1. St Bartholomew’s House Program Performance Jamie Trout Information Systems and Project Development

2.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

3.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

4. Perth

7. 20 km

10.  Basic Information Collection and Reporting

12.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

13.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

14.  Vision: ◦ “To Eliminate Homelessness.”  Mission: ◦ “To assist the Homeless of today to rebuild their lives, and act to prevent the homelessness of tomorrow.”  “Breaking the Cycle of Homelessness”

15. Person Homelessness Failure Success Breaking the Cycle of Homelessness Exit St. Bart’s Measure Success

16.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

17.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

18. Outcomes Star

20.  What is C.A.R.T.?  What are it’s reporting capabilities?  How can we use it with RBA?

21.  What is The Outcomes Star?  What is it’s purpose? ◦ Casework Tool (frame work) ◦ Measures Progress ◦ Increases Consistency

22.  St. Mungo’s Star ◦ Triangle Consulting – 2003 ◦ www.mungos.org www.mungos.org  1 st Outcomes Star ◦ London Housing Foundation - 2006  Validation ◦ www.outcomesstar.org.uk/validation www.outcomesstar.org.uk/validation  Global Presence ◦ 4 Continents ◦ 1000 + Organisations ◦ 250,000 + Outcomes Star Assessments

23.  Pattern to change  5 stages  2 steps at each stage  10 point scale

24.  Self Reliance Stage ◦ Steps 9 and 10  Learning Stage ◦ Steps 7 and 8  Believing Stage ◦ Steps 5 and 6  Accepting Help ◦ Steps 3 and 4  Stuck Stage ◦ Steps 1 and 2

25. Motivating & Taking Responsibility Self Care & Living Skills Managing Money Social Networks & Relationships Drug & Alcohol Misuse Physical Health Emotional & Mental Health Meaningful Use Of Time Managing Tenancy & Accommodation Offending

26. Area Motivation and taking responsibility Self-care and living skills Managing money / personal administration Social networks and relationships Drug and alcohol abuse Physical health Emotional and mental health Meaningful use of time Managing tenancy and accommodation Offending Average 1 st Star 4 5 6 4 4 5 5 6 7 4 5 2 nd Star 7 8 6 5 6 8 7 6 10 7 7 Change 3 3 0 1 2 3 2 0 3 3 2

30. Client1 st Star2 nd StarChange Client 1 4 51 Client 2671 Client 3462 Client 4473 Client 5572 Client 665 Client 7451 Client 8352 Client 9462 Client 10572 Average4.56.01.5  Average Change In Service = 1.5  What is 1.5?

31.  What is a ‘Benchmark’?  St Bart’s performed at 28% better than the benchmark. Service1 st Star2 nd StarChange St Bart’s 6.87.70.9 Benchmark 6.67.40.7

32.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

33.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

34.  RBA Introduced ◦ Q1 2014 - Homeless Services ◦ Q4 2014 - Mental Health Services  First Thoughts?  Integration:

35.  RBA Introduced ◦ Q1 2014 - Homeless Services ◦ Q4 2014 - Mental Health Services  First Thoughts?  Integration:

38.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

39.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

40. RBA

41. Story Behind the Baseline:  Incidents high and rising.  12 incidents - smoking in undesignated areas.  Note: Clients with Dementia Action Plan:  Signage  Letters Issued with attached Policy  Staff reminders  Deterrent

42. RBA

45.  Multiple ways to interrogate Data: ◦ Specific Measure – E.g. Physical Health ◦ Generic Measure – E.g. Overall Average

46. RBA

47.  Story Behind the Baseline: ◦ Positive Change in this area of 0.5 ◦ Limited focus on measure ◦ Small activities program  Action Plan: ◦ Recruitment of Activities Officer ◦ Promotion of group activities ◦ Client choice

48. RBA

50. Benchmark St Bart’s

51. RBA Benchmark St Bart’s

52. Story Behind the Baseline:  Large Fall In Average Change  Staff turn over  Organisational loss of focus on Recovery Star Action Plan:  3 x In-house trainers  Staff Training (all staff)  Agenda item (every staff meeting)  Staff Incentives  Promotion of Outcomes Star

53. Benchmark St Bart’s RBA

54. Benchmark St Bart’s RBA

56.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

57.  Organisational Background  Purpose  Measuring Tools  RBA Integration  Early Results  Final Reflections

58. Person Homelessness Failure Success Breaking the Cycle of Homelessness Exit St. Bart’s Breaking the Cycle of Homelessness Measure Success

59.  University Research Project (12 month follow up)  Low response rate (50/210)  One-off measurement  Data development: regular follow up (all clients) Feel In Control of Financial Situation Are Satisfied with Social Networks Currently in Accommodation 67%75% 90%

60. Individual Level Organisational Level Service Level Measures