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What interventions produce results? Where do we target investment? >mbmb{Evaluation GoalsSupport activities that make a real difference in lives of families Evaluate the effectiveness of Family Connections Implement method of understanding what works & what doesn t Identify best practices | Arizona Self Sufficiency Matrix ,Engagement tool Basic Assessment Evaluation `Arizona Self Sufficiency MatrixrArizona Self Sufficiency MatrixmUsing the Matrix6 t(Models  MeasurementIs this assessment technique valid and reliable? Using factor analysis, the instrument was found to measure overall self-sufficiency and 2 subscales: Economic self-sufficiency Social/emotional self-sufficiency Total composite score >SSs*Models  Predictive Equations are generated from data submitted to determine the predictors of change in social emotional and economic self-sufficiency and total composite self-sufficiency score Each individual s predicted change is uniquely determined based upon the client s individual characteristics These predicted changes constitute the expected change u Client Data568 unduplicated adult clients 2/3 completed entry matrix 84 clients with entry and exit matrices. 24 have been in the program 3 months 60 terminated with less than 3 months The differences between those who  stick and those who terminate are dramatic with longer term clients benefiting and the shorter term having minimal gains. ONNvLevel of Functioning }Entry Problem RankedProblem Area Score Employment 1.69 Income 2.19 Food 2.21 Shelter 2.54 Childcare 2.59 Community Involvement 2.66 Family Relations 2.67 Mobility 2.90 Adult Education 2.96 Life Skills 3.34 Health Care 3.38 Parenting Skills 3.49 Mental Health 3.76 Safety 3.96 Children s Education 4.22XPX~Change in individual ClientsChange in individual clients over time initially encouraging. 3 month matrices Typical client improved in social-emotional self sufficiency more than a quarter (.28) of a standard deviation Improvement in economic self-sufficiency was even more dramatic approaching half (.42) of a standard deviation The overall change in self-sufficiency also approached half of a standard deviation (.44) JQZZ]ZQ\"Change in Individual ClientsDChanges in client scores not the result of focusing on clients with fewer challenges. Rather, the lowest functioning clients made the greatest changes. Hence, not only were the lowest functioning clients changing the most, but the increased correlations over time indicate that the impact is greater at 6 months than at 3 .DPPD Change in Individual ClientsPEntry to 6 months  The service most related to positive changes in economic self-sufficiency is rent assistance. The best predictors of positive outcomes in social-emotional self-sufficiency are utility assistance and education and training. Changes in overall self-sufficiency - Same three variables occur, with utility assistance having as much positive impact as the education/training and rent assistance combined. n ApplicationWhat are the client characteristics that are indicative that an individual is more likely to benefit from a program? Do individual workers tend to be more effective with specific types of families? What is the differential impact of the varying services offered by DES and contracting agencies to clients and what is their cost effectiveness? Can we construct an  early warning system which alerts us that based on client outcome that a worker, service delivery site or supervisor needs assistance in being effective? <o ApplicationZIs there an optimum time frame to work with families to maximize demonstrable effectiveness of intervention? Is there a substantive difference between professional and paraprofessional staff in client outcomes? How important is the time lag between first referral to FC and first interview with program staff in terms of eventual program impact? pBenefits/ChallengesBenefits Client centered practice Continuous program improvement Target resources more effectively Increased investment in Incubator for new activity Challenges Provider buy-in Data collection/scrubbing Evaluation expertise Cost  PP PEPPPP  EP2Charlene Moran Flaherty charlene.flaherty@csh.org 31T01visit www.csh.org yT0/P   0` ̙33` ` ff3333f` 333MMM` f` f` 3` Q0G@>?" dd@?n2d@ d " @ ` n?" dd@   @@``PT    @ ` `(p@@  ~v (  f  0"  0 "P  T Click to edit Master title style! !