2025-06-29-兰德-洛杉矶县公共卫生部家庭援助项目评估（英）_20页_199kb

报告摘要

Evaluate the Los Angeles County Department of Public Health Family Assistance Program (FAP)

Program Background

FAP is a county initiative in the Los Angeles Department of Public Health’s Office of Violence Prevention, established in 2022 to support families affected by fatal LASD encounters. The program provides timely psycho-social counseling, burial support, and referrals. Operations involve interagency coordination. 家庭援助计划提供情感支持、殡葬援助和转介服务。

Key Findings

Service Delivery: FAP clinician assignment occurs within 1.8 days on average (91.8% of cases). Funeral expenses are reimbursed to 69% of NOK within 15 days. High client satisfaction reported, with NOK predominantly parents and speaking English/Spanish. High homelessness (94%) and financial stability reported (85%). Most clients needed psychological support and needed to develop coping mechanisms after the death of a loved one due to LASD encounters.
Infrastructure Limitations: FAP uses Microsoft Access for case management, but challenges include lack of multiuser real-time access, poor longitudinal tracking, lack of standardized fields, and reliance on unstructured notes, hindering data integration and evaluation. 数据库使用Microsoft Access，但存在多用户实时访问、缺乏纵向追踪、标准字段缺失和未结构化笔记的问题，影响了数据整合和评估。

Recommendations

Transition to a dedicated case management system for multiuser access and longitudinal data. 数据库系统更新。
Standardize key data fields (referral sources, timelines, client demographics). 数据字段标准化。
Integrate psychosocial metrics and explore AI-assisted analysis for unstructured notes. 与心理健康数据整合。
Implement automated alerts and reporting tools. 自动化报告工具。
Conduct ethnically-sensitive follow-up to increase feedback. 文化适应性反馈机制。

Limitations

Low survey response rate (11%), constraining generalizability. 调查回复率低。
Sensitivity concerns limit longitudinal data collection from grieving families. 同情考虑限制纵向数据收集。
Administrative data incomplete on certain demographics and service metrics. 管理数据不完整。

Conclusion
The program successfully provides timely and compassionate support but requires infrastructure and data system enhancements to improve evaluation and long-term capacity.

附：核心措施与发现总结：