Stand Together and Recover, Inc. (S.T.A.R.) · Stand Together and Recover, Inc. Annual Evaluation...

Stand Together and Recover, Inc.

(S.T.A.R.)

Annual Evaluation Report

Fiscal Year 2014

December 8, 2014

Prepared by

Center for Applied Behavioral Health Policy

College of Public Programs

Arizona State University

Stand Together and Recover, Inc. Annual Evaluation Report FY 2014

Center for Applied Behavioral Health Policy Arizona State University | 2

Acknowledgements

This report was prepared by the Arizona State University, Center for Applied Behavioral Health

Policy (CABHP), under contract number AVS0105-11100847 with the Stand Together and

Recover, Inc. (S.T.A.R.).

The authors wish to thank the following staff of S.T.A.R. for their ongoing cooperation and

assistance: Suzanne Legander, Deborah Menke, Suzy Lyons, Debbie Tisino, and Troy Lockhart.

Points of view represented in this report are those of the authors, and do not necessarily represent

the official position of S.T.A.R.

Suggested citation:

McKay, C., Shafer, M. S., Rivera, R., & Howard, J. (2014). Stand Together and Recover,

Inc.: Annual Evaluation Report for the Period July 1, 2013 – September 30, 2014.

Phoenix, AZ. Arizona State University.



TABLE OF CONTENTS

Introduction: Project Overview.................................................................................................... 4

S.T.A.R. Member Profile ............................................................................................................. 7

S.T.A.R Services, Participation, and Satisfaction ...................................................................... 13

Changes in Member Stability & Well-Being ............................................................................. 15

Conclusion ................................................................................................................................. 17

Appendix A: Intake Questionnaire PRC-IQ .............................................................................. 20

Appendix B: Quarterly Questionnaire PRC-QQ........................................................................ 22

Appendix C: Intake Responses by Data Collection Cycle......................................................... 26

Appendix D: Attendance, Services Used, & Service Satisfaction ............................................. 33

Appendix E: Quarterly Responses at Baseline and First Follow-Up ......................................... 35

Appendix F: Open-Ended Responses From Quarterly Questionnaires ..................................... 60



INTRODUCTION: PROJECT OVERVIEW

A. Background

Stand Together and Recover Centers (S.T.A.R.) is a nonprofit community service agency certified by the

Arizona Department of Health Services/Division of Behavioral Health and contracted by the Regional

Behavioral Health Authority in Maricopa County to provide peer-delivered support services to adults

diagnosed with a mental illness. S.T.A.R. operates three recovery centers (S.T.A.R. East, S.T.A.R.

Central, and S.T.A.R. West) in the metropolitan Phoenix area and serves approximately 500 members

annually. As a consumer-operated services program that employs individuals who have had, or who are

currently receiving, behavioral health services (mental health and/or substance abuse), S.T.A.R. is a

unique service provider in our community. The peer

support services provided by S.T.A.R. are designed to

promote personal recovery through socialization,

education, and self-advocacy.

The Arizona State University Center for Applied

Behavioral Health Policy (ASU) has been contracted by

S.T.A.R. since March 2010 to design and conduct collection of client-level information about S.T.A.R

members and the services they receive. This report summarizes the methodology and results from new

data collected from July 2013 through September 2014 and data from all previous years.

B. Data Collection Methodology

Each S.T.A.R. center administered surveys at intake and quarterly to members. Members were asked to

complete an intake questionnaire and a quarterly (baseline) questionnaire in concurrence with their initial

intake/enrollment paperwork. S.T.A.R. staff inform members that completion of the questionnaires is

voluntary and that declining will not affect their eligibility for S.T.A.R. services. ASU has developed

instructional guidelines along with a prepared informational letter for S.T.A.R. staff to use.

The Peer Recovery Center Intake Questionnaire (PRC-IQ) consists of 14 questions on basic demographic

information, self-reported behavioral health disorders, along with lifetime and 30 day service and event

experiences (Appendix A). The Peer Recovery Center Quarterly Questionnaire (PRC-QQ) consists of 55

multiple-choice questions and two open-ended items that solicit information about S.T.A.R. services

received, member satisfaction, use of other public health/public safety services, and overall

health/behavioral health status during the preceding 30 days (Appendix B).

Changes to collection during FY 2014. S.T.A.R. transitioned from a July to June fiscal year, to

the Federal Fiscal Year of October to September, so the collection was extended to align with the new

yearend of September 30.

For S.T.A.R.’s fiscal year 2014, S.T.A.R. and ASU worked to improved survey collection, to ameliorate

low samples sizes and inconsistent quarterly follow-up survey collections. Beginning in July 2013, ASU

changed its collection schedule of completed surveys from S.T.A.R. from quarterly to monthly.

“I am really happy to be in STAR. My life has

improved since being here. The staff is friendly

and helpful and I have made more friends here

[than] in my entire life before STAR. I have also

gained more self-confidence since being here.”



ASU research staff also created a case tracking Excel document for a S.T.A.R. administrative staff

member at the Central Administrative Office to track when intakes and quarterly questionnaires are

collected for each S.T.A.R. member. The tracking document includes formulas to calculate when the next

questionnaire is due for collection from each member, based off of the prior survey’s completion date.

The S.T.A.R. administrative staff member alerts each office manager monthly regarding which members

are due for their questionnaires.

The tracking tool also allows administrative staff to track other information, such as if the member is open

or closed to the center and if the member has refused to participate in survey collection. After collecting

surveys from S.T.A.R. administrative staff, ASU provides feedback to S.T.A.R. on collection counts,

correctly completed surveys, and missing surveys. These practices have greatly improved survey

collection.

During this time, the S.T.A.R. staff managing the survey tracking tool discovered discrepancies in the

Unique IDs used to track each member’s case. At the same time, an ASU research staff discovered that

some intake and baseline questionnaires were not taken at the true baseline (within 3 months of intake to

S.T.A.R.). The ASU research staff cleaned all collected data from all years to reflect corrected Unique

IDs and shifted quarterly questionnaires that were not taken at true baseline to a follow-up status.

Table 1 summarizes the frequency and percent distribution of the various permutations of forms collected

since the inception of data collection activities.

Table 1. Instrument Permutation by Open Case Status (July 2011 through September 2014)

Instrument Permutation by Questionnaire Type

Open Cases Closed Cases Total

f % f % f %

PRC-IQ 2 0.9 9 5.1 11 2.8

PRC-IQ and Baseline PRC-QQ 55 25.6 62 35.2 117 29.9

PRC-IQ, Baseline PRC-QQ and 1 Follow Up PRC-QQ 21 9.8 13 7.4 34 8.7

PRC-IQ, Baseline PRC-QQ, and 2 Follow Ups PRC-QQ 15 7 2 1.1 17 4.3

PRC-IQ, Baseline PRC-QQ, and 3 Follow Ups PRC-QQ 10 4.7 0 0.0 10 2.6



PRC-IQ and 1 Follow Up (IQ+1QQ, No Baseline PRC-QQ) 11 5.1 31 17.6 42 10.7

PRC-IQ and 2 Follow Ups (IQ+2QQ, No Baseline PRC-QQ) 8 3.7 23 13.1 31 7.9


PRC-IQ and 4 Follow Ups (IQ+4QQ, No Baseline PRC-QQ) 13 6 1 0.6 14 3.6





Baseline PRC-QQ 11 5.1 17 9.7 28 7.2

Baseline and 1 Follow Up (No PRC-IQ) 9 4.2 0 0.0 9 2.3

Baseline and 2 Follow Ups (No PRC-IQ ) 2 0.9 1 0.6 3 0.8

Baseline and 4 Follow Ups (No PRC-IQ ) 3 1.4 0 0.0 3 0.8

1 Follow Up PRC-QQ (No PRC-IQ, No Baseline PRC-QQ) 1 0.5 4 2.3 5 1.3

2 Follow Ups PRC-QQ (No PRC-IQ, No Baseline) 1 0.5 0 0.0 1 0.3



5 Follow Up PRC-QQ (No PRC-IQ , No Baseline PRC-QQ) 2 0.9 0 0.0 2 0.5

Total 215 100 176 100 391 100



For the current reporting period (July 2013 – September 2014), 99 PRC-IQs and 291 PRC-QQs were

collected from 223 unique members. Cumulatively, a total of 336 PRC-IQs and 837 PRC-QQs have been

completed by 391 unique S.T.A.R. member members, of which 215 were enrolled and 176 were closed as

of September 30, 2014. During the same timeframe, S.T.A.R. reported an average monthly total

attendance of 244 members with an average of 26 new intakes per month.

C. ANNUAL REPORT

The information contained in this report is updated from previous reports to incorporate member surveys

collected from July 1, 2013 and September 30, 2014.

This report is divided into three sections:

1. S.T.A.R. Member Profile

Section I reports on PRC-IQ data containing information for all members completing the intake

questionnaire in the most current wave of data collection1, relative to cumulative totals from all

completed PRC-IQs2.

2. S.T.A.R Services and Satisfaction

Section II describes information on S.T.A.R. services, such as attendance, services used,

satisfaction of services, and overall program satisfaction. These data are reported for members

who completed PRC-QQ for most current wave of data collection.

3. Changes in Member Stability & Well-Being

Section III provides comparisons on a number of dynamic member variables, such as member

stability, health, treatment service experience, and well-being, as reported on the PRC-QQ at

baseline and the PRC-QQ at first follow-up for all members with both of the data points for all

members with both of these data points. These data are reported for all surveys collected to date.

Appendices C, D, and E contain more detailed data tables than that which is presented in the body of the

report, with responses to open-ended questions reproduced in Appendix F, some of which are included

throughout this report.

1 Referenced elsewhere in this report as “Processed this Year.” 2 Referenced elsewhere in this report as “Total.”



S.T.A.R. MEMBER PROFILE:

SUMMARY OF AGGREGATED RESPONSES FROM THE INTAKE QUESTIONNAIRE

A. Demographic Characteristics of S.T.A.R. Members

The purpose of the PRC-IQ is to capture demographic and life event information of S.T.A.R. members at

intake, with the assumption this information (e.g., date of birth, gender, race) is relatively static. Table 2

highlights demographic information on members from this past year’s collection and the total collection.

Table 2. S.T.A.R. Member Demographics

New Cases1 Total2

f % f %

Gender Male 49 49.50% 165 49.10%

Female 50 50.50% 171 50.90%

Age Range 18-25 10 10.10% 26 7.80%

26-35 14 14.10% 47 14.00%

36-45 13 13.1% 65 19.4%

46-55 37 37.40% 114 34.00%

56-65 21 21.20% 74 22.10%

66 or above 4 4.00% 9 2.70%

Race & Ethnicity Hispanic or Latino 19 19.20% 67 19.90%

White 64 64.60% 218 64.90%

Black or African-

American

12 12.10% 39 11.60%

American Indian 4 4.00% 13 3.90%

Asian 2 2.00% 5 1.50%

Other 5 5.10% 13 3.90%

Educational

Achievement

Dropped out before high

school

8 9.00% 36 11.50%

Attended high school

but did not complete

14 15.70% 48 15.40%

High school diploma or

equivalent (GED)

27 30.30% 104 33.30%

Attended college but did

not receive a degree

22 24.70% 70 22.40%

College degree 18 20.20% 54 17.30%

Military Status Served 13 13.50% 34 10.30%

Member Title

XIX

Yes* 67 70.50% 157 76.59%

No* 28 29.50% 48 23.41%

* Independent samples proportions test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to

correct for Type 1 error.

1. New cases are PRC-IQs completed between July 2013 and September 2014.

2. Total cases are all PRC-IQs completed between July 2011 and September 2014.

The PRC-IQ captures S.T.A.R. member profile information. Demographically, there is an equal

representation of female and male members. Three quarters of members are between the ages of 36 and



65, with the mean age at intake being 46 (SD=13). Over seventy percent of members have attained a high

school diploma or post-secondary education.

Independent-samples proportion tests were conducted to evaluate differences in the characteristics of new

members surveyed this reporting cycle in comparison to surveyed members from previous years.

Currently 76.59% of members are Title XIX eligible, but there was a significant decrease in reported Title

XIX eligibility in the reporting year to 70.5% (Z=-1.9, p<.05, h=.60). The medium effect size shows a

moderate practical significance in difference between new cases and cases from previous collections.

This decrease in reported Title XIX eligibility may be due to S.T.A.R.’s expanded funding streams and

ability to serve non-eligible members again.

Comparisons of demographic representation in PRC-IQ responses and Maricopa County demographics

from the 2013 population estimate of the 2010 United States Census are contained in Table 3. While no

difference in gender representation was observed, a statistically significant under-representation of

Hispanic or Latino (Z=4.02, p<.001, h=.23) and an over representation of White (Z=-2.7, p<.01, h=.14)

Black or African American (Z=4.67, p<.001, h=.21) was observed. The small effect size shows a small

practical significance in difference between S.T.A.R. members and Maricopa County residents.

S.T.A.R members

also report under

education, when

compared to the

education levels of

Maricopa County

residents. A

majority of members

have completed a

high school

education or higher

(73.1%), yet 86.2%

of Maricopa County

residents report

having at least a

high school

education (Z=6.71, p<.001, h=.33). While 17.3% of member report completing a four-year degree or

higher, 29.5% of Maricopa county residents have completed a four-year degree (Z= 4.72, p<.001, h=.29).

The small effect size shows a small practical significance in difference between S.T.A.R. members and

Maricopa County residents.

