1. Comprehensive Program Review May 29, 2015
BROOKE HOUSE
Comprehensive Program Review May 29, 2015

2. PROGRAM HIGHLIGHTS Staff: the overall comradery, team approach, etc.
Multiple completions by some genuine Returning Citizens
Multiple visits from the FSU (Field Supervision Unit) team with the drug sniffing dog with no contraband found
Finally, there are several residents who bring smiles to everyone’s faces and are genuine, pleasant, “kind”, etc..
Presentation at the SCSD (Suffolk County Sheriff’s Department) training!

3. CHALLENGES ACA Accreditation Community Resources: Resident Population:
Lack of suitable housing
Limited options for Latino residents
Wait time for MassHealth and medication
Resident Population:
K-2 use is increasing
Not having enough time to work with residents due to their length of stay
Increase in mental health issues
Finding appropriate staff
Utilization
Lack of options for Latino residents – community resources –especially mental health, employment services and recovery are very limited in Boston
Wait time – approx. 45 days; limited stay – not taking full advantage of EPICS and/or case management

4. STAFFING
Staff Turnover Rates Staff Retention Rates Staff Training Hours

5. STAFF TURNOVER RATE ( October 2014 – March 2015)
The turnover rate for Brooke House is 21.1% compared to 30.9% for SJS
Last CPR, the turnover rate for Brooke House was 35% compared to 38.2% for SJS
Data obtained from HR Turnover Report

6. STAFF RETENTION RATE (October 2014 – March 2015)
The retention rate for Brooke House is 81.3% compared to 65.7% for SJS
Last CPR, the retention rate for Brooke House was 63.2% compared to 58.8% for SJS
Data obtained from HR Turnover Report

7. STAFF TRAINING (October 2014 – March 2015)
Total number of training hours = (This is a 38% increase from last CPR);
Average of 4.4 training hours per staff per month; 26.4 per staff over six months
Last CPR Total of training hours; Average of 3.2 training hours per staff per month; 19.2 per staff over six months
Data obtained from MMRs & HR Training Reports

8. PROGRAMMING Utilization Successful Completions Completion with:
Employment
Permanent Housing

9. UTILIZATION (October 2014 – March 2015)
The average client per month is 37.2 (This is a 4% increase from last CPR)
Last CPR, Brooke House averaged 35.7 clients
Data obtained from MMRs & Utilization Reports

10. UTILIZATION (based on capacity, contractual beds and budgeted beds) (October 2014 – March 2015)
Utilization rate for the above six months was % (based on 65 bed capacity
Utilization rate = 74.3% (50 contracted beds) and 84.4% (44 budgeted beds) for the above six months
Last CPR: Utilization rate for the above six months was % (based on 65 bed capacity; Utilization rate = 71.4% (50 contracted beds) and 80.9% (44 budgeted beds) for the above six months
Data obtained from MMRs & Utilization Reports

11. PROGRAM COMPLETION (October 2014-March 2015)
Average of % of clients completed with employment. Last CPR = 48.4% (This is a 11% increase)
Average of 74.67% of clients completed with permanent housing. Last CPR = 79.8% (This is a 9% decrease)
Average of % of clients successfully completed the program. Last CPR = 85.9% (This is a 8.7% decrease)
Data obtained from MMRs
Data obtained from MMRs

12. CLIENT RELATED
Clinical Hours
Walk-Aways
Contraband
Medication

13. CLINICAL HOURS (October 2014-March 2015)
Total Hours: 4,173; last CPR = 4,617 (This is a 9% decrease )
Total Life Skills Hours: 2,649; last CPR = 2,992 (This is a 8.8% decrease)
Total Cognitive-Behavioral Hours: 1,524; last CPR = 1,625 (This is a 9% decrease )
Average Total Hours per client/month: 17.9; last CPR = 20.3
Average Life Skills Hours per client/month: 11.5; last CPR was 13.4 hours.
Average Cognitive-Behavioral Hours per client/month: 6.4; last CPR was 6.9 hours.
Data obtained from MMRs

14. WALK-AWAYS (October 2014 – March 2015)
Month
Brooke
SCSD
DOC
Parole
Norfolk
October
November 1
December
January
February
March
TOTAL
Last CPR, (November 2014 – April 2014), 0 walk-aways
Data obtained from MMRs

15. MEDICATION INCIDENTS & OCCURRENCES (October 2014 – March 2015)
NO MEDICATION
INCIDENTS FOR THE
ABOVE TIME FRAME *
Last CPR, 0 medication incidents over that time period
* = SQA medication audits via SecurManage differs from the MMR data reported
Data obtained from MMRs

16. QUALITY ASSURANCE KEY MMR RESULTS SQA AUDIT RESULTS
SATISFACTION SURVEYS

17. KEY MMR RESULTS (October 2014 – March 2015)
Average of % of clients successfully completed the program. Last CPR = 85.9%
98.05% negative drug tests; last CPR = 99.7%
A total of 22 contraband items found (decrease of 12%); last CPR = 25
Zero community service hours completed; last CPR = 60 community service hours

18. SQA AUDITS
POSITIVES
Case Files – well-organized; Treatment Plans and CRJ Intakes conducted within first 72 hours; using the new PREA and Medical Screening forms
Walk-Throughs: facility is well-maintained, the dining room area freshly re-painted and exterior of building maintained
AREAS IN NEED OF IMPROVEMENT
The Medication Incidents reported on MMRs differ from the SQA medication audits

19. CLIENT SATISFACTION SURVEY January 2015
22/38 or 58% completion rate

20. CLIENT SATISFACTION SURVEY January 2015

21. CLIENT SATISFACTION SURVEY January 2015

22. CLIENT SATISFACTION SURVEY January 2015

23. CPR ACTION PLAN (last CPR)
ISSUE: Need to promote the good work done at Brooke House
COMMENTS: Write articles for newsletter and/or Blurber on BH successes
IMPROVEMENTS MADE: No improvement made on highlighting success stories or anything at Brooke, will become the responsibility of the new APD.
ISSUE: Continue to conduct presentations at DOC, Boston Pre-release and Suffolk to increase
overall utilization.
COMMENTS: Last CPR, the utilization rate is 54.9% (based on 65 bed capacity); BH average 35.7clients per month.
IMPROVEMENTS MADE: The utilization rate is 57.15% (based on 65 bed capacity); BH average 37.1 clients per month.
ISSUE: Increase Life Skills Hours for residents
COMMENTS: Last CPR, the average Life Skills (13.4) and Cognitive Behavioral hours (6.9) totaled 20.3
IMPROVEMENTS MADE: Current CPR, the average Life Skills (11.5) and Cognitive Behavioral hours (6.4) totaled 17.9 per client. Hours will increase with the hiring a new Life Skills Coordinator by Watson Academy.
ISSUE: Increase Staff Training hours - ensure BH staff are completing the required mandatory
training for accreditation
COMMENTS: Last CPR, 19.2 training hours per staff over six months
IMPROVEMENTS MADE: The total training hours per staff = BH working to ensure ACA mandatory training are in compliance.