Outcome Evaluation Essay Sample

8 August 2017

Executive sum-up:

The current paper is a memoranda to the province bureau on measuring the sellers on Drug & A ; Substance abuse intervention centres. The five sellers that are in rating are. Volunteers of America. Phoenix House. THE WALDEN HOUSE DAY TREATMENT PROGRAM. FamilyLinks and Bridge House. All the sellers are evaluated establishing on the standards developed with the parametric quantities like. like quality of attention. Effectiveness. Performance. entree to care. cost. timelines and direction etc. . However. after detecting the comparative result rating ‘Family links’ was considered as proposed seller to accomplish cost decrease as one of the province bureau programme end
Overview Outcomes-Based Evaluation

Outcomes rating looks at impacts. benefits. alterations to the clients as a consequence of organization’s plans or attempts during and or after their engagement in the plans. Outcomes evaluation examines these alterations in the short-run. intermediate term and long-run

The Approach to Measure Nonprofit Organizations

There are assorted attacks to measure not-for-profits.

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Such attacks include self appraisal every bit good as outside ratings. Sate bureaus consider both attacks while measuring the sellers. Nonprofit organisations normally observe self-assessment to see how their boards or executive managers fulfill their duties or to re-examine their mission. Sing self-assessment of their plans. the not-for-profits have focus on outcome rating to larn how their plans have made impacts on plan participants and/or the society they serve. It is critical for not-for-profits to cognize how they are making instead than what they do or did.

However the province governments decide which not-for-profits would be awarded. establishing on their self-evaluation as their comparative rating of all the appliers. In this sense. such grant presenting have an component of rating that aid nonprofit organisations to offer better services in their plan execution.

Purpose of the Memo:

The intent of the current memoranda is to offer rating of bing drug maltreatment service centre sellers who have applied for the new financess.

Problem Statement

The province bureau is looking to take down the fiscal support for the current grant and is looking for a cost effectual seller who can present the services harmonizing to the newprogramme guidelines.

The intent ofresults ratingis to:

Scope of services to be performed

The rating is to find the extent to which the bing sellers have met the ends and to place the capableness to accomplish new ends. The rating is non intended to be a research undertaking.

Outcomes ( or client/customer impacts ) and Performance Measures ( that can be measured as indexs toward the results )


The province bureau is looking for selective catching with a service supplier who providesservice in conformity within an agreed- upon system of direction controls ; and provider payment mechanisms which encourage cost containment and may affect some grade of fiscal hazard sharing ( e. g. . capitation agreements. discounted payment agendas ) .

For this. the province bureau intends for a systematic aggregation of information about the development. acquisition and bettering aims of the undertaking. This rating involves measuring undertaking planning. undertaking execution. and project results of different sellers. By and large the rating consists of two parts:

The cardinal constituents intended to utilize in Outcomes Evaluation

For the current rating the province bureau has considered the following basic constituents of different sellers. Outcomes evaluation expressions at plans as systems that have inputs. activities/processes. end products and results. So this system’s position is observed in the current context.

Input signals– These are stuffs and resources that the seller plan uses in its activities. or processes. to function clients. eg. equipment. staff. voluntaries. installations. money. etc.Activities– These are the activities. or processes. that the plan undertakes with/to the client in order to run into the clients’ needs. for illustration. learning. reding. sheltering. eating. vesture. etc.

End products– These are the units of service sing vendor plan. for illustration. the figure of people taught. counseled. sheltered. fed. clothed. etc. The figure of clients served. books published. etc. . really frequently indicates nil at all about the existent impacts/benefits/changes in the clients who went through the plan — the figure of clients served simply indicates the numerical figure of clients who went through the plan.

