saginaw max soc evaluation report

7/28/2019 Saginaw MAX SOC Evaluation Report

1/22

O

Saginaw

Year to Dat

MAX System

e EnrollmentJune 18, 2013

f Care

ummary


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P a g e 2

June 2013

The following information was compiled from National Outcome Measures

(NOMs) interviews completed with youth or their caregivers by Care Coordinators

and the Family Guide when youth and families enter services.

Summary of Youth Enrolled in Saginaw MAX System of Care

Through June 18, 2013, 100 youth* have been enrolled into Saginaw MAX System

of Care services since the beginning of project services in October 2011. Through

June 18, 2013, the majority of youth 69% were enrolled into Wraparound. The

remaining 31% were enrolled in other SOC services.

Average age of youth is 11.7 years**

67% are male**

39% identify as Black or African American**

* This represents an unduplicated count.

** 97 youth had NOMs demographic information available at the time this report was created.


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June 2013

Of the 100 enrolled youth with NOMs demographic information available through

June 18, 2013

What is their gender*?

Male 67%

Female 33%

*Totals may not add to 100% because of rounding.

MALE, 67%

FEMALE, 33%

What is your gender?

MALE

FEMALE


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June 2013

What are their ages*?

6 years 4% (4)

7 years 8% (8)8 years 12% (12)

9 years 4% (4)

10 years 6% (6)

11 years 6% (6)

12 years 13% (13)

13 years 11% (11)14 years 13% (13)

15 years 9% (9)

16 years 7% (7)

17 years 4% (4)

*Totals may not add to 100% because of rounding.

6

(4%)7

(8%)

8

(12%)

9

(4%)

10

(6%)

11

(6%)

12

(13%)

13

(11%)

14

(13%)

15

(9%)

16

(7%)

17

(4%)

Calculated Age at Baseline

6

7

8

9

10

11

12

13

14

15

16

17


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June 2013

Are the youth Hispanic or Latino?

(n = 97)

Hispanic or Latino 14%

Not Hispanic or Latino 86%

No

86%

Yes

14%

Hispanic or Latino

No

Yes


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June 2013

Where were youth living for most of the time in the 30 days prior to their NOMs

interview?

(n = 96)

Owned or rented house, apartment, trailer, room 66%

Foster care 23%

Correctional facility 7%

Someone elses house, apartment, trailer, room 2%

Hospital (psychiatric) 1%

Other housed 1%

66%2%

23%

1%

7% 1%

In the past 30 days, where have you

[your child] been living most of the time?

Owned or rented house,

apartment, trailer, room

Someone else's house,apartment, trailer, room

Foster care

Hospital (psychiatric)

Correctional facility

Other housed (specify)


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June 2013

The following information was compiled from the Enrollment and Demographic

Information Form (EDIF) completed when youth and families enter services. The

EDIF gathers demographic, diagnostic, and system of care enrollment informationon all children receiving system of care services. Information for the EDIF is

gathered from record review.

Referral Agency

n = 95

[a] Mental health = Mental health agency, clinic or provider; Physical health = Physical health care agency, clinic, or

provider.

2%

6%

16%

2%

5%

0%

38%

0%

0%

3%

20%

1%

0%

0%

0%

0%

0%

6%

0% 20% 40% 60% 80% 100%

Corrections

Juvenile Court

Probation

School

Mental Health

Physical Health

Public Child Welfare

Tribal Child Welfare

Substance Abuse Clinic

Family Court

Caregiver

Self

Early Head Start

Head Start

Early Intervention (Part C)

Preschl Spec Ed (Part B)

Early Care: Other

Other

Referral Agency[a]


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June 2013

Agency Involvement

n = 95

[a] Data reported were collected using the Enrollment and Demographic Information Form (EDIF).

[b] Mental health = Mental health agency, clinic or provider; Physical health = Physical health care agency, clinic, or

provider.

[c] Because individuals may report involvement in more than one agency, percentages may sum to more than 100%.