$  08 "?_  RClick to edit Master text styles Second level Third level Fourth level Fifth level!     Sl   63"0   0,“ "  `* H  0޽h ? Q0G@ nPromising Practices and Impacts of PSH - 9-2006 Arizona 0 w0t(  t t 0_" : f t 03"@P t C A"J  t 0p_ "0 `  _ T Click to edit Master title style! ! t 0t_ "  ,  t 0_ " p _ W#Click to edit Master subtitle style$ $H t 0޽h ? 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Q0G@80___PPT10.Ei@ B 0 N0 BALOA(  r N S d] P   @ ( 3 #"2&%?_    <  ?"`U( l$Parenting skills are well developed.%% @`  <<9s ?"`XU( fParenting skills are adequate. @`  <ܰs ?"` UX( w/Parenting skills are apparent but not adequate.00 @`  <ȁ  ?"`U ( eParenting skills are minimal. @`   <  ?"`U( |4There are safety concerns regarding parenting skills55 @`   <  ?"`U( V  @`   <_ ?"`U( ZParenting Skills @`   <G ?"` U RSafety is threatened/temporary protection is available; level of lethality is highSS @`   <  ?"`X U RSafety is threatened/temporary protection is available; level of lethality is highSS @`  <  ?"` XU RSafety is threatened/temporary protection is available; level of lethality is highSS @`  <I  ?"` U RSafety is threatened/temporary protection is available; level of lethality is highSS @`8  <K  ?"` U hHome or residence is not safe; immediate level of lethality is extremely high; possible CPS involvement i% i @`  < |  ?"` U X%   @`  <W  ?"` U VSafety%  @`  <  ?"`   *Able to select quality childcare of choice&+% * @`  <輂  ?"`X   BReliable, affordable childcare is available, no need for subsidies&C% B @`  <  ?"` X  :Affordable subsidized childcare is available, but limited.&;% : @`H  <l  ?"`  nChild case is unreliable or unaffordable, inadequate supervision is a problem for child care that is available&o% n @`)  <  ?"`   ONeeds childcare, but none is available/accessible and/or child is not eligible.&P% O @`  <,  ?"`   Y&%  @`  <x&  ?"`   c Childcare( %   @`   < 4  ?"`'   2Can choose to purchase any food household desires.&3% 2 @`  <O  ?"`X'   -Can meet basic food needs without assistance.&.% - @`  <a  ?"` ' X  >Can meet basic food needs, but requires occasional assistance.&?% > @`  < l  ?"`'  sHousehold is on food stamps&%  @`D  < w  ?"`'   jNo food or means to prepare it. Relies to a significant degree on other sources of free or low-cost food.&k% j @`  <  ?"`'   Y&%  @`   <د  ?"`'   ^Food(%  @`  ! <X  ?"` '  2Household is safe, adequate, unsubsidized housing.&3% 2 @`  " <  ?"`X '  3Household is in safe, adequate, subsidized housing.&4% 3 @` # <  ?"` X'  <In stable housing that is safe but only marginally adequate.&=% < @`U $ <%  ?"`  '  {In transitional, temporary or substandard housing; and/or current rent/mortgage payment is unaffordable (over 30%of income)&|% { @` % <8  ?"` '  |$Homeless or threatened with eviction&%% $ @` & <N  ?"` '  Y&%  @` ' <|i  ?"` '  aHousing(%  @` ( <Ѓ  ?"`  AMaintains permanent employment with adequate income and benefits.&B% A @` ) <ؐ  ?"`X  4Employee full time with adequate subsidized housing.&5% 4 @` * <<  ?"` X  7Employed full time; inadequate pay; few or not benefits&8% 7 @` + <؄  ?"`  >Temporary, part-time or seasonal; inadequate pay, no benefits.&?% > @` , <t  ?"`  ^No job&%  @` - <  ?"`  Y&%  @` . <h  ?"`  d Employment( %   @`# / <,  ?"` IIncome is sufficient, well managed; has discretionary income and benefits&J% I @` 0 <?  ?"`X 7Can meet basic needs and manage debt without assistance&8% 7 @` 1 <4\  ?"` X 7Can meet basic needs with subsidy; appropriate spending&8% 7 @` 2 <x  ?"`  >Inadequate income and/or spontaneous or inappropriate spending&?% > @` 3 <$  ?"` a no income& %   @` 4 <@  ?"` Y&%  @` 5 <Ć  ?"` `Income(%  @` 6 <4  ?"` [5(%  @` 7 <T  ?"`X [4(%  @` 8 <  ?"` X [3(%  @` 9 <xޅ  ?"`  [2(%  @` : <  ?"` [1(%  @` ; <  ?"` _Score(%  @` < <  ?"` `Domain(%  @``B = 01 ?`B > 01 ?`B ? 01 ?`B @ 01 ?  `B A 01 ?' ' `B B 01 ?  `B C 01 ?  `B D 01 ?UU`B E 01 ?