Youth Villages’ Programs July 2000 through September 2010
Includes youth served in Residential Treatment, Group Homes, Foster Care, Intensive In-Home Services, and the Transitional Living Program
www.youthvillages.org
Youth and Family Characteristics
• Demographics – 61% Male – 45% of youth served are minority – More than 70% of youth are 12 to 18 years old
• Clinical Factors – Over 80% have multiple presenting issues – Over 45% of the families have a history of multiple difficulties – Nearly 80% of parents report at least one high-risk parenting characteristic – 18% of youth perceive severe parental rejection; only 7 to 10% of youth in the general population perceive this level of parental rejection.
www.youthvillages.org
Youth served July 2000 through September 2010 Demographics N = 26,226
100%
80% 61% 55%
60% 39%
38%
40%
20% 3%
4%
0% Male
Female
Gender
African American
Caucasian
Hispanic
Race/Ethnicity
Other
Youth served July 2000 through September 2010 Age Group N = 26,226
100%
80%
60% 44% 30%
40%
20%
13%
13%
0% 8 Years Old and Younger
9 to 11 Years Old
12 to 14 Years Old
15 to 18 Years Old
Youth served July 2000 through September 2010 Presenting Issues N= 26,226
100% 87% 80%
70% 56%
60% 40% 40%
35%
31%
20%
0% Behavioral Disorders
Over 80% of our youth have multiple presenting issues.
Substance Abuse
Emotional Disorders
Victim of Abuse and/or Neglect
Suicidal Ideations or Gestures
Legal Issues
Youth served July 2000 through September 2010 History of Family Difficulties N = 26,226
100%
80%
60%
46% 39% 34%
40%
33%
29%
20%
0% Mental Illness
Over 45% of families have multiple difficulties
Domestic Violence
Substance Abuse
Legal Issues
Experienced Abuse as a Child
Youth served July 2000 through September 2010 Adult and Adolescent Parenting Inventory Assessments completed July 2008 through September 2010 N = 5,164 High Risk Parenting Characteristics • Expectations – Caregiver holds inappropriate expectations of a child’s abilities and behaviors • Empathy – Caregiver has a low level of empathy • Discipline – Caregiver has a strong belief in the value of corporal punishment • Family Roles – Caregiver reverses family roles • Power – Caregiver restricts the child’s power/independence
100%
80%
Nearly 80% of parents reported at least one high risk parenting characteristic*.
60%
47% 40%
41%
38%
33% 27%
20%
0% Expectations
Empathy
The AAPI is administered at admission to caregivers provide information to clinicians regarding their values beliefs regarding parenting.
Discipline
Family Roles
Power
*Approximately 16% of parents in the general population report at least one high risk parenting characteristic.
Youth served July 2000 through September 2010 Parental Acceptance and Rejection Questionnaire Assessments completed July 2008 through September 2010 N = 4,534 Warmth/Affection – Perception that the caregiver does not provide love or affection without qualification
100%
Hostility/Aggression – Perception that the caregiver is angry, bitter, resentful, or intends to verbally or physically harm the client Indifference/Neglect – Perception that the caregiver is unconcerned or uninterested in the client
80%
20%
Undifferentiated Rejection - Perception of a general overall rejection of the client by the caregiver Total Score – Composite score of all domains listed above except Control
}
60%
35%
40% 22%
20%
19%
24% 18%
For the Control domain, scores that fall into either Moderate or Firm Control indicate the youth’s perception of the caregiver’s control is an area of strength.
42%
20% 3% 0% Warm th
The PARQ is administered at admission to all youth over 11 years old to provide information to clinicians regarding youth’s perception of their caregivers.
Indifference
Total Score*
Control Strict/Restrictive Firm Moderate Low/Lax
*7 – 10% of youth in the general population perceive severe rejection by their caregivers.
Program Characteristics
• Growth – Steady growth in program admissions since 2001 – More than 5,000 youth admitted in each of the past two fiscal years; on track for at least 5,000 admissions this fiscal year
• Program Information and Geographic Distribution – More than 18,000 youth have been served in In-Home Services
– Over 4,000 youth have been served in Residential Treatment – More than 3,000 youth have been served in Foster Care and Transitional Living Programs
www.youthvillages.org
Youth served July 2000 through September 2010 Youth Admitted by Fiscal Year
7000 6000
5,665 5,125
5000 3,901
4000 3,072
3000
2,588 2,057
2000
2,256
1,665 1,265
1000
1,370
985
0 2001
2002
2003
Fiscal Year – July 1 to June 30
2004
2005
2006
2007
2008
2009
2010 2011*
*Represents the first quarter of the fiscal year
Youth served July 2000 through September 2010 Youth Served by Program 18,660
20,000
16,000
12,000
8,000
4,320 3,490 4,000
3,381
1,746
0 Residential Treatment Center
Youth may be served in multiple programs.
Group Home
Foster Care
In-Home Services
Transitional Living
Outcomes • At Discharge – 84% of youth are discharged to home with family – More than 90% of parents report satisfaction with Youth Villages’ services
• At One Year Post-Discharge – 81% of youth remain at home with family – Gains made during treatment are sustained (as measured by the SDQ) – 82% of youth report no trouble with the law
– 89% of youth are in school, have graduated from high school, or are in GED classes; more than 80% of youth report adequate school performance and the majority of youth report little to no trouble with teachers or homework – Few youth have experienced an out-of home placement; 7% have been in residential treatment, 2% in a psychiatric hospital, and 5% in a detention or correctional facility – 18% of youth under 18 at the time of follow-up are in state custody; nearly 30% were in state custody at the time of admission
www.youthvillages.org
Youth served July 2000 through September 2010 Discharge Location Youth discharged July 2002 through September 2010
100%
84%
80%
60%
40%
10%
20% 2%
1%
3%
0% Home
Only includes youth who received at least 60 days of service; 17.1% (4,450 out of 26,028) of admissions ended prior to 60 days.
