COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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Fidelity to Autonomy Principles 1. Both the Lodge and the Sponsoring Agency endorse full autonomy as the ultimate goal. 2. A system is in place which adjusts autonomy commensurate with Lodge performance. 3. The Lodge is dependent on resources from a single source. a. If yes, a plan exists to diversify. Yes No Satisfaction Although choices are often limited by an under-developed community mental health system, the Fairweather philosophy is based on the assumption that Lodge members participate voluntarily. One of the implications of voluntary participation is that adherence to the principles, implementation of the practices, and even the production of desirable outcomes, are meaningless unless the participants are satisfied that their basic needs are being met. Most surveys of the needs/wants/desires of people with serious mental illness produce the same general results with respect to the BIG 3 (not always in the same order): a “nice place to live,” a “good job,” and friends. It is a given that a Lodge provides housing, but is it a “nice place to live?” Does the employment provided meet the standard of a “good job?” Are the other participants really “friends?” And does allegiance to the autonomy principles and a low staffing ratio actually produce empowerment? The most direct way to answer these questions is to ask the participants. However, one limitation of satisfaction surveys is that some people always express satisfaction, even while planning to leave the program, and others will complain bitterly for years but never contemplate leaving. (This phenomenon is not exclusive to mental illness.) It is important, therefore, to measure retention -- a less direct, but potentially more telling strategy for measuring satisfaction. So we add: Proposed Outcome Measure #15: The percentage of participants, at a given starting point, still participating at a certain benchmark. Public Interest The taxpaying public has a legitimate interest in the cost-effectiveness of any program supported with public funds. So even though it is an imperfect measure of Lodge success, and not necessarily tied to the Lodge mission, we add: Proposed Outcome Measure #16: Number of days of in-patient psych hospitalization as percentage of participant-days. 6

Lodge Member Satisfaction Survey Housing Yes No 1. My lodge is in good repair. 2. I feel safe in my lodge. 3. I feel healthier than before I joined the Lodge. 4. The meds I take help me maintain my mental health. 5. The use of alcohol and /or street drugs is causing trouble in my lodge. Employment Yes No 6. I like my job. 7. I have more spending money than before I came to the lodge. 8. I think more about work than about having mental illness. Social Yes No 9. I enjoy group meals. 10. I enjoy group social/recreational events. 11. I have at least one good friend in the lodge. Autonomy Yes No 12. I am increasingly responsible for my own future. 13. I have a voice in the decisions my lodge makes. 14. My lodge-mates and I are increasingly responsible for the future of our lodge. The attached Fairweather Lodge Fidelity Standards were adopted by the Coalition for Community Living on September 10, 2004, during a meeting held in Erie, PA. 7

Lodge Member Satisfaction Survey<br />

Housing Yes No<br />

1. My lodge is in good repair.<br />

2. I feel safe in my lodge.<br />

3. I feel healthier than before I joined the Lodge.<br />

4. The meds I take help me maintain my mental health.<br />

5. The use of alcohol and /or street drugs is causing trouble in my lodge.<br />

Employment Yes No<br />

6. I like my job.<br />

7. I have more spending money than before I came to the lodge.<br />

8. I think more about work than about having mental illness.<br />

Social Yes No<br />

9. I enjoy group meals.<br />

10. I enjoy group social/recreational events.<br />

11. I have at least one good friend in the lodge.<br />

Autonomy Yes No<br />

12. I am increasingly responsible for my own future.<br />

13. I have a voice in the decisions my lodge makes.<br />

14. My lodge-mates and I are increasingly responsible for the future of our lodge.<br />

The attached Fairweather Lodge Fidelity Standards were adopted by the Coalition for<br />

Community Living on September 10, 2004, during a meeting held in Erie, PA.<br />

7

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