To view the Older Youth Research Report, visit: The family reunification assessment consists of four parts that are used to evaluate risk, visitation compliance, safety issues, and the recommendation summary. About three-fifths of the treatment population was White, a little more than one-third was Black, and the remainder comprised American Indians, Hispanics, and Asian/Southeast Asian families. The North Carolina Family Assessment Scale (NCFAS) Version 2.0 has been automated to allow for user-friendly data entry. Two independent research groups were designated to create an inventory of evidence-based, research-based, and promising practices and services. 0 The combined scale is intended for use by agencies that provide a wide variety of services for both intact and reunifying families. Charlotte Booth and Shelley Leavitt at the Institute for Family Development (parent agency of Homebuilders) have spent decades building, maintaining, and training on model fidelity, and contributing data on their program. http://nfpn.org/reunification/reunification-research, For more information on the assessment tools, visit: If so, when is the optimal time to offer them? %%EOF Theoretically, any increased overall risk associated with this difference would be likely to diminish, rather than enhance the treatment outcome being investigated. It does this by getting professionals to grade a family from -3 to +2 across a range of areas of family functioning, where the definition for a minus score means that there is an ethical, moral or legal reason for intervening. NCFAS-R stands for the North Carolina Family Assessment Scale for Reunification. hbbd``b` X$~f`bqI#3}0 G August 16, 2022. www.cebc4cw.org, www.cebc4cw.org/assessment-tools/measurement-ratings/, Implementation-Specific Tools & Resources. The National Family Preservation Network recently released a research study that included findings from assessment tools and exit instruments. The T/WB tool is offered as a separate package. Adoption & Guardianship Support Services (AGSS). High-risk minority children receiving traditional services were at higher risk of placement than White children, but minority children receiving IFPS were less likely to be placed than White children. Child welfare practices cannot simply be divided into evidence-based and non-evidence based. There is a continuum from highly research supported practice at one end to very questionable and concerning practices at the other end. This does not mean that families received no additional services. Be sure to check out the CEBC website! Contact Us. journal = "Research on Social Work Practice", North carolina family assessment scale: Measurement properties for youth mental health services. Families eligible for but that did not receive IFPS received traditional public and contract agency services, such as, counseling, skill training, protective supervision, day care, etc. 2 or more published, peer-reviewed studies have established the measure's psychometrics (e.g.. 1 published, peer-reviewed study has established the measure's psychometrics (e.g.. A preponderance of published, peer-reviewed studies have shown that the measure does not reach acceptable levels of psychometrics (e.g.. Family contacts during 6 months following case closure. The CEBC is funded by the California Department of Social Services (CDSS) Office of Child Abuse Prevention and is one of their targeted efforts to improve the lives of children and families served within child welfare system. 8>yU{_1\hopEJ0)ps>BewL4j4c|N`k}M)NZI7ZsK8{E q (PDF file, 82Kb) http://www.institutefamily.org/pdf/HOMEBUILDERS-FidelityMeasures-Abridged-2-6.pdf. hmk0`oWlPNl6/J_hHlu8u FD*0$)EDj #2d O &V"aYkFnozgtw};FgIN;YPX QszIIE n!RiU:C8;G5?~vb~v[,ru{gWE&J{! To place an order contact us, If you're not ready yet, learn how to select the right assessment tool for you here, Copyright 2023 National Family Preservation Network, Exit Instruments for Intact & Reunifying Families, Traumatic Emotional/Psychological Abuse of Children, Post-Traumatic Cognitive and Physical Well-Being of Children, Post-Traumatic Emotional/Psychological Well-Being of Children, Post-Traumatic Social Functioning of Children, Post-Trauma Parent/Caregiver Support of Children, PowerPointPresentation forStaffTraining, Frequently Asked Questions about the T/WB, License toUse the T/WB (issued to the purchasing agency). (2008). Form File. S cale & Definitions. to have a positive mindset, North Carolina Family Assessment Scale Wikipedia. The case notes included themes specific to youth with mental health needs that were not captured by current NCFAS items. Fact Sheet: Disproportionality in the Child Welfare System: The Disproportionate Representation of Children of Color in Foster Care. | %PDF-1.6 % It guides professionals to make a decision on whether action should be taken. Impact of intensive family preservation services on disproportionality of