This project will examine the mental health among homeless people as the priority population. The strategy implemented in this project will be focused on reducing the burden of the mental health illness on homeless people by reducing the impact of social isolation and increase the individual’s physical activity.
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Project Plan Template South Australian Dental Service Service Planning and Quality Improvement NamePopulation Health Project Plan 1 Lead Division / Unit ProjectTitle Executive Sponsor/s Date Version Project Background / JustificationThis project will examine the mental health among homeless people as the priority population. The reason behind this, is the high mortality rates amongthis vulnerable group (1). Several papers reported that homelessness resulted in increased morbidity and excessive cost of health care due to frequent admission to the emergency department at hospitals (2)(3). Homelessness can lead to long-term unemployment and lead to the development of mental health issues (3). This project was chosen because it has been documented that the mental health is one of the major contributing factors of physical health deterioration. The relationship between homelessness and mental health is intertwined (1). The strategy implemented in this project will be focused on reducing the burden of the mental health illness on homeless people by reducing the impact of social isolation and increase the individual’s physical activity (5) (10). Project ScopeThis project is targeting homeless people with mental health issues. Eligibility criteria for this project (1): 1.Age from 18-50, female (2) 2.Current homeless status who lives in the women shelter (3)
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3.Having a history of mental illness(4) 4.Not engaged with other intensive program that support them with education or training. The project will include social gathering of homeless people with their community in which morning tea will be delivered. The project will run for 12 weeks in which the progress and the outcome of it will be monitored and evaluated. The project will be undertaken inhomelessness women’s shelters that are located in the southern suburb of Adelaide. Out of ScopeThe excluded group to this study will be: 1.Homeless people with uncontrolled mental health issues or pose a risk to staff or other participants (1). 2.People who live remotely and not being able to locate them through any homelessness agency or services (2). Strategic / Business AlignmentThis project mirrors other strategies that have been used by other services and agencies. In this project, two strategies will be used to improve the mental illness of homeless people. Firstly, people will be promoted through improving physical activities. Bapist care service in South Australia provide exercise sessions and free gym to improve health and wellbeing among homeless people (7). Physical activities have been found to increase social connectedness (10). Secondly, the burden of mental illness will be decreased upon community connections through running morning tea. This Hutts street center in Adelaide to run meals program to end homelessness (9). The strategy of this project is consistent with South Australia policies. The aim of this policy is to improve health and quality of life. This project
lead to contact the case manager to discuss what the program will be about. To obtain the required observation and feedback for the program evaluation. The project lead should also assess the project outcome by communicating with the project team members. There are three keys of health promotion actions that are listed in the Ottawa Charter and related to the prospected project’s strategy (11). 1.Creating supporting environment will help people in establishing healthy lives. 2.Strengthening community actions to foster self-help and increase social support. 3.Developing personal skills to help coping with chronic diseases and Physical exercises to decrease the impact of mental illness (10). Jakarta declaration listed two priorities that is linked to this project (12). 1.Increase community capacity and empower the individuals through physical activities and personalized training. 2.Priority will consolidate and expand partnership for health. This is when skills and experiences are shared and communicated between different stakeholders for the best interest of the clients in the project. Project AimsTo improve the mental health among homeless people. Project ObjectivesTo improve the mental health of homeless people through increasing physical activities within 12 weeks of implementing the project. To improve the mental health of homeless people through increasing social connection among homeless people within 12 weeks of implementing the project. Project / Program Strategy and Methodology 1.Designing the program and developingan action plan: For objective (1): Project lead should contact the homeless service to arrange the information
