Central Alberta CFSA Family Wellness Worker Program

Quarterly Reporting FormatSeptember 1, 2014 – August 31, 2015

Name: ______

School Name: ______

Reporting Period:______

Number of FTE’s included in report: __21.94______# funded by CFSA______

A. Case Work: Provide caseload data for the quarter

Caseload Stats:

Age of client / # of open files on the 1st day of quarter / # of new files opened during the quarter / # of files closed in the quarter
0 – years
7 – 18
Adults
Total

Open Files ____ + New Files _____ - Closed Files ______= _____ Caseload at end of quarter

Pre-Test Stats to be asked when files are opening

Record the scores for all new files
On a scale of 1-6, I am good at handling whatever comes my way?
1------2------3------4------5------6
Strongly Disagree Somewhat Somewhat Agree Strongly
Disagree Disagree Agree Agree
Add up the number for the next pre-test question:
Are you feeling hopeful about managing your concern? / Yes ____
No ____
Maybe _____
What are you feeling hopeful about?

Post-Test Stats to be asked when files are closing

Record the scores for all new files
On a scale of 1-6, I am good at handling whatever comes my way?
1------2------3------4------5------6
Strongly Disagree Somewhat Somewhat Agree Strongly
Disagree Disagree Agree Agree
Add up the number for the next pre-test question:
Are you feeling hopeful about managing your concern? / Yes ______
No ______
Maybe ______
Include 1 anecdotal answer for the last pre-test question:
What are you feeling hopeful about?

Number of Contacts: Walk-in/One time consult

Single Sessions

Age of client / # of clients
0 – 6 years
7 – 18
Adults
Total

Quarterly Number of New Clients who live in town: _____ Year to date Total: _____

Quarterly Number of New Clients who live out of town: ______Year to date Total:_____

Quarterly Number of New Volunteers: ______Year to date Total:______

Quarterly Number of New Volunteer Hours: ______Year to date Total: ______

Major / common issues addressed during this quarter on entire caseload: (Focus on primary 2 issues per client)

Child / Parent / Child / Parent
Abuse / Mental Illness
Academic performance / New Resident
Anger management / Parenting 0-6 years
Anxiety / stress management / Parenting issues/strategies
Bullying/Being bullied / Peer relations / social skills
Depression / Pregnancy / sexuality
Family / relationship violence / School attendance
Family / sibling conflict / School conflict
Financial stress / Self esteem
Grief and Loss / Self harm (cutting, eating issues)
Health Concerns (Physical) / Separation/divorce
Homelessness / Substance Abuse
Inappropriate Behavior / Suicide
Life skills / style / Other

Referrals: Please report on the number of referrals received by the program by source as well as what referrals were made by the program to other agencies / programs.

Agency / # of referrals to FWW program / # of referrals by FWW program
CFSA
School
Parent
Self
Community Agency (e.g. food bank, employment centre, shelter)
Alberta Health Services (e.g. physician, Mental Health & Addictions)
Preventative Programs (e.g. FCSS, Parent Link, healthy Families, etc.)
Other (e.g. for profit supports such as private therapist)
TOTAL

B. Community Work

Preventative Education Presentations / Seminars / Workshops / Groups

Session name / Descriptor – describe program including target audience / # of Participants
CARSTAIRS
CREMONA
DIDSBURY
OLDS
SUNDRE
MOUNTAIN VIEW COUNTY TOTAL
BOWDEN
INNISFAIL
PENHOLD
SPRUCE VIEW
ELNORA
DELBURNE
SYLVAN LAKE
RED DEER COUNTY (BENALTO, RIVER GLEN, ETC.)
RED DEER COUNTY TOTALS
PROGRAM TOTALS

C. Networking/ Collaborative activities

Event / meeting name / Descriptor – briefly describe (e.g. other organizations involved, number of times attended/quarter)

D. Staff Training / Professional Development

Session name / Descriptor / # of
FSW Staff Participated

E. Outcomes

1st Quarter – Sept. 1 – Nov. 30 – Innisfail Team

2nd Quarter – Dec. 1 – Feb 29 – Carstairs Didsbury Team

3rd Quarter – March 1 – May 31 – Sylvan Lake Team

4th Quarter – June 1 – August 31 – Olds Team

Outcome / Performance Measures / Target / Actual numbers (raw data) / Actual %’s
Children, youth and families will be empowered and have improved levels of functioning. / Clients have achieved one or more of their goals identified in their case / service plan. (Innisfail & Sylvan Lake)
Or
Parents report that the services have improved their child’s ability to be successful. (Carstairs/Didsbury & Olds/Sundre) / 90%
80%
Children, youth and families are supported to live successfully in their community. / Number of referrals made to other community supports / services
and ALL TEAMS DO BOTH
Clients report that they are more knowledgeable about supports and services in their community through their involvement in the FWW program. / Baseline #’s
80%
Programs will have improved relationships with other community partners and service providers to facilitate improved collaboration when meeting client needs. / Feedback / evaluations from community agencies report a positive working relationship with the program.(Innisfail & Sylvan Lake)
Or
Clients that were involved with multiple service providers in the course of their involvement with the FWW program, (ie case conference, transfer to another service provider etc.) report that their worker played a supportive role in coordinating the delivery of those services. (Carstairs/Didsbury & Olds/Sundre) / 80%
80%

E. Other

Please provide any comments or anecdotal notes that you feel CFSA should be aware of.

ie. program highlights, challenges, staff absences, etc