Summary/Evaluation of Programs



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807 West 8th St. Alturas, CA 96101

2008-2009

Summary/Evaluation of Programs

First 5 Modoc Strategic Plan 2009/2010 Focus Areas & Funds Spent


  • Improved Child Development $327,351

  • Improved Family Functioning $80,091

  • Improved Child Health $17,795

  • Improved System of Care $4,999



Formal Grants
Public Health “Healthy Beginnings”

Total Funds Spent $39,100

Focus Area: Improved Family Functioning

Through home visitation this project focuses on strengthening and improving positive parent-infant interactions, healthy infant development and parental competencies.



Strategy

Outcome

Result

Healthy Beginnings team and partners will hold case conference meetings monthly to develop care plans.

Care plan for families to ensure they are meeting goals and case plans by other departments and partners. Charting will show 90% of families enrolled are following their case plans.

Strategy successful. Meetings held every other month as needed. 7 case conferencing meetings were held and participants included CPS, EHS, TEACH, CalWorks, A&D, MH, and Public Health.

Implement home-visiting programs with required assessments.

New families enrolled in program will be the same as the number of initial assessments completed by A&D and MH. Charting will show 90% of families completed assessment by A&D and MH.

Strategy unsuccessful. 100% of families received assessments by a PHN, 83% by MH and 80% by A&D.

Team will do outreach on parenting skills that can be provided through the program. The parenting program “Love and Logic” will be used.

At least five families enrolled in program will receive “Love and Logic” parent counseling skills.

Strategy successful. Staff realized “Love and Logic” was not practical for all participants. Program adopted “Nurturing Parenting” and “Strengthening Families” as stepping stones to “Love and Logic”. Two families received 1:1 “Nurturing Parenting” counseling, one family succeeded with “Love and Logic” and one was referred to “Strengthening Families”.

Program staff will participate in community functions to promote infant/toddler mental health awareness.

Team will attend community outreach events.

Strategy successful. PHN’s attended four local fairs. PHN’s and MH staff attended the UC Davis Child Abuse Prevention Conference. One PHN and one MH Clinician attended Crisis Intervention Training. Several presentations were given at various medical facilities.

23 parents, 9 other family members and 23 children were served.

Here is what some parents had to say:

It is a very helpful program, thank you for having it.”

Really appreciate all the help and hope to use the program again. It’s nice to know there are people to help!”

Thank you for letting my family be involved. My kids have benefited a lot.”

Alcohol & Drug “Project Substance Abusing Parents”

Total Funds Spent $30,000

Focus Area: Improved Family Functioning

Through education, identification and referral, and treatment, this project aims to reduce the risk of children 0-5 resulting from parental substance abuse.



Strategy

Outcome

Result

Provide medium and small group presentations regarding substance abuse and the effects of substance abuse on families, to the general public, child care providers, CPS, community members, health care providers, parents, schools, etc.

Five community partners will be contacted and one collaborative presentation will be completed. Five small group presentations will be conducted with a minimum of 90% parents and 70% community partners reporting an increase in knowledge of the effects of substance abuse on children.

Strategy successful. Five partners were contacted. Completed one collaborative partner presentation and seven small group presentations. 92% of parents and 71% of other participants reported an increase in knowledge. 100% of community partners reported an increase in knowledge.

Work with community partners to identify families at risk of parental substance abuse to encourage referral to A&D for assessment; and to ensure parents in need of treatment receive the opportunity for outpatient and/or residential substance abuse treatment.

Track number of parents referred for substance abuse assessment. A minimum of 90% referred parents will follow-through with A&D assessment. 90% assessed in need of treatment will enroll in treatment. 65% enrolling in treatment will complete treatment. 90% of parents who complete treatment will evaluate the process as valuable.

Strategy successful. Seven parent/guardians were referred to the program. 100% of referrals received assessments and were successfully enrolled in program. Three participants completed the program and 4 are still in treatment.

7 families were served.

Collaborative efforts continue and Project SAP has now been combined with Healthy Beginnings, as it has been identified that both programs share common goals and work with the same team members.

Here is what a FSW participating in a presentation had to say:
“I walked away with a deeper knowledge regarding substance abuse and the effects on the brain. This will help me in dealing with families in possible identification and have a greater empathy toward those families struggling with addiction.”

Mini Grants
Modoc Indian Health Project, Inc. “Parents As Teachers”

Total Funds Spent $10,000

Focus Area: Improved Family Functioning

Implement the PAT Program to the Native American 0-5 population.



Strategy

Outcome

Result

Implement the PAT program

Training and Travel for one certified parent educator. Education and information dissemination to all eligible families. Track home visits. Increase parenting skills and knowledge via pre-post surveys. Track number of referrals. Collect demographics reflecting true data of Native American 0-5 population.

