Appendix 2: HSMAG draft outcome measures
OUTCOME AREA 1 - ACCOMMODATION
THE SERVICE USER SHOULD BE LIVING IN ACCOMMODATION THAT THEY FEEL TO BE SAFE, SECURE AND APPROPRIATE TO THEIR NEEDS
Potential indicators:
- Person has privacy and independence
- Person understands the range of housing options available to them and is happy with their current arrangements
- Person is reasonably confident that they won't become homeless again
- If in accommodation in their own right, has a formal occupancy agreement of some sort that they understand & that outlines their rights & responsibilities
- Accommodation does not unreasonable restrict contact &/or relationship with significant others, unless service user agrees to this as part of planned approach
- Accommodation circumstances no longer contribute to risk of drug or alcohol use/relapse
- Appropriate support is available to the person in their accommodation
- Geographical location of accommodation suits service users' needs as far as possible - service user understands and accepts the compromise involved in this
Example Continuum - noted that continuums would need to be individually tailored

OUTCOME 2 - DRUGS AND ALCOHOL
THERE SHOULD BE A SIGNIFICANT REDUCTION IN DRUG OR ALCOHOL RELATED HARM
Potential Indicators
- There is a sustained and purposeful engagement with services, including clear continuity of care and easy access to support
- IV (intravenous) use stopped
- Reduction/stopping of chaotic or uncontrolled substance use
- Service user proactive in own treatment/care plan
- Significant reduction in drug/alcohol driven offending behaviour
- Drug & alcohol related issues no longer contribute to risk of homelessness
Example Continuum

OUTCOME 3 - GENERAL HEALTH & WELLBEING
THERE IS A SIGNIFICANT IMPROVEMENT IN THE OVERALL HEALTH AND WELLBEING OF THE PERSON
Potential Indicators
- there is a reduction in physical health symptoms related to alcohol or drug use
- protects self from Blood borne viruses or if BBV+ has access to & engages in treatment and adapts behaviour to ensure protection of others
- improved nutrition - weight gain
- improved dental health
- receiving counselling/support &/or treatment re mental health symptoms
- reduction in mental health symptoms
- sexual health checked & engaged in any necessary treatment - sexual behaviour safe
Example Continuum

OUTCOME 4 - SOCIAL WELLBEING
PERSON DEMONSTRATES EFFECTIVE SOCIAL FUNCTIONING
Potential Indicators
- Improved relationships with partner/family/friends
- Part of a social network
- Person has significant others in their life
- Person is engaged in meaningful activity, eg volunteering, education, training, employment, pre-employment activity
- Person manages their money effectively
- Reduced or no offending behaviour
- If a parent, they have either care of their children, positive contact with their children, or are coping with lack of contact.
- The needs of the service user's children have been clearly assessed and are being met
- The service user is working positively with relevant support services.
Example Continuum
