CORE (Case Management, Outreach, Referral, and Education)

Scientific Rating:
NR
Not able to be Rated
See scale of 1-5
Child Welfare System Relevance Level:
High
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. CORE (Case Management, Outreach, Referral, and Education) has been reviewed by the CEBC in the area of: Placement Stabilization, but lacks the necessary research evidence to be given a Scientific Rating.

Brief Description

The CORE program targets families with children (ages 0-19 years) in transition such as those who are living in homeless shelters, temporary or doubled-up housing situations, or in foster care situations. The purpose is to improve the stability and well-being for children and families by providing a wide range of wrap-around services to improve conditions that place children and families living in transition at-risk for health, social, psychological, and safety concerns. The CORE program helps families with: coordination of medical care for their children; identification of resources that will facilitate family function and stability including counseling; support with recovery from substance abuse; and referral and assistance with completing housing applications.

Goals of CORE (Case Management, Outreach, Referral, and Education):

Please check in the Brief Description section above for the program's goals. If they are not there, the program's representative has not provided these since we began requesting them in Fall 2010.

Target Population: Families and children (ages 0-19 years) in transition, such as those who are living in homeless shelters, temporary or doubled-up housing situations, or in foster care situations. The caregivers may be relative or non-relative, young or old.

For children/adolescents ages: 0 – 19

For parents/caregivers of children ages: 0 – 19

Essential Components

Overview

  • Provides a wide range of mental health and case management services to families in transition.
  • Focuses on finding a solution to the client’s problems.
  • Embraces elements from several philosophies including social justice, cultural responsiveness, family preservation, and public health.
  • Provides wrap-around services that are informed by the disciplines of mental health, social service, and psychology.

Eligibility

  • The family must contain at least one child, age birth to 19.
  • The family must be in transition. Being in transition is defined as living in temporary accommodations including homeless shelters, transitional housing, in doubled-up circumstances where one family lives with another due to the inability to pay for their own place, or foster care or group homes.

Services offered

  • Parenting Assistance
  • Life Skills (e.g., money management)
  • School Interventions
  • Relapse Prevention
  • Referral to Ongoing Services
  • Family Communication Building
  • Housing Information & Referral
  • Self-Management of Attitudes and Behavior
  • Safety Planning
  • Concrete and Advocacy Services

Child/Adolescent Component

CORE (Case Management, Outreach, Referral, and Education) was designed with a child/adolescent component that addresses the following presenting problems and symptoms for children/adolescents ages 0 – 19:

  • Behavioral concerns and past trauma from impoverished environments or instability, including placement into foster care.

Parent/Caregiver Component

CORE (Case Management, Outreach, Referral, and Education) was designed with a parent/caregiver component that addresses the following presenting problems and symptoms for parents/caregivers of children ages 0 – 19:

  • Depression and different levels of recovery from substance abuse problems.

Group Format

CORE (Case Management, Outreach, Referral, and Education) was not designed to be conducted in a group setting, and has not been tested for use in a group setting.

Delivery Settings

This program is typically conducted in a(n):

  • Birth Family Home
  • Community Agency
  • Foster Home
  • Hospital
  • Outpatient Clinic
  • School

Homework

This program does not include a homework component.

Languages

CORE (Case Management, Outreach, Referral, and Education) does not have materials available in a language other than English.

Resources Needed to Run Program

The typical resources for implementing the program are:

One or two play-therapy rooms onsite; Staff of Master's level social worker and doctorally prepared psychologists averaging more than five years of experience with underserved families, and have access to offsite locations.

Minimum Provider Qualifications

  • Therapists: Master's or doctorate level with experience working with underserved families.
  • Supervisors: Licensed social worker or psychologist.

Education and Training Resources

There is not a manual that describes how to implement this program; but there is training available for this program.

Training Contacts:
Training is obtained:

Onsite orientation

Number of days/hours:

Informal Consultation

Relevant Published, Peer-Reviewed Research

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified

Show relevant research...

Zlotnick, C., Kronstadt, D., & Klee, L. (1998). Foster care children and family homelessness. American Journal of Public Health , 88(9), 1368-70.

Type of Study: Cross-sectional
Number of Participants: 195

Population:

  • Age range — 0-4
  • Race/Ethnicity — Black (66.2%); Latino (5.1%); White (16.4%); other (12.3%)
  • Gender — Not Specified
  • Status — Newly placed foster children

Location / Institution: Northern California

Summary: (To include comparison groups, outcomes, measures, notable limitations)
Almost half of young children entering foster care come from homeless situations, but children entering foster care from homeless families versus other children in foster care exhibit similar levels of morbidity. In the current sample of 195 children under 4, those from homeless families were less likely to be placed with relatives and more likely to have siblings also in foster care. They were less likely to exhibit developmental delays.

Length of post-intervention follow-up: Not Specified

Zlotnick, C., Kronstadt, D., & Klee, L. (1999). Essential case management services for young children in foster care. Community Mental Health Journal, 35(5), 421-430.

Type of Study: Descriptive Study
Number of Participants: 130

Population:

  • Age range — 0-4
  • Race/Ethnicity — Majority African American
  • Gender — Not Specified
  • Status — Foster children

Location / Institution: Unknown

Summary: (To include comparison groups, outcomes, measures, notable limitations)
Case management services make a difference in the types of services that children in foster care receive. Participants were 130 children under 4, a majority of whom were African American. Analysis showed that foster families rated as requiring “intense” case management were more likely to receive counseling and foster parent education. Those rated as “moderate” were more likely to be sent to parent support groups.

Length of post-intervention follow-up: Not Specified

Zlotnick, C., & Marks, L. (2002). Case management services at ten federally funded sites targeting homeless children and their families. Children's Services: Social Policy, Research, and Practice ,5(2), 113-22.

Type of Study: Descriptive study
Number of Participants: Not Specified

Population:

  • Age range — 0-19 yrs
  • Race/Ethnicity — Majority racial minorities
  • Gender — Not Specified
  • Status — homeless children or children at risk for homelessness

Location / Institution: Sites: Birmingham, Al; Oakland, CA: San Mateo, CA; Denver, CO; Baltimore, MD; St. Paul, MN; Albuquerque, NM; Multnomah, OR; Houston, TX; San Antonio, TX

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This descriptive study examined the credentials of case managers in 10 programs, the cost of services provided and the population served. Flexible case manager services for homeless children, including children in foster care and families, are an essential service. This study highlights differences in credentials across sites. Further research is needed to determine which services are most needed.

Length of post-intervention follow-up: Not Specified

References

Zlotnick, C., Robertson, M. J., & Wright, M. (1999). The impact of childhood foster care and other out-of-home placement on homeless women and their children. Child Abuse and Neglect, 23(11),1057-68.

Zlotnick, C., Hilton, N., & Ricketson, C. (1999). The impact of case management on the immunization status of a high risk pediatric population. Oakland, CA: CVC-Children's Hospital Oakland.

Contact Information

Name: Cheryl Zlotnick, RN, DrPH
Agency/Affiliation: Center for the Vulnerable Child (CVC), Children's Hospital & Research Center, Oakland
Website: www.childrenshospitaloakland.org/healthcare/depts/cvc.asp
Email:
Phone: (510) 428-3783
Fax: (510) 601-3913

Date Research Evidence Last Reviewed by CEBC: June 2012

Date Program Originally Loaded onto CEBC: August 2007

Date Program Content Last Reviewed by Program Staff: August 2007