OUTCOMES! PS403 Seminar 6 Tristram Jones, Ph.D. Kaplan University

First, Let’s Look at a Mission statement! This is Stan Straight. He owns the Happy Trails substance Abuse Treatment Center on Rainbow street in Serenity Kansas. But Stan isn’t happy! This is Stan Straight. He owns the Happy Trails substance Abuse Treatment Center on Rainbow street in Serenity Kansas. But Stan isn’t happy!

He is sad because all his clients are sad! They are sad because they can’t stay sober! You need to figure out why and design a better plan! You need to figure out why and design a better plan!

You interview his staff! This is Max, he leads group therapy and helps the clients get in touch with their true feelings! This is Max, he leads group therapy and helps the clients get in touch with their true feelings!

This is Blanche! Blanche is the Blanche is the Activities therapist— She calms clients down And makes them feel useful by doing arts And crafts with them!

This is Fred R. Fred got sober in 1939 and still has one of Bill Wilson’s suits he borrowed! He teaches the clients to be true to AA! He’s saying “GET ON THE VAN!” Fred hands out “The Big Book” Fred got sober in 1939 and still has one of Bill Wilson’s suits he borrowed! He teaches the clients to be true to AA! He’s saying “GET ON THE VAN!” Fred hands out “The Big Book”

This is Nurse Martha—she hands out the books about hypoglycemia and warns the clients not to drink caffeine or eat sugar! She also gives She also gives them vitamin them vitamin B-12 shots and B-12 shots and lectures twice a lectures twice a week about cell week about cell damage! damage!

This is the House Manager, Keith Keith doesn’t go to Keith doesn’t go to meetings or read the Big Book, or eat brown rice or express his feelings, but he knows lots of slogans, and he likes to put clients on report and smoke Marlboros!

This is “Physical” Ed Ed does “ADVENTURE THERAPY” teaching the clients self esteem because they feel better when they have completed his obstacle courses, or won at rope climbing! Ed does “ADVENTURE THERAPY” teaching the clients self esteem because they feel better when they have completed his obstacle courses, or won at rope climbing!

This is the MISSION STATEMENT from Happy Trails Rehab: “To promote and support the freeing of our clients from alcoholism which is a spiritual malady, The Happy Trails Center will teach and enforce recovery from alcohol addiction through the sincere practice of the 12-step program set forth in the AA Big Book, backed with strong 12-step sponsorship, and meeting attendance.” “To promote and support the freeing of our clients from alcoholism which is a spiritual malady, The Happy Trails Center will teach and enforce recovery from alcohol addiction through the sincere practice of the 12-step program set forth in the AA Big Book, backed with strong 12-step sponsorship, and meeting attendance.”

Guess who is actually doing this at the Happy Trails Rehab! If you guessed Fred R..... If you guessed Fred R..... You guessed wrong! He never worked the steps, he just quotes the Big Book, does meetings, and tells stories about Bill Wilson!

NOBODY at the Agency is doing anything that relates to its mission statement!

Hence, Dr. T’s Rule! Always look at the MISSION STATEMENT FIRST! (If somebody can find it for you!!) Always look at the MISSION STATEMENT FIRST! (If somebody can find it for you!!) You can’t project a future if you don’t know where you are! You can’t project a future if you don’t know where you are!

What is a workable intervention hypothesis? IF the agency can flush out all personnel extraneous to the actual mission statement, and IF the agency hires people who are actually devoted to the mission statement, THEN... IF the agency can flush out all personnel extraneous to the actual mission statement, and IF the agency hires people who are actually devoted to the mission statement, THEN... CLIENTS WILL DEMONSTRATE: an increase in spiritual wellbeing, an increase in morale, an increase in their ability to remain in recovery! CLIENTS WILL DEMONSTRATE: an increase in spiritual wellbeing, an increase in morale, an increase in their ability to remain in recovery! Note, we changed the structure, we didn’t just re-educate or train the clients!!! Note, we changed the structure, we didn’t just re-educate or train the clients!!!

So WHAT IS OUR GOAL? LASTING, LASTING, LIFE-LONG LIFE-LONG ABSTINENCE ABSTINENCE FROM ALCOHOL FROM ALCOHOL AND OTHER DRUGS. AND OTHER DRUGS.

OUTCOME OBJECTIVE? AN ONGOING 75% SOBRIETY RATE IN OUR GRADUATES, AND GREATER LIFE AN ONGOING 75% SOBRIETY RATE IN OUR GRADUATES, AND GREATER LIFE SATISFACTION AS MEASURED AT 3, 6, 12, AND 24 MONTHS BY ADDICTIONS SEVERITY INDEX INTERVIEWS! SATISFACTION AS MEASURED AT 3, 6, 12, AND 24 MONTHS BY ADDICTIONS SEVERITY INDEX INTERVIEWS!

Process objectives?  Client training in the contents of the basic text “Alcoholics Anonymous”  Client training and didactic attendance in development of personal levels of spirituality  Increased client attendance at strongly step-oriented AA meetings  Promotion of AA sponsorship

And activities?? For one thing: All the wonderful trainings, hirings, firings, redesignings, and fresh programs that YOUR BRILLIANT TEAM will implement!

What are some intermediate outcomes we can predict so Stan calms down? Increased retention rates of clientele Increased retention rates of clientele Increased productivity within community Increased productivity within community Increased alumni group attendance Increased alumni group attendance And a host of And a host of other other possibilities! possibilities!

FINAL OUTCOMES: A demonstrable, sustained, five year improvement of the Happy Trails Agency’s total abstinence statistics by at least 50%. A demonstrable, sustained, five year improvement of the Happy Trails Agency’s total abstinence statistics by at least 50%.