out-of-home placement of children of color in one states child welfare system. For additional information, view the IFPS ToolKit (chapters 10 and 11) here: http://www.nfpn.org/assessment-tools/ncfases-scale-development-report, _______________ That exception was the area of child well-being which includes the factors of mental health, childs behavior, school performance, relationship with caregivers, relationship with siblings, and relationship with peers. Ninety-six percent of the 383 youth with serious mental health issues avoided out of home placement at termination of services. Using the North Carolina Family Assessment Scale (NCFAS) - DocsLib Categories Computers Using the North Carolina Family Assessment Scale (NCFAS) / INTENSIVE FAMILY PRESERVATION SERVICE (IFPS)/FAMILY PRESERVATION SERVICE (FPS) EXIT SUMMARY SELECT REPORT TYPE: ASSESSMENT ONLY (Complete pages 1-3 and page 6 Sections B & C) The tool has been proven reliable and valid with dozens of IFPS programs. -2023 YTD North Carolina Family Assessment Scale (NCFAS), Lifeline is working great with families., of Family Preservation clients improved when working with Lifeline staff. http://www.nfpn.org/preservation/ifps-toolkit. It is used in the United Kingdom to help social workers make assessments of families where there is concern that neglect might be occurring or where neglect is occurring. Time to Administer: Approximately 20 minutes per scale, 60 minutes total. We have seen in this series of posts how evidence-based practice has developed and where IFPS fits in. For the full report, visit: This means that users of this system do not have to have a Because IFPS is an evidence-based practice, the IFPS field should be aware of and support other evidence-based practices. An article in the Journal of Public Child Welfare discusses the two new trauma-focused domains of the North Carolina Family Assessment Scale for General and Reunification Services (NCFAS G+R). The NCFAS is an instrument designed for family assessment and outcome measurement in family preservation services and child welfare. The National Family Preservation Network, in association with Dr. Marianne Berry, conducted research on the use of IFPS with post-adoptive families in a project funded by a grant from the Annie E. Casey Foundation. (PDF file, 66Kb) http://www.wsipp.wa.gov/rptfiles/E2SHB2536-3i.pdf. Kirk, R.S. The North Carolina Family Assessment Scale (NCFAS) was originally designed for use with a statewide IFPS program in North Carolina. Early IFPS programs had no provision for step-down services. WSIPP Inventory Chart: IFPS interventions improved family functioning and were most effective with the highest risk families. The tool has been proven reliable and valid with dozens of IFPS programs. Within-race analysis suggests that IFPS may mitigate racial disparity in out-of-home placement existing in the remainder of the child welfare population that receives traditional services. To place an order contact us. endstream endobj 116 0 obj <> endobj 117 0 obj <>/MediaBox[0 0 612 792]/Parent 112 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 118 0 obj <>stream Placement rates were highest for children served for delinquent or criminal behavior, running away, or where the family was experiencing physical violence, severe financial problems or medical illness or disability. There are 8 Domains, each comprising several subscales. In order to determine effective strategies for reducing disproportionality, I undertook a study to examine an effort to address disproportionality with a policy and practice initiative utilizing Intensive Family Preservation Services (IFPS). The cost for the NCFAS-G+R Package is based on the number of workers using the tool. The National Family Preservation Network recently released a research study that included findings from assessment tools and exit instruments. 2. North Carolina Family Assessment of Strengths and Needs. Data on IFPS were provided by the state of Missouri. Always try NCFAS North Carolina Family Assessment Scales The IARCA Institute Outcome Measures Project added the North Carolina Family Assessment Scales (NCFAS) to its tools in 2017 on a limited basis. The National Family Preservation Network is very proud to announce that the North Carolina Family Assessment Scale for General Services & Reunification has received an "A" rating on the California Evidence-Based Clearinghouse. It requires professional to make a clear decision on whether action should be taken. A later version of this tool, the NCFAS-G, includes the original 5 domains plus 3 additional domains of Social/Community Life, Self-Sufficiency, and Health. Contact families monthly, inquire about functioning & needs. Beginning in 2004, IFPS programs in North Carolina were required to track families for 6 months after receiving IFPS services: IFPS workers were authorized to re-open services to the family for a maximum of 2 