0%

13%

28%

40%97%

13%

46%

0%

10%

0%

0%

0%

0%

0%

1%

0% 20% 40% 60% 80% 100%

Corrections

Juvenile Court

Probation

School

Mental Health

Physical Health

Public Child Welfare

Substance Abuse Clinic

Family Court

Early Head Start

Head Start

Early Intervention (Part C)

Preschl Spec Ed (Part B)

Early Care: Other

Other

Agency Involvement[a,b,c]


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June 2013

Top 5 Axis I and Axis II Diagnoses [a,b]:

(n=91)

[a] Data reported were collected using the Enrollment and Demographic Information Form (EDIF).

[b] Because children and youth may have more than one diagnosis, percentages for diagnoses may sum to more than100%.

What social and environmental problems are youth most commonly

experiencing at intake?*

Pr imar y Social Educational Occupational E conomic Acc ess to Leg al Other****

Support** Environment*** Housing Healthcare

(n=84)

* Because youth may experience more than one psychosocial or environmental problem, problemsmay add to more than 100%.

** Primary support problems include health problems in family, removal from the home, remarriageor divorce of parent, and child abuse or neglect.

*** Social environment problems include inadequate social support, death or loss of a friend, andadjustments to life cycle transitions.

**** Other problems include discord with non-family caregivers, unavailability of social serviceagencies, and exposure to disasters.

Attention

Deficit

Hyperactivity

Disorder

56%

Mood

Disorders

51%

Oppositional

Defiant

Disorder

51%

PTSD and

Acute Stress

Disorders

33%

Impulse

Control

Disorders

9%

87%89%

80%

0%4%

13%

4%

25%

56%

0%

20%

40%

60%

80%

100%


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School Attendance in th

Saginaw MAX services

Caregiver reports [a] indica

school in the six months pri[a] Data reported were collected using t

instrument collects data on the status of

As part of the baseline

youths attendance at s

*Totals may not add to 100

As part of the baselineyouths grades in schoo

*Totals may not add to 100

3 or more days per

2 days per

About 1 day per

About 1 day every 2 w

About 1 day per m

Less than 1 day per m

Perfect Attend

O

Grade Averag

Grade Average D's an

Grade Averag

Grade Average C's an

Grade Averag

Grade Average B's an

Grade Averag

Grade Average A's an

Grade Averag

6 Months Prior to Intake for

ted that children (100%) attended

or to intake. (n = 28)e E ducation QuestionnaireRevision 2 (EQR2). This

the child/family in the 6 months prior to t he interview.

valuation interview, caregivers were

chool*:

due to rounding

valuation interview, caregivers werel*:

due to rounding

7%

11%

14%

7%

14%

0% 5% 10% 15% 20%

eek

eek

eek

eeks

nth

nth

nce

8%

4%

0%

0%

15

4%

15%

8%

0% 5% 10% 15%

ther

e F's

d F's

D's

D's

e C's

d C's

e B's

B's

A's

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June 2013

asked about

asked about

27%

1%

25% 30%

n = 28

23%

23%

20% 25%

n = 26


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June 2013

Educational Placements and Individualized Educational Plans (IEP)[a] at

Intake

Educational Placements

Educational Placements in the 6 Months Prior to Intake[b]

(n = 26)

[a] Data reported were collected using the Education QuestionnaireRevision 2 (EQR2). This instrumentcollects data on the status of the child/family in the 6 months prior to the interview.

[b] Because individuals may have more than one educational placement, educational placements may sum to

more than 100%.

[c] Includes home-based instruction and combination of home schooling and home-based instruction.

[d] Includes hospital, juvenile justice facility, residential treatment center, group home, and group shelter.

7%

0%

0%

0%

0%

4%

0%

11%

0%

0%

4%

89%

0% 20% 40% 60% 80% 100%

Other

Head Start

Preschool

Postsecondary School

School in 24-Hour Residential

School in 24-Hour Justice Setting [d]

School in 24-Hour Psychiatric Setting [d]

Alternative/Special Day School

Home based instruction [c]

Home Schooling [c]

Regular Private Day/Boarding School

Regular Public Day School

n = 28


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June 2013

Individualized Educational Plans

Caregivers reported that 48% of youth had an Individualized Education Plan (n=27).

Main Reasons for IEP[a] (n = 13)

Behavioral/Emotional Problems 54%

Learning Disability 39%

Developmental Disability or Mental Retardation 0%

Vision or Hearing Impairment 0%

Speech Impairment 8%

Physical Disability 0%

Other 0%

[a] Because individuals may have more than one reason for having an IEP, the reasons for having an IEP may

sum to more than 100%.