Table 3. S.T.A.R. Member

Demographics

STAR Total Maricopa County

f % f %

Gender Female 168 51.1% 2,024,753 50.5%

Race &

Ethnicity

Hispanic or Latino* 67 19.9% 1,202,824 30.0%

White* 218 64.9% 2,309,421 57.6%

Black or African-

American*

39 11.6% 228,536 5.7%

American Indian 13 3.9% 108,254 2.7%

Asian 5 1.5% 160,376 4.0%

Educational

Achievement

High School

Graduate or More*

228 73.1% 3,290,356 86.2%

Bachelor Degree

or More*

54 17.3% 1,126,050 29.5%

United States Census Bureau. (2014). Maricopa County, Arizona. Retrieved Dec 1, 2014

from: http://quickfacts.census.gov/qfd/states/04/04013.html

* Independent samples proportions test is significant with p<0.05 and Holm’s Sequential

Bonferroni method used to correct for Type 1 error.

http://quickfacts.census.gov/qfd/states/04/04013.html



B. Behavioral/Mental Health Disorders & Indicators of Instability

Nearly three-quarters (72%) of both

new and cumulative members

reported having a diagnosis of

mood disorder, with slightly more

than half of the cumulative

members also reporting diagnoses

of psychotic (51.2%) and/or anxiety

disorders (53.9%). Fewer

individuals reported diagnoses of

substance use (13.4.3%) disorders

or personality disorders (22.9%).

Statistically significant fewer new

members reported psychotic

diagnoses was observed in the current reporting period, relative to cumulative RC-IQ reporting (Z=-2.32,

p<.05, h=.28). The small effect size shows a small practical significance in difference between new cases

and cases from previous collections. All other changes in other diagnoses were not statistically

significant.

As reflected in Table 5, the vast majority of S.T.A.R. members reported at least one behavioral health

hospitalization (86.3%) prior to joining S.T.A.R. Of these members, 29.8% report a history of being

hospitalized for behavioral health 7 or more times. In-patient drug or alcohol treatment was reported by

24.6% of members at intake. This is interesting when only 13.4% of members reported a substance abuse

or dependence diagnosis at intake. The recovery support needs of S.T.A.R. member are not only reflected

in their experiences with multiple behavioral health hospitalizations and drug and alcohol treatment

histories, but also in the reported number of members who have experienced suicide attempts (61.2%),

arrest (56.5%), incarceration (49.5%), and homelessness (25.6%).

Table 5. Life Events New Cases1 Total2

f % f %

How many times in your lifetime have you been - Hospitalized for behavioral health

Never 12 12.80% 45 13.70%

1 to 3 times 31 33.00% 103 31.30%

4 to 6 times 25 26.60% 83 25.20%

7 or more times 26 27.70% 98 29.80%

How many times in your lifetime have you been - Attempted suicide*

Never** 44 48.9% 121 38.8%

1 to 3 times** 26 28.9% 117 37.5%

4 to 6 times 12 13.30% 36 11.50%

7 or more times 8 8.90% 38 12.20%

How many times in your lifetime have you been – Arrested

Never 46 48.90% 135 43.50%

1 to 3 times 36 38.30% 122 39.40%

4 to 6 times 6 6.40% 19 6.10%

7 or more times 6 6.40% 34 11.00%

* Mann-Whitney U test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error. ** Independent samples proportions test is significant with p<0.05 1. New cases are PRC-IQs completed between July 2013 and September 2014.


Table 4. Self-Reported Diagnoses

New Cases1 Total2 f % f %

Mood 72 72.7% 242 72.0%

Psychotic* 41 41.4% 172 51.2%

Anxiety 49 49.5% 181 53.9%

Personality 21 21.2% 77 22.9%

Substance Abuse or Dependence

14 14.1% 45 13.4%

Other Disorder 10 10.1% 27 8.0% * Independent samples proportions test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error. 1. New cases are PRC-IQs completed between July 2013 and September

2014.




Table 5. Life Events (Continued) New Cases1 Total2

f % f %

How many times in your lifetime have you been - Spent time in jail or prison

Never 53 57.60% 160 50.50%

1 to 3 times 32 34.80% 117 36.90%

4 to 6 times 5 5.40% 18 5.70%

7 or more times 2 2.2% 22 6.9%

How many times in your lifetime have you been - In-patient detox

Never 67 76.10% 233 75.40%

1 to 3 times 17 19.30% 54 17.50%

4 to 6 times 3 3.40% 11 3.60%

7 or more times 1 1.10% 11 3.60%

How many times in your lifetime have you been - Homeless for 12 continuous months

Never 74 78.70% 238 74.40%

1 to 3 times 17 18.10% 65 20.30%

4 to 6 times 2 2.10% 6 1.90%

7 or more times 1 1.10% 11 3.40%

How many times have you been homeless any length of time in the past 3 years

Never 77 80.20% 255 77.30%

1 to 3 times 14 14.60% 62 18.80%

4 to 6 times 3 3.10% 7 2.10%

7 or more times 2 2.10% 6 1.80% * Mann-Whitney U test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error. ** Independent samples proportions test is significant with p<0.05 1. New cases are PRC-IQs completed between July 2013 and September 2014.


Change in Suicide Attempts. A majority (61.2%) of all intakes report having attempted suicide;

however, new intakes had fewer (51.1%) reports of attempted suicide in their lifetime. Mann-Whitney U

tests were conducted to analyze differences reported life events among the members who completed PRC-

IQ surveys in this reporting year compared to past reporting years. The only life event that was found to

be significantly different was Lifetime Attempted Suicide. Self-reported suicide attempts at intake were

found to be significantly lower among intakes collected this current reporting period (Mdn=1 to 3 times)

than among intakes collected during previous reporting periods (Mdn=1 to 3 times ) (U=8695.00, Z=-

1.91, p<.05, r=.11). The effect size, however, is relatively small, showing a small magnitude of practical

significance. Significantly more new members reported having never attempted suicide (48.90%)

compared to members who completed intakes during previous collection years (34.7%), Z=2.33, p<.05;

whereas, significantly fewer members with intakes during the current reporting period reported 1 to 3

suicide attempts (28.90%) compared to intakes from previous years (41.0%), Z=-2.00, p<.05. No

significant difference was detected in reporting of 4 to 6 (Z=.63, p=.53) and 7 or more suicide attempts

(Z=-1.13, p=.26).



C. Differences in Open and Closed Cases from Past Collection Cycles

This year is the first time ASU has received data from S.T.A.R. on members’ continuing status with the

program. While these data do not include the date of closure from S.T.A.R., they do allow from some

initial analysis for demographic contrasts between members who remain in an open status and those in a

closed status, with regard to S.T.A.R. membership. This analysis was only conducted on PRC-IQs that

were collected prior to July 1, 2013.

Table 6. Life Events

PRC-IQ Collected Prior to July 2013

Case Open Case Closed

f % f %

How many times in your lifetime have you been - Hospitalized for behavioral health*

Never** 13 12.6% 20 15.2%

1 to 3 times** 40 38.8% 32 24.2%

4 to 6 times 22 21.4% 36 27.3%

7 or more times 28 27.2% 44 33.3%

How many times in your lifetime have you been - Attempted suicide

Never 35 37.2% 42 32.8%

1 to 3 times 40 42.6% 51 39.8%

4 to 6 times 8 8.5% 16 12.5%

7 or more times 11 11.7% 19 14.8%

How many times in your lifetime have you been – Arrested*

Never** 46 49.5% 43 35.0%

1 to 3 times** 30 32.3% 56 45.5%

4 to 6 times 7 7.5% 6 4.9%

7 or more times 10 10.8% 18 14.6%


Never 48 49.5% 59 46.1%

1 to 3 times 35 36.1% 50 39.1%

4 to 6 times 6 6.2% 7 5.5%

7 or more times 8 8.2% 12 9.4%


Never 66 69.5% 100 79.4%

1 to 3 times 19 20.0% 18 14.3%

4 to 6 times 5 5.3% 3 2.4%

7 or more times 5 5.3% 5 4.0%


Never 73 76.0% 91 70.0%

1 to 3 times 20 20.8% 28 21.5%

4 to 6 times 0 0.0% 4 3.1%

7 or more times 3 3.1% 7 5.4%


Never 79 78.2% 99 74.4%

1 to 3 times 20 19.8% 28 21.1%

4 to 6 times 1 1.0% 3 2.3%

7 or more times 1 1.0% 3 2.3% * Mann-Whitney U test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error. ** Independent samples proportions test is significant with p<0.05

Mann-Whitney U tests were conducted on life event questions to differences in members who remain in

open status as S.T.A.R. members and those individuals who had been closed on or before September 30,

2014. Independent Samples Proportion Tests were then utilized to analyze the change in answers. As

reflected in Table 6, only two lifetime events discriminated between individuals who were in open and

closed status: lifetime behavioral health hospitalization and lifetime arrests.



Hospitalized for behavioral health. Open case members (Mdn=1 to 3 times) were found to

reported significantly fewer behavioral health hospitalization compared to closed case members (Mdn=4

to 6 times) (U=11164.00, Z=-2.05, p<.05, r=.12). As with other analyses contained in this report, the

effect size is relatively small practical significance. The only significant difference in response patterns

was observed for the 1 to 3 times response option where open case members (38.8%) were significantly

higher than to closed case members (24.2%), Z=2.41, p<.02. No significant difference was observed for

response patterns of never (Z=-.55, p=.58), 4 to 6 times (Z=-1.04, p<.30), and 7 or more times (-1.01,

p=.31).

Arrested. Closed case members (Mdn=1 to 3 times) were observed to reported significantly

higher rates of lifetime arrests, compared to open case members (Mdn=1 to 3 times) (U=9826.50, Z=-

2.20, p<.05, r=.13). As with other analyses contained in this report, the effect size is relatively small

practical significance. Significantly fewer closed case members (35.0%) reported have never been

arrested, as compared to open case members (49.5%), Z=2.14, p<.05. Concomitantly, closed case

members (45.5%) more frequently reported being arrested 1 to 3 times as compared to their open case

counterparts (32.3%), Z=-1.97, p<.05. No significant differences were observed for the response options

of 4 to 6 arrests (Z=.81, p=.42) and 7 or more arrests (Z=-.84, p=.40).



S.T.A.R. Services, Participation, and Satisfaction

Over 40% of members surveyed this year attended S.T.A.R. East, with about 35% attending S.T.A.R.

West and a little over 20% attending S.T.A.R. Central. On average, these individuals attend S.T.A.R.

four days per week where they participate in a variety of group activities and individual meetings with

S.T.A.R. staff. Table 7 reports respondents’ S.T.A.R. locations and frequency of services. There were no

significant changes in PRC-QQ responses to attendance in this reporting year, compared to past years’

collections.

Table 7. STAR Participation Processed this Year1 Previous Years2

f % f %

S.T.A.R. Center Location

STAR East 120 41.4% 212 38.8%

STAR West 106 36.6% 217 39.7%

STAR Central 63 21.7% 117 21.4%

How many days per week do you typically attend STAR?

1 Day 28 11.6% 22 4.3%

2 Days 33 13.6% 81 15.9%

3 Days 53 21.9% 114 22.3% 4 Days 34 14.0% 75 14.7%

5 Days 73 30.2% 151 29.5%

6 Days 18 7.4% 60 11.7%

7 Days 3 1.2% 8 1.6%

How often do you typical meet individually with the staff members of STAR?

Never 105 43.6% 100 19.8%

1-3 Times per Week 104 43.2% 295 58.3%

4-6 Times per Week 25 10.4% 97 19.2%

7 or More Times per Week 7 2.9% 14 2.8%

How often do you typically attend a group(s) of STAR?

Never 6 2.4% 7 1.3% 1-3 Times per Week 109 43.3% 197 37.8%

4-6 Times per Week 98 38.9% 215 41.3%

7 or More Times per Week 39 15.5% 102 19.6%

* Independent samples proportions test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error. 1. New cases are PRC-IQs completed between July 2013 and September 2014. 2. Total cases are all PRC-IQs completed between July 2011 and June 2013.

Independent sample proportion tests revealed differences in location reporting, looking at open and closed

cases from previous collections, there were significantly more closed cases at S.T.A.R Central (Z=-2.77,

p<.01, h=.37). The effect size shows small magnitude of significance. This large amount of closed cases

at S.T.A.R. Central is capturing members who only experienced the old S.T.A.R. Central location, which

has since been renovated into the new vocational location. A new S.T.A.R. Central location, with more

area and updated amenities opened during this past collection cycle.



The PRC-QQ contains a series of questions about member satisfaction with a range of services specific to

community resources, social development, and health management. A four-point Likert scale is provided,

anchored at 1 (Poor) and 4 (Excellent). Figure 1 summarizes the percentage of respondents endorsing the

response options of Very Good (3) and Excellent (4) for each of the identified services.

As these data reflect, a majority of members reported satisfaction for all of the listed services, with coping

skills and symptom management (78%), social and communication skills (76%), health, wellness, and

physical activity (72%), and Living skills, budgeting, and meal planning (70%) having a vast majority

members reporting satisfaction. The services with the lowest satisfaction rates were Employment,

education, and job skills (55%) and Housing (54%). These two areas of needs are highly affected by

resource scarcity in the community and economic market volatility. S.T.A.R. has taken measures to

increase vocational service access by creating a vocational skills center in the old S.T.A.R. Central

building. These questions will be of interest in next year’s report as the new programs begin.

To evaluate significant change in satisfaction of this year’s responses and previous years, ASU selected

respondents’ most recent PRC-QQ collected post July 1, 2013 and most recent PRC-QQ collected prior to

June 30, 2013. Mann-Whitney U tests were conducted, with one service area showing a significant

change.

