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Delaware's BEST Logic Model

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Navigation Tutorial • Click to return to the Main Menu • Click to view Evaluation Outcomes • Click to skip to the end of an animation • Click blue text at the bottom of the screen to view additional information about selected outcomes • Click buttons to view more detailed information about a particular measure, or to view graphs and data Click Me
Acknowledgements The development of this logic model and the corresponding data was a collaborative effort involving many partners and stakeholders including the BEST grant team and the evaluation committee. In particular the following individuals were instrumental: Marissa Smith Timothy Fowles Cathy Imburgia Mary Moor
Delaware’s B.E.S.T. for Young Children and Their Families Logic Model & Outcomes Delaware Children’s Department Division of Prevention and Behavioral Health Services
Main Menu: What would you like to do? Soccer & Logic Model Menu Evaluation Outcomes
Soccer and Logic Model View Soccer Model Piece-by-Piece Label Components of Soccer Model View Logic Model
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareChildren and Families
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care Providers
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care B.E.S.T. Team
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareAgencies, Organizations, Stakeholders
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareBroader Community
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareLimits of System (e.g., Geography, Resources)
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareEvaluation
Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout Evaluation Outcomes Providers Children and Families Broader Community Agencies, Organizations, Stakeholders
Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
PreBERS: Family Involvement Homework Compliance DPICS xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Observational Coding Measure • Completed by therapist during session • Caregiver Interaction Skills • Positive “Do” Skills • Reflections, Labeled Praise, Behavioral Descriptions • Negative “Avoid” Skills • Commands, Questions, Negative Talk Child and Family Outcomes PreBERS: Family Involvement Homework Compliance DPICS xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes PreBERS: Family Involvement Homework Compliance DPICS xx 0 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AverageDPICSScores Session Number Positive Negative Combined Home-based and Outpatient Sessions up to 8/1/2012; N Sessions = 2149 Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Parent report of completed homework collected at every session • Number of days completed HW • Possible number of days to complete HW Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx (HW compliance graph here) Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx (PreBERS graph here) Child and Family OutcomesDPICS PreBERS: Family Involvement Homework Compliance Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
DECA: Self Regulation DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
36.76 41.06 40.83 20 25 30 35 40 45 Baseline 6 Month Follow-up 12 Month Follow- up Attachment Time *Graph shows t-scores Clinical concern p <.05 n.s. N = 41 N = 31 N = 18 Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
34.29 43.06 42 20 25 30 35 40 45 Baseline 6 Month Follow-up 12 Month Follow-up Self-Control Time Clinical concern p <.05 n.s. *Graph shows t-scores Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Graph here Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Graph here Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• (Graph here) Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• (Graph here) Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx Child and Family Outcomes • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Parent-report measure • 27 items • Measures perceptions of service across five domains: • Access • Participation in treatment • Cultural sensitivity • Satisfaction • Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Child and Family OutcomesYouth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Access to services graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Participation in Tx graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Cultural sensitivity graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Satisfaction w/ services graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Parent-report measure • 47 items with subparts • Report of child and family service use: • Services used • Service locations and convenience • Quantity of services received • Satisfaction with services • Payments for services Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Services received graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Location graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Quantity graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Satisfaction graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Continuity in care graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Length of tx graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Parent-report measure (no staff as caregiver version) • 13 items • Assesses: • Importance of culture in the lives of the respondent • Caregiver’s perspective on provider’s consideration of family’s beliefs, traditions, and practices when providing services Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • CCSP-R Graph here Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x National Evaluation xx Child and Family Outcomes x xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x xx Child and Family Outcomes x xx 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 6 months 12 months 18 months 24 months Grand total Average of DE Retention (%) Average of National Retention (%) National Evaluation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition Although this is considered a key outcome, no data currently are available.
