Mc GRATH HOUSE Mc Grath House Staff CJI

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Mc. GRATH HOUSE Mc. Grath House Staff, CJI Staff, and CEO meet with Rep.

Mc. GRATH HOUSE Mc. Grath House Staff, CJI Staff, and CEO meet with Rep. Cullinane L-R Gianna Franco, Andrew Le. Clair, Representative Cullinane, Gabriella Priest, John Larivee Comprehensive Program Review August 22, 2014

PROGRAM HIGHLIGHTS FBOP Full Monitoring Results (5 strengths and 1 deficiency): Mc. Grath House

PROGRAM HIGHLIGHTS FBOP Full Monitoring Results (5 strengths and 1 deficiency): Mc. Grath House was acknowledged for having 5 program strengths: 1) the employment readiness program; 2) 100% urine surveillance of all non-mandatory residents (only 5% required); 3) family reunification efforts of Case Manager Gianna Franco, leading to a resident retaining custody of her child; 4) improvement of community ties (expanding its footprint); and 5) contract administration - working prior to a resident’s arrival to facilitate speedy, direct to home confinement, placements. Community Engagement: During the past 6 months, some highlights include: 1) 2) 3) 4) hosting Rebecca Miller, Legislative Aide to Representative Tom Sannicandro; participating in “Boston Shines”; taking on a gazebo clean-up project at the Northampton Community Garden; and participating in the MA Women’s Justice Network Vocational Training/Employment: In addition to the 40% of Mc. Grath’s residents being employed, an additional 40% of residents who completed the program either enrolled full-time or completed a full-time vocational training program. 2

BEST PRACTICE/PROMISING PRACTICE Treatment Culture of the Program: Noted by Consultant (and former DOC

BEST PRACTICE/PROMISING PRACTICE Treatment Culture of the Program: Noted by Consultant (and former DOC Commissioner) George Vose as truly a “best practice”. At that time, however, the resident surveys did not reflect this programmatic goal and culture change. The latest round does, as represented in this CPR, and the Mc. Grath House staff are proud of this accomplishment. 3

CHALLENGES Utilization: Currently at a low utilization rate based on multiple factors: Ø Contractor

CHALLENGES Utilization: Currently at a low utilization rate based on multiple factors: Ø Contractor confidences are high and Mc. Grath receives the “difficult” or heightened attention placements. Ø Top utilized programs for this population, but the formerly steady stream of residents has not been as steady as last year Ø The Parole contract has been reduced to zero as of August 31 st. Ø Mc. Grath receives strong utilization with respect to individual contracts, but not all happening at the same time. Ø This fall, anticipating a drastic increase with the start of DOC Step-Down residents from SCSD and already scheduled intakes from the FBOP. Staff Hiring: Despite a steady stream of applicants, Mc. Grath has had tremendous difficulty recruiting program monitor positions. With over 5 final candidates either they: 1) did not pass NCIC screening, 2) tested positive for drugs, and 3) accepted a verbal offer to only subsequently decline the written offer. The current staff has done a tremendous job pitching-in to account for sick days, vacation, and maintaining the schedule. 4

STAFFING Staff Turnover Rates Staff Retention Rates Overdue Performance Evaluations Staff Training Hours 5

STAFFING Staff Turnover Rates Staff Retention Rates Overdue Performance Evaluations Staff Training Hours 5

Staff Turnover Rate (May 2013 – June 2014) 42. 1% 41. 7% 38. 9%

Staff Turnover Rate (May 2013 – June 2014) 42. 1% 41. 7% 38. 9% 37. 0% 39. 6% 37. 7% 33. 3% 29. 8% 25. 0% 23. 1% 20. 8% 16. 0% 15. 8% Mc. Grath Brooke 29. 8% Coolidge Hampshire June 2014 Horizon SJS CRJ - Overall September 2013 Ø Last CPR, the turnover rate for Mc. Grath was 25. 0% (October 2012 – September 2013 ) Data obtained from HR Retention & Turnover Report 6

