Electronic Data Reporting: Services Measures

Direct Services to Children, Families (home visiting and family strengthening programs)
Descriptive information		Associated Count over Reporting Period
Name of evidence-based model/program being implemented
Settings where services are being delivered		Number of settings in which services were provided over last reporting period
Any training for staff who are providing service on evidence-based model/program		Number of staff trained on evidence-based model/program over last reporting period
--If staff training is provided, is there follow-up monitoring/support
Whether LAUNCH-supported developmental screening and/or assessment of children is conducted as part of service
--If so, name(s) of screening/assessment measures, domains assessed with each measure, who conducts the screening/assessment		Number of children screened and/or assessed as part of service over last reporting period
		Number of children referred for follow-up assessment/services based on screening/assessment over last reporting period
		Number of children who successfully received follow-up care (estimated)
Whether LAUNCH-supported health screening for children (vision, hearing, weight, etc) is conducted as part of service		Number of children who received health screenings over last reporting period
Whether LAUNCH-supported screening and/or assessment of families is conducted as part of service
--If so, name(s) of measures, domains assessed, who conducts the screening/assessment		Number of families screened and/or assessed over last reporting period
Whether program is universal or targeted
--If targeted to subgroups of children, describe eligible children		Number of eligible children in community
--If targeted to subgroups of families, describe eligible families		Number of eligible families in community
		Number of children served over last reporting period [if program is direct service to children]
		Number of families served over last reporting period [if program provides direct services to families]
		Number of units of service delivered over last reporting period (e.g., home visits, parent groups)
Any monitoring of program implementation/fidelity		If so, rating of fidelity of implementation of model at end of reporting period
		If so, rating of proportion of providers implementing the model with fidelity at end of reporting period
		Rating of progress towards full implementation of all critical components of model at the end of the reporting period
Questions for providers who receive training as part of this service
--Changes in knowledge of children’s socio-emotional and behavioral health and development as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in knowledge of the available options for follow-up services for children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in use of mental health professionals to consult with about children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in provider work settings in the use of Project LAUNCH-related screening and/or assessment of children		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--List of ways providers report that their work practices have changed as a result of Project LAUNCH		Open-ended responses
--List of ways providers report that the practices in their work settings have changed as a result of Project LAUNCH		Open-ended responses

Mental Health Consultation (MHC) Services
Descriptive information		Associated Count over Reporting Period
Description of model/service/practice being used to implement MHC consultation
Qualifications of mental health staff providing consultation services
Any monitoring of program implementation/fidelity		Rating of fidelity of implementation of model (if calculated by grantee)
		Rating of proportion of providers implementing the model with fidelity (if calculated by grantee)
		Rating of progress towards full implementation of all critical components of model
Any training for mental health staff providing consultation services		Number of mental health staff trained on MHC model over last reporting period
--If training is provided, is there follow-up monitoring/support after training
Any training for providers for whom mental health consultation is being provided
--If training is provided, is there follow-up monitoring/support after training
Types of settings where MHC services are being delivered (primary care settings, early childhood education and care settings, social service settings, schools)
For each type of setting where MHC is being provided, enter data on the series of 6 questions below:		Number of settings of this type in community that are eligible to be involved in MHC (estimated)
--Types of providers involved in MHC		Total number of providers who practice in all of these eligible settings of this type in the community (estimated)
--Ways in which MHC consultation occurs (meetings, phone calls, etc)		Number of children receiving care from the providers in all of the eligible settings of this type in community (estimated)
		Number of settings of this type involved in MHC over last reporting period
		Number of providers participating in MHC over last reporting period
		Number of providers trained on MHC model over last reporting period
		Number of children served by providers participating in MHC over last reporting period
--Whether LAUNCH-supported developmental screening and/or assessment of children is conducted in this setting as part of MHC
----If so, name(s) of screening/assessment measures, domains assessed with each measure, who conducts the screening/assessment		Number of children screened and/or assessed as part of MHC over last reporting period
		Number of children referred for follow-up assessment/services based on screening/assessments
		Number of referred children who successfully received follow-up care (estimated)
--Whether LAUNCH-supported health screening for children (vision, hearing, weight, etc) is conducted in this setting as part of MHC		Number of children who received health screenings as part of MHC over last reporting period
--Whether LAUNCH-supported screening and/or assessment of families is conducted in this setting as part of MHC
----If so, name(s) of measures, domains assessed, who conducts the screening/assessment		Number of families screened and/or assessed as part of MHC over last reporting period
Questions for providers who receive training as part of this service
--Changes in knowledge of children’s socio-emotional and behavioral health and development as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in knowledge of the available options for follow-up services for children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in use of mental health professionals to consult with about children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in provider work settings in the use of Project LAUNCH-related screening and/or assessment of children		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--List of ways providers report that their work practices have changed as a result of Project LAUNCH		Open-ended responses
--List of ways providers report that the practices in their work settings have changed as a result of Project LAUNCH		Open-ended responses

