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a 19 - gr f S The Center for Emotional and Behavioral Health-Child/Adolescent Psychiatric Mental Health Clinic-IRC CSAC F. PROGRAM EVALUATION (Entire .Section F not to exceed tivo pages) I . DEMOGRAPHICS : What information (data elements ) will you need to collect in order to accurately describe your target population including demographics ( age, gender, and ethnic background ) required by the funder in Section H? What are the pieces of §" information that qualify them for your target population ? How do you document their need for services or their " unacceptable condition requiring change" from Section B19 The demographics collected include : age, gender, ethnic background, address, insurance status, school attending, medications & prior treatment, family and other support, monthly income, number of days spent in school . The services will be made available to uninsured and underinsured children needing psychiatric services . The severity rating in CFARS along with the psychiatric evaluation will document the need . 2 . MEASURES : What data elements will you need to collect to show that you have achieved ( or made progress toward ) your Measurable Outcomes in Section D ? What tools or items are you using as measures (grades , survey scores , attendance, absences, skill levels ) for your program ? Are you getting baseline information from a source on your Collaboration List in Section E ? Are there results from your Activities in Section D that need to be documented ? How often do you need to collect or follow- up on this data ? a CFARS (Children ' s Functional Assessment rating scale) is an outcome evaluation used by the state of Florida to measure mental health outcomes . This tool rates severity of illness along symptom and functional areas e . g . Depression, anxiety, hyper affect, thought process, cognitive performance, traumatic stress, interpersonal relationships, substance abuse, family relationships, family environment, ADL (activities of daily living) functioning, school performance, danger to others, and security management needs . By administering this tool upon admission and quarterly thereafter, we will be able to measure improvement in clinical outcome . In addition C -GAS scores will report global assessment of functioning in children along the same time intervals . 3. REPORTING : What will you do with this information to show that change has occurred ? How will you use or present these results to the consumer, the funder, the program , and the community ? How will you use this information to improve your program ? The results of the CFARS will be shared with children and family to discuss progress towards goals . The results will be included in the quarterly report to the funder . The results will help the psychiatrist and the clinicians to modify treatment approaches to address specific problem areas . k 12