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Utilizing Outcome Measurements with Bereaved Children
Presenter:Beth A. McGuire, MDiv, NCBF, CT
bmcguire@hospiceofmedina.orgThe Robertson Bereavement Center (RBC)
…a community outreach of Hospice of Medina County797 N. Court St., Medina OH 44256
330-725-1900www.hospiceofmedina.org
Thursday, June 24, 2010; 10:30am – noonWorkshop session #1; 103-A
Workshop ObjectivesThursday, 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
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
The Robertson Bereavement Center Hospice of Medina County
Ohio
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
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©
GRIEF Facts©created by The Robertson Bereavement Center
Hospice of Medina County, Ohio
• Grief is normal• It Really hurts• It’s Important not to grieve alone• Express your feelings• Find ways to cope
The Robertson Bereavement Center Hospice of Medina County
Ohio
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
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
External Assets: Empowerment
• Community Values Youth
• Children as Resources
• Service to Others
• Safety
The Robertson Bereavement Center Hospice of Medina County
Ohio
External Assets: Boundaries & Expectations
• Family Boundaries
• School Boundaries
• Neighborhood Boundaries
• Adult Role Models
• Positive Peer Influence
• High ExpectationsThe Robertson Bereavement Center
Hospice of Medina County Ohio
External Assets: Constructive Use of Time
• Creative Activities
• Child Programs
• Religious Community
• Time at Home
The Robertson Bereavement Center Hospice of Medina County
Ohio
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
Internal Assets:Positive Values
• Caring
• Equality and Social Justice
• Integrity
• Honesty
• Responsibility
• Healthy LifestyleThe Robertson Bereavement Center
Hospice of Medina County Ohio
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
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
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
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
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
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
• 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
• 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
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
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
Outcome Measurements: Components
1. Inputs
2. Activities
3. Outputs
4. Outcomes
The Robertson Bereavement Center Hospice of Medina County
Ohio
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
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
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)
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
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
Background InformationCampers 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
Background Information: StaffStaffing 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
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
Background Information: Activitiescont’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
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
parentsThe Robertson Bereavement Center
Hospice of Medina County Ohio
Outcome Data Collection Processcont’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
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
What are the GRIEF Facts©?
0 0 0 0 0 0
78
9
80
69
9082
90100
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Per
cent
age
of C
orre
ct R
espo
nses
pre test post test
Name at Least 4 Feelings
44 44
30
63
80 83
70 69
18
8 13
73
2733
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Perc
enta
ge o
f Cor
rect
Res
pons
es
pre test post test
How do You Cope? (name two)
22 20
9 90 0
30
45
80
46
2011
75
33
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Perc
enta
ge o
f Cor
rect
Res
pons
es
pre test post test
What are the GRIEF Facts©?
0 0 09
0 0 0
9083 86 86
0
100
78 8290
69
80
100 100
50
78
17
50
14 11 14
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Perc
enta
ge o
f Cor
rect
Res
pons
es
pre test post test parents evaluation: agree parents evaluation: somewhat agree
Name 4 Grief Feelings
138
18
73
30
4444
27
6970
8380
63
33
7175
89100
83100
50
2925
1117
50
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Perc
enta
ge o
f Cor
rect
Res
pons
es
pre test post testparents evaluation: agree parents evaluation: somewhat agree
How do You Cope (name two)
0 0099
2022
11
20
46
80
45
30
75
33
8686
67
100 100 100
78
1422
1417
0
20
40
60
80
100
2002 2004 2005 2006 2007 2008 2009
Perc
enta
ge o
f Cor
rect
Res
pons
es
pre test post testparents evaluation: agree parents evaluation: somewhat agree
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
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