Staff Retention Rate (May 2013 – June 2014) 82. 4% 84. 2% 78. 6%

Staff Retention Rate (May 2013 – June 2014) 82. 4% 84. 2% 78. 6% 66. 7% 61. 1% 53. 3% Mc. Grath Brooke 75. 0% 66. 7% 63. 1% 60. 0% 55. 8% 68. 2% 59. 4% 56. 6% Coolidge June 2014 Data obtained from HR Retention & Turnover Report Hampshire Horizon SJS CRJ - Overall December 2013 7

STAFFING OVERDUE PERFORMANCE EVALUATIONS January – June 2014 Overdue Performance Evaluations as of 6/30/14

STAFFING OVERDUE PERFORMANCE EVALUATIONS January – June 2014 Overdue Performance Evaluations as of 6/30/14 Mc. Grath FTE PTE 6 0 Ø Last CPR, a total of 0 FTE’s and 3 PTE’s with overdue performance evaluations between April – September 2013. Data obtained from HR Department & HR Personnel Summary 8

STAFF TRAINING HOURS (January – June 2014) 160. 8 180. 0 160. 0 140.

STAFF TRAINING HOURS (January – June 2014) 160. 8 180. 0 160. 0 140. 0 100 80. 8 120. 0 100. 0 76 80. 0 52 52. 0 50. 8 39. 5 60. 0 40. 0 20. 0 110 13 13. 0 1. 08 0. 0 4. 8 6. 3 4. 3 0. 0 15. 5 24 10 2. 4 20. 0 9. 09 0. 0 January February E Learning March MMR Training Hours April Total May June Average Per Staff/Month Ø Mc. Grath had a total of 466 training hours Ø Mc. Grath averaged 6. 81 hours per staff member per month; averaged 40. 87 hours per staff /over six months Ø Last CPR, a total of 558. 75 training hours; average of 93. 13 trainings hours per month; 7. 7 hours per staff member per month ( April – September 2013) Data obtained from MMRs & E Learning Data obtained from MMRs 9

PROGRAMMING • Utilization • Successful Completions • Completion with: - Employment - Permanent Housing

PROGRAMMING • Utilization • Successful Completions • Completion with: - Employment - Permanent Housing 10

UTILIZATION (January – June 2014) 30 30 25 19 30 22 30 30 23

UTILIZATION (January – June 2014) 30 30 25 19 30 22 30 30 23 18 20 14 14 May June 15 10 5 0 January February March April Number of Clients Capacity Ø This CPR, Mc. Grath House had an average of 18. 3 clients for the above six months Ø Current utilization rate for the above six months is 61. 1% (based on a capacity of 30 clients) and utilization rate of 76. 4% (based on “total number of contracted” beds of 24 clients) (Maintained same percentage from last CPR) Ø Last CPR, Mc. Grath House had an average of 18. 3 clients (April – September 2013); utilization rate = 61. 1% (based on a capacity of 30 clients) and utilization rate of 76. 4% (based on “total number of contracted” beds of 24 clients) Data obtained from MMRs 11

PROGRAM COMPLETION (January – June 2014) 8 4 1 1 January 6 5 4

PROGRAM COMPLETION (January – June 2014) 8 4 1 1 January 6 5 4 2 7 2 2 2 0 February Clients Completing Program 5 4 0 March With Employment 1 April With Housing 4 1 May 3 2 0 1 0 June Terminated Before Completion Ø Average of 31. 8% of clients completed with employment. Last CPR 42. 76% completed with employment. However, it is important to note that 13 residents went on to F/T vocational training and/or academic programming in lieu of employment. Total of 24 out of 29 graduates (83%) employed, in school or vocational training Ø Average of 72. 4% of clients completed with housing. (This is a 68. 9% increase from last CPR = 42. 86% completed with housing. ) Ø Average of 20. 3% of clients were terminated before completing the program. Last CPR 26. 31% clients terminated. Ø Average of 79. 7% of clients successfully completed the program. (This is a 8. 2% increase from last CPR) Last CPR, 73. 69% successfully completed the program. Data obtained from MMRs 12