Satisfaction with medical benefits help. Respondents reported a significant decrease in

satisfaction ratings with help obtaining medical benefits during this year’s collection (Mdn=Very good)

when compared to responses past (Mdn=Very good) responses, U=566.00, Z=-3.82, p<.001, r=.36. The

effect size shows moderate practical significance. This change in satisfaction could be influenced by the

increase in members who are not eligible for Title XIX during the same timeframe.



Changes in Member Stability and Well-Being:

Comparison of Responses from Baseline and First Follow-Up

This section summarizes member reported changes between quarterly baseline, and quarterly follow-up

questionnaires relating to well-being, activities, housing stability, health and wellness indicators, and

significant life events.

A total of 79 members completed both a true baseline3 and a first

follow-up as of September 30, 2014. While baseline is determined to

be within three months of intake, the first follow-up is not

standardized to a specific period post-baseline. According to Table 8,

the mean period of time between baseline and first follow-up is 7.6

months.

Members are asked to respond to a series of statements regarding

various aspects of their health, behavioral health, socialization, self-advocacy, and self-sufficiency status

at baseline and at each follow-up. For these statements, respondents are asked to reflect upon the

preceding 30 day period and using a four-point Likert scale, rate their degree of agreement with each

statement. Comparisons of average baseline responses and average first follow-up responses from the 79

respondents for whom such comparisons could be made are presented in the accompanying figures.

Table 9 summarizes the

proportion of respondents

reporting one or more

significant events in the

immediately preceding 30

month. As these data reveal a

73% reduction in reported

incidents of psychiatric

hospitalization at their first

follow-up, relative to the 30

days immediately preceding

their enrollment at S.T.A.R.

This statistically significant reduction shows less than 5% (3.8%) of surveyed members reported

psychiatric hospitalizations at their first follow-up compared to 14.1 at intake, Z=2.24, p<.05.

Statistically insignificant reductions in the utilization of other services (e.g., medical hospital services,

psychiatric crisis, detox services, arrests) while reports of violent victimization remained relatively

unchanged.

3 True baseline are PRC-QQs which have been completed within three months of completing intake at S.T.A.R.

Table 8. Baseline and First Follow-Up Latency

N 79 Mean 7.58 Median 7.00 Mode 5.00 Std. Deviation 4.79 Minimum 1.00 Maximum 22.00

Table 9. Past 30 Day Significant Events

Baseline First Follow-Up

f % f %

Medical Hospitalization 10 12.8% 8 10.4% Psychiatric Hospitalization*

11 14.1% 3 3.8%

Psychiatric Crisis Services 12 15.4% 11 14.1% Detox Services 2 2.6% 1 1.4% Victim of Violent Crime 4 5.1% 4 5.2% Arrested 1 1.3% 0 0.0% Homeless 3 3.8% 2 2.5% * Independent samples proportions test is significant with p<0.05 and Holm’s Sequential Bonferroni method used to correct for Type 1 error.



Employment and college activity

statuses of members remained

relatively unchanged between

baseline assessments and first follow-

up. Statistically indignant increases

were observed in volunteering and

GED class participation while

marked, but statistically insignificant

decreases in job training was

observed. The majority of S.T.A.R. members (83.1%) reported no involvement in paid employment, job

training, GED classes, or college at their first follow-up interview.

Table 11 reports significant changes in health, wellbeing, and activity ratings from baseline to first

follow-up.

Table 11. Health Condition within Past 30 Days Baseline/Intake 1st Follow-Up

f % f %

Q12. During the past 30 days how would you rate your physical health?*

Poor 2 2.5% 2 2.6%

2 3 3.8% 1 1.3%

3 3 3.8% 3 3.9%

4 8 10.1% 4 5.2%

5 14 17.7% 11 14.3%

6 11 13.9% 8 10.4%

7 13 16.5% 18 23.4%

8 13 16.5% 13 16.9%

9 4 5.1% 7 9.1%

Excellent 8 10.1% 10 13.0%

Q13. During the past 30 days how would you rate your mental health?*

Poor 0 0.0% 2 2.5%

2 2 2.6% 0 0.0%

3 4 5.3% 5 6.3%

4 7 9.2% 6 7.6%

5 9 11.8% 7 8.9%

6 16 21.1% 7 8.9%

7 11 14.5% 18 22.8%

8 17 22.4% 12 15.2%

9 0 0.0% 10 12.7%

Excellent 10 13.2% 12 15.2%

Q14. During the past 30 days how often have you been bothered by psychological or emotions problems?*

None of the time** 6 8.1% 15 19.2%

Rarely 15 20.3% 20 25.6%

Some of the time 35 47.3% 32 41.0%

Most of the time 14 18.9% 9 11.5%

All the time 4 5.4% 2 2.6%

Q38. During the past 30 days rate if you felt you used too much alcohol or other drugs.*

Strongly Disagree** 19 50.0% 32 69.6%

Disagree 11 28.9% 10 21.7%

Agree 5 13.2% 2 4.3%

Strongly Agree 3 7.9% 2 4.3%

* Wilcoxon Signed Rank test is significant at p<0.05, Holm’s Sequential Bonferroni method used to correct for Type 1 error. ** Independent samples proportions test is significant with p<0.05

Table 10. Changes in Current Activity Status

Baseline First Follow-Up

f % f %

Employed 11 14.0% 11 14.1% Volunteering 10 13.5% 13 16.9%

Job training 8 10.1% 3 3.8%

GED classes 2 2.5% 3 3.8%

College 6 7.6% 6 7.6%

* Independent samples proportions test is significant at p<0.05, Holm’s Sequential Bonferroni method used to correct for Type 1 error.



Wilcoxon Signed Rank tests were conducted to evaluate changes health, wellbeing, and activity ratings

from baseline to first follow-up. This test analyzes differences in answers from each respondent across

time by evaluating individual respondents’ answers for baseline and first follow up, comparing positive

ranks (respondents’ ratings that increased from baseline to follow-up) and negative ranks (respondents’

ratings that decreased from baseline to follow-up).

Physical health. Respondents reported a statistically significant increase in physical health

ratings between baseline (Mdn=6.0) and first follow-up (Mdn=7.00), where the mean positive

ranks in physical health was 29.47 and mean negative ranks in physical health was 28.19, Z=-

1.88, p<.05, r=.21. The results show a medium effect size, indicating moderate practical

significance.

Mental health. A statistically significant increase in mental health ratings between baseline

(Mdn=6.5) and first follow-up (Mdn=7.0) was reported. The mean positive ranks in mental

health was 31.45 and the mean negative ranks in mental health was 28.86, Z=-2.08, p<.05, r=.24.

The results show a medium effect size, indicating moderate practical significance.

Psychological or emotions problems. A statistically significant decrease in the frequency of

problematic psychological symptoms and emotional problems was reported at the first follow-up

(Mdn= Some of the time), relative to baseline (Mdn= Some of the time) assessments. The mean

negative ranks in problematic symptoms was 23.21 and the mean positive ranks was 20.81, Z=-

2.71, p<.01, r=.32. The results show a medium effect size, indicating moderate practical

significance. An Independent Samples Proportion Test showed a significant increase in members

reporting None of the time from baseline (8.10%) to first follow-up (19.20%), Z=-1.99, p<.05.

While more members reported Rarely and fewer members reported Some of the time, Most of the

time, and All the time at first follow-up, these changes were not significantly different.

Excessive use of alcohol or other drugs. Respondents reported a statistically significant decrease

in excessive use of alcohol or drugs at the first follow-up (Mdn= Strongly Disagree), relative to

baseline (Mdn=between Strongly Disagree and Disagree) assessments. The mean negative ranks

for using too much alcohol or drugs was 7.45, while the mean positive ranks was 5.50, Z=-2.138,

p<.05, r=.38. The results show a medium effect size, indicating moderate practical significance.

An Independent Samples Proportion Test showed a significant increase in members reporting

Strongly Disagree from baseline (50.00%) to first follow-up (69.60%), Z=-1.83, p<.05. While

less members reported Disagree, Agree, and Strongly Agree at first follow-up, these changes were

not significantly different.



Conclusion

S.T.A.R contracted with ASU to collect information through the PRC-IQ and the PRC-QQ, to gain

additional knowledge on members and their satisfaction with S.T.A.R. services. After collecting member

data from July 2012 to September 2014 at the three peer-operated centers and integrating these data with

previously collected information, the following discussion summarizes findings to date.

S.T.A.R. members are equitable representative of males and females.

When compared to the demographics of Maricopa county, there is an

over representation of white and Black or African American members

and an under presentation of Latinos or Hispanics among the S.T.A.R.

membership. The racial/ethnic disparity observed in the S.T.A.R.

membership discrepancy is consistent with patterns observed in the

community’s behavioral health system. Further analysis of

demographics within the community behavioral health systems of Maricopa County would be of interest

to see if there are certain groups being underserved. An attempt to procure demographics from Mercy

Maricopa Integrated Care would be beneficial for future analysis.

While a majority of members surveyed during this reporting period reported Title XIX eligibility, there

was a marked decrease in Title XIX eligible members relative to from previous reporting periods.

Members more frequently reported mood (72.7%), anxiety (49.5%), and psychotic disorders (41.4%)

diagnoses, with a significant decrease in psychotic disorders compared to previous reporting periods.

Psychiatric hospitalizations (87.2%), suicide attempts (51.1%), and arrests (51.1%) were normative

experiences of all members, with a significantly fewer new members reported lifetime suicide attempts

compared to previous reporting periods.

An interesting discrepancy in life events and diagnosis was identified regarding substance use. While

23.9% of new respondents reported in-patient detox as a life event, only 14.1% of new respondents

identified a substance abuse or dependency diagnosis. While substance abuse diagnoses can terminate

after a number of years in remission, this discrepancy could benefit from additional analyses.

Cases from previous reporting periods that were still open as of September 30, 2014 had fewer psychiatric

hospitalizations overall, but were more likely to have been hospitalized 1 to 3 times. Open cases also had

less experiences with arrest, with significantly more open cases having never experienced arrest. At the

same time, there was no noticeable difference in experience with incarceration. This will benefit from

further analysis, incorporating intake and closing dates from S.T.A.R for ASU to conduct time analyses

for differences in length of treatment.

Survey responses showed significant improvements of self-reported physical health ratings and mental

health ratings, after participating in S.T.A.R. services at first follow-up. At the same time, there were

significant reductions in behavioral health hospitalizations, problematic symptoms, and reports of using

too much alcohol or drugs. However, other indicators of functioning, include employment, self-

sustaining, community-recreational, and self-advocacy status showed no significant difference at the first

“There is always room for

improvement, however my

experience here at star has been

positive, enlightening, and very

helpful”



follow-up. There was a large increase in PRC-IQ and baseline PRC-QQ’s gathered at the end of the

reporting period, the first-follow-ups should provide fruitful data for further analysis.

Consistent with last year’s report, S.T.A.R. members report high

satisfaction with across the following services: Coping skills and

symptom management, Social and communication skills, health,

wellness and physical activities, and Living skills, budgeting, and meal

planning. Two areas continue to hold lower satisfaction level, Employment, education, and job skills and

Housing.

S.T.A.R. members continue to report underemployment and the absence of any other meaningful activity,

outside of S.T.A.R. A minority of 30% reported employment, educational, or volunteering activities or

other forms of productive activity. 45% of the members rated their satisfaction with S.T.A.R.’s

educational, job-training, and placement assistance as “Fair” or “Poor,” second lowest to Housing

Assistance. S.T.A.R. has recently taken action to create a vocational training program and these surveys

were completed prior to the new program starting. This will be an area of attention for next year’s report.

The findings contained in this report should be interpreted with caution. Findings are based on S.T.A.R.

members’ self-reported assessments of their physical, behavioral, and mental health conditions. Self-

report data can be unreliable due to respondents’ functional literacy levels, interpretations of past events,

understanding of S.T.A.R.’s role in their social welfare system, comfort levels with providing criticism,

and potential concern over confidentiality and retaliation over responses.

The questionnaires have not yet been psychometrically validated and as such may lead to spurious

findings. The utilization of more reliable, objective measures would corroborate and strengthen the

survey findings contained in this report. In the next year, revision of the survey instrument will advance

the reliability and validity of the PRC-IQ and PRC-QQ.

In spite of these limitations, the information contained in this report provides a rich and unique

perspective on the characteristics, experiences, and outcomes of mentally ill individuals who participate

in a consumer operated program. These data provide a unique perspective on the lived experience of

recovery as it unfolds for a growing group of individuals with significant psychiatric treatment profiles

and systems involvement. For these individuals, programs like S.T.A.R. serve a unique and critical role

in the fabric of the community mental health care network uniquely situated to facilitate the mutual aid

and peer-to-peer support so essential to recovery and uniquely found in non-clinical, non-professionalized

consumer operated services.

“When I go to staff with a

problem or compliant they

get to work on it right away.”



APPENDIX A: INTAKE QUESTIONNAIRE (PRC-IQ)





Appendix B: Quarterly Questionnaire (PRC-QQ)









APPENDIX C: INTAKE RESPONSES BY DATA COLLECTION CYCLE New Cases are defined as Intake Questionnaires collected between July 1, 2013 and September 30, 2014.

Old Cases are defined as Intake Questionnaires collected prior to July 1, 2013.

Case status of “Open” or “Closed” were determined by if case with Intake Questionnaire collected prior to July 1, 2013 was open to STAR

or closed as of September 30, 2014.

Table C1 Duration, Location & Title 19 Status of S.T.A.R participation

New and Old Intakes

New Cases

Old Cases

Total Case Open Case Closed

f % f % f % f %

How long have you been participating in STAR?

