Front page: Text, pie chart, and a table with collage with four photos of a baby and three toddlers on the right side of the page.

Project Karinu Loving Our Babies
GuamÕs Early Childhood System of Care

EVALUATION REPORT: December 2014

WHO IS BEING HELPED?
253 children have been referred, screened, and assessed
* Mostly boys (62%); girls (38%)
* Average age is 3.5 years
* 76% are of Chamorro descent

46% of Children are Referred by their Caregivers

Pie Chart of Data listed above
Legend: Blue: Caregivers; Light Green: Child Welfare; Teal: Physical Health; Light Blue: Early Education; Orange: Other; Red: Mental Health

Table: 2 column, 5 rows
1st Column Header: ChildrenÕs 5 Most Common Challenges
2nd Column Header: Percentage
1st row: Developmental Disability 28 percent
2nd row: Maltreatment 27 percent
3rd row: Adjustment 25 percent
4th row: Disruptive Behaviors 25 percent
5 row: 18%
*Children may have more than one challenge so percentages total to more than 100%.

Many Families Face Multiple Challenges
* Health problems in family, divorce, deployment
* Legal, economic, housing, inadequate support
* Depression, substance abuse, domestic violence

Back page Ð Text, bar graphs, pie chart, and a table with three photos of families on the right side of the page with quotes.

HOW IS PROJECT KARI„U HELPING?
Children and families enrolled in Project Kari–u continue to show improvement. Children are showing fewer serious behavior problems, caregivers reported less stress related to raising their child, and families feel positive about the services they received.

Bar Graph Header: Fewer Children Show Serious Problems
Legend colors:
Green: Intake
Blue: 12 Months
Emotionally Reactive: Intake: 31 percent; 12 Months: 9 percent 
Aggressive Behaviors: Intake: 33 percent; 12 Months: 18 percent
Attention Problems: Intake: 33 percent; 12 Months: 24 percent
Withdrawn: Intake: 42 percent; 12 Months: 11 percent

Pie Chart Header: 40.5% of Caregivers Reported Feeling Less Stress
Remained the same: 59.5 percent
Improved: 40.5 percent

Table: 2 column, 7 rows
1st column header: Caregiver Perspectives on Services 
2nd column: % Reporting Positively
1st row, 1st column: Cultural Sensitivity 
1st row, 2nd column: 96.4%
2nd row, 1st column: Social Connectedness 
2nd row, 2nd column: 85.7%
3rd row, 1st column: Participation in Treatment 
3rd row, 2nd column: 82.1%
4th row, 1st column: Access to Services 
4th row, 2nd column: 78.6%
5th row, 1st column: Satisfaction with Services 
5th row, 2nd column: 78.6%
6th row, 1st column: Outcome 
6th row, 2nd column: 75.0%
7th row, 1st column: Functioning 
7th row, 2nd column: 75.0%


Bullet list Header: Family Support Activities
20 family support activities were offered in 2014
* 7 New Family Orientations
* 5 Play Days/Respite Care
* 5 Peer Family Support Groups
* 3 Parent CafŽs

Collage of photos with quotes Header: Families Share Their Experiences About:

Play Days/Respite Care (photo of parents hugging son sitting in the middle)
ÒI liked that the kids had a chance to do something fun outside our home.Ó
ÒIt gave my child a chance to interact with other children.Ó

Peer Family Support Groups (photo of father with four children posing for a family shot with trees in the background) 
ÒI always enjoy attending these meetings. The staff is wonderful!Ó

Parent CafŽs (photo of mother with five children posing for a group shot)
ÒThis was an outstanding experience for me as a single mother. To be able to strengthen me in all areas of my life.Ó 
ÒThis is an amazing experience. It was very helpful and made me feel better knowing that there are people you can reach out to for helpÉÓ

Funding statement:
This publication was prepared by Bonnie Brandt, M.A. and Keith Villaluna, B.B.A., University of Guam Center for Excellence in Developmental Disabilities Education, Research, and Service (Guam CEDDERS). One hundred percent (100%) funding for this publication was provided by the Child Mental Health Initiative (CMHI) Cooperative Agreement 5U79SM059022-05 between the U.S. Department of Health and Human Services/Substance Abuse and Mental Health Services Administration/Center for Mental Health Services and the Guam Department of Public Health and Social Services.

Two logos: Department of Public Health & Social Services and University of Guam CEDDERS