in - ehrlo outcomes.pdf · creating the best outcome for them as individuals. youth have access to...

2 • Ranch Ehrlo Society’s 2018-2019 Outcomes report

Who we areRanch Ehrlo Society is a charitable organization dedicated to providing a range of quality assessment, treatment, education, support, and community services that improve the lives of children, youth, adults, and families.


Youth group care

Emergency receiving

Education

Programs for Persons with Developmental Disabilities

Family programs

Community services

Contents


Youth group care Our integrated treatment approach incorporates residential services, clinical treatment, education, and recreation. Youth participate in activities focused on creating the best outcome for them as individuals.

Youth have access to psychiatric services, speech language pathologists, equine assisted learning, and occupational therapists. Individualized treatment plans include both group and individual therapy, and time is spent engaged with highly-trained staff taking part in creative or athletic activities.

Last year the residential treatment program served 290 youth. The average length of stay was 17 months. There were 134 residents discharged during the year.


Our philosophyWe believe youth do the best they can when provided with safe and accepting environments; warm, trusting, and nurturing relationships; and fun, therapeutic, educational activities. Our highly trained and caring staff are dedicated to helping youth work through issues and achieve personal goals.

“They understand me. They listen. Sometimes they give me a hug when I need it.”

youth, CARE survey

Youth rating on whether staff help them when they are having problems

5% no

1% unsure

94%yes


Reasons for service at the RanchYouth come to Ranch Ehrlo for a variety of reasons. Once an issue is identified, service and treatment plans are created in consultation with the youth, their parents or guardians, and staff from referring agencies. While at the Ranch, residents work with staff to achieve their treatment goals and to address the issues that brought them here.

How our programs help We are guided by the CARE model, Children And Residential Experiences: Creating Conditions for Change, which works to improve services for our clients through six practice principles:

youth, CARE survey

“They respect me. They let me have second chances.

They are good friends.”

• Relationship based

• Developmentally focused

• Family involved

• Competence centred

• Trauma informed

• Ecologically oriented


How CARE worksIn 2018, Ranch Ehrlo Society began to implement the CARE model of practice (Holden, 2009). The model is designed to strengthen organizational congruence and outcomes through a principle-based model supported by research.

CARE training provides Ranch Ehrlo staff with clear objectives for daily routines, activities, and staff-client interactions. This allows staff and caregivers to focus on helping the residents achieve the competencies necessary to manage life events with greater success.

CARE found in the rock ceremonyHilsden House is the home of the agency’s youngest clients, and due to their age, moves can be especially difficult and anxiety provoking. Knowing that, Hilsden has always done a great job of celebrating when clients transition – whether it be going home or moving to a new program. When a youth is scheduled to move, he gets to choose a rock. All of the staff – many of who come in on their days off to participate – and youth gather in a circle. Each person in the circle speaks into the rock, sharing fond memories and expressing support, encouragement, and well wishes for the departing child’s future. When he goes, the youth gets to take the rock – and all the well-wishes – with him.


Daily CARE practice ratingsEvery day, youth care staff rate the implementation of CARE based on key indicators.

Activities

8 out of every 10 days were rated as having activities that were developmentally focused and effective at helping participants develop or practice new skills and competencies.

Relationships

Environment

The vast majority of participants engaged, problem-solved, and showed trusting relationships with caregivers for 80% of the days.

Almost all participants experienced a sense of safety, security, warmth, and flexibility 78% of the time.

80%

78%


“They try to help me work through my problems. They never give up on me.”

youth, CARE survey

Why are youth at the Ranch?Mental health 97%

Emotional regulation skills 87%

Executive functioning 72%

Social skills 66%

Risk behaviours 81%

Daily functioning 52%

Cognitive flexibility skills 33%

Language 19%


Cultural background of youth served

Gender of youth served

Youth statistics

Age of youth served

75% First Nations

12% Caucasian 6% Inuit

5% Metis

2% other

52% male

48% female

33%16+ 63%

11-15 4%<11


Youth who think working on goals helps deal with problems

Youth who reached/attained part or all of their goals

youth, 2018 survey

Goals86%

78%

“They help you with a treatment plan, it’s a safe place. There are people to talk to.”