Special Education Placements at Intake

Caregivers reported that 43% of youth received Special Education services (n=28).


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June 2013

School Disciplinary Actions at Intake [a]

n = 25

[a] Data reported were collected using the Education QuestionnaireRevision 2 (EQR2). This instrument

collects data on the status of the child/family in the 6 months prior to the interview.

76%

8%0%

16%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Suspended Expelled Suspended andExpelled

Neither Suspended norExpelled

Disciplinary Actions in the 6 Months prior to Intake


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Criminal Justice History

60% of youth repor

20). 85% of youth repor

intake (n = 18).

As part of their evaluati

Have you ever been . . .

* because you were sus

questioned, and subseque

without arrest.)

Convicted (found guilty or adjudic

crime)

Told to appear i

Questioned by th

t Intake for Saginaw MAX Services

ed some type of criminal justice contact pri

ed engaging in some type of delinquent or il

on interview, youth were asked:

?

ected of committing a crime. (Responses may inclu

tly arrested, but generally responses indicate those

25%

20%

20%

0% 20% 40%

ted of a

n court*

rrested

police*

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June 2013

r to intake (n =

legal behavior at

e some who were

uestioned only,

50%

60%

youth self reports

(Baseline) = 20


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June 2013

Substance Use[a] Prior to Intake

70% of youth reported using at least one substance prior to intake (n = 20).

Substance[b] Ever Used Average Age of

First Use (Years)

Alcohol 45.0% (n = 20)

Cigarette 50.0% (n = 20) 10.6 (n = 10)

Chewing Tobacco/Snuff 10.0% (n = 20)

Marijuana/Hashish 60.0% (n = 20) 11.9 (n = 12)

Cocaine (all forms) 10.0% (n = 20)

Hallucinogenics (e.g., LSD, mushshrooms) 10.0% (n = 20)

PCP 0.0% (n = 20)

Ketamine (Special K) 0.0% (n = 20)

MDMA (Ecstasy, X) 5.0% (n = 20)

GHB 0.0% (n = 20)

Inhalants 0.0% (n = 20)

Heroin 0.0% (n = 20)

Methemphetamine (crystal, ice, glass, etc.) 5.0% (n = 20)

Amphetamines/Stimulants 10.0% (n = 20)

Pain Killers (e.g., Darvocet, Vicodin) 15.0% (n = 20)


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June 2013

Substance[b] Ever Used Average Age of

First Use (Years)

Ritalin, Adderall, Desoxyn 25.0% (n = 20)

Tranquilizers (e.g., Valium, Xanax) 10.0% (n = 20)

Barbiturates/Sedatives (e.g., Seonol, Nembutal) 0.0% (n = 20)

Non-Prescription/OTC (e.g., diet pills, No-Doz) 5.0% (n = 20)

[a] Information was gathered from the Substance Use SurveyRevised (SUSR).

[b] Shaded areas indicate categories with fewer than 10 youth responses; data were not presented for

these substances.


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June 2013

What emotional and behavioral problems are youth experiencing?[a]

(n = 28)

[a] Data reported were collected using the Child Behavioral Checklist 618 (CBCL 618). The CBCL measures behavioral and emotional problems

during the 6 months prior to data collection.

[b] Internalizing and externalizing scores above 63 are in the clinical range.

Internalizing behaviors at intake are in the clinical range.

o Internalizing behavior problems are defined as a child/youths attempts to control

painful emotions. Examples include social withdrawal, demand for attention,

feelings of worthlessness or inferiority, and dependency.

Externalizing behaviors are also in the clinical range.

o Externalizing behavior problems are defined as behaviors resulting from a

child/youth acting out in response to painful emotions or experiences. Examples

include difficulties with interpersonal relationships and rule breaking as well as

displays of irritability and belligerence.

Intake

InternalizingBehaviors

67.4

ExternalizingBehaviors

72.3

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

AverageCBCLProblem

Scores

Internalizing and Externalizing Scores[b]


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June 2013

What emotional and behavioral problems are youth experiencing? [a,b]

[a] Data reported were collected using the Child Behavioral Checklist 618 (CBCL 618). The CBCL

measures behavioral and emotional problems during the 6 months prior to data collection.

