Impact Strategy: Focus on Best Practice

As mentioned in the Introduction, in 2016-17, our service partner programs providing adult supports implemented a new client survey that focused on 12 areas of vulnerability (see right) identified in the Best and Emerging Practices report. As well, these surveys included pre- and post-service data (or annual data if clients were not yet discharged) contributed by client caseworkers, giving CFAN a view to the impact of the adult support programs over one year. In 2016-17, 619 adults and youth were served through CFAN-funded FASD programs and 200 more attended a group program partially funded by CFAN.

CFAN Priority Goal of Support to Adult Individuals:

Individuals impacted by FASD have access to appropriate supports as required to reduce vulnerability and facilitate greater community inclusion.

CFAN Priority Outcomes:

Individuals with FASD

  • are able to access appropriate supports in a timely manner
  • receive supports in areas that contribute to greater community inclusion
  • experience reduced vulnerability as a result of CFAN-funded programs, and
  • CFAN-funded program report outcomes align to best practices

Client Survey Results

The client survey reflects client status from two perspectives:
A - As reported by the caseworker when the client entered the program (pre-service) and at discharge from the program (or annually if the client was still in the program)
B - As reported by adult clients at the time of completing the survey
(For caregiver service results, please see Supports to Caregivers)

A: Results on Areas of Vulnerability as Reported by Caseworkers

Pre-service data in the caseworker responses identify Education/Academic Upgrading as the highest level of vulnerability, followed by Income Supports and Employment Readiness, then Money Management. Lowest levels of vulnerability are Physical Health and FASD Diagnosis.

Post-service data indicate that as a result of service, adults experienced a reduction in vulnerability averaged across all 12 areas of 27%. The data also show that as a result of service, the largest improvements are in the areas of Housing, followed by Basic Needs, Mental Health/Addictions and Abuse/Victimization.

Caseworker Response: Changes pre- & post-service
in 12 areas of vulnerability for adults with FASD*

Scale: acuity 0-4, 4 = highest acuity; change = delta between pre and post service *As reported by program caseworkers -------------------------------------------------------------------------------------

Scale: acuity 0-4, 4 = highest acuity;
change = delta between pre and post service
*As reported by program caseworkers


12 Areas of Vulnerability for Individuals with FASD



B: Survey Results as Reported by Adult Clients with FASD

Survey data indicates a 92% satisfaction rate with clients' role in deciding on the kind of supports they received from CFAN-funded programs and 94% satisfaction rate with the services provided.

Adults request support most often in the areas of
- Personal Relationships- 82%
- FASD Assessment and Diagnosis- 74%
- Basic Needs and Income Supports- 72%

Adults request support least often in the areas of
- Education/Academic Upgrading- 46%
- Justice- 49%
- Employment- 57%

Clients report they need the most ongoing support for:
- Personal Relationships
- Education/Academic Upgrading
- Mental Health/Addictions

Service activities most often accessed:
- Support filling out forms
- Support for existing relationships
- Doctor visits
- Learning ways to manage a mental health and/or addictions issues
- Being safe, getting to appointments, decision-making

Service activities least accessed:
- Child care
- Keeping a job
- Getting enrolled in classes
- Referrals to education/academic upgrading

Client-reported changes in vulnerability

On average, across all domains of support, adults reported an average improvement rate of 85%. Average reported improvement across the vulnerability domains are:

Client rep impact.PNG