Community involvement Community engagement teaches youth how to build healthy relationships and reintegrate into their communities. Youth spend a great deal of time in their communities, volunteering at fundraising events and local sports leagues, and participating in cultural, traditional, and spiritual community activities.

94% of youth think

the Ranch helped them to participate

in community activities

83% of youth think the Ranch helped them

to participate in traditional activities

Charity bake saleIn the spring two youth from Dalla-Vincenza House held a bake sale with the purpose of giving 50 per cent of their proceeds to the Regina Food Bank.


74% of residents showed meaningful improvement in their CAFAS outcome indicators

Youth functioning

initial

Average subscale CAFAS scores

most recent

school/ work

home community behaviourtowardsothers

moods self-harm substanceuse

thinking

One of our goals is to improve the psychological development and social integration of our youth. We use the Child and Adolescent Functional Assessment Scale (CAFAS) to measure the degree of impairment of emotional, behavioural, psychiatric, psychological, or substance abuse problems. Scores range from 0 to 240, with higher scores indicating more severe impairments.

The average CAFAS score for our youth at their initial assessment was 138. The most recent average score was 95. The significant decrease means that the functioning of our youth has improved within the structured, nurturing, and supportive environments at the Ranch.

0

5

10

15

20

25

30


Youth are living with their family

Youth are living in a different group home

Youth are living on their own

Youth are living in foster care

Where are youth transitioning to?

Youth who were satisfied

with services at Ranch Ehrlo!

88%

68%

14%

10%

1%

7% Other


Six month follow-upsWe take care and interest in how residents adjust to life after our programs. A six month follow-up is completed through a phone interview. Last year, outcome information was gathered from 58 former youth.

former youth are living with family or extended family

former youth are living on their own

former youth are living in secure custody

former youth have positive or very positive relationships with parents or peers

former youth have moderate to high involvement in recreation and/or community services

have neither been charged nor convicted of a criminal offence

57%

10%

12%

83%

33%

69%


65% of former youth have “no” or “minimal impairment” on CAFAS Substance Abuse Scale

50% of former youth report abusing substances weekly or more

78% of residents under 16 are attending school

76% of former youth over 16 are working full or part time

More six month follow-ups

The average score decreased by 11, showing ongoing growth and development.

84average CAFAS

score


222 youth served 22 beds available

Emergency receivingRanch Ehrlo provides temporary emergency receiving services for youth while the Ministry of Social Services develops a longer term plan.

Youth coming into the Emergency Receiving Services Program in the past lived in Rorison House or Kenyon House at the Pilot Butte campus. This past year Flegal House on the Buckland campus was retrofitted to house six children - some only a few months old.


Ranch Ehrlo offers alternative education opportunities to students who have had little experience or success in traditional school settings. Schaller, Hansen, and Ellen Gunn education centres provide youth with an accredited educational curriculum and additional learning resources. We also offer learning and vocation programs for clients with developmental and cognitive disabilities.

Three graduates Graduation is a big achievement in any young person’s life, but for those who are part of our programs for youth, it may be an even bigger deal.

This year three youth graduated from mainstream schools in Prince Albert and Regina. Seeing them succeed was a proud moment, not only for themselves and their families, but all the staff who had helped them along their journeys.

Education

“They help me with my future, they set me up with school and I will have my drivers license soon. I have everything I need.”

youth, 2018 survey


Student issues at admission

Student satisfaction

with education services82% academic general

72% behavioural problems

35% math

31% social skills

7% vocational skills

6% life skills

11% language arts & skillsof education

goals successfully

achieved


“They trust me. They think I’m a nice person. They think I’m a big brother (to another participant).”

participant, 2018 survey

Programs for Persons with Developmental Disabilities Ranch Ehrlo Society’s Programs for Persons with Developmental Disabilities provides residential, educational, and vocational opportunities to people with complex developmental needs. Care and support are focused on person-centred and strength-based services.

Our programs are designed to provide individualized treatment based on principles of social integration and normalization and provide residents with an opportunity to develop skills to live more independently in their community.


Are you satisfied with the services?

Very good 17%

Good 22%

How well has living at the Ranch helped you deal with problems?

Fair 2%

Poor 7%

Excellent 52%

always 84%

most of the time

13%never 3%

of vocational goals achieved

78%

participants77


9.3 out of every 10 days were rated as having activities that were developmentally focused and effective at helping participants develop or practice new skills and competencies.

