SUPPORTED CHILD DEVELOPMENT PROGRAM OUTCOMES...

SUPPORTED CHILD DEVELOPMENT PROGRAM Vancouver and Burnaby Regions

OUTCOMES MANAGEMENT REPORT

2018 - 2019

2805 Kingsway

Vancouver BC V5R 5H9

Tel: (604) 451-5511 / Fax: (604) 451-5651

www.bc-cfa.org

The Supported Child Development Program receives funding from the BC Ministry of Children and Family Development. The Supported Child Development Program acknowledges the City of Burnaby for its support.

Table of Contents

Program Description .............................................................................................................. 1

Program Goals…………………………………………………………………………………………………………………………..1 Target Population……………………………………………………………………………………………………………………….1 Eligibility Criteria…………………………………………………………………………………………………………………………1 Key Services…..…………………………………………………………………………………………………………………………1

Demographics ........................................................................................................................ 2

Total Number Served - Age, gender and Language …………….……………………………………………………………….....2 Primary Presenting Needs …………………………………………………………………………………………………………….4

Status Report 2018/19 Performance Improvement Plan ....................................................... 5

2018/19 Program Outcomes .................................................................................................. 8

Access to Service……………………………………………………………………………………………………………………….8 Efficiency…………………………………………………………………………………………………………………………………8 Effectiveness………………………………………………………………………………………………………………..…………...9 Satisfaction - Parents/Legal Guardians……………………………………………………………………………………………..10 Satisfaction - Child Care Settings……………………………………………………………………………………………………11

2019/20 Performance Improvement Plan ............................................................................ 12

BC Centre for Ability Outcomes Management Report

Vancouver & Burnaby Supported Child Development Program Reporting Period April 1, 2018 – March 31, 2019

Supported Child Development Program 2018-2019 OMR Page 1 of 13

PROGRAM DESCRIPTION

Program Goals:

1. To assist families of children with extra support needs to access inclusive child care that meets the families’ needs.

2. To support child care, preschool and out-of-school care programs to implement and develop inclusive principles and practices

to enhance all children’s experiences.

Target Population:

1. Children and youth who require additional support to attend child care or preschool

2. Licensed/registered or license-not-required child care program or preschool located in Burnaby or Vancouver

Eligibility Criteria:

1. Children and youth from birth to 19 years

2. Residents of British Columbia

3. Children who live in and/or attend a child care program in Vancouver or Burnaby

4. Children who have a developmental delay or disability in physical, cognitive, communicative or social/emotional areas and also

may require extra support services to be included in a child care program.

Key Services offered by Supported Child Development (SCD) Program

⇒ Assist families to find options and available spaces in child care programs

⇒ Develop individual program plan to meet the child’s needs

⇒ Consultation on implementation of inclusive principles and practices for child care programs

⇒ In-services and workshops on a variety of topics for child care programs

⇒ Toys and materials for families and child care programs from the SCD Lending Library

⇒ Funding disbursement for additional staffing support




Demographics Vancouver Supported Child Development Program

Total number of children served n = 1044




Demographics Burnaby Supported Child Development Program Total number of children served N = 436




Demographics Vancouver Supported Child Development Program

Presenting needs upon time of referral

Presenting Need Male Female Total Percentage

Communication 343 136 479 46%

Health 22 7 29 3%

Mobility 40 30 70 7%

Not Assigned 24 3 27 3%

Other 6 4 10 1%

Participation 71 27 98 9%

Social Emotional 277 54 331 32%

Total 783 261 1044

Demographics Burnaby Supported Child Development Program

Presenting needs upon time of referral

Presenting Need Male Female Total Percentage

Communication 141 59 200 46%

Health 6 6 12 3%

Mobility 10 12 22 5%

Not Assigned 9 4 13 3%

Other 9 0 9 2%

Participation 30 13 43 10%

Social Emotional 116 21 136 31%

Total 321 115 436

Analysis – Demographics:

The proportions of presenting needs across all children in both regions have remained approximately the same, except in two categories. Last year in

both regions we saw a significant decrease in Communication and a significant increase in Participation. This year that data changed back and we see

a significant increase in Communication and a decrease in Participation in both regions. This change is due to the fact that during this past year we

received an increased number of referrals from families, Speech and Language Pathologists and child care programs identifying communication as

the primary presenting need. There have been significant improvements made in entering a presenting need for all children. The percentage of

children with no presenting need entered dropped from 10% to 3%.




Status Report 2018/2019 PERFORMANCE IMPROVEMENT PLAN

Area of Improvements Action Plan Update on Completion

Demographics

Ensure presenting needs of each child

is recorded into our ECR system.