sheet program to be distributed to the clients on their postal address. Objective (2): Project lead should contact the homeless service to arrange the information sheet program to be distributed to the clients on their postal address. 2.Implementing an action plan. Objective (1) The project incorporated a 12 weeks of regular group fitness. Objective 2: The project incorporated 12 weeks of a group morning tea. The morning sessions will be undertaken in 20 squares room that is unused space within the homeless service. 3.Process evaluation: Objective (1)Participant attendance and observation checklist were assessed during the 12 weeks. Objective (2) Participant attendance and observation check list were assessed during the 12 weeks. 4.Redesign and reimplement the program: Objective (1) The project incorporated a 12 weeks of regular group fitness. Objective 2: The project incorporated 12 weeks of a group morning tea. The morning sessions will be undertaken in 30 squares room that is unused space within the homeless service. 5.Impact or outcome evaluation: Objective (1) and (2): The outcome will be assessed for the short and the long- term effects on the participants mental health. Time framesThe total time required for the project for both objective (1) and objective (2) are outlined as below in Table 1: Table 1 ActivityResponsibilityTiming Milestone1: Project lead1stmonth
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Community assessment 1.1.Definethe groupwithin the scope of the project 1.2.Definethe groupoutof the scope Milestone 2: Designingthe programand developingan action plan 2.1Informing participantsabout the program 2.2Searching humanandnon- human resources Project lead2ndmonth Milestone3: Implementingan action plan 3.1Runthe trainingsessions /social gathering 3.2Setup equipment/ space for the morning tea 3.3. Collect data 3.4Process evaluation program lead and staff members 3rdmonth-6thmonths. Milestone4: Redesignand reimplementthe program 4.1Runthe trainingsessions /Space for morning tea 4.2Setup equipment 4.3. Collect data program lead and staff members 6thmonth- 9thmonth Milestone5:5.1. Impact or outcome evaluationbased Program lead10thmonth
onthegathered informationand data 5.2writingan evaluation report BudgetingProgram lead2 weeks Project GovernanceThe project requires approval from the case managers of the homeless people. The continuous use of the space in the homeless shelter required permission after and before each phase of the project from the participant’s case manager.Approval is required from Tafe sa for the student who study fitness course to start the placement. Progress of the student in the placement has to be monitored by Tafe SA staff. Key Stakeholders / Advisory GroupEvery individual is the stakeholders and healthcare professionals are the advisory groups. Project Team MembersThere are several people who are working on this project including project lead. The case managers who organize the space for fitness room and the morning tea. Also, the fitness sessions trainers and the morning tea staff. Those staff members will supply their observation of the participants to the project lead. Communication StrategyBefore the project starts, the case managers will be contacted either by phone or email to discuss all the aspects of the health promotion project. This one-time discussion and considered as an introduction of the project. During the project, the case manager will be informed regularly by email which should sent before and after the scheduled sessions. The trainer will be contacted by email before and after the scheduled sessions to monitor the progress. Any feedback or observation sheet will be emailed and staff member has to email them back after completing these sheets. When any issues should be contact to project organizer by email or phone. Evaluation StrategiesThe process success will be measured based on qualitative and quantitative
data as shown in Table 2. Table 2 ElementsEvaluation questions Data collection method Staff/trainers level Participant’s level ContextWhat personal or community factors affect project implementation? Observation using check list and interviews YesYes RecruitmentWhat barriers or strategies affect the individual involvement? Observation using check list and interviews YesYes ParticipationWhat is the characteristics of the participation group?. Daily attendance record Observation using check list and interviews YesYes Level of delivered service The level at which the participants take advantage of the activities provided along with the resources? Observation using check list and interviews Yes SatisfactionTo what extend participants enjoy the activities? Observation using check list and interviews YesYes Level of the received service Their interaction with the staff and other participants Observation using check list and interviews YesYes Financial ConsiderationsThe cost for both human and non-human resources was calculated as shown below: Objective 1 ItemCostNotes Internet210 dollars12-week internet for communications. Printedinformation papers 20 dollarsDistributed to 20 participants.
