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Child Guidance Annual Report

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Child Guidance Annual Report 2016 CHILD GUIDANCE ANNUAL REPORT CHILD GUIDANCE VISION: Creating a state of health in which families can thrive so that all children reach optimal growth and development 2016 CHILD GUIDANCE ANNUAL REPORT 3 Overview 5 Participant Characteristics 6 Program Characteristics 8 Program Financials 12 Program Costs 14 Parental Resilience 15 Social Connections 16 Knowledge of Parenting 2016 CHILD GUIDANCE and Child Development ANNUAL REPORT 17 Concrete Support in Times of Need CHILD GUIDANCE VISION: Creating a state of health in which 17 Social and Emotional families can thrive so that all children reach optimal growth and development. Competence of Children Child Guidance serves children, 19 OSDH Flagship Issues CHILD GUIDANCE MISSION: services that supports development birth to age 13, their families and caregivers by providing and parenting of children from birth services that are relationship based, family centered, to age 13. Each discipline provides 20 Parental Satisfaction developmentally appropriate and culturally sensitive. Child a unique expertise in supporting Guidance is a key partner in a system of care that works to families with young children. At the 20 Short Satisfaction assure conditions by which our youngest citizens can be core of the Child Guidance Program Survey Results healthy. are EBPs that have been proven 20 Conclusion The Oklahoma State Department of Health (OSDH) Child effective in changing behavior in the Guidance Program offers a continuum of services for target population. Child Guidance 21 Acknowledgments children and their families to assist them in achieving optimal staff has received training in various development. The program is uniquely positioned in public EBPs from accredited program health settings to provide evidence-based programs (EBP) trainers. Implementation of EBPs 22 Works Cited that enhance protective factors and reduce risk factors for is supported through technical families. Child Guidance teams located in county health supervision, continuing education departments consist of master’s degree level clinicians in and peer support groups. child development, behavioral health and speech/language pathology. All professionals must maintain credentials in their clinical specialty area. Through a multidisciplinary approach to service delivery, Child Guidance provides a continuum of 2016 CHILD GUIDANCE ANNUAL REPORT 3 PARTICIPANTS & PROGRAM CHARACTERISTICS competence, all of which greatly impact the life triples. In 2016, approximately 4% of new intakes course (Cooper, 2007). Early exposure to traumatic represented grandparents raising grandchildren, events has been shown to negatively affect the compared to 5% in the general population. Child developing brain disrupting healthy emotional and Guidance clients living with two married parents cognitive development. These types of stressors comprised 45% of the population served in 2016. can have a cumulative effect on both physical and This represents an increase from 2015 when 39% mental health (Center on the Developing Child, of Guidance clients resided with two married 2007). In contrast, early intervention can prevent parents. According to the American Community the consequences of early adversity resulting in Survey, 39% of Oklahoma children are living with children who are emotionally healthy and more both their married, biological parents ranking likely to enter school ready to learn, succeed in Oklahoma eighth lowest in the nation. Eighty-four school, be physically healthy, and lead productive percent of Child Guidance clients received some lives. form of public assistance. The most frequent form of assistance reported was SoonerCare (Medicaid) The OSDH Child Guidance Program currently has Child, 2008/2012). If these concerns are caught followed by WIC and Food Stamps. staff trained to provide these highly rated EBPs: early they may be able to prevent developmental PARTICIPANT CHARACTERISTICS • The Incredible Years®-Parent Program and biological disruptions which may result in • The Incredible Years®-Child Program physiological responses, later impairments in During calendar year 2016 (CY), Child Guidance • The Incredible Years®-Teacher Program health and altered brain architecture (Center on the services were provided to 5,067 unduplicated • The Incredible Years®-Small Group Developing Child, 2007). clients who participated in 21,327 encounters. Of Treatment Program these clients, 2,424 were new client intakes. Nearly Mental health and emotional well-being are • Parent Child Interaction Therapy (PCIT) 60% were male, and slightly more than 90% spoke essential to a child’s overall health and well-being. • Circle of Security© (COS) English as their primary language. Recent