Form 0 survey

Aliviane, Inc.

01
RPG Intervention Services
Parents under investigation by CPS due to substance abuse and in danger of
Description:
having their children removed, but have opted to receive RPG services.
Data Type: treatment
Data Plan:
Title:

Indicators

Child Indicators
Select Code
C1

C2

C3

C4

C5

C6

C7

C8

C9

Page 1 of 3

Case
Data

Name

Description

Percentage of children identified as at risk of removal
from the home who are able to remain in the custody of
a parent or caregiver through RPG case closure
Percentage of children who had an initial occurrence
Occurrence of child
and/or recurrence of substantiated/indicated child
maltreatment
maltreatment within 6, 12, 18 and 24 months after
enrolling in the RPG program
For children discharged from foster care, their average
Average length of stay
length of stay (in days) from date of most recent entry
in foster care
into such care until date of discharge
Percentage of children returned home from foster care
Re-entries to foster
that re-entered foster care in less than 6, 12, 18 and 24
care
months
Percentage of children who were reunified in less than
Timeliness of
12 months from the date of the most recent entry into
reunification
foster care
Percentage of children placed in foster care who, in
Timeliness of
less than 24 months from the date of the most recent
permanency
foster care placement, achieved a) a finalized adoption
or b) legal guardianship
Prevention of
Percentage of pregnant women who had a substance
substance-exposed
exposed newborn (first or subsequent), as detected at
newborns
birth
Percentage of children who were assessed for and
received the following supportive services:
Children connected to developmental services, mental health or counseling,
supportive services
primary pediatric care, substance abuse prevention and
education, substance abuse treatment, educational
services, and other supportive services
Percentage of children who show an increase in
Improved child
socioemotional, behavioral, developmental and/or
well-being
cognitive functioning
Children remain at
home

Adult Indicators
Select Code

Case
Data

Name

Description

Percentage of parents or caregivers who were able to access
timely and appropriate* substance abuse treatment; number of
days between program entry and treatment entry
a) Percentage of parents or caregivers referred to substance
Retention in
abuse treatment who remained until treatment completion; and
substance
b) Average length of stay in treatment for referred parents or
abuse treatment
caregivers
Percentage of parents or caregivers who report a reduction in
Substance use substance use, as measured by number of days of use in past
30 days at treatment intake and discharge
Percentage of parents or caregivers who were assessed for
and received supportive services that include: a. Primary
Parents or
medical care, b. Dental care, c. Mental health, d. Child care, e.
caregivers
Transportation, f. Housing assistance, g. Parenting
connected to
training/child development education, h. Domestic violence
supportive
services, i. Employment or vocational training/education, j.
services
Continuing care/recovery support services, k. Other support
services
Percentage of parents or caregivers participating in substance
abuse treatment who are: a. Employed full time, b. Employed
Employment
part time, c. Currently enrolled in an educational or vocational
training program
Criminal
Percentage of parents or caregivers who show a decrease in
behavior
criminal behavior
Mental health
Percentage of parents or caregivers who show an
status
improvement in mental health functioning
Access to
treatment

A1

A2

A3

A4

A5

A6
A7

Family Indicators
Select Code
F1
F2

F3

Page 2 of 3

Case
Data

Name

Description

Percentage of parents or caregivers who demonstrate
Parenting
increased parental capacity to provide for their children’s
needs and family’s well-being
Family relationships Percentage of parents or caregivers who show improved
and functioning
parent-child and other family interactions
Percentage of parents or caregivers who show a
Risk/protective
decrease inrisk factors associated with reasons for
factors
service and/or an increase in protective factors to
prevent child maltreatment

Regional Indicators
Select Code

R2

Page 3 of 3

Case
Data

Name

Description

Capacity
to serve
families

Regions have new or increased capacity to serve families in which
a parent or caregiver has an identified substance use disorder and
there is current or potential involvement with the child welfare
system: a. Percentage of regional partnership member agencies that
increased the number of appropriate treatment programs for the
targeted region, b. Among those partner agencies, increase in the
number or percentage of families served or the number or
percentage of treatment slots available in the targeted region