Richmond Society for Community Living

2003

Outcome Management Report
 

 

Introduction

 

Method

 

Parameters and Omissions

 

Demographics Summary

 

Richmond Society for Community Living Programs:

Infant Development Program

                   Program Overview

                        Demographics

                        Outcomes Data Results

                        Analysis

                        Recommendations

Preschool/Daycare

                        Program Overview

                        Demographics

                        Outcomes Data Results

                        Analysis

                        Recommendations

Day Programs 

                        Program Overview

                        Demographics

                        Outcomes Data Results

                        Analysis

                        Recommendations

Residential

                        Program Overview

                        Demographics

                        Outcomes Data Results

                        Analysis

                        Recommendations

Respite 

Program Overview

                        Demographics

                        Outcomes Data Results

                        Analysis

                        Recommendations

 

Outcome Management System Recommendations 
 

Appendix

                Index of Graphs and Charts

 

Introduction

 

The Outcome Management System is designed to provide essential information to the Richmond Society for Community Living’s management and Board of Directors in order to monitor and make improvements to service delivery.

 

It is expected that the outcome results will assist the Richmond Society for Community Living to be more responsive to the needs of the children, youth and adults with a disability and their families who are served by the Society. 

 

The Outcome Management System was developed using a self-assessment process which identified areas of strength, weakness, opportunities and possible threats to the services provided by the Society.  This is the first Outcomes Management Report in a series of annual Outcomes Management Reports.

 

The Outcomes Management System addresses five program areas: Residential Services, Day Programs (including after-school care), Respite, Infant Development Program, Preschool/Daycare (3-5 years).  Each program area has identified measures for effectiveness, efficiency, accessibility and satisfaction.

 

The Board of Directors will review the outcome results and approve the recommendations that arise from the analysis and results.  The outcome results will also be reported in the Executive Director’s Annual Report to the membership and be included in the agency’s newsletter.  The outcome results will also be used to inform and update the Strategic Plan.  Finally, the recommendations from the Outcome Management process will be included with the recommendations from the following reports to form the Business Improvement Plan for the year:

 

Ø      Compliance Report

Ø      Staff Reports - Human Resources, Complaints, Critical Incidents, Health & Safety

Ø      Risk Management Report

Ø      Accessibility Plan

Ø      Technology Plan

Ø      Strategic Plan

 

 

Method

 

Three different methods were employed to gather information regarding services provided by the Richmond Society for Community Living.

 

Survey

 

A survey was developed to solicit the opinions and perspectives of parents, relatives and/or long-term caregivers that were involved in the life of a child, youth or adult with a developmental disability receiving service.  A separate survey was also developed to solicit specific input regarding “capacity” from MCFD Social Workers. In order to solicit the input from as many people as possible, all surveys were translated into three languages (English, Punjabi and Chinese). To review the surveys, please see the Appendix. 

 

The Richmond Society for Community Living sent out a total of 316 surveys - 136 completed surveys were returned (response rate of 43%).  Although the return rate is lower than expected, this appears to be consistent with non-profit research.

 

Hagar (2002) suggests that researchers who study non-profit organizations draw on a wide range of empirical research methods, with the survey research method commonly employed. He further acknowledges that a substantial portion of mail survey recipients fail to respond to the invitation to participate and considerable debate continues to exist regarding what constitutes acceptable return rates.[1]

 

Therefore, given the return rate, the survey results must be viewed as possible trends, but not conclusive results.

 

The response rate for the overall agency and for each program is displayed below.

 

Graph 1

Survey Response Rate Society Wide

Graph 2

Survey Response Rate by Program

Respite:          46% returned

 

Residential:     55% returned

 

Day Program: 48% returned

 

Treehouse:     57% returned

 

IDP:               35% returned

 

 


Interviews 

 

Families/Caregivers that may have difficulty responding to a written survey were interviewed.  Also, all self-advocates that were able to indicate their preference, verbally or by using any other communication system (e.g. pictorial symbols) were interviewed.  The interviewer was not employed by the Society but was contracted by the agency to perform this specific task.

 

File Review

 

Existing documentation within the organization was used in some situations as the sole measure and in other cases as an additional measure in conjunction with a survey question. 

 

 

 

Parameters and Omissions

 

Although the process was designed to solicit input from a broad range of people in order to capture the opinions of a representative group, it is important to mention that some people may not be well represented in the final report.  Specifically, individuals, who are not able to speak or communicate in ways that can be clearly understood, do not have a strong voice in the final report.  Although the opinions of families and services providers that are involved in the lives of these individuals have been included, the direct opinions of the individuals are not.  The process included surveying families/caregivers and social workers. Self-advocates that were able to indicate their preference, verbally or by using any other communication system (e.g. pictorial symbols) were interviewed.