weeks and a maximum of 2 times during the 6 month follow-up period. There were no differences on placement rates between Blacks and non-Black minorities, so these groups were combined. Please note that all ratings are based on the English version of the measure unless otherwise noted in the tool's description. In the recent research study, the following chart shows the percentage of families functioning below baseline (adequate) at intake and at case closure: The research study also included testing of exit instruments designed by NFPN to align questions for the worker and parent(s) which correspond in general with the NCFAS assessment tools. -2022 Face-to-Face Hours 1 % Next time well look at how one state has implemented evidence-based practice that includes IFPS. http://nfpn.org/preservation/186-older-youth.html, _______________ Glossary This is critical because the tools measure over 40 factors of family functioning that affect youth and their families and are used in a wide variety of youth- and family-serving systems. You can view the legislation here: The case notes included themes specific to youth with mental health needs that were not captured by current NCFAS items. Research output: Contribution to journal Article peer-review. Since these factors are child-focused, rather than parent-focused, and tend to reflect the older youths desire for independence and ability to make choices, including bad choices, less progress in this area is perhaps understandable. The two T/WB domains were added to assist workers to become aware of the symptoms and indicators of trauma and to assess for trauma and the degree of severity. For each subscale, rate the family along the following six-point continuum: +2 = Clear Strength, +1 = Mild Strength, 0 = Baseline/ Adequate, -1 = Mild Challenge, -2 = Moderate Challenge, and -3 = Serious Challenge. Working with our partners at the National Family Preservation Network, the IARCA Institute adopted NCFAS as a central assessment tool to the Project in 2020. National Family Preservation Network. The research study included use of the NCFAS-G with 2 IFPS programs and 1 differential response program. Development of the North Carolina Family Assessment Scale (NCFAS) for use with IFPS services provided an opportunity to measure a familys progress following an IFPS intervention. tbG^(9 }! NCFAS-G has recently been used to provide a broader assessment of outcomes from the practitioner perspective, in the delivery of the SafeCare programme to families where there is a risk of significant harm from neglect. (2006). Current authorized use or purchase of a NCFAS tool is required prior to obtaining the T/WB Package. Copyright Lifeline Youth & Family Services, Inc. Now hiring Therapists, Family Consultants, Homemakers, and more! This package is available in English and Spanish. Washington, DC: Casey/Center for the Study of Social Policy Alliance for Racial Equity. Conclusions: This study suggests variation in the fit for the NCFAS in child mental health services compared to the measurement properties established in child welfare samples.". (2007). Measurement properties for youth mental health services. The National Family Preservation Network is pleased to present the most comprehensive version of the family of North Carolina Family Assessment Scales, the North Carolina Family Assessment Scale for General Services and Reunification (NCFAS-G+R). Ensures that families are referred to the most effective and efficacious programs that the community provides. Analyses were conducted using a progressive series of preliminary models, leading to a full examination of the impact of assignment to the intervention on stable permanence. If you're not ready yet, learn how to select the right assessment tool for you here, Copyright 2023 National Family Preservation Network, Exit Instruments for Intact & Reunifying Families, A rating on the California Evidence-Based Clearing house, PowerPoint Presentation for Staff Training, Frequently Asked Questions about the NCFAS-G+R, License to Use the NCFAS-G+R (issued to the purchasing agency). August 16, 2022. Last Updated. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and thematic analysis of intake notes was used to test content validity. Racial/ethnic disproportionality in child welfare has been a topic of interest and controversy among child welfare researchers and administrators since data became available that permitted its investigation. