The Exchange Clubs Child Abuse Prevention Center in Durham

Family Support Program provided coaching and family therapy primarily in family homes and in natural environments, but also at the offices listed above, or virtually when needed. Services can include siblings to eliminate the need for child care. Services are available in Spanish and English by EFC staff or through an interpreter in any other language. Utilizing Parent-Child Interaction Therapy, Triple P, ABC, SafeCare, Case Management, and Attachment and Biobehavioral Catch-up the Family Support Program served 76 families (98 caregivers and 155 children). 52 families closed (62 caregivers and 109 children) were impacted by services. Services include siblings to eliminate the need for child care. Services are available in Spanish and English by EFC staff or through an interpreter in any other language.Case Management services include, but are not limited to: connection to local resources, information about local resources, referrals to appropriate services, assis tance in accessing resources/services, concrete support to meet basic needs, Client-Family Team Meeting Facilitation, etc. The primary PCFT on this case is trained in CFT Facilitation.Case Management services may be provided over the phone or in-person during a parent education session. Not all families who receive Case Management services will also receive parent education services. Upon completion of services 80% of participants demonstrate effective and appropriate strategies for mediating child behavior or stress in a nurturing manner (demonstrate positive behavior management). 80% of participants demonstrate effective and appropriate strategies for mediating child behavior or stress in a nurturing manner (demonstrate positive behavior management). 75% of participants are connected with concrete supports. 90% of participants are aware of community resources and supports available to them. FSP participants demonstrate knowledge of the importance of spending time positively interacting with their children.

The Early Childhood Outreach (EChO) program provides Early Childhood Mental Health Consultation (ECMHC) utilizing a culturally and trauma informed evidence-based approach (Pyramid Model and Devereux Early Childhood Assessment-Clinical/DECAC), while strengthening Durham Countys Early Childhood workforce, families, and communities. This promotes social emotional development of young children, de-escalation of challenging behaviors; referrals for additional assessments and services; and, improved outcomes for children, parents, and staff in early care and education settings. July 2021-June 2022 139 Durham County child care providers received professional development training related to supporting their mental health, burn-out, creating supportive culturally sensitive environments, and building nurturing positive relationships with young children and their families. 99% of the child care providers stated they gained new knowledge or skills that they could put into acti on. An additional 5 child care centers participated in classroom based coaching with 100% implementing new strategies that promote childrens healthy development and positive behavior. An additional 53 childcare providers, 63 parents/guardians and 42 children received consultation/coaching that promoted prosocial behaviors through building caregiver social-emotional competency, fostering resilience, and cultivating protective factors related to overall health and well-being. After receiving support from the program, 68% of children were in stable childcare, showed growth in their social-emotional development, and demonstrated fewer behavioral concerns in the classroom.

Parenting of Adolescents Program served more than 60 families during the fiscal year of 21-22. Out of those 60 families, 70 parents and 89 children were served through Multidimensional Family Therapy (MDFT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and the Positive Parenting Program (Triple P). In the fiscal year of 21-22, the Department of Social Services referred 17 families; Juvenile Crime Prevention Council referred 6 families; Clinic/ Hospital/ Physician referred 7 families; 7 families were referred by other agencies/entities; and 6 families were self-referred. This number does not include families that clinicians were working with prior/into the new 22-23 fiscal year (25 families, 35 parents, 54 children). By the end of services, 100% of families reported an improvement in the family environment. 85% of families demonstrated the use of healthy conflict resolution skills; 90% of teens demonstrated a change in either some or all of the behavi ors that brought them to treatment, and 100% of parents developed new skills in treatment to best support their child through lifes difficult moments. Due to the continuation, as well as the increase in COVID-19, coaching and therapy were provided via telehealth from Spring 2021 into 2022. To support families during the pandemic, emergency financial assistance, activities/supplies, case management, and weekly check-in phone calls were provided for families to supplement coaching and therapy.