< 3 months 70 74.5% 28 27.2% 62 47.0% 160 48.6% < 1 year 12 12.8% 16 15.5% 20 15.2% 48 14.6%

1-2 years 6 6.4% 15 14.6% 15 11.4% 36 10.9% Over 2 years 6 6.4% 44 42.7% 35 26.5% 85 25.8%

SubTotal 94 94.9% 103 100.0% 132 98.5% 329 97.9%

Missing 5 5.1% 0 0.0% 2 1.5% 7 2.1% Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Location STAR East 42 45.7% 43 41.7% 38 28.4% 123 37.4%

STAR West 20 21.7% 40 38.8% 48 35.8% 108 32.8%

STAR Central 30 32.6% 20 19.4% 48 35.8% 98 29.8% SubTotal 92 100.0% 103 100.0% 134 100.0% 329 100.0%

Missing 0 0.0% 0 0.0% 0 0.0% 0 0.0%

Total 92 100.0% 103 100.0% 134 100.0% 329 100.0%

Member Title XIX Yes 67 70.50% 34 33.00% 56 41.80% 157 47.30%

No 28 29.50% 7 6.80% 13 9.70% 48 14.50%

Not In Version 1 0 0.00% 62 60.20% 65 48.50% 127 37.80%

SubTotal 95 95.96% 103 100.00% 134 100.00% 332 98.81%

Missing 4 4.04% 0 0.00% 0 0.00% 4 1.19%

Total 99 100.00% 103 100.00% 134 100.00% 336 100.00% Note1: Data obtained from Intake Questionnaire Note2: Version 1 surveys did not ask about Title XIX status, version 2 incorporated Title XIX status.



Table C2.1 Member Characteristics

New and Old Intakes

New Cases

Old Cases


f % f % f % f %

Age (in years) at intake

18-25 10 10.1% 5 4.9% 11 8.2% 26 7.8%

26-35 14 14.1% 15 14.7% 18 13.4% 47 14.0%

36-45 13 13.1% 21 20.6% 31 23.1% 65 19.4%

46-55 37 37.4% 33 32.4% 44 32.8% 114 34.0%

56-65 21 21.2% 26 25.5% 27 20.1% 74 22.1%

66 or above 4 4.0% 2 2.0% 3 2.2% 9 2.7%

SubTotal 99 100.0% 102 99.0% 134 100.0% 335 99.7%

Missing 0 0.0% 1 1.0% 0 0.0% 1 0.3%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

What is your gender?

Male 48 49.5% 51 49.5% 62 48.1% 161 48.9%

Female 49 50.5% 52 50.5% 67 51.9% 168 51.1%

SubTotal 97 98.0% 103 100.0% 129 96.3% 329 97.9%

Missing 2 2.0% 0 0.0% 5 3.7% 7 2.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Gender of Client Based Off CltID

Male 49 49.5% 51 49.5% 65 48.5% 165 49.1%

Female 50 50.5% 52 50.5% 69 51.5% 171 50.9%

SubTotal 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Missing 0 0.0% 0 0.0% 0 0.0% 0 0.0%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Note1: Data obtained from Intake Questionnaire




New and Old Intakes

New Cases

Old Cases


f % f % f % f %

Have you served in the armed forces or military?

Yes 13 13.5% 9 8.7% 12 9.1% 34 10.3%

No 83 86.5% 94 91.3% 120 90.9% 297 89.7%

SubTotal 96 97.0% 103 100.0% 132 98.5% 331 98.5%

Missing 3 3.0% 0 0.0% 2 1.5% 5 1.5%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Hispanic or Latino

Yes 19 19.2% 18 17.5% 30 22.4% 67 19.9% No 80 80.8% 85 82.5% 104 77.6% 269 80.1% Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

White Yes 64 64.6% 73 70.9% 81 60.4% 218 64.9%

No 35 35.4% 30 29.1% 53 39.6% 118 35.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Black or African-American

Yes 12 12.1% 13 12.6% 14 10.4% 39 11.6% No 87 87.9% 90 87.4% 120 89.6% 297 88.4% Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

American Indian Yes 4 4.0% 5 4.9% 4 3.0% 13 3.9%

No 95 96.0% 98 95.1% 130 97.0% 323 96.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Native Hawaiian or Pacific Islander

Yes 0 0.0% 0 0.0% 0 0.0% 0 0.0%

No 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Asian Yes 2 2.0% 2 1.9% 1 .7% 5 1.5%

No 97 98.0% 101 98.1% 133 99.3% 331 98.5%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Other Yes 5 5.1% 1 1.0% 7 5.2% 13 3.9%

No 94 94.9% 102 99.0% 127 94.8% 323 96.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0% Note1: Data obtained from Intake Questionnaire

Note2: Responses on race and ethnicity are not mutually exclusive




New and Old Intakes

New Cases

Old Cases


f % f % f % f %

Highest education Level

Dropped out before high school

8 9.0% 10 10.1% 18 14.5% 36 11.5%

Attended high school but did not complete

14 15.7% 13 13.1% 21 16.9% 48 15.4%

High school diploma or equivalent (GED)

27 30.3% 30 30.3% 47 37.9% 104 33.3%

Attended college but did not receive a degree

22 24.7% 28 28.3% 20 16.1% 70 22.4%

College degree 18 20.2% 18 18.2% 18 14.5% 54 17.3%

SubTotal 89 89.9% 99 96.1% 124 92.5% 312 92.9%

Missing 10 10.1% 4 3.9% 10 7.5% 24 7.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Note1: Data obtained from Intake Questionnaire



Table C3 Behavioral Health & Mental Disorders Reported by STAR Members

New and Old Intakes

New Cases

Old Cases


f % f % f % f %

Mood Disorder Yes 72 72.7% 71 68.9% 99 73.9% 242 72.0%

No 27 27.3% 32 31.1% 35 26.1% 94 28.0%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Psychotic Yes 41 41.4% 60 58.3% 71 53.0% 172 51.2%

No 58 58.6% 43 41.7% 63 47.0% 164 48.8%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Anxiety Disorder Yes 49 49.5% 53 51.5% 79 59.0% 181 53.9%

No 50 50.5% 50 48.5% 55 41.0% 155 46.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Personality Disorder

Yes 21 21.2% 20 19.4% 36 26.9% 77 22.9%

No 78 78.8% 83 80.6% 98 73.1% 259 77.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Substance Abuse or Dependence

Yes 14 14.1% 9 8.7% 22 16.4% 45 13.4%

No 85 85.9% 94 91.3% 112 83.6% 291 86.6%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Other Disorder Yes 10 10.1% 6 5.8% 11 8.2% 27 8.0%

No 89 89.9% 97 94.2% 123 91.8% 309 92.0%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Note1: Data obtained from Intake Questionnaire Note2: Responses on mental health and substance abuse diagnoses are not mutually exclusive



Table C4.1 STAR Members Who Experienced Life Events

New and Old Intakes

New Cases

Old Cases


f % f % f % f %

How many times in your lifetime have you been - Hospitalized for behavioral health

Never 12 12.8% 13 12.6% 20 15.2% 45 13.7%

1 to 3 times 31 33.0% 40 38.8% 32 24.2% 103 31.3%

4 to 6 times 25 26.6% 22 21.4% 36 27.3% 83 25.2%

7 or more times 26 27.7% 28 27.2% 44 33.3% 98 29.8%

SubTotal 94 94.9% 103 100.0% 132 98.5% 329 97.9%

Missing 5 5.1% 0 0.0% 2 1.5% 7 2.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

How many times in your lifetime have you - Attempted suicide

Never 44 48.9% 35 37.2% 42 32.8% 121 38.8%

1 to 3 times 26 28.9% 40 42.6% 51 39.8% 117 37.5%

4 to 6 times 12 13.3% 8 8.5% 16 12.5% 36 11.5%

7 or more times 8 8.9% 11 11.7% 19 14.8% 38 12.2%

SubTotal 90 90.9% 94 91.3% 128 95.5% 312 92.9%

Missing 9 9.1% 9 8.7% 6 4.5% 24 7.1%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

How many times in your lifetime have you been - Arrested

Never 46 48.9% 46 49.5% 43 35.0% 135 43.5%

1 to 3 times 36 38.3% 30 32.3% 56 45.5% 122 39.4%

4 to 6 times 6 6.4% 7 7.5% 6 4.9% 19 6.1%

7 or more times 6 6.4% 10 10.8% 18 14.6% 34 11.0%

SubTotal 94 94.9% 93 90.3% 123 91.8% 310 92.3%

Missing 5 5.1% 10 9.7% 11 8.2% 26 7.7%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%

Note: Data obtained from Intake Questionnaire



Table C4.2 STAR Members Who Experienced Life Events

New and Old Intakes

New Cases

Old Cases


f % f % f % f %


Never 53 57.6% 48 49.5% 59 46.1% 160 50.5%

1 to 3 times 32 34.8% 35 36.1% 50 39.1% 117 36.9%

4 to 6 times 5 5.4% 6 6.2% 7 5.5% 18 5.7%

7 or more times 2 2.2% 8 8.2% 12 9.4% 22 6.9%

SubTotal 92 92.9% 97 94.2% 128 95.5% 317 94.3%

Missing 7 7.1% 6 5.8% 6 4.5% 19 5.7%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%


Never 67 76.1% 66 69.5% 100 79.4% 233 75.4%

1 to 3 times 17 19.3% 19 20.0% 18 14.3% 54 17.5%

4 to 6 times 3 3.4% 5 5.3% 3 2.4% 11 3.6%

7 or more times 1 1.1% 5 5.3% 5 4.0% 11 3.6%

SubTotal 88 88.9% 95 92.2% 126 94.0% 309 92.0%

Missing 11 11.1% 8 7.8% 8 6.0% 27 8.0%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%




Table C5. STAR Members Reported Housing Instability

New and Old Intakes

New Cases

Old Cases


f % f % f % f %


Never 74 78.7% 73 76.0% 91 70.0% 238 74.4%

1 to 3 times 17 18.1% 20 20.8% 28 21.5% 65 20.3%

4 to 6 times 2 2.1% 0 0.0% 4 3.1% 6 1.9%

7 or more times 1 1.1% 3 3.1% 7 5.4% 11 3.4%

SubTotal 94 94.9% 96 93.2% 130 97.0% 320 95.2%

Missing 5 5.1% 7 6.8% 4 3.0% 16 4.8%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%


Never 77 80.2% 79 78.2% 99 74.4% 255 77.3%

1 to 3 times 14 14.6% 20 19.8% 28 21.1% 62 18.8%

4 to 6 times 3 3.1% 1 1.0% 3 2.3% 7 2.1%

7 or more times 2 2.1% 1 1.0% 3 2.3% 6 1.8%

SubTotal 96 97.0% 101 98.1% 133 99.3% 330 98.2%

Missing 3 3.0% 2 1.9% 1 0.7% 6 1.8%

Total 99 100.0% 103 100.0% 134 100.0% 336 100.0%


APPENDIX D: ATTENDANCE, SERVICES USED, & SERVICE

SATISFACTION These tables report on the most recently collected Quarterly Questionnaire responses, collected

between July 1, 2014 and September 30, 2014.

An example case: If a member completed a second, third, and fourth follow-up Quarterly

Questionnaire between July 1, 2014 and September 30, 2014, then the fourth Quarterly

Questionnaire would be included in reporting.

Table D1 Most Recent Quarterly Questionnaire Reported

f %

Baseline 85 38.1

1st Follow-Up 36 16.1

2nd Follow-Up 24 10.8

3rd Follow-Up 17 7.6

4th Follow-Up 18 8.1



7th Follow-Up 6 2.7

8th Follow-Up 2 .9

Total 223 100.0



Table D2.A Attendance at S.T.A.R. Facilities

f %

Q49. How many days per week do you typically attend STAR?

1 Day 24 13.0%

2 Days 29 15.8% 3 Days 37 20.1%

4 Days 25 13.6% 5 Days 53 28.8%

6 Days 13 7.1% 7 Days 3 1.6%

SubTotal 184 82.5%

Missing 39 17.5%

Total 223 100.0%

Q50. How often do you typically meet individually with the staff members of STAR?

Never 79 42.7%

1-3 Times per Week 82 44.3% 4-6 Times per Week 17 9.2%

7 or More Times per Week 7 3.8%

SubTotal 185 83.0%

Missing 38 17.0%

Total 223 100.0%

Q52. How often do you typically attend a group(s) of STAR?

Never 5 2.7%

1-3 Times per Week 81 43.1%

4-6 Times per Week 71 37.8%

7 or More Times per Week 31 16.5%

SubTotal 188 84.3%

Missing 35 15.7%

Total 223 100.0%

Note1: Data obtained from Quarterly Questionnaire of latest data collection cycle; duplicates are not included

Table D2.B Descriptive Statistics for Attendance at S.T.A.R. Facilities


Valid N 184

Mean 3.57

SD 1.60

Min 1

Mdn 4.00

Max 7




Table D3.A.1 Satisfaction at S.T.A.R. Facilities

Please rank your satisfaction with the services you received from STAR, from very dissatisfied (poor) to very satisfied (excellent) f %

Q40. Rank your satisfaction based on your assistance with housing.

Poor 21 23.1% Fair 21 23.1% Very Good 29 31.9% Excellent 20 22.0%

SubTotal 91 40.8%

NA - Did Not Need 0 0.0%

Missing 132 59.2%

Total 223 100.0%

Q41. Rank your satisfaction based on your help to improve relationships with family, friends, coworkers or roommates.


SubTotal 152 68.2%


Missing 71 31.8%

Total 223 100.0%

Q42. Rank your satisfaction based on your assistance with employment, education or learning job skills.


