Online Program

Integrated Services for Persons Who Are Homeless and Have Co-Occurring Disorders: Lessons Learned from Project Home Base in Santa Cruz, California

Tuesday, November 3, 2015 : 10:30 a.m. - 10:50 a.m.

Jennifer L. Magnabosco, PhD, California Institute of Behavioral Health Solutions; University of Southern California School of Social Work; Independent Consultancy, Dana Point, CA
This presentation will discuss evaluation results, lessons learned, and recommendations for successful implementation of Project Home Base (PHB), a 5-year SAMHSA-funded intervention for persons with co-occurring disorders (mental illness and substance use) who have been homeless in Santa Cruz County, California. PHB uses the Integrated Dual Disorders Treatment (IDDT) evidence-based practice, and Housing First and Harm Reduction approaches, to provide person-centered services to adults who have been chronically homeless and wish to move from the streets to permanent housing.

Evaluations of PHB for the past 3 years have been designed to determine how well the IDDT model has been implemented (process/fidelity evaluations), and the effects of the IDDT intervention on clients (outcome evaluations).  Specific lessons learned and recommendations will be discussed, as well as potential generalizability for similar programs.

Process evaluation results will include discussion of the General Organizational Index (GOI), and SAMHSA IDDT scales; interviews with PHB staff and clients; chart reviews; observations of staff meetings, and client groups. Implementation status, challenges and recommendations associated with fully or partially meeting scale components will be presented.

Outcome evaluation results will include discussion of Government Performance Results Act (GPRA) and Mental Health Statistical Improvement Program (MHSIP) data associated with PHB’s 10 goals: Decrease in number of days using alcohol/illegal drugs, needle use, number of unprotected sexual contacts, number of days living on the street/outdoors, and number of arrests; improvement in overall health status, physical and mental health functioning, and social connectedness; satisfaction with services received; and participation in employment, school or job training.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Other professions or practice related to public health
Public health or related public policy
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe evidence-based practices (e.g., integrated dual diagnosis disorder treatment-IDDT approach) used to implement housing, mental health, substance use, and support services to meet needs of persons who are homeless, and have co-occurring disorders. Discuss process and outcomes evaluation methods designed to measure organizational and service delivery components of IDDT, and housing interventions. Discuss evaluation results associated with 10 program goals. Discuss lessons learned from implementation and evaluation, and potential generalizability to similar programs.

Keyword(s): Homelessness, Evidence-Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the designated evaluator on this project. My research and publications have focused on the implementation, improvement and evaluation of government and community-based human services and systems; especially health and mental health; complementary and alternative medicine.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.