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Family Based Mental Health Annual Report


Family Based Mental Health Program Summary



Program Description

Family Based Mental Health is an intensive in-home program that provides structural family therapy to children and their families who are experiencing serious emotional and behavioral issues and are at risk for in-patient hospitalization or residential placement.  This program is voluntary and can be authorized for up to an eight month period.


FBMH teams are comprised of a Master level therapist (Mental Health Professional) and a Bachelor level therapist (Mental Health Worker).  FBMH services include:  assessment of needs and their priority, resolution of immediate crisis needs through the development of a Safety and Crisis Plan, development and implementation of a Comprehensive Treatment Plan, linkage to informal supports and collateral services as needed, therapeutic support, guidance and skills building for the family as well as planning and support for discharge. The Family Based program also provides a 24 hours/7 days a week on-call support line.


The Family Based teams undergo 3 years of training through the Philadelphia Child and Family Therapy Training Center, Inc. to further enhance their clinical skills and better serve the needs of families.  Therefore, the Family Based teams request that families consent to videotaping sessions on occasion.  This is for the purpose of supervision and on-going training.


Of the seven staff members in the program, six have completed the three year training.



During this fiscal year, sixty unduplicated clients were served.  There were forty-five intakes and thirty nine clients were discharged.



There are seven positions in the FBMH program: one supervisor and three teams of 2.

There was one loss and one hire during the fiscal year, which is an 86% turnover rate.



The FBMH program productivity was 106% with a range of 97%-114% for individual staff.


Client Satisfaction Survey Results

Client satisfaction surveys were completed in January.  In addition to the five statements to which all agency clients were asked to respond, the two specific statements for FBMH clients were:  “I feel safe to express my opinion and feel like I am being heard” and “The FBMH team is helping us work together better as a family”.  There were thirteen client surveys completed and all respondents answered strongly agree or agree to all questions. One comment from a respondent was “they are awesome”.


Outcome Results

The FBMH program measured outcomes for the first time.  The defined outcomes were improved family functioning and goal achievement.  Outputs were number of clients seen, appointments attended, units of service delivered, and type of services provided.  The data source was the client satisfaction survey completed at the close of services.  The indicator was agreement or strong agreement to the questions 6, 7, 8, 9, 10 on the survey.  The target was at least 85% agreement.  Of the 25 clients who completed surveys (of 39 who were discharged) 90% expressed agreement or strong agreement with questions 6, 7, 8, 9, 10. 


Expectations for the Coming Year

The program looks forward to the last staff member to complete the three year training by the end of the 17-18 fiscal year.  The program has been at capacity for many months and it is anticipated that we will continue to receive referrals from different sources and remain at or close to capacity.