Residential Treatment Center
Psychiatric Hospital
Detention/ Corrections
Other
*Other includes placements such as group homes, runaway and rehab centers
Youth served July 2000 through September 2010 Parent Satisfaction at Discharge Parents surveyed October 2000 through September 2010
100%
94%
96% 91%
93%
93%
80%
60%
40%
20%
0% Fam ily Therapy you received Counselor's Know ledge and Professionalism
Note: Figures include only youth who received at least 60 days of service.
Links to Com m unity Services
Overall Satisfaction
Would Recom m end YV to a Friend
Youth served July 2000 through September 2010 Success at Follow-up Follow-ups conducted through September 2010
100% 80%
81%
81%
75%
50%
25%
0% Six Months
Note: Figures include only youth who received at least 60 days of service.
Twelve Months
Twenty-four Months Success is defined as living at home with family or independently.
Youth served July 2000 through September 2010 Strengths and Difficulties Questionnaire Assessments conducted July 2007 through September 2010
77%
Conduct Difficulties
65% 55% 53%
Emotional Difficulties
The SDQ is administered at admission, discharge, and twelve months post-discharge to all caregivers as well as youth over 10 years old. It provides information to clinicians regarding areas of difficulty for a child and family.
41% 39% 54%
Hyperactivity
43% 48% 59% 55%
Peer Problems 50%
70%
Impact of Difficulties
58% 42% 62%
Prosocial Behavior
58% 39% 69%
Total Score
56% 54%
0%
20%
40%
Twelve Months Post-Discharge
Note: Figures include only youth who received at least 60 days of service.
60% Discharge
Cases by Type: Admission: n = 8,205 Discharge: n = 6,613 12-Months Post Discharge: n = 996
80%
100%
Admission Bars represent percent of youth in the clinical range (includes Borderline, High, and Very High for all domains except Prosocial Behavior; Borderline, Low, and Very Low are included in the bar for Prosocial Behavior).
Youth served July 2000 through September 2010 Youth reporting NO Trouble with the Law Follow-ups conducted through September 2010
100%
83%
82%
82%
80%
60%
40%
20%
0% Six Months
Note: Figures include only youth who received at least 60 days of service.
Twelve Months
Twenty-four Months
Youth served July 2000 through September 2010 School Status Follow-ups conducted through September 2010
Note: Figures include only youth who received at least 60 days of service.
Indicates the number in school, graduated from high school, or in GED classes at the time of follow-up.
Youth served July 2000 through September 2010
School Performance 12- and 24-month follow-ups conducted October 2008 through September 2010
100%
87%
89%
88% 76%
91%
79%
80%
60%
40%
20%
0% Mostly passing grades (C or above)
Neither Suspended nor Expelled
12-Month Follow-up Note: Figures include only youth who received at least 60 days of service.
Not Truant (absent less than 3 times in a marking period)
24-Month Follow-up
Youth served July 2000 through September 2010
Difficulty with Teachers and Homework 12- and 24-month follow-ups conducted October 2008 through September 2010 How does your child get along with her teachers?
How much trouble does your child have getting his homework done?
100%
80% 56%
54%
59%
51%
60%
40% 19%
16%
17%
15% 14%
20%
14% 13%
11%
3% 10%
4%
12-Month Follow-up
24-Month Follow-up
6% 4% 13%
10%
14%
0%
Note: Figures include only youth who received at least 60 days of service.
12-Month Follow-up
0
Responses are from 0 to 4 with 0 being ‘not well at all’ and 4 being ‘gets along well with teachers’
1
2
3
24-Month Follow-up
4
Responses are from 0 to 4 with 0 being ‘a lot of trouble’ and 4 being ‘no trouble at all’
Youth served July 2000 through September 2010 Out of Home Placements Follow-ups conducted through September 2010
100%
80%
60%
40%
20%
6%
2%
5%
7% 2%
5%
6%
2%
6%
0% Six Months Residential Treatment Center
Note: Figures include only youth who received at least 60 days of service.
Twelve Months Psychiatric Hospital
Twenty-four Months Detention/Corrections
Youth served July 2000 through September 2010 Youth under 18 in State Custody at Follow-up Follow-ups conducted through September 2010
100%
28.9% of youth were in state custody at program admission.
80%
60%
40% 18%
18%
18%
20%
0% Six Months Note: Figures include only youth who received at least 60 days of service.
Twelve Months
Twenty-four Months
About our Response Rates Surveys through 09/10 Satisfaction Surveys
56.6% (9,122 out of 16,108)
6-Month Follow-up
62.8% (11,804 out of 18,782)
12-Month Follow-up
55.6% (8,972 out of 16,137)
24-Month Follow-up
46.7% (5,567 out of 11,927)
•
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
•
• 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.
While no consensus exists regarding adequate response rates, 40% - 60% has been identified as appropriate for surveys of this type and size1.
•
Satisfaction surveys (conducted shortly after discharge) are only conducted with families who were involved in the youth’s treatment.
Rate of re-entry into YV services: 6-Month Follow-up – 6.1% (1,210 out of 19,992) 12-Month Follow-up – 9.3% (1,664 out of 17,801) 24-Month Follow-up – 13.9% (1,920 out of 13,847)
1PWGSC
(Public Works and Government Services Canada). (2008). Advisory Panel on Telephone Public Opinion Survey Quality: Standards and Guidelines for Response Rate.