Housing and Support Program (HASP): Final Evaluation Report

More documents

Recommendations

Info

40 Section 4 The process of providing clinical, non-clinical and housing services to clients 4.2.6 Changes in support workers in the past 12 months Clients were again asked to provide information about the number of different support workers that they had had in the past 12 months. Almost one-third had no change in support staff in the previous 12 months (this was 6% for Case Managers). However, one client claimed to have had eight changes of support worker in the past 12 months (see Fig. 4.2.4). Fig. 4.2.4 Change in support workers during the past 12 months Percent 40 30 20 10 0 No Change One Two Final Evaluation Report Three Four Five Six Seven Eight Change in support workers in past 12 months 4.2.7 Change in support intensity (support hours) between entry into HASP and follow-up Data concerning the number of hours of disability support allocated to each client, on a weekly basis, was collected from support agencies. Support agencies were asked to provide the number of hours of support allocated to each HASP client for two timepoints — when they commenced in HASP, and again at the time of follow-up (Mar–July 2010). Change in the weekly support hours was assessed using Paired t-tests. Data for this variable was available for 56 clients across the two time-points (see Table below). Table 4.2.3 Change in support hours provided over study period (n=56) Weekly support hours on entry into HASP (n=56) Mean = 27.62 (sd. = 15.78) (range = 3.0 to 87.5) Weekly support hours at follow-up (n=56) Mean = 20.49 (sd. = 14.06) (range= 0 to 77.0) Test statistic Paired t = – 4.46, df = 55, p=.001 There was a statistically signifi cant decrease in the number of hours of disability support provided each week (Paired t= – 4.46, p=.002). Support hours provided each week decreased by an average of 7.13 hours from a mean of 27.6 hours on entry into HASP to a mean of 20.4 hours at the follow-up time-point. Indeed, the range in support provided decreased from 3–87.5 hours on entry into HASP to 0–77 hours at follow-up.
4.2.8 Amount of support required in the future Clients were asked to think about the amount of support they currently receive from their support workers and indicate the amount of support they would require in the next 12 months. The options were ‘more support’, ‘less support’ or the ‘same amount of support’. The responses are summarised in the graph below. Fig. 4.2.5 Perceptions of support required in the future Percent 50 40 30 20 10 0 More Same Amount of support in future Less Over one-third (37%) indicated that they would require more support in the next 12 months, while almost one-fi fth (19%) felt that they would require the same level of support that they currently receive. However, over 40% felt that they would require less support in the future. 4.2.9 Client perceptions of non-clinical support services Clients were very satisfi ed by the support services provided by the NGO sector. They felt that their success in community living was, in part, attributed to their support agency. There was a perception that support agencies encouraged clients to participate in community activities: Since my last time in hospital, I’ve been here [in own home] for two years now, I haven’t had a hospitalisation yet, and there was one year I was in hospital nine times. I was pretty lost and since then, being involved with [XX support agency], they pushed me along, to get back…got me back to being involved in the community, be my friend, and helping me feel a lot better about my life now. Male consumer It is clear that while support workers assist clients with a number of activities necessary for daily living, they also provide social support to many clients: No I wouldn’t be able to do it without the support workers. Just the social interaction, like having a cuppa, talking about the day’s events and what I’m doing for the next week. Even to just watch a DVD or share a meal it’s just the social side of it… Yeah… So that’s very important. Female consumer 4.2.10 Case Manager perceptions of non-clinical support services Case Managers were appreciative of the support provided by the NGO sector. There was a perception that HASP in general, and the input from support workers in particular, had resulted in a more stable lifestyle for clients. Refl ecting on the benefi ts of the program, a Case Manager detailed how HASP had assisted one of his clients: It seems to take a signifi cant load off, because the client is a much more stable, gets an awful lot of input from the NGO that is working with him… they put a lot of work in with training, job training and social skills training, the client has actually gone from someone who was an alcoholic, drugusing street person, to someone who is settled in a unit, and is going out regularly to a place where he is doing some proper type work, cut down on the alcohol, got rid of the drugs, cleaned himself up, so that takes away a lot of stuff, we’d normally be chasing him, he’s on a depot, and he comes in on the dot, every two weeks, instead of being chased all around the place, it’s vastly improved his lifestyle, and the way he mixes in the community, he’s got much more stuff he does outside now, than he used to, so I think it’s good. Case Manager Housing and Support Program (HASP) 41
Page 1 and 2: Department of Psychiatry (UQ) and S
Page 3 and 4: Final Evaluation Report of the Quee
Page 5 and 6: • Community integration While eig
Page 7 and 8: List of contents Executive summary
Page 9 and 10: Section 1 Introduction Since the 19
Page 11 and 12: 1.1.1 HASP — Management Structure
Page 13 and 14: 1.2 Housing and supports - previous
Page 15 and 16: Table 1.2.2 Outcomes for clients mo
Page 17 and 18: activities, while others tried to c
Page 19 and 20: 1.2.6 Section summary It is clear f
Page 21 and 22: Section 2 Method 2.1 Design The stu
Page 23 and 24: 2.2.1.2 Clients unavailable to part
Page 25 and 26: 2.2.1.5 Clinical staff — sample F
Page 27 and 28: 4) Data collected from mental healt
Page 29 and 30: 2.4 Procedure 2.4.1 Clients - proce
Page 31 and 32: All focus group discussions and ind
Page 33 and 34: However, it was clear that the deve
Page 35 and 36: Importance of the Supports Facilita
Page 37 and 38: Accountability There was a percepti
Page 39 and 40: Support workers highlighted issues
Page 41 and 42: 4.1.2 Client perceptions of support
Page 43 and 44: In general, Case Managers expressed
Page 45 and 46: 4.2.2 Client perceptions of the amo
Page 47: Support workers felt, as a result o
Page 51 and 52: 4.3.2 Living arrangements The major
Page 53 and 54: 4.3.7 Housing in HASP — compariso
Page 55 and 56: The majority of HASP clients (76%)
Page 57 and 58: 5.2 Satisfaction with key life doma
Page 59 and 60: 5.7 Depth of friendships We explore
Page 61 and 62: 5.11 Community involvement Clients
Page 63 and 64: 5.13 Section summary During our int
Page 65 and 66: etter functioning). However, while
Page 67 and 68: 6.7 Physical and mental health Link
Page 69 and 70: 6.10 Section summary The average ti
Page 71 and 72: 7.2 Comparing HASP with inpatient/r
Page 73 and 74: of applications, increase Case Mana
Page 75 and 76: available when and where needed by
Page 77 and 78: 8.4 The ability of the program to m
Page 79 and 80: Section 9 Recommendations 1. More i
Page 81 and 82: Section 10 Reference list Anthony,
Page 83 and 84: Shepherd, G., Murray, A. & Muijen,
Page 85 and 86: Housing and Support Program (HASP)

Housing and Support Program (HASP): Final Evaluation Report

Create successful ePaper yourself

Delete template?

Save as template?