1. Presentation at the 2015 Calgary Research Symposium April 22 nd and April 23 rd, 2015 < RIGHT CLICK PHOTO TO CHANGE PICTURE 10,844,500 reasons to do a Social Return on Investment (SROI)

2. Alpha House – DOAP Team Downtown Outreach Addictions Partnership Started in 2005 – now a 24/7 essential service. The DOAP Team is a alternate and more appropriate social response to substance use issues, which result in reduced pressure on Calgary Police Service, Emergency Medical Services, Calgary Transit and local hospitals. 2013 – 16,853 transports for a total of 2600 unique individuals served. Non-judgemental transportation has created very positive intervention that leads to connection to social services such as detox, treatment or housing.

3. Why conduct an SROI analysis? To demonstrate and present the value of: Goal was to create a different kind of awareness about Alpha House. Outreach has always been a difficult area to report on because of outputs/inputs. The DOAP Team’s work in a outcome focused funding environment. The reduction of time spent and cost saving for emergency services.

4. The repeating negative cycle

5. Staff experience with SROI analysis and its process? Staff became involved in the process by: 1.Clearly describing participants, activities, and outcomes of the program. 2.Describing the approach taken while working with individuals and the harm reduction philosophy. 3.Conducting a mini-study on transports for one month. 4.Developing a methodology for determining quantities for the outcomes. 5.Connecting with community members in order to obtain value of for outcomes. Overall the value that was determined was $1:$9.43 Total funding for the program is $1.1 million so the overall value is $10,844,500.00

6. Key Learnings Although there are some commonalities among the DOAP Team participants, they are diverse. Participant Commonalities Majority are homeless and deal with addiction issues Use emergency services (EMS, ER departments, police, etc.) Little to no income Face various barriers that contribute to an ongoing cycle of vulnerability. Have multiple risk factors and complex needs. Participant Differences Level of homelessness and/or addiction Have diverse goals and desired changes based on their situation and needs  About half of the participants were accessing other programs of the Alpha House Society, demonstrating the continuum of care model of Alpha House Society.  The DOAP Team deals with a very large part of homeless population in Calgary.  Due to this diversity, they were grouped according to their primary need.

7. Participant groupingPrimary Need 1 Participants who lack shelterAccess to a shelter 2 Participants who stayed in the mobile shelterAccess to the mobile shelter 3 Participants who have shelterVarious needs not related to shelter 4 Participants who are vulnerable and feel unsafeBe less vulnerable and be safe 5 Participants who are high risk of mortalityAvoid mortality 6 Participants who need someone to talk toInformal support 7 Participants who are marginalized, not connected to servicesAccess to services 8 Participants who deal with multiple challengesHousing and support 9 Participants interested in undergoing detoxificationStart addressing addiction 10 Participants interested in going to an addiction treatment centerContinue addressing addiction 11 Participants who lack basic necessitiesFood and clothing 12 Participants interested in obtaining transitional housingTransitional housing 13 Participants who have minor health concernsAddressing minor health concerns 14 Participants who have serious (life threatening) health concerns Support for serious (life threatening) health concerns 15 Participants who have mental health concernsSupport for mental health 16 Participants who are discharged from the hospital, new to the DOAP Team Various needs after being discharged from hospital 17 Participants who are unaware of the danger of alcohol/drug use and do not have the knowledge/supplies for harm reduction. Education and supplies for harm reduction 18 All the participants who are transported by the DOAP team during the yearTransport 19 All the participants who were likely to / at risk of getting a ticket for public drinking Transport - Avoid a ticket for public drinking

8. Participants according to their primary need

9. Key Learnings: Outcomes Outcomes were outlined based on the primary need of participants.  This approach did not account for individuals with multiple needs (e.g. shelter and being connected to services) and the DOAP Team helping them meet those multiple needs through one transport. Outcomes outlined clearly included the results of the:  Advocacy role of the DOAP Team (i.e. participants receive better care from health care professionals).  Engagement role of the DOAP Team (i.e. participants feel supported by the DOAP Team). The spectrum of participants’ situations and desired changes did not allow the DOAP Team to capture all the outcomes and successes. The DOAP Team had the opportunity to clearly describe the outcomes for an individual who would receive education on harm reduction as well as harm reduction supplies, which is very important in the context of increasing focus on the harm reduction philosophy.

10. Key Learnings: Outcomes

11. Key Learnings: Range of other stakeholders The breadth the DOAP Team’s work (transport, engagement, advocacy, support, presentations), and the breadth and diversity of participants, impacts a range of other stakeholders: 1.Concerned citizens and business owners and attendees of presentations 2.Attendees of DOAP team presentations 3.Calgary Police Services 4.Animal and Bylaw Services 5.Calgary Transit 6.Emergency Medical Services 7.Local hospitals 8.PACT Team (Police and Crisis Team) 9.Justice System 10. Health care system

12. Value created for other stakeholders in Year 1

13. Key learning: Collaboration is crucial. The DOAP Team is a connector. Individuals facing homelessness and/or addiction Community agencies, including Alpha House Society Concerned citizens, attendees of DOAP Team presentations, business owners, security agencies Local hospitals Police, by-law, EMS, Calgary Transit, PACT Team The DOAP Team Local hospitals Detoxification and addiction treatment centres Community agencies and shelters

14. Key learning: Values 78% of the outcomes were valued using actual values/pricing in the community, which the DOAP Team played a large role in finding.

15. Key Learnings: Value The DOAP Team builds trustful relationships, which: Decreases the impact of a crisis participants may face by addressing the crisis at its early stage. Prevents a crisis participants may face by connecting participants with services. o Building trustful relationships by providing a non-judgmental service that encourages self determination. o Engagement through the provision of basic needs supplies.  For both individuals – those who are in a crisis and those who are not in a crisis – the DOAP Team provides them not only access to needed emotional support and services in the immediate term, but also, the real possibility of addressing their circumstances in the long-term.

16. Key Learnings: Measurement of outcomes As for all outreach programs focusing on vulnerable populations, it is difficult to: 1.follow-up with individuals who have received services from the DOAP Team; and, 2.use a questionnaire or interview as an outcome measurement tool. The DOAP Team thus focuses on tracking and analyzing outputs such as the number of contacts, supplies provided, and referrals provided. As a result, outcomes for unique participants are difficult to capture and represent quantitatively. The DOAP Team measures outcomes in a qualitative manner by conducting case studies of a number of individuals each year.

17. Key Learnings: Moving Forward Continue to undertake case studies on individuals and mini-studies on transports in order to measure outcomes. Explore the possibility of administering a short satisfaction survey to participants once a year. The DOAP Team is excited about the possibility to value the phone calls they receive from individuals dealing with various concerns (asking for information, etc.) in the future. Alpha House Society is interested in conducting SROI analyses for other programs (i.e. Encampment Team and Housing Program).

18. Stephanie Robertson & Adam Melnyk < RIGHT CLICK PHOTO TO CHANGE PICTURE Questions