In-Home Services Programs

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Wilfred Beasley
5 years ago
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1 Youth Villages provides In-Home Services through two programs - Multisystemic Therapy (MST) and Intercept. Current MST locations include: Alabama, North Carolina and District of Columbia.* Current Intercept locations include: Tennessee, Florida, Massachusetts, New Hampshire, Indiana, North Carolina, Alabama and Oregon.** *MST previously provided in Texas **Intercept previously provided in Virginia and Mississippi Information from October 1994 through June 2015

2 SUMMARY Youth Served More than 37,500 youth served in In-Home Services since 2000 More than 4,000 admissions per year for the past six fiscal years Outcomes More than 85% discharged home with family More than 80% still at home with family at 12 months post-discharge Over 80% report no trouble with the law Nearly 90% are in school, graduated from high school, or in GED classes

3 Demographics Youth served October 1994 through June 2015 N = 37, % 80% 61% 56% 60% 40% 39% 35% 20% 0% Male Female African American 4% 5% Caucasian Hispanic Other Gender Race/Ethnicity

4 Age Group Youth served October 1994 through June 2015 N = 37,863 12% 43% 13% 32% 8 Years Old and Younger 9 to 11 Years Old 12 to 14 Years Old 15 to 18 Years Old

Youth served October 1994 through June 2015 N = 37,863 100% 90% 80% of youth have multiple presenting issues.

5 Youth served October 1994 through June 2015 N = 37, % 90% 80% of youth have multiple presenting issues. 80% 60% 49% 44% 40% 32% 30% 35% 20% 0% Behavioral Disorders Substance Abuse Emotional Disorders Victim of Abuse and/or Neglect Suicidal Ideations or Gestures Legal Issues

6 Program Characteristics Growth Fairly steady growth in program admissions since 2001 More than 4,000 admissions in the past six fiscal years Geographic Distribution Tennessee has served the largest number of youth in the in-home services program Nearly 5,000 youth have been served in North Carolina More than 1,800 youth have been served in Alabama and Massachusetts

7 Admissions by Fiscal Year October 1994 through June ,000 4,500 4,188 4,233 4,156 4,570 4,342 4,312 4,000 3,744 3,500 3,000 2,719 2,500 2,000 1,500 1, ,241 1,404 1,584 2,027 1, Youth may have multiple admissions to the program Fiscal Year July 1 to June 30

8 11,000 10,535 In-Home Services Programs Admissions by Region Youth Served October 1994 through June ,000 9,014 9,000 8,138 8,000 Youth may be served in multiple regions 7,000 6,000 5,000 4,918 4,000 3,000 1,911 2,363 1,957 2,000 1,000 1,047 1, West TN Middle TN East TN AL Washington DC NC MA FL NH OR IN GA VA* MS* TX* *In-Home Services (Intercept/MST) are no longer provided in these areas

9 Current Census by Program Census on June 2015 N = 1,385 15% 85% MST Intercept MST Programs are currently located in Alabama, North Carolina and Washington, DC; Intercept Programs operate in all other Youth Villages locations.

10 OUTCOMES At Discharge More than 85% of youth are discharged home with family or are living independently At One Year Post-Discharge More than 80% of youth are living home with family or are living independently Over 80% of youth report no trouble with the law Almost 90% of youth are in school, have graduated from high school, or are in GED classes Few youth have experienced an out of home placement; 6% have been in residential treatment, 2% in a psychiatric hospital, and 8% in a detention or correctional facility 15% of youth under 18 at the time of follow-up are in state custody; youth who participate in In-Home Services are at high risk of placement into state custody at the time of admission

Discharge Location Youth discharged October 1994 through June 2015 N = 34,851 100% 86% 80% 60% 40% 20% 3% 1% 3% 7% 0% Home Residential Treatment Center Psychiatric Hospital Detention/ Corrections

11 Discharge Location Youth discharged October 1994 through June 2015 N = 34, % 86% 80% 60% 40% 20% 3% 1% 3% 7% 0% Home Residential Treatment Center Psychiatric Hospital Detention/ Corrections Other* Only includes youth who received at least 60 days of service; 15.7% (6,474 out of 41,325) of admissions ended prior to 60 days. *Other includes placements such as group homes, runaway, foster care and rehab centers

Parent Satisfaction at Discharge Parents surveyed October 2009 through June 2015 100% 89% 87% 88% 90% 90% 80% 60% 40% 20% 0% Satisfaction with the Quality of Services Received Satisfaction with the

