A Summative Evaluation of a Community Agency’s Abused Women Services (AWS) Keevia Porter, DNP, MSN, NP-C, RN University of Tennessee Health Science Center Presenter Disclosures Presenter: Keevia Porter The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: “No relationships to disclose” What is a Program Evaluation? “ Is the systematic assessment of the operation and/or the outcomes of a program or policy, compared to a set of explicit or implicit standards, as a means of contributing to the improvement of the program or policy” ( Weiss, 1998, p. 4) Why Conduct a Program Evaluation? Is the organization/agency fulfilling it’s purpose? Justify, improve, and/or continue services Documentation for funding sources Publication of findings (Stanhope and Lancaster, 2008) A Summative Program Evaluation Conducted at the end or a phase Determines extent to which anticipated outcomes were produced Provides information about the worth (Weiss, 1998) How does an evaluation affect its stakeholders? Stakeholders of a community agency may inquire: Why do we need this program? What is the purpose of this program? How well is it meeting its purpose? Is it worth the money? Should we keep funding it as is, invest or cut more dollars? How is the agency perceived in the community? (Weiss, 1998) The Agency Abused Women Services (AWS) Hotline and Shelter Court Advocacy Immigrant Women’s Services Community Education Purpose A local concern Increase rates of violence directed toward women Women > Men Prevention and protection is key Logic Models Primarily an evaluation tool Other uses: Planning Documenting Recording Implementing Monitoring A picture of how the agency works! http://lri.lsc.gov/pdf/other/TIG_Conf._Materials/E McKay_Logic_Model_Intro_LSC.pdf Logic Model It is a systematic approach to understand the resources available for the program operation. It also lists the activities and goals the program plans to achieve. The planned work The intended results http://lri.lsc.gov/pdf/other/TIG_Conf._Materials /EMcKay_Logic_Model_Intro_LSC.pdf Conceptual Framework for Project Donabedian’s Model (Donabedian, 1968) Structure Process Outcome Donabedian’s Model Structure Structure Emergency Shelter Crisis Line Mission of the overall community agency AWS Mission Vision Donabedian’s model Process PROCESS Policy and Procedure’s Manual Overview Staffing Safety and Security Crisis/Hot- line Termination of Services Family Violence Spread sheets Client Outcome Reports OUTCOMES Emergency Shelter 2008-2009 Black or African American American Indian/Alaska Native Asian Hispanic or Latino 2009-2010 Black or African American American Indian/Alaska Native Asian Native Hawaiian/Other Pacific Islander Hispanic or Latino White Native Hawaiian/Other Pacific Islander White Unkown/Other Emergency Shelter Unduplicated Residents 2008-2009 Children and Youth 16 MAR 4 6 2.13 18.8 11 13.55 OCT 15 4.5 OCT JULY 18 14.13 10.3 3.1 JAN NOV 14 15 12.1 5.9 AUG 7.2 11 DEC 13.6 8 FEB 14 12 9.5 18 APR NOV SEPT # of Shelter Nights 16 MAR 13.09 5 14 MAY 12.3 11 JAN Women JUNE 8 27 APR DEC 8.8 16 MAY FEB # of Shelter nights 21 JUNE Unduplicated Residents 2008-2009 9 16.6 13 8 23 8.1 SEPT 12 15.5 AUG 11 16.1 JULY 21 13.4 Emergency Shelter Unduplicated-Residents 2009-2010 Children and Youth Unduplicated Residents 2009-2010 # of Shelter nights Women # of Shelter Nights JUNE 25 265 JUNE 16 178 MAY 37 296 MAY 21 172 APR 28 315 APR 18 139 MAR 19 170 MAR 14 85 FEB 13 107 FEB 9 58 JAN 12 117 JAN 12 111 DEC 25 283 DEC 15 183 NOV 18 191 NOV 13 160 OCT 9 99 OCT 11 94 SEPT 15 156 SEPT 16 129 91 AUG 12 85 AUG JULY 13 7 112 JULY 9 115 Emergency Shelter Unduplicated Non-residential 2008-2009 140 Unduplicated Non-residential 2009-2010 200 180 120 160 100 140 120 80 Children & Youth 60 Women 100 Children & Youth Women 80 60 40 40 20 20 0 JUNE MAY APR MAR FEB JAN DEC NOV OCT SEPT AUG JULY JUNE MAY APR MAR FEB JAN DEC NOV OCT SEPT AUG JULY 0 Crisis/ Hot-Line Crisis /Hot-Line Calls 250 200 150 2008-09 2009-10 100 50 0 JULY AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY JUNE Conclusion Recommendations Structure->Process-> Outcome Development of benchmarks Strengthen Policy and Procedure’s Manual Create programs and intervention for the youth that are residing in the shelter Increase in shelter capacity Questions?? References Donabedian, A. (1968). The evaluation of medical care programs. Bulletin of the New York Academy of Medicine, 44(2), 117-124. Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4), 691-729. Hitchcock, J., Schubert, P., & Thomas, S. (2003). Community health nursing: Caring in action (2nd ed.). Clifton Park, NY: Delmar Learning. Kellogg Foundation.(n.d.) Using the logic model for program planning. Retrieved from http://lri.lsc.gov/pdf/other/TIG_Conf._Materials/EMcKay_Logic_Model_Intro_LSC.p df Operation: Safe Community. (2010). University of Memphis evaluation assesses community's response to domestic violence. Retrieved from http://www.memphiscrime.org/ assets/1294/mscc_dv_assessment_release_final2.pdf Stanhope, M., & Lancaster, J. (2008). Public health nursing: Population centered health care in the community (7th ed.). St. Louis, MO: Mosby. Weiss, C. (1998). Evaluation. Upper Saddle River, NJ: Prentice Hall. YWCA of Greater Memphis. (2011a). About us. Retrieved from http://www.memphisaywca.org/ YWCA of Greater Memphis. (2011b). Abused Women's Services. Retrieved from http://www.memphisywca.org/ YWCA of Greater Memphis. (n.d.a). AWS Shelter Program: Policy and Procedures Manual. YWCA of Greater Memphis Corporate Office, Memphis, TN. YWCA of Greater Memphis. (n.d.b). Board Orientation. YWCA. YWCA of Greater Memphis Corporate Office, Memphis, TN.