x EQ-R2 xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx Expulsions Suspensions Child and Family Outcomes • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions EQ-R2 Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Suspensions graph here Child and Family OutcomesEQ-R2 Expulsions Suspensions Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
xx • Expulsions graph here Child and Family OutcomesEQ-R2 Expulsions Suspensions Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x Parenting Stress Index (PSI) Caregiver Strain Questionnaire xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x xx • Parent-report measure (no staff version) • 21 items • Assesses difficulties, strains, and other negative effects related to caring for a child with emotional and behavioral problems Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x xx • CGSQ graph here Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Parent-report measure (no staff version) • 36 items • Assesses: • Level of parental distress • Parent-child dysfunctional interaction • Difficult child characteristics CG-Child Interax Parental Distress Difficult Child Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Graph: PSI Parental distress here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Graph: Dysfunctional Parent-Child Interactions here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Graph: PSI Difficult Child here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x Child Behavior Checklist (CBCL) ECBI xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Problem Intensity • Parent-report measure of child disruptive behavior • Intensity score • Problem score • 36 items • Completed at every PCIT session Child and Family Outcomes Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes 90 100 110 120 130 140 150 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AverageECBIScores Session Number Intensity Range of Significant Concern Combined Home-based and Outpatient Sessions up to 8/1/2012; N Sessions = 2149 Problem Intensity Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child and Family Outcomes There was a significant decrease in ECBI Problem scores, β10 = -.56 (SE = 0.09), p < .001, and this change was not statistically different between treatment groups, β11 = -.04 (SE = 0.13), p = .76. 5.00 7.00 9.00 11.00 13.00 15.00 17.00 19.00 21.00 23.00 25.00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Outpatient Home Based Clinically significant Problem Intensity Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
• Standardized measure of children’s symptomatology • Caregivers’ report of their child’s problems, disabilities, and strengths • Caregivers say how often statements describing behaviors are true for their child • 17 social competence items, 113 behavior problem items • Requires approximately 20 minutes to complete • Yields result scales in three areas: • Syndrome Scales • DSM-Oriented Scales • Externalizing, Internalizing, and Total Problems scales Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child and Family Outcomes Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
71.7 65.55 63.56 60 62 64 66 68 70 72 74 Baseline 6 Month Follow-up 12 Month Follow-up AggressiveBehavior Time p <.05 n.s. N = 54 N = 31 N = 18 Clinically significant Child Behavior Checklist 1.5-5 (CBCL 1.5-5): Aggressive Behavior subscale (t-scores) Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Attention Problems subscale (t-scores) • Graph: Attn Prblms here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Externalizing subscale (t-scores) • Graph: Externalizing here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): ADHD Problems subscale (t-scores) • Graph: ADHD Problems here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Oppositional Defiant subscale (t- scores) • Graph: Oppositional Defiant Problems here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x By Completion Status xx Child and Family Outcomes: Attrition Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x xx Child and Family Outcomes: Attrition 8% 16% 9% 67% Not Engaged Dropout CDI Dropout PDI Completer 28% 26%13% 33% Outpatient CSM c2 (3, N = 169) = 21.20, p < .001 By Completion Status Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
x Comparison to Other Trainings Overall Training Satisfaction xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx • Therapists were surveyed following completion of a 40-hour PCIT training Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx 1 2 3 4 5 6 7 8 9 10 Trainer Didactics Family Sessions Videos Role-Play Manuals Post-Training Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx • Therapists were asked to rate how their experience with the 40-hour PCIT training compared to their experience with previous trainings Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx Much Better 67% Better 22% Neutral 11% Post-Training None indicated “Worse” or “Much Worse” Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x CSM Service Location xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x CSM Service Location xx Provider Outcomes Interactive CSM Client Map Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
x xx Community Outcomes Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
xx Community Outcomes Curriculum Evaluation Pre-Awareness Week Knowledge Location of Awareness Program • Families who attended Mental Health Awareness Week completed an online survey responding to the following items Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
