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WHAT IS OFTEN VALUED IS NOT WHAT OFTEN WORKS Issues and problems are discrete: respond to the specific diagnosis using proven protocols + Friends and family are part of the problem + Don’t allow people to become dependent on a program—graduate them fully + People need to leave their communities to move forward + Transferability matters + Consistency and fidelity + Linear, rational models and systems + The model matters more than who practices it + Demonstrate efficacy + Management matters. Life is messy: respond to the entire reality flexibly and recognizing that every person’s situation is different + Friends and family matter + Through thick and thin and differences + Be a community within the community, not an alternative to the larger community + Place and local specificity matter + Some of the best work happens in the gray areas + Change is good : adapt and evolve an approach + It only works with the right people working + Be accountable: focus on results that are sustained + Leadership matters. © 2009 The Full Frame Initiative 3
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[HOW] CAN WE JUDGE WHAT’S WORKING?THOUGHTS ON EVALUATION
For further information, please contact:
Katya Fels Smyth, Principal and Founder The Full Frame InitiativePO Box 390955, Cambridge, MA [email protected] O: (413) 625-6936 C: (617) 620-6718
December 2009Please do not use these slides without checking with us first. We will probably say
‘yes.’ If you do use these slides and/or have feedback, please let us know.
FULL FRAME INITIATIVE OVERVIEW
Nationally, human service systems are failing hundreds of thousands of people who need them the most.
This exerts an untenable financial and human cost.
It doesn’t have to be this way.
There are (a relatively small number of) organizations and interventions that work really well. We can and must learn from them.
FFI is committed to making it more likely that people who are failed by our systems
have a chance to participate in interventions that work. 2
WHAT IS OFTEN VALUED IS NOT WHAT OFTEN WORKS
Issues and problems are discrete: respond to the specific diagnosis using proven
protocols+
Friends and family are part of the problem+
Don’t allow people to become dependent on a program—graduate them fully
+People need to leave their communities to move
forward+
Transferability matters+
Consistency and fidelity +
Linear, rational models and systems+
The model matters more than who practices it+
Demonstrate efficacy+
Management matters.
Life is messy: respond to the entire reality flexibly and recognizing
that every person’s situation is different+
Friends and family matter+
Through thick and thin and differences+
Be a community within the community, not an alternative to the larger community
+Place and local specificity matter
+Some of the best work happens in the gray areas
+Change is good : adapt and evolve an approach
+It only works with the right people working
+Be accountable: focus on results that are sustained
+Leadership matters.
© 2009 The Full Frame Initiative www.fullframeinitiative.org
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ONCE UPON A TIME, THERE WERE TWO CHOICESAnecdotesEvidence of
good intentionsIdeologyDocumentation of the
number and nature of transactions
Evidence from randomized controlled trials
vs.
“Scientific validity”
“Unaccountable” or is it enough?
© 2009 The Full Frame Initiative www.fullframeinitiative.org
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IN FACT, “ORGANIZATIONAL EFFECTIVENESS … CAN BE VIEWED AS HIGHLY MALLEABLE.” (EBRAHIM, 2005, 64)
Concepts of scope, focus, method matrix: after Murray and Cutt, 1998Addition of purpose: Smyth, 2009
scop
e
focus
method
organization
system
Short-
term
(outputs/ acti
vities)
Mid-term
(outcomes)
Long-t
erm
(impact)
Processe
s &
implementation
(qua
si)
expe
rimen
tal
Conv
ersa
tions
, com
mon
wis
dom
, IK
mix
ed m
etho
ds
Purpose:ProvingImproving/learningLegitimizing
© 2009 The Full Frame Initiative www.fullframeinitiative.org
program
project5
Shaded: Poor fit for experimental methods
EXPERIMENTAL METHODOLOGY ALSO LIMITS THE KINDS OF INTERVENTIONS THAT WE CAN
ASSESSGood fit for experimental methods
Intervention characteristics
Require a more complete approach
Homogeneous POPULATION Heterogeneous and multiply challenged; Highly influenced by other systems
Highly transferable SETTING Community-embedded
Individual/family LEVEL OF IMPACT
Multiple, including community-change
Defined model, independent of other systems
STASIS Dynamic and evolving; may depend on other interventions
Empower individuals to help themselves
POWER Empower individuals to help themselves and change their communities
Clear pathways through model
ELEMENTS Host of elements drawn on without a recipe
© 2009 The Full Frame Initiative www.fullframeinitiative.org
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relevance rigor actionable knowledgeA clear under-standing of what is known (and where the gaps are) to provide solid information for decision making
Is it the right thing to be assessing?
