Process and Outcome in Outreach Programs for People Who Are Homeless
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Process and Outcome in Outreach Programs for People Who Are Homeless Hope Plaza Columbia, SC July 23, 2014 Candice Morgan, LMSW
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Process and Outcome in Outreach Programs for People Who Are Homeless. Hope Plaza Columbia, SC July 23, 2014 Candice Morgan, LMSW. Main Topics. Main topics include: Key components of successful outreach programs Outcome measures Implications for practice Limitations - PowerPoint PPT Presentation
Transcript of Process and Outcome in Outreach Programs for People Who Are Homeless
Process and Outcome in Outreach Programs for People Who Are HomelessHope PlazaColumbia, SCJuly 23, 2014
Candice Morgan, LMSW
Main Topics
Main topics include:• Key components of successful
outreach programs• Outcome measures• Implications for practice• Limitations• Potential for evaluations here
Outreach Program: Process Overview
❖ Intensive Case Management (ICM)
❖ Linked to Shelter for Men and Women
❖ Referrals to Outreach Case Management from Shelter
❖ Screen for and Identify
❖ Chronic Homelessness
❖ Severe Disability
❖ Psychiatric Symptoms
Intensive Case Managers• Work 1 on 1
• Meet Whenever is Necessary
• Serve as Advocates
• Refer and Link
• Continued and Unwavering Support
Relationship is Key
❖ Develop the relationship first
❖ Strengths Model of Case Management
❖ Direct Relationship between Program Elements and Program Outcomes
Elements = Outcome
❖ What We DO Matters
❖ Frequent contact over a long time
❖ Help with basic survival problems
❖ Attempting to get to know the client
❖ No requirements to get services
Outcome Measures
❖ How do we decide what to do and what to measure?
❖ Depends on the Philosophy of the Program
❖ Program Theory
❖ Availability of Valid and Reliable Measures
Outcome Measures (cont.)
❖ Social Functioning (Relationship Building)
❖ Linkage to Medical and Psychiatric Services
❖ A way to evaluate outreach
❖ Longitudinal Study
❖ To determine which elements of outreach = outcomes
Method:
❖ Baseline assessments
❖ Assessments repeated 9 and 18 months later
❖ 71 participants entered the study
❖ Lost 16 to attrition
❖ 55 participants completed study
Procedures and Instruments
❖ Uniform Client Data Instrument (Mulkern & Manderscheid)
❖ Service Utilization Form
❖ Working Alliance Inventory (Horvath & Greenburg)
Analysis
❖ Paired-samples t-test
❖ Change over 9 to 18 months
❖ Multivariate Analysis
❖ Program elements
❖ Outcomes
Results
Social Functioning
Alliance, relationship, connection
Linkage to medical and psychiatry
Reduction of symptoms
Discussion
❖ Implications for Practice
❖ Limitations
❖ Moving forward
