1. SAMHSA SSH Program Outcomes Georgia Supportive Housing Policy Day 2013 Khurram “Ko” Hassan, Advantage Consulting

2. SSH Projects O CaringWorks, Inc. O Consumers: 637/1000 served O Cobb/Douglas Community Service Board O Consumers: 78/100 served O In same SAMHSA SSH cohort, FY 09-14

3. Project Goals CaringWorks CSB O Increase housing opportunities O 80% (468) stable 12 months or longer O 70% (300) continue Tx 12 months or longer O Promote collaboration O Community awareness O Expand CW capacity for supportive housing O Expand housing O Access to primary, behavioral health O Improve outreach/ care for veterans O Improve stakeholder understanding

4. Project EBPs CaringWorks CSB O Housing First O Motivational Interviewing O Intensive Case Management O Trauma Informed Care O Housing First O Motivational Interviewing O Intensive Case Management

5. Evaluation Activities O TRAC database outcomes monitoring, generating reports, analysis O Eventually, data collection monitoring O EBP fidelity evaluation O Client satisfaction survey, focus group O Training and monitoring of supplemental evaluation data collection O Performance Improvement Committee (CW)

6. Key Outcomes: CaringWorks O 80% or higher positive after baseline O No psych distress, Not binge drinking, Not involved with criminal justice system O 70-79% positive O Daily function, Illegal substances, Socially connected O Less than 70% positive O Healthy overall, Tobacco use, Retained in community, In school or working, Had a stable place to live

7. Key Outcomes: CSB O 80% or higher positive after baseline O Daily function, No psych distress, Illegal substances, Not binge drinking, Retained in community, Not involved with criminal justice system, Housing stability O Less than 80% positive O Healthy overall, Tobacco use, In school or working O Project included a supported employment strategy, but consumers difficult to engage

8. Fidelity to Housing 1 st O Consumer Choice: Both doing well in providing choice, self directed goals, immediate housing without prerequisites O Psych Rehab: No ACT teams, but working towards intensive case mgmt model O Harm Reduction: Interventions are tailored to consumer’s stage of change but has been a transition/challenge for both agencies; Tenancy not dependent on Tx but landlords have stricter guidelines

9. Fidelity to MI O Self-Efficacy: Staff attempt to empower consumers, consumers accept responsibility for making the change O Empathy: Staff do reflective listening, compliment consumers, ‘roll with resistence’, avoid argument, ask open ended questions, respect consumer feelings O Tipped the Balance: Summarized concerns, explored pros/cons, normalized ambivalence

10. Client Satisfaction O Tool: CSQ-8 with minor changes O Services: Consistently positive feedback regarding supportive services/case managers O Property Management: Has varied from year to year and property to property. Both projects have moved quickly to engage property owners and even change apartment or property if necessary.

11. Lessons Learned O Evaluators should have been involved with data collection monitoring from the beginning O Staff turnover impacts fidelity to EBPs. Need to have mini internal trainings till new staff can be fully trained. O Introducing new data collection activities need to account for existing staff responsibilities (supplemental, MH assess)