STAGE 2 ~ ATTACHMENT A

Community-Based Care

Community Alliance Resource Handbook

Version 1.0 12/2000

EXAMPLES OF OUTCOMES

SARASOTA COUNTY

MILWAUKEE, WISCONSIN, and

HILLSBOROUGH COUNTY

Examples of outcomes from several different community-based systems of care including a program in another state.

COMMUNITY BASED CARE

Sarasota County Coalition for Families and Children

Outcomes

We believe that these outcome measures will establish a new level of accountability for foster care services. In those instances where historical data cannot establish a baseline, the measure will not have a specific performance attainment goal in the first year of measurement.

1. 97% of the children served will not be abused or neglected during the provision of services

2. 95% of the children served will have no findings of child maltreatment within one year of case closure from services.

3. 95% of the clients will be satisfied with the services received. Client satisfaction will be measured based upon criteria and methods to be negotiated between the provider and district.

4. 90% of the number of children who are legally available for adoption will be adopted within 12 months of availability for adoption.

5. Percent of children reunified with their family who return to foster care within one year of case closure.

6. Children in care will have four face-to-face contacts per month.

7. Caseload/children per case manager will not exceed 15.

8. Reduce the overall average length of stay in out of home care to 18 months overall for return home and adoption.

Surveys

An annual parent survey and community survey will be reported to build a baseline for future outcome measures. The Coalition, Stakeholders, and the Department of Children and Families will approve surveys.

Interviews will be conducted with foster children upon placement change in Foster Care and will be collated and reported annually.

A tool will be developed to survey foster parents annually.

WRAPAROUND MILWAUKEE

WHAT ARE THE OUTCOMES?

IS THERE IMPROVED CLINICAL FUNCTIONING—CAFAS SCORES?

HAS THERE BEEN A REDUCTION IN RESTRICTIVENESS OF LIVING ENVIRONMENT?

IS THERE REDUCTION IN JUVENILE JUSTICE CONTACTS?

HAS SCHOOL ATTENDANCE IMPROVED?

ARE THE WRAPAROUND COSTS COMPARABLE TO OR LESS THAN RESIDENTIAL TREATMENT COSTS?

ARE FAMILIES SATISFIED WITH THE SERVICES?

Hillsborough Kids, Inc.

The following information is excerpted from Attachment 1 of the Building a Better Child Welfare System: A community Plan for Hillsborough County, 2000, funded by the Children’s Board of Hillsborough County. Call Beth Barrett @ (813) 414-0808 for more information.

Expected Outcomes

HKI is designed to provide comprehensive services and supports that are outcome oriented and that include measures to determine individual, geographic, and programmatic effectiveness across three broad areas:

  • Child Safety
  • Child and Family Well Being
  • Permanency

Outcomes will include immediate, short-term, and long-term objectives. The following information will be used to determine HKI’s effectiveness in meeting its outcome goals:

  • Program outcomes/status of the cases handled, including recidivism
  • Individual outcomes such as development or demonstration of a skill
  • Stakeholder satisfaction, including family and youth satisfaction
  • Aspects of quality service linked to positive outcomes such as worker engagement of parents or children in services

As HKI is designed to maximize resources and eliminate duplication of services/supports, cost data will be collected to determine:

  • Per child service cost
  • Per family cost
  • Cost effectiveness data: What works for which type of population?
  • Benefit cost data

Suggested Outcome Domain Areas

  1. System OutcomesIndicators

A. Continuity of CareLength of stay

Number of placements

Number of Care Managers

Number of disruptions

Number of sibling groups separated

Distance from sibling group

Distance from birth parents

B. System ResponsivenessDays to Comprehensive Assessment

Days to Initial Service Plan

Days to “long-term” living arrangement

Percentage of youth placed:

  • Reunified
  • Permanently placed with relative
  • Adopted
  • Independent Living

II.Child and Family Functioning

OutcomeIndicator

A. Child SafetyPercentage of subsequent maltreatment

  • Of open cases
  • Within a period of time following close of services
B. Child Well BeingSchool Achievement
  • School attendance
  • Extracurricular activities
  • Grade-level performance
  • School behavior, suspensions
Emotional Functioning
  • Behavior at home, community
  • Cultural identity
  • Child-parent attachment
  • Mental health
Physical Health
Medical, dental, vision and hearing functioning
  • Level of functioning regarding physical health
  • Drug and alcohol use
  • Risk-taking behaviors
C. Parental FunctioningChild Rearing Skills
Housing Maintenance
Nutrition
Emotional Functioning
Physical Health

Employment/financial stability

Attachment A-1