Results– These are existent impacts/benefits/changes for participants during or after the seller plan
For illustration. for a smoke surcease plan. an result might be “participants discontinue smoking” .
-These alterations. or results. are normally expressed in footings of:
-knowledge and accomplishments ( these are frequently considered to be instead short-run results )
-behaviors ( these are frequently considered to be instead intermediate-term results )
-values. conditions and position ( these are largely long-run results )

Outcome marks– These are the figure and per centum of participants that the seller want to accomplish the result. for illustration. an outcome end of 2. 000 teens to discontinue smoke over the following twelvemonth

Result indexs– These are discernible and mensurable “milestones” towards an result mark. These are the touchable things to bespeak that the seller is doing the advancement toward the result mark. For illustration. the figure and per centum of adolescent participants who quit smoking right after the plan and six months after the plan — these indexs will move as inputs to calculate on whether 2. 000 teens will discontinue or non over the following twelvemonth from finishing your plan.


Service Description

The drug maltreatment and substance maltreatment intervention centres are meant for rehabilitation. Assorted types of services are available to the sick person runing from short term reding. long-run inmate attention and some signifier of community-based theoretical accounts. Day intervention attacks besides include caring for aged and handicapped individuals. adult day-care plans. And in recent old ages the Day intervention attacks are being applied extensively in the intervention of intoxicant maltreatment along with traditional inmate and outpatient plans.

The wellness services provided under Day care intervention are as follows:

Treatment Plan

Treatment is a structured procedure of activities designed to minimise or collar the harmful effects of intoxicant and/or other drug abuse and/or dependence thereby bettering the individual’s physical. psychological and societal degree of working. in the context of maltreatment and/or dependence

Degree of attention in Pre-Treatment

Servicess to persons at hazard of developing substance maltreatment related jobs but may or may non run into the diagnostic standards for maltreatment or dependance. Servicess within this degree may be provided to household members and important others


A: Non-Intensive Outpatient: Regularly scheduled ongoing or intermittent curative Sessionss of low strength with less intervention continuance

Bacillus: Intensive Outpatient: Structured single and group activities for a lower limit of 8 hours/week and three yearss a hebdomad.

Degree centigrades: Day Treatment: Integrated and structured curative activities dwelling of organized and ongoing intervention services in a professionally supervised plan.


A: Non-Medical Community Residential Treatment- means a twenty-four-hour rehabilitation installation. without twenty-four-hour-per-day medical/nursing monitoring. where a planned plan of professionally directed rating. attention and intervention for the Restoration of working for individuals with intoxicant and other drug jobs and/or dependences.

Bacillus: Medical Community Residential Treatment- means a twenty-four-hour rehabilitation installation. with twenty-four-hour-a-day medical/nursing monitoring. where a planned plan of professionally directed rating. attention and intervention for the Restoration of working for individuals with intoxicant and other drug jobs and/or dependence occurs.


A: Ambulatory Detoxification: Servicess to persons with mild to chair symptoms of backdown. supervised by a doctor. Residential. halfway house of outpatient enfranchisement is required.

Bacillus: Sub-Acute Detoxification: Detoxification services provided with 24-hour medical monitoring.

Degree centigrades: Acute Hospital Detoxification

– Assessment rating of each person to find the nature and extent of his or her dependence to alcohol and other drugs.

– Case Management activities to supply aid and support to persons and groups in deriving entree to needed medical. societal. educational and other services indispensable to run intoing basic human demands. Case direction services may include interactions with household members. important others and/or other persons or entities.

-Crisis Intervention through a face-to-face or over the telephone response to a crisis or exigency state of affairs experienced by a client. household member or important other.

– Family Counseling Sessionss with persons and their households under the counsel of a counsellor to turn to household relationship issues related to intoxicants and other drug maltreatment.

– Family Counseling may be provided to household members and important others.

– Medical Somatic services or medicine disposal services or distributing of medicines in an intoxicant and other drug intervention plan.

– Toxicology Screening of specimens like piss. hair. unwritten fluids to observe the presence of intoxicant and other drugs.

– Referral and Information to ask from people about services provided by the plan. services provided to other wellness attention organisations and reaching another wellness attention organisation supplier to obtain services for an person.

– Child Care- Care of kids of persons having intervention during the intervention period.

– Outreach to the mark population within their environment. The intent of this attack is to forestall and/or reference issues and jobs as they relate to the maltreatment of intoxicant and other drugs.