Integration of Mental Health into Primary Care (IMH Services)
Descriptive information		Associated Count over Reporting Period
Description of model/service/practice being used to implement IMH services
Qualifications of mental health staff involved in IMH services
Any monitoring of program implementation/fidelity		Rating of fidelity of implementation of model (if calculated by grantee)
		Rating of proportion of providers implementing the model with fidelity (if calculated by grantee)
		Rating of progress towards full implementation of all critical components of model
Any training for mental health staff involved in IMH services		Number of mental health staff trained on IMH practice model over last reporting period
--If training is provided, is there follow-up monitoring/support
Any training for providers involved in IMH services
--If training is provided, is there follow-up monitoring/support
Types of settings where IMH services are being delivered (primary care settings, early childhood education and care settings, social service settings, schools)
For each type of setting where IMH services are being provided, enter data on the series of questions below:		Number of settings of this type in community that are eligible to be involved in IMH (estimated)
--Types of providers involved in IMH		Total number of providers who practice in all of these eligible settings of this type in the community (estimated)
--Ways in which IMH integration occurs (co-located staff, meetings, phone calls, etc)		Number of children receiving care from the providers in all of the eligible settings of this type in community (estimated)
		Number of settings of this type involved in IMH services over last reporting period
		Number of providers participating in IMH services over last reporting period
		Number of providers trained on IMH practice model over last reporting period
		Number of children served by providers participating in IMH services over last reporting period
--Whether LAUNCH-supported developmental screening and/or assessment of children is conducted in this setting as part of IMH services
----If so, name(s) of screening/assessment measures, domains assessed with each measure, who conducts the screening/assessment		Number of children screened and/or assessed as part of IMH over last reporting period
		Number of children referred for follow-up assessment/services based on screening/assessments as part of IMH services over last reporting period
		Number of children who successfully received follow-up care (estimated)
--Whether LAUNCH-supported health screening for children (vision, hearing, weight, etc) is conducted in this setting as part of IMH		Number of children who received health screenings as part of IMH services over last reporting period
--Whether LAUNCH-supported screening and/or assessment of families is conducted in this setting as part of IMH services
----If so, name(s) of measures, domains assessed, who conducts the screening/assessment		Number of families screened and/or assessed as part of IMH services over last reporting period
Questions for providers who receive training as part of this service
--Changes in knowledge of children’s socio-emotional and behavioral health and development as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in knowledge of the available options for follow-up services for children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in use of mental health professionals to consult with about children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in provider work settings in the use of Project LAUNCH-related screening and/or assessment of children		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--List of ways providers report that their work practices have changed as a result of Project LAUNCH		Open-ended responses
--List of ways providers report that the practices in their work settings have changed as a result of Project LAUNCH		Open-ended responses

