Evaluation: Post-Discharge Outcomes

Homewood Research Institute is leading the development of a Post-Discharge Outcomes monitoring system for Homewood Health Centre. The aim is to follow patients who receive residential care at Homewood for a minimum of one year to understand more about the recovery journey of patients during and after leaving in-patient treatment. The first phase is focused on patients of Homewood Health Centre’s  Addiction Medicine Service, with a view to including other programs as the system takes shape. The current system, launched in March 2015, consists of a series of self-reported questionnaires administered to patients upon admission to the program, upon discharge, and at 1-, 3-, 6- and 12-month intervals, post-discharge. Questionnaire items are intended to measure changes in key indicators of recovery over time.

The main objective of the outcome monitoring system is to:

  1. Examine short- and long-term impacts of the program;
  2. Gain a better understanding of how and for whom the program works;
  3. Inform, monitor and evaluate quality improvement efforts; and
  4. Create the foundation for identifying ‘at-risk’ individuals and re-engaging them in treatment when needed.

Progress Update:

The evaluation project has been underway since March 2015. The first cohort of people involved in the project are now at the 12-month follow-up time point.

At present, we are working with the Homewood Health Centre to ensure that evidence from the assessment will be used to improve programs and outcomes for the people served by Homewood.  Eventually, similar systems will be implemented across other Homewood programs.  Down the road, we plan to share our work with other organizations in order to promote this approach to improving care.

Related Publications

The development and implementation of an outcome monitoring system for addiction treatment

Costello, Mary Jean • Ropp, Courtney • Sousa, Sarah • Woo, Wendi • Vedelago, Harry, • Rush, Brian

Abstract: Routine outcome monitoring is critical for evaluating quality and effectiveness of mental health and addiction (MHA) services. This paper describes the development, design and implementation of an outcome monitoring system (OMS) within an inpatient addiction treatment program, presents feasibility findings from pilot testing and early implementation, and shares lessons learned.