– Education that is focused on assisting the single addition his or her consciousness and cognition of the nature. extent and harmful effects of intoxicant and other drug dependence. Educational services may include persons and groups and consist of talks. pictures or structured treatment Sessionss.

– Treatment Intervention- These should be structured. solution-focused procedure that consists of a group of household members. important others. among others ( colleagues. co-workers. etc ) who come together to show their observations and concerns sing an addict’s behaviour.

– Meals to persons take parting in a intervention plan.

Features that are observed under Outcome Evaluation: Cardinal features of managed Day care plans include a wide scope of organisational and funding characteristics. including the followers: ( cubic decimeter ) Benefit program features ( e. g. . types of patient populations. figure and type of allowed services. usage of co-payments and deductibles ) ; ( 2 ) Use of incorporate and carve out direction systems ; ( 3 ) Wide variableness in the types and mix of intoxicant intervention services provided ; ( 4 ) Systems of supplier enlisting. choice. and monitoring ; ( 5 ) Systems of organisational direction. instance direction and quality confidence. including organisational and clinical decision-making theoretical accounts. usage of clinical guidelines and protocols. supplier credentialing demands. staffing features. ( e. g. . staffingmix. squad theoretical accounts ) . usage of public presentation tracking systems ( e. g. . study cards. supplier and consumer satisfaction studies ) ; and ( 6 ) Financing mechanisms that incorporate inducements to restrict measure and cost of attention. including risk-sharing agreements. deductibles. co-payments. capitation. etc.

Description ofOrganizations in consideration:

In the 110 old ages of supplying services to the community. the name Volunteers of America Oregon has become synonymous with compassion and attention. The organisation has earned repute through dedication and indefatigable committedness to assisting persons and households create safer. healthier. and more stable life styles. The services are catered to risky young person to victims of domestic force. from the retrieving nut to the frail elderly. the organisation provide a scope of supportive and authorising services to the

vulnerable populations to work with them and to reconstruct whole lives to make their full potency. Apart from the assorted outstanding services like Children & A ; Family Services and Senior Services. the Rehabilitation Services include. Alcohol & A ; Drug Outreach. Community Detention Monitoring. Community Partners Reinvestment. Day Treatment Program. Integrated Family Services. Men’s Residential Center. Rearing Program. Portland Partners Re-entry and Women’s Residential Center

The result of FY 2006-2007 Highlights and Results depicts the Community Partners Reinvestment Project consequences as under:

Phoenix House is one of the nation’s taking non-profit substance maltreatment bar and intervention service organisations.

Phoenix House serves more than 7. 000 work forces. adult females ( including adult females with kids ) and teens each twenty-four hours at more than 120 drug and intoxicant intervention and bar plans in nine provinces – California. Florida. Maine. Massachusetts. New Hampshire. New York. Rhode Island. Texas. Vermont.

The drug and intoxicant intervention plans include:

Phoenix Academies. our residential high schools for teens in intervention for drug and intoxicant maltreatment ; Long and short-run residential drug intervention centres for grownups:

Intensive outpatient and twenty-four hours plans ; after-school plans for teens ; plans for female parents with little kids ; recovery abodes ; and plans for the mentally ill. for stateless individuals. and for drug and intoxicant maltreaters in prisons.

For 40 old ages. Phoenix House has been constructing a intervention and bar system that now serves more than 7. 000 individuals each twenty-four hours at more than 120 plans in nine provinces. Seeking to assist the most vulnerable among us. the organisation has since 1967. made it possible for more than 150. 000 persons to alter their lives.

During FY ’04-05. there was continued strengthening of the Foundation fundss. as net assets rose by $ 7. 9 million to $ 51. 1 million. due in big step to donor pledges for

Campaign Phoenix House. but reflecting every bit good exceeding net incomes of invested assets.

Although entire runing grosss increased somewhat. from $ 101 million to $ 102 million. there was a fringy diminution in authorities contract gross. while grants and parts. client fees. and third-party payments all rose. as did investing income applied to operations. Expenses for the financial twelvemonth totaled $ 101. 5 million. with 81. 5 % for direct attention and services and the balance for direction. general disbursals. and fund-raising.

