Discharge and MORS County Project (January - June 2011)
Table 1 Monthly Discharges
Figure 1: From January to June 2011, Opportunity Knocks served 164 members and discharged a total of 32 members—about five members every month. The lowest number of monthly discharges was two members in February while the highest was eight members in April and June.
Figure 2 indicates that the top two discharge reasons were members could not be contacted and graduation; each category represents 25% of OK discharges. In comparison to the first half of Fiscal Year (FY) 2010/2011, OK graduation rate increased 300% (2 vs. 8). Additionally, there was a decrease in discharging members by 33% (12 vs. 8) in the unable to contact category. Difficulty in contacting members often occurs when clients are homeless or incarcerated under a different alias. The decision to discharge members who cannot be reached occurs when OK has unsuccessfully contacted member after at least five attempts, which usually include making phone calls, visiting members’ listed residence, following up with members’ emergency contacts, checking hospitals in the region, and searching jail websites. Discharge decisions were also made between the members’ personal service coordinators and the clinical director.
Incarceration represents 19% of the discharges, a 33% decrease from the first six months of FS 10/11. Another 25% of the discharges were members who discontinued partnership with OK and members who moved. The remaining 6% of discharged members discontinued services due to death and IMD/Institutional setting admission.
Figure 3: Although members who are unable to be contacted or incarcerated face disruption of recovery goals, they often resume services at OK. Figure 3 shows that of the fourteen discharged members who were either incarcerated or who OK staff could not contact, approximately, 29% had been readmitted to the program at least once.
Figure 4 breaks down the Milestone of Recovery Scale (MORS) scores distribution of the discharged members. The MORS is administered sometime during the last two weeks of each month. The horizontal axis is the recovery scale while the vertical axis looks at the total number of members who scored in each MORS category. Figure 5 explores the average tenure in months of the discharged members in each MORS score group.
Figure 6 depicts the average tenure of the members by discharge reason. Overall, the 32 members partnered with OK for an average of 16.5 months before leaving the program. The discharge reason with the longest average tenure of 32.6 months was IMD/Institutional setting admission. The second highest average tenure rate of 25.6 months comes from members who have met their recovery goals and thus, graduated from the program. Following the graduation group, members discharged due to incarceration received services from OK for an average of 18 months. Members who moved and discontinued partnerships stayed with OK for an average of 7.3 and 7.8 months, respectively—the lowest tenure averages of the seven discharge groups. Figure 6 also displays the average MORS score of each discharge group.