Download - Saginaw MAX SOC Evaluation Report
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O
Saginaw
Year to Dat
MAX System
e EnrollmentJune 18, 2013
f Care
ummary
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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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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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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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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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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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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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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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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
P a g e 12
June 2013
asked about
asked about
27%
1%
25% 30%
n = 28
23%
23%
20% 25%
n = 26
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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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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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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*
P a g e 16
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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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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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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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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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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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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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