SubTotal 100 44.8%


Missing 123 55.2%

Total 223 100.0%

Q43 Rank your satisfaction based on your help to obtain medical benefits.


SubTotal 101 45.3%


Missing 122 54.7%

Total 223 100.0%




Table D3.A.2 Satisfaction at S.T.A.R. Facilities

Please rank your satisfaction with the services you received from STAR, very dissatisfied (1) to very satisfied (4) f %

Q44. Rank your satisfaction based on your information on community resources, public transportation, food boxes or child care.


SubTotal 111 49.8%


Missing 112 50.2%

Total 223 100.0%

Q45. Rank your satisfaction based on your assistance to increase independence such as improving living skills, budgeting or meal planning.


SubTotal 146 65.5%


Missing 77 34.5%

Total 223 100.0%

Q46. Rank your satisfaction based on your help to improve social or communication skills.


SubTotal 154 69.1%


Missing 69 30.9%

Total 223 100.0%

Q47. Rank your satisfaction based on your information to learn coping skills and symptom management.


SubTotal 169 75.8%


Missing 54 24.2%

Total 223 100.0%

Q48. Rank your satisfaction based on your information to improve health, wellness and increasing physical activities.

Poor 18 10.8%

Fair 29 17.4%

Very Good 52 31.1%

Excellent 68 40.7%

SubTotal 167 74.9%


Missing 56 25.1%

Total 223 100.0%

Note1: Data obtained from Quarterly Questionnaire of latest data collection cycle; duplicates are not included Note2: Statistics computed with four point Likert scale which range from 1 (poor) to 4 (excellent).



Table D3.B.1 Descriptive Statistics for Satisfaction at S.T.A.R. Facilities


Valid N 91

Mean 2.53

SD 1.08

Min 1

Mdn 3.00

Max 4


Valid N 152

Mean 2.95

SD 0.96

Min 1

Mdn 3.00

Max 4


Valid N 100

Mean 2.66

SD 1.03

Min 1

Mdn 3.00

Max 4

Q43 Rank your satisfaction based on your help to obtain Medical benefits.

Valid N 101

Mean 2.86

SD 1.10

Min 1

Mdn 3.00

Max 4


Valid N 111.00

Mean 2.79

SD 1.10

Min 1

Mdn 3.00

Max 4


Valid N 146

Mean 3.01

SD 0.96

Min 1

Mdn 3.00

Max 4


Valid N 154

Mean 3.06

SD 0.96

Min 1

Mdn 3.00

Max 4

Note1: Data obtained from Quarterly Questionnaire of latest data collection cycle; duplicates are not included Note2: Statistics computed with four point Likert scale which range from 1 (poor) to 4 (excellent).



Table D3.B.2 Descriptive Statistics for Satisfaction at S.T.A.R. Facilities

Q47. Rank your satisfaction based on your information to learn copying skills and symptom management.

Valid N 169

Mean 3.12

SD 0.90

Min 1

Mdn 3.00

Max 4


Valid N 167

Mean 3.02

SD 1.01

Min 1

Mdn 3.00

Max 4

Note1: Data obtained from Quarterly Questionnaire of latest data collection cycle; duplicates are not included Note2: statistics computed with four point Likert scale which range from 1 (poor) to 4 (excellent).



Table D4.A Ratings of Utility of Services

f %

Q51. Overall, how helpful were your individual meetings with the staff members of STAR?

Not Helpful 7 4.2%

2 3 1.8%

3 4 2.4%

4 7 4.2%

5 19 11.5%

6 8 4.8%

7 18 10.9%

8 15 9.1%

9 13 7.9%

Very Helpful 71 43.0%

SubTotal 165 74.0%

Missing 58 26.0%

Total 223 100.0%

Q53. Overall, how helpful were the group meetings at STAR?

Not Helpful 4 2.1% 2 2 1.1%

3 1 0.5% 4 1 0.5%

5 19 10.1% 6 8 4.3%

7 23 12.2% 8 23 12.2%

9 20 10.6% Very Helpful 87 46.3%

SubTotal 188 84.3%

Missing 35 15.7%

Total 223 100.0%

Q54. Overall, how would you rate the services that you have received from STAR?

Poor 4 2.1%

2 1 0.5%

3 1 0.5%

4 1 0.5%

5 12 6.3%

6 9 4.7%

7 19 10.0%

8 21 11.1%

9 22 11.6%

Excellent 100 52.6%

SubTotal 190 85.2%

Missing 33 14.8%

Total 223 100.0%




Table D4.B Descriptive Statistics for Ratings of Utility of Services


Valid N 165

Mean 7.69

SD 2.67

Min 1

Mdn 9.00

Max 10


Valid N 188

Mean 8.26

SD 2.18

Min 1

Mdn 9.00

Max 10


Valid N 190

Mean 8.56

SD 2.06

Min 1

Mdn 10.00

Max 10


APPENDIX E: QUARTERLY RESPONSES AT BASELINE/INTAKE AND

FIRST FOLLOW-UP

Only cases with a true Baseline and at least one Follow-Up Quarterly Questionnaire were selected

for reporting.

Table E1 Employment and Education Status

Employment & Education

Quarterly Questionnaire Responses

Baseline/Intake 1st Follow-Up

f % f %

Q1. Do you currently work for pay and if so how many hours per week do you typically work?

Not Employed 68 86.1% 67 85.9%

Employed < 30hrs/Week 10 12.7% 9 11.5%

Employed >30hrs/Week 1 1.3% 2 2.6%

SubTotal 79 100.0% 78 100.0%

Missing 0 0.0% 1 0.0%

Total 79 100.0% 79 100.0%

Q2. Do you volunteer at an organization or agency besides STAR?

Yes 10 13.5% 13 16.9%

No 64 86.5% 64 83.1%

SubTotal 74 93.7% 77 97.5%

Missing 5 6.3% 2 2.5%

Total 79 100.0% 79 100.0%

Q3_Job. In addition to your participation in STAR are you currently attending any of the following?

Job Training

Yes 8 10.1% 3 3.8%

No 71 89.9% 76 96.2%

SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%

GED Program

Yes 2 2.5% 3 3.8%

No 77 97.5% 76 96.2%

SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%

Community College or University

Yes 6 7.6% 6 7.6%

No 73 92.4% 73 92.4%

SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%

None of the Above

Yes 66 83.5% 66 83.5%

No 13 16.5% 13 16.5%

SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%



Table E2 Housing Situation

Residence



f % f %

Q4. During the past 30 days where have you been living most of the time?

Apartment, House or Mobile Home

46 59.7% 49 62.8%

Someone Else Apartment or House or Mobile Home

15 19.5% 17 21.8%

Residential Treatment Program

3 3.9% 3 3.8%

Halfway House or Recovery Home

3 3.9% 1 1.3%

Supervisory Care Home or Boarding Home

1 1.3% 2 2.6%

Other 9 11.7% 6 7.7%

SubTotal 77 97.5% 78 98.7%

Missing 2 2.5% 1 1.3%

Total 79 100.0% 79 100.0%



Table E3 Significant Events that Occurred in Past 30 Days

Q5. to Q11. Significant Events



f % f %

Q9. During the past 30 days have you been hospitalized for Medical reasons?

Yes 10 12.8% 8 10.4%

No 68 87.2% 69 89.6%

SubTotal 78 98.7% 77 97.5%

Missing 1 1.3% 2 2.5%

Total 79 100.0% 79 100.0%

Q6. During the past 30 days have you been hospitalized for psychiatric, mental or emotional difficulties?

Yes 11 14.1% 3 3.8%

No 67 85.9% 75 96.2%

SubTotal 78 98.7% 78 98.7%

Missing 1 1.3% 1 1.3%

Total 79 100.0% 79 100.0%

Q7. During the past 30 days have you received psychiatric crisis services?

Yes 12 15.4% 11 14.1%

No 66 84.6% 67 85.9%

SubTotal 78 98.7% 78 98.7%

Missing 1 1.3% 1 1.3%

Total 79 100.0% 79 100.0%

Q8. During the past 30 days have you taken inpatient drug, alcohol treatment or detox?

Yes 2 2.6% 1 1.4%

No 76 97.4% 73 98.6%

SubTotal 78 98.7% 74 93.7%

Missing 1 1.3% 5 6.3%

Total 79 100.0% 79 100.0%

Q10. During the past 30 days have you been a victim of violent crime?

Yes 4 5.1% 4 5.2%

No 74 94.9% 73 94.8%

SubTotal 78 98.7% 77 97.5%

Missing 1 1.3% 2 2.5%

Total 79 100.0% 79 100.0%

Q5. During the past 30 days have you been arrested?

Yes 1 1.3% 0 0.0%

No 77 98.7% 79 100.0%

SubTotal 78 98.7% 79 100.0%

Missing 1 1.3% 0 0.0%

Total 79 100.0% 79 100.0%

Q11. During the past 30 days have you been homeless and living on the streets, in emergency shelter or a non-living place?

Yes 3 3.8% 2 2.5%

No 76 96.2% 77 97.5%

SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%



Table E4.A Health Condition within Past 30 Days

Rating



f % f %

Q12. During the past 30 days how would you rate your physical health?

Poor 2 2.5% 2 2.6%

2 3 3.8% 1 1.3%

3 3 3.8% 3 3.9%

4 8 10.1% 4 5.2%

5 14 17.7% 11 14.3%

6 11 13.9% 8 10.4%

7 13 16.5% 18 23.4%

8 13 16.5% 13 16.9%

9 4 5.1% 7 9.1%

Excellent 8 10.1% 10 13.0%

SubTotal 79 100.0% 77 97.5%

Missing 0 0.0% 2 2.5%

Total 79 100.0% 79 100.0%

Q13. During the past 30 days how would you rate your mental health?

Poor 0 0.0% 2 2.5%

2 2 2.6% 0 0.0%

3 4 5.3% 5 6.3%

4 7 9.2% 6 7.6%

5 9 11.8% 7 8.9%

6 16 21.1% 7 8.9%

7 11 14.5% 18 22.8%

8 17 22.4% 12 15.2%

9 0 0.0% 10 12.7%

Excellent 10 13.2% 12 15.2%

SubTotal 76 96.2% 79 100.0%

Missing 3 3.8% 0 0.0%

Total 79 100.0% 79 100.0%



Table E4.B Descriptive Statistics for Health Conditions (past 30 days)

Rating



q12_physical Q12. During the past 30 days how would you rate your physical health?

Valid N 79 77

Mean 6.28 6.82

SD 2.25 2.18

Min 1.00 1.00

Mdn 6.00 7.00

Max 10.00 10.00

q13_mental Q13. During the past 30 days how would you rate your mental health?

Valid N 76 79

Mean 6.55 6.96

SD 2.07 2.27

Min 2.00 1.00

Mdn 6.50 7.00

Max 10.00 10.00

Table E5.A Bothered by Psychological or Emotional Problems

Experienced Problems



f % f %

Q14. During the past 30 days how often have you been bothered by psychological or emotions problems?

None of the time

6 8.1% 15 19.2%

Rarely 15 20.3% 20 25.6%

Some of the time

35 47.3% 32 41.0%

Most of the time

14 18.9% 9 11.5%

All the time 4 5.4% 2 2.6%

SubTotal 74 93.7% 78 98.7%

Missing 5 6.3% 1 1.3%

Total 79 100.0% 79 100.0%

Table E5.B Descriptive Statistics for Psychological or Emotional Problems

Experienced Problems



Q14. During the past 30 days how often have you been bothered by psychological or emotions problems?

Valid N 74 78

Mean 1.93 1.53

SD .97 1.02

Min 0.00 0.00

Mdn 2.00 2.00

Max 4.00 4.00



Table E6 Alcohol/Drugs Use During the Past 30 Days

During the PAST 30 Days, how many days did you:



f % f %

Q20. During the past 30 days how many days did you have an alcoholic beverage?

None in the Past 30 days

60 76.9% 62 78.5%

Once/ Month 13 16.7% 11 13.9%

2 - 4 days/ Month

2 2.6% 3 3.8%

2 - 3 Days/ Week

1 1.3% 2 2.5%

4 - 6 Days/ Week

2 2.6% 1 1.3%

Everyday 0 0.0% 0 0.0%

SubTotal 78 98.7% 79 100.0%

Missing 1 1.3% 0 0.0%

Total 79 100.0% 79 100.0%

Q21.1 During the past 30 days how many days did you use illegal drugs?


55 71.4% 63 79.7%

Once/ Month 18 23.4% 11 13.9%

2-4 days/ Month 1 1.3% 1 1.3%

2 - 3 Days/ Week

1 1.3% 3 3.8%

4 - 6 Days/ Week

0 0.0% 0 0.0%

Everyday 2 2.6% 1 1.3%

SubTotal 77 100.0% 79 100.0%

Missing 2 0.0% 0 0.0%

Total 79 100.0% 79 100.0%

Q22.1 During the past 30 days how many days did you use pain killers or sedatives that were not prescribed to you?


56 71.8% 64 81.0%

Once/ Month 20 25.6% 14 17.7%

2-4 days/ Month 2 2.6% 1 1.3%

2 - 3 Days/ Week

0 0.0% 0 0.0%

4 - 6 Days/ Week

0 0.0% 0 0.0%

Everyday 0 0.0% 0 0.0%

SubTotal 78 98.7% 79 100.0%

Missing 1 1.3% 0 0.0%

Total 79 100.0% 79 100.0%



Table E7.A Self Advocacy Indicators

Please rate how strongly you agree or disagree with the following statements. During the PAST 30 DAYS...



f % f %

Q15. During the past 30 days, It was difficult for me to advocate/stand up for myself?

