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

Comments from FASD Progam Clients

(My caseworker) helped me to not get out of control.
         (This program was) especially helpful after a bad bike accident!
I’ve now been housed for 1.5 years!
                      They helped me get lots of supports in place.
(My caseworker) kept me on track.
                                (This program) helped me with many legal issues.

12 Areas of Vulnerability for Individuals with FASD



B: Results on Areas of Vulnerability as Reported by Clients

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