• Initial Intake Consultant to continue

entering presenting need after they

complete the Initial Intake Phone Call.

• Consultants will be requested to review

their caseload and enter or update each

client’s presenting need as appropriate.

• Clinical Leads to review client ECR

information by pulling RPT-02 to ensure

presenting need is entered for all active

children. This will be done during their Fall

and Winter Clinical Case Reviews.

Complete

The Initial Intake Consultants in both Vancouver and

Burnaby consistently enter the presenting need

during their initial intake call.

Complete

When requested to review their caseload and when

entering new clients, Consultants entered or

updated presenting need for clients who needed it.

Partially Complete

There is no report available in the ECR to identify

the children who do not have presenting need

entered. We can see that 3% of clients are missing

this information, but we cannot identify who they

are. See 2019-2020 Performance Improvement

Plan- “Demographics”

Access to Services

To ensure that families who move to

another city understand the guiding

principles of the policies in place

related to accessing Supported Child

Development Programs in different

cities.

• On the annual parent satisfaction survey ask

questions about services requested and

accessed when they moved to a different city

Not Complete

Due to some internal staffing changes this question

did not get added to the annual parent satisfaction

survey. See 2019-2020 Performance Improvement

Plan-“Access to Services”.





Satisfaction – Families

Increase satisfaction of Vancouver and

Burnaby families by improving their

satisfaction in the following areas:

• Understanding of the supports and

services their child receives from

the SCD program.

• Overall the services received with

BCCFA have met the needs of the

family.

• All families on the waitlist will receive letters

with their completed Support Guide annually

outlining the services they are waiting for.

• All old letter templates will be removed from

the P-Drive and staffs’ personal files.

• Updated practice of using these letters will

be reviewed at staff or team meetings;

templates and guidelines will also be

included in the staff handbook.

• Clinical Leads will provide support at clinical

case review meetings to support individual

needs.

Complete

A new support guide letter template was created

which all Consultants used to provide the service(s)

families are waitlisted for when sending out

completed support guides. Clinical Leads reviewed

this work at case review sessions from September

2018 – March 2019. Intake Consultants continue to

do this on a yearly basis.

Complete

All staff removed these templates from their

personal files as directed at the July 11, 2018 SCD

staff meeting. At the same time the SCD admin

staff archived all old templates, leaving only the

current one for staff to use.

Complete

The updated practice of using these letters was

reviewed at the July 11, 2018 SCD staff meeting.

The information was also added to the staff

handbook in August 2018.

Complete

All Consultants have regular case review meetings

with their Clinical Leads where any questions,

concerns or challenges were discussed and

strategies implemented as needed.





Satisfaction – Child Care Programs

Increase child care program staff

competency in supporting children

with extra support needs by improving

their knowledge gained from SCD

Consultants through training sessions.

• Consultants will be responsible to ensure

that each child care program on their

caseload identifies their training goals on

the designated form prior to delivering any

training sessions.

• SCD Consultants will follow up with their

child care program staff after any In House

Training they attend to reinforce the

learning and strategies.

• Continue to use newsletters to provide

information about training opportunities

as well as supporting information and

other resources.

Complete

Consultants or child care programs completed a

training form identifying training goals before any

training was provided. This form is saved in our

program files for ongoing reflection of each child

care program’s training goals. This form is reviewed

when child care programs discuss future training

needs or make requests. Clinical Leads initiate these

conversations to follow up on the role of

consultation in child care programs at regular case

reviews.

Complete

Consultants provide follow up with their child care

program staff after In House Training to reinforce

the learning and strategies provided. An email was

sent to all Consultants on September 17, 2018 to

review the purpose of the training form. Clinical

Leads continue to check in on these follow up visits

at regular case reviews.

Complete

Information on training events continued to be

included in the spring, fall and winter newsletters.

Information was also provided on resources

available in our Toy and Resource Lending Library.




2018/19 PROGRAM OUTCOMES

1. Access to Services

Outcome Indicator Applied to

Time of

Measure/

Source

Target

Achieved Outcome

2018/19 2017/18 2016/17

Families receive

timely services

from SCD

Percent of children

referred to SCD who have

the initial intake process,

including a support guide,

completed within three

months of the referral

date.