Strongly Disagree

12 15.2% 15 19.2%

Disagree 33 41.8% 28 35.9%

Agree 29 36.7% 25 32.1%


SubTotal 79 100.0% 78 100.0%

Missing 0 0.0% 1 0.0%

Total 79 100.0% 79 100.0%

Q18. During the past 30 days, I asked others for help when I needed assistance or support?

Strongly Disagree

5 6.4% 7 9.0%

Disagree 12 15.4% 10 12.8%

Agree 44 56.4% 41 52.6%


SubTotal 78 100.0% 78 100.0%

Missing 1 0.0% 1 0.0%

Total 79 100.0% 79 100.0%

Q36. During the past 30 days rate if you were an active partner in developing your own individual service plan and recovery goals

Strongly Disagree

9 11.5% 6 8.1%

Disagree 9 11.5% 9 12.2%

Agree 52 66.7% 41 55.4%


SubTotal 78 100.0% 74 100.0%

Not Applicable 0 0.0% 0 0.0%

Missing 1 0.0% 5 0.0%

Total 79 100.0% 79 100.0%



Table E7.B Descriptive Statistics for Self Advocacy Indicators




Q15. During the past 30 days, It was difficult for me to advocate/stand up for myself?

Valid N 79 78

Mean 2.34 2.38

SD .81 .94

Min 1.00 1.00

Mdn 2.00 2.00

Max 4.00 4.00

Q18. During the past 30 days, I asked others for help when I needed assistance or support?

Valid N 78 78

Mean 2.94 2.95

SD .80 .87

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q36. During the past 30 days rate if you were and active partner in developing your own individual service plan and recovery goals

Valid N 78 74

Mean 2.76 2.96

SD .79 .83

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00



Table E8.A Living Environment and Resources Indicators




f % f %

Q17. During the past 30 days, I felt unsafe in my community?

Strongly Disagree

19 25.0% 25 32.9%

Disagree 35 46.1% 37 48.7%

Agree 18 23.7% 11 14.5%


SubTotal 76 96.2% 76 96.2%

Missing 3 3.8% 3 3.8%

Total 79 100.0% 79 100.0%

Q19. During the past 30 days, I did not have sufficient resources to live on, such as adequate housing, clothing and food.

Strongly Disagree

20 26.0% 29 37.2%

Disagree 31 40.3% 26 33.3%

Agree 21 27.3% 18 23.1%


SubTotal 77 97.5% 78 98.7%

Missing 2 2.5% 1 1.3%

Total 79 100.0% 79 100.0%

Q32. During the past 30 days rate if you liked the place where you lived.

Strongly Disagree

8 10.1% 5 6.4%

Disagree 13 16.5% 9 11.5%

Agree 38 48.1% 38 48.7%


SubTotal 79 100.0% 78 98.7%

Missing 0 0.0% 1 1.3%

Total 79 100.0% 79 100.0%



Table E8.B Descriptive Statistics for Living Environment and Resources Indicators




Q17. During the past 30 days, I felt unsafe in my community?

Valid N 76 76

Mean 2.09 1.89

SD .84 .79

Min 1.00 1.00

Mdn 2.00 2.00

Max 4.00 4.00

Q19. During the past 30 days, I did not have sufficient resources to live on, such as adequate housing, clothing and food.

Valid N 77 78

Mean 2.14 1.99

SD .88 .93

Min 1.00 1.00

Mdn 2.00 2.00

Max 4.00 4.00

Q32. During the past 30 days rate if you liked the place where you lived.

Valid N 79 78

Mean 2.89 3.09

SD .91 .84

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00



Table E9.A Social, Recreational and Employment Indicators




f % f %

Q24. During the past 30 days, rate if you felt lonely

Strongly Disagree 9 11.4% 13 16.5%

Disagree 18 22.8% 25 31.6%

Agree 42 53.2% 28 35.4%


SubTotal 79 100.0% 79 100.0%

Missing 0 0.0% 0 0.0%

Total 79 100.0% 79 100.0%

Q27. During the past 30 days, rate if you had more friends.


Disagree 18 23.4% 11 13.9%

Agree 42 54.5% 45 57.0%


SubTotal 77 97.5% 79 100.0%

Missing 2 2.5% 0 0.0%

Total 79 100.0% 79 100.0%

Q28. During the past 30 days, rate if you participated in religious groups, a health and wellness program or sports


Disagree 21 26.9% 18 23.7%

Agree 34 43.6% 27 35.5%


SubTotal 78 98.7% 76 96.2%

Missing 1 1.3% 3 3.8%

Total 79 100.0% 79 100.0%

Q29. During the past 30 days rate if when people treated you differently when they knew you received mental health services


Disagree 31 39.2% 22 28.2%

Agree 31 39.2% 28 35.9%


SubTotal 79 100.0% 78 98.7%

Missing 0 0.0% 1 1.3%

Total 79 100.0% 79 100.0%

Q34. During the past 30 days rate if you were unhappy with your employment status.


Disagree 35 46.1% 32 42.7%

Agree 16 21.1% 18 24.0%


SubTotal 76 96.2% 75 94.9%

Missing 3 3.8% 4 5.1%

Total 79 100.0% 79 100.0%



Table E9.B Descriptive Statistics for Social, Recreational and Employment Indicators




Q24. During the past 30 days, rate if you felt lonely

Valid N 79 79

Mean 2.67 2.52

SD .84 .96

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q27. During the past 30 days, rate if you had more friends.

Valid N 77 79

Mean 2.75 2.89

SD .80 .83

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q28. During the past 30 days, rate if you participated in religious groups, a health and wellness program or sports

Valid N 78 76

Mean 2.53 2.70

SD .92 1.02

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q29. During the past 30 days rate if when people treated you differently when they knew you received mental health services

Valid N 79 78

Mean 2.44 2.46

SD .83 .99

Min 1.00 1.00

Mdn 2.00 3.00

Max 4.00 4.00

Q34. During the past 30 days rate if you were unhappy with your employment status.

Valid N 76 75

Mean 2.36 2.43

SD .95 .96

Min 1.00 1.00

Mdn 2.00 2.00

Max 4.00 4.00



Table E10.A Health and Wellness Indicators

Please rate how strongly you agree or disagree with the following statements.



f % f %

Q16. During the past 30 days, I participated in activities that I enjoy?


Disagree 6 7.9% 7 9.2%

Agree 52 68.4% 40 52.6%


SubTotal 76 96.2% 76 96.2%

Missing 3 3.8% 3 3.8%

Total 79 100.0% 79 100.0%

Q23. During the past 30 days, rate if you were able to manage your symptoms.


Disagree 11 13.9% 10 12.8%

Agree 47 59.5% 44 56.4%


SubTotal 79 100.0% 78 98.7%

Missing 0 0.0% 1 1.3%

Total 79 100.0% 79 100.0%

Q26. During the past 30 days, rate if your health and wellness improved.


Disagree 21 27.3% 17 21.8%

Agree 39 50.6% 38 48.7%


SubTotal 77 97.5% 78 98.7%

Missing 2 2.5% 1 1.3%

Total 79 100.0% 79 100.0%

Q33. During the past 30 days rate if you were hopeful about the future.


Disagree 11 13.9% 15 19.2%

Agree 49 62.0% 36 46.2%


SubTotal 79 100.0% 78 98.7%

Missing 0 0.0% 1 1.3%

Total 79 100.0% 79 100.0%

Q35. During the past 30 days rate if you achieved one or more of your recovery goals.


Disagree 10 13.3% 12 15.4%

Agree 53 70.7% 45 57.7%


SubTotal 75 94.9% 78 98.7%

Missing 4 5.1% 1 1.3%

Total 79 100.0% 79 100.0%



Table E10.B Descriptive Statistics for Health and Wellness Indicators




Q16. During the past 30 days, I participated in activities that I enjoy?

Valid N 76 76

Mean 3.04 3.09

SD .66 .82

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q23. During the past 30 days, rate if you were able to manage your symptoms.

Valid N 79 78

Mean 2.78 2.95

SD .84 .82

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q26. During the past 30 days, rate if your health and wellness improved.

Valid N 77 78

Mean 2.68 2.92

SD .82 .82

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q33. During the past 30 days rate if you were hopeful about the future.

Valid N 79 78

Mean 2.72 3.00

SD .83 .84

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q35. During the past 30 days rate if you achieved one or more of your recovery goals.

Valid N 75 78

Mean 2.83 3.04

SD .69 .71

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00



Table E11.A Independent Living Indicators




f % f %

Q25. During the past 30 days, rate if you were good at solving problems.


Disagree 26 33.3% 16 20.5%

Agree 43 55.1% 45 57.7%


SubTotal 78 98.7% 78 98.7%

Missing 1 1.3% 1 1.3%

Total 79 100.0% 79 100.0%

Q30. During the past 30 days rate if you were good at budgeting your money or allowance from my payee.


Disagree 22 29.3% 17 22.1%

Agree 28 37.3% 35 45.5%


SubTotal 75 94.9% 77 97.5%

Missing 4 5.1% 2 2.5%

Total 79 100.0% 79 100.0%

Q31. During the past 30 days rate if it was difficult for you to get along well with others


Disagree 39 50.0% 26 33.3%

Agree 14 17.9% 21 26.9%


SubTotal 78 98.7% 78 98.7%

Missing 1 1.3% 1 1.3%

Total 79 100.0% 79 100.0%

Q37. During the past 30 days rate if you were able to control your gambling.


Disagree 5 14.3% 3 7.7%

Agree 14 40.0% 13 33.3%


SubTotal 35 44.3% 39 49.4%


Missing 3 3.8% 40 50.6%

Total 79 100.0% 79 100.0%



Table E11.B Descriptive Statistics for Independent Living Indicators




Q25. During the past 30 days, rate if you were good at solving problems.

Valid N 78 78

Mean 2.67 2.78

SD .68 .78

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q30. During the past 30 days rate if you were good at budgeting your money or allowance from my payee.

Valid N 75 77

Mean 2.60 2.79

SD .96 .91

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00

Q31. During the past 30 days rate if it was difficult for you to get along well with others

Valid N 78 78

Mean 1.97 2.10

SD .79 .95

Min 1.00 1.00

Mdn 2.00 2.00

Max 4.00 4.00

Q37. During the past 30 days rate if you were able to control your gambling.

Valid N 35 39

Mean 2.71 2.90

SD 1.07 1.14

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00



Table E12.A Substance Use and Abuse Wellbeing Indicators




f % f %

Q38. During the past 30 days rate if you felt you used too much alcohol or other drugs.


Disagree 11 28.9% 10 21.7%

Agree 5 13.2% 2 4.3%


SubTotal 38 48.1% 46 58.2%


Missing 0 0.0% 33 41.8%

Total 79 100.0% 79 100.0%

Q39. During the past 30 days rate if your drinking or drug usage caused problems for yourself.


Disagree 9 25.0% 8 17.0%

Agree 3 8.3% 5 10.6%


SubTotal 36 45.6% 47 59.5%


Missing 1 1.3% 32 40.5%

Total 79 100.0% 79 100.0%

Table E12.B Descriptive Statistics for Substance Use and Abuse Wellbeing Indicators




Q38. During the past 30 days rate if you felt you used too much alcohol or other drugs.

Valid N 38 46

Mean 1.79 1.43

SD .96 .78

Min 1.00 1.00

Mdn 1.50 1.00

Max 4.00 4.00

Q39. During the past 30 days rate if your drinking or drug usage caused problems for yourself.

Valid N 36 47

Mean 1.75 1.70

SD 1.02 1.04

Min 1.00 1.00

Mdn 1.00 1.00

Max 4.00 4.00



Table E13.A.1 Satisfaction at S.T.A.R. Facilities

Please rank your satisfaction with the services you received from STAR, from very dissatisfied (POOR) to very satisfied (Excellent)



f % f %


Poor 4 16.7% 7 21.2%

Fair 7 29.2% 4 12.1%

Very Good 8 33.3% 11 33.3%

Excellent 5 20.8% 11 33.3%

SubTotal 24 30.4% 33 41.8%

N/A-Did Not Need 49 62.0% 0 0.0%

Missing 6 7.6% 46 58.2%

Total 79 100.0% 79 100.0%


Poor 2 3.4% 3 4.8%

Fair 7 12.1% 11 17.5%

Very Good 25 43.1% 21 33.3%

Excellent 24 41.4% 28 44.4%

SubTotal 58 73.4% 63 79.7%

N/A-Did Not Need 15 19.0% 0 0.0%

Missing 6 7.6% 16 20.3%

Total 79 100.0% 79 100.0%


Poor 0 0.0% 4 9.8%

Fair 10 26.3% 7 17.1%

Very Good 17 44.7% 15 36.6%

Excellent 11 28.9% 15 36.6%

SubTotal 38 48.1% 41 51.9%

N/A-Did Not Need 32 40.5% 0 0.0%

Missing 9 11.4% 38 48.1%

Total 79 100.0% 79 100.0%


Poor 4 17.4% 3 9.1%

Fair 2 8.7% 5 15.2%

Very Good 8 34.8% 10 30.3%

Excellent 9 39.1% 15 45.5%

SubTotal 23 29.1% 33 41.8%

N/A-Did Not Need 49 62.0% 0 0.0%

Missing 7 8.9% 46 58.2%

Total 79 100.0% 79 100.0%


Poor 3 7.0% 3 6.7%

Fair 7 16.3% 10 22.2%

Very Good 18 41.9% 13 28.9%

Excellent 15 34.9% 19 42.2%

SubTotal 43 54.4% 45 57.0%

N/A-Did Not Need 30 38.0% 0 0.0%

Missing 6 7.6% 34 43.0%

Total 79 100.0% 79 100.0%



Table E13.A.2 Satisfaction at S.T.A.R. Facilities

Very dissatisfied (POOR) to very satisfied (Excellent)



f % f %


Poor 3 5.7% 0 0.0%

Fair 5 9.4% 8 13.6%

Very Good 24 45.3% 23 39.0%

Excellent 21 39.6% 28 47.5%

SubTotal 53 67.1% 59 74.7%

N/A-Did Not Need

21 26.6% 0 0.0%

Missing 5 6.3% 20 25.3%

Total 79 100.0% 79 100.0%


Poor 1 1.6% 1 1.6%

Fair 7 11.1% 8 12.5%

Very Good 25 39.7% 22 34.4%

Excellent 30 47.6% 33 51.6%

SubTotal 63 79.7% 64 81.0%

N/A-Did Not Need

10 12.7% 0 0.0%

Missing 6 7.6% 15 19.0%

Total 79 100.0% 79 100.0%


Poor 1 1.4% 2 2.9%

Fair 5 7.2% 7 10.1%

Very Good 34 49.3% 17 24.6%

Excellent 29 42.0% 43 62.3%

SubTotal 69 87.3% 69 87.3%

N/A-Did Not Need

4 5.1% 0 0.0%

Missing 6 7.6% 10 12.7%

Total 79 100.0% 79 100.0%


Poor 1 1.5% 1 1.5%

Fair 10 15.2% 11 16.4%

Very Good 24 36.4% 20 29.9%

Excellent 31 47.0% 35 52.2%

SubTotal 66 83.5% 67 84.8%

N/A-Did Not Need

4 5.1% 0 0.0%

Missing 9 11.4% 12 15.2%

Total 79 100.0% 79 100.0%



Table E13.B.1 Descriptive Statistics for Satisfaction at S.T.A.R. Facilities

Very dissatisfied (1) to very satisfied (4)




