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103 a mcguire v2 Presentation Transcript

  • 1. Utilizing Outcome Measurements with Bereaved Children  
    • Presenter:
    • Beth A. McGuire, MDiv, NCBF, CT
    • [email_address]
    • The Robertson Bereavement Center (RBC)
    • … a community outreach of Hospice of Medina County
    • 797 N. Court St., Medina OH 44256
    • 330-725-1900
    • www.hospiceofmedina.org
    Thursday, June 24, 2010; 10:30am – noon Workshop session #1; 103-A
  • 2. Workshop Objectives Thursday, June 24, 2010; 10:30-12:00
    • At the conclusion of this workshop,
    • participants will be able to:
    • Review variety of camp opportunities and their impact on data collection
    • Describe the four components of Outcome Measurements
    • Describe importance of Developmental Assets in program planning
    • Identify one Outcome Measurement to implement in their own children’s grief program
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 3. Types of Kids Grief Camps
      • one all day camp
      • one week day-long camp
      • one week camp as part of other camp (YMCA)
      • weekend camp with or without families
      • overnight week long camp
      • adventure camp
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 4. Goals of RBC Camp
    • To provide a safe, non-threatening environment for children who have experienced a recent loss through the death of a loved one.
    • To normalize the grief process.
    • To correct any misinformation about death, dying and grief.
    • To help children understand they are not alone and to encourage the development of peer support.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 5. Goals of RBC Camp (cont’d)
    • To provide opportunities for participants to express their feelings (fear, anger, regret, sadness, guilt) in constructive and healthy ways.
    • To help children build new ways of coping with grief which will help them in years to come.
    • To incorporate Search Institute's Developmental Assets.
    • To teach the Grief Facts©
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 6. GRIEF Facts © created by The Robertson Bereavement Center Hospice of Medina County, Ohio
    • G rief is normal
    • It R eally hurts
    • It’s I mportant not to grieve alone
    • E xpress your feelings
    • F ind ways to cope
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 7. Developmental Assets: What are They? http://www.search-institute.org
    • Search Institute’s 40 Developmental Assets® are common sense, positive experiences and qualities that help influence choices young people make and help them become caring, responsible adults.
    • Research-based comprehensive vision of what young people need to thrive
    • They include both External & Internal Assets
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 8. External Assets: Support (age 8-12)
    • Family Support
    • Positive Family Communication
    • Other Adult Relationships
    • Caring Neighborhood
    • Caring School Climate
    • Parent Involvement in Schooling
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 9. External Assets: Empowerment
    • Community Values Youth
    • Children as Resources
    • Service to Others
    • Safety
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 10. External Assets: Boundaries & Expectations
    • Family Boundaries
    • School Boundaries
    • Neighborhood Boundaries
    • Adult Role Models
    • Positive Peer Influence
    • High Expectations
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 11. External Assets: Constructive Use of Time
    • Creative Activities
    • Child Programs
    • Religious Community
    • Time at Home
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 12. Internal Assets: Commitment to Learning
    • Achievement Motivation
    • Learning Engagement
    • Homework
    • Bonding to School
    • Reading for Pleasure
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 13. Internal Assets: Positive Values
    • Caring
    • Equality and Social Justice
    • Integrity
    • Honesty
    • Responsibility
    • Healthy Lifestyle
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 14. Internal Assets: Social Competencies
    • Planning and Decision Making
    • Interpersonal Competence
    • Cultural Competence
    • Resistance Skills
    • Peaceful Conflict Resolution
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 15. Internal Assets: Positive Identity
    • Personal Power
    • Self-Esteem
    • Sense of Purpose
    • Positive View of Personal Future
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 16. What is an Evaluation?
      • A systematic acquisition and assessment of information to provide useful feedback about some subject.
      • The generic goal of most evaluations is to “provide useful feedback" to a variety of audiences including sponsors, donors, client-groups, administrators, staff, and other relevant constituencies.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 17. Results of Collected Data
    • PARENT’S EVALUATION QUESTIONS
    • Were stated purposes met?
    • My child/ teen understands the Grief Facts©
    • My child/teen is able to identify four grief emotions.
    • My child/teen is able to identify coping skills.
    • Other changes you have observed.
    • How might we improve our program?
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 18. Parents Comments/Observations on Evaluation
    • Openness about events that led up to the death and how we must remember and go on.
    • Seem to be freer with their feelings. It helps me to realize to be more creative with dealing with their grief.
    • They seem to know what to do when they feel emotions such as anger and sadness. They seem to feel they can handle it better.
    • Great tools for them to relate to.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 19. Parents Comments/Observations on Evaluation (cont’d)
    • More open, brighter attitude when talking about Grandpa. He felt very loved, accepted and understood by the whole group-that was GREAT!
    • She is more communicative, talks more.
    • They know what grieving is and that it’s OK to grieve.
    • We have been very satisfied with the activities etc. this camp has provided-I would recommend it in a heart beat to anyone experiencing the loss of a loved one.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 20.
    • It helped me with my feelings and I tried new things
    • We each got to tell our own feelings about how we felt
    • Liked making friends and learning how to deal
    • I learned I wasn’t the only one
    • Liked knowing other kids lost a family member just like me
    Campers Comments on Evaluation The Robertson Bereavement Center Hospice of Medina County Ohio
  • 21.
    • Everyone cared about me
    • Everyone was nice and couldn’t judge you
    • It was a comfortable environment and I felt that I could open up
    • I knew I wasn’t alone
    • I thought it was the best!