All new

intakes SIRF report

100%

BSCD

100%

294/294

BSCD

100%

247/247

BSCD

100%

148/148

100%

VSCD

100%

594/594

VSCD

100%

560/560

VSCD

100%

295/295

2. Efficiency

Outcome Indicator Applied to

Time of

Measure/

Source

Target Achieved Outcome

2018/19 2017/18 2016/17

Maximize client-

specific related

intervention time

Percentage of Consultant’s

time spent in direct client-

related intervention as

defined by MCFD

All SCD

Consultants ECR Stats reports

50% BSCD

50.3%

BSCD

56%

BSCD

61%

50% VSCD

54.7%

VSCD

56%

VSCD

57%

Summary Analysis

Due to new staff hired into both SCD Programs this past year and some challenges with our current data entry process s there was a 5.7% decrease

in direct client-related intervention in Burnaby compared to last year. The new staff are now fully trained and skilled in stat entry and a new

database system, Salesforce, will resolve the data entry challenges for the second half of this fiscal year, October 2019 – March 2020. See 2019-

2020 Performance Improvement Plan- ‘Efficiency’.




3. Effectiveness

Outcome Indicator Measure

Applied to

Time of

Measure/

Source

Target Achieved Outcome

2018/19 2017/18 2016/17

Childcare centre

staff have

increased

competency in

supporting

children with extra

support needs in

their setting

Percentage of respondents

that indicate “most of the

time” or “all of the time” to:

a. I have gained knowledge

from the strategies and

suggestions provided by

our SCD Consultant.

Child Care

Setting

Satisfaction

survey

respondents

2018/19 Child

Care Survey

a. 80%

BSCD 100%

10/10

BSCD 100%

15/15

BSCD

92%

11/12

VSCD 89%

25/28

VSCD 90%

46/51

VSCD

96%

27/28

b. Knowledge gained from

Consultants helped

increase staff’s abilities

to support children

b. 80%

BSCD 100%

10/10

BSCD 100%

15/15

BSCD

92%

11/12

VSCD 89%

25/28

VSCD 96%

45/47

VSCD

100%

28/28

Summary Analysis

We exceeded our target indicator (a) above in both regions again this year, indicating that child care staff has gained knowledge from the

strategies and suggestions provided by SCD Consultants. Burnaby’s satisfaction rate in indicator (b) above has been maintained at 100% over the

past two years. This is a direct result of Consultants’ continued hard work and commitment to visit and provide consultation every 4-6 weeks to

their child care programs combined with an increase in staffing which reduced Consultants caseloads from 45 to 40 active clients. Vancouver’s

satisfaction rate decreased again this year by 5%, for a total of 11% over the past two years; the satisfaction rate remains above the target level at

89%. Vancouver Consultants remain committed to regular consultation visits to their child care programs and the have also had a reduction in

their caseloads from 45 to 40 active clients. Increasing childcare staffs’ competency in supporting children with extra support needs continues to

be an area of strength but also a focus of ongoing improvement for the both SCD Programs. See 2019-2020 Performance Improvement Plan-

“Satisfaction- Child Care Programs”.




4. Satisfaction A. Parents/Legal Guardians


Applied to

Time of Measure/

Source

Target

Level

Achieved Outcome

2018/19 2017/18 2016/17

Parents

/Guardians are

satisfied with the

services they

receive from the

Supported Child

Development

Program

% of Parents/Guardians that

answered “Agree” or

“Strongly Agree” to:

a. I have a clear

understanding of the

supports and services my

child receives from the

SCD program. Parents/

Guardians

of all active

clients who

respond to

agency

survey

Annual parent

satisfaction survey

a. 90%

BSCD 91%

41/45

BSCD 89%

54/61

BSCD 88%

50/57

VSCD 93%

118/127

VSCD 88%

133/151

VSCD 83%

84/101

b. I am involved in

determining the goals

and strategies for my

child with my SCD

Consultant

b. 90%

BSCD 98%

45/46

BSCD 95%

58/61

BSCD 92%

60/65

VSCD 97%

123/127

VSCD 95%

146/153

VSCD 97%

105/108

c. Overall the services we

receive from BCCFA have

met our needs

c. 90%

BSCD 85%

39/46

BSCD 87%

53/61

BSCD 84%

51/61

VSCD 90%

112/124

VSCD 85%

128/151

VSCD 82%

84/102

Summary Analysis

The parent/guardian satisfaction survey results show a decreased response rate from 28% to 20% in both Burnaby and Vancouver this year due to

staffing changes which affected the timing of the survey. For both communities there has been a slight increase in satisfaction in the target

indicator (a) which brings them both over the target level of 90%. For target indicator (b) there has also been a slight increase in satisfaction in

both Burnaby and Vancouver and they both remain well above the target level at 98% and 97% respectively. Burnaby saw a slight decrease in the

target indicator (c) which has their achieved outcome at just under the target indicator at 85%. Vancouver saw a 5% increase in target indicator (c)

which brought their achieved outcome meet the target of 90%. As always we will continue to implement strategies to improve satisfaction of

parents/guardians in our 2019-2020 Performance Improvement Plan- “Satisfaction – Families”.




