program eval.
RUNNING HEAD: EVALUATION PROPOSAL 1
Program Evaluation Proposal
Raven Jones
Mississippi Valley State University
SW 650 Needs Assessment and Program Evaluation
Candace Carter, Ph.D.
November 14, 2021
EVALUATION PROPOSAL 2
EVALUATION PROPOSAL
TABLE OF CONTENTS
Executive Summary -----------------------------------------------------------------------------Pg. 4
Organizational Background ---------------------------------------------------------------------Pg. 5-6
Social Issue Problem Formulation-------------------------------------------------------------Pg.6
Need Statement -------------------------------------------------------------Pg.6-7
Goals and Objective ------------------------------------------------------------------------------ Pg.7-8
Logic Model --------------------------------------------------------------------------------------- Pg.8
Research Methods and Designs ----------------------------------------------------------------- Pg.9
Evaluation Discussion -----------------------------------------------------------------------------Pg.9-10
Sustainability (Strengths & Limitations) --------------------------------------------------------Pg.10
EVALUATION PROPOSAL 3
Conclusion ------------------------------------------------------------------------------------------ Pg.10-11
Appendices ------------------------------------------------------------------------------------------ Pg.12-16
References-------------------------------------------------------------------------------------------Pg. 17
A. Client Satisfaction Questionnaire -----------------------------------------------------------Pg. 14
EVALUATION PROPOSAL
EVALUATION PROPOSAL 4
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a
federal agency within the United States Department of Health and Human Services (HHS) that
coordinates public health efforts to improve the nation's behavioral health and the lives of people
with mental and substance use disorders and their families.
Executive Summary
To have an effective service within your program you have to work with no time wasted. Healthy Minds,
Healthy Lives: Doorway to Acceptance staff will work hard every day to do the right thing when it comes to
servicing the clients. An executive summary should summarize the key points of the report. It should restate the
purpose of the report, highlight the major points of the report, and describe any results, conclusions, or
recommendations from the report (Ashley University, 2020). Healthy Minds, Healthy Lives provides many services
to clients with the community and also outside as well. The Staff, volunteers, and the intern will help to establish the
goals and plans that are in place for the program facility.
The facility has a staff that includes an abuse therapist, nurse practitioner, clinical social worker, licensed
social worker, crisis counselor, drug/ alcohol counselor, self-sufficiency case manager, teachers, and security,
administrator clerk, pastors, and interns. This program provides serves such as daily around the clock, workshop
meetings, transportation, peer group, basic needs, case management, treatment plan, awareness, education, and
internship. The purpose of Healthy Minds, Healthy Lives is to mend the mindsets and reduce the death rate of
individuals battling with mental health disorders. Healthy Minds, Healthy Lives will provide life skills workshops to
build self-esteem, empower, and promote self-sufficiency to the clients.
Healthy Minds, Healthy Lives will provide support groups to individuals that are suffering with alcohol and
drugs and also mental illnesses as well. This proposal will cover the organizational background, statement of need,
goals, and objective, logic model template, research methods, and design, evaluation discussion, the sustainability of
the strengths and limitations, and conclusion. This proposal will also include the appendixes section of a survey and
a grant application.
Organizational Background
EVALUATION PROPOSAL 5
The name of this program is Healthy Minds, Healthy Lives located in Greenville, Mississippi. The program
facility will be placed in Greenville due to driving distance for clients in need. The Mississippi Delta only has two
mental health facilities located in Greenville, Mississippi but the social work students know that many individuals
really don’t like their services due to the way they are treated. Life Help serves the counties of Bolivar, Holmes,
Humphreys, Leflore, Sunflower, and Washington in Mississippi. The reason the social work student is placing her
program in Greenville, MS is so that many individuals will be able to get services that are not being serviced
through Life Help and other agencies such as Mississippi Behavioral Health Services.
Healthy Minds, Healthy Lives aims to help individual battling with all mental health illnesses. Healthy
Minds, Healthy Lives facility will work to provide twenty-four hours’ crisis. Healthy Minds, Healthy Lives will be
funded through grants, programs and donors such as a nonprofit organization. This program will request $ 80,000
from Kroger community grant proposal to provide a safe environment and facility where individuals battling with
mental illnesses can come to better themselves by having things to do and individuals to talk to that are willing to
listen to them and help them. The program will provide professionally skilled individual to help the clients, this
program will also offer internship experiences and supervision for graduate and undergraduate students in programs
such as the social work program and the counseling program for students to intern.