CLIENT RELATED • Clinical Hours • Walk-Aways • Medication 13

CLIENT RELATED • Clinical Hours • Walk-Aways • Medication 13

CLINICAL HOURS (January – June 2014) 368 288 350 242 300 250 169 150

CLINICAL HOURS (January – June 2014) 368 288 350 242 300 250 169 150 123 99 80 100 159 154 136 200 33 87 83 55 60 40 20 0 Life Skills January March 400 62 36 50 Be havi 32 30 oral 0 January February March Total Hours ØTotal Hours: 1, 228; last CPR, a total 1, 770 hours. ( 30. 6% decrease from last CPR) ØTotal Life Skills Hours: 725; last CPR = 1, 268. ØTotal Cognitive-Behavioral Hours: 503; last CPR = 502 Data obtained from MMRs April May Life Skills Behavioral June ØAverage Total Hours per client/month: 11. 06; last CPR was 16. 09 ØAverage Life Skills Hours per client/month: 6. 53; last CPR was 11. 53 hours. ØAverage Cognitive-Behavioral Hours per client/month: 4. 53; last CPR was 4. 56 hours. 14

Mc. Grath Walk-Aways Month Mc. Grath SCSD Mc. Grath FBOP Mc. Grath Parole January

Mc. Grath Walk-Aways Month Mc. Grath SCSD Mc. Grath FBOP Mc. Grath Parole January 0 0 0 February 0 0 0 March 0 1 0 April 0 0 0 May 0 0 0 June 0 0 0 TOTAL 0 1 0 Ø Last CPR, Mc. Grath had one walk-away (Parole) Data obtained from MMRs 15

Ø Average of 0 medication incidents and occurrences per client/month Ø Total of 0

Ø Average of 0 medication incidents and occurrences per client/month Ø Total of 0 medication incidents and occurrences (January – June 2014) Ø Last CPR, average of. 33 medication incidents and occurrences per client/month Ø Total of 2 medication incidents and occurrences (April – September 2013) Data obtained from MMRs 16

QUALITY ASSURANCE Key MMR Results Satisfaction Surveys 17

QUALITY ASSURANCE Key MMR Results Satisfaction Surveys 17

KEY MMR RESULTS Ø 99. 6% negative client drug tests; last CPR = 96.

KEY MMR RESULTS Ø 99. 6% negative client drug tests; last CPR = 96. 2% Ø 49 site visits by outside regulators/funders; last CPR = 74 Ø 29 Incidents involving contraband : (9 = FBOP; 0 = Parole; 20 = SCSD) Last CPR = 9 incidents involving contraband: (9 = FBOP; 0 = Parole; 0 = SCSD) Ø 95 community service hours; last CPR = 431 Ø 100% of staff certified in First Aid/CPR/AED and Fire Safety; last CPR = 100% Data obtained from MMRs 18

CLIENT SATISFACTION SURVEY March 2014 10 PROGRAM STAFF 8 8 6 5 5 6

CLIENT SATISFACTION SURVEY March 2014 10 PROGRAM STAFF 8 8 6 5 5 6 6 5 4 4 3 2 2 1 0 6 0 0 1 0 3 2 2 3 2 1 0 3 1 0 1 1 0 The staff were Staff use Staff are fair and The way staff Staff are Staff apply very clear about friendly and respectful consistent to treat me responsive to available when I sanctions for program rules easy to talk to language and me encourages me any problems I needed them rule violations and what was conducted to improve my bring to them fairly and expected of me themselves behavior consistently professionally N= 16 Never Sometimes Most Times Always No Answer/ Not Applicable 19