Are we assessing it right?
+
A WELL-STOCKED TOOL KIT
© 2009 The Full Frame Initiative www.fullframeinitiative.org
Evaluation can be a tool for learning and improving and proving and sharing
A MORE COMPLETE APPROACH TO EVIDENCE AND EVALUATION
© 2009 The Full Frame Initiative www.fullframeinitiative.org
Pays attention to systems
Attends to interactions and amplifications
Allows for complexity and
change
Uses mixed methods
Incorporates multiple wisdoms
Employs a philosophy of
“enough” Right- sized
8
Population: multiply challenged, non homogeneous, potentially involved in multiple
other interventions and systems
Setting: community embeddedness, engagement in community change; community highly
influenced by external forces
Stasis: dynamic, evolving, emergent, demand-driven; significant front-line authority and
flexibility
Levels of impact: multiple units of analysis (individual and community and system)
Power: participatory; flattened power dynamics; increasing capacity of a cohort or community,
not just an individual; increasing voice
Key elements: a host of non-additive, individual program elements are drawn on, but without
a specific recipe
Outcome indicators will be tailored to and by the individual (so may vary within an intervention).
Outcome measures will vary across interventions.
Outcome measures will specifically address structural forces.
Outcome measures and methodologies will be continually assessed for fit with intervention’s goals as they evolve; goals will be clearly set, but will be plastic enough to respond to major changes in the environment (e.g., a financial shock).
Outcome measures will attend to community or cohort-level change, as well as individual-level change.
Outcome measures will assess the optimization of the individual’s (or cohort’s) situation and trajectory, rather than simply tallying up success or results across a standard series of measures.
Characteristic of intervention Characteristic of indicator/measurement
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© 2009 The Full Frame Initiative www.fullframeinitiative.org
THIS SOUNDS LIKE A NIGHTMARE: HOW DO WE ROLL ALL THIS UP?
Decreased social isolation and exclusion
Increased, maintained
safety
Increased , maintained
stability
Increased mastery/self-
efficacy
Meaningful access to / use of relevant
mainstream resources
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Domains of impact
Conditions for healthy people
and healthy communities
© 2009 The Full Frame Initiative www.fullframeinitiative.org
LEVELS OF ANALYSIS:
* What is best for the individual may not be best for the family, of course.
Individual/ Family*
Community/Collective
Organization/ Agency
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Ambitious, meaningful, predictive of long-term wellbeing, valid for comparative purposes, plastic enough to respond to major
external forces
Highly tailored to context– not entirely
predetermined
Decreased social isolation and
exclusion
Increased, maintained safety
Increased , maintained
stability
Increased mastery/self-
efficacy
Meaningful use of relevant
mainstream resources
© 2009 The Full Frame Initiative www.fullframeinitiative.org
SOME SUGGESTIONS FOR SETTING INDIVIDUAL AND FAMILY LEVEL GOALS AND INDICATORS
Allow them to be highly tailored, highly specific to the situation.
FFI suggests that every goal should address one of the five domains of impact, and that each domain should have a goal and indicator attached to it.
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EXAMPLES OF GUIDELINES FOR SETTING COMMUNITY GOALS AND DETERMINING INDICATORSThey must be…
Ambitious, meaningful, clearly stated, measurable (for indicators), and predictive of long-term well-being.
Developed in concert with the community. Allow comparison so that changes over time (trends) or
differences between communities can be determined and are valid.
Plastic enough to change in response to major changes in the external environment.
FFI suggests that every goal should address one of the five domains of impact, and that each domain should have indicators attached to it. 13
SOME SUGGESTIONS FOR SETTING ORGANIZATIONAL/ AGENCY PERFORMANCE MEASURES AND INDICATORS
They should be in support of an explicit theory of change that includes macro and individual level change.
They should be explicit about what data are in service of performance measurement and what are indicators.
Organizational progress in helping survivors move forward on individual goals can be assessed as a performance measurement.
FFI suggests that every indicator should address one of the five domains of impact, and that each domain should have indicators attached to it.
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FOR MORE INFORMATION, PLEASE CONTACT:
Katya Fels Smyth, PrincipalThe Full Frame InitiativePO Box 390955Cambridge, MA 02139(413) 625-6936 (office)(617) 620-6718 (cell)[email protected]
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