Annual Outcome Management Reports

St. Joseph Orphanage (SJO) is committed to a continuous quality improvement process. As part of our commitment, we are introducing our Annual Outcomes Management Reports. Below, you will find a report for each line of service SJO provides, along with a glossary to define some key terms. Our goal in this process is to improve our services in order to provide the best care in the area. By sharing these reports with the community, we are reflecting our commitment to transparency.

Within the reports below, you’ll find information about the service offerings at SJO. Each line of service completes the DLA-20, an assessment tool consisting of 20 domains that measures the daily living areas impacted by mental illness or disability. The DLA-20 is administered every 90 days for each person in care. This information is used in treatment planning, progress monitoring, and identifying level of care. The DLA-20 will be utilized in these reports, along with other indicators to identify progress, and areas in need of improvement in our services.

Please take time to review the information in these reports. If you have questions, please reach out to:
Jason Barkey, MPA
Quality Improvement Manager
jason.barkey@sjokids.org

2018 Downloadable Reports

Click on the reports below to view in a PDF format or to download.  For clarification on terms see the Glossary of Mental Health Terms below.

Outcomes Report (3rd Quarter)

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Outcomes Report (2nd Quarter)

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2016 – 2017 Downloadable Reports

Click on the reports below to view in a PDF format or to download.  For clarification on terms see the Glossary of Mental Health Terms below.

Crisis Stabilization Unit Report

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Day Treatment Report

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Foster Care Report

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Independent Living Skills Report

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Medication Management Report

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Outpatient Services Report

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Glossary of Mental Health Terms

Acute Physical Behavior‐ Behavior likely to result in physical injury of the young person, other clients, staff members, or others in the vicinity
Acute Trauma- A single traumatic event limited to one time
AOD Services‐ Alcohol and Other Drug treatment services
Bed Days‐ a residential day of service where a client stayed overnight
CARF – Commission on the Accreditation of Rehabilitation Facilities
Case Management/CPST‐ A service in which individuals are partners in the management of their mental illnesses and in their recovery. Case management focuses on accelerating the use of available services  to maintain and improve independent functioning to the fullest extent possible
Challenge Leader—SJO staff working in direct care with youth
Complex Trauma‐ A type of trauma that occurs repeatedly, cumulatively and even increases over time.  In a family context, a conspicuous example of complex trauma is ongoing (physical or sexual) violence against family members
Crisis Stabilization Unit‐ provides safe, secure, twenty‐four hour residential services in a therapeutic environment. The program is designed to facilitate the child’s transition to a less restrictive environment as soon as therapeutically indicated. The Residential Treatment Program operates 24 hours a day, seven days a week, year round.
Critical Incident‐ an event that is not consistent with the routine care of children or operation of the facility. Examples include: disruptive behaviors such as wandering out of area, self endangering, school suspension, criminal activities, medication issues, disclosure of abuse, and peer complaints. In FY 2016, 5% of CIRs resulted in police calls. Less than 1% of incidents involved an arrest.
Day Treatment‐ integrates academic and mental health interventions into a comprehensive program with individualized mental health and academic components for severely emotionally disturbed (SED) youth. The mental health service can prevent or delay the need for a higher level of care, or serve as a transitional service for reintegration into the community.
DBT – Dialectical Behavior Therapy is a model of treatment that emphasizes psychosocial aspects of treatment
De‐escalation Techniques‐ methods utilized to decrease the size, scope, or intensity of a situation
Ecomaps—A diagram that shows the social and personal relationships of an individual with his or her environment.
Emancipation—legal mechanism by which a minor is freed from control by his or her parents or guardians and the parents or guardians are freed from any and all responsibility toward the child
Foster Care‐ therapeutic foster care services in order to prepare the child for the child’s reunification with family or prepare the child for adoption or independent living. This is accomplished by developing an individual service plan for each youth, accessing appropriate services, and providing professional, dedicated, caring foster parents.
Genograms—pictorial display of a person’s family relationships and medical history
Hurdle Help—behavior management technique used to curve the negative behavior of a child before it takes place by helping the child through difficult situations
IEP—Individualized Education Plan to ensure that a child who has a disability identified under the law and is attending an elementary or secondary educational institute receives specialized instruction and services
Independent Living Skills (ILS)‐ supported apartment living and services in an effort to prepare youth to live independently in the community. This is accomplished by developing an individual service plan for each youth, accessing appropriate services, providing supported housing in the community and teaching independent living skills.
Individual Crisis Management Plan‐ written plan that allows the client to identify coping techniques and share with staff what is helpful in assisting to regain control of his/her behavior in the early stages of a crisis situation
Just In Time Scheduling—scheduling of appointments 3 to 5 business days out at a time to improve accessibility and engagement
Length of Stay‐ amount of days in treatment from admission to discharge
Level of Care—refers to the intensity of treatment an individual will receive based on their presenting needs
Medication Management‐ offers ongoing psychiatric care for children and adolescents throughout Southwest Ohio. Medication management clinics are fully staffed with Psychiatrists, Physician Assistants, Nurse Practitioners, Nurses and Medical Assistants. Providers are available to perform psychiatric examinations, medication prescribing, diagnostic evaluations, family education and consultations.
Mindpeace—local organization that aligns partners to provide mental health solutions in schools
National Youth Project Utilizing Minibikes—youth mentoring model that combines the incentive of riding minibikes with the love of outdoors at Altercrest
OHMHAS—Ohio Department of Mental Health and Addiction Services
Outpatient Services‐ Case management and therapy services are provided by caring professionals, including psychiatrists, therapists, case managers, and family support workers. In addition to providing comprehensive mental health treatment, these clinicians aid severely emotionally troubled clients by working cooperatively with health and social service agencies in the area. The clinicians provide home, community or facility based services and have professionals trained to assist clients in developing a comprehensive service plan designed to meet their needs.