CLIENT SATISFACTION SURVEY - CONTINUED CASE MANAGEMENT 8 8 8 7 6 6 5

CLIENT SATISFACTION SURVEY - CONTINUED CASE MANAGEMENT 8 8 8 7 6 6 5 5 5 6 5 4 4 3 2 1 1 2 1 0 3 3 3 2 1 0 My case manager When I met with I meet with my My case manager involves me in lets me know how I my case manager, I case manager at gives me useful takes time to listen talked to me in a refers me to decisions regarding was doing in the have enough time least bi-weekly suggestions, to me respectful manner appropriate my activities program to meet advice, and services and guidance to help programs me succeed N= 16 Never Sometimes Most Times Always No Answer/ Not Applicable 20

CLIENT SATISFACTION SURVEY - CONTINUED CLIENT INFORMATION 11 10 10 7 7 5 4

CLIENT SATISFACTION SURVEY - CONTINUED CLIENT INFORMATION 11 10 10 7 7 5 4 4 3 2 3 2 1 0 0 I feel safe in the program 0 1 0 I feel prepared to move back into the community 0 My relationship with my family has improved 0 I am better prepared to handle responsibility 0 I am benefitting from being in the program N= 16 Never Sometimes Most Times Always No Answer/ Not Applicable 21

CLIENT SATISFACTION SURVEY - CONTINUED PROGRAM INFORMATION 13 12 11 10 9 8 7

CLIENT SATISFACTION SURVEY - CONTINUED PROGRAM INFORMATION 13 12 11 10 9 8 7 6 7 7 7 6 5 4 4 3 3 2 0 Overall, the program is clean N= 16 0 3 2 1 0 Everything in I receive my room is medical care working when I need it properly 1 0 The food is good Never 2 1 0 2 2 1 0 11 0 0 2 1 0 1 1 0 0 I receive I know what to Staff observe I know what to The program I know what emergency do if there is a me when I give do if I want to rules are clear items are financial fire a urine sample make a to me considered assistance if I complaint contraband need it Sometimes Most Times Always No Answer/ Not Applicable 22

CPR ACTION PLAN ISSUE: COMMENTS: Improve the employment and housing completion rates Last CPR,

CPR ACTION PLAN ISSUE: COMMENTS: Improve the employment and housing completion rates Last CPR, average of 42. 7% of clients completed with employment; average of 42. 8% of clients completed with housing. IMPROVEMENTS MADE: Current CPR, average of 31. 8% of clients completed with employment; average of 72. 4% of clients completed with housing (68. 9% increase) * Note: 13 residents went on to F/T vocational training and/or academic programming in lieu of employment. ISSUE: COMMENTS: Increase utilization Last CPR, utilization rate = 61. 1% (based on a capacity of 30 clients) The utilization rate = 76. 4% (based on “total number of contracted” beds of 24 clients) IMPROVEMENTS MADE: Current utilization rate = 61. 1% (based on a capacity of 30 clients) and 76. 4% (based on “total number of contracted” beds of 24 clients) ISSUE: COMMENTS: Improve Client Satisfaction Survey Results Last CPR, the percentage of respondents who answered “ Always, Most Times, and/or Sometimes” was < to 75% for a few key questions. IMPROVEMENTS MADE: This current CPR, the percentage jumped up to 94%. (see next slide) Keep an Eye on: Documentation and institutionalizing resident input into programming 23

SATISFACTION SURVEY Key Questions Current CPR Last CPR Program Staff o Staff are clear

SATISFACTION SURVEY Key Questions Current CPR Last CPR Program Staff o Staff are clear about rules 100% 75% o CM let’s me know how I am doing 94% 83% o Meets bi-weekly 94% 75% o Have enough time to meet 94% 75% o Food is good 94% 75% o Receive emergency care 75% 17% Case Management Program Information The percentage was tallied based on the total number of positive responses (“ Always”, “Most Times” and “Sometimes”) to the specific question. 24