SAF Program Staff
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Transcript of SAF Program Staff
Outcome Evaluation of the Shelter-A-Family Program
Kimberly Jacob Arriola, PhD, MPHAssociate Professor
November 20, 20133rd Annual Georgia Supportive Housing Association Conference
SAF Program Staff Joyce Sloan, LCSW-Program Director Naomi Haynes, MSW-Program Manager Ja’Nai Johnson, MSW-Coordinator Nefertari I, BSW-Case Manager Ronterius Sanders, MS-Case Manager Stacie Fitzgerald, LCSW-Counseling Manager Pamela Crosling, MS-Substance Abuse Counselor Shondella Andre, BA-GED Instructor
Today’s Agenda Overview of the program Purpose of the outcome evaluation Evaluation methods
CMHS TRAC NOMs Staff-administered supplemental evaluation
interview Findings & limitations Conclusions
Program Description SAF is a community-based, supportive housing program
for families with children who have experienced: long-term homelessness where the head of household suffers with disabilities of:*mental illness*substance abuse and/or*HIV/AIDS
Provides site-based supportive servicesto 43 families in HUD-fundedapartment units in NW Atlanta
Program Goals To help formerly homeless individuals:
Reduce and eliminate substance dependency and useAchieve mental and emotional stabilityMove toward greater self-reliance
To promote child safety and development To prevent future homelessness amongchildren traumatized by:
HomelessnessAbuse & neglectParent’s substance abuse and MH challenges
Eligibility Must be experiencing long-term homelessness, as
defined by HUD Very low income Verifiable disability, as defined by HUD, of mental
illness, substance abuse, or HIV or AIDS Must be a family with child(ren) under the age of 18
Single female headed households Single male headed household Two parent, married household
Supportive Services Intensive case management Home –based counseling sessions On-site substance abuse individual & group treatment Life skills training Mental health support groups for adults and youth Provide access to resources, including health, asset development,
and linkages to community activities & groups On-site GED instruction, educational and employment supports,
job search assistance Assertive Community Treatment (ACT) Team meetings Monthly community meetings
Program Modification SAF I
Established in 2005 June 1, 2009 received
additional funding from SAMHSA to provide site-based supportive services
Adopted Housing First Model.
23 families in current analyses
SAF II Effective February 1, 2013 20 families that were
consolidated into existing SAF program
Initially resided at Delowe Village Families First Project
G.R.O.W. Program
Outcome Evaluation To explore change in clients based on:
Housing stability Physical and mental health and sense of well-
being Dependence on illegal and harmful substances Academic, vocational, life and social skills, and
income Perceived family & community support
Outcome Evaluation Constructs CMHS TRAC NOMs
Demographic data Functioning Stability in housing Education and
employment Crime and criminal
justice Social connectedness
Evaluation Interview Medical status and
health insurance Drug/alcohol use Psychiatric status Health and well-being Child well-being
Outcome Evaluation Constructs CMHS TRAC NOMs
Demographic data Functioning Stability in housing Education and
employment Crime and criminal
justice Social connectedness
Evaluation Interview Medical status and
health insurance Drug/alcohol use Psychiatric status Health and well-being Child well-being
CMHS TRAC NOMs Instrument Baseline Assessment conducted within 7 days
of program enrollment Reassessment interview conducted every 6
months (+/- 30 calendar days) Administered by staff
CMHS TRAC NOMs Data (as of 8/1/13)
Assessment Number of AssessmentsBaseline 556 month assessment 3112 month assessment 2918 month assessment 2424 month assessment 1930 month assessment 1436 month assessment 11Clinical Discharge 17
Supplemental Evaluation Interview
Largely based on the Addiction Severity Index (McGahan, Griffith, Parente, & McLellan, 1986)
Key domains Medical status and health insurance; Drug/alcohol use; Psychiatric status; Health and well-being Child well-being
Administered by staff after TRAC NOMs
Supplemental Evaluation Interview(as of 8/1/13)
Assessment Interviews ConductedBaseline 446 month follow-up 2612 month follow-up 2018 month follow-up 1224 month follow-up 930 month follow-up 5
Client Demographics (based on service utilization data)
Client Characteristics SAF (N=86)Client n (%)
SAF II (N=58)Client n (%)
Gender Female 49 (57) 38 (66)Marital Status Single 26 (30) 16 (28)Unknown 55 (64) 42 (72)
Age 0-17 years 38 (44) 35 (61)18-36 years 25 (29) 14 (24)37+ years 20 (23) 9 (15)
Race/Ethnicity Black 75 (87) 55 (95)
Results: Housing Stability TRAC NOMs “In the past 30 days,
where have you been living most of the time?” Owned or rented house,
apartment, trailer, room
Results: Physical Health TRAC NOMs “How would you rate
your overall health right now?” Excellent or very good
Results: Functioning TRAC NOMs 8 separate items
Response options ranged from 1 (SD) to 5 (SA)
Percent who strongly agree
Results: Emotional Health Supplemental
Evaluation Interview “How many days in the
last 30 days have you experience these psychological or emotional problems?” E.g., serious depression,
hallucinations, serious anxiety or tension
Results: Substance Use
Random drug screens 170 screens
performed on 31 clients
Based on service utilization data
SAF I SAF IINumber of clients screened
21 10
Number of screens
121 49
Positive 9 15 Negative 61 27 Inconclusive 51 7Percent positive 7% 31%
Results: Academic, Vocation, Social Skills TRAC NOMs “Are you currently
enrolled in school or a job training program?” Not enrolled or
Enrolled full or part time
Results: Social Connectedness TRAC NOMs 4 items E.g., “I am happy with
the friendships I have” Response options
ranged from 1 (SD) to 5 (SA)
Percent who strongly agree
Limitations Study design Small numbers of participants Effect sizes
Consolidation of 2 programs Child well-being data
Limited number of children in which there are 2 or data points that are clearly linked to a particular child
Conclusions Clients are largely achieving stable housing Indicators of adult well-being show improvement over time Lower rates of drug use were found among SAF I clients
(7%) than among SAF II clients (31%) Enrollment in an academic, vocational, or job skills program
has remained somewhat flat over time Participants reported greater satisfaction with their
friendships at 36 months, but other measures of social connectedness did not yield clear patterns.
Thank You! Kimberly Jacob Arriola
RSPH of Emory University
1518 Clifton Road, NE
Room 520
Atlanta, GA 30322
404-727-2600