The addition in net assets includes $ 3 million “temporarily restricted. ” stand foring sworn parts that will be realized in three to five old ages. It besides includes $ 2 million in net assets that are “permanently restricted” for gift. Investment grosss of $ 2. 3 million reflected a return on investings of 18 per centum. The board designated an sum equal to 5 per centum of invested assets—some $ 700. 000—to be used for operations. with the balance increasing the Foundation’s sum unrestricted assets. ( Phoenix )

“Walden House is a non-profit-making community-based organisation with a 38 old ages experience in handling substance-abusing persons in San Francisco. The chief doctrine is that of the residential TC. which relies on the “family concept” to make a supportive curative environment. Treatment schemes are designed to assist clients get rid of drug-related behaviours. and to larn subject. autonomy and consciousness. Since its origin as a traditional residential TC. Walden House has expanded plans and added new constituents in response to altering community demands.

Originally. Walden House sought to turn to increasing demands for intervention by making a preadmission plan for persons waiting to come in residential intervention. In the preadmission plan. clients were given minimum intervention. and were expected to look into in as a presentation of their committedness to intervention. In 1990. with the support of a NIDA ( National Institute on Drug Abuse ) intervention presentation grant. Walden House expanded the preadmission plan into a separate twenty-four hours intervention plan. In developing the twenty-four hours intervention plan. Walden House staff adapted the basic elements of the residential TC to an intensive outpatient puting where clients received intervention on a day-to-day footing but returned to their places in the community every evening” ( Joseph & A ; et Al. . )

FamilyLinks is a non-profit societal service bureau that provides mental wellness and mental deceleration plans. young person and household development plans. grownup community services. intoxicant and other drug intervention. and school-based bar services to kids. households and persons throughout southwesterly Pennsylvania.

In 2006-2007. the organisation has launched a biennial run to convey all of their activities under an electronic Clinical Management System. which applies information engineering tools to bettering client service. streamlining record-keeping. and organizing attention among all FamilyLinks activities.

Bridge House accepts males aged 18 and over who are able to acknowledge to holding substance maltreatment jobs and are seeking aid. It is recommended that the mean occupant who comes to Bridge House for intervention remain at least a twelvemonth. The Bridge House intervention plan. which is based on the disease construct of dependence. is intensive and extremely structured. Residents reside in a residence hall scene and advancement through several stages of intervention: stabilisation. primary. independent life and go oning attention.

As a occupant enters the Bridge House plan he participates in a Stabilization period during which he is provided with an chance to go familiar with the day-to-day modus operandis of Bridge House. The new occupant participates in an debut to recovery through groups and pictures presented throughout the twenty-four hours. As a occupant moves into primary attention. an individualised intervention program is created to supply the occupant with the appropriate accomplishments to ease his ability to develop the wonts of recovery and advance positive alterations and growing in recovery. At this clip a occupant begins to pay a resident service fee. He will show his ability to budget his money in readying for his re-entry into mainstream society every bit good as his ability to keep a plan of recovery. He continues to go to curative groups and vocational rehabilitation guidance.

A go oning attention plan of aftercare activities and meetings are in topographic point for those close to completion and to those who have graduated from the Bridge House intervention plan.

Parameters for rating:The result rating of the above five sellers was conducted establishing on the undermentioned parametric quantities.Entree to Care:The present rating observes the undermentioned facets: How is entree to care defined. measured. and evaluated with each attention plan. How make different care agreements impact entree to alcohol intervention. Is at that place a differential impact for different subgroups ( e. g. . adult females. the hapless ) or across different types of intervention modes ( e. g. . inmate. detox. outpatient ) ? How is entree restricted ( e. g. . denial of petitions for attention ) or expanded ( e. g. . broader geographic web of outpatient services ) ?Use of Servicess:The rating includes the results derived from the undermentioned facets: How are client use rates measured and evaluated by different managed attention plans? What types of use reappraisal standards and processs are utilised. and what is their impact on use of intoxicant services?