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Interviewand observation papers 30 dollarsUse to collect information from 20 participants during project implementation. Hire a fitness room6000 dollarsThe room was used 5 days a week for 12 weeks Trainer wedges3600 dollarsWorks 5 hours for two days a week for 12 weeks. Paid 30 dollars per hour. 10 hours work per week. Fitness equipment1460 dollarsThese include 6weights, each weight 100 dollars, 3 mats 100 dollars for each, 2 mini trampolines for 100 dollars each. 3 rowing for 120 dollars each, and 4 cycling machines for 130 dollars each. Phone bills60 dollarsThree months bills Petrol600 dollarsPetrol used to reach fitness center each week to monitor project progress. Around 10 dollars a day. Handyman300 dollarsTwo Handymans carry the fitness equipment to the fitness center. Total12280 dollars Objective 2 ItemCostNotes Internet210 dollars12-week internet for communications. Printedinformation papers and stationery 20 dollarsUsed to distributed to 20 participants. Interviewand observationpapersand stationery 30 dollarsFor collecting information from 20 participants. Phone bills60 dollars3 months bill. A room to hire1440 dollarsThe room was used 3 days a week for 2 hours a day for 12 weeks. Staff wedges2160 dollarsWork for 2 hours three days a week for 12 weeks,
staff were paid 30 dollars per hour Food,drinksand disposable cutlery 1440 dollarsbread, butter and other for 20 participants. Cost 40 dollars a day. 120 dollars a week. The morning tea will run 2 hours a day for 3 days a week Petrol900 dollarsPetrol used for shopping food and morning tea session each week for monitoring project. Around 15 dollars a day. Total6260 dollars Project Sign off / Approval Unit Manager / Director SA Dental Service Executive
REFERENCES (1) Health of people experiencing homelessness - Australian Institute of Health and Welfare [Internet]. Australian Institute of Health and Welfare. 2021 [cited 2 July 2021]. Available from: https://www.aihw.gov.au/reports/australias-health/health-of-people-experiencing-homelessness (2) Stafford A, Wood L. Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants. International Journal of Environmental Research and Public Health. 2017;14(12):1535. (3) Davies, A. and Wood, L., 2018. Homeless health care: meeting the challenges of providing primary care. Medical Journal of Australia, 209(5), pp.230-234. (4)Mental health and housing [Internet]. AHURI. 2021 [cited 2 July 2021]. Available from: https://www.ahuri.edu.au/housing/policy-analysis/mental-health-and-housing. (5) Vallesi S, Flatau P, Thielking M, Mackelprang J, Taylor K, La Sala L et al. A mixed methods randomised control trial to evaluate the effectiveness of the journey to social inclusion – phase 2 intervention for chronically homeless adults: study protocol. BMC Public Health. 2019;19(1). (6) Stringer C, Loosemore M, Moller E, Jackson S, López-Sánchez G, Firth J et al. Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomized controlled trial protocol. BMJ Open. 2019;9(3):e026466. (7) Bapist care sa .New Gym and Personal Training at our WestCare Centre {internet]. Bapist care sa[cited 2021 July 17. Available from:https://baptistcaresa.org.au/new-gym-and-personal- training-at-our-westcare-centre (8)Australian Alliance to End Homelessness. Leaving no-one behind: a national policy for health equity, housing and homelessness. [Online];2020 [cited 2021 May 14, available from: https://aaeh.org.au/assets/docs/Publications/20200120-POLICY-PROPOSAL_Leaving-no-one- Behind.pdf (9)Hutt street center end homelessness. Seek help [internet]. Hutt street center end homelessness [internet].[cited 2021 July 17].Available from: https://www.huttstcentre.org.au/seek-help/meals (10) Sofija E, Plugge M, Wiseman N, Harris N. ‘This is the beginning of the new me’: process evaluation of a group fitness intervention to promote wellbeing in formerly homeless individuals. BMC Public Health. 2018;18(1). (11)Better health channel. Ottawa charter for health promotion [Internet]. Better health channel [cited 2021 July 17].Available from: https://www.betterhealth.vic.gov.au/health/ServicesAndSupport/ottawa-charter-for-health- promotion (12)World Alliance for Breastfeeding Action.Jakarta Declaration on Health Promotion into the 21st Century[Internet].World Alliance for Breastfeeding Action[cited 2021 July 17].Available from: https://healthydocuments.org/public/doc13.htm