    • I think this is a great camp and it helps a lot
    Campers Comments on Evaluation (cont’d) The Robertson Bereavement Center Hospice of Medina County Ohio
  • 22. Outcome Measurements: What are they?
    • A method to assist organizations in gauging the effectiveness of their programs and needs of clients.
    • Process and procedures to assess programs.
    • Assess what happens for participants as a result of the program.
    • Regular systematic tracking of benefits/changes.
    • http://www.liveunited.org/_cs_upload/Outcomes/ Resources/What/3870_1.pdf
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 23. Outcome Measurements: Why do them?
    • Benchmark against self to improve program performance
    • Identify effective program strategies
    • Funding & accountability to funders/donors
    • Tangible evidence of impact to bereaved
    • Future success
    • State & local governments, private foundations, national associations, etc. are shifting to OM
    • Builds confidence & support
    • Improve service delivery
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 24. Outcome Measurements: Components
    • Inputs
    • Activities
    • Outputs
    • Outcomes
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 25. Outcome Measurements: Inputs The Robertson Bereavement Center Hospice of Medina County Ohio
      • Resources dedicated to or consumed
      • by the program:
        • curriculum/materials (binder)
        • profiles/registration
        • trained staff
        • safe, supportive environment
        • participants
        • money, facility, equipment
        • supplies
        • regulations or funder’s requirements
  • 26. Outcome Measurements: Activities
      • What the program does with the inputs to fulfill its mission
      • Training, counseling, education, strategies, techniques
      • Types of treatment that comprise the program’s service methodology
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 27. Outcome Measurements: Outputs The Robertson Bereavement Center Hospice of Medina County Ohio
      • Direct products of program activities, usually measured in volume of work accomplished:
        • - number of classes taught
        • - number of counseling sessions conducted
        • - hours of service delivered
        • - number of participants served
        • - educational materials distributed
    • 35 hours: five days @ 7 hours/day (units)
    • 12-20 campers per camp (# limited by site)
  • 28. Outcome Measurements: Outcomes The Robertson Bereavement Center Hospice of Medina County Ohio
    • Benefits or changes for individuals or populations during or after participating in program activities:
    • They are influenced by a program's outputs
    • New knowledge
    • Increased skills
    • Changed attitudes or values
    • Modified behavior
    • Improved condition
    • Altered status
  • 29.  
  • 30. Outcome Measurements: The Robertson Bereavement Center
    • Campers will be able to verbalize the GRIEF Facts © with 80% accuracy.
    • Campers will be able to identify at least four of the following grief emotions: sad, mad, glad, afraid, fear, guilt, regret, loneliness, worried, jealous, confused.
    • Campers will be able to identify two or more coping skills (example: talk to a friend or family member, draw a picture, write or journal, call The Robertson Bereavement Center, etc.)
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 31. Background Information
    • Campers recruited through:
    • advertisements in local papers, web sites
    • hospice newsletter and mailings (10,000+)
    • Referrals (schools, JFS, counseling agencies, etc)
    • Telephone interviews were conducted with interested parents, who then completed referral and permission forms. To gain a clearer understanding of the loss, the forms included a check list of reactions and narrative responses.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 32. Background Information: Staff
    • Staffing for 12-20 children, ages 6-13 years:
    • Registered nurse
    • Bereavement Director
    • Two lead teachers – a bereavement social worker and a registered art therapist
    • Hospice staff & volunteers; university interns
    • Prevention specialist on loan from a local alcohol and drug counseling agency
    • A designated staff person spent time with parents & guardians of children both at drop off and pick up; education provided; referrals were given for additional follow-up
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 33. Background Information: Activities
    • Camp includes both bereavement and recreational activities (children’s grief patterns)
    • Bereavement activities focused on creating a safe place for children to grieve, identify and express feelings in healthy ways, reduce feelings of isolation, normalize grief (goals)
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 34. Background Information: Activities cont’d
    • The program utilized the nature setting to inform campers of the cycle of life and death
    • A butterfly release concluded the camp
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 35. Outcome Data Collection Process
        • Outcome Measurement data was collected for seven years.
        • This data consists of:
        • -a pre-test given to campers on day one
        • -a post-test given on day five
        • -a follow-up post test given 30 days after the camp was concluded
        • -evaluations also given to both campers and parents
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 36. Outcome Data Collection Process cont’d
        • Overall, campers retained the information that was presented and the evaluations by both campers and parents were positive.
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 37. Outcome Measurement Questions
    • Pre Test – Day #1
    • Post Test – Day #5
    • What are the Grief Facts ©?
    • Name at least 4 feelings you have experienced since your person died
    • What do you do to cope with or manage your difficult feelings? (name 2 or more)
    • Who do you turn to when you need help?
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 38.  
  • 39.  
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  • 43.  
  • 44. Resources
    • Doka, Kenneth J. & Amy S. Tucci, Eds. (2008). Living With Grief: Children and Adolescents. Ill: Quality Books, Inc.
    • Schachter, S. & Georgopoulos, M. Camp for grieving children: lessons from the field; Doka, KJ & Tucci, AS (editors),  (2008).Living With Grief: Children and Adolescents.
    • Schachter, S.. Bereavement summer camp for children and teen: a reflection of nine years.
    • Search Institute (2008). What Kids Need to Succeed . http://www.search-institute.org/content/what-kids-need
    • United Way of America (2002) Outcome Measurements: What and Why http://www.liveunited.org/_cs_upload/Outcomes/Resources/What/3870_1.pdf
    The Robertson Bereavement Center Hospice of Medina County Ohio
  • 45.