What is the impact of differentmanaged attention agreements. peculiarly financing agreements. on use of intoxicant services? Are at that place differential impacts among subgroups and across different intervention modes? What are the administrative costs associated with use reappraisal and what is the impact of different systems of utilization reappraisal on providermorale. on intervention procedure. and on result?Quality of Care:Quality of attention is observed under the undermentioned facets: Here the rating includes the results derived from the undermentioned facets: How is quality of attention measured and evaluated by different managed attention plans? How are structural quality controls ( e. g. . staff/client ratios. supplier enfranchisement. staff credentialing. instance direction protocols. etc. ) determined and implemented? Whatare the intervention protocols that are utilised. and to what extent do these protocols address the chronic. repeating nature of intoxicant upsets?

Costss:The cost results observed here are: How are costs for intoxicant services defined and computed across different managed attention plans? How much make different types ofmanaged attention plans cut down intoxicant intervention costs. including entire. per episode. day-to-day. patient. practician. and supplier costs? To what extent do managed attention systems result in decreases of other medical or societal costs? Are at that place differences in short term vs. long term cost nest eggs? Do cost nest eggs differ across different patient population groups ( e. g. . low income. elderly ) ? How make plan profit construction and administrative factors affect cost ( e. g. . exclusion of high hazard patients. limitations on sum of services ) ?Effectiveness:How is intervention effectivity defined and operationalized by different managed attention systems? How is intervention effectivity monitored over clip? How do different systems of clinical decision-making and instance direction affect intervention outcomes? What is the impact of different systems of service bringing ( e. g. . integrated vs. carve out theoretical accounts. usage of EAP plans ) on the effectivity of intervention? Do managed attention plans improve cost-benefits and cost-effectiveness of intoxicant and intervention plans? What incentives do suppliers and managed attention organisations have to better effectivity?

Evaluation matrix

The above 5 sellers are rated in the peculiar sequence

Rating graduated table for the above administrations were given as follows:

1-Did non run into committedness

2-Met minimal demands. significant betterments desirable

3-Met demands

4-Exceeded demands

Indicator Measurement Matrix



The province bureau analyses that it can accomplish cost effectivity which is its premier purpose in its result rating through a seller who has non merely exhibited excess ordinary public presentation but besides excess ordinary cost decrease. From the above measuring matrix it is apparent that ‘Familyu links’ has achieved a significance cost instruction than the staying sellers. Though Phoenix exhibits an accretion of financess from the militias that are available to the current plan. the organisation has no program in cost decrease that is available for acceptance during the current programme. On the other manus Family links has shifted its procedure from manual to computerized procedure. where by it can turn out the increased efficiency of work force and reduced new hire and HR costs. Therefore Family links can be proposed as a considerable seller for cost effectual plan execution for drug and maltreatment substance intervention.


Annual Report | 2005. In Support of Phoenix House. Retrieved February 8. 2000. from hypertext transfer protocol: //www. phoenixhouse. org/index. hypertext markup language

Bridgehouse intervention plan Retrieved February 8. 2000. from hypertext transfer protocol: //www. bridgehouse. org/07treatment. htm

FamilyLinks. M o V I n g F o R tungsten a R vitamin D. 2 0 0 6 – 0 7 A n N u a cubic decimeter R vitamin E P O R t. Retrieved February 8. 2000. from hypertext transfer protocol: //www. familylinks. org/pdf/FamilyLinksAR07. pdf

Joseph Guydish. David Werdegar. Barbara Tajima. Marilyn Price. Alfonso Acampora. Clients come ining drug maltreatment twenty-four hours intervention: 18-month results. hypertext transfer protocol: //findarticles. com/p/articles/mi_m0978/is_n1_v23/ai_19182048

MANAGED CARE AND ALCOHOL TREATMENT SERVICES. Retrieved February 8. 2000. from grants. National Institutes of Health. gov/grants/guide/rfa-files/RFA-AA-96-001. hypertext markup language – 30k –

Volunteers America. Service. Retrieved February 8. 2000. from hypertext transfer protocol: //72. 32. 194. 107/portals/34/agency2006. pdf

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