Valid N 24 33

Mean 2.58 2.79

SD 1.02 1.14

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00


Valid N 58 63

Mean 3.22 3.17

SD .80 .89

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00


Valid N 38 41

Mean 3.03 3.00

SD .75 .97

Min 2.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00


Valid N 23 33

Mean 2.96 3.12

SD 1.11 .99

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00


Valid N 43 45

Mean 3.05 3.07

SD .90 .96

Min 1.00 1.00

Mdn 3.00 3.00

Max 4.00 4.00



Table E13.B.2 Descriptive Statistics for Satisfaction at S.T.A.R. Facilities

Very dissatisfied (1) to very satisfied (4)




Valid N 53 59

Mean 3.19 3.34

SD .83 .71

Min 1.00 2.00

Mdn 3.00 3.00

Max 4.00 4.00


Valid N 63 64

Mean 3.33 3.36

SD .74 .76

Min 1.00 1.00

Mdn 3.00 4.00

Max 4.00 4.00


Valid N 69 69

Mean 3.32 3.46

SD .68 .80

Min 1.00 1.00

Mdn 3.00 4.00

Max 4.00 4.00


Valid N 66 67

Mean 3.29 3.33

SD .78 .81

Min 1.00 1.00

Mdn 3.00 4.00

Max 4.00 4.00



Table E14.A Attendance at S.T.A.R. Facilities

Attendance



f % f %


1 Day 2 2.9% 4 5.3%

2 Days 16 23.5% 10 13.3%

3 Days 21 30.9% 21 28.0%

4 Days 7 10.3% 11 14.7%

5 Days 16 23.5% 21 28.0%

6 Days 6 8.8% 8 10.7%

7 Days 0 0.0% 0 0.0%

SubTotal 68 86.1% 75 94.9%

Missing 11 13.9% 4 5.1%

Total 79 100.0% 79 100.0%

Q50. How often do you typical meet individually with the staff members of STAR?

Never 16 24.2% 23 31.5%

1-3 Times/ Week

39 59.1% 38 52.1%

4-6 Times/ Week

11 16.7% 11 15.1%

7 + Times/ Week

0 0.0% 1 1.4%

SubTotal 66 83.5% 73 92.4%

Missing 13 16.5% 6 7.6%

Total 79 100.0% 79 100.0%

Q52. How often do you typically attend a group(S) of STAR?

Never 2 2.9% 1 1.3%

1-3 Times/ Week

26 37.1% 28 36.4%

4-6 Times/ Week

31 44.3% 28 36.4%

7 + Times/ Week

11 15.7% 20 26.0%

SubTotal 70 88.6% 77 97.5%

Missing 9 11.4% 2 2.5%

Total 79 100.0% 79 100.0%

Table E14.B Descriptive Statistics for Attendance at S.T.A.R. Facilities

Attendance




Valid N 68 75

Mean 3.54 3.79

SD 1.39 1.41

Min 1.00 1.00

Mdn 3.00 4.00

Max 6.00 6.00



Table E15.A Ratings of Utility of Services



f % f %


Not Helpful 1 1.5% 1 1.4%

2 0 0.0% 1 1.4%

3 0 0.0% 2 2.9%

4 0 0.0% 3 4.3%

5 7 10.8% 4 5.8%

6 3 4.6% 2 2.9%

7 4 6.2% 6 8.7%

8 10 15.4% 11 15.9%

9 9 13.8% 11 15.9%

Very Helpful 31 47.7% 28 40.6%

SubTotal 65 82.3% 69 87.3%

Missing 14 17.7% 10 12.7%

Total 79 100.0% 79 100.0%


Not Helpful 1 1.5% 2 2.6%

2 0 0.0% 1 1.3%

3 0 0.0% 1 1.3%

4 1 1.5% 0 0.0%

5 6 9.0% 4 5.2%

6 2 3.0% 5 6.5%

7 5 7.5% 8 10.4%

8 11 16.4% 7 9.1%

9 11 16.4% 10 13.0%

Very Helpful 30 44.8% 39 50.6%

SubTotal 67 100.0% 77 97.5%

Missing 12 0.0% 2 2.5%

Total 79 100.0% 79 100.0%


Poor 0 0.0% 1 1.3%

2 0 0.0% 0 0.0%

3 0 0.0% 1 1.3%

4 0 0.0% 0 0.0%

5 4 5.8% 1 1.3%

6 2 2.9% 3 3.9%

7 11 15.9% 4 5.2%

8 4 5.8% 11 14.3%

9 8 11.6% 13 16.9%

Excellent 40 58.0% 43 55.8%

SubTotal 69 87.3% 77 97.5%

Missing 10 12.7% 2 2.5%

Total 79 100.0% 79 100.0%



Table E15.B Descriptive Statistics for Ratings of Utility of Services




Valid N 65 69

Mean 8.51 8.14

SD 1.95 2.28

Min 1.00 1.00

Mdn 9.00 9.00

Max 10.00 10.00


Valid N 67 77

Mean 8.49 8.43

SD 1.93 2.22

Min 1.00 1.00

Mdn 9.00 10.00

Max 10.00 10.00


Valid N 69 77

Mean 8.88 8.96

SD 1.58 1.67

Min 5.00 1.00

Mdn 10.00 10.00

Max 10.00 10.00



APPENDIX F: OPEN-ENDED RESPONSES FROM QUARTERLY

QUESTIONNAIRES

The Quarterly Questionnaire provided S.T.A.R. members the opportunity to engage in open-ended

response questions. These responses represent all comments from the most recent data collection cycle to

provide the most current member opinions. Because open-ended responses are not linked by Client ID

and are represented in aggregate form, these responses represent comments from various time points (July

01, 2013 to September 30, 2014)), centers, and members.

The following responses are transcribed from the original comments written by members and by staff for

members. Responses were not altered in the transcription process.

Q55. Are there additional services that you need, but are NOT currently receiving from

S.T.A.R.? (If YES, specified responses are below)

a counselor to come in for us

Access Health increments - fun bunch

age groups

art teacher

az mentor

benefits, housing, budgeting

better groups- more informative

counseling

draffting

exercise classes like yoga, tai chi, kickboxing

Finding a place to live and food stamps

Food Box

food stamp assistance

furniture, utlities, medication

getting along with my husband

Grief counseling - ' loss' of loved ones, home, pet, loss of anything of importance

help getting access

help w/ housing for myself & my daughter

housing

how to put on make-up

I need to talk to someone about symptoms, I just started Tuesday, so I will

i think the groups need to be longer so everyone can participate learn more VS taking only

1 group for lunch

I would be at home more

I also go to pir

information on application for HuD housing voucher

keep playing baseball with the d-backs



lafter

magellan

may need help in the future to get out of my lease and still got my $900.00 security deposit

back. Neighbor is very high crime rate - drug dealers, junkies, violent alcoholic theives,

and sex criminal

meditation and coping skills

mom house

more art time

more cooking classes or home delivery of 1 meal per day, assistance with utiolties

primarily during summer months, in house classes, such as spanish, food service cards,

scheduled tiered or more than 1x/wk, legal-bankruptcy

more discipline on the members who steal & are disrespectful

more space to go out outings

need help with insurance and other paperwork issues

need help with life skills

nutrition class weekly

possible a change in living quarters

social security disability paperwork

social security income

some need help on going to parent classes or may be have a group communication with

family

spiritual

Talk with case manager at south west network or magellan

television access/ money that my sister gives me

training with peer support recovery training

Q56. How would your life change if you were no longer in S.T.A.R.?

" be upset if can come to star" " I want to come to star" "i go to groups, chores everyday"

" i like coming to star"

"have nothing to do. " " i would be bored all day"

"stay home"

Bad, my mind would feel negative and this place helps me feel good about myself. That

is positive in the heart and going back in time is the bad part of my life

Be home by myself and alone.

be more bored

be not very well

Boring

depressing

Depression, couldn't respond positively to stimuli, Helps to be around others that are

similar. changed my life for better.

Devastated

devastated. I would be lonely , glarl, drinking heavily be suisidical i would be very bad



Every thing would change, for the worse

fall to shit

For the worse cause I would be missing out on groups counseling

frozen solid

Get depressed

go to a different program

hard work at home

I am not sure

I appreciate the advice that star gives

i be bored

I don't know i probably would not be doing nothing but staying at home and doing things

for my aunt and uncle.

I don't know where I would go or do.

i don't need everything from star

I feel like star has helped me alot and its made me more responsible

i have at friends in the community where i live

I have no money so i would not be able to exercise, go bowling, workout at the ymca,

watch movies, go to the various support groups and wouldn't eat as good. Also I wouldn't

be able to socialize.

I have no way to get therapy or group help and support

I have thought about this change over the past month. I would isolate and stay in my

house. I would reduce outside activities

I like to go oinces

I might have to change my medication

I might have to live homeless or maybe far, far away in a different environment

I miss

I need a place to socialize. Go to meetings my mental health is bettwer when I can use

Star.

I need to come to star because I need the groups, i learn alot from them, the chores are

also a good discipline for me

I not as much structure

I probably wouldn't be motivated to exercise, improve communication, socialize, and work

on recovery as much.

I use it to socialize

I will be home sleep, watch tv, or do my arts & crafts and clean house

I will be in the hospital

I will be living on the street

i wood stay in my APT all the time

I would be a shut in. I need the peer groups to fell like I am okay. I would miss them most

of all.



i would be alone and isolated, with no friends (except for my husband and dogs0 all i would

do is mope around the house because i would have no motivation to get up and take care

of myself

I would be alone more. I would lose a reason to get up in the morning and being productive

i would be bored

I would be bored

I would be bored and not have help without groups

I would be depressed and sad

I would be depressed most of the time because i wouldn't have the support i need.

I would be devastated and feel alone without support and companionship. Information on

things that make daily living helpful

I would be feeling lonely and not able to see all my friends and the staff at STAR or

participate ni all the available activities & outings

I would be in and out of hospitals and being so depressed that I would stay in bed all day

I would be in recovery

I would be isolated from society!

i would be isolated. I would miss out on having good friends meals that are my recovery

will go down.

I would be isolating and be more depressed. The groups help me with my recovery.

I would be less social

I would be lonelier not coming to star. I wouldn't be able to come and see my friends here.

I would be lonely

I would be lonely and depressed

I would be more likely to think about suicide

I would be sad and disappointed. I look forward to spending quality time with my peers,

attending groups and outings. plus, I would need to spend more money for my own needs.

I would be sad, and would have no place to go to

I would be sitting at home everyday eating of bordeom. I wouldn't be able to see my friends

i made here. I would be depressed. It is apart of my health and safety plan when I

attempted suicide august 8th over a year ago.

i would be under socialized

i would be very bored and would be very lonely. I like my friends at this center. Staff is

helpful when you ask them anything.

I would be very lonesome if I had to stay home

i would be very sad and angry and upset

I would become depressed and isolate, star gives me a reasonto get up in the morning

i would become isolated, not have any friends. Become depressed and suicidal

I would become jobless, hopeless, depressed, and up in the hospital

i would become very depressed, my suicidal thoughts would return

i would change to the worse

I would do the best I could and find me a part time job. I would also try and get custody of

my children.



I would end up in bed all the time & become very depressed symptoms will increase 7 end

up in the hospital

I would feel lonely and start to isolate maybe relapse.

I would feel poorly because I could not socialize

I would feel sad and not see happy faces of staff 7 members

I would feel very onely, depressed, and i would isolate. I'm really thankful for all of the

services they provide

I would get suicidal fast

i would get very bored

i would go back to being depressed and live an isolative lifestyle

I would go back to isolating. be sad.

I would have little to do but frequent bars

I would have more pain on my jaw bone therefore I would sleep more

I would have no where to go at star helps me stay busy

I would have to start over in finding a new place and new environment like moving to a

new city

i would isolate

I would isolate and be miserable!