xx Community OutcomesLocation of Awareness Program Sussex County (3) Kent County (6) New Castle County (25) Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community OutcomesLocation of Awareness Program Awareness Week Prior Participation Delaware’s B.E.S.T. • Individuals responded to the following items keeping in mind how they felt before participating in Children’s Mental Health Awareness Week Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes Awareness Week Delaware’s B.E.S.T. I knew that Awareness Week existed Strongly Disagree (9) Disagree (10) Neither Agree nor Disagree (5) Agree (9) Strongly Agree (4) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes Awareness Week Delaware’s B.E.S.T. I knew that Delaware's BEST for Young Children existed Strongly Disagree (8) Disagree (12) Neither Agree nor Disagree (4) Agree (9) Strongly Agree (4) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes Awareness Week Delaware’s B.E.S.T. I have participated in Awareness activities before Strongly Disagree (14) Disagree (13) Neither Agree nor Disagree (4) Agree (4) Strongly Agree (2) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes Usefulness of Materials Families’ Opinions Children’s Opinions Easy to Understand • Individuals responded to the following items keeping in mind how they felt about the program curriculum Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes The curriculum materials were useful Neither Agree nor Disagree (1) Agree (18) Strongly Agree (18) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes I understood how to use the curriculum materials Disagree (1) Neither Agree nor Disagree (0) Agree (19) Strongly Agree (19) *None responded ‘Strongly Disagree’ Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes The families liked the curriculum Neither Agree nor Disagree (15) Agree (15) Strongly Agree (7) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
Community Outcomes The children liked the curriculum Neither Agree nor Disagree (4) Agree (15) Strongly Agree (19) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
x xx Community Outcomes Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x MSSC-R xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x xx Agency Outcomes • Parent-report measure • 47 items with subparts • Report of child and family service use: • Services used • Service locations and convenience • Quantity of services received • Satisfaction with services • Payments for services **Listed in Child and Family Outcomes section MSSC-R Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
x xx Agency Outcomes • Graph here MSSC-R Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
The “Logic” Population/Context OutcomesServices
Families Providers Logic Model OutcomesServices OutcomesServices Agencies OutcomesServices One person’s service is another’s outcome…
Families Providers Logic Model OutcomesServices OutcomesServices Agencies OutcomesServices One person’s service is another’s outcome…
Contact Us: Tim Fowles Department of Psychology University of Delaware 108 Wolf Hall Newark, DE 19702 tfowles@udel.edu (302) 781-3213 Delaware’s B.E.S.T. 261 Chapman Rd. Newark, DE 19702 Mary.Moor@state.de.us Main: (302) 781-3210

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Delaware's BEST Logic Model

  • 1. Navigation Tutorial • Click to return to the Main Menu • Click to view Evaluation Outcomes • Click to skip to the end of an animation • Click blue text at the bottom of the screen to view additional information about selected outcomes • Click buttons to view more detailed information about a particular measure, or to view graphs and data Click Me
  • 2. Acknowledgements The development of this logic model and the corresponding data was a collaborative effort involving many partners and stakeholders including the BEST grant team and the evaluation committee. In particular the following individuals were instrumental: Marissa Smith Timothy Fowles Cathy Imburgia Mary Moor
  • 3. Delaware’s B.E.S.T. for Young Children and Their Families Logic Model & Outcomes Delaware Children’s Department Division of Prevention and Behavioral Health Services
  • 4. Main Menu: What would you like to do? Soccer & Logic Model Menu Evaluation Outcomes
  • 5. Soccer and Logic Model View Soccer Model Piece-by-Piece Label Components of Soccer Model View Logic Model
  • 6. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
  • 7. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
  • 8. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareChildren and Families
  • 9. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care Providers
  • 10. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care B.E.S.T. Team
  • 11. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareAgencies, Organizations, Stakeholders
  • 12. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareBroader Community
  • 13. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareLimits of System (e.g., Geography, Resources)
  • 14. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of CareEvaluation
  • 15. Soccer Model Master Delaware’s B.E.S.T. for Young Children and Their Families Delaware Children’s Department | Division of Prevention and Behavioral Health Services System of Care
  • 16. Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
  • 17. Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 18. Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout Evaluation Outcomes Providers Children and Families Broader Community Agencies, Organizations, Stakeholders
  • 19. Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
  • 20. Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers Evaluation Outcomes Providers Children and Families Agencies, Organizations, Stakeholders Broader Community