4. Satisfaction (cont’) B. Child Care Staff


Applied to

Time of

Measure/

Source

Target Level Achieved Outcome

2018/19 2017/18 2016/17

Child Care

staff are

satisfied

with the

consultation

services they

receive from

the SCD

Program

% of respondents who

indicate ‘most of the time’ or

‘all of the time’ for:

a. Working collaboratively to

determine goals and

support strategies Child Care

Setting

Satisfaction

survey

respondents

2018/19 Child

Care Survey

a. 90%

BSCD 100%

10/10

BSCD

93%

14/15

BSCD

92%

11/12

VSCD 100%

28/28

VSCD

88%

45/51

VSCD

100%

27/27

b. Providing a variety of

practical adaptations,

strategies and activities to

help meet each child’s

goals and objectives

b. 90%

BSCD 100%

10/10

BSCD

100%

15/15

BSCD

92%

11/12

VSCD 85%

23/27

VSCD

80%

39/49

VSCD

80%

20/25

Summary Analysis

Results in Burnaby showed a 7% increase and Vancouver showed a 12% increase in satisfaction this year related to target indicator (a) the

Consultants working collaboratively to determine goals and support strategies. Over the past year there were new staff hired in both communities

and all Consultants worked extremely hard on building and improving their consultation skills and maintaining regular consultation visits. During

these visits they provided follow up with their child care program staff after any In House Training they attend to reinforce the learning and

strategies. Results related to target indicator (b) the Consultants providing a variety of practical adaptations, strategies and activities to help meet

each child’s goals and objectives, in Burnaby maintained a satisfaction level of 100%, and Vancouver saw an increase of 5% to bring them up to

85%, just under the target level of 90%. This high level of satisfaction is directly related to the Consultants’ hard work and commitment to visit and

provide consultation every 4-6 weeks to their child care programs.




2019/20 PERFORMANCE IMPROVEMENT PLAN

Area of Improvements Action Plan Target Date

Efficiency

Invest in a new electronic client record

system, Salesforce, that reduces staff input

time, redundancy and duplication of data

and as a result, improve the integrity of the

data and the reporting capabilities.

• The SCD Program and IT staff will work with

Belmar to implement the new system.

April – December 2019

Demographics

Ensure presenting needs of every child is

recorded in our client record system, after

transferring the data to Salesforce.

• After existing data has been transferred to

Salesforce, Clinical Leads will have the capability to

pull a report that identifies which clients are

missing presenting needs data. Once identified,

client files will be updated to ensure presenting

needs information is entered for every child.

January – March 2020

Access to Services

To ensure that families who move to

another city understand the impact on their

consultation and funding services.

• On the annual parent satisfaction survey ask

families who moved to a different city questions

about services requested and accessed in the new

city.

January - February 2020




Area of Improvements Action Plan Target Date

Access to Services (cont’)

Improve ways SCD staff can communicate

and share information with families.

• Invest in a new electronic client record system, which

has a secure client portal embedded in the system.

The client portal will allow parents to log into their

child’s record to review documents and exchange

confidential information. This will improve

communication, knowledge exchange, access and

client experience.

January – March 2020

Satisfaction – Families

Provide opportunities for new families to

gain increased knowledge of services

available to them through the SCD Program,

and to feel connected to the BCCFA by

offering intake play groups.

• SCD Intake team will seek input and advice from

other programs within the Centre who provide

parent groups prior to developing the format of the

intake play groups.

• SCD Intake team will plan intake play group format,

including length of sessions, frequency, resources

and required staffing. The focus of the play groups

will be to provide resources, information and small

group experiences for children and their families.

• Pilot initial play group sessions, and seek feedback

from participants to evaluate the format.

April– June, 2019

June – September, 2019

October 2019 – March 2020

Satisfaction – Child Care Programs

Ensure SCD Consultants are engaging in

yearly communication with active child care

programs about their needs and preferences

regarding consultation.

• Consultants review questions from the child care

profile on a yearly basis with all active child care

programs, and summarize the conversation or

meeting in the “Facility” section of the

ECR/Salesforce system.

• Ask Child Care Centres if the Consultant connected

with them at least once during the year about the

program goals and the preferred ways to provide

consultation and resources.

April 2019 – March 2020

January - February 2020

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