1. Comprehensive Program Review October 30, 2015
McGRATH HOUSE
Comprehensive Program Review October 30, 2015

2. PROGRAM HIGHLIGHTS Community Engagement FBOP Monitoring Success
Northampton Community Garden
MA Representatives visit McGrath
Expanded use of Community-Based Programming (in-house and referral based)
FBOP Monitoring Success
Over this reporting period, the FBOP has conducted 2 Interim Monitorings; McGrath received 0 deficiencies during both of these visits and an accumulated total of 5 strengths.
Areas of strength
Parents Support Group
Community Relations (South End Collaboration and MA House of Representatives Informational)
Resident Clothing/Assisting Indigent Residents
Accountability (urine surveillance)
Community Relations (Community Garden)
Resident Satisfaction - Resident Satisfaction Survey Results & Recent Letters Received by Former/Releasing Residents.

3. Northampton Community Garden

4. Resident Thank You Letters
consumer

5. Resident Thank You Letters
consumer
consumer
consumer
consumer

6. CHALLENGES
Staffing - Due to utilization/revenue constraints last fiscal year, McGrath House's Assistant Director position was taken out of the budget for FY16; these job responsibilities had to be reassigned. Further, now the Case Manager and Intake/Release Coordinator positions have greater amounts of shifts as 2nd staff in the building, assuming direct care responsibilities during these shifts.
Vacancies - just over a month ago, McGrath had 2 FT PM Vacancies and 2 PT Vacancies. This is a quarter of the McGrath House staff. Even with these vacancies, McGrath was able to attend the FBOP Contractor's Conference, SecurManage Conference, and honored all requested vacation requests.

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

8. Staff Turnover Rate (September 2014 – August 2015)
Last CPR, the staff turnover rate for McGrath was 38.9% (July 2013 – June 2014)
Data obtained from HR Retention & Turnover Report

9. Staff Retention Rate (September 2014 – August 2015)
Last CPR, the staff retention rate for McGrath was 53.3% (July 2013 – June 2014)
Data obtained from HR Retention & Turnover Report

10. Staff Training Hours (March 2015 – August 2015)
McGrath had a total of training hours
McGrath averaged 2.68 hours per staff member per month; averaged 16.1 hours per staff /over six months
Last CPR, a total of 466 training hours; average of 6.81 hours per staff member per month or
40.87 hours per staff /over six months per month (January 2015 – June 2014)
Data obtained from MMRs & E Learning
Data obtained from MMRs

11. PROGRAMMING Utilization Successful Completions Completion with:
- Employment
- Permanent Housing

12. UTILIZATION (March 2015 – August 2015)
This CPR, McGrath House had an average of 14.3 clients for the above six months
Current utilization rate for the above six months is 47.78% (based on a capacity of 30 clients) and utilization rate of
59.72% (based on “total number of contracted” beds of 24 clients)
Last CPR, McGrath House had an average of 18.3 clients (January 2014 – June 2014); utilization rate = 61.1%
(based on a capacity of 30 clients) and utilization rate of 76.4% (based on “total number of contracted” beds of 24
clients)
Data obtained from MMRs

13. PROGRAM COMPLETION (March 2015 – August 2015)
Average of 83.3% of clients completed with employment. Last CPR 31.8% completed with employment.
Average of 96.7% of clients completed with housing. (This is a 24.3% increase from last CPR = 72.4% completed with housing.)
Average of 12% of clients were terminated before completing the program. Last CPR 20.3% clients terminated.
Average of 65.4% of clients successfully completed the program. (This is a 14.3% decrease from last CPR)
Last CPR, 79.7% successfully completed the program.
Data obtained from MMRs

14. CLIENT RELATED
Clinical Hours
Walk-Aways
Medication

15. CLINICAL HOURS (March 2015 – August 2015)
Total Hours: 626 hours; last CPR, a total 1,228 hours. (49% decrease from last CPR)
Total Life Skills Hours: 225 hours; last CPR = 725 hours.
Total Cognitive-Behavioral Hours: 401 hours; last CPR = 503 hours.
Average Total Hours per client/month: 7.28 hours; last CPR was hours.
Average Life Skills Hours per client/month: 2.61 hours; last CPR was 6.53 hours.
Average Cognitive-Behavioral Hours per client/month: 4.66 hours; last CPR was 4.53 hours.
Data obtained from MMRs

16. McGrath Walk-Aways Month McGrath SCSD McGrath FBOP McGrath Parole
March
April
May
June
July
August 1
TOTAL
Last CPR, McGrath had one walk-away (FBOP)
Data obtained from MMRs

17. MEDICATION INCIDENTS & OCCURRENCES (March – August 2015)
Average of 0 medication incidents and occurrences per client/month
Total of 0 medication incidents and occurrences (March – August 2015)
Last CPR, average of 0 medication incidents and occurrences per client/month
Total of 0 medication incidents and occurrences (January – June 2014)
Data obtained from MMRs

18. QUALITY ASSURANCE
Key MMR Results Satisfaction Surveys

19. KEY MMR RESULTS 97.2% negative client drug tests; last CPR = 99.6%
56 site visits by outside regulators/funders; last CPR = 49
5 Incidents involving contraband : (5 = FBOP; 0 = Parole; 0 = SCSD)
Last CPR = 29 incidents involving contraband:
(9 = FBOP; 0 = Parole; 20 = SCSD)
30 community service hours; last CPR = 95
3 written commendations resulting from site visits by outside regulators/funders; last CPR = 1
Data obtained from MMRs

20. CLIENT SATISFACTION SURVEY July 2015

21. CLIENT SATISFACTION SURVEY - CONTINUED

22. CLIENT SATISFACTION SURVEY - CONTINUED

23. CLIENT SATISFACTION SURVEY - CONTINUED

24. LAST CPR ACTION PLAN
ISSUE: Improve the employment and housing completion rates COMMENTS: Last CPR, average of 31.8% of clients completed with employment; average of 72.4% of clients completed with housing. IMPROVEMENTS MADE: Current CPR, average of 83.3% of clients completed with employment; average of 96.7% of clients completed with housing ISSUE: Reduce Overdue Performance Evaluations COMMENTS: Last CPR, there were 6 overdue performance evaluations IMPROVEMENTS MADE: Current Overdue Performance Evaluations = 2; These evaluations have been drafted but due to a staff investigation/termination, these two had to be postponed (both overnight staff members. The staffing arrangement has changed so that the Director is the only supervisor now at McGrath. He will continue to utilize Michael Pinto’s monthly reports to schedule and complete annual evaluations.

25. CPR ACTION PLAN (Next 6 months)
Proposed Objective
Proposed Timeline
“Paperless” Case Files
October 2015 – November 2015
Gender-Responsive Strategies
October 2015 – February 2016
PREA Audit
December 2015
Updates to Program Monitor Manual
December 2015 – February 2016