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and thematic analysis of intake notes was used to test content validity. Conclusions: This study suggests variation in the fit for the NCFAS in child mental health services compared to the measurement properties established in child welfare samples. (PDF, 45Kb) http://www.wsipp.wa.gov/rptfiles/06-02-3901.pdf, Because fidelity of IFPS programs to the Homebuilders model is key to their effectiveness, its important for the IFPS field to be informed of the fidelity measures. The North Carolina Family Assessment Scale (NCFAS) was originally designed for use with a statewide IFPS program in North Carolina. Twelve months after intake, 73% of youth served were not placed in out-of home care. You will find the rankings for many other familiar programs in the chart. Family Guide to Assessment. Lifeline offers family casework, family therapy, supervised visitations, parent aid services, and parent education. You will note from the examples in the following chart that when families completed services, caregiver responses at termination almost mirrored the responses of the worker whereas there was more disparity between caregiver and worker when the family did not complete services: Proportion of Responses About Neutral and At or Below Neutral, To read the full research study, visit: A combination of formal and informal approaches can be used to screen for and assess a number of focus areas, including general family functioning, mental health, adult learning needs, substance abuse, parenting and child development, and domestic violence. The General Scale has 50 items; the Dyadic and Self-Rating Scales have 42 items each. Conclusions: This study suggests variation in the fit for the NCFAS in child mental health services compared to the measurement properties established in child welfare samples. The study included 2,056 high-risk families that received IFPS, and the comparison group included 28,004 high-risk families. The NCFAS and the NCFAS-R assessment tools were found to be reliable for use with both the older youth and younger children. Results are used to reach a permanency . 2005-JL-FX-0118 awarded by the Ofce of Juvenile Justice and Delinquency Prevention, Ofce of Justice Programs, U.S. Department of Justice. Loved the communication Lifeline provided., -DCS Family Case Manager (Net Promoter Scores (NPS)), -From 2022 North Carolina Family Assessment Scale (NCFAS), Lifeline staff was communicative, structured, and compassionate.. For a more detailed report, visit: The NCFAS tools are also used in evaluation and research. A later version of this tool, the NCFAS-G, includes the original 5 domains plus 3 additional domains of Social/Community Life, Self-Sufficiency, and Health. IFPS outperformed traditional child welfare services in every case by reducing the number of placements or delaying placements. Results: This study found only three NCFAS subscales. N2 - Objective: The purpose of this study is to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. Rating Scale: 0-1=Strength 2-3=Need A15.Transportation a. DSS-5229. North Carolina family assessment scale This project was supportedby GrantNo. The NCFAS-G+R has 70 subscales in 10 domains. Heres a chart with typical pre/post ratings from research on use of the NCFAS with IFPS families (the percentages refer to the families that are at baseline or above, meaning that no intervention is required in that domain): The NCFAS tools continue to demonstrate strong reliability and validity with IFPS programs. It does this by getting professionals to grade a family from -3 to +2 across a range of areas of family functioning, where the definition for a minus score means that . For more details of this study, visit: Dr. Ray Kirk from the University of North Carolina-Chapel Hill conducted a retrospective study (NC DSS, 2001) of more than 1,200 children who had received IFPS services in North Carolina and compared them with over 110,000 children who had not received these services. The NCFAS tools are designed to assist workers with assessing the familys needs, prioritizing goals and services, developing a case plan, and measuring the familys progress following delivery of services. In this study, high-risk minority children receiving traditional services were at higher risk of placement than white children, but minority children receiving IFPS were less likely to be placed than white children. Among families receiving follow-up services between 2004 and 2008, post-IFPS service placement rate was: Follow-up services during first 6 months post-IFPS services appear to reduce the placement (attrition) rate by about one-third. The published research included these key findings: Services focused primarily on parent/child conflict, communication problems, the childs emotional problems, and school problems. The tool has been proven reliable and valid with dozens of IFPS programs. Method: Internal consistency data from 288 participants. Conclusions: This study suggests variation in the fit for the NCFAS in child mental health services compared to the measurement properties established in child welfare samples. The North Carolina Family Assessment Scale (NCFAS) measures family functioning from the perspective of the worker most involved with the family. Older youth were defined as ages 1217 while younger children were defined as ages 