The mission statement for this program is to increase awareness of triggers related to drug and alcohol use
dependency and to stability when it comes to mental illnesses. The vision statement for Healthy Minds, Healthy
Lives is to ensure that each client that receives services will get the help they need and will be treated with the
upmost respect regardless of their mental status. We will have a vehicle that will transfer the clients to and from
their destination. Healthy Minds, Healthy Lives will provide a variety of services that will help individuals with the
issues. Healthy Minds, Health Lives will provide a safe and confidential services.
This facility will be open from 8:00 am until 10:00 am or 1:00 pm until 5:00 pm. We will provide
individualized service plans focusing on developmental and behavioral problems. We will provide different therapy
and in-person crisis intervention to determine therapeutic goals to address. Information and referrals for clients
during their stay will be provided. The case manager will conduct weekly case management meetings to review their
stabilization and their mental status. We will provide individualized service plans focusing on identifying service
needs.
EVALUATION PROPOSAL 6
The care manager/ nurse or nurse practitioner will be facilitating any injections or meds needed for each
client. The case managers will help the clients create a budget plan with case manager weekly to help them manage
money more efficient. The facility and facility’s hotline services will be open twenty-four hours for crisis and on-
call assistance for the clients or community member they may need servicing.
Social Issue Problem Formulation
The agency that I decided to innovate my program by was “SAMSHA” in Rockville, MD. The Substance
Abuse and Mental Health Services Administration (SAMSHA) is an agency that is within the United States
Department of Health and Human Services that leads public health efforts to promote behavioral health for the
nation (SAMSHA, 2021). SAMSHA was founded on July 92’ (SAMSHA, 2021). SAMSHA is sponsored and
funded through many different services from The Department of Health and Human Services. If you or someone
needs help you can contact 1-877-726-4727.
Mental Health happens everywhere, in all walks of life, to all ethnic groups and all genders of all ages
(SAMSHA, 2021). SAMSHA’s vision is “to provide leadership and resources – programs, policies, information and
data, funding, and personnel – advance mental and substance use disorder prevention, treatment, and recovery
services in order to improve individual, community, and public health” (SAMSHA, 2021). SAMSHA’s mission is to
“reduce the impact of substance abuse and mental illness on America’s communities” (SAMSHA, 2021).
The reason I decided to innovate “Healthy Minds, Healthy Lives” after “SAMSHA” located in Rockville,
MD since many people are not able to travel to get help at this facility. Also, the community may not want to be
served by the two local agencies I mentioned earlier such as Life Help or MS Behavioral Health Services. The social
problem as well as the barriers is the distance that people have to travel for help, how long it takes for a someone
dealing with drug and alcohol abuse and mental illness person to seek help, the people or clients that the facility
serves. SAMSHA serves mostly clients that deal with alcohol and drug abuse but “Healthy Minds, Healthy Lives
will serve not only individuals that are battling with alcohol and drug abuse but also mental illnesses.
Statement of Need (Need Analysis)
There is a big need for individuals dealing with alcohol and drug abuse and mental illness facility in the
Mississippi Delta area that will treat their clients as humans that are in need.
EVALUATION PROPOSAL 7
According to research, on average, nearly 24.6 million individuals aged 12 or older were recently illicit
drug users in the year of 2013 (SAMSHA, 2014). During the same year, nearly 1 in 5 adults aged 18 or older had a
mental illness in the past year (SAMSHA, 2014). There are two mental health facilities in Greenville, Mississippi
but there is a big need for many other mental health facilities in Mississippi due to traveling distance and many other
factors. According to statistics, is an estimate of 20.2 million individuals needed treatment for an illicit drug or
alcohol use problem but did not receive treatment at a specialty facility in the past year (SAMSHA, 2014).
In my community we have mental health facilities that we can go to but most individuals with mental
health issues do not want to go to these specific facilities because of the lack of confidentiality. If the program that I
am creating can expand I will place this agency in many areas throughout the Mississippi Delta. This agency will
serve all race, ethnic group, and counties in the surrounding areas. The program is needed because it serves many
individuals battling with mental illnesses and drug and alcohol abuse. According to statistics, in 2013 there were
34.6 million adults aged 18 or older (14.6 percent of the population aged 18 or older) received mental health care
during the past 12 months (data not shown) (SAMSHA, 2014).