Strategy successful. One PAT educator attended 0-3 and 3-K training. 94 informational parent handouts were mailed. 37 home visits were conducted. 5 group talking circles were held and 1 referral was made. 15 surveys were given with only 8 returned. PAT is currently re-working their survey as current survey information is not sufficient. Unable to receive true demographics, local and tribal entities do not have and/or track this information. Received projected demographics from State of CA:

2000=30 children ages 0-5

2010=21 children ages 0-5


48 parents and 43 children were served.

Here is what some parents had to say:

What I liked best about today’s meeting was that it was small and helpful about tradition.”

What I liked best about today’s meeting was learning more about families and their dynamics.”

I like the home visits they are informative and helpful.”

I feel I am benefiting from the home visits because I am getting ideas about things to do with my child.”



Modoc County District Fair “Kids Corner’

Total Funds Spent $4,000

Focus Area: Improved Systems of Care

Activities and events at the fair that promote healthy habits from prenatal care to proper child nutrition and physical fitness.



Strategy

Outcome

Result

Kid’s Town America-

A fun educational, entertaining, interactive activity area for children ages 0-5 and their families. Activities included a learning activity with riding toys, art area, diaper derby, agricultural area, bounce house and performance by Native American Dancers.



Through surveys and observation show that children and parents learned and gather information about practicing patience and understanding, physical fitness, health care, agriculture, using motor skills, creativity, taking turns and group participation. Also to provide a cultural and historical learning experience.

Strategy successful. A large shaded grassy area was designated for children 0-5 and their families. Activities were well received. Positive feedback from parents and families. The two most popular events were the diaper derby and agricultural area. Staff assisted parents and provided encouragement for parents and infants regarding ECE and physical fitness. Staff observed and assisted children in the agricultural area in helping them pick apples, dig potatoes and collect eggs. The most popular was collecting eggs. Information was handed out regarding nutrition and physical fitness.

Dr. Debra Clyde available

To provide consultation on prenatal care, baby wellness, eating right and physical fitness.

Dr. Clyde encouraged the “Family Unit” to seek consultation regarding prenatal care and immunizations.

It is estimated that 5,000 community members attended the fair.

Here is what some parents had to say:

Great learning and fun experience!”

This is a great event for our little ones. They are able to play and socialize with other children. Great job!”

I think it was very nice for babies to have something to do other than sit in seats or be held.”

Great activities for the kids!”



Public Health “Fluoride Varnish Training and Education Project”

Focus Area: Improved Child Health

Total Funds Spent $5,433

Provide fluoride varnish training and education for Early Head Start and Head Start staff and childcare providers.



Strategy

Outcome

Result

Continue to support local dental/medical practitioners as they provide community based oral screenings and fluoride varnish application.

The number of opportunities for children 0-5 to be screened and have varnish applications will remain stable in the community.

Strategy successful. Dental screenings and fluoride applications were held at Early Head Start, Head Start and at the Children’s Fair.

Increase community support for regular dental screenings and fluoride applications.

Develop a presentation schedule and a template for donations and future supply expenditures.

Strategy successful. 75% of local dentists continue to volunteer their time. Letters were sent to various community groups and follow up of support continues.

Increase outreach for dental education and fluoride varnish application through childcare agencies to childcare providers.

Develop a program of activities for use in the home and at childcare sites that reflects dental hygiene and varnish applications.

Strategy successful. Curriculum presentations to EHS and Head Start on signs and symptoms of decay, teething, plaque formation, nutrition, tooth brushing, types of fluoride treatment, oral health and children with special needs.

Train Early Head Start staff to assist with dental screenings and varnish applications.

Training Early Head Start staff.

Strategy successful. Early Head staff trained.

127 children received dental screenings and 20 presentations were made.

Here is what one FSW had to say:

Thanks to the efforts of Public Health and SR all children in preschool and in Modoc County have been given the opportunity to have free dental screenings and be provided with a toothbrush, this may seem simple to us but is significant to those children who didn’t even have a toothbrush before.”


Public Health “Breastfeeding Assistance”

Focus Area: Improved Child Health

Total Funds Spent $10,000

Improving breastfeeding rates to one year by providing breastfeeding support for working moms.



Strategy

Outcome

Result

Provide support for women who chose to continue breastfeeding following their return to work.

35% of mothers will breastfeed to 6 months and 20% will breastfeed to one year. 80% of mothers in the POE program will report receiving information, support and encouragement to breastfeed until one year.

Strategy successful. 83% breastfeed to one month and 38% are currently still breastfeeding.

90% of returned surveys showed the information and support received was helpful.



Promoting breastfeeding friendly practices in the work place by educating local businesses about the economic benefits of prolonged breastfeeding, current laws, and steps they can take to support their breastfeeding employees.

80% of business managers will read the information and make attempts to provide a breastfeeding friendly atmosphere for the employees. 30% of businesses will require and receive additional assistance in creating a breastfeeding friendly atmosphere.