  • 21. PreBERS: Family Involvement Homework Compliance DPICS xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 22. • Observational Coding Measure • Completed by therapist during session • Caregiver Interaction Skills • Positive “Do” Skills • Reflections, Labeled Praise, Behavioral Descriptions • Negative “Avoid” Skills • Commands, Questions, Negative Talk Child and Family Outcomes PreBERS: Family Involvement Homework Compliance DPICS xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 23. Child and Family Outcomes PreBERS: Family Involvement Homework Compliance DPICS xx 0 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AverageDPICSScores Session Number Positive Negative Combined Home-based and Outpatient Sessions up to 8/1/2012; N Sessions = 2149 Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 24. xx • Parent report of completed homework collected at every session • Number of days completed HW • Possible number of days to complete HW Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 25. xx (HW compliance graph here) Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 26. xx • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence Child and Family OutcomesDPICS Homework Compliance PreBERS: Family Involvement Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 27. xx (PreBERS graph here) Child and Family OutcomesDPICS PreBERS: Family Involvement Homework Compliance Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 28. DECA: Self Regulation DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 29. • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 30. 36.76 41.06 40.83 20 25 30 35 40 45 Baseline 6 Month Follow-up 12 Month Follow- up Attachment Time *Graph shows t-scores Clinical concern p <.05 n.s. N = 41 N = 31 N = 18 Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 31. Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 32. 34.29 43.06 42 20 25 30 35 40 45 Baseline 6 Month Follow-up 12 Month Follow-up Self-Control Time Clinical concern p <.05 n.s. *Graph shows t-scores Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 33. Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 34. • Graph here Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 35. Child and Family Outcomes • Parent-report measure • Three versions: • DECA 1–18M (33 items, 5 minutes) • DECA 18–36M (36 items, 5 minutes) • DECA 2–5Y (37 items, 5 minutes) • Assesses: • Protective factors • Initiative • Self-regulation • Attachment/relationships • Self-control DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 36. • Graph here Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 37. Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 38. • (Graph here) Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 39. Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 40. • (Graph here) Child and Family Outcomes DECA: Self- Control DECA: Attachment DECA: Initiative PreBERS:Emotion Regulation PreBERS: Social Confidence DECA: Self Regulation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 41. EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 42. xx Child and Family Outcomes • Parent-report measure • 42 items + 7 open-ended questions • Identifies a child’s: • Strengths • Emotion regulation • School readiness • Language and attention skills • Social confidence EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 43. xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 44. xx • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 45. xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 46. xx Child and Family Outcomes • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 47. xx • (Graph here) Child and Family Outcomes EQ-R2: Academic Performance EQ-R2: Achievement PreBERS: School Readiness Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 48. CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 49. • Parent-report measure • 27 items • Measures perceptions of service across five domains: • Access • Participation in treatment • Cultural sensitivity • Satisfaction • Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Child and Family OutcomesYouth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 50. • Access to services graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 51. • Participation in Tx graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 52. • Cultural sensitivity graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 53. • Satisfaction w/ services graph here Child and Family Outcomes Participation in Tx Access to Services Cultural Sensitivity Satisfaction Youth Services Survey: Families Multi-Sector Service Contacts CCSP-R: Cultural Competence Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 54. • Parent-report measure • 47 items with subparts • Report of child and family service use: • Services used • Service locations and convenience • Quantity of services received • Satisfaction with services • Payments for services Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 55. • Services received graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 56. • Location graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 57. • Quantity graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 58. • Satisfaction graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 59. • Continuity in care graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 60. • Length of tx graph here Child and Family Outcomes Convenient Location Services Received Quantity Received Satisfaction Length of Treatment Continuity in Care CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 61. xx • Parent-report measure (no staff as caregiver version) • 13 items • Assesses: • Importance of culture in the lives of the respondent • Caregiver’s perspective on provider’s consideration of family’s beliefs, traditions, and practices when providing services Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 62. xx • CCSP-R Graph here Child and Family Outcomes CCSP-R: Cultural Competence Multi-Sector Service Contacts Youth Services Survey: Families Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 63. x National Evaluation xx Child and Family Outcomes x xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 64. x xx Child and Family Outcomes x xx 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 6 months 12 months 18 months 24 months Grand total Average of DE Retention (%) Average of National Retention (%) National Evaluation Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 65. Child and Family Outcomes xx Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition Although this is considered a key outcome, no data currently are available.