 

The second group of people that are not well represented in the final report are those individuals that do not have family involvement - especially if the individual is also unable to communicate in ways that can be clearly understood. 

 

Lastly, although the process adopted methods and practices consistent with empirical research methods, the process and report do not conform to the stringent guidelines of empirical research practices.  The final conclusions contained in the report are based largely on information and opinions gathered from the surveys, interviews and a review of specific documentation.  That said, given that three stakeholder groups were consulted by way of survey or interview and three methods were used to obtain information, the writer is confident that the results and conclusions do represent many commonly held beliefs and opinions of self-advocates, families and other stakeholders regarding services provided by the Richmond Society for Community Living.

 

 

 

Demographic Summary

 

This is the first year that the Richmond Society for Community Living has collected demographic information for the entire organization.  Therefore, a comparative analysis between years is somewhat difficult.  However, certain trends and conclusions can still be drawn from analyzing the RSCL data in relation to statistical information provided by the City of Richmond and Statistics Canada.

 

According to the City of Richmond, the top three ethnic (single) origins in Richmond are Chinese, East Indian and Canadian.  In addition the City of Richmond “Hot Facts” on ethnicity indicate that Chinese (59,920) and East Indian (9,250) are the most frequently reported ethic (single) origins in Richmond. Although the Children’s Respite and Infant Development Program demographic information reflect a high ratio of Chinese and Indo-Canadian (East Indian) people served, other programs do not reflect the ethnic breakdown of the community.  Although there may be many reasons for this, including immigration, age, etc., it does highlight the need for the organization to reach out to these ethnic communities.

 

Our current Accessibility Plan has addressed the need to reach out to the different ethnic groups in our community.  Currently the agency is in the process of translating our brochures and some of our orientation materials into Chinese and Punjabi.  In the fall of 2004, we will be contracting with an individual from the Chinese community and the Indo-Canadian community to conduct focus groups and interviews with people from the Chinese and Indo-Canadian ethnic communities.  The purpose of these interviews and focus groups will be to introduce RSCL services and solicit input on how the agency can facilitate better access to our services.  

 

In addition to the large number of individuals reporting to be of East Indian and of Chinese ethnic origin, many people also report to be of Filipino origin.  This is also reflected in languages spoken in the community.  In Richmond, 44% of the residents indicated English as their mother tongue, 35% indicated Chinese, 3% indicated Punjabi and 3% indicated Tagalog. According to the City of Richmond “Hot Facts” on Languages, Tagalog (Philippines) is more often reported as a person’s mother tongue than Punjabi (India).  This is an increase of 48.77% from the last census.  This appears to be a trend that is worth watching in order to ensure RSCL is reaching out to all ethnic communities in Richmond.      

 

  

 

 

 Infant Development Program

 

Program Overview

 

Infant Development (ages birth to three years)

Child development support for families with infants and toddlers who have extra support needs, a delay in their development, or who may be at risk of a delay.

 

Demographics

 

The IDP supports 182 participants with the following demographics:

 

Chart 1

Gender

Ethnicity

Diagnosis

99 male

83 female

63 Caucasian

46 Chinese

22 South Asian

13 Bi-Racial

14 First Nations

8 Philipino

6 Arabic

6 Russian

1 Finnish

2 Japanese

1 Spanish

64 Prematurity

22 Global Delay

17 NAS/FAS

15 Speech Delay

11 Motor Delay

9 At Risk

9 Autistic

5 Developmental disabled

4 Down Syndrome

3 Cerebral palsy

23 Other

 

Outcomes Data Results

 

Chart 2                                                                                                                                    150 surveys sent out, 53 returned.

#

Outcome

Indicators

Target

Data Source

Results

Target achieved

IDP1

Families will be satisfied with the service

IDP1a. percent of families that report satisfaction

80%

Survey

6% neutral

19% satisfied

75% very satisfied

yes

IDP2

Families will have increased knowledge of how to support their child

IDP2a. percent of families who report increased knowledge of their child's disability

80%

Survey

2% neutral

34% agree

64% strongly agree

yes

IDP3

Children will have opportunities for growth and development

IDP3a. percent of families who report their child has experienced growth and development

80%

Survey

38% agree

62% strongly agree

yes

 

 

IDP3b. percent of families who have been offered resources to foster child's growth and development (play group, lending library, resource materials, referral)

80%

Survey

2% disagree

4% neutral

28% agree

66% strongly agree

yes

IDP4

Infant Development Program will achieve full capacity

IDP4a. Numbers served in the reporting period

Contract requirement

File review

 

# contracted
families:  100

# families served in one month: 173

yes

IDP5

Families will receive services in their language of choice

IDP5a. percent of families who report that they received services in their language of choice

80%

Survey

8% no

92% yes

yes

 

Analysis

 

The Infant Development Program successfully achieved all of the targets originally set for the outcomes.

