1: Percentage of Families Active in the FCCP by FCCP,, by CY13 3 rd and 4 th quarters – CY14 3 rd and 4 th quarters The FCCPs had 1058 families active during the CY14 3 rd 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 Data Source: Rhode Island Family Information Systems (RIFIS). During CY14 1 st and 2 nd Quarters 1249 Families were served families were served during the last two quarters of CY13. 6

7 Figure 2: Hispanic Origin of Primary Child in FCCP, by CY14 3 rd and 4 th quarters Data Source: Rhode Island Family Information Systems (RIFIS). Eleven percent of the 1058 active families had missing data.

8 Figure 3: Race of Primary Child in FCCP,, CY14 3 rd and 4 th quarters Data Source: Rhode Island Family Information Systems (RIFIS).

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

10 Figure 5: Primary Language of the Primary Child in FCCP,, by CY14 3 rd and 4 th 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 Quarter 11

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 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=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 3 rd and 4 th quarters – CY14 3 rd and 4 th quarters (Goal review: July 2015 for CY15 1 st 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 3 rd and 4 th quarters – CY14 3 rd and 4 th quarters (Goal review: July 2015 for CY15 1 st and 2 nd 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% 17 Data 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 3 rd and 4 th 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 19.5Within 45 days 18

Logic Model Outcome 4: Complete a timely and comprehensive assessment for SOC services. (Cont.) Table 4: Completed SNCD, CY14 3 rd and 4 th quarters (Goal review: July 2015 for CY15 1 st and 2 nd quarters) East Bay Northern RI Urban Core Washington Kent StateGoal SNCD All families Number of Families active 45 days or greater 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 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 20

Logic Model Outcome 5: Initiate referred services, timely, tailored, quality, and appropriately matched to strengths and needs of family Figure 9: Median length of time (hours) to first face to face contact with family by response Priority, CY 14 3 rd and 4 th Quarters (Goal review: July 2015 for CY15 1 st 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 family Indicator: Children/family engage in family team meetings at frequency as defined by practice standards Data Source: RIFIS 22

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 StateGoal Number of Team Meetings Monthly Child/Youth open to FCCP 45 days or greater All Children open more than 45 days Number of meetings per family Average length of time in Agency (days)* 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 3 rd and 4 th Quarters (Goal review: July 2015 for CY15 1 st and 2 nd quarters) 23

Logic Model Outcome 6: Provide culturally competent services Indicator: Staff provides services in the primary language of the child/family member. Data Source: RIFIS 24

Logic Model Outcome 6: Provide culturally competent services CY14 3 rd and 4 th 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 RICHIST 26

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 7: Close Reasons for DCYF referred Children/Families, CY14 1 st and 2 nd Quarters (Goal review: July 2015 for CY15 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. *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 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 28