Yellowstone Boys & Girls Ranch | Treatment Outcomes

The 9 Organizational Values of YBGR

Safety: The condition of being physically, psychologically, socially and emotionally safe from pain, injury, or loss.

Hope: Anticipation with confidence and trust.

Relationships: Being committed to one another in a mutually respectful, dignified, healthy, and honoring manner.

Excellence: At YBGR excellence is represented by the practice of Faith, Hope, Integrity, Relationships, Respect, Safety and Stewardship.

Integrity: Doing what is right, putting the needs of others above your own, and living by the highest values.

Respect: An attitude of valuing others, caring about people and treating them with dignity.

Faith: Being sure of what we hope for and certain of what we do not see, based upon our belief in God.

Values: The principles which guide all decisions and activities directed at pursuing the vision and achieving the mission.

Stewardship: The use of any resource or talent entrusted to YBGR to fulfill the mission and vision.

Treatment Outcomes

Measured outcomes demonstrate improvement in school, home and community life, a decrease in self-harming behaviors including substance abuse and improved emotional functioning for youth in our care.

Total Number of Youth Served by YBGR Programs

There were a total of 509 youth being served in one or more YBGR program on December 31, 2010

Demographic Information About YBGR Residential Youth on Admission (n=160)

Age	#/admits
7 – 10 10 – 12 12 – 14 14 – 16 16 – 18	14 10 42 55 39

Race	#/admits
Asian Black Caucasian Hispanic Mixed Native American Creole	1 3 127 9 8 11 1

Gender	#/admits
Females Males	70 90

What State Did the Youth Come From?

Printable Map - Youth by State

Youth Treated at Yellowstone Boys and Girls Ranch Residential Treatment program from 1992 through December 31, 2011 - Total 2459 youth

	Total Discharges	Average Length of Stay in months
Group Homes	14	5.7
Residential	184	7.4

	Total Discharges	Average Length of Stay in months
Group Homes	14	5.7
(less 2 high/low)	10	4,4
Residential	184	7.4
(less 2 high/low)	164	7.0

Breakdown of Residential Treatment by State

	Discharges (n=184)	LOS (in months)	Admits (n-160)	Receiving Services on 01/01/11 (n=82)
Alaska	11	8.5	11	5	6%
California	33	9.9	29	26	32%
Illinois	15	12.0	12	10	12%
Montana	71	4.7	64	21	26%
Nevada	3	11.6	1	-	-
North Dakota	1	14.8	3	3	4%
Oklahoma	2	6.2	3	1	1%
South Dakota	1	8.8	2	3	4%
Washington	1	8.0	1	-	-
Wyoming	46	7.5	34	13	16%

Occupancy Rate for 2010

Group Homes	72.5%
Residential	88.0%

Residential

Community Based Services

Intensive

2 – 9 bed boys intensive & 8 bed girls intensive
1 – 10 bed girls moderate intensive
2 – 9 & 10 bed boys moderate intensive

Non-intensive

1 – 9 bed little boys – 7-11 year olds
3 – 10 bed girls units
3 – 10 bed boys units
1 – Residential Transitional Homes (Group Homes in community) ( 1 boys – 8 bed)

= total 115 beds + 2 crisis beds on campus and 8 beds RTH

Community Home – 1 home (boys – 6 beds)
Therapeutic Foster Care (TFOC)
Therapeutic Family Living (TFL)
Youth Case Management (YCM)
Youth and Family Support Work (YFSW)
School Based Services (SBS)
STAR Program (Day Treatment – Lewistown)

There were a total of 509 youth being served in one or more YBGR programs on December 31, 2010

Primary Diagnosis of Discharged Youth from Residential Treatment
Calendar Year 2010 n=184

Diagnosis	# of Youth	% of Total	Aver. LOS (months)
Anxiety	4	2	6.6
Bipolar	81	44	8.0
Depressive Disorders	63	34	6.4
Intermittent Explosive	4	2	8.2
Mood Disorder	9	5	10.2
Posttraumatic Stress	10	5	6.7
Schizoaffective	6	3	7.1
All Others (5 diagnoses)	7	4	6.9

primary diagnosis

YBGR uses the Child and Adolescent Functional Assessment Scale (CAFAS)

The Child and Adolescent Functional Assessment Scale (CAFAS) is a validated assessment tool that measures the degree of everyday functioning in 8 areas of the youth’s life: home, school/work, community, behavior toward others, moods/emotions, self-harmful behavior, substance use and thinking. It is essentially a list of behavioral descriptors the rater selects to describe the youth based on a variety of their informational sources The CAFAS is completed at admission, during periodic intervals (quarterly), and at discharge from the program.

happy mother and sone The CAFAS items are grouped into 4 levels of functioning. Each level is assigned a score. The 4 levels and their scores are: no impairment (0), mild (10), moderate (20), and severe (30). Scores are given for each of the 8 areas. These 8 scores are added together to give a total CAFAS score. The goal is to improve the behaviors and reduce the scores. The lower the score, the better. This score can be used to track a youth’s improvement over time.

Below is data based on 337 youth scores for the Community Based Services and Residential programs at YBGR - admit and discharge score comparisons.

Level of functioning	Number of youth with this Score at Admission	Number of youth with this Score at Discharge
Severe (140+)	236	40
Marked (100-130)	82	81
Moderate (50-90)	19	172
Minimal (0-40)	0	44

This information shows that youth improved in their functioning from the time they were admitted to YBGR programs until they were discharged from the programs. Remembering that the lower the score the better, youth had much lower scores at discharge with than when they were admitted.

Jan. 1, 2008 through December 31, 2010 (n=408)
Impairment Levels Based on Total Scores

Jan. 1, 2008 through December 31, 2010 (n=408)
Total CAFAS-Admit Compared to Discharge
CAFAS admit comparison