1. Alexian Brothers Housing and Health Alliance Chicago and Waukegan
Erika Anttila, LCSW, and Susan Zeigler, LCSW
January 24, 2018

2. Alexian Brothers Housing and Health Alliance
PSS Quality Improvement Presentation: Defining “Success” and “Aftercare” in a Recovery Home
“Success” definition does not tell whole picture – usefulness in current form?
What does having such a measure mean for our clients?
What do we need to look at in our program in terms of effectiveness versus what we look at now?
FY2017 discharge data: 33% “successful” and
67% “unsuccessful,” with 50/50 vol/
invol discharges
Success at BH: 1) achieve goals; 2) not being asked to leave as a result of relapse (if relapse does occur, client follows tx recommendations), 3) following program guidelines; and 4) in the program at least 12 months
Success in recovery home research: 1) sobriety; 2) improvement in global health (physical, emotional, relational, spiritual), and 3) citizenship (positive community re-integration). Important to note that the benefits of recovery homes are contingent on adequate lengths of stay (defined as “more than six months”), and having a supportive community environment in the residence).
Discharge data: challenges with relapse – not always leading to discharge, but a 54% rate; challenges with having adequate supports when clients leave = both when voluntary and involuntarily discharged
© 2016 AMITA Health

3. Alexian Brothers Housing and Health Alliance
PSS Quality Improvement Presentation: Defining “Success” and “Aftercare” in a Recovery Home
Aftercare and success
Level of care-Recovery Homes are “Aftercare” in the Treatment Model.
So what is our Aftercare Program? How do you measure success?
85% change for clients to relapse after treatment in their first year
FY2017 aftercare data: 28 data points re: social support – 29% of responses with never or rarely responses
Overall obj for successful aftercare
Increase coping skills, self-sufficiency, self-confidence, strengthen support groups
Aftercare data: about a year ago, added some questions to address social supports after leaving: 1) In the last 3 months are you satisfied with your current level of social activity?; 2) In the last 3 months can you find a friend when you need one?; and 3) Do you feel you have people who care about you?
© 2016 AMITA Health

4. Alexian Brothers Housing and Health Alliance
PSS Quality Improvement Presentation: Defining “Success” and “Aftercare” in a Recovery Home
While in Program
Engaging clients in more social supports immediately upon program entry
More robust assessments at intake/ongoing to more precisely determine level and depth of service needs (ASAM criteria and Arizona self-sufficiency matrix).
During Aftercare
Maintaining/increasing social support
Accessibility and financial/transit
While in Program (SZ)
Social supports - How can we compel people who are not necessarily compelled to reach out and connect socially?
ASAM – determine level of care
AZ self-sufficiency matrix – where are there deficiencies and how can they be integrated thoughtfully into the tx plan?
During Aftercare (EA)
Social supports - What, if anything, changes regarding how they should engage in social support once they are out of the program versus in the program?
Accessibility issues – location, time of day, etc.
Transit – impact on ability to get to location
© 2016 AMITA Health

5. Erika Anttila (x120) and Susan Zeigler (x151)
Questions?
Alexianbrothershousing.org
Erika Anttila (x120) and Susan Zeigler (x151)