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:
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Key components of successful outreach
programs
Outcome measures
Implications for practice
Limitations
Potential for evaluations here
Outreach Program: Process
Overview
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Intensive Case Management (ICM)
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Linked to Shelter for Men and Women
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Referrals to Outreach Case Management from
Shelter
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Screen for and Identify
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Chronic Homelessness
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Severe Disability
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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
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Develop the relationship first
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Strengths Model of Case
Management
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Direct Relationship between
Program Elements and
Program Outcomes
Elements = Outcome
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What We DO Matters
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Frequent contact over a long time
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Help with basic survival problems
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Attempting to get to know the client
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No requirements to get services
Outcome Measures
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How do we decide what to do and what to
measure?
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Depends on the Philosophy of the Program
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Program Theory
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Availability of Valid and Reliable Measures
Outcome Measures (cont.)
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Social Functioning (Relationship Building)
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Linkage to Medical and Psychiatric Services
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A way to evaluate outreach
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Longitudinal Study
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To determine which elements of outreach =
outcomes
Method:
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Baseline assessments
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Assessments repeated 9 and 18 months later
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71 participants entered the study
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Lost 16 to attrition
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55 participants completed study
Procedures and Instruments
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Uniform Client Data Instrument (Mulkern &
Manderscheid)
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Service Utilization Form
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Working Alliance Inventory (Horvath & Greenburg)
Analysis
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Paired-samples t-test
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Change over 9 to 18 months
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Multivariate Analysis
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Program elements
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Outcomes
Results
Social Functioning
Alliance, relationship, connection
Linkage to medical and psychiatry
Reduction of symptoms
Discussion
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Implications for Practice
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Limitations
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Moving forward
Questions and Answers
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Thank you for listening
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Contact information:
morgancr@email.sc.edu