Implementation of Early Psychosis Intervention Program ... - EENet

51Table 13: Outreach and client engagement: Implementation by program typeSurvey Question Response All Large Small Hospital CommunitySitesQ74: How often able to % sites implementing 63 57 71 53 76implement this element ‘most of the time’Q75: Where do face-toface-Office site (% yes) 50 54 43 59 36contacts occur: -Community (% yes) 47 43 53 38 61Large: catchment area population > 100,000 population (31 program sites)Small: catchment area population < 100,000 population (21 program sites)Hospital: hospital is parent organization (30 program sites)Community: community agency is parent organization (22 program sites).Approaches used by programs for proactive outreach (Table 14):o Almost all programs reported contact with family (93%) and visiting clients in home orcommunity settings (92%).o Many reported e-communications (50%).o Some programs transported clients in staff vehicles (42%) but this occurred more often insmaller and community agency sponsored programs.o Use of peer outreach was low (23%).o Also noted by some respondents were: visiting program clients who were receiving care in aninpatient unit; meeting with the client in the school setting; using recreational opportunitiesas a vehicle for engaging clients; accompanying clients to other community services.Table 14: Outreach practices used by programs (Q 76)Outreach Practices Response All Sites Large Small Hospital CommunityContact with families % yes 93 94 91 93 91Visits in home/community % yes 92 90 95 93 91E-communications % yes 50 55 43 60 36Transporting in staff vehicles % yes 42 29 62 27 64Accompanying on public transit % yes 37 58 5 37 36Peer outreach % yes 23 26 19 27 18Main challenges to proactive client outreach noted by programs:o Half of sites reported organizational policies that limit outreach practices, and this was higherfor hospital than community sponsored sites. Organizational policies may limit staff ability totransport clients, conduct home visits, and use mobile devices and e-communications toconnect with clients.o About half of sites said travel time was a challenge; and this was higher for hospital (63%)than community agency sponsored sites (41%).o 29% of sites reported staff safety as a challenge.o Some individual sites mentioned staffing and resource limitations.Strategies suggested by programs for proactive client outreach and engagement:o Making proactive client outreach a program priority.o Respecting client preferences such as where he or she is most comfortable meeting