((`B F 01 ?(`B G 01 ?(`B H 01 ?(`B I 01 ?(`B J 01 ?  (`B K 01 ?XX(`B L 01 ?(`B M 01 ?(H  0޽h ? ̙33___PPT10e.+D='  = @B +C 0 CC0<AXB(  Xr @X S 0- P   A Y X3 #"*C??_   X S ~9  1?? Y Symptoms are absent or rare; good or superior functioning in wide range of activities; no more than every day problems or concerns.&%  @`t X S ~4  1?? Y fMinimal symptoms that are expectable response to life stressors; only slight impairment in functioning&g% f @`  X S ~,;  1??|  Y vMild symptoms may be present but are transient; only moderate difficulty in functioning due to mental health problems.&w% v @`  X S ~J  1??Q  | Y Recurrent mental health symptoms that may affect behavior, but not a danger o self/others; persistent problems with functioning due to mental health symptoms.&%  @`  X S ~V  1??6 Q Y Danger to self or others; recurring suicidal ideation; experiencing severe difficulty in day-to-day life due to psychological problems.&%  @`  X S ~=  1??C 6Y Y&%  @`  X S ~d  1?? CY g Mental Health(%   @`U X S ~m  1??   GAble to provide beyond basic needs of daily living for self and family.&H% G @`M X S ~  1??   ?Able to meet all basic needs of daily living without assistance&@% ? @`N X S ~  1??|   @Can meet most but not all daily living needs without assistance.&A% @ @`S X S ~  1??Q |   ECan meet a few but not all needs of daily living without assistance.&F% E @`[ X S ~p  1??6 Q   MUnable to meet basic needs such as hygiene, food, activities of daily living.&N% M @` X S ~t  1??C 6  Y&%  @` X S ~T  1?? C  e Life Skills( %   @`O X S ~  1??   AAll members are covered by affordable, adequate health insurance.&B% A @`R X S ~,ˆ  1??   DAll members can get medical care when needed, but may strain budget.&E% D @`1 X S ~Ն  1??|   {#Some members (eg Children on AHCCCS&$% # @` X S ~Dچ  1??Q |  zNo medical coverage and great difficulty accessing medical care when needed. Some household members may be in poor health.&{% z @`6 X S ~p  1??6 Q  (No medical coverage with immediate need.&)% ( @` X S ~  1??C 6  Y&%  @` X S ~  1?? C  e Health Care( %   @`m X S ~  1??  _No active criminal justice involvement in more than 12 months and/or no felony criminal history&`% _ @`f X S ~l  1??  XHas successfully completed probation/parole within past 12 months, no new charges filed.&Y% X @`9 X S ~t  1??|   +Fully compliant wit probation/parole terms.&,% + @`R X S ~/  1??Q |  DCurrent charges/trial pending, noncompliance with probation/parole.&E% D @`6  X S ~L)  1??6Q  (Current outstanding tickets or warrants.&)% ( @` !X S ~C  1??C6  Y&%  @` "X S ~ M  1??C  _Legal(%  @`b #X S ~LG  1??p THas completed educational/training needed to become employable. No literacy problems&U% T @` $X S ~`c  1??p Needs additional education/training to improve employment situation and/or resolve literacy problems to where they are able to function effectively in society.&%  @`) %X S ~n  1??| p sHas high school diploma/GED&%  @` &X S ~Dy  1??Q p|  Enrolled In literacy and/or GED program and/or has sufficient command of English to where language is not a barrier to employment.&%  @`e 'X S ~؃  1??6pQ  WLiteracy problems and/or no high school diploma/GED are serious barriers to employment.&X% W @` (X S ~  1??Cp6 Y&%  @` )X S ~X  1??pC iAdult Education(%  @`M *X S ~  1??p ?All eligible children enrolled and attending on a regular basis&@% ? @`H +X S ~  1??p :Enrolled in school and attending classes most of the time.&;% : @`_ ,X S ~  1??| p QEnrolled in school, but one or more children only occasionally attending classes.&R% Q @`Z -X S ~È  1??Q | p LOne or more eligible children enrolled in school, but not attending classes.&M% L @`C .X S ~<Έ  1??6Q p 5One or more eligible children not enrolled in school.&6% 5 @` /X S ~׈  1??C6p Y&%  @`$ 0X S ~  1??Cp nChildren's Education(%  @`B 1X 3 r1 ??B 2X # l1 ??ppB 3X # l1 ??CCYB 4X # l1 ??66YB 5X # l1 ??Q Q YB 6X # l1 ??| | YB 7X # l1 ??YB 8X # l1 ??YB 9X # l1 ??B :X # l1 ??  B ;X # l1 ??  B X 3 r1 ??YB ?X 3 r1 ??YYH X 0޽h ? Q0G@80___PPT10.g@n 0 6.D(  Dx D c $(     x D c $ ?_    D Ty gֳgֳ ? Periodicity of Data Collection At program entry and exit Three month interim All adults over the age of 18 Complete by client together with case manager Score to the deficit >/c/cH D 0޽h ? Q0G@80___PPT10.c#A*$ 0 P`$(  `r ` S  P@   r ` S  ?