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Childcare Resources of Indian River, Inc. Psychological se[vices Program. Funder: Children Services Advisory Committee <br /> l expand as you <br /> Outcome ## 1 . 80% of those families referred for treatment will 1participate in treatment l as measured by the number of completed Mental <br /> Health Provider forms . <br /> Program Design & Task Management <br /> (Columns 1 -4) Evaluation Design & Data Collection <br /> (Columns 5-7) <br /> 3 4 <br /> Program Frequency Responsible Parties <br /> Expected <br /> Activities (how often) <br /> (who) p Indicator Data Source Time of <br /> (what) ) Outcomes/change (why) Measurements (where)) Measurement (when) <br /> (evidence) <br /> Referrals and self- As needed Teachers, parents Will participate in <br /> referrals for mental p p Patient's attendance Mental Health After initial visit and <br /> refer r Family & counseling with counselor Provider form every six month <br /> health services Center Resource <br /> Coordinator who thereafter or until <br /> refers to a thera ist sessions have stopped <br /> 7 <br />