Other Developmental Screening and Assessment that is NOT Part of Any Other LAUNCH Service (i.e., this section is for LAUNCH-supported developmental screening/assessment that is not already reported under one of the program strands)
Descriptive information		Associated Count over Reporting Period
Settings where LAUNCH-supported developmental screening and/or assessment is being conducted		Number of settings of this type in community that are eligible to be involved in screening/assessing children
		Number of providers practicing across all of these eligible settings (estimated)
Name(s) of screening/assessment measures, domains assessed with each measure, who conducts the screening/assessment		Number of children receiving care across all of these eligible settings (estimated)
		Number of settings of this type in community where children received screening/assessing over last reporting period
		Number of children screened and/or assessed over last reporting period
		Number of children referred for follow-up assessment/services based on screening/assessments
		Number of children who successfully received follow-up care (estimated)
Any LAUNCH-supported health screening for children (vision, hearing, weight, etc)		Number of children who received health screenings
Any LAUNCH-supported screening and/or assessment of families
--If so, names of measures, domains assessed, staff who are doing assessments		Number of families who were screened/assessed over last reporting period
Any training for staff on administration of measures		Number of staff trained on screener/assessment over last reporting period
--If training is provided, is there follow-up monitoring/support after training
Other LAUNCH-Related Training that is NOT Part of Other LAUNCH Service
Name/topic of training/purpose of training
Settings where screening/assessment is being conducted		Total number of eligible settings in community that could be involved in training
Types of providers, other community members who are being trained		Total number of providers across all of these eligible settings in community (estimated)
		Number of children receiving care across from all of these eligible providers (estimated)
		Total number of settings involved in training over last reporting period
		Total number of providers trained over last reporting period
		Number of children receiving care from the providers who were trained over last reporting period
Questions for providers who receive training as part of this service
--Changes in knowledge of children’s socio-emotional and behavioral health and development as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in knowledge of the available options for follow-up services for children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in use of mental health professionals to consult with about children with mental or behavioral health issues as a result of Project LAUNCH		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--Changes in provider work settings in the use of Project LAUNCH-related screening and/or assessment of children		Prop providers who report no change Prop providers who report a small change Prop providers who report some change Prop providers who report substantial change
--List of ways providers report that their work practices have changed as a result of Project LAUNCH		Open-ended responses
--List of ways providers report that the practices in their work settings have changed as a result of Project LAUNCH		Open-ended responses

Demographic Characteristics of Families/Children Involved in Direct Service (Section is for aggregate demographic information on subset of families who have received direct services (home visiting or family strengthening) for the first time in last reporting period)
Demographic variable		Associated Count over Reporting Period
Target child for survey: age, gender
Family composition		Average # family members
		Prop families with < 3, 4-6, > 7 members
		Average # children under 18 years
		Prop families with 1, 2-3, 4-5, > 6 children
Primary caregiver of target child		Prop target children in each category
--Biological mother
--Biological father
--Adopted/foster parent
--Grandparent
--Other relative
--Other
Marital status of primary caregiver		Prop families in each category
--Single parent
--Married parents
--Two parents, unmarried
Race, ethnicity, language		Prop families in each category
--Mother of Hispanic/Latino origin
--Mother’s race
--Father of Hispanic/Latino origin
--Father’s race
--Target child of Hispanic/Latino origin
--Target child’s race
Primary language spoken in home		Prop families speaking non-English languages
Parent education/employment
Mother level of education		Prop mothers at each level of education
Mother employed full-time, part-time, not employed		Prop mothers in each category
Mother in school full-time, part-time, not in school		Prop mothers in each category
Father level of education		Prop fathers at each level of education
Father employed full-time, part-time, not employed		Prop fathers in each category
Father in school full-time, part-time, not in school		Prop fathers in each category
Sources of family income		Prop families with each type of income
--From employment wages
--Cash assistance or TANF
--Food Stamps
--WIC
--Free or reduced-price lunches
Family housing		Prop families in each type of housing
--Home owned by family
--Rental
--Homeless shelter
--Other
--Living as single family or sharing space with other family(ies)		Prop families in shared housing
Age of mother of target child at birth of first child		Prop mothers in each age category: < 16 yrs, 17-18 yrs, 19-20 yrs, > 21 yrs
Two new risk composites have been added (from Early Head Start); answering them will require grantee to combine risks factors across individual families
Risk composite #1		Prop. of families with > 3 of the characteristics: <10%, 11-25%, 26-50% , 51-75%, 76% or more
1. Teen mother at birth of first child [Demographics Q. O]
2. Single parent family (primary caregiver of child not married or living with a partner) [Demographics Q. L-4a]
3.. Primary caregiver does not have a high school diploma or GED [Demographics Q. M-1a/1b]
4. Anyone in family receives welfare payments (cash assistance or TANF) [Demographics Q. M-5b]
5. Primary caregiver is not employed or in school [Demographics Q. M-2e & 3c or M4e & 5c]
Rick composite #2		Prop. of families with > 1 of the characteristics: <10%, 11-25%, 26-50% , 51-75%, 76% or more
1. Mental health problems
2. Substance abuse problems
3. Reside in an unsafe neighborhood
4. Experience family violence

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