Program Outcome Narrative Question & Answer Guide (With Explanation)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to program outcome narrative and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves program outcome narrative. A strong answer should include explanation, application, and examples.
Original Question
A Program Outcome Narrative on the FIS Program (Family Intervention Specialist) in Montgomery County. MD. should be written like? The Montgomery County Department of Health and Human Services (DHHS) has primary responsibility for the delivery of public health and human services that address the basic and critical needs of the county’s most vulnerable children, adults and seniors in Montgomery County. The department provides core services and partners with other agencies, community groups, the faith community, and the private sector to protect the community’s health, protect the health and safety of at-risk children and vulnerable adults, and address basic human needs including food, shelter, clothing and personal care. The Local Behavioral Health Agency (LBHA) of Montgomery County is organizationally within the Department of Health and Human Services (DHHS). The LBHA develops and monitors public mental health services in the County. The department has designated staff, programs, and resources within DHHS to plan and program with the local Department of Juvenile Services (DJS) to support youth and families that are at risk of involvement or become involved in the Juvenile Services System. Interagency Government Agreement By entering an IGA with the State, DHHS and DJS will be able to continue providing intensive in-home mental health and case management services that are closely coordinated with the DJS supervision functions. These services will be provided to youth and their families who have been assessed by DJS as eligible for Family Intervention Services (FIS). Providing comprehensive services (mental health, case management, coordination with DJS and other providers) is known to be much more effective and cost efficient than detention or residential treatment. FIS offices are collocated with DJS, which facilitates communication and coordination between the programs. For example, FIS therapists submit written monthly updates on the progress that the youth have made each month, including number of sessions attended/missed, and progress towards treatment plan goals. DJS workers are then able to reinforce goals and attendance expectations with the youth. Treatment Services The FIS workers engage the youth and their family within a wraparound model – providing youth and family assessments, weekly group counseling, parenting education and family supports, family and individual therapy, crisis interventions and the development of crisis plans with the families, case management services to help meet the youth or family’s concrete needs, and referrals to specialized services. These specialized services include intensive coordination with the school, substance use treatment, job skill training, job placement, GED preparation, and anger management. Treatment modalities used include Trauma Informed Treatment, Cognitive Behavioral therapy, Motivational Interviewing, Psychoeducation, Family Systems, Trauma Focused Cognitive Behavioral Therapy, and Medication Management. All clients are assigned to a therapist and will have varying levels of intervention based on level of need and engagement in the treatment process. Youth who require psychiatric services and are uninsured or have Medical Assistance may receive treatment through Child and Adolescent Behavioral Health Services; youth with private health insurance will be referred through their insurance provider for psychiatric care. Treatment contacts are more frequent in the initial stages of treatment and may vary as treatment progresses. Profile of youth served Youth involved with DJS are eligible to receive FIS services, per referral from the DJS worker.Youth are often referred to treatment because of problems related to the impact of trauma and family stressors as well as developmental and learning differences that manifest in behavioral symptoms of emotional dysregulation, anxiety, poor impulse control, low self-esteem, school avoidance and attendance challenges, as well as academic performance challenges. These symptoms are often rooted in the needs for mental health and/or substance use treatment to address post-traumatic stress, conflicted family relationships, and the unidentified neurodevelopmental differences and needs of the youth. Symptoms and underlying challenges and needs become the focus of FIS treatment with the goal of ending involvement with DJS, supporting adaptive functioning, and preventing recidivism. Program Statistics Number of slots in the program at a time- 30-35 Minimum number of youths served each year – 60 Average length of stay for youth in the program – 9 to 12 months Number of contacts with the youth: 2-3 contacts per week. Type of contacts (face-to-face, by phone):1-2 face to face contacts and 1-3 telephone contacts a week per youth. Contacts may decrease in frequency as the youth progresses in treatment. Mission: Building bridges to remove barriers to mental health services by providing quality home- and community- based mental health treatment to individuals and families involved with Department of Juvenile Services in Montgomery County. Population Served: All Department of Juvenile Services-involved youth in the community; Montgomery County residents; no insurance or income criteria Length of the Program: FIS will begin to service the youth and family one month prior to discharge from facilities. Services will be provided for a minimum of three months in the community to youth involved with DJS. Services may exceed three months based on the needs of the youth Goals/Services Provided: Improving safety and stability Successful reunification/stabilization through individual and family therapy utilizing: Motivational Interviewing Solution Focused therapy Cognitive Behavioral Therapy Trauma-Focused Cognitive Behavioral Therapy Family Therapy Other Evidence Based Practices Good students and good citizens Address stabilization of functioning in school and community Coordination and linkage of services Referrals/collaboration with community providers Collaboration with DJS personnel Medication Management Medication management for eligible youth with a psychiatrist at either the Child and Adolescent Mental Health Clinic or Adult Behavioral Health Clinic; eligible with Medicaid Collective youth work FIS also provides anger management psychoeducational groups (see below) Anger Management Component: Every Monday for 8-weeks 4:00pm – 5:00pm Each participant must complete 8 groups within 3 months of his/her start date.
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