CNI Grant 02-227
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CNI Grant 02-227 Use of Clubhouse Model to Improve Quality of Life of Persons with TBI in Charlottesville and Surrounding Area November 1, 2001 – October 31, 2004. Leigh Wion, CTRS, CBIS The High Street Clubhouse Charlottesville, VA CNI Community Colloquium November 5, 2004.

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CNI Grant 02-227Use of Clubhouse Model to Improve Quality of Life of Persons with TBI in Charlottesville and Surrounding AreaNovember 1, 2001 – October 31, 2004

Leigh Wion, CTRS, CBIS

The High Street Clubhouse

Charlottesville, VA

CNI Community Colloquium

November 5, 2004

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Presentation Outline

  • Initial goals and achievement of those initial goals

  • Identification of outcomes

  • Lessons learned

    Good ones

    Not so good ones

  • Questions

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Initial Project Goals

  • Expand clubhouse program to include persons with brain injury living in the Charlottesville and surrounding communities who are not currently receiving any services from The John Jane Brain Injury Center

  • Transition Clubhouse program from pilot program to permanent program by the 3rd month of the year 1

  • Provide opportunity for members to develop basic job skills including time management, compliance with clubhouse standards, personal hygiene and neat appearance, appropriate social skills, and productivity

  • Independent social functioning

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Initial Project Goals (cont.)

  • Evaluate the efficacy of the Clubhouse Program in improving quality of life, client satisfaction, and community integration

  • Staff training on International Clubhouse Standards at Fountain House

  • In-house staff training through quarterly consultations with Mill House Program Director or designee.

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Goal #1 – Expand program

Brochures to area community agencies

On-site informational presentations

Develop website for the clubhouse – currently a link on the Virginia NeuroCare site.

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Goal #2 - Transition from Pilot Program to Permanent Program

  • Second unit coordinator hired in February 2002

  • Open 5 days/week in April 2002

  • Third unit coordinator hired in September 2003

  • Steady but slow increase in Average Daily Membership

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Goal #3 – Opportunity to develop basic job skills, etc. Program

  • Outcome is the development of Transitional Employment (TE)

  • Currently continue with an established relationship with one small business in Charlottesville

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Goal #4 – Independent Social Functioning Program

  • Member identification of community resources, volunteer jobs, and recreational activities.

  • Implemented weekly clubhouse newsletter that members identified volunteer opportunities and upcoming community events.

  • Added a leisure satisfaction measurement tool to gather data. See goal #5

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Goal #5 – Evaluate efficacy Program

  • Use of Quality of Life Inventory, Satisfaction with Life Scale, and Community Integration Questionnaire.

  • Surveys administered to members in January and July.

  • Anticipated a 10% improvement in the first six months and 20% after one year

  • Added the Leisure Satisfaction Measure in January 2004

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Data Comparison – Program Life Situation Survey

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Data Comparison – Program Leisure Satisfaction Measure

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Goal #6 – ICCD Colleague Training at Fountain House Program

  • Visits to Blue Ridge Clubhouse and The Mill House prior to opening. One day training at The Mill House.

  • Long discussions with ICCD Training Coordinator about the acceptance of brain injury clubhouses

  • Referred to Gateway House in South Carolina for Colleague Training

  • Attendance at International Clubhouse Seminar in Minneapolis in October 2003

  • International Alliance of Brain Injury Clubhouses

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Goal #7 – In House Staff Training Program

  • Initial consultation with Program Manager at The Mill House

  • Year 1 – Dr. Harvey Jacobs

  • Year 2 – Cindi Johnson, Side by Side Clubhouse, Harvey Jacobs

  • Year 3 – Janet Hill, CNI Program Review

  • International Alliance of Brain Injury Clubhouses – list serve and data comparison

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Project Outcomes Program

  • Young, developing clubhouse program with established work units

  • Ongoing relationships and recently new relationships with potential referral sources

  • Advocacy activities with local legislators

  • Participant in activities of the International Alliance of Brain Injury Clubhouses

  • Good data collection - limited numbers to demonstrate statistical significance

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Lessons Learned Program

  • At the recommendation of the CNI Advisory Board, The John Jane Brain Injury Center Clubhouse became The High Street Clubhouse on October 1, 2002.

  • Delay in hiring third staff position until year 3 impacted attainment of goal of volunteer work experiences/TE placements

  • Meeting the significant case management needs of some members

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Lessons Learned - continued Program

  • Shift of focus at the end of year 3 with a move to a new location and resignation of 3rd staff member

  • Fundraising

  • Lack of sufficient transportation for outlying members and lack of access to dedicated transportation for clubhouse business

  • Member recruitment

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Questions??? Program