This mixed methods, community-based study examines the implementation and outcomes of the Community-Led Outreach and Engagement Model (CLOE) for women and youth affected by violence. Outreach services are designed to mitigate the effects of gender-based violence, build trusting relationships with service providers, and improve safety, well-being and engagement with health and social care. Over a 2-year implementation period, we will test how outreach, combined with enhanced service integration, supports participants to identify priority needs and can bridge the gap in accessible and appropriate service with people affected by violence.
Using community-based participatory research approaches, we implement and test an empirically driven model of outreach with people affected by violence to determine the effectiveness of the model for participants' trust in service providers, safety, and access to appropriate health and social care. The study represents a community-academic partnership between the PI, co-applicants and the Central Okanagan Elizabeth Fry Society (COEFS) and the Welcome Centre Shelter for Women and Families. There are 4 primary research questions: 1. How effective is the intervention to achieve participant trust in the outreach service program? 2. How effective is the outreach intervention in facilitating participant connection to (a) health services; (b) social services; and (c) legal services? 3. How effective is the outreach intervention in achieving participant safety plans for (a) material, (b) psychological and (c) physical safety? 4. What are the environmental factors that enable or confound the success of the outreach intervention to achieve effectiveness for (a) trust, (b) service connections and (c) safety? Research Method: This study is part of a broader program of research utilizing a case-based, intervention study design that employs mixed methods of both quantitative and qualitative data. The outreach intervention consists of 1-1 outreach service provided by trained outreach interventionists to enrolled and consented participants. Participants will be assigned an outreach interventionist for a one year period. During this time, interventionists and participants will complete a strengths-based assessment to identify participants' current resources and the types of health and social support (e.g., housing, legal, health care access, financial assistance) required. The interventionist and participant will then co-develop a plan to prioritize needs and work collaboratively to address these needs. Plans and progress will be documented by the interventionist in a participant file. Surveys will be conducted at baseline and 4 month intervals by a trained research assistant to measure changes over time in core outcome measures associated with this study (e.g., trust, safety planning, attainment of priority needs). 1-1 qualitative interviews will be conducted at time point 12 months to enable richer understanding of the factors influencing intervention effectiveness.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
86
The CLOE outreach intervention is a community-led, strengths-based, and trauma-informed program to support self-identifying women and youth who experience interpersonal and structural gender-based violence. Outreach services are designed to mitigate the effects of gender-based violence, build trusting relationships with service providers, and improve safety, well-being and engagement with health and social care.
University of British Columbia
Vancouver, British Columbia, Canada
Change in trust from baseline to 4 months
Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 4 months post-baseline
Time frame: Baseline & 4 months
Change in trust from baseline to 8 months
Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 8 months post-baseline
Time frame: Baseline & 8 months
Change in trust from baseline to 12 months
Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 12 months post-baseline
Time frame: Baseline & 12 months
Safety in home setting at baseline
Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety
Time frame: Baseline
Safety in home setting at 4 months
Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety
Time frame: 4 months post-baseline
Safety in home setting at 8 months
Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety
Time frame: 8 months post-baseline
Safety in home setting at 12 months
Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety
Time frame: 12 months post-baseline
Safety in community setting at baseline
Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety
Time frame: Baseline
Safety in community setting at 4 months
Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety
Time frame: 4 months post-baseline
Safety in community setting at 8 months
Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety
Time frame: 8 months post-baseline
Safety in community setting at 12 months
Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety
Time frame: 12 months post-baseline
Safety in health care encounters at baseline
Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: Baseline
Safety in health care encounters at 4 months
Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 4 months post-baseline
Safety in health care encounters at 8 months
Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 8 months post-baseline
Safety in health care encounters at 12 months
Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 12 months post-baseline
Safety in socio-legal service encounters at baseline
Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: Baseline
Safety in socio-legal service encounters at 4 months
Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 4 months post-baseline
Safety in socio-legal service encounters at 8 months
Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 8 months post-baseline
Safety in socio-legal service encounters at 12 months
Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety
Time frame: 12 months post-baseline
Program facilitates connection to services from baseline to 4 months
Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)
Time frame: Baseline & 4 months
Program facilitates connection to services from baseline to 8 months
Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)
Time frame: Baseline & 8 months
Program facilitates connection to services from baseline to 12 months
Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)
Time frame: Baseline & 12 months
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