  • 66. x EQ-R2 xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 67. xx Expulsions Suspensions Child and Family Outcomes • Parent-report measure • 15 questions with subparts • Assesses child’s functioning in school • Topics covered: • School attendance/grade level • Special placements and plans • School achievement • Disciplinary actions EQ-R2 Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 68. xx • Suspensions graph here Child and Family OutcomesEQ-R2 Expulsions Suspensions Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 69. xx • Expulsions graph here Child and Family OutcomesEQ-R2 Expulsions Suspensions Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 70. x Parenting Stress Index (PSI) Caregiver Strain Questionnaire xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 71. x xx • Parent-report measure (no staff version) • 21 items • Assesses difficulties, strains, and other negative effects related to caring for a child with emotional and behavioral problems Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 72. x xx • CGSQ graph here Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 73. • Parent-report measure (no staff version) • 36 items • Assesses: • Level of parental distress • Parent-child dysfunctional interaction • Difficult child characteristics CG-Child Interax Parental Distress Difficult Child Child and Family Outcomes Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 74. • Graph: PSI Parental distress here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 75. • Graph: Dysfunctional Parent-Child Interactions here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 76. • Graph: PSI Difficult Child here Child and Family Outcomes CG-Child Interax Parental Distress Difficult Child Parenting Stress Index (PSI) Caregiver Strain Questionnaire Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 77. x Child Behavior Checklist (CBCL) ECBI xx Child and Family Outcomes Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 78. Problem Intensity • Parent-report measure of child disruptive behavior • Intensity score • Problem score • 36 items • Completed at every PCIT session Child and Family Outcomes Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 79. Child and Family Outcomes 90 100 110 120 130 140 150 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AverageECBIScores Session Number Intensity Range of Significant Concern Combined Home-based and Outpatient Sessions up to 8/1/2012; N Sessions = 2149 Problem Intensity Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 80. Child and Family Outcomes There was a significant decrease in ECBI Problem scores, β10 = -.56 (SE = 0.09), p < .001, and this change was not statistically different between treatment groups, β11 = -.04 (SE = 0.13), p = .76. 5.00 7.00 9.00 11.00 13.00 15.00 17.00 19.00 21.00 23.00 25.00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Outpatient Home Based Clinically significant Problem Intensity Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 81. • Standardized measure of children’s symptomatology • Caregivers’ report of their child’s problems, disabilities, and strengths • Caregivers say how often statements describing behaviors are true for their child • 17 social competence items, 113 behavior problem items • Requires approximately 20 minutes to complete • Yields result scales in three areas: • Syndrome Scales • DSM-Oriented Scales • Externalizing, Internalizing, and Total Problems scales Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child and Family Outcomes Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 82. 71.7 65.55 63.56 60 62 64 66 68 70 72 74 Baseline 6 Month Follow-up 12 Month Follow-up AggressiveBehavior Time p <.05 n.s. N = 54 N = 31 N = 18 Clinically significant Child Behavior Checklist 1.5-5 (CBCL 1.5-5): Aggressive Behavior subscale (t-scores) Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 83. Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Attention Problems subscale (t-scores) • Graph: Attn Prblms here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 84. Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Externalizing subscale (t-scores) • Graph: Externalizing here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 85. Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): ADHD Problems subscale (t-scores) • Graph: ADHD Problems here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 86. Child Behavior Checklist 1.5-5 (CBCL 1.5- 5): Oppositional Defiant subscale (t- scores) • Graph: Oppositional Defiant Problems here Attention Problems Aggressive Behavior Externalizing ADHD Problems ODD Problems Child Behavior Checklist (CBCL) ECBI Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 87. x By Completion Status xx Child and Family Outcomes: Attrition Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 88. x xx Child and Family Outcomes: Attrition 8% 16% 9% 67% Not Engaged Dropout CDI Dropout PDI Completer 28% 26%13% 33% Outpatient CSM c2 (3, N = 169) = 21.20, p < .001 By Completion Status Positive Caregiver Skills | Child Strengths | School Readiness | Satisfaction with Services | Retention Abuse/Neglect | School Expulsions | Caregiver Stress | Child Behavior Problems | Attrition
