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Process and Outcome in Outreach Programs for People Who Are Homeless

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

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Process and Outcome in Outreach Programs for People Who Are Homeless

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  1. Process and Outcome in Outreach Programs for People Who Are Homeless Hope Plaza Columbia, SC July 23, 2014 Candice Morgan, LMSW

  2. Main Topics • Main topics include: • Key components of successful outreach programs • Outcome measures • Implications for practice • Limitations • Potential for evaluations here

  3. 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

  4. Intensive Case Managers • Work 1 on 1 • Meet Whenever is Necessary • Serve as Advocates • Refer and Link • Continued and Unwavering Support

  5. Relationship is Key • Develop the relationship first • Strengths Model of Case Management • Direct Relationship between Program Elements and Program Outcomes

  6. 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

  7. 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

  8. 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

  9. Method: • Baseline assessments • Assessments repeated 9 and 18 months later • 71 participants entered the study • Lost 16 to attrition • 55 participants completed study

  10. Procedures and Instruments • Uniform Client Data Instrument (Mulkern & Manderscheid) • Service Utilization Form • Working Alliance Inventory (Horvath & Greenburg)

  11. Analysis • Paired-samples t-test • Change over 9 to 18 months • Multivariate Analysis • Program elements • Outcomes

  12. Results Social Functioning Alliance, relationship, connection Linkage to medical and psychiatry Reduction of symptoms

  13. Discussion • Implications for Practice • Limitations • Moving forward

  14. Questions and Answers • Thank you for listening • Contact information: morgancr@email.sc.edu

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