Goals and Objective
Healthy Minds, Healthy Lives: Doorway to Acceptance goal aim is to mend mindsets and reduce the death rate of
individuals battling with mental disorders. They also have trained staff such as the therapist, nurse practitioner,
clinical social worker, licensed social worker, crisis counselor, drug/ alcohol counselor, self-sufficiency case
manager, and security and administrator clerk. The staff will help provide life skill workshops to build self-esteem,
empowerment, and to promote self-sufficiency to the clients. This program provides a safe and confidential facility
that provides adequate service, counseling and medication. Healthy Minds, Healthy Lives also finds clients program
within a 7-14-days that will help them with drug and alcohol abuse.
Healthy Minds, Healthy Lives has multiple goals and objectives for the staff and most importantly the
clients. A short-term goal for the clients is stability to improve the client’s future ability to have a relapse and to
avoid having to return to their back to their old habits. The objective is to help the clients overcome barriers to
maintain stability through education in AA programs, therapy and counseling. Another short-term goal is for the
clients to learn new ways to cope with stressors and management skills. The objective is for the staff to help the
clients through counseling, group therapy, individual counseling, and workshops. An intermediate goal is decision-
making skills for the clients.
EVALUATION PROPOSAL 8
The objective is to educate the client so the individual can be able to make decisions of their own. The
client will also be able to live alone without feeling the need to have someone to feel independent. A long-term goal
for the client is to have better health and to live longevity. The objective of the goal is to help the client identify
ways of empowerment to move forward. Another goal is to reduce the death rate. The objective is to educate the
client through different counseling and workshops to prevent future risk of drug and alcohol abuse and mental
illnesses.
Outputs Outcomes – Impact Inputs
Activities Participation Short Medium Long
Staff
Volunteers
Funds
Equipment
Facilities
Interns
Programs
Training
Peer Groups
Daily Around the Clock
Provided Transporta tion
Case Manageme nt
Therapist Provide
Treatment Plans
Workshop Meetings
Basic Needs Provided
Internships Provided
AA Groups
Work with others
Train
Clients Communit
y Based Organizati ons
Participant s
Agencies Civilians
Financial Independence
Management Skills
Assessments Immediate
Assistance, Knowledge, and Support Comprehension
Services Bring
Awareness
Access to Community Groups
Access to community services
Advocacy Service Safety
Planning Skills Decision
Making Improving
Resiliency Clients will be
continuing their free services
Economy Reduce the
Death rate Increasing
awareness and knowledge
Longevity Prevent future
Risk Better Mental
Health Increase in
social abilities
EVALUATION PROPOSAL 9
Research Methods and Designs
The data that will be collected in this study to represent the design of the research is called mixed methods
which is when quantitative and qualitative. Quantitative will gather data in a numerical form that can be put into
categories, ranks, or measured in units of measurements (Johnson & Christensen, 2000). Quantitative aims to
establish general laws of behavior and contexts. Qualitative is data in the form of words, pictures, values, and
appearances (Pickell, 2019). A qualitative research design will be used to establish answers to why client is afraid to
seek help because they feel like nothing is wrong with them. Also, a questionnaire survey is used for the clients to
evaluate the program.
Questionnaires and surveys will be the method used for this design. Questionnaires are designed so that
they can be answered without assistance and interview assistance in the questions that directly aim to the
respondents (Dejong, Monette, & Sullivan, 2018). The reason I chose questionnaires and survey is to understand
how the client feels about their service at Healthy Minds, Healthy Lives. The purpose of the two-research design is
to examine and breakdown the understanding of the underlying reasons, opinions, and motivations. Another purpose
is to provide insights into the problem and helps to develop ideas for potential research for mental health and alcohol
and drug abuse clients.
Evaluation of Discussion
Healthy Minds, Healthy Lives will have a conference every five months, workshops every month, and
different meetings every two weeks to ensure the clients and staff feedback. A meeting will be conducted through
data to ensure our organization is increasing its numbers. After one year of growing our successful organization, we
will market and advertise to gain more potential clients. We will utilize the qualitative methods by surveying the
client’s whether individually or as a family to determine if the program meets their expectations. We are determined
to serve the community and ensure our clients are receiving the treatment care.
Every six months we will set a goal to make sure we are improving our numbers of the participant to
receive the service they need. The purpose of so many meetings is to ensure that the program is safe and they are
receiving adequate services, and the clients feels safe and confident. The evaluation will be a questionnaire that the
clients will have to fill out. Through training, conferences, meetings, and workshops all evaluation responses will be
EVALUATION PROPOSAL 10
updated to make sure the facility is giving the client the best possible service. The evaluation survey will be included
in the appendix section.
