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SAMHSA SSH Program Outcomes

SAMHSA SSH Program Outcomes. Georgia Supportive Housing Policy Day 2013 Khurram “Ko” Hassan, Advantage Consulting. SSH Projects. CaringWorks, Inc. Consumers: 637/1000 served Cobb/Douglas Community Service Board Consumers: 78/100 served In same SAMHSA SSH cohort, FY 09-14. Project Goals.

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SAMHSA SSH Program Outcomes

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  1. SAMHSA SSH Program Outcomes Georgia Supportive Housing Policy Day 2013 Khurram “Ko” Hassan, Advantage Consulting

  2. SSH Projects • CaringWorks, Inc. • Consumers: 637/1000 served • Cobb/Douglas Community Service Board • Consumers: 78/100 served • In same SAMHSA SSH cohort, FY 09-14

  3. Project Goals CSB Increase housing opportunities 80% (468) stable 12 months or longer 70% (300) continue Tx 12 months or longer Promote collaboration Community awareness Expand CW capacity for supportive housing Expand housing Access to primary, behavioral health Improve outreach/ care for veterans Improve stakeholder understanding CaringWorks

  4. Project EBPs CSB Housing First Motivational Interviewing Intensive Case Management Trauma Informed Care Housing First Motivational Interviewing Intensive Case Management CaringWorks

  5. Evaluation Activities • TRAC database outcomes monitoring, generating reports, analysis • Eventually, data collection monitoring • EBP fidelity evaluation • Client satisfaction survey, focus group • Training and monitoring of supplemental evaluation data collection • Performance Improvement Committee (CW)

  6. Key Outcomes: CaringWorks • 80% or higher positive after baseline • No psych distress, Not binge drinking, Not involved with criminal justice system • 70-79% positive • Daily function, Illegal substances, Socially connected • Less than 70% positive • Healthy overall, Tobacco use, Retained in community, In school or working, Had a stable place to live

  7. Key Outcomes: CSB • 80% or higher positive after baseline • Daily function, No psych distress, Illegal substances, Not binge drinking, Retained in community, Not involved with criminal justice system, Housing stability • Less than 80% positive • Healthy overall, Tobacco use, In school or working • Project included a supported employment strategy, but consumers difficult to engage

  8. Fidelity to Housing 1st • Consumer Choice: Both doing well in providing choice, self directed goals, immediate housing without prerequisites • Psych Rehab: No ACT teams, but working towards intensive case mgmt model • Harm Reduction: Interventions are tailored to consumer’s stage of change but has been a transition/challenge for both agencies; Tenancy not dependent on Tx but landlords have stricter guidelines

  9. Fidelity to MI • Self-Efficacy: Staff attempt to empower consumers, consumers accept responsibility for making the change • Empathy: Staff do reflective listening, compliment consumers, ‘roll with resistence’, avoid argument, ask open ended questions, respect consumer feelings • Tipped the Balance: Summarized concerns, explored pros/cons, normalized ambivalence

  10. Client Satisfaction • Tool: CSQ-8 with minor changes • Services: Consistently positive feedback regarding supportive services/case managers • Property Management: Has varied from year to year and property to property. Both projects have moved quickly to engage property owners and even change apartment or property if necessary.

  11. Lessons Learned • Evaluators should have been involved with data collection monitoring from the beginning • Staff turnover impacts fidelity to EBPs. Need to have mini internal trainings till new staff can be fully trained. • Introducing new data collection activities need to account for existing staff responsibilities (supplemental, MH assess)

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