A 360º perspective on well-being

Kids Insight provides an innovative approach to measuring behavior-based well-being called the Treatment Outcomes Package (TOP). With the support of the Annie E. Casey Foundation, The Duke Endowment, and in collaboration with caseworkers and community mental health leaders, Kids Insight and Outcome Referrals have made TOP available to child welfare systems — where it is being used for all system-involved children whether or not they are receiving behavioral health services.

TOP: An overview

TOP uses statistically validated questions to identify children’s strengths and challenges and track their progress over time using simple, web-based tools. It features a short checklist completed by the child and those closest to him or her — birth and foster parents, clinicians, teachers, caseworkers — to generate immediate results and easy-to-follow reports.

TOP tracks and measures two things:

  • Well-being indicators
    TOP tracks how children are doing using indicators such as how well a child is sleeping or behaving in school to help gauge whether behavioral and mental health needs are improving through a course of treatment.
  • Provider effectiveness
    TOP also looks at specific providers’ track record of delivering particular services. This helps better match kids’ needs with providers’ strengths.

Day-to-day benefits and long-term improvements.

The TOP is a multi-rater assessment  that takes 10 minutes to fill out. It analyzes 11–13 different dimensions of well-being based upon 48–58 easy-to-understand questions, depending upon the child’s age. With consistent use, TOP creates a rich data set that informs decision making, improves patient-provider matching and helps predict disruptions and reunification.

Improving relationships and decision-making.

TOP quickly generates visual 360º reports of a child’s progress that includes the perspective of multiple stakeholders, facilitating conversations among professionals and families — and with young people themselves. These snapshot reports make it possible to identify and respond to problems before they become full-blown crises.



Effective patient-provider matching and transition.

Over time, TOP becomes an effective way to properly match patients and specific providers, not just provider types. Learning more about provider strengths and challenges helps administrators contract for the right care — and the richness of TOP data increases the likelihood that children will be matched with services that suit their needs and provider strengths.

At the same time, the level of detail about both children and providers can make transitions smoother, whether it involves placing a child with a new family or transitioning caseloads from one caseworker to the next. And TOP’s aggregated data reports help everyone get on the same page faster, so case management conversations can be more productive.



Performance contracting for improved services

TOP results can identify the gap between what services children need and what providers are able to successfully deliver. The agency can use this information to contract for appropriate and effective services — and private providers can use this information to improve services.

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Predictive modeling

The data captured by TOP Assessments is very sensitive to small changes over time. This makes it possible to begin to predict when disruptions are likely to occur. It also helps Child Welfare Systems gauge improvement and identify reunification timelines.

How TOP Works
Embedding TOP