[b] Scores on the eight syndrome scales above 70 are in the clinical range.

* Somatic complaints are physical problems and include dizziness, tired, aches, headaches, nausea,

vomiting, and complaints about eyes, skin or stomach problems.

** Anxious/depressed include loneliness, crying, fear, perfectionism, worthlessness, nervousness, fear,

guilt, suspiciousness, sadness and worries.

*** Social problems refer to whether the child acts young, clings, doesn't get along with peers, is disliked,

acts clumsily, acts young for his age, or prefers to play with much younger children.

**** Thought problem items include seeing things, hearing things, staring, strange behavior or ideas and

repeating acts.

Thought problems, rule breaking and aggressive behaviors are in the clinical

range.

75

70

68

70

64

67

66

66

Aggressive Behavior

Rule Breaking Behaviors

Attention Problems

Thought Problems****

Social Problems***

Anxious/Depressed**

Somatic (Physical) Complaints*

Withdrawn

55 60 65 70 75 80

Intake

(n=28)


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June 2013

What are youths emotional and behavioral strengths?[a]

The overall strength index is 79.8 (n = 28). This is lower than the average index of

between 90 and 110.

With the exception of affective strength and career strength, all of the subscales

were rated below the average score of 8 and 12.

[a] Data reported were collected using the Behavioral and Emotional Rating ScaleSecond Edition, Parent Rating Scale (BERS2C). The

BERS2C reflects behavioral and emotional strengths during the 6 months prior to data collection.

[b] Strength subscales on the BERS2C range from 1 to 16, with an average score between 8 and 12. Higher scores indicate greater

strength.

[c] Strength index on the BERS2C ranges from 38 to 161 with an average index between 90 and 110. A higher index indicates greateroverall strengths.

Interpersonal Strength, measures a childs ability to regulate his or her emotions and behaviors in

social settings (e.g., "uses anger management skills", "shares with others and apologizes to others

when wrong").

Family Involvementevaluates the quality of the relationship between the child and his or her

family (e.g., "interacts positively with parents", "complies with rules at home").

Intrapersonal Strength measures a childs perception of his or her competence and

accomplishments (e.g., "enjoys a hobby", "is popular with peers").

School Functioning assesses a childs competence in school (e.g., "pays attention in class" and

"completes tasks on time").

Affective Strength assesses on the childs ability to express feelings and accept affection from

others (e.g., "acknowledges painful feelings," "asks for help").

9.9

8.2

6.0

7.8

6.8

6.6

Career Strength*

Affective Strength

School Functioning

Intrapersonal Strength

Family Involvement

Interpersonal Strength

0.0 2.0 4.0 6.0 8.0 10.0 12.0

Intake

Strength Subscale[b]

*n = 27

n = 28


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June 2013

Caregiver Strain

Caregiver Strain Questionnaire (CGSQ): The CGSQ assesses the extent to which caregivers

are affected by the special demands associated with caring for a child with emotional and

behavioral problems. The CGSQ is comprised of three subscales which range in severity

from 0 to 5. Higher scores on each of these scales indicate greater strain.

Objective Strain refers to observable disruptions in family and community life

(e.g., interruption of personal time, lost work time, financial strain).

Subjective Externalized Strain refers to negative feelings about the child such as

anger, resentment, or embarrassment.

Subjective Internalized Strain refers to the negative feelings that the caregiver

experiences such as worry, guilt, or fatigue.

A Global Strain score is calculated by summing the three subscales (i.e., Objective Strain,

Subjective Externalized Strain, and Subjective Internalized Strain) to provide an indicationof the total impact of the special demands on the family. Global Strain scores range from

0 to 15. As with the individual subscales, higher scores indicate greater strain.

Caregiver Strain Questionnaire Subscales[a] Average Score Range

Objective Strain (n = 27) 2.7 1 to 5

Subjective Externalized Strain (n = 27) 2.6 1 to 5

Subjective Internalized Strain (n = 27) 3.6 1 to 5

Global Strain (n = 27) 8.9 1 to 15

saginaw max soc evaluation report

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