Danbi Lee University of Illinois at Chicago

1. Danbi LeeUniversity of Illinois at Chicago Development and Evaluation of the Community Living Management (CLM) Program for People with Disabilities who Have Moved out of Nursing Homes

2. Program Description • 10 session curriculum designed in structured and fundable format • Curriculum consists of: • A facilitator guide • A participant workbook

3. Program Description • Learning approaches that guided the program • Social learning theory • Transformative learning theory • Self-management approaches • Contents were determined through collaborative decision-making and ongoing communication with community partners and policymakers

4. Program overview

7. Participants Demographics • Total 13 participants • 69% Male • 85% African American; 15% Caucasian • Average age: 50 (range: 30-64) • Average income: $953/month (range: $600-1400) • 77% on SSDI, 23% on SSI

8. Participants Demographics • Diverse disabilities including physical, psychiatric, sensory, and multiple impairments • Average time spent in a nursing home : 2.4 yrs (1wk-10yrs) • Average time being in the community : 12.8 mo (1wk-4yrs)

9. Program Delivery • Two groups were held at two Centers for Independent Living in Chicago (Access Living and Progress Center) • Lasted five weeks (two sessions a day) • Provided participants with honorarium, food, transportation reimbursement, personal assistant service, and accommodations upon request

10. Evaluation Methods Post-test Interview & Focus Group Photo voice Pre-test Interview Base-line 5 week intervention 1 wk • Use of mixed methodology • Interviews, focus groups, and photovoice

11. Outcome: Confidence Results from paired t-test analysis on self-efficacy (* p<.1; ** p<.05)

12. Outcome: Confidence Results from paired t-test analysis on self-efficacy (cont’d) (* p<.1; ** p<.05)

13. Outcome: Satisfaction with the program • High satisfaction with the program content, • facilitators, and the peer-mentors

14. Outcome: Focus Group • “I learned the different ways I should and should not be treated, what I should and should not take, and I learned that—how to re-integrate myself being out of business and in a home. I mean, you get so used to certain—a certain lifestyle, certain treatment, certain people at the nursing home, and it's like being in Stepping Stones it kind of helped me to pull myself away from that finding, you know, and show me you are not in that type of control environment anymore…”

15. “Where I shop now “Where I used to shop after the Stepping Stones group” before Stepping Stones” Outcome: Photovoice

16. “The sky is the limit. This reminds “Unity. This is what it feels me of all the opportunities.” like when we are together” Outcome: Photovoice

17. “Oh my god a computer!” “I learned my rights and responsibilities” Outcome: Photovoice

18. Discussion • The findings provides pilot evidence of the positive impact of the CLM/Stepping Stones program on community living management • Findings support benefit of the use of social learning, self-management and peer mentoring approaches specific to post transition community living programming

19. Discussion • The program complements and works in concert with CIL community reintegration services as it provides a post-transition, independent-living skills training • The systematic evaluation and its findings provided a strong platform for program continuation and replication

20. The project was funded by:The Illinois Money Follows the Person (MFP) Demonstration grant through the Illinois Department of Human ServicesThe “Community Living and Participation: Examining and Effecting Social Change” grant by NIDRR

21. Thank you Email : dlee72@uic.edu