St Bartholomew’s House Program Performance Jamie Trout Information Systems and Project Development

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

Perth

20 km

 Basic Information Collection and Reporting

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Vision: ◦ “To Eliminate Homelessness.”  Mission: ◦ “To assist the Homeless of today to rebuild their lives, and act to prevent the homelessness of tomorrow.”  “Breaking the Cycle of Homelessness”

Person Homelessness Failure Success Breaking the Cycle of Homelessness Exit St. Bart’s Measure Success

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

Outcomes Star

 What is C.A.R.T.?  What are it’s reporting capabilities?  How can we use it with RBA?

 What is The Outcomes Star?  What is it’s purpose? ◦ Casework Tool (frame work) ◦ Measures Progress ◦ Increases Consistency

 St. Mungo’s Star ◦ Triangle Consulting – 2003 ◦  1 st Outcomes Star ◦ London Housing Foundation  Validation ◦  Global Presence ◦ 4 Continents ◦ Organisations ◦ 250,000 + Outcomes Star Assessments

 Pattern to change  5 stages  2 steps at each stage  10 point scale

 Self Reliance Stage ◦ Steps 9 and 10  Learning Stage ◦ Steps 7 and 8  Believing Stage ◦ Steps 5 and 6  Accepting Help ◦ Steps 3 and 4  Stuck Stage ◦ Steps 1 and 2

Motivating & Taking Responsibility Self Care & Living Skills Managing Money Social Networks & Relationships Drug & Alcohol Misuse Physical Health Emotional & Mental Health Meaningful Use Of Time Managing Tenancy & Accommodation Offending

Area Motivation and taking responsibility Self-care and living skills Managing money / personal administration Social networks and relationships Drug and alcohol abuse Physical health Emotional and mental health Meaningful use of time Managing tenancy and accommodation Offending Average 1 st Star nd Star Change

Client1 st Star2 nd StarChange Client Client 2671 Client 3462 Client 4473 Client 5572 Client 665 Client 7451 Client 8352 Client 9462 Client Average  Average Change In Service = 1.5  What is 1.5?

 What is a ‘Benchmark’?  St Bart’s performed at 28% better than the benchmark. Service1 st Star2 nd StarChange St Bart’s Benchmark

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 RBA Introduced ◦ Q Homeless Services ◦ Q Mental Health Services  First Thoughts?  Integration:

 RBA Introduced ◦ Q Homeless Services ◦ Q Mental Health Services  First Thoughts?  Integration:

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

RBA

Story Behind the Baseline:  Incidents high and rising.  12 incidents - smoking in undesignated areas.  Note: Clients with Dementia Action Plan:  Signage  Letters Issued with attached Policy  Staff reminders  Deterrent

RBA

 Multiple ways to interrogate Data: ◦ Specific Measure – E.g. Physical Health ◦ Generic Measure – E.g. Overall Average

RBA

 Story Behind the Baseline: ◦ Positive Change in this area of 0.5 ◦ Limited focus on measure ◦ Small activities program  Action Plan: ◦ Recruitment of Activities Officer ◦ Promotion of group activities ◦ Client choice

RBA

Benchmark St Bart’s

RBA Benchmark St Bart’s

Story Behind the Baseline:  Large Fall In Average Change  Staff turn over  Organisational loss of focus on Recovery Star Action Plan:  3 x In-house trainers  Staff Training (all staff)  Agenda item (every staff meeting)  Staff Incentives  Promotion of Outcomes Star

Benchmark St Bart’s RBA

Benchmark St Bart’s RBA

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

 Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

Person Homelessness Failure Success Breaking the Cycle of Homelessness Exit St. Bart’s Breaking the Cycle of Homelessness Measure Success

 University Research Project (12 month follow up)  Low response rate (50/210)  One-off measurement  Data development: regular follow up (all clients) Feel In Control of Financial Situation Are Satisfied with Social Networks Currently in Accommodation 67%75% 90%

Individual Level Organisational Level Service Level Measures