 

Satisfaction – The overall level of satisfaction with the Infant Development Program by consumers appears to be very good.  Of the 53 respondents to the survey, 94% indicated that they were satisfied (19%) or very satisfied (75%) with the service.

 

Graph 3

IDP Program Satisfaction

 

Effectiveness – Two outcomes were identified to address the effectiveness of the Infant Development Program.  Firstly, families were asked if they believed that their knowledge of how to support their child had increased.  Of the 53 respondents, 98% indicated that they agreed (34%) or strongly agreed (64%) that their knowledge had increased.  Secondly, two indicators were developed to measure whether families believed that their child had been provided with opportunities for growth and development.  Of the 53 respondents, 100% agreed (38%) or strongly agreed (62%) that their child had experienced growth and development.  Families were also asked if they were offered resources to foster growth and development.  Of the 53 respondents, 94% agreed (28%) or strongly agreed (66%) that they had been offered resources.  With respect to the outcomes utilized, it appears that IDP is highly effective.

 

 

 

Graph 4         

Increased Knowledge

 

Graph 5 

Increased Growth & Development

 

 

 Graph 6

Offered Resources

Efficiency – A file review was completed to determine if the Infant Development Program was serving the required number of families identified in the contract with the Ministry for Children and Family Development.  The results indicate that the program far exceeds the expectations in the contract with MCFD.  The current contract is for 100 families, yet the program is currently serving 173 families.  Given the high level of satisfaction reported by consumers, it does not appear that this increased capacity has negatively impacted the quality of the program.

 

Accessibility - Given that Richmond is a multicultural community, it was determined that, if families were able to receive service in their first language, it would increase the accessibility and effectiveness of the program.  Therefore, families were asked if they received service in the language of choice.  Of the 53 respondents, 92% indicated that they had received service in the language of choice. Currently the IDP staff team is able to provide service in the following languages:

 

Ø      English

Ø      Cantonese

Ø      Mandarin

Ø      Hokkien

Ø      Malay

Ø      Punjabi

Ø      Japanese

Ø      German

 

   

Recommendations:

 

No recommendations at this time.


 
Preschool/Daycare

 

Program Overview

 

Treehouse early Learning Centre (ages 3 – 5 years)

An integrated childcare centre that offers a diverse curriculum for children of varying abilities focusing on the whole child and learning through play.

 

Demographics

 

Treehouse is licensed for 25 children, however 32 children are currently enrolled in the program because some children attend on a part-time basis. The following chart outlines the demographics for the Treehouse program:

 

Chart 3

Gender

Ethnicity

Diagnosis

16 male

16 female

19 Caucasian

5 Chinese

2 Chinese/Caucasian

2 Indo Canadian

1 Fijian/Caucasian

1 Japanese/Ukranian

1 Iranian

1 Guyana/Caucasian

1 Down Syndrome

1 Cerebral palsy

7 Other

 

 

Outcomes Data Results

 

Chart 4                                                                                                                                    29 surveys sent out, 17 returned

#

Outcome

Indicators

Target

Data Source

Results

Target achieved

TH1

Families will be satisfied with the service

TH1a. percent of families that report satisfaction

80%

Survey

18% satisfied

82% very satisfied

yes

TH2

Children will have opportunities for growth and development

TH2a. percent of families who report their child has experienced growth and development

80%

Survey

35% great extent

65% very great extent

yes

TH3

Treehouse will maintain full capacity

TH3a.  percent of enrollment for the year (Jan - Dec)

95%

File review

90% preschool

86% daycare

no

TH4

Children (who require extra supports) will receive personalized supports as identified in their CFSP

TH4a. percent of goals identified in the CFSP have documented evidence that the goal was attempted

90%

File review

100%

yes

 

Analysis

 

The Preschool/Daycare Program successfully achieved three (3) of the four (4) targets originally set for the outcomes results.

 

Satisfaction – The overall level of satisfaction with the preschool/daycare program by consumers appears to be very good.  Of the 17 respondents to the survey, 100% indicated that they were satisfied (18%) or very satisfied (82%) with the service.

 

Graph 7

Treehouse Program Satisfaction

 

Several families provided additional comments regarding their satisfaction with the program.  The following is a small sample of these comments:

 

“Perfect for what I wanted for my children”

 

“I cannot say enough with how impressed I am”

 

“The experience we have had with Treehouse and
the RSCL has been amazing”

 

Although the overall satisfaction with the program appears to be very high, one respondent commented that the daily communication with families could improve.

 

Effectiveness – One outcome was identified to address the effectiveness of the Treehouse early Learning Centre.  Families were asked if they believed that their child had been provided with opportunities for growth and development.   Of the 17 respondents, 100% indicated that