2017 Outcome Highlights
2018 outcome data will be available in mid-2019.

2017 Outcome Highlights

Parenting / Prevention


What we Measure: Risk factors for child abuse and neglect in our Early Assessment and Intervention Services for Outcomes NOW (EAIs-ON), Community Based Child Abuse Prevention (CBCAP), and Fostering Futures (FF) programs.

Why we Measure: Great Circle believes that when families have the tools and support they need, they can navigate stressful situations and stay together.

Measurement Tool: The Adult Adolescent Parenting Inventory (AAPI) is an inventory designed to assess the parenting and child rearing attitudes of adolescents and adult parent and pre-parent populations. Based on the known parenting and child rearing behaviors of abusive parents, responses to the inventory provide an index of risk for practicing behaviors known to be attributable to child abuse and neglect.

Results: In 2017, the number of parents at high risk decreased in each of the five domains. The number of parents at low risk in parental empathy increased by 29 percentage points, and the number of parents at low risk in use of corporal punishment increased by 16 percentage points. Overall, parents had a 13-percentage point increase in low risk attitudes and a 5-percentage point decrease in high risk attitudes.


Family Well-Being

What we Measure: Level of family functioning in Intensive In-Home Services (IIS) and Fostering Futures (FF) programs.

Why we Measure: Families can remain intact when they are stable and have the skills and resources they need to achieve and maintain family capabilities.

Measurement Tool: The North Carolina Family Assessment Scale (NCFAS) measures family functioning from the perspective of the caseworker and includes five domains: environment, parental capabilities, family interactions, family safety, and child well-being.

Results: In 2017, families at Great Circle had a 30 percentage point increase in child well-being, a 16 percentage point increase in family interactions, and a 14 percentage point increase in parent capabilities. Overall, families had a 15 percentage point increase in their overall level of family functioning.



What we Measure: Our Foster Care Case Management (FCCM) program provides, coordinates and facilitates all services necessary to support the permanency goal for the children in care. Permanencies include family reunifications, adoptions, and guardianship.

Why we Measure: Great Circle believes that all children deserve a permanent home. The belief is that if a child can be returned safely to the home, then the best place for the child is in the home.

Measurement Tool: Missouri Alliance for Children and Families Case Status.

Results: 208 (51%) Great Circle Foster Care Case Management clients achieved permanency through reunification, 114 (28%) achieved permanency through adoption, and 85 (21%) achieved permanency through Guardianship. State contracts have set the goal for permanencies at 33%.  Across the state, Great Circle achieved this goal at 33%. Overall, a total of 403 permanencies were achieved in the 10/01/2016 to 09/30/2017 contract period.


Exposure to Trauma

What we Measure: A client’s exposure and response to incidents of trauma.

Why we Measure: Understanding the scope and impact of trauma is a key part of learning how to approach potential survivors of trauma and how to tailor therapeutic interventions.

Measurement Tool: The Trauma Screening Tool is designed to be a brief insight to the degree to which our clients have been exposed to various types of trauma. Part I measures exposure to potential trauma and Part II determines if event was in fact traumatic for the client.

Results: 60% of clients reported having experienced a loss of a friend or relative, 58% reported having a long separation from parents or guardians, and most clients reported having at least some instance of past trauma which assists Great Circle in providing care specific to the client’s history.


Progress on the Trauma Assessment

What we Measure: The progress children make on overcoming past traumatic events.

Why we Measure: Clients who make positive progress in overcoming past traumatic events are more likely to attain positive outcomes and have increased functioning.

Measurement Tool: The Trauma Symptom Checklist for Children (TSCC) measures the severity of posttraumatic stress and related psychological symptomatology (anxiety, depression, anger, dissociation) in children who have experienced traumatic events.

Results: 59% of clients made positive progress in the domain of Anger and 56% of clients made positive progress in the domain of Dissociation.