research indicates that early experiences in • It Takes Two To Talk®-The Hanen Centre® childhood lay the foundation for later success (Tout, Children in the foster care system represent a • Early Childhood Mental Health Consultation et al. 2013). Additionally, the presence of certain priority population for the Child Guidance Program. (For Child Care Centers ) risk factors can impact the development of a child’s In 2014, the number of children in the custody • Trauma Focused Cognitive Behavioral mental health and predispose them to mental of the state of Oklahoma was 11,483 (Oklahoma Therapy (TCFCBT) health problems. Poverty, low birth weight, parental Department of Human Services). Eighty-three • Circle of Parents® (COP) (Evidence-informed) depression, and exposure to trauma (e.g., violence, percent (83%) were between the ages of birth Research has shown that the foundation of sound abuse and neglect) are some of the risk factors for and 13 and 42% were under the age of five. mental health begins in early childhood as early mental health issues. In other words, facing these In the last four years the percentage of foster experiences. Disruptions in development can affect and other adverse childhood experiences can children receiving Child Guidance services has a child’s ability to learn or develop relationships. lead to problems across the lifespan. For example, doubled from 5% to 10%. Including grandparents In the absence of a caring supportive relationship, children exposed to trauma can experience raising grandchildren the percentage nearly these disruptions can lead to lifelong issues learning difficulties, chronic health problems, (National Scientific Council on the Developing behavior problems, and poor social and emotional 4 2016 CHILD GUIDANCE ANNUAL REPORT 2016 CHILD GUIDANCE ANNUAL REPORT 5 EVIDENCE BASED TOTAL NUMBER OF PROGRAMS MINUTES EVENTS Child Guidance staff provided 1,293 therapeutic PCIT encounters. IY Parent Program 1,256 420 Of the clients seen during this time IY Dino School Class Group 1,691 887 period, the majority (53%), were IY Teacher Training 199 69 under the age of three years, an IY Infant/Toddler B-3 837 336 additional 34% were four to eight years of age. The remainder of CSEFEL Parents 299 133 clients were nine years or older CSEFEL Preschool 129 25 with only 3% falling outside the CSEFEL Infant/Toddler 7 3 age range of the program. The population of birth to eight years PCAN Childcare 24 6 is commonly referred to as early PCAN Parents - - childhood and is a priority for the Child Guidance Program. As TOTAL 4,441 1,879 discussed at the beginning of this report the early years are critical for life long success and positive enhance relationships between caregivers and infants, as well health outcomes. Early childhood as assure optimal environments for growth and development. social and emotional development Relationship-based interventions may be provided either PARTICIPANTS & occurs during this time period and is individually or in group settings. Child Guidance clinicians influenced by biology, relationships provide group services in the community at various locations. and environment. Although the These services may be sponsored by a community organization PROGRAM CHARACTERISTICS Child Guidance Program does such as a church or school group. Groups may also be initiated not directly address the “biology” by the clinician who recruits for participants from referral encounters, were for intervention portion of this equation, there are FROM ENCOUNTERS NEW TABLE sources or the general population. For this calendar year, or treatment services. Assessment/ a number of public health models community based services represented an additional 9,019 ENCOUNTER TYPE FREQUENCY PERCENT evaluation services made up 20% that do such as home visiting, WIC, individuals who were served through 890 distinct events. and screening services accounted Guidance Assessment/Evaluation 4,355 20.38 immunizations, family planning, for the remaining 14%. teen pregnancy prevention and Guidance Consultation 68 0.32 abstinence education programs, For children receiving intervention Guidance Parent Only Consultation 424 1.98 among others. Child Guidance services, a service plan was compliments these prenatal services Guidance Intervention 13,608 63.68 developed in conjunction with the with programming designed to Guidance Prevention 6 0.03 child’s caregiver. The majority of service plans opened in 2016 were Guidance Screening 2,908 13.61 for behavior issues, followed by TOTAL 21,369 100.00 development and parenting, and communication issues. Of families seeking individual services for behavioral health, behavior issues PROGRAM CHARACTERISTICS at home made up the bulk of the referrals, followed by behavior at Individual Child Guidance services were provided through
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