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| success indicators |
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| Research into effectiveness |
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CHT is a member of the Community of Communities at the Royal College of Psychiatrists Centre for Quality Improvement. It provides a systematic forum for exchange and monitors service standards.
CHT also has its own Project Evaluation Sub-Group, which makes audits of projects’ clinical and administrative performance. We run a psychological and sociological research programme specifically suited to our particular client group and treatment modality in order to assess and evaluate the changes taking place in terms of their symptoms, needs, problem solving skills, cognitive performance, quality of life and insight and the efficacy of our therapeutic community treatment.
Four types of research instruments are in use:
1. Measures of Therapeutic Programme and Environment
• Residential Substance Abuse and Psychiatric Programmes Inventory (RESPPI)
• Community Oriented Programmes Environment Scale (COPES)
• Good Milieu Index (GMI)
• Working Alliance Inventory (WAI)
2. Static Measures of Patient Group Psychopathology
• Structured Clinical Interview for DSM IV Axis I (SCID I)
• Borderline Syndrome Index (BoSI)
3. Dynamic Measures of Therapeutic
Change and Outcomes
• Health of the Nation Outcome Scales(HoNOS)
• Clinical Outcomes Routine Evaluation (CORE)
• Borderline Syndrome Index (BoSI)
4. Ultimate Outcomes
• Length of Stay Data
A qualitative research programme has also been conducted by Dr Barbara Rawlins, Research Fellow at Manchester University, together with CHT’s own six research assistants, into a group of 100 former clients who were discharged over the last two years. Data was collected through interviews or observation, examination of documents, users’ thoughts and feelings, and practitioners’ accounts. We are presently conducting research led by Dr. Mark Freestone of Nottingham University. The aim of this research project is to compile a triangulated dataset a strong emphasis on the physical,therapeutic and psycho-social environments, and provide data that would be comparable to datasets produced by the ATC NLCB research project, as well as on-going TC research in Nottinghamshire, Leicestershire and West London NHS Mental Healthcare Trusts.
Outcomes
The number of referrals made to CHT has increased to 421, this is an increase of 4% on the previous year. The number of people that we have been able to help and who have lived in our communities this year has increased this year to 114. A further 56 people have been accepted for extended assessment periods. Leaving our communities and moving into independent accommodation is a difficult and stressful period for many of our clients. For this reason CHT offers a comprehensive after care package, which gives clients invaluable assistance during the anxious time of settling into their own home.
This year 45.61% of clients have moved on successfully. 29.82% of these have gone onto permanent and independent accommodation and
15.79% to less supported accommodation.
The average length of stay has reduced over the last year from two years and two months to one year and 9 months.
70.18% of our current clients are involved in some activity in the community beyond CHT’s projects.
17.54% of our clients are in employment, 7.02% started voluntary work, 17.54% have attended Day
Centres, 28.07% have been attending training courses either at local colleges or those run especially for the mentally ill.
Service user participation is central to our approach and clients are involved in the planning and provision of the service, to the fullest extent possible. |
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