Strategy unsuccessful. However, 75% of employers responded they found the information useful. 16% of employers asked for additional information on creating a breastfeeding policy for their workplace.

32 women were served. Here is what two women had to say to the question “Do you feel that you received adequate breastfeeding support from the lactation counselor at Modoc County Public Health?”

She was very helpful and gave me a ton of information and support.”

It was great how she checked on me every week and made personal home visits to help me.”
First 5 California “Healthy Families Program”

Focus Area: Improved Child Health

Total Funds Spent $2,362

It is estimated that 7 families participated. Have not received final data from the State.


Micro Grants
MCOE-Mt. View Foster Agency “Transition Backpacks and Car seats”

Focus Area: Improved Family Functioning

Total Funds Spent $991

Six children were served during this past year. Twenty-seven backpacks were purchased with underwear, socks, formula, bottles, diapers, baby wipes, blankets, age appropriate books and coloring activities. Backpacks are given to children when entering foster care to help them through a traumatic emergency in their lives. Three car seats were also purchased.



MCOE-“SELPA Calendar”

Focus Area: Improved Systems of Care”

Total Funds Spent $999

750 informational 2009 calendars were created, published and distributed featuring children ages 0-5 participating in early intervention programs in Modoc County. Calendars were published in English and Spanish and included information on childhood immunizations, developmental milestones, and resources for parents.



First 5 Modoc “Legacy Programs”

State matching grants to County Commissions
Modoc CARES

Focus Area: Improved Child Development

Total Funds Spent $117,833

CARES is a 1:3 cash match in partnership with First 5 California 96 early education providers participated in CARES. An increase of 13 providers with and average stipend of $767.00

17 permits were filed in FY 08-09, an increase of 7 permits from the previous year.

7-Assistant Teacher

2-Associate Teacher

6-Site Supervisor

2-Program Director

An obstacle for all providers is the lack of community college and university in the County. Current disconnects between educational systems means that many of those who graduate from a community college can’t directly transfer to a four-year institution. CARES continues to work with Lassen College on the availability of ECE classes. CARES in participation with College of the Siskiyou was able to bring CIRCLE training to Modoc. Applicants were able to receive one unit for training or professional growth hours. CARES and R&R in participation with UC Davis provided extension classes.



CARES is especially proud of one center based teacher who obtained 31 units in ECE and General Ed, along with one family support worker obtaining 29 units.
First 5 Modoc School Readiness Initiative

Focus Area: Improved Child Development

Total Funds Spent $209,518

School Readiness is a 1:1 cash match in participation with First 5 California.

26 children received a preschool experience as a result of this program. Services include a monthly home visit to each enrolled family and education and information is provided regarding health, nutrition, mental health and other community resources. These presentations also outreach to the entire preschool population. In addition 42 children received tutoring services. 66 children participated in early enrollment into “K’, a decline of 22 children from last year. “K” transition services are provided for all children in Modoc County. Services include “K” roundup, media campaign and a “K” transition backpack distribution.

The transportation expansion request was unsuccessful.

100% of returned parent surveys rated the program effectiveness as good to excellent. However, 25% of parents included improvement comments on parent meetings and content effectiveness. Teacher surveys were went out to assess the effectiveness of the Family Support Worker and the SR program in their classroom. Out of 5 sites-3 gave excellent ratings and 2 gave fair. Self improvement goals were set for the Family Support Worker. 25 of 26 children enrolled in the SR program completed the DRDP-R assessment. 67% showed an increase on the 39 measures from one level to another and 82% showed an increase on specified measures from one level to another. The specified measures are a separate percentage to ensure program quality assurance.

Here is what some parents had to say:

We have been fortunate enough to benefit from First 5 and their preschool support program. The FSW has given us support and tools needed to help our son acclimate into his preschool environment and checks with us often via email, phone and home visits.”

Child received a jump start to school, preschool experience was awesome. Could not have gone without First 5. I’m a better parent, I appreciate the program,”


Evaluation Resources
First 5 Modoc continues to monitor and evaluate programs throughout the year. Programs are required to submit quarterly PEDS data, Project Outcomes charts and Expenditure Reports. Staff review and monitor the results to insure programs are working toward, or meeting their strategies and outcomes. Yearly, staff completes an evaluation presentation of the results and findings from the above mentioned programs that is then presented to the First 5 Modoc Commission and forwarded to First 5 California after the review process is completed locally. Additionally the CARES program report with a summary of program activities is also reviewed by the Commission yearly. The SR Advisory Committee was established by the Commission in order to monitor and review the SR program throughout the year for program needs and/or changes. During each Commission meeting the Commission receives all notes from the SR Advisory meetings and is updated on the work they are completing and/or changes being implemented. The Commission also reviews results to the SR parent surveys and annual reporting that is required by the State. In addition during each Commission meeting staff gives an update/report on the current status of a chosen program.


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