Tracy Mercier - 2015 CACHC Conference Presentation

Tracy Mercier - 2015 CACHC Conference Presentation

• 1.
  EDMONTON: THE BOYLE MCCAULEY HEALTHCENTRE SHIFTING OUR RESEARCH APPROACH Tracy Mercier, Sept 16 – 18 CACHC Conference, Ottawa
• 2.
  WHERE TO BEGIN?...We started very, very small and it just sort of grew. • Started out as a part time position in a single program helping to coordinate data collection for a longitudinal research project • Began looking at program stats full time • Grew to conducting funder-required fidelity assessment • Asked to gather data for strategic planning for BMHC • Moved on to redesigning evaluation protocols for Pathways to Housing (included client/patient input) • Funding applications…
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  PATHWAYS TO HOUSINGEDMONTON • The Pathways to Housing Edmonton program was implementing a longitudinal research project in anticipation of being able to compare results to the At Home/Chez Soi project that was in progress. 2012 APP Conference Abstract: http://www.buksa.com/Sites/APCC/docs/2012/2012- FinalAbstractBooklet.pdf
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  0 200 400 600 800 1000 1200 1400 Top 20 Problemsin BMHC EMR
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  1.47 1.64 2.00 2.09 2.25 2.45 2.50 2.56 2.61 2.65 2.71 2.75 2.80 2.84 2.96 3.00 3.00 3.05 3.06 3.08 3.13 3.14 3.17 3.22 3.40 3.41 3.47 3.50 3.59 3.64 0.00 0.50 1.001.50 2.00 2.50 3.00 3.50 4.00 HELP WITH FINDING A JOB - 53% PARENTING GROUP - 31% HELP WITH RESUME AND COVER LETTER - 50% HELP WITH FAMILY AND FRIENDS - 61% HELP GETTING INTO DETOX - 33% AFTER HOURS ON-CALL - 56% NEEDLE EXCHANGE, FREE CONDOMS, (HARM REDUCTION SUPPLIES) - 33% DEALING WITH WARRANTS - 50% NEWSLETTER - 78% SUPPORT IN FINDING ENOUGH GOOD FOOD TO EAT - 72% THERAPY (LONLINESS OR SEEKING SAFETY WORKBOOKS, WRAP, ACTION OVER INERTIA) - 47% HUB (MONEY MANAGEMENT) - 56% HELP TO DEAL WITH GOVERNMENT OFFICES (AISH, AB WORKS, COURTS, LEGAL AIDE) - 69% SUPPORT DURING A HOSPITALIZATION - 53% SETTING GOALS WITH THE TEAM - 64% DEALING WITH BEDBUGS AND PEST CONTROL - 64% MOVING TO MORE SUPPORTIVE SETTING - 44% HELP WITH SUBSTANCE ABUSE/RELAPSE PREVENTION - 61% WALK IN CLINICS (FAMILY DR., PSYCHIATRIST, PHARMACIST) - 86% HOUSE CALLS FROM A DOCTOR, NURSE, PSYCHIATRIST, PHARMACIST - 69% HELP WITH MEDICATION (UNDERSTANDING SIDE EFFECTS, TAKING IT ON TIME, ETC.) - 83% HOME VISITS FROM TEAM - 100% SUPPORT WITH INCOME TAX - 67% SEASONAL PARTIES LIKE CHRISTMAS AND SUMMER BBQ - 75% HAVING A CO-LEASE TO THE APARTMENT - 56% TRANSPORTATION (VAN, DRIVER, BUS TICKETS, CABS) - 75% HOUSING SUPPORTS - 89% ACCESSING RENTAL SUBSIDY - 83% FINDING AN APARTMENT - 89% 3RD PARTY FOR RENT, UTILITIES, PHONE/CABLE, INSURANCE) - 92% Service Use and Recovery: Ranking Average Score for Each Service 36 Clients indicated which services they used and then rated how the service helped their recovery using the following scale: 0 = Did not help my recovery at all 1 = Helped my recovery but not enough 2 = helped my recovery somewhat 3 = Helped my recovery quite a lot 4 = Helped my recovery tremendously Service Description and % of Clients Reporting Use* Average Rating of Impact on Recovery *Of 45 surveys returned to the office, 36 reported ratings on services used. Mean rating across all items is 2.84; Median is 2.98; Mode is 3.0
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  On the outside,you are a team of dedicated professionals, working hard to provide direct services and to advocate for their needs to other services. (Actual BMHC staff members in action)
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  …But on theinside, you are often on the verge of an epic win; feeling that sense of urgent optimism, and weaving the tight social fabric that helps to make that happen. (NOT AN ACTUAL BMHC STAFF MEMBER!! Link)
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  CHALLENGES: • Researchers, nomatter how world renowned, have a hard time “getting you”. It’s a risk. • It takes resources to keep up with a researcher, even after they leave with your data – you need a way to track it & keep in touch. Research projects have changing timelines, so keep yourself in their loop as opposed to waiting to find out what happened. • Staff are more keen to enter data once they know its being used to solve a relevant problem or to tell an accurate story of their work. • Change in research partnership at the same time as a change in program leadership should be a time to slow things down a little. • Clients/patients have lot to teach us when we ask them what kinds of questions we should ask. It’s important to include them in developing survey material.
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  INTERNAL RESEARCH COMMITTEE •About 5 core members (all voluntary) • Terms of reference • New form for talking to researchers about collaboration (thanks to Yogendra!) • Trying to get better at linking internal research to communications • Trying to be less passive with external researchers Photocredit: Ikea link
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  EXCITING ‘INTERNAL RESEARCH’: •Writing up/disseminate development new Pathways Evaluation methodology • Participation in Change in Mind initiative • Continue working on ‘A Day in the Life’ content analysis Photo shamelessly downloaded from Pinterest: link
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  Thank You!