15 Community Supported Relief Nurseries Across Oregon

Who Relief Nurseries Serve• High Risk Families with Children 0 to 6 yrs

• Average of 16 Risk Factors per Family

• 90% Under Federal Poverty Level

• Average Age of Child – 1.6 yrs

• Child Race/Ethnicity:

• Current Service Level -2,500 Children Annually

56% White/Caucasian

29% Hispanic

3% African American

3% Multi-Ethnic

Referrals & Screenings• Over 90% of Families are Self-Referrals• Initial Assessment for 45 Risk Factors• Standardized Program Forms Assess & Track:

– Child safety– Child health– Child language & literacy– Social/emotional development– Parent & family support– Cognitive development

• 900 children on waiting lists as of May 2011

Relief Nursery Services

Early Childhood

Therapeutic Program

Outreach Program

Support & Referral

Other Contracts &

Services

Therapeutic Classroom Program

• 3-Hour Classes 1 or 2 times/wk

• Staffing Ratio– 4:1 for Preschool Children– 3:1 for Infant & Toddlers– Volunteers Improve Ratio

• 1.5-hr Home Visits – 1 to 4 x/mo.

• 300 Hours of Contact Annually

• Average Annual Cost/Child $5,582

Outreach Services• Home-Based Programs & Services for Families on Waitlist

• Initial Assessment & Crisis Intervention

• Home Visits & Phone Support

• Respite Classes & Parent/Child Play Groups

• Parenting Classes

• Access to Support Services

• Average Annual Cost/Family $1,962

Support Services• Clothing Closet & Food Boxes

• Transportation

• Parenting Classes

• Crisis Intervention

• Additional Services:

– Mental Health

– Addiction Support

Referrals to Community Partners

• Early Intervention/Early Childhood Special Education

• Health Services

• Domestic Violence Programs

• Housing Support

• Mental Health Services

• Child Welfare

• Head Start

Service Contracts• Court Mandated Parenting

Classes• Healthy Start• Head Start & Early Head Start• Early Intervention/ECSE• Child Welfare Services

– Foster Care Support– Short-Term Services (ISRS)

• Supervised Visitation• Mental Health

Prior to RN Services After RN Services

Days spent in out-of-home placements 394 days 179 days

Number of new out-of-home placements 57 placements 5 placements

Reduction in Foster Care Utilization

Outcomes – PSU Evaluation for FY 2008-10

98.6% Families Remained Free from Abuse & Neglect

Reduction in Victimization Rates

Number of Victims Per 10000

5

10

15

20

25

30

35

40

45

5044

14

Rate Before RN InvolvementRate After RN Involvement

Rate for Children 0-5

in the General

Population is 18/1,000

Intake-120

1

2

3

4

5

6

7

8

9

109.23

7.48

Reduction in “Mutable” Family Risk FactorsAfter 12 Months in Relief Nursery

Improvement in Key Parenting Outcomes

% Positive Parent-Child Interactions

% Reading Frequently to Child

0%

10%

20%

30%

40%

50%

60%

70%

35%30%

49%

58%

Intake 12 months

Statewide RN Report 2008 to 2010

1999-01 2001-03 2003-05 2005-07 2007-09 2009-11$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000

$14,000,000

State Funds

Private Funds

OtherService Contracts

Relief Nurseries Stretch State Dollars with Local Support

Engage Community Support

• Volunteer Hours • Work Closely with Other Community Providers• Undergraduate and Graduate Internships• Government and Private Grant Programs

– Financial Accountability– Regular Reporting of Outcomes and Outputs

• Lean Organizations– Low Overhead (especially given fund raising success)– Low Personnel Costs