  • 89. x Comparison to Other Trainings Overall Training Satisfaction xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 90. x xx • Therapists were surveyed following completion of a 40-hour PCIT training Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 91. x xx 1 2 3 4 5 6 7 8 9 10 Trainer Didactics Family Sessions Videos Role-Play Manuals Post-Training Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 92. x xx • Therapists were asked to rate how their experience with the 40-hour PCIT training compared to their experience with previous trainings Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 93. x xx Much Better 67% Better 22% Neutral 11% Post-Training None indicated “Worse” or “Much Worse” Provider Outcomes Comparison to Other Trainings Overall Training Satisfaction Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 94. x CSM Service Location xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 95. x CSM Service Location xx Provider Outcomes Interactive CSM Client Map Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 96. x xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 97. x xx Provider Outcomes Satisfaction with Trainings | Adoption of Evidence-Based Practice| Fidelity to Model Burnout
  • 98. x xx Community Outcomes Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 99. xx Community Outcomes Curriculum Evaluation Pre-Awareness Week Knowledge Location of Awareness Program • Families who attended Mental Health Awareness Week completed an online survey responding to the following items Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 100. xx Community OutcomesLocation of Awareness Program Sussex County (3) Kent County (6) New Castle County (25) Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 101. Community OutcomesLocation of Awareness Program Awareness Week Prior Participation Delaware’s B.E.S.T. • Individuals responded to the following items keeping in mind how they felt before participating in Children’s Mental Health Awareness Week Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 102. Community Outcomes Awareness Week Delaware’s B.E.S.T. I knew that Awareness Week existed Strongly Disagree (9) Disagree (10) Neither Agree nor Disagree (5) Agree (9) Strongly Agree (4) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 103. Community Outcomes Awareness Week Delaware’s B.E.S.T. I knew that Delaware's BEST for Young Children existed Strongly Disagree (8) Disagree (12) Neither Agree nor Disagree (4) Agree (9) Strongly Agree (4) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 104. Community Outcomes Awareness Week Delaware’s B.E.S.T. I have participated in Awareness activities before Strongly Disagree (14) Disagree (13) Neither Agree nor Disagree (4) Agree (4) Strongly Agree (2) Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Prior Participation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 105. Community Outcomes Usefulness of Materials Families’ Opinions Children’s Opinions Easy to Understand • Individuals responded to the following items keeping in mind how they felt about the program curriculum Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 106. Community Outcomes The curriculum materials were useful Neither Agree nor Disagree (1) Agree (18) Strongly Agree (18) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 107. Community Outcomes I understood how to use the curriculum materials Disagree (1) Neither Agree nor Disagree (0) Agree (19) Strongly Agree (19) *None responded ‘Strongly Disagree’ Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 108. Community Outcomes The families liked the curriculum Neither Agree nor Disagree (15) Agree (15) Strongly Agree (7) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 109. Community Outcomes The children liked the curriculum Neither Agree nor Disagree (4) Agree (15) Strongly Agree (19) *None responded ‘Strongly Disagree’ or ‘Disagree” Location of Awareness Program Pre-Awareness Week Knowledge Curriculum Evaluation Usefulness of Materials Easy to Understand Families’ Opinions Children’s Opinions Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 110. x xx Community Outcomes Strong & Representative Family Organization | Awareness of Child MH Issues & Resources Stigma
  • 111. x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 112. x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 113. x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 114. x xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 115. x MSSC-R xx Agency Outcomes Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 116. x xx Agency Outcomes • Parent-report measure • 47 items with subparts • Report of child and family service use: • Services used • Service locations and convenience • Quantity of services received • Satisfaction with services • Payments for services **Listed in Child and Family Outcomes section MSSC-R Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 117. x xx Agency Outcomes • Graph here MSSC-R Funding & Resources for Child Mental Health | Publicity | Access to Services Unnecessary Duplication of Services | Systemic Barriers
  • 121. Contact Us: Tim Fowles Department of Psychology University of Delaware 108 Wolf Hall Newark, DE 19702 tfowles@udel.edu (302) 781-3213 Delaware’s B.E.S.T. 261 Chapman Rd. Newark, DE 19702 Mary.Moor@state.de.us Main: (302) 781-3210

Editor's Notes

  1. -Images with text in Soccer Model (ice cream stand, coach, and announcer’s table). Screen shots keep white box in background. Other ideas of how to fix?
  2. As session number increased, there was a significant decrease in ECBI Problem scores, β10 = -.56 (SE = 0.09), p < .001, and this change was not statistically different between treatment groups, β11 = -.04 (SE = 0.13), p = .76. Straight averages (not marginal means) Clinical cutoff 131: T = 60 Includes cases with intakes between mm/dd/yyy to mm/dd/yyyy
  3. Outpatient N Not Engaged N = 30 Dropout CDI N = 28 Dropout PDI N = 14 Completer N = 35 CSM Not Engaged N = 5 Dropout CDI N = 10 Dropout PDI N = 6 Completer N = 42
  4. Outpatient N Not Engaged N = 30 Dropout CDI N = 28 Dropout PDI N = 14 Completer N = 35 CSM Not Engaged N = 5 Dropout CDI N = 10 Dropout PDI N = 6 Completer N = 42