011. In 2012 the Legislature passed E2SHB 2536 with the intent that prevention and intervention services delivered to children and juveniles in the areas of mental health, child welfare, and juvenile justice be primarily evidence-based and research-based, and it is anticipated that such services will be provided in a manner that is culturally competent. Washington is one of the few states to have enacted a law for implementation of evidence-based practice. Make recommendations for family's goals Phase II An intensive assessment of the family system is completed by a mental health professional School violence ! It includes 5 domains that measure family functioning: Environment, Parental Capabilities, Family Interaction, Safety, and Child Well-Being. The NCFAS-G+R is used to determine how a family is functioning. The FAM-III is intended for preliminary screening, and as an adjunct to clinical assessment and treatment monitoring. Objective: The internal consistency and construct validity of the North Carolina Family Assessment Scale (NCFAS) are reported. No families contacted at the 6- or 12-month follow-up checks had legally disrupted. To view the complete report, visit: It includes 5 domains that measure family functioning: Environment, Parental Capabilities, Family Interaction, Safety, and Child Well-Being. From January 2009 through April 2013 the program served 3014 children at risk of placement, 383 of whom were reported to have serious mental health symptoms. The more familiar measures include, For a complete list of the Homebuilders fidelity measurs and accompanying performance measures, see: Initial reliability and validity for the NCFAS-G was established with a differential response program. Family has reliable transportation b. Posted by Ray Kirk, Researcher Early IFPS programs served primarily older youth and we are now coming full circle to realizing that IFPS is still an excellent resource for adolescents. The North Carolina Family Assessment Scale (NCFAS) measures family functioning from the perspective of the worker most involved with the family. Family has unreliable transportation c. Family has no transportation 0 Form Number. It includes 5 domains that measure family functioning: Environment, Parental Capabilities, Family Interaction, Safety, and Child Well-Being. Limitations & Disclosures. author = "Lee, {Bethany R.} and Lindsey, {Michael A.}". T1 - North carolina family assessment scale, T2 - Measurement properties for youth mental health services. Caregivers do not condone violence. The North Carolina Family Assessment Scale (NCFAS) measures family functioning from the perspective of the worker most involved with the family. http://ifpscoasttocoast.wordpress.com/2013/10/23/ifps-is-effective-with-older-youth/. Some IFPS agencies have been reluctant to use the NCFAS-G because it had not been tested with an IFPS program. There are 11 domains, each comprising several subscales. The earliest study of the use of IFPS with reunifying families was conducted in Utah in 1995. . The field of IFPS is heavily dependent on the Homebuilders model of IFPS for its inclusion in evidence-based practice. endstream endobj startxref Other issues much more prevalent in older youth than younger children included adoption disruption, behavior problems, delinquency, child-centered violence, school problems, mental health problems, and substance abuse. The National Family Preservation Network is pleased to offer the North Carolina Family Assessment Scale for General Services (NCFAS-G). This lack of differences in base rates suggests that disproportionality in the child welfare system is not due to disproportionate need, but rather to discriminatory practices in society (reports of abuse and neglect) or within the child welfare system (investigations, substantiations, placements, permanency outcomes). At a 6-month follow-up point, 76% remained intact. A combination of formal and informal approaches can be used to screen for and assess a number of focus areas, including general family functioning, mental health, adult learning needs, substance abuse, parenting and child development, and domestic violence. You will note from the examples in the following chart that when families completed services, caregiver responses at termination almost mirrored the responses of the worker whereas there was more disparity between caregiver and worker when the family did not complete services: Proportion of Responses About Neutral and At or Below Neutral, To read the full research study, visit: Thank you, Charlotte and Shelley and all IFD staff, for your dedication and commitment to make IFPS one of the most effective programs for families! The IFPS intervention lasted 90 days and children were returned to the families within 15 days of referral. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and thematic analysis of intake notes was used. A Change in the Intensive Family Preservation Blog, Keeping Kids in Families: A New National Family Preservation Advocacy Campaign, Washington State Legislature Pairs Funding With Programs That Adhere To Evidence-Based and Research-Based Practice Standards, Learn More About Intensive Family Preservation Services Free Resources for IFPS. PDF 3.27 MB - August 16, 2022 Accountability Services, Testing, Parent Guide . NORTH CAROLINA SDM FAMILY REUNIFICATION ASSESSMENT Case Name: _____Case #:_____Date:_____ County Name:_____ Social Worker Name:_____ . Glossary Between 2004 and 2008, 999 families received follow-up contacts, 593 received 3-month comprehensive assessment, Families had option to decline being contacted in the future; some families could not be located, Black children are overrepresented in foster care by a ratio of 2:1, Native Americans are overrepresented in foster care by a ratio of 2:1, Whites are underrepresented by a ratio of 0.7:1, Hispanics are underrepresented by a ratio of 0.9:1, Asians are underrepresented in foster care by a ratio of 0.25:1. Washington State is the birthplace of the Homebuilders program and thus state policy makers had access to a good example of evidence-based practice. There are some differences from the other NCFAS domains that are explained in the package. Caregivers successfully manage anger and discipline Results: This study found only three NCFAS subscales. A practice is rated based on the following criteria: The CEBC relies on published, peer-reviewed research to determine the rating. Points of view or The case notes included themes specific to youth with mental health needs that were not captured by current NCFAS items. parent knowledge, capacity, parenting practices, and parent-child relationship) Family relationships and formal & informal support systems Parent educational and vocational information NCFAS and its variants have been used in direct service use with families. title = "North carolina family assessment scale: Measurement properties for youth mental health services". IFPS programs with high model fidelity had a significant reduction in out-of-home placements of children and produced $2.59 of benefits for each dollar of cost. Two agencies provided data on IFPS services to older youth with one of the agencies providing comparative data for younger children. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and thematic analysis of intake notes was used. What I discovered was a window of vulnerability that is depicted in the following chart by means of placement rates following the IFPS intervention: Note window of vulnerability from 120 days to 270 days post service. IFPS services were highly effective with older youth for both placement prevention services and reunification. meetings with family 35 times a week, and, engagement and motivation enhancement, and. IFPS is associated with a reduction in racial disproportionality of out-of-home placement among high-risk families. Initial NCFAS-G+R (North Carolina Family Assessment Scale) - Cognito Forms The case notes included themes specific to youth with mental health needs that were not captured by current NCFAS items. It is also listed in the mental health category under serious emotional disturbance as a research-based practice, based on a single evaluation. Posted by Priscilla Martens, Executive Director, National Family Preservation Network, http://nfpn.org/reunification/reunification-research, A Change in the Intensive Family Preservation Blog, Keeping Kids in Families: A New National Family Preservation Advocacy Campaign, Washington State Legislature Pairs Funding With Programs That Adhere To Evidence-Based and Research-Based Practice Standards, Learn More About Intensive Family Preservation Services Free Resources for IFPS. http://ifpscoasttocoast.wordpress.com/category/mental-health/, Dr. Marianne Berry and NFPN conducted a study on the use of IFPS with post-adoptive families in Missouri. This week we look at how the state of Washington is implementing evidence-based practice that includes IFPS. Assessment and Exit Instrument Tools for IFPS, http://nfpn.org/reunification/reunification-research, http://ifpscoasttocoast.wordpress.com/2013/10/23/ifps-is-effective-with-older-youth/, http://ifpscoasttocoast.wordpress.com/2013/11/13/ifps-with-juvenile-justice/, http://ifpscoasttocoast.wordpress.com/category/mental-health/, http://nfpn.org/articles/ifps-with-post-adoptive-families, http://www.nfpn.org/preservation/ifps-toolkit, http://www.nfpn.org/assessment-tools/ncfases-scale-development-report, http://nfpn.org/preservation/186-older-youth.html, http://apps.leg.wa.gov/documents/billdocs/2011-12/Pdf/Bills/House%20Passed%20Legislature/2536-S2.PL.pdf, http://www.wsipp.wa.gov/rptfiles/06-02-3901.pdf, http://www.institutefamily.org/pdf/HOMEBUILDERS-FidelityMeasures-Abridged-2-6.pdf, http://www.wsipp.wa.gov/rptfiles/E2SHB2536-3i.pdf.
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