_   H ` 0޽h ? Q0G@80___PPT10.gz\$ 0 @\$(  \r \ S p     r \ S  ?_   H \ 0޽h ? Q0G@80___PPT10.g 0 `d(  dr d S      d  |! 0e0e ?#" 0e ?_   H d 0޽h ? Q0G@80___PPT10.gP$׳0 N0 +#0(    0$  0 {'Change Entry to Exit by Time in Program(( 0 TA ? ?0   H  0޽h ? f3f3d 0 phd(  hr h S C P   r h S D  ?_   8 h T F gֳgֳ ? More than 1/3 of clients either homeless or being evicted. More than recently or currently homeless Two out of every five clients had parenting skills which ranged from  inadequate to dangerous Approaching 1/3 of clients assessed to be functioning at a crisis level School age children of one in seven clients not enrolled in schoolH h 0޽h ? Q0G@80___PPT10.gC 0 0(  r  S d4 P      M 0e0e ?#" 0e ?_   H  0޽h ? Q0G@80___PPT10.Fi 0 @(  r  S _ P      d 0e0e ?#" 0eP?_   H  0޽h ? Q0G@80___PPT10.Gi  0 `(  r  S Ta_P  _    0e0e ?#" 0e?_ _ H  0޽h ? Q0G@80___PPT10.Gi#=H 0 p(  r  S i P      pj 0e0e ?#" 0eP@`   H  0޽h ? Q0G@80___PPT10.Giq0 0 H0(  Hx H c $x P   x H c $8z P?_   H H 0޽h ? Q0G@80___PPT10.c@0 0 L0(  Lx L c $ P   x L c $ P?_   H L 0޽h ? Q0G@80___PPT10.c * 0 P*(  Px P c $H P   r P S  ?_   H P 0޽h ? Q0G@80___PPT10.co 0N0 Ph(  ~  s *h t0 `      s * t <$0   H  0޽h ? Q0G@y___PPT10Y+D='  = @B +`0  @ (   ^  S @')   f  c $8f@ )T  f<4___PPT9 bLocal offices in CA, RI, CT, NY, NJ, IN, IL, OH, MI, MN, TX CSH s national teams assist supportive housing practitioners across the U.S. .  H  0޽h#6 ? 33P0 `4(  d  c $@')     s *Tt @ )    H  0޽h#6 ? 33Q0 4(  d  c $@')     s *z @ )    H  0޽h#6 ? 33 N0 (  X  C @')     S t @ )    H  0޽h#6 ? 3380___PPT10.g?Oy0  (  X  C @')     S 胒 @ )   XNew Program - Multidisciplinary Teams Team Lead Child Welfare DV Employment Generalists 8 teams  dv, homeless, at-risk of entry into child welfare system SSBG Funded (&4SH  0޽h#6 ? 3380___PPT10.Ei1 u0 ~ v  (  X  C @')   v  S  @ )   In the future we expect to primarily focus on the change in client functioning from program entry to exit. This approach, however, is initially problematic because early in our data gathering a disproportionate percentage of those with exit matrices are short term clients with the least programmatic engagement or commitment  hence, their early termination. In the future we expect to primarily focus on the change in client functioning from program entry to exit. This approach, however, is initially problematic because early in our data gathering a disproportionate percentage of those with exit matrices are short term clients with the least programmatic engagement or commitment  hence, their early termination. 84 clients with entry and exit matrices. 24 have been in the program 3 months or less while 60 terminated with less than 3 months in. The differences between the 2 groups are dramatic with the longer term benefiting and the shorter term having minimal gains. @ H  0޽h#6 ? 3380___PPT10.Fi`0|0 RJ(  X  C @')   J  S  @ )   HUD funded process Partnership w/ MAG, DES and Virginia G. Piper Charitable Trust Providers submitted tools already in use SSM tested well for validity and reliability H  0޽h#6 ? 3380___PPT10.HiXL`0 \(  X  C @')     S Ԙ @ )   ^JBasic training  score to the deficitH  0޽h#6 ? 3380___PPT10.IiS0 >6(  X  C @')   6  S @ @ )   Results have not  topped out /reached a point of diminishing returns (FFH  0޽h#6 ? 3380___PPT10.Ii*p0 :(  X  C @')     S pĒ @ )   <(Client level data vs. program level dataH  0޽h#6 ? 3380___PPT10.Ji*0 `X(  X  C @')   X  S ʒ @ )   Note  changes in program, privatization of the Jobs/Employment services, change in funding stream\H  0޽h#6 ? 3380___PPT10.Li>s0 1)(  X  C @')   )  S ђ @ )   WThe predicted change for each individual is then compared with the actual change Teams whose clients consistently do better than predicted are the most successful Teams whose clients consistently under-perform the predicted change are the least successful Teams whose clients perform consistently with predictions are typical of their peers 6QQQH  0޽h#6 ? 3380___PPT10.i4v *xY}lT}|6a FI8;6iqg (m98. 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