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103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
103 a mcguire v2
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103 a mcguire v2

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