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The Center for Emotional and Behavioral Health — Child/Adolescent Psychiatric Mental Health Clinic — IRC - CSAC <br /> F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) <br /> 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order <br /> to accurately describe your target population including demographics (age, gender, and <br /> ethnic background) required by the funder in Section H? What are the pieces of <br /> information that qualify them for your target population? How do you document their <br /> need for services or their "unacceptable condition requiring change" from Section Bl ? <br /> The demographics collected include : age, gender, ethnic background, address, insurance status, <br /> school attending, medications & prior treatment, family and other support, monthly income, <br /> number of days spent in school . The services will be made available to uninsured and <br /> underinsured children needing psychiatric services. The psychiatric evaluation with the score on <br /> the Children ' s Global Assessment of Functioning will document the need. <br /> 2. MEASURES : What data elements will you need to collect to show that you have <br /> achieved (or made progress toward) your Measurable Outcomes in Section D ? What <br /> tools or items are you using as measures (grades, survey scores, attendance, absences, <br /> skill levels) for your program? Are you getting baseline information from a source on <br /> your Collaboration List in Section E ? Are there results from your Activities in Section <br /> D that need to be documented? How often do you need to collect or follow-up on this <br /> data? <br /> Children' s Global Assessment of Functioning is an outcome evaluation used by the State of <br /> Florida to measure mental health outcomes . This tool measures the level of functioning on a <br /> continuum that ranges from most impaired (needing constant supervision) to the superior <br /> functioning. By administering this tool upon admission and quarterly thereafter, we will be able <br /> to measure improvement in children ' s functioning. <br /> 3 . REPORTING: What will you do with this information to show that change has <br /> occurred? How will you use or present these results to the consumer, the funder, the <br /> program, and the community? How will you use this information to improve your <br /> program? <br /> The results of the C-GAS will be shared with children and family to discuss progress towards <br /> goals. The results will be included in the quarterly report to the funder. The results will help the <br /> psychiatrist and the clinicians to modify treatment approaches to address specific problem areas. <br /> 12 <br />