Sustainability (Strengths & Limitations)
Healthy Minds, Healthy Lives will be a great facility for any and all clients seeking help. This facility has
many strengths that include the backbone of the staff to make sure the facility is in order. Another strength is this
facility will provide adequate services. We have trained staff that will help the clients if needed to continue their
counseling, therapy and AA meeting interventions. The facility will have a client as volunteers and guest speakers
that has made it through the program and that is still on their journey to recovery. Healthy Minds, Healthy Lives will
do referrals through other agencies if need by the client. Many other agencies such as Life Help, Mississippi
Behavioral Health Services, Doctor’s Office/Clinics, and etc.
Clients will learn new ways to cope with stressors and management skills. The clients will gain immediate
assistance and support by accessing requested/or needed information. The clients will improve their future stability
and avoid having to return back to their old habits. Another strength for the clients is that they will overcome
barriers to drug and alcohol abuse. The facility will help the client/clients to achieve independence to be able to live
alone without feeling like they will revert back to their old habit or not being able to live on their own because they
have a mental illness. I have listed many strengths for Healthy Minds, Healthy Lives facility, staff, and clients.
A limitation for this facility will be if the client doesn’t trust coming to this program for service. The client
may feel that they may not ever be able to overcome their illness. The client may even want to leave the service. The
client may also feel like they will always and forever be on and addicted to drugs and alcohol. The client just may
not want to quit using. Another limitation would be for another facility that wants to compete with Healthy Minds,
Healthy Lives. If the plan doesn’t work out for this facility to be approved for grants by Kroger we will reach out for
donations through our nonprofit organization.
Conclusion
Healthy Minds, Healthy Lives is a very beneficial facility that will work diligently for its clients. Healthy
Minds, Healthy Lives will reach out to other agencies if possible, to ensure the clients the best serve. This program
will help the clients to feel safe and even provide counseling to individuals that do not want help. The approach is to
save lives while reducing the death rate and to help individuals with their mental illnesses. The client will have a
EVALUATION PROPOSAL 11
safe place to come to discuss what they go through on a daily basis and to clear their thought in peace. The program
will help them with their addictions and to become knowledgeable about their mental illness. This program will
offer counseling, education, training, and workshops to its clients. This will be a great project once it has the funds
to expand and be developed.
EVALUATION PROPOSAL 12
Appendix A “Application”
Kroger Application for Community Grant
Return completed form to the Kroger Store or where you obtained this application
Location Use Only
Location #: ___________ City: ___________________________ ST: _______
Type: WM / Sam’s / DC / TO _______________________ Amount Requested: $___________________
Managers Name (signed and printed):_____________________________________ Date: ___/___/________
Community Involvement Associate: __________________________________________Date: ___/___/________
This application must be completed and kept on file for record retention of three years at your location
To be completed by the Organization:
Select one:
IRS designated ____ 501 (c) (3) * organization OR: _____Public School Federal, _____State or Local Government
Agency
Organizations with current tax-exempt status under Section 501(c) (3) of the Internal Revenue Service Code and that are also public charities under Section 509(a)(1) or 509(a)(2). Organizations must be listed in the most current IRS 50 State Master File at the time of application.
Organization Name:
____________________________________________________________________________________________
Federal 501 (c) (3) Tax ID #: (9 digits) ____________________________
Public Charity Status: ______509(a) (1) ________509(a) (2)
Address: __________________________________________________ City: ______________________________
ST: _____ Zip: _______________ Contact Name: _____________________________________________
Contact Phone: ______-_______-_______
Specifically, how will funds from this grant be utilized in your local community?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What service does your organization provide to the community?
_____________________________________________________________________________________________
EVALUATION PROPOSAL 13
_____________________________________________________________________________________________
Will these grant funds directly benefit your LOCAL community? ______ Yes ______No
Which of the following groups will this funding primarily benefit? “This information is used solely to track our
funding to specific diverse community groups and is NOT considered during the grant review or approval process.”
Please select only the most appropriate: _____ Hispanic _____African American _____Asian American
_____Native American _____Caucasian _____General Population (benefits the entire community)
Organization Representative: “By signing below I acknowledge that this form represents a funding request, and is
not a guarantee of funding. Final approval is subject to the guidelines of the Kroger Foundation. All organizations
requesting grant funding must abide by the rules and guidelines set forth by the location, Kroger Stores, Inc., and the
Kroger Foundation. This request will not be processed unless completed and signed by all parties.”
