Comprehensive Program Review December 6, 2013 McGRATH HOUSE Comprehensive Program Review December 6, 2013

PROGRAM HIGHLIGHTS Participation in the Northampton Community Garden Solidified the Management Team at McGrath Significant Efforts have been made to communicate with our stakeholders Work with Reentry Affairs Coordinator at FCI Danbury Established a Memorandum of Understanding with Whittier Street Health Center

BEST PRACTICE/PROMISING PRACTICE Action-planning to conduct a Gender Responsive assessment. During this time, McGrath House has remolded the treatment culture/environment of the program to reflect the culture envisioned by/expected of CRJ.  Focus on resident individual risk factors and criminogenic needs Solidified its process to track Life Skills Groups

CHALLENGES A challenge which the program management team looks forward to tackling everyday is continuing to set uniform expectations between the residents of the individual contracts; i.e., to create “one” McGrath House with consistent expectations (identifying at the onset that there are some that will not be possible). Continue to build upon a solid relationship to increase, and to set an expectation, of strong utilization of the contracts. Utilize, and expand our utilization, of SecurManage to make program systems more efficient.

STAFFING Staff Turnover Rates Performance Evaluations Staff Training

Turnover Rate (October 2012 – September 2013) Last CPR, the turnover rate for McGrath was 56.8% (September 2011- August 2012) Data obtained from MMRs

STAFFING OVERDUE PERFORMANCE EVALUATIONS April - September 2013 Overdue Performance Evaluations as of 9/30/13 FTE PTE McGrath 3 Last CPR, a total of 7 FTE’s and 15 PTE’s with overdue performance evaluations between March 2012 – August 2012. Data obtained from HR Department & HR Personnel Summary

Staff Training Hours (April – September 2013) For the above time frame, McGrath had a total of 558.75 training hours; averaged 93.13 training hours per month For the above time frame, McGrath averaged 7.7 hours per staff member per month Last CPR, average of 82 trainings hours per month; 8.07 hours per staff member per month ( March – August 2012) Data obtained from MMRs Data obtained from MMRs

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

Utilization (April -September 2013) Last CPR, McGrath House had an average of 19.5 clients (March – August 2012); utilization rate = 65% (based on a capacity of 30 clients) This CPR, McGrath House had an average of 18.3 clients for the above six months Current utilization rate for the above six months is 61.1% (based on a capacity of 30 clients) The utilization rate for the above six months is 76.4% (based on “total number of contracted” beds of 24 clients) Data obtained from MMRs

Program Completion (April-September 2013) Average of 42.76% of clients completed with employment. Last CPR 70.48% of completed with employment. Average of 42.86% of clients completed with housing. Last CPR 72.14% completed with housing. Average of 26.31% of clients were terminated before completing the program. Average of 73.69% of clients successfully completed the program. Last CPR, 71.13% successfully completed the program. Data obtained from MMRs

CLIENT RELATED Clinical Hours Walk-Aways Medication

Clinical Hours (April-September 2013) Total Hours: 1,770 ; last CPR, a total 786 hours. (225% increase from last CPR) Total Life Skills Hours: 1,268; Total Cognitive-Behavioral Hours: 502 Average Total Hours per client/month: 16.09 Average Life Skills Hours per client/month: 11.53; last CPR was 2.45 hours. Average Cognitive-Behavioral Hours per client/month: 4.56; last CPR was 4.04 hours. Data obtained from MMRs

McGrath Walk-Aways Month McGrath SCSD McGrath FBOP McGrath Parole April May June July August 1 September TOTAL Data obtained from MMRs

MEDICATION INCIDENTS & OCCURRENCES (April-September 2013) Average of .33 medication incidents and occurrences per client/month Total of 2 medication incidents and occurrences (April – September 2013) Last CPR, 2 medication incidents over that time period. Data obtained from MMRs

Quality Assurance Key MMR Results• Satisfaction Surveys•

KEY MMR RESULTS 96.2% negative client drug tests 74 site visits by outside regulators/funders 431 community service hours for the six month period 100% of staff certified in First Aid/CPR/AED and Fire Safety

CLIENT SATISFACTION SURVEY August 2013

CLIENT SATISFACTION SURVEY - CONTINUED

CLIENT SATISFACTION SURVEY - CONTINUED

CLIENT SATISFACTION SURVEY - CONTINUED

CPR ACTION PLAN Need to increase utilization Decrease the overdue performance evaluations Increase resident input into programming