SAMHSA SSH Program Outcomes

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

• CaringWorks

• 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

4
Project EBPs

• CaringWorks

• CSB

• Housing First
• Motivational Interviewing
• Intensive Case Management
• Trauma Informed Care

• Housing First
• Motivational Interviewing
• Intensive Case Management

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
  consumers 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)