Relationships

Environment

The vast majority of participants engaged, problem-solved and showed trusting relationships with caregivers 94% of the time.

Most participants experienced a sense of safety, security, warmth, and flexibility 92% of the time.

9.3

Daily CARE practice ratingsEvery day, personal support workers rate the implementation of CARE practices based on key CARE indicators

Activities

Jillings House is home to five people ranging in age from 21 to 29. CARE training really shines at Jillings – staff ensures their interactions are developmentally focused. CARE teaches staff to look at behaviours through a trauma-informed lens and to understand that while some behaviours appear to be attention seeking, they are actually attachment seeking. Participants are seeking out safe, trusting relationships.


Family Treatment Program This program improves family safety, family functioning, and child well-being so families can remain together. The program works to either prevent the placement of children out of their home or to assist families to reunite after having a child in care.

Intensive in-home services are provided that assist the family in obtaining the knowledge, skills, and abilities to successfully reunify children to their care, including: counselling in child development; effective parenting; mood management; communication; life skills; budgeting; and accessing community resources.

66families served

The Family Treatment Program expanded several times over the years to allow more families to have access, but the latest growth in 2019 expanded the program to the communities of Moose Jaw and Fort Qu’Appelle.

75%families reunified


Intensive Family Preservation ServicesThe program is an intensive in-home family treatment program designed to keep children and families safe and prevent out-of-home placement of children.

The time-limited services are family-focused, child-centred, goal-oriented, and provide in-home skills building and after-care supports and linkages.

88% of families stayed together!

43 families served


“They are taking care of me. They are being kind and helping me.”

child, 2018 survey

Treatment Foster CareThis program provides family-based care for children using professional foster parents. Foster families support the care, treatment, and community engagement of the children while helping to develop and strengthen healthy relationships with birth families.

20 children served

50% of children served were 9 or

younger

Treatment foster parents help a child get over the loss of a grandparent.

67%children reunited with family after discharge

78%children who

improved functioning based on CAFAS


Ehrlo Counselling Services Ehrlo Counselling provides counselling, training, and consultation services to Ranch Ehrlo clients and the community at large. Ranch Ehrlo Society provides prevention and intervention-based community services to individuals and families. They are intended to build and promote stronger, healthier, and more integrated communities.

98% of clients said

counselling helped them

568clients accessed services

Ehrlo Counselling’s Shelley Tamaki, who recently finished providing outreach services, received gifts from the community of Pheasant Rump Nakota First Nation


“It is apparent that the staff has children’s best interests in mind at all times. I never worried leaving my children in their care.”

Ehrlo Early Learning CentresThe centres provide high quality childcare to families in Regina at five separate locations. Our philosophy is based upon experiential or real-life learning.

89.8% of parents stated that

their children were happy at the centre

parent

96.8%Parents stated that the centres met or exceeded their expectations and that programming allows the children to experience social, emotional, physical, creative, and cognitive growth.


Ehrlo Housing

Lakeshore Village(44 units)

90%

Chaz Court(8 pocket suites)

91%

Occupancy rates

Ehrlo Housing provides affordable housing to low-income families, individuals with chronic mental health conditions, and young people transitioning from care.

McEwen Manor (40 units)

100%

“Thank you for being a support for me and my family and caring about us.” Tenant


342

57

203

Ehrlo Sport Venture

youth participated in the Outdoor Hockey League

youth participated in the Monday Night Football League

youth participated in the Ehrlo Soccer League

youth participated in the Ehrlo Basketball League

youth participated in the Ehrlo Baseball Rookie League156

Ehrlo Sport Venture Program ensures all youth and families have access to recreational programs including free drop-in sports leagues and a sport library where equipment can be borrowed free-of-charge.

177


Continual improvement is a top priority for Ranch Ehrlo Society. We work diligently to ensure the effective delivery of high quality programs and services to meet the divergent needs of our participants. Data informed decision making involves analyzing and reporting key performance indicators and outcomes. The feedback we receive is used to evaluate services and identify opportunities for improvement.

For further information, please contact:David Rivers & Don McEwen, Ranch Ehrlo SocietyP 306-781-1800

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