Effective Services for Substance Misuse and Homelessness in Scotland: Evidence from an International Review

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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

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

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

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

Example Continuum

Page updated: Thursday, July 24, 2008