Signed: _________________________________Printed: ___________________________ Date: ___/___/______
EVALUATION PROPOSAL 14
Appendix B
Healthy Minds, Healthy Lives
Client Satisfaction Questionnaire
Thank you for taking the time to complete this survey. Your responses will be used to help ensure that our program continues to be responsive and sensitive to the needs of all program participants. If there are any questions that you do not feel comfortable answering, please feel free to skip and move to the next one. THIS SURVEY IS COMPLETELY CONFIDENTIAL. PLEASE DO NOT WRITE YOUR NAME ON THIS QUESTIONNAIRE.
Gender (check one): Male Female Transgender/Transsexual Decline to state
Age: _______________ What is your primary language? ______________________________
Ethnicity (check one):
African-American (Black, non-Latino) Asian/Pacific Islander (Specify:
___________)
Euro-American (White, non-Latino) Latino (Specify: ________________________)
Native American/Alaskan Native Multi-racial/Other (Specify: ________________) Decline to State
Number of individuals in family: Adults: _________________ Children/Ages: ___________________________
INTAKE PROCESS
Who referred you to this program? Self Hospital Clinic Other Was the intake process clear (Circle One)? Very Clear Somewhat Clear Not Clear At All
Where were you being services before being accepted into HMHL? Life Help MBH NONE
Residential Treatment Program With Family/Friend DV Shelter THP Program Other: ___________
Where are you living currently? City? Living Situation? _____________________________________________________________________________ ________________
EVALUATION PROPOSAL 15
Have/had you ever rented an apartment before receiving this subsidy? Yes No
Did the intake process give you a clear idea of what to expect in the program? _____________________________________________________________________________ ________________
What was surprising or different once you were accepted into the program? _____________________________________________________________________________ ________________________________________________________________
Please list any suggestions that you may have regarding how to make the intake process clearer, easier to access or more efficient: _____________________________________________________________________________ ______
SERVICE DELIVERY
Who is/was your case manager? ______________________________________
On a scale from 1-10, how satisfied are you with being involved with Healthy Minds, Healthy Lives? 1 2 3 4 5 6 7 8 9 10
How often do/did you make it to your meeting with your case manager?
Every time Occasionally Sometimes Not very often
What suggestions would you give to your case manager on clients in the future? _____________________________________________________________________________ ___________________________________________________
CLIENT INPUT
What suggestions do you have Healthy Minds, Healthy Lives for ? __________________________________________________
_____________________________________________________________________________ ________________
How has your experience accessing our services compared with other mental health services you’ve accessed? _____________________________________________________________________________ ________________
Please evaluate each of the following areas of your service from Healthy Minds, Healthy Lives (check one for each):
EVALUATION PROPOSAL 16
Excellent Good Average Poor Unsure
Treatment by HMHL
Treatment by Case Manager
Staff Knowledge & Sensitivity about Drug & Alcohol Abuse/ Mental Illnesses
Accessibility of Location
Quality of Overall Service
Staff Cultural Competency: Do you feel that Healthy Minds, Healthy Lives has been sensitive to your ethnic and cultural background while providing services to you? Please
(check one).
Yes No
Thank you for your input!
EVALUATION PROPOSAL 17
Reference
About Us. SAMHSA. (2021, September 17). Retrieved November 13, 2021, from
https://www.samhsa.gov/about-us.
Dejong, C., Monette, D., & Sullivan, T (2018) “Applied Social Research” Levels of
Measurements 111-112
Kroger Foundation. (2020). “Local Community Grants”. https://kroger.org/how-we-
give/local-community-grants
Pickell, D. (2019). “Qualitative vs Quantitative Data – What’s the Difference?”.
https://learn.g2.com/qualitative-vs-quantitative-data
SAMHSA, C. for B. H. S. and Q. (2014, September 4). Substance use and mental health
estimates from the 2013 National Survey on Drug Use and Health: Overview of findings.
The NSDUH Report: Substance Use and Mental Health Estimates from the 2013 National
Survey on Drug Use and Health: Overview of Findings. Retrieved November 13, 2021,
from https://www.samhsa.gov/data/sites/default/files/NSDUH-SR200-RecoveryMonth-
2014/NSDUH-SR200-RecoveryMonth-2014.htm.
EVALUATION PROPOSAL 18
Who we are. SAMHSA. (2021, May 5). Retrieved November 13, 2021, from
https://www.samhsa.gov/about-us/who-we-are.