Outward Bound—provider of experiential and outdoor education programs for youth at Altercrest Campus
Partial Hospitalization‐ intensive, goal focused day treatment program that helps clients overcome their behavioral and emotional challenges in an environment of therapeutic groups and activities
PCIT—Parent Child Interaction Therapy—evidence based treatment for young children with emotional and behavioral disorders that places emphasis on improving the quality of the parent child relationship
Positive Behavior Supports—research based strategies used to increase quality of life and decrease problem behavior by teaching new skills and making changes in a person’s environment
Restraint‐ The use of trained staff members to hold a young person in order to contain acute physical behavior
ROPES program—a challenging outdoor personal development and team building activity
SADAS—Sexual Abuse Diagnostic Assessment Screening
SODAS—Sexual Offender Diagnostic Assessment Screening
Stabilization—direct service that assists with deescalating the severity of a person’s level of distress and/or need for urgent care associated with substance use or mental health disorder
SUD Services—Substance Use Disorder Services
TF‐CBT—child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events
Transition Aged Youth—young people between the ages of 16 and 24 who are in transition from state custody or foster care and are at‐risk.
Transition to Independence—treatment model that engages youth/young adults in their own future planning process to help better prepare them for the often difficult transition to adulthood
Trauma Informed Care‐ an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma.
DLA‐20‐ assessment tool consisting of 20 domains that measures the daily living areas impacted by mental illness or disability
DLA‐20 Domains:
Health Practices‐ Assist or manage adequate weight, moods, outdoor exercise, aches and pains; take medications or over the counter drugs with adult supervision
Housing Stability and Maintenance‐ Housing is stable and youth contributes to stability in the home; respect others & property, share in chores, involve caretakers in school related projects, grades
Communication‐ Greets adults; listens, express feelings, anger, opinions effectively
Safety‐ play it safe, avoid guns, knives, matches, dangerous people or places where there is a likely trouble or abuse potential
Managing Time‐ Reliably handles or manage monetary allowance; abstains from overspending personal limits, betting, stealing and borrowing
Nutrition‐ Eat at least 2 basically nutritious meals with caretakers; eat healthy snacks that reasonably limit sugar and caffeine
Problem Solving‐ Understand presenting problems, reasons for seeking services, focus on possible solutions for age‐appropriate time periods; assist or manage difficult situations
Family Relationships‐ Feel close to at least one other person at home; get along with family or caretakers, feel loved
Alcohol/Drug Use‐ Abstain from smoking cigarettes, drinking alcohol, doing drugs or inhalants or any kind; avoid high risk drinking situations & people who do drugs
Leisure‐ Enjoy two or more fun & relaxing activities: musical instruments, music, watching or playing sports, reading, computer or board games, cards, artistic hobbies, movies, tv
Community Resources‐ Use community activities, resources such as aer‐school sponsored tutoring, clubs, sports, scouts, library, church, dances
Social Network‐ Make, keep same‐age friends, avoid bullying, gangs, cults, antisocial groups
Sexuality‐ Reports sexually responsible behaviors with girls, boys. Educated and avoids sexual activities, infections, pregnancy
Productivity‐ Feel good about performance at school, consider grades to be good, complete school projects without undue difficulty, have vocational goals
Coping Skills‐ Accept adult correction without undue arguing, temper outburst tolerate frustration
Behavior Norms‐ Control threatening or physical expression of anger, violent behavior, either to self or others, to property. Law abiding, responsible with school, community rules, driving car
Personal Care/Hygiene‐ Help or manage general cleanliness; daily bath, shower, brush teeth
Grooming‐ Assist or manage general appearance: hair, shave, comply with school rules
Dress‐ Assist or responsibly care for clean clothes, comply with dress code



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