12 Parent Satisfaction at Discharge Parents surveyed October 2009 through June % 89% 87% 88% 90% 90% 80% 60% 40% 20% 0% Satisfaction with the Quality of Services Received Satisfaction with the Kind of Services Received Would Return to YV services if Needed Satisfaction with the Quantity of Services Received Overall Satisfaction Only includes youth who received at least 60 days of service

13 Success at Follow-up Follow-ups conducted October 1994 through June % 80% 81% 82% 82% 60% 40% 20% 0% Six Months Twelve Months Twenty-four Months Success is defined as living with family or independently at the time of follow-up Only includes youth who received at least 60 days of service

Youth reporting NO Trouble with the Law Follow-ups conducted October 1994 through June 2015 100% 81% 81% 80% 80%

14 Youth reporting NO Trouble with the Law Follow-ups conducted October 1994 through June % 81% 81% 80% 80% 60% 40% 20% 0% Six Months Twelve Months Twenty-four Months Only includes youth who received at least 60 days of service

School Status Follow-ups conducted October 1994 through June 2015 100% 80% 91% 89% 85% 60% 40% 20% 0% Six Months Twelve Months Twenty-four Months Only includes

15 School Status Follow-ups conducted October 1994 through June % 80% 91% 89% 85% 60% 40% 20% 0% Six Months Twelve Months Twenty-four Months Only includes youth who received at least 60 days of service Indicates the percent of youth in school, graduated from high school, or in GED classes at the time of follow-up

Out of Home Placements Follow-ups conducted October 1994 through June 2015 100% 80% 60% 40% 20% 0% 7% 7% 7% 8% 6% 3% 4% 3% 2% Six Months Twelve Months

16 Out of Home Placements Follow-ups conducted October 1994 through June % 80% 60% 40% 20% 0% 7% 7% 7% 8% 6% 3% 4% 3% 2% Six Months Twelve Months Twenty-four Months Residential Treatment Center Psychiatric Hospital Detention/Corrections Only includes youth who received at least 60 days of service

Youth under 18 in State Custody at Follow-up Follow-ups conducted October 1994 through June 2015 100% Youth who participate in the program are at significantly increased risk of placement into

17 Youth under 18 in State Custody at Follow-up Follow-ups conducted October 1994 through June % Youth who participate in the program are at significantly increased risk of placement into state custody either due to abuse/neglect or delinquency issues. 80% 60% 40% 15% 15% 16% 20% 0% Six Months Twelve Months Twenty-four Months Only includes youth who received at least 60 days of service

18 About our Response Rates Due to the number of youth served, beginning in 2010, youth are randomly selected at discharge for follow-up surveys. The sample has been found to accurately represent the population of youth served based on demographics, length of service, and outcome at discharge; figures presented here represent outcomes for the population of youth discharged from the program within +/- 3% at the 95% confidence level. Surveys are conducted by research staff via phone with letter surveys to non-respondents. Internet search of public records (Lexis-Nexis) is completed to locate accurate contact information While no consensus exists regarding adequate response rates, 40% - 60% has been identified as appropriate for surveys of this type and size 1. 1 PWGSC (Public Works and Government Services Canada). (2008). Advisory Panel on Telephone Public Opinion Survey Quality: Standards and Guidelines for Response Rate. Surveys through 06/15 Discharge Surveys 66.4% (9,528 out of 14,358) 6-Month Follow-up 61.2% (20,777 out of 33,940) 12-Month Follow-up 53.6% (16,930 out of 31,599) 24-Month Follow-up 44.9% (12,546 out of 27,929) Satisfaction surveys (conducted shortly after discharge) are only conducted with families who were involved in the youth s treatment. A new satisfaction survey was introduced in October 2009; figures reflect only responses to the new survey. Please note: Surveys are completed with youth/families who have discharged from YV services altogether. If a youth re-enters YV services, the survey cycle is reset and begins again at their discharge. Rate of re-entry into YV services: (July 2000 through June 2015) 6-Month Follow-up 5.1% (1,749 out of 33,972) 12-Month Follow-up 8.8% (2,872 out of 32,767) 24-Month Follow-up 12.4% (3,726 out of 29,972)

CHILDREN S MENTAL HEALTH BENCHMARKING PROJECT SECOND YEAR REPORT

CHILDREN S MENTAL HEALTH BENCHMARKING PROJECT SECOND YEAR REPORT APPENDICES APPENDI I DATA COLLECTION INSTRUMENT APPENDI II YEAR 2 DATA SPECIFICATIONS APPENDI III RESPONDENT LIST PREPARED BY: Dougherty