Glengarda Child

1
Glengarda Child Family Services
2
Background

• Glengarda has been servicing families in Essex
  County since 1935
• 3 branches of service
• Day Treatment
• School Based Childrens 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

8
Gender

• 82 of our children are boys compared with 55
  elsewhere
• 18 of our children are girls compared with 45
  elsewhere

9
Average CAFAS score at entry to Treatment

• Glengarda scores was sign. Higher than the
  southwest and provincial averages

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
  sub-scales
• 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

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Outcomes

• Discharge
• Service helpful 94
• Better understanding of childrens behaviour
  100
• Relationships with community schools improved
  92
• Better understanding of Childrens 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

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Conclusion

• Glengardas 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

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School Based Childrens Intervention Program
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Sept.05 to Mar.06 scores for SBCIP - Cafas

• 10 children scored 20-40
• 7 children scored 50-70
• 7 children scored 80-100
• 2 children scored 110-130

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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 childs functioning at the time
  of initial treatment planning and at regular
  intervals during the course of treatment

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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

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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

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On-task Behaviour
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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

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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 childrens functioning

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Early Intervention Program
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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

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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

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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

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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

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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.