SLIDE 1 Using Navigation and Family Group Decision-Making to Support Kinship Families
Child Abuse Prevention Conference July 2 4 , 2 0 1 8
Presented by: Julie Treinen, Program Director, AZ Kinship Support Services Arizona’s Children Association Michele Schm idt, Senior Evaluation Associate LeCroy & Milligan Associates, I nc.
SLIDE 2 Learning Objectives
- Provide an overview of Kinship Navigation
and Family Group Decision-Making (FGDM)
- Review preliminary evaluation results
- Explore the benefits and challenges of
implementing this type of model with kinship families
SLIDE 3 “The full-time care, nurturing, and protection
- f a child by relatives, members of their Tribe
- r clan, godparents, step-parents, or other
adults who have a family relationship to a child."
Kinship Care is commonly defined as…
SLIDE 4 Project Goals
- Provide services that promote the safety,
permanency, and well-being of kinship families, and meet their immediate needs
- Strengthen existing community collaborations
- Rigorously evaluate the implementation, impact,
and cost of services through an experimental design:
- Navigation services only (comparison)
- Navigation services + FGDM (treatment)
SLIDE 5 Target Population
- Informal families
- Partnership with SALA
KARE Center
- In-home cases
- Dependency cases
Department
- f Child Safety
- Courts
- Schools
- Other social service providers
Community Referrals
SLIDE 6 Services as Usual
Open-Case Navigation Services
- Identify and meet urgent Navigation needs.
- Provide caregivers with information and referrals, donated
goods (diapers, household goods, food).
- Connect caregivers to community service providers for
financial needs (e.g., rental or fuel assistance).
- Develop and implement a Navigation Plan with primary
caregiver.
– Support groups – Title 14 Guardianship Clinic (in partnership with SALA)
SLIDE 7
Services Enhanced
Open-Case Navigation + FGDM
Identifying Family Members Identify/Meet Urgent Navigation Needs Family Group Conference Prep and Planning Navigator Creates a Menu of Services Family Group Conference/ Develop Family Plan Family and Navigator Implement Family Plan Post-FGC Follow-up on Family Plan
SLIDE 8
Evaluation Design
Informed Consent Baseline Survey Randomization Treatment Group DCS Admin Data Follow-up Survey at 6 Months Post Case Closure Client Interviews Control Group
Fidelity Monitoring Fidelity Monitoring
SLIDE 9 Implementation Study
- Describe demographics of the study groups
– Evaluate baseline equivalency of study groups
- Measure fidelity of project to FGDM and
Kinship Navigation Models
SLIDE 10 Outcomes Study
Instrument/Data Outcomes Measured Caregiver Pre/Post Survey Self-Reported
- Family needs
- Healthy Families Parenting Inventory
DCS Administrative Data Child Permanency and Safety
- Placement stabilization/disruption
- Substantiated maltreatment reports
Service Records Service utilization
- Types, number, and duration of AKSS
services received (dosage)
SLIDE 11
Evaluation Highlights
SLIDE 12 Study Groups
Control Group (Navigation Only) Treatment Group (FGDM + Navigation) Total Kinship Caregivers 49% 51% 160
- Over 1,500 caregivers have received Information, Referral
and Connection (IRC) services.
- 160 Caregivers eligible for Open-Case Navigation services
consented to be in the study (97% acceptance rate)
SLIDE 13
Open Case Navigation Indicators
A family could benefit from Open-Case Navigation when: % of Study Sample Family is ≤ 200% FPL 88% Caring for 3+ Children 63% Have difficulty establishing a legal relationship 63% DCS involvement 43% Young/sibling caregiver (18-25 years) 9% Child utilizes behavioral health services 9%
SLIDE 14 Caregiver Demographics of Study Sample
- 86% Female
- Mean Age: 51
- 60% Hispanic/Latino
- 25% Caucasian
- 9% African American
- 5% Native American
- 57% Single
SLIDE 15 Reasons for Kinship Care
6% 7% 7% 7% 11% 12% 14% 28% 39% 39% 47% 48%
Parental physical health Financial issues Poor housing/unsafe living environment Domestic violence Parental mental health One or both parents are deceased Immigration/deportation of parents Abuse/neglect/abandonment of child One or both parents are incarcerated One or both parents are uninvolved Parental substance use disorder DCS investigation/removal
SLIDE 16
DCS Status of Kinship Families in Study
Informal Families (No DCS), 48%
Formal Families (DCS), 52%
SLIDE 17
Legal Relationship at Intake
0% 2% 3% 5% 7% 36% 47%
Title 25 Gx Title 8 Gx POA Adoption Title 14 Gx Unlicensed DCS Placement No Legal Relationship
SLIDE 18
Caregiver Relationship to Child
1% 3% 5% 6% 12% 73% Step Parent Sibling Cousin Non-relative Aunt/Uncle Grandparent
SLIDE 19
Caregiver Stressors at Intake –
Healthy Families Parenting Inventory Scale
14% 17% 23% 26% 28% 37% 40% Home Environment Problem Solving Personal Care Role Satisfaction Depression Mobilizing Resources Social Support
SLIDE 20 55% 24% 44% 31% 43% 32% 16% 28% 13% 12% 15% 49% 12% 16%
Social Support Problem Solving Depression Self-Care Mobilize Resources Role Satisfaction Home Environment
Grandparents Face Greater Stressors Compared to Other Kinship Caregivers
20
August 2017
SLIDE 21
Navigation Services
Service Number of Services
Control Treatment Navigation - Court Attendance
49 31
Navigation - Home Visit
124 160
Navigation - Office Visit
181 243
Navigation - Staffing
47 91
Navigation – Contacts on behalf of/ with client
1,511 1,524
SLIDE 22 Other Support Services
Service Number of Services Control Treatment
Support Groups
120 165
Guardianship Clinic
19 20
KARE College/Topical Education
20 27
Guardianship and Adoption Training
4 6
Kinship Information Session
6 6
SLIDE 23
Family Group Decision-Making
Number of Services Average Service Count per Family Average Time FGC Preparation
906 17 21 Min
FCG Conference
31 1 184 Min
FGC Follow-up
169 7 18 Min
SLIDE 24 Strengths and Successes
- Kempe Center Training on FGDM
- Strong fidelity to FGDM and Kinship
Navigation
- Cross learning with San Diego YMCA
grantee
- Twice monthly staff peer review of cases
- Improved engagement and reduced
attrition rates over time in the treatment group
SLIDE 25 Challenges and Barriers
- Enrollment of clients to meet sample size
– PCJCC DAP number of kinship cases is lower than expected (parent change of custody) – DAP added a Family Navigator
- RCT study design may not meet family needs
leading to greater attrition in treatment group
- Evaluation data collection/entry learning curve of
staff
- Providing full FGDM training for replacement
staff post turnover is difficult
SLIDE 26 Thank you!
- Question or comments?
- Contact information:
jtreinen@arizonaschildren.org michele@lecroymilligan.com
