Comprehensive Program Review November 16, 2012

1. Brooke House Comprehensive Program Review November 16, 2012

2. Program Highlights • Increased Contract agencies: • April 2012 MA Parole Board utilized beds • October 2012 Norfolk Sheriff’s Office utilized beds • Steadily increasing bed utilization by developing relationships with key staff at the contracting agencies • Implemented Command Structure, stabilized staffing, restructured staff schedules, updated video camera monitors, established resident room decorum standards and updated resident handbooks. • Improved Case Management: • APD conducts individual bi-weekly meetings with Case Managers. • On alternating weeks APD meets with Case Managers, Intake/Release Coordinator and Program Monitor Supervisor.

3. Program Highlights • Improving Community Networking Resources • Boston Public Health Commission- Men’s Health & Recovery • Whittier Street Health Center, Structured Outpatient Addition Program, Mental Health Counseling, Family Services, Health Services, Dental & Pharmacy Services, Housing. Also…

4. Program Highlights • Increased resident programming both in-house and in the community. • Transitional Skills (2x week) • Life Skills focused on employment preparation • Job Opportunities & placement (SCSD)

5. Program Highlights Hosted a delegation from China, Prof. WU Zongxian, College for Criminal Law Science of Beijing Normal University, Director – Research Center of Community Corrections

6. Program Highlights • Resident Room Painting to improve the “Quality Living Space” • New metal bunk beds

7. Program Highlights • Outside landscaping, angel & fence repair • The Fenway Advisory Board was very happy with CRJ

8. Program Highlights • Interior Cleaning & Painting

9. Program Highlights • New Dayroom & Furniture to enhance the “Quality Living Space”

10. Program Highlights • Capital Project to renovate bathroom/showers • Abatement Company to remove the covering on the pipe in the basement hallway

11. Areas In Need Of Improvement • Update the Policy & Procedure Manual (2009) • Develop a Tool Crib Accountability Plan (11/12) • Develop a Key Control system • Develop Security Post Orders • Implement weekly, monthly, quarterly operational paperwork • Begin to develop ACA accreditation files for May 2013 audit. • Have CRJ Fiscal supply operational contracts • Hire an Employment Specialist to improve employment opportunities for the residents • Improve staff training opportunities

12. STAFFING Staff Turnover Rates• Performance Evaluations• Staff Training•

13. Turnover Rate (10/01/11 - 09/30/12) • Last CPR (July-December 2012), the turnover rate for Brooke House was 36.7% Data obtained from MMRs

14. OVERDUE PERFORMANCE EVALUATIONS(April-September 2012) • Last CPR (July-December 2012), average of 2.83 overdue FT • performance evaluations Data obtained from HR Department & HR Personnel Summary

15. Staff Training (April-September 2012) Data obtained from MMRs

16. PROGRAMMING • Utilization • Successful Completions • Completion with: - Employment - Permanent housing

17. Utilization (April-September 2012) • Utilization rate for the above six months was 62.82% • This CPR, Brooke House averaged 40.83 clients for April-September 2012 • Last CPR, Brooke House averaged 40.12 clients for April-September 2012 Data obtained from MMRs

18. Program Completion (April-September 2012) • Average of 40.89% of clients completed with employment. Last CPR 25% completed with employment. • Average of 91.41% of clients completed with housing. Last CPR 99% completed with housing. • Average of 18.92% of clients were terminated before completing the program. • Average of 81.82% of clients successfully completed the program. Last CPR, 73% successfully completed the program. Data obtained from MMRs

19. CLIENT RELATED • Clinical Hours • Walk-Aways • Medication

20. Clinical Hours (April-September 2012) Data obtained from MMRs • Total Hours: 3464 • Total Life Skills Hours: 2645 • Total Cognitive-Behavioral Hours: 819 • Average Total Hours per client/month: 14.14 • Average Life Skills Hours per client/month: 10.8; last CPR was 4 hours. • Average Cognitive-Behavioral Hours per client/month: 3.34; last CPR was 4.5 hours. Data obtained from MMRs

21. Walk-Aways (April-September 2012) Data obtained from MMRs

22. Medication Incidents & Occurrences (April-September 2012) • Last CPR, 0 medication incidents over that time period (April-September 2012). No medication incidents for the above time frame Data obtained from MMRs

23. Quality Assurance Key MMR Results• Satisfaction Surveys•

24. KEY MMR RESULTS (April-September 2012) • Average of 81.82% of clients successfully completed the program • Average of 91.41% of clients completed with housing • 100% of clients completed the program with ID • Average of 96.88% of clients completed the program with a full discharge plan • No medication incidents for the above time frame • 99.97% negative drug tests • 462 community service hours • No written deficiencies

25. Client Satisfaction Survey Results June 2012 Data obtained from Adult Satisfaction Surveys June 2012

26. Client Satisfaction Survey Results June 2012 Data obtained from Adult Satisfaction Surveys June 2012

27. Client Satisfaction Survey Results June 2012 Data obtained from Adult Satisfaction Surveys June 2012

28. Client Satisfaction Survey Results June 2012 Data obtained from Adult Satisfaction Surveys June 2012

29. CPR ACTION PLAN • See Handout