Question

Using the format in the file attached, create an outline of an outcome measurement plan for one of the clinics listed below. Refer to the instructor explanation of outcome measurement in the powerpoint slides and see an example of an outcome measurement plan for the Senior Day Services. Use the links provided in this module to search for outcomes typically measured in healthcare.

I have provided instructions on the form you will fill out to guide you in its completion. Again, review the powerpoint slides.

Choose one from these clinic choices.

1. Occupational Therapy Outpatient Clinic for Children

2. Health and Wellness Program for Elderly Adults

3. Pediatric unit in a rural health clinic

4. Recreational Program for People with Developmental Disabilities

5. Outpatient Treatment Program for People with Drug and Alcohol Addiction

Outcomes Plan

Name _________________________________________       Program Name___________________________________

Total Program Inputs	Total Program Activities	Total Program Outputs
List 4 to 5 inputs for full credit. These are things needed to operate the program, such as the type of people, resources, building space, etc.	List 4-5 program activities for full credit. This is where you list the therapeutic activities of the program. Examples of these might be the different types of groups or services.	List 4-5 outputs. These are things such as the number of patients per year you plan to have or average per month, the hours of service per year you plan, the number of therapeutic activities you plan to provide, etc.
Performance Objective or Outcome	Indicator (How do you know when you have met your outcome? Quantify your outcome.)	Method/Tools of Measurement (How will you measure your outcome?)
List at least 2 performance objectives. Usually an outcome will start with the words “to improve”, “to increase”, or “to achieve” some type of change in the individual.	List your target for each outcome identified, which is usually a number. For example, it could be a certain percent of the patients will achieve your outcome, or some number of patients who attend your service will improve.	List the type of tool you will use to measure each outcome. For example, a pretest/posttest, a standardized evaluation, data in the chart, etc.)

Answer 1

Answer: by choosing no. 5 ( clinic choice)

Total program inputs:

What Will Treatment Include?

Regardless of the length of your addiction treatment program, the first steps are generally the same.

Program Intake

First, you’ll be admitted to the program and given an assessment. The staff at the treatment facility will:

• Take down your medical history.
• Evaluate the nature and severity of your addiction, as well as your mental state.
• Recommend an appropriate treatment plan for you.

The treatment plan will include goals for your treatment and a discharge plan. It should be developed with your input, include clear expectations, and periodically reviewed to make sure the you are following it and that it’s working.

Detoxification

Detox may take between a few days to a few weeks and is widely variable based on the abused substance.

• The length of time that it takes your body to detox can affect the length of time for addiction treatment that you need.
• A period of medically supervised detox is strongly indicated in cases of alcohol, benzodiazepine, and barbiturate abuse, as dangerous withdrawal symptoms such as seizures and hallucinations may occur when substances of these types are abruptly discontinued.3
• Supervised detox is typically available through inpatient or standalone detox programs.

Structured Program

After detox, you will likely begin a formal rehabilitation program on an inpatient or outpatient basis. Depending on your program, treatment may include:

• Regularly scheduled counseling or therapy sessions – both individual and group counseling.
• Family counseling – wherein family members become active participants in your recovery.
• Cognitive behavioral therapy (CBT), which helps people recognize patterns of thinking and behavior that can lead to drug abuse.4
• Medication-assisted treatment (MAT) involves the use of medications, such as methadone, combined with counseling to treat opioid and alcohol addictions.4
• Mental health services.
• Medical care, when needed.
• Participation in 12-step recovery groups, such as Alcoholics Anonymous (AA).
• Career development training.
• Adult education classes.
• Skills training, e.g., financial management.
• Relapse prevention techniques training.
• Treatment of co-occurring disorders, such as eating disorders and/or depression.
• Discharge planning and aftercare planning.

The expected outcome:

Which Rehabs Are the Most Successful?

Often, one of the key factors in the success of the program is the staff

Some rehab programs study the outcomes of their patients and can provide this information to prospective patients. They may also publish this information online. You can also read reviews of programs to get a sense of whether they’re actually helping people.

Often, one of the key factors in the success of the program is the staff and whether they can connect with the patients. Other factors include the overall presentation of the facility and its amenities.

Beyond that, you can look at their treatment approaches. Evidence-based treatments are treatment approaches that have been studied and found to be effective in treating substance abuse. Rehabs that use these approaches may be more likely to help people overcome their addictions.

One study that reviewed the evidence behind certain treatments found that some of the more effective treatment approaches were:5

• Cognitive behavioral therapy.
• Contingency management.
• Motivational interviewing.
• Medications such as methadone, naltrexone, acamprosate, and buprenorphine for alcohol and opioid addiction.

Integrating medication with therapy has also been found to lead to positive results for drug and alcohol users.5

Treatment programs of longer durations have more time to incorporate a variety of treatment approaches and tailor them to the individual. This, in turn, can lead to more successful outcomes.

Total program activities:

Essential Components of Good Treatment

The National Institute on Drug Abuse recommends the following guidelines for effective drug addiction treatment:6

• Treating recovery as a long-term process that involves a variety of approaches
• Consideration of physical or mental health issues that may be occurring in conjunction with the addiction and treating these
• Tailoring of drug treatment programs to individual patients and their needs
• Ongoing reassessment of treatment procedures to ensure they are productive
• Incorporating behavioral therapies and medications
• Continuing treatment after detox
• Monitoring drug use during treatment
• Testing patients for diseases and other conditions from drug use, such as HIV/AIDS, hepatitis, and tuberculosis

The total program outputs will depend on this:

The major outcome and follow up for the patient:-

The process of recovering from addiction can be lifelong.

Many people are never “done recovering.” For example, even after you leave a 90-day program, you will need ongoing support to maintain sobriety. You will return to an environment that may contain triggers or other temptations.

This support may come in the form of:

• Continued participation in 12-step programs or another ongoing, structured support program.
• A sponsor.
• A transfer to a halfway house or other sober-living facility.
• Additional treatment, when needed.
• Regularly scheduled follow-up therapy.

Make sure you discuss aftercare with your treatment provider so that you understand how to continue your efforts and stay sober in the long-term.