I would isolate and eventually try to kill myself from this and depression.

i would isolate and my fear would come back and criple my life

I would isolate and not be around friends. I would not attend the groups that help me.

I would isolate and not have a palce to go

I would isolate more and become depressed

I would isolate more and feel worse

I would isolate more. I would have less socialization. I would end up in the hospital. I would

be more negatie. I would have less and not as good a quality of food.

I would isolate, sadness, depression

i would lose my ability to make friends

i would miss it

I would miss my friends at STAR and might get depressed

I would miss the companionship

I would not a place that i can go when I need a place that would mean when Im starting to

get out of place. Their would be on to get help fast.

I would not be able to do activities and get out of the house

I would not be as alert for myself

I would not be happy (disappointed). Star West I have been here for 6 1/2 years I know I

would not ahve as much fun as I do now.

I would not be the same person i am when i attend

I would not get out much to connect with people in the community

I would not have a job which would take away my self confidence, I would loss all the

benefits of attending groups. I would loss moral support from those who truly are my peers.

I would become clinically depressed.



I Would not have a place to go for activities

I would not have a place to go when i need a place for safety

I would not have much socialization

i would not have the support i need

I would not know what to do with my free time.

I would not reach my goals

I would not survive without star

i would probably be in poor health

I would probably be suicidal

I would probably be with friends at home not doing anything and problem gonig to school.

I would probably commit suicide

I would probably kill myself.

I would probably return to my old running partners. Drugging-n-drinking

I would probably stay at my house 7 days a week and not interact with people

I would relapse

I would return to not leaving my house. Also would lose my friends from star because i

dont like to talk on phone. I would be hospitalized more times.

I would say to keep going with groups. My will change for the worst, may not meet no

friends

I would sit around at - learn to work same. learn my way around more

I would stay home and be happy at home

i would stay home and that no good

i would stray at home doing chores

I would take to CM, or doctor to ask to stay at STAR or another program. Agree 2590,

don't like to quit starter not quitter.

I would try to get a job.

I would volunteer

I wouldn't be able to do reality checks. I wouldn't be able to meet people.

i wouldn't be able to get out ever.

I wouldn't be as happy and not have as many activities to particpate in

I wouldn't have a place to socialize with the people with smi mental illness

I wouldn't have any other place to go that i could easily have a shower to have a safe

haven for people like me. I wouldn’t have as much coping to help me deal with the

problems, as well as staff to help others with the same issues that I have. I wouldn't have

a chance to use helping others with similar issues as one of my primary goals, coping

skills, and even therapy methods.

I wouldn't have any place for socilization

i wouldn't have anything to do. i would lose my connections with other PEERS. It would

ruin my recovery, it would take my motivation and self-esteem away

I wouldn't have as many friends and would isolate more, keeps me from eating all day at

home. My eating disorder would take over again. I would worry more about money issues

and be more stressed and depressed



I wouldn't have excellent food and I'd have to stay home with nothing to do.

I wouldn't leave the house at all. I would sleep a lot. My flashbacks would go full blown

without distraction. Life would suck.

i wuold be depressed, isolate, be lonely, suicidal even

I'd be bored!

I'd feel lonely and miserable. If i needed a place to go to I would be miserable.

I'd have more friends, a job, finish college

I'd have very few friends, no groups, and very little food

I'd isolate at home

I'd likely be depressed at home alone.

If i did not attend STAR my life would change drastically. STAR gives me a place to learn,

be myself, and always have support. I hope I never have to not attend STAR. I would go

back to my old habits and most likely be hospitalized again.

If i didn't go to star west weekly. i wouldn't have a place to come weekly and would become

isolated in my daily life.

If they would shut down star west, I would be at home in my room [twiddling] my thums

staring at the ceiling

isolate - do very little get worse

isolate and feel more depressed

isolate stay home

it help me get out of the house somewhere safe to be and to feel like i accomplish

something positive for the day

It would be a big change; very not productive.

It would be awful because I would not have anyone to talk too, no groups, no friends

it would be awful, very alone, depressed

it would be bad very bad. i'm positive that my self-core would deteriorate quite rapidly. and

although i only come once a week, its something i look forward to even if it s just to get

out of the house for that day, otherwise i'd be laying on the couch trying to sleep through

yet another day, because im no going to take my own life, until God determines it through

natural causes, or accidental. AKA i'd be very depressed

It would be boring and lonely

It would be detrimental to our health.

It would be difficult but if I know me I would find a solution to make my life better

it would be difficult to maintain my present level of recovery

it would be once. It woudl change a lot. I like star.

it would be real lonely

It would be sad and even depressing, it means alot to me to be in the star program

it would change a lot i would end up going to the mental hospital alot and i would get into

a lot of angry fights with family and friends and i would get lonely alot and also feel

abandoned.

it would change alot because I would be bored at home with nothing to do and it won't

help me with my mental illness I would be lost without having a recovering center to help

me cope and understand my illness.



It would change quite a bit. I enjoy seeing friends here I could no longer see and I would

miss the services it provides to help me out in life.

it would fall apart

it would suck

It wouldn't

it wouldnt but i do need the groups for support to help me along the way

less socialization ; more anxiety and depression

lonely

miserable, not good

my depression would start up and I wouldn't want to do any thing

my life it doesn't change because I don't feel support from no body

my life will be really poor and not happy

My life would be awful because STAR is my purpose, I work here, I lern and practice

coping shells it gives me 100% support - friendly and is the best way to stay recovery

focused helping one another.

My life would be brought down a few steps. Star has kept me fighting my mental illness

and kept me healthy. If I couldn't use star, I would be depressed, and my anxiety would

be getting worse. I'm very glad I have star.

my life would be full of agony

My life would be terrible

my life would not change, coming to star has helped me greatly with my metarel - social

life.

my symptoms would increase i would not leave my house at all. I would be lonely

negatively

no commincation with others, no friends, bored, depression

no communication socializing

no it would not

no place for support and I would feel hopeless

no socialization

no socialization, no job, have no routine, stay in bed & isolate

not a considerable difference

not good

not legible

Not much as for work, but socialization and groups would be missed

not sure

not to good

Not,much I would miss some of the people.

probably wouldn't get out - wouldn't work so I would have to get my own insurance -

wouldn't socialize with my friends/peers - would isolate

progress would go down

relapse

satisfying



Star is a part of my life and part of me I will lose my friends If i no longer participate in star.

star keeps me interacting with my community and gives me a chances to meet new people,

and if need ask for help, it gives me reasons to get up and keep moving

stay home and isolate. I enjoy coming to STAR

stay home sleep and clean house, arts & crafts, watch movies, play my games in computer

struggle with maintaining coping skills

Terrible, i would be on the streets

The question should be how my life will change if I attend STAR regularly.

there are comments but unable to read

To much time in my hands.

Total social isolaction, PTSD total dissosiation, sect mutilatiopn dissociation

varey varey bad

very boring

Very drasticly

very frustrated if that were to happen

Very very very very very bad

Well I would have to get a normal job too get paid regularly, not depend on social security.

well star center help me alot or staff & groups. They mold my life 50% the rest I want to

do it on my own. If I never knew about star I would just be more depressed or losing my

mind.

well, i wouldn't have as much efficient reasons to deal with personal emotional problems

and psychological issues I deal with on the daily. Depressions is one of the examples of

what I mean

When my paper work messed up I was depressed lost track of the days.

would be hard to find away to participate in something in which i could enjoy and be helpful

to people who need my help as well as i need input from others who have as much or

more insight on certain type of life issues.

would change a lot

would isolate at home, and have less incentive to get up and out each day. Probably not

take my medications consistently

Wouldn't be able to see friends

yes i participate in star

Q57. If you would like to provide any additional comments, please use the space below.

" staff is nice to me" " joe, deb, emiline, are nice to me" and solan

"everything is good" " i like the groups, coming here, socializing"

activities, bowling, bingo, community outings, foodshare, and clothing share

all the staff is very good working with me and helpful

bring more staff for the meeting

Darius, Tammy, and the other staff members make themselves available to reach out to

and helping when problems come up



during the other programs, I feel this program is better for me, meeting people, talk about

my depression

everyone is excellent

everything is going good

excellent

foods good

give the staff more money

groups, sometimes I want to go to a group, but have to wait for the next group because

too many people, limiting groups are 15 members.

i am a freedom to work employee

I am completely, very well taken care of here. I love all the classes here and very helpful.

Darius is great and Troy is number one.

I am really happy to be in star. My life has improved since being here. The staff is friendly

and helpful and I have made more friends here then in my entire life before STAR. I have

also gained more self-confidence since being here. The groups are great they really help

me a lot.

I am very thankful to have star as a member and to share my job skills with. it gives me a

purpose and I love working with staff and for a company that is in it for the right reasons

and appreciate each other and the works done.

I appreciate star very much. I wish the walk group would continue at 9:30AM. I leave at

1:45pm.

I enjoy the groups, and outings, and spending time with my peers.

I feel at home at star

I happy with star services

I have been coming to STAR W for a long time and they have been consistently good;

especially groups and craft. Star west is on of my families.

i have no comment

I like coming to star for computers and groups and lunch

i like it here, I'm getting the help I need

i like this place very much

I like to come to star west and be on the board of directors. I am a liason for the clients of

life coach

I like to have fun at the STAR

i love all them

I love star and fun brunch they made very happy

I love star for providing a place for people who really have not 7 or looking for

companionship

i love volunteering in star. I am learning more about star and the system and to help others.

I am just giving back to the center.

i need star west.. (unable to read rest)

i only use my pain meds prescription as prescribed by my doctor, only! i do not, nor have

i ever abused any type of drug



i really like attending here at star to keep me from being on the streets and also keeps me

busy.

I recommend this organization to anyone with mental health issues

i think that STAR has helped me out a lot in my recovery. I enjoy coming and meeting new

people. Also I think STAR east staff is excellent

I think we should be able to watch TV unless you fall asleep some people need a quick

ten fifteen minutes I think places where things get stolen the most should have cameras

and do random searches it needs to be done

I would find much of a productive way to stay active and stay with a positive attitude.

i would like longer, more informative recovery groups.

I would like to keep going to star west so i am not board, and so that i can learn things in

group. see all my friends, make new friends, and do things with my friends at fun bunch,

and at my center (star west).

I would like to see a couple of first aid classes; CPR and patching up sores

I've been coming to STAR since before it was STAR, when it was SOON. And they've

always been here for me and I really appreciate it.

im very grateful for star services. i would never take it for granted. i tell everyone i know

about star.

increase the amount of people who go to groups. this is a recovery center not a soup

kitchen,

keep up the good work.

let us watch "R" rated movies. we are adults and should be treated as such. most of us

can not afford to go to the movies or friends to go with. Movies give us an outlet to feel

more normal (Su to wrote)

log out off the computers it makes it hard to the things someone else has to do like me on

facebook

more physical activity

no, as all as I have this place here for me I know its going to be good and alright purpose

in my life.

no!

Not a letter would change me but an obstacle was taken from me here.

perhaps if members were assigned to a particular staff member, one on one's could be

scheduled. I feel that having an in house attorney it would be beneficial to all for all types

of legal problems from disability claims to custody cases to bankruptcy. the trip to kohl's

ranch was the best experience I've had within the last 15 years easily.

Please get our movie privileges back.

sad and confused depressed and hurt

since coming to star, i am not suicidal anymore and it is good for me to come here to tak

about my mental issues

staff here at star is grate i wish i could say the same for my case worker at the clinic

staff is excellent. This program is exactly what I need

star and all the activities help many people have a normal life. Without these centers many

people would be without help .



STAR has been a great help, more in recovery in the past year than in the past 15 years

prior

STAR has Changed my life and saved my marriage of 35 years

Star has helped me become a better person.

Star helps me not to isolate and stay in bed. Star helps me with all their groups I attend. I

learn at star.

star is a fun place to be. They supplement my food (thru free lunch & stuff from

restaurants). The clothing closet and food pantry i surely need

star is a global blessing to me. its helped me as i first walked-in.

STAR is a great program

star is an excellent program

Star is an excellent recovery place.

star is good

star is ok

star rocks

star was a family before now it is run more like a clinic

thank you

Thank you for doing these surveys.

Thank you for supporting me with things in star and I like to come to stay to change my

recovery and like to go to different activities and would like to meet new people.

thank you guys for having me here to stars. I like been here to go groups and meet new

people.

thank you, I feel better than the last time that I filled out this form

thanks for most people for caring and giving me a chacne and I'm not perfect not everyday

is perfect to ask for help?

thats okay

The lack of serious artistic opportunities is why I don't attend much.

The people need to socialize and go to star west learn how to cope or just get ideas how

to better themselves

the services i have received at STAR have been essential to my recovery

The staff at star are really professional and I am so grateful for this. Thanks to all of you.

The staff is excellent and very caring. They work with us on a one on one basis or as a

group. They are family to us.

The staff is great and have been very patient with me. They really are concerned @ us.

The staff is very friendly and helpful - love you all.

The stuff at star west is to superior

there are comments but unable to read

There are no activities and healthy interactions at the home (group) where i live. Food is

not very suitable (too much sweets - less fruits or veg)

there is always room for improvement, however my experience here at star has been

positive, enlightening, and very helpful

this is my first time here



this place is awesome

This place rock's I love it here.

very good place to come to. I like it very much. I am going to come here forever.

very thankful to star west

When i go to staff with a problem or compliant they get to work on it right away.

Would like to move into an apt.

yes i like to say i have a lot of jobs, vote for President Bush and President Clinton

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