Brief Child and Family Phone Interview (BCFPI)
As mandated by the Ministry for Children and Youth Services, all access workers in the province conduct the Brief Child and Family Phone Interview (BCFPI). The answers, which are confidential and anonymously submitted, provide us with a wealth of data to describe the scope and severity of the challenges our clients face. This information is of critical importance because it enables us to modify our treatment methods and programs, and it allows us to compare our youth and family profiles with those in the rest of the province
BCFPI also makes it possible for us to systematically identify – and fast-track for service – high-risk youth and families. This is important because, with need often outweighing our capacity to help, there is often a wait for service.
Overall, our BCFPI data shows that clients coming to EMYS are facing multiple and complex problems. The degree of severity is measured both by the t-scores and by how many disorders are identified in one client. In BCFPI, the mean score is 50, corresponding to a percentile score for the general population (e.g. 50% of the population is below 50%). As scores increase, so do levels of functional impairment and frequency. Scores above 65 are considered to indicate more severe functional impairment and 98% of the population scores below 70.
As the following graph shows, EMYS home-based services clients score above 50 in all areas, and above 60 in 14 of 16 areas. Areas such as cooperativeness, conduct, school, child and family functioning show rather severe challenges, particularly for Priority Access clients with all scores in these areas well above 65. Family activity and global functioning present severe impairments with scores in the 85 to 90 range.
Our residential clients also exhibit rather severe impairments, as evidenced in the graph below. Most scores are well above 50, with D’Arcy having 13 of 16 areas over 60, Ellesmere having 12 and Megan having 11. Overall levels of family activity and global functioning indicate very serious impairments, with t-scores in those domains reaching between 88 and 110.
Our Day Treatment clients also exhibit rather severe challenges in a variety of areas, as evidenced in the graph below. Both Borden and Wexford students show t-scores above 60 in 12 of 16 areas, and t-scores above 70 in 7 areas, suggesting severe levels of impairment. The Galloway students exhibit t-scores above 60 in 13 of 16 areas, with significant challenges in social participation and the Borden students receiving Dialectical Behavioural Therapy (DBT) an evidence-based treatment modality being implemented also show t-scores above 80 in school, family activity and global functioning.